（《神方》）二仙膏 治痞气腹中作块。
明矾 雄黄（各二两）
研细，先将二两水糊和成膏，纸摊贴患处即效。不效，再以后二两摊贴，须看贴药之
后大便如脓下，即愈。
三圣膏贴痞块，化为脓血。
用未化锻石（半斤）为末，瓦上微炒红提出，候热稍减，入大黄末一两炒热，仍提出，入桂
心末五钱略炒，以米醋熬成膏，浓摊烘热，粘贴即愈。
（《经验》）四圣膏专贴痞块。
叶 独蒜 盐 穿山甲
上以好醋捣成饼，量痞大小贴之，两炷香为度。痞化为脓水，从大便中出。
琥珀膏
大黄 朴硝（各一两）
为末，以大蒜捣膏贴之。
又方以水红花或子，每一碗以水三碗，用桑柴文武火熬成膏，量痞大小，纸摊贴，
以无力为度。仍将膏用酒调服，忌荤腥油腻。不饮酒者，白汤下。
长桑君针积块 瘕，先于块上针之。甚者又于块首一针，块尾一针，立应。针讫灸之。
章门 天枢 气海 通谷 上脘 中脘
上六穴皆灸积块，可按证选用。
奔豚气块攻心，胁痛满，奄奄欲绝。（先以汤洗手足□之，却取下穴。）
期门 气海 关元（各灸五壮。）
丹溪治一妇人，因哭子后胸否有块如杯，食减面淡黄黧黑，惫甚。脉弦虚细涩，日晡发
热。知其势危，补泻兼用，以补中益气汤随时加减，与东垣痞气丸相间服之。食前用汤，食后
用丸，必汤多于丸。一月寒热退，食稍进。仍服前药，二月后忽大寒热，天明退，其块加大，
至晚手足下半节皆肿。遂停药数日，忽肿如失，天明胸中之块觉小。遂以二陈加白术、桔梗、
枳实服半月而安，次年生子。
一妇人年四十，面白形瘦性急。因有大不如意，三月后乳房作一块，渐渐长大掩心，
微痛膈闷，饮食减四之三，每早口苦，两手脉微而短涩。予知其月经水不来矣，遂与参、术、
归、芎，佐以气药，作大服，一昼夜与四次，外以大琥珀膏贴块上，防其块长。经一月余，
得补药百帖，食及平时之半，仍用前药。又过一月，脉气渐允，又与前药，吞润下丸百帖，
月经亦来，涩脉减五分之四。时天气热，意其经行必紫色，仍以前药加醋炒三棱，吞润下丸，
以抑青丸十五粒佐之。又经一月，块消食美如常矣。
一人年五十余，因饮酒醉后受怒气，左胁下与脐平，作痛。自此以后，渐成小块，或
起或不起而痛，痛止则伏。面黄口干无力，食少，吃些物便嗳此气味，转恶风寒。脉之，左
大于右，弦涩长。此木火甚，脾胃伤而阴血耗。且与和胃汤，以补胃气，滋养阴血。吞下保
和丸，逐其糟粕。胃实血充时，却用消块和胃汤，即人参（三钱）、白术（钱半）、陈皮
（一钱）、芍药、当归（各五分）、干葛、红花（各三分）作一剂煎服，吞下保和丸。
一妇人腹下有块，一男子心痛膈有块，俱用白术汤吞保和丸三十粒愈。白术（二钱）、
青皮（一钱）、芍药、木通、川芎、苍术、甘草（各五分）。
一妇胁下有块，渐长大，脉数而大。询之，近已发热，食亦减，倦怠。先与补之，次攻
其块，用陈皮（五钱）、白术（一两）、柴胡、当归、青皮（各五钱）、木通（三钱）、甘草（一钱），
作八帖先服，次服攻块丸，用醋炒青皮（一两）、桃仁（五钱）、醋三棱（两半）、桂枝（三钱半）、
海藻（八钱），神曲糊丸。
一少妇疟后左胁下有块，小便少。用浓朴、柴胡、黄木通（各二钱）、三棱、白术、
青皮（各四钱）、甘草（五分）、姜一片煎，食前热服。
一妇人年五十，形气俱实，富而劳神，味浓性急，常经水过多。医每用涩药止之，后病走
气，胸腹中共有大小块十余枚，遇夜痛甚，着床累月。其脉两手皆涩而弱。此因用涩药，致败
血积聚不行故耳。时三月间以蜀葵根煎汤，再煎人参、白术、陈皮、青皮、甘草梢、牛膝成
