杨氏木香槟榔煎丸治脾积气块腹胁走痛口吐清水
肉豆蔻(五枚) 木香 肉桂(各一两) 槟榔(七枚) 干漆(半两炒令烟尽) 砂(半两
另研) 胡椒(四十九粒)
上为末次入 砂和匀炼蜜丸如梧子大每七丸橘皮汤下
按此治肉积寒积药也入气血之分
局方丁香脾积丸治诸般食积气滞胸胀满心腹刺痛
丁香 木香 巴豆 高良姜(醋煮各半两) 莪术(一两) 三棱(二两) 青皮(一两) 皂
角(三大挺烧)
上入百草霜三匙同碾细为末糊丸如麻子大每十丸至二十丸
按此治寒冷食积药也
邓山房感应丸治食积化宿滞
黑角沉香 檀香 丁香 木香 陈皮 青皮 黄连 砂仁 香附子 半夏 三棱 蓬术
(煨各一两为细末) 肥乌梅(百钱重) 巴豆(三百粒肥白者去衣膜心)
上用瓷器一只盛巴豆上以梅肉盖之却用米醋浸过与梅肉平于甑坐蒸至极熟以巴豆红色为
度却擂二件如泥用糯米饭和前药匀捣千百下丸如萝卜子大每十丸汤下
按此下气积食积药也
宣明积气丹治一切新久沉积气块面黄黑瘦 瘕积聚口吐酸水
槟榔(二个) 芫花 京三棱 黄连 牛膝 樟柳根(各一两) 肉豆蔻(二个) 砂(二
钱)
青皮 陈皮 石菖蒲(各三钱) 大戟 大黄 甘遂 白牵牛 干姜 青礞石 干漆(各半两)
蓬术(一两) 巴豆 木香(各二钱半)
上为末醋糊为丸如桐子大每服一丸临卧烧枣汤下量病患虚实加减与服
按此下饮积气积肉积水积药也
本事 砂丸治一切积聚痰饮心胁引痛
砂 三棱 干姜 白芷 巴豆(去油各半两) 大黄 干漆(各一两) 槟榔 肉豆蔻(
各一个) 木香 青皮 胡椒(各一分)
上为末酽醋二升煮巴豆五七沸复下三棱大黄末同煎五七沸入 砂煎成膏却入别药和匀杵
丸如绿豆大每五丸姜汤下
按此下肉积气积例药因其中用白芷为散水行气故更言治痰饮也
破积导饮丸治积块坚硬饮食不消心下痞闷
木香 槟榔 陈皮 青皮 枳壳(炒) 枳实(炒) 广术(炮) 三棱(炮) 半夏 神曲(
炒)
麦 干生姜 茯苓 泽泻 甘草(炙各半两) 牵牛(头末六钱) 巴豆(三十粒去皮心油)
上细末入巴豆霜令匀姜汁糊丸梧子大每三十丸温姜汤下
按此治饮积酒积气积药也然世俗方类此者甚多大抵多合以热剂不能以尽病情之变唯此方
庶几用者自宜取择
三因破饮丸
方见痰饮门
露丸治伤寒于内气凝不流结于肠外久为 瘕时作疼痛腰不得伸
广术 三棱(各酒浸一两) 干漆(炒五钱) 茴香(炒) 青皮 雄黄 穿山甲(炮各三钱)
砂(四钱研) 轻粉(一钱) 川乌(五钱炮) 麝香(半钱) 巴豆(三十粒去壳同三棱术炒黄色
去巴豆不用)
上细末和匀姜汁糊丸梧子大每三二十丸温姜汤下空心服
按此治肠覃寒积之剂也
宝鉴见 丹治妇人石瘕状如怀子者
附子(四钱炮) 鬼箭羽 紫石英(各三钱) 泽泻 肉桂 玄胡 木香(各二钱) 血竭(
一钱
半) 水蛭(一钱炒烟尽) 槟榔(二钱半) 桃仁(炒三十个) 三棱(五钱) 大黄(二钱同三棱
酒浸一宿焙)
上各研匀酒糊丸梧子大每三十丸食前用盐汤或酒下
按此治血积药也
温白丸治心腹绞痛久 癖块大如杯碗十种水病八种痞塞九种心痛
紫菀 吴茱萸 菖蒲 柴胡 桔梗 浓朴(制) 皂角(去皮尖弦) 茯苓 黄连 桂 川
椒(炒去目) 干姜(炮) 巴豆(去心膜油) 人参(各半两) 川乌(炮去皮脐二两半)
上末入巴豆研令匀蜜丸梧子大每三丸生姜汤下
按此治食积寒积药也
经验方塌肿神应丸治诸肿虫毒肚胀如鼓脾癖 瘕气块上喘气急咳嗽倚息不得睡服药不效
者
三棱 莪术 青皮 陈皮 干漆(烧各一两) 芫花(七钱半) 大戟(三钱) 砂 巴豆
霜(各一钱)
上前药和一处用好米醋一大碗慢火上煮醋干为度取出晒干碾为末醋和作丸如梧子大每四
