论曰凡积气在右胁下，复大如杯者，肺积也，气上贲冲，息有所妨，名曰息贲。此本心
病传肺，肺当传肝，肝以春适王而不受。邪复贲于肺，故结为积，久不已，令人洒淅寒热喘
咳发肺壅，所以然者，肺主气，外合于皮毛，今肺气留积，故有寒热喘咳肺壅之病。
治肺积息贲气胀满，咳嗽涕唾脓血，桑白皮汤方
桑根白皮（锉） 麦门冬（去心焙各一两半） 桂（去粗皮） 甘草（炙锉各半两） 陈
橘皮（汤浸去白焙
上六味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，煎至七分，去滓温服。空心
晚食前各一。
治肺积息贲，上气胸满咳逆。枳实汤方
枳实（去瓤麸炒） 木香 槟榔（锉） 甘草（炙锉） 吴茱萸（汤浸焙干炒） 葶苈
（锉） 丁香（各三分）
上八味，捣罗为末，煮枣肉和丸，如梧桐子大，每服二十丸，渐加至三十丸，用炒豆煎
汤下，空心日午夜卧各一服。
论曰凡积气发于少腹，上至心下，若豚状，或上或下无时者，肾积也，肾水乘心。其状
贲冲如豚，名曰贲豚，此本脾病传肾，肾当传心，心以夏适王而不受，邪气留于肾。故结为
积，久不已，令人喘逆骨痿少气，所以然者，肾脏骨髓之气，若其气留积，不能荣养骨髓，
故变为骨痿之病。
治贲豚气逆冲心满闷。槟榔散方
槟榔（锉） 诃黎勒（煨去核各二两） 吴茱萸（陈者汤洗焙干炒一两半） 牵牛子（微
炒三两）
上四味，捣罗为散，每服一钱匕，童子小便半盏，空心调下，不过三服效，如患阴阳二
毒伤寒及香港脚，亦可服。
治积气不散，久伏于脐腹间，发似豚状，贲上冲心，木香汤方
木香 桂（去粗皮各三分） 赤茯苓（去黑皮） 槟榔（锉） 桑根白皮（锉各一两半）
甘草（炙半两）
上八味。粗捣筛 每服三钱匕，水一盏，入生姜半枣大拍破，煎至七分，去滓温服空心
日午近晚各一。
治肾脏久积成贲豚，气注小腹急痛，发即不识人，吴茱萸饮方
吴茱萸（汤洗焙干） 桃仁（汤浸去皮尖双仁各一分） 黑豆（半两）
上三味同炒，以黑豆熟为度，用童子小便一升，浸少顷，煎至六合，去滓分三服，空心
日午夜卧各一。
治久积贲豚气，时攻膀胱切痛，四味丸方
蜀椒（去目及闭口炒出汗） 香子（炒） 附子（炮裂去皮脐） 肉苁蓉（酒浸切焙
各一两）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服十五丸，空心温酒下。
治肾积频发，小腹急胀疼痛，唇口青黑，木香硫黄丸方
木香 硫黄（研） 青橘皮（汤浸去白焙） 干姜（炮） 桂（去粗皮） 沉香（锉） 肉
豆蔻（去壳） 香子
上一十一味，将九味捣罗为末，与别研二味和匀，捣研糯米饭为丸，如梧桐子大。每服
十丸加至二十丸， 香酒下。
治肾虚积气，桃仁丸方
桃仁（汤浸去皮尖双仁炒二两研以酒二升煎成膏） 木香 桂（去粗皮） 青橘皮（汤
浸去白焙）
上七味，捣罗六味为末，入桃仁煎，丸如梧桐子大，每服十五丸至二十丸，空心温酒下
治肾脏久积气在膀胱，虚胀上攻，膨满 痛， 香子丸方
香子（三两微炒为末以米醋二升熬如饧） 附子（炮裂去皮脐一两） 青橘皮（汤浸
去白焙） 木香 野狼毒（炒） 当归（切焙各三分） 阿魏（一两研以酒一升煎取半）
砂（一两半研沸汤化澄熬取霜入阿魏煎中同熬如饧入 香煎搅匀） 自然铜（ 醋淬研各
一两半）
上九味，除煎研外。捣罗为末，同入煎内和捣，丸如梧桐子大，如硬入炼蜜少许。每服
十五丸至二十丸，空心温酒下。
治肾积。化气沉香汤方
沉香 黄 人参（各三分） 香子（炒） 甘草（炙） 木香 桂（去粗皮） 乌
药附子（炮裂去皮脐） 石斛（去根） 牛膝（酒浸切焙） 五味子（炒） 巴戟天（去
心） 陈橘皮（汤浸去白焙） 高良姜（各半两
上一十五味。锉如麻豆，每服三钱匕，水一盏，生姜一分拍碎，煎至七分，去滓温服，
空心日午食前各一。
治贲豚气成块，上冲腹胁满痛， 香槟榔散方
香子（炒） 槟榔（锉） 京三棱（煨锉） 青橘皮（汤浸去白切盐炒各半两） 木
香（一分）
上五味，捣罗为散，每服二钱匕，热汤调服，不拘时。
治贲豚气上冲心腹三神煎方
桃仁（去皮尖双仁四两汤浸研细取汁三升） 京三棱（煨锉二两） 鳖甲（去裙 醋炙
三两）
上三味。捣二味为末，先煎桃仁汁至二升，次下药末，不住手搅，良久更入好醋一升。
同煎如饧。以瓷合收，每服半匙，空心温酒调下。
治贲豚气冲心。吸吸短气，发作有时，李根皮汤方
李根白皮（锉焙八两） 半夏（汤洗七遍焙七两） 干姜（炮） 桂（去粗皮各四两） 赤
茯苓（去黑皮三
上八味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治贲豚气上冲，胸心逆满，吴茱萸汤方
吴茱萸（汤浸焙炒一两） 半夏（汤洗七遍四两） 桂（去粗皮三两） 人参 甘草（炙
各二两）
上五味，粗捣筛，每服五钱匕，水一盏半，入生姜一枣大拍碎。煎至八分，去滓温服，
不拘时。
治一切风，及肾脏贲豚气，上冲心胸闷乱，木香散方
木香（一两） 青橘皮（汤浸去白焙） 白芷（炒） 沉香（锉） 香子（炒） 桂
（去粗皮） 蓬莪术（炮锉） 杉
上一十味，捣罗为散，每服二钱匕，炒生姜盐汤调下。
治贲豚冷气上冲，昏乱四肢软弱不收，磁石散方
磁石（烧醋淬研） 肉豆蔻（去壳） 木香 槟榔（锉各一两）
上四味，捣研为散，每服三钱匕，以生葱一茎细切，热酒调下。
治贲豚气从少腹奔冲上心，昏乱呕吐，痛甚。木香郁李仁丸方
木香（一两） 郁李仁（去皮生用三两） 沉香（锉） 槟榔（锉） 桂（去粗皮） 青
橘皮（去白焙） 附子
上八味。捣罗为末，炼蜜和丸。如梧桐子大， 香子或薄荷酒下二十丸，一日三服，脐
下有块，服一月永除。
治肾积气贲豚，从少腹上冲，心昏乱呕吐疼痛，槟榔丸方
槟榔（一两一半煨一半生） 木香（微炒半两） 吴茱萸（汤洗焙） 安息香（研各一
分） 桂（去粗皮）
上六味。捣罗为末，以猪胆二十枚，水煮如饧。和前六味末，捣二千下，丸如小豆大，
每服空心嚼破七丸。暖酒下。