汤，入玄明粉少许，研桃仁调热饮之。服三帖腹痛，下块一枚。再并渣服，又下一枚。后去
葵根、玄明粉，服数剂，渐消。
一婢色紫稍肥，性沉多忧，年近四十，经不来三月，小腹当中有块，初起如粟，渐如
炊饼。予诊之，两手皆涩，重取稍滑。令按其块，痛。扪之，高寸许。遂与千金硝石丸下四五
次，后忽自言乳头有汁，恐是孕。予曰∶非，涩脉无孕之理。又与三五帖，诊之，脉稍虚。予
悟曰∶前药太峻。止与四物汤，倍加白术，佐以陈皮甘草，至三十帖体充完。再与硝石丸四
五次，自云块消，一晕便令莫服。逾半月经行痛甚，下黑血近半升，内有椒核者数十粒，而块
消去半，又求药。予晓之∶不必用药，次月当尽消矣。至次月经行，又下黑血块，而又消其
大半。彼又索药。予曰∶再次月必尽消矣。后果然。大凡攻药，病热一退，正气自复，而邪
气由渐而消。若胃气弱者，尽剂攻之，必伤胃气，又反致祸。医者不可不知也。
一人年六十，素好酒。八月间因行暑热中得病，两足冷过膝，上脘有块如掌大，牵
引胁痛不可眠卧。饮食
减少，却不渴。已自服生料五积散三剂。诊其脉，俱沉涩而小，按之不为弱，皆数而右为甚，
大便如常，小便赤涩。遂用大承气汤减大黄之半，而热加炒黄连、芍药、川芎、干葛、甘草
作汤，下栝蒌仁半夏黄连贝母丸，至十二帖，足冷退至胫，块减半遂止药。至半月饮食复旧，
诸症皆除。
一人病香港脚，夜半痞，绕胁有块，硬如石，痛欲死。用杉木汤服下食顷，大下三次，
气通块散。方用杉木节一大节、橘叶一大升，无叶以皮代之，大腹槟榔七个，三味切，用童
便三升共煮一升半，分二服。若一服得快利，则止后服。
（出自《神方》）二仙膏：治疗痞气在腹中形成肿块。
明矾、雄黄（各二两）
研磨成细粉，先用二两水糊调和成膏状，用纸张摊开贴在患处即见效。如果无效，再用后二两摊开贴敷，必须观察贴药之后大便排出如脓样的物质，病即可痊愈。
三圣膏：贴敷痞块，使其化为脓血。
使用未煅烧的锻石（半斤）研成粉末，在瓦片上微炒至发红后取出，待热度稍减，加入大黄末一两继续炒热，再次取出，加入桂心末五钱略炒，用米醋熬制成膏，浓稠地摊开并烘热，粘贴即可痊愈。
（出自《经验方》）四圣膏：专门贴敷痞块。
叶、独蒜、盐、穿山甲
以上药材用好醋捣烂成饼状，根据痞块的大小进行贴敷，以点燃两炷香的时间为限度。痞块化为脓水，从大便中排出。
又一方：用水红花或其种子，每一碗药材加三碗水，用桑柴文火和武火熬制成膏，根据痞块大小，用纸摊开贴敷，以感觉无力（药效减弱或症状缓解）为度。仍将药膏用酒调服，忌食荤腥油腻。不饮酒者，用白开水送服。
长桑君针刺积块、瘕病的方法：先在肿块上针刺。病情严重的，又在肿块头部刺一针，尾部刺一针，立即见效。针刺完毕后进行艾灸。
穴位：章门、天枢、气海、通谷、上脘、中脘
上述六个穴位均可用于艾灸积块，可根据证候选用。
奔豚气导致肿块攻心，胁肋疼痛胀满，气息奄奄欲绝。（先用药汤洗手足□之，然后取下穴。）
期门、气海、关元（各灸五壮。）
朱丹溪治疗一位妇人，因哭丧儿子后胸部痞塞有块状物如杯子大小，食欲减退，面色淡黄黧黑，极度疲惫。脉象弦虚细涩，下午申时发热。知道病情危重，采用补泻兼用的方法，以补中益气汤随时加减，与东垣的痞气丸交替服用。饭前服药汤，饭后服丸药，且药汤的量要多于丸药。一个月后寒热退去，饮食稍进。继续服用前药，两个月后突然发生大寒热，天亮时退去，肿块增大，到了晚上手脚下半节都肿胀。于是停药数日，忽然肿胀消失，天亮时觉得胸中的肿块变小。于是用二陈汤加白术、桔梗、枳实服用半个月而安定，次年生子。
