夫症病者。由寒温失节。致腑脏之气虚弱。而食饮不消。聚在于内。染渐生长。块段盘
牢。
诊
治食饮不消。结成症病。乌头丸方。
川乌头（半两） 京三棱（半两微煨锉） 芫花（半两醋拌炒令干） 巴豆（半两去皮
心研纸
裹压
皮（半两
汤浸
上件药。捣罗为末。入巴豆。研令匀。以酒一升。醋二升相和。以慢火煎如稀饧。即住
火。
绿豆
治症病不消。四肢羸困。不欲饮食。久不瘥。硼砂丸方。
硼砂（一两细研） 硫黄（一两细研水飞过） 木香（半两） 槟榔（一两） 川大黄
（三两锉
碎微
当
归（一
炙令黄
去裙
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每日空心。及
晚食
治症病。腹中硬痛。不欲饮食。经久不瘥。羸弱无力。朱砂丸方。
朱砂（一两细研水飞过） 肉桂（一两去皱皮为末） 巴豆（二十粒去皮心研纸裹压去
油）
禹余
上件药。都研令匀。以汤浸蒸饼和丸。如绿豆大。每服食前。以温酒下五丸。
治症病。心腹妨闷。不欲饮食。四肢不和。大黄丸方。
川大黄（半两锉碎微炒） 木香（半两） 肉豆蔻（半两去壳） 硼砂（半两细研） 干
姜（半
两炮
两）
桂心（
上件药。捣罗为末。入巴豆硼砂研令匀。以醋熬成膏。和丸如梧桐子大。每服空心。以
粥饮
治症病结硬。心腹疼痛。京三棱丸方。
京三棱（一两半微煨锉） 槟榔（一两） 木香（一两） 干姜（一两炮裂锉） 陈橘
皮（一分
汤浸
上件药。捣罗为末。用醋熬巴豆成膏。入前药末和丸。如梧桐子大。每服空心。以生姜
橘皮
治积年症块。及血块方。
砒霜 粉霜 硼砂 腻粉
上件药。细研令匀。用肥枣去核。入药在枣里面。以线系定。用白面饼子。逐个裹烧熟
饼子
治症病。腹中结硬。五灵脂丸方。
五灵脂（一两） 防葵（半两） 桂心（半两） 猪牙皂荚（半两去黑皮涂酥炙令焦黄
去子）
巴豆（半两和皮麸炒令黑去皮膜心研烂纸裹压去油） 木香（半两）
上件药。捣罗为末。入巴豆。更研令匀。用醋煮面糊和丸。如黍米大。每服空心及临卧
时。
又方。
硫黄（一两细研） 硼砂（一两细研） 巴豆（一两） 附子（一两炮裂去皮脐捣罗为
末）
上件药。先用头醋二升。煮巴豆令赤色。即出之。却入冷水碗中。浸两炊久。洗净去皮
心。
得所
治症病久不消。令人萎黄羸瘦。不欲饮食。巴豆丸方。
巴豆（一两去皮心研纸裹压去油） 硫黄（细研） 附子（炮裂去皮脐） 五灵脂 干
姜（炮
裂锉）
各半两
上件药。捣罗为末。入诸药研令匀。以面糊和丸。如黄米大。每服空心。以醋汤下五丸。
得
症病，是由于寒温失调，导致脏腑之气虚弱，饮食不能消化，积聚在体内，逐渐生长，形成块状，盘结牢固。
诊断与治疗：因饮食不消，结成症病，使用乌头丸方。
川乌头（半两） 京三棱（半两，微煨后锉碎） 芫花（半两，醋拌炒至干） 巴豆（半两，去皮心，研后用纸包裹压去油） 厚朴（半两，汤浸后刮去粗皮）
以上药物，捣碎过筛成末，加入巴豆，研磨均匀。用酒一升、醋二升混合，以慢火煎煮如稀糖状，即停止加热。
治疗症病不消，四肢瘦弱困倦，不想饮食，久治不愈，使用硼砂丸方。
硼砂（一两，细研） 硫黄（一两，细研，用水飞法处理） 木香（半两） 槟榔（一两） 川大黄（三两，锉碎，微炒） 当归（一两，炙至黄色，去裙皱）
以上药物，捣碎过筛成末，加入已研好的药物混合均匀。用炼蜜调和，捣杵三二百下，制成梧桐子大小的丸药。每日空腹及晚间饭后服用。
治疗症病，腹中硬痛，不想饮食，经久不愈，身体羸弱无力，使用朱砂丸方。
朱砂（一两，细研，用水飞法处理） 肉桂（一两，去皱皮为末） 巴豆（二十粒，去皮心，研后用纸包裹压去油） 禹余粮（一两，火烧后醋淬七遍）
以上药物，全部研磨均匀，用汤浸泡蒸饼和药制成丸药，如绿豆大小。每次饭前，用温酒送服五丸。
治疗症病，心腹胀闷，不想饮食，四肢不和，使用大黄丸方。
川大黄（半两，锉碎微炒） 木香（半两） 肉豆蔻（半两，去壳） 硼砂（半两，细研） 干姜（半两，炮裂） 桂心（半两）
以上药物，捣碎过筛成末，加入巴豆、硼砂研磨均匀，用醋熬成膏，和药制成梧桐子大小的丸药。每次空腹，用粥饮送服。
治疗症病结硬，心腹疼痛，使用京三棱丸方。
京三棱（一两半，微煨后锉碎） 槟榔（一两） 木香（一两） 干姜（一两，炮裂锉碎） 陈皮（一分，汤浸后去白）
以上药物，捣碎过筛成末，用醋熬巴豆成膏，加入前述药末和匀，制成梧桐子大小的丸药。每次空腹，用生姜橘皮汤送服。
治疗多年症块，以及血块的方子。
砒霜 粉霜 硼砂 腻粉
以上药物，细研均匀。用肥枣去核，将药放入枣内，用线系定，用白面饼逐个包裹烧熟。
治疗症病，腹中结硬，使用五灵脂丸方。
五灵脂（一两） 防葵（半两） 桂心（半两） 猪牙皂荚（半两，去黑皮，涂酥炙至焦黄，去子） 巴豆（半两，带皮麸炒至黑，去皮膜心，研烂后用纸包裹压去油） 木香（半两）
以上药物，捣碎过筛成末，加入巴豆，再研磨均匀。用醋煮面糊和药制成黍米大小的丸药。每次空腹及临睡前服用。
又一方。
