夫久 癖气者。本因邪气所生。不离阴阳之气。结蓄而成也。此皆由脏腑不调。脾胃虚
弱。
时
治久 癖气。心腹胀满。时时筑心背痛。宿食不消。呕逆。不思饮食。休息气痢
。喘促黄瘦
京三棱（三分微煨锉） 鳖甲（一两涂醋炙令黄去裙 ） 川大黄（一两半锉碎微炒） 木
香
（半
茱萸
（半两
炒微黄）
神
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服不计时候。以粥饮下三十
丸。
治久 癖气。腹内积聚。邪气往来。厥逆抢心。心胸痹闷。吐逆饮食。乌头丸方。
川乌头（一两半炮裂去皮脐） 吴茱萸（三分汤浸七遍焙干微炒） 川椒（三分去目及
闭口
者微
细辛
（半两
薇（半两）
赤芍
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下二十
丸。
治久 癖气。或时呕哕。腹痛不能饮食。荜茇丸方。
荜茇（一两） 干姜（三分炮裂锉） 胡椒（三分） 桂心（三分） 人参（一两去芦
头） 陈橘
皮（
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服不计时候。以粥饮下二十
丸。
治久 癖气。发歇不定。肌肉消瘦。往往吐逆。肩背疼痛。宜服大黄丸方。
川大黄（二两锉碎微炒） 川朴硝（一两） 蓬莪术（二两） 诃黎勒（一两煨用皮） 桂
心
（三分）
两） 柴
胡（一
上件药。捣罗为末。入巴豆矾石令匀。以熟枣瓤和捣三二百杵。丸如梧桐子大。每日空
心。
治久 癖气不消。桃仁丸方。
桃仁（三合汤浸去皮尖双仁麸炒微黄） 豉（三合炒干） 川椒（一两去目及闭口者微
炒去
汗）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服于食前。以温酒下二十丸。
治 癖气。食物不消。宜服此方。
木香（一两） 硫黄（一两细研水飞过） 川大黄（三两锉碎微炒）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。食前以温酒下二十丸。
又方。\x
苍术（一两锉微炒） 川乌头（二两炮裂去皮脐） 赤芍药（半两）
上件药。捣罗为末。用醋煮面糊和丸。如梧桐子大。每于食前。以生姜橘皮汤下二十丸。
凡是久癖气病，原本都是由邪气滋生所致，离不开阴阳之气的结聚蓄积而成。这都因为脏腑功能不调，脾胃虚弱。
治疗久癖气病，症见心腹胀满，时常感觉心脏和背部有撞击般的疼痛，宿食不消化，呕吐逆气，不想吃东西，休息时仍有气痢症状，气喘急促且身体黄瘦，用京三棱丸方。
京三棱（三分，微火煨后锉碎） 鳖甲（一两，涂醋炙至黄色，去除裙边） 川大黄（一两半，锉碎，微炒） 木香（半两） 吴茱萸（半两，炒至微黄） 神曲（半两，炒至微黄）
以上药材，捣碎过筛成粉末，用炼蜜调和并捣杵五七百下，制成如梧桐子大小的药丸。每次服用不限时候，用米汤送服三十丸。
治疗久癖气病，腹内积聚，邪气往来窜动，四肢厥冷且气上抢心，心胸痹阻闷痛，饮食吐逆，用乌头丸方。
川乌头（一两半，炮裂，去皮及脐） 吴茱萸（三分，用水浸泡七遍，焙干，微炒） 川椒（三分，去目及闭口者，微炒出汗） 细辛（半两） 薇衔（半两） 赤芍药（半两）
以上药材，捣碎过筛成粉末，用炼蜜调和并捣杵三二百下，制成如梧桐子大小的药丸。每次服用不限时候，用温酒送服二十丸。
治疗久癖气病，有时发生呃逆，腹痛不能进食，用荜茇丸方。
荜茇（一两） 干姜（三分，炮裂锉碎） 胡椒（三分） 桂心（三分） 人参（一两，去芦头） 陈皮（一两，去白）
以上药材，捣碎过筛成粉末，用炼蜜调和并捣杵五七百下，制成如梧桐子大小的药丸。每次服用不限时候，用米汤送服二十丸。
治疗久癖气病，发作间歇不定，肌肉消瘦，经常呕吐逆气，肩背疼痛，宜服用大黄丸方。
川大黄（二两，锉碎，微炒） 川朴硝（一两） 蓬莪术（二两） 诃黎勒（一两，煨后用皮） 桂心（三分） 枳壳（一两，麸炒微黄） 柴胡（一两）
以上药材，捣碎过筛成粉末，加入巴豆、矾石令其均匀，用熟枣肉调和并捣杵三二百下，制成如梧桐子大小的药丸。每日空腹时服用。
治疗久癖气病不消，用桃仁丸方。
桃仁（三合，水浸去皮尖及双仁，麸炒微黄） 豆豉（三合，炒干） 川椒（一两，去目及闭口者，微炒去汗）
以上药材，捣碎过筛成粉末，用炼蜜调和并捣杵三二百下，制成如梧桐子大小的药丸。每次在饭前，用温酒送服二十丸。
治疗癖气，食物不消化，宜服用此方。
木香（一两） 硫黄（一两，细研，水飞） 川大黄（三两，锉碎，微炒）
以上药材，捣碎过筛成粉末，用炼蜜调和并捣杵三二百下，制成如梧桐子大小的药丸。饭前用温酒送服二十丸。
又一方：
苍术（一两，锉碎，微炒） 川乌头（二两，炮裂，去皮及脐） 赤芍药（半两）
以上药材，捣碎过筛成粉末，用醋煮面糊调和制丸，如梧桐子大小。每次在饭前，用生姜橘皮汤送服二十丸。
For chronic Pi-mass (a type of abdominal mass characterized by fixed pain and swelling) caused by Qi stagnation, it originally arises from the generation of pathogenic factors. It is inseparable from the condensation and accumulation of Yin and Yang Qi. This is all due to disharmony of the Zang-Fu organs and weakness of the Spleen and Stomach.
