脉
脉来细而附骨者，积也。在寸口，积在胸中；在关上，积在脐旁；在尺部，积在气冲。脉在左，积在
左；脉在右，积在右；脉两出，积在中央。脉来小沉而实者，脾胃中有积聚，不下食，食则吐。
病
夫积者，阴气也，其发有常处，其痛不离其部，上下有所终始，左右有所穷处；聚者，阳气也，其始
无根本，上下无所留止，其痛无常处。气之所积，名曰积；气之所聚，名曰聚。故积者，五脏所生；聚者，
六腑所成。其肝积，名曰肥气，在左胁下，如覆杯，有头足，久不愈，令人发咳逆，病疟连岁不愈；心之积，
名曰伏梁，起脐上，大如臂，上至心下，久不愈。令人烦心；脾之积，名曰痞气，在胃脘，覆大如盘，久不
愈，令人四肢不收，发黄胆，饮食不为肌肤，肺之积，名息奔，在右胁下，大如覆杯，久不愈，令人洒淅，寒
热喘咳，发肺痈；肾之积，名曰奔豚，在小腹，上至心下，若豚状，或上、或下无时，久不愈，令人喘逆，骨
痿少气。皆因阴阳不和，脏腑虚弱，风邪搏之，忧喜乘之，伤五脏，逆四时，乃留结而为积聚也。
者，征也。腹中坚硬，按之应手曰 。瘕者，犹假也。腹中虽硬，而忽聚忽散，无有常处曰瘕。症因
伤食，瘕是血生，痞原伤气，癖则伤精。 癖者，本因邪气积聚而生也。 者，在腹内近
脐左右，各有一条筋脉急痛如臂、如指、如弦之状；癖者，僻侧在两肋之间，有时而痛曰癖。夫 之与癖，
皆阴阳不和，经络痞隔，饮食停滞，不得宣流，邪冷之气搏结不散，得冷则发作疼痛，故曰 癖也。
治
丹溪曰∶块乃有形之物，气不能成形，痰与食积，死血也。在中为痰饮，在右为食积，在左为死血。大
法咸以软之，坚以削之，行气开痰为主，不可专用下药，徒损其气，病亦不去。当消导使之
熔化，其死血块去，须大补。痞块在皮里膜外，须用补药，香附开
之，兼二陈汤加补气药，先须断浓味。
方
大七气汤 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 陈皮 桔梗 藿香 益智仁 香附 肉桂 甘草
上锉，生姜三片，枣一枚，水煎服。心脾痛，加乌药、枳壳。脾滞，合和四圣散。一方加大黄、槟榔，治
大人、小儿诸般痞积，面色痿黄，四肢无力，皆缘内有虫积，或好食生米，或好食生壁土，或好食茶、炭、咸
辣等物，只此一服除根。用水煎一服，露一宿，空心温服，不得些少饮食，不然则药力减而虫积不行矣。
服后少顷，肚腹心疼，当下如鱼冻，或长虫，或血鳖，至日午虫积下尽，方用温粥止之。
消积保中丸（云林制）〔批〕（按此方治积聚之总司也） 顺气化痞，理脾消滞，散痞结，除积块，
进饮食，清郁热。
陈皮（二两，去白） 半夏（一两，汤泡七次，姜汁炒） 白茯苓（去皮，一两） 白
术（三两，土炒） 香附（一两，醋浸炒） 青皮（四钱，去穣，油炒） 木香（三钱，不见火）
槟榔（七钱） 莪术（八钱，醋浸炒） 三棱（八钱，醋浸炒） 莱菔子（一两，炒） 砂
仁（四钱，炒） 神曲（炒，一两） 麦芽（炒，六钱） 白芥子（炒，一两） 黄连（姜炒，一
两） 真阿魏（醋浸，三钱） 山栀子（姜汁炒，一两） 干漆（炒尽烟，五钱）
上为细末，姜汁、酒糊为丸，如梧桐子大。每服八十丸，食后白汤送下。
千金化气丸（太医传） 治男子腹中气块痞痛。
青皮 陈皮 枳壳 香附 砂仁 白豆蔻（各一两） 干姜 木香（五
钱） 丁皮（二钱） 藿香 半夏 草果 槟榔（一两半） 川芎 白芷 三棱
莪术 玄胡索（各一两） 小茴香（五钱） 浓朴 大腹皮 白芍药（各一两） 甘草（三钱）
上锉，生姜三片，水煎，半空心温服。
千金导气汤（太医院传） 治妇人满腹气块，游走不定，漉漉有
声。
丁香 木香 砂仁 白豆蔻 香附 乌药 枳实（倍） 当归 川
芎白芍药（酒炒） 白芷 白术 青皮 陈皮 干姜（煨） 桔梗 浓朴（制
）肉桂 三棱（醋炒） 莪术（醋炒） 角茴 小茴 牛膝 红花 杜仲（炒）
乳香 没药 干漆（醋炒尽烟） 甘草
上锉，半水半酒，姜、葱煎，热服。如饱闷不食，加神曲、麦芽、山楂；发热，加柴胡、黄芩。
