（附论）
夫积聚者。由寒气在内所生也。血气虚弱。风邪搏于腑脏。寒多气涩则生积聚也。积者、
阴
上
右
饮食不为肌肤。或累累如桃李。或腹满呕泄。寒则痛。故云寒疝积聚也。其脉弦而紧积聚。
浮而牢积聚。牢强急者生。虚弱急者死也。
方
续命散（一名食茱萸丸）治寒疝积聚。邪气往来。厥逆抢心痛。羸瘦少气。胸
胁满。不嗜食
食茱萸（二两） 芍药 细辛（去苗叶） 前胡（去芦头各一两一分） 干姜（炮） 乌
头（炮裂去
干地黄（焙各
上为末。炼蜜
忌生冷油腻
桂心汤 治寒疝积聚。心腹疼痛。结块不消。
桂（去粗皮） 大黄（略炮皮） 桔梗（锉炒） 附子（炮裂去皮脐） 木香 白术 当
归（切焙）
咀。如麻豆大
芫花丸（出圣惠方）治寒疝积聚动摇。大者如鳖。小者如杯。乍来乍去。在于
胃脘。大肠不通。风寒则肠鸣。心下寒气上抢。胸胁支满。
芫花（二两醋拌炒令干） 椒目 川大黄（锉碎微炒） 细辛 川乌头（炮裂去皮脐） 赤
芍药
（汤浸七次焙
丸。日三服。
鳖甲汤 治寒疝积聚。心腹结痛。饮食不下。
鳖甲（醋炙去裙 ） 京三棱（炮锉） 大黄（锉炒各一两） 当归（切焙） 桂（去
粗皮） 赤芍药
散。每服三钱。水一盏
桔梗丸 治寒疝邪气往来。坚固积聚不散。多寒不得卧。苦汗出。大小便不利。
桔梗（锉炒） 藜芦（去芦头炙各半两） 葶苈子（纸上熬） 浓朴（去粗皮生姜汁涂
炙锉） 附子
尖双仁炒五十枚）
丸。或七丸。米饮或温
桔梗丸（出圣惠方）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
桔梗（去芦头） 甜葶苈（微炒令香） 藜芦（去芦头微炙） 桂心 浓朴（去粗皮涂
生姜汁炙令
大黄（锉碎微炒各
二百杵。丸如梧桐子
槟榔汤 治寒疝积聚结块。攻注心腹胀满。
槟榔（生锉） 芎 桔梗（锉炒） 当归（切焙） 桂（去粗皮） 赤芍药 白术 木
香（各半两）
不拘时。
木香汤 治寒疝积聚。来去攻击疼痛。不欲饮食。
木香 诃黎勒皮（炮） 槟榔（锉） 浓朴（去粗皮涂生姜汁炙） 青橘皮（汤浸去白
焙各半两）
钱。水一盏。生姜
鳖甲丸（出圣惠方）治寒疝积聚。固结不通。绕脐切痛。腹中胀满。风入五
脏。忧患所积
鳖甲（一两涂醋炙微黄去裙） 甘草（炙微赤锉） 甜葶苈（微炒令香） 桂心 川乌
头（炮制去
和捣三二百杵。
白术汤 治寒疝凝结。积聚不散。攻注腹内疼痛。不下饮食。
白术（二两） 赤茯苓（去黑皮） 枳壳（去瓤麸炒） 人参 桔梗（锉炒） 桂（去
粗皮） 京三棱
温服。不拘时。
槟榔汤 治寒疝积聚。胸腹坚急胀满。不思饮食。
槟榔（生锉） 桃仁（去皮尖双仁炒） 郁李仁（炒去皮） 京三棱（炮各一两） 桂
（去粗皮） 青
分。去滓温服。不
附子丸 治寒疝冷气。心腹积聚。绕脐切痛。饮食不下。
附子（炮制去皮脐） 吴茱萸（汤浸七次焙干微炒） 细辛 本 川乌头（炮制去皮
脐） 槟榔
日三四服。
香子丸（一名香橘散）治寒疝积聚。脐腹疼痛。两胁胀满。及一切冷气刺痛
皆治。
香子（炒） 槟榔（炮锉） 京三棱（炮锉） 青橘皮（汤浸去白盐炒黄各半两） 木
香（一分）
香豉丸 疗积年腹内宿结疝冷气。及诸癖症等。
香美烂豉（曝干微蒸令香即止） 小芥子（拣去土石微蒸令香即止各一升） 上为末。
炼蜜为丸
是此药
（附论）
积聚这类疾病，是由于寒气在体内产生所致。人体血气虚弱时，风邪侵袭并搏结于脏腑之间。若寒气偏盛导致气机涩滞，就会形成积聚。所谓“积”，是指阴邪凝聚；其症状表现为饮食无法转化为肌肤营养，腹部出现累累如桃李大小的肿块，或伴有腹部胀满、呕吐泄泻等症状。遇寒则疼痛加剧，因此称为寒疝积聚。其脉象若见弦而紧，或浮而牢，均为积聚之征。若脉象牢强急数，说明正气尚存，预后较好；若脉象虚弱且急，则预示病情危重，预后不良。
方剂：
续命散（又名食茱萸丸），用于治疗寒疝积聚。症见邪气往来不定，四肢厥冷逆乱，心腹部位有气上冲作痛，身体消瘦羸弱，气息短少，胸胁部胀满，食欲不振。
药材：食茱萸（二两）、芍药、细辛（去苗叶）、前胡（去芦头，各一两一分）、干姜（炮制）、乌头（炮裂，去皮脐）、干地黄（焙干，各……[原文此处缺字]）。