To treat chronic Pi-mass with symptoms of fullness and distension in the heart and abdomen, frequent sensation of beating pain in the heart and back, retention of undigested food, vomiting and regurgitation, loss of appetite, intermittent dysentery with Qi sensation, panting, rapid emaciation, and yellowish complexion, use Jing Sanleng Wan (Burreed Pill).
Rhizoma Sparganii (Jingsanleng, 京三棱) (3 fen, lightly roasted and crushed) Testudinis Carapax et Plastrum (Biejia, 鳖甲) (1 liang, coated with vinegar, roasted until yellow, remove the skirt edges) Radix et Rhizoma Rhei (Chuan Dahuang, 川大黄) (1.5 liang, crushed, lightly roasted) Radix Aucklandiae (Muxiang, 木香) (0.5 liang) Fructus Evodiae (Wuzhuyu, 吴茱萸) (0.5 liang, stir-fried until slightly yellow) Massao Fermentatus (Shenqu, 神曲) (0.5 liang, stir-fried until slightly yellow)
The above herbs are pounded and sifted into powder. Honey that has been refined is used to mix and pound the mixture for five to seven hundred strokes. Form pills the size of Sophora japonica seeds. Take thirty pills at any time without restriction on timing, washed down with rice decoction.
To treat chronic Pi-mass with abdominal accumulation, wandering pathogenic Qi, cold extremities with Qi rushing to the heart, chest and heart obstruction and stifling pain, vomiting and regurgitation of food, use Wutou Wan (Aconite Pill).
Radix Aconiti Lateralis Preparata (Chuan Wutou, 川乌头) (1.5 liang, processed until cracked, remove skin and umbilicus) Fructus Evodiae (Wuzhuyu, 吴茱萸) (3 fen, soaked in water seven times, baked dry, lightly roasted) Fructus Schisandrae Chinensis? No, Fructus Schisandraceae? Actually Chuan Jiao refers to Sichuan Pepper here: Fructus Zanthoxyli (Chuan Jiao, 川椒) (3 fen, remove eyes and closed-mouth ones, lightly roasted until sweat appears) Herba Asari (Xixin, 细辛) (0.5 liang) Herba Siegesbeckiae (Weixie, 薇衔) (0.5 liang) Radix Paeoniae Rubra (Chishaoyao, 赤芍药) (0.5 liang)
The above herbs are pounded and sifted into powder. Honey that has been refined is used to mix and pound the mixture for three to two hundred strokes. Form pills the size of Sophora japonica seeds. Take twenty pills at any time without restriction on timing, washed down with warm wine.
