论曰 气、谓脐腹左右紧硬而痛，横连如臂。取象如弓弦之急。故谓之 气。盖因寒温
失宜，房室过度，真阳虚惫。阴冷内生，所以水饮入于胃，而不能销铄。流于胁下。经久不
去，遂成痼疾，若遇阴寒，或食冷物则作痛，久则不能饮食，肌肤消瘦。
治 气急痛，日渐黄瘦，大黄汤方
大黄（锉炒） 芍药（各二两） 桂（去粗皮） 鳖甲（醋炙去裙 各一两半） 甘草
（炙） 诃黎勒（微煨去
上七味。粗捣筛，每服三钱匕，水一盏，煎至六分，去滓下朴硝一字，搅匀温服，空心
日晚各一，以利下烂肉血为验
治 气口吐酸水，醋心，常似有物在胸膈间，牵牛子丸方
牵牛子（生捣罗为末以生姜汁一升慢火熬如饧二两） 砂（汤中慢火熬取霜一两） 桃
仁（汤退去皮尖双仁炒黄别研一两半） 附子（炮裂去脐皮） 槟榔（煨锉） 人参 干姜
（炮） 木香 丁香（各三
上九味，除煎研外，捣罗为末，入 砂桃仁研令匀。同入牵牛子煎中和搜。丸如梧桐子
大，每日空心食后，煎生姜汤下一十丸，渐加至二十丸。以利下积滞物为度。
治 气胸臆多满，大肠常涩。诃黎勒丸方
诃黎勒（煨去核） 大黄（锉炒） 芍药 防葵 桂（去粗皮） 甘草（炙） 乌梅（各
一两） 鳖甲（去裙
上八味，捣罗为末，炼蜜和丸，如梧桐子大，空腹煎生姜汤下二十丸，日午临卧再服。
治 气急痛，呕吐酸水，食物多噎。枳壳丸方
枳壳（去瓤麸炒捣末米醋二升别煎如膏） 木香 薏苡仁 黄连（去须） 大黄（锉炒）
人参 白茯苓（去黑皮） 附子（炮裂去脐皮） 蠡实（微炒） 郁李仁汤（去皮尖别研各
一两）
上一十味。除煎研外，捣罗为末，入郁李仁同研匀，入枳壳煎中和，搜如硬入少炼熟蜜。
丸如梧桐子大，空腹煎黄 汤下二十丸，日晚再服。
治积冷 气，口吐清水，面色萎黄。附子丸方
附子（炮裂去脐皮） 草豆蔻（去皮各二两） 桂（去粗皮） 吴茱萸汤（浸焙干炒一
两） 丁香（三分）
上七味。除桃仁外，捣罗为末。入桃仁同研匀，别捣罗为末。煮糊和丸。如梧桐子大。
每服二十丸，空腹煎生姜橘皮汤下，日晚再服。
治 气搐痛，吐酸水，大便不通，大黄丸方
大黄（二两捣罗为末以酒二升慢水熬如饧） 槟榔（煨锉） 丁香（各三分） 诃黎勒
（煨去核） 桂（去
上六味，除煎外，捣罗为末，入大黄煎中和搜，丸如梧桐子大，每服食后临卧。温酒下
二十丸，渐加至三十丸。
治 气急痛，多吐苦水，日夜发歇无常。木香丸方
木香 干姜（炮各一两） 乌头（炮裂去皮脐一两半） 桂（去粗皮三分）
上四味，捣罗为末，用米醋三升，慢火煎如稀糊。和药末杵丸，如梧桐子大，每服一十
五丸，空腹煎生姜汤下，日晚再服。
治 气上攻，心脾注痛，呕吐酸水醋心，乌头丸方
乌头（生用去脐皮二两） 附子（生用去脐皮） 干姜（生用各一两三味同捣罗为末） 阿
魏（研末入前三味末中研匀别取生地黄汁四升用铜银器中慢火煎成膏） 木香 肉豆蔻（去
壳） 龙胆（去土）
上一十味。将木香等六味。捣罗为末，入前煎中和为剂，再入臼捣匀熟。硬即入少蜜。
丸如梧桐子大，每服空腹，用温水下二十丸。日三，若心脾有痛，温水调蛤粉汤下。
治 气心痛、巴豆丸方
巴豆（三枚去皮心膜炒黄研） 杏仁（七枚去皮炒黄研） 大黄（一两锉炒捣末）
上三味同研令匀。炼蜜和丸，如梧桐子大，每日空心，温酒下两丸。
治 气、甘遂丸方
甘遂（微炒黄色） 芫花（醋炒黄色） 桃仁汤（去皮尖双仁炒黄别研） 芎 当归
（切焙） 柴胡（去苗） 蜀椒（去闭口及目炒出汗） 吴茱萸（汤淘七遍焙干炒） 浓朴
（去粗皮姜汁炙） 桂（去粗皮各一两
上一十味，除桃仁外，捣罗为末，入桃仁捣令匀，炼蜜和丸，如梧桐子大，每日空腹，
煎生姜汤下十丸、日二。
治 气成块。在脐两边疼痛，甘草丸方
甘草（炙） 桂（去粗皮） 芦荟（别研） 蜀椒（去目及闭口炒出汗） 豉（微炒） 木
香柏子仁 芜荑（
上八味，除芦荟外，捣罗为末，入芦荟研令匀。炼蜜和丸，如梧桐子大，每食后临卧，
用温酒下二十丸，渐加至三十丸。
治 癖气块，鳖甲丸方
鳖甲（醋炙去裙 秤二两） 干姜（炮） 大黄（锉炒） 砂（去砂石各一两半） 附
子（炮裂去皮脐） 槟榔（锉桂去粗皮） 干漆（炒出烟） 京三棱（煨） 木香 诃黎勒
皮水银（与诸药末同研各一两） 墨（烧半两）
上一十三味，捣研为末，用曲末三两 浓醋二升，同煎成膏。和上件药，丸如梧桐子大。
每服七丸，加至十丸，不拘时候、日三。丈夫温酒下。妇人醋汤下。不嚼破。取下血块，如
鸡肝是效。
治 癖气，及两胁积聚，并妇人血刺疼痛，槟榔煎丸方
槟榔（三两锉捣为末酒一升熬成膏） 京三棱（为末醋半升熬成膏） 硫黄 巴豆（各
一两去皮以绢袋子盛用水五升与硫黄同煮及一升将硫黄与巴豆同研） 木香 白豆蔻（去皮
肉豆蔻去壳） 桂（去粗皮） 陈橘皮（汤浸去白焙） 青橘皮（汤浸去白焙） 高良姜 荜
茇诃黎勒皮 白术（各一两） 胡椒（一分） 当归（切焙） 干漆（炒烟出各半两） 草
豆蔻（去皮一两）
上一十九味。捣罗为末。与前三味膏同搜。丸如绿豆大。每服生姜汤下三五丸，食后服
治 癖气块。冷物所伤，消积丸方
代赭（火烧醋淬三七遍研） 青礞石（研末各一两） 桂（去粗皮） 白茯苓（去黑皮）
