卢氏异方感应丸，与《和剂方》大不同，但用修制须如法，分两最要匀停，止是暖化，不可偏胜。是药去
积滞，不动脏腑，其功用妙处，在用蜡之多，切不可减。常服健脾进食，永无寒热泻痢之疾，盖消磨积滞以渐，
自然无疾，遇酒食醉饱，尤宜多服，神效不可具述。
肉豆蔻（面裹煨） 木香（湿纸裹煨） 干姜（炮） 片子姜黄 百草霜（筛细） 丁香（怀干） 槟榔
青皮（汤浸去白炒） 荜澄茄（各一两） 乳香（三钱锉研） 杏仁（七十枚去皮尖研细根据巴豆法去油）
真黄蜡（十两） 巴豆（百粒，去皮研为粉，用纸数重裹捶，油透再易纸，去油尽成白霜为妙。）
上除巴豆粉、百草霜、杏仁、乳香外，余并为细末，却同前四味拌和研匀。先将上项黄蜡十两，于银石器
内熔化作汁，用重绵滤去滓，以无灰好酒一升，于银石器内煮蜡熔，数滚取起，候冷其蜡自浮于酒上，去酒不用。
春夏修合，用清麻油一两，秋冬用油一两半，于大银器内熬令香熟，次下酒煮蜡，同化作汁，乘热拌和前项药
末十分均匀了，候稍凝，分作剂子，用罐子盛之，半月后方可服。如服旋丸如萝卜子大，任意服之，二三十丸
加至五十丸无碍。此药以蜡多虽难圆，然丸子愈细，其功愈博，临睡须常服之。若欲治
病，不拘时候。（《和剂》）
阿魏丸，治脾胃怯弱，食肉食面，或食生果，停滞中焦，不能克化，致胀满腹痛，呕恶不食，或利或秘。
阿魏（酒浸化） 官桂（不见火） 蓬术（炮） 麦 （炒） 神曲（炒） 青皮（去白） 萝卜子（炒）
白术（各半两） 百草霜（三钱） 巴豆（去壳油三七个） 干姜（炮半两）
上为末和匀，用薄糊丸如绿豆大，每服二十丸，不拘时，姜汤送下。面伤，用面汤送下。生果伤，用麝香
汤下。（《得效》）
新制阴阳攻积丸，治五积六聚，七 八瘕， 癖虫血痰食，不问阴阳皆效。
吴茱萸（泡） 干姜（炒） 官桂（去皮） 川乌头（炮各一两） 黄连（炒） 半夏（洗） 橘红 茯苓
槟榔 浓朴（炒） 枳实（炒） 菖蒲（忌铁） 玄胡索（炒） 人参（去芦） 沉香 琥珀（另研） 桔梗
（各八钱） 巴霜（另研五钱）
上为细末，皂角六两，煎汁泛为丸，如绿豆大，每服八分，渐加一钱五分，生姜汤送下。襄阳郡守于鉴如，
在白下时，每酒后腹痛，渐至坚硬，得食辄痛。余诊之曰∶脉浮大而长，脾有大积矣。然两尺按之软，不可峻
攻。令服四君子汤七日，投以自制攻积丸三钱，但微下，更以四钱服之，下积十余次，皆黑而韧者。察其形不
倦，又进四钱，于是腹大痛而所下甚多。服四君子汤十日，又进丸药四钱，去积三次，又进二钱，而积下遂至
六七碗许，脉大而虚，按至关部豁如矣。乃以补中益气调补，一月全愈。（《必读》）《医通》无槟榔、橘红、
浓朴、枳实、菖蒲、桔梗，曰∶此方出士材先生《必读》。先生向寓郭园，曾以此方授之郭妪，云是乔三余所
定。其方酒曲糊丸，较之皂角汁稍平，妙用全在
与脾胃药间服。予曾效用此方，每以六君去术倍苓，加肉桂、当归，米饮糊丸。或朝服增损六君，夕用阴阳攻
积。或服攻积一日，六君二三日，随人强弱而施。但初服未尝不应，积势向衰，即当停服，所谓衰其大半而止，
专力补脾可也。
阿魏化痞散，痞癖皆缘内伤过度，气血横逆，结聚而生。初起腹中觉有小块，举动牵引作疼，久则渐大成
形，甚者翕翕内动，斯时必气血衰弱，饮食减少。内服阿魏消痞散，外贴乾坤一气膏，祛邪养正气，攻补自全安。
川芎 当归 白术 赤茯苓 红花 阿魏 鳖甲尖（酥炙研各一钱） 大黄（酒炒八钱） 荞麦面（一两微炒）
上共为末，每服三钱，空心好酒一茶钟，调稀服，三日后，腹痛便出脓血为验，忌生冷荤腥等件。（《外科
正宗》）（乾坤一气膏今不录）《医通》治疟痞寒热及 瘕，虚人禁用。
化痞丹，治积块专攻之剂。
大黄（四两，米醋浸一七，日晒夜露一七。） 木鳖子（去油一两） 穿山甲（去炒二两） 香附米（童
便浸炒一两） 桃仁（去皮研一两） 红花（三钱生） 青黛（五分）
上末，将大黄醋煮成糊为丸，如豆大，每服五十丸，茅根、葛根煎汤送下，忌花椒、胡椒、煎炙、糯米
等物。（《回春》）
酒积治方 （按∶食积、血积等治方，排列各类，但此证与茶积，其方或有难相隶，仍别立之类，从变例
也。）酒症丸，冶酒癖，引饮唾涎，头痛背倦，小便赤数。
白茯苓 木猪苓（各半两） 神曲 白丁香 大麦 干葛 葛花（各一两生用）
上八味，以神曲末二两半，滴水调成糊，拌和前末，丸如梧桐子大，放一宿，用陈粟米同炒药丸，每丸子有
窍出香熟为度，每服五十丸，不以时下。（《鸡峰》）
酒积丸，治酒癖不消，心腹胀闷，噫酢吞酸，哕逆不食，胁肋刺痛。
神曲（炒） 麦 （各一钱炒） 砂（一字别研） 白面（四两） 巴豆〔六十两，取霜〕 黄连（一字）
上件为细末，沸汤和丸，如梧桐子大，每服三丸，嚼煨生姜，温酒下，食后。（《杨氏》）《济生续方》
曲丸（主治同），于本方去 砂、白面二味，黄连半两，巴豆三粒，去壳同炒，令转色，去巴豆不用（余药各一两），
每服五十丸。
茶积治方 （宜参《蛔虫》门）磨积丸，治茶积，饮食减少，面黄腹痛。
陈仓米（半斤，用巴豆七粒去壳，同米炒令赤色，去巴豆不用。）
青皮（去瓤炒） 陈橘红（各二两）
右为末，好醋搜和为丸，如豌豆大，每服二十丸，食后，用淡姜汤下。（《得效》）
治茶癖。
石膏 黄芩 升麻
上为末，沙糖水调服。（《丹溪》）
好食茶叶成癖，面黄少力者，用椒红二两，茶叶一两为末，飞罗面炒香，打糊为丸，茶清送下三十丸。又