To treat chronic Pi-mass with occasional hiccups, abdominal pain preventing eating, use Bibo Wan (Long Pepper Pill).
Fructus Piperis Longi (Bibo, 荜茇) (1 liang) Rhizoma Zingiberis Secundi (Ganjiang, 干姜) (3 fen, processed until cracked and crushed) Fructus Piperis Nigris (Hujiao, 胡椒) (3 fen) Cortex Cinnamomi (Guixin, 桂心) (3 fen) Radix Ginseng (Renshen, 人参) (1 liang, remove rhizome head) Pericarpium Citri Reticulatae (Chenpi, 陈皮) (1 liang, remove white pith)
The above herbs are pounded and sifted into powder. Honey that has been refined is used to mix and pound the mixture for five to seven hundred strokes. Form pills the size of Sophora japonica seeds. Take twenty pills at any time without restriction on timing, washed down with rice decoction.
To treat chronic Pi-mass with irregular onset and remission, muscle emaciation, frequent vomiting and regurgitation, shoulder and back pain, it is suitable to take Dahuang Wan (Rhubarb Pill).
Radix et Rhizoma Rhei (Chuan Dahuang, 川大黄) (2 liang, crushed, lightly roasted) Natrii Sulfas (Chuan Pu Xiao, 川朴硝) (1 liang) Rhizoma Curcumae Longae (Peng Ezhu, 蓬莪术) (2 liang) Fructus Chebulae (Helile, 诃黎勒) (1 liang, roasted, use peel only) Cortex Cinnamomi (Guixin, 桂心) (3 fen) Cortex Aurantii Immaturus (Zhike, 枳壳) (1 liang, bran-fried until slightly yellow) Radix Bupleuri (Chaihu, 柴胡) (1 liang)
The above herbs are pounded and sifted into powder. Add Semen Crotonis (Badou, 巴豆) and Alumen (Fanshi, 矾石), mix evenly. Use ripe jujube pulp to mix and pound the mixture for three to two hundred strokes. Form pills the size of Sophora japonica seeds. Take daily on an empty stomach.
To treat chronic Pi-mass that does not dissipate, use Taoren Wan (Peach Kernel Pill).
Semen Persicae (Taoren, 桃仁) (3 he, soaked in water, remove skin and tips, remove double-kernel ones, bran-fried until slightly yellow) Fructus Sojae Preparatus (Chi, 豆豉) (3 he, stir-fried until dry) Fructus Zanthoxyli (Chuan Jiao, 川椒) (1 liang, remove eyes and closed-mouth ones, lightly roasted until sweat appears)
The above herbs are pounded and sifted into powder. Honey that has been refined is used to mix and pound the mixture for three to two hundred strokes. Form pills the size of Sophora japonica seeds. Take twenty pills before meals, washed down with warm wine.
To treat Pi-mass where food fails to digest, it is suitable to take this prescription.
Radix Aucklandiae (Muxiang, 木香) (1 liang) Sulphur (Liuhuang, 硫黄) (1 liang, finely ground and levigated with water) Radix et Rhizoma Rhei (Chuan Dahuang, 川大黄) (3 liang, crushed, lightly roasted)
The above herbs are pounded and sifted into powder. Honey that has been refined is used to mix and pound the mixture for three to two hundred strokes. Form pills the size of Sophora japonica seeds. Take twenty pills before meals, washed down with warm wine.
Another prescription:
Rhizoma Atractylodis Macrocephalae (Cangzhu, 苍术) (1 liang, crushed, lightly roasted) Radix Aconiti Lateralis Preparata (Chuan Wutou, 川乌头) (2 liang, processed until cracked, remove skin and umbilicus) Radix Paeoniae Rubra (Chishaoyao, 赤芍药) (0.5 liang)
The above herbs are pounded and sifted into powder. Use vinegar-boiled wheat paste to mix and form pills, the size of Sophora japonica seeds. Take twenty pills before meals, washed down with Ginger and Tangerine Peel Decoction.