夫积者阴气也。五脏所生。聚者阳气也。六腑所成。此皆寒温失宜。饮食不节。精气蕴
蓄在
治积聚气。心腹结痛。食饮不下。宜服鳖甲散方。
鳖甲(一两涂醋炙令黄去裙 ) 京三棱(一两炮裂) 当归(半两锉微炒) 桂心(半
两)
赤芍
两) 川
大黄
上件药。捣筛为散。每服三钱。水一中盏。入生姜半分。煎至六分。去滓。食前稍热服。
治积气。腹胁坚急。心胸胀满。不能饮食。宜服槟榔散方。
槟榔(一两) 京三棱(一两炮锉) 木香(一两) 桂心(半两) 桃仁(一两汤浸
去皮尖双
仁麸
上件药。捣筛为散。水一中盏。入生姜半分。煎至六分。去滓。食前稍热服。
治积聚。心腹胀痛。饮食减少。四肢不和。宜服吴茱萸散方。
吴茱萸(一两汤浸七遍焙干微炒) 白术(一两) 当归(一两锉碎微炒) 紫菀(一
两去苗
土)
去皮微炒)
枳
上件药。捣筛为散。每服三钱。水一中盏。入生姜半分。煎至六分。去滓。食前稍热服。
治积聚气。心腹胀硬如石。肚上青脉起。食饮不下。宜服防葵散方。
防葵(半两) 桔梗(三分去芦头) 川朴硝(三分) 川大黄(三分锉碎微炒) 桃
仁(半两
汤浸
上件药。捣筛为散。每服三钱。水一中盏。煎至六分。去滓。食前稍热服。
当
治积聚气在腹胁。胸背疼痛。宜服大黄丸方。
川大黄(二两锉碎微炒) 桃仁(一两半汤浸去皮尖双仁麸炒微黄) 槟榔(一两半) 鳖
甲
(一
裂去皮
脐)
上件药。捣细罗为末。以醋煮面糊和丸。如梧桐子大。每服食前。以生姜橘皮汤下二十
丸。
治积聚气。心腹坚胀。食饮减少。面色萎黄。肌体羸瘦。宜服干漆丸方。
干漆(一两捣碎炒令烟出) 鳖甲(一两涂醋炙令黄去裙 ) 诃黎勒皮〔二(一)两〕
当
归(
术
(一两
大黄
(二两
者微
炒去汗
上件药。捣细罗为末。以酒煮面糊。和捣三五百杵。丸如梧桐子大。每服食前。以粥饮
下
三十
治久积聚气不消。心腹胀满。食少体瘦。宜服京三棱丸方。
京三棱(一两炮裂) 桂心(一两) 川大黄(一两半锉碎微炒) 槟榔(一两半) 吴
茱萸
(半两
(一两)
桃
醋炙
令
上件药。捣细罗为末。以醋煮面糊和丸。如梧桐子大。每服食前。以温酒下二十丸。
治积聚气久不消。心腹虚胀。不欲饮食。宜服鳖甲煎丸方。
鳖甲(二两涂醋炙令黄去裙 ) 防葵(一两锉炒令黄) 川大黄(二两锉碎微炒)
以上三味。并捣细罗为末。以醋二升。煎令如膏。干漆(一两捣碎炒令烟出) 桂心(三
分)
微黄锉
研入)
上件药。捣细罗为末。纳前煎中。更入少蒸饼。和捣三二百杵。丸如梧桐子大。每服食
前。
治积聚气。久不消散。腹胁胀痛。面无颜色。四肢不和。宜服硼砂煎丸方。
硼砂(二两不夹石者细研以醋一升半与芫花末同熬如膏) 芫花(一两炒令黄捣罗为末)
川乌
归
(半两)
两(分)捣
碎炒令
上件药。细罗为末。纳前煎中。更入少蒸饼。和捣三二百杵。丸如梧桐子大。每服食前。
。以温酒下十五丸。
治积聚气结成块段。在腹胁下。久不消散。发歇疼痛。宜服野狼毒丸方。
野狼毒(细锉醋拌炒令干) 芫花(醋拌炒令干) 干漆(捣碎炒令烟出) 雄雀粪(微
炒) 五
灵脂
粉
(半两
上件药。捣细罗为末。入研了药令匀。以醋煮面糊和丸。如梧桐子大。每服空心。以醋
汤下
治积聚气。多年不消。变成劳证。腹内结块疼痛。两胁胀满。常吐清水。食饮不下
。硫黄丸
硫黄(半两细研) 硼砂(半两不夹石者细研) 木香(半两为末) 巴豆〔去皮四十
九粒取
萝卜
后
取出
上件药。取萝卜一枚。剜作坑子。纳前硫黄硼砂。却以萝卜盖头。用纸一重裹。以好黄
泥固
研了巴豆令匀。以醋煮面糊和丸。如绿豆大。每服空心。温酒下五丸。晚食前再服。以利为
度。
治积聚气成块。防葵丸方。
防葵(半两) 芫花(半两醋拌炒令干) 干姜(半两炮裂锉) 鳖甲(一两涂醋炙令
黄去裙
)
上件药。捣细罗为末。研入硼砂令匀。以米醋一升。煎令稠。下诸药末。慢火熬入少蒸
饼。
又方。\x
芫花(一两) 京三棱(一两) 青橘皮(半两汤浸去白瓤焙) 干漆(半两) 木香
(半两)
川大
上件药。捣碎。以米醋二升。慢火煎令醋尽。焙干。捣细罗为末。以醋煮面糊和丸。如
绿
