论曰气之所积名曰积，气之所聚名曰聚，盖积者阴也，阴沉而伏，发则不离其部，聚者
阳也，阳浮而动，上下无所留止，其痛无定处，令人洒淅恶寒，饮食不为肌肤，或吐利胀满，
或心下如复杯，腹中如人臂所横，皆寒疝积聚之证也。
治寒疝邪气往来，坚固积聚不散，多寒不得卧，苦汗出，大小便不利，桔梗丸方
桔梗（锉炒半两） 葶苈子（纸上熬一两一分） 藜芦（去芦头炙半两） 浓朴（去粗
皮生姜
汁涂炙锉一两一分） 杏仁（去皮尖双仁炒五十枚） 桂（去粗皮） 人参 沙参（各三分）
特
生石（一两烧半日许） 附子（炮裂去皮脐一两一分）
上一十味，捣罗为末，炼蜜和丸，如梧桐子大，每服五丸或七丸，米饮或温酒下，日三
治寒疝积聚，大如鳖形，小如杯状，乍来乍去，肠胃胀满，寒则肠鸣，心下寒，气上抢，
胸胁支满，芫花丸方
芫花（醋炒） 蜀椒（去目并闭口炒出汗各一分） 大黄（锉炒一两半） 细辛（去苗
叶一两
半） 桔梗（炒一两一分） 乌头（炮裂去皮脐一两） 吴茱萸（汤洗焙干炒） 芍药 白
茯苓（去
黑皮各三分） 龙胆（半两） 半夏（汤洗七遍去滑一分）
上一十一味，捣罗为末，炼蜜和丸，如梧桐子大，每服十丸，米饮或温酒下、日三，利
下毒物为效。
治寒疝积聚，邪气往来，厥逆抢心痛，羸瘦少气，胸胁满，不嗜食，绩命丸方
食茱萸（二两半炒） 芍药 细辛（去苗叶） 前胡（去芦头各一两一分） 干姜（炮）
乌头
（炮裂去皮脐各二两半） 紫菀（去苗土） 黄芩（去黑心） 白术 白薇 芎 人参 生
干地
黄（焙各一两一分） 蜀椒（去目并闭口炒出汗） 桂（去粗皮各二两半）
上一十五味，捣罗为末，炼蜜和丸，如梧桐子大，每服七丸，米饮或温酒下，食前服。
治寒疝积聚，来去攻击疼痛，不欲饮食，木香汤方
木香 诃黎勒皮（炮） 槟榔（锉） 浓朴（去粗皮涂生姜汁炙锉） 青橘皮（汤浸去
白焙各
半两） 白术 人参 桂（去粗皮各一分） 赤茯苓（去黑皮三分）
上九味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎七分，去滓温服不拘时。
治寒疝积聚，胸腹坚急胀满不食，槟榔汤方
槟榔（生锉） 桃仁（去皮尖双仁炒） 郁李仁（炒去皮） 木香 京三棱（炮各一两）
桂（
去粗皮） 青橘皮（汤浸去白焙各半两）
上七味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎至七分，去滓温服不拘时。
治寒疝积聚，心腹结痛，饮食不下，鳖甲汤方
鳖甲（醋炙去裙 ） 京三棱（炮锉） 大黄（锉炒各一两） 当归（切焙） 桂（去
粗皮） 赤
芍药 木香 枳壳（去瓤麸炒） 诃黎勒（炮取皮） 槟榔（锉各半两）
上一十味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎至七分，去滓温服，不拘时。
治寒疝凝结，积聚不散，攻注腹内疼痛，不下饮食，白术汤方
白术（二两） 赤茯苓（去黑皮） 枳壳（去瓤麸炒） 人参 桔梗（锉炒） 桂（去
粗皮） 京
三棱（炮锉） 槟榔（锉各一两）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治寒疝积聚，结块攻注，心腹胀满，槟榔汤方
槟榔（生锉） 芎 桔梗（锉炒） 当归（切焙） 桂（去粗皮） 赤芍药 白术 木
香（各
半两） 大黄（锉碎微炒一两）
上九味，粗捣筛，每服二钱匕，水一盏，煎至六分，去滓温服不拘时。
