论曰积气在腹中,久不瘥,牢固推之不移者症也,此由寒温失宜,饮食不节。致腑脏气
虚弱,食饮不消,按之其状如杯盘牢结。久不已,令人身瘦而腹大,至死不消。诊其脉弦而
伏,其坚不转动者,死之候也。
治诸症结痛,起于胁下,按之而坚。妨痛不能饮食。渐加羸瘦。当归煮散方
当归(切焙) 鳖甲(用醋频蘸炙令黄色) 桂(去粗皮) 木香 桔梗(炒) 桃仁
(汤浸去皮尖双仁炒
上七味,除桃仁外,捣罗为末,入桃仁同研令匀,每服三钱匕,水一盏,煎至六分。去
滓温服,逐日空腹日午夜卧各一。
治积年症块,京三棱汤方
京三棱(炮锉一两) 青橘皮(去白焙半两) 桂(去粗皮一分) 大黄(锉碎炒半两)
木香(一分) 槟
上六味,粗捣筛,每服五钱匕,水一盏半,煎至七分,去滓温服。空腹日午夜卧各一。
治症块冲心,气满食不下。手足烦闷,鳖甲丸方
鳖甲(去裙 醋蘸炙黄色) 诃黎勒(微煨去核各二两) 防葵 甘草(炙锉) 人参 大
黄(锉炒各一两半) 白术 桂(去粗皮) 郁李仁(去皮别研) 杏仁(去皮尖双仁熬熟
别研如膏各一两)
上一十味,除研外,捣罗为末,入郁李仁杏仁同研匀。炼蜜丸梧桐子大。空腹温酒下二
十丸,渐加至三十丸,以微利为度。
治积年症块,血气凝滞,木香丸方
木香 吴茱萸(陈者淘七遍炒干) 青橘皮(去白焙各半两) 巴豆(去皮九十粒研如
膏用纸裹压出油研) 砂(用沸汤化于瓷碗中用慢火熬水尽收霜再研一分)
上五味,除研外,捣罗为末。入巴豆 砂研令匀,于 火中煨,粟米饭丸绿豆大。每服
温酒下三丸至五丸,食后服,溏利勿怪,老小减服。
治症癖腹满如鼓,坐卧不安,食即欲吐,气闷喘急,槟榔汤方
槟榔(二两微煨锉) 赤茯苓(去黑心) 芍药 京三棱(微煨锉) 陈橘皮(汤浸去
白焙各一两半)
上七味,粗捣筛,每服三钱匕,水一盏。煎至七分去滓温服,空腹午后各一。
治症癖气胀,腹痛,胁肋胀满,不思食饮,柴胡汤方
柴胡(去苗) 赤茯苓(去黑皮各三分) 桔梗(炒) 木通(锉各一两) 芍药 鳖
甲(去裙 醋蘸慢火
上七味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,空腹午后各一。
治症癖气块,胁肋满,腹胀不能饮食,腹痛,防葵丸方
防葵(锉碎) 柴胡(去苗) 赤茯苓(去黑皮各三分) 桂(去粗皮) 木香(各半
两) 鳖甲(去裙 醋蘸慢火炙黄色) 槟榔(锉各一两半) 桔梗(炒) 郁李仁(汤浸
去皮尖别研如膏各一两) 大黄(锉碎微炒一两一分) 当归(切焙) 京三棱(炮锉) 五
味子(各半两)
上一十三味,除研外,捣罗为末,入郁李仁同研匀,炼蜜丸梧桐子大,空腹温酒下二十
丸。
治症癖食气食劳,五膈痰逆,夹食丸方
乳香(别研如粉) 木香 丁香 肉豆蔻(去壳) 当归(切焙) 青橘皮(去白焙) 京
三棱(炮锉各半两) 紫菀(去苗土) 干姜(炮裂) 附子(炮裂去皮脐) 巴豆(去皮
心别研纸裹压出油各一两) 鳖甲(去裙 用醋蘸慢火炙令黄色二两) 丹砂(一分别研如
粉)
上一十三味,除乳香丹砂巴豆外,捣罗为末,然后入乳香等三味,同研令匀,都入臼中,
用荞麦面与药末,临时以意看多少,入面。徐徐入新汲水,捣候可丸即止,丸如绿豆大,煎
淡浆水令沸,旋旋入药,煮三五沸漉出。于日中曝干,每服五丸,食后用茶酒温水下。
治症癖气块,鳖甲丸方
鳖甲(去裙 醋蘸炙黄色) 木香 乌头(炮裂去皮脐) 柴胡(去苗各一两半) 京
三棱(炮锉) 当归(切焙) 桂(去粗皮) 浓朴(去粗皮涂生姜汁炙令微烟出锉) 陈
橘皮(汤浸去白焙各二两) 甘草(炙锉) 槟榔(锉各半两) 大黄(锉碎炒) 朴硝(研
如粉各三两)
上一十三味,除朴硝外,捣罗为末,同研令匀,炼蜜丸梧桐子大,空腹用温酒下十丸,
饮下亦得。
治症块粉砂饼方
粉霜 胡粉(各一两) 砂 丹砂 白丁香 腻粉(各半两)
上六味研为末,入面一两,水和捏作饼,如棋子大,慢火烧熟,每服一饼,麝香米饮嚼
破服。
治积年血气症块。往来疼痛,吐逆不纳饮食,保命丸方
当归(切炒) 乌头(炮裂去皮脐) 芍药 桂(去粗皮) 干姜(炮各半两) 大黄
(锉炒一两) 斑蝥(二十一枚用糯米炒令黄色为度去翅足)
上七味。捣罗为末,醋煮面糊丸,梧桐子大,空心食前温酒下一丸。
治虚积食气蛊胀水气。年深症癖,五食丸方
大戟(刮去皮) 甘遂(各半两生) 猪牙皂荚(生去皮子一两) 胡椒(一分) 芫
花(半两醋浸一宿炒