青橘皮（汤浸去白焙） 巴豆（去皮出油各半两） 京三棱（炮） 楝实（各一分） 砂
（三分取霜）
上九味研、杵为末。拌令匀。酒煮面糊、和丸。梧桐子大，每服一丸至二丸，木香汤下。
量虚实加减。
治五积 癖气块，三棱丸方
鸡爪三棱 石三棱 京三棱（煨） 木香 青橘皮（汤浸去白焙各半两） 槟榔（锉） 肉
豆蔻（去壳
上八味，捣罗为末。用生姜汁面糊和丸，如绿豆大，每服十五丸，空心临卧生姜汤方。
治丈夫妇人 癖气。一切积滞，京三棱丸方
京三棱（椎碎） 芫花（各三两二味醋浸五七日炒黄） 蓬莪术（锉炒） 桂（去粗皮
各一两） 巴豆（三
上八味。捣研令匀，每用药末二两。熔黄蜡一两，蜜少许同和丸，如梧桐子大。丹砂为
衣，生姜木瓜汤下二丸至三丸。甘草生姜汤下亦得，看虚实临时用。
治 癖结块。面黄肌瘦，心腹引痛，不欲饮食，宿滞冷痰。二香三棱丸方
丁香 木香（各一两） 京三棱（煨锉） 鸡爪三棱 石三棱（各三分） 砂（研） 牵
牛子（炒） 大黄（炮） 蓬莪术（炮各半两） 槟榔（锉一两） 巴豆（五十个去皮心出
油七分细研） 乌梅肉（焙干二两）
上一十二味，捣研为末，再研匀。酒者面糊和丸。如绿豆大，每服五丸至七丸，陈橘皮
汤下。
治 气急痛，腹胀胃脘痛，呕逆不下食，缓冲汤方
干姜（炮） 槟榔 甘草（炙各一分） 鳖甲（去裙 醋炙） 附子（炮裂去皮脐） 芍
药（炒） 陈橘皮（汤浸去白焙） 浓朴（去粗皮生姜汁炙） 人参 枳壳 桂（去粗皮） 半
夏汤（洗去滑七遍焙各半两）
上一十二味，锉如麻豆，每服五钱匕，水一盏半，生姜五片，煎取八分，去滓温服。
治 气胃中寒癖，不思食。肉豆蔻散方
肉豆蔻仁 枳壳（去瓤麸炒各三分） 芜荑（炒二两） 吴茱萸（汤洗焙） 木香（各
半两） 高良姜（一
上七味，锉如麻豆拌匀，面裹煨令香热。去面取药，捣罗为散，每服二钱匕，冷生姜茶
清调下。
治积冷 气，口吐清水，面色萎黄，白术丸方
白术 蓬莪术（炮锉） 木瓜（切焙） 桂（去粗皮） 陈曲（炒别为末） 木香 芜
荑（炒） 姜屑（各半两）
上一十味。捣罗九味为末，用北亭膏搜和，丸如梧桐子大，每服二十丸，炒生姜盐汤下
治 癖积聚。腹胀气逆，烦满呕逆，大通散方
沉香（锉） 木香 白术 陈橘皮（汤浸去白焙） 桑根白皮（锉） 木通（锉各一
分） 胡椒（一钱一
上八味，除牵牛外，别捣罗为细散，每服一钱匕，入牵牛末一钱匕，五更初以沸汤点，
腊茶调热服，却卧不住以热茶及热粥投饮取利为效，少壮多用牵牛，少用药末。老弱多用药
末，少用牵牛。
论述说：疰气，是指脐部及腹部左右两侧紧绷坚硬且疼痛，横向牵连如同手臂般粗大。取象比喻其紧张状态如同弓弦之急。因此称之为疰气。这大概是因为寒温调节失当，房事过度，导致真阳虚衰疲惫。阴寒之气内生，所以水饮进入胃中，却无法被消化运化。流注于胁下。经久不除，遂成为顽固性疾病，如果遇到阴寒天气，或食用生冷食物就会发作疼痛，时间久了会导致不能进食，肌肉消瘦。
治疗疰气急痛，日渐面色发黄身体消瘦的大黄汤方：
大黄（切碎炒制） 芍药（各二两） 桂枝（去除粗糙外皮） 鳖甲（用醋炙烤后去除裙边，各一两半） 甘草（炙烤） 诃黎勒（微火煨烤后去除核）
以上七味药，粗捣筛过，每次服用三钱匕，用水一盏，煎煮至六分，滤去药渣，加入朴硝一字量，搅拌均匀后温服，空腹时和晚间各服一次，以排出腐烂组织和血液为见效标志。
治疗疰气口吐酸水，心中泛酸，常感觉胸膈间有物牵拉，牵牛子丸方：
牵牛子（生捣筛成粉末，用生姜汁一升在慢火上熬炼如饴糖状，取二两） 硇砂（在水中慢火熬炼取霜，一两） 桃仁（热水退去皮尖双仁炒黄，另研细，一两半） 附子（炮裂后去除脐皮） 槟榔（煨制切碎） 人参 干姜（炮制） 木香 丁香（各三两）
以上九味药，除需煎煮和研磨的以外，捣筛成粉末，将硇砂、桃仁研匀，同入牵牛子煎膏中调和搜揉，制成梧桐子大小的丸剂，每日空腹食后，煎生姜汤送服十丸，逐渐增加至二十丸，以排出积滞物为度。
治疗疰气胸膈胀满，大肠经常涩滞不通，诃黎勒丸方：
诃黎勒（煨制去核） 大黄（切碎炒制） 芍药 防葵 桂枝（去除粗糙外皮） 甘草（炙烤） 乌梅（各一两） 鳖甲（去除裙边）
以上八味药，捣筛成粉末，炼蜜和丸，制成梧桐子大小的丸剂，空腹时煎生姜汤送服二十丸，日午和临睡前再服。
治疗疰气急痛，呕吐酸水，食物多噎塞不下，枳壳丸方：
枳壳（去除瓤麸炒捣末，用米醋二升另煎如膏） 木香 薏苡仁 黄连（去除须根） 大黄（切碎炒制） 人参 白茯苓（去除黑皮） 附子（炮裂后去除脐皮） 葶苈子（微炒） 郁李仁（热水浸泡后去皮尖另研，各一两）
以上十味药，除需煎煮和研磨的以外，捣筛成粉末，将郁李仁同研匀，加入枳壳煎膏中调和，若太硬则加入少许炼熟蜜。制成梧桐子大小的丸剂，空腹时煎黄耆汤送服二十丸，晚间再服。
治疗积冷疰气，口吐清水，面色萎黄，附子丸方：
附子（炮裂后去除脐皮） 草豆蔻（去皮，各二两） 桂枝（去除粗糙外皮） 吴茱萸（热水浸焙干炒，一两） 丁香（三分）
以上七味药，除桃仁外，捣筛成粉末，将桃仁同研匀，另捣筛成粉末，煮糊和丸，制成梧桐子大小的丸剂。每服二十丸，空腹时煎生姜橘皮汤送服，晚间再服。
