夫脾之积名曰痞气。在胃管。覆大如杯。久不愈。令人四肢不收。发黄胆。饮食不为肌
肤。
肝
治痞气。结聚在胃管。心腹妨实。不能饮食。宜服诃黎勒散方。
诃黎勒皮（一两） 鳖甲（一两半涂醋炙令黄去裙 ） 白术（一两） 人参（三分去
芦头）
桂心
草（半
两炙微
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。
治痞气。心腹胀硬。食饮不下。宜服槟榔散方。
槟榔（一两） 牵牛子（一两） 木香（半两） 白术（三分） 陈橘皮（半两汤浸去
白瓤焙）
高
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。食前稍热服。
治痞气。结聚在胃管。盘牢不动。食饮渐少。四肢无力。宜服鳖甲散方。
鳖甲（一两半涂醋炙令黄去裙 ） 川大黄（一两半锉碎微炒） 木香（一两） 郁李
仁（一
两汤浸去皮微炒） 京三棱（一两炮裂） 当归（一两） 槟榔（一两） 草豆蔻（三分去
壳） 枳
壳（三
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。
治痞气在胃管。状如覆杯。心腹胀满。不能饮食。肌体渐瘦。宜服三棱丸方。
京三棱（二两锉碎醋拌炒令干） 诃黎勒皮（一两） 川大黄（二两锉碎微炒） 鳖甲
（一两
半涂
尖双仁
麸炒
上件药。捣细罗为末。取米醋三升。熬成膏。入少蒸饼和溶为丸。如梧桐子大。每日空
心。
治痞气积年不瘥。结聚在胃管。大如覆杯。心腹胀痛。食少无力。宜服浓朴丸方。
浓朴（一两半去粗皮涂生姜汁炙令香熟） 木香（一两） 青橘皮（一两汤浸去白瓤焙）
川
大黄
上件药。捣细罗为末。入研了硫黄令匀。以酒煮面糊。和丸如梧桐子大。每服食前。以
生姜
治痞气结固不散。心腹冷疼。食少体瘦。宜服硫黄丸方。
硫黄（二两细研水飞过） 木香（一两半为末） 川大黄（二两锉碎微炒为末） 桃仁
（四十
九枚
上件药四味。先取大黄末。用酒滤湿。纳新竹筒子内。闭口。入炊饭甑中。蒸令饭熟为
度。
腹。
治痞气当胃管。结聚如杯。积久不散。腹胁疼痛。体瘦成劳。不能饮食。宜服鳖
甲丸方。
鳖甲（三两去裙 以米醋一小盏化硼砂一两用涂炙鳖甲令醋尽为度） 附子（一两炮裂
去
皮脐）
两锉碎醋
拌炒
上件药。捣细罗为末。以醋煮面糊和溶。捣三二百杵。丸如梧桐子大。每日空心。温酒
下二
治痞气结聚不散。心腹疼痛。硼砂煎丸方。
硼砂（一两不夹石者细研） 芫花（一两醋拌炒令干） 木香（一两） 京三棱（一两
微煨锉）
川
上件药。除硼砂外。捣细罗为末。先以米醋一升。慢火熬硼砂。次下诸药。同熬令稠。
入少
治痞气结聚在胃管。心腹胀硬。脏腑壅滞。宜服牵牛子丸方。
牵牛子（一两半微炒） 甘遂（一两锉碎微炒） 诃黎勒皮（三分） 木香（三分） 京
三棱
（三分
上件药。捣细罗为末。以生姜汁二两。蜜四两。煎令稠熟。和为丸。如梧桐子大。每
服卧
治痞气。心腹坚胀。饮食不消。木香丸方。
木香（一两） 川大黄（一两锉碎醋拌炒令干） 硫黄（一两细研水飞过）
上件药。捣细罗为末。研入硫黄令匀。以酒煮面糊和丸。如梧桐子大。每服。空心。以
生姜
又方。
诃黎勒皮（一两） 鳖甲（一两半涂醋炙令黄去裙 ）
上件药。捣细罗为散。每服二钱。食前。以生姜橘皮煎汤调下。
脾的积块名为痞气。位置在胃脘部，形状像倒扣的杯子一样大。如果长期不愈，会导致四肢无力无法收持，出现黄疸，饮食不能转化为肌肉和皮肤的营养。
治疗痞气，结聚在胃脘部，心腹部感觉胀满堵塞，不能进食，适宜服用诃黎勒散方。
诃黎勒皮（一两） 鳖甲（一两半，涂醋炙烤至黄色，去除裙边） 白术（一两） 人参（三分，去芦头） 桂心 甘草（半两，炙烤微黄）
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣，饭前稍热时服用。
治疗痞气，心腹胀硬，饮食不下，适宜服用槟榔散方。
槟榔（一两） 牵牛子（一两） 木香（半两） 白术（三分） 陈橘皮（半两，汤浸后去白瓤焙干）
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，滤去药渣，饭前稍热时服用。