胜红丸〔批〕（按此方治寒积之剂）治脾积气滞，胸膈满闷，气促不安，
呕吐清水，丈夫酒积，妇人血积气积，小儿食积，皆治。
陈皮 莪术（二味同醋煮） 青皮 三棱（醋煮） 干姜（炮） 良姜（各一两） 香附（炒，去皮，一两）
上为末，醋糊丸，如梧桐子大。每服五十丸，姜汤下，食前服。
开怀散（云林制） 治心下积块作痞闷，或发热者。
青皮（去穣） 陈皮 半夏（姜炒） 白茯苓（去皮） 三棱（醋炒） 莪术（醋炒）
香附 槟榔 草豆蔻（倍用） 柴胡（倍用） 红花 枳实（麸炒） 甘草
上锉一剂，生姜煎服。口干，加干葛。
柴香散 治心腹有气一块，略痛。又理心腹疼痛，膨胀，寒热往来。
柴胡（七分） 黄芩（七分） 赤芍药（五分） 枳实（一钱） 浓朴（五分） 香薷（五分）
黄连（五分） 地骨皮（一钱） 三棱（一钱） 莪术（一钱） 玄胡索（五分） 甘草（三分）
上锉一剂，水煎服。
三棱煎丸 治饮食过伤，痞闷疼痛，食不消化，久而成癖。又治妇人血积、血块、干血气经闭不通。
大黄（八两，为末） 三棱 莪术（各一两，二味湿纸包裹，煨，为末）
上先将大黄银石器内，好醋渍，令平慢火熬干，入二味为丸，如绿豆大。每服二三十丸，食后白汤下。
量虚实加减，不问男子、妇人、小儿，诸般积块皆可服。
三棱化积丸（李九河方）〔批〕（按此方治热积之剂）
三棱（六两，醋煮） 莪术（一两，醋煮） 木香（一两） 槟榔（六两） 青皮（一两）
陈皮（一两） 香附（一两，醋炒） 枳实（一两，麸炒） 浓朴（一两） 砂仁（一两） 神曲
（一两，炒） 山楂（四两，去子） 麦芽（一两，炒） 南星（一两，姜汤泡） 半夏（一两，
姜制） 萝卜子（炒） 大黄（三两，酒蒸） 黄连（一两，炒） 桃仁（一两，去皮尖） 干
漆（一两，炒） 甘草（一两）
上为细末，醋糊为丸，如梧桐子大。每服四十丸，渐渐加，用白汤送下。
神化丹（秘方）〔批〕（按此方治积聚专攻之剂） 消癖积，破血气，下鬼胎，
通经脉，及诸癖积血气块。
砂 干漆（炒） 血竭（各三两） 红娘子（二十，去翅） 乳香（一钱半） 斑蝥
（二十个，去翅，足）
上为末，枣肉为丸，如豌豆大。每一丸至二五丸，临卧或枣汤、或姜汤、或红花苏木汤下。
脉象
脉象细弱且深按至骨方得的，是积聚病。脉象出现在寸口部位，积聚在胸中；出现在关上部位，积聚在脐旁；出现在尺部，积聚在气冲穴附近。脉象在左手出现，积聚在身体左侧；脉象在右手出现，积聚在身体右侧；脉象在左右两手同时出现，积聚在身体中央。脉象小而沉且实有力的，是脾胃中有积聚，导致不能进食，进食则呕吐。
病症
所谓“积”，属于阴气所致，发病位置固定，疼痛不离开其所在部位，上下有起止范围，左右有尽头之处；所谓“聚”，属于阳气所致，起初没有根本固定的位置，上下没有停留止息的地方，疼痛位置不固定。气机所积滞的，称为“积”；气机所聚集的，称为“聚”。所以，“积”是由五脏产生的；“聚”是由六腑形成的。肝脏的积，名为“肥气”，位于左胁下，形状像倒扣的杯子，有头有足，久治不愈，使人发生咳嗽气逆，疟疾连年不愈；心脏的积，名为“伏梁”，起于脐上，大如手臂，向上延伸至心下，久治不愈，使人心中烦乱；脾脏的积，名为“痞气”，位于胃脘部，覆盖面积大如盘子，久治不愈，使人四肢无力不收摄，发黄疸病，饮食无法转化为肌肤营养；肺脏的积，名为“息奔”，位于右胁下，大如倒扣的杯子，久治不愈，使人战栗恶寒，寒热交替，气喘咳嗽，引发肺痈；肾脏的积，名为“奔豚”，位于小腹，向上延伸至心下，状如小猪奔跑之状，有时上行、有时下行，无定时，久治不愈，使人气喘逆乱，骨骼痿软，气息短少。这些都是由于阴阳不和，脏腑虚弱，风邪侵袭，忧喜情绪干扰，损伤五脏，违背四时养生规律，从而导致气机留结而形成积聚。