治寒疝积聚，心腹疼痛，结块不消，桂心汤方
桂（去粗皮） 大黄（略炮） 桔梗（锉炒） 附子（炮裂去皮脐） 木香 白术 当
归（切焙）
上一十二味， 咀如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治寒疝积聚，脐腹疼痛，两胁胀满， 香子散方
香子（炒） 槟榔（炮锉） 京三棱（炮锉） 青橘皮（汤浸去白盐炒黄各半两） 木
香（一
分）
上五味，捣罗为散，每服二钱匕，入盐少许，沸汤点服，不计时候。
论述说：气机积聚的地方称为“积”，气机聚拢的地方称为“聚”。大概来说，“积”属于阴，性质阴沉而潜伏，发作时不离其所在的部位；“聚”属于阳，性质轻浮而变动，上下游走没有固定的停留之处，疼痛位置不固定，使人感到战栗恶寒，饮食无法转化为肌肤营养，或者出现呕吐、腹泻、腹胀满，或者心下部感觉像倒扣的杯子，腹部中间好像有手臂横亘其中，这些都是寒疝和积聚的证候。
治疗寒疝邪气往来不定，积聚坚固不散，畏寒严重无法安卧，痛苦于出汗，大小便不通利的桔梗丸方：
桔梗（切碎炒制半两） 葶苈子（在纸上熬制一两一分） 藜芦（去除芦头炙制半两） 厚朴（去除粗皮，用生姜汁涂抹后炙制切碎一两一分） 杏仁（去皮尖，双仁者炒制五十枚） 桂枝（去除粗皮） 人参 沙参（各三分） 特生石（一两，烧制约半天） 附子（炮裂，去外皮和脐部一两一分）
以上十味药，捣碎过筛成粉末，用炼蜜调和做成丸药，如梧桐子大小，每次服用五丸或七丸，用米汤或温酒送服，每日三次。
治疗寒疝积聚，肿块大如鳖形，小如杯状，忽来忽去，肠胃胀满，遇寒则肠鸣，心下部寒冷，气向上冲逆，胸胁支撑胀满的芫花丸方：
芫花（醋炒） 蜀椒（去除椒目及闭口者，炒至出油各一分） 大黄（切碎炒制一两半） 细辛（去苗叶一两半） 桔梗（炒制一两一分） 乌头（炮裂，去外皮和脐部一两） 吴茱萸（热水洗后焙干炒制） 芍药 白茯苓（去除黑皮各三分） 龙胆（半两） 半夏（热水洗七遍去滑腻一分）
以上十一味药，捣碎过筛成粉末，用炼蜜调和做成丸药，如梧桐子大小，每次服用十丸，用米汤或温酒送服，每日三次，以排出毒物为见效。
治疗寒疝积聚，邪气往来不定，四肢厥冷并攻冲心痛，身体消瘦气短，胸胁胀满，食欲不振的续命丸方：
食茱萸（二两半炒制） 芍药 细辛（去苗叶） 前胡（去芦头各一两一分） 干姜（炮制） 乌头（炮裂，去外皮和脐部各二两半） 紫菀（去苗土） 黄芩（去黑心） 白术 白薇 川芎 人参 生干地黄（焙干各一两一分） 蜀椒（去除椒目及闭口者，炒至出油） 桂枝（去除粗皮各二两半）
以上十五味药，捣碎过筛成粉末，用炼蜜调和做成丸药，如梧桐子大小，每次服用七丸，用米汤或温酒送服，饭前服用。
治疗寒疝积聚，病势往来攻击性疼痛，不想进食的木香汤方：
木香 诃黎勒皮（炮制） 槟榔（切碎） 厚朴（去除粗皮涂生姜汁炙制切碎） 青橘皮（热水浸泡去除白色内瓤焙干各半两） 白术 人参 桂枝（去除粗皮各一分） 赤茯苓（去除黑皮三分）
以上九味药，粗捣筛过，每次服用三钱匕，用水一盏，生姜三片，煎煮至七分，去渣温服，不限时间。
治疗寒疝积聚，胸腹坚硬紧急胀满不能进食的槟榔汤方：
槟榔（生切） 桃仁（去皮尖，双仁者炒制） 郁李仁（炒制去皮） 木香 京三棱（炮制各一两） 桂枝（去除粗皮） 青橘皮（热水浸泡去除白色内瓤焙干各半两）
以上七味药，粗捣筛过，每次服用三钱匕，用水一盏，生姜三片，煎煮至七分，去渣温服，不限时间。