上六味,捣研为末,合研匀,水煮面糊和丸,如绿豆大,每服五丸,用米面绿豆煎汤放
温下,量病患大小,加至七丸。
治症块气积,下结胸,一切积滞,半夏礞石丸方
半夏(四十枚汤浸七遍) 巴豆(四十粒去皮心膜) 杏仁(去皮尖双仁四十枚) 猪
牙皂荚(去皮四十挺四味用好醋浸七日取出以布绞取汁熬成膏入众药) 礞石(研细炒五钱)
丁香 木香 沉香
上一十二味,将后八味,捣研为末。入在前膏子内,一处再捣细令匀,丸小豆大。看虚
实,煎枣汤下二丸。烂嚼干柿,干咽下亦得。
治症块,消食积,止心腹疼,木香扁丸方
木香 砂(通明者各一钱) 半夏(中等者一十枚生姜浆水洗七遍) 桂(去粗皮三
钱) 荜茇(四十九枚中等者) 杏仁(二十一粒去皮心膜出油三二分) 巴豆(二十一粒
去油三分)
上七味,先将杏仁巴豆同研如泥,以好米醋八分一盏,熬至二分以下成稠膏。入前药末
和匀,再入枣肉,丸绿豆大,捏扁丸,常服食后良久一丸,生姜汤下,要转三丸,男子妇人
心痛,炒莱菔醋汤下
治症癖。化气取食积,及本脏气水疾蛊胀,大戟丸方
大戟(半两) 芫花(醋炒一两) 巴豆(一百粒去皮以水五升煮水尽为度去心少出油
细研) 甘遂
上九味。捣研为末,于银石器内,炒令极热,勿令焦,炼蜜丸梧桐子大,常服生姜汤下
一丸,如取转,量脏腑虚实加减。
治症积五积食气,诸药无效者,没药丸方
没药(研) 硫黄(研) 白丁香生 当归(切焙) 芫花(醋浸半白炒) 砂(通
明者研) 乳香(研) 丹
上九味。捣研为末,合研匀,用水浸炊饼和剂,捣一千杵,丸梧桐子绿豆麻子三等大,
每服一丸,妇人血气童子小便和酒下,心头高硬当归酒下,远年症积,五积食气。生姜汤下,
小儿脾积,癖气,腊茶清下,大人与大丸,十五以下与中等,十岁以下与第三等者服。
治积聚症块。及涎积等,续随子丸方
续随子(三十枚去皮) 腻粉(二钱) 青黛(炒一钱匕研)
上三味,先研续随子令烂。次下二味,合研匀细。以烧糯米软饭和丸,如鸡头大。每服
先烧大枣一枚,剥去皮核烂嚼。取药一丸推破,并枣同用冷腊茶清下,服后便卧。至中夜后,
取下积聚恶物为效。
破症块,消积气,干漆丸方
干漆(四两捣为末炒令烟尽) 五灵脂(用瓶子盛地坑子内以火 烟尽取灰二两) 皂
荚(长五寸许锉以麻缠定用泥固济火 烟尽取灰二两) 香子(炒令香) 木香(鸡骨者)
槟榔(结实者锉) 桂(去粗皮) 附子(炮裂去皮脐) 青橘皮(去白炒) 陈橘皮(去
白炒) 白牵牛(炒令香熟) 大黄(劈开锦文者炒) 蓬莪术(炮锉) 京三棱(用醋纸
裹锉) 芫花(米醋浸一宿炒干用各二两)
上一十五味,捣罗为末,炼蜜为丸,如梧桐子大。生姜汤下二十丸。至三十丸。忌猪鱼
热面等物。
论述说:积气停留在腹中,长久不愈,坚硬牢固、推之不移的,称为“症”(腹内结块病证)。这多由寒温失调、饮食不节制所致。导致脏腑之气虚弱,食物饮水不能消化,按压时感觉像杯盘一样坚牢结聚。如果长期不愈,会导致身体消瘦而腹部胀大,直至死亡也无法消散。诊察其脉象弦而沉伏,且坚实不转动的,是死证的征候。
治疗各种症结疼痛,起于胁下,按之坚硬,妨碍进食并伴有疼痛,逐渐消瘦的方剂:当归煮散方。
药材:当归(切碎焙干)、鳖甲(用醋频繁蘸涂炙烤至黄色)、桂枝(去除粗皮)、木香、桔梗(炒制)、桃仁(热水浸泡去皮尖及双仁后炒制)。
以上七味药,除桃仁外,捣碎过筛成末,加入桃仁共同研磨均匀。每次服用三钱匕,加水一盏,煎至六分,去渣温服。每日空腹、半夜、睡前各服一次。
治疗多年形成的症块,京三棱汤方。
药材:京三棱(炮制锉碎一两)、青橘皮(去除白色内层焙干半两)、桂枝(去除粗皮一分)、大黄(锉碎炒制半两)、木香(一分)、槟榔(未列出具体用量,依原文省略)。
以上六味药,粗捣过筛,每次服用五钱匕,加水一盏半,煎至七分,去渣温服。每日空腹、半夜、睡前各服一次。
治疗症块冲击心脏,气满食不下,手足烦闷的方剂:鳖甲丸方。
药材:鳖甲(去除裙边,用醋蘸后炙烤至黄色)、诃黎勒(微煨去核各二两)、防葵、甘草(炙制锉碎)、人参、大黄(锉碎炒制各一两半)、白术、桂枝(去除粗皮)、郁李仁(去皮另研)、杏仁(去皮尖双仁熬熟另研如膏各一两)。
以上十味药,除需研磨的药外,其余捣碎过筛成末,加入郁李仁和杏仁共同研磨均匀。用炼蜜制成梧桐子大小的丸剂。空腹时用温酒送服二十丸,逐渐增加至三十丸,以轻微腹泻为度。
治疗多年症块,血气凝滞的方剂:木香丸方。
