《病源论》云∶积聚者,由阴阳不和,腑脏虚弱,受于风邪,搏于腑脏之气所为也。腑
者阳
穷也
在左
名曰
在
上下无时,令人喘逆,骨痿少气。
《医门方》云∶辨曰∶肥气者,肥盛也,言肥气如覆杯,突出如肥盛之状;伏梁者,言
其大
奔
积
《华佗方》云∶二车丸,常在尊者后一车,故名二车丸,主心腹众病,膈上积聚,寒热,
食饮不消,或从忧恚喜怒,或从劳倦气结,或有故疾气浮,有上饮食衰少,不生肌肉,若辟
在胁,吞一丸即消;若惊恐不安,吞一丸,日三;独卧不恐,病剧,昼日六七,夜三吞。微
者,昼日四五、夜再吞。寒辟随利去,令人善矢气。又治∶女子绝产,少腹苦痛,得阳亦痛,
痛引胸中,积寒所致,风入子道,或月经未绝而合阴阳,或急欲尿而合阴阳,或衣未掺而合
阴阳,或急便着之,湿从下上;久作长病,吞药如上,百日有子。二车丸方∶
蜀椒(成择一斤) 干姜(大小相称二十枚) 粳米(一升) 朗陵乌头(大小相称二
十枚) 锻灶
凡五物,以水一斗半,渍灰,练囊中盛半绞结,纳灰中一宿,暴干之,皆末诸药下筛,
和以
《范汪方》五通丸,主积聚、留饮、宿食、寒热、烦结,长肥肤,补不足方∶
椒目(一两,汗) 附子(一两,炮) 浓朴(一两) 杏仁子(三两,熬) 半夏(一
两,洗) 葶
凡八物,别捣葶苈、杏仁,使熟,合和诸药末,使调和,以蜜捣五千杵,吞如梧子二丸。
又云∶三台丸,主五脏寒热,积聚胪胀,腹大空鸣而噫食,不生肌肤,剧者咳逆,若伤
寒病
方∶
大黄〔十二两(一方二两),捶碎,熬令变色〕 葶苈(一升,熬令变色) 附子(一
两, 令 ) 杏仁(一升,熬令变色) 硝石(一升) 芘胡(二两,洗) 浓朴(一两,
炙) 茯苓(半两
凡十物,皆捣筛,和以蜜捣三万杵,丸如梧子,从五丸起,不知稍增,取大便调利为度。
又云∶治久寒积聚方∶
虎杖根一升许。捣之,以酒渍,日三,饮一升。
《短剧方》云∶七气丸治七气。七气为病,有寒气、怒气、喜气、忧气、恚气、愁气、
热气
时,
气则
疾行
足浮
大黄(十分,炮) 人参(三分) 椒(二分,熬) 半夏(三分,炮) 乌头(五分,
炮) 桔梗(
苓(三分) 芎 (分)
仁(三分)
凡十七物,冶合下筛,和以蜜,酒服如梧子三丸,日三,不知稍增,以知至十丸为度。
(今
坚如
《千金方》七气汤,治忧气、劳气、寒气、愁气、或饮食为气、高气,或虚劳内伤,五
脏不调,阳气衰少逆上下方∶
甘草(二两) 栝蒌(二两) 夕药(二两) 椒(三两) 半夏(二两) 人参(一
两) 干地黄(二
八味,切,以水一斗,煮取三升,分三服。
又云∶神明度命丸,治久病腹内积聚,大小便不通,气上抢胸,腹中胀满,逆苦饮食,
服之
大黄(一两) 夕药(一两)
二味,蜜丸如梧子,服四丸,日二,不知,可增至六七丸,以知为度。
又云∶胁下邪气积聚、往来寒热如温疟方∶
蒸鼠壤土熨之,冷即易。
《葛氏方》云∶露宿丸,治大寒冷积聚方∶
石 干姜 桂 桔梗 附子 皂荚(各三两)
捣筛,蜜丸,服如梧子十丸,日三,稍增至十五丸。
《僧深方》治心下支满痛,破积聚,咳逆不受食,寒热喜噎方∶
蜀椒(五分) 干姜(五分) 桂心(五分) 乌头(五分)
上四物,冶合下筛,蜜和丸如小豆;先辅食以米汁,服一丸,日三夜一;不知,稍增一
丸,
《新录方》治积聚方∶
马苋捣汁为煎,令可丸,酒服如枣,日三。
《德贞常方》积聚方∶
灸第十三椎节下间,相去三寸。
又方∶灸上脘穴,在鸠尾下二寸。
又方∶灸胃脘穴,在上脘下一寸。