积聚,是阴气凝聚而成的病证,由五脏功能失调产生;聚散,是阳气运行不畅所致,由六腑病变形成。这些病症多因寒热调节失当、饮食不节制,导致精气蕴结蓄积在体内。
治疗积聚气,症见心腹结块疼痛、饮食难以下咽,适宜服用鳖甲散方。
药材:鳖甲(一两,涂醋炙至黄色,去除裙边)、京三棱(一两,炮制裂开)、当归(半两,切碎微炒)、桂心(半两)、赤芍药(半两)、川大黄(半两,切碎微炒)。
以上药物,捣碎过筛制成散剂。每次服用三钱,加水一中盏,放入生姜半分,煎煮至剩余六分,滤去药渣,饭前稍热时服用。
治疗积气,症见腹部胁肋部坚硬拘急、心胸胀满、不能进食,适宜服用槟榔散方。
药材:槟榔(一两)、京三棱(一两,炮制后锉碎)、木香(一两)、桂心(半两)、桃仁(一两,热水浸泡去皮尖及双仁者,麸炒微黄)。
以上药物,捣碎过筛制成散剂。每次取适量,加水一中盏,放入生姜半分,煎煮至剩余六分,滤去药渣,饭前稍热时服用。
治疗积聚,症见心腹胀痛、饮食减少、四肢不适,适宜服用吴茱萸散方。
药材:吴茱萸(一两,热水浸泡七遍后焙干微炒)、白术(一两)、当归(一两,切碎微炒)、紫菀(一两,去苗)、枳实(一两,麸炒去瓤)。
以上药物,捣碎过筛制成散剂。每次服用三钱,加水一中盏,放入生姜半分,煎煮至剩余六分,滤去药渣,饭前稍热时服用。
治疗积聚气,症见心腹胀硬如石头、肚上青筋暴露、饮食难以下咽,适宜服用防葵散方。
药材:防葵(半两)、桔梗(三分,去芦头)、川朴硝(三分)、川大黄(三分,切碎微炒)、桃仁(半两,热水浸泡去皮尖及双仁者,麸炒微黄)。
以上药物,捣碎过筛制成散剂。每次服用三钱,加水一中盏,煎煮至剩余六分,滤去药渣,饭前稍热时服用。
治疗积聚气位于腹胁,症见胸背疼痛,适宜服用大黄丸方。
药材:川大黄(二两,切碎微炒)、桃仁(一两半,热水浸泡去皮尖及双仁者,麸炒微黄)、槟榔(一两半)、鳖甲(一两,涂醋炙至黄色,去除裙边,锉碎)。
以上药物,捣细过筛为末,用醋煮面糊调和做成丸剂,大小如梧桐子。每次饭前,用生姜橘皮汤送服二十丸。
治疗积聚气,症见心腹坚硬胀满、饮食减少、面色萎黄、身体消瘦,适宜服用干漆丸方。
药材:干漆(一两,捣碎炒至烟出)、鳖甲(一两,涂醋炙至黄色,去除裙边)、诃黎勒皮(一两)、当归(一两,切碎微炒)、白术(一两)、川大黄(二两,切碎微炒)。
以上药物,捣细过筛为末,用酒煮面糊调和,捣击三五百下,做成如梧桐子大的丸剂。每次饭前,用米粥饮送服三十丸。
治疗久治不愈的积聚气,症见心腹胀满、食少体瘦,适宜服用京三棱丸方。
药材:京三棱(一两,炮制裂开)、桂心(一两)、川大黄(一两半,切碎微炒)、槟榔(一两半)、吴茱萸(半两,洗净微炒)、桃仁(一两,热水浸泡去皮尖,醋炙令干)。
以上药物,捣细过筛为末,用醋煮面糊调和做成丸剂,大小如梧桐子。每次饭前,用温酒送服二十丸。
治疗积聚气日久不消散,症见心腹虚胀、不想饮食,适宜服用鳖甲煎丸方。
药材:鳖甲(二两,涂醋炙至黄色,去除裙边)、防葵(一两,切碎炒至黄色)、川大黄(二两,切碎微炒)。
以上三味药,并捣细过筛为末,用醋二升,煎煮成膏状。另备干漆(一两,捣碎炒至烟出)、桂心(三分)、川芎(三分,切碎微黄,研入)。
以上药物,捣细过筛为末,纳入前述药膏中,再加入少量蒸饼,调和捣击三二百下,做成如梧桐子大的丸剂。每次饭前,用温酒送服十五丸。
治疗积聚气日久不消散,症见腹胁胀痛、面色无华、四肢不适,适宜服用硼砂煎丸方。
药材:硼砂(二两,不含石质杂质者,细研,与芫花末同用醋一升半熬成膏)、芫花(一两,炒至黄色,捣罗为末)、川乌头(半两,去皮脐,切碎炒令微黄)、当归(半两)。
以上药物,细罗为末,纳入前述药膏中,再加入少量蒸饼,调和捣击三二百下,做成如梧桐子大的丸剂。每次饭前,用温酒送服十五丸。
治疗积聚气结成块段,位于腹胁下,日久不消散,发作时疼痛,适宜服用野狼毒丸方。
药材:野狼毒(细锉,醋拌炒干)、芫花(醋拌炒干)、干漆(捣碎炒至烟出)、雄雀粪(微炒)、五灵脂(半两,炒去沙土)。
以上药物,捣细过筛为末,加入已研好的药物混合均匀,用醋煮面糊调和做成丸剂,大小如梧桐子。每次空腹,用醋汤送服。