治疗寒疝积聚，心腹结聚疼痛，饮食难下的鳖甲汤方：
鳖甲（醋炙去除裙边） 京三棱（炮制切碎） 大黄（切碎炒制各一两） 当归（切片焙干） 桂枝（去除粗皮） 赤芍药 木香 枳壳（去除瓤麸炒制） 诃黎勒（炮制取皮） 槟榔（切碎各半两）
以上十味药，粗捣筛过，每次服用三钱匕，用水一盏，生姜三片，煎煮至七分，去渣温服，不限时间。
治疗寒疝凝结，积聚不散，攻注腹内疼痛，无法进食的白术汤方：
白术（二两） 赤茯苓（去除黑皮） 枳壳（去除瓤麸炒制） 人参 桔梗（切碎炒制） 桂枝（去除粗皮） 京三棱（炮制切碎） 槟榔（切碎各一两）
以上八味药，粗捣筛过，每次服用三钱匕，用水一盏，煎煮至七分，去渣温服，不限时间。
治疗寒疝积聚，结块攻注，心腹胀满的槟榔汤方：
槟榔（生切） 川芎 桔梗（切碎炒制） 当归（切片焙干） 桂枝（去除粗皮） 赤芍药 白术 木香（各半两） 大黄（切碎微炒一两）
以上九味药，粗捣筛过，每次服用二钱匕，用水一盏，煎煮至六分，去渣温服，不限时间。
治疗寒疝积聚，心腹疼痛，结块不消的桂心汤方：
桂枝（去除粗皮） 大黄（略炮制） 桔梗（切碎炒制） 附子（炮裂，去外皮和脐部） 木香 白术 当归（切片焙干）
以上十二味药，咬咀如麻豆大小，每次服用三钱匕，用水一盏，煎煮至七分，去渣温服，不限时间。
治疗寒疝积聚，脐腹疼痛，两胁胀满的丁香子散方：
丁香子（炒制） 槟榔（炮制切碎） 京三棱（炮制切碎） 青橘皮（热水浸泡去除白色内瓤盐炒至黄色各半两） 木香（一分）
以上五味药，捣碎过筛成散剂，每次服用二钱匕，加入少许盐，用沸水冲服，不限时间。
Discourse states: Where qi accumulates, it is called "Ji" (accumulation); where qi gathers, it is called "Ju" (mass). Generally speaking, "Ji" belongs to Yin; its nature is dark and latent, and when it manifests, it does not depart from its location. "Ju" belongs to Yang; its nature is floating and mobile, moving up and down without fixed retention, with pain of uncertain location. It causes shivering and aversion to cold, dietary intake fails to nourish the flesh, or there may be vomiting, diarrhea, abdominal distension and fullness, or a sensation in the epigastrium as if an inverted cup were placed there, or a sensation in the abdomen as if an arm were lying across it. These are all manifestations of Cold Hernia (Han Shan) and Accumulations/Masses (Ji Ju).
