脉经曰∶妇人疝瘕积聚，脉弦急者生，虚弱者死。少阴脉浮而紧，紧则疝瘕，腹中痛，
半产而堕伤，浮则亡血，恶寒绝产。
开郁正元散 治痰饮血气，郁结食积，气不升降，积聚胀痛。宜此利气行血，和脾消导。
白术 陈皮 青皮 香附 山楂 海粉 桔梗 茯苓 砂仁 玄胡索 神曲（炒） 甘
草（炙，各等分）
上锉，加生姜，水煎服，每服一两，生姜三片，水煎服。（按此诸药方，治气血痰食平和之
剂，海粉不入煎，若作丸更佳）
大七气汤 治积聚 瘕，随气上下，心腹绞痛，上气窒塞，小腹胀满，大小便不利。（此
惟病气形气俱实者可用，总重在随气上下句，若气郁生火者忌之）
京三棱 蓬术（各煨切） 青皮（去白） 陈皮（去白） 香附（炒） 藿香叶 益智仁 桔梗
肉桂（不见火） 甘草（炙，各七钱半）
上 咀，每服五钱，水二盏，煎至一盏，食前温服。
助气丸 治三焦痞闭，胸膈满闷，气不流通，蕴结成积， 癖气块，并皆治之。
京三棱 蓬术（以上二味，各用湿红包，灰火中煨透切片，各二斤） 青皮（去白） 陈皮（去白）
白术（各十五两） 枳壳（麸炒去穣） 槟榔 木香（各十两）
上为末，糊丸，桐子大，每服五十丸，滚水下。（此方削坚积、破滞气，虽用白术为佐，而
气虚者，不可轻服）
胜红丸 治脾积气滞，胸膈满闷，气促不安，呕吐清水，丈夫酒积，女人脾血积，小儿食
积，（胃寒气实者可用）
京三棱 莪术（二味同醋煮） 青皮 陈皮 干姜（炮） 良姜（炒，各一两） 香附子（净炒，二两）
上为末，醋糊丸如桐子大，每服三十丸，生姜汤下。虚者，以补药下之（用药巧处）。
一方加神曲、麦芽。
三棱煎 治妇人血瘕血 ，食积痰滞。
三棱 莪术（各一两） 青皮（去白） 半夏（汤泡七次） 麦芽（炒，各二两）
上用好醋六升，煮干为末，醋糊丸，如桐子大，每服五十丸，淡醋汤下（此在气行血流，
痰消食消也，妙在用醋之多）。痰积姜汤下。
香棱丸 治一切积聚，破痰癖，消 块。
木香 丁香（各半两） 枳壳（面炒） 三棱（酒浸一夕） 莪术（细锉，每一两用巴豆三十粒去
壳同炒，待巴豆黄色，去巴豆不用） 青皮（制） 川楝子肉 香（炒，各等分）
上为末，醋煮，（此温行之法，峻而不猛，行而得中，妙在用醋）面糊丸，如桐子大，朱砂
为衣，每服三十丸，姜盐汤或温酒下，无时。
大硝石丸 治七 八瘕，聚结痞块，及妇人带下绝产，腹中有 瘕者，当先下。此药但
去瘕，令人不困。（凡消块俱用热药行气削坚之剂，而此方又以补中寓消，真千金方也，
用者试之）
硝石（三两） 大黄（四两） 人参 甘草（各一两）
上为末，以三年苦酒三升，置铜石器中，先用大黄微火熬微沸，常搅不息，至七分，入
余药复熬成膏，至可丸即丸，如桐子大，每服
三十丸，米饮下，三日一服。妇人服之，或下如鸡肝，或如米泔、赤黑等物二三升，后忌风冷。
阿魏膏 治一切痞块。
羌活 独活 元参 官桂 赤芍药 穿山甲 生地黄 大黄 白芷 天麻 两头尖（各五钱）
红花（四钱） 木鳖子（十粒，去壳） 槐柳桃枝（各三钱） 乱发（鸡子大一团）
上用香油二斤四两，煎黑去渣入发，煎发化，仍去渣，徐下黄丹煎，软硬得中，入芒硝、
阿魏、苏合油、乳香、没药各五钱，麝香三钱，调匀，即成膏矣。摊贴患处，铺平半指浓，以纸
盖，用热熨斗熨良久，如硝耗，再加熨之，二时许，方贴膏药。
《脉经》说：妇女患有疝瘕积聚病，如果脉象弦急的就能生存，脉象虚弱的就会死亡。少阴脉浮而紧，紧脉主疝瘕和腹中疼痛，或者是半产及堕胎造成的损伤；浮脉主失血、恶寒以及绝育（无法生育）。
开郁正元散：治疗痰饮、血气郁结、食积，导致气机升降失常，出现积聚胀痛。适宜用此方来利气行血，调和脾胃，消除导滞。
药材：白术、陈皮、青皮、香附、山楂、海粉、桔梗、茯苓、砂仁、玄胡索、神曲（炒制）、甘草（炙烤，以上各等分）。
用法：将药物切碎，加入生姜，用水煎服。每次服用一两药量，配生姜三片，水煎后服用。（按语：这个方子是治疗气血痰食平和之剂，海粉不宜入煎剂，若制成丸药效果更好）
