龚子才治小儿患痞癖，服槟榔、蓬术、枳实、黄连之类，痞益甚。曰∶此脾经血虚痞也，不可克伐，遂用
六君子加当归，数剂。胃气耗惫，脾胃损伤，气血干涸，肢体羸瘦，面色瘦黄，肚大青筋，身热自汗，喘急气
促，泄泻腹胀，浮肿，不思饮食，与补中益气汤，久服而愈。
万密斋治一小儿周岁，因食鸡肉太早，自此成积，日渐羸瘦，不思乳食。其父详告，取药治之，与养脾去
积丸∶白术、陈皮、苍术、浓朴、枳壳、半夏、青皮、神曲、麦芽、山楂、甘草。先服三日，后服丁香脾积丸，
鸡肉汤下，取下鸡肉一片，犹未化也。再进养脾丸而愈。
王氏子，一日胃脘当心而痛，万治之，七日不止。以手按其胸腹，惟心下手不可近，曰∶误矣，无怪其不
效也。凡手可按者，虚痛也，手不可按者，实痛也，实痛非食即痰。另立方，以枳实导饮丸、控涎丹二方内，
摘取枳实、黄连、半夏各二钱，木香、黑牵牛头末、白芥子炒、甘草等分，捣罗为末，用生姜自然汁，和神曲
作丸麻子大，以沉香、木香、槟榔磨水下，或姜汤亦可。初服二十一丸，少顷痛移下中脘，又服七丸，至脐下，
又服五丸，利下清水而止，乃知是脾痛也。复作青皮丸，加青皮、陈皮、木香、砂仁、神曲、麦冬、山楂，调
理而安。
李时珍治宗室富顺王孙，嗜灯花，但闻其气，即哭索不已。诊之曰∶此癖也。以杀虫治癖之药丸，服一料
而愈。（《本草纲目》。）
陆养愚治潘司寇子，年十四，初因感冒，服药已愈。后复夜热便黄，日中亦微热。或谓表散之后，血气不
足，与补养气血，热益甚，遂以为童子劳，阴虚夜热也。滋阴降火，肚腹渐胀，肌肉渐瘦，饮食渐减，其热日
夜不止矣。脉之，人迎颇和，气口紧盛，两尺洪滑，此食积也。宜消导之，与枳实、黄连、槟榔、神曲、麦芽、
山楂、茯苓、泽泻、甘草，数剂胀减热除，精神渐复。去槟榔、泽泻、麦芽，加人参、白术、干姜，数剂全愈。
陆祖愚治费表侄，垂髫患疟后痢，初愈复伤食，蒸蒸内热，大便欲行不行，数至圊而未尝便。医不细审，
以久病初愈，复日数行，其为脾虚滑泄无疑，投以参、术补剂，经所谓益其胜而赞其复，病宁不剧乎？服后，
身热益甚，烦躁咽干。又以六脉浮洪，久痢身热脉大，均非吉候。诊之，果六脉洪盛有力，而胸腹手不可按，
曰∶脉症俱实，又且相应，无张皇也。但久痢之后，津液枯槁耳。用生地、当归、白芍、黄连、倍枳实、山楂，
一剂觉腹中运动，二剂即转矢气。少顷，去燥矢十余枚，遂连去三四次，脉静身凉，神清气爽。再用生津补脾，
调理半月而愈。
薛立斋治一小儿，腹内结块，或作痛上攻，小便不调，用龙胆泻肝汤、芦荟丸而愈。后形气消铄，发热作
渴，此肝木克制脾土，用补中益气汤及芦荟丸而愈。
汤某治户部侍郎小娘子患痞，蕴积结聚，已经年矣。其候腹满壮热，大小便闭，不食。诸医皆作虚热潮湿，
或作胃寒不食治。然既不食，大小便自然少，又欲作疳热治。百药俱试，而无一中，势已窘迫，招汤视之。问
曰∶合服何药？答曰∶当服甘遂、大黄。张惊曰∶前诸医者，皆用补剂，此女不进食久矣，不宜利动肠胃。答
曰∶信我者生，逆我者死。张曰∶更有无甘遂而次于此药方者可否？乃令即服大承气汤，二服而愈。次日诊之，
尚有余滞积实，其症必过数日而复闭，须服前药，始可除根。数日后，果再闭，腹满痞结，再服此药，一服而痊。
朱丹溪治贾福六舅子，十六岁，左胁有块，能饮食。青皮醋炒、三棱、柴胡三分，桂枝、川芎、防风各
二钱，白术二钱半，木通一钱半，海藻一钱，甘草五分，分七帖，煎取半盏，下保和丸十五丸，忌一切发物。
蒋仲芳治一儿，七岁，食后受惊，遂发寒热，右胁有块，重则胀痛，轻则硬满，已三年。忽患三阴疟，又
年余，以丸药截之。疟虽愈，而朝凉暮热，咳嗽骨立，痞块痛甚，用 、术、鳖甲、当归各四两，参、芍、知
母、丹皮、麦芽、神曲、山楂各二两，青皮、陈皮、槟榔、木香、官桂各一两，棱、莪、柴胡、桃仁各七钱，
煎成膏，入饴糖四两和匀，不俱时服，未终剂而愈。
Gong Zicai treated a pediatric patient suffering from Pi Xi (痞癖, abdominal masses and accumulation). After administering drugs such as Areca Seed (Binglang), Curcuma Aromatica Rhizome (Pengzhu), Immature Bitter Orange (Zhishi), and Coptis Rhizome (Huanglian), the Pi condition worsened. Gong stated: "This is Pi caused by Blood deficiency in the Spleen Meridian; it cannot be treated with purgative or attacking methods." He subsequently prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) added with Angelica Sinensis Root (Danggui), which cured the patient after several doses.
