论曰 癖不能食者。由脾胃虚弱，为寒气所乘。盖脾胃者、仓廪之官，其气宜通。则能
传化糟粕。受纳水谷。 癖之人。本于寒气久积腹内，不能荣养府藏。脾胃既弱。邪气停滞，
故但虚满而不能食也。
治 气腹胀。两肋急满，不能饮食，头痛壮热，身体疼痛。枳壳汤方
枳壳（去瓤麸炒一两半） 桔梗（去芦头炒） 人参 前胡（去芦头） 桂（去粗皮各
一两） 槟榔（微煨
上七味。粗捣筛，每服三钱匕。水一盏半。入生姜半枣大拍破。同煎至七分。去滓温服
日三。
治 气两肋胀满。不能饮食。白术汤方
白术 赤茯苓（去黑皮） 枳壳（去瓤麸炒各一两半） 人参 桔梗（去芦头炒） 桂
（去粗皮各一
上六味。粗捣筛，每服三钱匕，水一盏半，入生姜半枣大拍破，同煎至七分。去滓温服
日三。
治 气撮痛，不能饮食，人参汤方
人参 陈橘皮（汤浸去白焙） 白术（各一两） 桂（去粗皮三分） 赤茯苓（去黑皮
一两半）
上五味。粗捣筛，每服三钱匕，水一盏半，入生姜半枣大拍破。同煎至七分，去滓温服
日三。
治 气胃中寒癖，不思饮食。肉豆蔻散方
肉豆蔻（去壳） 枳壳（去瓤麸炒各三分） 芜荑仁 吴茱萸（陈者淘焙各二两） 高
良姜（一两锉）
上七味，捣罗为散。用小麦面裹之，以 灰火煨令面黄熟，去面取散，每服三钱匕，空
腹用冷生姜水调下。午后再服。
治 气胃冷，不入饮食，木香丸方
木香 蜀椒（去闭口及目炒令汗出） 干姜（炮裂各一两）
上三味。捣罗为末，熔蜡和丸，梧桐子大，空心温酒下七丸。
治 癖冷气，积滞不消，胸膈痞闷。不思饮食。京三棱汤方
京三棱（炮锉） 木香 甘草（炙锉） 蓬莪术（炮锉各一两） 藿香叶（一两半） 乌
药（锉） 香子（炒
上八味。粗捣筛，每服三钱匕，以水一盏。煎至七分，去滓食前温服。
治 癖气，每发疼痛，不能饮食。白术汤方
白术 木香 益智（去皮各一两） 京三棱（微煨熟锉三两） 槟榔（锉一两半）
上五味、粗捣筛。每服三钱匕。水一盏。煎至七分，去滓不计时稍热服。
治 癖积气，不能饮食，及五膈气，妇人血气，木香散方
木香（一分） 蓬莪术（炮锉六两） 京三棱（炮锉） 益智（去皮各二两） 陈橘皮
（去白焙四两） 甘草
上六味。捣罗为散。每服二钱匕，入盐点不计时候。
治 癖急痛，不能饮食，京三棱丸方
京三棱（五两捣末以好醋一碗同熬成稠膏） 蓬莪术（炮锉） 益智（去皮） 青橘皮
（去白焙各三两
上五味纳四味。捣罗为末，以京三棱膏和丸，如绿豆大，每服二十丸、加至三十丸。生
姜汤下食后。
治腹内 癖积聚，心胸刺痛，面无颜色。鳖甲散方
鳖甲（去裙 醋炙） 附子（炮裂去皮脐） 木香 白术 京三棱（煨锉） 槟榔（半
生半熟锉各三分
上一十味。捣罗为散。每服二钱匕抄。生姜汤或炒生姜酒调下。
治 癖不能食，心胁刺痛，发作有时，并膀胱小肠冷滞。黑神丸方
漆（六两半生用重汤煮半日令香） 陈曲 香子（各四两） 木香（锉细） 椒红 丁
香（各二两）
上七味内六味捣罗为末。用漆和丸。如弹子大。取 香子末十二两。铺盖阴干。并 香
收器中，养药极干，乃去 香。瓷合盛。若肾余气，小肠膀胱 癖。七疝下坠。五膈血伤。
产后诸血。漏下赤白。并一丸分四服。死胎一丸。皆绵灰酒化下，难产、炒葵子四十枚。捣
碎酒煎浓汁化下一丸。诸疾不过三服。
论述说：患有癖积而不能进食的病症，是由于脾胃虚弱，受到寒气侵袭所致。脾胃是负责受纳和运化水谷的器官，其气机应当通畅，这样才能传导和消化糟粕，接受和容纳饮食水谷。患有癖积的人，是因为寒气在腹内长期积聚，不能滋养脏腑。脾胃既然虚弱，邪气停滞，所以只感到腹部虚胀而不能进食。
治疗气滞腹胀，两胁拘急胀满，不能饮食，头痛高热，身体疼痛。枳壳汤方：
枳壳（去除瓤，麸皮炒，一两半） 桔梗（去除芦头，炒） 人参 前胡（去除芦头） 桂枝（去除粗皮，各一两） 槟榔（微煨）
以上七味药，捣碎筛成粗末，每次服用三钱匕。加水一盏半，放入半个枣大小的生姜，拍破，一同煎煮至七分，去渣，温服，每日三次。
治疗气滞两胁胀满，不能饮食。白术汤方：
白术 赤茯苓（去除黑皮） 枳壳（去除瓤，麸皮炒，各一两半） 人参 桔梗（去除芦头，炒） 桂枝（去除粗皮，各一两）
以上六味药，捣碎筛成粗末，每次服用三钱匕，加水一盏半，放入半个枣大小的生姜，拍破，一同煎煮至七分，去渣，温服，每日三次。
治疗气滞撮痛，不能饮食。人参汤方：
人参 陈皮（热水浸泡，去除白色部分，焙干，各一两） 白术（一两） 桂枝（去除粗皮，三分） 赤茯苓（去除黑皮，一两半）
以上五味药，捣碎筛成粗末，每次服用三钱匕，加水一盏半，放入半个枣大小的生姜，拍破，一同煎煮至七分，去渣，温服，每日三次。
