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。
根本。
左右胁
饮食不为
聚也。浮
治寒疝。积聚动摇。大者如鳖。小者如杯。乍来乍去。于胃管大肠不通。风寒则
腹鸣。心下
芫花〔一（二）两醋拌炒令干〕 椒目（一两） 半夏（半两汤洗七遍去滑） 川大黄
（一两
锉碎
两）
赤茯苓
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以温酒下七丸。日三服。
当
治心腹牢强寒疝。邪气往来。坚固积聚。苦寒烦闷。不得眠卧。夜苦汗出。大便坚
。小便不
桔梗（一两去芦头） 藜芦（一两去芦头微炙） 桂心（一两） 甜葶苈（一两微炒令
香） 附
子（
两锉
碎微
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下十五丸。
治寒疝积聚。绕脐切痛。饮食不下。川乌头丸方。
川乌头（一两炮裂去皮脐） 吴茱萸（半两汤浸七遍焙干微炒） 京三棱（一两煨锉） 甘
草
（半
（一两汤浸
去皮
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以生姜汤下二十丸。日
三四
治寒疝冷气。心腹积聚。绕脐切痛。食饮不下。宜服附子丸方。
附子（一两炮裂去皮脐） 吴茱萸（一两汤浸七遍焙干微炒） 细辛（一两） 川乌头
（一两
炮裂
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以暖酒下二十丸。日三
四服
治寒疝积聚。结固不通。绕脐切痛。腹中胀满。风入五脏。忧患所积。用力不节
。筋脉劳伤
鳖甲（一两半涂醋炙微黄去裙 ） 甘草（半两炙微赤锉） 桂心（半两） 甜葶苈（半
两微
炒令
去皮脐）
槟
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以生姜橘皮汤下二
十丸
治寒疝积聚。邪气往来。厥逆冲心痛。羸弱少气。不欲饮食。宜服吴茱萸丸方。\x
吴茱萸（一两） 赤芍药（半两） 细辛（一两） 前胡（一两去芦头） 干姜（一两
炮裂锉）
川乌
两） 芎
（
桂心
（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以粥饮服二十丸。
渐至
积聚病，是由于寒气在体内产生所致。血气虚弱，风邪与脏腑搏结。寒邪偏盛则导致气机涩滞，气机涩滞就会形成积聚。
（原文此处有残缺或排版错乱：“根本。左右胁 饮食不为 聚也。浮”）
治疗寒疝及积聚，症状表现为肿块动摇不定，大的如鳖，小的如杯，忽来忽去。若影响胃管和大肠导致不通畅，感受风寒则腹部鸣响，心下……（原文此处有残缺）。
芫花（一两，用醋拌炒至干）、椒目（一两）、半夏（半两，汤洗七遍去滑腻）、川大黄（一两，锉碎）、赤茯苓（……两）。
以上药物，捣碎过筛成粉末，用炼蜜调和并捣杵三二百次，制成梧桐子大小的丸剂。每次服用，用温酒送服七丸，每日三次。应当……（原文此处有残缺）。
治疗心腹坚硬强直的寒疝，邪气往来，形成坚固的积聚，苦于寒冷烦闷，无法安睡，夜间痛苦出汗，大便坚硬……，小便不……（原文此处有残缺）。
桔梗（一两，去芦头）、藜芦（一两，去芦头微炙）、桂心（一两）、甜葶苈（一两，微炒至香）、附子（……两，锉碎微……）。
以上药物，捣碎过筛成粉末，用炼蜜调和并捣杵三二百次，制成梧桐子大小的丸剂。每次在饭前，用温酒送服十五丸。
川乌头（一两，炮裂去皮脐）、吴茱萸（半两，汤浸七遍焙干微炒）、京三棱（一两，煨后锉碎）、甘草（半……）、（一两，汤浸……去皮……）。
以上药物，捣碎过筛成粉末，用炼蜜调和并捣杵三二百次，制成梧桐子大小的丸剂。每次服用，用生姜汤送服二十丸，每日三四次。
治疗寒疝冷气，心腹积聚，绕脐剧烈疼痛，饮食不下。宜服用附子丸方：
附子（一两，炮裂去皮脐）、吴茱萸（一两，汤浸七遍焙干微炒）、细辛（一两）、川乌头（一两，炮裂……）。
以上药物，捣碎过筛成粉末，用炼蜜调和并捣杵三二百次，制成梧桐子大小的丸剂。每次服用，用暖酒送服二十丸，每日三四次。
治疗寒疝积聚，结块坚固不通，绕脐剧烈疼痛，腹部胀满。因风邪侵入五脏，忧患积郁，用力过度……，筋脉劳伤……
鳖甲（一两半，涂醋炙至微黄，去裙边）、甘草（半两，炙至微红锉碎）、桂心（半两）、甜葶苈（半两，微炒令……）、（去皮脐）、槟榔（……）。
以上药物，捣碎过筛成粉末，用炼蜜调和并捣杵三二百次，制成梧桐子大小的丸剂。每次在饭前，用生姜橘皮汤送服二十丸。
治疗寒疝积聚，邪气往来，四肢厥逆冲撞心痛，身体羸弱少气，不想饮食。宜服用吴茱萸丸方：
吴茱萸（一两）、赤芍药（半两）、细辛（一两）、前胡（一两，去芦头）、干姜（一两，炮裂锉碎）、川乌（……两）、川芎（……）、桂心（……）。
以上药物，捣碎过筛成粉末，用炼蜜调和并捣杵三二百次，制成梧桐子大小的丸剂。每次在饭前，用米粥饮送服二十丸，逐渐增加剂量……
Accumulation and mass disorders arise from the presence of cold pathogenic factors within the body. When blood and qi are deficient, wind pathogens contend with the zang-fu organs. An excess of cold leads to stagnation of qi; such qi stagnation gives rise to accumulations and masses.