药材:木香、吴茱萸(陈年的淘洗七遍炒干)、青橘皮(去除白色内层焙干各半两)、巴豆(去皮九十粒研如膏,用纸包裹压出油后研)、砂(用沸水在瓷碗中化开,用慢火熬干水分收尽成霜再研一分)。
以上五味药,除需研磨的药外,其余捣碎过筛成末。加入巴豆和砂共同研磨均匀,在炭火中煨制,用粟米饭制成绿豆大小的丸剂。每次用温酒送服三至五丸,饭后服用,出现溏泄不要惊慌,老人小孩减量服用。
治疗症癖导致腹部胀满如鼓,坐卧不安,进食即欲吐,气闷喘急的方剂:槟榔汤方。
药材:槟榔(二两微煨锉碎)、赤茯苓(去除黑色中心部分)、芍药、京三棱(微煨锉碎)、陈橘皮(热水浸泡去除白色内层焙干各一两半)。
以上七味药,粗捣过筛,每次服用三钱匕,加水一盏,煎至七分,去渣温服,空腹及午后各服一次。
治疗症癖导致气胀,腹痛,胁肋胀满,不思饮食的方剂:柴胡汤方。
药材:柴胡(去除苗)、赤茯苓(去除黑皮各三分)、桔梗(炒制)、木通(锉碎各一两)、芍药、鳖甲(去除裙边,用醋蘸慢火... [原文此处截断,推测为炙])。
以上七味药,粗捣过筛,每次服用三钱匕,加水一盏,煎至七分,去渣温服,空腹及午后各服一次。
治疗症癖气块,胁肋满,腹胀不能饮食,腹痛的方剂:防葵丸方。
药材:防葵(锉碎)、柴胡(去除苗)、赤茯苓(去除黑皮各三分)、桂枝(去除粗皮)、木香(各半两)、鳖甲(去除裙边,用醋蘸慢火炙至黄色)、槟榔(锉碎各一两半)、桔梗(炒制)、郁李仁(热水浸泡去皮尖另研如膏各一两)、大黄(锉碎微炒一两一分)、当归(切碎焙干)、京三棱(炮制锉碎)、五味子(各半两)。
以上十三味药,除需研磨的药外,其余捣碎过筛成末,加入郁李仁共同研磨均匀,用炼蜜制成梧桐子大小的丸剂。空腹用温酒送服二十丸。
治疗症癖食气、食劳,五膈痰逆的方剂:夹食丸方。
药材:乳香(另研如粉)、木香、丁香、肉豆蔻(去壳)、当归(切碎焙干)、青橘皮(去除白色内层焙干)、京三棱(炮制锉碎各半两)、紫菀(去除苗土)、干姜(炮裂)、附子(炮裂去皮脐)、巴豆(去皮心另研,纸裹压出油各一两)、鳖甲(去除裙边,用醋蘸慢火炙至黄色二两)、丹砂(一分别研如粉)。
以上十三味药,除乳香、丹砂、巴豆外,其余捣碎过筛成末,然后加入乳香等三味药,共同研磨均匀,全部放入臼中,用荞麦面与药末混合,根据情况适量加入面粉。徐徐加入新汲水,捣至可制丸为止,制成绿豆大小的丸剂。煎淡浆水令其沸腾,随时投入药丸,煮三五沸后捞出。在阳光下晒干,每次服用五丸,饭后用茶、酒或温水送服。
治疗症癖气块的方剂:鳖甲丸方。
药材:鳖甲(去除裙边,用醋蘸炙至黄色)、木香、乌头(炮裂去皮脐)、柴胡(去除苗各一两半)、京三棱(炮制锉碎)、当归(切碎焙干)、桂枝(去除粗皮)、浓朴(去除粗皮涂生姜汁炙至微烟出锉碎)、陈橘皮(热水浸泡去除白色内层焙干各二两)、甘草(炙制锉碎)、槟榔(锉碎各半两)、大黄(锉碎炒制)、朴硝(研如粉各三两)。
以上十三味药,除朴硝外,其余捣碎过筛成末,共同研磨均匀,用炼蜜制成梧桐子大小的丸剂。空腹用温酒送服十丸,饮水送服也可以。
治疗症块的方剂:粉砂饼方。
药材:粉霜、胡粉(各一两)、砂、丹砂、白丁香、腻粉(各半两)。
以上六味药研为末,加入一两面粉,用水调和捏成饼状,如棋子大小,用慢火烧熟。每次服用一饼,用麝香米饮嚼破服用。
治疗多年血气症块,往来疼痛,呕吐逆气不能纳食的方剂:保命丸方。
药材:当归(切碎炒制)、乌头(炮裂去皮脐)、芍药、桂枝(去除粗皮)、干姜(炮制各半两)、大黄(锉碎炒制一两)、斑蝥(二十一枚,用糯米炒至黄色为度,去除翅足)。
以上七味药,捣碎过筛成末,用醋煮面糊制丸,梧桐子大小。空心饭前用温酒送服一丸。
治疗虚积、食气、蛊胀、水气,年深症癖的方剂:五食丸方。
药材:大戟(刮去皮)、甘遂(各半两生用)、猪牙皂荚(生用去皮子一两)、胡椒(一分)、芫花(半两醋浸一夜炒... [原文此处截断])。
以上六味药,捣研为末,合研均匀,用水煮面糊和丸,如绿豆大小。每次服用五丸,用米面绿豆煎汤放温后送服,根据病患大小,可增加至七丸。
治疗症块气积,下结胸,一切积滞的方剂:半夏礞石丸方。
药材:半夏(四十枚热水浸泡七遍)、巴豆(四十粒去皮心膜)、杏仁(去皮尖双仁四十枚)、猪牙皂荚(去皮四十挺,四味用好醋浸七日取出,以布绞取汁熬成膏,入众药)、礞石(研细炒五钱)、丁香、木香、沉香。
