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Accumulated Qi remains in the abdomen for a long time, stubbornly refusing to heal. If pushing on it does not move the mass, it is classified as a **Zheng** (Mass) syndrome. This condition arises from improper regulation of cold and warmth, and unregulated diet, leading to deficiency and weakness of the **Zang-Fu** organs' Qi.

**Xi Xie Wan** (Lizard Scorpion Pill) (from *Qianjin Fang*): Treats hard masses with edema, Fei Shi (Flying Corpse), Dun Shi (Escaping Corpse), Bai Zhu (Hundred Notes), Shi Zhu (Corpse Note), Gu Xue Xiang Zhu (Bone and Blood Transmission), Evil Qi, Gui Wu (Ghost Intrusion), and Gu Du (Gu Poison). After taking the medicine, the accumulation dissipates, and its toxicity is neutralized.
Ingredients: Xi Yi (Lizard), Wugong (Centipede) (2 each), Di Dan (Ground Beetle) (50 pieces), Meng Chong (Blue Bottle Fly Larva), Xing Ren (Apricot Seed) (20 or 30 each), Qiang Lang (Dung Beetle) (14 pieces), Shui Zhi (Leech) (11 zhu each).
Preparation: Grind into fine powder. Process Ba Dou (Croton Seed) and Xing Ren separately, then add to the powder mixture. Handle with caution if vomiting occurs.

**Gan Qi Wan** (Dry Lacquer Pill) (from *Shengji Zonglu*): Breaks down masses, eliminates accumulated Qi.
Ingredients: Gan Qi (Dry Lacquer) (4 liang, pounded to powder, stir-fried until smoke ceases), Huixiang Zi (Fennel Seed) (stir-fried until fragrant), Mu Xiang (Costus Root), Bing Lang (Areca Nut) (select firm ones, sliced), Gui Zhi (Cinnamon Twig) (remove coarse bark), Fu Zi (Aconite Root) (select those with clear grain patterns, stir-fried).
Preparation: Form into pills.

**Banxia Mengshi Wan** (Pinellia and Calcareous Schist Pill) (from *Shengji Zonglu*): Treats mass formations with Qi stagnation, and all types of accumulations in Jie Xiong (Chest Binding) syndrome.
Ingredients: Ban Xia (Pinellia Tuber) (40 pieces, washed seven times with decoction), Ba Dou (Croton Seed) (40 grains, remove skin, core, and membrane), Xing Ren (Apricot Seed) (remove skin and tip, double-kernel type, 40 pieces), Zhu Ya Zao Jiao (Pig's Tooth Soap Pod) (appropriate amount), Chen Xiang (Agarwood) (appropriate amount).
Preparation: Form into pills.

**Nao Sha Wan** (Ammonium Chloride Pill) (from *Taiping Shenghui Fang*): Treats Zheng disease that persists despite treatment, causing emaciation and fatigue of the four limbs, anorexia, and chronic non-healing.
Ingredients: Nao Sha (Ammonium Chloride) (1 liang, finely ground), Liu Huang (Sulfur) (1 liang, finely ground, purified by water flotation), Mu Xiang (Costus Root) (0.5 liang), Bing Lang (Areca Nut) (1 liang), Chuan Da Huang (Rhubarb Rhizome) (3 liang, sliced, lightly stir-fried), Dang Gui (Angelica Sinensis) (appropriate amount, stir-fried with vinegar), Chen Pi (Tangerine Peel) (remove pith, lightly baked and sliced).
Preparation: Form into pills. Take before evening meal.

**Ba Dou Wan** (Croton Seed Pill) (from *Taiping Shenghui Fang*): Treats persistent Zheng disease, causing sallow complexion, emaciation, and anorexia.
Ingredients: Ba Dou (Croton Seed) (1 liang, remove skin and core, grind and press between paper to remove oil), Liu Huang (Sulfur) (finely ground), Fu Zi (Aconite Root) (processed until cracked, remove skin and navel), Wu Ling Zhi (Trogopterus Dung) (appropriate amount), Gan Jiang (Dried Ginger) (processed until cracked, sliced, 0.5 liang).
Preparation: Grind ingredients into powder, mix uniformly, and form into pills.

**Da Huang Wan** (Rhubarb Pill) (from *Taiping Shenghui Fang*): Treats Zheng disease causing chest and abdominal fullness and oppression, anorexia, and disharmony of the four limbs.
Ingredients: Chuan Da Huang (Rhubarb Rhizome) (0.5 liang, sliced, lightly stir-fried), Mu Xiang (Costus Root) (0.5 liang), Rou Dou Kou (Nutmeg) (0.5 liang, remove shell), Nao Sha (Ammonium Chloride) (0.5 liang, finely ground), Gan Jiang (Dried Ginger) (0.5 liang, processed), Gui Xin (Cinnamon Heart) (small amount, ground uniformly).
Preparation: Form into pills.

