（附论）
寒癖者。有癖积在胁下。遇寒即痛是也。此由饮冷过度。停积不散。能使气道升降。
胃
脏和
遇寒
方
白术丸（出圣济总录）治冷癖气困。服热药发热。心惊虚悸。下冷上热。头
风呕逆。
白术 陈橘皮（去白焙各半两） 白芷〔三（二）分〕 防风（去叉） 芎 吴茱萸
（汤洗
七
防
葵（
如梧桐子
大。每
白术丸（出圣济总录）治久寒宿癖。心腹刺痛。痰逆呕吐。饮食不消。下利
羸
瘦。
白术 吴茱萸（汤洗七遍焙干炒各二两） 桔梗（炒一两） 当归（切焙） 赤茯苓（去
黑皮
各一
地黄（焙）
椒（
空心。
温酒下二十丸。
桔梗丸（出圣惠方）治寒癖。气发即胁下痛。引膀胱。里急气满。不下食。
桔梗（一两去芦头） 枳壳（二两麸炒微黄去白瓤焙） 人参（一两去芦头） 鳖甲（一
两涂
醋炙
白
术（
川大
黄（
日
三、
千金丸（出圣济总录）治寒癖宿滞。食饮不消。
丹参（去芦头半两） 干姜（炮二两） 附子（炮裂去皮脐） 人参 戎盐（研如粉各
半两）
半夏
膏（二两
研如
葫芦巴丸（出圣济总录）治寒癖。留滞不消。
葫芦巴 补骨脂（各一钱） 木香 茴香子（炒各一分） 楝实（炒半两） 砂（研
一钱）
铜
乌头（半
两
丸
白术丸（出圣惠方）治寒癖。气腹胀不思饮食。四肢少力。
白术（一两） 甘草（半两炙微赤锉） 浓朴（一两去粗皮涂生姜汁炙令香熟） 诃黎
勒（一
两煨
炒微黄） 干
丸如梧桐子大。每
大沉香煨姜丸（出圣济总录）治寒癖。积气疼痛下利。
沉香（一两半） 砂（研） 木香（各半两） 附子（一枚炮裂去皮脐） 黑三棱（炮
锉） 鸡
爪三
两） 上
捣研
煨令
吴茱萸丸（出圣惠方）治久寒癖积。胸胁痞满。心腹坚硬。短气呕逆。手足
厥
冷。腰背引痛
吴茱萸（汤洗七遍焙干炒一两） 附子（炮裂去皮脐半两） 浓朴（去粗皮生姜汁炙透）
白
矾（
分） 桂
心（
甘
草
木香丸（出圣济总录）治寒冷癖积。虚中积滞。及下痢心腹疼痛。
木香 砂（研各半分） 附子（去皮脐生用） 高良姜 胡椒（各一分） 硫黄（研
半分）
巴豆
煎干
枳实汤（出圣济总录）治寒癖饮食不化。心下虚满如水状。
枳实（麸炒） 白术（各一两） 半夏（汤洗去滑曝干） 前胡（去芦头各二两） 桂
（去粗皮
半两）
生
姜一小
乌头丸（出圣惠方）治寒癖气。结涩不通。绕脐切痛。宜服。
川乌头（三分炮裂去皮脐） 甘草（半两炙微赤锉） 甜葶苈（三分隔纸炒令紫色） 川
大黄
（三
蜜和捣三
二百杵。丸如梧桐子大。每服不计时候。以温酒下三十丸。
露宿丸 治大寒冷积聚方。（方见露宿丸）
丁香丸（出圣济总录）治寒癖积块。
丁香 沉香 附子（炮裂去皮脐） 砂（研各半两） 陈曲（末三两） 上除 砂陈
曲外。
捣罗
硬。
十丸
巴豆丸（出肘后方）治寒癖积聚。
巴豆（三十枚去皮心研纸裹压出油） 杏仁（五十枚汤浸去皮尖双仁炒令熟研如膏） 桔
梗
（锉
研药拌
匀。
皂荚丸（出圣济总录）治寒癖虚冷。久积成块。进食化。痰解风秘。
皂荚（不 者去黑皮并子涂酥炙） 肉苁蓉（酒浸一宿薄切焙干） 白芷 附子（炮裂