硫黄（一两，细研） 硼砂（一两，细研） 巴豆（一两） 附子（一两，炮裂去皮脐，捣碎过筛成末）
以上药物，先用头醋二升，煮巴豆至赤色，取出，放入冷水中，浸泡两个做饭的时间，洗净去皮心。
治疗症病久治不消，使人面色萎黄消瘦，不想饮食，使用巴豆丸方。
巴豆（一两，去皮心，研后用纸包裹压去油） 硫黄（细研） 附子（炮裂去皮脐） 五灵脂 干姜（炮裂锉碎）
各半两
以上药物，捣碎过筛成末，加入诸药研磨均匀，用面糊和药制成黄米大小的丸药。每次空腹，用醋汤送服五丸。
Zhen disease (mass disease) arises from irregularities in cold and warmth, leading to deficiency of Qi in the fu and zang organs. Consequently, food and drink fail to digest, accumulate internally, gradually grow, form masses, and become firmly entrenched.
Diagnosis and Treatment: For Zhen disease formed due to indigestion, use Aconite Pill (Wutou Wan).
Radix Aconiti Lateralis Preparata (Chuan Wutou, half liang) Rhizoma Sparganii (Jing Sanleng, half liang, lightly roasted and crushed) Flos Genkwa (Yuanhua, half liang, mixed with vinegar and stir-fried until dry) Semen Crotonis (Badou, half liang, husked, cored, ground, wrapped in paper, and pressed to remove oil) Cortex Magnoliae Officinalis (Houpo, half liang, soaked in decoction, scraped to remove rough bark)
The above herbs are pounded, sifted into powder, mixed with Badou, and ground evenly. Mix one sheng of wine and two sheng of vinegar, simmer over slow heat until resembling thin syrup, then remove from fire.
For Zhen disease that does not resolve, characterized by emaciation and fatigue of the four limbs, anorexia, and chronic non-healing, use Borax Pill (Pengsha Wan).
Borax (Pengsha, one liang, finely ground) Sulphur (Liuhuang, one liang, finely ground and washed with water via levigation) Lignum Aucklandiae (Muxiang, half liang) Fructus Arecae (Binglang, one liang) Radix et Rhizoma Rhei (Chuan Dahuang, three liang, crushed and lightly stir-fried) Radix Angelicae Sinensis (Danggui, one liang, roasted until yellow, removed from skirt-like wrinkles)
The above herbs are pounded, sifted into powder, mixed with the previously ground ingredients, and kneaded evenly. Combine with refined honey, pound and beat three hundred times, and shape into pills the size of Sophora japonica seeds. Take on an empty stomach daily and in the evening after meals.