**Bie Jia Wan** (Softshell Turtle Shell Pill) (from *Shengji Zonglu*): Treats masses pressing against the heart, feeling of fullness preventing swallowing, and chest/epigastric irritability.
Ingredients: Bie Jia (Softshell Turtle Shell) (remove skirt edge, dip in vinegar and roast until yellow), He Li Le (Chebula Fruit) (lightly baked, remove core, 2 liang each), Fang Kui (Peucedanum Root), Gan Cao (Licorice Root) (roasted, sliced), Ren Shen (Ginseng Root), Da Huang (Rhubarb Rhizome) (sliced, ground to paste-like consistency).
Preparation: Form into pills, take with wine.

**Mo Yao Wan** (Myrrh Pill) (from *Shengji Zonglu*): Treats Zheng accumulation among the Five Accumulations, as well as Food Qi disorders, when other medicines are ineffective.
Ingredients: Mo Yao (Myrrh), Liu Huang (Sulfur), Bai Ding Xiang (White Civet Cat Feces) (raw), Dang Gui (Angelica Sinensis) (cut and roasted), Yuan Hua (Genkwa Flower) (soaked in vinegar for half a day, then roasted), Nao Sha (Ammonium Chloride) (transparent variety, ground), Ru Xiang (Frankincense) (ground).
Preparation: Use steamed bun dough as a binder, mix and knead thoroughly to form pills.

**Qu Ji Yi Kuai Qi Wan** (Remove One Mass of Qi Pill): Treats Qi accumulation in men and women.
Ingredients: Qian Niu Mo (Morning Glory Seed Powder) (2 liang), Bing Lang Mo (Areca Nut Powder) (1 liang), Xing Ren Mo (Apricot Seed Powder) (1 liang), Qiang Huo Mo (Notopterygium Root Powder) (1 liang), Shen Qu (Medicated Leaven) (0.5 liang).
Preparation: Form into pills.

**Muxiang Bian Wan** (Costus Flat Pill) (from *Shengji Zonglu*): Treats masses, digests food accumulation, and stops epigastric/abdominal pain.
Ingredients: Mu Xiang (Costus Root), Nao Sha (Ammonium Chloride) (transparent, 1 qian each), Ban Xia (Pinellia Tuber) (medium size, 10 pieces, washed seven times in ginger juice), Gui Zhi (Cinnamon Twig) (remove coarse bark, 3 qian), Bi Bo (Long Pepper) (appropriate amount, double-kernel apricot seeds).
Preparation: Grind into powder, add jujube flesh to form green-bean-sized pills, flatten them. Take regularly, long after meals, with fresh ginger decoction (one pill). For efficacy, take three pills. If men or women experience heart pain, take with stir-fried radish seed and vinegar decoction.

**Po Ji Wan** (Break Accumulation Pill): Treats hard masses formed from accumulations.
Ingredients: Da Huang (Rhubarb Rhizome) (1 jin), Mu Li (Oyster Shell) (3 liang, calcined), Ning Shui Shi (Halloysitum), Shi Gao (Gypsum Fibrosum), Shi Zhong Ru (Stalactite), Li Shi (Magnesite) (1 liang each).
Preparation: Pound and sieve, mix with honey to form pills.

**Formula for Abdominal Accumulation Masses** (from *Qianjin Fang*):
Ingredients: Ting Li Zi (Lepidium Seed) 1 sheng, stir-fried. Soak in 5 sheng of wine for seven days.
Usage: Take 3 he per dose, three times daily.

**Fen Shuang Bing** (Powdered Frost Cake) (from *Shengji Zonglu*): Treats masses.
Ingredients: Fen Shuang (Basic Lead Carbonate), Hu Fen (Lead White) (1 liang each), Nao Sha (Ammonium Chloride), Dan Sha (Cinnabar), Bai Ding Xiang (White Civet Cat Feces), Ni Fen (Calomel) (0.5 liang each).
Preparation: Grind ingredients to powder, add 1 liang of flour, mix with water to form cakes.

**Wu Ling Zhi Wan** (Trogopterus Dung Pill) (from *Taiping Shenghui Fang*): Treats Zheng disease, hardness forming in the abdomen.
Ingredients: Wu Ling Zhi (Trogopterus Dung) (1 liang), Fang Kui (Peucedanum Root) (0.5 liang), Gui Xin (Cinnamon Heart) (0.5 liang), Zhu Ya Zao Jiao (Pig's Tooth Soap Pod) (0.5 liang, remove black skin, coat with lard, roast until charred yellow, remove seeds), Ba Dou (Croton Seed) (appropriate amount, re-grind uniformly).
Preparation: Form into pills.

