夫 癖者。本因邪冷之气积聚而生也。 者。在腹内近脐左右。各有一条筋脉急痛。大
者如
曰癖
不
治 癖。气连心肋相引痛。坚急。大黄散方。
川大黄（一两锉微炒） 当归（一两锉微炒） 白术（一两） 枳壳（一两麸炒微黄去
瓤） 柴
胡（
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。不计时候
温服
治 癖气。胁肋妨闷。不欲饮食。四肢瘦弱。木香丸方。
木香（半两） 干姜（一两炮裂锉） 草豆蔻（一两去皮） 桂心（一两） 当归（一
两锉微炒）
陈
油）
上件药。捣罗为末。入巴豆。研令匀。炼蜜和捣三二百杵。丸如绿豆大。每服食前。以
粥饮
治 癖积冷。气攻心腹。如锥刀所刺。及鬼疰往来者。乌头丸方。
川乌头（一两炮裂去皮脐） 人参〔二（一）两去芦头〕 桂心（一两） 附子（一两
炮裂去
皮脐）
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时
候。
治 癖。气块不消。令人羸瘦。面色萎黄。四肢少力。不欲饮食。鳖甲丸方。
鳖甲（三两涂醋炙令黄去裙 ） 京三棱（三分微煨锉） 川大黄（二两锉微炒） 陈
橘皮
（三两
上件药。捣罗为末。于银锅中。入米醋三升。以慢火熬成膏。候可丸。即丸如梧桐子大。
每
治 癖气。时攻心腹疼痛。令人不思饮食。渐为瘦病。大黄丸方。
川大黄（一斤生为末） 鳖甲（三两涂醋炙令黄去裙 ） 枳壳（二两半麸炒微黄去瓤）
当
归（
焙干微
炒）
上件药。捣罗为散。先以米醋三升。熬大黄为膏。次入诸药和丸。如梧桐子大。每于食
前。
治 癖冷症块。及疗丈夫腰脚。补暖水脏。善治妇人血气。暖子宫。杀三虫伏火
。硼砂丸方
上先取腊月细桑条子。不限多少。烧作灰。略以水淋却苦汁后。晒令灰干。收之。每一
两硼
干灰
取出
淋水
固济
以暖酒
治 癖气。冷热不调。两肋下痛。恶闻食气。四肢酸弱。口干唾粘。头目昏痛。
气冲背膊。
桂心（一两） 川大黄（四两锉碎微炒） 川朴硝（二两半） 赤芍药（一两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以暖酒下二十丸。
以微
治 癖气疼痛。芫花丸方。
芫花（半两醋拌炒干） 硼砂（一两醋化令消尽） 干姜（半两炮裂锉） 京三棱（半
两锉碎
醋浸
上件药。捣罗为末。用硼砂醋熬成膏。以蒸饼少许同和。丸如绿豆大。每服食前。以生
姜橘
治 癖气不消。吴茱萸散方。
吴茱萸（半两汤浸七遍焙干微炒） 鳖甲（三两涂醋炙令黄去裙 ） 川大黄（一两锉
碎微
炒） 当归（三分锉微炒） 京三棱（一两微炮锉） 槟榔（一两）
上件药。捣细罗为散。每于食前。以暖酒调下一钱。
治积冷 癖。不思饮食。四肢羸困。宜服此方。
莨菪子（三分水淘去浮者） 大枣（四十九枚）
上件药。以水三升相和。煮水尽。即取枣去皮核。每于食前。吃一枚。粥饮下亦得。觉
热即
治 癖气。心腹疼痛。肌肤瘦弱。面无颜色。及男子元气。妇人血气。并宜此桃
仁煎方。
桃仁（二十枚汤浸去皮尖双仁）
上件药。细研如膏。以酒二斗。淘滤取汁。于净铛中。以慢火煎成膏。每于食前。以暖
酒调
治 癖不瘥。胁下痛硬如石方。
生商陆根汁（一升） 杏仁（一两汤浸去皮尖）
上件药。研杏仁令烂。以商陆根汁相和。研滤取汁。以火煎如饧。每服。取枣许大。空
腹以
治 癖气不消方。
京三棱（一两微煨锉） 川大黄（一两锉）
上件药。捣罗为末。用醋熬为膏。每日空心。以生姜橘皮汤调下二茶匙。
癖病，原本是因为邪气与寒气积聚而形成的。所谓“癖”，是指位于腹部靠近肚脐左右两侧，各有一条筋脉拘急疼痛的症状。病情较重者，称为“癖”。若不及时治疗，癖气会牵连心部和肋部，引起牵引性疼痛，且感觉坚硬紧急。大黄散方：
川大黄（一两，锉碎后微炒） 当归（一两，锉碎后微炒） 白术（一两） 枳壳（一两，麸炒至微黄，去瓤） 柴胡（一两，去苗）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分水量，滤去药渣。不分时候，温服。
