其候浑身微热，不思饮食，昏昧神缓，抱着一似睡未觉，肚热足冷者。多因
吐泻大病及攻击之后而得此候，茅先生先用青金丸取积，后用匀气、醒脾散调理。
常服万灵丸、保童丸即愈。
〔王先生〕灵砂丹 下虚中积、脏腑虚滑泄泻，久经取转，里急后重，久积恶痢暴泻
久不止，神效。
通明 砂（一钱） 颗块辰砂（通明、有墙壁者，二钱半。各细研）
上二味，衮研极细，用黄蜡半两，先于盏内熔化，入去皮全巴豆三七粒煎，候
巴豆紫色为度，漉豆出，细研，入前二味再研匀，于黄蜡内三分取一，再熔成汁，
倾药入内，急搅令匀，刮入瓷合收之。每服，暴泻恶痢，旋绝三丸如绿豆大。浓
煎艾汤，先呷三五口，然后吞下。水泻，冷水吞下。如取积，每服三丸如梧桐子
大，浓煎甘草汤，放冷吞下，临卧服。其久积药随积下，其小可不动便安。
按∶既是虚，即不宜用峻剂取积，仍须用四君子、益黄散之类，相兼服之。
其候大便不通，风毒疮疖，喉闭 腮，咽中涎响。茅先生先用夺命散（急惊）吐下热
涎，后用匀气散、醒脾散调理。常服牛黄膏、天竺黄散（并实热）镇心丸即愈。
仲阳云∶积痛，口中气温，面色黄白，目无精光，或白睛多及多睡畏食，或
大便酸臭者，当磨积而痛自除，宜下积丸，甚者，白饼子下之，后和胃气，用
白术散（渴）、小沉香丸、感应丸治之。又有食积肚痛，有热者芍药甘草汤（腹痛）加干葛。
吐者加半夏、生姜，或加枳实亦效。
小沉香丸 和中顺气，进食消痰。
砂仁 蓬术（各四钱，煨） 香附子（去毛，炒，一两八钱） 舶上丁香皮（二两四钱） 沉香（六钱） 甘松
（去土，三两六钱） 益智仁（微炒，一两二钱） 甘草（炙，一两四钱）
上为细末，汤浸蒸饼丸，如桐子大。每服三十或四十丸，食后温姜汤下，或嚼破更妙。
Its symptoms present as slight fever over the whole body, loss of appetite, mental dullness and lethargy, holding onto someone as if half-asleep, with a hot abdomen and cold feet. This condition often arises after severe vomiting and diarrhea or following aggressive treatments. Master Mao first used Qingjin Wan (Blue Gold Pill) to purge accumulations, then regulated with Yunqi San (Qi-Regulating Powder) and Xingpi San (Spleen-Awakening Powder). Regular intake of Wanling Wan (Ten Thousand Efficacy Pill) and Bao Tong Wan (Child-Preserving Pill) leads to recovery.
[Master Wang] Lingsha Dan (Cinnabar and Mercury Pill) effectively purges middle-jiao deficiency-type accumulations, deficiency-induced slippery diarrhea of the zang-fu organs, tenesmus after prolonged purging, and persistent violent diarrhea from long-standing malignant dysentery.
Tongming Sha (Clear Crystal Cinnabar) 1 qian, Kekuai Chensha (Chunky Cinnabar, transparent with intact crystal walls) 2.5 qian. Both are finely ground separately. These two ingredients are further ground together until extremely fine. Half liang of yellow wax is melted in a cup; 7–30 peeled whole Baidu Dou (Ephedrae Herba? No, *Note: Ba Dou is Crotonis Fructus* -> Crotonis Fructus) seeds are added and boiled until the seeds turn purple. The seeds are removed and finely ground, then mixed with the previous two powders. One-third of this mixture is added to the remaining melted yellow wax, stirred rapidly until uniform, scraped into a porcelain container for storage. For acute violent diarrhea or malignant dysentery, prepare three pills the size of mung beans. Drink 3–5 mouthfuls of strong mugwort decoction first, then swallow the pills. For watery diarrhea, swallow with cold water. To purge accumulations, take three pills the size of sophora seeds, swallowed in cooled strong licorice decoction before bed. Long-standing accumulations will be expelled by the medicine; minor ones remain undisturbed, bringing comfort.
Commentary: Since it is a deficiency pattern, harsh purgatives should not be used to expel accumulations. Instead, formulas such as Sijunzi Tang (Four Gentlemen Decoction) and Yihuang San (Yellow-Enhancing Powder) should be used in combination.
Symptoms include constipation, wind-toxic sores and boils, throat obstruction (swelling), swollen cheeks, and phlegm-rattling sounds in the throat. Master Mao first used Duoming San (Life-Seizing Powder, for acute convulsive disorders) to expel hot phlegm via emesis and purgation, followed by regulation with Yunqi San and Xingpi San. Regular use of Niuhuang Gao (Calculus Bovis Ointment), Tianzhu Huang San (Bambusa Textilis Ointment Powder, both for excess-heat patterns), and Zhenxin Wan (Heart-Calming Pill) leads to recovery.
Qian Yi (Zongyang) stated: In colic due to accumulation, the breath is warm, the complexion is yellowish-white, the eyes lack luster, there may be excessive whites in the sclera, somnolence, and aversion to food, or sour-smelling stools. The accumulation should be ground down, and the pain will resolve spontaneously. Xiaji Wan (Accumulation-Expelling Pill) is appropriate; for severe cases, Baibing Zi (White Cake Pills) can be used to purge, followed by harmonizing stomach qi using Baizhu San (Atractylodes Macrocephala Powder, for thirst), Xiao Chenxiang Wan (Minor Aquilaria Pill), and Ganying Wan (Responsive Pill). Additionally, for abdominal pain due to food accumulation with heat signs, Shaoyao Gancao Tang (Peony and Licorice Decoction, for abdominal pain) is used with added Gegen (Kudzu Root). For vomiting, add Banxia (Pinellia Rhizome) and Shengjiang (Fresh Ginger); adding Zhishi (Aurantium Fructus Immaturus) is also effective.
Xiao Chenxiang Wan harmonizes the middle, regulates qi, promotes digestion, and resolves phlegm.
Sharen (Amomum Fruit) 4 qian, Pengzhu (Curcuma Zedoaria Rhizome, roasted) 4 qian, Xiangfuzi (Cyperus Rhizome, de-husked, stir-fried) 1.8 liang, Bo Shang Dingxiang Pi (Clove Bark imported by ship) 2.4 liang, Chenxiang (Aquilaria Lignum) 6 qian, Gansong (Nardostachys Radix, cleaned) 3.6 liang, Yizhiren (Alpinia Oxyphylla Fruit, lightly roasted) 1.2 liang, Gancao (Glycyrrhiza Radix et Rhizoma, honey-fried) 1.4 liang.
Grind all into a fine powder. Mix with rice paste steamed buns to form pills the size of sophora seeds. Take 30–40 pills per dose after meals, washed down with warm ginger tea, or chewed for better effect.