**Muxiang Wan** (Costus Pill) (from *Shengji Zonglu*): Treats chronic masses, stagnation of Blood and Qi.
Ingredients: Wu Zhu Yu (Evodia Fruit) (aged, rinsed seven times, stir-fried dry), Mu Xiang (Costus Root), Qing Ju Pi (Green Tangerine Peel) (remove white pith, roast dry, 0.5 liang each), Ba Dou (Croton Seed) (remove skin, 90 grains, grind to paste, press between paper to remove oil).
Preparation: Form into pills.

**Zhu Sha Wan** (Cinnabar Pill) (from *Taiping Shenghui Fang*): Treats Zheng disease with hard, painful abdomen, anorexia, chronic non-healing, emaciation, and weakness.
Ingredients: Zhu Sha (Cinnabar) (1 liang, finely ground, purified by water flotation), Rou Gui (Cinnamon Bark) (1 liang, remove rough bark, grind to powder), Ba Dou (Croton Seed) (20 grains, remove skin and core, grind and press between paper to remove oil), Yu Yu Liang (Yucca Litharge) (appropriate amount, mixed with cake dough to form pills).
Preparation: Form into pills.

**Formula for Chronic Masses and Blood Masses** (from *Taiping Shenghui Fang*):
Ingredients: Pi Shuang (Arsenic Trioxide), Fen Shuang (Basic Lead Carbonate) (1 fen each), Nao Sha (Ammonium Chloride) (1.5 fen), Ni Fen (Calomel) (3 qian).
Preparation: Grind ingredients finely and uniformly. Remove pits from fat jujubes, insert the medicinal powder inside, form into green-bean-sized pills.

**Treat Zheng Disease, Hardness in Abdomen** (from *Taiping Shenghui Fang*):
Ingredients: Liu Huang (Sulfur) (1 liang, finely ground), Nao Sha (Ammonium Chloride) (1 liang, finely ground), Ba Dou (Croton Seed) (1 liang), Fu Zi (Aconite Root) (1 liang, processed until cracked, remove skin and navel, grind to powder).
Preparation: Mix ingredients, combine with ginger juice.

**Xu Sui Zi Wan** (Spurge Seed Pill) (from *Shengji Zonglu*): Treats accumulations, masses, and Phlegm-Rheum retention.
Ingredients: Xu Sui Zi (Spurge Seed) (30 grains, remove skin), Ni Fen (Calomel) (2 qian), Qing Dai (Indigo Naturalis) (roast 1 qian-bi, grind).
Preparation: First grind Xu Sui Zi until soft/paste-like, then add the other two ingredients, mix uniformly, and form into pills.

**Formula for Hard Mass under Heart, Size of a Cup, Inability to Eat, Abdominal Fullness upon Eating, Severe Cardiac/Abdominal Colic**:
Ingredients: Ting Li Zi (Lepidium Seed), Da Huang (Rhubarb Rhizome) (2 liang each), Ze Qi (Euphorbia Helioscopia) (4 liang).
Preparation: Grind Ting Li Zi separately into a paste. Add honey, pound 1000 times, and form pills like sophora seeds.

**Treat Qi Knots under Both Hypochondria**:
Ingredients: Ye Lang Du (Radix Dichroae) (2 liang), Xuan Fu Hua (Inula Flower) (1 liang), Fu Zi (Aconite Root) (2 liang, processed).
Preparation: Pound and sieve, mix with honey to form pills like sophora seeds. Take 2 pills initially, gradually increase to 3 pills.

**Pill for Treating Zheng Disease**:
Ingredients: She Wang (Aconite Paste) (2 liang, processed), Shu Jiao (Sichuan Pepper) (300 grains, remove eyes, stir-fry until sweat appears).
Preparation: Pound to powder, sieve finely, mix with egg white to form pills. Half the size of sesame seeds, half... (text incomplete).

**External Application Formula for Zheng I**:
Ingredients: Zao Zhong Huang Tu (Yellow Earth from Hearth) (1 jin), Sheng Hu (Raw Garlic) (1 jin).
Preparation: Pound garlic until cooked/soft, add earth and pound again. Pour good sour vinegar (Ku Jiu) to cool. Apply to one side of cloth first, then apply heat compress.

**External Application Formula for Zheng II**:
Ingredients: Wu Zhu Yu (Evodia Fruit) 3 sheng, crushed.
Preparation: Mix with wine, boil. Wrap in hot cloth and apply to the mass. Reheat when cool, alternate applications. Follow the moving mass with the compress until it dissipates.

