肥气丸
治肝之积,在左胁下,如覆杯,有头足,龟鳖状,久久不愈。发咳,呕逆, 疟,
月不已,其脉弦而细。
青皮(炒,二两) 当归须 苍术(各一两半) 蓬术 三棱(切) 铁孕粉(各三两。
与三
棱、
上为末,醋煮米糊丸,绿豆大。每服四十丸,当归浸酒下。
伏梁丸
治心之积,起于脐,上至心,大如臂,久久不已,病烦心,身体髀股皆肿,环脐而
其脉沉而芤。
茯苓 浓朴(姜汁炒) 人参 枳壳(麸炒,去穣) 白术 半夏(洗七次) 三棱(慢
火煨热,
上等分为末,煮糊丸梧子大。米饮下二十丸,食前,日两服。作末,酒调服,绝胜。
痞气丸
治脾之积,在胃脘,覆大如盘,久久不愈。病四肢不收,黄瘅,饮食不为肌肤。心
背,背痛彻心,脉浮大而长。
大乌头(一分,炮,去皮尖) 附子(半两,炮,去皮脐) 赤石脂( ,醋淬) 川
椒(炒出汗)
上为末,蜜丸如梧子大,朱砂为衣。每服五七丸,米饮下。渐加丸数。
息贲丸
治肺之积,在右胁下,大如覆杯,久久不愈。病洒洒寒热,气逆,喘嗽,发为肺痈
脉浮而毛。
半夏(汤洗,七次) 吴茱萸(汤洗) 桂心(各二两半) 甘草 桑白皮(炙) 葶
苈(炒。各二
上锉散。每服四钱,水一盏半,姜三片,红枣二枚,煎七分,去滓,食前服。
治疗肝之积,病位在左胁下,形状像倒扣的杯子,有头有足,状如龟鳖,久治不愈。发作时咳嗽,呕吐逆气,疟疾,月经持续不止,脉象弦而细。
青皮(炒制,二两) 当归须 苍术(各一两半) 蓬术 三棱(切片) 铁孕粉(各三两。与三棱、[此处原文似有脱漏,依文意应为与其他药同用]
以上药物研为细末,用醋煮米糊作为粘合剂制成丸药,大小如绿豆。每次服用四十丸,用当归浸泡的酒送服。
治疗心之积,起于脐部,向上延伸至心口,大小如手臂,久治不愈,病症表现为心烦,身体大腿和腿部都肿胀,围绕脐部疼痛,脉象沉而芤。
茯苓 浓朴(姜汁炒制) 人参 枳壳(麸皮炒制,去掉瓤) 白术 半夏(清洗七次) 三棱(慢火煨热,[此处原文似有脱漏,依文意应为切片或捣碎]
以上药物等分研为细末,煮糊制成丸药,大小如梧桐子。用米汤送服二十丸,饭前服用,每日两次。若制成散剂,用酒调服,效果极佳。
治疗脾之积,位于胃脘部,覆盖面积大如盘子,久治不愈。病症表现为四肢无力无法收持,黄疸,饮食不能转化为肌肉营养。心痛彻背,背痛彻心,脉象浮大而长。
大乌头(一分,炮制,去皮尖) 附子(半两,炮制,去皮脐) 赤石脂([此处原文似有脱漏,依文意应为处理步骤],醋淬) 川椒(炒至出汗)
以上药物研为细末,蜂蜜炼制成丸,大小如梧桐子,用朱砂粉末包裹衣面。每次服用五到七丸,用米汤送服。逐渐增加丸数。
治疗肺之积,位于右胁下,大小如倒扣的杯子,久治不愈。病症表现为阵阵恶寒发热,气机上逆,气喘咳嗽,发展为肺痈,脉象浮而毛。
半夏(热水清洗,七次) 吴茱萸(热水清洗) 桂心(各二两半) 甘草 桑白皮(炙制) 葶苈(炒制。各二[此处原文似有脱漏,依文意应为两或类似剂量]
以上药物切碎成散剂。每次服用四钱,加水一盏半,生姜三片,红枣二枚,煎煮至七分满,去渣滓,饭前服用。
Feiqi Wan (Liver Accumulation Pill)
Treats Liver Accumulation (a mass in the liver), located under the left hypochondrium, resembling an inverted cup with distinct head and foot structures, shaped like a turtle or tortoise. If untreated for a long time, it may cause coughing, vomiting and regurgitation, malaria, and persistent menstruation. The pulse is wiry and fine.
