无休歇。人以为痞块也，谁知木郁而成 瘕乎。肝气一郁，必下克脾胃，脾胃受克，则气不能畅，必食积为症也。
方用平肝消瘕汤。（节录）
白芍（一两） 当归（五钱） 白术（一两） 柴胡（一钱） 鳖甲（三钱） 神曲（一钱） 山楂（一钱）
枳壳（一钱） 半夏（一钱）
水煎服。（辨证录）
柴平汤，积块属热者，宜清化也。
柴胡 黄芩 半夏 苍术 浓朴 陈皮 青皮 枳壳 神曲 山楂肉 三棱 莪术（各等分） 甘草（减半）
上剂，姜一片，枣一枚，水煎服。（《回春》）
棱术汤，治食积。
三棱 卜子 蓬术 青皮 乌药 槟榔 枳壳（各一钱）
水二钟，煎七分，稍冷服。（《痧胀玉衡》）
红丸子，治丈夫脾积气滞，胸膈满闷，面黄腹胀，四肢无力，酒积不食，干呕不止，背胛连心胸及两乳痛。
荆三棱（水浸软切片） 青皮 蓬莪术 陈皮（去白各五斤）
干姜（炮） 胡椒（各三斤）
上为细末，用醋面糊为丸，如梧桐子大，矾红为衣，每服三十粒，食后姜汤下。（《和剂》）《三因》
治脾胃虚冷，饮食不节，宿食留饮，聚癖肠胃。于本方去陈皮、干姜，加阿魏一分（莪、棱各二两，同以米醋煮
一周时，胡椒一两，青皮三两，为末，醋化阿魏入陈米粉为糊丸云云）。《易简》于本方加阿魏。（《济生续
方》阿魏丸，治气积肉积，用木香、槟榔、胡椒、阿魏，其意相似。）《简易》胜红丸（主治同），于本方去
矾红、胡椒，加良姜、香附，曰∶寻常饮食所伤，中脘痞满，服之应手而愈。大病之后，谷气难化，及治中脘
停酸，功效特异。（《医圣阶梯》加萝菔子。）
三棱煎丸 顺气宽中，消积滞，化痰饮。
京三棱（生细锉半斤捣罗为末以好酒三升石器内熬成膏） 青橘皮（去白） 萝卜子（微炒） 杏仁（汤浸去
皮尖麸炒令黄） 干漆（炒各二两） 神曲（碎炒） 麦 （炒各三两） 砂（研飞一两）
上件为末，以三棱膏匀搜和丸，如梧桐子大，每服十五丸至二十丸，温米饮下，食后服。（《和剂》）《经验秘
方》加蓬莪术、木香。
沉香消痞丸。余昔岁宦游江南，因晨起空腹，常啜精姜煮酒，及四时绝不饮冷，虽盛暑烦渴，亦温煮酒解之，
久而胃肺积热在中，更或心有郁结，乘怒强食，以致气不升降，胸腹胀满，噫噫声不绝，或三五日一遍，于饮
食后，气闭不通，必须吐出所啖之物，候腹胀空虚，气方稍通，病势将深，连日呕吐诸物不停。凡温中快气，
养胃健脾，清肺和膈，化痰去滞，补虚进食等药，或散或丸，俱无效验，虽不甚卧床，拟待死而已。忽遇旧识
汴梁张君宝，惠余此方，根据
法修制服之，十日病减其半，未及两月，十分去九，既痊之后，或有时气不顺，一服即愈，经今十有余年，再
不复发。是方诸书不载，盖处此方者，真良医也。余但遇斯疾，即传授之，已效十余人矣，故叙述病源以志之。
沉香 芦荟 枳壳（麸炒去穣） 砂 广术（火煨黄色各三钱） 广木香（二钱） 胡黄连（五钱）
麝香（一钱另研） 黑牵牛（微炒取头末一两）
上为极细末，好醋熬肥皂角子膏，和药为丸，如梧桐子大，每服四五十丸，加至八九十丸，临卧时，嚼胡
桃仁一个极烂噙，温水与药一处送下，忌肉、湿面、冷硬物，丸虽多，止微利而已。（《经验秘方》）
阿魏丸，治肉积。诸阿魏丸，脾虚者，须以补脾药佐之，切不可独用，虚虚之祸，疾如反掌。
连翘（一两） 山楂（二两） 黄连（一两半） 阿魏（二两醋煮作糊）
上为末，醋煮阿魏作糊为丸，服三十丸，白汤下。（《丹溪》）
治虫食症方。
绿矾（二两捣研如粉）
上以米醋一大碗，于瓷器内煎之，用柳木蓖搅成膏，入赤乌脚一两，细研和丸，如绿豆大，每服空心温酒下
五丸。
（《圣惠》）
鳖甲汤，治伏梁积气心下若臂，痞痛不消，小便不利。
鳖甲（去裙 醋炙黄色） 京三棱 大腹子皮 芍药 当归 柴胡（去苗） 生地黄（各一两） 官桂
生姜（各三分切作片子焙干）
上为末，每服三钱，水一大盏，入生姜、木香半钱，同煎至八分，去滓温服。（《宣明》）
磨平饮，治死血成块，奔走作楚。
红花 桃仁 山楂 苏木（各二钱） 京三棱 蓬莪术 枳壳 香附 乌药（各一钱五分）
水煎，空心服。（《玉案》）
治胁下有块。
龙荟丸（二钱半起料） 姜黄（五钱） 桃仁（五钱）
上为末，蜜丸服。（《丹溪》）
疏荡诸方 《僧深方》云∶硝石大丸，治十二 瘕，及妇人带下，绝产无子云云，此丸不下水谷，但下
病耳，不令人极也。
河西大黄（八两） 朴硝（六两）（按∶《千金》用硝石，曰朴硝亦得。）上党 人参（二两） 甘草（三两）
（《千金》二两）
凡四物，皆各异捣下筛，以三岁好苦酒置铜器中，以竹箸柱铜器中一升作一刻，凡三刻，以置火上，先内大
黄（《千金》此下曰常搅不息），使微沸，尽一刻乃内余药，复尽一刻，余有一刻，极微火，使可丸，乃令如鸭
（《千金》鸡）子中黄。欲服者，二丸。若不能服大丸，可分作四丸，不可过四丸，药丸欲大，不欲令细，能
不分又善（《千金》为善）。若人羸者可少食，强者不须也。（《医心》）（《千金》此下曰∶二十日五度服，
其和调半日乃下。）
《必效》练中丸，主癖虚热，两胁下癖痛，恶不能食，四肢酸弱，口干涕唾稠粘，眼涩头时时痛，并气冲背
膊虚肿，大小便涩，小腹痛，热冲，头发落，耳鸣，渐至健忘，服十日许，记事如少时，无禁忌方。
大黄（一斤） 朴硝（十两练） 芍药（八两） 桂心（四两）
上四味捣筛，蜜和为丸，如梧子，平旦酒服二十丸，日再，稍加至三十丸，以利为度，能积服弥佳，纵利
不虚人，神良。（《外台》）
范汪疗心腹积聚，食苦不消，胸胁满，除去五脏邪气，四物丸方。
大戟（五分 咀熬令色变） 芫花（四分熬） 杏仁（一分） 巴豆（百枚去皮心熬）
上药捣合下细筛，以鸡子中黄，亦可以蜜，和丸如小豆，日三，日增一丸，觉勿复益。欲下，顿服七丸，
下如清漆、陈宿水。（同上）
治胸中心下结积，食饮不消，陷胸汤方。
大黄 栝蒌实 黄连（各二两） 甘遂（半两）
上四味 咀，以水五升，煮取二升五合，分三服。（《千金》）
《必效》疗癖方。
大黄（十两）
上一味捣筛，醋三升和煎，调内白蜜两匙，煎堪丸，如梧子，一服三十丸，以利为度，小者减之。（《外台
》）《烟霞圣效方》大黄醋煎丸，治远年日近积病，于本方去蜜。（宜参《骨蒸》门。）
诸积散，治男子妇人经络不调，赤白带下，产后恶物不止。
用锦纹大黄，去粗皮削净一斤，切为方寸薄片，存碎者四两，余上十二两，用紧炭火，甘锅盛烧，微存性，
取出于砂土，再焙过，入好木香一两，与生者同碾为极细末，每服三钱，病甚者加至五钱，脏腑虚损止服三钱，
小儿量岁数加减，俱用沸汤调下，酒调亦妙，心气痛者热醋调，有孕勿服。烧者存性，生者微炙，治脾癖即效。
（《经验秘方》）
通仙散，男子取积，妇人取败血，不动真气。
荞麦面（一钱半） 大黄末（二钱半）
上二味，酒调，临卧服。（《居家必用》）《烟霞》黑神丹，取远年近日酒食积病，于本方加槟榔、细墨
作丸。
消磨兼疏荡诸方 （贴脐膏见后） 治久积 癖气不散，胁下似覆杯，多吐酸水，面目萎黄，或腹中
