论曰胃弱之人，因饮酒过多，酒性辛热。善渴而引饮。遇气道否塞。酒与饮俱不化。停
在胁肋。结聚成癖，其状按之有形，或按之有声，胁下弦急胀满，或致痛闷，肌瘦不能食，
但因酒得之。故谓之酒癖。
治酒癖痰多，胁胀气喘，大黄桃仁丸方
大黄（锉炒） 桃仁（去皮双仁炒研） 芎 陈橘皮（汤浸去瓤焙） 蜀椒（去目并
闭口炒出汗各一
上八味为细末。炼蜜和捣三百杵。丸如梧桐子大，每服三十丸。粥饮下。日三。
治酒癖食块痰积。及血气血刺血块，阴阳二毒，水银煎方
水银 铅各（半两结砂子） 腻粉（半两） 砂（通用者） 硼砂（各一两） 礞石
（一分） 巴豆（二粒去
上七味，除腻粉外。合研匀，用大枣八枚去核，以水调腻粉。分填于枣内，以湿纸五重，
逐枚裹之，灰火内煨熟。去纸并枣皮，将枣肉与前药同研匀。每服皂子大一丸。安舌上勿嚼。
用姜枣汤吞下，取下积滞效。
治酒毒发，四肢黄肿，积聚成块，行风顺气，四神散方
甜葶苈（一两汤浸炒令紫色） 海藻（一两洗去咸味） 吴茱萸（一两汤浸七遍焙干微
炒） 陈橘皮
上四味，捣罗为末，每服一钱匕，水一盏。生姜半枣大劈破。同煎至六分。和滓温服。
治酒 癖水饮不消。两胁胀满。时复呕吐，腹中水声。干姜丸方
干姜（一两炮裂锉） 葛根（一两锉） 白术 枳壳（一两麸炒微黄去瓤） 陈橘皮（三
分汤浸去白瓤
上六味，捣罗为细末，炼蜜和捣三二百杵。丸如梧桐子大，每服三十丸。粥饮下、日二
又方
川芎（一两） 京三棱（一两炮裂锉）
上二味，捣罗为末。每服二钱，葱白酒调下。
治癖气在两胁结聚不散。 砂丸方
砂（三钱细研） 巴豆（十二枚去心皮） 川乌头（半两炮裂去皮脐） 芫花（半两
醋拌炒令干） 皂荚（半两去黑皮涂酥炙令 去子） 五灵脂 干姜（炮） 京三棱（煨各
半两）
上八味。捣罗后六味为末，入前二味拌匀、再罗。每秤此药末一两。入去皮心膜油煎黑
色巴豆十二枚。研和匀，以醋煮面糊。丸如大麻子大。每服五丸加至七丸。茶酒熟水任下。
治酒癖至妙，通神丸方
干姜（炮） 知母（焙） 乌头（炮裂去皮脐各一两） 巴豆（去皮心膜出油研半两）
上四味。捣罗前三味为末，入巴豆同研匀。以酒煮面糊。丸如绿豆大。每服七丸加至十
丸。临卧生姜汤下。
治酒癖食积，逐痛气，紫金丸方
代赭石末 砂末 巴豆霜（各一分） 木香（末） 丹砂末（各炒二钱匕） 腻粉 礞
石末（各炒三
上七味合研匀细。以烧粟米 为丸。如小豆大。每服二丸至三丸。冷橘皮汤下。
治酒癖胁下胀满，不能饮食。栝蒌散方
栝蒌实（去壳焙干一两） 陈曲末（微炒半两）
上二味为细散。每服二钱匕。葱白汤调下。
治宿食酒癖。鳖甲大黄丸方
鳖甲（生末） 大黄（生末） 吴茱萸（末各二两） 砂（火枯半两与上三味用米醋
二升慢火煎成膏入后药） 京三棱（炮） 陈橘皮（汤浸去白焙） 木香 白术 肉豆蔻（去
壳） 枳壳（去瓤麸炒各一两）
上一十味。捣罗后六味为末。将前鳖甲煎搜和，丸如梧桐子大。每服二十丸，酒饮任下，
空心服。加至三十丸。
论述说：胃气虚弱的人，因为饮酒过多，酒的性质辛热。容易口渴而引水饮用。遇到气道闭塞不通。酒和水都难以消化。停滞在胁肋部位。结聚形成癖病，其症状是按压时有形感，或者按压时有声响，胁下拘急胀满，或者导致疼痛闷胀，肌肉消瘦不能进食，都是因为饮酒导致的。所以称为酒癖。
治疗酒癖痰多，胁肋胀满气喘，大黄桃仁丸方
大黄（锉碎炒制） 桃仁（去皮双仁炒后研碎） 川芎 陈橘皮（热水浸泡去除瓤焙干） 蜀椒（去目并闭口炒至出汗，各一两）
以上八味药研为细末。用炼蜜调和捣杵三百下。制成梧桐子大小的丸剂，每次服用三十丸。用粥饮送服。每日三次。
治疗酒癖食块痰积。以及血瘀气刺痛血块，阴阳二毒，水银煎方
水银 铅各（半两结成砂子） 腻粉（半两） 硇砂（通用者） 硼砂（各一两） 礞石（一分） 巴豆（二粒去心皮膜）
以上七味药，除了腻粉外。混合研匀，用大枣八枚去核，用水调化腻粉。分别填入枣内，用湿纸五层包裹，每枚裹好，在灰火中煨熟。去掉纸和枣皮，将枣肉与前药同研均匀。每次服用皂角子大小的一丸。放在舌上不要咀嚼。用姜枣汤吞下，以排出积滞为有效。
