夫积者阴气也。五脏所生。其痛不离其部。故上下有所穷已。聚者阳气也。六腑所成。
故无
脏腑。
治积聚心腹胀满。不能下食。宜服槟榔散方。
槟榔（半两） 芎 （半两） 桔梗（半两去芦头） 当归（半两锉微炒） 桂心（半
两） 赤芍
药（
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治积聚心腹胀满。不能下食。四肢瘦弱。诃黎勒散方。
诃黎勒（三分煨用皮） 木香（三分） 槟榔（三分） 前胡（半两去芦头） 桂心（半
两） 京
三棱
两麸炒
微黄
炙令香熟）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
每于
治积聚。心腹胀满。不能饮食。宜服白术散方。
白术（二两） 赤茯苓（一两） 枳壳（一两麸炒微黄去瓤） 人参（一两去芦头） 桔
梗〔二
（一）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服。
治积聚。心腹胀满。四肢逆冷。宜服沉香散方。
沉香（一两） 吴茱萸（半两汤浸七遍焙干微炒） 槟榔（一两） 青橘皮（一两汤浸
去白瓤
焙）
上件药。捣细罗为散。每于食前。以热酒调下一钱。
治积聚。心腹胀满。食少。宜服干姜丸方。
干姜（半两炮裂锉） 皂荚（一两去黑皮涂酥炙令黄焦去子） 菖蒲 桂心（三分） 川
乌头
（半
苓（三分）
吴茱萸（半两汤浸七遍焙干微炒） 川椒（三分去目及闭口者微炒去汗） 浓朴（二两去粗
皮涂
生姜汁炙令香熟）
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。以温酒下二十丸。
治积聚。心腹胀满。脐下结硬。宜服京三棱煎丸方。
京三棱〔一（二）两炮裂〕 当归（一两锉微炒） 萆 （一两锉） 陈橘皮（一两汤
浸去白
瓤焙）
香（三
分）
上件药。捣罗为末。以酒三升。煎一半药末如膏。后入余药末。和捣三二百杵。丸如梧
桐子
又方。
硼砂（半两研） 木香（一两） 青橘皮（一两汤浸去白瓤焙） 槟榔（一两） 桃仁
（一两汤
浸去
上件药。捣细罗为散。每服食前。以生姜汁半合。热酒一中盏。搅和令匀。调下二钱。
治积聚。心腹胀满。或时疼痛。宜服木香丸方。
木香（一两） 青橘皮（二两汤浸去白瓤焙） 芫花（三两）
上件药。先捣罗木香青橘皮为末。后别捣罗芫花为末。以醋三升。煎成膏。入前药末和
丸。
治积聚。心腹胀如鼓者。宜服野狼毒丸方。
野狼毒（四两锉碎醋拌炒干） 附子（三两炮裂去皮脐） 防葵（三两）
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。以粥饮下五丸。以
利为
积聚，是阴气凝聚而成的病证。由五脏功能失调产生。其疼痛部位固定，不离开原发区域，因此上下界限分明，有明确的起止范围。聚，是阳气郁结而成的病证。由六腑功能失调形成。因此没有固定的脏腑归属（指病位游走不定）。
治疗积聚引起的心腹胀满，导致无法进食的情况，适宜服用槟榔散方。
槟榔（半两） 川芎（半两） 桔梗（半两，去芦头） 当归（半两，切碎微炒） 桂心（半两） 赤芍药（半两）
以上药材，捣碎过粗筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
治疗积聚引起的心腹胀满，导致无法进食，四肢瘦弱无力的情况，适宜服用诃黎勒散方。
诃黎勒（三分，煨制后使用外皮） 木香（三分） 槟榔（三分） 前胡（半两，去芦头） 桂心（半两） 京三棱（一两，麸炒微黄） 蓬莪术（一两，醋浸后炙令香熟）
以上药材，捣碎过细筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分、大枣三枚，煎煮至六分，滤去药渣。每于饭前温服。
治疗积聚，引起心腹胀满，导致不能饮食的情况，适宜服用白术散方。
白术（二两） 赤茯苓（一两） 枳壳（一两，麸炒微黄，去瓤） 人参（一两，去芦头） 桔梗（二两，去芦头）
以上药材，捣碎过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，滤去药渣。每于饭前温服。
治疗积聚，引起心腹胀满，四肢逆冷的情况，适宜服用沉香散方。
沉香（一两） 吴茱萸（半两，汤洗七遍，焙干微炒） 槟榔（一两） 青橘皮（一两，汤洗去白瓤，焙干）
以上药材，捣碎过细筛制成散剂。每于饭前，用热酒调服一钱。
治疗积聚，引起心腹胀满，食量减少的情况，适宜服用干姜丸方。
干姜（半两，炮裂切碎） 皂荚（一两，去黑皮，涂酥炙令焦黄，去子） 石菖蒲（三两） 桂心（三分） 川乌头（半两，炮裂去皮脐） 白茯苓（三两） 吴茱萸（半两，汤洗七遍，焙干微炒） 川椒（三分，去目及闭口者，微炒去汗） 浓朴（二两，去粗皮，涂生姜汁炙令香熟）
以上药材，捣碎过筛制成末，炼蜜调和，捣三二百杵，制成梧桐子大小的丸剂。每于饭前，用温酒送下二十丸。
治疗积聚，引起心腹胀满，脐下结块坚硬的情况，适宜服用京三棱煎丸方。
京三棱（一两，炮裂） 当归（一两，切碎微炒） 萆薢（一两，切碎） 陈橘皮（一两，汤洗去白瓤，焙干） 木香（三分）
以上药材，捣碎过筛制成末，用酒三升，先煎一半药末成膏状，后加入剩余药末，调和捣三二百杵，制成梧桐子大小的丸剂。每于饭前，用温酒送下二十丸。
又一方。
硼砂（半两，研细） 木香（一两） 青橘皮（一两，汤洗去白瓤，焙干） 槟榔（一两） 桃仁（一两，汤浸去皮尖双仁，麸炒微黄）
以上药材，捣碎过细筛制成散剂。每次饭前，用生姜汁半合，热酒一中盏，搅匀调服二钱。