五十
丸生姜汤下五更服随用椒目六两萝白子半斤炒香熟用手帕盛于患处熨如冷再炒熨至再三大小
便行后才住熨以温稀粥补之
按此治 瘕之剂饮积气积水积血积药也
圣散子治远年积块
砂(六两) 川大黄(八两) 大麦 (六两) 干漆(烧过) 蓄 茴香(炒) 瞿麦 槟
榔(各一两)
如妇人干血气加穿山甲(二两炮)
上末每五钱温酒调下仰卧此药只在心头至明大便如烂鱼小便赤为验取出并无毒性小儿用
一钱量大小与之
按此气血药也
谨按治积之方气实者故宜峻削故古方多相类近世又多用推逐之剂如剪红丸蜡丸去积亦是
一法
但不分气血虫物诸积之异人之虚实不同往往误人故皆不录其或可吐者宜从子和之法气虚羸弱
者观东垣诸方已启其微用者当自求其意而为通变可也
杨氏木香槟榔煎丸：治疗脾脏积滞、气块形成，腹部及胁肋部游走性疼痛，口吐清水。
肉豆蔻（五枚）、木香、肉桂（各一两）、槟榔（七枚）、干漆（半两，炒至烟尽）、砂仁（半两，另研）、胡椒（四十九粒）。
以上药材研为细末，加入砂仁粉混合均匀，用炼蜜制成梧桐子大小的药丸。每次服用七丸，用橘皮汤送服。
按语：此方是治疗肉积和寒积的药物，作用涉及气分和血分。
局方丁香脾积丸：治疗各种食积、气滞导致的胸腹胀满、心腹刺痛。
丁香、木香、巴豆、高良姜（醋煮，各半两）、莪术（一两）、三棱（二两）、青皮（一两）、皂角（三大挺，烧制）。
以上药材加入百草霜三匙，共同碾细为末，用糊剂制成麻子大小的药丸。每次服用十丸至二十丸。
按语：此方是治疗寒冷食积的药物。
邓山房感应丸：治疗食积化生宿滞。
黑角沉香、檀香、丁香、木香、陈皮、青皮、黄连、砂仁、香附子、半夏、三棱、蓬术（煨制，各一两，研为细末）、肥乌梅（重百钱）、巴豆（三百粒，选肥大白色者，去壳、膜、心）。
取一只瓷器，盛放巴豆，上面用梅肉覆盖，再用米醋浸没，与梅肉齐平。置于甑上蒸至极熟，以巴豆变为红色为度。然后将这两味药捣烂如泥，用糯米饭调和前药，共同捣击千百下，制成萝卜子大小的药丸。每次服用十丸，用汤水送服。
按语：此方是下气、消食积的药物。
宣明积气丹：治疗一切新旧沉积、气块，面色黄黑消瘦，瘕聚积聚，口吐酸水。
槟榔（二个）、芫花、京三棱、黄连、牛膝、樟柳根（各一两）、肉豆蔻（二个）、砂仁（二钱）、青皮、陈皮、石菖蒲（各三钱）、大戟、大黄、甘遂、白牵牛、干姜、青礞石、干漆（各半两）、蓬术（一两）、巴豆、木香（各二钱半）。
以上药材研为细末，用醋糊制成梧桐子大小的药丸。每次服用一丸，临睡前用烧枣汤送服，根据病患虚实情况加减剂量服用。
按语：此方是下饮积、气积、肉积、水积的药物。
本事砂丸：治疗各种积聚、痰饮，心胁牵引疼痛。
砂仁、三棱、干姜、白芷、巴豆（去油，各半两）、大黄、干漆（各一两）、槟榔、肉豆蔻（各一个）、木香、青皮、胡椒（各一分）。
以上药材研为细末，用浓醋二升煮巴豆五到七沸，再加入三棱和大黄的药末同煎五到七沸，加入砂仁煎成膏状，然后加入其他药物混合均匀，杵捣制成绿豆大小的药丸。每次服用五丸，用姜汤送服。
按语：此方是下肉积、气积的常规药物，因为其中使用了白芷来散水行气，所以更强调治疗痰饮。
破积导饮丸：治疗积块坚硬、饮食不消、心下痞闷。
木香、槟榔、陈皮、青皮、枳壳（炒）、枳实（炒）、广术（炮制）、三棱（炮制）、半夏、神曲（炒）、麦芽、干生姜、茯苓、泽泻、甘草（炙，各半两）、牵牛（头末六钱）、巴豆（三十粒，去皮、心、油）。
以上药材研为细末，加入巴豆霜令其均匀，用姜汁糊制成梧桐子大小的药丸。每次服用三十丸，用温姜汤送服。
