《病源》夫积聚者，由寒气在内所生也，血气虚弱，风邪搏于腑脏，寒多则气涩，气涩
则生积聚也。积者，阴气，五脏所生，始发不离其部，故上下有所穷已；聚者，阳气，六腑
所成也，故无根本，上下无所留止，但诸脏腑受邪，初未能为积聚，邪气留滞不去，乃成积
聚。其为病也，或左右胁下如覆杯，或脐上下如臂，或胃管间覆大如盘，羸瘦少气，或洒浙
寒热，四肢不收，饮食不为肌肤，或累累如桃李，或腹满呕泄，寒则痛，故云寒疝积聚也。
其脉 （所吏反）而紧，积聚浮而牢，积聚牢强急者生，虚弱急者死。（出第二十卷中。通
按
，脉数为 ，脉迟为驶）
《深师》破积丸 疗寒疝久积聚，周走动摇，大者如鳖，小者如杯，乍来乍去，在于胃
管，大肠胀满不通，风寒则肠鸣，心下寒气上抢，胸胁支满。芫花丸方。
芫花（一分） 蜀椒（一分汗） 大黄（六分） 细辛（六分） 桔梗（五分） 乌头
（四分炮）
上十一味，捣筛，蜜和丸如梧子大。饮服五丸，日三，当下如泥，病愈。忌猪羊肉、饧
、酢物、生菜等。
又当归丸 疗心腹劳强，寒疝邪气往来，坚固结聚，苦寒烦 （于缘切，下同），不
得卧
桔梗（二分） 葶苈子（熬五分） 藜芦（炙二分） 浓朴（炙五分） 杏仁（五十枚
去尖、皮
）附子（炮五分） 桂心 人参（各三分） 沙参（三分） 特生 石（一两烧半日）
上十味，捣筛，蜜和如梧子。饮服三丸，日三，稍加之。忌猪肉、生葱、冷水。（出第
二十二卷中）
《古今录验》疗久寒三十岁心腹疝，症瘕积聚，邪气往来，厥逆抢心痛，久痹羸瘦少气
，妇人产乳余疾，胸胁支满不嗜食，手足 烦，月水不通，时时便血，名曰破积聚。乌头续
命丸方。
食茱萸（十分） 芍药（五分） 细辛（五分） 前胡（五分一云柴胡） 干姜（十分）
乌头（
十分炮） 紫菀 黄芩 白术 白薇（各三分） 芎 人参 干地黄（各五分） 蜀椒（十
分
汗） 桂心
上十五味，捣筛，蜜和为丸如梧子大。先食服三丸，日三，不知，稍加至七丸。忌生菜
、生葱、猪肉、冷水、桃、李、雀肉、芜荑等。（《范汪》同，出第十卷中）
《集验》疗肾冷及疼，疝气滞后，灌方。
盐花（一大合） 浆水（半大升）
上二味，和暖灌下部，少间即下脓，日一度，再灌之，即止。
《诸病源候论》说：所谓积聚，是由于寒气在体内产生所致。血气虚弱时，风邪与脏腑搏结，寒气重则导致气机涩滞，气机涩滞就会形成积聚。积证，属于阴气，由五脏生成，发病初期不离其部位，所以上下有固定的范围；聚证，属于阳气，由六腑形成，因此没有根本，上下流动没有停留之处。但是，各种脏腑受到邪气侵袭，起初并不能立即形成积聚，只有当邪气留滞不去，才会形成积聚。这类疾病的表现，有的左右胁下像倒扣的杯子，有的脐上或脐下像手臂一样隆起，有的胃脘部覆盖着像盘子一样大的肿块，身体消瘦、气息短少，有的恶寒发热如洒浙般战栗，四肢无力不能收持，饮食无法转化为肌肉营养，有的肿块累累像桃李，有的腹部胀满、呕吐泄泻，遇寒则疼痛，所以称为寒疝积聚。其脉象驶（音同“史”，指脉来急促有力）而紧，积聚之脉浮而牢，积聚脉象牢强急者预后良好（生），脉象虚弱急者预后不良（死）。（出自第二十卷中。通按：脉数称为驶，脉迟称为驶——注：此处原文可能有误或特定语境，通常脉数为疾/数，脉迟为缓/迟，但依原文直译并保留术语解释）。
《深师方》破积丸：治疗寒疝日久形成的积聚，游走动摇不定，大的像鳖，小的像杯，忽来忽去，位于胃脘部，大肠胀满不通，受风寒则肠鸣，心下部寒气向上冲逆，胸胁支撑胀满。芫花丸方。
芫花（一分） 蜀椒（一分，出汗处理） 大黄（六分） 细辛（六分） 桔梗（五分） 乌头（四分，炮制）
以上十一味药，捣碎过筛，用蜂蜜调和制成梧桐子大小的丸剂。每次服用五丸，每日三次，服药后应排出如泥状的污物，病即可痊愈。忌食猪肉、羊肉、饴糖、醋制品、生菜等。
又方当归丸：治疗心腹劳损强痛，寒疝邪气往来，坚固结聚，苦于寒热烦闷（于缘切，下同），无法入睡。
桔梗（二分） 葶苈子（炒制五分） 藜芦（炙制二分） 厚朴（炙制五分） 杏仁（五十枚，去尖、皮） 附子（炮制五分） 桂心 人参（各三分） 沙参（三分） 特生石（一两，烧制半日）
以上十味药，捣碎过筛，用蜂蜜调和制成梧桐子大小的丸剂。每次服用三丸，每日三次，逐渐增加剂量。忌食猪肉、生葱、冷水。（出自第二十二卷中）
《古今录验》方：治疗久寒三十年引起的心腹疝气，症瘕积聚，邪气往来，厥逆之气冲撞心痛，久痹导致的身体消瘦、气息短少，妇女产后余疾，胸胁支撑胀满、食欲不振，手足烦热，月经不通，时常便血，名为破积聚。乌头续命丸方。
食茱萸（十分） 芍药（五分） 细辛（五分） 前胡（五分，一说柴胡） 干姜（十分） 乌头（十分，炮制） 紫菀 黄芩 白术 白薇（各三分） 川芎 人参 干地黄（各五分） 蜀椒（十分，出汗处理） 桂心
以上十五味药，捣碎过筛，用蜂蜜调和制成梧桐子大小的丸剂。饭前服用三丸，每日三次，若无效，逐渐增加至七丸。忌食生菜、生葱、猪肉、冷水、桃、李、雀肉、芜荑等。（《范汪方》相同，出自第十卷中）
《集验方》方：治疗肾冷及疼痛，疝气滞后，采用灌洗法。
盐花（一大合） 浆水（半大升）
以上两味药，混合加热后灌洗下部，稍后即排出脓液，每日一次，再次灌洗后，症状即止。