治贲豚气上下攻走疼痛，天雄丸方
天雄（生去皮脐一两） 桃仁（去皮尖双仁炒黄） 桂（去粗皮） 香子（炒） 蜀
椒（去目并合口炒出
上六味，捣罗为末，用狗里外肾并胆细切，就银石器中，以无灰酒一升，煎成膏。入药
末杵丸，如梧桐子大，每服二十丸，空心生姜盐汤下。
治贲豚气脐腹左右坚硬，横连如臂。若弓弦急痛，木香丸方
木香 鳖甲（去裙 醋炙） 诃黎勒皮 桂（去粗皮各二两） 吴茱萸（汤浸焙炒一两
半） 牵牛子（
上六味。捣罗为末，炼蜜丸如梧桐子大，每服三十丸，温酒下，加至四十丸。
治贲豚气，自少腹上至心下，若豚状，腰腹疼痛，或冲心满闷，七气汤方
桂（去粗皮） 赤茯苓（去黑皮） 高良姜（炒） 诃黎勒皮（各一两半） 大腹连皮
（锉一两） 吴茱萸（汤
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，微利两三行为度。
治贲豚气上冲胸膈，压气木香丸方
木香 丁香 白豆蔻（去皮） 肉豆蔻（去壳） 吴茱萸（醋浸一宿炒令黄色各半两） 沉
香（三分）
上八味，除麝香外，捣罗为末，入麝香研匀，用 砂煎猪胆汁和丸，如梧桐子大，每服
温酒下二十丸。
治贲豚气上冲胁肋， 痛，七宝丸方
丁香 沉香（锉） 砂（汤浸绵滤澄入陈曲同煎成膏丸诸药各半两） 蒺藜子（炒去
角） 木香（各
上七味。除煎外，捣研为末，同前煎搜和，丸如梧桐子大，每服十丸，炒生姜酒，或
炒生姜黑豆小便下。
治肾脏积冷，贲豚气攻，少腹疼痛，上冲胸胁。沉香石斛汤方
沉香（锉） 石斛（去根） 陈曲（炒各一两） 人参 赤茯苓（去黑皮） 五味子（微
炒） 巴戟天（去心炒） 桂（去粗皮） 白术 芎 （各三分） 木香 肉豆蔻仁（各半
两）
上一十二味，粗捣筛 每服三钱匕，水一盏，姜三片，枣三枚劈，煎至六分，去滓食前
热服。
治肾脏气发动，筑人心腹，面黑胸闷欲绝，及诸气贲豚喘甚，妇人伤冷血气发攻心等疾，
应急撞气丸方
铅（二两） 石亭脂（为末二两） 丁香（为末一两） 木香（为末一两） 麝香（研
一分）
上五味。先将铅于铫子内。慢火炒令干，入石亭脂末，急手炒转，莫令焰起，以水微喷
之，慢火再炒令干，倾于净地坑子内，以盏子复之。候冷取出，细研如面。次入诸药相和研
之。以粟米饭丸如鸡头大，每用时研破二丸。热酒浸之顿服，或汗或下气或通转即愈，如秘
不通，每一丸入玄明粉半两，如气满胸膈，服药皆吐，即以炒豆炒盐等熨，令气下，便服此
药，无不验。
治积气不散，结伏贲豚，发即上冲心胸，令人喘逆，骨痿少气，木香槟榔散方
木香 槟榔（煨锉） 沉香（锉） 磁石（ 醋淬） 诃黎勒（去核） 香子（炒） 芎
白芷（炒） 牡蛎
上一十一味，捣罗为散，每服二钱匕，炒生姜盐汤调下。
论述说：凡是积气停留在右胁下，并且肿大如杯状，这是肺的积病。气向上冲逆，呼吸受到阻碍，名叫息贲。这原本是由心病传变至肺，肺本应传变给肝，但肝在春季当令旺盛而不受邪，邪气又反扑于肺，所以结聚成为积块。日久不愈，使人出现忽冷忽热的症状，喘息咳嗽，导致肺气壅塞。之所以这样，是因为肺主气，外合皮毛，如今肺气留滞积聚，所以产生寒热、喘咳、肺壅的疾病。
治疗肺积息贲引起的腹胀满、咳嗽、鼻涕唾液中带脓血，用桑白皮汤方：
桑根白皮（锉碎）一两半，麦门冬（去心焙干）一两半，桂枝（去掉粗皮），甘草（炙后锉碎）各半两，陈皮（热水浸泡去掉白色内瓤焙干）。
以上六味药，捣碎过筛，每次服用三钱匕，用水一盏，加入生姜半片拍碎，煎煮至七分，去渣温服。空腹及晚饭前各服一次。
治疗肺积息贲，气上逆、胸满、咳嗽气逆，用枳实汤方：
枳实（去掉瓤麸炒），木香，槟榔（锉碎），甘草（炙后锉碎），吴茱萸（热水浸泡焙干炒），葶苈子（锉碎），丁香（各三分）。
以上八味药，捣碎过罗成末，煮枣肉和丸，如梧桐子大小，每次服用二十丸，逐渐增加到三十丸，用炒豆煎汤送服，空腹、日中、半夜、睡前各服一次。
论述说：凡是积气发于小腹，向上到达心下，形状像小猪一样，有时上行有时下行没有固定时间，这是肾的积病，是肾水乘袭心脏。其症状表现为气冲逆如豚状，名叫贲豚。这原本是由脾病传变至肾，肾本应传变给心，但心在夏季当令旺盛而不受邪，邪气留滞在肾。所以结聚成为积块，日久不愈，使人出现气喘逆乱、骨痿、少气。之所以这样，是因为肾脏主管骨髓之气，如果气留滞积聚，不能荣养骨髓，所以变成骨痿的病证。
治疗贲豚气逆冲心、胸闷，用槟榔散方：
槟榔（锉碎），诃黎勒（煨去核）各二两，吴茱萸（陈年的热水洗焙干炒）一两半，牵牛子（微炒）三两。
以上四味药，捣碎过罗成散剂，每次服用一钱匕，用童子小便半盏，空腹调服，不超过三次见效。如果是患阴阳二毒伤寒及脚气病，也可以服用。
治疗积气不散，久伏在脐腹间，发作时像小猪状，气上冲心，用木香汤方：
木香，桂枝（去掉粗皮）各三分，赤茯苓（去掉黑皮），槟榔（锉碎），桑根白皮（锉碎）各一两半，甘草（炙）半两。
以上八味药，捣碎过筛，每次服用三钱匕，用水一盏，加入生姜半枣大拍破，煎煮至七分，去渣温服，空腹、日中、傍晚各服一次。
治疗肾脏久积形成贲豚，气注小腹急痛，发作时神志不清，用吴茱萸饮方：
吴茱萸（热水洗焙干），桃仁（热水浸泡去皮尖双仁）各一分，黑豆半两。
以上三味药同炒，以黑豆熟为度，用童子小便一升，浸泡片刻，煎煮至六合，去渣分三次服，空腹、日中、半夜、睡前各服一次。
治疗久积贲豚气，时常攻击膀胱引起剧烈疼痛，用四味丸方：
蜀椒（去掉目及闭口炒出油），茴香子（炒），附子（炮裂去皮脐），肉苁蓉（酒浸切焙）各一两。
以上四味药，捣碎过罗成末，炼蜜和丸如梧桐子大小，每次服用十五丸，空腹温酒送服。
治疗肾积频发，小腹急胀疼痛，嘴唇口角青黑，用木香硫黄丸方：
木香，硫黄（研细），青橘皮（热水浸泡去掉白色内瓤焙干），干姜（炮制），桂枝（去掉粗皮），沉香（锉碎），肉豆蔻（去壳），茴香子。
以上十一味药，将九味药捣碎过罗成末，与另外两味分别研细的药混合均匀，捣研糯米饭为丸，如梧桐子大小。每次服用十丸加至二十丸，茴香酒送服。