“症”（zhēng），即征验之意。腹中坚硬，按压时有应手感，称为“症”。“瘕”（jiǎ），意为假借。腹中虽然感觉硬块，但忽聚忽散，没有固定位置，称为“瘕”。症多因伤食引起，瘕多由血瘀产生，痞满原因为伤气，癖块则伤及精气。症和癖，原本都是因邪气积聚而生成的。症，位于腹内靠近肚脐左右两侧，各有一条筋脉紧急疼痛，形状如臂、如指、如弦；癖，位于两肋之间偏侧的位置，有时疼痛，称为癖。症与癖，都是因为阴阳不和，经络痞塞阻隔，饮食停滞，不能宣通流布，邪冷之气搏结不散，遇到寒冷则发作疼痛，所以称为症癖。
治疗原则
朱丹溪说：肿块是有形的物质，气本身不能形成有形之物，而是痰饮与食积，以及死血（瘀血）凝聚而成。在中焦多为痰饮，在右侧多为食积，在左侧多为死血。治疗的大法是：用咸味药物软化坚块，用攻削药物消除坚积，以行气开痰为主，不可专用泻下药，那样只会徒然损伤正气，病也不会去除。应当通过消导作用使积滞熔化，如果是死血形成的块，去除后必须大补气血。如果痞块位于皮里膜外，必须使用补药，配合香附开郁，兼用二陈汤并加入补气药，并且必须先断绝浓腻厚味的食物。
方剂
大七气汤：治疗五积六聚，症状类似症瘕，随气机上下移动，发作有时，心腹疼痛，气逆窒塞，小腹胀满，大小便不利。
药材：三棱、莪术、青皮、陈皮、桔梗、藿香、益智仁、香附、肉桂、甘草。
用法：切碎，加生姜三片，大枣一枚，水煎服。若心脾痛，加乌药、枳壳。若脾滞，合用四圣散。另一版本加大黄、槟榔，治疗大人、小儿各种痞积，面色萎黄，四肢无力，这都是因为内有虫积，或者喜欢吃生米、生墙壁土、茶、炭、咸辣等异物所致，仅这一服药即可除根。用水煎服一剂，露置一夜，空腹温服，服药期间不得吃任何食物，否则药效减弱，虫积无法排出。服用后不久，肚腹心窝疼痛，随后会排出如鱼冻状物，或长虫，或血鳖，到中午时分虫积排尽，才可用温粥停止禁食。
消积保中丸（云林制）【批注】（此方为治疗积聚的总纲方剂）：顺气化痞，调理脾胃消除滞碍，消散痞结，除去积块，增进饮食，清除郁热。
药材：陈皮（二两，去白）、半夏（一两，开水泡七次，姜汁炒）、白茯苓（去皮，一两）、白术（三两，土炒）、香附（一两，醋浸炒）、青皮（四钱，去瓤，油炒）、木香（三钱，不见火）、槟榔（七钱）、莪术（八钱，醋浸炒）、三棱（八钱，醋浸炒）、莱菔子（一两，炒）、砂仁（四钱，炒）、神曲（炒，一两）、麦芽（炒，六钱）、白芥子（炒，一两）、黄连（姜炒，一两）、真阿魏（醋浸，三钱）、山栀子（姜汁炒，一两）、干漆（炒尽烟，五钱）。
用法：研为细末，用姜汁、酒糊制作成丸，如梧桐子大小。每次服用八十丸，饭后用白开水送服。
千金化气丸（太医传）：治疗男子腹中气块痞痛。
药材：青皮、陈皮、枳壳、香附、砂仁、白豆蔻（各一两）、干姜、木香（五钱）、丁皮（二钱）、藿香、半夏、草果、槟榔（一两半）、川芎、白芷、三棱、莪术、玄胡索（各一两）、小茴香（五钱）、浓朴、大腹皮、白芍药（各一两）、甘草（三钱）。
用法：切碎，加生姜三片，水煎，在半空腹时温服。
千金导气汤（太医院传）：治疗妇人满腹气块，游走不定，肠鸣漉漉有声。
药材：丁香、木香、砂仁、白豆蔻、香附、乌药、枳实（用量加倍）、当归、川芎、白芍药（酒炒）、白芷、白术、青皮、陈皮、干姜（煨）、桔梗、浓朴（制）、肉桂、三棱（醋炒）、莪术（醋炒）、角茴、小茴、牛膝、红花、杜仲（炒）、乳香、没药、干漆（醋炒尽烟）、甘草。
用法：切碎，一半水一半酒，加姜、葱煎煮，热服。如果饱闷不想吃东西，加神曲、麦芽、山楂；如果发热，加柴胡、黄芩。
胜红丸【批注】（此方为治疗寒积的药剂）：治疗脾积气滞，胸膈满闷，气促不安，呕吐清水，丈夫的酒积，妇人的血积气积，小儿的食积，均可治疗。
药材：陈皮、莪术（这两味同醋煮）、青皮、三棱（醋煮）、干姜（炮）、良姜（各一两）、香附（炒，去皮，一两）。
用法：研为细末，用醋糊制作成丸，如梧桐子大小。每次服用五十丸，姜汤送服，饭前服用。
开怀散（云林制）：治疗心下积块导致痞闷，或伴有发热者。
药材：青皮（去瓤）、陈皮、半夏（姜炒）、白茯苓（去皮）、三棱（醋炒）、莪术（醋炒）、香附、槟榔、草豆蔻（加倍使用）、柴胡（加倍使用）、红花、枳实（麸炒）、甘草。
用法：切碎一剂，加生姜煎服。如果口干，加干葛。