方苦草二两，加茶叶一两。如好食米谷土炭纸布之类，即以其物加入，并用其物煮汤送下。（《医通》）（按∶
《胜金方》治好食生茶，用椒末不限多少，以糊丸如梧子大，茶下十丸。见《本草》。）
外治法 肘后熨症方。
灶中黄土（一升） 生葫（一升）
上二味，先捣葫熟，内土复捣，以好苦酒浇令 ，先以涂布一面，仍 病上，又涂布上，干复易之，取
令消止。（《外台》）《千金》有桂。（按∶今本《肘后》与《千金》同。）
治症结病（原更载瓜病，今省），以椒熨之方。
取一新盆子受一斗者，盆底钻一百二十孔，孔上着椒三合，上着一重纸，纸上着冷灰一升，灰上着热灰半
升，上着刚炭火一斤，经一食顷，盆底热彻，当病上。初安毡一重，即安火盆，火盆大热，以渐更加一重，
若火更热不可忍，加至三重暂歇，一口冷冻饮料，还上火，消二分许即停，经三日勿着，及至七日，决得顿瘥，然
后食美食自补。（《千金》）
熨气法
大艾（打熟，砂石铫内炒，滴少醋令香，炒极热。）
上以二三绢袋袋药，更替乘热搭腹上印熨。一法只炒食盐，炒极热，按熨痛处，亦效。（《澹寮》）
贴脐饼子，治虚中积滞，腹胀痞痛，大小便不通。
穿山甲（炮燥） 五灵脂 巴豆（去皮） 大蒜（去皮各三钱）
上为细末，同研如泥，作饼子，如当三钱大，绵裹一饼，安脐中，着物系定，觉药热行宣取效。（《施丸
端效方》）
灸法 凡坚硬之积，必在肠胃之外，募原之间，原非药力所能猝至，宜用阿魏膏、琥珀膏或水红花膏、
三圣膏之类以攻其外（此诸膏今省），再用长桑君针法以攻其内。然此坚顽之积，非用火攻，终难消散，故莫妙
于灸。余在燕都，尝治愈痞块在左胁者数人，则皆以灸法收攻也。长桑君针积块 瘕法。先于块上针之，甚者
又于块首一针，块尾一针讫，
以艾灸之立愈。（按∶此法亦出《纲目》引桑，又曰∶又三里炎之。）一法曰∶凡灸痞者，须灸痞根，无不有
效。其法在脊背十三椎下，当脊中，点墨记之，此非灸穴，却于墨之两旁，各开三寸半，以指揣摸，觉微有动
脉，即点穴灸之，大约穴与脐平，多灸左边，或左右俱灸，此即痞根也。或患左灸右，患右灸左，亦效。灸穴
法，中脘、期门、章门、脾 、三焦 、通谷，此诸痞所宜灸者。积痞在上者，宜灸上脘、中脘、期门、章门
之类；积块在下者，宜灸天枢、章门、肾 、气海、关元、中极、水道之类。凡灸之法，宜先上而后下。脐腹
之壮，用宜稍大，皆先灸七壮或十四壮，以后渐次增加，愈多愈妙。以上诸穴，皆能治痞，宜择而用之。然犹
有不可按穴者，如痞之最坚处，或头或尾，或突或动处，但察其脉络所由者，皆当按其处而通灸之。火力所到，
则其坚聚之气，自然以渐解散，有神化之妙也。第灸痞之法，非一次便能必效，务须或彼或此，择其要者，至
再至三，连次陆续灸之，无有不愈者。（《景岳》）
长安酒肆一人，年十七未冠，患痞块，径大四五寸许，腹亦胀大。予为灸脾 、肝 、章门、中脘、三里，
半月全消。（《程星海医案》）
调摄法 医为病所困，首惟阴虚之难补，久积之难除。玉山自倒，阴虚之谓也。养虎遗患，久积之谓
也。呜呼！人之罹此二者，须节欲以养性，内观以养神，澹泊自如，从容自得，然后委之于医。不然，虽刘张
李诸子复生，亦不能为我保也。（《心法附余》）
平补之外，更能断浓味，节色欲，戒暴怒，正思虑，庶乎万全。（《入门》）
不澄其源，而欲其流之清；不加其薪，而欲其汤之沸；
不断浓味，而欲其积之可消，此不可得之数也。（《医津一筏》）
服药，最忌浓味发气之物。（《简明医彀》）
卢氏的异方感应丸，与《太平惠民和剂局方》中的方子大不相同。只要炮制方法合乎规范，药物分量最讲究均匀停当，其作用仅仅是温中化滞，不可过于偏颇猛烈。此药能消除积滞，而不损伤脏腑，其精妙之处在于使用大量的黄蜡，切不可减少。长期服用可以健脾开胃，永远不会有寒热往来、腹泻痢疾的疾病，这是因为逐渐消磨了体内的积滞，自然就没有疾病了。遇到饮酒进食过饱时，尤其应该多服用，神效无法详尽描述。
肉豆蔻（用面粉包裹煨熟） 木香（用湿纸包裹煨熟） 干姜（炮制） 片子姜黄 百草霜（筛细） 丁香（干燥） 槟榔 青皮（汤浸去白后炒） 荜澄茄（各一两） 乳香（三钱，捣碎研细） 杏仁（七十枚，去皮尖研细，根据巴豆的方法去油） 真黄蜡（十两） 巴豆（一百粒，去皮研成粉，用纸多层包裹捶打，油透后再换纸，直到油尽变成白色粉末为妙。）
以上药材，除了巴豆粉、百草霜、杏仁、乳香之外，其余都研为细末，再与前四种药拌和研匀。先将上述黄蜡十两，在银器或石器内熔化成为汁液，用厚绵布过滤去除渣滓，用没有灰分的优质酒一升，在银石器内煮蜡使其熔化，煮沸数次后取出，待冷却后蜡自然浮在酒面上，去掉酒不用。春夏季节配制，用清麻油一两；秋冬季节用油一两半，在大银器内熬至香气浓郁，然后加入酒煮过的蜡，一同熔化为汁液，趁热与前项药末拌匀十分均匀，待稍微凝固，分成剂子，用罐子盛装，半个月后才可服用。如果现做现吃，做成如萝卜子大小的丸子，随意服用，从二三十丸增加到五十丸都没有妨碍。此药因为蜡多虽然难以制成丸子，但丸子越细，药效越广泛，临睡前必须常服。如果想要治病，不拘泥于时间。（出自《和剂局方》）
阿魏丸，治疗脾胃虚弱，食用肉类面食，或者生吃水果，停滞在中焦，不能消化，导致胀满腹痛，恶心呕吐不想吃东西，或者腹泻或者便秘。
