广济疗腹中 气癖硬。两胁脐下硬如石。按之痛。腹满不下食。心闷咳逆。积年不瘥。
鳖甲丸方。
鳖甲（八分炙） 牛膝（五分） 芎 （四分） 防葵（四分） 大黄（六分） 当归
（四分） 干姜（
四分） 桂心（四分） 细辛（四分） 附子（四分炮） 甘草（四分炙） 巴豆（二七枚）
上十二味捣筛。蜜和丸。平旦空腹温酒下。如梧子四丸。日三服渐加。以微利一两行为
度。忌生葱苋菜。（出第二卷中）
必效疗腹满癖坚如石。积年不损方。
取白杨木东南枝去苍皮细锉五升熬令黄。酒五升淋讫。即以绢袋盛滓。还纳酒中。密封
再宿。每服一合。日二。（出第三卷中）
集验疗凡所食不消方。
取其余频烧作末。酒服方寸匕。便吐去宿食。即瘥。（张文仲备急同陆光禄说有人食桃
不消化作病时无桃就林间得槁桃子烧服之登时吐病即瘥千金同出第六卷中）
备急食鱼 及生肉。住胸膈中不消化。吐之不出。多成症病方。
朴硝（如半鸡子一枚） 大黄（二两）
上二味。以酒二升。煮取一升。去滓。尽服之。立消。无朴硝。用芒硝硝石亦佳。（肘
后同）
又宿食不消。大便难。炼中丸方。
大黄（八两） 葶苈 杏仁（去皮尖） 芒硝（各四两）
上四味捣筛。蜜和丸如梧子。服七丸。日三。不知。稍加至十丸。（姚方并出第三卷中）
古今录验疗卒食不消。欲成症积。艾煎丸方。
白艾（一束） 薏苡根（一把）
上二味合煮汁。成如饴。取半升一服之。使刺吐去宿食。神验。（出第十卷中）
《广济方》治疗腹中气癖坚硬。两胁及脐下部位坚硬如石头，按压时疼痛。腹部胀满，无法进食。心中烦闷，咳嗽气逆。病程经年不愈。
鳖甲丸方：
鳖甲（八分，炙） 牛膝（五分） 川芎（四分） 防葵（四分） 大黄（六分） 当归（四分） 干姜（四分） 桂心（四分） 细辛（四分） 附子（四分，炮制） 甘草（四分，炙） 巴豆（十四枚）
以上十二味药捣碎过筛，用蜂蜜调和制成丸剂。清晨空腹时，用温酒送服。初服梧桐子大小的四丸，每日三次，逐渐增加剂量，以轻微腹泻一两次为限度。忌食生葱和苋菜。（出自第二卷）
《必效方》治疗腹部胀满、痞块坚硬如石，经年不消退的方子。
取白杨木东南方向的枝条，去掉粗糙树皮，细细切碎五升，熬至黄色。用五升酒淋洗药渣，将药渣装入绢袋，重新放入酒中。密封浸泡两个晚上。每次服用一合，每日两次。（出自第三卷）
《集验方》治疗各种食物不消化的方子。
取灶中余灰（灶心土），频繁烧制成粉末，用酒冲服一方寸匕的量。服药后会呕吐出积滞的食物，病即痊愈。（张文仲《备急方》与此相同。陆光禄说有人吃桃子不消化致病，当时没有桃子，就在林间找到干枯的桃子烧成粉服用，顿时吐出病邪，病即痊愈。《千金方》也记载此法，出自第六卷）
《备急方》治疗食用鱼及生肉，停滞在胸膈中不消化，想吐却吐不出来，多形成症积病的方子。
朴硝（如半个鸡蛋大小的一枚） 大黄（二两）
以上两味药，用二升酒，煮取一升药液，去渣，全部服下。症状立即消除。如果没有朴硝，使用芒硝或硝石也可以。（《肘后备急方》与此相同）
另外，对于宿食不消，大便困难，有炼中丸方：
大黄（八两） 葶苈子 杏仁（去皮尖） 芒硝（各四两）
以上四味药捣碎过筛，用蜂蜜调和制成如梧桐子大小的丸剂。每次服用七丸，每日三次。如果效果不明显，逐渐增加到十丸。（姚僧垣方并出自第三卷）
《古今录验方》治疗突然饮食不消化，想要形成症积的艾煎丸方：
白艾（一束） 薏苡根（一把）
以上两味药合在一起煮取汁液，浓缩至如饴糖般粘稠。每次服用半升，促使身体刺痒并呕吐出积滞的食物，疗效神奇。（出自第十卷）
The *Guangji* formula treats abdominal Qi Pi (abdominal masses due to Qi stagnation) that are hard. The area under the two hypochondria and around the umbilicus is hard as stone, painful upon palpation. There is abdominal distension, inability to eat, mental restlessness, coughing, and rebellious Qi. The condition persists for years without healing.
