（附论）
夫 癖。不能食者。由脾胃虚弱为寒气所乘。盖脾胃者。仓廪之官。其气宣通。则
传
化糟粕。受纳水谷。 癖之人。是因寒气久积腹内。不能荣养脏腑。脾胃既弱。邪气停
故但虚满而不能食也。
方
桃仁丸 主 癖气。漫心胀满。不下食。发即更胀。连乳下满。头面闭闷。咳气急
者。
桃仁（八分去尖皮熬） 鳖甲（炙六分） 枳实（炙） 白术（各六分） 桔梗 吴茱
萸槟榔
防
草（炙
各
海
藻
又浸药酒用下、前药方
紫苏 牛膝 丹参 紫菀 橘皮（各三两） 生姜（六两） 生地黄（四两切） 香豉
（熬各
三升）
后
温一盏
白术丸（出圣惠方）治 癖气。不能食心胁下满。四肢骨节酸痛。
白术（三分） 黄 （一两锉） 牡蛎（三分烧为粉） 人参（三分去芦头） 赤茯苓
（一
两） 川乌
头
黎勒皮
（三
葵（半
两）
去芦头）
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服不计时候。以温酒下三十丸。
槟榔子丸 主腹内 癖。气满胸。背痛不能食。日渐羸瘦。四肢无力。时时心惊。
槟榔子 龙齿（炙各六分） 桔梗 当归 桂心 前胡 白术 川乌头（炮） 干姜 茯
神
大
捣筛蜜和
丸
菘
黄 丸 疗风虚盗汗、不能食。腹内有 癖气满。
黄 鳖甲（炙各五分） 白术 茯苓 槟榔子 人参（各六分） 白薇 桂心 橘皮
（各
三分）
丸。如
梧桐子
生葱。
木香丸（出圣惠方）治 癖气。腹胁痛不能食。四肢少力。宜服。
木香（三分） 诃黎勒（一两煨用皮） 黄 （一两锉） 鳖甲（一两涂醋炙令黄去裙
） 白
术
汤浸去白
瓤焙
炼蜜和
捣三
疗症癖 气不能食。兼虚羸瘦。四时常服方。
牛膝 肉苁蓉（各六两） 生地黄（九两） 当归 远志肉（去心） 白术 人参（各
三两）
桂心
（六两一
方
生姜
芜
疗 癖。发即两胁弦。急不能食。
槟榔子 枳实（炙） 人参 白术 甘草（炙各六分） 桔梗（五分） 鳖甲（炙） 前
胡（各
四分）
每服
十丸。
等。
桂心丸（出圣惠方）治 癖气不能食。腹中痛。时嗽。四肢少力。
桂心（一两） 诃黎勒皮（一两） 白术（一两） 浓朴（去粗皮涂生姜汁炙令黄熟各
一两半）
上
疗 癖。胸背痛。时时咳嗽。不能食。
桂心 细辛 鳖甲（炙各四两） 白术（六分） 浓朴（炙） 橘皮 防葵（炙） 吴
茱萸（各
三分）
下。
日二服
半夏汤（一名半夏散出圣惠方）主腹内左胁 癖。硬急气满。不能食。胸背
痛
者。
半夏（洗） 前胡 鳖甲〔各一（三）两〕 人参 桔梗 吴茱萸 枳壳（各二两） 生
姜（四
两）
八
九里
人参丸（出圣惠方）治 癖气。不能食。四肢少力。
人参〔二（一）两去芦头〕 白术（三分） 枳壳（三分麸炒微黄去瓤） 陈橘皮（半
两汤浸
去白
件
药。捣
汤下亦
肉豆蔻散（出圣济总录）治 癖。胃中寒癖。不思饮食。
肉豆蔻（去壳） 枳壳（去瓤麸炒各三分） 芜荑仁 吴茱萸（陈者淘焙各三两） 高
良姜
（一两
火煨令
面黄熟
又方
陈橘皮（三分汤浸去白瓤焙） 附子（三分炮裂去皮脐） 干姜（三分炮裂锉） 防葵
（三分）
吴
件药。
捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以生姜枣汤下三十丸。
槟榔丸（出圣惠方）治 癖气。发即两胁急痛。四肢烦闷。不能食宜服。
槟榔（一两） 枳壳（三分麸炒微黄去瓤） 桔梗（三分去芦头） 人参（三分去芦头）
白术
（半
两锉碎微
炒）
桐子
大。每服不计时候。以温酒下三十丸。
桔梗丸 疗冷 癖。气发。急引膀胱痛。气满不能食。
桔梗 枳实（炙） 鳖甲（炙） 人参 当归 白术（各四分） 桂心 吴茱萸（各三
分） 干
姜（四
丸。酒
下
鳖甲散（出圣济总录）治腹内 癖。积聚。心胸刺痛。面无颜色。
鳖甲（去裙 醋炙） 附子（炮裂去皮脐） 木香 白术 京三棱（煨锉） 槟榔（各
三分半
生
黑神丸（出圣济总录）治 癖不能食。心胁刺痛。发作有时。并膀胱小肠冷
滞
。
干漆（六两半生用重汤煮半日令香） 陈曲 茴香子（各四两） 木香（锉细） 椒红 丁
香
（各
如弹
子大
膀胱
死
人参丸 主 癖。气不能食。
人参（八分） 白术 枳实（炙） 桂心（各六两） 橘皮（四分） 甘草（炙） 桔
梗（各五分）
上
生葱、桃、李、雀肉、海藻、菘菜。
木香散（出圣济总录）治 癖积聚气。不能饮食。及五膈。并妇人血气。
木香（一分） 蓬莪术（炮锉六两） 京三棱（炮锉） 益智（去皮各二两） 陈橘皮
（去白焙
四两）
白术汤（出圣济总录）治 癖气每发疼痛。不能饮食。
白术 木香 益智（去皮各一两） 京三棱（微煨熟锉三两） 槟榔（锉一两半） 上
粗捣
筛。每
京三棱丸（出圣济总录）治 癖急痛。不能饮食。
京三棱（五两捣末以好醋一碗同熬成稠膏） 蓬莪术（炮锉） 益智（去皮） 青橘皮
〔去白
