病源积聚痼结者。是五脏六腑之气。已积聚于内。重因饮食不节。寒温不调。邪气重沓
。牢痼盘结者也。久即成症。（出第十九卷中）
肘后疗心下有物大如杯不得食者方。
葶苈（二两） 大黄（二两） 泽漆（四两洗）
上三味捣筛蜜和捣千杵服如梧子二丸。日三。不知稍加。（千金文仲集验古今录验同云
疗症坚心下大如杯食则腹满心腹绞痛）
又熨症方。
灶中黄土（一升） 生葫（一升）
上二味先捣。葫熟纳土复捣。以好苦酒浇令 。先以涂布一面仍 病上。又涂布上干
复易之。取令消止。（并出第一卷中）
崔氏疗症癖闪癖方。
令患人平坐。取麻线一条绕项。向前垂线。头至鸠尾横截断。即回线向后。当脊取线穷
头。即点记。乃别横度口吻。吻外截却。即取度吻线中折于脊骨点处中心。上下分之。各点
小两头通前合灸三处。其所灸处。日别灸七壮以上。十壮以下满十日即停。看患人食稍得味
即取线还度口吻于脊中点处横分灸之。其数一准前法。仍看脊节穴去线一二分。亦可就节穴
下火。如相去远者。不须就节穴若患人未捐可停二十日外。还依前灸之。仍灸季肋头二百壮。
其
又灸闪癖法。
其癖有根。其根有着背者。有着膊上者。遣所患人平坐。熟看癖头仍将手从癖头向上寻
之当有脉筑筑然。向上细细寻至膊上至筑筑头。当膊即下火。还与前壮数无别。王丞云∶背
上恐不得过多下火。只可细细日别七炷以来。
又疗癖左右相随病灸法。
第一屈肋头近第二肋下。即是灸处。第二肋头近第三肋下亦是灸处。左右各灸五十壮。
一时使了。（千金云灸症癖方患左灸左患右灸右脊屈肋数第二肋上第三肋下向肉 前初日灸
三次日五周而复始至五十止忌大蒜余不忌）
又灸 气法。
从乳下即数至第三肋下。共乳上下相当。稍似近肉接腰骨外取穴孔。即是灸处。两相俱
灸初下火。各灸三壮。明日四壮。每日加一壮至七壮。还从三壮起至三十日即罢。
上前两种灸法若点时。拳脚点即拳脚灸。若舒脚点时。还舒脚灸。（并出第七卷中）
病因中积聚、痼结的病症，是由于五脏六腑的气机已经在体内积聚，再加上饮食不节制，寒温调节不当，导致邪气重叠交杂，牢固地盘结在一起。时间久了就会形成症积。（出自第十九卷）
《肘后备急方》治疗心下有物块大如杯盏，导致无法进食的方剂：
葶苈（二两） 大黄（二两） 泽漆（四两，洗净）
以上三味药捣碎过筛，用蜂蜜调和，再捣一千杵。服用时像梧桐子大小的丸药，每次两丸，每日三次。如果效果不明显，稍微增加剂量。（《千金方》、文仲集验方、古今录验方记载相同，说治疗症坚，心下大如杯盏，进食后腹部胀满，心腹绞痛）
另一种熨治症积的方法：
灶中黄土（一升） 生大蒜（一升）
以上两味药先捣碎。将大蒜煮熟后混入黄土中再次捣碎。用好醋浇淋使其湿润。先将药布涂在一面，敷在病灶上。待药布干了之后，再涂抹药汁并更换新的药布。直到症状消除为止。（均出自第一卷）
崔氏治疗症癖、闪癖的方剂：
让患者平坐。取一根麻线绕在颈部，向前垂下，线的末端到达鸠尾穴处横向截断。然后将线折回向后，沿着脊柱向下，直到线的尽头做标记。另外取一根线横量口吻宽度，在口角外侧截断。取这根量口吻的线对折，对准脊柱上的标记点中心，上下分开。在两端分别做标记。这三个位置（颈部前垂线端、脊柱标记点、口吻线对折点）对应身体上的穴位进行艾灸。每个灸处，每天灸七壮到十壮之间，连续十天停止。观察患者饮食是否逐渐恢复味道。如果恢复，再用线重新量口吻宽度，在脊柱中线处横向划分进行艾灸。数量与之前方法相同。同时观察脊节穴位距离线一二分的位置，也可以直接在脊节穴位下火。如果距离较远，则不需要拘泥于脊节穴位。如果患者尚未痊愈，可以暂停二十天后再依前法继续艾灸。还要灸季肋头二百壮。
另一种灸治闪癖的方法：
这种癖块有根蒂，其根蒂有的附着在背部，有的附着在胳膊上。让患病者平坐。仔细查看癖块的头部，用手从癖块头部向上寻找，应该能感觉到脉搏跳动明显（筑筑然）。向上细细寻找直到胳膊上，找到脉搏跳动最明显的地方，就在胳膊相应部位下火。灸的壮数与前述方法没有区别。王丞说：背部恐怕不能灸得过多，只能细细地每天灸七炷左右。
又一种治疗癖病左右相随病的灸法：
第一个屈肋头靠近第二个肋骨下方，就是灸处。第二个肋头靠近第三个肋骨下方也是灸处。左右各灸五十壮。一次性完成。（《千金方》记载灸症癖方：患左灸左，患右灸右。计算脊部屈肋的数量，在第二肋骨上、第三肋骨下，向肉里进针方向初日灸三次，次日五次，循环往复直到五十壮为止。忌食大蒜，其余不忌）
又一种灸治痞气的方法：
从乳下开始数到第三肋骨下方，与乳房上下相当。稍微靠近肌肉，连接腰骨外侧取穴孔，这就是灸处。两侧都灸。初次下火，每侧各灸三壮。第二天四壮。每天增加一壮，直到七壮。然后再从三壮开始，持续三十天停止。
上述两种灸法，如果在点穴时是握拳的状态，就保持握拳状态艾灸；如果是舒展脚部的状态点穴，就保持舒展脚部状态艾灸。（均出自第七卷）
The etiology of accumulation (Ji Ju) and stubborn knotting involves the qi of the five zang organs and six fu organs having already accumulated internally. This is exacerbated by irregular diet and improper regulation of cold and warmth, causing pathogenic factors to overlap and firmly knot together. Over time, this forms a fixed mass (Zheng). (From Volume 19)
Prescription from *Zhou Hou Bei Ji Fang* for treating a mass in the heart region as large as a cup, preventing food intake:
Tingli (Descurainiae Semen Lepidii Semen, 2 liang) Dahuang (Rhei Radix et Rhizoma, 2 liang) Zeku (Phytolaccae Radix, 4 liang, washed)
Crush and sieve the above three herbs. Mix with honey and pound for one thousand strokes. Take pills the size of wutong seeds, two pills at a time, three times daily. If ineffective, slightly increase the dosage. (*Qianjin Fang*, Wen Zhong Ji Yan Fang, and Gu Jin Lu Yan Fang record similarly, stating it treats Zheng Jian where the area below the heart is as large as a cup, causing abdominal fullness after eating and severe pain in the heart and abdomen.)
Another method for moxibustion compression (Yun) treatment for Zheng:
Zaozhong Huangtu (Loess from Hearth, 1 sheng) Sheng Hu (Raw Allium Sativum, 1 sheng)