以上十二味药,将后八味药捣研为末。加入前面的膏子内,一处再捣细令均匀,制成小豆大小的丸剂。视虚实情况,煎枣汤送服二丸。烂嚼干柿饼,干咽下也可以。
治疗症块,消食积,止心腹疼的方剂:木香扁丸方。
药材:木香、砂(通明者各一钱)、半夏(中等者一十枚,生姜浆水洗七遍)、桂枝(去除粗皮三钱)、荜茇(四十九枚中等者)、杏仁(二十一粒去皮心膜出油三二分)、巴豆(二十一粒去油三分)。
以上七味药,先将杏仁和巴豆同研如泥,用好米醋八分一盏,熬至二分以下成稠膏。加入前面的药末和匀,再加入枣肉,制成绿豆大小的扁丸。常服饭后良久服一丸,生姜汤送服;若要见效快服三丸;男子妇人心痛,用炒莱菔醋汤送服。
治疗症癖,化气取食积,及本脏气水疾蛊胀的方剂:大戟丸方。
药材:大戟(半两)、芫花(醋炒一两)、巴豆(一百粒去皮,以水五升煮至水尽为度,去心少出油细研)、甘遂... [原文此处截断,但标题称九味,后续描述可能隐含其他药物或省略]。
以上九味药,捣研为末,在银石器内炒至极热,勿令焦,用炼蜜制成梧桐子大小的丸剂。常服生姜汤送一丸,如需泻下,根据脏腑虚实加减剂量。
治疗症积、五积、食气,诸药无效的方剂:没药丸方。
药材:没药(研)、硫黄(研)、白丁香(生用)、当归(切碎焙干)、芫花(醋浸半白炒)、砂(通明者研)、乳香(研)、丹... [原文此处截断,通常指丹砂或丹参,结合上下文多为丹砂]。
以上九味药,捣研为末,合研均匀,用水浸炊饼和剂,捣一千杵,制成梧桐子、绿豆、麻子三等大小的丸剂。每次服用一丸,妇人血气病用童子小便和酒送服,心头高硬者用当归酒送服,远年症积、五积食气用生姜汤送服,小儿脾积、癖气用腊茶清送服。大人服大丸,十五岁以下服中等丸,十岁以下服第三等丸。
治疗积聚症块及涎积等的方剂:续随子丸方。
药材:续随子(三十枚去皮)、腻粉(二钱)、青黛(炒一钱匕研)。
以上三味药,先研续随子令烂。次下二味,合研均匀细。以烧糯米软饭和丸,如鸡头大小。每次服用先烧大枣一枚,剥去皮核烂嚼。取药一丸推破,并与枣一同用冷腊茶清送服,服后立即躺卧。至半夜后,排出积聚恶物为有效。
破除症块,消积气的方剂:干漆丸方。
药材:干漆(四两捣为末炒至烟尽)、五灵脂(用瓶子盛放地坑内以火熏烟尽取灰二两)、皂荚(长五寸许锉碎,以麻缠定用泥固济火熏烟尽取灰二两)、香子(炒令香)、木香(鸡骨者)、槟榔(结实者锉)、桂枝(去除粗皮)、附子(炮裂去皮脐)、青橘皮(去白炒)、陈橘皮(去白炒)、白牵牛(炒令香熟)、大黄(劈开锦文者炒)、蓬莪术(炮锉)、京三棱(用醋纸裹锉)、芫花(米醋浸一夜炒干用各二两)。
以上十五味药,捣碎过筛成末,炼蜜为丸,如梧桐子大小。生姜汤送服二十丸,至三十丸。忌食猪鱼、热面等物。
Discourse states: When accumulated qi remains in the abdomen for a long time without healing, forming a firm mass that cannot be moved by pushing, it is called "Zheng" (abdominal mass disease). This is caused by improper regulation of cold and heat, and irregular diet. It leads to weakness of the Qi of the fu and zang organs, causing food and drink to fail to digest. Upon palpation, the condition feels like a cup or plate firmly knotted together. If it persists for a long time, it causes emaciation of the body while the abdomen becomes distended, leading to death without resolution. Palpating the pulse reveals it to be wiry and deep; if it is firm and unyielding, it is a sign of death.