按语：此方是治疗饮积、酒积、气积的药物。然而世俗中类似的方剂很多，大多合用热性药剂，不能完全适应病情的变化，只有这个方子，使用者应当自行适宜地选择采用。
露丸：治疗伤寒邪气在内，气机凝滞不流，结于肠外，日久形成瘕，时常发作疼痛，腰部不能伸展。
广术、三棱（各酒浸一两）、干漆（炒五钱）、茴香（炒）、青皮、雄黄、穿山甲（炮制，各三钱）、砂仁（四钱，研）、轻粉（一钱）、川乌（五钱，炮制）、麝香（半钱）、巴豆（三十粒，去壳同三棱、广术炒至黄色，去巴豆不用）。
以上药材研为细末混合均匀，用姜汁糊制成梧桐子大小的药丸。每次服用三至二十丸，空腹时服用，用温姜汤送服。
按语：此方是治疗肠覃、寒积的制剂。
宝鉴见丹：治疗妇人石瘕，症状如同怀孕一样。
附子（四钱，炮制）、鬼箭羽、紫石英（各三钱）、泽泻、肉桂、玄胡索、木香（各二钱）、血竭（一钱半）、水蛭（一钱，炒至烟尽）、槟榔（二钱半）、桃仁（炒三十个）、三棱（五钱）、大黄（二钱，同三棱酒浸一夜后焙干）。
以上药材分别研匀，用酒糊制成梧桐子大小的药丸。每次服用三十丸，饭前用盐汤或酒送服。
按语：此方是治疗血积的药物。
温白丸：治疗心腹绞痛，久癖积块大如杯碗，十种水病，八种痞塞，九种心痛。
紫菀、吴茱萸、菖蒲、柴胡、桔梗、浓朴（制）、皂角（去皮尖弦）、茯苓、黄连、桂枝、川椒（炒去目）、干姜（炮制）、巴豆（去心膜油）、人参（各半两）、川乌（炮制，去皮脐，二两半）。
以上药材研末，加入巴豆研匀，用蜂蜜制成梧桐子大小的药丸。每次服用三丸，用生姜汤送服。
按语：此方是治疗食积、寒积的药物。
经验方塌肿神应丸：治疗各种肿胀、虫毒、肚胀如鼓、脾癖、瘕、气块，上气喘急、咳嗽倚息不得睡眠，服药无效者。
三棱、莪术、青皮、陈皮、干漆（烧，各一两）、芫花（七钱半）、大戟（三钱）、砂仁、巴豆霜（各一钱）。
将上述药物混合一处，用好米醋一大碗，在慢火上煮至醋干为止，取出晒干，碾为细末，用醋调和制成梧桐子大小的药丸。每次服用四五十丸，清晨五更时分服用，随后用椒目六两、萝白子半斤炒香熟，用手帕盛装敷于患处熨烫，如果冷了再炒再熨，直到大小便通畅后才停止熨烫，之后用温稀粥补养身体。
按语：此方是治疗瘕的制剂，也是治疗饮积、气积、水积、血积的药物。
圣散子：治疗远年积块。
砂仁（六两）、川大黄（八两）、大麦（六两）、干漆（烧过）、蓄草、茴香（炒）、瞿麦、槟榔（各一两）。
如果是妇人干血气，加穿山甲（二两，炮制）。
以上药材研为细末，每次取五钱，用温酒调下。服药后仰卧，此药只在心头部位起作用，第二天大便如烂鱼状，小便赤红即为见效，排出后并无毒性。小儿使用一钱，根据年龄大小调整剂量给予。
按语：此方是调理气血的药物。
谨按：治疗积滞的方剂，对于气实者适宜峻猛削伐，所以古方多相似。近世又多用推逐之剂，如剪红丸、蜡丸去积也是一种方法。
但是如果不区分气、血、虫、物等各种积滞的不同，以及患者虚实的差异，往往会误人。因此都不收录。如果有适合催吐的情况，宜从张子和的方法；对于气虚羸弱者，参考李东垣的诸方，已经开启了细微的治疗思路，使用者应当自行探求其意旨而进行通变应用。
Yang's Mu Xiang Bing Lang Jian Wan (Cinnamon Twig and Areca Seed Decoction Pill): Treats spleen accumulation, formation of qi masses, wandering pain in the abdomen and hypochondrium, and spitting of clear fluid.
