脉∶五积属阴，沉伏附骨，肝弦、心芤、肾沉急滑、脾实且长、肺浮喘卒。六聚结沉，痼则浮结。又有 瘕，
其脉多弦。弦结瘕积，弦细 坚，沉重中散，食成癖 。左转沉重，气 胸前，若是肉 ，右转横旋。积聚 瘕，
紧则痛缠。虚弱者死，实强者痊。
痞块者一名 瘕。不能移动者，是 块；能移动，或左或右者，是瘕块。五脏五积，六腑六聚。积在本位，
聚无定处。气不能作块成聚，块乃是有形之物，痰与食积死血而成，此理晓然。且中为痰饮，左为血块，右为食
积，俱用溃坚汤，丸加减，消痰活血、顺气健脾为主也。积者有常所，有形之血也；聚者无定位，无形之气也；
积块者，痰与食积死血也。
溃坚汤 治五积六聚、诸般 瘕、 癖血块之总司也。
当归 白术（去芦） 半夏（姜汁炒） 陈皮 枳实（麸炒） 山楂肉 香附 浓朴（姜汁炒） 砂仁
木香（各等分）
上锉一剂，姜一片，水煎，磨木香调服。左胁有块加川芎；右胁有块加青皮；肉食成块加姜炒黄连；粉面
成积加神曲；血块加桃仁、红花、官桂，去半夏、山楂；痰块加海石、栝蒌、枳实，去山楂；饱胀加萝卜子、
槟榔，去白术；壮健人加蓬术；瘦弱人加人参少许。
溃坚丸 根据本方加海石、楞子、鳖甲，各为细末，将阿魏用醋煮化和前药末，姜汁糊为丸，如梧桐子
大。每服五十丸，不拘时服，黄酒送下，清米汤亦可。
真人化铁汤 治五积六聚、癖 瘕，不论新久、上下左右。
三棱 莪术 青皮 陈皮 神曲（炒） 山楂肉 香附 枳实（麸炒） 浓朴（姜制） 黄连（姜汁炒）
当归 川芎 桃仁（去皮） 红花 木香（各三分） 槟榔（八分） 甘草（二分）
上锉一剂，生姜一片、枣一枚，水煎服。
积块属热者，宜清化也。
柴胡汤
柴胡 黄芩 半夏（姜汁炒） 苍术（米泔浸） 浓朴（姜炒） 陈皮 青皮（去瓤） 枳壳（麸炒）
神曲（炒） 山楂肉 三棱 莪术（各等分） 甘草（减半）
上锉一剂，姜一片、枣一枚，水煎服
化痞丹 消积块专攻之剂。
大黄（四两，米醋浸一七，日晒夜露一七） 木鳖子（去油，一两） 穿山甲（土炒，三两） 香附米
（童便浸，炒，一两） 桃仁（去皮，研，一两） 红花（三钱，生） 青黛（五分）
上为细末，将大黄醋煮成糊为丸，如豆大。每服五十丸或六十丸，茅根、葛根煎汤送下。忌花椒、胡椒、煎
炙、糯米等物。
化铁金丹 化一切积块如神。
黄 人参 白术 当归 川芎 陈皮 青皮（去瓤） 香附 乌药 槟榔 枳壳（麸炒） 枳实（麸炒）
木香 沉香 苍术（米泔浸） 山楂肉 神曲（炒） 草果 麦芽（炒） 草豆蔻 萝卜子 苏子 白芥子
三棱 莪术 浓朴（姜汁炒） 小茴香 白矾 牙皂 黄连 赤芍 柴胡 龙胆草 甘草（以上各五钱）
大黄（生用，六钱） 牵牛（用头末，八钱） 乳香 没药 阿魏 砂（用瓷罐煨过。各五钱） 皮硝（一两）
上为细末，酽醋打稀糊为丸，如梧桐子大。每服五十丸，空心米汤送下，午间白水下，夜白水下，日进三
服。
积块属寒者，宜温散也。
大化气汤 治五积六聚，状如 瘕，随气上下，发作有时，心腹疼痛，上气窒塞，小腹胀满，大小便
不利。
三棱 莪术 青皮（去瓤） 陈皮 桔梗 藿香 香附 益智仁 肉桂 甘草一方加大黄、槟榔，治诸般
痞积，面黄肌瘦，四肢无力，皆缘内有虫积，或好食生米、壁泥、茶炭、咸辣等物。用水煎，露一宿，空心温
服，不得些少饮食，则虫积不行矣。
上锉生姜三片、枣一枚，水煎服。心脾痛加乌药、枳壳；脾滞合四圣散。
胜红丸 治脾积气隔满闷、气促不安、呕吐酸水，丈夫酒积，妇人血积气滞，小儿食积，并皆治之。
陈皮 莪术（二味同醋煮） 青皮（去瓤） 三棱（醋煮） 干姜（炮） 良
姜（各一两） 香附（炒去皮毛，二两）
上为末，醋糊丸，如梧桐子大。每服五十丸，姜汤下，食前服。
男子积块痛者，宜化气也。
千金化气汤 治男子腹中气块疼痛。
青皮 陈皮 枳壳（去瓤） 香附 砂仁 白豆蔻（各一两） 木香（五钱） 丁香（三钱） 半夏（姜制）
草果 干姜（各七钱） 槟榔（一两五钱） 川芎 白芷 三棱（醋炒） 莪术 玄胡索（各一两） 小茴香（五钱）
浓朴（姜汁炒） 大腹皮 白芍（各一两） 甘草（三钱）
上锉一剂，生姜三片，水煎，半空心服。
女子积块痛者，宜导气也。
千金导气汤 治妇人满腹气块，游走不定，漉漉有声，攻作疼痛，久年不愈者神效。
丁香 木香 砂仁 白豆蔻 香附 乌药 枳实（焙） 当归 川芎 白芷 白芍 白术（去芦） 青皮
（去瓤） 陈皮 桔梗 肉桂 浓朴（姜炒） 干姜（炒） 三棱（醋炒） 莪术（醋炒） 角茴 小茴