阿魏（酒浸化开） 官桂（不经过火烤） 蓬术（炮制） 麦芽（炒） 神曲（炒） 青皮（去白） 莱菔子（炒） 白术（各半两） 百草霜（三钱） 巴豆（去壳去油三个） 干姜（炮制半两）
以上研为细末混合均匀，用薄糊做成如绿豆大小的丸子，每次服用二十丸，不拘时间，用姜汤送下。如果是面食伤食，用面汤送下。如果是生果伤食，用麝香汤送下。（出自《得效方》）
新制阴阳攻积丸，治疗五积六聚，七瘕八瘕，以及癖块、虫积、血积、痰积、食积，不论属阴属阳都有效。
吴茱萸（泡） 干姜（炒） 官桂（去皮） 川乌头（炮制，各一两） 黄连（炒） 半夏（洗） 橘红 茯苓 槟榔 厚朴（炒） 枳实（炒） 石菖蒲（忌铁器） 玄胡索（炒） 人参（去芦头） 沉香 琥珀（另研） 桔梗（各八钱） 巴霜（另研五钱）
以上研为细末，用皂角六两煎汁泛丸，做成如绿豆大小，每次服用八分，逐渐增加到一钱五分，用生姜汤送下。襄阳郡守于鉴如，在白下居住时，每次酒后腹痛，逐渐变得坚硬，吃东西就痛。我诊察他说：脉象浮大而长，脾脏有大积滞。但是两尺部按之柔软，不可峻猛攻伐。让他服用四君子汤七天，投以自制的攻积丸三钱，只是轻微泻下，再用四钱服用，泻下积滞十多次，都是黑色而坚韧的物质。观察他形体不疲倦，又进服四钱，于是腹部大痛且泻下物很多。服用四君子汤十天，又进服丸药四钱，去积三次，又进服二钱，积滞排出达到六七碗左右，脉象大而虚，按至关部豁然空虚了。于是用补中益气汤调理补益，一个月完全痊愈。（出自《必读》）《医宗金鉴》中没有槟榔、橘红、厚朴、枳实、石菖蒲、桔梗，说：这个方子出自士材先生的《必读》。先生过去寓居郭园，曾把这个方子传授给郭家老妇，说是乔三余所定。这个方子用酒曲糊丸，比皂角汁稍平和，妙用全在与脾胃药间隔服用。我曾试用此方，常用六君子汤去掉白术加倍茯苓，加肉桂、当归，用米饮糊丸。或者早晨服用增损六君子汤，晚上用阴阳攻积丸。或者服用攻积丸一天，六君子汤两三天，根据人的强弱来施用。只是初服没有不应验的，积滞势头衰退，就应当停药，所谓衰其大半而止，专门全力补脾就可以了。
阿魏消痞散，痞块癖块都是因为内伤过度，气血横逆，结聚而生。初起腹中觉得有小块，举动牵引作痛，久了则渐渐大成形，严重的翕翕内部跳动，这时候必然气血衰弱，饮食减少。内服阿魏消痞散，外贴乾坤一气膏，祛除邪气滋养正气，攻补自然周全安全。
川芎 当归 白术 赤茯苓 红花 阿魏 鳖甲尖（酥炙研，各一钱） 大黄（酒炒八钱） 荞麦面（一两微炒）
以上共研为细末，每次服用三钱，空腹用好酒一杯茶钟的量，调稀服用，三天后，腹痛便出脓血作为验证，忌食生冷荤腥等物品。（出自《外科正宗》）（乾坤一气膏现在不收录）《医宗金鉴》治疗疟疾引起的痞块寒热及瘕块，虚人禁用。
化痞丹，治疗积块专门攻伐的药剂。
大黄（四两，米醋浸泡七天，日晒夜露七天。） 木鳖子（去油一两） 穿山甲（去鳞炒二两） 香附米（童便浸炒一两） 桃仁（去皮研一两） 红花（三钱生用） 青黛（五分）
以上研为细末，将大黄用醋煮成糊状做成丸子，如豆子大小，每次服用五十丸，用茅根、葛根煎汤送下，忌食花椒、胡椒、煎炸炙烤、糯米等食物。（出自《回春》）
酒积治方 （按：食积、血积等治方，排列各类，但此证与茶积，其方或有难相隶属，仍别立一类，遵循变例也。）酒症丸，治疗酒癖，引饮唾涎，头痛背倦，小便赤数。
白茯苓 木猪苓（各半两） 神曲 白丁香 大麦 干葛 葛花（各一两生用）
以上八味，用神曲末二两半，滴水调成糊，拌和前项药末，丸如梧桐子大小，放置一晚，用陈粟米同炒药丸，每颗丸子有孔窍透出香味熟透为度，每次服用五十丸，不拘时候。（出自《鸡峰普济方》）
酒积丸，治疗酒癖不消，心腹胀闷，嗳气吞酸，呃逆不吃东西，胁肋刺痛。
神曲（炒） 麦芽（各一钱炒） 砂仁（一字，别研） 白面（四两） 巴豆〔六十两，取霜〕 黄连（一字）
以上件为细末，沸水调和丸，如梧桐子大小，每次服用三丸，嚼煨生姜，温酒送下，饭后服用。（出自《杨氏家藏方》）《济生续方》曲丸（主治相同），在本方中去掉砂仁、白面两味，黄连半两，巴豆三粒，去壳同炒，令转色，去巴豆不用（其余药各一两），每次服用五十丸。
茶积治方 （宜参《蛔虫》门）磨积丸，治疗茶积，饮食减少，面色黄腹痛。
右为细末，好醋搜和为丸，如豌豆大小，每次服用二十丸，饭后，用淡姜汤送下。（出自《得效方》）
治疗茶癖。
以上为细末，沙糖水调服。（出自《丹溪心法》）
喜好茶叶成癖，面色黄少力者，用椒红二两，茶叶一两为细末，飞罗面炒香，打糊为丸，茶清送下三十丸。又一方苦草二两，加茶叶一两。如果喜欢食用米谷土炭纸布之类，即以其物加入，并用其物煮汤送下。（出自《医宗金鉴》）（按：《胜金方》治疗喜好生茶，用椒末不限多少，以糊丸如梧子大小，茶下十丸。见《本草纲目》。）
外治法 肘后备急方熨症方。
灶中黄土（一升） 生葱（一升）
以上二味，先捣葱熟，纳入土复捣，用好苦酒浇令湿润，先涂布一面，仍敷病上，又涂布上，干了再换，取令消散停止。（出自《外台秘要》）《千金方》有桂。（按：今本《肘后方》与《千金方》相同。）
取一个新盆子容量一斗的，盆底钻一百二十个孔，孔上放椒三合，上面放一层纸，纸上放冷灰一升，灰上放热灰半升，上面放刚炭火一斤，经过一顿饭的时间，盆底热透，放在病上。初安毡一层，即安火盆，火盆大热，逐渐再加一层，如果火更热不可忍受，加至三层暂时歇息，喝一口冷冻饮料，还上火，消二分许即停，经过三日不要着，等到七日，决定得顿愈，然后食美食自补。（出自《千金方》）