焙各
如
绿豆
京三棱散（出圣惠方）治 癖气。每发痛不能食。
京三棱（三两微煨锉） 益智子（一两去皮） 吴白术 木香（各一两） 上件药捣粗
罗为
散。每
(Attached Discussion)
The condition of "Pi" (abdominal mass) accompanied by an inability to eat is caused by the deficiency and weakness of the Spleen and Stomach, allowing Cold pathogen to invade. The Spleen and Stomach are the officials responsible for storage and processing; when their Qi circulates freely, they can transmit and transform waste, and receive and assimilate food and fluids. Those suffering from "Pi" have Cold accumulating in the abdomen for a long time, failing to nourish the Zang-Fu organs. Since the Spleen and Stomach are weak and pathogenic factors stagnate, there is only a sensation of false fullness and an inability to eat.
Taoren Wan (Peach Kernel Pill): Mainly treats Pi Qi, distension and fullness in the heart and chest, loss of appetite, worsening distension upon exacerbation, distension extending to below the breasts, oppression and stuffiness in the head and face, coughing with rapid breathing.
Herbs: Taoren (Peach Seed, 8 fen, remove tips and skin, stir-fry), Biejia (Turtle Shell, calcined, 6 fen), Zhishi (Immature Bitter Orange, calcined), Baizhu (Atractylodes Macrocephala Rhizome, each 6 fen), Jiegeng (Platycodon Root), Wuzhuyu (Evodia Fruit), Binglang (Areca Seed), Gancao (Licorice Root, calcined, each 6 fen), Haizao (Sargassum, soaked in medicinal wine).
Alternative Medicinal Wine Recipe: Zisu (Perilla Leaf), Niuxi (Achyranthes Root), Danshen (Salvia Root), Ziwan (Aster Root), Juapi (Tangerine Peel, each 3 liang), Shengjiang (Fresh Ginger, 6 liang), Shengdihuang (Rehmannia Root, fresh, sliced, 4 liang), Xiangchi (Prepared Soybean, stir-fried, each 3 sheng).
Administration: Process the above herbs into pills, take with the medicinal wine, warm one zhan per dose.
Baizhu Wan (Atractylodes Macrocephala Rhizome Pill) [from *Shenghui Fang*]: Treats Pi Qi, inability to eat, fullness below the heart and hypochondrium, soreness and pain in the bone joints of the four limbs.