另一位四十岁的妇人，面白形瘦，性格急躁。因为有大不如意之事，三个月后乳房出现一块，渐渐长大掩盖心脏部位，轻微疼痛且膈部闷胀，饮食减少四分之三，每天早晨口苦，两手脉象微而短涩。我知道她的月经已经停止了，于是给予人参、白术、当归、川芎，佐以理气药，做成大剂量服用，一昼夜服用四次，外部用大琥珀膏贴在肿块上，防止肿块继续生长。经过一个多月，服用了百余帖补药，饮食恢复到平时的一半，仍用前药。又过一个月，脉气逐渐平和，又与前药，吞服润下丸百余帖，月经也来了，涩脉减少了四分之五。当时天气炎热，推测经行颜色必为紫色，仍以前药加醋炒三棱，吞服润下丸，以抑青丸十五粒辅助。又经过一个月，肿块消除，饮食恢复正常。
一位五十多岁的人，因为饮酒醉后受怒气影响，左胁下与脐平齐处作痛。从此以后，渐渐形成小块，有时突起有时不突起而痛，痛止则潜伏。面色黄，口干，无力，食少，吃些东西就打嗝带有气味，转恶风寒。诊脉，左手大于右手，脉象弦涩长。这是木火太盛，脾胃受伤而阴血耗损。暂且给予和胃汤，以补胃气，滋养阴血。吞服保和丸，驱逐其糟粕。待胃气充实、血液充盈时，却用消块和胃汤，即人参（三钱）、白术（钱半）、陈皮（一钱）、芍药、当归（各五分）、干葛、红花（各三分）作为一剂煎服，吞服保和丸。
一位妇人腹下有块，一位男子心痛膈中有块，都用白术汤吞服保和丸三十粒而痊愈。白术（二钱）、青皮（一钱）、芍药、木通、川芎、苍术、甘草（各五分）。
一位妇人胁下有块，渐渐长大，脉象数而大。询问得知，最近已发热，饮食也减少，倦怠。先给予补益，其次攻逐其块，用陈皮（五钱）、白术（一两）、柴胡、当归、青皮（各五钱）、木通（三钱）、甘草（一钱），做八帖先服用，其次服用攻块丸，用醋炒青皮（一两）、桃仁（五钱）、醋三棱（一两半）、桂枝（三钱半）、海藻（八钱），神曲糊丸。
一位年轻妇女疟疾后左胁下有块，小便少。用厚朴、柴胡、黄木通（各二钱）、三棱、白术、青皮（各四钱）、甘草（五分）、姜一片煎煮，饭前热服。
一位五十岁的妇人，形体和气都实证，富有但劳神，口味浓厚，性格急躁，经常月经量过多。医生每用收敛固涩的药来止血，后来病走气，胸腹中共有大小肿块十余枚，遇夜晚疼痛剧烈，卧床累月。其脉两手皆涩而弱。这是因为用涩药，导致败血积聚不行所致。当时三月间用蜀葵根煎汤，再煎人参、白术、陈皮、青皮、甘草梢、牛膝成汤，加入少许玄明粉，研碎桃仁调匀热饮。服用三帖后腹痛，排下一枚块状物。再连同药渣服用，又排下一枚。后来去掉葵根、玄明粉，服用数剂，渐渐消退。
一位婢女肤色紫稍胖，性格沉静多忧，年近四十，月经不来三个月，小腹当中有块，初起如粟米，渐渐如炊饼。我诊察她，两手脉皆涩，重取稍滑。让她按压肿块，感到疼痛。触摸它，高出皮肤寸许。于是给予千金硝石丸下四五次，后来忽然自己说乳头有乳汁，恐怕是怀孕。我说：不是，涩脉没有怀孕的道理。又给予三五帖，诊察她，脉稍虚。我醒悟道：前药太峻猛。只给予四物汤，加倍白术，佐以陈皮甘草，到三十帖身体充实完好。再给予硝石丸四五次，自己说肿块消除，一晕便令不要服用。过了半个月月经来潮疼痛剧烈，排出黑血近半升，内有椒核数十粒，而肿块消除了一半，又求药。我开导她：不必用药，次月应当完全消除。到了次月月经来潮，又排出黑血块，而又消除了大半。她又索药。我说：再次月必定完全消除。后果然如此。大凡攻伐药物，病热一退，正气自然恢复，而邪气由渐而消。如果胃气虚弱，尽剂攻之，必伤胃气，又反而招致祸患。医者不可不知道这一点。