Formula for treating various Zheng masses with pain, originating from the hypochondrium, hard upon pressure, interfering with eating and accompanied by pain, gradually leading to emaciation: Danggui Decoction Powder.
Ingredients: Radix Angelicae Sinensis (Danggui) (cut and roasted), Carapax et Plastrum Testudinis (Biejia) (frequently dipped in vinegar and roasted until yellow), Ramulus Cinnamomi (Gui) (coarse bark removed), Lignum Aucklandiae (Muxiang), Radix Platycodi (Jiegeng) (stir-fried), Semen Persicae (Taoren) (soaked in hot water, skin and pointed end removed, twin kernels selected and stir-fried).
The above seven herbs, except for Semen Persicae, are crushed and sieved into powder. Add Semen Persicae and grind evenly. Take 3 qianbi per dose, add one lamp of water, decoct until six-tenths remain. Strain and take warm. Take once on an empty stomach, once at midnight, and once before sleep daily.
Formula for treating chronic Zheng masses: Jing Sanleng Decoction.
Ingredients: Rhizoma Sparganii Stoloniferi (Jing Sanleng) (processed and cut, 1 liang), Pericarpium Citri Reticulatae Viride (Qingjupi) (white pith removed and roasted, 0.5 liang), Ramulus Cinnamomi (Gui) (coarse bark removed, 1 fen), Radix et Rhizoma Rhei (Dahuang) (cut and stir-fried, 0.5 liang), Lignum Aucklandiae (Muxiang) (1 fen), Semen Arecae (Binglang) [quantity omitted in original].
The above six herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add one and a half lamps of water, decoct until seven-tenths remain. Strain and take warm. Take once on an empty stomach, once at midnight, and once before sleep daily.
Formula for treating Zheng masses impacting the heart, with fullness of qi, inability to eat, and restlessness in hands and feet: Biejia Pill.
Ingredients: Carapax et Plastrum Testudinis (Biejia) (skirt edge removed, dipped in vinegar and roasted until yellow), Fructus Chebulae (Helilei) (lightly roasted, pitted, 2 liang each), Radix Saposhnikoviae (Fang Kui), Radix Glycyrrhizae Preparata (Gancao) (roasted and cut), Radix Ginseng (Renshen), Radix et Rhizoma Rhei (Dahuang) (cut and stir-fried, 1.5 liang each), Radix Atractylodis Macrocephalae (Baizhu), Ramulus Cinnamomi (Gui) (coarse bark removed), Semen Pruni (Yuliren) (skin removed and separately ground), Semen Armeniacae Amarum (Xingren) (skin and pointed end removed, twin kernels cooked and separately ground into paste, 1 liang each).
The above ten herbs, except those requiring grinding, are crushed and sieved into powder. Add Semen Pruni and Semen Armeniacae Amarum and grind evenly. Form pills with refined honey, size of Sophora japonica seeds. Take 20 pills with warm wine on an empty stomach, gradually increasing to 30 pills. Stop when mild diarrhea occurs.
Formula for treating chronic Zheng masses with stagnation of blood and qi: Muxiang Pill.
Ingredients: Lignum Aucklandiae (Muxiang), Fructus Evodiae (Wuzhuyu) (aged, washed seven times and dried), Pericarpium Citri Reticulatae Viride (Qingjupi) (white pith removed and roasted, 0.5 liang each), Fructus Crotonis (Badou) (skin removed, 90 kernels, ground into paste, wrapped in paper and pressed to remove oil then ground), Realgar (Shama) [Note: Original says 'Sha', likely Realgar or Arsenolite, context implies mineral], dissolved in boiling water in a porcelain bowl, boiled slowly until dry and collected as frost, then ground (1 fen).