柴香散：治疗心腹有一块气，轻微疼痛。又调理心腹疼痛，膨胀，寒热往来。
药材：柴胡（七分）、黄芩（七分）、赤芍药（五分）、枳实（一钱）、浓朴（五分）、香薷（五分）、黄连（五分）、地骨皮（一钱）、三棱（一钱）、莪术（一钱）、玄胡索（五分）、甘草（三分）。
用法：切碎一剂，水煎服。
三棱煎丸：治疗饮食过度损伤，痞闷疼痛，食物不消化，久而久之形成癖块。又治疗妇人血积、血块、干血气导致的经闭不通。
药材：大黄（八两，研为末）、三棱、莪术（各一两，这两味用湿纸包裹，煨熟，研为末）。
用法：先将大黄放入银石器中，用好醋浸泡，然后放在慢火上熬干，加入三棱、莪术末制作成丸，如绿豆大小。每次服用二三十丸，饭后用白开水送服。根据虚实情况加减剂量，不论男子、妇人、小儿，各种积块都可以服用。
三棱化积丸（李九河方）【批注】（此方为治疗热积的药剂）：
药材：三棱（六两，醋煮）、莪术（一两，醋煮）、木香（一两）、槟榔（六两）、青皮（一两）、陈皮（一两）、香附（一两，醋炒）、枳实（一两，麸炒）、浓朴（一两）、砂仁（一两）、神曲（一两，炒）、山楂（四两，去子）、麦芽（一两，炒）、南星（一两，姜汤泡）、半夏（一两，姜制）、萝卜子（炒）、大黄（三两，酒蒸）、黄连（一两，炒）、桃仁（一两，去皮尖）、干漆（一两，炒）、甘草（一两）。
用法：研为细末，用醋糊制作成丸，如梧桐子大小。每次服用四十丸，逐渐增加剂量，用白开水送服。
神化丹（秘方）【批注】（此方为治疗积聚专门攻坚的药剂）：消除癖积，破血气，下鬼胎，通经脉，以及各类癖积血气块。
药材：砂（此处疑为硇砂，原文作砂）、干漆（炒）、血竭（各三两）、红娘子（二十只，去翅）、乳香（一钱半）、斑蝥（二十个，去翅、足）。
用法：研为细末，用枣肉制作成丸，如豌豆大小。每次服用一至二五丸，临睡前用枣汤、或姜汤、或红花苏木汤送服。
Pulse Diagnosis
A pulse that is thin and only felt upon deep pressure to the bone indicates an accumulation (Ji). If the pulse is located at the Cun Kou (inch position), the accumulation is in the chest; if at the Guan position, the accumulation is beside the navel; if at the Chi position, the accumulation is near the Qichong acupoint. If the pulse is on the left side, the accumulation is on the left side of the body; if on the right, it is on the right; if present on both hands, the accumulation is in the center of the body. A pulse that is small, deep, and firm indicates accumulations in the Spleen and Stomach, resulting in an inability to eat, and vomiting after eating.
Symptoms