治疗疰气抽搐疼痛，吐酸水，大便不通，大黄丸方：
大黄（二两捣筛成粉末，用酒二升慢水熬炼如饴糖状） 槟榔（煨制切碎） 丁香（各三分） 诃黎勒（煨制去核） 桂枝（去除粗糙外皮）
以上六味药，除需煎煮的以外，捣筛成粉末，将大黄煎膏中和调搜，制成梧桐子大小的丸剂，每服在食后临睡前，温酒送服二十丸，逐渐增加至三十丸。
治疗疰气急痛，多吐苦水，日夜发作无常，木香丸方：
木香 干姜（炮制，各一两） 川乌头（炮裂后去皮脐，一两半） 桂枝（去除粗糙外皮，三分）
以上四味药，捣筛成粉末，用米醋三升，慢火煎如稀糊状，和药末杵丸，制成梧桐子大小的丸剂，每服十五丸，空腹时煎生姜汤送服，晚间再服。
治疗疰气上攻，心脾牵引疼痛，呕吐酸水心中泛酸，乌头丸方：
乌头（生用，去除脐皮，二两） 附子（生用，去除脐皮） 干姜（生用，各一两，三味同捣筛成粉末） 阿魏（研末，与前三种药末混合研匀，另取生地黄汁四升，用铜银器慢火煎成膏） 木香 肉豆蔻（去壳） 龙胆（去除泥土）
以上十味药，将木香等六味药捣筛成粉末，加入前面煎好的膏中作为粘合剂，再放入臼中捣匀熟透。太硬则加入少许蜂蜜。制成梧桐子大小的丸剂，每服空腹，用温水送服二十丸，每日三次。如果心脾有痛，用温水调蛤粉汤送服。
治疗疰气心痛，巴豆丸方：
巴豆（三枚，去皮心膜炒黄研碎） 杏仁（七枚，去皮炒黄研碎） 大黄（一两，切碎炒制捣末）
以上三味药同研令匀，炼蜜和丸，制成梧桐子大小的丸剂，每日空腹，温酒送服两丸。
治疗疰气，甘遂丸方：
甘遂（微炒至黄色） 芫花（醋炒至黄色） 桃仁（热水浸泡后去皮尖双仁炒黄另研） 川芎 当归（切片焙干） 柴胡（去除苗） 蜀椒（去除闭口及目，炒出油汗） 吴茱萸（热水淘洗七遍焙干炒） 浓朴（去除粗糙外皮，姜汁炙烤） 桂枝（去除粗糙外皮，各一两）
以上十味药，除桃仁外，捣筛成粉末，将桃仁捣令均匀，炼蜜和丸，制成梧桐子大小的丸剂，每日空腹，煎生姜汤送服十丸，每日两次。
治疗疰气结成块状，在脐两边疼痛，甘草丸方：
甘草（炙烤） 桂枝（去除粗糙外皮） 芦荟（另研） 蜀椒（去除目及闭口，炒出油汗） 豆豉（微炒） 木香 柏子仁 芜荑（各适量）
以上八味药，除芦荟外，捣筛成粉末，将芦荟研匀，炼蜜和丸，制成梧桐子大小的丸剂，每食后临睡前，用温酒送服二十丸，逐渐增加至三十丸。
治疗癖气块，鳖甲丸方：
鳖甲（醋炙后去除裙边，秤二两） 干姜（炮制） 大黄（切碎炒制） 硇砂（去除砂石，各一两半） 附子（炮裂后去皮脐） 槟榔（切碎） 桂枝（去除粗糙外皮） 干漆（炒出烟） 京三棱（煨制） 木香 诃黎勒皮 水银（与诸药末同研，各一两） 墨（烧制，半两）
以上十三味药，捣研成粉末，用曲末三两，浓醋二升，同煎成膏，和上件药，制成梧桐子大小的丸剂。每服七丸，加至十丸，不拘时候，每日三次。男子用温酒送服，妇人用醋汤送服，不要嚼破。取下血块，如鸡肝形状即为有效。
治疗癖气，以及两胁积聚，并妇人血刺疼痛，槟榔煎丸方：
槟榔（三两，切碎捣末，用酒一升熬成膏） 京三棱（为末，醋半升熬成膏） 硫黄 巴豆（各一两，去皮，用绢袋子盛装，用水五升与硫黄同煮，待水减至一升，将硫黄与巴豆同研） 木香 白豆蔻（去皮） 肉豆蔻（去壳） 桂枝（去除粗糙外皮） 陈橘皮（热水浸泡去除白瓤焙干） 青橘皮（热水浸泡去除白瓤焙干） 高良姜 荜茇 诃黎勒皮 白术（各一两） 胡椒（一分） 当归（切片焙干） 干漆（炒出烟，各半两） 草豆蔻（去皮，一两）
以上十九味药，捣筛成粉末，与前三种膏同搜揉，制成绿豆大小的丸剂。每服生姜汤送服三五丸，食后服用。
治疗癖气块，因冷物所伤，消积丸方：
代赭石（火烧醋淬三七遍研碎） 青礞石（研末，各一两） 桂枝（去除粗糙外皮） 白茯苓（去除黑皮） 青橘皮（热水浸泡去除白瓤焙干） 巴豆（去皮出油，各半两） 京三棱（炮制） 楝实（各一分） 硇砂（三分，取霜）
以上九味药研、杵为末，拌令均匀，酒煮面糊和丸，制成梧桐子大小的丸剂，每服一至二丸，木香汤送服。根据虚实情况加减用量。
治疗五积癖气块，三棱丸方：
鸡爪三棱 石三棱 京三棱（煨制） 木香 青橘皮（热水浸泡去除白瓤焙干，各半两） 槟榔（切碎） 肉豆蔻（去壳）
以上八味药，捣筛成粉末，用生姜汁面糊和丸，制成绿豆大小的丸剂，每服十五丸，空腹临卧时用生姜汤送服。
治疗丈夫妇人癖气，一切积滞，京三棱丸方：
京三棱（椎碎） 芫花（各三两，二味醋浸五七日炒黄） 蓬莪术（切碎炒制） 桂枝（去除粗糙外皮，各一两） 巴豆（三枚）
以上八味药，捣研令匀，每用药末二两，熔黄蜡一两，蜜少许同和丸，制成梧桐子大小的丸剂，丹砂为衣，生姜木瓜汤送服二至三丸。用甘草生姜汤送服亦可，视虚实临时选用。
治疗癖结块，面黄肌瘦，心腹牵引疼痛，不欲饮食，宿滞冷痰，二香三棱丸方：
丁香 木香（各一两） 京三棱（煨制切碎） 鸡爪三棱 石三棱（各三分） 硇砂（研碎） 牵牛子（炒制） 大黄（炮制） 蓬莪术（炮制，各半两） 槟榔（切碎，一两） 巴豆（五十个，去皮心出油，七分细研） 乌梅肉（焙干，二两）