去皮
脐
如关
疗腹中冷癖。水谷阴结。心下停痰。两胁痞满。按之鸣转。逆害饮食。
大蟾蜍（一头去皮及腹中物支解之） 芒硝〔大人用一升中人七合羸小五合（一升）〕 上
以水
治寒癖。宿食。久饮不消。大便秘。
上用巴豆仁研令大熟。一升。清酒五升。煮三日三夜。再微火煎成膏。丸如豌豆大。每
服一
治久寒癖积。胸胁痞闷。心腹坚硬。短气呕逆。手足厥冷。腰背引痛。（出肘后
方）
上用茱萸八两。硝石一斤。生姜一斤。以酒五升。合煮取四升。先服（一服）一升。不
痛
者
又方（出肘后方）
上以大黄八两。葶苈四两。芒硝四两。熬令汁尽。熟捣。蜜和丸。如梧桐子大。食后三
丸。
又方（出肘后方）
上用贝母二两。桔梗二两。矾石一两。巴豆一两。去皮心生用捣千杵。蜜和丸如梧桐子
大。
又方（出肘后方）
上用茯苓一两。茱萸三两。捣蜜和丸。如梧桐子大。服五丸日三服。
掌中春（出德生堂方）治肚腹癖积。手足厥冷。筋骨疼痛。熨之自愈。
针砂（三两） 砂（三两） 白矾（脚底黑者六钱） 上为细末。一处研匀。以砂铫
盛酒。
醋炒
温胃丸（出圣济总录）治冷癖。醋心呕逆。宿食不消。中酒后肠中雷鸣。时
发
腹痛。一切虚
吴茱萸（汤洗醋炒） 陈曲（炒黄） 陈橘皮（汤浸去白焙） 白术 人参 桂（去粗
皮） 熟
干地
（附论）
寒癖，是指胁下积聚有癖块，遇到寒冷就会疼痛。这是由于过度饮用冷饮，导致水饮停积不散，阻碍了气机的升降运行。
白术丸（出自《圣济总录》），治疗冷癖气滞困顿。服用热药后出现发热、心惊虚悸、下寒上热、头风、呕吐逆气等症状。
药材：白术、陈橘皮（去白焙干各半两）、白芷〔三（二）分〕、防风（去叉）、芎䓖、吴茱萸（汤洗七遍焙干炒）、防葵（...如梧桐子大。每服...）。
白术丸（出自《圣济总录》），治疗久寒宿癖。症状包括心腹刺痛、痰逆呕吐、饮食不消、下利、身体羸瘦。
药材：白术、吴茱萸（汤洗七遍焙干炒各二两）、桔梗（炒一两）、当归（切焙）、赤茯苓（去黑皮...各一...地黄（焙）...椒（...空心。温酒下二十丸。
桔梗丸（出自《圣惠方》），治疗寒癖。气机发作时胁下疼痛，牵引至膀胱，里急气满，不能进食。
药材：桔梗（一两去芦头）、枳壳（二两麸炒微黄去白瓤焙）、人参（一两去芦头）、鳖甲（一两涂醋炙...白术...川大黄...日三...）。
千金丸（出自《圣济总录》），治疗寒癖宿滞，饮食不消化。
药材：丹参（去芦头半两）、干姜（炮二两）、附子（炮裂去皮脐）、人参、戎盐（研如粉各半两）、半夏...膏（二两...研如...）。
葫芦巴丸（出自《圣济总录》），治疗寒癖，留滞不消。
药材：葫芦巴、补骨脂（各一钱）、木香、茴香子（炒各一分）、楝实（炒半两）、砂（研一钱）...铜...乌头（半两...丸...）。
白术丸（出自《圣惠方》），治疗寒癖，气腹胀满不思饮食，四肢无力。
药材：白术（一两）、甘草（半两炙微赤锉）、浓朴（一两去粗皮涂生姜汁炙令香熟）、诃黎勒（一两煨...炒微黄）、干...丸如梧桐子大。每...
