右胁有积气,肺脉结,结甚则积甚,结微则积微。(《难经》)五积为阴,沉伏附骨,六聚沉结,痼则
沉伏。(《脉诀》)脉弦紧为积,弦紧而微细者 也。积聚 瘕之脉皆弦紧。在心下,即寸脉弦紧;在胃脘,
即关脉弦紧;在脐下,即尺脉弦紧。积脉坚强者生,虚弱者死。沉而有力为积,沉紧为寒积,弦而牢为积聚,
弦而伏腹有 ,不可转,不治。(《脉经》) 瘕脉多弦,弦细为 ,弦急为瘕。(《回春》)郁脉沉涩,积脉弦坚。
〔通治〕阴阳攻积丸 茱萸 干姜 官桂 川芎(各一两) 黄连 半夏 橘红 茯苓 槟榔 浓朴 枳实
菖蒲 延胡 人参 沉香 琥珀 桔梗(各八钱) 巴霜(另研,五钱) 皂角六两,煎汁泛丸,每服八分,
渐加至一钱半,姜汤下。此丸通治五积六聚,七 八瘕, 癖蛊血痰食。皆效。
〔肺积〕息贲丸 浓朴(八钱) 黄连(一两二钱) 人参(二钱) 炮姜 茯苓 川椒 紫菀(各钱半)
桔梗 三棱 天冬 陈皮 川乌 蔻仁(各一钱) 青皮(五分) 巴霜(四分) 各研末,方入巴霜,蜜丸桐子大。
初服二丸,日加一丸,至大便溏,日减一丸,仍至二丸,再日加增。
〔肝积〕肥气丸 柴胡(二两) 黄连(七钱) 浓朴(五钱) 川椒(四钱) 炙草(三钱) 莪术 昆布
人参(各二钱半) 皂角(去皮,弦子煨) 茯苓(各钱半) 川乌(钱二分) 干姜 巴霜(各五分) 巴霜后入,
蜜丸。服法照前,积块减半,勿服。
〔心积〕伏梁丸 黄连(一两二钱) 人参 浓朴(各五钱) 黄芩(二钱) 肉桂 茯神 丹参(各一钱)
川乌 炮姜 红豆 菖蒲 巴霜(各五分) 丸同前。
〔脾积〕痞气丸 浓朴(五钱) 黄连(八钱) 茱萸(三钱) 黄芩 白术(各二钱) 茵陈 砂仁 干姜(各
钱半)
茯苓 人参 泽泻(各一钱) 川乌
川椒(各五分) 巴霜另研 肉桂(各四分) 蜜丸如前。
〔肾积〕奔豚丸 浓朴(七钱) 黄连(五钱) 苦楝子(酒煮,三钱) 茯苓 泽泻 菖蒲(各二钱)
延胡(钱半) 全蝎 川附 独活(各一钱) 川乌 丁香 巴霜(另研。各五分) 肉桂(二分) 蜜丸如前。
东垣五积丸多用人参,且磨积用丸不用汤,取渐次消磨之义也。
〔行气〕大七气汤 青 陈 桔 藿 桂 草 三棱 蓬术 益智 香附(各一钱) 一方加大黄、槟榔。
〔初积〕排气饮 香附 乌药 泽泻 陈皮 藿香 枳壳(各钱半) 木香 浓朴(各一钱) 食加曲 ,
寒加姜桂。
〔调中〕补中益气汤 见一卷中风。
〔调中〕参苓汤 参 苓 术 草 芎 归 芍 木香 香附 延胡 薏苡
〔息积〕化气汤 莪术 干姜 青皮 陈皮 丁香 茴香 炙草(各五钱) 桂心 木香(各二钱半)
胡椒 沉香(各一钱一分) 每服二钱,姜汤下。
〔息积〕木香调气散 青 陈 芎 朴 枳 乌药 木香 香附 苍术(各一钱) 桂心 甘草(各三分)
砂仁(五分)
〔肠覃〕阿魏麝香膏 阿魏(五钱) 麝香(一钱) 雄黄(三钱) 红蓼花子(四两) 人参 白术(各一两)
肉桂(五钱) 每服三钱。
〔石瘕〕和血通经汤 当归 熟地 苏木(各二钱) 三棱 莪术 木香 贯仲 肉桂(各八分)
红花(三分) 血竭(五分) 红酒煎服。
〔石瘕〕见 丸 附子(四钱) 鬼箭羽 紫英(各三钱) 泽泻 肉桂 延胡 木香(各二钱) 槟榔(二钱
半)
血竭(钱半) 大黄(三钱) 桃仁(三十枚) 三棱(五钱) 水蛭(一钱) 糊丸。
〔虚人〕十全大补汤 见一卷中风。
〔奔豚〕金匮奔豚汤 归 芍 芎 苓 草(各一钱) 半夏 甘 李根白皮 葛根(各二钱) 姜(三片)
此治冲脉为病,未尝用少阴药也。设泥奔豚为肾积而用伐肾之剂,则谬矣。
〔伏梁〕大建中汤 川椒 干姜 人参 饴糖
〔通治〕攻积丸 茱萸 干姜 官桂 川乌(各一两) 黄连 橘红 槟榔 茯苓 浓朴 枳实 人参
沉香 琥珀 延胡 半夏
曲(各八钱) 巴霜(五钱)
〔五积〕化积丸 三棱 莪术 阿魏 浮石 香附 雄黄 槟榔 苏木 瓦楞子 五灵脂 水丸。