制法：将上述药物研为细末，用炼蜜制成丸药。
禁忌：忌食生冷及油腻食物。
桂心汤，用于治疗寒疝积聚。症见心腹疼痛，结块不消散。
药材：桂（去粗皮）、大黄（略炮制，去粗皮）、桔梗（锉碎炒制）、附子（炮裂，去皮脐）、木香、白术、当归（切后焙干）。
制法：将药物切碎，大小如麻豆。
芫花丸（出自《圣惠方》），用于治疗寒疝积聚，肿块动摇不定。大者如鳖，小者如杯，忽来忽去，位于胃脘部。症见大肠不通畅，风寒侵袭则肠鸣，心下寒气上冲，胸胁支撑胀满。
药材：芫花（二两，醋拌炒至干）、椒目、川大黄（锉碎微炒）、细辛、川乌头（炮裂，去皮脐）、赤芍药（汤浸七次，焙干……[原文此处缺字]）。
制法：研末，水泛为丸，每日服用三次。
鳖甲汤，用于治疗寒疝积聚。症见心腹结聚疼痛，饮食难以下咽。
药材：鳖甲（醋炙，去裙边）、京三棱（炮制锉碎）、大黄（锉碎炒制，各一两）、当归（切后焙干）、桂（去粗皮）、赤芍药。
制法：研为散剂，每次服用三钱，用水一盏煎服。
桔梗丸，用于治疗寒疝邪气往来不定，积聚坚固不散。症见恶寒严重无法安卧，苦于出汗，大小便不利。
药材：桔梗（锉碎炒制）、藜芦（去芦头，炙制，各半两）、葶苈子（纸上熬制）、浓朴（去粗皮，生姜汁涂后炙制锉碎）、附子（……[原文此处缺字]，尖双仁炒五十枚）。
制法：研末，炼蜜为丸，每次服用七丸，可用米饮或温水送服。
桔梗丸（出自《圣惠方》），用于治疗心腹坚硬强直，寒疝邪气往来不定，积聚坚固不散。症见畏寒烦闷，无法睡眠，夜间苦于出汗。
药材：桔梗（去芦头）、甜葶苈（微炒至香）、藜芦（去芦头微炙）、桂心、浓朴（去粗皮，涂生姜汁炙至……[原文此处缺字]）、大黄（锉碎微炒，各……[原文此处缺字]）。
制法：捣杵二百下，制成梧桐子大小的丸药。
槟榔汤，用于治疗寒疝积聚结块，攻注导致心腹胀满。
药材：槟榔（生锉）、川芎、桔梗（锉碎炒制）、当归（切后焙干）、桂（去粗皮）、赤芍药、白术、木香（各半两）。
用法：不拘时候服用。
木香汤，用于治疗寒疝积聚，疼痛来去无常，攻击作痛，不欲饮食。
药材：木香、诃黎勒皮（炮制）、槟榔（锉碎）、浓朴（去粗皮，涂生姜汁炙制）、青橘皮（汤浸去白瓤，焙干，各半两）。
用法：……[原文此处缺字]钱，用水一盏，加生姜煎服。
鳖甲丸（出自《圣惠方》），用于治疗寒疝积聚，固结不通。症见绕脐剧烈疼痛，腹部胀满，风邪侵入五脏，因忧患情绪导致的气血积聚。
药材：鳖甲（一两，涂醋炙至微黄，去裙边）、甘草（炙至微赤，锉碎）、甜葶苈（微炒至香）、桂心、川乌头（炮制，去……[原文此处缺字]）。
制法：混合捣杵三二百下。
白术汤，用于治疗寒疝凝结，积聚不散，攻注导致腹内疼痛，无法进食。
药材：白术（二两）、赤茯苓（去黑皮）、枳壳（去瓤，麸炒）、人参、桔梗（锉碎炒制）、桂（去粗皮）、京三棱。
用法：温服，不拘时候。
槟榔汤，用于治疗寒疝积聚，胸腹坚硬紧急胀满，不思饮食。
药材：槟榔（生锉）、桃仁（去皮尖，双仁炒制）、郁李仁（炒制去皮）、京三棱（炮制，各一两）、桂（去粗皮）、青……[原文此处缺字]。
用法：分次服用，去渣滓温服，不……[原文此处缺字]。
附子丸，用于治疗寒疝冷气，心腹积聚，绕脐剧烈疼痛，饮食不下。
药材：附子（炮制，去皮脐）、吴茱萸（汤浸七次，焙干微炒）、细辛、藁本、川乌头（炮制，去皮脐）、槟榔。
用法：每日服用三四次。
香子丸（一名香橘散），用于治疗寒疝积聚，脐腹疼痛，两胁胀满，以及一切冷气刺痛，皆有效。
药材：香子（炒制）、槟榔（炮制锉碎）、京三棱（炮制锉碎）、青橘皮（汤浸去白瓤，盐炒黄，各半两）、木香（一分）。
香豉丸，治疗多年腹内宿结的疝气和冷气，以及诸癖症等。
药材：香美烂豉（晒干微蒸至香即止）、小芥子（拣去土石，微蒸至香即止，各一升）。
制法：将上述药物研为细末，用炼蜜制成丸药。
结语：是此药……[原文此处截断]
(Attached Discussion)