治疗积聚，引起心腹胀满，有时疼痛的情况，适宜服用木香丸方。
木香（一两） 青橘皮（二两，汤洗去白瓤，焙干） 芫花（三两）
以上药材，先将木香、青橘皮捣碎过筛制成末，另外将芫花捣碎过筛制成末。用醋三升，煎成膏状，加入前述药末和丸。
治疗积聚，引起心腹胀大如鼓的情况，适宜服用野狼毒丸方。
野狼毒（四两，切碎，醋拌炒干） 附子（三两，炮裂去皮脐） 防葵（三两）
以上药材，捣碎过筛制成末，炼蜜调和，捣三二百杵，制成梧桐子大小的丸剂。每于饭前，用米粥饮送下五丸，以大便通畅为度。
Accumulation (Ji) is a pathological condition caused by the condensation of Yin Qi. It originates from dysfunction of the Zang organs. The pain remains fixed in its original location, thus having clear upper and lower boundaries with distinct limits. Mass (Ju) is a pathological condition formed by the stagnation of Yang Qi. It arises from dysfunction of the Fu organs. Therefore, it lacks a fixed organ affiliation (referring to the migratory nature of the lesion).
For treating Accumulation and Mass causing abdominal distension and fullness, leading to an inability to eat, the Areca Seed Powder Formula (Binglang San Fang) is suitable.
Areca Seed (Banliang); Ligusticum Chuanxiong Rhizome (Chuanxiong, Banliang); Platycodon Root (Jiegeng, Banliang, remove radicle); Angelica Sinensis Radix (Danggui, Banliang, slice and lightly stir-fry); Cinnamon Twig Heart (Guixin, Banliang); Red Peony Root (Chishaoyao, Banliang).
Crush the above herbs into a coarse powder. Take 4 qian per dose. Add one zhongzhan of water, decoct until reduced to six-tenths, strain, and take warm at any time.
For treating Accumulation and Mass causing abdominal distension and fullness, inability to eat, and emaciation/weakness of the four limbs, the Chebula Fruit Powder Formula (Helile San Fang) is suitable.
Chebula Fruit (Helile, Sanfen, roasted, use exocarp); Aucklandia Root (Muxiang, Sanfen); Areca Seed (Binglang, Sanfen); Peucedanum Root (Qianhu, Banliang, remove radicle); Cinnamon Twig Heart (Guixin, Banliang); Sparganium Tuber (Jingsangling, Liang, stir-fry with bran until slightly yellow); Curcuma Longa Rhizome (Ezhu, Liang, soak in vinegar and roast until fragrant).
Sift the above herbs into a fine powder. Take 3 qian per dose. Add one zhongzhan of water, half a banfen of fresh ginger, and three jujubes. Decoct until reduced to six-tenths, strain, and take warm before meals.
For treating Accumulation and Mass causing abdominal distension and fullness, leading to inability to eat, the Atractylodes Macrocephala Powder Formula (Baizhu San Fang) is suitable.