痛，蓬莪术散方。
蓬莪术（一两） 鳖甲（二两涂醋炙令黄去裙 ） 赤芍药（半两） 槟榔（一两） 肉桂（一两去皱皮）
枳壳（一两麸炒微黄去瓤） 当归（一两锉微炒） 干姜（半两炮裂锉） 京三棱（一两炮锉） 川大黄（一
两锉碎微炒） 木香（一两） 柴胡（一两半去苗）
上件药捣，粗罗为散，每服三钱，以水一中盏，入生姜半分，煎至六分去滓，不计时候温服。（《圣惠》）
又桃仁散（主治同），于本方去蓬莪术、芍药、枳壳、干姜、柴胡，加桃仁、枳实。
治食不消，成 癖，令人四肢干瘦，不欲饮食，槟榔丸方。
槟榔（一两半） 川大黄（二两锉碎微炒） 白术（三分） 枳壳（三分麸炒微黄去瓤） 木香（半两）
柴胡（一两去苗） 鳖甲（二两涂醋炙令黄去裙 ）
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。（同上）（按∶此方
水煎为佳。）又治 癖气，连心肋相引痛坚急，大黄散，于本方去槟榔、木香，加当归、生姜，水煎。
治癖结，两胁胀痛，大黄散方。
川大黄（一两锉碎微炒） 京三棱（一两微煨锉） 鳖甲（一两涂醋炙令黄去裙 ） 槟榔（一两）
木香（三分） 赤芍药（三分） 桃仁（一两汤浸去皮尖双仁麸炒微黄）
上件药捣筛为散，每服三钱，以水一中盏，入生姜半分，煎至六分去滓，不计时候温服。（同上）
治痞气当胃管，结聚如杯，积久不散，腹胁疼痛，体瘦成劳，不能饮食，宜服鳖甲丸方。
鳖甲（三两，去裙 以米醋一小盏，化 砂一两，用涂炙鳖甲，令醋尽为度。） 附子（一两炮裂去皮脐）
京三棱（一两微煨锉） 干漆（一两捣碎炒令烟尽） 木香（一两） 川大黄（二两锉碎醋拌炒令干） 吴茱萸（半两
汤浸七遍焙干微炒）
上件药捣细罗为末，以醋煮面糊和溲，捣三二百杵，丸如梧桐子大，每日空心，温酒下二十丸。（同上）又治伏梁
气，久积在心下，横大如臂，发歇疼痛， 砂丸，于本方去鳖甲、三棱、木香、吴茱萸，加桂心、汉椒、干姜、槟榔、
砂（不夹石者细研，以酒醋各半升，熬如膏）。
治积滞气，消宿食，除心腹胀满，不思饮食，面色萎黄，脐腹疼痛，及丈夫元气，妇人血气，并皆治之，丁香丸方。
丁香（一两） 砂（二两研） 木香（二两） 桂心（二两） 附子（二两炮裂去皮脐） 干姜（二两
炮裂锉） 川大黄（二两生捣罗为末） 青橘皮（二两汤浸去白瓤焙） 蓬莪术（二两微煨） 巴豆霜（三两） 牵牛
子（四两生捣罗取末二两） 京三棱（三两酥浸七日煨锉） 干漆（二两捣碎炒令烟出） 猪牙皂荚（二两炙令烟尽）
香墨（二两）
上件药，除 砂、大黄、巴豆霜外，余者都捣为末，入牵牛子令匀，先取好酽醋一大碗，化 砂去滓，入于锅中，
以慢火煎之，次下巴豆，搅令散，经两食久，次下大黄末，熬搅成稠膏，拌和诸药末，更入醋煮面糊，和令硬软得所，
捣三五百杵，丸如绿豆大，每服以温酒或温水，下三丸至五
丸。（同上）（按∶又有治症病大黄丸，其他如《圣济》治癖气木香 砂煎丸，《和剂》积气丸，《本事》
砂丸，皆与此方一类，今不繁载，学人宜互酌。）
治一切气，及消宿食，朱砂丸方。
朱砂（三分细研） 木香（一分） 槟榔（一分） 丁香（一分） 乳香（一分细研） 阿魏（半分）
皂荚（一钱炙） 麝香（一钱细研） 肉豆蔻（一分去壳） 巴豆（二十粒去皮心以醋煮半日取出研令细）
上件药捣罗为末，都研令匀，以糯米糊和，捣三二百杵，丸如麻子大，每服不计时候，以生姜橘皮汤下三
丸至五丸。（同上）
感应丸，治虚中积冷，气弱有伤，停积胃脘，不能传化。又治久病形羸，荏苒岁月，渐致虚弱，面黄肌瘦，
饮食或进或退，大便或秘或泄，不拘久新积冷，并悉治之。大病不过三服，便见痊愈。此药温无毒，并不燥热，
不损胃气，亦不吐泻，止是磨化积聚，消逐温冷，疗饮食所伤，快三焦滞气。旋丸如绿豆大，每服三五粒，量
虚实加减，温水吞下，不拘时候。（节录）
新拣丁香（一两半） 南木香（二两半） 肉豆蔻（去粗皮，用滑皮） 仁子（二十枚） 巴豆（七十个，
去皮心膜，研细，出尽油，如粉） 川干姜（炮裂一两） 杏仁（拣净者，去双仁者，一百四十个，去尖，汤
浸一宿，去皮，别研极烂如膏。） 百草霜（用村庄家锅底上刮者，细研，秤二两。）
上七味，除巴豆粉、百草霜、杏仁三味外，余四味捣为细末，与前三味同拌，研令细，用好蜡匮和，先将
蜡六两熔化作汁，以重绵滤去滓，更以好酒一升，于银石器内煮蜡熔，滚数沸倾出，候酒冷其蜡自浮于上，取
蜡秤用。凡春夏修合，用清油一两，于铫内熬令沫散香熟，次下酒煮蜡四两，
同化作汁，就锅内乘热拌和前项药末。秋冬修台，用清油一两半，同煎煮热作汁，和匮药末成剂，分作小铤子，
以油单纸裹之，旋丸服饵。此高殿前家方也。（《和剂》）《本事》丁香、木香各半两，曰此用丁香、木香，
皆少于《官局方》一两，盖欲速于去积。若常服或老幼怯弱之疾，尚当审之。（按∶《易简方》举此方以为巴
豆不宜去油，施氏、卢氏则俱驳其说，盖此方本非峻利之剂，妙在缓缓磨积，宜以去油为善。）
没有停止的时候。人们以为是痞块，哪里知道这是肝木郁结而形成的瘕证呢？肝气一旦郁结，必然会向下克制脾胃，脾胃受到克制，那么气机就不能通畅，必然会出现食积的症状。
用平肝消瘕汤。（节录）
白芍（一两） 当归（五钱） 白术（一两） 柴胡（一钱） 鳖甲（三钱） 神曲（一钱） 山楂（一钱）
枳壳（一钱） 半夏（一钱）
水煎服。（《辨证录》）
柴平汤，对于属于热证的积块，适宜采用清热化湿的方法。
柴胡 黄芩 半夏 苍术 厚朴 陈皮 青皮 枳壳 神曲 山楂肉 三棱 莪术（各等分） 甘草（减半）
以上药物，加生姜一片，大枣一枚，水煎服。（《回春》）
棱术汤，治疗食积。
三棱 莱菔子 蓬莪术 青皮 乌药 槟榔 枳壳（各一钱）
水两碗，煎至七分，稍凉后服用。（《痧胀玉衡》）
红丸子，治疗男子脾积气滞，胸膈满闷，面色萎黄腹胀，四肢无力，酒积不食，干呕不止，背部肩胛牵连心胸及两侧乳房疼痛。
荆三棱（用水浸泡软后切片） 青皮 蓬莪术 陈皮（去白，各五斤）
干姜（炮制） 胡椒（各三斤）
以上药物研为细末，用醋和面糊做成丸药，如梧桐子大小，以朱砂为衣，每次服用三十粒，饭后用姜汤送下。（《太平惠民和剂局方》、《三因极一病证方论》）
治疗脾胃虚冷，饮食不节制，宿食留饮，聚结成癖在肠胃。在本方中去掉陈皮、干姜，加入阿魏一分（莪术、三棱各二两，同用米醋煮一个小时，胡椒一两，青皮三两，研为末，用醋化开阿魏调入陈米粉做成糊丸等）。《易简方》在本方中加入阿魏。（《济生续方》中的阿魏丸，治疗气积和肉积，用木香、槟榔、胡椒、阿魏，其用意相似。）《简易方》胜红丸（主治相同），在本方中去掉矾红、胡椒，加入良姜、香附，说：寻常饮食所伤，中脘痞满，服用此方应手而愈。大病之后，谷气难以消化，以及治疗中脘停酸，功效特异。（《医圣阶梯》加入萝卜子。）