治疗痞气，结聚在胃脘部，盘踞牢固不动，饮食逐渐减少，四肢无力，适宜服用鳖甲散方。
鳖甲（一两半，涂醋炙烤至黄色，去除裙边） 川大黄（一两半，锉碎微炒） 木香（一两） 郁李仁（一两，汤浸去皮微炒） 京三棱（一两，炮裂） 当归（一两） 槟榔（一两） 草豆蔻（三分，去壳） 枳壳（三两，麸炒）
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣，饭前稍热时服用。
治疗痞气在胃脘部，形状像倒扣的杯子，心腹胀满，不能进食，身体逐渐消瘦，适宜服用三棱丸方。
京三棱（二两，锉碎，醋拌炒至干） 诃黎勒皮（一两） 川大黄（二两，锉碎微炒） 鳖甲（一两半，涂醋炙烤至黄色，去除裙边） 桃仁（四十枚，尖双仁，麸炒，去皮尖及双仁者）
以上药材，捣细过罗制成粉末。取米醋三升，熬成膏状，加入少量蒸饼调和溶解制成丸剂，大小如梧桐子。每日空腹服用。
治疗痞气积年不愈，结聚在胃脘部，大如倒扣的杯子，心腹胀痛，食少无力，适宜服用浓朴丸方。
浓朴（一两半，去粗皮，涂生姜汁炙烤至香熟） 木香（一两） 青橘皮（一两，汤浸去白瓤焙干） 川大黄（二两，锉碎微炒）
以上药材，捣细过罗制成粉末，加入研匀的硫黄。用酒煮面糊，调和制成丸剂，大小如梧桐子。每次饭前，用生姜汤送服。
治疗痞气结固不散，心腹冷痛，食少体瘦，适宜服用硫黄丸方。
硫黄（二两，细研，水飞法处理） 木香（一两半，为末） 川大黄（二两，锉碎微炒为末） 桃仁（四十枚，去皮尖及双仁，麸炒）
以上四味药，先取大黄末，用酒湿润，纳入新竹筒内，封口，放入蒸饭的甑中，蒸至饭熟为止。取出药末，与其他药末混合，以酒煮面糊和丸，大小如梧桐子。每日空腹，温酒送下二十丸。
治疗痞气当在胃脘部，结聚如杯，积久不散，腹胁疼痛，身体消瘦形成劳损，不能进食，适宜服用鳖甲丸方。
鳖甲（三两，去裙边，用米醋一小盏化开硼砂一两涂抹在鳖甲上，炙烤至醋尽为止） 附子（一两，炮裂，去皮脐） 京三棱（一两，锉碎，醋拌炒）
以上药材，捣细过罗制成粉末，用醋煮面糊调和溶解，捣三四百杵，制成丸剂，大小如梧桐子。每日空腹，温酒送下二十丸。
治疗痞气结聚不散，心腹疼痛，硼砂煎丸方。
硼砂（一两，不含石块的，细研） 芫花（一两，醋拌炒至干） 木香（一两） 京三棱（一两，微煨锉碎） 川大黄（一两，锉碎微炒）
以上药材，除硼砂外，其余捣细过罗制成粉末。先用米醋一升，慢火熬硼砂，然后加入诸药，同熬至稠厚。加入少量蒸饼和溶制成丸剂，大小如梧桐子。每日空腹，温酒送下二十丸。
治疗痞气结聚在胃脘部，心腹胀硬，脏腑壅滞，适宜服用牵牛子丸方。
牵牛子（一两半，微炒） 甘遂（一两，锉碎微炒） 诃黎勒皮（三分） 木香（三分） 京三棱（三分，炮裂） 川大黄（三分，锉碎微炒）
以上药材，捣细过罗制成粉末，用生姜汁二两，蜜四两，煎至稠熟，调和制成丸剂，大小如梧桐子。每次睡前，温水送下二十丸。
治疗痞气，心腹坚胀，饮食不消，木香丸方。
木香（一两） 川大黄（一两，锉碎醋拌炒至干） 硫黄（一两，细研，水飞法处理）
以上药材，捣细过罗制成粉末，研入硫黄令均匀。用酒煮面糊和丸，大小如梧桐子。每次空腹，用生姜汤送下二十丸。
又一方。
诃黎勒皮（一两） 鳖甲（一两半，涂醋炙烤至黄色，去除裙边）
以上药材，捣细过罗制成散剂。每次服用二钱，饭前，用生姜橘皮煎汤调下。
The accumulation in the Spleen is named Pi Qi (Pity Qi, a type of abdominal mass). It is located at the epigastrium (stomach region), covering an area as large as an inverted cup. If not cured for a long time, it causes the limbs to become weak and unable to support themselves, leads to jaundice (Huang Dan), and prevents food from transforming into muscle and skin nourishment.