The above five herbs, except those requiring grinding, are crushed and sieved into powder. Add Badou and Shama and grind evenly. Roast over charcoal fire, form pills with millet rice, size of mung beans. Take 3-5 pills with warm wine after meals. Loose stools should not cause alarm; reduce dosage for elderly and children.
Formula for treating Zhengpi causing abdominal distension like a drum, restlessness in sitting and lying, vomiting after eating, shortness of breath due to qi stagnation: Binglang Decoction.
Ingredients: Semen Arecae (Binglang) (2 liang, lightly roasted and cut), Poria Cum Radix Pini (Chifuling) (black center removed), Radix Paeoniae Alba (Shaoyao), Rhizoma Sparganii Stoloniferi (Jing Sanleng) (lightly roasted and cut), Pericarpium Citri Reticulatae Chenpi (Chen Jupi) (soaked in water, white pith removed and roasted, 1.5 liang each).
The above seven herbs are coarsely crushed and sieved. Take 3 qianbi per dose, add one lamp of water, decoct until seven-tenths remain. Strain and take warm. Take once on an empty stomach and once in the afternoon.
Formula for treating Zhengpi causing qi distension, abdominal pain, hypochondriac fullness, and loss of appetite: Chaihu Decoction.
Ingredients: Radix Bupleuri (Chaihu) (sprouts removed), Poria Cum Radix Pini (Chifuling) (black skin removed, 0.3 fen each), Radix Platycodi (Jiegeng) (stir-fried), Caulis Akebiae (Mutong) (cut, 1 liang each), Radix Paeoniae Alba (Shaoyao), Carapax et Plastrum Testudinis (Biejia) (skirt edge removed, dipped in vinegar and slow-roasted...).
The above seven herbs are coarsely crushed and sieved. Take 3 qianbi per dose, add one lamp of water, decoct until seven-tenths remain. Strain and take warm. Take once on an empty stomach and once in the afternoon.
Formula for treating Zhengpi qi masses, hypochondriac fullness, abdominal distension preventing eating, and abdominal pain: Fang Kui Pill.
Ingredients: Radix Saposhnikoviae (Fang Kui) (cut), Radix Bupleuri (Chaihu) (sprouts removed), Poria Cum Radix Pini (Chifuling) (black skin removed, 0.3 fen each), Ramulus Cinnamomi (Gui) (coarse bark removed), Lignum Aucklandiae (Muxiang) (0.5 liang each), Carapax et Plastrum Testudinis (Biejia) (skirt edge removed, dipped in vinegar and slow-roasted until yellow), Semen Arecae (Binglang) (cut, 1.5 liang each), Radix Platycodi (Jiegeng) (stir-fried), Semen Pruni (Yuliren) (soaked in water, skin and pointed end removed, separately ground into paste, 1 liang each), Radix et Rhizoma Rhei (Dahuang) (cut and lightly stir-fried, 1.1 liang), Radix Angelicae Sinensis (Danggui) (cut and roasted), Rhizoma Sparganii Stoloniferi (Jing Sanleng) (processed and cut), Fructus Schisandrae Chinensis (Wuweizi) (0.5 liang each).
The above thirteen herbs, except those requiring grinding, are crushed and sieved into powder. Add Semen Pruni and grind evenly. Form pills with refined honey, size of Sophora japonica seeds. Take 20 pills with warm wine on an empty stomach.
Formula for treating Zhengpi food qi, food labor, five diaphragm phlegm reversal: Jiashi Pill.
Ingredients: Resina Incensi (Ruxiang) (separately ground into powder), Lignum Aucklandiae (Muxiang), Flos Caryophylli (Dingxiang), Semen Myristicae (Roudoukou) (shell removed), Radix Angelicae Sinensis (Danggui) (cut and roasted), Pericarpium Citri Reticulatae Viride (Qingjupi) (white pith removed and roasted), Rhizoma Sparganii Stoloniferi (Jingsanleng) (processed and cut, 0.5 liang each), Herba Asteris Tatarici (Ziwan) (sprouts and soil removed), Rhizoma Zingiberis Siccatum (Ganjiang) (cracked via processing), Radix Aconiti Lateralis Preparata (Fuzi) (cracked via processing, skin and navel removed), Fructus Crotonis (Badou) (skin and heart removed, separately ground, wrapped in paper and pressed to remove oil, 1 liang each), Carapax et Plastrum Testudinis (Biejia) (skirt edge removed, dipped in vinegar and slow-roasted until yellow, 2 liang), Minium/Realgar (Dansha) [Context implies Dansha], 1 fen separately ground into powder.
The above thirteen herbs, except Resina Incensi, Minium/Realgar, and Fructus Crotonis, are crushed and sieved into powder. Then add these three and grind evenly. Place all in a mortar, add buckwheat flour according to need. Slowly add fresh well water, pound until pillable. Form pills size of mung beans. Boil light bean juice, drop pills in, boil 3-5 times, remove. Dry in sun. Take 5 pills after meals with tea, wine, or warm water.
