（《千金》）
治食停肠胃，冷热不调，腹胀气急，痛满欲死；及中恶客忤，卒暴诸病（食滞肠胃，上
焦
巴豆霜 大黄 干姜等分。蜜丸，小豆大。每服二三丸。中恶口噤者，折齿灌之。崔氏
干姜易桂枝，名备急散。
此手足阳明药也。大黄苦寒以下热结，巴霜辛热以下寒结，加干姜辛散以宣通之（干姜
辛
（《本事》）
治一切积聚痰饮，心胁引痛。
砂 巴豆（去油） 三棱 干姜 白芷（五钱） 木香 青皮 胡椒（二钱半） 大
黄干
大黄末，
此治肉积、气积、血积通剂也。 砂化肉食 砂性大热，能烂五金，本草言其能化人心
为血
肉蔻
多辛
不峻。用醋者，酸以收之也（《玉机微义》曰∶方中因白芷散水行气，故更言治痰饮也。洁
古曰∶壮人无积，虚人则有之，皆由脾胃怯弱。气血两衰，四时有感，皆能成积。若遽以磨
坚破结之药治之，疾似去而人已衰矣。干漆、 砂、三棱、大黄、牵牛之类，得药则暂快，
药过则
如满
（子和）
治胸腹积滞，痞满结痛，二便不通；或泻泄下利，里急后重，食疟实积（胸腹痞满泻痢，
由于饮
有因
物结
治。脉洪大而实为里实，宜下；若脉浮大，慎不可下）。
木香 槟榔 青皮（醋炒） 陈皮（去白） 枳壳（炒） 黄柏（酒炒） 黄连（茱萸
汤炒） 三
芒硝水丸。量人
珠》无三棱、陈皮，名木香导气丸）。
此手足阳明药也。湿热在三焦气分，木香、香附行气之药，能通三焦、解六郁；陈皮理
上焦肺气，青皮平下焦肝气（泻痢多由肝木克脾土），枳壳宽肠而利气，而黑丑、槟榔又下
气之最速者也，气行则无痞满后重之患矣。疟痢由于湿热郁积，气血不和，黄柏、黄连燥湿
清热之药，三棱能破血中气滞，莪术能破气中血滞，大黄、芒硝血分之药，能除血中伏热，
通行积滞，并为摧坚化痞之峻品。湿热积滞去，则二便调而三焦通泰矣。盖宿垢不净，清阳
终不得升，故必假此以推荡之，亦通因通用之意。然非实积，不可轻投。加当归者，润燥以
和其血也（《纲目》曰∶此戴人经验方也。善治下虚上实，抑火升水，流湿润燥，推陈致新，
散郁破结，活血通经，及肺痿喘嗽，胸膈不利，脾湿黄胆，宿食不消，妇人调和气血，小儿
惊疳积热，皆可量轻重用之。滑伯仁曰∶肠胃，阳明燥金也，下焦，少阳相火也，后重之用
木香、槟
（出自《千金方》）
治疗饮食停滞于肠胃，寒热失调，导致腹部胀满、气急、疼痛胀闷甚至痛苦欲死；以及中恶邪或客忤之气，突然爆发的各种病症。
巴豆霜、大黄、干姜，三味药等分。用蜂蜜制成丸剂，大小如小豆。每次服用二三丸。若是中恶牙关紧闭者，撬开牙齿灌服。崔氏将干姜改为桂枝，命名为备急散。
这是手足阳明经的药物。大黄苦寒，用于攻下热结；巴豆霜辛热，用于攻下寒结；加入干姜辛散以宣通阳气。（干姜辛……）
（出自《本事方》）
治疗各种积聚和痰饮，心胁部牵引作痛。
砂仁、巴豆（去油）、三棱、干姜、白芷（各五钱）、木香、青皮、胡椒（二钱半）、大黄。
将上述药物研为细末，用……（原文此处有缺漏，推测为糊或水），制成丸剂。
这是治疗肉积、气积、血积的通治方剂。砂仁能消化肉食。砂仁性大热，能腐蚀金属，本草记载其能将人心化为血……（原文此处有缺漏）。
肉蔻……（原文此处有缺漏）。
多辛……（原文此处有缺漏）。
药力不峻猛。使用醋制的原因，是利用酸味来收敛（《玉机微义》说：方中因为白芷能散水湿、行气，所以更强调治疗痰饮。洁古说：壮年人没有积聚病，体虚的人才会有，这都是因为脾胃怯弱。气血两衰，四季感受外邪，都能形成积聚。如果立即用磨坚破结的药物来治疗，疾病似乎去除了，但人已经衰败了。干漆、砂仁、三棱、大黄、牵牛子这类药物，服药时暂时痛快，药效过后……如满……）
（张子和）
治疗胸腹积滞，痞塞胀满结聚疼痛，大小便不通；或者腹泻泄泻、痢疾，里急后重，食疟实积（胸腹痞满泻痢，由于饮……有因……物结……治疗。脉象洪大而实属于里实证，适宜用下法；若脉象浮大，千万不可用下法）。
木香、槟榔、青皮（醋炒）、陈皮（去白）、枳壳（炒）、黄柏（酒炒）、黄连（吴茱萸汤炒）、三棱……芒硝水泛为丸。根据患者体质调整剂量……《珠》书中没有三棱和陈皮，名为木香导气丸）。
这是手足阳明经的药物。湿热在三焦气分，木香、香附是行气的药物，能疏通三焦、解除六郁；陈皮调理上焦肺气，青皮平抑下焦肝气（泻痢多由肝木克制脾土所致），枳壳宽肠利气，而黑丑、槟榔又是降气最快的药物，气行则不会有痞满后重的忧患了。疟疾和痢疾是由于湿热郁积，气血不和，黄柏、黄连是燥湿清热的药物，三棱能破除血中的气滞，莪术能破除气中的血滞，大黄、芒硝是入血分的药物，能清除血中的伏热，通行积滞，都是攻破坚硬、化解痞块的峻烈药品。湿热积滞去除，则大小便调畅，三焦通畅。大概宿垢不净，清阳终究不能上升，所以必须借助这些药物来推荡积滞，这也是“通因通用”的意思。然而如果不是实证积滞，不可轻易投用。加入当归，是为了润燥以调和血液（《纲目》说：这是戴人经验方。善于治疗下虚上实，抑制火升水降，流湿润燥，推陈致新，散郁破结，活血通经，以及肺痿喘嗽，胸膈不利，脾湿黄疸，宿食不消，妇人调和气血，小儿惊疳积热，都可以根据轻重程度使用。滑伯仁说：肠胃，属阳明燥金；下焦，属少阳相火；后重用木香、槟……）