治疗肾虚积气，用桃仁丸方：
桃仁（热水浸泡去皮尖双仁炒二两，研细，用酒二升煎成膏），木香，桂枝（去掉粗皮），青橘皮（热水浸泡去掉白色内瓤焙干）。
以上七味药，捣碎六味药成末，加入桃仁煎膏，和丸如梧桐子大小，每次服用十五丸至二十丸，空腹温酒送服。
治疗肾脏久积气在膀胱，虚胀上攻，膨满疼痛，用茴香子丸方：
茴香子（三两微炒为末，用米醋二升熬如饴糖状），附子（炮裂去皮脐一两），青橘皮（热水浸泡去掉白色内瓤焙干），木香，野狼毒（炒），当归（切焙）各三分，阿魏（一两研细，用酒一升煎取半量），硇砂（一两半研细，沸汤化开澄清熬取霜，加入阿魏煎中同熬如饴糖状，加入茴香子煎中搅匀），自然铜（醋淬研细）各一两半。
以上九味药，除煎煮研磨的外，其余捣碎过罗成末，一同放入煎液中调和捣匀，丸如梧桐子大小，如果太硬加入少许炼蜜。每次服用十五丸至二十丸，空腹温酒送服。
治疗肾积，用化气沉香汤方：
沉香，黄芪，人参（各三分），茴香子（炒），甘草（炙），木香，桂枝（去掉粗皮），乌药，附子（炮裂去皮脐），石斛（去根），牛膝（酒浸切焙），五味子（炒），巴戟天（去心），陈皮（热水浸泡去掉白色内瓤焙干），高良姜（各半两）。
以上十五味药，锉如麻豆大小，每次服用三钱匕，用水一盏，生姜一分拍碎，煎煮至七分，去渣温服，空腹、日中、饭前各服一次。
治疗贲豚气结成块，上冲腹胁满痛，用茴香子槟榔散方：
茴香子（炒），槟榔（锉碎），京三棱（煨锉），青橘皮（热水浸泡去掉白色内瓤切盐炒）各半两，木香（一分）。
以上五味药，捣碎过罗成散剂，每次服用二钱匕，热汤调服，不拘时间。
治疗贲豚气上冲心腹，用三神煎方：
桃仁（去皮尖双仁四两，热水浸泡研细取汁三升），京三棱（煨锉二两），鳖甲（去掉裙边醋炙三两）。
以上三味药，将后两味捣成末，先煎桃仁汁至二升，然后下药末，不停地搅拌，过了一会儿再入好醋一升。同煎如饴糖状。用瓷盒收存，每次服用半匙，空腹温酒调下。
治疗贲豚气冲心，吸气短促，发作有定时，用李根皮汤方：
李根白皮（锉焙八两），半夏（热水洗七遍焙干七两），干姜（炮制），桂枝（去掉粗皮）各四两，赤茯苓（去掉黑皮三两）。
以上八味药，锉如麻豆大，每次服用五钱匕，用水一盏半，煎煮至八分，去渣温服。
治疗贲豚气上冲，胸心逆满，用吴茱萸汤方：
吴茱萸（热水浸泡焙炒一两），半夏（热水洗七遍四两），桂枝（去掉粗皮三两），人参，甘草（炙）各二两。
以上五味药，粗捣过筛，每次服用五钱匕，用水一盏半，加入生姜一枣大拍碎，煎煮至八分，去渣温服，不拘时间。
治疗一切风邪，以及肾脏贲豚气，上冲心胸导致胸闷混乱，用木香散方：
木香（一两），青橘皮（热水浸泡去掉白色内瓤焙干），白芷（炒），沉香（锉碎），茴香子（炒），桂枝（去掉粗皮），蓬莪术（炮锉），杉木屑。
以上十味药，捣碎过罗成散剂，每次服用二钱匕，炒生姜盐汤调下。
治疗贲豚冷气上冲，昏乱四肢软弱不能收持，用磁石散方：
磁石（烧后醋淬研细），肉豆蔻（去壳），木香，槟榔（锉碎）各一两。
以上四味药，捣研成散剂，每次服用三钱匕，用生葱一根细切，热酒调下。
治疗贲豚气从少腹奔冲上心，昏乱呕吐，疼痛剧烈，用木香郁李仁丸方：
木香（一两），郁李仁（去皮生用三两），沉香（锉碎），槟榔（锉碎），桂枝（去掉粗皮），青橘皮（去白焙干），附子。
以上八味药，捣碎过罗成末，炼蜜和丸如梧桐子大小，茴香子或薄荷酒送服二十丸，一日三次，脐下有块，服用一个月可彻底消除。
治疗肾积气贲豚，从少腹上冲，心昏乱呕吐疼痛，用槟榔丸方：
槟榔（一两一半，一半煨一半生），木香（微炒半两），吴茱萸（热水洗焙），安息香（研细）各一分，桂枝（去掉粗皮）。
以上六味药，捣碎过罗成末，用猪胆二十枚，水煮如饴糖状。和前六味末，捣两千下，丸如小豆大小，每次空腹嚼破七丸，暖酒送服。
治疗贲豚气上下攻走疼痛，用天雄丸方：
天雄（生去皮脐一两），桃仁（去皮尖双仁炒黄），桂枝（去掉粗皮），茴香子（炒），蜀椒（去掉目并合口炒出油）。
以上六味药，捣碎过罗成末，用狗的内肾和外肾并胆囊细切，就在银石器中，用无灰酒一升，煎成膏。加入药末杵丸，如梧桐子大小，每次服用二十丸，空腹生姜盐汤送服。
治疗贲豚气脐腹左右坚硬，横连如手臂，像弓弦一样急痛，用木香丸方：
木香，鳖甲（去掉裙边醋炙），诃黎勒皮，桂枝（去掉粗皮）各二两，吴茱萸（热水浸泡焙炒一两半），牵牛子。
以上六味药，捣碎过罗成末，炼蜜和丸如梧桐子大小，每次服用三十丸，温酒送服，加至四十丸。
治疗贲豚气，从少腹上至心下，像小猪状，腰腹疼痛，或冲心胸闷，用七气汤方：
桂枝（去掉粗皮），赤茯苓（去掉黑皮），高良姜（炒），诃黎勒皮（各一两半），大腹皮（连皮锉碎一两），吴茱萸（热水）。
以上七味药，粗捣过筛，每次服用三钱匕，用水一盏，煎煮至七分，去渣温服，轻微腹泻两三行为止。
治疗贲豚气上冲胸膈，压抑气息，用木香丸方：
木香，丁香，白豆蔻（去皮），肉豆蔻（去壳），吴茱萸（醋浸泡一夜炒令黄色）各半两，沉香（三分），麝香。
以上八味药，除麝香外，捣碎过罗成末，加入麝香研匀，用硇砂煎猪胆汁和丸，如梧桐子大小，每次温酒送服二十丸。
治疗贲豚气上冲胁肋，疼痛，用七宝丸方：
丁香，沉香（锉碎），硇砂（热水浸泡绵滤澄入陈曲同煎成膏），蒺藜子（炒去角），木香（各半两）。
以上七味药，除煎煮外，捣研成末，同前面的煎液搜和，丸如梧桐子大小，每次服用十丸，炒生姜酒，或炒生姜黑豆小便送服。
治疗肾脏积冷，贲豚气攻，少腹疼痛，上冲胸胁，用沉香石斛汤方：
沉香（锉碎），石斛（去根），陈曲（炒）各一两，人参，赤茯苓（去掉黑皮），五味子（微炒），巴戟天（去心炒），桂枝（去掉粗皮），白术，川芎（各三分），木香，肉豆蔻仁（各半两）。
以上十二味药，粗捣过筛，每次服用三钱匕，用水一盏，姜三片，枣三枚劈开，煎煮至六分，去渣食前热服。