Myristicae Semen (Rou Dou Kou, 5 seeds), Aucklandiae Radix (Mu Xiang), Cinnamomi Ramulus (Gui Zhi, each 1 liang), Arecae Semen (Bing Lang, 7 seeds), Drynariae Rhizoma cum Scoria (Gan Qi, half liang, stir-fried until smoke ceases), Amomi Fructus (Sha Ren, half liang, separately ground), Piperis Fructus (Hu Jiao, 49 grains).
The above herbs are ground into fine powder, mixed evenly with the ground Amomi Fructus, and formed into pills the size of mulberry seeds using refined honey. Take seven pills per dose, administered with Tangerine Peel Decoction (Ju Pi Tang).
Note: This formula treats flesh accumulation and cold accumulation; its action extends to both the qi and blood levels.
Ju Fang Ding Xiang Pi Ji Wan (Dingxiang Spleen Accumulation Pill from the Imperial Medical Bureau): Treats various food accumulations and qi stagnation causing chest and abdominal fullness, stabbing pain in the heart and abdomen.
Syzgii Flos (Ding Xiang), Aucklandiae Radix (Mu Xiang), Crotonis Fructus (Ba Dou), Alpiniae Officinarum Rhizoma (Gao Liang Jiang, vinegar-boiled, each half liang), Curcumae Zedoariae Rhizoma (E Zhu, 1 liang), Bupleuri Radix (San Leng, 2 liang), Citri Reticulatae Pericarpium Viride (Qing Pi, 1 liang), Gleditsiae Sinensis Spina (Zao Jiao, three large stalks, roasted).
Add three spoonfuls of Herba Artemisiae Argyi Carbonis (Bai Cao Shuang) to the above ingredients, grind finely together into powder, and form pills the size of hemp seeds using a paste binder. Take ten to twenty pills per dose.
Note: This formula treats cold-induced food accumulation.
Deng Shanfang Gan Ying Wan (Deng Shanfang Induction Pill): Treats food accumulation transforming into retained stagnation.
Aquilariae Lignum Resinatum (Hei Jiao Chen Xiang), Santali Albi Lignum (Tan Xiang), Syzygii Flos (Ding Xiang), Aucklandiae Radix (Mu Xiang), Citri Reticulatae Pericarpium (Chen Pi), Citri Reticulatae Pericarpium Viride (Qing Pi), Coptidis Rhizoma (Huang Lian), Amomi Fructus Rotundus (Sha Ren), Cyperi Rhizoma (Xiang Fu), Pinelliae Rhizoma Preparatum (Ban Xia), Bupleuri Radix (San Leng), Curcumae Longae Rhizoma (Peng Zhu, baked, each 1 liang, ground into fine powder), Pruni Mume Fructus (Fei Wu Mei, weighing 100 qian), Crotonis Fructus (Ba Dou, 300 grains, select plump white ones, remove shell, membrane, and core).