Formula for Jiegeng Wan (Platycodon Pill) to treat Cold Hernia with wandering pathogenic qi, solid and unresolving accumulations/masses, severe aversion to cold preventing sleep, distressing sweating, and difficulty in urination and defecation:
Jiegeng Radix (Platycodonis Radix), chopped and stir-fried, half tael; Tinglizi Semen (Descurainiae Semen seu Lepidii Semen), roasted on paper, one tael and one fen; Lilu Rhizoma (Veratris Rhizoma), remove rhizome head, roasted, half tael; Houpo Cortex Magnoliae Officinalis (Magnoliae Officinalis Cortex), remove rough bark, coat with Ginger Juice (Zingiberis Recens Juice), roast, chop, one tael and one fen; Xingren Semen Armeniacae Amarum (Armeniacae Semen Amarum), remove skin and tip, stir-fry, fifty double-kernel seeds; Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark; Renshen Radix Ginseng (Ginseng Radix); Shashen Radix Glehniae (Glehniae Radix); each three qian; Teshengshi (Talcum, specific mineral preparation), one tael, calcined for about half a day; Fuzii Radix et Rhizoma Conii Praeparata (Aconiti Lateralis Radix Praeparata), cracked by roasting, remove outer skin and navel, one tael and one fen.
The above ten ingredients are pounded, sifted into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take five or seven pills per dose, administered with rice water or warm wine, three times daily.
Formula for Yuanhua Wan (Kadsura Pill) to treat Cold Hernia and accumulations/masses, masses large like a turtle, small like a cup, appearing and disappearing intermittently, intestinal and gastric distension, borborygmus upon exposure to cold, cold sensation in the epigastrium, rebellious qi rushing upward, and distending fullness in the chest and hypochondrium:
Yuanhua Flos Daphnes Genkwa (Daphnes Genkwa Flos), stir-fried with vinegar; Shujiao Fructus Zanthoxyli (Zanthoxyli Fructus), remove seeds and closed-mouth fruits, stir-fry until oil exudes, each one fen; Dahuang Radix et Rhizoma Rhei (Rhei Radix et Rhizoma), chopped and stir-fried, one tael and half; Xixin Herba Asari (Asari Radix et Rhizoma), remove seedlings and leaves, one tael and half; Jiegeng Radix Platycodonis (Platycodonis Radix), stir-fried, one tael and one fen; Wutou Radix Aconiti (Aconiti Radix), cracked by roasting, remove outer skin and navel, one tael; Wuzhuyu Fructus Evodiae (Evodiae Fructus), washed with hot water, dried by baking, stir-fried; Shaoyao Radix Paeoniae Alba (Paeoniae Radix Alba); Baifuling Sclerotium Poriae (Poria), remove black skin, each three qian; Longdan Radix et Rhizoma Gentianae (Gentianae Radix), half tael; Banxia Rhizoma Pinelliae Preparatum (Pinelliae Rhizoma Preparatum), washed seven times with hot water to remove slipperiness, one fen.
The above eleven ingredients are pounded, sifted into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take ten pills per dose, administered with rice water or warm wine, three times daily. Efficacy is indicated by the discharge of toxic substances.
Formula for Xuming Wan (Continuing Life Pill) to treat Cold Hernia and accumulations/masses, wandering pathogenic qi, cold extremities with attacking heart pain, emaciation with shortness of breath, chest and hypochondriac fullness, and poor appetite:
Shizhuyu Fructus Tetradii (Tetradii Fructus), two tael and half, stir-fried; Shaoyao Radix Paeoniae Alba (Paeoniae Radix Alba); Xixin Herba Asari (Asari Radix et Rhizoma), remove seedlings and leaves; Qianhu Radix Peucedani (Peucedani Radix), remove rhizome head, each one tael and one fen; Ganjiang Rhizoma Zingiberis (Zingiberis Rhizoma), roasted; Wutou Radix Aconiti (Aconichi Radix), cracked by roasting, remove outer skin and navel, each two tael and half; Ziwan Herba Asteris Tatarici (Asteris Tatarici Herba), remove seedlings and soil; Huangqin Cortex Scutellariae (Scutellariae Cortex), remove black heart; Baizhu Rhizoma Atractylodis Macrocephalae (Atractylodis Macrocephalae Rhizoma); Baiwei Herba Cynanchi Atrati (Cynanchi Atrati Herba); Xiongchuang Radix Chuanxiong (Chuanxiong Rhizoma); Renshen Radix Ginseng (Ginseng Radix); Shenggan Dihuang Radix Rehmanniae Preparata (Rehmanniae Radix Preparata), baked, each one tael and one fen; Shujiao Fructus Zanthoxyli (Zanthoxyli Fructus), remove seeds and closed-mouth fruits, stir-fry until oil exudes; Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark, each two tael and half.