〔六聚〕散聚汤 二陈汤加 当归 杏仁 桂心 槟榔
〔血积〕血 丸 五灵脂 大黄 甘草梢 桃仁(各五钱) 生地(七钱) 牛膝(四钱) 官桂(二钱)
延胡 当归(各六钱) 三棱 莪术 赤芍 乳香 没药(各一钱)
〔食积〕大和中饮 见本卷饮食。
〔疝瘕〕导气汤 川楝子(四钱) 木香(三钱) 茴香(二钱) 茱萸(一钱)
〔蛇瘕〕赤蜈蚣散 蜈蚣一条,炙研酒服。治误食菜中蛇精,或食蛇肉致成蛇瘕,腹内常饥,食物即吐。
〔鳖瘕〕芜荑汤 芜荑炒,不拘分两,煎水代茶。亦有用雷丸 灰之属治之者。
〔发瘕〕香泽油 香油一升,入香泽煎,盛置头边,令气入鼻,虫当口出,急以锻石手捉取抽尽。
又方以败梳煎汤服。
〔痞块〕连萝丸 黄连 吴萸 白芥子 萝卜子 山栀 川芎 香附 楂肉 神曲 蒸饼为丸。
〔坚块〕溃坚汤 归 术 陈 夏 枳 楂 朴 香附 砂仁 木香汁
〔痞积〕大黄散 三棱 大黄 姜、橘皮汤下。
〔坚积〕化痞膏 三棱 莪术 当归(各五钱) 大黄(三钱) 全蝎(十四个) 甲片(十四片)
蜈蚣(五条) 木鳖子(七个) 入香油二斤四两,煎去渣熬,下黄丹一斤,阿魏一两,乳香、没药各五钱,
硝石三钱,开水和服。
〔胸痞〕半夏泻心汤 见一卷温。
〔肋痞〕推气散 砂仁 肉桂(各二分半) 木香(三分) 炙草 茴香 丁香 陈皮 青皮 干姜(各五分)
蓬术(四分) 胡椒 沉香(各一分)
〔疟痞〕鳖甲丸 醋炙鳖甲(一两) 三棱 莪术 香附 青皮 桃仁 红花 神曲 麦芽 海粉(各五钱)
醋糊丸
〔脾虚〕六君子汤 见一卷中风。
〔饮癖〕五苓散 见一卷温。
〔酒癖〕保和丸 见二卷痰饮。
〔茶癖〕星术丸 星 术 青 陈
〔面积〕阿魏丸 酒浸阿魏 肉桂 莪术 麦芽 神曲 莱菔子 青皮 白术 干姜(各五钱)
百草霜(三钱) 巴霜(三七粒) 糊丸,姜汤下。
〔肉积〕小阿魏丸 阿魏 山楂(各一两) 黄连(六钱) 连翘(五钱) 醋糊为丸。
〔菜积〕桂香丸 肉桂 麝香 饭丸。
〔小腹〕茴香丸 芦巴(八钱) 小茴香(六钱) 巴戟 川乌(各二钱) 川楝肉(四钱) 茱萸(五钱)
酒糊丸,盐酒汤下。
〔虫积〕妙应丸 附子四个,去皮脐 孔,入 砂一两七钱面裹煨,荜茇、故纸、青皮各三两半,糊
丸,姜、陈皮汤下。
〔血积〕桃仁承气汤 见一卷疫。
〔寒积〕附子理中汤 见一卷中风。
〔痰积〕导痰汤 见一卷中风。
〔疳积〕肥儿丸 胡黄连 神曲 麦芽(各五钱) 槟榔(一钱) 肉蔻(二钱) 使君子(二钱半) 木香
(一钱)
蒸饼为丸。
〔肝脾〕归脾丸 见二卷劳瘵。
〔火郁〕芦荟丸 芦荟 川连 胡黄连 木香 青皮 芜荑(各五钱) 归 陈 苓(各一两半)
炙草(七钱) 米糊丸。
〔忧郁〕六郁汤 见本卷郁。
〔肾虚〕肾气丸 见二卷虚损。
〔外治〕阿魏膏 羌活 独活 元参 官桂 赤芍 甲片 生地 鼠矢 大黄 白芷 天麻(各五钱)
红花(五钱) 土木鳖(二十个) 用麻油煎,去渣,下黄丹五钱煎。再入芒硝 阿魏 乳香 没药(各五钱)
再入苏合油(五钱) 麝香(三钱) 调匀成膏,取两许摊贴红缎上,正当痞块,用热熨斗熨之。
〔外治〕琥珀膏 大黄 朴硝(各一两) 为末,大蒜捣膏,和匀,作片贴之。一方,加麝香五分,名
硝黄膏。
〔外治〕水红花膏 红蓼子(二钱) 大黄 朴硝 山栀 锻石(各一钱) 酒酵(六钱) 共捣成膏,以
布摊贴,熨斗熨之。
〔外治〕三圣膏 锻石半斤为末,瓦器炒令淡红,少顷,下大黄末一两,候热退,入桂心末五钱,略炒,
入米醋熬成膏。以纸摊贴。
〔初积〕乌白丸 乌梅肉 生姜(各四两) 白矾 半夏(各二两) 捣匀火焙,入 神曲 麦芽 青皮
陈皮 蓬术 丁香皮 大腹子(各一两) 酒糊丸。
〔久积〕木香槟榔丸 大黄(四两) 黑丑 黄芩(各二两) 木香 槟榔 黄连 枳壳 当归 香附 青皮
陈皮 蓬术 黄柏(各一两) 水泛丸。
