治气积，肉积，心腹膨满，结块疼痛，或引胁肋疼痛，或痛连背膂，不思饮食。木香（不
见火） 槟榔（各半两） 胡椒 阿魏（用醋化开，旋入。各二钱半）
上为细末，用阿魏膏子并粟米饭，杵和为丸，如梧桐子大，每服四十丸，不拘时候，用
生姜
治食积，茶积，饮食减少，面黄腹痛。
陈仓米（半斤，用巴豆七粒去壳，同米炒令赤色，去巴不用） 青皮（去瓤，炒） 陈
橘皮（各二两）
上为细末，好醋搜和为丸，如豌豆大，每服二十丸，食后，用淡姜汤送下。
治酒癖不消，心腹胀满，噫醋吞酸， 逆不食，胁肋疼痛。
神曲（锉，炒）麦 （炒，各一两） 黄连（去须，半两，巴豆三粒，去壳，同炒令转
色，去巴豆不用）
上为细末，沸汤搜丸，如梧桐子大，每服五十丸，食后，用姜汤吞下。
治痰积中脘，眈瞑呕吐，头疼恶心，时吐酸水。
陈皮（不去白） 天南星（生用） 干姜（洗去灰，生用。各半两） 雄黄（二钱半，
研极细）
上为细末，用生姜自然汁浸，蒸饼为丸，如梧桐子大，以前雄黄末为衣，每服五十丸，
食后，生姜汤下。
难经云∶脾气通于口，口和则知谷味矣；心气通于舌，舌和则知五味矣。是知谷味五味，
莫不经由口舌而入于胃也。善摄生者，谨于和调，使一饮一食，入于胃中，随消随化。则无
滞留之患。若禀受怯弱，饥饱失时，或过餐五味、鱼腥、乳酪，强食生冷果菜，停蓄胃脘，
遂成宿滞。轻则吞酸呕恶，胸满噎噫，或泄或利，久则积聚，结为症瘕，面黄羸瘦，此皆宿
食不消而主病焉。大率才有停滞，当量人虚实，速宜克化之，不可后时，养成沉 也。
【方剂一：阿魏丸】
治疗气积、肉积，心腹部胀满膨隆，有结块且疼痛，或者牵引胁肋部疼痛，或者疼痛牵连背部脊柱，不想吃东西。
木香（不经过火烤）半两，槟榔（各半两），胡椒二钱半，阿魏二钱半（用醋化开，随即加入）。
将上述药物研成细末，用阿魏膏和小米饭，捣匀混合制成丸药，大小如梧桐子。每次服用四十丸，不限时间，用生姜汤送服。
【方剂二】
治疗食积、茶积，饮食减少，面色发黄，腹痛。
陈仓米半斤（用巴豆七粒去壳，与米同炒至红色，去掉巴豆不用），青皮（去掉瓤，炒制），陈橘皮（各二两）。
将上述药物研成细末，用好醋调和制成丸药，大小如豌豆。每次服用二十丸，饭后用淡姜汤送服。
【方剂三】
治疗酒癖不消，心腹胀满，打嗝泛酸水，呃逆不想进食，胁肋部疼痛。
神曲（锉碎，炒制），麦麸（炒制，各一两），黄连（去掉须，半两，加巴豆三粒去壳，同炒至变色，去掉巴豆不用）。
将上述药物研成细末，用沸水调和制成丸药，大小如梧桐子。每次服用五十丸，饭后用姜汤吞服。
【方剂四】
治疗痰积停留在中脘，头晕目眩呕吐，头痛恶心，时常吐出酸水。
陈皮（不去白），天南星（生用），干姜（洗去灰，生用，各半两），雄黄（二钱半，研磨极细）。
将上述药物研成细末，用生姜自然汁浸泡，用蒸饼制成丸药，大小如梧桐子，以前面提到的雄黄细末作为包衣。每次服用五十丸，饭后用生姜汤送服。
《难经》说：脾气通于口，口调和就能知道谷物的味道；心气通于舌，舌调和就能知道五味的味道。由此可知，谷物的味道和五味，没有不是经由口舌进入胃中的。善于养生的人，谨慎地调和饮食，使得每一饮每一食，进入胃中后，随着消化而转化。这样就没有滞留的祸患。如果禀赋怯弱，饥饱不规律，或者过食五味、鱼腥、乳酪，强行食用生冷瓜果蔬菜，停滞蓄积在胃脘，于是形成宿食停滞。轻则出现吞酸、呕吐恶心的症状，胸满、噫气，或者腹泻或便秘；时间久了形成积聚，结成症瘕（腹内结块），面色发黄，身体消瘦，这些都是因为宿食不消而导致的主要病症。大抵只要有停滞，应当衡量病人的虚实情况，迅速进行消导化解，不可延误时机，养成沉疴痼疾。
[Formula 1: Awei Wan]
Treats Qi accumulation, flesh accumulation, distension and fullness of the heart and abdomen, palpable masses with pain, or pain radiating to the hypochondrium, or pain extending to the back and spine, loss of appetite.