牛膝（去芦） 红花 杜仲（姜炒） 干漆（醋炒净烟） 乳香 没药 甘草
上锉半水半酒，姜葱煎，热服。饱闷不食加山楂、神曲、麦芽；有热加柴胡、黄芩。
积块兼虚者，宜半消半补也。
消积保中丸 顺气化痞，理脾消滞，散痞结、除积块、进饮食、清郁热。
陈皮（去白，二两） 青皮（清油炒，四钱） 白茯苓（去皮，一两半） 白术（土炒，三两） 香附
（醋炒，二两） 半夏（一两，泡七次，姜汁炒） 木香（三钱，不见火） 槟榔（七钱） 莪术（醋浸炒，
八钱） 三棱（醋浸炒，八钱） 莱菔子（微炒，一两） 砂仁（四钱） 神曲（炒，一两） 麦芽（炒，六钱）
白芥子（炒，
一两） 黄连（姜汁炒，一两） 真阿魏（醋浸，三钱） 山栀仁（姜汁炒，一两） 干漆（炒净烟，五钱）
加人参（五钱尤效）
上为细末，姜汁、酒打糊丸，如梧桐子大。每服八十丸，食后白汤送下。
血积块者，宜专攻也。
神化丹 消癖积、破血块、下鬼胎、通经脉及诸痞积血气块。
砂 干漆（炒） 血竭（各三钱） 红娘（二十个，去翅） 乳香（一钱半） 斑蝥（二十个，去翅足）
上为末，枣肉丸，如豌豆大。每服一丸至三五丸，临卧，或枣汤、姜汤，或红花苏木汤下。
凡积块内服药而外贴者，乃兼济也。
五仙膏 治一切痞块积气、癖疾肚大青筋、气喘上壅，或发热咳嗽、吐血衄血。
大黄 肥皂角 生姜（半斤） 生葱（半斤） 大蒜（半斤）
上共捣烂，用水煎，取出汁去渣，再煎汁熬成膏，黑色为度，摊绢帛上，先用针刺患处，后贴膏药。
神仙化痞膏 专治一切积聚痞块，一贴即消，应验如神。
当归 川芎 赤芍 黄连 黄芩 黄柏 栀子（各一钱） 红花 肉桂 丁香 生地黄 草乌 巴豆（去壳。
各五钱） 大黄（二两） 苏木 川乌（各一两） 穿山甲（二十片） 蜈蚣（六条） 白花蛇（一条或
一两） 桃枝 柳枝 枣枝（各二寸）
上锉细，香油二斤浸五七日，桑柴慢火熬至焦黑色，去渣，起白光为度。放冷，滤净澄清，取一斤半再入锅
，桑柴火熬至油滚，陆续下飞过黄丹炒黑色一两、烧过官粉一两，水
飞过炒褐色密陀僧一两，仍慢火熬，极沸止，再加嫩松香四两、黄蜡半斤，熬至滴水成珠，用浓绵纸时时摊药贴，
贴自己皮上试之，老漱得所，方住手离火，待微温下后细药∶松香（先以油少许入锅溶成汁入膏内方佳）、
乳香（一两，箬叶炙过）、没药（一两，炙）、血竭（五钱，咀之如蜡，嗅之作栀子味方佳）、天竺黄（三钱、
轻粉（三钱）、 砂（一钱半）、胡黄连（三钱）、阿魏（五钱，取一豆大，火化滴铜器上，上头变白者佳、
麝香（一钱）。上九味，共为细末，陆续入膏内，不住手搅匀，以冷为度。铲出以温水洗去浮腻，埋在阴地
二十一日，去火毒，狗皮摊膏，先以白酒煮朴硝洗患处，良久方贴药。时时炭火烤热，手摩熨之，一贴可愈。
贴时尤当戒浓味、生冷及房欲、怒气。又以多服药饵，不可专恃贴药也。
一、五积六聚， 瘕痞块，元气虚弱，肌体瘦怯，饮食不进，四肢沉困，用补中益气汤加三棱、莪术、青
皮、香附、桔梗、藿香、益智、肉桂。
脉象：五积属于阴证，脉位深沉伏于骨下；肝脉弦，心脉芤，肾脉沉急而滑，脾脉实且长，肺脉浮而喘促突发。六聚结块脉象沉伏，病久则脉浮而结。又有瘕（腹内结块，聚散无常），其脉多呈弦象。弦脉主结聚之瘕积，若兼细脉则坚硬；脉沉重而中取散乱，多为饮食不化形成的癖块。左手脉沉重，气滞于胸前；若是肌肉层面的病变，右手脉横旋。积聚与瘕，脉紧则疼痛缠绕。脉虚弱者预后不良，脉实强者可痊愈。
痞块又名瘕。不能移动的，是积块；能移动，或左或右移动的，是瘕块。五脏对应五积，六腑对应六聚。积在固定部位，聚无固定位置。气不能形成块状或聚结，块是有形的物质，由痰、食积和死血形成，这个道理很明白。而且中间部位多为痰饮，左侧为血块，右侧为食积，都使用溃坚汤，制成丸剂加减，以消痰活血、顺气健脾为主。积有固定位置，是有形的血瘀；聚无固定位置，是无形的气滞；积块则是痰、食积和死血的产物。
溃坚汤是治疗五积六聚、各种瘕、癖血块的总方。
当归、白术（去芦头）、半夏（姜汁炒）、陈皮、枳实（麸炒）、山楂肉、香附、浓朴（姜汁炒）、砂仁、木香（各等分）。
以上药材锉碎为一剂，加生姜一片，水煎，磨木香粉调服。左胁有块加川芎；右胁有块加青皮；肉食成块加姜炒黄连；粉面成积加神曲；血块加桃仁、红花、官桂，去掉半夏、山楂；痰块加海浮石、栝蒌、枳实，去掉山楂；饱胀加萝卜子、槟榔，去掉白术；身体壮健者加蓬术；瘦弱者加少量人参。