Accumulation and mass (Ji Ju) diseases arise from the presence of cold pathogen within the body. When blood and qi are deficient, wind pathogen invades and contends with the zang-fu organs. If cold is predominant, causing qi stagnation and涩ness (stasis), accumulation and mass form. "Accumulation" (Ji) refers to yin pathogen coagulating; its manifestations include food failing to transform into muscle and flesh, lumps in the abdomen resembling peaches or plums, abdominal fullness, vomiting, and diarrhea. Pain intensifies upon exposure to cold, hence it is termed Cold Hernia Accumulation and Mass (Han Shan Ji Ju). The pulse may appear wiry and tight (Xuan Jin) or floating and firm (Fu Lao), both indicating accumulation. A firm, strong, and rapid pulse suggests preserved righteous qi and a better prognosis, whereas a weak and rapid pulse indicates critical condition and poor prognosis.
Formulas:
Xuming San (Cure Life Powder), also known as Shizhuyu Wan (Cornelian Cherry Pill), treats Cold Hernia Accumulation and Mass. Symptoms include fluctuating pathogenic qi, reversal cold (Jue Ni) with Qi attacking the heart causing pain, emaciation, shortness of breath, chest and hypochondriac fullness, and loss of appetite.
Ingredients: Cornelian Cherry Fruit (Shizhuyu, 2 liang), Peony Root (Shaoyao), Asarum (Xixin, seedlings and leaves removed), Peucedanum Root (Qianhu, rhizomes removed, each 1 liang 1 fen), Dried Ginger (Ganjiang, processed), Aconite Root (Wutou, processed until cracked, skin and umbilicus removed), Prepared Rehmannia Root (Shengdihuang, baked, amounts missing in text).
Preparation: Grind into fine powder, mix with refined honey to make pills.
Dietary Advice: Avoid raw, cold, and greasy foods.