〔积热〕通元二八丹 黄连(八两) 白芍 当归 生地 乌梅(各五钱) 雄猪肚一个,入药末于内,线缝,
蒸熟捣丸。姜汤下。
〔攻补〕木香枳壳丸 大黄 黑丑(各二两) 茯苓 白术 浓朴 半夏曲 人参 木香 青皮 陈皮 槟榔
神曲 三棱 蓬术 麦芽(各一两) 姜汁糊丸。
The right hypochondrium has accumulated Qi; the Lung pulse presents as Knotted (Jie, 结). When the knotting is severe, the accumulation is severe; when slight, the accumulation is slight. (*Nan Jing*) The Five Accumulations (Wu Ji, 五积) are Yin in nature; the pulse is Sunken and Deep (Chen Fu, 沉伏), adhering to the bone. The Six Gatherings (Liu Ju, 六聚) present with a Sunken and Knotted (Chen Jie, 沉结) pulse; when entrenched, the pulse is Sunken and Deep. (*Mai Jue*) A Wiry (Xian, 弦) and Tight (Jin, 紧) pulse indicates Accumulation (Ji, 积); if Wiry, Tight, yet slightly Fine (Xi, 细), it indicates deficiency. The pulses for Accumulation (Ji, 积), Gathering (Ju, 聚), and Masses (Jia, 瘕) are all Wiry and Tight. If located under the heart, the Cun (Inch) pulse is Wiry and Tight; if in the stomach region, the Guan (Bar) pulse is Wiry and Tight; if below the umbilicus, the Chi (Cubit) pulse is Wiry and Tight. An Accumulation pulse that is Firm and Strong indicates survival; one that is Weak indicates death. A pulse that is Sunken and Forceful indicates Accumulation; Sunken and Tight indicates Cold Accumulation (Han Ji, 寒积); Wiry and Firm indicates Accumulation/Gathering; if Wiry and Hidden (Fu, 伏) with abdominal distension that cannot be turned, it is incurable. (*Mai Jing*) The pulse for Jia (瘕) is mostly Wiry; Wiry and Fine indicates Han (疝); Wiry and Rapid indicates Jia (瘕). (*Hui Chun*) Stagnation (Yu, 郁) pulse is Sunken and Choppy (Se, 涩); Accumulation pulse is Wiry and Firm.