治疗胃中寒性癖积，不想饮食。肉豆蔻散方：
肉豆蔻（去壳） 枳壳（去除瓤，麸皮炒，各三分） 芜荑仁 吴茱萸（陈年的，淘洗后焙干，各二两） 高良姜（一两，锉碎）
以上七味药，捣碎过筛制成散剂。用小麦面包裹，在灰火中煨烤直到面变黄熟，去掉面取散剂，每次服用三钱匕，空腹时用冷生姜水调服。午后再服一次。
治疗胃冷，无法进食。木香丸方：
木香 蜀椒（去除闭口及目，炒至出油） 干姜（炮裂，各一两）
以上三味药，捣碎过筛制成细末，熔化蜡调和做成丸药，如梧桐子大小，空腹时温酒送服七丸。
治疗癖积冷气，积滞不消，胸膈痞闷，不想饮食。京三棱汤方：
京三棱（炮制锉碎） 木香 甘草（炙，锉碎） 蓬莪术（炮制锉碎，各一两） 藿香叶（一两半） 乌药（锉碎） 香附子（炒）
以上八味药，捣碎筛成粗末，每次服用三钱匕，加水一盏，煎煮至七分，去渣，饭前温服。
治疗癖气，每次发作疼痛，不能饮食。白术汤方：
白术 木香 益智仁（去皮，各一两） 京三棱（微煨熟后锉碎，三两） 槟榔（锉碎，一两半）
以上五味药，捣碎筛成粗末。每次服用三钱匕，加水一盏，煎煮至七分，去渣，不拘时候，稍热时服用。
治疗癖积气，不能饮食，以及五膈气，妇人血气病。木香散方：
木香（一分） 蓬莪术（炮制锉碎，六两） 京三棱（炮制锉碎） 益智仁（去皮，各二两） 陈皮（去白，焙干，四两） 甘草
以上六味药，捣碎过筛制成散剂。每次服用二钱匕，加盐调味，不拘时候。
治疗癖积急痛，不能饮食。京三棱丸方：
京三棱（五两，捣成末，用好醋一碗同熬成稠膏） 蓬莪术（炮制锉碎） 益智仁（去皮） 青橘皮（去白，焙干，各三两）
以上五味药，将后四味捣碎过筛制成细末，用京三棱膏调和做成丸药，如绿豆大小，每次服用二十丸，可加至三十丸，饭后用生姜汤送服。
治疗腹内癖积聚，心胸刺痛，面色无华。鳖甲散方：
鳖甲（去除裙边，醋炙） 附子（炮裂，去皮脐） 木香 白术 京三棱（煨，锉碎） 槟榔（一半生用，一半熟用，锉碎，各三分）
以上十味药，捣碎过筛制成散剂。每次服用二钱匕，抄取适量，用生姜汤或炒生姜酒调服。
治疗癖积不能进食，心胁刺痛，发作有定时，并伴有膀胱小肠冷滞。黑神丸方：
漆（六两半，生用，隔水蒸煮半天直到散发香味） 神曲 香附子（各四两） 木香（锉细） 椒红 丁香（各二两）
以上七味药中的六味捣碎过筛制成细末，用漆调和做成丸药，如弹子大小。取香附子末十二两，铺盖在上面阴干，并将香附子收在容器中，使药物极干燥，然后去掉香附子。用瓷盒盛装。如果是肾余气、小肠膀胱癖积、七疝下坠、五膈血伤、产后各种出血、漏下赤白带下，均分一丸为四次服用。死胎用一丸，都用绵灰酒化开送服；难产者，加炒葵子四十枚，捣碎，酒煎浓汁化开一丸服用。各种疾病不超过三次服药即可痊愈。
Discussion: The condition of having a mass (Pi Ji) and being unable to eat is caused by the deficiency and weakness of the Spleen and Stomach, which are invaded by cold pathogenic factors. The Spleen and Stomach are the officials responsible for storage and transformation; their Qi should be unobstructed to facilitate the transmission and digestion of waste products, and the reception and assimilation of food and fluids. Patients with Pi Ji suffer from long-term accumulation of cold pathogenic factors in the abdomen, which fails to nourish the Zang-Fu organs. Since the Spleen and Stomach are weak and pathogenic factors stagnate, they experience only abdominal distension due to deficiency and are unable to eat.