Herbs: Baizhu (Atractylodes Macrocephala Rhizome, 3 fen), Huangqi (Astragalus Root, 1 liang, cut), Moli (Oyster Shell, calcined to powder, 3 fen), Renshen (Ginseng Root, 3 fen, remove rhizome), Chifuling (Red Poria, 1 liang), Chuantou (Sichuan Aconite Root), Lilepi (Persimmon Skin), Kuizi (Abutilon Seed, half liang, remove rhizome).
Administration: Pound and sieve the above herbs into fine powder, mix with refined honey, pound 500-700 times until uniform, form pills the size of paulownia seeds. Take 30 pills at any time, washed down with warm wine.
Binglangzi Wan (Areca Seed Pill): Mainly treats abdominal Pi Qi, chest fullness due to Qi stagnation, back pain with inability to eat, progressive emaciation, weakness in the four limbs, frequent palpitations.
Herbs: Binglangzi (Areca Seed), Longchi (Dragon Bone, calcined, each 6 fen), Jiegeng (Platocodon Root), Danggui (Angelica Sinensis), Guixin (Cinnamon Twig), Qianhu (Peucedanum Root), Baizhu (Atractylodes Macrocephala Rhizome), Chuantou (Sichuan Aconite Root, processed), Ganjiang (Dried Ginger), Fushen (Poria with Hostwood), Dahuang (Rhubarb Root).
Administration: Pound and sieve, mix with honey to form pills.
Huang Biejia Wan (Astragalus and Turtle Shell Pill): Treats wind-deficiency night sweating, inability to eat, abdominal Pi Qi causing fullness.
Herbs: Huangqi (Astragalus Root), Biejia (Turtle Shell, calcined, each 5 fen), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Binglangzi (Areca Seed), Renshen (Ginseng Root, each 6 fen), Baiwei (Cynanchum Root), Guixin (Cinnamon Twig), Juapi (Tangerine Peel, each 3 fen).
Administration: Form pills the size of paulownia seeds, take with raw green onion decoction.
Muxiang Wan (Costus Root Pill) [from *Shenghui Fang*]: Treats Pi Qi, abdominal and hypochondriac pain with inability to eat, weakness in the four limbs. Suitable for use.
Herbs: Muxiang (Costus Root, 3 fen), Helile (Chebula Fruit, 1 liang, baked, use peel), Huangqi (Astragalus Root, 1 liang, cut), Biejia (Turtle Shell, 1 liang, coated with vinegar and calcined until yellow, remove skirt), Baizhu (Atractylodes Macrocephala Rhizome, soaked in water, remove white pith, dried).
Administration: Mix with refined honey, pound 300 times, form pills.
This formula treats Zheng-Pi (symptomatic mass) Qi causing inability to eat, combined with deficiency and emaciation. A formula for regular use throughout the four seasons.
Herbs: Niuxi (Achyranthes Root), Roucongrong (Cistanche Stem), each 6 liang; Shengdihuang (Rehmannia Root, fresh), 9 liang; Danggui (Angelica Sinensis), Yuanzhi (Polygala Root flesh, remove heart), Baizhu (Atractylodes Macrocephala Rhizome), Renshen (Ginseng Root), each 3 liang; Guixin (Cinnamon Twig), 6 liang; Shengjiang (Fresh Ginger, added in another prescription).
This formula treats Pi Qi, where exacerbation causes tightness in both hypochondria and inability to eat.
Herbs: Binglangzi (Areca Seed), Zhishi (Immature Bitter Orange, calcined), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Gancao (Licorice Root, calcined, each 6 fen), Jiegeng (Platycodon Root, 5 fen), Biejia (Turtle Shell, calcined), Qianhu (Peucedanum Root, each 4 fen).
Administration: Take 10 pills per dose.
Guixin Wan (Cinnamon Twig Pill) [from *Shenghui Fang*]: Treats Pi Qi with inability to eat, abdominal pain, frequent coughing, weakness in the four limbs.
Herbs: Guixin (Cinnamon Twig, 1 liang), Helilepi (Chebula Fruit Peel, 1 liang), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Nongpo (Magnolia Bark, remove rough bark, coat with ginger juice and calcined until yellow and cooked, each 1.5 liang).
Administration: Pound the above herbs into powder, mix with refined honey, pound 200-300 times, form pills the size of paulownia seeds. Take 30 pills at any time, washed down with ginger and jujube decoction.