In cases where Stomach Qi is exhausted and depleted, Spleen and Stomach are damaged, Qi and Blood are dried up, limbs are emaciated, complexion is sallow, abdomen is distended with visible veins, body heat with spontaneous sweating, panting and shortness of breath, diarrhea with abdominal distension, edema, and anorexia, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be administered for a prolonged period to achieve recovery.
Wan Mizhai treated a one-year-old infant who developed accumulation due to eating chicken meat too early. The child became increasingly emaciated and lost appetite for milk and food. Upon detailed inquiry from the father, Wan prescribed Yang Pi Qu Ji Wan (Nourish Spleen and Remove Accumulation Pill), composed of Atractodis Macrocephalae Rhizoma (Baizhu), Tangerine Peel (Chenpi), Atractodis Rhizoma (Cangzhu), Magnoliae Officinalis Bark (Houpo), Aurantii Fructus Immaturus (Zhiqiao), Pinelliae Tuber (Banxia), Citri Reticulatae Pericarpium Viride (Qingpi), Medicated Leaven (Shenqu), Hordeum Vulgare Sprout (Maiya), Crataegi Fructus (Shanzha), and Licorice Root (Gancao). The infant took this for three days, followed by Ding Xiang Pi Ji Wan (Clove Abdominal Mass Pill), taken with chicken broth. A piece of undigested chicken meat was expelled. Subsequent administration of Yang Pi Wan led to full recovery.
The son of Mr. Wang suffered from pain at the epigastrium directly below the heart for seven days despite treatment. Palpation revealed that only the area below the heart was intolerable to touch. Wan remarked: "Previous treatments were erroneous, hence ineffective. Pain that can be pressed is deficient pain; pain that cannot be pressed is excess pain. Excess pain is either due to food stagnation or phlegm-fluid." He formulated a new prescription, extracting Zhi Shi, Huanglian, and Banxia (each 2 qian) from Zhi Shi Dao Yin Wan and Kong Yan Dan, along with equal parts of Aucklandia Root (Muxiang), Black Morning Glory Seed Powder (Hei Qianniu Toumo), Stir-fried White Mustard Seed (Baijiezi Chao), and Gancao. These were powdered and mixed with fresh ginger juice and Shenqu to form pills the size of hemp seeds. They were taken with water infused with Agarwood (Chenxiang), Muxiang, and Areca Seed (Binglang), or alternatively with ginger soup. Initially, 21 pills were taken; shortly after, the pain shifted to the Zhongwan point. Seven more pills were taken, moving the pain to below the umbilicus. Five additional pills resulted in the discharge of clear fluid, stopping the pain. It was then determined to be Spleen pain. Finally, Qing Pi Wan, added with Qingpi, Chenpi, Muxiang, Amomum Fruit (Sharen), Shenqu, Ophiopogon Tuber (Maidong), and Shanzha, was used for regulation, leading to recovery.
Li Shizhen treated the grandson of the Duke of Fushun, who had a craving for the smell of lamp wick oil. Whenever he smelled it, he would cry incessantly. Diagnosis indicated Pi Ji (癖积, specific type of accumulation). Treatment with vermifuge and anti-accumulation pills cured him after one course. (Source: *Bencao Gangmu*).
Lu Yangyu treated the son of Vice Minister Pan, aged fourteen. Initially, he contracted a cold, which resolved after medication. Later, he developed night fever and yellow urine, with slight daytime fever. Some physicians attributed this to Qi and Blood deficiency following diaphoresis and prescribed tonics, but the fever intensified. He was diagnosed with "Tongzi Lao" (Juvenile Consumption) and Yin-deficiency night fever. Treatment with Yin-nourishing and fire-reducing herbs caused abdominal distension, muscle wasting, reduced intake, and continuous day-and-night fever. Pulse diagnosis showed a harmonious Renying pulse, a tight and full Qikou pulse, and surging and slippery pulses at both Chi positions. This indicated Food Stagnation. Treatment focused on digestion and guidance, using Zhishi, Huanglian, Binglang, Shenqu, Maiya, Shanzha, Poria (Fuling), Alisma Rhizome (Zexie), and Gancao. After several doses, distension decreased and fever subsided, with gradual recovery of spirit. Binglang, Zexie, and Maiya were removed, and Ginseng Root (Renshen), Baizhu, and Dried Ginger (Ganjiang) were added. Several doses led to complete recovery.