Treatment for Qi stagnation causing abdominal distension, tightness and fullness in both hypochondriac regions, inability to eat, headache, high fever, and body pain. Zhike Tang (Bitter Orange Decoction):
Zhike (Fructus Aurantii, pulp removed, stir-fried with bran, 1.5 liang), Jiegeng (Radix Platycodonis, radix end removed, stir-fried), Renshen (Radix Ginseng), Qianhu (Radix Peucedani, radix end removed), Guizhi (Ramulus Cinnamomi, outer bark removed, each 1 liang), Binglang (Semen Arecae, lightly roasted).
The above seven herbs are coarsely crushed and sieved. Each dose consists of three qianbi (approx. 9g). Add one dan (approx. 200ml) of water and half a jujube-sized piece of Shengjiang (Rhizoma Zingiberis Recens), crushed. Simmer together until reduced to 70%. Strain and take warm. Three times daily.
Treatment for Qi stagnation causing distension and fullness in both hypochondriac regions and inability to eat. Baizhu Tang (Atractylodes Macrocephala Decoction):
Baizhu (Rhizoma Atractylodis Macrocephalae), Chifuling (Poria cum Radix Pini Nigra, black skin removed), Zhike (Fructus Aurantii, pulp removed, stir-fried with bran, each 1.5 liang), Renshen (Radix Ginseng), Jiegeng (Radix Platycodonis, radix end removed, stir-fried), Guizhi (Ramulus Cinnamomi, outer bark removed, each 1 liang).
The above six herbs are coarsely crushed and sieved. Each dose consists of three qianbi. Add one dan of water and half a jujube-sized piece of Shengjiang, crushed. Simmer together until reduced to 70%. Strain and take warm. Three times daily.
Treatment for Qi stagnation causing cramping pain and inability to eat. Renshen Tang (Ginseng Decoction):
Renshen (Radix Ginseng), Chenpi (Pericarpium Citri Reticulatae, soaked in hot water, white pith removed, dried, each 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Guizhi (Ramulus Cinnamomi, outer bark removed, 3 fen), Chifuling (Poria cum Radix Pini Nigra, black skin removed, 1.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of three qianbi. Add one dan of water and half a jujube-sized piece of Shengjiang, crushed. Simmer together until reduced to 70%. Strain and take warm. Three times daily.
Treatment for cold-type Pi Ji in the Stomach, lack of appetite. Roudoukou San (Nutmeg Powder):
Roudoukou (Semen Myristicae, shell removed), Zhike (Fructus Aurantii, pulp removed, stir-fried with bran, each 3 fen), Wuyiren (Semen Trogopterori), Wuzhuyu (Fructus Evodiae, aged, washed and dried, each 2 liang), Gaoliangjiang (Rhizoma Alpiniae Officinarum, 1 liang, sliced).
The above seven herbs are crushed, sifted, and made into powder. Wrap in wheat flour dough and roast in ash fire until the dough turns yellow and cooked. Remove the dough and take the powder. Each dose is three qianbi, taken on an empty stomach mixed with cold water prepared from Shengjiang. Take again after noon.
Treatment for Cold in the Stomach preventing food intake. Muxiang Wan (Costus Pill):
Muxiang (Radix Aucklandiae), Shujiao (Fructus Zanthoxyli, remove closed ones and eyes, stir-fried until oil appears), Ganjiang (Radix Zingiberis Preparata, processed until cracked, each 1 liang).
The above three herbs are crushed, sifted, and made into fine powder. Mix with melted beeswax to form pills the size of Sophora seeds. Take seven pills on an empty stomach with warm wine.