The "Accumulation" (Ji) is generated by Yin Qi. Its onset occurs at a fixed location, pain does not leave its specific area, and it has definite upper/lower limits and lateral boundaries. The "Gathering" (Ju) is generated by Yang Qi. It initially lacks a fixed root, moves up and down without staying in one place, and the pain location is irregular. Where Qi stagnates and collects, it is called "Accumulation"; where Qi gathers temporarily, it is called "Gathering." Therefore, Accumulations arise from the Five Zang Organs, while Gatherings are formed by the Six Fu Organs.
The Liver's accumulation is named "Feiqi" (Fat Qi), located under the left hypochondrium, shaped like an inverted cup with distinct head and tail structures. If untreated for a long time, it causes coughing and counterflow qi, and malaria that persists for years.
The Heart's accumulation is named "Fuliang" (Hidden Beam), starting above the navel, as large as an arm, extending upward to below the heart. If untreated for a long time, it causes mental restlessness.
The Spleen's accumulation is named "Piqi" (Stagnant Qi), located in the epigastrium, covering an area as large as a plate. If untreated for a long time, it causes weakness and flaccidity of the four limbs, jaundice, and failure of food to nourish the flesh.
The Lung's accumulation is named "Xiben" (Rushing Breath), located under the right hypochondrium, as large as an inverted cup. If untreated for a long time, it causes chills, alternating fever, wheezing, coughing, and lung abscess.
The Kidney's accumulation is named "Ben Tun" (Running Piglet), located in the lower abdomen, extending upward to below the heart, resembling the movement of a piglet. It moves up or down unpredictably. If untreated for a long time, it causes wheezing and counterflow qi, skeletal flaccidity, and shortness of breath.