治疗肾脏气发动，冲击人心腹，面色黑胸闷欲绝，以及诸气贲豚喘甚，妇人伤冷血气发攻心等疾，应急撞气丸方：
铅（二两），石亭脂（为末二两），丁香（为末一两），木香（为末一两），麝香（研一分）。
以上五味药，先将铅在铫子内，慢火炒令干，加入石亭脂末，快速翻炒，不要让火焰起，用水微微喷湿，慢火再炒令干，倾倒在干净的土坑里，用碗盖住。冷却后取出，细研如面粉状。其次加入诸药相和研之。用粟米饭丸如鸡头大，每次用时研破二丸。热酒浸之顿服，或者出汗或者排气或者通利大便即痊愈，如果便秘不通，每一丸加入玄明粉半两，如果气满胸膈，服药皆吐，即以炒豆炒盐等熨烫，令气下降，便服此药，无不灵验。
治疗积气不散，结伏贲豚，发作即上冲心胸，令人喘逆，骨痿少气，用木香槟榔散方：
木香，槟榔（煨锉），沉香（锉碎），磁石（醋淬），诃黎勒（去核），茴香子（炒），川芎，白芷（炒），牡蛎。
以上十一味药，捣碎过罗成散剂，每次服用二钱匕，炒生姜盐汤调下。
Commentary states: Whenever accumulated Qi resides under the right hypochondrium and swells to the size of a cup, it is an accumulation in the Lung. The Qi rushes upward, obstructing respiration, named Xiben (Lung Accumulation). This originates from Heart disease transmitting to the Lung; the Lung should transmit to the Liver, but the Liver is prosperous in Spring and rejects the pathogen. The pathogen rebounds to the Lung, thus knotting into an accumulation. If prolonged without resolution, it causes chills and fever, panting, coughing, and Lung obstruction. The reason is that the Lung governs Qi and connects externally with skin and hair. Now, Lung Qi stagnates and accumulates, hence the diseases of chills, fever, panting, coughing, and Lung obstruction.
For treating Lung accumulation Xiben with abdominal distension, cough, and purulent bloody sputum, use Sangbaipi Tang (Mulberry Root Bark Decoction):
Sanggenbaidi (Mulberry Root Bark) (chopped), 1.5 liang; Maidong (Ophiopogon Tuber) (heart removed, roasted), 1.5 liang; Guizhi (Cinnamon Twig) (rough bark removed); Gancao (Licorice Root) (roasted, chopped), each 0.5 liang; Chenpi (Aged Tangerine Peel) (soaked in water, white pith removed, roasted).
The above six herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi (approx. 9g), boiled in one sheng (approx. 200ml) of water with half a slice of smashed Shengjiang (Fresh Ginger). Decoct until reduced to 7/10, strain, and take warm. Take once on an empty stomach and once before evening meal.
For treating Lung accumulation Xiben with upward rushing Qi, chest fullness, and reverse coughing, use Zhishi Tang (Immature Bitter Orange Decoction):
Zhishi (Immature Bitter Orange) (pulp removed, bran-roasted); Muxiang (Costus Root); Binglang (Areca Seed) (chopped); Gancao (Licorice Root) (roasted, chopped); Wuzhuyu (Evodia Fruit) (soaked in water, roasted dry); Tinglizi (Descurainia Seed) (chopped); Dingxiang (Clove Bud), each 3 fen.