[General Treatment] Yin Yang Gong Ji Wan: Wu Zhu Yu (Evodiae Fructus), Gan Jiang (Zingiberis Rhizoma), Guan Gui (Cinnamomi Ramulus), Chuan Xiong (Chuanxiong Rhizoma) (each 1 liang); Huang Lian (Coptidis Rhizoma), Ban Xia (Pinelliae Tuber), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Fu Ling (Poria), Bing Lang (Arecae Semen), Nong Po (Magnoliae Officinalis Cortex), Zhi Shi (Aurantii Fructus Immaturus), Chang Pu (Acori Tatarinowii Rhizoma), Yan Hu Suo (Corydalis Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Chen Xiang (Aquilariae Lignum Resinatum), Hu Po (Succinum) (each 8 qian); Ba Shuang (Crotonis Fructus, processed) (separately ground, 5 qian). Use 6 liang of Zao Jiao (Gleditsiae Sinensis Spina) decoction to pill. Take 8 fen initially, gradually increasing to 1.5 qian, taken with Ginger Decoction. This pill treats generally the Five Accumulations, Six Gatherings, Seven Jia, Eight Jia, Pi masses, Gu toxicity, Blood stasis, Phlegm, and Food stagnation, all effective.
[Lung Accumulation] Xi Ben Wan: Nong Po (8 qian), Huang Lian (1 liang 2 qian), Ren Shen (2 qian), Pao Jiang (Prepared Zingiberis Rhizoma), Fu Ling, Chuan Jiao (Zanthoxyli Pericarpium), Zi Wan (Asteris Radix) (each 1.5 qian), Jie Geng (Platycodonis Radix), San Leng (Sparganii Rhizoma), Tian Dong (Asparagi Radix), Chen Pi (Citri Reticulatae Pericarpium), Chuan Wu (Aconiti Radix Preparata), Kou Ren (Amomi Fructus Rotundus) (each 1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride) (5 fen), Ba Shuang (4 fen). Grind each herb into powder, then add Ba Shuang, pill with honey to the size of tung tree seeds. Start with 2 pills, increase by 1 pill daily until loose stools occur, then decrease by 1 pill daily back to 2 pills, then increase again.
[Liver Accumulation] Fei Qi Wan: Chai Hu (Bupleuri Radix) (2 liang), Huang Lian (7 qian), Nong Po (5 qian), Chuan Jiao (4 qian), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma) (3 qian), E Zhu (Curcumae Rhizoma), Kun Bu (Laminariae Thallus), Ren Shen (each 2.5 qian), Zao Jiao (skin removed, stringy part roasted), Fu Ling (each 1.5 qian), Chuan Wu (1.2 qian), Gan Jiang, Ba Shuang (each 5 fen). Add Ba Shuang last, pill with honey. Administration follows the previous method; stop taking when the mass reduces by half.
[Heart Accumulation] Fu Liang Wan: Huang Lian (1 liang 2 qian), Ren Shen, Nong Po (each 5 qian), Huang Qin (Scutellariae Radix) (2 qian), Rou Gui (Cinnamomi Cortex), Fu Shen (Poria with Hostwood), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) (each 1 qian), Chuan Wu, Pao Jiang, Hong Dou (Adenanthera Pavonina Seed), Chang Pu, Ba Shuang (each 5 fen). Pill preparation same as above.
[Spleen Accumulation] Pi Qi Wan: Nong Po (5 qian), Huang Lian (8 qian), Zhu Yu (Evodiae Fructus) (3 qian), Huang Qin, Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian), Yin Chen (Artemisiae Scopariae Herba), Sha Ren (Amomi Fructus), Gan Jiang (each 1.5 qian), Fu Ling, Ren Shen, Ze Xie (Alismatis Rhizoma) (each 1 qian), Chuan Wu, Chuan Jiao (each 5 fen), Ba Shuang (separately ground), Rou Gui (each 4 fen). Pill with honey as before.