All these conditions result from disharmony of Yin and Yang, deficiency of the Zang-Fu organs, invasion of Wind pathogenic factors, emotional disturbances (worry and joy), damage to the Five Zang Organs, violation of the Four Seasons' rhythms, leading to the retention and knotting of Qi to form Accumulations and Gatherings.
Distinction between Zheng and Jia
"Zheng" (Mass) implies evidence. A hard mass in the abdomen that yields to palpation is called a Zheng. "Jia" (False Mass) implies something temporary. Although the abdomen feels hard, the mass gathers and scatters intermittently without a fixed location is called a Jia. Zhengs often arise from food injury; Jias are generated by blood stasis. Pi (fullness) originates from Qi injury; Pi (heterotopic accumulation) injures Essence. Both Zheng and Pi arise from the accumulation of pathogenic factors.
Zheng is located in the abdomen near the umbilicus on either side, presenting as a tight, painful meridian or tendon, shaped like an arm, finger, or string. Pi is located obliquely between the two hypochondria, causing intermittent pain. Both Zheng and Pi result from Yin-Yang disharmony, meridian obstruction, food stagnation, failure of circulation, and the knotting of cold pathogenic Qi, which triggers pain upon exposure to cold.
Treatment Principles
Zhu Danxi stated: Masses are tangible entities; Qi itself cannot form tangible shapes. They are formed by Phlegm-Fluids, Food Stagnation, and Dead Blood (Blood Stasis). In the middle jiao, they are Phlegm-Fluids; on the right, Food Stagnation; on the left, Dead Blood.
The general treatment principle is to soften hardness with salty substances, reduce firmness with削 (reducing/draining) methods, and prioritize moving Qi and resolving Phlegm. One must not rely solely on purgatives, as this merely damages Qi without removing the disease. Instead, use digestion-promoting methods to melt the stagnation. If the mass is due to Dead Blood, substantial tonification is required after removal. If the Pi-mass is located between the skin and fascia, tonic herbs should be used, combined with Xiangfu (Cyperus Rhizome) to open stagnation, Erchen Tang (Two-Cured Decoction) added with Qi-tonifying herbs, and rich/greasy foods must be avoided.
Formulas
Da Qi Qi Tang (Great Seven-Qi Decoction): Treats Five Accumulations and Six Gatherings, presenting like Zheng-Jia masses, moving with Qi, occurring intermittently, with heart/abdominal pain, counterflow qi causing obstruction, lower abdominal fullness, and difficulty in urination and defecation.
Ingredients: Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Huoxiang (Agastaches Herba), Yizhiren (Alpiniae Oxyphyllae Fructus), Xiangfu (Cyperii Rhizoma), Rougui (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma).
Preparation: Coarsely crushed. Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and one Zao (Jujubae Fructus). Decoct in water and take warm. For Heart-Spleen pain, add Wuyao (Linderae Radix) and Zhike (Aurantii Fructus Immaturus). For Spleen stagnation, combine with Sisheng San (Four-Sage Powder). Another variation adds Dahuang (Rhei Radix et Rhizoma) and Binglang (Arecae Semen) to treat various pediatric and adult Pi-accumulations characterized withered yellow complexion and limb weakness, caused by intestinal parasites or pica (eating raw rice, wall soil, tea, charcoal, salty/spicy items). One dose can eradicate the root. Decoct in water, expose overnight, and take warm on an empty stomach. No food intake is allowed during this period, otherwise, efficacy decreases and parasites remain. Shortly after ingestion, abdominal pain occurs, followed by the expulsion of fish-jelly-like matter, long worms, or blood clots. By noon, all parasites should be expelled, after which warm congee may be consumed.
Xiao Ji Bao Zhong Wan (Eliminate Accumulation and Protect Middle Pill) [Commentary: This formula is the master key for treating Accumulations and Gatherings]: Smooths Qi transformation, resolves Pi, regulates Spleen, eliminates stagnation, dissipates nodules, removes masses, promotes appetite, and clears depressed heat.