Guixin Tang (Cinnamon Heart Decoction) treats Cold Hernia Accumulation and Mass. Symptoms include heart and abdominal pain, and indissoluble masses.
Ingredients: Cinnamon Bark (Gui, coarse bark removed), Rhubarb (Dahuang, slightly processed, coarse skin removed), Balloon Flower Root (Jiegeng, cut and stir-fried), Processed Aconite Lateral Root (Fuzi, processed until cracked, skin and umbilicus removed), Costus Root (Muxiang), Atractylodes Macrocephala Rhizome (Baizhu), Angelica Sinensis Root (Danggui, sliced and baked).
Preparation: Cut into pieces the size of hemp seeds.
Yuanhua Wan (Kerria Fruit Pill, from *Shenghui Fang*) treats Cold Hernia Accumulation and Mass where the mass moves. Large masses resemble turtles, small ones resemble cups; they come and go suddenly, located in the epigastrium. Symptoms include intestinal obstruction, borborygmus due to wind-cold, upward rushing of cold qi from the heart region, and distending fullness in the chest and hypochondrium.
Ingredients: Kerria Fruit (Yuanhua, 2 liang, mixed with vinegar and stir-fried until dry), Pepper Seeds (Jiaomu), Sichuan Rhubarb (Chuan Dahuang, crushed and slightly stir-fried), Asarum (Xixin), Sichuan Aconite Root (Chuan Wutou, processed until cracked, skin and umbilicus removed), Red Peony Root (Chishaoyao, soaked in water seven times, then baked, amount missing).
Preparation: Grind into powder, make pills with water, take three times daily.
Biejia Tang (Turtle Shell Decoction) treats Cold Hernia Accumulation and Mass. Symptoms include knotted pain in the heart and abdomen, and inability to swallow food.
Ingredients: Turtle Plastron (Biejia, roasted with vinegar, skirt removed), Burreed Tuber (Jingsanleng, processed and crushed), Rhubarb (Dahuang, crushed and stir-fried, each 1 liang), Angelica Sinensis Root (Danggui, sliced and baked), Cinnamon Bark (Gui, coarse bark removed), Red Peony Root (Chishaoyao).
Preparation: Grind into powder, take 3 qian per dose, decoct with one sheng of water.
Jiegeng Wan (Balloon Flower Pill) treats Cold Hernia where pathogenic qi fluctuates, and accumulations are solid and unresolving. Symptoms include severe aversion to cold preventing sleep, distressing sweating, and difficulty in urination and defecation.
Ingredients: Balloon Flower Root (Jiegeng, crushed and stir-fried), Veratrum Rhizome (Lilu, rhizomes removed, roasted, each half liang), Lepidium Seed (Tinglizi, roasted on paper), Magnolia Bark (N Hou, coarse bark removed, coated with ginger juice and roasted then crushed), Aconite Root (Fuzi, [text missing], fifty kernels with two tips fried).
Preparation: Grind into powder, mix with refined honey to make pills, take 7 pills per dose, with rice drink or warm water.
Jiegeng Wan (Balloon Flower Pill, from *Shenghui Fang*) treats hard and rigid heart and abdomen, Cold Hernia with fluctuating pathogenic qi, solid and unresolving accumulations, distress from cold and irritability, insomnia, and nocturnal sweating.
Ingredients: Balloon Flower Root (Jiegeng, rhizomes removed), Sweet Lepidium Seed (Tian Tingli, slightly stir-fried until fragrant), Veratrum Rhizome (Lilu, rhizomes removed, slightly roasted), Cinnamon Heart (Guixin), Magnolia Bark (N Hou, coarse bark removed, coated with ginger juice and roasted [text missing]), Rhubarb (Dahuang, crushed and slightly stir-fried, amounts missing).
Preparation: Pound two hundred times, make pills the size of paulownia seeds.
Binglang Tang (Betel Nut Decoction) treats Cold Hernia Accumulation and Mass with knotting, attacking the heart and abdomen causing distension and fullness.
Ingredients: Betel Nut (Binglang, raw and crushed), Szechwan Lovage Rhizome (Xiong), Balloon Flower Root (Jiegeng, crushed and stir-fried), Angelica Sinensis Root (Danggui, sliced and baked), Cinnamon Bark (Gui, coarse bark removed), Red Peony Root (Chishaoyao), Atractylodes Macrocephala Rhizome (Baizhu), Costus Root (Muxiang, each half liang).