三棱煎丸，顺气宽中，消除积滞，化痰饮。
京三棱（生切细锉半斤捣罗成末，用好酒三升在石器内熬成膏） 青橘皮（去白） 萝卜子（微炒） 杏仁（热水浸去皮尖麸炒至黄色） 干漆（炒，各二两） 神曲（碎炒） 麦芽（炒，各三两） 砂仁（研飞，一两）
以上药物研为末，用三棱膏均匀调和做成丸药，如梧桐子大小，每次服用十五丸至二十丸，温米饮送下，饭后服用。（《太平惠民和剂局方》、《经验秘方》加入蓬莪术、木香。）
沉香消痞丸。我往年宦游江南，因为早晨起床空腹，常喝精姜煮的酒，而且四季绝不喝冷饮，即使在盛夏烦渴时，也用温煮的酒来解渴，久而久之胃肺积热在中焦，再加上心中郁结，乘着怒气勉强进食，导致气机升降失常，胸腹胀满，嗳气声不停，或者三五天一次，在饮食后，气闭不通，必须吐出所吃的东西，等到腹胀空虚，气才稍微通畅，病情加重，连日呕吐各种食物不停。凡是温中快气、养胃健脾、清肺和膈、化痰去滞、补虚进食等药物，无论是散剂还是丸剂，都无效验，虽然不至于卧床不起，但也只能等待死亡而已。忽然遇到旧识汴梁张君宝，赠送我这个方子，根据方法修制服用，十天病情减轻一半，不到两个月，十分之九的病好了，痊愈之后，有时遇到时气不顺，服用一次即愈，至今十多年，不再复发。这个方子各书都没有记载，大概处在这个方子的人，真是良医啊。我只要遇到这种病，就传授它，已经效验十多人了，所以叙述病源来记录它。
沉香 芦荟 枳壳（麸炒去瓤） 砂仁 广术（火煨黄色，各三钱） 广木香（二钱） 胡黄连（五钱）
麝香（一钱另研） 黑牵牛（微炒取头末一两）
以上药物研为极细末，用好醋熬肥皂角子膏，和药做成丸药，如梧桐子大小，每次服用四五十丸，加至八九十丸，临睡前，嚼烂一个核桃仁含着，温水与药一起送下，忌食肉、湿面、冷硬物，丸药虽多，只轻微腹泻而已。（《经验秘方》）
阿魏丸，治疗肉积。各种阿魏丸，脾虚者，必须以补脾药辅助，切不可单独使用，否则会导致虚上加虚的祸患，疾病恶化如反掌之间。
连翘（一两） 山楂（二两） 黄连（一两半） 阿魏（二两醋煮作糊）
以上药物研为末，用醋煮阿魏作糊做成丸药，服用三十丸，白开水送下。（《丹溪心法》）
治疗虫蚀症方的方子。
绿矾（二两捣研如粉）
以上药物用一大碗米醋，在瓷器内煎之，用柳木蓖搅拌成膏，加入赤乌脚一两，细研和丸，如绿豆大小，每次空腹用温酒送下五丸。
（《太平圣惠方》）
鳖甲汤，治疗伏梁积气，心下感觉像手臂一样大，痞痛不消，小便不利。
鳖甲（去裙边，醋炙黄色） 京三棱 大腹子皮 芍药 当归 柴胡（去苗） 生地黄（各一两） 官桂 生姜（各三分切作片子焙干）
以上药物研为末，每次服用三钱，水一大盏，加入生姜、木香半钱，同煎至八分，去渣温服。（《宣明论方》）
磨平饮，治疗死血成块，奔走作痛。
红花 桃仁 山楂 苏木（各二钱） 京三棱 蓬莪术 枳壳 香附 乌药（各一钱五分）
水煎，空腹服用。（《玉案》）
治疗胁下有块。
龙荟丸（起始剂量二钱半） 姜黄（五钱） 桃仁（五钱）
以上药物研为末，蜜丸服用。（《丹溪心法》）
疏荡诸方 《僧深方》说：硝石大丸，治疗十二种瘕，以及妇人带下，绝产无子等，这个丸药不下水谷，只下病邪，不让人极度虚弱。
河西大黄（八两） 朴硝（六两）（按：《千金方》用硝石，说朴硝也可以。）上党人参（二两） 甘草（三两）（《千金方》二两）
以上四种药物，分别捣碎过筛，将三年好苦酒放在铜器中，用竹筷子插入铜器中一升处做一个标记，共做三个标记，放在火上，先放入大黄（《千金方》在此下说：常搅动不停），使其微沸，经过一个标记的时间后再放入其余药物，再经过一个标记的时间，还剩一个标记的时间，用极微火，使其可以做成丸药，形状如鸭蛋黄（《千金方》鸡蛋白黄）。想服用的人，吃两丸。如果不能服用大丸，可分成四丸，不能超过四丸，药丸想要大，不希望太细，能不分更好（《千金方》认为这样是好的）。如果人瘦弱可以少吃，强壮的人不需要少吃。（《医心方》）（《千金方》在此下说：二十天服五次，调和半天后才排便。）
《必效方》练中丸，主治癖积虚热，两胁下癖痛，厌恶不能进食，四肢酸弱，口干涕唾稠粘，眼涩头时时痛，并气冲背膊虚肿，大小便涩，小腹痛，热冲，头发落，耳鸣，渐至健忘，服用十天左右，记事如少年时，无禁忌方。
大黄（一斤） 朴硝（十两炼过） 芍药（八两） 桂心（四两）
以上四味捣筛，蜜和为丸，如梧子大小，清晨酒服二十丸，每日两次，逐渐加至三十丸，以通便为度，能长期服用更佳，即使腹泻也不会使人虚弱，神效。（《外台秘要》）
范汪治疗心腹积聚，食苦不消，胸胁满，除去五脏邪气，四物丸方。
大戟（五分 咀熬令色变） 芫花（四分熬） 杏仁（一分） 巴豆（百枚去皮心熬）
以上药物捣合下细筛，用鸡蛋黄，也可以用蜜，和丸如小豆大小，每日三次，每日增加一丸，觉得有效就不再增加。想要泻下，顿服七丸，排出物像清漆、陈宿水一样。（同上）
治疗胸中心下结积，食饮不消，陷胸汤方。
大黄 栝蒌实 黄连（各二两） 甘遂（半两）
以上四味咀，用水五升，煮取二升五合，分三次服用。（《千金方》）
《必效方》治疗癖方。
大黄（十两）
以上一味捣筛，醋三升和煎，调内白蜜两匙，煎至可做丸药，如梧子大小，一次服用三十丸，以通便为度，小的减少剂量。（《外台秘要》）《烟霞圣效方》大黄醋煎丸，治疗远年近日积病，在本方中去掉蜜。（宜参《骨蒸》门。）
诸积散，治疗男子妇人经络不调，赤白带下，产后恶露不止。
用锦纹大黄，去粗皮削净一斤，切为方寸薄片，存碎者四两，其余十二两，用紧炭火，铁锅盛烧，微存性，取出置于砂土上，再焙过，加入好木香一两，与生者同碾为极细末，每次服用三钱，病重者加至五钱，脏腑虚损止服三钱，小儿根据岁数加减，都用沸汤调下，酒调也很好，心气痛者用热醋调，孕妇勿服。烧者存性，生者微炙，治疗脾癖即效。
（《经验秘方》）
通仙散，男子取积，妇人取败血，不动真气。
荞麦面（一钱半） 大黄末（二钱半）
以上两味，酒调，临卧服用。（《居家必用》）《烟霞》黑神丹，取远年近日酒食积病，在本方加槟榔、细墨作丸。
消磨兼疏荡诸方 （贴脐膏见后） 治疗久积癖气不散，胁下似覆杯，多吐酸水，面目萎黄，或腹中痛，蓬莪术散方。
蓬莪术（一两） 鳖甲（二两涂醋炙令黄去裙边） 赤芍药（半两） 槟榔（一两） 肉桂（一两去皱皮）
枳壳（一两麸炒微黄去瓤） 当归（一两锉微炒） 干姜（半两炮裂锉） 京三棱（一两炮锉） 川大黄（一两锉碎微炒） 木香（一两） 柴胡（一两半去苗）
以上药物捣，粗罗为散，每次服用三钱，以水一中盏，入生姜半分，煎至六分去滓，不计时候温服。（《太平圣惠方》）
又桃仁散（主治相同），在本方去掉蓬莪术、芍药、枳壳、干姜、柴胡，加桃仁、枳实。
治疗食不消，成癖，令人四肢干瘦，不欲饮食，槟榔丸方。