Ingredients: Chenpi (2 liang, white removed), Banxia (1 liang, soaked in boiling water 7 times, stir-fried with Ginger juice), Baifuling (1 liang, peel removed), Baizhu (3 liang, stir-fried with soil), Xiangfu (1 liang, soaked in vinegar and stir-fried), Qingpi (4 qian, pulp removed, oil-fried), Muxiang (3 qian, protected from fire), Binglang (7 qian), Ezhu (8 qian, soaked in vinegar and stir-fried), Sanleng (8 qian, soaked in vinegar and stir-fried), Laifuzi (1 liang, stir-fried), Sharen (4 qian, stir-fried), Shenqu (1 liang, stir-fried), Maiya (6 qian, stir-fried), Baijiezi (1 liang, stir-fried), Huanglian (1 liang, stir-fried with Ginger juice), Zhenawei (3 qian, soaked in vinegar), Shanzhizi (1 liang, stir-fried with Ginger juice), Ganqi (5 qian, stir-fried until smoke ceases).
Preparation: Grind into fine powder. Use Ginger juice and wine paste to form pills the size of Sophora seeds. Take 80 pills after meals with plain warm water.
Qianjin Hua Qi Wan (Thousand-Gold Qi-Transforming Pill) [Transmitted by Imperial Physicians]: Treats male abdominal Qi masses and Pi-pain.
Ingredients: Qingpi, Chenpi, Zhike, Xiangfu, Sharen, Baidoukou (Cardamomi Fructus) (each 1 liang), Ganjiang (Zingiberis Rhizoma), Muxiang (5 qian), Dingpi (Syzygii Caryophylli Cortex) (2 qian), Huoxiang, Banxia, Caoguo (Tsaoko Fructus), Binglang (1.5 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Sanleng, Ezhu, Yuanhusuo (Corydalis Rhizoma) (each 1 liang), Xiaohuixiang (Foeniculi Fructus) (5 qian), Nongpo (Magnoliae Officinalis Cortex), Dafupi (Arecae Pericarpium), Baishaoyao (Paeoniae Radix Alba) (each 1 liang), Gancao (3 qian).
Preparation: Coarsely crushed. Add three slices of Shengjiang. Decoct in water and take warm when half-empty of food.
Qianjin Dao Qi Tang (Thousand-Gold Guiding-Qi Decoction) [Transmitted by Imperial Hospital]: Treats female abdominal Qi masses that wander without fixation, accompanied by borborygmus.
Ingredients: Dingxiang (Caryophylli Flos), Muxiang, Sharen, Baidoukou, Xiangfu, Wuyao, Zhishi (Bupleuri Fructus Immaturus) (double dose), Danggui (Angelicae Sinensis Radix), Chuanxiong, Baishaoyao (stir-fried with wine), Baizhi, Baizhu, Qingpi, Chenpi, Ganjiang (roasted), Jiegeng, Nongpo (processed), Rougui, Sanleng (vinegar-fried), Ezhu (vinegar-fried), Jiaohui, Xiaohuixui, Niuxi (Achyranthis Bidentatae Radix), Honghua (Carthami Flos), Duzhong (Eucommiae Cortex) (stir-fried), Ruxiang (Olibanum), Moyao (Myrrha), Ganqi (vinegar-fried until smoke ceases), Gancao.
Preparation: Coarsely crushed. Decoct with half water and half wine, adding Shengjiang and Congbai (Allii Fistulosi Bulbus). Take hot. If bloated and anorexic, add Shenqu, Maiya, and Shanzha (Crataegi Fructus). If feverish, add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix).
Sheng Hong Wan (Victory Red Pill) [Commentary: This formula treats Cold Accumulation]: Treats Spleen accumulation with Qi stagnation, chest/diaphragm fullness, shortness of breath, vomiting clear fluid, male alcohol accumulation, female blood/Qi accumulation, and pediatric food accumulation.
Ingredients: Chenpi, Ezhu (these two boiled together in vinegar), Qingpi, Sanleng (boiled in vinegar), Ganjiang (processed), Liangjiang (Alpiniae Officinarum Rhizoma) (each 1 liang), Xiangfu (stir-fried, peel removed, 1 liang).
Preparation: Grind into powder. Use vinegar paste to form pills the size of Sophora seeds. Take 50 pills before meals with Ginger decoction.