The above fifteen ingredients are pounded, sifted into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take seven pills per dose, administered with rice water or warm wine, before meals.
Formula for Muxiang Tang (Costus Decoction) to treat Cold Hernia and accumulations/masses, wandering and attacking pain, and loss of appetite:
Muxiang Radix Aucklandiae (Aucklandiae Radix); Helilepi Pericarpium Chebulae (Chebulae Pericarpium), roasted; Binglang Semen Arecae (Arecae Semen), chopped; Houpo Cortex Magnoliae Officinalis (Magnoliae Officinalis Cortex), remove rough bark, coat with Ginger Juice (Zingiberis Recens Juice), roast, chop; Qingjupe Pericarpium Citri Reticulatae Viride (Citri Reticulatae Pericarpium Viride), soaked in hot water, remove white pith, baked, each half tael; Baizhu Rhizoma Atractylodis Macrocephalae (Atractylodis Macrocephalae Rhizoma); Renshen Radix Ginseng (Ginseng Radix); Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark, each one fen; Chi Fuling Sclerotium Poriae Rubrum (Poria cum Mycelio), remove black skin, three qian.
The above nine ingredients are coarsely crushed and sieved. Take three qianbi per dose, with one sheng of water, three slices of fresh ginger, decocted to seven-tenths volume. Strain and take warm at any time.
Formula for Binglang Tang (Areca Decoction) to treat Cold Hernia and accumulations/masses, hard and urgent distension of chest and abdomen with inability to eat:
Binglang Semen Arecae (Arecae Semen), raw and chopped; Taoren Semen Persicae (Persicae Semen); Yuliren Semen Pruni (Pruni Semen), stir-fried and skin removed; Muxiang Radix Aucklandiae (Aucklandiae Radix); Jingsanleng Rhizoma Sparganii (Sparganii Rhizoma), roasted, each one tael; Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark; Qingjupe Pericarpium Citri Reticulatae Viride (Citri Reticulatae Pericarpium Viride), soaked in hot water, remove white pith, baked, each half tael.
The above seven ingredients are coarsely crushed and sieved. Take three qianbi per dose, with one sheng of water, three slices of fresh ginger, decocted to seven-tenths volume. Strain and take warm at any time.
Formula for Biejia Tang (Testudinis Carapax et Plastrum Decoction) to treat Cold Hernia and accumulations/masses, knotty pain in heart and abdomen with difficulty in swallowing food:
Biejia Carapax et Plastrum Testudinis (Testudinis Carapax et Plastrum), vinegar-roasted, remove skirt-like edges; Jingsanleng Rhizoma Sparganii (Sparganii Rhizoma), roasted and chopped; Dahuang Radix et Rhizoma Rhei (Rhei Radix et Rhizoma), chopped and stir-fried, each one tael; Danggui Radix Angelicae Sinensis (Angelicae Sinensis Radix), sliced and baked; Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark; Chi Shaoyao Radix Paeoniae Rubra (Paeoniae Radix Rubra); Muxiang Radix Aucklandiae (Aucklandiae Radix); Zhike Fructus Aurantii Immaturus (Aurantii Fructus Immaturus), remove pulp and bran, stir-fried; Helilei Pericarpium Chebulae (Chebulae Pericarpium), roasted, use peel only; Binglang Semen Arecae (Arecae Semen), chopped, each half tael.
The above ten ingredients are coarsely crushed and sieved. Take three qianbi per dose, with one sheng of water, three slices of fresh ginger, decocted to seven-tenths volume. Strain and take warm at any time.