For Zhen disease presenting with hardness and pain in the abdomen, anorexia, chronic non-healing, emaciation, and weakness, use Cinnabar Pill (Zhusha Wan).
Mineral Cinnabar (Zhusha, one liang, finely ground and washed with water via levigation) Cortex Cinnamomi (Rougui, one liang, wrinkled bark removed and powdered) Semen Crotonis (Badou, twenty grains, husked, cored, ground, wrapped in paper, and pressed to remove oil) Halloysitum Rubrum (Yuyuliang, one liang, calcined in fire and quenched in vinegar seven times)
The above herbs are all ground evenly. Soak steamed wheat dough in decoction to bind the pills, shaping them to the size of mung beans. Take five pills before meals with warm wine.
For Zhen disease causing chest and abdominal oppression, anorexia, and disharmony of the four limbs, use Rhubarb Pill (Dahuang Wan).
Radix et Rhizoma Rhei (Chuan Dahuang, half liang, crushed and lightly stir-fried) Lignum Aucklandiae (Muxiang, half liang) Semen Myristicae (Roudoukou, half liang, shell removed) Borax (Pengsha, half liang, finely ground) Rhizoma Zingiberis Recens (Ganjiang, half liang, processed/cracked) Cortex Cinnamomi Ramulus (Guixin, half liang)
The above herbs are pounded, sifted into powder, mixed with Badou and Pengsha, and ground evenly. Simmer vinegar into a paste to bind the pills, shaping them to the size of Sophora japonica seeds. Take on an empty stomach with gruel drink.
For Zhen disease with hard masses and heart/abdominal pain, use Sparganium Pill (Jing Sanleng Wan).
Rhizoma Sparganii (Jing Sanleng, one and a half liang, lightly roasted and crushed) Fructus Arecae (Binglang, one liang) Lignum Aucklandiae (Muxiang, one liang) Rhizoma Zingiberis Recens (Ganjiang, one liang, processed, cracked, and crushed) Pericarpium Citri Reticulatae (Chenpi, one fen, soaked in decoction, white pith removed)
The above herbs are pounded, sifted into powder. Simmer Badou in vinegar into a paste, mix with the aforementioned powders, and shape into pills the size of Sophora japonica seeds. Take on an empty stomach with ginger and tangerine peel decoction.
Formula for chronic Zhen masses and blood masses.
Realgar (Pishuang) Sublimated Mercury Chloride (Fenshuang) Borax (Pengsha) Calomel (Nifen)
The above herbs are finely ground evenly. Use fat dates, remove pits, insert the medicine inside, tie securely with thread, wrap each individually in white flour dough, and roast until cooked.
For Zhen disease with hard masses in the abdomen, use Trogopterus Dung Pill (Wulingzhi Wan).
Trogopteri Excrement (Wulingzhi, one liang) Radix Dictamni (Fang Kui, half liang) Cortex Cinnamomi Ramulus (Guixin, half liang) Fructus Gleditsiae Sinensis (Zhuya Zaojiao, half liang, black skin removed, coated with lard, roasted until dark yellow, seeds removed) Semen Crotonis (Badou, half liang, fried with bran until black, husked, membrane and core removed, ground thoroughly, wrapped in paper, and pressed to remove oil) Lignum Aucklandiae (Muxiang, half liang)
The above herbs are pounded, sifted into powder, mixed with Badou, and ground evenly. Boil wheat paste in vinegar to bind the pills, shaping them to the size of millet grains. Take on an empty stomach and before bed.
Another formula.
Sulphur (Liuhuang, one liang, finely ground) Borax (Pengsha, one liang, finely ground) Semen Crotonis (Badou, one liang) Radix Aconiti Lateralis Preparata (Fuzi, one liang, processed, husked, navel removed, pounded and sifted into powder)
The above herbs: first boil Badou in two sheng of first-run vinegar until reddish, then remove. Place in a bowl of cold water, soak for the duration of cooking two meals, wash clean, and remove husk, core.
For Zhen disease that persists chronically, causing sallow complexion, emaciation, and anorexia, use Croton Seed Pill (Badou Wan).
Semen Crotonis (Badou, one liang, husked, cored, ground, wrapped in paper, and pressed to remove oil) Sulphur (Liuhuang, finely ground) Radix Aconiti Lateralis Preparata (Fuzi, processed, husked, navel removed) Trogopteri Excrement (Wulingzhi) Rhizoma Zingiberis Recens (Ganjiang, processed and crushed)
Each half liang.
The above herbs are pounded, sifted into powder, mixed evenly, and bound with wheat paste to shape pills the size of brocorn millet. Take on an empty stomach, five pills with vinegar water.