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Jinyin (Curcuma aromatica Rhizome), Xiangfu (Cyperi Rhizoma, stir-fried with vinegar), Danshen (Salvia miltiorrhiza Radix et Rhizoma), Fuling (Poria), Chaohei Danpi (Moutan Cortex, charred), Sugen (Perillae Caulis), Yanhusuo (Corydalis Rhizoma, stir-fried with vinegar).
Jiucai Gen Zhi (Juice of Allium tuberosum Root, one wine cup, taken by mixing), Tongbian (Child's urine, taken by mixing), Xian Ou (Fresh Lotus Rhizome).
Separately: Take two black and white chess pieces from Yunnan, grind into fine powder. Mix with white honey, and swallow slowly.

Yu An (Commentary by Yu): Hemorrhage arising from fright and fear; as the saying goes, "Fright causes Qi to become chaotic, Fear causes Qi to sink." Chaotic Qi leads to rebellious Blood flow, which is an inevitable principle. It is unclear what disease chess pieces treat.

Another case: Liver Qi stagnation transforms into Fire, Stomach Cold transforms into Heat. Qi fills the abdomen and attacks upward to the epigastrium and hypochondrium, causing Blood to erupt upwards. The previous formula, which regulated Qi and resolved Blood stasis obstruction, showed slight efficacy. Now, use a modified Huagans Decoction (Hua Gan Jian). The Qi of the Liver and Stomach must descend to be in harmony, and stagnant Blood finds peace when it descends. When Qi descends, Blood no longer rises. Thus, we know that descending Qi leads to descending Fire, and resolving stasis leads to stable Blood; these two methods must be used together.
Prescription: Jinyin, Sanleng (Sparganii Rhizoma, stir-fried with vinegar), Yanhusuo, Chuanbei (Fritillariae Cirrhosae Bulbus), Qingpi (Citri Reticulatae Pericarpium Viride), Taoren (Persicae Semen), Zexie (Alismatis Rhizoma), Jiao Shanzhi (Gardeniae Fructus, charred), Fuling, Sugen, Sigualuo (Luffae Reti Network), Xian Ou (Fresh Lotus Rhizome), Xian Zhuma ( Boehmeriae Niveae Herba, including roots and leaves).

Patient Fan: Suffers chronically from Liver-Stomach Qi pain, complicated by Cold accumulation. Epigastric and abdominal distension and fullness, pain radiating to the waist, unbearable coughing, white greasy tongue coating, thirst without desire to drink, stool appearing loose but not truly flowing, pulse is deep, wiry, and tight. This may belong to Zang-Jie (Organ Knotting), a rather dangerous condition. Without warming, Yang cannot be unblocked; without purging, the knot cannot be broken. I imitate Scholar Xu's Wenspi Method (Wen Pi Fa).
Prescription: Zhi Fuzi (Prepared Aconiti Lateralis Radix), Ganjiang (Zingiberis Rhizoma), Rougui (Cinnamomi Cortex), Chuanpu (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Sheng Dahuang (Rhei Radix et Rhizoma, raw), Zhishi (Aurantii Fructus Immaturus).

Yu An: Unbearable coughing indicates closure of Upper Jiao Qi. Is this not the Five Excess Syndrome (Wu Shi Zheng)?

Another case: Epigastric and abdominal distension extends upward to the heart region and downward to the lower abdomen. There is a transverse line in the middle, resembling the shape of an hourglass gourd. The Central Palace is blocked, Yin and Yang are severed, upper and lower communication is obstructed, and the situation is critical. I tentatively administer the Fuzi Xiexin Method (Attitude of Fuzi and Bitter Drain), warming Yang to drain turbid Yin, hoping for bowel movement. Otherwise, panting, sweating, and collapse may occur, which would be difficult to reverse.
Prescription: Zhi Fuzi, Chuanlian (Coptidis Rhizoma, stir-fried with ginger juice), Chuanpu, Sheng Dahuang (soaked in wine).
Decoct with long-flowing water. Additionally, take seven pills of Beiji Wan (Emergency Rescue Pill), delivered with Amomum Villosum Seed Tea.