治疗酒毒发作，四肢黄肿，积聚成块，行风顺气，四神散方
甜葶苈（一两热水浸泡炒至紫色） 海藻（一两洗去咸味） 吴茱萸（一两热水浸泡七遍焙干微炒） 陈橘皮
以上四味药，捣碎过筛为末，每次服用一钱匕，水一盏。生姜半枣大劈破。同煎至六分。连渣温服。
治疗酒癖水饮不消。两胁胀满。时常呕吐，腹中有水声。干姜丸方
干姜（一两炮裂锉碎） 葛根（一两锉碎） 白术 枳壳（一两麸炒微黄去瓤） 陈橘皮（三分热水浸泡去白瓤）
以上六味药，捣碎过筛为细末，炼蜜调和捣杵三二百下。制成梧桐子大小的丸剂，每次服用三十丸。用粥饮送服，每日两次。
又一方
川芎（一两） 京三棱（一两炮裂锉碎）
以上二味药，捣碎过筛为末。每次服用二钱，葱白酒调服。
治疗癖气在两胁结聚不散。硇砂丸方
硇砂（三钱细研） 巴豆（十二枚去心皮） 川乌头（半两炮裂去皮脐） 芫花（半两醋拌炒令干） 皂荚（半两去黑皮涂酥炙令焦去子） 五灵脂 干姜（炮） 京三棱（煨各半两）
以上八味药。捣碎过筛后六味为末，加入前二味拌匀、再过筛。每次称取此药末一两，加入去皮心膜油煎黑色的巴豆十二枚。研和均匀，用醋煮面糊。制成大麻子大小的丸剂。每次服用五丸加至七丸。茶、酒或熟水任便送服。
治疗酒癖至妙，通神丸方
干姜（炮） 知母（焙） 乌头（炮裂去皮脐各一两） 巴豆（去皮心膜出油研半两）
以上四味药。捣碎过筛前三味为末，加入巴豆同研均匀。用酒煮面糊。制成绿豆大小的丸剂。每次服用七丸加至十丸。临睡前用生姜汤送服。
治疗酒癖食积，逐痛气，紫金丸方
代赭石末 硇砂末 巴豆霜（各一分） 木香（末） 丹砂末（各炒二钱匕） 腻粉 礞石末（各炒三钱）
以上七味药合研均匀细。用烧粟米汁为粘合剂制成丸剂。如小豆大小。每次服用二丸至三丸。冷橘皮汤送服。
治疗酒癖胁下胀满，不能饮食。栝蒌散方
栝蒌实（去壳焙干一两） 陈曲末（微炒半两）
以上二味药为细散。每次服用二钱匕。葱白汤调服。
治疗宿食酒癖。鳖甲大黄丸方
鳖甲（生研末） 大黄（生研末） 吴茱萸（末各二两） 硇砂（火枯半两与上三味用米醋二升慢火煎成膏入后药） 京三棱（炮） 陈橘皮（热水浸泡去白焙干） 木香 白术 肉豆蔻（去壳） 枳壳（去瓤麸炒各一两）
以上十味药。捣碎过筛后六味为末。将前鳖甲煎膏搜和，制成梧桐子大小的丸剂。每次服用二十丸，酒饮任便送服，空腹服用。加至三十丸。
Discussion: In individuals with weak stomach qi, excessive consumption of alcohol, whose nature is pungent and hot, leads to thirst and increased drinking. When the airway becomes obstructed, both alcohol and water fail to transform and digest. They stagnate in the hypochondriac region, condensing into a mass disorder (Pi). The presentation involves palpable masses upon pressure or audible sounds upon percussion, hypochondriac tension, distension, and fullness, potentially causing pain and stifling sensation, emaciation, and anorexia. Since this condition arises solely from alcohol consumption, it is termed "Alcohol Pi" (Jiu Pi).