(The original text here contains fragments or layout errors: "Root. Left and right hypochondrium. Diet does not... Masses. Floating.")
For treating cold hernia (Han Shan) and accumulations/masses, symptoms manifest as moving lumps, large as a turtle, small as a cup, appearing intermittently. If it affects the stomach tube and large intestine causing obstruction, and one is exposed to wind-cold, abdominal borborygmus occurs, and the epigastrium... (The original text here is fragmented).
Yuanhua (Radix Genkwanis, 1 liang, stir-fried with vinegar until dry), Jiaomu (Semen Phellodendri, 1 liang), Banxia (Rhizoma Pinelliae Preparatum, 0.5 liang, washed seven times in decoction to remove slipperiness), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed), Chi Fuling (Poria, ... liang).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Each dose consists of seven pills taken with warm wine, three times daily. One should... (The original text here is fragmented).
For treating severe cold hernia of the heart and abdomen characterized by rigidity, where evil qi comes and goes forming solid accumulations, suffering from coldness and vexation, inability to sleep, night sweats, hard stool..., and urinary dysfunction... (The original text here is fragmented).
Jiegeng (Radix Platycodi, 1 liang, remove radicle), Lilü (Rhizoma Veratri, 1 liang, remove radicle, lightly roasted), Guixin (Cortex Cinnamomi, 1 liang), Tinglizi (Semen Lepidii et Descurainiae, 1 liang, lightly roasted until fragrant), Fuzi (Radix Aconiti Lateralis Preparata, ... liang, crushed, lightly...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take fifteen pills before meals with warm wine.
For treating cold hernia and accumulations with cutting pain around the umbilicus and inability to eat, use the Chuan Wutou Wan Formula:
Chuan Wutou (Radix Aconiti Kusnezoffii Preparata, 1 liang, processed, peel and navel removed), Wuzhuyu (Fructus Evodiae, 0.5 liang, soaked in water seven times, dried, lightly roasted), Sanleng (Rhizoma Sparganii, 1 liang, baked and crushed), Gancao (Radix Glycyrrhizae, half...), (... liang, soaked in water... peel...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills with ginger decoction per dose, three to four times daily.
For treating cold hernia with cold qi, heart and abdominal accumulations, cutting pain around the umbilicus, and inability to eat/drink, take the Fuzi Wan Formula:
Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, peel and navel removed), Wuzhuyu (Fructus Evodiae, 1 liang, soaked in water seven times, dried, lightly roasted), Xixin (Herba Asari, 1 liang), Chuan Wutou (Radix Aconiti Kusnezoffii Preparata, 1 liang, processed...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills with warm wine per dose, three to four times daily.
For treating cold hernia and accumulations, solid knots causing obstruction, cutting pain around the umbilicus, abdominal distension. Due to wind entering the five zang organs, accumulation of worry and grief, excessive exertion..., damaging sinews and vessels...
Biejia (Carapax et Plastrum Testudinis, 1.5 liang, coated with vinegar, roasted until slightly yellow, remove skirt edge), Gancao (Radix Glycyrrhizae, 0.5 liang, roasted until slightly red and crushed), Guixin (Cortex Cinnamomi, 0.5 liang), Tinglizi (Semen Lepidii et Descurainiae, 0.5 liang, lightly roasted until...), (... peel and navel removed), Binglang (Semen Arecae, ...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills before meals with ginger and tangerine peel decoction.
For treating cold hernia and accumulations, wandering evil qi, cold extremities with rushing pain in the heart, emaciation and shortness of breath, loss of appetite, take the Wuzhuyu Wan Formula:
Wuzhuyu (Fructus Evodiae, 1 liang), Chi Shaoyao (Radix Paeoniae Rubra, 0.5 liang), Xixin (Herba Asari, 1 liang), Qianhu (Radix Peucedani, 1 liang, remove radicle), Ganjiang (Rhizoma Zingiberis, 1 liang, processed and crushed), Chuan Wu (Radix Aconiti Kusnezoffii, ... liang), Chuanxiong (Rhizoma Chuanxiong, ...), Guixin (Cortex Cinnamomi, ...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills before meals with gruel drink, gradually increasing the dosage...