夫癖结者。此由饮水停聚不散。复因饮食相搏。致使结积在于胁下。时有弦 起。或胀
痛。
治癖结。腹胀满。喘促。大小便难。宜服槟榔散方。
槟榔（一两） 木香（半两） 白术（三分） 陈橘皮（三分汤浸去白瓤焙） 赤芍药
（三分）
桑根
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温
治癖结。两胁胀痛。大黄散方。
川大黄（一两锉碎微炒） 京三棱（一两微煨锉） 鳖甲（一两涂醋炙令黄去裙 ） 槟
榔
（一两
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服
治癖结。气积聚不散。桃仁散方。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 防葵（一两） 枳壳（三分麸炒微黄去瓤） 赤
茯苓
（一
（半两炙微
赤锉）
（三
分） 当
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食前
温服
治癖结。胁肋弦急疼痛。喘息短气。鳖甲丸方。
鳖甲（三两涂醋炙令黄去裙 ） 川大黄（二两锉碎微炒） 赤芍药（一两） 京三棱
（一两
半微
（三分去
芦头
微黄去瓤）
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每于食前。以清粥饮下三十丸。
治癖结。不能饮食。心下虚满如水者。枳实散方。
枳实（一两半麸炒微黄） 半夏（一两汤洗七遍去滑） 白术（一两半）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。温服。日
三四
治癖结。坚痼久不瘥。令人食少。半夏丸方。
半夏（一两汤洗七遍去滑） 杏仁（一两汤浸去皮尖双仁麸炒微黄） 野狼毒（二两微煨
锉）
桂心
两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以生姜粥饮下二十丸。
日三
治癖结。心下硬痛。巴豆丸方。
巴豆（五枚去皮心研纸裹压去油） 杏仁（五七枚汤浸去皮尖双仁麸炒微黄） 川大黄
（一
两锉
上件药。捣罗为末。入巴豆。同研令匀。炼蜜和丸。如梧桐子大。每服食前。以粥饮下
五丸
癖结这种病症，是由于饮水停滞积聚不散，又因饮食相互搏结，导致结块积滞在胁下部位。时常出现条索状突起，或者伴有胀痛感。
治疗癖结，症见腹部胀满、呼吸急促喘促、大小便困难者，适宜服用槟榔散方。
槟榔（一两） 木香（半两） 白术（三分） 陈橘皮（三分，用汤浸泡后去除白色内瓤，焙干） 赤芍药（三分） 桑根（白皮）（三两，锉碎）
以上药物，捣碎并过粗罗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。不分时候，温热服用。
治疗癖结，症见两侧胁肋部胀痛者，服用大黄散方。
川大黄（一两，锉碎后微炒） 京三棱（一两，微煨后锉碎） 鳖甲（一两，涂醋炙烤至黄色，去除裙边） 槟榔（一两）
以上药物，捣碎过筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。不分时候，温热服用。
治疗癖结，症见气机积聚不散者，服用桃仁散方。
桃仁（一两，汤浸泡后去皮尖，双仁者用麸炒至微黄） 防葵（一两） 枳壳（三分，麸炒至微黄，去除内瓤） 赤茯苓（一两） 桂心（一两，炙烤至微红，锉碎） 甘草（三分，炙微黄，去除芦头）
以上药物，捣碎过筛成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。每次在饭前温热服用。
治疗癖结，症见胁肋部拘急疼痛、喘息短气者，服用鳖甲丸方。
鳖甲（三两，涂醋炙烤至黄色，去除裙边） 川大黄（二两，锉碎后微炒） 赤芍药（一两） 京三棱（一两半，微煨后锉碎） 桂心（三分，炙微黄，去除内瓤） 甘草（三分，炙微黄，去除芦头）
以上药物，捣碎过细罗筛成粉末，用炼蜜调和，捣杵五七百次。制成梧桐子大小的丸剂。每次在饭前，用清粥送服三十丸。
治疗癖结，症见不能进食、胃脘部虚满如积水状者，服用枳实散方。
枳实（一两半，麸炒至微黄） 半夏（一两，汤洗七遍以去除滑腻） 白术（一两半）
以上药物，捣碎过筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。温热服用。每日三四次。
治疗癖结，症见坚硬顽固久治不愈，导致人食欲减退者，服用半夏丸方。
半夏（一两，汤洗七遍以去除滑腻） 杏仁（一两，汤浸泡后去皮尖，双仁者用麸炒至微黄） 野狼毒（二两，微煨后锉碎） 桂心（一两）
以上药物，捣碎过细罗筛成粉末，用炼蜜调和，捣杵三二百次。制成梧桐子大小的丸剂。每次服用，用生姜粥送服二十丸。每日三次。
治疗癖结，症见胃脘部硬痛者，服用巴豆丸方。
巴豆（五枚，去皮心，研烂后用纸包裹压去油） 杏仁（五七枚，汤浸泡后去皮尖，双仁者用麸炒至微黄） 川大黄（一两，锉碎）
以上药物，捣碎过细罗筛成粉末，加入巴豆，共同研磨均匀。用炼蜜和丸，制成梧桐子大小的丸剂。每次在饭前，用粥饮送服五丸。
Pi-jie (masses in the hypochondrium) is a condition caused by the stagnation and accumulation of drinking water, which then combats with food intake. This results in the formation of accumulations located under the ribs, occasionally presenting as cord-like protrusions or distending pain.