治疗积聚气多年不消,转变为劳证,腹内结块疼痛,两胁胀满,常吐清水,饮食难以下咽,适宜服用硫黄丸方。
药材:硫黄(半两,细研)、硼砂(半两,不含石质杂质者,细研)、木香(半两,为末)、巴豆(去皮四十九粒,取仁,用萝卜一枚挖空,纳入硫黄硼砂,盖好,用纸包裹,黄泥固封,煨熟,取出巴豆,研匀)。
以上药物,将研匀的巴豆纳入,用醋煮面糊调和做成丸剂,大小如绿豆。每次空腹,用温酒送服五丸,晚饭后再服一次,以腹泻为度。
治疗积聚气成块,防葵丸方。
药材:防葵(半两)、芫花(半两,醋拌炒干)、干姜(半两,炮制裂开锉碎)、鳖甲(一两,涂醋炙至黄色,去除裙边)。
以上药物,捣细过筛为末,研入硼砂令均匀,用米醋一升,煎至稠厚,下诸药末,慢火熬入少量蒸饼。
又一方。
药材:芫花(一两)、京三棱(一两)、青橘皮(半两,热水浸泡去白瓤焙干)、干漆(半两)、木香(半两)、川大黄(一两,切碎微炒)。
以上药物,捣碎,用米醋二升,慢火煎至醋尽,焙干,捣细过筛为末,用醋煮面糊调和做成丸剂,大小如……
Accumulation (Ji) is a pathological condition caused by the stagnation of Yin Qi, originating from dysfunction of the Zang organs. Gathering (Ju) results from the obstruction of Yang Qi, arising from disorders of the Fu organs. These conditions are generally caused by improper regulation of cold and heat, and irregular diet, leading to the accumulation and retention of Essence and Qi within the body.
For Accumulation Qi presenting with knotting and pain in the heart and abdomen, and difficulty in swallowing food and drink, the Biejia San (Turtle Shell Powder) formula is indicated.
Ingredients: Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed); Jing San Leng (Sparganii Rhizoma, 1 liang, processed until cracked); Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried); Gui Xin (Cinnamomi Cortex, 0.5 liang); Chi Shao Yao (Paeoniae Radix Rubra, 0.5 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, sliced and lightly stir-fried).
Process the above herbs into a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm before meals.
For Ji Qi presenting with hardness and tension in the abdomen and hypochondrium, fullness and distension in the chest and heart, and inability to eat, the Binglang San (Areca Seed Powder) formula is indicated.
