风热、风湿、血虚、有痰。
发散 仙术、南星、川芎、白芷、当归(酒炒、)黄芩、防己、桂、甘草。在上，加羌
活、威灵仙；在下，加牛膝、木通、炒柏。寒∶小续命汤；风∶天麻防风散。
调理 皮骨散∶
虎骨(酥炙二两) 花蛇(酒浸取肉) 天麻 防风 川牛膝 僵蚕(炒) 归(酒浸) 乳香
(另研) 桂心(各二两) 炙草 全蝎(半两) 麝香(一钱)
上为末，每服二钱，豆淋酒调下。
补血 多用芎、归，佐以桃仁、红花。
疏风胜湿 南星、仙术、炒柏为主，佐以台芎、白芷、桂、桃仁、防己。有湿胜一身
尽痛，小胃丹、浚川散。
导痰 青州白丸子。
针 百会、环跳。
灸
导痰行湿 仙术、半夏、白术、南星、炒芩、香附、陈皮、荆芥、威灵仙。
针
灸 肩 、曲池。
在中为痰饮，在右为食积，在左为血积。气积、 、瘕、聚。
消削 五脏积，随证治之，见《玉机微义》积聚门。
血∶醋煮海石、三棱、蓬术、桃仁、红花、五灵脂、香附、归须、干漆之类。
气∶御药院方助气丸。
痰∶涤痰丸。
瘕∶宣明积气丹。
肉∶丹溪阿魏丸。
酒∶邓山房感应丸。
食∶丹溪保和丸、脾积丸，见泻痢例中。
下 因热，千金硝石大丸。积∶蹋肿神应丸。鬼物∶八毒赤丸，白马尿亦能行，或单
服之。
消导 用行气和血煎药，下磨积药，从汤荡之。秘方脾积丸，因气血弱者，攻补兼之
钩邪 有鬼物，必须鬼物以钩之，用死人枕煮服。
敷贴 以大黄、朴硝、大蒜、鸽粪为膏，敷痞上。又煮虾蟆，食法见前鼓胀例中。
熨蒸 牵牛、萝卜子、枳实为末，置于上，以艾火蒸之。
养正 养正气实，而积自除。有只用旧砂锅为末，作丸服之效。
针 中脘、建里、石关、商曲。
倒仓 见《玉机微义》积聚门。
灸
外贴 以一叶梅贴印堂，起泡去之。
风热、风湿、血虚、有痰。
发散 仙术、南星、川芎、白芷、当归(酒炒)、黄芩、防己、桂、甘草。在上，加羌活、威灵仙；在下，加牛膝、木通、炒柏。寒∶小续命汤；风∶天麻防风散。
调理 皮骨散∶
虎骨(酥炙二两) 花蛇(酒浸取肉) 天麻 防风 川牛膝 僵蚕(炒) 归(酒浸) 乳香
(另研) 桂心(各二两) 炙草 全蝎(半两) 麝香(一钱)
上为末，每服二钱，豆淋酒调下。
补血 多用芎、归，佐以桃仁、红花。
疏风胜湿 南星、仙术、炒柏为主，佐以台芎、白芷、桂、桃仁、防己。有湿胜一身尽痛，小胃丹、浚川散。
导痰 青州白丸子。
针 百会、环跳。
灸
导痰行湿 仙术、半夏、白术、南星、炒芩、香附、陈皮、荆芥、威灵仙。
针
灸 肩 、曲池。
在中为痰饮，在右为食积，在左为血积。气积、 、瘕、聚。
消削 五脏积，随证治之，见《玉机微义》积聚门。
血∶醋煮海石、三棱、蓬术、桃仁、红花、五灵脂、香附、归须、干漆之类。
气∶御药院方助气丸。
痰∶涤痰丸。
瘕∶宣明积气丹。
肉∶丹溪阿魏丸。
酒∶邓山房感应丸。
食∶丹溪保和丸、脾积丸，见泻痢例中。
下 因热，千金硝石大丸。积∶蹋肿神应丸。鬼物∶八毒赤丸，白马尿亦能行，或单服之。
消导 用行气和血煎药，下磨积药，从汤荡之。秘方脾积丸，因气血弱者，攻补兼之
钩邪 有鬼物，必须鬼物以钩之，用死人枕煮服。
敷贴 以大黄、朴硝、大蒜、鸽粪为膏，敷痞上。又煮虾蟆，食法见前鼓胀例中。
熨蒸 牵牛、萝卜子、枳实为末，置于上，以艾火蒸之。
养正 养正气实，而积自除。有只用旧砂锅为末，作丸服之效。
针 中脘、建里、石关、商曲。
倒仓 见《玉机微义》积聚门。
灸
外贴 以一叶梅贴印堂，起泡去之。
Wind-heat, wind-dampness, blood deficiency, phlegm.
Dispersing: Xianzhu (Atractylodis Rhizoma), Nanting (Arisaematis Rhizoma Praeparatum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Danggui (Angelicae Sinensis Radix, stir-fried with wine), Huangqin (Scutellariae Radix), Fangji (Stephaniae Tetrandrae Radix), Gui (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma). For upper body, add Qianghuo (Notopterygii Rhizoma et Radix), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma); for lower body, add Niuxi (Achyranthis Bidentatae Radix), Mutong (Akebiae Caulis), Chao Bai (Phellodendri Cortex, stir-fried). Cold: Xiao Xuming Tang (Minor Decoction to Continue Life); Wind: Tianma Fengfang San (Gastrodia and Saposhnikovia Powder).