Lu Zuyu treated his nephew Fei, who suffered from dysentery following malaria in childhood. After initial recovery, dietary injury occurred, causing internal steaming heat, difficulty defecating, frequent urges without passage. Physicians incorrectly diagnosed Spleen deficiency with loose stools due to recent illness and frequent bowel movements, prescribing Renshen and Baizhu tonics. As noted in medical classics, this "augmented the pathogen and aided recurrence," worsening the condition. Post-medication, fever increased, accompanied by irritability and dry throat. With floating and surging pulses throughout, and considering that fever with large pulses in chronic dysentery is ominous, Lu confirmed surging and forceful pulses with an abdomen intolerable to touch. He stated: "Pulse and symptoms both indicate excess, consistent with each other; do not panic. It is merely dehydration after chronic dysentery." He used Rehmannia Root (Shengdi), Danggui, White Peony Root (Baishao), Huanglian, doubled Zhishi, and Shanzha. After one dose, abdominal movement was felt; after two, flatus occurred. Soon after, over ten hard feces were passed, followed by three to four more episodes. Pulses calmed, body cooled, and spirit refreshed. Subsequent nourishment of fluids and tonification of the Spleen for half a month led to recovery.
Xue Lizhai treated a child with intra-abdominal masses causing upward attacking pain and irregular urination. Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction) and Lu Hui Wan (Aloe Pill) cured the condition. Later, the child exhibited emaciation, fever, and thirst, indicating Liver Wood overacting on Spleen Earth. Bu Zhong Yi Qi Tang and Lu Hui Wan restored health.
Mr. Tang treated the daughter of a Vice Minister of Revenue suffering from Pi syndrome, with accumulated stagnation persisting for a year. Symptoms included abdominal fullness, high fever, constipation and urinary retention, and anorexia. Other physicians treated it as deficient heat-dampness or Stomach cold. Since she could not eat, reduced excretion was expected, and some considered it Glandular Heat (Gan Re). Various medicines failed, leaving the situation critical. Tang asked what medicine should be taken and answered: "Gansui and Dahuang." Dr. Zhang exclaimed: "Previous doctors used tonics; this girl has not eaten for long, so purgatives moving the intestines are unsuitable." Tang replied: "Trust me and live; oppose me and die." Zhang asked if there was a formula second only to these without Gansui. Thus, Da Cheng Qi Tang (Major Order the Qi Decoction) was administered, curing her after two doses. On the next day, residual stagnation remained, predicting recurrence of blockage in a few days. The original strong purgatives were needed to eradicate the root. Days later, blockage recurred with abdominal fullness and Pi knotting. Re-administration of the medicine cured her in one dose.
Zhu Danxi treated the son-in-law of Jia Fu's sixth uncle, aged sixteen, with a mass in the left hypochondrium but normal appetite. Prescription: Vinegar-fried Citri Reticulatae Pericarpium Viride (Qingpi), Sparganii Rhizoma (Sanleng), Bupleuri Radix (Chaihu) 3 fen; Cinnamon Twig (Guizhi), Ligusticum Wallichii Rhizome (Chuanxiong), Saposhnikoviae Radix (Fangfeng) each 2 qian; Atractodis Macrocephalae Rhizoma (Baizhu) 2.5 qian; Akebia Caulis (Mutong) 1.5 qian; Sargassum (Haizao) 1 qian; Licorice Root (Gancao) 0.5 fen. Divided into seven doses, decocted to half a cup, taken with 15 Bao He Wan (Preserve Harmony Pills). Avoid all triggering foods.
Jiang Zhongfang treated a seven-year-old boy who, after eating and being startled, developed chills and fever with a mass in the right hypochondrium, causing severe distending pain when heavy, and hardness/fullness when light, lasting three years. He subsequently suffered from San Yin Malaria for over a year, which was stopped with pill medication. Although the malaria ceased, he developed morning chill and evening fever, coughing, emaciation, and severe pain from the Pi mass. Prescription: [Missing Character], Baizhu, Trionycis Carapax (Biejia), Danggui each 4 liang; Renshen, Baishao, Anemarrhenae Rhizome (Zhimu), Moutan Cortex (Danpi), Maiya, Shenqu, Shanzha each 2 liang; Qingpi, Chenpi, Binglang, Muxiang, Cinnamomi Cortex (Guangui) each 1 liang; Sanleng, Curcumae Rhizoma (Ezhu), Chaihu, Peach Kernel (Taoren) each 7 qian. Decocted into a paste, mixed with 4 liang of Maltose (Yitang). Taken at any time. Recovery occurred before the course was finished.