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(Attached Discussion)
Accumulation and mass (Ji Ju) diseases arise from the presence of cold pathogen within the body. When blood and qi are deficient, wind pathogen invades and contends with the zang-fu organs. If cold is predominant, causing qi stagnation and涩ness (stasis), accumulation and mass form. "Accumulation" (Ji) refers to yin pathogen coagulating; its manifestations include food failing to transform into muscle and flesh, lumps in the abdomen resembling peaches or plums, abdominal fullness, vomiting, and diarrhea. Pain intensifies upon exposure to cold, hence it is termed Cold Hernia Accumulation and Mass (Han Shan Ji Ju). The pulse may appear wiry and tight (Xuan Jin) or floating and firm (Fu Lao), both indicating accumulation. A firm, strong, and rapid pulse suggests preserved righteous qi and a better prognosis, whereas a weak and rapid pulse indicates critical condition and poor prognosis.

Formulas:
Xuming San (Cure Life Powder), also known as Shizhuyu Wan (Cornelian Cherry Pill), treats Cold Hernia Accumulation and Mass. Symptoms include fluctuating pathogenic qi, reversal cold (Jue Ni) with Qi attacking the heart causing pain, emaciation, shortness of breath, chest and hypochondriac fullness, and loss of appetite.
Ingredients: Cornelian Cherry Fruit (Shizhuyu, 2 liang), Peony Root (Shaoyao), Asarum (Xixin, seedlings and leaves removed), Peucedanum Root (Qianhu, rhizomes removed, each 1 liang 1 fen), Dried Ginger (Ganjiang, processed), Aconite Root (Wutou, processed until cracked, skin and umbilicus removed), Prepared Rehmannia Root (Shengdihuang, baked, amounts missing in text).
Preparation: Grind into fine powder, mix with refined honey to make pills.
Dietary Advice: Avoid raw, cold, and greasy foods.

Guixin Tang (Cinnamon Heart Decoction) treats Cold Hernia Accumulation and Mass. Symptoms include heart and abdominal pain, and indissoluble masses.
Ingredients: Cinnamon Bark (Gui, coarse bark removed), Rhubarb (Dahuang, slightly processed, coarse skin removed), Balloon Flower Root (Jiegeng, cut and stir-fried), Processed Aconite Lateral Root (Fuzi, processed until cracked, skin and umbilicus removed), Costus Root (Muxiang), Atractylodes Macrocephala Rhizome (Baizhu), Angelica Sinensis Root (Danggui, sliced and baked).
Preparation: Cut into pieces the size of hemp seeds.

Yuanhua Wan (Kerria Fruit Pill, from *Shenghui Fang*) treats Cold Hernia Accumulation and Mass where the mass moves. Large masses resemble turtles, small ones resemble cups; they come and go suddenly, located in the epigastrium. Symptoms include intestinal obstruction, borborygmus due to wind-cold, upward rushing of cold qi from the heart region, and distending fullness in the chest and hypochondrium.
Ingredients: Kerria Fruit (Yuanhua, 2 liang, mixed with vinegar and stir-fried until dry), Pepper Seeds (Jiaomu), Sichuan Rhubarb (Chuan Dahuang, crushed and slightly stir-fried), Asarum (Xixin), Sichuan Aconite Root (Chuan Wutou, processed until cracked, skin and umbilicus removed), Red Peony Root (Chishaoyao, soaked in water seven times, then baked, amount missing).
Preparation: Grind into powder, make pills with water, take three times daily.

Biejia Tang (Turtle Shell Decoction) treats Cold Hernia Accumulation and Mass. Symptoms include knotted pain in the heart and abdomen, and inability to swallow food.
Ingredients: Turtle Plastron (Biejia, roasted with vinegar, skirt removed), Burreed Tuber (Jingsanleng, processed and crushed), Rhubarb (Dahuang, crushed and stir-fried, each 1 liang), Angelica Sinensis Root (Danggui, sliced and baked), Cinnamon Bark (Gui, coarse bark removed), Red Peony Root (Chishaoyao).
Preparation: Grind into powder, take 3 qian per dose, decoct with one sheng of water.

Jiegeng Wan (Balloon Flower Pill) treats Cold Hernia where pathogenic qi fluctuates, and accumulations are solid and unresolving. Symptoms include severe aversion to cold preventing sleep, distressing sweating, and difficulty in urination and defecation.
Ingredients: Balloon Flower Root (Jiegeng, crushed and stir-fried), Veratrum Rhizome (Lilu, rhizomes removed, roasted, each half liang), Lepidium Seed (Tinglizi, roasted on paper), Magnolia Bark (N Hou, coarse bark removed, coated with ginger juice and roasted then crushed), Aconite Root (Fuzi, [text missing], fifty kernels with two tips fried).
Preparation: Grind into powder, mix with refined honey to make pills, take 7 pills per dose, with rice drink or warm water.