一位六十岁的人，素好饮酒。八月间因为在暑热中行路得病，两脚冷过膝盖，上脘有块如手掌大，牵引胁痛不能卧眠。饮食减少，却不口渴。已经自服生料五积散三剂。诊其脉，俱沉涩而小，按之不弱，皆数而右脉更甚，大便如常，小便赤涩。于是用大承气汤减去一半的大黄，而热症加炒黄连、芍药、川芎、干葛、甘草作汤，下栝蒌仁半夏黄连贝母丸，到十二帖，脚冷退至小腿，肿块减半遂停药。到半月饮食恢复旧观，诸症皆除。
一人患香港脚（脚气），半夜痞塞，绕胁有块，硬如石头，痛欲死。用杉木汤服用片刻后，大下三次，气通块散。方用杉木节一大节、橘叶一大升，无叶以皮代之，大腹槟榔七个，三味切碎，用童子尿三升共煮成一升半，分两次服用。如果一服得快利，则停止后服。
(From *Shen Fang*) Erxian Gao (Two Immortals Paste): Treats Pi Qi (stagnation of qi leading to abdominal masses) where lumps form in the abdomen.
Mingfan (Alum), Xionghuang (Realgar) (each 2 liang)
Grind into fine powder. First, mix with 2 liang of water paste to form a paste. Spread on paper and apply to the affected area for immediate effect. If ineffective, apply another 2 liang spread on paper. It is necessary to observe that after applying the medicine, the stool discharges pus-like material, at which point the disease will be cured.
Sansheng Gao (Three Sages Paste): Applied to Pi blocks to transform them into pus and blood.
Use Weihua Duanshi (uncalcined lime) (0.5 jin) ground into powder, lightly stir-fried on a tile until red, then removed. When the heat subsides slightly, add Dahuang Rhizome powder (1 liang) and stir-fry until hot, then remove again. Add Guixin (Cinnamon Twig) powder (5 qian) and stir-fry briefly. Boil down with rice vinegar to form a paste. Spread thickly, warm it, and apply for cure.