以上十二味药，捣研成粉末，再研匀，用酒或面糊和丸，制成绿豆大小的丸剂，每服五至七丸，陈橘皮汤送服。
治疗疰气急痛，腹胀胃脘痛，呕逆不下食，缓冲汤方：
干姜（炮制） 槟榔 甘草（炙烤，各一分） 鳖甲（去除裙边，醋炙） 附子（炮裂后去皮脐） 芍药（炒制） 陈橘皮（热水浸泡去除白瓤焙干） 浓朴（去除粗糙外皮，生姜汁炙烤） 人参 枳壳 桂枝（去除粗糙外皮） 半夏（热水洗去滑腻七遍焙干，各半两）
以上十二味药，切碎如麻豆大小，每服五钱匕，用水一盏半，生姜五片，煎取八分，滤去药渣温服。
治疗疰气胃中寒癖，不思食，肉豆蔻散方：
肉豆蔻仁 枳壳（去除瓤麸炒，各三分） 芜荑（炒制，二两） 吴茱萸（热水洗焙） 木香（各半两） 高良姜（一两）
以上七味药，切碎如麻豆拌匀，用面裹煨令香热，去面取药，捣筛为散，每服二钱匕，冷生姜茶清调下。
治疗积冷疰气，口吐清水，面色萎黄，白术丸方：
白术 蓬莪术（炮制切碎） 木瓜（切片焙干） 桂枝（去除粗糙外皮） 陈曲（炒制另为末） 木香 芜荑（炒制） 姜屑（各半两）
以上十味药，捣筛九味为末，用北亭膏搜和，制成梧桐子大小的丸剂，每服二十丸，炒生姜盐汤送服。
治疗癖积聚，腹胀气逆，烦满呕逆，大通散方：
沉香（切碎） 木香 白术 陈橘皮（热水浸泡去除白瓤焙干） 桑根白皮（切碎） 木通（切碎，各一分） 胡椒（一钱） 牵牛子（二钱）
以上八味药，除牵牛子外，别捣筛为细散，每服一钱匕，加入牵牛子末一钱匕，五更初用沸汤点，腊茶调热服，若仍不住利，以热茶及热粥投饮取利为效，少壮多用牵牛子，少用药末。老弱多用药末，少用牵牛子。
Discourse states: Zhu Qi (疰气, a type of chronic abdominal disease characterized by tightness and pain) refers to the condition where the abdomen around the navel becomes tight, hard, and painful on both left and right sides, extending horizontally like an arm. Its tension is likened to the tightness of a bowstring. Hence it is called Zhu Qi. This is generally caused by improper regulation of cold and heat, excessive sexual activity, leading to deficiency and exhaustion of True Yang (Zhen Yang, the fundamental yang energy). Internal generation of yin-cold causes water-fluids entering the stomach to fail in digestion and transformation. These fluids flow into the hypochondriac region. If not removed over time, they become a stubborn disease. When exposed to yin-cold or consuming cold foods, pain occurs. Prolonged illness leads to inability to eat and emaciation.
Formula for treating acute pain of Zhu Qi with gradual yellowing and emaciation: Dahuang Tang (Rhubarb Decoction)
Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried) Shaoyao (Paeoniae Radix Alba, two liang each) Guizhi (Cinnamomi Ramulus, coarse bark removed) Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, skirt removed, one and a half liang each) Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted) Helile (Terminaliae Chebulae Fructus, lightly roasted, pit removed)