槟榔（一两半） 川大黄（二两锉碎微炒） 白术（三分） 枳壳（三分麸炒微黄去瓤） 木香（半两）
柴胡（一两去苗） 鳖甲（二两涂醋炙令黄去裙边）
以上药物捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大小，每次于食前，以暖酒下二十丸。（同上）（按：此方水煎为佳。）又治癖气，连心肋相引痛坚急，大黄散，在本方去掉槟榔、木香，加当归、生姜，水煎。
治疗癖结，两胁胀痛，大黄散方。
川大黄（一两锉碎微炒） 京三棱（一两微煨锉） 鳖甲（一两涂醋炙令黄去裙边） 槟榔（一两）
木香（三分） 赤芍药（三分） 桃仁（一两汤浸去皮尖双仁麸炒微黄）
以上药物捣筛为散，每次服用三钱，以水一中盏，入生姜半分，煎至六分去滓，不计时候温服。（同上）
治疗痞气当胃管，结聚如杯，积久不散，腹胁疼痛，体瘦成劳，不能饮食，宜服鳖甲丸方。
鳖甲（三两，去裙边，用米醋一小盏，化硇砂一两，用涂炙鳖甲，令醋尽为度。） 附子（一两炮裂去皮脐）
京三棱（一两微煨锉） 干漆（一两捣碎炒令烟尽） 木香（一两） 川大黄（二两锉碎醋拌炒令干） 吴茱萸（半两汤浸七遍焙干微炒）
以上药物捣细罗为末，以醋煮面糊和溲，捣三二百杵，丸如梧桐子大小，每日空腹，温酒下二十丸。（同上）又治伏梁气，久积在心下，横大如臂，发歇疼痛，硇砂丸，在本方去掉鳖甲、三棱、木香、吴茱萸，加桂心、汉椒、干姜、槟榔、硇砂（不夹石者细研，以酒醋各半升，熬如膏）。
治疗积滞气，消宿食，除心腹胀满，不思饮食，面色萎黄，脐腹疼痛，以及丈夫元气，妇人血气，并皆治之，丁香丸方。
丁香（一两） 硇砂（二两研） 木香（二两） 桂心（二两） 附子（二两炮裂去皮脐） 干姜（二两炮裂锉） 川大黄（二两生捣罗为末） 青橘皮（二两汤浸去白瓤焙） 蓬莪术（二两微煨） 巴豆霜（三两） 牵牛子（四两生捣罗取末二两） 京三棱（三两酥浸七日煨锉） 干漆（二两捣碎炒令烟出） 猪牙皂荚（二两炙令烟尽） 香墨（二两）
以上药物，除硇砂、大黄、巴豆霜外，其余都捣为末，入牵牛子令匀，先取好酽醋一大碗，化硇砂去滓，入于锅中，以慢火煎之，次下巴豆，搅令散，经过两个吃饭的时间，次下大黄末，熬搅成稠膏，拌和诸药末，更入醋煮面糊，和令硬软得所，捣三五百杵，丸如绿豆大小，每次以温酒或温水，下三丸至五丸。（同上）（按：又有治症病大黄丸，其他如《圣济总录》治癖气木香硇砂煎丸，《太平惠民和剂局方》积气丸，《本事方》硇砂丸，都与这个方子一类，现在不繁琐记载，学人宜互相斟酌。）
治疗一切气，以及消宿食，朱砂丸方。
朱砂（三分细研） 木香（一分） 槟榔（一分） 丁香（一分） 乳香（一分细研） 阿魏（半分）
皂荚（一钱炙） 麝香（一钱细研） 肉豆蔻（一分去壳） 巴豆（二十粒去皮心以醋煮半日取出研令细）
以上药物捣罗为末，都研令匀，以糯米糊和，捣三二百杵，丸如麻子大小，每次不计时候，以生姜橘皮汤下三丸至五丸。（同上）
感应丸，治疗虚中积冷，气弱有伤，停积胃脘，不能传化。又治疗久病形羸，荏苒岁月，渐致虚弱，面黄肌瘦，饮食或进或退，大便或秘或泄，不拘久新积冷，并悉治之。大病不过三服，便见痊愈。此药温无毒，并不燥热，不损胃气，也不吐泻，只是磨化积聚，消逐温冷，疗饮食所伤，快三焦滞气。旋丸如绿豆大小，每次服用三五粒，量虚实加减，温水吞下，不拘时候。（节录）
新拣丁香（一两半） 南木香（二两半） 肉豆蔻（去粗皮，用滑皮） 仁子（二十枚） 巴豆（七十个，去皮心膜，研细，出尽油，如粉） 川干姜（炮裂一两） 杏仁（拣净者，去双仁者，一百四十个，去尖，汤浸一宿，去皮，别研极烂如膏。） 百草霜（用村庄家锅底上刮者，细研，秤二两。）
以上七味，除巴豆粉、百草霜、杏仁三味外，其余四味捣为细末，与前三味同拌，研令细，用好蜡匮和，先将蜡六两熔化作汁，以重绵滤去滓，更以好酒一升，于银石器内煮蜡熔，滚数沸倾出，候酒冷其蜡自浮于上，取蜡秤用。凡春夏修合，用清油一两，于铫内熬令沫散香熟，次下酒煮蜡四两，同化作汁，就锅内乘热拌和前项药末。秋冬修合，用清油一两半，同煎煮热作汁，和匮药末成剂，分作小铤子，以油单纸裹之，旋丸服饵。此高殿前家方也。（《太平惠民和剂局方》）《本事方》丁香、木香各半两，说此用丁香、木香，都少于《官局方》一两，大概是想要快速去除积滞。如果常服或老幼怯弱之疾，尚当审慎。（按：《易简方》举此方以为巴豆不宜去油，施氏、卢氏则都驳斥其说法，大概这个方子本非峻利之剂，妙在缓缓磨积，宜以去油为好。）
There is no cessation. People think it is a *pi* mass (a palpable abdominal mass characterized by distension and pain but without a definite shape), who would know that it is caused by Liver Wood stagnation forming a *jia* condition (a movable abdominal mass)? Once Liver Qi stagnates, it must downwardly overact on the Spleen and Stomach. When the Spleen and Stomach are overacted upon, Qi cannot flow smoothly, inevitably leading to food retention as a symptom.
Use Pinggan Xiaojia Tang (Calm the Liver and Dissolve Jia Decoction). (Excerpt)
Baishao (White Peony Root, 1 liang) Danggui (Angelica Sinensis Root, 5 qian) Baizhu (Atractylodes Macrocephala Rhizome, 1 liang) Chaihu (Bupleurum Root, 1 qian) Biejia (Tartaric Turtle Shell, 3 qian) Shenqu (Medicated Leaven, 1 qian) Shanzha (Hawthorn Fruit, 1 qian)
Zhike (Immature Bitter Orange, 1 qian) Banxia (Pinellia Tuber, 1 qian)
Decoct in water and take orally. (*Bianzheng Lu*)