熨气法
大艾（打熟，砂石铫内炒，滴少醋令香，炒极热。）
以上用二三绢袋装药，更替乘热搭腹上印熨。一法只炒食盐，炒极热，按熨痛处，也有效。（出自《澹寮方》）
以上为细末，同研如泥，作饼子，如铜钱大三寸大，绵裹一饼，安脐中，着物系定，觉药热行宣取效。（出自《施丸端效方》）
灸法 凡是坚硬的积块，一定在肠胃之外，募原之间，原本不是药力所能猝然到达的，宜用阿魏膏、琥珀膏或水红花膏、三圣膏之类以攻其外（这些膏方现在省略），再用长桑君针法以攻其内。然而这种坚顽的积块，不用火攻，终究难消散，所以没有比艾灸更妙的了。我在燕都，曾经治愈左胁痞块的好几个人，都是用灸法收功的。长桑君针积块瘕法。先在块上针之，严重的又在块首一针，块尾一针完毕，用艾灸之立即痊愈。（按：此法也出自《纲目》引桑，又说：又灸三里。）一法说：凡是灸痞块，须灸痞根，没有不有效的。其法在脊背十三椎下，当脊中，点墨记之，这不是灸穴，却在墨的两旁，各开三寸半，用手指揣摸，觉得微有动脉，即点穴灸之，大约穴与脐平，多灸左边，或左右俱灸，这就是痞根。或者患左灸右，患右灸左，也有效。灸穴法，中脘、期门、章门、脾俞、三焦俞、通谷，这些痞块适宜灸的穴位。积痞在上者，宜灸上脘、中脘、期门、章门之类；积块在下者，宜灸天枢、章门、肾俞、气海、关元、中极、水道之类。凡是灸法，宜先上而后下。脐腹之壮，用宜稍大，皆先灸七壮或十四壮，以后渐次增加，越多越好。以上诸穴，都能治痞，宜择而用之。然而还有不可按穴的，如痞之最坚处，或头或尾，或突或动处，只要察其脉络所由者，都应当按其处而通灸之。火力所到，则其坚聚之气，自然以渐解散，有神化之妙也。第灸痞之法，非一次便能必效，务须或彼或此，择其要者，至再至三，连次陆续灸之，没有不愈的。（出自《景岳全书》）
长安酒肆一人，年十七未冠，患痞块，径大四五寸许，腹亦胀大。我为他灸脾俞、肝俞、章门、中脘、三里，半月全消。（出自《程星海医案》）
调摄法 医生被病所困，首先只有阴虚之难补，久积之难除。玉山自倒，阴虚之谓也。养虎遗患，久积之谓也。呜呼！人之罹此二者，须节欲以养性，内观以养神，澹泊自如，从容自得，然后委之于医。不然，虽刘张李诸子复生，也不能为我保也。（出自《医方考》或类似心法类书籍，此处依原文《心法附余》）
平补之外，更能断浓味，节色欲，戒暴怒，正思虑，庶乎万全。（出自《医学入门》）
不澄其源，而欲其流之清；不加其薪，而欲其汤之沸；不断浓味，而欲其积之可消，此不可得之数也。（出自《医津一筏》）
服药，最忌浓味发气之物。（出自《简明医彀》）
Lu's variant formula, Yinggan Wan (Response Pill), differs significantly from the formula in *Taiping Huimin Heji Jufang* (Formulas of the Bureau of People's Welfare and Relief). Provided that the processing methods are standard and the proportions of ingredients are most carefully balanced, its action is merely to warm and transform stagnation, avoiding excessive bias or intensity. This medicine eliminates accumulation without damaging the Zang-Fu organs; its subtlety lies in the large quantity of Beeswax used, which must not be reduced. Regular consumption strengthens the Spleen and promotes appetite, preventing diseases such as alternating chills and fever, diarrhea, and dysentery, because it gradually dissipates stagnation, naturally resulting in health. It is especially advisable to take more when overindulging in alcohol or food; its miraculous effects cannot be fully described.