The above seven herbs are coarsely crushed and sieved. Each dose consists of three qianbi (approx. 9g), boiled in one sheng (approx. 200ml) of water until reduced to six parts. Strain the dregs, add Yuxiao (Natrii Sulfas, approx. 1-2g), mix well, and take warm. Take on an empty stomach and in the evening. Efficacy is indicated by the discharge of rotting flesh and blood.
Formula for treating Zhu Qi with sour regurgitation, acid heartburn, and sensation of obstruction in the chest and diaphragm: Qianniuzi Wan (Pharbitidis Semen Pill)
Qianniuzi (Pharbitidis Semen, raw, pounded, sifted into powder, slow-cooked with one sheng of Shengjiang juice until thick like maltose, take two liang) Naosha (Sal Nitratis, slow-cooked in water until frost forms, one liang) Taoren (Pruni Semen, blanched, skin and tip removed, double-kernel fried yellow, separately ground, one and a half liang) Fuzi (Aconiti Lateralis Radix Praeparata, cracked and processed, umbilical skin removed) Binglang (Arecae Semen, roasted and chopped) Renshen (Ginseng Radix) Ganjiang (Zingiberis Rhizoma, processed) Muxiang (Aucklandiae Radix) Dingxiang (Caryophylli Flos, three liang each)
The above nine herbs, except those requiring decoction or grinding, are pounded and sifted into powder. Mix Naosha and Taoren thoroughly. Combine with the Qianniuzi paste to form pills the size of Sophora seeds. Take ten pills after meals and on an empty stomach daily, decocted with Shengjiang soup. Gradually increase to twenty pills. Stop when stagnation is discharged.
Formula for treating Zhu Qi with chest fullness and frequent constipation: Helile Wan (Terminaliae Chebulae Fructus Pill)
Helile (Terminaliae Chebulae Fructus, roasted, pit removed) Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried) Shaoyao (Paeoniae Radix Alba) Fangkui (Anemarrhenae Rhizoma) Guizhi (Cinnamomi Ramulus, coarse bark removed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted) Wumei (Mume Fructus, one liang each) Biejia (Testudinis Carapax et Plastrum, skirt removed)
The above eight herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take twenty pills on an empty stomach with Shengjiang soup. Repeat at noon and before bed.