Chai Ping Tang: For accumulations belonging to heat, clearing and transforming methods are appropriate.
Chaihu (Bupleurum Root) Huangqin (Scutellaria Root) Banxia (Pinellia Tuber) Cangzhu (Atractylodes Lancea Rhizome) Houpo (Magnolia Bark) Chenpi (Tangerine Peel) Qingpi (Green Tangerine Peel) Zhike (Immature Bitter Orange) Shenqu (Medicated Leaven) Shanzharou (Hawthorn Flesh) Sanleng (Sparganium Rhizome) Ezhu (Curcuma Rhizome) (Equal parts) Gancao (Licorice Root, halved)
The above ingredients, with one slice of ginger and one jujube, decoct in water and take orally. (*Huichun*)
Lengzhu Tang: Treats food retention.
Sanleng (Sparganium Rhizome) Bobzi (Radish Seed) Pengzhu (Curcuma Rhizome) Qingpi (Green Tangerine Peel) Wuyao (Lindera Root) Binglang (Areca Seed) Zhike (Immature Bitter Orange) (Each 1 qian)
Two zhong of water, decoct until seven-tenths remain, take slightly cool. (*Shazhang Yuheng*)
Hongwanzi (Red Pill): Treats men's Spleen accumulation with Qi stagnation, chest and diaphragm fullness, sallow complexion with abdominal distension, weakness in the four limbs, wine accumulation with anorexia, incessant dry retching, pain from the back and scapula radiating to the heart and chest and both breasts.
Jingsanleng (Sparganium Rhizome, soaked in water until soft, sliced) Qingpi (Green Tangerine Peel) Peng'e zhu (Curcuma Rhizome) Chenpi (Tangerine Peel, white pith removed, each 5 jin)
Ganjiang (Dried Ginger, processed) Hujiao (Pepper, each 3 jin)
Grind the above into fine powder, use vinegar and wheat paste to make pills, size of Sophora japonica seeds, coat with alum-red cinnabar. Take 30 pills per dose, down with ginger soup after meals. (*Tai Ping Hui Min He Ji Ju Fang*, *San Yin Ji Yi Bing Zheng Fang Lun*)
To treat Spleen and Stomach deficiency-cold, irregular diet, retained old food and fluid, accumulating as masses in the intestines and stomach. Remove Chenpi and Ganjiang from this formula, add Awei (Asafoetida) 1 fen (Ezhu and Sanleng each 2 liang, boiled together in rice vinegar for one hour; Hujiao 1 liang, Qingpi 3 liang, ground into powder, Awei dissolved in vinegar and mixed with aged rice flour paste to make pills, etc.). *Yijian Fang* adds Awei to this formula. (*Jisheng Xufang*) Awei Wan (Treats Qi accumulation and flesh accumulation, using Muxiang, Binglang, Hujiao, Awesi, similar intent). *Jianyi Fang* Shenghong Wan (Same indications), remove Fanhong and Hujiao from this formula, add Liangjiang and Xiangfu, saying: For common dietary injury, epigastric fullness, taking this brings immediate cure. After severe illness, grain Qi is hard to transform, and treating epigastric acid retention, its efficacy is special. (*Yisheng Tijie*) Adds Luobuzi (Radish Seed).
Lengjian Wan (Sanleng Decoction Pill): Smooths Qi, expands the middle, eliminates stagnation, transforms phlegm-fluid.