Place one porcelain vessel containing Crotonis Fructus (Ba Dou); cover it with Pruni Mume Fructus (Wu Mei) pulp, then immerse in rice vinegar level with the fruit pulp. Steam over a steamer until thoroughly cooked, stopping when the Crotonis Fructus turns red. Pound these two ingredients into a mud-like paste. Mix with glutinous rice flour and the other herbs, pound for thousands of strikes, and form pills the size of radish seeds. Take ten pills per dose, administered with water decoction.
Note: This formula promotes qi movement and resolves food accumulation.
Xuan Ming Ji Qi Dan (Xuanming Qi-Resolving Elixir): Treats all new and old sedimentations, qi masses, sallow and dark complexion with emaciation, jia masses and accumulations, and spitting of sour fluid.
Arecae Semen (Bing Lang, 2 pieces), Genkwa Flos (Yuan Hua), Bupleuri Radix (Jing San Leng), Coptidis Rhizoma (Huang Lian), Achyranthis Bidentatae Radix (Niu Xi), Cinnamomi Ramulus et Cortex (Zhang Liu Gen, each 1 liang), Myristicae Semen (Rou Dou Kou, 2 pieces), Amomi Fructus (Sha Ren, 2 qian), Citri Reticulatae Pericarpium Viride (Qing Pi), Citri Reticulatae Pericarpium (Chen Pi), Acori Tatarinowii Rhizoma (Shi Chang Pu, each 3 qian), Euphorbiae Pekinensis Radix (Da Ji), Rheii Radix et Rhizoma (Da Huang), Kansui Radix (Gan Sui), Pharbitidis Semen (Bai Qian Niu), Zingiberis Rhizoma Recens (Gan Jiang), Calcitum Flavae Glaucae (Qing Meng Shi), Drynariae Rhizoma cum Scoria (Gan Qi, each half liang), Curcumae Longae Rhizoma (Peng Zhu, 1 liang), Crotonis Fructus (Ba Dou), Aucklandiae Radix (Mu Xiang, each 2.5 qian).
Grind all ingredients into powder, bind with vinegar paste, and form pills the size of paulownia seeds. Take one pill per dose before sleep, administered with roasted date decoction. Adjust dosage according to the patient's deficiency or excess condition.
Note: This formula drains fluid accumulation, qi accumulation, flesh accumulation, and water accumulation.
Ben Shi Sha Wan (Ben Shi Sand/Amomum Pill): Treats all types of accumulations, phlegm-fluid retention, and pulling pain radiating from the heart and hypochondrium.
Amomi Fructus (Sha Ren), Bupleuri Radix (San Leng), Zingiberis Rhizoma Recens (Gan Jiang), Angelicae Dahuricae Radix (Bai Zhi), Crotonis Fructus (Ba Dou, de-oiled, each half liang), Rheii Radix et Rhizoma (Da Huang), Drynariae Rhizoma cum Scoria (Gan Qi, each 1 liang), Arecae Semen (Bing Lang), Myristicae Semen (Rou Dou Kou, each one), Aucklandiae Radix (Mu Xiang), Citri Reticulatae Pericarpium Viride (Qing Pi), Piperis Fructus (Hu Jiao, each 1 fen).
Grind into powder. Boil Crotonis Fructus (Ba Dou) in two sheng of strong vinegar for five to seven boils. Add the powders of Bupleuri Radix (San Leng) and Rheii Radix et Rhizoma (Da Huang), continue boiling for five to seven boils. Add Amomi Fructus (Sha Ren) and boil into a paste. Mix with other herbs, pound, and form pills the size of mung beans. Take five pills per dose, administered with ginger decoction.
Note: This is a standard formula for draining flesh and qi accumulation. Because it contains Angelicae Dahuricae Radix (Bai Zhi) to disperse fluids and move qi, it is specifically noted for treating phlegm-fluid retention.
Po Ji Dao Yin Wan (Accumulation-Breaking and Fluid-Guiding Pill): Treats hard accumulation masses, indigestion, and epigastric stuffiness.