Formula for treating Zhu Qi with acute pain, vomiting of sour water, and food dysphagia: Zhike Wan (Aurantii Fructus Pill)
Zhike (Aurantii Fructus, pulp removed, bran-roasted, pounded into powder, separately decocted with two sheng of rice vinegar until paste-like) Muxiang (Aucklandiae Radix) Yiyiren (Coicis Semen) Huanglian (Coptidis Rhizoma, mustache removed) Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried) Renshen (Ginseng Radix) Baifuling (Poria, black skin removed) Fuzi (Aconiti Lateralis Radix Praeparata, cracked and processed, umbilical skin removed) Tinglizi (Descurainiae Semen seu Lepidii Semen, lightly fried) Yuliren (Prunus japonica seed, blanched, skin and tip removed, separately ground, one liang each)
The above ten herbs, except those requiring decoction or grinding, are pounded and sifted into powder. Mix Yuliren thoroughly. Add the Zhike paste. If too hard, add a little refined honey. Form pills the size of Sophora seeds. Take twenty pills on an empty stomach with Huangqi soup. Repeat in the evening.
Formula for treating accumulated cold Zhu Qi with clear water regurgitation and sallow complexion: Fuzi Wan (Aconiti Lateralis Radix Praeparata Pill)
Fuzi (Aconiti Lateralis Radix Praeparata, cracked and processed, umbilical skin removed) Caodoukou (Alpiniae Katsumadai Semen, peeled, two liang each) Guizhi (Cinnamomi Ramulus, coarse bark removed) Wuzhuyu (Evodiae Fructus, soaked in hot water, dried, fried, one liang) Dingxiang (Caryophylli Flos, three fen)
The above seven herbs, except Taoren, are pounded and sifted into powder. Mix with Taoren thoroughly. Another batch is pounded and sifted. Mix with cooked paste to form pills the size of Sophora seeds. Take twenty pills on an empty stomach with Shengjiang Jupi soup. Repeat in the evening.
Formula for treating Zhu Qi with spasmodic pain, sour regurgitation, and constipation: Dahuang Wan (Rhei Radix et Rhizoma Pill)
Dahuang (Rhei Radix et Rhizoma, two liang, pounded into powder, slow-boiled with two sheng of wine until thick like maltose) Binglang (Arecae Semen, roasted and chopped) Dingxiang (Caryophylli Flos, three fen each) Helile (Terminaliae Chebulae Fructus, roasted, pit removed) Guizhi (Cinnamomi Ramulus, coarse bark removed)
The above six herbs, except those requiring decoction, are pounded and sifted into powder. Mix with the Dahuang paste to form pills the size of Sophora seeds. Take twenty pills after meals and before bed with warm wine. Gradually increase to thirty pills.
Formula for treating Zhu Qi with acute pain, frequent bitter regurgitation, and irregular day-night attacks: Muxiang Wan (Aucklandiae Radix Pill)
Muxiang (Aucklandiae Radix) Ganjiang (Zingiberis Rhizoma, processed, one liang each) Wutou (Aconiti Radix, cracked and processed, skin and umbilicus removed, one and a half liang) Guizhi (Cinnamomi Ramulus, coarse bark removed, three fen)
The above four herbs are pounded and sifted into powder. Decoct with three sheng of rice vinegar until thin paste-like. Mix with herb powder and pound into pills the size of Sophora seeds. Take fifteen pills on an empty stomach with Shengjiang soup. Repeat in the evening.
Formula for treating Zhu Qi attacking upward, causing heart-spleen radiating pain, vomiting sour water, and acid heartburn: Wutou Wan (Aconiti Radix Pill)
Wutou (Aconiti Radix, raw, umbilical skin removed, two liang) Fuzi (Aconiti Lateralis Radix, raw, umbilical skin removed) Ganjiang (Zingiberis Rhizoma, raw, one liang each; these three are pounded together into powder) Awei (Asafoetida, ground into powder and mixed with the previous three powders; separately, four sheng of Shengdihuang juice is slow-cooked in copper/silver vessels until paste-like) Muxiang (Aucklandiae Radix) Roudoukou (Myristicae Semen, shell removed) Longdan (Gentianae Radix, dirt removed)
The above ten herbs. Pound Muxiang and other six herbs into powder. Mix with the previously prepared paste. Pound again in a mortar until smooth. If too hard, add a little honey. Form pills the size of Sophora seeds. Take twenty pills on an empty stomach with warm water, three times daily. If there is heart-spleen pain, take with Ge Fen soup (Clam Shell Powder soup) mixed with warm water.
Formula for treating Zhu Qi heart pain: Badou Wan (Crotonis Semen Pill)
Badou (Crotonis Semen, three kernels, skin and membrane removed, fried yellow, ground) Xingren (Armeniacae Semen Amarum, seven kernels, skin removed, fried yellow, ground) Dahuang (Rhei Radix et Rhizoma, one liang, chopped, stir-fried, pounded into powder)
The above three herbs are ground together uniformly. Mix with refined honey to form pills the size of Sophora seeds. Take two pills on an empty stomach daily with warm wine.
Formula for treating Zhu Qi: Gansui Wan (Kansui Radix Pill)
Gansui (Kansui Radix, lightly fried to yellow) Yuanhua (Genkwa Flos, vinegar-fried to yellow) Taoren (Pruni Semen, blanched, skin and tip removed, double-kernel fried yellow, separately ground) Xiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, sliced and dried) Chaihu (Bupleuri Radix, sprouts removed) Shujiao (Zanthoxyli Pericarpium, remove closed mouths and eyes, fry until oil sweats) Wuzhuyu (Evodiae Fructus, washed in hot water seven times, dried, fried) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice roasted) Guizhi (Cinnamomi Ramulus, coarse bark removed, one liang each)
The above ten herbs, except Taoren, are pounded and sifted into powder. Mix Taoren thoroughly. Form pills with refined honey the size of Sophora seeds. Take ten pills on an empty stomach with Shengjiang soup, twice daily.