Jingsanleng (Raw, finely cut and pounded into powder, half a jin, simmered with three sheng of good wine in a stone vessel until it becomes a paste) Qingjupi (Green Tangerine Peel, white pith removed) Luobozzi (Radish Seed, lightly stir-fried) Xingren (Apricot Kernel, soaked in hot water, skin and tip removed, bran-fried until yellow) Ganqi (Dry Resin, fried, each 2 liang) Shenqu (Medicated Leaven, crushed and fried) Maidong (Millet, fried, each 3 liang) Sharen (Amomum Fruit, ground and purified, 1 liang)
Grind the above into powder, uniformly knead with Sanleng paste to make pills, size of Sophora japonica seeds. Take 15-20 pills per dose, down with warm millet drink, after meals. (*Tai Ping Hui Min He Ji Ju Fang*, *Jingyan Mifang*) Adds Peng'e zhu and Muxiang.
Chenxiang Xiaopi Wan. In previous years, while serving as an official in Jiangnan, because I rose early on an empty stomach and often drank wine boiled with refined ginger, and absolutely never drank cold drinks in all four seasons, even in midsummer when thirsty and vexed, I used warm boiled wine to quench my thirst. Over time, heat accumulated in the Stomach and Lungs in the middle jiao. Furthermore, with mental depression, forcing myself to eat while angry, causing Qi ascent and descent to fail, chest and abdominal distension, incessant belching, or once every three to five days, after eating, Qi closure prevents passage, requiring vomiting of ingested food, waiting until abdominal distension empties for Qi to slightly pass. As the disease deepened, vomiting various substances continued day after day. All medicines for warming the middle, promoting Qi, nourishing the Stomach, strengthening the Spleen, clearing the Lung, harmonizing the diaphragm, transforming phlegm, removing stagnation, tonifying deficiency, and promoting appetite, whether powders or pills, were ineffective. Although not bedridden, I awaited death. Suddenly, an old acquaintance, Mr. Zhang Bao from Bianliang, gifted me this formula. Following the method to prepare and take it, after ten days the disease reduced by half, within less than two months, nine-tenths was gone. After recovery, whenever seasonal Qi was unsmooth, one dose cured it. It has been more than ten years since then, and it has not recurred. This formula is not recorded in other books; the person who created this formula is truly a good physician. Whenever I encounter this disease, I transmit it, having benefited more than ten people. Thus, I narrate the source of the disease to record it.
Chenxiang (Agarwood) Lvhua (Aloe) Zhike (Immature Bitter Orange, bran-fried, pith removed) Sharen (Amomum Fruit) Guangzhu (Curcuma Rhizome, fire-roasted to yellow, each 3 qian) Guangmuxiang (Costus Root, 2 qian) Huhuanglian (Picrorhiza Root, 5 qian)
Shexiang (Musk, 1 qian, separately ground) Heiqianniu (Black Morning Glory Seed, lightly fried, head powder taken, 1 liang)
Grind the above into extremely fine powder, boil soap pod paste with good vinegar, mix with medicine to make pills, size of Sophora japonica seeds. Take 40-50 pills per dose, increasing to 80-90 pills. At bedtime, chew one walnut kernel thoroughly until very soft, hold in mouth, send down with medicine using warm water. Avoid meat, wet noodles, cold and hard foods. Although many pills, only slight diarrhea occurs. (*Jingyan Mifang*)
Awei Wan: Treats flesh accumulation. Various Awei Wan formulas: For those with Spleen deficiency, they must be assisted with Spleen-tonifying medicines. Do not use alone, otherwise disaster of deficiency-compounding-deficiency will occur, disease worsening like flipping a palm.
Lianqiao (Forsythia Fruit, 1 liang) Shanzha (Hawthorn Fruit, 2 liang) Huanglian (Coptis Rhizome, 1.5 liang) Aw ei (Asafoetida, 2 liang, vinegar-boiled into paste)
Grind the above into powder, boil Aw ei in vinegar into paste to make pills. Take 30 pills, down with clear water. (*Danxi Xinfa*)
Formula for treating worm-eaten masses.
Lvfan (Green Vitriol, 2 liang, pounded and ground to powder)
Take one large bowl of rice vinegar, decoct in a porcelain vessel, stir with a willow wood sieve until it becomes a paste, add Chiwu jiao (one liang), finely ground and mixed into pills, size of mung beans. Take five pills per dose on an empty stomach with warm wine. (*Tai Ping Shenghui Fang*)
Biejia Tang (Turtle Shell Decoction): Treats Fuliang accumulation Qi, feeling like an arm under the heart, pi pain not resolving, difficult urination.
Biejia (Tartaric Turtle Shell, remove skirt edge, vinegar-roasted to yellow) Jingsanleng (Sparganium Rhizome) Dafuzipi (Betel Nut Skin) Shaoyao (Peony Root) Danggui (Angelica Sinensis Root) Chaihu (Bupleurum Root, remove sprouts) Shengdihuang (Rehmannia Root, each 1 liang) Guanzi (Cinnamon Twig) Shengjiang (Fresh Ginger, each 3 fen, sliced, baked dry)
Grind the above into powder. Take 3 qian per dose, one da zhan of water, add Shengjiang and Muxiang half qian, decoct together until eight-tenths remain, strain and take warm. (*Xuanming Lunfang*)
Moping Yin: Treats dead blood forming masses, moving about causing pain.
Honghua (Safflower) Taoren (Peach Kernel) Shanzha (Hawthorn Fruit) Sumu (Sappan Wood) (Each 2 qian) Jingsanleng (Sparganium Rhizome) Peng'e zhu (Curcuma Rhizome) Zhike (Immature Bitter Orange) Xiangfu (Cyperus Rhizome) Wuyao (Lindera Root) (Each 1.5 qian)
Decoct in water, take on an empty stomach. (*Yu An*)
Treating masses under the hypochondrium.
Longhui Wan (Starting dose 2.5 qian) Jianghuang (Turmeric Rhizome, 5 qian) Taoren (Peach Kernel, 5 qian)
Grind the above into powder, honey pills. (*Danxi Xinfa*)
Shudang Various Formulas *Sengshen Fang* says: Xiaoshi Da Wan (Nitre Large Pill) treats twelve types of jia, and women's leukorrhea, sterility, etc. This pill does not expel food and water, only expels pathogenic factors, not making the person extremely weak.
Hexi Dahuang (Rhubarb Root, 8 liang) Puxiao (Mirabilite, 6 liang) (Note: *Qianjin Fang* uses Xiaoshi [Nitrum], saying Puxiao is also acceptable.) Shangdang Renshen (American Ginseng/Panax, 2 liang) Gancao (Licorice Root, 3 liang) (*Qianjin Fang* 2 liang)
All four items, each separately pounded and sifted. Place three-year-old good sour wine in a copper vessel. Insert a bamboo chopstick to mark one sheng, make marks for three intervals. Place on fire. First add Dahuang (*Qianjin Fang* says here: keep stirring constantly), let it simmer slightly, wait for one interval, then add remaining medicines, wait another interval. With one interval left, use very low fire to allow pill formation, shape like duck egg yolk (*Qianjin Fang* chicken egg yolk). Those wishing to take, two pills. If unable to take large pills, divide into four pills, do not exceed four pills. Pills should be large, not too fine; if not divisible, even better (*Qianjin Fang* considers this good). If the person is emaciated, eat less; strong persons need not reduce. (*Yixin Fang*) (*Qianjin Fang* below says: Take five times in twenty days, after harmonizing for half a day, stool passes.)
*Bixiao Fang* Lianzhong Wan: Mainly treats pi accumulation with deficiency-heat, pain under both hypochondria, aversion to eating, limb soreness and weakness, dry mouth with thick saliva, gritty eyes with frequent headaches, Qi rushing to back and shoulders with deficiency swelling, difficult urination and defecation, lower abdominal pain, heat rushing, hair loss, tinnitus, gradually becoming forgetful. After taking for about ten days, memory returns to youth level. No contraindications.