[Kidney Accumulation] Ben Tun Wan: Nong Po (7 qian), Huang Lian (5 qian), Ku Lian Zi (Meliae Semen, wine-boiled) (3 qian), Fu Ling, Ze Xie, Chang Pu (each 2 qian), Yan Hu Suo (1.5 qian), Quan Xie (Scorpio), Chuan Fu Zi (Aconiti Lateralis Radix Preparata), Du Huo (Angelicae Pubescentis Radix) (each 1 qian), Chuan Wu, Ding Xiang (Caryophylli Flos), Ba Shuang (separately ground, each 5 fen), Rou Gui (2 fen). Pill with honey as before. Li Dongyuan's Wu Ji Wan uses more Ren Shen, and uses pills instead of decoctions for grinding accumulations, taking the meaning of gradual elimination.
[Regulating Qi] Da Qi Qi Tang: Qing Pi, Chen Pi, Jie Geng, Huo Xiang (Agastaches Herba), Gui Zhi (Cinnamomi Ramulus), Cao Zhong (Glycyrrhizae Radix et Rhizoma), San Leng, Peng Zhu (Curcumae Rhizoma), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Xiang Fu (Cyperi Rhizoma) (each 1 qian). One formula adds Da Huang (Rhei Radix et Rhizoma), Bing Lang.
[Initial Accumulation] Pai Qi Yin: Xiang Fu, Wu Yao (Linderae Radix), Ze Xie, Chen Pi, Huo Xiang, Zhi Qiao (Aurantii Fructus) (each 1.5 qian), Mu Xiang (Aucklandiae Radix), Nong Po (each 1 qian). For food stagnation add Qu Shen (Medicated Leaven); for cold add Sheng Jiang (Zingiberis Rhizoma Recens), Rou Gui.
[Regulating Middle] Bu Zhong Yi Qi Tang: See Volume 1, Stroke section.
[Regulating Middle] Shen Ling Tang: Ren Shen, Fu Ling, Bai Zhu, Cao Zhong, Xiong (Chuan Xiong), Gui (Dang Gui), Shao (Bai Shao), Mu Xiang, Xiang Fu, Yan Hu Suo, Yi Yi Ren (Coicis Semen).
[Resting Accumulation] Hua Qi Tang: E Zhu, Gan Jiang, Qing Pi, Chen Pi, Ding Xiang, Hui Xiang (Foeniculi Fructus), Zhi Cao (each 5 qian), Gui Xin (Cinnamomi Cortex), Mu Xiang (each 2.5 qian), Hu Jiao (Piperis Longi Fructus), Chen Xiang (each 1.1 qian). Take 2 qian per dose, with Ginger Decoction.
[Resting Accumulation] Mu Xiang Tiao Qi San: Qing Pi, Chen Pi, Xiong (Chuan Xiong), Po (Nong Po), Zhi (Zhi Shi), Wu Yao, Mu Xiang, Xiang Fu, Cang Zhu (Atractylodis Rhizoma) (each 1 qian), Gui Xin, Gan Cao (Licorizae Radix et Rhizoma) (each 3 fen), Sha Ren (5 fen).
[Cholera-like Mass] A Wei She Xiang Gao: A Wei (Ferulae Resina) (5 qian), She Xiang (Moschus) (1 qian), Xiong Huang (Realgar) (3 qian), Hong Liao Hua Zi (Polygoni Bistortae Flos) (4 liang), Ren Shen, Bai Zhu (each 1 liang), Rou Gui (5 qian). Take 3 qian per dose.
[Stone Jia] He Xue Tong Jing Tang: Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Preparata), Su Mu (Sappan Lignum) (each 2 qian), San Leng, E Zhu, Mu Xiang, Guan Zhong (Dryopteridis Rhizoma), Rou Gui (each 8 fen), Hong Hua (Carthami Flos) (3 fen), Xue Jie (Dragon's Blood) (5 fen). Decoct with red wine and take.
[Stone Jia] See [Pill]: Fu Zi (Aconiti Lateralis Radix Preparata) (4 qian), Gui Jian Yu (Euodi Fructus), Zi Ying (each 3 qian), Ze Xie, Rou Gui, Yan Hu Suo, Mu Xiang (each 2 qian), Bing Lang (2.5 qian), Xue Jie (1.5 qian), Da Huang (3 qian), Tao Ren (Pruni Semen) (30 pieces), San Leng (5 qian), Shui Zhi (Hirudo) (1 qian). Pill with paste.