大七气汤：治疗积聚、瘕块，症状随气机上下移动，心腹部绞痛，气逆窒塞，小腹胀满，大小便不通畅。（此方仅适用于病气和形气都实证的病人，关键在于“随气上下”这一句，如果是气郁化火的患者忌用）
药材：京三棱、蓬术（各煨熟后切片）、青皮（去白）、陈皮（去白）、香附（炒制）、藿香叶、益智仁、桔梗、肉桂（不接触火）、甘草（炙烤，各七钱半）。
用法：将药物切碎，每次取五钱药量，加水两盏，煎至一盏，饭前温服。
助气丸：治疗三焦痞闭，胸膈满闷，气机不流通，蕴结形成积聚，癖气块，都能治疗。
药材：京三棱、蓬术（以上两味药，各用湿纸包裹，在灰火中煨透后切片，各二斤）、青皮（去白）、陈皮（去白）、白术（各十五两）、枳壳（麸炒去瓤）、槟榔、木香（各十两）。
用法：研成粉末，用糊制作丸药，如梧桐子大小。每次服用五十丸，用滚开水送下。（此方用于削坚积、破滞气，虽然用了白术作为佐药，但气虚者不可轻易服用）
胜红丸：治疗脾积气滞，胸膈满闷，气促不安，呕吐清水，男子酒积，女子脾血积，小儿食积。（胃寒气实的患者可用）
药材：京三棱、莪术（这两味药同醋煮）、青皮、陈皮、干姜（炮制）、良姜（炒制，各一两）、香附子（净炒，二两）。
用法：研成粉末，用醋糊制作丸药如梧桐子大小。每次服用三十丸，用生姜汤送下。体虚者，用补药送下（这是用药的巧妙之处）。
另一方加神曲、麦芽。
三棱煎：治疗妇人血瘕血瘀，食积痰滞。
药材：三棱、莪术（各一两）、青皮（去白）、半夏（汤泡七次）、麦芽（炒制，各二两）。
用法：用好醋六升，煮干后研成粉末，用醋糊制作丸药如梧桐子大小。每次服用五十丸，用淡醋汤送下（此方在于气行血流，痰消食消，妙在用醋多）。痰积者用姜汤送下。
香棱丸：治疗一切积聚，破除痰癖，消除块状物。
药材：木香、丁香（各半两）、枳壳（面炒）、三棱（酒浸一夜）、莪术（细锉，每一两用巴豆三十粒去壳同炒，待巴豆变黄后，去掉巴豆不用）、青皮（制过）、川楝子肉、香（炒制，各等分）。
注：原文此处“香”字疑为漏字或通假，结合上下文及常见方剂，通常指“沉香”或“木香”重复，但依原文保留“香”。
用法：研成粉末，用醋煮，（此乃温行之法，峻烈而不猛烈，行气适中，妙在用醋），用面糊制作丸药如梧桐子大小，朱砂为衣。每次服用三十丸，用姜盐汤或温酒送下，不拘时候。
大硝石丸：治疗七瘕八瘕，聚结痞块，以及妇人带下绝产，腹中有瘕块的，应当先用此药攻下。此药只去除瘕块，使人不困倦。（凡是消除块状物都用热药行气削坚的方剂，而这个方子在补益中寓含消导，真是千金良方，使用者试试）
药材：硝石（三两）、大黄（四两）、人参、甘草（各一两）。
用法：研成粉末，用三年陈醋三升，放入铜器或石器中，先用大黄微火熬至微沸，不断搅拌，至剩七分时，加入其余药物再熬成膏，到可以做成丸药的程度就制成丸药，如梧桐子大小。每次服用三十丸，用米饮送下，三天服用一次。妇人服用后，可能会排出像鸡肝一样，或者像米泔水、赤黑色等物质二三升，之后忌讳受风冷。
阿魏膏：治疗一切痞块。
药材：羌活、独活、元参、官桂、赤芍药、穿山甲、生地黄、大黄、白芷、天麻、两头尖（各五钱）、红花（四钱）、木鳖子（十粒，去壳）、槐柳桃枝（各三钱）、乱发（鸡蛋大一团）。
用法：用香油二斤四两，煎至黑色后去渣，加入头发，煎至头发融化，再次去渣，慢慢加入黄丹煎制，软硬适中，加入芒硝、阿魏、苏合油、乳香、没药各五钱，麝香三钱，调匀，即成为膏药。摊涂在患处，铺平约半指厚，用纸覆盖，用热熨斗熨烫良久，如果硝石消耗了，再加熨烫，大约两个时辰后，才贴上膏药。
The *Mai Jing* (Pulse Classic) states: In women suffering from hernia, mass, and accumulation disorders, a wiry and rapid pulse indicates survival, while a weak pulse indicates death. If the Shaoyin pulse is floating and tight, the tightness indicates hernia or mass with abdominal pain, or injury from miscarriage and abortion; the floatingness indicates blood loss, aversion to cold, and sterility.