(From *Qianjin Fang*)
Treats food stagnation in the stomach and intestines, imbalance of cold and heat, leading to abdominal distension, urgency of qi, painful fullness, and even death-like suffering; as well as sudden attacks from evil influences or hostile qi, and various acute diseases.
*Radix Badiaris Preparata* (Babao Shuang), *Rhei Radix et Rhizoma* (Dahuang), *Rhizoma Zingiberis Preparatum* (Ganjiang) in equal parts. Made into pills with honey, size of small beans. Take 2-3 pills per dose. For those with locked jaws due to evil influence, pry open the teeth and administer. Cui Shi replaced Ganjiang with *Ramulus Cinnamomi* (Guizhi), naming it Beiji San.
These are medicines for the Hand and Foot Yangming meridians. *Rhei Radix et Rhizoma* is bitter and cold, used to purge heat accumulation; Babao Shuang is acrid and hot, used to purge cold accumulation; adding *Rhizoma Zingiberis Preparatum* which is acrid and dispersing to promote circulation. (*Rhizoma Zingiberis Preparatum* is acrid...)
(From *Ben Shi Fang*)
Treats all kinds of accumulations and phlegm-fluids, with pain radiating from the heart and hypochondrium.
*Amygdalus Communis* (Sharen), *Fructus Crotonis Tiglii* (Badou, de-oiled), *Rhizoma Sparganii* (Sanleng), *Rhizoma Zingiberis Preparatum* (Ganjiang), *Radix Angelicae Dahuricae* (Baizhi) (each 5 qian), *Ligusticum Chuanxiong Rhizoma* (Muxiang), *Pericarpium Citri Reticulatae Viride* (Qingpi), *Fructus Piperis Nigris* (Hujiao) (2.5 qian), *Rhei Radix et Rhizoma* (Dahuang).
Grind the above herbs into fine powder... make into pills.
This is a general formula for treating meat accumulation, qi accumulation, and blood accumulation. *Amygdalus Communis* can digest meat. *Amygdalus Communis* is greatly hot in nature, capable of corroding metals; Materia Medica states it can transform human heart into blood... (*Text missing here*).
*Nux Arecae* (Roukou)... (*Text missing here*).
Mostly acrid... (*Text missing here*).