治疗癖气，胁肋部胀闷不适，不想饮食，四肢消瘦无力。木香丸方：
木香（半两） 干姜（一两，炮裂后锉碎） 草豆蔻（一两，去皮） 桂心（一两） 当归（一两，锉碎后微炒） 陈橘皮（一两，去白） 青皮（一两，去白） 巴豆（五十粒，去皮心，研如脂，用纸裹压去油）
以上药物，捣罗成细末，加入巴豆霜，研磨均匀。用炼蜜调和，捣击三二百下，制成如绿豆大小的丸剂。每次在饭前，用粥饮送服五丸。
治疗癖积冷，寒气攻冲心腹，像被锥刀刺割一样，以及鬼疰（一种传染性或游走性的疾病）往来发作的情况。乌头丸方：
川乌头（一两，炮裂，去皮脐） 人参（二两，去芦头） 桂心（一两） 附子（一两，炮裂，去皮脐）
以上药物，捣罗成细末，加入已研磨好的其他药物混合均匀。用炼蜜调和，捣击三二百下，制成如梧桐子大小的丸剂。每次服用，不分时候，用温水送服五丸。
治疗癖病，气块不消散，使人身体瘦弱，面色萎黄，四肢乏力，不想饮食。鳖甲丸方：
鳖甲（三两，涂醋炙至黄色，去裙边） 京三棱（三分，微煨后锉碎） 川大黄（二两，锉碎后微炒） 陈橘皮（三两，去白） 蓬莪术（三分，微煨锉） 桃仁（三分，汤浸去皮尖双仁，炒）
以上药物，捣罗成细末，放入银锅中，加入米醋三升，用慢火熬成膏状。待可丸时，制成如梧桐子大小的丸剂。每次服用二十丸，食前用温水送服。
治疗癖气，时常攻冲心腹疼痛，使人不思饮食，逐渐形成瘦病。大黄丸方：
川大黄（一斤，生研为末） 鳖甲（三两，涂醋炙至黄色，去裙边） 枳壳（二两半，麸炒至微黄，去瓤） 当归（一两，焙干微炒）
以上药物，捣罗成散剂。先用米醋三升，将大黄熬成膏，然后加入其他药物和匀制丸，如梧桐子大小。每次在饭前，用温水送服十丸。
治疗癖冷症块，以及治疗男子腰脚疼痛，补暖水脏（肾），善于治疗妇人血气病，暖子宫，杀灭三虫伏火。硼砂丸方：
先取腊月里的细桑条子，不限多少，烧成灰。略用水淋洗去除苦汁后，晒干使灰干燥，收藏起来。每一两硼砂，需用桑枝灰三合，加水淋取清汁。
以上处理后的桑枝灰汁，与硼砂混合，装入容器中，用泥密封固济。以暖酒浸泡，加热熬制。
（注：原文此处描述较为简略，通常此类方剂需将硼砂溶于醋或酒中，再入药末制丸。根据上下文推测为辅助制备工艺。）
治疗癖气，冷热不调，两肋下疼痛，厌恶食物气味，四肢酸软无力，口干唾液粘稠，头目昏痛，气冲背膊。
桂心（一两） 川大黄（四两，锉碎微炒） 川朴硝（二两半） 赤芍药（一两）
以上药物，捣罗成细末，用炼蜜调和，捣击三二百下，制成如梧桐子大小的丸剂。每次在饭前，用暖酒送服二十丸，以微微出汗为度。
治疗癖气疼痛。芫花丸方：
芫花（半两，醋拌炒干） 硼砂（一两，醋化令消尽） 干姜（半两，炮裂锉） 京三棱（半两，锉碎，醋浸）
以上药物，捣罗成细末，用硼砂醋熬成膏，加入少许蒸饼同和，制成如绿豆大小的丸剂。每次在饭前，用生姜橘皮汤送服五丸。
治疗癖气不消散。吴茱萸散方：
吴茱萸（半两，汤浸七遍，焙干微炒） 鳖甲（三两，涂醋炙至黄色，去裙边） 川大黄（一两，锉碎微炒） 当归（三分，锉碎微炒） 京三棱（一两，微炮锉） 槟榔（一两）
以上药物，捣细罗成散剂。每次在饭前，用暖酒调服一钱。
治疗积冷引起的癖病，不思饮食，四肢羸困，适宜服用此方。
莨菪子（三分，水淘去浮者） 大枣（四十九枚）
以上药物，用水三升一起煮，煮至水尽。取出大枣，去皮核。每次在饭前，吃一枚，用粥饮送服也可以。感到发热即停服。
治疗癖气，心腹疼痛，肌肤瘦弱，面无血色，以及调理男子元气、妇人血气，都适宜使用此桃仁煎方。
桃仁（二十枚，汤浸去皮尖双仁）
以上药物，细研如膏状，用酒二斗，淘滤取汁。放入干净的铛中，用慢火煎成膏状。每次在饭前，用暖酒调服一方寸匕。
治疗癖病不愈，胁下痛硬如石。
生商陆根汁（一升） 杏仁（一两，汤浸去皮尖）
以上药物，研烂杏仁，与商陆根汁混合，研磨过滤取汁，用火煎如饴糖状。每次服用，取枣核大的一块，空腹含化。
治疗癖气不消散。
京三棱（一两，微煨锉） 川大黄（一两，锉）
以上药物，捣罗成细末，用醋熬成膏。每天空腹，用生姜橘皮汤调服二茶匙。