[Deficient Person] Shi Quan Da Bu Tang: See Volume 1, Stroke section.
[Ben Tun] Jin Gui Ben Tun Tang: Gui (Dang Gui), Shao (Bai Shao), Xiong (Chuan Xiong), Ling (Fu Ling), Cao (Gan Cao) (each 1 qian), Ban Xia, Gan Cao, Li Gen Bai Pi (Pruni Radicis Cortex), Ge Gen (Puerariae Lobatae Radix) (each 2 qian), Jiang (Zingiberis Rhizoma Recens) (3 slices). This treats disease of the Chong Mai (Penetrating Vessel); it does not use Shaoyin channel medicines. If one sticks to the idea that Ben Tun is Kidney Accumulation and uses drugs that attack the Kidney, it is erroneous.
[Fu Liang] Da Jian Zhong Tang: Chuan Jiao, Gan Jiang, Ren Shen, Yi Tang (Maltose).
[General Treatment] Gong Ji Wan: Zhu Yu, Gan Jiang, Guan Gui, Chuan Wu (each 1 liang); Huang Lian, Ju Hong, Bing Lang, Fu Ling, Nong Po, Zhi Shi, Ren Shen, Chen Xiang, Hu Po, Yan Hu Suo, Ban Xia, Qu Shen (Medicated Leaven) (each 8 qian); Ba Shuang (5 qian).
[Five Accumulations] Hua Ji Wan: San Leng, E Zhu, A Wei, Fu Shi (Floating Stone), Xiang Fu, Xiong Huang, Bing Lang, Su Mu, Wa Leng Zi (Tridacnidae Shell), Wu Ling Zhi (Trogopteri Excrement). Water pill.
[Six Gatherings] San Ju Tang: Er Chen Tang (Two-Cured Decoction) plus Dang Gui, Xing Ren (Armeniacae Semen Amarum), Gui Xin, Bing Lang.
[Blood Accumulation] Xue Yu Wan: Wu Ling Zhi, Da Huang, Gan Cao Shao (Glycyrrhizae Radix et Rhizoma tip), Tao Ren (each 5 qian), Sheng Di Huang (Rehmanniae Radix) (7 qian), Niu Xi (Achyranthis Bidentatae Radix) (4 qian), Guan Gui (2 qian), Yan Hu Suo, Dang Gui (each 6 qian), San Leng, E Zhu, Chi Shao (Paeoniae Radix Rubra), Ru Xiang (Olibanum), Mo Yao (Myrrha) (each 1 qian).
[Food Accumulation] Da He Zhong Yin: See this volume, Diet section.
[Shan Jia] Dao Qi Tang: Chuan Lian Zi (Meliae Fructus) (4 qian), Mu Xiang (3 qian), Hui Xiang (2 qian), Zhu Yu (1 qian).
[Snake Jia] Chi Wu Gong San: One Wu Gong (Gecko), roasted and ground, taken with wine. Treats snake essence ingested from vegetables or snake meat causing Snake Jia, constant hunger in abdomen, vomiting after eating.
[Turtle Jia] Wu Yi Tang: Wu Yi (Macadamiae Semen), stir-fried, dosage不拘 (unrestricted), decoct water to replace tea. Some also use Lei Wan (Polyporus Umbellatus) or ash treatments.
[Hair Jia] Xiang Ze You: 1 sheng of Sesame Oil, add Xiang Ze (Perilla Leaf), fry, place near head, let aroma enter nose, worms exit mouth, quickly catch and extract using Duan Shi (Burnt Lime). Another method: boil Bai Shu (decayed comb) and drink soup.
[Pi Block] Lian Luo Wan: Huang Lian, Wu Yu (Wu Zhu Yu), Bai Jie Zi (Sinapis Semen), Luo Bo Zi (Radish Seed), Shan Zhi (Gardeniae Fructus), Chuan Xiong, Xiang Fu, Zha Rou (Hawthorn Flesh), Shen Qu (Medicated Leaven). Pill with steamed dough cake.
[Firm Block] Kui Jian Tang: Gui (Dang Gui), Shu (Bai Zhu), Chen (Chen Pi), Xia (Ban Xia), Zhi (Zhi Shi), Zha (Hawthorn), Po (Nong Po), Xiang Fu, Sha Ren, Mu Xiang Juice.