Ingredients: Bing Lang (Arecae Semen, 1 liang); Jing San Leng (Sparganii Rhizoma, 1 liang, processed and sliced); Mu Xiang (Aucklandiae Radix, 1 liang); Gui Xin (Cinnamomi Cortex, 0.5 liang); Tao Ren (Persicae Semen, 1 liang, soaked in hot water, skin and tips removed, double kernels discarded, bran-fried until slightly yellow).
Process the above herbs into a powder. Take an appropriate amount, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm before meals.
For Accumulation presenting with abdominal distension and pain, reduced appetite, and discomfort in the four limbs, the Wuzhuyu San (Evodiae Fructus Powder) formula is indicated.
Ingredients: Wu Zhu Yu (Evodiae Fructus, 1 liang, soaked in hot water seven times, dried and lightly stir-fried); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang); Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried); Zi Wan (Adenophorae Radix, 1 liang, buds removed); Zhi Shi (Aurantii Fructus Immaturus, 1 liang, bran-fried, albedo removed).
Process the above herbs into a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm before meals.
For Accumulation Qi presenting with hardness like stone in the heart and abdomen, visible blue veins on the abdomen, and difficulty in swallowing food and drink, the Fangkui San (Radix Glehniae? Note: Fangkui usually refers to Conii Radix or Glehniae Radix depending on context, here likely Conii Radix based on toxicity profile in ancient texts, but standard WHO term for Fangkui is often associated with Conium) Powder formula is indicated.
Ingredients: Fang Kui (Conii Radix, 0.5 liang); Jie Geng (Platycodonis Radix, 3 qian, radicle removed); Chuan Po Xiao (Natrii Sulfas, 3 qian); Chuan Da Huang (Rhei Radix et Rhizoma, 3 qian, sliced and lightly stir-fried); Tao Ren (Persicae Semen, 0.5 liang, soaked in hot water, skin and tips removed, double kernels discarded, bran-fried until slightly yellow).
Process the above herbs into a powder. Take 3 qian per dose, add 1 zhong of water, decoct until 0.6 zhong remains, strain, and take warm before meals.
For Accumulation Qi located in the abdomen and hypochondrium, presenting with pain in the chest and back, the Dahuang Wan (Rhubarb Pill) formula is indicated.
Ingredients: Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried); Tao Ren (Persicae Semen, 1.5 liang, soaked in hot water, skin and tips removed, double kernels discarded, bran-fried until slightly yellow); Bing Lang (Arecae Semen, 1.5 liang); Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed, sliced).
Process the above herbs into fine powder, mix with paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Take 20 pills before meals, washed down with a decoction of fresh ginger and tangerine peel.
For Accumulation Qi presenting with hardness and distension in the heart and abdomen, reduced intake of food and drink, sallow complexion, and emaciation, the Gan Xi Wan (Lac Cum Resina Pill) formula is indicated.
Ingredients: Gan Xi (Lac Cum Resina, 1 liang, crushed and roasted until smoke appears); Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed); He Li Le Pi (Terminaliae Chebulae Pericarpium, 1 liang); Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried).
Process the above herbs into fine powder, mix with paste made from flour boiled in wine, pound 300-500 times to form pills the size of Sophora seeds. Take 30 pills before meals, washed down with rice gruel.
For long-standing Accumulation Qi that does not resolve, presenting with abdominal distension, poor appetite, and emaciation, the Jing San Leng Wan (Sparganii Rhizoma Pill) formula is indicated.
Ingredients: Jing San Leng (Sparganii Rhizoma, 1 liang, processed until cracked); Gui Xin (Cinnamomi Cortex, 1 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 1.5 liang, sliced and lightly stir-fried); Bing Lang (Arecae Semen, 1.5 liang); Wu Zhu Yu (Evodiae Fructus, 0.5 liang, cleaned and lightly stir-fried); Tao Ren (Persicae Semen, 1 liang, soaked in hot water, skin and tips removed, vinegar-roasted until dry).
Process the above herbs into fine powder, mix with paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Take 20 pills before meals, washed down with warm wine.
For Accumulation Qi that has persisted for a long time without dissolving, presenting with deficiency-type distension in the heart and abdomen and lack of desire to eat, the Biejia Jian Wan (Turtle Shell Decoction Pill) formula is indicated.
Ingredients: Bie Jia (Testudinis Carapax et Plastrum, 2 liang, coated with vinegar, roasted until yellow, skirt removed); Fang Kui (Conii Radix, 1 liang, sliced and roasted until yellow); Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried).