又方∶灸水分穴,在脐上一寸。
《新罗法师》方∶续随子(一名耐冬花),去上皮,以酒一合,和而服之二七粒,量人
老少
《崔禹锡食经》∶取蔓菁子一升捣研,以水三升,煮取一升,浓服之,为妙药也,亦治
症瘕
《诸病源候论》说:积聚,是由于阴阳失调,脏腑虚弱,感受风邪,与脏腑之气相搏结而形成的。腑属阳,(原文此处有脱漏或错简,意指阳气穷尽或分布异常),在左侧的名为……(原文残缺);在……(原文残缺)上下无时发作,使人喘息气逆,骨痿无力,少气。
《医门方》说:辨别曰:肥气,是指其势肥盛,形容肥气像倒扣的杯子,突出如肥盛之状;伏梁,是说它……(原文残缺)奔……(原文残缺)积……(原文残缺)。
《华佗方》说:二车丸,因为常在尊贵者后面的一辆车中携带,所以名叫二车丸。主治心腹各种疾病,膈上的积聚,寒热往来,饮食不消化,或者因忧愁愤怒、喜怒无常,或者因劳累疲倦导致气机郁结,或者有旧疾导致气浮,有的饮食减少,肌肉不生,如果病邪在胁下,吞服一丸即可消除;如果是惊恐不安,吞服一丸,每日三次;独自睡觉不恐惧,病情严重,白天吞服六七次,夜间三次。轻微的,白天吞服四五次,夜间两次。寒邪积聚随大便排出,使人容易放屁。又治疗:女子绝产,小腹部苦痛,得阳气也痛,疼痛牵引胸中,这是积寒所致,风邪进入子宫通道,或者月经未断而行房事,或者急欲小便而行房事,或者衣服未穿好而行房事,或者急便着凉,湿气从下部上升;久成慢性病,服药如上法,百日后可怀孕。二车丸方:蜀椒(择取一斤)、干姜(大小相当二十枚)、粳米(一升)、朗陵乌头(大小相当二十枚)、锻灶灰(原文残缺,推测为灶心土或类似物)。凡五味药,用水一斗半,浸泡灰,装入细绢袋中盛半升绞结,放入灰中一夜,晒干,将各药捣碎过筛,用……(原文残缺)调和。
《范汪方》五通丸,主治积聚、留饮、宿食、寒热、烦闷结滞,使身体长肉丰满,补益不足。方:椒目(一两,炒制)、附子(一两,炮制)、厚朴(一两)、杏仁(三两,炒制)、半夏(一两,洗)、葶苈子(原文残缺)。凡八味药,分别捣碎葶苈子和杏仁,使其熟透,混合各药末,调和均匀,用蜂蜜捣五千杵,吞服如梧桐子大小的两丸。
又说:三台丸,主治五脏寒热,积聚腹胀,腹部大且空鸣并嗳出食物气味,不长肌肤,严重的咳嗽气逆,如果是伤寒病……(原文残缺)。方:大黄〔十二两(另一版本为二两),捣碎,炒至变色〕、葶苈子(一升,炒至变色)、附子(一两,……令……)、杏仁(一升,炒至变色)、硝石(一升)、芘胡(二两,洗,疑为柴胡或羌活等,原文作芘胡)、厚朴(一两,炙)、茯苓(半两……)。凡十味药,都捣碎过筛,用蜜捣三万杵,丸如梧桐子大,从五丸开始,若无效稍加剂量,以大便通畅为度。
又说:治疗久寒积聚方:虎杖根约一升。捣碎,用酒浸泡,每日三次,每次饮一升。
《短剧方》说:七气丸治疗七气病。七气致病,有寒气、怒气、喜气、忧气、恚气、愁气、热气……(原文残缺)时,气则……(原文残缺)疾行……(原文残缺)足浮……(原文残缺)。方:大黄(十分,炮制)、人参(三分)、椒(二分,炒制)、半夏(三分,炮制)、乌头(五分,炮制)、桔梗(……)、苓(三分)、芎藭(……分)、仁(三分)。凡十七味药,研合过筛,用蜜调和,酒送服如梧桐子大小的三丸,每日三次,若无效稍加剂量,以见效至十丸为度。(今……坚如……原文残缺)
