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Zhu Danxi said: When the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) are excessive and rich flavors of food stagnate, phlegm-dampness and blood stasis entangle each other. Over time, they accumulate and form masses. In severe cases, like the flesh of a peach pit, various bizarrely shaped parasites form within and manifest externally, leading to paralysis, Lao Zhai (consumptive disease), Gu Zhang (abdominal distension resembling drum), Lai Ji (skin diseases), and nameless strange illnesses. It is appropriate to employ this method.

Use yellow ox beef, selecting fat pieces, purchasing ten to twenty jin. Boil in running water until tender and mushy, blending into the broth to form a liquid. Strain through cloth to remove dregs, taking only the clear juice. Return the juice to the pot and simmer with mild heat until it turns amber-colored; then it is ready. Drink one cup at a time, followed by another shortly after, accumulating to more than ten cups. In cold months, warm it in a double boiler before drinking. For diseases located in the upper body, induce more vomiting; for those in the lower body, induce more diarrhea; for those in the middle, induce both vomiting and diarrhea. The speed and quantity depend on flexible application. This must be done on a sunny day, early in the morning, in a bright room without drafts, where the patient is placed. Observe the expelled substances; stop when the root cause of the disease is cleared. If thirsty after vomiting and diarrhea, do not give soup or water. The urine will necessarily become long and abundant; collect it for the patient to drink, named "Lunhui Jiu" (Wheel-turning Wine). Drinking one or two bowls can quench thirst and also cleanse residual filth. Sleep for one or two days; when feeling very hungry, provide porridge and bland food. After three days, provide small amounts of vegetable soup for self-nourishment. After half a month, feel refreshed spirit and light, healthy body, with chronic ailments completely removed. Thereafter, avoid beef for five years.

Yuyuan Yuan Fang's Zhuqi Wan (Qi-Assisting Pill) treats Sanjiao (Triple Burner) blockage, chest and diaphragm fullness, stagnant Qi flow, and accumulated masses,癖 (fixed lumps), and Qi blocks.
Jingsanleng (Rhizoma Sparganii), Ezhu (Rhizoma Curcumae) (each processed, 2 jin); Qingpi (Pericarpium Citri Reticulatae Viride), Chenpi (Pericarpium Citri Reticulatae) (both pith removed); Baizhu (Rhizoma Atractylodis Macrocephalae) (each 15 liang); Binglang (Arecae Semen), Zhike (Fructus Aurantii), Muxiang (Radix Aucklandiae) (each 10 liang).
Grind into powder, make pills with paste the size of mulberry seeds. Take 50 pills per dose, washed down with decoction.

Note: This is a formula treating various Qi accumulations. However, secular formulas for treating accumulation often include Qi-regulating herbs, hoping that Qi transformation will easily disperse accumulation. They fail to realize how Qi-deficient patients can endure it? If heat is involved, does it not aid fire and damage Qi instead? Therefore, users should distinguish between deficiency/excess and cold/heat to select usage. Moreover, since more than half of this formula consists of Qi-reducing herbs, claiming it "assists Qi" is likely incorrect.

Sanyin Sanju Tang (Three Causes Scattering Accumulation Decoction) treats long-standing Qi accumulation, forming masses like Xia (mobile lumps), moving up and down with Qi, occurring at fixed times, with colicky heart and abdominal pain radiating to waist, hypochondrium, and lower abdomen, distension, and difficulty in urination and defecation.
Banxia (Rhizoma Pinelliae), Binglang (Arecae Semen), Danggui (Radix Angelicae Sinensis) (each 3 fen); Chenpi (Pericarpium Citri Reticulatae), Xingren (Semen Armeniacae Amarum, peeled and stir-fried), Guizhi (Ramulus Cinnamomi) (each 2 liang); Fuling (Poria), Gancao (Radix Glycyrrhizae, honey-fried), Fuzi (Radix Aconiti Lateralis Preparata), Chuanxiong (Rhizoma Chuanxiong), Zhike (Fructus Aurantii, stir-fried), Houpo (Cortex Magnoliae Officinalis, processed), Wuzhuyu (Fructus Evodiae, soaked in hot water and washed) (each 1 liang); Dahuang (Radix et Rhizoma Rhei, omit if bowels are loose).
Chop ingredients. Take 4 qian per dose, decoct in water.