(From *Jingyan*) Sisheng Gao (Four Sages Paste): Specifically applied to Pi blocks.
Ye (Leaves), Dusuan (Single Clove Garlic), Yan (Salt), Chuanshanjia (Pangolin Scales)
Mash the above ingredients into cakes using good vinegar. Apply according to the size of the Pi block. The duration should be equivalent to the burning time of two incense sticks. The Pi block transforms into pus and water, which is discharged through the stool.
Hupo Gao (Amber Paste)
Dahuang Rhizome, Puxiao (Mirabilite) (each 1 liang)
Grind into powder. Mash Daye (Garlic Bulb) into a paste and apply.
Another prescription: Use Shuihonghua (Polygonum Ayacutifolium) or its seeds. For every 1 bowl of herb, add 3 bowls of water. Boil down using mulberry wood fire (alternating gentle and strong heat) into a paste. Spread on paper according to the size of the Pi block. Stop when a sense of weakness (symptom relief) is felt. The paste can also be taken internally mixed with wine. Avoid greasy and pungent foods. Those who do not drink alcohol should take it with plain boiled water.
Zhangsun Jun's acupuncture method for Ji Kuai (accumulated masses) and Jia (masses): First, needle directly on the mass. For severe cases, insert one needle at the head of the mass and one at the tail. Effect is immediate. After needling, perform moxibustion.
Acupoints: Zhangmen (LR13), Tianshu (ST25), Qihai (CV6), Tonggu (BL28 - *Note: likely referring to a specific local point or typo in original context, often associated with foot/shank in some contexts but listed here as abdominal*), Shangwan (CV13), Zhongwan (CV12).
The above six acupoints can all be used for moxibustion on accumulated masses; select according to the syndrome.
Ben Tun Qi (Running Piglet Qi) causing masses attacking the heart, hypochondriac pain and fullness, breathless and near death. (First wash hands and feet with decoction □, then select lower acupoints.)
Qimen (LR14), Qihai (CV6), Guanyuan (CV4) (moxa 5 zhu each).
Zhu Danxi treated a woman who, after weeping for her deceased son, developed a chest obstruction with a lump the size of a cup. Her appetite decreased, complexion was pale yellow and dark/black, and she was extremely exhausted. Pulse was wiry, deficient, thin, and choppy. She had afternoon fever. Recognizing the critical condition, he used both tonification and purgation methods. He prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with modifications as needed, alternating with Dongyuan's Piqi Wan (Pi Qi Pill). Decoction was taken before meals, pills after meals, with the volume of decoction greater than pills. After one month, the alternating chills and fever subsided, and appetite slightly improved. Continuing the previous medication, after two months, she suddenly experienced severe chills and fever, which subsided at dawn. The lump enlarged, and by evening, swelling occurred in the lower half of the hands and feet. Medication was stopped for several days. Suddenly, the swelling disappeared, and at dawn, the chest lump felt smaller. Then, Erchen Tang (Two Aged Ingredients Decoction) plus Baizhu (Atractylodis Rhizoma), Jiegeng (Platycodonis Radix), and Zhishi (Aurantii Fructus Immaturus) were taken for half a month, resulting in stability. She gave birth to a child the following year.
Another woman, aged forty, with a white face and thin body, and an irritable temperament. Due to significant dissatisfaction, three months later a lump appeared in the breast, gradually enlarging to cover the heart region, with slight pain and diaphragmatic oppression. Appetite decreased by three-quarters. Every morning, bitter taste in the mouth. Both wrists showed a faint, short, and choppy pulse. I knew her menstruation had ceased. Therefore, I administered Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Rhizoma), Danggui (Angelicae Sinensis Radix), and Chuanxiong (Ligustici Chuanxiong Rhizoma), assisted by Qi-regulating herbs, in large doses. Four doses per day. Externally, Dashan Hupo Gao (Large Amber Paste) was applied to the lump to prevent further growth. After more than a month, having taken over a hundred doses of tonics, appetite recovered to half of normal. The previous medication continued. Another month passed, and the pulse energy gradually became harmonious. The same medication was given, along with Runxia Wan (Moisten and Descend Pills) swallowed, over a hundred doses. Menstruation returned, and the choppy pulse decreased by four-fifths. At that time, the weather was hot. I surmised that menstrual blood would be purple. I added Cu Sanleng (Vinegar-processed Sparganii Rhizoma) to the previous formula, swallowed Runxia Wan, and assisted with Yi Qing Wan (Suppress Green Pill), 15 pills. After another month, the lump dissipated, and appetite returned to normal.