To treat Pi Qi, where the accumulation is in the epigastrium, causing fullness and obstruction in the heart and abdomen, and inability to eat, it is suitable to take He Li Le San (Terminalia Chebula Powder).
He Li Le Pi (Chebulae Fructus Pericarpium, 1 liang) Bie Jia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar, roasted until yellow, remove the skirt edge) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Ren Shen (Ginseng Radix, 3 fen, remove the rhizome head) Gui Xin (Cinnamomi Ramulus Cortex) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly yellow)
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, boiled with one zhong of water and half a fen of Sheng Jiang (Zingiberis Rhizoma Recens), decocted to six parts, filtered, and taken warm before meals.
To treat Pi Qi, characterized by hardness and distension in the heart and abdomen, and inability to ingest food or drink, it is suitable to take Bing Lang San (Arecae Semen Powder).
Bing Lang (Arecae Semen, 1 liang) Qian Niu Zi (Pharbitidis Semen, 1 liang) Mu Xiang (Aucklandiae Radix, 0.5 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 fen) Chen Ju Pi (Citri Reticulatae Pericarpium, 0.5 liang, soaked in water, white pith removed, dried)
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, boiled with one zhong of water, decocted to six parts, filtered, and taken warm before meals.
To treat Pi Qi, where the accumulation is in the epigastrium, firmly fixed and immobile, with gradually decreasing food intake and weakness in the limbs, it is suitable to take Bie Jia San (Testudinis Carapax et Plastrum Powder).
Bie Jia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar, roasted until yellow, remove the skirt edge) Chuan Da Huang (Rhei Radix et Rhizoma, 1.5 liang, chopped and slightly stir-fried) Mu Xiang (Aucklandiae Radix, 1 liang) Yu Li Ren (Pruni Semen, 1 liang, soaked in water, skin removed, slightly stir-fried) Jing San Leng (Sparganii Rhizoma, 1 liang, processed until cracked) Dang Gui (Angelicae Sinensis Radix, 1 liang) Bing Lang (Arecae Semen, 1 liang) Cao Dou Kou (Alpiniae Katsumadai Semen, 3 fen, remove shell) Zhi Ke (Aurantii Fructus, 3 liang, bran-roasted)
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, boiled with one zhong of water and half a fen of Sheng Jiang (Zingiberis Rhizoma Recens), decocted to six parts, filtered, and taken warm before meals.
To treat Pi Qi in the epigastrium, resembling an inverted cup, with fullness and distension in the heart and abdomen, inability to eat, and gradual emaciation of the body, it is suitable to take San Leng Wan (Sparganii Rhizoma Pill).
Jing San Leng (Sparganii Rhizoma, 2 liang, chopped, mixed with vinegar and stir-fried until dry) He Li Le Pi (Chebulae Fructus Pericarpium, 1 liang) Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, chopped and slightly stir-fried) Bie Jia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar, roasted until yellow, remove the skirt edge) Tao Ren (Persicae Semen, 40 pieces, pointed and double-kernel types removed, bran-roasted)
The above herbs are finely ground and sifted. Take three sheng of rice vinegar, boil down to a paste, add a small amount of steamed dough ball, mix and dissolve to form pills, sized like wutong seeds. Take daily on an empty stomach.
To treat Pi Qi that has persisted for years without healing, accumulating in the epigastrium, large as an inverted cup, with abdominal pain and distension, reduced appetite, and weakness, it is suitable to take Hou Po Wan (Magnoliae Officinalis Cortex Pill).
Hou Po (Magnoliae Officinalis Cortex, 1.5 liang, remove coarse bark, coat with Sheng Jiang juice, roast until fragrant and cooked) Mu Xiang (Aucklandiae Radix, 1 liang) Qing Ju Pi (Citri Reticulatae Pericarpium Viride, 1 liang, soaked in water, white pith removed, dried) Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, chopped and slightly stir-fried)
The above herbs are finely ground and sifted, mixed evenly with ground Liu Huang (Sulfur). Use wine-boiled wheat paste to form pills, sized like wutong seeds. Take each time before meals, washed down with Sheng Jiang tea.