Aucklandiae Radix (Mu Xiang), Arecae Semen (Bing Lang), Citri Reticulatae Pericarpium (Chen Pi), Citri Reticulatae Pericarpium Viride (Qing Pi), Aurantii Fructus Immaturus (Zhi Ke, stir-fried), Aurantii Fructus (Zhi Shi, stir-fried), Curcumae Longae Rhizoma (Guang Zhu, processed), Bupleuri Radix (San Leng, processed), Pinelliae Rhizoma Preparatum (Ban Xia), Massae Fermentatae Medicinalis (Shen Qu, stir-fried), Hordeum Vulgare (Mai Ya), Zingiberis Rhizoma Recens (Gan Sheng Jiang), Poria (Fu Ling), Alismatis Rhizoma (Ze Xie), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Gan Cao, honey-roasted, each half liang), Pharbitidis Semen Caput (Qian Niu Tou Mo, 6 qian), Crotonis Fructus (Ba Dou, 30 grains, peeled, cored, de-oiled).
Grind finely. Add Crotonis Fructus Frost (Ba Dou Shuang) and mix evenly. Form pills the size of mulberry seeds using ginger juice paste. Take thirty pills per dose, administered with warm ginger decoction.
Note: This formula treats fluid accumulation, wine accumulation, and qi accumulation. However, there are many similar formulas in secular practice, mostly combining hot-natured agents, which cannot fully adapt to variations in disease conditions. Only this formula allows practitioners to choose appropriately based on their judgment.
San Yin Po Yin Wan (Three Causes Fluid-Breaking Pill)
See the Phlegm-Fluid Section for the formula.
Lu Wan (Dew Pill): Treats pathogenic cold from external contraction lingering internally, causing qi condensation and stagnation, knotting outside the intestines. Over time, this forms jia masses with intermittent pain and inability to extend the waist.
Curcumae Longae Rhizoma (Guang Zhu), Bupleuri Radix (San Leng, each soaked in wine for 1 liang), Drynariae Rhizoma cum Scoria (Gan Qi, stir-fried 5 qian), Foeniculi Fructus (Hui Xiang, stir-fried), Citri Reticulatae Pericarpium Viride (Qing Pi), Realgar (Xiong Huang), Manis Squama (Chuan Shan Jia, processed, each 3 qian), Amomi Fructus (Sha Ren, 4 qian, ground), Calomelas (Qing Fen, 1 qian), Aconiti Lateralis Radix Praeparata (Chuan Wu, 5 qian, processed), Moschus (She Xiang, half qian), Crotonis Fructus (Ba Dou, 30 grains, remove shell, stir-fry together with Bupleuri Radix and Curcumae Longae Rhizoma until yellow, then discard Ba Dou).
Grind into fine powder and mix evenly. Form pills the size of mulberry seeds using ginger juice paste. Take three to twenty pills per dose, taken on an empty stomach with warm ginger decoction.
Note: This formula treats intestinal polyps (Chang Tan) and cold accumulation.
Bao Jian Jian Dan (Treasure Mirror Visible Elixir): Treats stone jia in women, presenting as if pregnant.
Aconiti Radix Praeparata (Fu Zi, 4 qian, processed), Arisaematis Cum Baccis Rhizoma (Gui Jian Yu), Fluorite (Zi Shi Ying, each 3 qian), Alismatis Rhizoma (Ze Xie), Cinnamomi Ramulus (Gui Zhi), Corydalis Rhizoma (Xuan Hu), Aucklandiae Radix (Mu Xiang, each 2 qian), Draco Sanguis (Xue Jie, 1.5 qian), Hirudo (Shui Zhi, 1 qian, stir-fried until smoke ceases), Arecae Semen (Bing Lang, 2.5 qian), Persicae Semen (Tao Ren, stir-fried, 30 seeds), Bupleuri Radix (San Leng, 5 qian), Rheii Radix et Rhizoma (Da Huang, 2 qian, soaked in wine with Bupleuri Radix overnight, then dried).
Grind each ingredient separately until uniform. Bind with wine paste and form pills the size of mulberry seeds. Take thirty pills per dose before meals, administered with salt water decoction or wine.
Note: This formula treats blood accumulation.
Wen Bai Wan (Warm White Pill): Treats severe colic in the heart and abdomen, long-standing pi masses as large as cups or bowls, ten types of water diseases, eight types of blockage, and nine types of heart pain.