Kaiyu Zhengyuan San (Open Stagnation and Rectify Origin Powder): Treats phlegm-fluid, blood qi stagnation, food retention, leading to impaired ascending and descending of qi, resulting in accumulation and distending pain. This formula is suitable for promoting qi movement and blood circulation, harmonizing the spleen, and resolving stagnation.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium (Chenpi), Citri Reticulatae Viride Pericarpium (Qingpi), Cyperi Rhizoma (Xiangfu), Crataegi Fructus (Shanzha), Hai Fen, Platycodonis Radix (Jiegeng), Poria (Fuling), Amomi Fructus (Sharen), Corydalis Rhizoma (Yanhusuo), Massae Fermentatae Medicinalis (Shenqu - stir-baked), Glycyrrhizae Radix et Rhizoma (Gancao - honey-fried). All in equal parts.
Usage: Coarsely crush the herbs, add fresh ginger, and decoct in water. Take one liang per dose, with three slices of fresh ginger, decocted in water. (Note: This formula is a balanced agent for treating qi, blood, phlegm, and food stagnation. Hai Fen should not be decocted; it is better prepared as pills.)
Da Qi Qi Tang (Great Seven-Qi Decoction): Treats accumulations and masses that move up and down with qi, causing severe colicky pain in the heart and abdomen, rebellious qi with obstruction, lower abdominal fullness, and difficulty in urination and defecation. (This formula is only applicable when both pathogenic qi and constitutional qi are excess. The key lies in the phrase "moving up and down with qi." It is contraindicated for patients with qi stagnation transforming into fire.)