Jisheng Daqiji Tang (Jisheng Great Seven-Qi Decoction) treats accumulation and mass formation, resembling Xia, moving with Qi, occurring at fixed times, with heart and abdominal pain, suffocating sensation in the upper body, and lower abdominal distension.
Jiegeng (Radix Platycodonis), Rougui (Cortex Cinnamomi), Huoxiangye (Folium Agastaches), Gancao (Radix Glycyrrhizae, honey-fried), Qingpi (Pericarpium Citri Reticulatae Viride) (each 2 fen); Yizhiren (Semen Alpiniae Oxyphyllae), Jingsanleng (Rhizoma Sparganii), Chenpi (Pericarpium Citri Reticulatae), Pengzhu (Rhizoma Curcumae), Xiangfuzi (Fructus Cyperi Rotundi, stir-fried) (each 1.5 liang).
Chop ingredients. Take 5 qian per dose, decoct in water.

Note: These two formulas are agents for treating Ju (gathering/migratory masses). For Ju and Xia, using decoctions to scour implies adjusting based on the deficiency/excess and cold/heat of Zang-Fu Qi, which is acceptable.

Dongyuan Caodoukou Wan (Caodoukou Pill) treats Jiuji (wine accumulation) or stomach ache due to cold injury, with blocked throat and diaphragm.
Caodoukou (Fructus Alpiniae Katsumadai, baked), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 1 liang); Damai (Fructus Hordei Vulgaris Germinatus), Shenqu (Massa Medicata Fermentata, stir-fried) (each stir-fried); Huangqin (Radix Scutellariae), Banxia (Rhizoma Pinelliae) (each 0.5 liang); Zhishi (Fructus Aurantii Immaturus, stir-fried, 2 liang); Chaoyan (Stir-fried salt, 0.5 qian); Chenpi (Pericarpium Citri Reticulatae), Qingpi (Pericarpium Citri Reticulatae Viride), Ganshengjiang (Rhizoma Zingiberis Recens, dried) (each 2 qian).
Grind into extremely fine powder. Soak in water, steam with steamed dough, make pills the size of mung beans. Take 100 pills per dose, washed down with decoction.

Note: This is a medicine for treating wine and fluid accumulation, involving the Qi and Blood levels.

Guangshu Kuijian Tang (Guangshu Hardness-Softening Decoction) treats hard masses like stone, shaped like Pan (a type of head ornament), causing restlessness, central fullness, and abdominal distension.
See Abdominal Distension section.

Baojian Xiangke Wan (Xiangke Pill) breaks up Tanpi (phlegm-parasites), eliminates Xia masses and cold accumulation.
Muxiang (Radix Aucklandiae), Dingxiang (Flos Caryophylli) (each 5 qian); Jingsanleng (Rhizoma Sparganii, chopped and soaked in wine overnight); Qingpi (Pericarpium Citri Reticulatae Viride), Guangzhu (Rhizoma Curcumae Longae, chopped and soaked in wine overnight, stir-fried together with 30 grains of desiccated Baiduo (Fructus Crotonis Tiglii) until Baiduo turns yellow); Zhike (Fructus Aurantii, stir-fried), Chuanlianzi (Semen Toosendan), Huixiang (Fructus Foeniculi, stir-fried) (each 1 liang).
Grind into powder, make pills with vinegar paste the size of mulberry seeds, coat with Zhusha (Cinnabar). Take 20 pills per dose, washed down with ginger-salt water.

Note: This is an agent for treating Qi accumulation and Cold accumulation, acting on the Lower Jiao.