Myristicae Semen (Nutmeg) (roasted wrapped in flour) Aquilariae Lignum Resinatum (Agarwood) (roasted wrapped in wet paper) Zingiberis Rhizoma Preparatum (Prepared Ginger) Curcumae Longae Rhizoma (Slice Turmeric) Carbonis Trichomanatis (Barn Soot) (sifted fine) Caryophylli Flos (Clove) Arecae Semen (Betel Nut) Citri Reticulatae Pericarpium Viride (Green Tangerine Peel) (soaked in water, white pith removed, stir-fried) Fructus Schisandrae Chinensis (Schisandra) (each 1 liang) Frankincense (Ru Xiang) (3 qian, crushed and ground fine) Armeniacae Semen Amarum (Apricot Kernel) (70 seeds, skin and tip removed, ground fine, oil removed according to the method for Crotonis Semen) Mel (Beeswax) (10 liang) Crotonis Semen (Croton Seed) (100 seeds, skin removed, ground into powder, wrapped in multiple layers of paper and pounded until oil penetrates, change paper repeatedly until all oil is gone and it becomes a white frost.)
Except for the Croton powder, Barn soot, Apricot kernels, and Frankincense, grind the rest into fine powder, then mix evenly with the previous four ingredients. First, melt the 10 liang of Beeswax in a silver or stone vessel into liquid, filter through thick cotton cloth to remove dregs. Boil the wax in 1 sheng of good unadulterated wine in a silver/stone vessel, boil several times, then remove. Upon cooling, the wax will float on the wine; discard the wine. For spring and summer preparation, use 1 liang of clear sesame oil; for autumn and winter, use 1.5 liang of oil. Heat the oil in a large silver vessel until fragrant, then add the wine-boiled wax, melting them together into liquid. While hot, mix thoroughly with the medicinal powder. Allow to cool slightly, divide into doses, store in jars, and may be taken after half a month. If made fresh, form pills the size of radish seeds and take as desired, increasing from 20-30 pills to 50 pills is safe. Due to the high wax content, these pills are hard to form, but the finer the pill, the broader the efficacy. They should be taken regularly before sleep. To treat disease, timing is flexible. (From *Heji Jufang*)
Awei Wan (Asafoetida Pill), treats weak Spleen and Stomach, where meat, noodles, or raw fruits cause stagnation in the Middle Jiao, leading to indigestion, distension, abdominal pain, nausea, vomiting, anorexia, diarrhea, or constipation.
