（音真又音呈）伤食得之痛刺胁肋心胸烦闷饮食不下吐逆恶心久不医治渐成 结又曰食
瘕（音瑕又音加）伤血得之胸膈郁闷痛引少腹时或攻筑上抢心胸虽不阻食肌肉不生久而不
治渐成瘕结又曰血结
痞（音甫又音匕又音婢）伤气得之心腹膨胀肚大胁满痛刺往来注HT 左肋面黄肌瘦倦怠无力
久而不治渐在痞块又曰气块
癖（音僻）伤积得之其症如肠 之疾便利无度滑不成粪似痢非痢似虫非虫腹肚干痛上筑心
胸满闷久而不治顽结不散复结成块有类痞状
以上四症皆作寒热有如疟候一般悉由伤及五脏惟痞癖左胁肋块其气结聚男女皆在左胁曰
症大
同小异凡治寒热先以梨浆饮进一二服退其寒热其寒热已消去三五日后方可与服磨痞丸即日日
频频与服 瘕之疾只与三棱丸下去积毒以通为度
治小儿痞癖因食砒药丸子作渴烦躁头面浮肿腹肚紧胀喘促坐卧不得肌体羸瘦困乏寒热尚
在宜服人参萝卜饮方
白术 苦梗 甘草（炙） 人参 麦门冬子（去心）
上等分为末每服一大钱匕取生萝卜汁半盏煎至半候冷与服
治小儿痞气未解重复取利致之虚乏腹肚 痛不思饮食面目虚浮强食呕吐宜服此方豆蔻草
果饮子良方
肉豆蔻（一个煨） 草果 槟榔（各个） 绵黄 （槌蜜炙） 白茯苓 白芍药 白术 甘草
陈皮（各钱） 半夏曲（一钱）
上 咀每服二钱匕生姜三小片乌梅半个枣子一个用藤纸包裹蘸湿煨令香熟去纸用水小小
盏煎至半去滓通口空心食前两滓并煎兼与小沉香煎丸服之功效
（“瘕”字音同“真”，又音同“呈”）因伤食而得此病，疼痛如针刺胁肋及心胸部位，心中烦闷，饮食难下，呕吐逆气，恶心。若久不医治，逐渐形成结块。这又叫做“食瘕”。
（“瘕”字音同“瑕”，又音同“加”）因伤血而得此病，胸膈部郁闷不适，疼痛牵引至少腹，有时攻冲筑痛，向上抢犯心胸。虽然不影响进食，但肌肉不生，身体消瘦。若久不医治，逐渐形成瘕结。这又叫做“血结”。
“痞”（音同“甫”，又音同“匕”，又音同“婢”）因伤气而得此病，心腹部膨胀，肚子大，胁肋满胀，疼痛如针刺，往来不定，注连左肋。面色黄，肌肤瘦弱，倦怠无力。若久不医治，逐渐形成痞块。这又叫做“气块”。
“癖”（音同“僻”）因伤积而得此病，其症状如同肠澼（痢疾）之疾，大便次数无度，滑泄不成粪，似痢非痢，似虫非虫。腹部干痛，向上攻筑，心胸满闷。若久不医治，顽结不散，再次结成块状，有类似痞证的样子。
以上四种病症，都表现为寒热交替，有如疟疾的症状一般。全部都是由损伤五脏所致。唯独痞和癖在左胁肋部的结块，是气机结聚所致，男女都在左胁。大体相同，细节略有差异。凡是治疗寒热，先用梨浆饮服用一二服，退去其寒热。待寒热消除后，过三五天方可给予服用磨痞丸，即每天频繁地给患儿服用。对于瘕的疾患，只给予三棱丸，以去除积毒，以通畅为度。
治疗小儿患痞癖，因食用砒药丸子导致口渴、烦躁、头面浮肿、腹部紧胀、喘促、坐卧不安、身体羸瘦困乏、寒热仍在者，适宜服用人参萝卜饮方。
白术、苦梗、甘草（炙）、人参、麦门冬子（去心）。
上等分为末，每次服用一大钱匕，取生萝卜汁半盏，煎至一半量，候冷后给患儿服用。
治疗小儿痞气未解，重复使用泻利药物导致其虚乏、腹部疼痛、不思饮食、面目虚浮、勉强进食则呕吐者，适宜服用此方，豆蔻草果饮子良方。
肉豆蔻（一个煨制）、草果、槟榔（各一钱）、绵黄芪（捶碎后用蜜炙）、白茯苓、白芍药、白术、甘草、陈皮（各一钱）、半夏曲（一钱）。
上药捣成粗末，每次服用二钱匕，生姜三小片，乌梅半个，枣子一个，用藤纸包裹蘸湿，煨至香熟，去掉纸张，用水一小盏煎至一半量，去渣滓，空腹时通口服用。并将药渣再次煎煮，同时配合小沉香煎丸服用，功效显著。
(Zhen, pronounced as 'zhen' or 'cheng') This condition arises from food stagnation. The pain is stabbing in the hypochondrium and chest/epigastrium, accompanied by mental restlessness, inability to eat, regurgitation, and nausea. If not treated for a long time, it gradually forms a mass. This is also called "Food Jia" (食瘕 - Food Mass).
