栀子（二两） 附子（炮一两）
上每服三钱，水一大盏，薤白三寸，同煎至五分，温服，泗州有人病岁余，百方不愈，
服此二服顿愈。
（余家旧方《博济》亦载小有不同）
苍术（二十两） 桔梗（十两） 陈皮（六两） 白芷（三两） 甘草（三两） 当归
（二两） 川芎（一两半） 芍药 白茯苓 半夏（汤匕洗各一两） 麻黄（春夏二两，秋
冬三两） 干姜（春夏一两半，秋冬二两） 肉桂（春夏三两，秋冬四两） 浓朴（二两姜
汁炙） 枳壳（麸炒去瓤四两，
上前十二味为粗末，分作六服。大锅内缓火炒令微赤，香熟。即不可过焦。取出，以净
纸藉板床上， 令冷。入后三物和之和气。每服三钱，加姜枣，煎至六分，去滓服。伤寒手
足逆冷，虚汗不止，脉沉细，面青呕逆，加顺元散一钱，同煎热服。产妇陈疏难产，经三两
日不生，胎死腹中，或产母气乏委顿，产道干涩，加顺元散。水七分，酒三分，煎进两服，
气血内和即产。胎死者不日当下，其顺元散多量产母虚实。伤寒发热胁内寒者，加葱三寸，
豉七粒同煎。相继两三服，当以汗解。
乌头（二两） 附子（炮） 天南星（各一两炮） 木香（半两）
上予叔祖钱氏，时得此方。卖干民家，故吴中至今谓之沈氏五积散。大抵此散能温里外，
但内外感寒，脉迟细沉伏，手足冷，毛发 栗。伤寒里证之类，大啜三两杯。当手足温，或
汗乃愈。今世名医，多用此散治气，极效。和一切气，通血络，无出此药。人病脾疟，用紫
金丸逐下，乃服此散，数服多愈。
栀子（二两） 附子（炮制，一两）
以上药物每次服用三钱，加水一大盏，薤白三寸，一同煎煮至剩余五分药液，温服。泗州有一人患病一年多，各种方法都无效，服用此方两次后立刻痊愈。
（我家旧有的《博济》方书中也有记载，略有不同）
苍术（二十两） 桔梗（十两） 陈皮（六两） 白芷（三两） 甘草（三两） 当归（二两） 川芎（一两半） 芍药 白茯苓 半夏（汤洗，各一两） 麻黄（春夏季节用二两，秋冬季节用三两） 干姜（春夏季节用一两半，秋冬季节用二两） 肉桂（春夏季节用三两，秋冬季节用四两） 浓朴（二两，用姜汁炙烤） 枳壳（麸炒去瓤四两）
将上述十二味药捣成粗末，分成六份服用。在大锅内用慢火炒至微红，香气熟透即可，不可炒焦。取出后，放在铺有净纸的板床上，使其冷却。加入后面三味药混合调和以顺气。每次服用三钱，加生姜、大枣，煎煮至剩余六成药液，去渣服用。伤寒导致手足逆冷，虚汗不止，脉象沉细，面色青紫呕吐逆气，加顺元散一钱，一同煎热服用。产妇陈氏难产，经过两三天仍不生，胎死腹中，或者产母气血匮乏疲惫，产道干涩，加顺元散。用水七分，酒三分，煎煮后服用两次，气血内部调和即可生产。胎死的胎儿不久就会排出，这顺元散多用于判断产母的虚实情况。伤寒发热且胁内发冷的，加葱三寸，豆豉七粒一同煎煮。连续服用两三剂，应当通过出汗而痊愈。
乌头（二两） 附子（炮制） 天南星（各一两，炮制） 木香（半两）
以上药物给我叔祖钱氏，当时得到这个方子。卖干货的百姓家中，所以吴地至今称之为沈氏五积散。大致这个散剂能温暖内外，凡是内外感受寒邪，脉象迟细沉伏，手足冰冷，毛发竖立战栗。属于伤寒里证之类，大量饮用三两杯。应当等到手足温暖，或者出汗后才痊愈。当今世上的名医，多用这个散剂治疗气病，极其有效。调和一切气机，疏通血络，没有超过这个药的。有人患脾疟疾，先用紫金丸攻下逐邪，然后服用这个散剂，服用几次大多痊愈。
Gardenia (2 liang) Aconitum carmichaelii radix preparata (Pao, 1 liang)
For each dose, take 3 qian of the above herbs, add one da zhen (large cup) of water and 3 cun of Allium fistulosum bulb (Xiebai), decoct together until only 0.5 fen of liquid remains, and take warm. In Sizhou, there was a person who had been ill for over a year and could not be cured by various methods; after taking this prescription twice, he recovered immediately.