Asafetida (dissolved in wine) Cinnamomi Ramulus (Cinnamon Twig) (not exposed to fire directly) Curcumaee Rhizoma (Curcuma) (processed) Malt (stir-fried) Massae Fermentatae Medicinalis (Medicated Leaven) (stir-fried) Citri Reticulatae Pericarpium Viride (Green Tangerine Peel) (white pith removed) Raphani Fructus (Radish Seed) (stir-fried) Atractylodis Rhizoma (Atractylodes) (each 0.5 liang) Carbonis Trichomanatis (Barn Soot) (3 qian) Crotonis Semen (Croton Seed) (3 seeds, husked and de-oiled) Zingiberis Rhizoma Preparatum (Prepared Ginger) (0.5 liang, processed)
Grind all into powder and mix evenly. Form pills the size of mung beans using thin paste. Take 20 pills each time, at any time, with Ginger Decoction. For noodle injury, use noodle water. For raw fruit injury, use Moschus (Musk) decoction. (From *Defang*)
Xinzhi Yinyang Gongji Wan (Newly Formulated Yin-Yang Attack Accumulation Pill), treats Five Accumulations and Six Gatherings, Seven Zha and Eight Jia masses, as well as Pi masses, worm infestations, blood stasis, phlegm, and food stagnation. Effective regardless of Yin or Yang patterns.
Evodiae Fructus (Evodia) (soaked) Zingiberis Rhizoma Preparatum (Prepared Ginger) (stir-fried) Cinnamomi Ramulus (Cinnamon Twig) (skin removed) Aconiti Radix Preparata (Prepared Aconite Root) (each 1 liang, processed) Coptidis Rhizoma (Coptis) (stir-fried) Pinelliae Rhizoma Preparatum (Prepared Pinellia) (washed) Citri Reticulatae Pericarpium (Tangerine Peel) Poria (Poria Cocos) Arecae Semen (Betel Nut) Magnoliae Officinalis Cortex (Magnolia Bark) (stir-fried) Aurantii Fructus Immaturus (Immature Bitter Orange) (stir-fried) Acori Tatarinowii Rhizoma (Sweet Flag) (avoid iron) Corydalis Rhizoma (Corydalis) (stir-fried) Ginseng Radix et Rhizoma (Ginseng) (rhizome removed) Agarwood (Agarwood) Succinum (Amber) (separately ground) Platycodonis Radix (Balloon Flower Root) (each 8 qian) Crotonis Semen Frost (Croton Frost) (separately ground 5 qian)
Grind all into fine powder. Use 6 liang of Gleditsiae Sinensis Fructus (Chinese Honeylocust Pod) decoction to form pills the size of mung beans. Start with 8 fen per dose, gradually increase to 1.5 qian, taken with Ginger Decoction. Yu Jianru, Prefect of Xiangyang, suffered post-alcohol abdominal pain that hardened and worsened with eating. Pulse was floating, large, and long, indicating large accumulation in the Spleen. However, the Chi pulse was soft upon pressure, so harsh purgation was contraindicated. Prescribed Sijunzi Tang (Four Gentlemen Decoction) for seven days, followed by 3 qian of self-made Gongji Wan. Mild purgation occurred. Increased to 4 qian, resulting in >10 evacuations of black, tough material. Observing no fatigue, administered another 4 qian, causing severe abdominal pain and massive evacuation. After 10 days of Sijunzi Tang, another 4 qian of pills were given, removing accumulation three times. Another 2 qian led to evacuations totaling 6-7 bowls. Pulse became large and empty, hollow at the Guan position. Then used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) for regulation and tonification. Fully recovered in one month. (From *Bidu*) *Yitong* notes this formula lacks Arecae Semen, Citri Reticulatae Pericarpium, Magnoliae Officinalis Cortex, Aurantii Fructus Immaturus, Acori Tatarinowii Rhizoma, and Platycodonis Radix, stating it comes from Mr. Shicai's *Bidu*. The formula uses yeast paste for pills, which is milder than honeylocust pod juice. Its妙用 (subtle application) lies in alternating with Spleen/Stomach tonics. I have used this: often modifying Liujunzi Tang (Six Gentlemen Decoction) by removing Atractylodes, doubling Poria, adding Cinnamomi Ramulus and Angelicae Sinensis Radix, forming pills with rice drink. Or taking Zengsun Liujun in the morning and Yinyang Gongji in the evening. Or taking Gongji Wan one day, Liujun two-three days, depending on strength. Initial doses are effective; stop when accumulation declines ("stop when half is gone"), focusing solely on Spleen tonification.
Awei Xiaopi San (Asafoetida Eliminating Mass Powder), Pi and Pi masses arise from excessive internal injury, with Qi and Blood rebelling and knotting. Initially, small lumps are felt in the abdomen, painful upon movement. Over time, they grow larger and take shape. In severe cases, internal throbbing occurs, accompanied by Qi/Blood deficiency and reduced appetite. Internally take Awei Xiaopi San; externally apply Qiankun Yiqi Gao (Universe One Qi Plaster). Expel evil, nourish righteous Qi, balancing attack and tonification.