溃坚丸根据本方加入海浮石、楞子（诃子）、鳖甲，各研为细末，用阿魏醋煮化开与前药末混合，姜汁糊为丸，如梧桐子大。每次服用五十丸，不拘时间，黄酒送下，清米汤也可以。
真人化铁汤治疗五积六聚、癖瘕，不论新久、上下左右。
三棱、莪术、青皮、陈皮、神曲（炒）、山楂肉、香附、枳实（麸炒）、浓朴（姜制）、黄连（姜汁炒）、当归、川芎、桃仁（去皮）、红花、木香（各三分）、槟榔（八分）、甘草（二分）。
以上药材锉碎为一剂，加生姜一片、大枣一枚，水煎服。
积块属热证的，宜用清热化痰法。
柴胡汤：
柴胡、黄芩、半夏（姜汁炒）、苍术（米泔水浸）、浓朴（姜炒）、陈皮、青皮（去瓤）、枳壳（麸炒）、神曲（炒）、山楂肉、三棱、莪术（各等分）、甘草（减半）。
以上药材锉碎为一剂，加生姜一片、大枣一枚，水煎服。
化痞丹是专门攻消积块的药剂。
大黄（四两，米醋浸泡七天，日晒夜露七天）、木鳖子（去油，一两）、穿山甲（土炒，三两）、香附米（童便浸泡，炒，一两）、桃仁（去皮，研，一两）、红花（三钱，生用）、青黛（五分）。
以上研为细末，将大黄用醋煮成糊状为丸，如豆大。每次服用五十丸或六十丸，茅根、葛根煎汤送下。忌食花椒、胡椒、煎炸炙烤食物、糯米等物。
化铁金丹能神奇地化解一切积块。
黄芪、人参、白术、当归、川芎、陈皮、青皮（去瓤）、香附、乌药、槟榔、枳壳（麸炒）、枳实（麸炒）、木香、沉香、苍术（米泔水浸）、山楂肉、神曲（炒）、草果、麦芽（炒）、草豆蔻、萝卜子、苏子、白芥子、三棱、莪术、浓朴（姜汁炒）、小茴香、白矾、牙皂、黄连、赤芍、柴胡、龙胆草、甘草（以上各五钱）、大黄（生用，六钱）、牵牛（用头末，八钱）、乳香、没药、阿魏、砂（用瓷罐煨过，各五钱）、皮硝（一两）。
以上研为细末，用浓醋打稀糊为丸，如梧桐子大。每次服用五十丸，空腹米汤送下，中午白开水送下，晚上白开水送下，每日进服三次。
积块属寒证的，宜用温散法。
大化气汤治疗五积六聚，症状像瘕，随气机上下移动，发作有时，心腹疼痛，上气窒塞，小腹胀满，大小便不利。
三棱、莪术、青皮（去瓤）、陈皮、桔梗、藿香、香附、益智仁、肉桂、甘草。一方加大黄、槟榔，治疗各种痞积，面色黄肌肤消瘦，四肢无力，都是因为内有虫积，或者喜欢吃生米、壁泥、茶炭、咸辣等物。用水煎，露天放置一夜，空腹温服，服药期间不得吃一点东西，那么虫积就不能运行了。
以上药材锉碎，加生姜三片、大枣一枚，水煎服。心脾痛加乌药、枳壳；脾滞合用四圣散。
胜红丸治疗脾积气隔满闷、气促不安、呕吐酸水，男子酒积，妇人血积气滞，小儿食积，都治疗。
陈皮、莪术（这两味同醋煮）、青皮（去瓤）、三棱（醋煮）、干姜（炮）、良姜（各一两）、香附（炒去皮毛，二两）。
以上研为末，醋糊为丸，如梧桐子大。每次服用五十丸，姜汤送下，饭前服。
男子积块痛的，宜用化气法。
千金化气汤治疗男子腹中气块疼痛。
青皮、陈皮、枳壳（去瓤）、香附、砂仁、白豆蔻（各一两）、木香（五钱）、丁香（三钱）、半夏（姜制）、草果、干姜（各七钱）、槟榔（一两五钱）、川芎、白芷、三棱（醋炒）、莪术、玄胡索（各一两）、小茴香（五钱）、浓朴（姜汁炒）、大腹皮、白芍（各一两）、甘草（三钱）。
以上药材锉碎为一剂，加生姜三片，水煎，半空腹时服。
女子积块痛的，宜用导气法。
千金导气汤治疗妇人满腹气块，游走不定，漉漉有声，攻作疼痛，多年不愈者神效。
丁香、木香、砂仁、白豆蔻、香附、乌药、枳实（焙）、当归、川芎、白芷、白芍、白术（去芦头）、青皮（去瓤）、陈皮、桔梗、肉桂、浓朴（姜炒）、干姜（炒）、三棱（醋炒）、莪术（醋炒）、角茴、小茴、牛膝（去芦头）、红花、杜仲（姜炒）、干漆（醋炒净烟）、乳香、没药、甘草。
以上药材锉碎，半水半酒，加姜葱煎，热服。饱闷不食加山楂、神曲、麦芽；有热加柴胡、黄芩。
积块兼有虚证的，宜用半消半补法。
消积保中丸顺气化痞，理脾消滞，散痞结、除积块、进饮食、清郁热。
陈皮（去白，二两）、青皮（清油炒，四钱）、白茯苓（去皮，一两半）、白术（土炒，三两）、香附（醋炒，二两）、半夏（一两，泡七次，姜汁炒）、木香（三钱，不见火）、槟榔（七钱）、莪术（醋浸炒，八钱）、三棱（醋浸炒，八钱）、莱菔子（微炒，一两）、砂仁（四钱）、神曲（炒，一两）、麦芽（炒，六钱）、白芥子（炒，一两）、黄连（姜汁炒，一两）、真阿魏（醋浸，三钱）、山栀仁（姜汁炒，一两）、干漆（炒净烟，五钱）。加人参（五钱尤效）。