Formula for treating Zhu Qi forming lumps with pain on both sides of the navel: Gancao Wan (Glycyrrhizae Radix et Rhizoma Pill)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted) Guizhi (Cinnamomi Ramulus, coarse bark removed) Lushen (Aloe, separately ground) Shujiao (Zanthoxyli Pericarpium, remove eyes and closed mouths, fry until oil sweats) Chi (Fermented Soybean, lightly fried) Muxiang (Aucklandiae Radix) Baiziren (Platycladi Semen) Wuyi (Chaulmoograe Semen)
The above eight herbs, except Lushen, are pounded and sifted into powder. Mix Lushen thoroughly. Form pills with refined honey the size of Sophora seeds. Take twenty pills after meals and before bed with warm wine. Gradually increase to thirty pills.
Formula for treating Pi Qi lumps: Biejia Wan (Testudinis Carapax et Plastrum Pill)
Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, skirt removed, weighed two liang) Ganjiang (Zingiberis Rhizoma, processed) Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried) Naosha (Sal Nitratis, remove sand/stone, one and a half liang each) Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed) Binglang (Arecae Semen, chopped) Guizhi (Cinnamomi Ramulus, coarse bark removed) Ganqi (Dammar Resin, fried until smoke appears) Sanleng (Sparganii Rhizoma, roasted) Muxiang (Aucklandiae Radix) Helilepi (Terminaliae Chebulae Fructus Pericarpium) Shuiyin (Hydrargyrum, ground with other herb powders, one liang each) Mo (Carbonized Ink, half liang)
The above thirteen herbs are pounded and ground into powder. Use Sanqu powder (three liang) and strong vinegar (two sheng), decoct into a paste. Mix with the herbs to form pills the size of Sophora seeds. Take seven pills, increasing to ten. Anytime, three times daily. Men take with warm wine; women with vinegar soup. Do not chew. Efficacy is shown by discharging blood clots resembling chicken liver.
Formula for treating Pi Qi, accumulations in both hypochondria, and stabbing pain in women due to blood stasis: Binglang Jian Wan (Arecae Semen Decoction Pill)
Binglang (Arecae Semen, three liang, chopped, pounded into powder, decocted with one sheng of wine into paste) Sanleng (Sparganii Rhizoma, pounded into powder, decocted with half sheng of vinegar into paste) Liuhuang (Sulfur) Badou (Crotonis Semen, one liang each, skin removed, placed in silk bag, boiled with five sheng of water and Sulfur until reduced to one sheng; then Sulfur and Badou are ground together) Muxiang (Aucklandiae Radix) Baidoukou (Amomi Fructus Rotundus, skin removed) Roudoukou (Myristicae Semen, shell removed) Guizhi (Cinnamomi Ramulus, coarse bark removed) Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried) Gaoliangjiang (Alpiniae Officinarum Rhizoma) Bibo (Long Pepper Fruit) Helilepi (Terminaliae Chebulae Fructus Pericarpium) Baizhu (Atractylodis Macrocephalae Rhizoma, one liang each) Hujiao (Piperis Longi Fructus, one fen) Danggui (Angelicae Sinensis Radix, sliced and dried) Ganqi (Dammar Resin, fried until smoke, half liang each) Caodoukou (Alpiniae Katsumadai Semen, peeled, one liang)
The above nineteen herbs are pounded and sifted into powder. Mix with the first three pastes. Form pills the size of mung beans. Take three to five pills with Shengjiang soup after meals.
Formula for treating Pi Qi lumps injured by cold substances, eliminating accumulation: Xiaoji Wan (Eliminating Accumulation Pill)
Daizhe (Hematitum, fire-heated, quenched in vinegar seven times, ground) Mengshi (Calaminaris Lapis, ground into powder, one liang each) Guizhi (Cinnamomi Ramulus, coarse bark removed) Baifuling (Poria, black skin removed) Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried) Badou (Crotonis Semen, skin removed, oil expressed, half liang each) Sanleng (Sparganii Rhizoma, processed) Lianshi (Meliosmae Fructus, one fen each) Naosha (Sal Nitratis, three fen, take the frost)
The above nine herbs are ground and pounded into powder. Mix evenly. Boil flour paste in wine and mix with pills the size of Sophora seeds. Take one to two pills with Muxiang soup. Adjust dosage according to deficiency or excess.
Formula for treating Five Accumulations and Pi Qi lumps: Sanleng Wan (Sparganii Rhizoma Pill)
Jizhao Sanleng (Sparganii Rhizoma, chicken-claw type) Shi Sanleng (Sparganii Rhizoma, stone type) Jing Sanleng (Sparganii Rhizoma, roasted) Muxiang (Aucklandiae Radix) Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried, half liang each) Binglang (Arecae Semen, chopped) Roudoukou (Myristicae Semen, shell removed)
The above eight herbs are pounded and sifted into powder. Mix with Shengjiang juice and flour paste to form pills the size of mung beans. Take fifteen pills on an empty stomach and before bed with Shengjiang soup.