Ingredients: Sparganii Rhizoma (Jingsanleng), Curcumae Rhizoma (Pengru) - both roasted and sliced; Citri Reticulatae Viride Pericarpium (Qingpi) - white pith removed; Citri Reticulatae Pericarpium (Chenpi) - white pith removed; Cyperi Rhizoma (Xiangfu) - stir-baked; Pogostemonis Herba (Huoxiangye); Alpiniae Oxyphyllae Fructus (Yizhiren); Platycodonis Radix (Jiegeng); Cinnamomi Cortex (Rougui) - protected from direct fire; Glycyrrhizae Radix et Rhizoma (Gancao) - honey-fried. Each at 7.5 qian.
Usage: Coarsely chop the herbs. Take five qian per dose, with two cups of water, decoct until one cup remains, and take warm before meals.
Zhuqi Wan (Qi-Assisting Pill): Treats blockage in the Triple Burner, chest and diaphragmatic fullness and oppression, stagnant qi flow, accumulation formation due to entrapment, and fixed masses.
Ingredients: Sparganii Rhizoma (Jingsanleng), Curcumae Rhizoma (Pengru) - these two ingredients wrapped in wet paper and roasted thoroughly in ash embers, then sliced, each 2 jin; Citri Reticulatae Viride Pericarpium (Qingpi) - white pith removed; Citri Reticulatae Pericarpium (Chenpi) - white pith removed; Atractylodis Macrocephalae Rhizoma (Baizhu) - each 15 liang; Aurantii Fructus (Zhike) - bran-fried and pulp removed; Arecae Semen (Binglang); Aquilariae Lignum Resinatum (Muxiang) - each 10 liang.
Usage: Grind into powder, make pills with paste, size of paulownia seeds. Take 50 pills per dose with boiling water. (This formula breaks hard accumulations and disperses stagnant qi. Although Baizhu is used as an assistant herb, it should not be taken lightly by those with qi deficiency.)
Shenghong Wan (Red-Overcoming Pill): Treats spleen accumulation with qi stagnation, chest and diaphragmatic fullness, shortness of breath and restlessness, vomiting clear fluid, male alcohol accumulation, female spleen-blood accumulation, and pediatric food retention. (Applicable for patients with stomach cold and excess.)
Ingredients: Sparganii Rhizoma (Jingsanleng), Curcumae Rhizoma (Ezhu) - boiled together in vinegar; Citri Reticulatae Viride Pericarpium (Qingpi); Citri Reticulatae Pericarpium (Chenpi); Zingiberis Rhizoma Praeparatum (Ganjiang) - processed; Alpiniae Officinarum Rhizoma (Liangjiang) - stir-baked, each 1 liang; Cyperi Rhizoma (Xiangfuzi) - cleaned and stir-baked, 2 liang.
Usage: Grind into powder, make pills with vinegar paste, size of paulownia seeds. Take 30 pills per dose with ginger soup. For deficient cases, take with tonic medicine (this is the clever aspect of medication).
Another prescription adds Massae Fermentatae Medicinalis (Shenqu) and Malto (Maiya).
Sanleng Jian (Spargania Decoction): Treats female blood masses and blood stasis, food retention, and phlegm stagnation.
Ingredients: Sparganii Rhizoma (Sanleng), Curcumae Rhizoma (Ezhu) - each 1 liang; Citri Reticulatae Viride Pericarpium (Qingpi) - white pith removed; Pinelliae Rhizoma (Banxia) - soaked in boiling water seven times; Malto (Maiya) - stir-baked, each 2 liang.
Usage: Use six sheng of good vinegar, boil until dry, grind into powder, make pills with vinegar paste, size of paulownia seeds. Take 50 pills per dose with light vinegar soup. (The efficacy lies in moving qi and blood, resolving phlegm and food, with the clever use of abundant vinegar. For phlegm accumulation, take with ginger soup.)
Xiang Leng Wan (Fragrant Spargania Pill): Treats all types of accumulation, breaks phlegm masses, and resolves nodules.