According to *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): The so-called "Ji Ju" (accumulations and masses) arise from cold qi residing within. When blood and qi are deficient, wind pathogen combats with the zang-fu organs; excessive cold causes qi stagnation (stagnation of qi movement), and qi stagnation leads to the formation of accumulations and masses. "Ji" (fixed accumulation) belongs to yin qi and is generated by the five zang organs; it originates in its specific location, thus having definite upper and lower boundaries. "Ju" (mobile mass) belongs to yang qi and is formed by the six fu organs; therefore, it has no fixed root, moves up and down without staying in one place. However, when various zang-fu organs are invaded by pathogenic factors, they do not immediately form Ji Ju. Only when the pathogenic factor lingers and does not depart does Ji Ju form. The manifestations of these diseases include: masses under the flanks on either side resembling an inverted cup; swellings above or below the umbilicus resembling an arm; a large plate-like mass covering the epigastrium; emaciation and shortness of breath; chills and fever shivering like being sprinkled with water; limbs that cannot be controlled; inability of food intake to nourish the muscles; multiple nodules resembling peaches and plums; abdominal distension with vomiting and diarrhea; pain upon exposure to cold. Hence, it is called "Han Shan Ji Ju" (Cold Hernia Accumulations and Masses). The pulse is "Shi" (rapid and forceful) and tight. For Ji Ju, the pulse is floating and firm. If the pulse of Ji Ju is firm, strong, and rapid, the prognosis is good (survival); if the pulse is weak and rapid, the prognosis is poor (death). (From Volume 20. General Note: A rapid pulse is termed "Shi", a slow pulse is termed "Shi" - *Note: This reflects the original text's specific terminology despite potential textual anomalies*).
*Shen Shi Fang* (Deep Master's Formulas): Po Ji Wan (Mass-Breaking Pill) treats long-standing Han Shan (cold hernia) and accumulated masses that move around unpredictably, large as a turtle, small as a cup, appearing and disappearing intermittently in the stomach region, causing distension and obstruction of the large intestine, borborygmus upon exposure to wind-cold, upward rushing of cold qi from the epigastrium, and fullness/stiffness in the chest and hypochondrium. Yuan Hua Wan Formula.