大沉香煨姜丸（出自《圣济总录》），治疗寒癖，积气疼痛下利。
药材：沉香（一两半）、砂（研）、木香（各半两）、附子（一枚炮裂去皮脐）、黑三棱（炮锉）、鸡爪...两）、上...捣研...煨令...
吴茱萸丸（出自《圣惠方》），治疗久寒癖积。症状包括胸胁痞满，心腹坚硬，短气呕逆，手足厥冷，腰背牵引痛。
药材：吴茱萸（汤洗七遍焙干炒一两）、附子（炮裂去皮脐半两）、浓朴（去粗皮生姜汁炙透）、白矾（...分）、桂心（...甘草...
木香丸（出自《圣济总录》），治疗寒冷癖积，虚中积滞，以及下痢心腹疼痛。
药材：木香、砂（研各半分）、附子（去皮脐生用）、高良姜、胡椒（各一分）、硫黄（研半分）、巴豆...煎干...
枳实汤（出自《圣济总录》），治疗寒癖饮食不化，心下虚满如水状。
药材：枳实（麸炒）、白术（各一两）、半夏（汤洗去滑曝干）、前胡（去芦头各二两）、桂（去粗皮半两）、生姜一小...
乌头丸（出自《圣惠方》），治疗寒癖气，结涩不通，绕脐切痛。适宜服用。
药材：川乌头（三分炮裂去皮脐）、甘草（半两炙微赤锉）、甜葶苈（三分隔纸炒令紫色）、川大黄（三...蜜和捣三百杵。丸如梧桐子大。每服不计时候。以温酒下三十丸。
丁香丸（出自《圣济总录》），治疗寒癖积块。
药材：丁香、沉香、附子（炮裂去皮脐）、砂（研各半两）、陈曲（末三两）。上除砂陈曲外...捣罗...硬。十丸...
巴豆丸（出自《肘后方》），治疗寒癖积聚。
药材：巴豆（三十枚去皮心研纸裹压出油）、杏仁（五十枚汤浸去皮尖双仁炒令熟研如膏）、桔梗（锉...研药拌匀。
皂荚丸（出自《圣济总录》），治疗寒癖虚冷，久积成块，进食不化，痰解风秘。
药材：皂荚（不...者去黑皮并子涂酥炙）、肉苁蓉（酒浸一宿薄切焙干）、白芷、附子（炮裂去皮脐...如关...疗腹中冷癖，水谷阴结，心下停痰，两胁痞满，按之鸣转，逆害饮食。
大蟾蜍（一头去皮及腹中物支解之）、芒硝〔大人用一升中人七合羸小五合（一升）〕。上以水...治寒癖，宿食，久饮不消，大便秘。
上用巴豆仁研令大熟。一升。清酒五升。煮三日三夜。再微火煎成膏。丸如豌豆大。每服一...
治久寒癖积，胸胁痞闷，心腹坚硬，短气呕逆，手足厥冷，腰背引痛。（出自《肘后方》）
上用茱萸八两。硝石一斤。生姜一斤。以酒五升。合煮取四升。先服（一服）一升。不痛者...
又方（出自《肘后方》）
上以大黄八两。葶苈四两。芒硝四两。熬令汁尽。熟捣。蜜和丸。如梧桐子大。食后三丸。
又方（出自《肘后方》）
上用贝母二两。桔梗二两。矾石一两。巴豆一两。去皮心生用捣千杵。蜜和丸如梧桐子大。
又方（出自《肘后方》）
上用茯苓一两。茱萸三两。捣蜜和丸。如梧桐子大。服五丸日三服。
掌中春（出自《德生堂方》），治疗肚腹癖积，手足厥冷，筋骨疼痛。熨之自愈。
药材：针砂（三两）、砂（三两）、白矾（脚底黑者六钱）。上为细末。一处研匀。以砂铫盛酒。醋炒...
温胃丸（出自《圣济总录》），治疗冷癖，醋心呕逆，宿食不消，中酒后肠中雷鸣，时发腹痛，一切虚...
药材：吴茱萸（汤洗醋炒）、陈曲（炒黄）、陈橘皮（汤浸去白焙）、白术、人参、桂（去粗皮）、熟干地...