Pi disease (abdominal mass) originates from the accumulation of pathogenic cold qi. "Pi" refers to a condition where there is a painful, tight tendon-like structure on either side of the umbilicus within the abdomen. In severe cases, it is termed "Pi". If left untreated, the Qi of Pi can radiate to the heart and hypochondrium, causing pulling pain, with a sensation of hardness and tension. Da Huang San (Rhubarb Powder):
Radix et Rhizoma Rhei (Cortex Rhei) (1 liang, crushed and lightly stir-fried), Radix Angelicae Sinensis (Danggui) (1 liang, crushed and lightly stir-fried), Rhizoma Atractylodis Macrocephalae (Baizhu) (1 liang), Fructus Aurantii (Zhike) (1 liang, bran-fried until slightly yellow, pith removed), Radix Bupleuri (Chaihu) (1 liang, buds removed).
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong zhan (approx. 200ml) of water and 0.5 fen (approx. 5g) of fresh Ginger (Shengjiang). Decoct until 0.5 zhong zhan remains. Strain and take warm at any time.
For treating Pi Qi, with distension and stuffiness in the hypochondrium, loss of appetite, and emaciation/weakness of the four limbs. Mu Xiang Wan (Costus Pill):
Radix Aucklandiae (Muxiang) (0.5 liang), Rhizoma Zingiberis Recens (Ganjiang) (1 liang, processed until cracked and crushed), Fructus Cardamomi Rotundus (Caodoukou) (1 liang, peel removed), Cortex Cinnamomi (Guixin) (1 liang), Radix Angelicae Sinensis (Danggui) (1 liang, crushed and lightly stir-fried), Pericarpium Citri Reticulatae (Chenpi) (1 liang, white pith removed), Pericarpium Citri Reticulatae Viride (Qingpi) (1 liang, white pith removed), Semen Crotonis Tiglii (Badou) (50 grains, peel and heart removed, ground into fat, pressed between paper to remove oil).