以上研为细末，姜汁、酒打糊为丸，如梧桐子大。每次服用八十丸，饭后白开水送下。
血积块的，宜专力攻逐。
神化丹消癖积、破血块、下鬼胎、通经脉及诸痞积血气块。
砂、干漆（炒）、血竭（各三钱）、红娘（二十个，去翅）、乳香（一钱半）、斑蝥（二十个，去翅足）。
以上研为末，枣肉为丸，如豌豆大。每次服用一丸至三五丸，临睡前，或用枣汤、姜汤，或红花苏木汤送下。
凡是积块内服药同时外贴的，是内外兼治。
五仙膏治疗一切痞块积气、癖疾肚大青筋、气喘上壅，或发热咳嗽、吐血衄血。
大黄、肥皂角、生姜（半斤）、生葱（半斤）、大蒜（半斤）。
以上共捣烂，用水煎，取出汁去渣，再煎汁熬成膏，黑色为度，摊在绢帛上，先用针刺患处，后贴膏药。
神仙化痞膏专治一切积聚痞块，一贴即消，应验如神。
当归、川芎、赤芍、黄连、黄芩、黄柏、栀子（各一钱）、红花、肉桂、丁香、生地黄、草乌、巴豆（去壳，各五钱）、大黄（二两）、苏木、川乌（各一两）、穿山甲（二十片）、蜈蚣（六条）、白花蛇（一条或一两）、桃枝、柳枝、枣枝（各二寸）。
以上锉细，香油二斤浸泡五七日，桑柴慢火熬至焦黑色，去渣，起白光为度。放冷，滤净澄清，取一斤半再入锅，桑柴火熬至油滚，陆续下飞过黄丹炒黑色一两、烧过官粉一两、水飞过炒褐色密陀僧一两，仍慢火熬，极沸止，再加嫩松香四两、黄蜡半斤，熬至滴水成珠，用浓绵纸时时摊药贴，贴自己皮上试之，老嫩得所，方住手离火，待微温下后细药：松香（先以油少许入锅溶成汁入膏内方佳）、乳香（一两，箬叶炙过）、没药（一两，炙）、血竭（五钱，咀之如蜡，嗅之作栀子味方佳）、天竺黄（三钱）、轻粉（三钱）、砂（一钱半）、胡黄连（三钱）、阿魏（五钱，取一豆大，火化滴铜器上，上头变白者佳）、麝香（一钱）。以上九味，共为细末，陆续入膏内，不住手搅匀，以冷为度。铲出以温水洗去浮腻，埋在阴地二十一日，去火毒，狗皮摊膏，先以白酒煮朴硝洗患处，良久方贴药。时时炭火烤热，手摩熨之，一贴可愈。
贴时尤当戒浓味、生冷及房欲、怒气。又以多服药饵，不可专恃贴药也。
一、五积六聚，瘕痞块，元气虚弱，肌体瘦怯，饮食不进，四肢沉困，用补中益气汤加三棱、莪术、青皮、香附、桔梗、藿香、益智、肉桂。
Pulse: The five accumulations (Wu Ji) belong to Yin, with pulses deep and hidden against the bone. Liver pulse is wiry (Xian), Heart pulse is hollow (Kou), Kidney pulse is deep, urgent, slippery, Spleen pulse is full and long, Lung pulse is floating with sudden panting. The six aggregations (Liu Ju) present with sinking pulses; when chronic, they may show floating and knotted qualities. There are also mass-like formations (Jia), whose pulses are mostly wiry. A wiry pulse indicates knotted masses; if combined with a fine quality, it suggests hardness. A heavy pulse that scatters upon moderate pressure often indicates food-derived癖块 (Pi). A heavy pulse on the left side suggests Qi stagnation in the chest; if involving muscle tissue, the right-side pulse may appear transverse. For accumulations and masses, a tight pulse indicates winding pain. A weak pulse indicates death, while a solid and strong pulse indicates recovery.