This formula treats Pi Qi, chest and back pain, frequent coughing, inability to eat.
Herbs: Guixin (Cinnamon Twig), Xixin (Asarum), Biejia (Turtle Shell, calcined, each 4 liang), Baizhu (Atractylodes Macrocephala Rhizome, 6 fen), Nongpo (Magnolia Bark, calcined), Juapi (Tangerine Peel), Fangkui (Phloga Root, calcined), Wuzhuyu (Evodia Fruit, each 3 fen).
Administration: Take twice daily.
Banxia Tang (Pinellia Decoction), also known as Banxia San [from *Shenghui Fang*]: Mainly treats left hypochondriac Pi in the abdomen, hardness and tension with Qi fullness, inability to eat, chest and back pain.
Herbs: Banxia (Pinellia Tuber, washed), Qianhu (Peucedanum Root), Biejia (Turtle Shell) [each 1 or 3 liang], Renshen (Ginseng Root), Jiegeng (Platycodon Root), Wuzhuyu (Evodia Fruit), Zhike (Aurantium Fruit, each 2 liang), Shengjiang (Fresh Ginger, 4 liang).
Administration: Decoct for 8-9 li (time/distance implied), strain and take warm.
Renshen Wan (Ginseng Pill) [from *Shenghui Fang*]: Treats Pi Qi, inability to eat, weakness in the four limbs.
Herbs: Renshen (Ginseng Root) [2 or 1 liang, remove rhizome], Baizhu (Atractylodes Macrocephala Rhizome, 3 fen), Zhike (Aurantium Fruit, 3 fen, bran-fried until slightly yellow, remove pith), Chenjuapi (Aged Tangerine Peel, half liang, soaked in water, remove white pith).
Administration: Pound the above herbs into powder, mix with refined honey, pound 200-300 times, form pills the size of paulownia seeds. Take 30 pills at any time, washed down with warm wine. Decoction is also acceptable.
Roudoukou San (Nutmeg Powder) [from *Shengji Zonglu*]: Treats Pi, Cold Pi in the Stomach, lack of desire to eat.
Herbs: Roudoukou (Nutmeg, remove shell), Zhike (Aurantium Fruit, remove pith, bran-fried, each 3 fen), Wuyiren (Madhuca Seed), Wuzhuyu (Evodia Fruit, aged, washed and baked, each 3 liang), Gaoliangjiang (Galangal Root, 1 liang, fire-baked until surface is yellow and cooked).
Another Prescription: Chenjuapi (Aged Tangerine Peel, 3 fen, soaked in water, remove white pith and baked), Fuzi (Aconite Root, 3 fen, processed, cracked, remove skin and umbilicus), Ganjiang (Dried Ginger, 3 fen, processed, cracked, cut), Fangkui (Phloga Root, 3 fen).
Administration: Pound the above herbs into powder, mix with refined honey, pound 200-300 times, form pills the size of paulownia seeds. Take 30 pills at any time, washed down with ginger and jujube decoction.
Binglang Wan (Areca Pill) [from *Shenghui Fang*]: Treats Pi Qi, exacerbation causing urgent pain in both hypochondria, restlessness in the four limbs, inability to eat. Suitable for use.
Herbs: Binglang (Areca Seed, 1 liang), Zhike (Aurantium Fruit, 3 fen, bran-fried until slightly yellow, remove pith), Jiegeng (Platycodon Root, 3 fen, remove rhizome), Renshen (Ginseng Root, 3 fen, remove rhizome), Baizhu (Atractylodes Macrocephala Rhizome, half liang, cut into pieces and lightly fried).
Administration: Form pills the size of paulownia seeds. Take 30 pills at any time, washed down with warm wine.
Jiegeng Wan (Platycodon Pill): Treats Cold Pi, Qi exacerbation causing urgent pulling pain in the Bladder, Qi fullness with inability to eat.
Herbs: Jiegeng (Platycodon Root), Zhishi (Immature Bitter Orange, calcined), Biejia (Turtle Shell, calcined), Renshen (Ginseng Root), Danggui (Angelica Sinensis), Baizhu (Atractylodes Macrocephala Rhizome, each 4 fen), Guixin (Cinnamon Twig), Wuzhuyu (Evodia Fruit, each 3 fen), Ganjiang (Dried Ginger, 4 fen).