Not overly harsh. The use of vinegar is to utilize its sour property to astringe. (*Yu Ji Wei Yi* says: Because Baizhi in the formula disperses water and moves qi, it further emphasizes the treatment of phlegm-fluids. Jiegu said: Strong people do not have accumulations, only weak people do; this is due to weakness of the spleen and stomach. With decline of both qi and blood, feeling external pathogens in any season can lead to accumulations. If one immediately uses drugs that grind hardness and break knots, the disease may seem gone but the person becomes depleted. Drugs like *Radix Euphorbiae Lathyris Preparata* (Ganqi), *Amygdalus Communis* (Sharen), *Rhizoma Sparganii* (Sanleng), *Rhei Radix et Rhizoma* (Dahuang), *Semen Pharbitidis* (Qianniu) provide temporary relief during medication, but after the drug effect wears off... like fullness...)
(Zhang Zihe)
Treats chest and abdominal stagnations, stuffiness, fullness, knotting, and pain; obstruction of urination and defecation; or diarrhea, dysentery with tenesmus, and real accumulation from food malaria (chest/abdominal stuffiness/fullness/dysentery, due to drinking... there is cause... object knot... treatment. Pulse is large and forceful indicating interior excess, suitable for purging; if pulse is floating and large, absolutely do not purge).
*Ligusticum Chuanxiong Rhizoma* (Muxiang), *Areca Seed* (Binglang), *Pericarpium Citri Reticulatae Viride* (Qingpi, stir-fried with vinegar), *Pericarpium Citri Reticulatae* (Chenpi, remove white pith), *Fructus Aurantii* (Zhiqiao, stir-fried), *Cortex Phellodendri Amurensis* (Huangbai, stir-fried with wine), *Coptis Chinensis Rhizoma* (Huanglian, stir-fried with Evodia Decoction), *Rhizoma Sparganii* (Sanleng)... *Natrii Sulfas* (Mangxiao) water-pellets. Adjust dosage according to the patient... *Zhu* book lacks Sanleng and Chenpi, named Muxiang Daoqi Wan).
These are medicines for the Hand and Foot Yangming meridians. Damp-heat in the Qi aspect of the Triple Burner. *Ligusticum Chuanxiong Rhizoma* and *Cyperi Rhizoma* (Xiangfu) are qi-moving medicines, capable of unblocking the Triple Burner and resolving six depressions; *Pericarpium Citri Reticulatae* regulates Lung qi in the Upper Burner, *Pericarpium Citri Reticulatae Viride* pacifies Liver qi in the Lower Burner (dysentery often results from Liver Wood overacting on Spleen Earth), *Fructus Aurantii* widens the intestines and benefits qi, while *Semen Pharbitidis* (Heiqiu) and *Areca Seed* are the fastest in descending qi. When qi moves, there will be no worry of stuffiness and tenesmus. Malaria and dysentery are due to damp-heat stagnation and disharmony of qi and blood. *Cortex Phellodendri Amurensis* and *Coptis Chinensis Rhizoma* are drying-dampness and clearing-heat medicines. *Rhizoma Sparganii* breaks qi stagnation in blood; *Rhizoma Curcumae* (Ezhu) breaks blood stagnation in qi. *Rhei Radix et Rhizoma* and *Natrii Sulfas* are blood-level medicines, capable of removing latent heat in blood, promoting circulation of stagnations, and serving as harsh products for breaking hardness and dissolving masses. Once damp-heat and stagnation are removed, urination and defecation become regulated, and the Triple Burner becomes smooth. Generally, if old filth is not clean, clear Yang cannot rise; thus, these must be borrowed to push and荡 (purge) it. This is also the meaning of "treating obstruction with draining methods" (Tong Yin Tong Yong). However, if it is not a solid accumulation, do not lightly administer. Adding *Radix Angelicae Sinensis* (Danggui) moistens dryness to harmonize blood. (*Compendium of Materia Medica* says: This is Dairen's empirical formula. Good at treating deficiency below and excess above, suppressing fire rising and water descending, flowing moisture to dryness, pushing out the old and generating the new, dissipating depression and breaking knots, invigorating blood and unblocking collaterals, as well as lung wasting with wheezing/cough, chest/diaphragm discomfort, spleen dampness with jaundice, undigested food, harmonizing qi and blood in women, and pediatric fright/accumulation with heat. All can be used according to severity. Hua Borren said: Intestines and stomach belong to Yangming Dry Metal; Lower Burner belongs to Shaoyang Ministerial Fire. The use of *Ligusticum Chuanxiong Rhizoma* and *Areca Seed* for tenesmus...)