(Attached Discussion)
Cold Pi (Cold Accumulation) refers to an accumulation in the hypochondrium that causes pain upon exposure to cold. This condition arises from excessive consumption of cold drinks, leading to the stagnation and retention of fluids, which obstructs the ascending and descending movement of Qi.
Baizhu Wan (Atractylodis Rhizoma Pill) (from *Shengji Zonglu*): Treats Cold Pi with Qi stagnation and distress. Symptoms include fever after taking warm/hot medicines, palpitations with fright and deficiency, lower coldness with upper heat, headache due to wind, and vomiting with counterflow Qi.
Herbs: Baizhu (Rhizoma Atractylodis Macrocephalae), Chenjupi (Pericarpium Citri Reticulatae - peeled and dried, each half tael), Baizhi (Radix Angelicae Dahuricae) [3 (2) fen], Fangfeng (Radix Saposhnikoviae - de-bristled), Xiongqiong (Radix Chuanxiong), Wuzhuyu (Fructus Evodiae - washed with hot water seven times, dried, fried), Fangkui (Radix Adenophorae)... like mulberry seeds. Each dose...
Baizhu Wan (Atractylodis Rhizoma Pill) (from *Shengji Zonglu*): Treats long-standing cold and chronic Pi accumulation. Symptoms include stabbing pain in the heart and abdomen, counterflow phlegm and vomiting, indigestion, diarrhea, and emaciation.
Herbs: Baizhu (Rhizoma Atractylodis Macrocephalae), Wuzhuyu (Fructus Evodiae - washed with hot water seven times, dried, fried, each two taels), Jiegeng (Radix Platycodonis - fried one tael), Danggui (Radix Angelicae Sinensis - cut and dried), Chi Fuling (Poria with Red Heart - black skin removed... each one... Dihuang (Dried Rehmanniae Radix)... Jiaozhuyu (Fructus Schisandrae)... Take on an empty stomach. Warm wine, twenty pills.
Jiegeng Wan (Platycodon Root Pill) (from *Shenghui Fang*): Treats Cold Pi. When Qi flares up, there is pain in the hypochondrium radiating to the bladder, urgency and fullness in the interior, and inability to eat.
Herbs: Jiegeng (Radix Platycodonis - one tael, remove rhizome), Zhike (Fructus Aurantii - two taels, bran-fried until slightly yellow, white pith removed, dried), Renshen (Radix Ginseng - one tael, remove rhizome), Biejia (Carapax et Plastrum Testudinis - one tael, coated with vinegar and roasted)... Baizhu (Rhizoma Atractylodis Macrocephalae)... Chuan Dahuang (Radix et Rhizoma Rhei)... Three times a day...
Qianjin Wan (Thousand Gold Pill) (from *Shengji Zonglu*): Treats Cold Pi with chronic stagnation and indigestion.
Herbs: Danshen (Radix Salviae Miltiorrhizae - remove rhizome, half tael), Ganjiang (Rhizoma Zingiberis - processed, two taels), Fuzi (Lateral Radix Aconiti Carminatae - processed, cracked, peel and navel removed), Renshen (Radix Ginseng), Rongyan (Natrii Sulfas, half tael, ground into powder)... Banxia (Rhizoma Pinelliae)... Gao (Paste, two taels)... Ground like...
Huba Wan (Fenugreek Seed Pill) (from *Shengji Zonglu*): Treats Cold Pi with retention and failure to digest.
Herbs: Huba (Semina Trigonellae), Buguzhi (Fructus Psoraleae) (each one qian), Muxiang (Radix Aucklandiae), Huixiangzi (Fructus Foeniculi - fried, each one fen), Lianshi (Fructus Meliae Toosendan) (fried, half tael), Sharen (Fructus Amomi - ground, one qian)... Tong... Wutou (Radix Aconiti Kusnezoffii) (half tael)... Pills...
Baizhu Wan (Atractylodis Rhizoma Pill) (from *Shenghui Fang*): Treats Cold Pi with abdominal distension and Qi stagnation, loss of appetite, and weakness in the four limbs.