A痞块 (Pi Kuai) is another name for 瘕 (Jia). Those that cannot move are called 积块 (Ji Kuai); those that can move, either to the left or right, are called 瘕块 (Jia Kuai). The five Zang organs correspond to the five accumulations, and the six Fu organs correspond to the six aggregations. Accumulations have fixed locations, whereas aggregations do not. Qi alone cannot form a mass or aggregation; masses are tangible entities formed by phlegm, food retention, and dead blood. This principle is clear. Generally, the center involves phlegm-fluids, the left side involves blood masses, and the right side involves food retention. All are treated with Kui Jian Tang (Crush Hardness Decoction), modified into pills, primarily focusing on resolving phlegm, invigorating blood, regulating Qi, and strengthening the Spleen. Accumulations have fixed locations and involve tangible blood stasis; aggregations have no fixed location and involve intangible Qi stagnation; accumulation masses consist of phlegm, food retention, and dead blood.
Kui Jian Tang (Crush Hardness Decoction) is the general prescription for treating the five accumulations, six aggregations, various masses (Jia), and癖块 (Pi) blood masses.
Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma - remove rhizome head), Ban Xia (Pinelliae Tuberum - stir-fried with ginger juice), Chen Pi (Citri Reticulatae Pericarpium), Zhi Shi (Aurantii Fructus Immaturus - bran-stir-fried), Shan Zha Rou (Crataegi Fructus), Xiang Fu (Cyperi Rhizoma), Hou Po (Magnoliae Officinalis Cortex - stir-fried with ginger juice), Sha Ren (Amomi Fructus), Mu Xiang (Aucklandiae Radix) (all in equal parts).
Grind these ingredients into one dose, add one slice of fresh ginger, decoct in water, and take with ground Mu Xiang powder mixed in. Add Chuan Xiong (Ligustici Chuanxiong Rhizoma) for masses in the left hypochondrium; add Qing Pi (Citri Reticulatae Pericarpium Viride) for masses in the right hypochondrium; add Huang Lian (Coptidis Rhizoma - stir-fried with ginger) for meat-induced masses; add Shen Qu (Massae Fermentatae Medicinalis) for flour-induced retention; add Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), and Guan Gui (Cinnamomi Ramulus) for blood masses, removing Ban Xia and Shan Zha; add Hai Shi (Fossilia Silicis), Gua Lou (Trichosanthis Fructus), and Zhi Shi for phlegm masses, removing Shan Zha; add Luo Bo Zi (Raphani Semen) and Bing Lang (Arecae Semen) for distension, removing Bai Zhu; add E Zhu (Curcumae Rhizoma) for robust individuals; add a small amount of Ren Shen (Ginseng Radix et Rhizoma) for frail individuals.
Kui Jian Wan (Crush Hardness Pill) is based on this formula, adding Hai Shi (Fossilia Silicis), Leng Zi (Terminalia Chebulae Fructus), and Bie Jia (Testudinis Carapax et Plastrum). Grind all into fine powder. Dissolve A Wei (Ferulae Resina) in vinegar and mix with the herbal powder. Use ginger juice to make paste pills, sized like paulownia seeds. Take 50 pills at any time, washed down with yellow wine or clear rice soup.
Zhen Ren Hua Tie Tang (True Human Iron-Melting Decoction) treats the five accumulations, six aggregations, and癖瘕 (Pi Jia), regardless of whether they are new or old, upper or lower, left or right.
San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Shen Qu (Massae Fermentatae Medicinalis - stir-fried), Shan Zha Rou (Crataegi Fructus), Xiang Fu (Cyperi Rhizoma), Zhi Shi (Aurantii Fructus Immaturus - bran-stir-fried), Hou Po (Magnoliae Officinalis Cortex - ginger-processed), Huang Lian (Coptidis Rhizoma - stir-fried with ginger juice), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Tao Ren (Persicae Semen - peeled), Hong Hua (Carthami Flos), Mu Xiang (Aucklandiae Radix) (each 3 fen), Bing Lang (Arecae Semen) (8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 fen).
Grind these into one dose, add one slice of fresh ginger and one jujube, decoct in water, and take orally.
For accumulation masses belonging to Heat patterns, clearing and transforming methods are appropriate.
Chai Hu Tang (Bupleurum Decoction):
Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Tuberum - stir-fried with ginger juice), Cang Zhu (Atractylodis Rhizoma - soaked in rice wash water), Hou Po (Magnoliae Officinalis Cortex - stir-fried with ginger), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride - remove pith), Zhi Qiao (Aurantii Fructus - bran-stir-fried), Shen Qu (Massae Fermentatae Medicinalis - stir-fried), Shan Zha Rou (Crataegi Fructus), San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma) (all in equal parts), Gan Cao (Glycyrrhizae Radix et Rhizoma - halved).
Grind these into one dose, add one slice of fresh ginger and one jujube, decoct in water, and take orally.
Hua Pi Dan (Plum-Petition Eliminating Pellet) is a specialized agent for attacking and eliminating accumulation masses.