[Pi Accumulation] Da Huang San: San Leng, Da Huang. Take with Ginger and Orange Peel Decoction.
[Firm Accumulation] Hua Pi Gao: San Leng, E Zhu, Dang Gui (each 5 qian), Da Huang (3 qian), Quan Xie (14 pieces), Jia Pian (Testudinis Carapax et Plastrum) (14 pieces), Wu Gong (Centipede) (5 strips), Mu Bie Zi (Strychni Semen) (7 pieces). Add 2 jin 4 liang of Sesame Oil, fry, remove dregs and simmer, add Huang Dan (Lead Monoxide) 1 jin, A Wei 1 liang, Ru Xiang, Mo Yao (each 5 qian), Xiao Shi (Niter) 3 qian. Mix with boiling water and take.
[Chest Pi] Ban Xia Xie Xin Tang: See Volume 1, Warm Disease section.
[Rib Pi] Tui Qi San: Sha Ren, Rou Gui (each 2.5 fen), Mu Xiang (3 fen), Zhi Cao, Hui Xiang, Ding Xiang, Chen Pi, Qing Pi, Gan Jiang (each 5 fen), Peng Zhu (4 fen), Hu Jiao, Chen Xiang (each 1 fen).
[Malaria Pi] Bie Jia Wan: Cu Zhi Bie Jia (Tartar Testudinis Carapax et Plastrum) (1 liang), San Leng, E Zhu, Xiang Fu, Qing Pi, Tao Ren, Hong Hua, Shen Qu, Mai Ya (Hordei Fructus Germinatus), Hai Fen (Spongilla Silicea) (each 5 qian). Pill with vinegar paste.
[Spleen Deficiency] Liu Jun Zi Tang: See Volume 1, Stroke section.
[Fluid Pi] Wu Ling San: See Volume 1, Warm Disease section.
[Wine Pi] Bao He Wan: See Volume 2, Phlegm-Fluid section.
[Tea Pi] Xing Shu Wan: Xing (Tian Nan Xing), Shu (Bai Zhu), Qing (Qing Pi), Chen (Chen Pi).
[Flour Accumulation] A Wei Wan: Wine-soaked A Wei, Rou Gui, E Zhu, Mai Ya, Shen Qu, Lai Fu Zi (Radish Seed), Qing Pi, Bai Zhu, Gan Jiang (each 5 qian), Bai Cao Shuang (Charred Grass Ash) (3 qian), Ba Shuang (37 grains). Pill with paste, take with Ginger Decoction.
[Meat Accumulation] Xiao A Wei Wan: A Wei, Shan Zha (Crataegi Fructus) (each 1 liang), Huang Lian (6 qian), Lian Qiao (Forsythiae Fructus) (5 qian). Pill with vinegar paste.
[Vegetable Accumulation] Gui Xiang Wan: Rou Gui, She Xiang. Pill with rice.
[Lower Abdomen Accumulation] Hui Xiang Wan: Lu Ba (Trigonellae Semis) (8 qian), Xiao Hui Xiang (Foeniculi Fructus) (6 qian), Ba Ji Tian (Morinda Officinalis Radix), Chuan Wu (each 2 qian), Chuan Lian Rou (Meliae Fructus flesh) (4 qian), Zhu Yu (5 qian). Pill with wine paste, take with Salt-Wine Decoction.
[Parasite Accumulation] Miao Ying Wan: Four Fu Zi (Aconiti Lateralis Radix Preparata), remove skin and navel, drill holes, insert 1 liang 7 qian of Sha Ren wrapped in flour and roast, Bi Bo (Long Pepper Fruit), Gu Zhi (Psoraleae Fructus), Qing Pi (each 3.5 liang). Pill with paste, take with Ginger and Chen Pi Decoction.
[Blood Accumulation] Tao Ren Cheng Qi Tang: See Volume 1, Epidemic section.
[Cold Accumulation] Fu Zi Li Zhong Tang: See Volume 1, Stroke section.
[Phlegm Accumulation] Dao Tan Tang: See Volume 1, Stroke section.
[Infantile Accumulation] Fei Er Wan: Hu Huang Lian (Coptidis Rhizoma alternative), Shen Qu, Mai Ya (each 5 qian), Bing Lang (1 qian), Rou Kou (Myristicae Semen) (2 qian), Shi Jun Zi (Quisqualis Fructus) (2.5 qian), Mu Xiang (1 qian). Pill with steamed dough cake.