Ingredients: Aquilariae Lignum Resinatum (Muxiang), Syringae Flos (Dingxiang) - each half liang; Aurantii Fructus (Zhike) - flour-fried; Sparganii Rhizoma (Sanleng) - soaked in wine overnight; Curcumae Rhizoma (Ezhu) - finely chopped, stir-fried with thirty shell-less Semen Crotonis (Badou) per one liang of Ezhu; when Badou turns yellow, remove Badou and do not use; Citri Reticulatae Viride Pericarpium (Qingpi) - processed; Toosendan Fructus (Chuanlianzi Rou); Fragrant herb (Xiang) - stir-baked, all in equal parts. Note: The text says "Xiang", likely referring to Chenxiang (Aquilariae Lignum Resinatum) given the context of Xiang Leng Wan.
Usage: Grind into powder, boil with vinegar (this is a warming and moving method, potent but not harsh, moderate in action, cleverly using vinegar). Make pills with flour paste, size of paulownia seeds, coated with Cinnabar (Zhusha). Take 30 pills per dose with ginger-salt soup or warm wine, at any time.
Da Xiaoshi Wan (Great Niter Pill): Treats the seven types of jia and eight types of lei, clustered痞 masses, and female leukorrhea with sterility, or abdominal masses. These should be purged first. This drug removes masses without causing exhaustion. (Most formulas for removing masses use hot herbs to move qi and break hardness, but this formula contains tonification within resolution, truly a precious prescription. Users may try it.)
Ingredients: Natrii Nitras (Xiaoshi) - 3 liang; Rheii Radix et Rhizoma (Dahuang) - 4 liang; Ginseng Radix et Rhizoma (Renshen); Glycyrrhizae Radix et Rhizoma (Gancao) - each 1 liang.
Usage: Grind into powder. Place three sheng of three-year-old vinegar (Ku Jiu) in a copper or earthenware vessel. First, decoct Dahuang over low heat until slightly boiling, stirring constantly, until reduced to seven-tenths. Add remaining herbs and continue decocting into a paste. When ready to form pills, make them size of paulownia seeds. Take 30 pills per dose with rice drink, once every three days. After women take this, they may discharge substances resembling chicken liver, rice wash water, or dark red/black matter, totaling two to three sheng. Afterwards, avoid wind and cold.
awei Gao (Asafoetida Plaster): Treats all types of痞 masses.
Ingredients: Notopterygii Rhizoma et Radix (Qianghuo); Angelicae Pubescentis Radix (Duohuo); Scrophulariae Radix (Yuanshen); Cinnamomi Cortex (Guangui); Paeoniae Radix Rubra (Chishaoyao); Manis Squama (Chuanshanjia); Rehmanniae Radix Recens (Shengdihuang); Rheii Radix et Rhizoma (Dahuang); Angelicae Dahuricae Radix (Baizhi); Gastrodiae Rhizoma (Tianma); Bupleuri Radix (Liangtoujian) - each 5 qian; Carthami Flos (Honghua) - 4 qian; Strychni Semen (Mubiezi) - ten grains, shells removed; Ramulus Tamaricis (Huaizhi), Ramulus Salicis (Liuzhi), Ramulus Persicae (Taozhi) - each 3 qian; Hominis Capillis Usticus (Luancha) - a ball the size of a chicken egg.
Usage: Use two jin four liang of sesame oil. Fry until black, strain, add hair, fry until hair dissolves, strain again. Slowly add Litharge (Huangdan) and fry until consistency is appropriate. Add Natrii Sulfas (Mangxiao), Asafoetida (Awei), Suhe Xiang Oil, Boswelliae Resina (Ruxiang), and Myrrha Resina (Moyao) - each 5 qian; Moschus (Shexiang) - 3 qian. Mix well to form plaster. Apply to the affected area, spread about half a finger thick, cover with paper, and apply heat with a hot iron for a long time. If Mangxiao depletes, re-apply heat. After about two hours (si), apply the plaster.