A man, over fifty years old, suffered from anger after getting drunk on alcohol. Pain occurred in the left hypochondrium level with the umbilicus. Since then, a small lump gradually formed. It sometimes protruded and sometimes did not, accompanied by pain. When pain ceased, it receded. Complexion was yellow, mouth dry, lacking strength, poor appetite. Belching with odor after eating. Aversion to wind and cold. Pulse: Left larger than Right, wiry, choppy, and long. This indicates excessive Wood and Fire, injury to Spleen and Stomach, and consumption of Yin Blood. Initially, Hewei Tang (Harmonize Stomach Decoction) was given to tonify Stomach Qi and nourish Yin Blood. Baohe Wan (Preserve Harmony Pill) was swallowed to expel food stagnation. When Stomach Qi was solid and Blood sufficient, Xiaokuai Hewei Tang (Eliminate Mass Harmonize Stomach Decoction) was used: Renshen (3 qian), Baizhu (1.5 qian), Chenpi (1 qian), Shaoyao (Paeoniae Radix Alba), Danggui (each 0.5 fen), Gegen (Puerariae Radix), Honghua (Carthami Flos) (each 0.3 fen). One dose decocted and taken, swallowing Baohe Wan.
A woman with a lump in the lower abdomen, and a man with heart pain and a lump in the diaphragm, were both cured using Baizhu Tang (Atractylodis Rhizoma Decoction) swallowing 30 Baohe Pills. Baizhu (2 qian), Qingpi (Citri Reticulatae Pericarpium Viride) (1 qian), Shaoyao, Mutong (Akebiae Caulis), Chuanxiong, Cangzhu (Atractylodis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 fen).
A woman with a lump in the hypochondrium, gradually enlarging, pulse rapid and large. Inquiry revealed recent fever, decreased appetite, and fatigue. Tonification was given first, followed by attacking the lump. Chenpi (5 qian), Baizhu (1 liang), Chaihu (Bupleuri Radix), Danggui, Qingpi (each 5 qian), Mutong (3 qian), Gancao (1 qian). Eight doses taken first. Then, Gongkuai Wan (Attack Mass Pill) was taken: Cu Qingpi (1 liang), Taoren (Pruni Semen), Cu Sanleng (1.5 liang), Guizhi (Cinnamomi Ramulus) (3.5 qian), Haizao (Sargassum) (8 qian). Pill made with Shenqu (Medicated Leaven) paste.
A young woman had a lump in the left hypochondrium after malaria, with scanty urination. Houpo (Magnoliae Officinalis Cortex), Chaihu, Huang Mutong (Isodontiae Radix) (each 2 qian), Sanleng (Sparganii Rhizoma), Baizhu, Qingpi (each 4 qian), Gancao (0.5 fen), Ginger slice (1 piece). Decocted and taken hot before meals.
A woman, aged fifty, with robust constitution and Qi, wealthy but mentally stressed, rich diet, and irritable temperament, often suffered from menorrhagia. Doctors frequently used astringent herbs to stop bleeding. Later, the disease moved Qi, resulting in over ten lumps of various sizes in the chest and abdomen. Pain was severe at night, lasting months in bed. Pulse: Both hands choppy and weak. This was caused by the use of astringents, leading to the accumulation and stagnation of discarded blood. In March, Shuhui Gen (Malvae Root) decoction was prepared, then Renshen, Baizhu, Chenpi, Qingpi, Gancao Gao (Licorice Tip), Niuxi (Achyranthis Bidentatae Radix) were decocted together. A small amount of Xuanmingfen (Natrii Sulfas Depuratus) was added. Crushed Taoren was mixed in and taken hot. After three doses, abdominal pain occurred, and one mass was expelled. Taking the dregs again, another mass was expelled. Later, Shuhui Gen and Xuanmingfen were removed. Several doses were taken, and the masses gradually dissipated.