Regulating: Pigusan (Skin and Bone Powder):
Hugu (Pantheris Os, roasted with butter, 2 liang), Huashe (Bungarus multicinctus, soaked in wine, meat extracted), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Chuan Niuxi (Achyranthis Bidentatae Radix), Jiangcan (Bombyx Batryticatus, stir-fried), Gui (Angelicae Sinensis Radix, soaked in wine), Ruxiang (Olibanum, ground separately), Guixin (Cinnamomi Cortex, each 2 liang), Zhicao (Glycyrrhizae Radix et Rhizoma, honey-fried), Quanxie (Scorpio, 0.5 liang), Shexiang (Moschus, 1 qian).
Grind all into powder. Take 2 qian per dose, mixed with Doulin Jiu (bean-leavened wine).
Nourishing Blood: Use Chuanxiong and Danggui extensively, assisted by Taoren (Persicae Semen) and Honghua (Carthami Flos).
Dispersing Wind and Overcoming Dampness: Nanting, Xianzhu, and Chao Bai as main ingredients, assisted by Taixiong (Ligustici Chuanxiong Rhizoma), Baizhi, Gui, Taoren, and Fangji. If dampness prevails causing whole-body pain, use Xiaowei Dan (Minor Stomach Pill) or Jun chuan San (River-Clearing Powder).
Guiding out Phlegm: Qingzhou Baiwanzi (Qingzhou White Pill).
Acupuncture: Baihui (GV20), Huantiao (GB30).
Moxibustion.
Guiding out Phlegm and Promoting Dampness Circulation: Xianzhu, Banxia (Pinelliae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Nanting, Chao Qin (Scutellariae Radix, stir-fried), Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Jingjie (Schizonepetae Spica), Weilingxian.
Acupuncture
Moxibustion: Jian (Shoulder point), Quchi (LI11).
In the middle is Phlegm-fluid retention; on the right is Food accumulation; on the left is Blood accumulation. Qi accumulation, [missing character], Jia (mass), Ju (mobility).
Reducing Accumulations: Five Zang accumulations are treated according to symptoms, see "Ji Ju Men" (Accumulation and Aggregation Section) in *Yu Ji Wei Yi*.
Blood: Haishi (Aragonitum, boiled in vinegar), Sanleng (Sparganii Rhizoma), Pengze (Curcumae Radix), Taoren, Honghua, Wulingzhi (Trogopterori Faeces), Xiangfu, Guixu (Angelicae Sinensis Radix tip), Ganqi (Kadsurae Fructus), etc.
Qi: Zhuqi Wan (Assisting Qi Pill) from Imperial Medical Bureau Formula.
Phlegm: Ditang Wan (Phlegm-Washing Pill).
Jia: Xuanming Jiqi Dan (Revealing Clarity Qi-Accumulation Pill).
Meat: Danxi Awei Wan (Danxi's Asarum Pill).
Wine: Dengshanfang Yinggan Wan (Deng Mountain House Resonance Pill).
Food: Danxi Baohe Wan (Danxi's Preserving Harmony Pill), Pi Ji Wan (Spleen Accumulation Pill), see Diarrhea and Dysentery examples.
Purgation: Due to heat, Qianjin Xiaoshi Da Wan (Thousand Gold Nitre Large Pill). Accumulation: Ta Zhong Shenying Wan (Trampling Swelling Divine Response Pill). Ghostly pathogens: Badu Chi Wan (Eight Poisons Red Pill), White Horse Urine can also expel them, or taken alone.
Digesting and Guiding Out: Use decoctions that move Qi and nourish Blood, followed by pills that grind down accumulations, sweeping them away with liquid. Secret formula Pi Ji Wan; for those with weak Qi and Blood, attack and tonify simultaneously.
Hooking Pathogens: If ghostly pathogens exist, they must be hooked out using ghostly means; boil and take a dead person's pillow.
External Application: Make a paste of Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfas), Dasuan (Allii Sativi Bulbus), Ge Fen (Columbae Feces), apply to the epigastric mass. Also boil toads; administration method seen in previous Distension examples.
Hot Compress and Steam: Qian Niu (Pharbitidis Semen), Luobo Zi (Raphani Semen), Zhishi (Aurantii Fructus Immaturus) ground into powder, placed on the area, steamed with moxa fire.
Nourishing Righteousness: Nourish Zheng Qi (Righteous Qi) until strong, then accumulations remove themselves. There is efficacy in using only old clay pot powder, made into pills and taken.
Acupuncture: Zhongwan (CV12), Jianli (CV11), Shiguan (KI18), Shangqu (ST20).
Dao Cang (Stomach Purging): See "Ji Ju Men" in *Yu Ji Wei Yi*.
Moxibustion
External Paste: Apply Yiyemei (One-Leaf Plum) to Yintang (EX-HN3), when blisters form, remove it.