[Liver-Spleen] Gui Pi Wan: See Volume 2, Consumption section.
[Fire Stagnation] Lu Hui Wan: Lu Hui (Aloe), Chuan Lian (Coptidis Rhizoma), Hu Huang Lian, Mu Xiang, Qing Pi, Wu Yi (each 5 qian), Gui (Dang Gui), Chen (Chen Pi), Ling (Fu Ling) (each 1.5 liang), Zhi Cao (7 qian). Pill with rice paste.
[Depression] Liu Yu Tang: See this volume, Depression section.
[Kidney Deficiency] Shen Qi Wan: See Volume 2, Deficiency section.
[External Treatment] A Wei Gao: Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo, Yuan Shen (Scrophulariae Radix), Guan Gui, Chi Shao, Jia Pian, Sheng Di, Shu Shi (Mus Sordidus), Da Huang, Bai Zhi (Angelicae Dahuricae Radix), Tian Ma (Gastrodiae Rhizoma) (each 5 qian), Hong Hua (5 qian), Tu Mu Bie (Strychni Semen) (20 pieces). Fry in Hemp Oil, remove dregs, add Huang Dan 5 qian and fry. Then add Mang Xiao (Natrii Sulfas), A Wei, Ru Xiang, Mo Yao (each 5 qian), then add Su He You (Styrax Oil) 5 qian, She Xiang (Moschus) 3 qian, mix evenly into ointment. Take appropriate amount, spread on red silk, apply directly over the pi block, and iron with hot ironer.
[External Treatment] Hu Po Gao: Da Huang, Po Xiao (Natrii Sulfas) (each 1 liang). Grind to powder, mash Garlic into paste, mix evenly, make into patches and apply. One formula adds 5 fen She Xiang, named Xiao Huang Gao.
[External Treatment] Shui Hong Hua Gao: Hong Liao Zi (Polygoni Bistortae Fructus) (2 qian), Da Huang, Po Xiao, Shan Zhi, Duan Shi (each 1 qian), Jiu Jiao (Yeast) (6 qian). Mash together into paste, spread on cloth, apply, and iron with hot ironer.
[External Treatment] San Sheng Gao: Half a jin of Duan Shi ground to powder, stir-fry in earthenware until pale red, shortly after add 1 liang Da Huang powder, wait for heat to subside, add 5 qian Gui Xin powder, stir-fry slightly, add Rice Vinegar and simmer into paste. Spread on paper and apply.
[Initial Accumulation] Wu Bai Wan: Wu Mei Rou (Mume Fructus flesh), Sheng Jiang (each 4 liang), Bai Fan (Alumen), Ban Xia (each 2 liang). Mash evenly, bake over fire, add Shen Qu, Mai Ya, Qing Pi, Chen Pi, Peng Zhu, Ding Pi (Caryophylli Cortex), Da Fu Zi (Arecae Pericarpium) (each 1 liang). Pill with wine paste.
[Long-standing Accumulation] Mu Xiang Bing Lang Wan: Da Huang (4 liang), Hei Qiu (Brassicae Semen Niger), Huang Qin (each 2 liang), Mu Xiang, Bing Lang, Huang Lian, Zhi Qiao, Dang Gui, Xiang Fu, Qing Pi, Chen Pi, Peng Zhu, Huang Bo (Coptidis Rhizoma alternative? No, Phellodendri Cortex) (each 1 liang). Water-pill.
[Accumulation Heat] Tong Yuan Er Ba Dan: Huang Lian (8 liang), Bai Shao (Paeoniae Radix Alba), Dang Gui, Sheng Di, Wu Mei (each 5 qian). One male pig stomach, insert drug powder inside, sew with thread, steam until cooked, mash into pills. Take with Ginger Decoction.
[Attack and Tonify] Mu Xiang Zhi Ke Wan: Da Huang, Hei Qiu (each 2 liang), Fu Ling, Bai Zhu, Nong Po, Ban Xia Qu (Pinelliae Fermented), Ren Shen, Mu Xiang, Qing Pi, Chen Pi, Bing Lang, Shen Qu, San Leng, Peng Zhu, Mai Ya (each 1 liang). Pill with Ginger Juice paste.