Formula for treating Zhengpi qi masses: Biejia Pill.
Ingredients: Carapax et Plastrum Testudinis (Biejia) (skirt edge removed, dipped in vinegar and roasted until yellow), Lignum Aucklandiae (Muxiang), Radix Aconiti Karakorensis (Wutou) (cracked via processing, skin and navel removed), Radix Bupleuri (Chaihu) (sprouts removed, 1.5 liang each), Rhizoma Sparganii Stoloniferi (Jingsanleng) (processed and cut), Radix Angelicae Sinensis (Danggui) (cut and roasted), Ramulus Cinnamomi (Gui) (coarse bark removed), Cortex Magnoliae Officinalis (Houpo) (coarse bark removed, coated with ginger juice and roasted until slight smoke appears, then cut), Pericarpium Citri Reticulatae Chenpi (Chen Jupi) (soaked in water, white pith removed and roasted, 2 liang each), Radix Glycyrrhizae Preparata (Gancao) (roasted and cut), Semen Arecae (Binglang) (cut, 0.5 liang each), Radix et Rhizoma Rhei (Dahuang) (cut and stir-fried), Natrii Sulfas (Piaoxiao) (ground into powder, 3 liang each).
The above thirteen herbs, except Natrii Sulfas, are crushed and sieved into powder, ground evenly. Form pills with refined honey, size of Sophora japonica seeds. Take 10 pills with warm wine on an empty stomach. Taking with water is also acceptable.
Formula for treating Zheng masses: Fansha Cake.
Ingredients: Sublimated Arsenic Oxide (Fansha), Lead Carbonate (Hufen) (1 liang each), Realgar (Shama), Minium/Realgar (Dansha), White Civet Cat Excrement (Baodingxiang), Mercurous Chloride (Nifen) (0.5 liang each).
The above six herbs are ground into powder. Add 1 liang of flour, mix with water, shape into cakes size of chess pieces. Cook slowly over fire until done. Take one cake per dose, chew broken with musk rice drink.
Formula for treating chronic blood qi Zheng masses, wandering pain, vomiting and inability to retain food: Baoming Pill.
Ingredients: Radix Angelicae Sinensis (Danggui) (cut and stir-fried), Radix Aconiti Karakorensis (Wutou) (cracked via processing, skin and navel removed), Radix Paeoniae Alba (Shaoyao), Ramulus Cinnamomi (Gui) (coarse bark removed), Rhizoma Zingiberis Siccatum (Ganjiang) (processed, 0.5 liang each), Radix et Rhizoma Rhei (Dahuang) (cut and stir-fried, 1 liang), Mylabris (Banmao) (21 pieces, stir-fried with glutinous rice until yellow, wings and feet removed).
The above seven herbs are crushed and sieved into powder. Use vinegar-boiled wheat paste to form pills, size of Sophora japonica seeds. Take one pill with warm wine before breakfast on an empty stomach.
Formula for treating deficiency accumulation, food qi, gu distension, water qi, chronic Zhengpi: Wushi Pill.
Ingredients: Radix Euphorbiae Pekinensis (Daji) (peeled), Radix Kansui (Gansui) (0.5 liang each raw), Fructus Gleditsiae Sinensis (Zhuyazaojia) (raw, peeled and seeded, 1 liang), Piper Longum (Hujiao) (1 fen), Flos Genkwa (Yuanhua) (0.5 liang, soaked in vinegar overnight and stir-fried...).
The above six herbs are crushed and ground into powder, mixed evenly. Use water-boiled wheat paste to form pills, size of mung beans. Take 5 pills with warm soup made of rice flour and mung beans. Adjust up to 7 pills based on patient's size.
Formula for treating Zheng masses, qi accumulation, lower Jie Xiong, all types of accumulation stagnation: Banxia Mengshi Pill.
Ingredients: Rhizoma Pinelliae Preparatum (Banxia) (40 pieces, soaked in water seven times), Fructus Crotonis (Badou) (40 kernels, skin and heart membrane removed), Semen Armeniacae Amarum (Xingren) (skin and pointed end removed, twin kernels, 40 pieces), Fructus Gleditsiae Sinensis (Zhuyazaojia) (peeled, 40 pods). Soak the four items in good vinegar for seven days, remove, squeeze juice through cloth, boil into paste, add other herbs. Qingmi (Mengshi) (ground fine and stir-fried, 5 qian), Flos Caryophylli (Dingxiang), Lignum Aucklandiae (Muxiang), Lignum Aquilariae Resinatum (Chenxiang).
The above twelve herbs: Crush and grind the latter eight into powder. Mix into the previous paste, pound again until fine and uniform. Form pills size of adzuki beans. Based on deficiency/excess, take 2 pills with jujube soup. Chewing dried persimmon and swallowing dry is also acceptable.
Formula for treating Zheng masses, resolving food accumulation, stopping epigastric/abdominal pain: Muxiang Bian Pill.