《千金方》七气汤,治疗忧气、劳气、寒气、愁气、或因饮食致气、高气,或虚劳内伤,五脏不调,阳气衰少,逆乱上下。方:甘草(二两)、栝蒌(二两)、芍药(二两,原文作夕药)、椒(三两)、半夏(二两)、人参(一两)、干地黄(二……)。八味药,切碎,用水一斗,煮取三升,分三次服用。
又说:神明度命丸,治疗久病腹内积聚,大小便不通,气上冲胸,腹部胀满,逆乱痛苦不能饮食,服用它……方:大黄(一两)、芍药(一两,原文作夕药)。二味药,蜜丸如梧桐子大,服四丸,每日二次,若无效,可增至六七丸,以见效为度。
又说:治疗胁下邪气积聚、往来寒热如温疟方:蒸鼠壤土熨烫患处,冷了就更换。
《葛氏方》说:露宿丸,治疗大寒冷积聚方:石……(原文残缺)、干姜、桂枝、桔梗、附子、皂荚(各三两)。捣碎过筛,蜜丸,服如梧桐子大小的十丸,每日三次,稍增至十五丸。
《僧深方》治疗心下部支撑胀满疼痛,破积聚,咳嗽气逆不能进食,寒热喜噎。方:蜀椒(五分)、干姜(五分)、桂心(五分)、乌头(五分)。以上四味药,研合过筛,蜜和丸如小豆大;先吃辅食喝米汁,服一丸,每日三次夜间一次;若无效,稍增一丸,……(原文残缺)。
《新录方》治疗积聚方:马齿苋捣汁熬煎,制成可丸剂,酒送服如枣大,每日三次。
《德贞常方》积聚方:灸第十三椎节下间,相距三寸。又方:灸上脘穴,在鸠尾穴下二寸。又方:灸胃脘穴,在上脘穴下一寸。又方:灸水分穴,在脐上一寸。
《新罗法师》方:续随子(一名耐冬花),去掉上皮,用酒一合,和匀服用二七粒,根据人老少调整剂量。
According to the *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases), "Ji Ju" (accumulations and masses) are caused by disharmony between Yin and Yang, weakness of the Fu organs and Zang organs, contraction of Wind pathogen, and its binding with the Qi of the Zang and Fu organs. The Fu organs belong to Yang... (text lacuna); located on the left, it is named... (text lacuna); located in... (text lacuna), occurring at irregular times, causing panting and counterflow of Qi, bone萎 (weakness/atrophy), shortness of breath.
The *Yi Men Fang* (Medical Gate Formulas) states: "Differentiation says: Fei Qi (Fat Qi/Mass), refers to its flourishing state, describing the mass as like an inverted cup, protruding in a shape resembling abundance; Fu Liang (Hidden Beam), refers to its large..." (text lacuna) Ben... (text lacuna) Ji... (text lacuna).