Formula for Treating Alcohol Pi with Excessive Phlegm, Hypochondriac Distension, and Asthma: Dahuang Tao Ren Wan (Rhubarb and Peach Kernel Pill)
Da Huang (Cortex et Radix Rhei Preparata, crushed and stir-fried), Tao Ren (Semen Persicae, peeled, double-kernel, stir-fried and pounded), Xiong (Radix Chuanxiong), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in boiling water, pith removed, dried), Shu Jiao (Fructus Zanthoxyli, eyes and closed-mouth ones removed, stir-fried until sweat appears, each 1 liang).
The above eight herbs are ground into fine powder. Mixed with refined honey and pounded three hundred times. Formed into pills the size of Sophora japonica seeds. Take thirty pills per dose, administered with gruel broth. Three times daily.
Formula for Treating Alcohol Pi with Food Lumps, Phlegm Accumulation, Blood Stasis, Qi Stabbing Pain, Blood Masses, Yin-Yang Two Poisons: Shuiyin Jian (Mercury Decoction)
Shuiyin (Hydrargyrum, half liang, processed into cinnabar-like grains), Qian (Plumbum, half liang, processed into cinnabar-like grains), Nifen (Calomelas, half liang), Naoshan (Sal Ammoniac, common type), Pengsha (Borax, each 1 liang), Mengshi (Lapis Magnetitae Preparata, 1 fen), Badou (Semen Crotonis, two kernels, heart and skin removed).
The above seven herbs, except Nifen, are mixed and ground evenly. Using eight large dates (Ziziphi Jujubae Fructus) pitted, dissolve Nifen in water and fill into the dates. Wrap each date with five layers of wet paper, and roast in ash fire until cooked. Remove paper and date skin. Grind the date flesh together with the other medicines evenly. Take one pill the size of a soap bean, place on the tongue without chewing. Swallow with Ginger and Date Decoction. Effectiveness is indicated by the discharge of accumulated pathogens.
Formula for Treating Alcohol Toxin Manifestation, Yellow Edema of Four Limbs, Accumulated Masses, Promoting Circulation of Wind and Regulating Qi: Sishen San (Four Divine Powder)
Tian Ting Li (Semen Lepidii seu Descurainiae, soaked in boiling water, stir-fried until purple), Hai Zao (Thallus Sargassii, washed to remove saltiness), Wu Zhu Yu (Fructus Evodiae, soaked in boiling water seven times, dried and slightly stir-fried), Chen Ju Pi (Pericarpium Citri Reticulatae).
The above four herbs are pounded and sifted into powder. Take one qian bi per dose, with one sheng of water. Add half a date-sized piece of fresh ginger (Sheng Jiang), split open. Decoct until six parts remain. Take warm with the dregs.
Formula for Treating Alcohol Pi with Undigested Fluids, Hypochondriac Distension, Frequent Vomiting, Borborygmus: Ganjiang Wan (Dried Ginger Pill)
Gan Jiang (Rhizoma Zingiberis Preparata, 1 liang, roasted, cracked, and crushed), Ge Gen (Radix Puerariae, 1 liang, crushed), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Zhi Ke (Fructus Aurantii, 1 liang, bran-stir-fried until slightly yellow, pith removed), Chen Ju Pi (Pericarpium Citri Reticulatae, 3 fen, soaked in boiling water, white pith removed).
The above six herbs are pounded and sifted into fine powder. Mixed with refined honey and pounded three to two hundred times. Formed into pills the size of Sophora japonica seeds. Take thirty pills per dose, administered with gruel broth. Twice daily.
Another Formula:
Xiong (Radix Chuanxiong, 1 liang), Jing San Leng (Rhizoma Sparganii, 1 liang, roasted, cracked, and crushed).