Herbs: Baizhu (Rhizoma Atractylodis Macrocephalae) (one tael), Gancao (Radix Glycyrrhizae - half tael, honey-fried until slightly red and sliced), Nongpou (Cortex Magnoliae Officinalis - one tael, remove rough bark, coat with ginger juice, roast until fragrant), Helile (Fructus Terminaliae - one tael, baked)... Fried until slightly yellow)... Ganjiang (Rhizoma Zingiberis)... Like mulberry seeds. Each...
Da Chenxiang Wei Jiang Wan (Large Agarwood Roasted Ginger Pill) (from *Shengji Zonglu*): Treats Cold Pi with accumulated Qi causing pain and diarrhea.
Herbs: Chenxiang (Lignum Aquilariae Resinatum) (one tael and a half), Sharen (Fructus Amomi - ground), Muxiang (Radix Aucklandiae) (each half tael), Fuzi (Lateral Radix Aconiti Carminatae - one piece, processed, cracked, peel and navel removed), Heisanleng (Rhizoma Sparganii) (processed and sliced)... Jizhua (Chicken Claw)... Liang)... Shang... Pound and grind... Roast until...
Wuzhuyu Wan (Evodia Fruit Pill) (from *Shenghui Fang*): Treats long-standing Cold Pi accumulation. Symptoms include fullness and obstruction in the chest and hypochondrium, hardness in the heart and abdomen, shortness of breath, vomiting with counterflow Qi, coldness in hands and feet, and pulling pain in the waist and back.
Herbs: Wuzhuyu (Fructus Evodiae - washed with hot water seven times, dried, fried, one tael), Fuzi (Lateral Radix Aconiti Carminatae - processed, cracked, peel and navel removed, half tael), Nongpou (Cortex Magnoliae Officinalis - remove rough bark, roast thoroughly with ginger juice), Bai Fan (Alumen)... Fen)... Guixin (Cinnamomi Ramulus)... Gancao (Radix Glycyrrhizae)...
Muxiang Wan (Aucklandia Root Pill) (from *Shengji Zonglu*): Treats Cold Pi accumulation due to cold, stagnation in deficiency, and dysentery with heart/abdominal pain.
Herbs: Muxiang (Radix Aucklandiae), Sharen (Fructus Amomi - ground, each half fen), Fuzi (Lateral Radix Aconiti Carminatae - peel and navel removed, used raw), Gaoliangjiang (Rhizoma Alpiniae Officinarum), Hujiao (Piperis Longi Fructus) (each one fen), Liuhuang (Sulfur - ground, half fen)... Badou (Semini Crotonis)... Boil until dry...
Zhishi Tang (Immature Bitter Orange Decoction) (from *Shengji Zonglu*): Treats Cold Pi with indigestion, emptiness and fullness in the epigastrium resembling water retention.
Herbs: Zhishi (Fructus Aurantii Immaturus - bran-fried), Baizhu (Rhizoma Atractylodis Macrocephalae) (each one tael), Banxia (Rhizoma Pinelliae - washed with hot water to remove slipperiness, sun-dried), Qianhu (Radix Peucedani - remove rhizome, each two taels), Gui (Cortex Cinnamomi - remove rough bark, half tael), Shengjiang (Rhizoma Zingiberis Recens)... One small piece...
Wutou Wan (Aconite Root Pill) (from *Shenghui Fang*): Treats Cold Pi Qi, knotting and obstruction, cutting pain around the umbilicus. Suitable for use.
Herbs: Chuan Wutou (Radix Aconiti Kusnezoffii - three fen, processed, cracked, peel and navel removed), Gancao (Radix Glycyrrhizae - half tael, honey-fried until slightly red and sliced), Tiantingli (Semen Lepidii - three fen, stir-fried between papers until purple), Chuan Dahuang (Radix et Rhizoma Rhei)... San... Honey and pound three hundred strokes. Like mulberry seeds. Each dose, regardless of time. Take thirty pills with warm wine.
Luxu Wan: Formula for treating severe cold accumulation. (Formula see Luxu Wan)
Dingxiang Wan (Clove Pill) (from *Shengji Zonglu*): Treats Cold Pi masses.