Qingpi (Stir-fried Tangerine Peel, 2 liang) Dangguixu (Root ends of Angelica Sinensis) Cangzhu (Atractylodis Rhizoma, 1.5 liang each) Pengzhu (Curcuma Zedoaria Rhizome) Sanleng (Sparganii Rhizoma, sliced) Tieyunfen (Iron Ore Powder, 3 liang each. To be used with Sanleng [text implies combination])
Crush the above ingredients into powder. Use vinegar-boiled rice paste as a binder to form pills the size of mung beans. Take 40 pills per dose, washed down with wine infused with Danggui.
Fuliang Wan (Heart Accumulation Pill)
Treats Heart Accumulation (a mass in the heart region), originating from the umbilicus and extending upward to the heart, with a diameter similar to an arm. If untreated for a long time, it causes mental restlessness, swelling of the thighs and legs, and pain encircling the umbilicus. The pulse is deep and hollow (Kou).
Fuling (Poria) Houpo (Magnolia Bark, stir-fried with ginger juice) Renshen (Ginseng Radix et Rhizoma) Zhike (Aurantii Fructus, bran-fried, pith removed) Baizhu (Atractylodis Macrocephalae Rhizoma) Banxia (Pinelliae Rhizoma, washed seven times) Sanleng (Sparganii Rhizome, slow-fire roasted until hot [text implies preparation])
Grind the above ingredients in equal parts into powder. Use boiled paste to form pills the size of wutong seeds. Take 20 pills per dose with rice water, before meals, twice daily. Alternatively, taken as a powder mixed with wine yields superior results.
Piqi Wan (Spleen Accumulation Pill)
Treats Spleen Accumulation (a mass in the spleen/stomach region), located in the epigastrium, covering an area large as a plate. If untreated for a long time, it leads to flaccidity and weakness of the four limbs, jaundice, and inability of food intake to nourish muscles. It may also cause heart pain radiating to the back and back pain radiating to the heart. The pulse is floating, large, and long.
Dawutou (Aconiti Lateralis Radix Praeparata, 1 fen, processed, skin and tip removed) Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, processed, skin and navel removed) Chishizhi (Halloysit Rubra, [text implies processing], quenched in vinegar) Chuanjiao (Zanthoxyli Pericarpium, stir-fried until "sweat" appears)
Grind the above ingredients into powder. Form pills with honey the size of wutong seeds, coated with Cinnabar (Zhusha). Take 5-7 pills per dose, washed down with rice water. Gradually increase the number of pills.
Xiben Wan (Lung Accumulation Pill)
Treats Lung Accumulation (a mass in the lung region), located under the right hypochondrium, with a size similar to an inverted cup. If untreated for a long time, it causes chills and fever, rebellious qi, wheezing and coughing, potentially developing into Lung Abscess (Fei Yong). The pulse is floating and hairy (Mao).
Banxia (Pinelliae Rhizoma, washed with boiling water, seven times) Wuzhuyu (Evodiae Fructus, washed with boiling water) Guixin (Cinnamon Twig Heart, 2.5 liang each) Gancao (Licorice Root) Sangbaipi (Mori Cortex, stir-baked) Tinglizi (Descurainiae Semen Lepidii Semen, stir-fried. Each [text implies quantity missing, likely 2 liang based on context])
Cut the above ingredients into coarse powder. Take 4 qian per dose, add 1.5 cups of water, 3 slices of fresh ginger, and 2 red dates. Decoct until reduced to 0.7 cups. Strain and take before meals.