Dahuang (Rhubarb Root, 1 jin) Puxiao (Mirabilite, 10 liang, refined) Shaoyao (Peony Root, 8 liang) Guixin (Cinnamon Heart, 4 liang)
Pound and sift the above four flavors, mix with honey to make pills, size of Sophora japonica seeds. Take twenty pills with wine at dawn, twice daily, gradually increase to thirty pills, stop when bowel movement occurs. Long-term use is better; even if there is diarrhea, it does not weaken the person. Divine efficacy. (*Waitai Miyao*)
Fan Wang treats heart and abdominal accumulations, bitter taste with indigestion, chest and hypochondrial fullness, removes Five Zang pathogenic factors. Siwu Wan Formula.
Daji (Euphorbia Root, 5 fen, cut and roasted until color changes) Yuanhua (Genkwa Flower, 4 fen, roasted) Xingren (Apricot Kernel, 1 fen) Badou (Croton Seed, 100 pieces, skin and heart removed, roasted)
Pound and mix the above medicines, sift finely. Use egg yolk, or honey, to make pills size of small beans. Three times daily, increase by one pill daily, stop when effective. To induce purgation, take seven pills at once. Stool resembles clear lacquer or old stagnant water. (Same source)
Treating knotting accumulation in chest and epigastrium, indigestion of food and drink. Xianxiong Tang Formula.
Dahuang (Rhubarb Root) Gualoushi (Trichosanthes Fruit Seed) Huanglian (Coptis Rhizome) (Each 2 liang) Gansui (Kansui Root, 0.5 liang)
Cut the above four flavors. Decoct in five sheng of water, obtain two sheng five he. Divide into three doses. (*Qianjin Fang*)
*Bixiao Fang* Treating Pi Formula.
Dahuang (Rhubarb Root, 10 liang)
Pound and sift the single flavor. Mix with three sheng of vinegar and decoct. Add two spoons of white honey. Decoct until suitable for pills, size of Sophora japonica seeds. One dose thirty pills, stop when bowel movement occurs. Reduce for smaller constitutions. (*Waitai Miyao*) *Yanxia Shengxiao Fang* Dahuang Vinegar-Decoction Pill: Treats long-standing and recent accumulation diseases. Remove honey from this formula. (Refer to *Guzheng* section.)
Zhuji San: Treats men and women with meridian and collateral irregularities, red and white leukorrhea, postpartum lochia not stopping.
Use Jinwen Dahuang (Brocade-patterned Rhubarb Root), remove coarse skin and clean, one jin. Cut into square-inch thin slices. Keep broken pieces four liang, the remaining twelve liang. Roast in tight charcoal fire in an iron pot, retaining some nature (charred but not burnt). Take out and place on sand/earth, roast again. Add Hao Muxiang (Good Costus Root) one liang, grind together with raw material into extremely fine powder. Take 3 qian per dose, severe cases up to 5 qian. For visceral deficiency, only take 3 qian. Children adjust according to age. All taken down with boiling water; wine adjustment is also excellent. For Heart Qi pain, use hot vinegar. Pregnant women should not take. Charred retains nature, raw lightly roasted. Effective for treating Spleen pi.
(*Jingyan Mifang*)
Tongxian San: Men take away accumulation, women take away failed blood, does not damage True Qi.
Qiaomaimian (Buckwheat Flour, 1.5 qian) Dahuangmo (Rhubarb Powder, 2.5 qian)
Mix the above two with wine, take at bedtime. (*Jujia Biyong*) *Yanxia* Heishen Dan: Takes away long-standing and recent wine/food accumulation diseases. Add Binglang and Xi Mo (Fine Ink) to this formula to make pills.
Xiaomo and Shudang Various Formulas (Umbilical Paste see later) Treating long-standing accumulation and pi Qi not dispersing, hypochondrium like an inverted cup, frequent vomiting of sour water, sallow face and eyes, or abdominal pain. Peng'e zhu San Formula.
Peng'e zhu (Curcuma Rhizome, 1 liang) Biejia (Tartaric Turtle Shell, 2 liang, coated with vinegar, roasted yellow, skirt removed) Chishaoyao (Red Peony Root, 0.5 liang) Binglang (Areca Seed, 1 liang) Rougui (Cinnamon Bark, 1 liang, wrinkled skin removed)
Zhike (Immature Bitter Orange, 1 liang, bran-fried light yellow, pith removed) Danggui (Angelica Sinensis Root, 1 liang, cut and lightly fried) Ganjiang (Dried Ginger, 0.5 liang, roasted, cracked, cut) Jingsanleng (Sparganium Rhizome, 1 liang, roasted, cut) Chuandahuang (Rhubarb Root, 1 liang, cut, crushed, lightly fried) Muxiang (Costus Root, 1 liang) Chaihu (Bupleurum Root, 1.5 liang, remove sprouts)
Pound the above herbs, coarsely sieve into powder. Take 3 qian per dose, one zhong of water, add half fen of Shengjiang, decoct until six-tenths remain, strain and take warm at any time. (*Tai Ping Shenghui Fang*)
Also Taoren San (Same main treatment), remove Peng'e zhu, Shaoyao, Zhike, Ganjiang, Chaihu from this formula, add Taoren and Zhishi.
Treating indigestion forming pi, causing dry and thin limbs, lack of desire to eat. Binglang Wan Formula.
Binglang (Areca Seed, 1.5 liang) Chuandahuang (Rhubarb Root, 2 liang, cut, crushed, lightly fried) Baizhu (Atractylodes Macrocephala Rhizome, 3 fen) Zhike (Immature Bitter Orange, 3 fen, bran-fried light yellow, pith removed) Muxiang (Costus Root, 0.5 liang)
Chaihu (Bupleurum Root, 1 liang, remove sprouts) Biejia (Tartaric Turtle Shell, 2 liang, coated with vinegar, roasted yellow, skirt removed)
Pound and sieve the above into powder, refine honey and pound 300-200 strikes, make pills size of Sophora japonica seeds. Before meals, take twenty pills down with warm wine. (Same source) (Note: Decoction in water is better for this formula.) Also treats pi Qi, pain radiating from heart and ribs, firm and urgent. Dahuang San, remove Binglang and Muxiang from this formula, add Danggui and Shengjiang, decoct in water.
Treating pi knot, distending pain in both hypochondria. Dahuang San Formula.
Chuandahuang (Rhubarb Root, 1 liang, cut, crushed, lightly fried) Jingsanleng (Sparganium Rhizome, 1 liang, lightly roasted, cut) Biejia (Tartaric Turtle Shell, 1 liang, coated with vinegar, roasted yellow, skirt removed) Binglang (Areca Seed, 1 liang)
Muxiang (Costus Root, 3 fen) Chishaoyao (Red Peony Root, 3 fen) Taoren (Peach Kernel, 1 liang, soaked in water, skin and tip removed, double kernels removed, bran-fried light yellow)
Sieve the above into powder. Take 3 qian per dose, one zhong of water, add half fen of Shengjiang, decoct until six-tenths remain, strain and take warm at any time. (Same source)
Treating pi Qi at Weiguan (Stomach Gate), knotting like a cup, accumulation not dispersing for a long time, abdominal and hypochondrial pain, emaciation becoming consumptive, inability to eat. Should take Biejia Wan Formula.