Jiegeng Wan (Balloon Flower Pill, from *Shenghui Fang*) treats hard and rigid heart and abdomen, Cold Hernia with fluctuating pathogenic qi, solid and unresolving accumulations, distress from cold and irritability, insomnia, and nocturnal sweating.
Ingredients: Balloon Flower Root (Jiegeng, rhizomes removed), Sweet Lepidium Seed (Tian Tingli, slightly stir-fried until fragrant), Veratrum Rhizome (Lilu, rhizomes removed, slightly roasted), Cinnamon Heart (Guixin), Magnolia Bark (N Hou, coarse bark removed, coated with ginger juice and roasted [text missing]), Rhubarb (Dahuang, crushed and slightly stir-fried, amounts missing).
Preparation: Pound two hundred times, make pills the size of paulownia seeds.

Binglang Tang (Betel Nut Decoction) treats Cold Hernia Accumulation and Mass with knotting, attacking the heart and abdomen causing distension and fullness.
Ingredients: Betel Nut (Binglang, raw and crushed), Szechwan Lovage Rhizome (Xiong), Balloon Flower Root (Jiegeng, crushed and stir-fried), Angelica Sinensis Root (Danggui, sliced and baked), Cinnamon Bark (Gui, coarse bark removed), Red Peony Root (Chishaoyao), Atractylodes Macrocephala Rhizome (Baizhu), Costus Root (Muxiang, each half liang).
Usage: Take at any time.

Muxiang Tang (Costus Root Decoction) treats Cold Hernia Accumulation and Mass with erratic pain attacks and loss of appetite.
Ingredients: Costus Root (Muxiang), Chebulic Myrobalan Peel (Helile Pi, processed), Betel Nut (Binglang, crushed), Magnolia Bark (N Hou, coarse bark removed, coated with ginger juice and roasted), Green Tangerine Peel (Qing Jupi, soaked in water, white pith removed, baked, each half liang).
Usage: [Text missing] qian, decoct with one sheng of water and fresh ginger.

Biejia Wan (Turtle Shell Pill, from *Shenghui Fang*) treats Cold Hernia Accumulation and Mass with solid obstruction. Symptoms include cutting pain around the umbilicus, abdominal distension, wind pathogen invading the five zang organs, and accumulation due to worry and grief.
Ingredients: Turtle Plastron (Biejia, 1 liang, coated with vinegar and roasted until slightly yellow, skirt removed), Licorice Root (Gancao, roasted until slightly red and crushed), Sweet Lepidium Seed (Tian Tingli, slightly stir-fried until fragrant), Cinnamon Heart (Guixin), Sichuan Aconite Root (Chuan Wutou, processed, [text missing]).
Preparation: Mix and pound three to two hundred times.

Baizhu Tang (Atractylodes Macrocephala Decoction) treats Cold Hernia condensation and unresolving accumulations, attacking the abdomen causing pain and inability to eat.
Ingredients: Atractylodes Macrocephala Rhizome (Baizhu, 2 liang), Red Poria (Chifuling, black skin removed), Bitter Orange Fruit (Zhiqiao, pulp removed, bran-roasted), Ginseng Root (Renshen), Balloon Flower Root (Jiegeng, crushed and stir-fried), Cinnamon Bark (Gui, coarse bark removed), Burreed Tuber (Jingsanleng).
Usage: Take warm, at any time.

Binglang Tang (Betel Nut Decoction) treats Cold Hernia Accumulation and Mass with hard, urgent, and distended chest and abdomen, and lack of desire for food.
Ingredients: Betel Nut (Binglang, raw and crushed), Peach Kernel (Taoren, skin and tips removed, double-kernel fried), Apricot Seed (Yuliren, fried and skin removed), Burreed Tuber (Jingsanleng, processed, each 1 liang), Cinnamon Bark (Gui, coarse bark removed), Green [Text missing].
Usage: Divide into doses, remove dregs, take warm, [text missing].

Fuzi Wan (Aconite Pill) treats Cold Hernia cold qi, heart and abdominal accumulations, cutting pain around the umbilicus, and inability to eat.
Ingredients: Processed Aconite Lateral Root (Fuzi, processed, skin and umbilicus removed), Evodia Fruit (Wuzhuyu, soaked in water seven times, baked and slightly fried), Asarum (Xixin), Ligusticum Rhizome (Ben), Sichuan Aconite Root (Chuan Wutou, processed, skin and umbilicus removed), Betel Nut (Binglang).
Usage: Take three to four times daily.

Xiangzi Wan (Fragrant Seed Pill, also known as Xiangju San) treats Cold Hernia Accumulation and Mass with pain in the umbilical and abdominal regions, distending fullness in both hypochondria, and all types of stabbing pain caused by cold qi.
Ingredients: Fragrant Seed (Xiangzi, fried), Betel Nut (Binglang, processed and crushed), Burreed Tuber (Jingsanleng, processed and crushed), Green Tangerine Peel (Qing Jupi, soaked in water, white pith removed, salt-fried until yellow, each half liang), Costus Root (Muxiang, 1 fen).

Xiangchi Wan (Fermented Soybean Pill) treats chronic internal knotting of hernia and cold qi, and various癖症 (fixed masses) over many years.
Ingredients: Fragrant Fermented Soybeans (Xiang Mei Lan Chi, dried and slightly steamed until fragrant), Small Mustard Seed (Xiao Jiezi, stones and soil removed, slightly steamed until fragrant, each 1 sheng).
Preparation: Grind into fine powder, mix with refined honey to make pills.
Conclusion: This is the medicine... [Text cuts off]