Grind the above herbs into fine powder. Add the prepared Badou paste and mix evenly. Combine with refined honey and pound for 300-200 strokes. Form pills the size of mung beans. Take 5 pills before meals, washed down with congee water.
For treating Pi with accumulated cold, where cold Qi attacks the heart and abdomen causing stabbing pain like awls or knives, and for wandering conditions akin to Gui Zhu (ghostly transmission/disease). Wu Tou Wan (Aconite Pill):
Radix Aconiti Lateralis Preparata (Chuan Wutou) (1 liang, processed until cracked, peel and umbilical scar removed), Radix Ginseng (Renshen) (2 liang, radix tip removed), Cortex Cinnamomi (Guixin) (1 liang), Radix Aconiti Lateralis Preparata (Fuzi) (1 liang, processed until cracked, peel and umbilical scar removed).
Grind the above herbs into fine powder. Mix with other pre-ground ingredients. Combine with refined honey and pound for 300-200 strokes. Form pills the size of Sophora seeds. Take 5 pills at any time, washed down with warm water.
For treating Pi, where Qi masses do not dissipate, leading to emaciation, sallow complexion, weakness of the four limbs, and loss of appetite. Bie Jia Wan (Turtle Shell Pill):
Carapax et Plastrum Testudinis (Biejia) (3 liang, coated with vinegar, roasted until yellow, skirt edges removed), Rhizoma Sparganii (Jingsanleng) (3 fen, lightly baked and crushed), Radix et Rhizoma Rhei (Chuan Dahuang) (2 liang, crushed and lightly stir-fried), Pericarpium Citri Reticulatae (Chenpi) (3 liang, white pith removed), Rhizoma Curcumae Longae (Pengelzhu) (3 fen, lightly baked and crushed), Semen Pruni Persicae (Taoren) (3 fen, soaked in water, peel and pointed ends removed, double-kernel ones discarded, stir-fried).
Grind the above herbs into fine powder. Place in a silver pot, add 3 sheng of rice vinegar, and simmer over low heat until a paste forms. When suitable for pill formation, make pills the size of Sophora seeds. Take 20 pills before meals, washed down with warm water.
For treating Pi Qi, which frequently attacks the heart and abdomen causing pain, loss of appetite, and gradual progression to emaciation. Da Huang Wan (Rhubarb Pill):
Radix et Rhizoma Rhei (Chuan Dahuang) (1 jin, raw, ground into powder), Carapax et Plastrum Testudinis (Biejia) (3 liang, coated with vinegar, roasted until yellow, skirt edges removed), Fructus Aurantii (Zhike) (2.5 liang, bran-fried until slightly yellow, pith removed), Radix Angelicae Sinensis (Danggui) (1 liang, dried by baking and lightly stir-fried).
Grind the above herbs into powder. First, simmer 3 sheng of rice vinegar with the Dahuang powder to form a paste. Then add the other herbs and mix to form pills the size of Sophora seeds. Take 10 pills before meals, washed down with warm water.
For treating Pi cold masses, as well as treating lower back and foot issues in men, warming and tonifying the Water Organ (Kidney), effectively treating blood and Qi disorders in women, warming the uterus, and eliminating three parasites and latent fire. Peng Sha Wan (Borax Pill):
First, collect thin mulberry branches from the twelfth lunar month, in any quantity, and burn them to ash. Rinse the ash with a small amount of water to drain off the bitter juice, then dry the ash in the sun and store it. For every 1 liang of Borax (Pengsha), use 3 he of mulberry branch ash. Add water to leach out the clear juice.
(Mix the leached ash juice with Borax, seal in a container with mud, and heat with warm wine to prepare the base.)
For treating Pi Qi with disharmony of cold and heat, pain under both hypochondria, aversion to food odors, acid weakness of the four limbs, dry mouth with sticky saliva, dizziness and headache, and Qi rushing to the back and shoulders.