Pound the above two ingredients first. Cook the garlic until soft, mix with the loess, and pound again. Pour good vinegar over it to moisten. Apply the medicated cloth to one side and place it on the lesion. When dry, re-apply the mixture and replace the cloth. Continue until the condition resolves. (From Volume 1)
Cui Shi's prescription for treating Zheng Xi and Shan Xi:
Have the patient sit flat. Take a hemp thread and wrap it around the neck, letting it hang forward. Mark where the end reaches the Jiwei point (CV15), then cut horizontally. Fold the thread back along the spine to its end and mark it. Take another thread to measure the width across the mouth corners, cutting off the excess outside the corners. Fold this mouth-measuring thread in half and align the fold with the spinal mark. Divide it up and down, marking both ends. These three points correspond to areas for moxibustion. Moxa each site seven to ten cones (zhuang) per day, stopping after ten days. Observe if the patient's appetite and taste sensation improve. If so, re-measure the mouth width, divide horizontally at the mid-spine mark, and moxa accordingly. The number of cones remains the same. Also observe the spinal segment acupoints, which should be one or two fen away from the thread; moxa directly on these segment acupoints if close. If far, do not restrict to segment acupoints. If the patient has not recovered, pause for twenty days and resume the previous method. Additionally, moxa the head of the costal margin (Ji Li Tou) for two hundred cones.
Another method for moxa treatment of Shan Xi:
This type of mass has a root. The root may attach to the back or the arm. Have the patient sit flat. Carefully examine the head of the mass. Use your hand to search upward from the head of the mass; there should be a palpable pulsation (zhuzhu ran). Search finely upward to the arm until reaching the most prominent pulsation point. Apply moxa at this point on the arm. The number of cones is the same as previously described. Wang Cheng stated: On the back, moxa should not be excessive; only about seven cones per day are suitable.
Another moxa method for masses affecting both left and right sides:
The first flexed rib head near the second rib below is the moxa site. The second rib head near the third rib below is also a moxa site. Moxa fifty cones on each side simultaneously. (Qianjin Fang records: Moxa the left side for left lesions, the right side for right lesions. Count the flexed ribs on the spine. At the upper part of the second rib and lower part of the third rib, towards the flesh, moxa three times on the first day, five times on the second day, repeating until fifty cones. Avoid garlic; no other dietary restrictions.)
Another moxa method for Pi Qi:
Count from below the breast to the third rib below. It corresponds vertically with the breast. Locate the acupoint slightly closer to the flesh, connecting to the outer edge of the lumbar vertebrae. Moxa both sides. Initially, apply three cones to each side. On the next day, four cones. Increase by one cone daily until reaching seven cones. Then restart from three cones and continue for thirty days before stopping.
For the aforementioned two moxa methods, if the point was marked with fists clenched, keep the fists clenched during moxa. If marked with legs extended, keep the legs extended during moxa. (From Volume 7)