Periplocae Radix (Zi Wan), Evodiae Fructus (Wu Zhu Yu), Acori Tatarinowii Rhizoma (Chang Pu), Bupleuri Radix (Chai Hu), Platycodonis Radix (Jie Geng), Magnoliae Officinalis Cortex (Nong Po, prepared), Gleditsiae Sinensis Spina (Zao Jiao, remove skin, tips, and strings), Poria (Fu Ling), Coptidis Rhizoma (Huang Lian), Cinnamomi Ramulus (Gui Zhi), Zanthoxyli Fructus (Chuan Jiao, stir-fried to remove eyes), Zingiberis Rhizoma Recens (Gan Jiang, processed), Crotonis Fructus (Ba Dou, remove core, membrane, oil), Ginseng Radix et Rhizoma (Ren Shen, each half liang), Aconiti Lateralis Radix Praeparata (Chuan Wu, processed, remove skin and navel, 2.5 liang).
Grind into powder. Add Crotonis Fructus (Ba Dou) and grind until uniform. Form pills the size of mulberry seeds using honey. Take three pills per dose, administered with ginger decoction.
Note: This formula treats food accumulation and cold accumulation.
Jing Yan Fang Ta Zhong Shen Ying Wan (Experience Formula Swelling-Reducing Divine Response Pill): Treats various swellings, insect toxins, abdominal distension like a drum, spleen pi, jia masses, qi masses, upper body asthma and急促 breathing, coughing, inability to lie flat for sleep, and cases where previous medications failed.
Bupleuri Radix (San Leng), Curcumae Zedoariae Rhizoma (E Zhu), Citri Reticulatae Pericarpium Viride (Qing Pi), Citri Reticulatae Pericarpium (Chen Pi), Drynariae Rhizoma cum Scoria (Gan Qi, roasted, each 1 liang), Genkwa Flos (Yuan Hua, 7.5 qian), Euphorbiae Pekinensis Radix (Da Ji, 3 qian), Amomi Fructus (Sha Ren), Crotonis Fructus Frost (Ba Dou Shuang, each 1 qian).
Mix the above herbs together. Simmer in one large bowl of good rice vinegar over low heat until the vinegar is dry. Remove, dry, and grind into powder. Bind with vinegar to form pills the size of mulberry seeds. Take forty to fifty pills per dose at dawn (five watch). Subsequently, take six liang of Lepidii Semen (Jiao Mu) and half a jin of Allii Macrostemonis Bulbus (Luo Bai Zi), stir-fry until fragrant and cooked. Place in a handkerchief and apply as a hot compress to the affected area. If it cools, reheat and compress again. Continue until urination and defecation occur, then stop compressing. Supplement the body with warm thin porridge.
Note: This formula treats jia masses, and is also used for fluid accumulation, qi accumulation, water accumulation, and blood accumulation.
Sheng San Zi (Holy Scatter Powder): Treats long-standing accumulation masses.
Amomi Fructus (Sha Ren, 6 liang), Rheii Radix et Rhizoma (Chuan Da Huang, 8 liang), Hordeum Vulgare (Da Mai, 6 liang), Drynariae Rhizoma cum Scoria (Gan Qi, roasted), Polygoni Avicularis Herba (Xu Zhong), Foeniculi Fructus (Hui Xiang, stir-fried), Persicariae Herba (Qu Mai), Arecae Semen (Bing Lang, each 1 liang).
For women with dry blood qi, add Manis Squama (Chuan Shan Jia, 2 liang, processed).
Grind into powder. Take five qian per dose, mixed with warm wine. Lie supine after ingestion. The medicine acts only at the heart region. The next day, stool resembling rotten fish and dark red urine indicate efficacy. After discharge, there is no toxicity. For children, use one qian, adjusted by age and size.
Note: This formula regulates qi and blood.
Cautionary Note: Formulas for treating accumulation generally employ harsh reduction for excess qi conditions, hence ancient formulas are often similar. In recent times, purging agents such as Jian Hong Wan (Red Shearing Pill) and La Wan (Wax Pill) to remove accumulation have also become common methods.
However, failing to distinguish between different types of accumulation (qi, blood, parasites, substances) and the varying deficiency or excess states of patients often leads to error. Therefore, they are not recorded here. For cases suitable for vomiting therapy, follow the methods of Zhang Hezi. For those with qi deficiency and emaciation, refer to the formulas of Li Dongyuan, which have already revealed subtle approaches. Practitioners should seek the underlying intent and adapt accordingly.