The *Hua Tuo Fang* (Formulas of Hua Tuo) states: Er Che Wan (Two-Carts Pill), so named because it was often carried in the cart following that of the noble person. It treats various diseases of the heart and abdomen, accumulations above the diaphragm, alternating cold and heat, indigestion, or conditions arising from sorrow, anger, joy, or rage, or from fatigue and exhaustion leading to Qi stagnation, or old diseases causing floating Qi, reduced appetite, and lack of muscle growth. If the pathogen is in the hypochondrium, swallowing one pill will eliminate it; if suffering from fright and insecurity, swallow one pill three times daily; if sleeping alone without fear but the condition is severe, swallow six or seven times during the day and three times at night. For mild cases, swallow four or five times during the day and twice at night. Cold accumulation is expelled through the bowels, causing frequent flatulence. It also treats: female infertility, severe pain in the lower abdomen, pain even when Yang Qi arrives, pain radiating to the chest, caused by accumulated cold. Wind entering the uterine channel, or intercourse before menstruation has ceased, or intercourse while urgently needing to urinate, or intercourse with clothes not properly fastened, or exposure to cold after urgent defecation, allowing dampness to rise from below; chronic illness resulting from these, treated with the above method, pregnancy may occur within one hundred days. Formula for Er Che Wan: Shu Jiao (Sichuan Pepper, *Zanthoxyli Pericarpium*, 1 jin selected), Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*, 20 pieces of similar size), Jing Mi (Glutinous Rice, *Oryza Sativa Var. Glutinosa*, 1 sheng), Langling Wu Tou (Aconite from Langling, *Aconiti Lateralis Radix Praeparata*, 20 pieces of similar size), Duan Zao [Ash]... (text lacuna). These five substances are soaked in 1.5 dou of water containing ash, placed in a fine silk bag holding half a unit, tied, and immersed in the ash overnight, then dried in the sun. All herbs are powdered and sifted, and mixed with... (text lacuna).
The Fan Wang Fang's Wu Tong Wan (Five-Through Pill) treats accumulations, retained fluids, retained food, alternating cold and heat, and vexatious stagnation, promoting flesh growth and tonifying deficiency. Formula: Jiao Mu (Pepper Seed, *Zanthoxyli Semen*, 1 liang, processed), Fu Zi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*, 1 liang, processed), Hou Po (Magnolia Bark, *Magnoliae Officinalis Cortex*, 1 liang), Xing Ren (Apricot Seed, *Armeniacae Semen Amarum*, 3 liang, processed), Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*, 1 liang, washed), Ting Li (Descurainia Seed, *Descurainiae Semen*, ...). Eight substances are used. Ting Li and Xing Ren are pounded separately until cooked, then mixed with other powders, blended well, and pounded with honey for five thousand strokes. Swallow two pills the size of mulberry seeds.
It further states: San Tai Wan (Three-Terraces Pill) treats alternating cold and heat of the Five Zang organs, accumulations and abdominal distension, large abdomen with empty rumbling and belching undigested food, failure to build muscle, and in severe cases, coughing and counterflow of Qi. If due to Shang Han (Cold Damage)... (text lacuna). Formula: Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*, 12 liang [another version 2 liang], crushed and stir-fried until color changes), Ting Li Zi (Descurainia Seed, *Descurainiae Semen*, 1 sheng, stir-fried until color changes), Fu Zi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*, 1 liang, ... let ...), Xing Ren (Apricot Seed, *Armeniacae Semen Amarum*, 1 sheng, stir-fried until color changes), Xiao Shi (Niter, *Natrii Sulfas*, 1 sheng), Bi Hu (... 2 liang, washed), Hou Po (Magnolia Bark, *Magnoliae Officinalis Cortex*, 1 liang, roasted), Fu Ling (Poria, *Poria*, 0.5 liang...). Ten substances are all pounded and sifted, mixed with honey, and pounded for thirty thousand strokes. Form pills the size of mulberry seeds. Start with five pills; if ineffective, increase slightly. The goal is smooth bowel movements.
It further states: Formula for treating long-standing cold accumulations: Hu Zhang Gen (Knotweed Root, *Polygoni Cuspidati Radix et Rhizoma*, approx. 1 sheng). Pound it, soak in wine, drink 1 sheng three times daily.