The above two herbs are pounded and sifted into powder. Take two qian per dose, mixed with green onion and rice wine.
Formula for Treating Pi Qi Condensed and Not Dispersed in Both Hypochondria: Naoshan Wan (Sal Ammoniac Pill)
Naoshan (Sal Ammoniac, 3 qian, finely ground), Badou (Semen Crotonis, twelve kernels, heart and skin removed), Chuan Wu Tou (Radix Aconiti Kusnezoffii, half liang, roasted, skin and umbilicus removed), Yuan Hua (Flos Genkwa, half liang, mixed with vinegar and stir-fried until dry), Zao Jia (Fructus Gleditsiae Sinensis, half liang, black skin removed, coated with lard, roasted until scorched, seeds removed), Wu Ling Zhi (Faeces Trogopterori), Gan Jiang (Rhizoma Zingiberis Preparata), Jing San Leng (Rhizoma Sparganii, roasted, each half liang).
The above eight herbs. The latter six are pounded and sifted into powder. Mix with the former two, then sift again. For every 1 liang of this powder, add twelve kernels of Semen Crotonis that have been peeled, de-heart, de-membrane, and fried in oil until black. Grind and mix evenly. Use vinegar-boiled wheat paste to form pills the size of hemp seeds. Take five pills, increasing to seven pills. Administer with tea, wine, or boiled water as preferred.
Supremely Effective Formula for Treating Alcohol Pi: Tongshen Wan (Spirit-Passing Pill)
Gan Jiang (Rhizoma Zingiberis Preparata), Zhi Mu (Rhizoma Anemarrhenae, dried), Wu Tou (Radix Aconiti Preparata, roasted, skin and umbilicus removed, each 1 liang), Badou (Semen Crotonis, peeled, de-heart, de-membrane, oil expressed, pounded, half liang).
The above four herbs. The first three are pounded and sifted into powder. Mix with Badou and grind evenly. Use wine-boiled wheat paste to form pills the size of mung beans. Take seven pills, increasing to ten pills. Administer with Ginger Decoction before bedtime.
Formula for Treating Alcohol Pi with Food Accumulation and Expelling Painful Qi: Zijin Wan (Purple Gold Pill)
Dai Zhe Shi (Hematitum, powdered), Naoshan (Sal Ammoniac, powdered), Badou Shuang (Resina Crotonis, each 1 fen), Mu Xiang (Radix Aucklandiae, powdered), Dan Sha (Cinnabaris, powdered, stir-fried, each 2 qian bi), Nifen (Calomelas), Meng Shi (Lapis Magnetitae Preparata, powdered, stir-fried, each 3 qian).
The above seven herbs are mixed and ground finely. Use burnt millet juice as a binder to form pills the size of small beans. Take two to three pills per dose, administered with cold Pericarpium Citri Reticulatae Decoction.
Formula for Treating Alcohol Pi with Hypochondriac Distension and Inability to Eat: Gualou San (Trichosanthes Powder)
Gua Lou Shi (Fructus Trichosanthis, shell removed, dried, 1 liang), Chen Qu Mo (Massa Medicata Fermentata Chinensis, powdered, slightly stir-fried, half liang).
The above two herbs are made into fine powder. Take two qian bi per dose, mixed with scallion white decoction.
Formula for Treating Retained Food and Alcohol Pi: Biejia Dahuang Wan (Softshell Turtle and Rhubarb Pill)
Bie Jia (Carapax et Plastrum Testudinis, raw, powdered), Da Huang (Cortex et Radix Rhei, raw, powdered), Wu Zhu Yu (Fructus Evodiae, powdered, each 2 liang), Naoshan (Sal Ammoniac, calcined, half liang; combined with the above three herbs and two sheng of rice vinegar, slow-fire decocted into a paste, then subsequent herbs added), Jing San Leng (Rhizoma Sparganii, roasted), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in boiling water, white part removed, dried), Mu Xiang (Radix Aucklandiae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Rou Dou Kou (Nucis Arecae Preparata, shell removed), Zhi Ke (Fructus Aurantii, pith removed, bran-stir-fried, each 1 liang).
The above ten herbs. The latter six are pounded and sifted into powder. Mix with the previously prepared Bie Jia paste to form pills the size of Sophora japonica seeds. Take twenty pills per dose, administered with wine or gruel broth as preferred. Take on an empty stomach. Increase to thirty pills if necessary.