Yuan Hua (Genkwa Flos, 1 fen) Shu Jiao (Sichuan Pepper Fructus Zanthoxyli, 1 fen, perspired) Da Huang (Rhei Radix et Rhizoma, 6 fen) Xi Xin (Asari Radix, 6 fen) Jie Geng (Platycodonis Radix, 5 fen) Wu Tou (Aconiti Lateralis Radix Praeparata, 4 fen, processed)
The above eleven ingredients are crushed, sifted, and mixed with honey to form pills the size of a white mustard seed. Take five pills per dose with warm water, three times daily. Stool should become muddy/watery after administration, indicating cure. Avoid pork, mutton, maltose, vinegar products, and raw vegetables.
Another formula: Dang Gui Wan (Angelica Sinensis Pill) treats labor-induced stiffness and pain in the heart and abdomen, wandering pathogenic factors of Han Shan, solidified accumulations, bitter sensation of cold-heat vexation, and insomnia.
Jie Geng (Platycodonis Radix, 2 fen) Ting Li Zi (Lepidii Semen, 5 fen, stir-fried) Li Lu (Veratri Radix, 2 fen, roasted) Hou Po (Magnoliae Officinalis Cortex, 5 fen, roasted) Xing Ren (Armeniacae Semen Amarum, 50 pieces, tips and skins removed) Fu Zi (Aconiti Lateralis Radix Praeparata, 5 fen, processed) Gui Xin (Cinnamomi Ramulus, unspecified amount) Ren Shen (Ginseng Radix, 3 fen each) Sha Shen (Glehniae Radix, 3 fen) Te Sheng Shi (Teshengshi, 1 liang, calcined for half a day)
The above ten ingredients are crushed, sifted, and mixed with honey to form pills the size of a white mustard seed. Take three pills per dose with water, three times daily, gradually increasing the dosage. Avoid pork, raw green onions, and cold water. (From Volume 22)
*Gu Jin Lu Yan* (Ancient and Modern Verified Records): Treats thirty-year history of chronic cold causing heart-abdominal hernia, Zheng Xia (masses and growths) and Ji Ju, wandering pathogenic factors, reversal cold qi rushing to cause heart pain, chronic bi syndrome leading to emaciation and shortness of breath, residual postpartum disorders in women, chest-hypochondriac fullness, loss of appetite, heat sensation in hands and feet, amenorrhea, and frequent hematochezia. Named Po Ji Ju (Breaking Accumulations and Masses). Wu Tou Xu Ming Wan Formula.
Shi Zhu Yu (Torreya Seed / Cornus Fruit variant, 10 fen) Shao Yao (Paeoniae Radix, 5 fen) Xi Xin (Asari Radix, 5 fen) Qian Hu (Peucedani Radix, 5 fen, alternatively Chai Hu) Gan Jiang (Zingiberis Rhizoma, 10 fen) Wu Tou (Aconiti Lateralis Radix Praeparata, 10 fen, processed) Zi Wan (Asteris Radix) Huang Qin (Scutellariae Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Bai Wei (Cleomidis Herba, 3 fen each) Xiong (Chuanxiong Rhizoma) Ren Shen (Ginseng Radix) Gan Di Huang (Rehmanniae Radix, 5 fen each) Shu Jiao (Sichuan Pepper Fructus Zanthoxyli, 10 fen, perspired) Gui Xin (Cinnamomi Ramulus)
The above fifteen ingredients are crushed, sifted, and mixed with honey to form pills the size of a white mustard seed. Take three pills before meals, three times daily. If ineffective, gradually increase to seven pills. Avoid raw vegetables, raw green onions, pork, cold water, peaches, plums, sparrow meat, and Elsholtzia fruit. (Same as *Fan Wang*, From Volume 10)
*Ji Yan* (Collected Experiences): Treats kidney cold and pain, lingering hernia qi, using an enema method.
Yan Hua (Halitum Salis / Salt Crystals, 1 da he) Jiang Shui (Fermented Rice Water, 0.5 da sheng)
Mix the above two ingredients, warm them, and irrigate the lower part. Pus will discharge shortly after. Do this once daily. After repeating the irrigation, symptoms will cease.