The *Duan Ju Fang* (Short Drama Formulas) states: Qi Qi Wan (Seven-Qi Pill) treats Seven Qi illnesses. Seven Qi pathologies include Cold Qi, Anger Qi, Joy Qi, Worry Qi, Resentment Qi, Sorrow Qi, and Heat Qi... (text lacuna) when Qi... (text lacuna) moves rapidly... (text lacuna) foot floats... (text lacuna). Formula: Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*, 10 parts, processed), Ren Shen (Ginseng Root, *Ginseng Radix*, 3 parts), Jiao (Pepper, *Zanthoxyli Pericarpium*, 2 parts, processed), Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*, 3 parts, processed), Wu Tou (Aconite Root, *Aconiti Radix*, 5 parts, processed), Jie Geng (Platycodon Root, *Platycodi Radix*, ...), Ling (... 3 parts), Xiong (... parts), Ren (... 3 parts). Seventeen substances are ground together and sifted, mixed with honey, taken with wine, three pills the size of mulberry seeds, three times daily. If ineffective, increase slightly up to ten pills when effective. (Now... hard as... text lacuna)
Qian Jin Fang's Qi Qi Tang (Seven-Qi Decoction) treats Worry Qi, Labor Qi, Cold Qi, Sorrow Qi, Qi caused by diet, High Qi, or internal injury from deficiency-labor, disharmony of the Five Zang organs, deficiency of Yang Qi, and counterflow upwards and downwards. Formula: Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 2 liang), Gua Lou (Trichosanthes Fruit, *Trichosanthis Fructus*, 2 liang), Chi Shao (Red Peony Root, *Paeoniae Radix Rubra*, 2 liang), Jiao (Pepper, *Zanthoxyli Pericarpium*, 3 liang), Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*, 2 liang), Ren Shen (Ginseng Root, *Ginseng Radix*, 1 liang), Gan Di Huang (Rehmannia Root, *Rehmanniae Radix*, 2...). Eight ingredients are cut, boiled in 1 dou of water to yield 3 sheng, divided into three doses.
It further states: Shen Ming Du Ming Wan (Divine Spirit Life-Prolonging Pill) treats long-term abdominal accumulations, obstruction of urination and defecation, Qi rushing to the chest, abdominal fullness, and painful inability to eat. Formula: Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*, 1 liang), Chi Shao (Red Peony Root, *Paeoniae Radix Rubra*, 1 liang). Two ingredients are made into honey pills the size of mulberry seeds. Take four pills, twice daily. If ineffective, increase to six or seven pills, stopping when effective.
It further states: Formula for treating pathogenic Qi accumulation in the hypochondrium with alternating cold and heat resembling Wen Nue (Warm Malaria): Steam mouse-dung earth and apply as a hot compress to the affected area; replace when cool.
Ge Shi Fang states: Lu Su Wan (Exposed-to-Dew Pill) for treating severe cold accumulations: Shi... (text lacuna), Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*), Gui (Cinnamon Twig, *Cinnamomi Ramulus*), Jie Geng (Platycodon Root, *Platycodi Radix*), Fu Zi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*), Zao Jia (Gleditsia Fruit, *Gleditsiae Sinensis Fructus*) (each 3 liang). Pound and sift, make into honey pills. Take ten pills the size of mulberry seeds, three times daily, gradually increasing to fifteen pills.
Seng Shen Fang treats fullness and pain under the heart, breaking accumulations, coughing and counterflow of Qi preventing eating, alternating cold and heat with frequent hiccups. Formula: Shu Jiao (Sichuan Pepper, *Zanthoxyli Pericarpium*, 5 fen), Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*, 5 fen), Gui Xin (Cinnamon Heart, *Cinnamomi Ramulus*, 5 fen), Wu Tou (Aconite Root, *Aconiti Radix*, 5 fen). The above four substances are ground together and sifted, mixed with honey into pills the size of small beans. Take one pill after taking staple food and rice gruel, three times daily and once at night. If ineffective, increase by one pill... (text lacuna).
Xin Lu Fang for treating accumulations: Ma Xian (Purslane, *Portulacae Herba*) juice is squeezed and boiled into a paste, formed into pills, taken with wine the size of a jujube, three times daily.
De Zhen Chang Fang for accumulations: Moxibustion at the space below the 13th thoracic vertebra, three cun apart. Another formula: Moxibustion at Shang Wan (CV13), two cun below Ji Wei (CV15). Another formula: Moxibustion at Wei Wan, one cun below Shang Wan. Another formula: Moxibustion at Shui Fen (CV9), one cun above the umbilicus.
Silla Master's Formula: Xu Sui Zi (Spurge Seed, *Euphorbiae Lathyridis Semen*, also known as Nai Dong Hua), remove the outer skin, mix with one he of wine, take fourteen pills according to age and constitution.
Cui Yuxi Shi Jing: Take one sheng of Turnip Seeds (*Brassicae Rapae Semen*), pound and grind, boil in three sheng of water to obtain one sheng, take thickly. It is a miraculous medicine and also treats Zheng Jia (masses and nodules).