Kai Huai San (Open Mind Powder) [Yunlin Formula]: Treats subcardiac masses causing Pi-fullness or accompanied by fever.
Ingredients: Qingpi (pulp removed), Chenpi, Banxia (stir-fried with Ginger), Baifuling (peel removed), Sanleng (vinegar-fried), Ezhu (vinegar-fried), Xiangfu, Binglang, Caodoukou (Amomi Fructus) (double dose), Chaihu (double dose), Honghua, Zhishi (bran-fried), Gancao.
Preparation: Coarsely crush one dose. Decoct with Shengjiang. If dry mouth, add Gange (Puerariae Radix).
Chai Xiang San (Bupleurum and Cyperus Powder): Treats a single Qi mass in the heart/abdomen with slight pain. Also regulates heart/abdominal pain, distension, and alternating chills/fever.
Ingredients: Chaihu (7 fen), Huangqin (7 fen), Chishaoyao (Red Peony Root) (5 fen), Zhishi (1 qian), Nongpo (5 fen), Xiangru (Elsholtziae Herba) (5 fen), Huanglian (5 fen), Digupi (Lycii Cortex) (1 qian), Sanleng (1 qian), Ezhu (1 qian), Yuanhusuo (5 fen), Gancao (3 fen).
Preparation: Coarsely crush one dose. Decoct in water and take.
Sanleng Jian Wan (Sanleng Decoction Pill): Treats overconsumption of food leading to Pi-fullness, pain, indigestion, and chronic Pi formation. Also treats female blood accumulation, blood masses, and amenorrhea due to Dry Blood Qi.
Ingredients: Dahuang (8 liang, powdered), Sanleng, Ezhu (each 1 liang, wrapped in wet paper and roasted, then powdered).
Preparation: Soak Dahuang in good vinegar in a silver/ceramic vessel. Simmer slowly until dry. Add Sanleng and Ezhu powders to form pills the size of mung beans. Take 20-30 pills after meals with plain warm water. Dosage adjusted for deficiency/excess. Suitable for men, women, and children with various mass formations.
Sanleng Hua Ji Wan (Sanleng Transform-Accumulation Pill) [Li Jiuhe Formula] [Commentary: This formula treats Heat Accumulation]:
Ingredients: Sanleng (6 liang, boiled in vinegar), Ezhu (1 liang, boiled in vinegar), Muxiang (1 liang), Binglang (6 liang), Qingpi (1 liang), Chenpi (1 liang), Xiangfu (1 liang, vinegar-fried), Zhishi (1 liang, bran-fried), Nongpo (1 liang), Sharen (1 liang), Shenqu (1 liang, stir-fried), Shanzha (4 liang, seeds removed), Maiya (1 liang, stir-fried), Nanting (Pinelliae Tuber prepared with Ginger water), Banxia (1 liang, Ginger-processed), Luoboz (Radish Seed, stir-fried), Dahuang (3 liang, steamed with wine), Huanglian (1 liang, stir-fried), Taoren (Persicae Semen, peeled and cored), Ganqi (1 liang, stir-fried), Gancao (1 liang).
Preparation: Grind into fine powder. Use vinegar paste to form pills the size of Sophora seeds. Start with 40 pills, gradually increasing dosage, taken with plain warm water.
Shen Hua Dan (Divine Transformation Elixir) [Secret Formula] [Commentary: This formula is specifically for aggressive treatment of Accumulations]: Dissipates Pi-accumulations, breaks Blood-Qi stasis, expels "Ghost Fetus," unblocks meridians, and treats various Pi-blood-Qi masses.
Ingredients: Naoshan (Sal Ammoniac, text says 'Sha'), Ganqi (stir-fried), Xuexie (Dracaenae Sanguis), Hongniangzi (Mylabris, 20 individuals, wings removed), Ruxiang (1.5 qian), Banmao (Mylabris, 20 individuals, wings and feet removed).
Preparation: Grind into powder. Use Jujube flesh to form pills the size of pea seeds. Take 1 to 25 pills before bed, washed down with Jujube decoction, Ginger decoction, or Honghua/Sumwood decoction.