Another case: After two doses of warming purgatives, the bowels remain unopened. The chest and abdomen are bulging high; any soup swallowed is immediately vomited. Limbs gradually turn cold, pulse becomes thready, nasal flaring and forehead sweating appear, raising concern for collapse.
Regarding the distinction between Jie-Xiong (Chest Binding) and Zang-Jie: the difference lies in the presence or absence of Cold and Heat. If purgation fails to open the bowels and distension worsens, it indicates damage to the Taiyin Spleen organ, where Clear Yang loses its transformative transport function. Cui Xinggong has the Zhishi Lizhong Method (Zhishi Lizhong Tang), which aims to transform and transport Middle Yang; bowel unblocking and reversal of collapse both depend on this. Please, experts, exercise your judgment.
This patient died.

Ren Yuan said: Wu Ji (Five Accumulations) and Liu Ju (Six Gatherings); Ji belongs to the Zang organs and does not move; Ju belongs to the Fu organs and is indefinite. It is also said that "Jia" (False) implies irregular gathering and dispersal, while "Pin" (True/Solid) implies a mass that does not dissipate. Although Wu Ji are divided among the five Zang organs, this merely distinguishes their locations and morphological forms to guide learners. Ultimately, the pathology lies outside the Zang and Fu organs; it is Cold Phlegm, fluids, foam, and Blood stasis condensing in the membranes, fossae, and tortuous places. Because Zang Qi cannot transform them, over years and months, the pathogenesis is diverse. Initially, observe deficiency and excess. Even if the body and Qi are strong, one should not solely rely on attacking methods, especially when deficiency exceeds excess! Moreover, Pi Qi and Fei Qi are more common than Ben Tun (Running Piglet) and Fu Liang (Hidden Beam). Similarly, current masses located below the epigastrium and hypochondrium, arising from chronic malaria, account for 70-80%, also known as Nu Mu (Malaria Mother). Due to improper medication, such as premature use of astringents/blockers, or dietary indiscretion, Damp-Heat and Phlegm-Turbidity have no outlet, stagnating in the membrane source division. Middle Qi fails to transform, leading to accumulation over time. In the early stage, it is appropriate to open and resolve the pathogen, while simultaneously regulating Ying and Wei. For those with Middle Deficiency, first regulate the Middle; once Damp-Heat resolves, the mass disappears naturally; when Middle Qi harmonizes, the mass also subsides. Nourishing Righteousness and expelling Pathogens each require precise measurement. Liu Ju is lighter and shallower than Ji; the pathology is in the Qi level. With disharmony of Ying and Wei, Qi gathers into tangible form, inevitably involving Liver Pathogen. Soothing the Liver and harmonizing the Spleen to regulate Qi mechanism will be effective. Generally, Ji and Ju conditions involve more Cold than Heat, and more Deficiency than Excess. Guizhi (Cinnamon Twig), Rougui, and Wuzhuyu (Evodiae Fructus) are key herbs for treating accumulations because they warm the Spleen and soothe the Liver, ensuring smooth Qi mechanism. Essentially, warmth promotes movement, while Cold congeals Blood; circulating Qi and unblocking Blood is the primary method for treating accumulations. If Heat is present, assist with herbs like Lian (Coptidis Rhizoma) and Bo (Phellodendri Cortex), adapting flexibly. As for Worm Accumulation, it arises from Damp-Heat and Food Stagnation, or Cold Evil constraining Damp-Heat, causing intestinal Qi to fail in transformation, thereby generating Nine Worms. The *Qianjin Fang* assigns them to the five Zang organs, merely distinguishing morphological forms to determine treatment, which is somewhat far-fetched. Regardless of the worm type, they simply lurk in the tortuous parts of the intestines and stomach. If they truly lurked in the Zang organs, they would surely bite the Zang organs, and could the person still survive? Since Worm Accumulation arises from Damp-Heat and Food Stagnation, it is predominantly an Excess syndrome, and treatment involves no tonification. Even in cases of long-standing deficiency, one must first eliminate the worms before tonifying and regulating; one must not rigidly adhere to the theory of "Nourishing Righteousness to Remove Accumulation."