Atractylodes Macrocephala Rhizome (Baizhu, Erliang); Poria with Red Branch (Chifuling, Yiliang); Bitter Orange (Zhike, Yiliang, stir-fry with bran until slightly yellow, remove pith); Ginseng Radix (Renshen, Yiliang, remove radicle); Platycodon Root (Jiegeng, Erliang, remove radicle).
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add one zhongzhan of water, decoct until reduced to six-tenths, strain, and take warm before meals.
For treating Accumulation and Mass causing abdominal distension and fullness, and cold extremities, the Agarwood Powder Formula (Chenxiang San Fang) is suitable.
Agarwood (Chenxiang, Yiliang); Evodia Fruit (Wuzhuyu, Banliang, rinse with hot water seven times, dry and lightly stir-fry); Areca Seed (Binglang, Yiliang); Green Tangerina Peel (Qingju pi, Yiliang, rinse with hot water, remove white pith, dry).
Sift the above herbs into a fine powder. Before meals, mix one qian with hot wine and take.
For treating Accumulation and Mass causing abdominal distension and fullness, and decreased appetite, the Dried Ginger Pill Formula (Ganjiang Wan Fang) is suitable.
Dried Ginger (Ganjiang, Banliang, processed until cracked and sliced); Gleditsia Sinensis Fruit (Zaojiao, Yiliang, remove black skin, coat with butter, roast until yellow and charred, remove seeds); Acorus Tatarinowii Rhizome (Changpu, Sanliang); Cinnamon Twig Heart (Guixin, Sanfen); Aconitum Carmichaelii Lateral Root (Chuanwutou, Banliang, processed until cracked, remove skin and umbilicus); Poria (Fuling, Sanliang); Evodia Fruit (Wuzhuyu, Banliang, rinse with hot water seven times, dry and lightly stir-fry); Sichuan Pepper (Chuanjiao, Sanfen, remove eyes and closed ones, lightly stir-fry to remove moisture); Magnolia Bark (Nanpi, Erliang, remove rough bark, coat with fresh ginger juice, roast until fragrant).
Grind the above herbs into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Before meals, take 20 pills with warm wine.
For treating Accumulation and Mass causing abdominal distension and fullness, and hard nodules below the umbilicus, the Sparganium Decoction Pill Formula (Jingsangling Jianwan Fang) is suitable.
Sparganium Tuber (Jingsangling, Yiliang, processed until cracked); Angelica Sinensis Radix (Danggui, Yiliang, slice and lightly stir-fry); Dioscorea Hypoglauca Rhizome (Bixie, Yiliang, slice); Aged Tangerina Peel (Chenju pi, Yiliang, rinse with hot water, remove white pith, dry); Aucklandia Root (Muxiang, Sanfen).
Grind the above herbs into powder. Use three sheng of wine to decoct half of the herb powder into a paste. Then add the remaining herb powder, mix, and pound 200-300 times. Form pills the size of paulownia seeds. Before meals, take 20 pills with warm wine.
Another formula.
Borax (Pengsha, Banliang, ground); Aucklandia Root (Muxiang, Yiliang); Green Tangerina Peel (Qingju pi, Yiliang, rinse with hot water, remove white pith, dry); Areca Seed (Binglang, Yiliang); Peach Kernel (Taoren, Yiliang, soak in water, remove skin and pointed end, stir-fry with bran until slightly yellow).
Sift the above herbs into a fine powder. Before meals, mix two qian with half he of fresh ginger juice and one zhongzhan of hot wine, stir evenly, and take.
For treating Accumulation and Mass causing abdominal distension and fullness, or occasional pain, the Aucklandia Pill Formula (Muxiang Wan Fang) is suitable.
Aucklandia Root (Muxiang, Yiliang); Green Tangerina Peel (Qingju pi, Erliang, rinse with hot water, remove white pith, dry); Genkwa Flower (Yanhua, Sanliang).
First, grind Muxiang and Qingju pi into powder separately. Then grind Yanhua into powder separately. Use three sheng of vinegar to decoct into a paste. Add the previous herb powders and form pills.
For treating Accumulation and Mass causing abdominal distension and fullness resembling a drum, the Wild Wolfbane Pill Formula (Yelangdu Wan Fang) is suitable.
Radix Stellerae Chamaejasme (Yelangdu, Siliang, cut into pieces, mixed with vinegar and stir-fried until dry); Prepared Aconite Root (Fuzi, Sanliang, processed until cracked, remove skin and umbilicus); Siegesbeckia Orientalis Herba (Fang Kui, Sanliang).
Grind the above herbs into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Before meals, take five pills with rice gruel drink, aiming for bowel movement.