Da Huang (Rhei Radix et Rhizoma) (4 liang, soaked in rice vinegar for 7 days, exposed to sun by day and dew by night for 7 days), Mu Bie Zi (Strychni Semen - oil removed, 1 liang), Chuan Shan Jia (Manis Squama - earth-stir-fried, 3 liang), Xiang Fu Mi (Cyperi Rhizoma - soaked in child's urine, stir-fried, 1 liang), Tao Ren (Persicae Semen - peeled, pounded, 1 liang), Hong Hua (Carthami Flos) (3 qian, raw), Qing Dai (Indigo Naturalis) (5 fen).
Grind all into fine powder. Boil Da Huang in vinegar to form a paste for making pills, sized like beans. Take 50 or 60 pills per dose, washed down with decoction of Mao Gen (Imperatae Rhizoma) and Ge Gen (Puerariae Lobatae Radix). Avoid Sichuan pepper, black pepper, fried/roasted foods, and glutinous rice.
Hua Tie Jin Dan (Iron-Melting Golden Pellet) miraculously dissolves all accumulation masses.
Huang Qi (Astragali Radix), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride - remove pith), Xiang Fu (Cyperi Rhizoma), Wu Yao (Linderae Radix), Bing Lang (Arecae Semen), Zhi Qiao (Aurantii Fructus - bran-stir-fried), Zhi Shi (Aurantii Fructus Immaturus - bran-stir-fried), Mu Xiang (Aucklandiae Radix), Chen Xiang (Aquilariae Lignum Resinatum), Cang Zhu (Atractylodis Rhizoma - soaked in rice wash water), Shan Zha Rou (Crataegi Fructus), Shen Qu (Massae Fermentatae Medicinalis - stir-fried), Cao Guo (Tsaoko Fructus), Mai Ya (Hordei Fructus Germinatus - stir-fried), Cao Dou Kou (Kenfructus Cardamomi), Luo Bo Zi (Raphani Semen), Su Zi (Perillae Fructus), Bai Jie Zi (Sinapis Semen), San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Hou Po (Magnoliae Officinalis Cortex - stir-fried with ginger juice), Xiao Hui Xiang (Foeniculi Fructus), Bai Fan (Alumen), Ya Zao (Gleditsiae Spina), Huang Lian (Coptidis Rhizoma), Chi Shao (Paeoniae Radix Rubra), Chai Hu (Bupleuri Radix), Long Dan Cao (Gentianae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (all above 5 qian each), Da Huang (Rhei Radix et Rhizoma - raw use, 6 qian), Qian Niu (Pharbitidis Semen - use first flush powder, 8 qian), Ru Xiang (Olibanum), Mo Yao (Myrrha), A Wei (Ferulae Resina), Sha (Realgar - roasted in porcelain jar, each 5 qian), Pi Xiao (Natrii Sulfas) (1 liang).
Grind all into fine powder. Mix with thick vinegar to form a thin paste for making pills, sized like paulownia seeds. Take 50 pills per dose, washed down with rice soup on an empty stomach, plain water at noon, and plain water at night. Take three doses daily.
For accumulation masses belonging to Cold patterns, warming and dispersing methods are appropriate.
Da Hua Qi Tang (Great Qi-Transforming Decoction) treats the five accumulations and six aggregations, presenting like masses (Jia), moving up and down with Qi, occurring at specific times, causing heart and abdominal pain, upper Qi obstruction, lower abdominal fullness, and difficulty in urination and defecation.
San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride - remove pith), Chen Pi (Citri Reticulatae Pericarpium), Jie Geng (Platycodonis Radix), Huo Xiang (Agastaches Herba), Xiang Fu (Cyperi Rhizoma), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Rou Gui (Cinnamomi Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma). Another version adds Da Huang (Rhei Radix et Rhizoma) and Bing Lang (Arecae Semen) to treat various plum-petition accumulations, characterized by sallow complexion, emaciation, and limb weakness, caused by internal parasitic retention or preference for eating raw rice, wall mud, tea charcoal, salty/spicy items, etc. Decoct in water, leave exposed overnight, and take warm on an empty stomach. Do not consume any food during this time, so that parasitic retention will cease to move.
Grind these ingredients, add three slices of fresh ginger and one jujube, decoct in water, and take orally. Add Wu Yao (Linderae Radix) and Zhi Qiao (Aurantii Fructus) for heart-spleen pain; combine with Si Sheng San (Four Sage Powder) for Spleen stagnation.
Sheng Hong Wan (Victorious Red Pill) treats Spleen accumulation with Qi blockage, fullness, shortness of breath, restlessness, vomiting of sour water, male alcohol accumulation, female blood accumulation with Qi stagnation, and pediatric food retention.
Chen Pi (Citri Reticulatae Pericarpium), E Zhu (Curcumae Rhizoma) (these two boiled together in vinegar), Qing Pi (Citri Reticulatae Pericarpium Viride - remove pith), San Leng (Sparganii Rhizoma - boiled in vinegar), Gan Jiang (Zingiberis Rhizoma - processed), Liang Jiang (Alpiniae Officinarum Rhizoma) (each 1 liang), Xiang Fu (Cyperi Rhizoma - stir-fried, skin and hairs removed, 2 liang).
Grind into powder, make pills with vinegar paste, sized like paulownia seeds. Take 50 pills per dose, washed down with ginger soup, before meals.
For men with painful accumulation masses, Qi-transforming methods are appropriate.
Qian Jin Hua Qi Tang (Thousand Years' Value Qi-Transforming Decoction) treats male abdominal Qi masses and pain.
Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Zhi Qiao (Aurantii Fructus - remove pith), Xiang Fu (Cyperi Rhizoma), Sha Ren (Amomi Fructus), Bai Dou Kou (Amomi Fructus Rotundus - each 1 liang), Mu Xiang (Aucklandiae Radix) (5 qian), Ding Xiang (Caryophylli Flos) (3 qian), Ban Xia (Pinelliae Tuberum - ginger-processed), Cao Guo (Tsaoko Fructus), Gan Jiang (Zingiberis Rhizoma) (each 7 qian), Bing Lang (Arecae Semen) (1 liang 5 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), San Leng (Sparganii Rhizoma - vinegar-stir-fried), E Zhu (Curcumae Rhizoma), Yuan Hu Suo (Corydalis Rhizoma) (each 1 liang), Xiao Hui Xiang (Foeniculi Fructus) (5 qian), Hou Po (Magnoliae Officinalis Cortex - stir-fried with ginger juice), Da Fu Pi (Arecae Pericarpium), Bai Shao (Paeoniae Radix Alba) (each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 qian).
Grind these into one dose, add three slices of fresh ginger, decoct in water, and take half-empty stomach.
For women with painful accumulation masses, Qi-guiding methods are appropriate.
Qian Jin Dao Qi Tang (Thousand Years' Value Qi-Guiding Decoction) treats female abdominal Qi masses that wander without fixed position, producing gurgling sounds, causing attacking pain, and is miraculous for chronic cases lasting years.
Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix), Sha Ren (Amomi Fructus), Bai Dou Kou (Amomi Fructus Rotundus), Xiang Fu (Cyperi Rhizoma), Wu Yao (Linderae Radix), Zhi Shi (Aurantii Fructus Immaturus - baked), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Bai Shao (Paeoniae Radix Alba), Bai Zhu (Atractylodis Macrocephalae Rhizoma - remove rhizome head), Qing Pi (Citri Reticulatae Pericarpium Viride - remove pith), Chen Pi (Citri Reticulatae Pericarpium), Jie Geng (Platycodonis Radix), Rou Gui (Cinnamomi Cortex), Hou Po (Magnoliae Officinalis Cortex - stir-fried with ginger), Gan Jiang (Zingiberis Rhizoma - stir-fried), San Leng (Sparganii Rhizoma - vinegar-stir-fried), E Zhu (Curcumae Rhizoma - vinegar-stir-fried), Jiao Hui (Illicii Anisi Stellati Fructus), Xiao Hui Xiang (Foeniculi Fructus), Niu Xi (Achyranthis Bidentatae Radix - remove rhizome head), Hong Hua (Carthami Flos), Du Zhong (Eucommiae Cortex - stir-fried with ginger), Gan Qi (Drynariae Rhizoma - vinegar-stir-fried until smoke clears), Ru Xiang (Olibanum), Mo Yao (Myrrha), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Grind these ingredients, decoct with half water and half wine, adding ginger and green onion, and take hot. Add Shan Zha (Crataegi Fructus), Shen Qu (Massae Fermentatae Medicinalis), and Mai Ya (Hordei Fructus Germinatus) for fullness and loss of appetite; add Chai Hu (Bupleuri Radix) and Huang Qin (Scutellariae Radix) for heat.
For accumulation masses accompanied by deficiency, half-dispersing and half-tonifying methods are appropriate.
Xiao Ji Bao Zhong Wan (Eliminate Accumulation Protect Center Pill) regulates Qi, transforms plums, strengthens the Spleen, eliminates stagnation, dissipates plum-knots, removes accumulation masses, promotes appetite, and clears stagnant heat.
Chen Pi (Citri Reticulatae Pericarpium - remove white pith, 2 liang), Qing Pi (Citri Reticulatae Pericarpium Viride - stir-fried with pure oil, 4 qian), Bai Fu Ling (Poria - remove skin, 1 liang 5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma - earth-stir-fried, 3 liang), Xiang Fu (Cyperi Rhizoma - vinegar-stir-fried, 2 liang), Ban Xia (Pinelliae Tuberum) (1 liang, soaked seven times, stir-fried with ginger juice), Mu Xiang (Aucklandiae Radix) (3 qian, avoid direct fire), Bing Lang (Arecae Semen) (7 qian), E Zhu (Curcumae Rhizoma - vinegar-soaked and stir-fried, 8 qian), San Leng (Sparganii Rhizoma - vinegar-soaked and stir-fried, 8 qian), Lai Fu Zi (Raphani Semen - lightly stir-fried, 1 liang), Sha Ren (Amomi Fructus) (4 qian), Shen Qu (Massae Fermentatae Medicinalis - stir-fried, 1 liang), Mai Ya (Hordei Fructus Germinatus - stir-fried, 6 qian), Bai Jie Zi (Sinapis Semen - stir-fried, 1 liang), Huang Lian (Coptidis Rhizoma - stir-fried with ginger juice, 1 liang), Zhen A Wei (Ferulae Resina - vinegar-soaked, 3 qian), Shan Zhi Ren (Gardeniae Fructus - stir-fried with ginger juice, 1 liang), Gan Qi (Drynariae Rhizoma - stir-fried until smoke clears, 5 qian). Add Ren Shen (Ginseng Radix et Rhizoma) (5 qian for better effect).
Grind into fine powder. Use ginger juice and wine to make paste pills, sized like paulownia seeds. Take 80 pills per dose, washed down with plain hot water after meals.
For blood accumulation masses, specialized attacking methods are appropriate.