Chuanxiong Rhizome (Chuanxiong) Angelicae Sinensis Radix (Dong Qu) Atractylodis Rhizoma (Atractylodes) Polyporus (Polyporus) Carthami Flos (Safflower) Asafetida Trionycis Carapax et Plastrum (Softshell Turtle Shell) tip (fried in butter, ground, each 1 qian) Rheis Radix et Rhizoma (Rhubarb) (wine-fried 8 qian) Fagopyri Dibotryosis Semen (Buckwheat Flour) (1 liang, lightly fried)
Grind all into powder. Take 3 qian each time on an empty stomach, mixed with a cup of good wine. After three days, pus and blood in stool indicate efficacy. Avoid cold, raw, greasy, and pungent foods. (From *Waike Zhengzong*) *Qiankun Yiqi Gao* is not recorded here. *Yitong* states it treats malaria-related Pi masses and chills/fever, but is contraindicated for deficient persons.
Hua Pi Dan (Mass Dissolving Pill), a specialized agent for attacking accumulation masses.
Rhei Radix et Rhizoma (Rhubarb) (4 liang, soaked in rice vinegar for 7 days, sun-dried by day and dew-exposed by night for 7 days.) Euphorbiae Lathyridis Semen (Euphorbia Seed) (de-oiled 1 liang) Manis Squama (Pangolin Scale) (de-scaled, fried 2 liang) Cyperi Rhizoma (Cyperus) (steeped in child's urine, fried 1 liang) Persicae Semen (Peach Kernel) (skin removed, ground 1 liang) Carthami Flos (Safflower) (3 qian, raw) Indigo Naturalis (Indigo) (5 fen)
Grind into powder. Boil Rhubarb in vinegar to make a paste, form pills the size of beans. Take 50 pills each time, with Mugwort Root and Kudzu Root decoction. Avoid Sichuan pepper, black pepper, fried/grilled foods, and glutinous rice. (From *Huichun*)
Alcohol Accumulation Treatment Formula (Note: Food and Blood accumulation formulas are categorized separately, but Alcohol accumulation is distinct from Tea accumulation, hence listed separately as a variation.) Jiuxing Wan (Alcohol Pattern Pill), treats alcohol addiction, salivation, headache, back fatigue, red frequent urination.
Poria (Poria Cocos) Polyporus (Polyporus) (each 0.5 liang) Massae Fermentatae Medicinalis (Medicated Leaven) Bai Dingxiang (White Star Anise? Note: Likely refers to a specific herb, possibly related to bird droppings or similar traditional item, literal translation kept) Hordeum Vulgare (Barley) Puerariae Radix (Kudzu Root) Puerariae Flos (Kudzu Flower) (each 1 liang, raw)
Eight ingredients. Mix 2.5 liang of Medicated Leaven powder with water to form paste, blend with other powders. Form pills the size of paulownia seeds. Leave overnight. Stir-fry with aged millet until holes appear and aroma is released. Take 50 pills, anytime. (From *Jifeng*)
Jiuji Wan (Alcohol Accumulation Pill), treats persistent alcohol pattern, chest/abdominal fullness, belching with sour taste, hiccups, anorexia, stabbing flank pain.
Massae Fermentatae Medicinalis (Medicated Leaven) (stir-fried) Hordeum Vulgare (Barley) (each 1 qian, stir-fried) Amomi Fructus Rotundus (Cardamom) (1 zi, separately ground) Triticum aestivum (Wheat Flour) (4 liang) Crotonis Semen Frost (Croton Frost) [from 60 liang] Coptidis Rhizoma (Coptis) (1 zi)
Grind into fine powder. Mix with boiling water to form pills the size of paulownia seeds. Take 3 pills each time, chewing roasted ginger, with warm wine, after meals. (From *Yangshi*) *Jisheng Xufang* Qu Wan (same indication): Remove Cardamom and Wheat Flour from base formula. Use 0.5 liang Coptis and 3 Croton seeds (husked, stir-fried together until color changes, remove Croton). Remaining herbs 1 liang each. Take 50 pills. (From *Jisheng Xufang*)
Tea Accumulation Treatment Formula (Refer to *Roundworm* section). Moji Wan (Accumulation Grinding Pill), treats tea accumulation, reduced appetite, yellow complexion, abdominal pain.
Chencangmi (Stored Rice) (0.5 jin, stir-fry with 7 husked Croton seeds until red, remove Croton.) Citri Reticulatae Pericarpium Viride (Green Tangerine Peel) Chenjuhong (Aged Tangerine Peel) (each 2 liang)
Grind into powder. Mix with good vinegar to form pills the size of pea seeds. Take 20 pills after meals, with light Ginger Decoction. (From *Defang*)
Treating Tea Pi Pattern.
Gypsum Fibrosum (Gypsum) Scutellariae Radix (Scutellaria) Cimicifugae Rhizoma (Black Cohosh)
Grind into powder. Take with sugar water. (From *Danxi*)
For those addicted to tea, with yellow complexion and weakness: 2 liang Sichuan pepper red, 1 liang tea leaves, ground. Mix with refined wheat flour fried until fragrant, paste to form pills. Take 30 pills with tea infusion. Another formula: 2 liang bitter grass, 1 liang tea leaves. If addicted to grains, soil, charcoal, paper, etc., add the specific substance and cook in its decoction to take. (From *Yitong*) (*Shengjin Fang* treats raw tea addiction with unspecified amount of pepper powder, formed into pills with paste, take 10 with tea. See *Bencao*).