(My family's old prescription from *Boji* also records it with slight differences.)
Atractylodis Rhizoma (Cangzhu, 20 liang) Platycodonis Radix (Jiegeng, 10 liang) Citri Reticulatae Pericarpium (Chenpi, 6 liang) Angelicae Dahuricae Radix (Baizhi, 3 liang) Glycyrrhizae Radix et Rhizoma (Gancao, 3 liang) Angelicae Sinensis Radix (Danggui, 2 liang) Ligustici Chuanxiong Rhizoma (Chuanxiong, 1.5 liang) Paeoniae Radix (Shaoyao) Poria (Baifuling) Pinelliae Tuber (Banxia, washed with hot water, 1 liang each) Ephedrae Herba (Mahuang, 2 liang in spring/summer, 3 liang in autumn/winter) Zingiberis Rhizoma Recens (Ganjiang, 1.5 liang in spring/summer, 2 liang in autumn/winter) Cinnamomi Cortex (Rougui, 3 liang in spring/summer, 4 liang in autumn/winter) Magnoliae Officinalis Cortex (N Houpo, 2 liang, stir-fried with ginger juice) Aurantii Fructus Immaturus (Zhiqiao, bran-fried, pith removed, 4 liang)
Grind the aforementioned twelve herbs into coarse powder and divide into six doses. Stir-fry slowly in a large pot until slightly reddish and fragrant, but do not burn. Remove and place on a board bed covered with clean paper to cool. Add the following three herbs to mix and harmonize Qi. For each dose, take 3 qian, add fresh ginger and jujube, decoct until 0.6 part of liquid remains, strain, and take. For Taiyang disease (Exterior syndrome) presenting with cold extremities, continuous sweating from deficiency, deep and fine pulse, cyanotic face, vomiting and regurgitation, add 1 qian of Shunyuan San and decoct together to take warm. For postpartum difficulty in labor where delivery has not occurred after two or three days, fetal death in utero, or maternal exhaustion and dryness of the birth canal, add Shunyuan San. Decoct with 0.7 part water and 0.3 part wine, administer two doses; once internal Qi and Blood are harmonized, delivery will occur. The dead fetus will be expelled within a few days; Shunyuan San is often used to assess the deficiency or excess of the mother. For Taiyang disease with fever and cold in the hypochondrium, add 3 cun of scallion stem and 7 grains of fermented soybean (Douchi) to decoct together. After consecutively taking two or three doses, recovery should come through sweating.
Aconitum kusnezoffii radix (Wutou, 2 liang) Aconitum carmichaelii radix preparata (Pao) Pinelliae Rhizoma (Tian Nanxing, 1 liang each, prepared) Costi Radix (Muxiang, 0.5 liang)
The above herbs were given to my great-uncle Qian Shi, who obtained this prescription at that time. Sold by dry goods merchants, hence in Wu region it is still called Shen's Wuji San (Five Accumulations Powder). Generally, this powder can warm both interior and exterior. It is suitable for cases where both interior and exterior are affected by cold, with slow, fine, deep, and hidden pulses, cold extremities, and piloerection. These belong to the category of interior syndromes of Cold Damage (Shanghan). Drink three large cups generously. Recovery occurs when extremities become warm or when sweating ensues. Nowadays, famous doctors mostly use this powder to treat Qi disorders, with extreme efficacy. It harmonizes all Qi, unblocks blood collaterals, and nothing surpasses this medicine. When people suffer from Spleen Malaria, they first use Zijin Wan to purge downward, then take this powder; after several doses, most recover.