Usage: Take at any time.
Muxiang Tang (Costus Root Decoction) treats Cold Hernia Accumulation and Mass with erratic pain attacks and loss of appetite.
Ingredients: Costus Root (Muxiang), Chebulic Myrobalan Peel (Helile Pi, processed), Betel Nut (Binglang, crushed), Magnolia Bark (N Hou, coarse bark removed, coated with ginger juice and roasted), Green Tangerine Peel (Qing Jupi, soaked in water, white pith removed, baked, each half liang).
Usage: [Text missing] qian, decoct with one sheng of water and fresh ginger.
Biejia Wan (Turtle Shell Pill, from *Shenghui Fang*) treats Cold Hernia Accumulation and Mass with solid obstruction. Symptoms include cutting pain around the umbilicus, abdominal distension, wind pathogen invading the five zang organs, and accumulation due to worry and grief.
Ingredients: Turtle Plastron (Biejia, 1 liang, coated with vinegar and roasted until slightly yellow, skirt removed), Licorice Root (Gancao, roasted until slightly red and crushed), Sweet Lepidium Seed (Tian Tingli, slightly stir-fried until fragrant), Cinnamon Heart (Guixin), Sichuan Aconite Root (Chuan Wutou, processed, [text missing]).
Preparation: Mix and pound three to two hundred times.
Baizhu Tang (Atractylodes Macrocephala Decoction) treats Cold Hernia condensation and unresolving accumulations, attacking the abdomen causing pain and inability to eat.
Ingredients: Atractylodes Macrocephala Rhizome (Baizhu, 2 liang), Red Poria (Chifuling, black skin removed), Bitter Orange Fruit (Zhiqiao, pulp removed, bran-roasted), Ginseng Root (Renshen), Balloon Flower Root (Jiegeng, crushed and stir-fried), Cinnamon Bark (Gui, coarse bark removed), Burreed Tuber (Jingsanleng).
Usage: Take warm, at any time.
Binglang Tang (Betel Nut Decoction) treats Cold Hernia Accumulation and Mass with hard, urgent, and distended chest and abdomen, and lack of desire for food.
Ingredients: Betel Nut (Binglang, raw and crushed), Peach Kernel (Taoren, skin and tips removed, double-kernel fried), Apricot Seed (Yuliren, fried and skin removed), Burreed Tuber (Jingsanleng, processed, each 1 liang), Cinnamon Bark (Gui, coarse bark removed), Green [Text missing].
Usage: Divide into doses, remove dregs, take warm, [text missing].
Fuzi Wan (Aconite Pill) treats Cold Hernia cold qi, heart and abdominal accumulations, cutting pain around the umbilicus, and inability to eat.
Ingredients: Processed Aconite Lateral Root (Fuzi, processed, skin and umbilicus removed), Evodia Fruit (Wuzhuyu, soaked in water seven times, baked and slightly fried), Asarum (Xixin), Ligusticum Rhizome (Ben), Sichuan Aconite Root (Chuan Wutou, processed, skin and umbilicus removed), Betel Nut (Binglang).
Usage: Take three to four times daily.
Xiangzi Wan (Fragrant Seed Pill, also known as Xiangju San) treats Cold Hernia Accumulation and Mass with pain in the umbilical and abdominal regions, distending fullness in both hypochondria, and all types of stabbing pain caused by cold qi.
Ingredients: Fragrant Seed (Xiangzi, fried), Betel Nut (Binglang, processed and crushed), Burreed Tuber (Jingsanleng, processed and crushed), Green Tangerine Peel (Qing Jupi, soaked in water, white pith removed, salt-fried until yellow, each half liang), Costus Root (Muxiang, 1 fen).
Xiangchi Wan (Fermented Soybean Pill) treats chronic internal knotting of hernia and cold qi, and various癖症 (fixed masses) over many years.
Ingredients: Fragrant Fermented Soybeans (Xiang Mei Lan Chi, dried and slightly steamed until fragrant), Small Mustard Seed (Xiao Jiezi, stones and soil removed, slightly steamed until fragrant, each 1 sheng).
Preparation: Grind into fine powder, mix with refined honey to make pills.
Conclusion: This is the medicine... [Text cuts off]