Shen Hua Dan (Divine Transformation Pellet) eliminates癖积 (Pi Ji), breaks blood masses, expels "ghost fetus" (ectopic pregnancy/miscarriage remnants), unblocks meridians, and treats various plum-petition blood-Qi masses.
Sha (Realgar), Gan Qi (Drynariae Rhizoma - stir-fried), Xue Jie (Dragon's Blood) (each 3 qian), Hong Niang (Lyttae Margo - 20 pieces, remove wings), Ru Xiang (Olibanum) (1.5 qian), Ban Mao (Mylabris - 20 pieces, remove wings and feet).
Grind into powder. Make pills with jujube flesh, sized like pea seeds. Take 1 to 3-5 pills per dose, before sleep, washed down with jujube soup, ginger soup, or Hong Hua (Carthami Flos) and Su Mu (Sappan Lignum) soup.
For internal medication of accumulation masses combined with external application, this represents simultaneous treatment.
Wu Xian Gao (Five Immortals Paste) treats all plum-petition masses, Qi accumulation,癖疾 (Pi Ji) with large abdomen and blue veins, asthma with upward congestion, or fever with cough, hematemesis, and epistaxis.
Da Huang (Rhei Radix et Rhizoma), Fei Zao Jiao (Gleditsiae Sinensis Fructus), Sheng Jiang (Zingiberis Rhizoma Recens) (half jin), Sheng Cong (Allii Fistulosi Bulbus) (half jin), Da Suan (Allii Sativi Bulbus) (half jin).
Pound all together, decoct in water, extract the juice and filter dregs, then boil the juice again until it becomes a paste, dark black in color. Spread on silk fabric. First prick the affected area with needles, then apply the plaster.
Shen Xian Hua Pi Gao (Immortal Plum-Petition Eliminating Plaster) specializes in treating all accumulations, aggregations, and plum-petition masses. It dissolves upon one application, proving effective as if by magic.
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chi Shao (Paeoniae Radix Rubra), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Huang Bo (Phellodendri Cortex), Zhi Zi (Gardeniae Fructus) (each 1 qian), Hong Hua (Carthami Flos), Rou Gui (Cinnamomi Cortex), Ding Xiang (Caryophylli Flos), Sheng Di Huang (Rehmanniae Radix), Cao Wu (Aconiti Radix Preparata), Ba Dou (Crotonis Fructus - remove shell, each 5 qian), Da Huang (Rhei Radix et Rhizoma) (2 liang), Su Mu (Sappan Lignum), Chuan Wu (Aconiti Radix Preparata) (each 1 liang), Chuan Shan Jia (Manis Squama) (20 slices), Wu Gong (Centipedae Corpus) (6 strips), Bai Hua She (Bungarus Parvus) (one strip or 1 liang), Tao Zhi (Pruni Persicae Ramulus), Liu Zhi (Salicis Ramulus), Zao Zhi (Ziziphi Jujubae Ramulus) (each 2 cun).
Grind finely. Soak in 2 jin of sesame oil for 5-7 days. Slowly boil over mulberry wood fire until charred black. Filter dregs. Continue boiling until white light rises. Cool, filter clearly, and take 1.5 jin back into the pot. Boil over mulberry wood fire until oil boils. Gradually add Fei Guo Huang Dan (Calcined Lead Monoxide, stir-fried black, 1 liang), Shao Guo Fen (Burnt White Lead, 1 liang), Shui Fei Guo He Se Mi Duo Seng (Water-washed, stir-fried brownish Melilotus, 1 liang). Continue slow boiling until extremely boiling, then stop. Add 4 liang of tender Pine Rosin and half a jin of Yellow Beeswax. Boil until a drop forms a bead in water. Spread medicine frequently on thick cotton paper, test on own skin. When the consistency is appropriate, remove from fire. While slightly warm, add the following fine medicines: Song Xiang (Pini Resina) (first melt a little oil in pot and add to paste for best results), Ru Xiang (Olibanum) (1 liang, roasted over bamboo leaf), Mo Yao (Myrrha) (1 liang, roasted), Xue Jie (Dragon's Blood) (5 qian, chewed like wax, smelling like Gardenia is ideal), Tian Zhu Huang (Calculus Bovis) (3 qian), Qing Fen (Calomelas) (3 qian), Sha (Realgar) (1.5 qian), Hu Huang Lian (Picrorhizae Rhizoma) (3 qian), A Wei (Ferulae Resina) (5 qian, take a bean-sized piece, melt over fire and drip onto copper vessel; turning white on top is good), She Xiang (Moschus) (1 qian). These nine ingredients should be ground into fine powder and gradually added to the paste, stirring constantly until cool. Scoop out, wash off floating grease with warm water, bury in a shady place for 21 days to remove fire toxicity. Spread on dog skin. Before application, wash the affected area with liquor-boiled Pu Xiao (Mirabilite) for a while, then apply the medicine. Keep warm with charcoal fire and massage. One application can cure.
During application, strictly avoid rich flavors, cold/raw foods, sexual desire, and anger. Also, take more oral medications; do not rely solely on plasters.
One: For the five accumulations, six aggregations, masses, and plum-petition blocks, where Yuan Qi is deficient, body is emaciated and weak, appetite is poor, and limbs feel heavy and fatigued, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), Xiang Fu (Cyperi Rhizoma), Jie Geng (Platycodonis Radix), Huo Xiang (Agastaches Herba), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), and Rou Gui (Cinnamomi Cortex).