Treatment for cold Qi in Pi Ji, stagnation not resolving, chest and diaphragm stuffiness, and lack of appetite. Jingsanleng Tang (Curcuma Zedoaria Decoction):
Jingsanleng (Rhizoma Curcumae Zedoariae, processed and sliced), Muxiang (Radix Aucklandiae), Gancao (Radix Glycyrrhizae, honey-fried and sliced), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed and sliced, each 1 liang), Huoxiangye (Folium Pogostemonis, 1.5 liang), Wuyao (Radix Linderae, sliced), Xiangzi (Fructus Cyperi, stir-fried).
The above eight herbs are coarsely crushed and sieved. Each dose consists of three qianbi. Add one dan of water. Simmer until reduced to 70%. Strain and take warm before meals.
Treatment for Pi Qi, painful attacks each time, and inability to eat. Baizhu Tang (Atractylodes Macrocephala Decoction):
Baizhu (Rhizoma Atractylodis Macrocephalae), Muxiang (Radix Aucklandiae), Yizhi (Fructus Alpiniae Oxyphyllae, husk removed, each 1 liang), Jingsanleng (Rhizoma Curcumae Zedoariae, lightly roasted, cooked, and sliced, 3 liang), Binglang (Semen Arecae, sliced, 1.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of three qianbi. Add one dan of water. Simmer until reduced to 70%. Strain and take slightly warm at any time.
Treatment for Pi accumulation Qi, inability to eat, as well as Five Ge Qi (Five Obstructions Qi) and women's Blood Qi disorders. Muxiang San (Costus Powder):
Muxiang (Radix Aucklandiae, 1 fen), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed and sliced, 6 liang), Jingsanleng (Rhizoma Curcumae Zedoariae, processed and sliced), Yizhi (Fructus Alpiniae Oxyphyllae, husk removed, each 2 liang), Chenpi (Pericarpium Citri Reticulatae, white pith removed, dried, 4 liang), Gancao (Radix Glycyrrhizae).
The above six herbs are crushed, sifted, and made into powder. Each dose is two qianbi, seasoned with salt, taken at any time.
Treatment for acute pain from Pi Ji, inability to eat. Jingsanleng Wan (Curcuma Zedoaria Pill):
Jingsanleng (Rhizoma Curcumae Zedoariae, 5 liang, crushed into powder and boiled with one bowl of good vinegar until thick paste forms), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed and sliced), Yizhi (Fructus Alpiniae Oxyphyllae, husk removed), Qingju pi (Pericarpium Citri Reticulatae Viride, white pith removed, dried, each 3 liang).
Take the latter four herbs, crush, sift, and make into fine powder. Mix with the Jingsanleng paste to form pills the size of mung beans. Each dose is twenty pills, up to thirty pills, taken after meals with Shengjiang decoction.
Treatment for Pi accumulation masses inside the abdomen, stabbing pain in the heart and chest, and pale complexion. Biejia San (Tartar Shell Powder):
Biejia (Carapax et Plastrum Testudinis, skirt removed, vinegar-fried), Fuzi (Radix Aconiti Lateralis Preparata, processed, cracked, skin and navel removed), Muxiang (Radix Aucklandiae), Baizhu (Rhizoma Atractylodis Macrocephalae), Jingsanleng (Rhizoma Curcumae Zedoariae, roasted and sliced), Binglang (Semen Arecae, half raw half cooked, sliced, each 3 fen).
The above ten herbs are crushed, sifted, and made into powder. Each dose is two qianbi. Mix with Shengjiang decoction or wine prepared with stir-fried Shengjiang for administration.
Treatment for Pi Ji causing inability to eat, stabbing pain in the heart and hypochondrium occurring at fixed times, along with cold stagnation in the Bladder and Small Intestine. Heishen Wan (Black Divine Pill):
Qichi (Lac Chinese, 6.5 liang, used raw, steamed in double boiler for half a day until fragrant), Shenqu (Massa Medicata Fermentata), Xiangzi (Fructus Cyperi, each 4 liang), Muxiang (Radix Aucklandiae, finely sliced), Jiaohong (Fructus Zanthoxyli Pericarpium), Dingxiang (Flos Caryophylli, each 2 liang).
Crush and sift six of the above seven herbs into fine powder. Mix with Qichi to form pills the size of quail eggs. Take 12 liang of Xiangzi powder, spread over the pills, and dry in shade. Store the pills with the remaining Xiangzi powder in a container to keep them extremely dry, then remove the powder. Store in porcelain jars. For residual Qi of the Kidney, Pi Ji of the Small Intestine and Bladder, Seven Hernias with descending sensation, Five Ge Blood injury, various postpartum bleeding, leukorrhea with red and white discharge, divide one pill into four doses. For retained fetal membrane, use one pill. All are dissolved in wine prepared with cotton ash. For difficult labor, add forty fried Kuaizi (Semen Abelmoschi) to the wine, boil to a thick decoction, dissolve one pill, and administer. For various diseases, no more than three doses are needed.