External Treatment: Zhouhou Ironing Formula.
Zaozhong Huangtu (Yellow Earth from Hearth) (1 sheng) Sheng Cong (Raw Green Onion) (1 sheng)
Crush green onion until cooked, mix with earth, crush again. Moisten with good vinegar. Apply to cloth, place on affected area, reapply cloth, replace when dry, until resolved. (From *Waitai*) *Qianjin* adds Cinnamon. (Note: Current *Zhouhou* matches *Qianjin*).
Treatment for Knotting Disease (original mentions melon disease, omitted), Pepper Ironing Formula.
Take a new 1-sheng basin, drill 120 holes in bottom. Place 3 he of pepper on holes, cover with paper, add 1 sheng cold ash, then 0.5 sheng hot ash, then 1 jin hot charcoal fire. After one meal time, basin bottom is hot. Place on disease site. Initially place one layer of felt, then hot basin. Increase layers if too hot. Rest if unbearable. Drink cold beverage. Reapply. Stop after reducing 20%. Do not apply for 3 days. By day 7, sudden recovery expected. Then eat nutritious food to recover. (From *Qianjin*)
Ironing Qi Method.
Ai Ye (Mugwort Leaf) (beaten ripe, fried in stone pot, add vinegar for fragrance, fry very hot.)
Place in 2-3 silk bags, alternate applying hot to abdomen. Alternative: Fry coarse salt until very hot, press onto painful area. Also effective. (From *Danliao*)
Umbilical Paste, treats deficiency with accumulation, abdominal distension/pain, bowel/bladder obstruction.
Manis Squama (Pangolin Scale) (processed/dried) Trogopteri Dung (Flying Squirrel Droppings) Crotonis Semen (Croton Seed) (husked) Allium Sativum (Garlic) (peeled, each 3 qian)
Grind into fine powder, mix into mud. Form cakes the size of a copper coin (approx 3 qian). Wrap in cotton, place in umbilicus, secure. When heat spreads, remove for effect. (From *Shiwanduan Xiao Fang*)
Moxibustion Method: Hard accumulations lie outside intestines/stomach, in Mu Yuan (semi-interior/exterior space), inaccessible to drugs alone. Use external plasters like Awei Gao, Hupo Gao, Shuihonghua Gao, Sansheng Gao to attack externally, then Zhang Sangjun needle method internally. Hard accumulations require fire therapy to dissipate; moxibustion is best. In Yanjing, I cured several left hypochondriac masses via moxibustion. Zhang Sangjun Needle/Mass Method: Needle the mass first. Severe cases: needle head and tail. Then moxa immediately for cure. (Also cited in *Gangmu*, mentions Zusanli). Another method: To moxa Pi masses, moxa "Pi Gen" (Root of Pi). Location: Below 13th thoracic vertebra, midline. Mark with ink. Not a standard acupoint. Measure 3.5 cun lateral to mark. Palpate for slight arterial pulsation. Mark and moxa. Level with umbilicus. Usually moxa left side, or both. This is Pi Gen. Left lesion moxa right, right lesion moxa left, also effective. Acupoints: Zhongwan, Qimen, Zhangmen, Pishu, Sanjiaoshu, Tonggu. These are suitable for Pi masses. Upper accumulations: Shangwan, Zhongwan, Qimen, Zhangmen. Lower accumulations: Tianshu, Zhangmen, Shenshu, Qihai, Guanyuan, Zhongji, Shuidao. Moxa order: Top to bottom. Abdominal moxa requires stronger fire, start with 7 or 14 moxa cones, increase gradually. More is better. Select points as needed. For non-standard points, locate hardest part, head/tail, protruding/moving areas, follow meridians, and moxa thoroughly. Fire disperses accumulation qi magically. Moxa for Pi is not immediate; repeat multiple times, selecting key points, continuous sessions ensure cure. (From *Jingyue*)
Case: Chang'an tavern worker, 17 years old, had Pi mass 4-5 cun diameter, abdominal distension. I moxa Pishu, Ganshu, Zhangmen, Zhongwan, Zusanli. Mass disappeared completely in half a month. (From *Cheng Xinghai Medical Case*)
Regulation/Dietary Advice: Physicians find Yin Deficiency hard to tonify and long-standing accumulation hard to remove. Like a mountain collapsing from within (Yin Def), or raising a tiger leaving future trouble (Accumulation). Those suffering both must restrain desires to nourish nature, practice introspection to nourish spirit, remain calm and detached, then entrust to medicine. Otherwise, even Liu, Zhang, Li reincarnated cannot save you. (From *Xinfa Fuyu*)
Beyond mild tonification, cut rich flavors, restrain sexual desire, avoid rage, regulate thoughts, for complete safety. (From *Rumen*)
If source is not cleared, flow cannot be pure; if fuel not added, soup cannot boil; if rich flavors not cut, accumulation cannot dissolve. This is impossible. (From *Yijin Yifa*)
Medication strictly forbids rich, Qi-dispersing foods. (From *Jianming Yigou*)