A maid, slightly purple-skinned and fat, quiet and worried, nearly forty years old, had amenorrhea for three months. A lump in the center of the lower abdomen started like millet and grew like a steamed bun. Examination: Both pulses choppy, slightly slippery upon deep pressure. Pressing the lump caused pain. Palpation revealed it raised about one cun. Qianjin Xiaoshi Wan (Thousand Gold Niter Pill) was administered to purge 4-5 times. Later, she spontaneously mentioned milky discharge from nipples, fearing pregnancy. I said: No, a choppy pulse does not indicate pregnancy. Given 3-5 more doses, pulse became slightly deficient. I realized: The previous medicines were too harsh. Only Siwu Tang (Four Substances Decoction) was given, with doubled Baizhu, assisted by Chenpi and Gancao. After thirty doses, the body became robust. Then, Xiaoshi Wan was given 4-5 times. She claimed the lump dissipated. I instructed her to stop taking it after one晕 (faint/turn). Half a month later, menstruation came with severe pain, expelling nearly half a sheng of black blood containing dozens of pepper seeds. The lump reduced by half. She sought medicine again. I advised: No medicine needed; it will completely dissipate next month. Next month, during menstruation, black blood clots were expelled, and the lump reduced by another large portion. She asked for medicine again. I said: It will definitely dissipate completely the following month. This indeed happened. Generally, with attacking medicines, once pathogenic heat retreats, Zheng Qi (Upright Qi) naturally recovers, and Xie Qi (Pathogenic Qi) gradually dissipates. If Stomach Qi is weak, using full doses of attacking medicines will inevitably injure Stomach Qi, causing disaster. Physicians must know this.
A man, sixty years old, fond of alcohol. In August, fell ill while walking in summer heat. Feet were cold past the knees. A palm-sized lump in Shangwan (CV13), pulling pain in hypochondrium, unable to sleep. Decreased appetite, no thirst. Had self-administered Shengliao Wuji San (Raw Material Five Accumulations Powder) for three doses. Pulse: All deep, choppy, and small. Not weak upon pressure, all rapid, especially on the Right. Bowels regular, urine red and difficult. Da Chengqi Tang (Major Order the Qi Decoction) was used, reducing Dahuang by half. For heat, Chao Huanglian (Stir-fried Coptidis Rhizoma), Shaoyao, Chuanxiong, Gegen, Gancao were added to the decoction. Gualouren (Trichosanthis Semen), Banxia (Pinelliae Rhizoma), Huanglian, Beimu (Fritillariae Cirrhosae Bulbus) pills were taken. After twelve doses, foot cold retreated to the calves, lump halved, and medication stopped. By half a month, diet returned to normal, all symptoms resolved.
One person suffered from Hongxiangjiao (Hong Kong Foot / Tinea Pedis / Beriberi). At midnight, obstruction occurred. A lump around the hypochondrium, hard as stone, painful to death. Shanmu Tang (Fir Wood Decoction) was taken. After a short while, three large bowel movements occurred, Qi flowed, and the lump dispersed. Formula: One large segment of Shanmu Jie (Fir Node), one large sheng of Juye (Tangerine Leaf), substitute bark if leaves are unavailable, 7 Dafu Binglang (Arecae Seed). Three ingredients chopped. Boiled with 3 sheng of Tongbian (Child Urine) down to 1.5 sheng. Divided into two doses. If the first dose produces rapid purgation, stop the second dose.