For treating Pi-jie accompanied by abdominal fullness, panting and shortness of breath, and difficulty in urination and defecation, it is appropriate to take Binglang San (Areca Seed Powder).
Binglang (Arecae Semen, 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Chenjupi (Citri Reticulatae Pericarpium, 3 qian, soaked in hot water, white pith removed, dried), Chishao Yao (Paeoniae Radix Rubra, 3 qian), Sanggen (Mori Cortex, 3 liang, sliced).
The above herbs are coarsely ground and sieved to make a powder. Each dose consists of 3 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating Pi-jie with distending pain in both hypochondria, take Dahuang San (Rhubarb Powder).
Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and lightly stir-fried), Jingsanleng (Sparganii Rhizoma, 1 liang, lightly roasted and sliced), Biejia (Testudinis Carapax et Plastrum, 1 liang, brushed with vinegar, roasted until yellow, skirt edges removed), Binglang (Arecae Semen, 1 liang).
The above herbs are ground and sieved to make a powder. Each dose consists of 3 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take warm at any time.
For treating Pi-jie characterized by stagnant qi accumulation, take Taoren San (Peach Kernel Powder).
Taoren (Persicae Semen, 1 liang, soaked in hot water, skin and tips removed, double-kernel ones stir-fried with bran until slightly yellow), Fangkui (Adenophorae Radix, 1 liang), Zhike (Aurantii Fructus Immaturus, 3 qian, stir-fried with bran until slightly yellow, pith removed), Chifuling (Poria, 1 liang), Guixin (Cinnamomi Ramulus, 1 liang, roasted until slightly red and sliced), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian, roasted until slightly yellow, radix tip removed).
The above herbs are ground and sieved to make a powder. Each dose consists of 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take warm before meals.
For treating Pi-jie with tight and painful hypochondria, panting, and shortness of breath, take Biejia Wan (Turtle Shell Pill).
Biejia (Testudinis Carapax et Plastrum, 3 liang, brushed with vinegar, roasted until yellow, skirt edges removed), Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried), Chishao Yao (Paeoniae Radix Rubra, 1 liang), Jingsanleng (Sparganii Rhizoma, 1.5 liang, lightly roasted and sliced), Guixin (Cinnamomi Ramulus, 3 qian, roasted until slightly yellow and pith removed), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian, roasted until slightly yellow and radix tip removed).
The above herbs are finely ground into powder. Mix with refined honey and pound for five to seven hundred strokes. Form pills the size of paulownia seeds. Take thirty pills before meals, washed down with clear rice gruel.
For treating Pi-jie where one cannot eat and feels empty fullness in the epigastrium as if filled with water, take Zhishi San (Immature Bitter Orange Powder).
Zhishi (Aurantii Fructus Immaturus, 1.5 liang, stir-fried with bran until slightly yellow), Banxia (Pinelliae Tuber, 1 liang, washed seven times in hot water to remove slipperiness), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang).
The above herbs are ground and sieved to make a powder. Each dose consists of 3 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take warm. Three to four times daily.
For treating stubborn Pi-jie that persists for a long time without recovery, leading to poor appetite, take Banxia Wan (Pinellia Pill).
Banxia (Pinelliae Tuber, 1 liang, washed seven times in hot water to remove slipperiness), Xingren (Armeniacae Semen Amarum, 1 liang, soaked in hot water, skin and tips removed, double-kernel ones stir-fried with bran until slightly yellow), Yelangdu (Stellerae Radix, 2 liang, lightly roasted and sliced), Guixin (Cinnamomi Ramulus, 1 liang).
The above herbs are finely ground into powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills each time, washed down with ginger-infused rice gruel. Three times daily.
For treating Pi-jie with hard and painful epigastrium, take Badou Wan (Croton Seed Pill).
Badou (Crotonis Fructus, 5 seeds, skin and heart removed, pounded and pressed between paper to remove oil), Xingren (Armeniacae Semen Amarum, 5-7 seeds, soaked in hot water, skin and tips removed, double-kernel ones stir-fried with bran until slightly yellow), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced).
The above herbs are finely ground into powder. Add Badou and grind together until uniform. Mix with refined honey and form pills the size of paulownia seeds. Take five pills before meals, washed down with rice gruel.