**External Application Method**:
Preparation: Use a copper vessel holding about 2 sheng of fish grease, depth 2-3 cun. Light 6-7 large candle wicks to warm the grease. Cover the mass with multiple layers of paper, then use the copper vessel to apply heat compress. Do not stop day or night; replenish grease when exhausted.

Generally, the formation of hard masses begins gradually. However, if they become noticeable and rapidly enlarge/harden from the start, they are naturally difficult to treat. The abdomen... (text missing here, likely referring to abdominal thinning or changes).

Take over a stone [weight], wash clean, dry, grind to powder. Mix with 5 sheng of millet rice, cook into rice, stir in. Soak in 5 sheng of good wine, seal and store. When the medicine dissolves and rice floats, drink 1.5 jin. Avoid other fish and salt; the mass should exit. Alternatively, take 1 sheng of the root, dry and pound 1000 times, soak in wine and drink. Start with small doses, three times daily; this is also good. This wine therapy for Zheng surpasses major medicines.
Another Formula:
Ingredients: Da Huang (Rhubarb Rhizome) (0.5 jin), Po Xiao (Mirabilite) (3 liang), Mi (Honey) (1 jin).
Preparation: Combine and simmer over water bath until suitable for pill formation, like sophora seeds. Take 10 pills, three times daily.

Prepare... (text incomplete)

**Po Zheng San** (Break Zheng Powder): Treats chronic masses in heart/abdomen, sudden onset masses, and long-standing Ji/Pi accumulations that do not heal, leading to gradual emaciation. This formula is suitable.
Preparation: Finely grind Zhu Sha (Cinnabar), mix into rice so the cinnabar content is high. Starve a rooster for two days, then feed it the cinnabar rice. Place the chicken on a board, collect... (text incomplete, likely chicken droppings).

For cases where Zheng accumulation fills the abdomen and all medicines fail, administer human feces. Blood clots and masses will be discharged; complete resolution within twenty days.

**Jiao Yun Fang** (Pepper Compress Formula): Treats Zheng knot diseases, and conditions resembling melon shape, sun/moon shape, located left/right of umbilicus, above/below umbilicus, or resembling turtle... (text incomplete), on the left...
Preparation: Take a new basin, capacity 1 dou, drill 120 holes in the bottom. Place 3 he of pepper on the holes, cover with a layer of paper, place cold ash on the paper, then place hot... (text incomplete, likely hot material) on top. Very hot... stop.

**Bao An Wan** (Security Pill): Treats Zheng accumulation knotting in the heart/abdomen like a fist, rising continuously, seizing heart pain, persistent pain, and periumbilical abdominal pain unbearable.
Ingredients: Chuan Da Huang (Rhubarb Rhizome) (3 liang, soak in fresh water overnight, steam until cooked, slice, bake dry), Gan Jiang (Dried Ginger) (1 liang, processed), Da Fu Zi (Large Aconite Root) (0.5 liang, remove skin and navel), Bie Jia (Softshell Turtle Shell) (appropriate amount, ... pills to ...).

**Jing San Leng Tang** (Kyushu Curcuma Decoction) (from *Shengji Zonglu*): Treats chronic masses.
Ingredients: Jing San Leng (Curcuma Kwangsiensis Rhizome) (processed, sliced, 1 liang), Qing Ju Pi (Green Tangerine Peel) (remove white pith, roast dry, 0.5 liang), Gui Zhi (Cinnamon Twig) (remove coarse bark, 1 liang), Da Huang (Rhubarb Rhizome) (sliced, stir-fried, 0.5 liang), Mu Xiang (Costus Root) (appropriate amount, ... abdomen ... noon ...).

**Treat Various Jia Qi Knots** (from *Bencao*):
Preparation: Drink water from "Chi Long" (Red Dragon) bath. This refers to small springs in marshes where red snakes pass through; catch the water after rain.

**Zhi Zhu Tang** (Immature Bitter Orange and Atractylodes Decoction) (from *Weisheng Baojian*): Treats hardness below the heart as large as a plate, caused by drinking water.
Ingredients: Zhi Shi (Immature Bitter Orange) (10 grains), Bai Zhu (Atractylodes Macrocephala Rhizome) (3 liang).
Preparation: Decoct in 1 dou of water until reduced to 3 sheng. Divide into three doses. Reduce dosage slightly once the abdomen becomes soft; adjust according to the disease.

**Treat Zheng Knots** (from *Bencao*):
Preparation: Heat a whetstone until red-hot, throw it into wine, and drink.