Formula for Baizhu Tang (Atractylodes Decoction) to treat Cold Hernia condensation, unresolving accumulations/masses, attacking pain in abdomen with inability to eat:
Baizhu Rhizoma Atractylodis Macrocephalae (Atractylodis Macrocephalae Rhizoma), two tael; Chi Fuling Sclerotium Poriae Rubrum (Poria cum Mycelio), remove black skin; Zhike Fructus Aurantii Immaturus (Aurantii Fructus Immaturus), remove pulp and bran, stir-fried; Renshen Radix Ginseng (Ginseng Radix); Jiegeng Radix Platycodonis (Platycodonis Radix), chopped and stir-fried; Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark; Jingsanleng Rhizoma Sparganii (Sparganii Rhizoma), roasted and chopped; Binglang Semen Arecae (Arecae Semen), chopped, each one tael.
The above eight ingredients are coarsely crushed and sieved. Take three qianbi per dose, with one sheng of water, decocted to seven-tenths volume. Strain and take warm at any time.
Formula for Binglang Tang (Areca Decoction) to treat Cold Hernia and accumulations/masses, nodular masses attacking, distension and fullness of heart and abdomen:
Binglang Semen Arecae (Arecae Semen), raw and chopped; Xiongnu Radix Chuanxiong (Chuanxiong Rhizoma); Jiegeng Radix Platycodonis (Platycodonis Radix), chopped and stir-fried; Danggui Radix Angelicae Sinensis (Angelicae Sinensis Radix), sliced and baked; Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark; Chi Shaoyao Radix Paeoniae Rubra (Paeoniae Radix Rubra); Baizhu Rhizoma Atractylodis Macrocephalae (Atractylodis Macrocephalae Rhizoma); Muxiang Radix Aucklandiae (Aucklandiae Radix), each half tael; Dahuang Radix et Rhizoma Rhei (Rhei Radix et Rhizoma), chopped and slightly stir-fried, one tael.
The above nine ingredients are coarsely crushed and sieved. Take two qianbi per dose, with one sheng of water, decocted to six-tenths volume. Strain and take warm at any time.
Formula for Guixin Tang (Cinnamon Heart Decoction) to treat Cold Hernia and accumulations/masses, heart and abdominal pain, unresolving nodular masses:
Guizhi Ramulus Cinnamomi (Cinnamomi Ramulus), remove rough bark; Dahuang Radix et Rhizoma Rhei (Rhei Radix et Rhizoma), slightly roasted; Jiegeng Radix Platycodonis (Platycodonis Radix), chopped and stir-fried; Fuzii Radix et Rhizoma Conii Praeparata (Aconiti Lateralis Radix Praeparata), cracked by roasting, remove outer skin and navel; Muxiang Radix Aucklandiae (Aucklandiae Radix); Baizhu Rhizoma Atractylodis Macrocephalae (Atractylodis Macrocephalae Rhizoma); Danggui Radix Angelicae Sinensis (Angelicae Sinensis Radix), sliced and baked.
The above twelve ingredients are chewed/crushed to the size of hemp seeds. Take three qianbi per dose, with one sheng of water, decocted to seven-tenths volume. Strain and take warm at any time.
Formula for Dingxiangzi San (Clove Fruit Powder) to treat Cold Hernia and accumulations/masses, periumbilical and abdominal pain, distension and fullness of both hypochondria:
Dingxiangzi Flos Syzygii Aromatici (Syzygii Aromatici Flos), stir-fried; Binglang Semen Arecae (Arecae Semen), roasted and chopped; Jingsanleng Rhizoma Sparganii (Sparganii Rhizoma), roasted and chopped; Qingjupe Pericarpium Citri Reticulatae Viride (Citri Reticulatae Pericarpium Viride), soaked in hot water, remove white pith, salt-roasted until yellow, each half tael; Muxiang Radix Aucklandiae (Aucklandiae Radix), one fen.
The above five ingredients are pounded and sifted into powder. Take two qianbi per dose, add a little salt, brew with boiling water, and take at any time.