To treat Pi Qi that is knotted and does not disperse, with cold pain in the heart and abdomen, reduced appetite, and emaciation, it is suitable to take Liu Huang Wan (Sulfur Pill).
Liu Huang (Sulfur, 2 liang, finely ground and water-floted) Mu Xiang (Aucklandiae Radix, 1.5 liang, made into powder) Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, chopped, slightly stir-fried, made into powder) Tao Ren (Persicae Semen, 49 pieces, remove skin, tips, and double kernels, bran-roasted)
For the above four ingredients, first take the Da Huang powder, moisten with wine, place inside a new bamboo tube, seal the mouth, and steam in a rice steamer until the rice is cooked. Take out the powder, mix with other powders, use wine-boiled wheat paste to form pills, sized like wutong seeds. Take twenty pills on an empty stomach, washed down with warm wine.
To treat Pi Qi located in the epigastrium, accumulating like a cup, persisting for a long time without dispersing, causing abdominal and hypochondriac pain, emaciation leading to consumptive disease, and inability to eat, it is suitable to take Bie Jia Wan (Testudinis Carapax et Plastrum Pill).
Bie Jia (Testudinis Carapax et Plastrum, 3 liang, remove skirt edge, coat with borax dissolved in one zhong of rice vinegar, roast until vinegar is exhausted) Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and umbilicus) Jing San Leng (Sparganii Rhizoma, 1 liang, chopped, mixed with vinegar and stir-fried)
The above herbs are finely ground and sifted. Use vinegar-boiled wheat paste to mix and dissolve, pound 300-400 times, form pills sized like wutong seeds. Take twenty pills on an empty stomach, washed down with warm wine.
To treat Pi Qi accumulating and not dispersing, with heart and abdominal pain, Peng Sha Jian Wan (Borax Decoction Pill).
Peng Sha (Borax, 1 liang, pure without stones, finely ground) Yuan Hua (Genkwa Flos, 1 liang, mixed with vinegar and stir-fried until dry) Mu Xiang (Aucklandiae Radix, 1 liang) Jing San Leng (Sparganii Rhizoma, 1 liang, lightly roasted and chopped) Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, chopped and slightly stir-fried)
Except for Peng Sha, the above herbs are finely ground and sifted. First, slowly boil Peng Sha in one sheng of rice vinegar. Then add the other herbs, boil together until thick. Add a small amount of steamed dough ball, mix and dissolve to form pills, sized like wutong seeds. Take twenty pills on an empty stomach, washed down with warm wine.
To treat Pi Qi accumulating in the epigastrium, with hard distension in the heart and abdomen, and stagnation of the zang-fu organs, it is suitable to take Qian Niu Zi Wan (Pharbitidis Semen Pill).
Qian Niu Zi (Pharbitidis Semen, 1.5 liang, slightly stir-fried) Gan Sui (Euphorbiae Pekinensis Radix, 1 liang, chopped and slightly stir-fried) He Li Le Pi (Chebulae Fructus Pericarpium, 3 fen) Mu Xiang (Aucklandiae Radix, 3 fen) Jing San Leng (Sparganii Rhizoma, 3 fen, processed until cracked) Chuan Da Huang (Rhei Radix et Rhizoma, 3 fen, chopped and slightly stir-fried)
The above herbs are finely ground and sifted. Use two liang of Sheng Jiang juice and four liang of honey, boil until thick and cooked, mix to form pills, sized like wutong seeds. Take twenty pills before lying down, washed down with warm water.
To treat Pi Qi, with hard distension in the heart and abdomen, and indigestion, Mu Xiang Wan (Aucklandiae Radix Pill).
Mu Xiang (Aucklandiae Radix, 1 liang) Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, chopped, mixed with vinegar and stir-fried until dry) Liu Huang (Sulfur, 1 liang, finely ground and water-floted)
The above herbs are finely ground and sifted, mixed evenly with ground Liu Huang. Use wine-boiled wheat paste to form pills, sized like wutong seeds. Take on an empty stomach, washed down with Sheng Jiang tea.
Another prescription.
He Li Le Pi (Chebulae Fructus Pericarpium, 1 liang) Bie Jia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar, roasted until yellow, remove the skirt edge)
The above herbs are finely ground and sifted into a powder. Each dose is 2 qian, taken before meals, mixed with decoction of Sheng Jiang and Ju Pi (Citri Reticulatae Pericarpium).