长桑君针积块 瘕法∶先于块上针之，甚者，又于块首一针，块尾一针，讫，以艾灸之
，立应。
一法曰∶凡灸痞者，须灸痞根，无有不效。其法在脊背十三椎下，当脊中点墨记之，此
非灸穴，却于墨之两旁各开三寸半，以指揣摸，觉微有动脉，即点穴灸之，大约穴与脐平。
多灸左边，或左右俱灸，此即痞根也。或患左灸右，患右灸左，亦效。
一、灸穴法∶中脘、期门、章门、脾俞、三焦俞、通谷，此诸痞所宜灸者。
积痞在上者，宜灸∶上脘、中脘、期门、章门之类。积块在下者，宜灸∶天枢、章门、
肾俞、气海、关元、中极、水道之类。凡灸之法，宜先上而后下，脐腹之壮用宜稍大，皆先
灸七壮，或十四壮，以后渐次增加，愈多愈妙。以上诸穴皆能治痞，宜择而用之。然犹有不
可按穴者，如痞之最坚处，或头、或尾、或突、或动处，但察其脉络所由者，皆当按其处而
通灸之，火力所到，则其坚聚之气自然以渐解散，有神化之妙也。第灸痞之法，非一次便能
必效，务须或彼或此，择其要者，至再至三，连次陆续灸之，无有不愈者。
排气饮（新和六） 养中煎（新热四） 温胃饮（新热五） 归脾汤（补三二） 枳术丸（和七
九） 芍药枳术丸（新和十六） 四磨饮（和五二） 十香丸（新和十五） 木香人参枳术丸（和八
二） 理阴煎（新热三） 神香散（新和二十） 暖肝煎（新热十五） 五味异功散（补四） 肾气
丸（补百二十） 保和丸（小三五） 《指迷》七气汤（和五一） 温白丸（攻六一） 和中丸（和
八七） 秘方化滞丸（攻五八） 助气丸（攻六七） 三棱丸（攻六十） 大健脾丸（和八五） 胜
红丸（攻六六） 《三因》红丸子（攻九六） 大和中饮（新和七） 感应丸（攻五四） 遇仙丹（
攻五一） 小和中饮（新和八） 赤金豆（新攻二） 神佑丸（攻四八） 草豆蔻丸（和一六七）
百顺丸（新攻六） 阿魏丸（攻六四） 阿魏膏（外三一二） 大硝石丸（攻五六） 琥珀膏（外三
一七） 三圣膏（攻三八） 化铁丹（攻五九） 水红花膏（外三一九） 芦荟等丸（寒一六八后）
Changsun Jun's Acupuncture Method for Masses (Ji Kuai): First, needle the area of the mass. If the condition is severe, insert one needle at the head of the mass and another at the tail. Afterward, apply moxibustion; immediate results are expected.
Another method states: Whenever treating Pi syndrome (subcostal fullness/mass) with moxibustion, one must moxa the "Pi Gen" point; there will be no failure in efficacy. The method for locating this point is as follows: mark a dot on the midline of the spine below the thirteenth thoracic vertebra. This marked spot is not the acupoint itself. Instead, measure three and a half cun laterally from both sides of the mark. Palpate with fingers until a slight arterial pulsation is felt; mark this spot for moxibustion. The point is approximately level with the umbilicus. Moxa the left side predominantly, or both sides; this constitutes the Pi Gen point. Alternatively, if the pathology is on the left, moxa the right, and vice versa; this is also effective.
First, the Moxibustion Acupoint Method: Zhongwan (CV12), Qimen (LR14), Zhangmen (LR13), Pishu (BL20), Sanjiaoshu (BL22), Tonggu (BL39). These are suitable acupoints for moxibustion for various types of Pi syndrome.
For Ji Pi (accumulated cold-phlegm masses) located in the upper jiao, it is appropriate to moxa: Shangwan (CV13), Zhongwan (CV12), Qimen (LR14), Zhangmen (LR13), etc. For masses located in the lower jiao, it is appropriate to moxa: Tianshu (ST25), Zhangmen (LR13), Shenshu (BL23), Qihai (CV6), Guanyuan (CV4), Zhongji (CV3), Shuidao (ST28), etc. In general, the principle of moxibustion is to treat the upper part before the lower part. For abdominal moxibustion, the size of the moxa cone should be slightly larger. Start with seven moxa cones (zhuang) or fourteen, and gradually increase the number thereafter; the more, the better. All the aforementioned acupoints can treat Pi syndrome; select them according to the situation. However, there are cases where fixed acupoints cannot be strictly followed. For the hardest part of the mass, or its head, tail, protruding areas, or areas with pulsation, observe the meridian pathways involved. Moxa these specific locations comprehensively. Where the heat energy reaches, the condensed pathogenic qi will naturally dissipate gradually, possessing miraculous transformative effects. Nevertheless, the method of moxaing Pi syndrome does not guarantee success in a single session. One must alternate between selected key points, repeating the process two or three times, and applying moxibustion continuously over time; recovery is inevitable.
Paqi Yin (New Formula 6), Yangzhong Jian (New Heat 4), Wenwei Yin (New Heat 5), Guipi Tang (Tonify 32), Zhizhu Wan (Harmonize 79), Shaoyao Zhizhu Wan (New Harmonize 16), Simo Yin (Harmonize 52), Shixiang Wan (New Harmonize 15), Muxiang Renshen Zhizhu Wan (Harmonize 82), Liyin Jian (New Heat 3), Shenxiang San (New Harmonize 20), Nuangan Jian (New Heat 15), Wuwei Yigong San (Tonify 4), Shenqi Wan (Tonify 120), Baohe Wan (Minor Formula 35), *Zhimi* Qi Qi Tang (Harmonize 51), Wenbai Wan (Attack/Purgative 61), Hezhong Wan (Harmonize 87), Mifang Huazhi Wan (Attack/Purgative 58), Zhuqi Wan (Attack/Purgative 67), Sanleng Wan (Attack/Purgative 60), Da Jianpi Wan (Harmonize 85), Shenghong Wan (Attack/Purgative 66), *Sanyin* Hongwanzi (Attack/Purgative 96), Da Hezhong Yin (New Harmonize 7), Yinggan Wan (Attack/Purgative 54), Yuxian Dan (Attack/Purgative 51), Xiao Hezhong Yin (New Harmonize 8), Chijin Dou (New Attack 2), Shenyao Wan (Attack/Purgative 48), Caodoukou Wan (Harmonize 167), Baishun Wan (New Attack 6), Wei Wan (Attack/Purgative 64), Wei Gao (External 312), Daxiaoshi Wan (Attack/Purgative 56), Hupo Gao (External 317), Sansheng Gao (Attack/Purgative 38), Huatie Dan (Attack/Purgative 59), Shuihonghua Gao (External 319), Lushui et al. Wan (Cold/Cool 168 post).