Biejia (Tartaric Turtle Shell, 3 liang, remove skirt edge, use one small zhan of rice vinegar to dissolve 1 liang Naosha [Niter], apply to roast Biejia until vinegar is exhausted.) Fuzi (Prepared Aconite Root, 1 liang, roasted, cracked, skin and navel removed)
Jingsanleng (Sparganium Rhizome, 1 liang, lightly roasted, cut) Ganqi (Dry Resin, 1 liang, pounded, fried until smoke ceases) Muxiang (Costus Root, 1 liang) Chuandahuang (Rhubarb Root, 2 liang, cut, crushed, vinegar-mixed and roasted dry) Wuzhuyu (Evodia Fruit, 0.5 liang, soaked in water seven times, baked dry, lightly fried)
Pound and sieve finely into powder. Use vinegar-boiled wheat paste to knead, pound 300-200 strikes, make pills size of Sophora japonica seeds. Every day on an empty stomach, take twenty pills down with warm wine. (Same source) Also treats Fuliang Qi, long-standing accumulation under the heart, wide as an arm, intermittent pain. Naosha Wan, remove Biejia, Sanleng, Muxiang, Wuzhuyu from this formula, add Guixin, Hanjiao (Sichuan Pepper), Ganjiang, Binglang, Naosha (Naosha without stones, finely ground, simmered in half sheng wine and half sheng vinegar until paste-like).
Treating stagnation Qi, eliminating old food, removing heart and abdominal fullness, lack of desire to eat, sallow complexion, umbilical and abdominal pain, as well as men's Yuan Qi and women's Blood Qi, all treated. Dingxiang Wan Formula.
Dingxiang (Clove, 1 liang) Naosha (Niter, 2 liang, ground) Muxiang (Costus Root, 2 liang) Guixin (Cinnamon Heart, 2 liang) Fuzi (Prepared Aconite Root, 2 liang, roasted, cracked, skin and navel removed) Ganjiang (Dried Ginger, 2 liang, roasted, cracked, cut) Chuandahuang (Rhubarb Root, 2 liang, raw, pounded and sieved) Qingjupi (Green Tangerine Peel, 2 liang, soaked in water, white pith removed, baked) Peng'e zhu (Curcuma Rhizome, 2 liang, lightly roasted) Badoushuang (Croton Frost, 3 liang) Qianniuzi (Morning Glory Seed, 4 liang, raw, pounded and sieved to take 2 liang powder) Jingsanleng (Sparganium Rhizome, 3 liang, soaked in butter for seven days, roasted, cut) Ganqi (Dry Resin, 2 liang, pounded, fried until smoke emerges) Zhuya Zaojiao (Tortoise Tooth Soap Pod, 2 liang, roasted until smoke ceases) Xiangmo (Ink Stick, 2 liang)
The above medicines, except Naosha, Dahuang, and Badoushuang, all pounded into powder. Mix evenly with Qianniuzi powder. First take one large bowl of strong vinegar, dissolve Naosha and strain. Put into pot, simmer slowly. Next add Badou, stir until dispersed. After two meal-times, next add Dahuang powder, boil and stir into thick paste. Mix with all herb powders. Add vinegar-boiled wheat paste, knead to proper hardness. Pound 300-500 strikes, make pills size of mung beans. Take 3-5 pills per dose with warm wine or warm water. (Same source) (Note: There is also Dahuang Wan for treating Zheng disease. Others such as *Shengji Zonglu* Muxiang-Naosha Decoction Pill for pi Qi, *Heji* Jiqi Wan, *Benshi* Naosha Wan, are all of this category. Not listed exhaustively here; students should consult mutually.)
Treating all Qi, and eliminating old food. Zhusha Wan Formula.
Zhusha (Cinnabar, 3 fen, finely ground) Muxiang (Costus Root, 1 fen) Binglang (Areca Seed, 1 fen) Dingxiang (Clove, 1 fen) Ruxiang (Frankincense, 1 fen, finely ground) Aw ei (Asafoetida, 0.5 fen)
Zaojiao (Soap Pod, 1 qian, roasted) Shexiang (Musk, 1 qian, finely ground) Roudoukou (Nutmeg, 1 fen, shell removed) Badou (Croton Seed, 20 grains, skin and heart removed, boiled in vinegar for half a day, taken out and ground finely)
Pound and sieve the above into powder, grind uniformly. Mix with glutinous rice paste, pound 300-200 strikes, make pills size of sesame seeds. Take 3-5 pills per dose at any time, down with Shengjiang and Jupi (Tangerine Peel) tea. (Same source)
Ganying Wan: Treats deficiency with internal cold accumulation, weak Qi with injury, retained accumulation in Stomach and Intestines, inability to transport and transform. Also treats chronic illness with emaciation, lingering over years, gradually becoming weak, sallow face and thin muscles, food intake fluctuating, stool alternating between constipation and diarrhea. Treats both old and new cold accumulation indiscriminately. Severe illness heals within three doses. This medicine is warm and non-toxic, not drying or heating, does not damage Stomach Qi, nor causes vomiting or diarrhea. It only grinds and dissolves accumulation, dispels warmth and cold, treats dietary injury, and unblocks Sanjiao stagnant Qi. Freshly made pills size of mung beans. Take 3-5 pills per dose, adjust according to deficiency or excess, swallow with warm water, at any time. (Excerpt)
Newly selected Dingxiang (Clove, 1.5 liang) Nanmuxiang (Southern Costus Root, 2.5 liang) Roudoukou (Nutmeg, remove coarse skin, use smooth skin) Renzi (Almond/Kernel, 20 pieces) Badou (Croton Seed, 70 grains, remove skin, heart, membrane, grind finely, extract all oil until like powder) Chuanganjiang (Sichuan Dried Ginger, roasted, cracked, 1 liang) Xingren (Apricot Kernel, select clean ones, remove double kernels, 140 pieces, remove tip, soak in water overnight, remove skin, separately grind extremely soft like paste.) Baicaoshuang (Soot from village stove bottoms, finely ground, weigh 2 liang.)
The above seven flavors, except Badou powder, Baicaoshuang, and Xingren, pound the remaining four into fine powder. Mix evenly with the first three. Seal with good wax. First melt six liang of wax into liquid, filter through heavy silk to remove dregs. Then boil one sheng of good wine with the melted wax in a silver or stone vessel, boil several times, pour out. Wait for wine to cool, wax floats on top. Weigh the wax for use. For spring and summer preparation, use one liang of clear oil, boil in a spout pot until bubbles dissipate and fragrance matures. Next add four liang of wine-boiled wax, melt together into liquid. While hot in the pot, mix with the aforementioned herb powders. For autumn and winter preparation, use one and a half liang of clear oil, boil together until hot to form liquid. Mix with sealed herb powder to form dough. Divide into small bars. Wrap in oiled paper. Make fresh pills for administration. This is the formula of the High Dianqian family. (*Tai Ping Hui Min He Ji Ju Fang*) *Benshi Fang* uses Dingxiang and Muxiang each half liang, saying that using Dingxiang and Muxiang here is less than the *Official Bureau Formula* by one liang, presumably to act faster in removing accumulation. If taken regularly or for old/young/timid/weak conditions, one should still exercise caution. (Note: *Yijian Fang* cites this formula arguing Badou should not have oil extracted. Shi and Lu refute this view. Probably this formula is not a harsh purgative; its wonder lies in slowly grinding accumulation. It is best to extract the oil.)