Process the above three herbs into fine powder, decoct with 2 sheng of vinegar until it becomes a paste. Prepare separately: Gan Xi (Lac Cum Resina, 1 liang, crushed and roasted until smoke appears), Gui Xin (Cinnamomi Cortex, 3 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 qian, sliced and lightly stir-fried, ground). Process these into fine powder, add to the previous paste, add a small amount of steamed cake, mix and pound 200-300 times to form pills the size of Sophora seeds. Take 15 pills before meals, washed down with warm wine.
For Accumulation Qi that has persisted for a long time without dissolving, presenting with abdominal and hypochondriac distension and pain, pale complexion, and discomfort in the four limbs, the Peng Sha Jian Wan (Borax Decoction Pill) formula is indicated.
Ingredients: Peng Sha (Borax, 2 liang, pure, finely ground; decocted with Yuan Hua powder and 1.5 sheng of vinegar until paste-like); Yuan Hua (Genkwa Flos, 1 liang, roasted until yellow, ground); Chuan Wu Tou (Aconiti Radix Lateralis Preparata, 0.5 liang, skin and navel removed, sliced and roasted until slightly yellow); Dang Gui (Angelicae Sinensis Radix, 0.5 liang).
Process the above herbs into fine powder, add to the previous paste, add a small amount of steamed cake, mix and pound 200-300 times to form pills the size of Sophora seeds. Take 15 pills before meals, washed down with warm wine.
For Accumulation Qi forming masses in the lower abdomen and hypochondrium, persisting for a long time without dissolving, with intermittent pain, the Ye Lang Du Wan (Stellerae Radix Pill) formula is indicated.
Ingredients: Ye Lang Du (Stellerae Radix, finely sliced, mixed with vinegar and roasted until dry); Yuan Hua (Genkwa Flos, mixed with vinegar and roasted until dry); Gan Xi (Lac Cum Resina, crushed and roasted until smoke appears); Xiong Que Fen (Excrement Passeris Domesticis Masculini, lightly stir-fried); Wu Ling Zhi (Trogopterori Faeces, 0.5 liang, roasted to remove sand and soil).
Process the above herbs into fine powder, mix thoroughly with the previously ground ingredients, use paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Take on an empty stomach, washed down with vinegar water.
For Accumulation Qi persisting for many years without resolving, transforming into Consumption (Lao Zheng), presenting with intra-abdominal masses and pain, hypochondriac fullness, frequent vomiting of clear fluid, and difficulty swallowing, the Liu Huang Wan (Sulfur Pill) formula is indicated.
Ingredients: Liu Huang (Sulfur, 0.5 liang, finely ground); Peng Sha (Borax, 0.5 liang, pure, finely ground); Mu Xiang (Aucklandiae Radix, 0.5 liang, ground); Ba Dou (Crotonis Fructus, 49 kernels, skin removed, pulp taken). Preparation: Take one radish, hollow it out, place the Liu Huang and Peng Sha inside, cover with the radish top, wrap in paper, seal with good yellow clay, and bake. Remove the Ba Dou, grind evenly.
Process the ground Ba Dou, mix with paste made from flour boiled in vinegar to form pills the size of mung beans. Take 5 pills on an empty stomach with warm wine, and another dose after evening meal. Stop when diarrhea occurs.
For Accumulation Qi forming masses, Fangkui Wan (Fangkui Pill) formula.
Ingredients: Fang Kui (Conii Radix, 0.5 liang); Yuan Hua (Genkwa Flos, 0.5 liang, mixed with vinegar and roasted until dry); Gan Jiang (Zingiberis Rhizoma, 0.5 liang, processed until cracked and sliced); Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed).
Process the above herbs into fine powder, mix in Peng Sha (Borax) evenly, decoct with 1 sheng of rice vinegar until thick, add the herb powders, simmer slowly with a small amount of steamed cake.
Another prescription.
Ingredients: Yuan Hua (Genkwa Flos, 1 liang); Jing San Leng (Sparganii Rhizoma, 1 liang); Qing Ju Pi (Citri Reticulatae Pericarpium Viride, 0.5 liang, soaked in hot water, albedo removed, dried); Gan Xi (Lac Cum Resina, 0.5 liang); Mu Xiang (Aucklandiae Radix, 0.5 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, sliced and lightly stir-fried).
Process the above herbs, crush them, decoct with 2 sheng of rice vinegar over low heat until the vinegar is exhausted, dry, process into fine powder, mix with paste made from flour boiled in vinegar to form pills the size of...