Ingredients: Lignum Aucklandiae (Muxiang), Realgar (Shama) (transparent, 1 qian each), Rhizoma Pinelliae Preparatum (Banxia) (medium size, 10 pieces, washed seven times in ginger juice), Ramulus Cinnamomi (Gui) (coarse bark removed, 3 qian), Fructus Piperis Longi (Bibo) (49 medium pieces), Semen Armeniacae Amarum (Xingren) (21 kernels, skin, heart, membrane removed, oil reduced by 2-3 fen), Fructus Crotonis (Badou) (21 kernels, oil reduced by 3 fen).
The above seven herbs: First grind Semen Armeniacae Amarum and Fructus Crotonis into mud. Add 8/10 lamp of good rice vinegar, boil down to less than 2/10 lamp to form thick paste. Add previous herb powders, mix evenly, add jujube flesh. Form flat pills size of mung beans. Usually take one pill long after meals with ginger soup. For faster effect, take 3 pills. For male/female heart pain, take with stir-fried radish vinegar soup.
Formula for treating Zhengpi, transforming qi, resolving food accumulation, and organ-related water/gu distension: Daji Pill.
Ingredients: Radix Euphorbiae Pekinensis (Daji) (0.5 liang), Flos Genkwa (Yuanhua) (vinegar-stir-fried, 1 liang), Fructus Crotonis (Badou) (100 kernels, skin removed, boiled in 5 sheng water until dry, heart removed, small amount of oil removed, finely ground), Radix Kansui (Gansui)... [Text cuts off, implying remaining ingredients].
The above nine herbs are crushed and ground into powder. Stir-fry in silver/copper vessel until very hot, do not burn. Form pills with refined honey, size of Sophora japonica seeds. Usually take one pill with ginger soup. To induce purgation, adjust dosage based on organ deficiency/excess.
Formula for treating Zheng accumulation, Wuji, food qi, when other medicines fail: Moyao Pill.
Ingredients: Resina Agallochis (Moyao) (ground), Sulphur (Liuhuang) (ground), Bai Dingxiang (raw), Radix Angelicae Sinensis (Danggui) (cut and roasted), Flos Genkwa (Yuanhua) (vinegar-soaked, half-white stir-fried), Realgar (Shama) (transparent, ground), Resina Incensi (Ruxiang) (ground), Dan... [Text cuts off, likely Dansha].
The above nine herbs are crushed and ground into powder, mixed evenly. Use water-soaked steamed bun dough to mix, pound 1000 times. Form pills in three sizes: Sophora japonica seed, mung bean, hemp seed. Take one pill per dose. For women's blood qi, take with child's urine and wine. For hardness at heart center, take with Danggui wine. For chronic Zheng accumulation/Wuji/food qi, take with ginger soup. For children's spleen accumulation/pixi, take with aged tea clear liquid. Adults take large pills, under 15 take medium, under 10 take small.
Formula for treating accumulation Zheng masses and phlegm accumulation: Xuisui Zi Pill.
Ingredients: Semen Euphorbiae Lathyridis (Xuisui Zi) (30 pieces, peeled), Mercurous Chloride (Nifen) (2 qian), Color Cyani (Qingdai) (stir-fried, 1 qianbi, ground).
The above three herbs: First grind Xuisui Zi until soft. Add the other two and grind fine. Mix with soft rice from burnt glutinous rice to form pills size of cocklebur fruit. Before taking, roast one jujube, peel, remove pit, chew soft. Break one pill, mix with jujube, take with cold aged tea clear liquid. Lie down immediately after taking. By midnight, expulsion of accumulated evil matter indicates efficacy.
Formula for breaking Zheng masses and resolving accumulated qi: Ganqi Pill.
Ingredients: Resina Quebrachit (Ganqi) (4 liang, ground and stir-fried until smoke ceases), Resina Trogopterori (Wulingzhi) (placed in bottle in ground pit, smoked until ash remains, 2 liang), Fructus Gleditsiae Sinensis (Zaojia) (approx 5 cun long, cut, wrapped in hemp, sealed with mud, smoked until ash remains, 2 liang), Xiangzi (stir-fried until fragrant), Lignum Aucklandiae (Muxiang) (chicken bone type), Semen Arecae (Binglang) (solid ones, cut), Ramulus Cinnamomi (Gui) (coarse bark removed), Radix Aconiti Lateralis Preparata (Fuzi) (cracked via processing, skin and navel removed), Pericarpium Citri Reticulatae Viride (Qingjupi) (white pith removed, stir-fried), Pericarpium Citri Reticulatae Chenpi (Chen Jupi) (white pith removed, stir-fried), Semen Pharbitidis (Qian Niu) (stir-fried until fragrant and ripe), Radix et Rhizoma Rhei (Dahuang) (split, brocade pattern, stir-fried), Rhizoma Curcumae Phaeocaulis (Ezhu) (processed and cut), Rhizoma Sparganii Stoloniferi (Jingsanleng) (wrapped in vinegar-soaked paper, cut), Flos Genkwa (Yuanhua) (soaked in rice vinegar overnight, stir-fried dry, 2 liang each).
The above fifteen herbs are crushed and sieved into powder. Form pills with refined honey, size of Sophora japonica seeds. Take 20-30 pills with ginger soup. Avoid pork, fish, and hot noodles.