The above eight herbs are crushed, sieved into powder, mixed with dates paste, and formed into pills the size of Sophora seeds. Each dose is 20 pills, gradually increased to 30 pills, taken with decoction of fried beans. Take once on an empty stomach, at noon, midnight, and before sleep.
Commentary states: Whenever accumulated Qi arises in the lower abdomen and reaches up to the epigastrium, resembling a piglet, moving up or down irregularly, it is an accumulation in the Kidney, where Kidney Water overacts on the Heart. The manifestation is Qi rushing like a piglet, named Benteng (Roving Pig). This originates from Spleen disease transmitting to the Kidney; the Kidney should transmit to the Heart, but the Heart is prosperous in Summer and rejects the pathogen. The pathogenic Qi remains in the Kidney, knotting into an accumulation. If prolonged without resolution, it causes panting, reverse Qi, bone萎 (atrophy), and shortness of breath. The reason is that the Kidney governs the Qi of bone marrow. If Qi stagnates and accumulates, failing to nourish the bone marrow, it transforms into bone atrophy disease.
For treating Benteng Qi rushing to the Heart causing chest oppression, use Binglang San (Areca Seed Powder):
Binglang (Areca Seed) (chopped); Helile (Chebulic Myrobalan) (roasted, core removed), each 2 liang; Wuzhuyu (Evodia Fruit) (aged, washed in water, roasted dry), 1.5 liang; Qianniuzi (Pharbitis Seed) (lightly roasted), 3 liang.
The above four herbs are crushed, sieved into powder. Each dose is 1 qianbi (approx. 3g), taken with half a zhan (approx. 100ml) of urine from a young boy on an empty stomach. Effect is seen within three doses. It can also be used for Yin-Yang Erdu Shanghan (Yin-Yang Two Poisons Cold Damage) and Hongxiangjiao (Hong Kong Foot/Gout).
For treating accumulated Qi that does not disperse, lingering in the umbilical and abdominal region, manifesting like a piglet, with Qi rushing to the Heart, use Muxiang Tang (Costus Root Decoction):
Muxiang (Costus Root); Guizhi (Cinnamon Twig) (rough bark removed), each 3 fen; Chifuling (Red Poria) (black skin removed); Binglang (Areca Seed) (chopped); Sanggenbaidi (Mulberry Root Bark) (chopped), each 1.5 liang; Gancao (Licorice Root) (roasted), 0.5 liang.
The above eight herbs are coarsely crushed and sifted. Each dose is 3 qianbi, boiled in one sheng of water with a piece of Shengjiang (Fresh Ginger) the size of half a jujube, smashed. Decoct until reduced to 7/10, strain, and take warm. Take once on an empty stomach, at noon, and near evening.