Biejia Wan (Turtle Shell Pill) Formula:
Biejia (Testudinis Carapax et Plastrum, 8 fen, processed with heat) Niuxi (Achyranthis Bidentatae Radix, 5 fen) Xiongqiong (Ligustici Chuanxiong Rhizoma, 4 fen) Fangkui (Adenophorae Radix, 4 fen) Dahuang (Rhei Radix et Rhizoma, 6 fen) Danggui (Angelicae Sinensis Radix, 4 fen) Ganjiang (Zingiberis Rhizoma, 4 fen) Guixin (Cinnamomi Ramulus, 4 fen) Xixin (Asari Radix et Rhizoma, 4 fen) Fuzi (Aconiti Lateralis Radix Praeparata, 4 fen, processed) Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen, processed with heat) Badou (Crotonis Fructus, 14 seeds)
Crush and sieve the above twelve herbs. Mix with honey to form pills. Take on an empty stomach in the early morning with warm wine. Start with four pills the size of a loquat seed, taken three times a day. Gradually increase the dose until mild diarrhea occurs one or two times, which serves as the limit. Avoid raw green onions and amaranth. (From Volume II)
The *Bixiao* formula treats abdominal distension and hard masses like stone that persist for years without improvement.
Take branches from the southeast direction of the white poplar tree (*Populus alba*), remove the rough bark, finely chop five sheng, and stir-fry until yellow. Pour five sheng of wine over the herbs to extract the essence. Place the dregs in a silk bag and return them to the wine. Seal tightly and let stand for two nights. Take one he each time, twice a day. (From Volume III)
The *Jiyan* formula treats various conditions of undigested food.
Take the residue from the kitchen stove (Zao Xin Tu / Hearth Earth), frequently burn it into powder, and take one fangcun bi (a measure equivalent to a square inch) with wine. It induces vomiting of retained food, leading to recovery. (Zhang Wenzhong's *Beiji* formula is identical. Lu Guanglu stated that someone suffered from indigestion after eating peaches. Since no peaches were available, they found dried peaches in the woods, burned them, and took the powder, immediately vomiting out the pathogen and recovering. The *Qianjin Fang* also records this method. From Volume VI)
The *Beiji* formula treats fish and raw meat stuck in the chest and diaphragm, causing indigestion, inability to vomit, and often forming Zheng Ji (masses).
Piaoxiao (Natrii Sulfas, approximately half the size of a chicken egg) Dahuang (Rhei Radix et Rhizoma, 2 liang)
Boil the above two herbs in two sheng of wine until reduced to one sheng. Strain and consume entirely. Digestion will be resolved immediately. If Piaoxiao is unavailable, Mangxiao (Natrii Sulfas) or Xiaoshi (Nitrums) can be used as substitutes. (Identical to *Zhouhou Beiji Fang*)
Additionally, for retained food not digesting and difficult defecation, there is the Lizhong Wan formula:
Dahuang (Rhei Radix et Rhizoma, 8 liang) Tinglizi (Descurainiae Semen seu Lepidii Semen) Xingren (Armeniacae Semen Amarum, peeled and de-seeded) Mangxiao (Natrii Sulfas, 4 liang each)
Crush and sieve the above four herbs. Mix with honey to form pills the size of loquat seeds. Take seven pills, three times a day. If ineffective, gradually increase to ten pills. (Yao Shengyuan's formula and others from Volume III)
The *Gujin Luyan* formula treats sudden indigestion that threatens to become Zheng Ji, using Aijian Wan (Mugwort Decoction Pills):
Bai'ai (Artemisiae Argyi Folium, one bundle) Yiyigen (Coicis Radix, one handful)
Boil the above two herbs together to obtain a decoction, reduce it until it resembles maltose syrup. Take half a sheng per dose. It induces pruritus and vomiting of retained food. The effect is miraculous. (From Volume X)