Formula for treating men and women's Pi Qi and all types of stagnation: Jing Sanleng Wan (Jing Sparganii Rhizoma Pill)
Jing Sanleng (Sparganii Rhizoma, smashed) Yuanhua (Genkwa Flos, three liang each; soak in vinegar for five to seven days, fry yellow) Ezhu (Curcumae Rhizoma, chopped and stir-fried) Guizhi (Cinnamomi Ramulus, coarse bark removed, one liang each) Badou (Crotonis Semen, three kernels)
The above eight herbs are pounded and ground uniformly. For every two liang of herb powder, melt one liang of yellow beeswax and a little honey. Form pills the size of Sophora seeds. Coat with Dansha (Cinnabar). Take two to three pills with Shengjiang Mugua soup. Ganjiang Shengjiang soup is also acceptable. Choose based on deficiency or excess.
Formula for treating Pi Qi forming lumps, sallow face, emaciation, radiating heart-abdominal pain, loss of appetite, old stagnation, and cold phlegm: Erxiang Sanleng Wan (Two Fragrances Sparganii Rhizoma Pill)
Dingxiang (Caryophylli Flos) Muxiang (Aucklandiae Radix, one liang each) Jing Sanleng (Sparganii Rhizoma, roasted and chopped) Jizhao Sanleng (Sparganii Rhizoma, chicken-claw type) Shi Sanleng (Sparganii Rhizoma, stone type, three fen each) Naosha (Sal Nitratis, ground) Qianniuzi (Pharbitidis Semen, fried) Dahuang (Rhei Radix et Rhizoma, processed) Ezhu (Curcumae Rhizoma, processed, half liang each) Binglang (Arecae Semen, chopped, one liang) Badou (Crotonis Semen, fifty kernels, skin and core removed, oil expressed, finely ground, seven fen) Wumei Rou (Mume Fructus Flesh, dried, two liang)
The above twelve herbs are pounded and ground into powder, then mixed thoroughly. Mix with wine or flour paste to form pills the size of mung beans. Take five to seven pills with Chenjupi soup.
Formula for treating Zhu Qi acute pain, abdominal distension, epigastric pain, retching, and inability to eat: Huanchong Tang (Buffering Decoction)
Ganjiang (Zingiberis Rhizoma, processed) Binglang (Arecae Semen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, one fen each) Biejia (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted) Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed) Shaoyao (Paeoniae Radix Alba, fried) Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice roasted) Renshen (Ginseng Radix) Zhike (Aurantii Fructus) Guizhi (Cinnamomi Ramulus, coarse bark removed) Banxia (Pinelliae Rhizoma, washed to remove slipperiness seven times, dried, half liang each)
The above twelve herbs are chopped like hemp seeds. Take five qianbi per dose, boil in one and a half sheng of water with five slices of Shengjiang until reduced to eight parts. Strain and take warm.
Formula for treating Zhu Qi with cold pi in the stomach, loss of appetite: Roudoukou San (Myristicae Semen Powder)
Roudoukou Ren (Myristicae Semen Kernel) Zhike (Aurantii Fructus, pulp removed, bran-roasted, three fen each) Wuyi (Chaulmoograe Semen, fried, two liang) Wuzhuyu (Evodiae Fructus, washed in hot water, dried) Muxiang (Aucklandiae Radix, half liang each) Gaoliangjiang (Alpiniae Officinarum Rhizoma, one liang)
The above seven herbs are chopped like hemp seeds and mixed. Wrap in dough and roast until fragrant and hot. Remove dough, take herbs, pound into powder. Take two qianbi per dose, mixed with cold Shengjiang tea water.
Formula for treating accumulated cold Zhu Qi with clear water regurgitation and sallow complexion: Baizhu Wan (Atractylodis Macrocephalae Rhizoma Pill)
Baizhu (Atractylodis Macrocephalae Rhizoma) Ezhu (Curcumae Rhizoma, processed and chopped) Mugua (Chaenomelis Fructus, sliced and dried) Guizhi (Cinnamomi Ramulus, coarse bark removed) Chenqu (Saccharomyces, fried, separately made into powder) Muxiang (Aucklandiae Radix) Wuyi (Chaulmoograe Semen, fried) Jiangxie (Zingiberis Rhizoma, half liang each)
The above ten herbs. Pound nine herbs into powder. Mix with Beiting Gao (Northern Ting Paste). Form pills the size of Sophora seeds. Take twenty pills with fried Shengjiang salt water soup.
Formula for treating Pi Qi accumulation, abdominal distension, qi rebellion, irritability, fullness, and retching: Datong San (Great Unblocking Powder)
Chenxiang (Aquilariae Lignum Resinatum, chopped) Muxiang (Aucklandiae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) Sangbaipi (Mori Cortex, chopped) Mutong (Akebiae Caulis, chopped, one fen each) Hujiao (Piperis Longi Fructus, one qian) Qianniuzi (Pharbitidis Semen, two qian)
The above eight herbs, except Qianniuzi, are pounded into fine powder. Take one qianbi per dose, add one qianbi of Qianniuzi powder. At dawn (5-7 AM), steep in boiling water, mix with aged tea, and drink warm. Lie down. If diarrhea does not occur, give hot tea and hot porridge to induce purging. Young and robust individuals use more Qianniuzi and less herb powder. Old and weak individuals use more herb powder and less Qianniuzi.