For treating long-standing Kidney accumulation forming Benteng, with Qi pouring into the lower abdomen causing acute pain, and loss of consciousness upon attack, use Wuzhuyu Yin (Evodia Drink):
Wuzhuyu (Evodia Fruit) (washed in water, roasted dry); Taoren (Peach Kernel) (soaked in water, peel and tip removed, double-kernelled), each 1 fen; Heidou (Black Soybean), 0.5 liang.
The above three herbs are stir-fried together until the black soybeans are cooked. Soak in one sheng of urine from a young boy for a moment, then decoct until reduced to 6 he. Strain and divide into three doses. Take once on an empty stomach, at noon, midnight, and before sleep.
For treating long-standing Benteng Qi attacking the Bladder causing severe pain, use Siwei Wan (Four-Ingredient Pill):
Shujiao (Sichuan Pepper) (eyes and closed-mouth ones removed, roasted to release oil); Xiangzi (Fennel Seed) (roasted); Fuzi (Prepared Aconite Child) (cracked by roasting, peel and navel removed); Rongshurong (Cistanche Stem) (soaked in wine, sliced, roasted), each 1 liang.
The above four herbs are crushed, sieved into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Each dose is 15 pills, taken with warm wine on an empty stomach.
For treating frequent Kidney accumulation attacks, acute abdominal distension and pain, blue-black lips and mouth, use Muxiang Liuhuang Wan (Costus Root and Sulfur Pill):
Muxiang (Costus Root); Liuhuang (Sulfur) (ground); Qingjupi (Green Tangerine Peel) (soaked in water, white pith removed, roasted); Ganjiang (Dried Ginger) (roasted); Guizhi (Cinnamon Twig) (rough bark removed); Chenxiang (Agarwood) (chopped); Roudoukou (Nutmeg) (shell removed); Xiangzi (Fennel Seed).
The above eleven herbs: Nine are crushed, sieved into powder. Mix evenly with the other two separately ground ingredients. Use glutinous rice paste to form pills the size of Sophora seeds. Each dose is 10 pills, increased to 20 pills, taken with Xiangzi wine (Fennel wine).
For treating Kidney deficiency with accumulated Qi, use Taoren Wan (Peach Kernel Pill):
Taoren (Peach Kernel) (soaked in water, peel and tip removed, double-kernelled, roasted 2 liang, ground, decocted with 2 sheng of wine into a paste); Muxiang (Costus Root); Guizhi (Cinnamon Twig) (rough bark removed); Qingjupi (Green Tangerine Peel) (soaked in water, white pith removed, roasted).
The above seven herbs: Six are crushed, sieved into powder. Add the peach kernel paste, mix, and form pills the size of Sophora seeds. Each dose is 15-20 pills, taken with warm wine on an empty stomach.
For treating long-standing Kidney accumulation Qi in the Bladder, causing false distension rushing upward, bloating, and pain, use Xiangzi Wan (Fennel Seed Pill):
Xiangzi (Fennel Seed) (3 liang, lightly roasted into powder, decocted with 2 sheng of rice vinegar until thick like syrup); Fuzi (Prepared Aconite Child) (cracked by roasting, peel and navel removed, 1 liang); Qingjupi (Green Tangerine Peel) (soaked in water, white pith removed, roasted); Muxiang (Costus Root); Yelangdu (Euphorbia Lathyris Root) (roasted); Danggui (Angelica Sinensis Root) (sliced, roasted), each 3 fen;awei (Asafoetida) (1 liang, ground, decocted with 1 sheng of wine to obtain half volume); Naosha (Sal Ammoniac) (1.5 liang, ground, dissolved in boiling water, clarified, boiled to frost, added to Asafoetida decoction, boiled until thick like syrup, added to Fennel seed decoction, stirred evenly); Ziran Tong (Natural Pyrite) (quenched in vinegar, ground), each 1.5 liang.
The above nine herbs: Except for those requiring decoction/grinding, crush and sieve the rest into powder. Mix into the decoction, knead, and form pills the size of Sophora seeds. If too hard, add a little refined honey. Each dose is 15-20 pills, taken with warm wine on an empty stomach.
For treating Kidney accumulation, use Huqi Chenxiang Tang (Qi-Transforming Agarwood Decoction):
Chenxiang (Agarwood); Huangqi (Astragalus Root); Ren Shen (Ginseng Root), each 3 fen; Xiangzi (Fennel Seed) (roasted); Gancao (Licorice Root) (roasted); Muxiang (Costus Root); Guizhi (Cinnamon Twig) (rough bark removed); Wuyao (Litsea Cubeba Fruit); Fuzi (Prepared Aconite Child) (cracked by roasting, peel and navel removed); Shihu (Dendrobium Stem) (roots removed); Niuxi (Achyranthes Root) (soaked in wine, sliced, roasted); Wuweizi (Schisandra Berry) (roasted); Bajitian (Morinda Officinalis Root) (heart removed); Chenpi (Aged Tangerine Peel) (soaked in water, white pith removed, roasted); Gaoliangjiang (Galangal Rhizome), each 0.5 liang.
The above fifteen herbs are chopped like hemp seeds. Each dose is 3 qianbi, boiled in one sheng of water with 1 fen of smashed Shengjiang (Fresh Ginger). Decoct until reduced to 7/10, strain, and take warm. Take once on an empty stomach, at noon, and before meals.
For treating Benteng Qi forming masses, rushing upward causing abdominal and hypochondriac fullness and pain, use Xiangzi Binglang San (Fennel Seed and Areca Seed Powder):
Xiangzi (Fennel Seed) (roasted); Binglang (Areca Seed) (chopped); Jingsanleng (Curcuma Zedoaria Rhizome) (roasted, chopped); Qingjupi (Green Tangerine Peel) (soaked in water, white pith removed, cut, salt-roasted), each 0.5 liang; Muxiang (Costus Root), 1 fen.
The above five herbs are crushed, sieved into powder. Each dose is 2 qianbi, taken with hot water, anytime.
