是证气结而成。 者，腹之左右，各有一条，大者如臂，小者如指，亦名弦气。癖者，肋之
两旁，有块作痛。二者遇风冷怒气则发，脉多沉涩。治法须久服丸药消之，兼积聚门治。
主方 当归 槟榔 蓬术 三棱 芫花（醋炒） 桃仁 五灵脂 木香 没药（另研）
肉桂（各三钱） 阿魏（一钱） 麝香（五分） 上为末，入没药、麝香、阿魏（醋研化入，）
饭丸桐子大。每服十丸，淡醋汤下。
是证由七情时动，饮食失节，寒温不调，气血凝滞而成。故 者，脏腑气结有形可征也。瘕
者，痛处无定，浮假可移也。发则气壅腹痛，相引两胁，烦闷。滞于经络，月水不通，亦当丸药
治之。
主方 当归 川芎 干漆（炒烟尽） 木香 芫花（醋炒） 肉桂 赤芍药 琥珀（各五
钱） 大黄 牛膝（各三钱） 桃仁（一两） 麝香（五分） 上为末或丸，每服一钱，空心，
热好酒送下。
流气散 脏腑虚弱，气血不调，或兼外邪，成形作痛，攻注上下。
当归 延胡索 川芎 乌药 肉桂 桃仁 木香 赤芍药 枳壳 蓬术 青皮（等分） 为
末，二钱酒下。
妇人小腹为冲任之脉，血之海。忽感严凝之寒，客于脉络则气血留滞，激搏而痛；得温暖则
气血和通而痛止。内服温散之药，外炒盐熨，或烧热物熨之。脉多沉紧。如临经时腹痛，调经门
捡方治。
主方 玄胡索 五灵脂 吴茱萸（汤泡） 肉桂 木香 茴香 陈皮（各一两） 白豆蔻（
五钱） 上为末，每服一钱，空心，酒下。
This syndrome is formed by the stagnation of Qi. The so-called [Pi (Piyi, a type of abdominal mass)] refers to strip-like masses on either side of the abdomen; the larger ones are as thick as an arm, and the smaller ones as thin as a finger, also known as "Xian Qi" (Stringy Qi). Pi also refers to lumps in the flanks accompanied by pain. Both conditions are triggered by exposure to wind-cold or emotional anger, and the pulse is often deep and choppy. The treatment requires long-term administration of pill medicines to dissipate the accumulation, and reference should be made to the section on Accumulation and Mass (Ji Ju).
Principal Formula: Dang Gui (Angelicae Sinensis Radix), Bing Lang (Arecae Semen), Peng Zhen (Curcumae Longae Rhizoma), San Leng (Sparganii Rhizoma), Yuan Hua (Genkwa Flos, stir-fried with vinegar), Tao Ren (Persicae Semen), Wu Ling Zhi (Trogopteri Dung), Mu Xiang (Aucklandiae Radix), Mo Yao (Myrrha, separately ground), Rou Gui (Cinnamomi Cortex) (each 3 qian); A Wei (Ferulae Resina, 1 qian); She Xiang (Moschus, 5 fen). Grind the herbs (except Mo Yao, She Xiang, and A Wei) into powder. Dissolve Mo Yao, She Xiang, and A Wei in vinegar, mix with the powder, and form pills the size of tung tree seeds. Take 10 pills per dose, washed down with weak vinegar soup.
This syndrome arises from frequent fluctuations in the Seven Emotions (Qi Qing), irregular diet, improper regulation of cold and warmth, leading to the coagulation and stagnation of Qi and Blood. Therefore, Jia (a type of movable abdominal mass) is characterized by the knotting of Zang-Fu Qi, presenting with tangible signs. Jia is defined by pain that has no fixed location, appearing superficial and false, and is movable. Upon onset, Qi obstruction causes abdominal pain radiating to both hypochondriac regions, accompanied by irritability and stifling sensation. If stagnation occurs in the collaterals, it may lead to amenorrhea; this should also be treated with pill medicines.
Principal Formula: Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Qi (Drynariae Rhizoma? No, Gan Qi usually refers to Canarium Resin or Drynaria, here likely Canarium Resin/Gan Qi used for breaking blood stasis, stir-fried until smoke ceases), Mu Xiang (Aucklandiae Radix), Yuan Hua (Genkwa Flos, stir-fried with vinegar), Rou Gui (Cinnamomi Cortex), Chi Shao Yao (Paeoniae Radix Rubra), Hu Po (Amber) (each 5 qian); Da Huang (Rhei Radix et Rhizoma), Niu Xi (Achyranthis Bidentatae Radix) (each 3 qian); Tao Ren (Persicae Semen, 1 liang); She Xiang (Moschus, 5 fen). Grind into powder or make into pills. Take 1 qian per dose, on an empty stomach, taken with hot fine wine.
Liu Qi San (Flowing Qi Powder): Indicated for weakness of the Zang-Fu organs, disharmony of Qi and Blood, or concurrent external pathogens, resulting in formed masses causing pain that attacks and moves up and down.
Formula: Dang Gui (Angelicae Sinensis Radix), Yan Hu Suo (Corydalis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Wu Yao (Linderae Radix), Rou Gui (Cinnamomi Cortex), Tao Ren (Persicae Semen), Mu Xiang (Aucklandiae Radix), Chi Shao Yao (Paeoniae Radix Rubra), Zhi Ke (Aurantii Fructus Immaturus), Peng Zhen (Curcumae Longae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride) (equal parts). Grind into powder. Take 2 qian per dose, washed down with wine.
The lower abdomen of women is the pathway of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), and is the sea of Blood. Sudden exposure to severe cold allows the pathogen to lodge in the collaterals, causing Qi and Blood to stagnate and struggle against each other, resulting in pain; upon warming, Qi and Blood harmonize and flow freely, and the pain ceases. Internally administer warming and dispersing herbs; externally apply hot salt packs or heated objects to the area. The pulse is often deep and tight. If abdominal pain occurs during menstruation, refer to the Menstrual Regulation section for selected formulas.
Principal Formula: Yan Hu Suo (Corydalis Rhizoma), Wu Ling Zhi (Trogopteri Dung), Wu Zhu Yu (Evodiae Fructus, soaked in water), Rou Gui (Cinnamomi Cortex), Mu Xiang (Aucklandiae Radix), Hui Xiang (Foeniculi Fructus), Chen Pi (Citri Reticulatae Pericarpium) (each 1 liang); Bai Dou Kou (Amomi Fructus Rotundus, 5 qian). Grind into powder. Take 1 qian per dose, on an empty stomach, washed down with wine.