(Xia/Jia, pronounced as 'xia' or 'jia') This condition arises from blood injury. There is oppression in the chest and diaphragm, with pain radiating to the lower abdomen. Occasionally, there is attacking and pounding sensation moving upward to invade the chest and heart region. Although eating is not obstructed, muscles do not grow, and the body wastes away. If not treated for a long time, it gradually forms a Jia knot. This is also called "Blood Knot" (血结 - Blood Stasis/Mass).
(Pi, pronounced as 'fu', 'bi', or 'bi') This condition arises from Qi injury. There is distension of the heart and abdomen, abdominal enlargement, fullness in the hypochondrium, and stabbing pain that moves back and forth, affecting the left hypochondrium. The complexion is yellow, the skin and flesh are emaciated, and there is fatigue and weakness. If not treated for a long time, it gradually forms a Pi mass. This is also called "Qi Mass" (气块 - Qi Lump).
(Pi, pronounced as 'pi') This condition arises from accumulation injury. Its symptoms resemble those of intestinal dysentery (Chang Pi), with frequent loose stools that are slippery and unformed, resembling dysentery but not quite, resembling parasites but not quite. The abdomen is dry and painful, with an attacking sensation moving upward, causing chest and heart fullness and oppression. If not treated for a long time, the stubborn knot does not dissipate, and masses re-form, resembling the appearance of Pi.
The above four conditions all present with alternating chills and fever, similar to malaria symptoms. They are all caused by damage to the five Zang organs. However, only Pi and Pi masses located in the left hypochondrium are due to Qi aggregation, occurring in both men and women on the left side. The general principles are the same, with minor differences. For treating chills and fever, first administer Li Jiang Yin (Pear Syrup Decoction) for one or two doses to resolve the chills and fever. After the chills and fever have subsided, wait three to five days before administering Mo Pi Wan (Pi-Grinding Pill), to be given frequently every day. For Jia diseases, only administer San Leng Wan (Curcuma Longa Pill) to eliminate accumulated toxins, aiming for free flow as the endpoint.
To treat children suffering from Pi and Pi masses who, after consuming arsenic pills, develop thirst, irritability, edema of the head and face, tight abdominal distension, panting, inability to sit or lie comfortably, emaciation, exhaustion, and persistent chills and fever, it is appropriate to use Ren Shen Luo Bo Yin (Ginseng and Radish Decoction).
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ku Jing (Platycodonis Radix), Gan Cao (Licorice Root, honey-fried), Ren Shen (Ginseng Root), Mai Men Dong Zi (Ophiopogonis Seed, heart removed).
These are processed into equal parts and ground into powder. Each dose consists of one large Qian Bi (measure), taken with half a cup of fresh radish juice, boiled down to half volume, cooled, and administered.
To treat pediatric Pi Qi that has not resolved, where repeated purgative treatments have led to deficiency and exhaustion, abdominal pain, loss of appetite, puffy face and eyes, and vomiting when forced to eat, it is appropriate to use this formula: Dou Kou Cao Guo Yin Zi (Cardamom and Tsaoko Decoction).
Rou Dou Kou (Nutmeg, one roasted), Cao Guo (Tsaoko Fruit), Bing Lang (Areca Seed, each 1 Qian), Mian Huang Qi (Astragalus Root, pounded and honey-fried), Bai Fu Ling (Poria), Bai Shao Yao (White Peony Root), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root), Chen Pi (Citrus Reticulatae Pericarpium, each 1 Qian), Ban Xia Qu (Pinellia Fermented Paste, 1 Qian).
The herbs are coarsely crushed. Each dose consists of 2 Qian Bi, combined with three small slices of fresh ginger, half a dark plum (Wu Mei), and one jujube. These are wrapped in wet rattan paper and roasted until fragrant. Remove the paper, add a small cup of water, boil down to half volume, strain, and administer orally on an empty stomach before meals. The dregs should be re-boiled and taken together. Additionally, take Xiao Chen Xiang Jian Wan (Small Agarwood Decoction Pills) concurrently for enhanced efficacy.