For treating Benteng Qi rushing to the Heart and abdomen, use Sanshen Jian (Three Gods Decoction):
Taoren (Peach Kernel) (peel and tip removed, double-kernelled, 4 liang, soaked in water, ground finely, juice extracted 3 sheng); Jingsanleng (Curcuma Zedoaria Rhizome) (roasted, chopped, 2 liang); Biejia (Turtle Shell) (apron removed, vinegar-roasted, 3 liang).
The above three herbs: Crush the latter two into powder. First decoct the peach kernel juice to 2 sheng, then add the powder, stirring constantly. After a while, add 1 sheng of good vinegar. Decoct together until thick like syrup. Store in a porcelain jar. Each dose is half a spoon, taken with warm wine on an empty stomach.
For treating Benteng Qi rushing to the Heart, shallow breathing, and regular attacks, use Ligepi Tang (Li Tree Bark Decoction):
Ligenbaidi (White Bark of Li Tree Root) (chopped, roasted, 8 liang); Banxia (Pinellia Tuber) (washed in water seven times, roasted, 7 liang); Ganjiang (Dried Ginger) (roasted); Guizhi (Cinnamon Twig) (rough bark removed), each 4 liang; Chifuling (Red Poria) (black skin removed, 3 liang).
The above eight herbs are chopped like hemp seeds. Each dose is 5 qianbi, boiled in 1.5 sheng of water until reduced to 8/10, strain, and take warm.
For treating Benteng Qi rushing upward, causing chest and heart reverse fullness, use Wuzhuyu Tang (Evodia Decoction):
Wuzhuyu (Evodia Fruit) (soaked in water, roasted, 1 liang); Banxia (Pinellia Tuber) (washed in water seven times, 4 liang); Guizhi (Cinnamon Twig) (rough bark removed, 3 liang); Ren Shen (Ginseng Root); Gancao (Licorice Root) (roasted), each 2 liang.
The above five herbs are coarsely crushed and sifted. Each dose is 5 qianbi, boiled in 1.5 sheng of water with a piece of Shengjiang (Fresh Ginger) the size of a jujube, smashed. Decoct until reduced to 8/10, strain, and take warm, anytime.
For treating all Wind pathogens, and Kidney Benteng Qi rushing to the Heart and chest causing oppression and confusion, use Muxiang San (Costus Root Powder):
Muxiang (Costus Root) (1 liang); Qingjupi (Green Tangerine Peel) (soaked in water, white pith removed, roasted); Baizhi (Angelica Dahurica Root) (roasted); Chenxiang (Agarwood) (chopped); Xiangzi (Fennel Seed) (roasted); Guizhi (Cinnamon Twig) (rough bark removed); Peng'ezhu (Curcuma Phaeocaulis Rhizome) (roasted, chopped); Shanmu (Cypress Wood).
The above ten herbs are crushed, sieved into powder. Each dose is 2 qianbi, taken with decoction of fried ginger and salt water.
For treating Benteng cold Qi rushing upward, causing confusion and weak limbs unable to hold, use Cishi San (Magnetite Powder):
Cishi (Magnetite) (burned, quenched in vinegar, ground); Roudoukou (Nutmeg) (shell removed); Muxiang (Costus Root); Binglang (Areca Seed) (chopped), each 1 liang.
The above four herbs are crushed and ground into powder. Each dose is 3 qianbi, taken with one stalk of raw Congbai (Scallion White) finely cut, mixed with hot wine.
For treating Benteng Qi rushing from lower abdomen to Heart, causing confusion, vomiting, and severe pain, use Muxiang Yuliren Wan (Costus Root and Apricot Kernel Pill):
Muxiang (Costus Root) (1 liang); Yuliren (Prunus Armeniaca Seed) (peeled, raw, 3 liang); Chenxiang (Agarwood) (chopped); Binglang (Areca Seed) (chopped); Guizhi (Cinnamon Twig) (rough bark removed); Qingjupi (Green Tangerine Peel) (white pith removed, roasted); Fuzi (Prepared Aconite Child).
The above eight herbs are crushed, sieved into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 20 pills with Xiangzi wine or Mint wine, three times a day. For masses below the navel, taking for one month will permanently eliminate them.
For treating Kidney accumulation Qi Benteng, rushing from lower abdomen upward, causing heart confusion, vomiting, and pain, use Binglang Wan (Areca Seed Pill):
Binglang (Areca Seed) (1.5 liang, half roasted, half raw); Muxiang (Costus Root) (lightly roasted, 0.5 liang); Wuzhuyu (Evodia Fruit) (washed in water, roasted); Anshixiang (Benzoin Resin) (ground), each 1 fen; Guizhi (Cinnamon Twig) (rough bark removed).
The above six herbs are crushed, sieved into powder. Boil 20 pig gallbladders until thick like syrup. Mix with the six powders, pound 2000 times, and form pills the size of small beans. Chew and break 7 pills on an empty stomach, taken with warm wine.
For treating Benteng Qi moving up and down causing pain, use Tianxiong Wan (Aconitum Hypocrateriforme Pill):
Tianxiong (Aconitum Hypocrateriforme Lateral Root) (raw, peel and navel removed, 1 liang); Taoren (Peach Kernel) (peel and tip removed, double-kernelled, roasted yellow); Guizhi (Cinnamon Twig) (rough bark removed); Xiangzi (Fennel Seed) (roasted); Shujiao (Sichuan Pepper) (eyes and closed-mouth ones removed, roasted).
The above six herbs are crushed, sieved into powder. Finely chop dog internal and external kidneys and gallbladder. In a silver or earthenware vessel, decoct with 1 sheng of pure wine into a paste. Add the powder, pound, and form pills the size of Sophora seeds. Each dose is 20 pills, taken with Shengjiang salt water on an empty stomach.