Danxi Awie Wan (Awie Pill) treats Rouji (meat accumulation).
Lianqiao (Fructus Forsythiae, 0.5 liang); Tangqiuzi (likely referring to a specific fruit seed or ingredient, 1 liang); Huanglian (Rhizoma Coptidis, 6.5 qian); Awie (Resina Ferulae, 1 liang, boiled in vinegar to form paste).
Grind into powder, use Awie paste to make pills the size of mulberry seeds. Take 20-30 pills per dose, washed down with plain water.

Baohe Wan (Harmony-Preserving Pill) treats Shiji (food accumulation).
Tangqiuzi (3 liang); Banxia (Rhizoma Pinelliae), Fuling (Poria) (each 1 liang); Shenqu (Massa Medicata Fermentata, 2 liang); Chenpi (Pericarpium Citri Reticulatae), Lianqiao (Fructus Forsythiae), Luobozhi (Semen Raphani) (each 0.5 liang).
Grind into powder, make pills with porridge paste the size of mulberry seeds. Take 30-40 pills per dose, washed down with plain water.

Note: These two formulas are medicines for food accumulation. Additionally, this formula is also an agent for treating Phlegm accumulation and Fluid accumulation. Zhu Danxi said: For Spleen deficiency, one must administer tonifying Spleen medicines along with it. Do not use them alone, lest disaster of "deficiency adding to deficiency" occur rapidly. Be cautious. For Qi excess and new diseases, suitable for selection among purgative formulas, but do not rigidly adhere to these.

Xuanming Sanleng Tang (Sanleng Decoction) treats Xia, Pi, accumulation and gathering that do not dissipate, hardness and fullness, blockage in the diaphragm, inability to eat, and abdominal distension.
Pengzhu (Rhizoma Curcumae), Danggui (Radix Angelicae Sinensis) (each 0.5 liang); Jingsanleng (Rhizoma Sparganii, 2 liang); Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang); Binglang (Arecae Semen), Muxiang (Radix Aucklandiae) (each 3 fen).
Grind into powder. Take 3 qian per dose, mix with boiling water.

Note: This is an agent for treating Xia, involving Qi and Blood. Although Xia is hard, it gathers and scatters suddenly, belonging to Yang Qi. The Classics state: When blood does not flow and cold presses upon it, blood coagulates internally forming Xia, thus it also belongs to Blood. Therefore, it should be treated jointly. This formula can also be extrapolated for variations, adjusting dosage based on deficiency/excess and severity, which is acceptable.

Respectfully note: The *Zhenjing* (Needle Classic) records that injury to Yin collaterals causes juices and blood to contend, combining to form accumulation; or transmission of Zang-Fu Qi, and Hezi's discussion of Seven Emotions as depression, all indicate Yuan Qi (Original Qi) illness itself, not caused by damaging various foods. Such cases require prior regulation and should not be blindly purged. Therefore, the above five-Zang formulas' digestion methods should be selected. For severe Qi deficiency, consider the principle that "nourishing righteousness removes accumulation naturally." If caused by damaging various foods, where Yuan Qi is initially unaffected, purging and reducing accumulation is necessary from the start. However, if treatment is delayed, Yuan Qi decreases daily, Righteous Qi weakens daily; using purgatives and reducers at this stage to achieve safety is merely luck. At such stages, the above method of tonifying first, then attacking, is advisable. Doctors who act oppositely often cause errors. If accumulation exists in the body, but physique, Qi mechanism, and diet remain normal, then use formulas to soften hardness via purgation or emesis, chosen by the patient, aiming to gradually reduce the pathogen by half and eliminate it slowly. Otherwise, missing the opportunity leads to untreatable conditions frequently. Yet, there are cases where accumulation is not fully cleared, Yuan Qi has not recovered, leading to indulgence in taste and Seven Emotions, causing disease recurrence, which is common. Alas! The world is not like antiquity; people are not prudent. Causing accumulation yet blaming no one, failing to regulate mindfully, ultimately dying prematurely, unable to fulfill their natural lifespan—such cases are indeed not worth pity. But doctors who cannot master their art, mistaking lives, surely face retribution?