Muxiang (Costi Radix), Binglang (Arecae Semen) (each half liang); Hujiao (Piperis Fructus), Awei (Asafoetida Resina) (two qian and a half each). Awei should be dissolved in vinegar and added immediately.
Grind the above ingredients into fine powder. Use Awei paste and millet rice to knead and form pills, sized like Sophora japonica seeds. Take forty pills per dose, at any time, washed down with ginger decoction.
[Formula 2]
Treats food accumulation, tea accumulation, reduced dietary intake, sallow complexion, and abdominal pain.
Chencangmi (Zizaniia Aquatica Semen, aged) (half jin, stir-fried with seven husked Baiduo [Crotonis Semen] until red, then discard Baiduo); Qingpi (Aurantii Fructus Immaturus, pith removed, stir-fried); Chenjupi (Citri Reticulatae Pericarpium, aged) (each two liang).
Grind the above ingredients into fine powder. Mix well with good vinegar to form pills, sized like pea seeds. Take twenty pills per dose after meals, washed down with light ginger soup.
[Formula 3]
Treats unresolving wine accumulation, distension and fullness of the heart and abdomen, belching with acid regurgitation, hiccups with anorexia, and hypochondriac pain.
Shenqu (Massa Medicata Fermentata, crushed, stir-fried); Maiya (Hordei Fructus Germinatus, stir-fried) (each one liang); Huanglian (Coptidis Rhizoma, whiskers removed, half liang, stir-fried with three husked Baiduo [Crotonis Semen] until color changes, then discard Baiduo).
Grind the above ingredients into fine powder. Knead with boiling water to form pills, sized like Sophora japonica seeds. Take fifty pills per dose after meals, swallowed with ginger soup.
[Formula 4]
Treats phlegm accumulation in the Zhongwan region, dizziness and vomiting, headache and nausea, frequent spitting of acidic fluid.
Chenpi (Citri Reticulatae Pericarpium, albedo not removed); Tian Nanxing (Arisaematis Tuber, raw use); Ganjiang (Zingiberis Rhizoma, washed clean of ash, raw use) (each half liang); Xionghuang (Realgar, two qian and a half, ground extremely fine).
Grind the above ingredients into fine powder. Soak in fresh juice extracted from raw ginger. Form pills using steamed wheat cake dough, sized like Sophora japonica seeds. Coat with the previously prepared fine Realgar powder. Take fifty pills per dose after meals, washed down with ginger soup.
The *Nan Jing* (Classic of Difficult Issues) states: The Spleen's qi connects to the mouth; when the mouth is harmonious, one can perceive the taste of grains. The Heart's qi connects to the tongue; when the tongue is harmonious, one can perceive the five flavors. From this, it is known that the tastes of grains and the five flavors enter the Stomach via the mouth and tongue. Those skilled in health preservation carefully regulate their diet, ensuring that every drink and meal, once entering the Stomach, is digested and transformed promptly. Thus, there are no hazards of stagnation. If one has weak constitution, irregular eating habits (hunger or fullness out of season), or overconsumes the five flavors, fish, seafood, dairy products, and cheese, or forcibly ingests cold, raw fruits and vegetables, these will stagnate and accumulate in the epigastrium, eventually forming chronic food retention. Mild cases present with acid regurgitation, vomiting, nausea, chest fullness, belching, diarrhea, or constipation. Over time, accumulations form, developing into zheng jia (masses), sallow complexion, and emaciation. These are all diseases primarily caused by undigested retained food. Generally, as soon as stagnation occurs, one must assess the patient's deficiency or excess and rapidly employ methods to resolve and transform it. Do not delay, lest it develop into a deep-seated, chronic disease.