Herbs: Dingxiang (Flos Caryophylli), Chenxiang (Lignum Aquilariae Resinatum), Fuzi (Lateral Radix Aconiti Carminatae - processed, cracked, peel and navel removed), Sharen (Fructus Amomi - ground, each half tael), Chenqu (Massa Medicata Fermentata - powder, three taels). Except for Sharen and Chenqu... Grind and sieve... Hard. Ten pills...
Badou Wan (Croton Seed Pill) (from *Zhouhou Fang*): Treats Cold Pi accumulation.
Herbs: Badou (Semini Crotonis - thirty seeds, remove peel and heart, grind, wrap in paper, press to remove oil), Xingren (Semen Pruni - fifty seeds, soak in hot water, remove peel and tip, double kernel, fry until cooked, grind into paste), Jiegeng (Radix Platycodonis)... Slice... Grind medicine and mix evenly...
Zaojiao Wan (Gleditsia Sinensis Pill) (from *Shengji Zonglu*): Treats Cold Pi with deficiency-cold, long-term accumulation forming masses, indigestion, resolving phlegm, and relieving wind-induced constipation.
Herbs: Zaojiao (Fructus Gleditsiae Sinensis)... Remove black skin and seeds, coat with lard, roast)... Roucongrong (Herba Cistanches)... Baizhi (Radix Angelicae Dahuricae), Fuzi (Lateral Radix Aconiti Carminatae - processed, cracked, peel and navel removed... Like Guan... Treat abdominal cold Pi, yin-knotting of water and grain, retained phlegm in the epigastrium, fullness in both hypochondria, rumbling upon pressure, counterflow affecting diet.
Da Chan Chu (Large Toad) (One head, remove skin and internal organs, dismember)... Mangxiao (Natrii Sulfas)... Adults use one sheng, medium build seven he, weak/small five he (one sheng)... Shang with water... Treat Cold Pi, retained food, long-term drinking without digestion, severe constipation.
Use Badou Ren (Semini Crotonis) ground thoroughly. One sheng. Clear wine five sheng. Boil for three days and nights. Then simmer gently to form a paste. Like pea seeds. Each dose one...
Treat long-standing Cold Pi accumulation, chest/hypochondrial oppression, hardness in heart/abdomen, shortness of breath, vomiting, cold extremities, pulling pain in waist/back. (From *Zhouhou Fang*)
Use Zhuyu eight taels, Xiaoshi (Natrii Nitras) one jin, Shengjiang one jin. With wine five sheng. Boil together to obtain four sheng. First dose take one sheng. If no pain...
Another Formula (From *Zhouhou Fang*)
Use Dahuang eight taels, Tingli four taels, Mangxiao four taels. Boil until juice is exhausted. Thoroughly pound. Mix with honey into pills like mulberry seeds. After meals, three pills.
Another Formula (From *Zhouhou Fang*)
Use Beimu two taels, Jiegeng two taels, Fanshi (Alumen) one tael, Badou one tael. Remove peel and heart, use raw. Pound a thousand times. Mix with honey into pills like mulberry seeds.
Another Formula (From *Zhouhou Fang*)
Use Fuling one tael, Zhuyu three taels. Pound and mix with honey into pills like mulberry seeds. Take five pills, three times a day.
Zhangzhongchun (Spring in Palm) (From *Desheng Tang Fang*): Treats abdominal Pi accumulation, cold extremities, bone/joint pain. Apply externally (hot compress) for self-healing.
Herbs: Zhensha (Hematitum) (three taels), Sharen (Fructus Amomi) (three taels), Baifan (Alumen - black from soles of feet six qian). Shang make fine powder. Grind uniformly in one place. Use a sand pot to hold wine. Vinegar fried...
Weiwu Wan (Stomach-Warming Pill) (from *Shengji Zonglu*): Treats Cold Pi, acid regurgitation and vomiting, retained food indigestion, borborygmus after alcohol intake, occasional abdominal pain, all deficiency...
Herbs: Wuzhuyu (Fructus Evodiae - washed with hot water, vinegar-fried), Chenqu (Massa Medicata Fermentata - fried yellow), Chenjupi (Pericarpium Citri Reticulatae - soaked in hot water, peeled, dried), Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng), Gui (Cortex Cinnamomi - remove rough bark), Shu Gan Di...