Administration: Form pills, take with wine.
Biejia San (Turtle Shell Powder) [from *Shengji Zonglu*]: Treats abdominal Pi, accumulation, stabbing pain in the heart and chest, pale complexion.
Herbs: Biejia (Turtle Shell, remove skirt, vinegar-calcined), Fuzi (Aconite Root, processed, cracked, remove skin and umbilicus), Muxiang (Costus Root), Baizhu (Atractylodes Macrocephala Rhizome), Jingsanleng (Curcuma Zedoaria Rhizome, baked and cut), Binglang (Areca Seed, each 3.5 fen).
Administration: Grind raw into powder, take mixed with warm water.
Heishen Wan (Black Divine Pill) [from *Shengji Zonglu*]: Treats Pi with inability to eat, stabbing pain in the heart and hypochondria, occurring at intervals, and Cold stagnation in the Bladder and Small Intestine.
Herbs: Ganqi (Dry Lacquer, 6.5 liang, raw, boiled in double boiler for half a day until fragrant), Chenqu (Aged Yeast), Huixiangzi (Fennel Seed, each 4 liang), Muxiang (Costus Root, finely cut), Jiaohong (Sichuan Pepper Red), Dingxiang (Clove Bud, each size of a bullet).
Administration: ... Bladder dead blood... Renshen Wan mainly treats Pi, Qi unable to eat.
Renshen (Ginseng Root, 8 fen), Baizhu (Atractylodes Macrocephala Rhizome), Zhishi (Immature Bitter Orange, calcined), Guixin (Cinnamon Twig, each 6 liang), Juapi (Tangerine Peel, 4 fen), Gancao (Licorice Root, calcined), Jiegeng (Platycodon Root, each 5 fen).
Contraindications: Raw green onion, peach, plum, sparrow meat, seaweed, pak choi.
Muxiang San (Costus Root Powder) [from *Shengji Zonglu*]: Treats Pi accumulation and Qi, inability to eat and drink, and Five Obstructions, as well as women's Blood and Qi disorders.
Herbs: Muxiang (Costus Root, 1 fen), Peng'e Zhu (Curcuma Phaeocaulis Rhizome, processed and cut, 6 liang), Jingsanleng (Curcuma Zedoaria Rhizome, processed and cut), Yizhi (Alpinia Oxyphylla Fruit, peeled, each 2 liang), Chenjuapi (Aged Tangerine Peel, remove white pith and baked, 4 liang).
Baizhu Tang (Atractylodes Macrocephala Rhizome Decoction) [from *Shengji Zonglu*]: Treats Pi Qi causing pain upon exacerbation, inability to eat and drink.
Herbs: Baizhu (Atractylodes Macrocephala Rhizome), Muxiang (Costus Root), Yizhi (Alpinia Oxyphylla Fruit, peeled, each 1 liang), Jingsanleng (Curcuma Zedoaria Rhizome, lightly baked, cooked, and cut, 3 liang), Binglang (Areca Seed, cut, 1.5 liang).
Administration: Coarsely crush and sieve. Take...
Jingsanleng Wan (Curcuma Zedoaria Rhizome Pill) [from *Shengji Zonglu*]: Treats urgent pain from Pi, inability to eat and drink.
Herbs: Jingsanleng (Curcuma Zedoaria Rhizome, 5 liang, pounded into powder, boiled with one bowl of good vinegar until thick paste), Peng'e Zhu (Curcuma Phaeocaulis Rhizome, processed and cut), Yizhi (Alpinia Oxyphylla Fruit, peeled), Qingjuapi (Green Tangerine Peel) [remove white pith and baked, each...]
Administration: Form pills the size of mung beans.
Jingsanleng San (Curcuma Zedoaria Rhizome Powder) [from *Shenghui Fang*]: Treats Pi Qi, pain upon exacerbation with inability to eat.
Herbs: Jingsanleng (Curcuma Zedoaria Rhizome, 3 liang, lightly baked and cut), Yizhizi (Alpinia Oxyphylla Fruit, 1 liang, peeled), Wu Baizhu (Wu Atractylodes Rhizome), Muxiang (Costus Root, each 1 liang).
Administration: Pound the above herbs coarsely and sieve into powder. Take...