Cortex Cinnamomi (Guixin) (1 liang), Radix et Rhizoma Rhei (Chuan Dahuang) (4 liang, crushed and lightly stir-fried), Natrii Sulfas (Chuan Puxiao) (2.5 liang), Radix Paeoniae Rubra (Chishaoyao) (1 liang).
Grind the above herbs into fine powder. Combine with refined honey and pound for 300-200 strokes. Form pills the size of Sophora seeds. Take 20 pills before meals, washed down with warm wine, aiming for slight sweating.
For treating Pi Qi pain. Yuan Hua Wan (Kadsura Flower Pill):
Flos Kadsurae (Yuanhua) (0.5 liang, mixed with vinegar and stir-fried until dry), Natrii Sulfas (Pengsha) (1 liang, dissolved in vinegar until fully melted), Rhizoma Zingiberis Recens (Ganjiang) (0.5 liang, processed until cracked and crushed), Rhizoma Sparganii (Jingsanleng) (0.5 liang, crushed, soaked in vinegar).
Grind the above herbs into fine powder. Simmer the Pengsha in vinegar to form a paste. Mix with a small amount of steamed dough. Form pills the size of mung beans. Take 5 pills before meals, washed down with ginger and tangerine peel decoction.
For treating persistent Pi Qi. Wuzhuyu San (Evodia Powder):
Fructus Evodiae (Wuzhuyu) (0.5 liang, soaked in water seven times, dried by baking and lightly stir-fried), Carapax et Plastrum Testudinis (Biejia) (3 liang, coated with vinegar, roasted until yellow, skirt edges removed), Radix et Rhizoma Rhei (Chuan Dahuang) (1 liang, crushed and lightly stir-fried), Radix Angelicae Sinensis (Danggui) (3 fen, crushed and lightly stir-fried), Rhizoma Sparganii (Jingsanleng) (1 liang, lightly processed and crushed), Fructus Arecae (Binglang) (1 liang).
Grind the above herbs finely and sieve. Take 1 qian before meals, mixed with warm wine.
For treating Pi caused by accumulated cold, with loss of appetite and emaciated/weak limbs. This formula is suitable.
Semen Hyoscyami (Langdangzi) (3 fen, washed in water to remove floating seeds), Fructus Jujubae (Dazao) (49 pieces).
Combine the above with 3 sheng of water and boil until the water is exhausted. Remove the dates, peel them, and remove the pits. Eat one date before meals, washed down with congee water if desired. Stop taking if heat sensation occurs.
For treating Pi Qi, with heart and abdominal pain, emaciated skin and muscles, pale complexion, and for regulating Yuan Qi in men and Blood/Qi in women. Tao Ren Jian (Peach Kernel Decoction/Paste):
Semen Pruni Persicae (Taoren) (20 grains, soaked in water, peel and pointed ends removed, double-kernel ones discarded).
Grind the above herbs finely into a paste. Wash and filter through 2 dou of wine to extract the juice. Simmer in a clean pan over low heat until a paste forms. Take one fang cun bi (approx. 2-3 grams) before meals, mixed with warm wine.
For treating Pi that does not heal, with hard, stone-like pain under the hypochondrium.
Fresh Juice of Radix Phytolaccae Acinosa (Sheng Shanglu Gen Zhi) (1 sheng), Semen Pruni Armeniacae (Xingren) (1 liang, soaked in water, peel and pointed ends removed).
Grind the Xingren until mushy. Mix with the Shanglu root juice, grind and filter to extract the juice. Simmer over fire until it resembles maltose syrup. Take a date-sized amount at a time, dissolve in the mouth on an empty stomach.
For treating persistent Pi Qi.
Rhizoma Sparganii (Jingsanleng) (1 liang, lightly baked and crushed), Radix et Rhizoma Rhei (Chuan Dahuang) (1 liang, crushed).
Grind the above herbs into fine powder. Simmer in vinegar to form a paste. Every day on an empty stomach, take 2 tea spoons, mixed with ginger and tangerine peel decoction.