For treating Benteng Qi causing hardness in left and right umbilical/abdominal regions, extending horizontally like an arm, with tight pain like a bowstring, use Muxiang Wan (Costus Root Pill):
Muxiang (Costus Root); Biejia (Turtle Shell) (apron removed, vinegar-roasted); Helilepi (Chebulic Myrobalan Peel); Guizhi (Cinnamon Twig) (rough bark removed), each 2 liang; Wuzhuyu (Evodia Fruit) (soaked in water, roasted, 1.5 liang); Qianniuzi (Pharbitis Seed).
The above six herbs are crushed, sieved into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Each dose is 30 pills, taken with warm wine, increased to 40 pills.
For treating Benteng Qi rising from lower abdomen to epigastrium, resembling a piglet, with waist and abdominal pain, or rushing to Heart causing chest oppression, use Qiqi Tang (Seven Qi Decoction):
Guizhi (Cinnamon Twig) (rough bark removed); Chifuling (Red Poria) (black skin removed); Gaoliangjiang (Galangal Rhizome) (roasted); Helilepi (Chebulic Myrobalan Peel), each 1.5 liang; Dafupifu (Areca Peel) (with skin, chopped, 1 liang); Wuzhuyu (Evodia Fruit) (water-soaked).
The above seven herbs are coarsely crushed and sifted. Each dose is 3 qianbi, boiled in one sheng of water until reduced to 7/10, strain, and take warm. Mild diarrhea of two or three movements is the limit.
For treating Benteng Qi rushing to chest and diaphragm, suppressing Qi, use Muxiang Wan (Costus Root Pill):
Muxiang (Costus Root); Dingxiang (Clove Bud); Baiddoukou (White Cardamom) (peeled); Roudoukou (Nutmeg) (shell removed); Wuzhuyu (Evodia Fruit) (soaked in vinegar overnight, roasted yellow), each 0.5 liang; Chenxiang (Agarwood) (3 fen); Shexiang (Musk).
The above eight herbs: Except for Musk, crush and sieve into powder. Mix evenly with ground Musk. Use Naosha (Sal Ammoniac) decoction of pig bile to form pills the size of Sophora seeds. Each dose is 20 pills, taken with warm wine.
For treating Benteng Qi rushing to hypochondriac ribs causing pain, use Qibao Wan (Seven Treasures Pill):
Dingxiang (Clove Bud); Chenxiang (Agarwood) (chopped); Naosha (Sal Ammoniac) (soaked in water, filtered through cotton, clarified, decocted with aged yeast into paste); Jili (Tribulus Fruit) (roasted, spines removed); Muxiang (Costus Root), each 0.5 liang.
The above seven herbs: Except for the paste preparation, crush and grind into powder. Mix with the aforementioned paste, form pills the size of Sophora seeds. Each dose is 10 pills, taken with fried ginger wine, or fried ginger with black soybean urine.
For treating Kidney accumulation of cold, Benteng Qi attacking, lower abdominal pain, rushing to chest and hypochondrium, use Chenxiang Shihu Tang (Agarwood and Dendrobium Decoction):
Chenxiang (Agarwood) (chopped); Shihu (Dendrobium Stem) (roots removed); Chenqu (Aged Yeast) (roasted), each 1 liang; Ren Shen (Ginseng Root); Chifuling (Red Poria) (black skin removed); Wuweizi (Schisandra Berry) (lightly roasted); Bajitian (Morinda Officinalis Root) (heart removed, roasted); Guizhi (Cinnamon Twig) (rough bark removed); Baizhu (Atractylodes Macrocephala Rhizome); Chuanxiong (Ligusticum Chuanxiong Rhizome), each 3 fen; Muxiang (Costus Root); Roudoukouren (Nutmeg Kernel), each 0.5 liang.
The above twelve herbs are coarsely crushed and sifted. Each dose is 3 qianbi, boiled in one sheng of water with 3 slices of ginger and 3 split jujubes. Decoct until reduced to 6/10, strain, and take hot before meals.
For treating Kidney Qi activation striking the heart and abdomen, dark face, chest oppression nearing death, severe panting from various Qi Benteng, and women's diseases caused by cold blood Qi attacking the Heart, use Yingji Zhuangqi Wan (Emergency Qi-Striking Pill):
Qian (Lead) (2 liang); Shitingzhi (Stibnite) (powder, 2 liang); Dingxiang (Clove Bud) (powder, 1 liang); Muxiang (Costus Root) (powder, 1 liang); Shexiang (Musk) (ground, 1 fen).
The above five herbs: First, slowly roast the Lead in a pot until dry. Add Stibnite powder, stir quickly, do not let flames rise, spray slightly with water, roast again slowly until dry. Pour onto a clean pit, cover with a bowl. Wait until cool, remove, grind finely into flour-like powder. Then mix with other drugs and grind. Form pills the size of a cocklebur using millet rice paste. When needed, crush two pills. Soak in hot wine and take at once. Recovery occurs through sweating, passing gas, or bowel movement. If constipated, add 0.5 liang of Xuanmingfen (Mirabilite) per pill. If chest is full and vomiting occurs after taking medicine, apply heat packs of fried beans and salt to direct Qi downward, then take this medicine. It is invariably effective.
For treating accumulated Qi not dispersing, knotting Benteng, attacking upward to chest and heart causing panting, reverse Qi, bone atrophy, and shortness of breath, use Muxiang Binglang San (Costus Root and Areca Seed Powder):
Muxiang (Costus Root); Binglang (Areca Seed) (roasted, chopped); Chenxiang (Agarwood) (chopped); Cishi (Magnetite) (vinegar-quenched); Helile (Chebulic Myrobalan) (core removed); Xiangzi (Fennel Seed) (roasted); Chuanxiong (Ligusticum Chuanxiong Rhizome); Baizhi (Angelica Dahurica Root) (roasted); Muli (Oyster Shell).
The above eleven herbs are crushed, sieved into powder. Each dose is 2 qianbi, taken with decoction of fried ginger and salt water.