大全云∶妇人 痞，由饮食失节，脾胃亏损，邪正相搏，积于腹中，牢固不动，有可征
验，故名曰 ，气道壅塞，故名曰痞。得冷则发，冷入子脏则不孕，入胞络则月水不通。
薛氏曰∶前证若脾胃虚弱，用六君子加芎归；若肝脾虚弱，用补中益气及归脾汤（薛氏
之说，可为病久虚羸者法）；若肝火郁滞，佐以芦荟丸、六味丸，外贴阿魏膏。患者须慎七情
六淫，饮食起居，治者不时审察病机而药之，庶几有效。
大全云∶妇人食 ，脏腑虚弱，月候来时，食生冷之物，脾胃既虚，不能消化，与脏气相
搏，结聚成块，日渐生长，盘牢不移，故谓之食 也。
薛氏曰∶前证若形气弱，须先调补脾胃为主，而佐以消导，若形气充实，当先疏导为主，
而佐以补脾胃，若气壅血滞而不行者，宜乌药散，散而行之。（散用乌药、莪术醋浸炒，桂心、当归、桃
仁、青皮、木香各等分为末，每服二钱，热酒调下。）
脾气虚而血不行者，宜用四君、芎、归，补而行之；若脾气郁血不行者，宜用归脾汤，解
而行之；若肝脾血燥而不行者，宜用加味逍遥散，清而行之。大抵食积痞块之证为有形，盖
邪气胜则实，真气夺则虚，当养正辟邪，而积自除矣。虽然，坚者削之，客者除之，胃气未
虚，或可宜用，若病久虚弱者，不可轻试也。
《女科百问》中说：妇人癥瘕（腹内结块，固定不移，推之不动），是由于饮食不节制，导致脾胃受损，邪气与正气相互搏结，积聚在腹部，牢固不动，且有明显的征象可以验证，所以称为“癥”；气机通道壅塞不通，所以称为“痞”。遇到寒冷就会发作，如果寒气侵入子宫则会导致不孕，侵入胞络则会导致月经不通。
薛己说：上述病症如果是脾胃虚弱引起的，使用六君子汤加川芎、当归；如果是肝脾虚弱引起的，使用补中益气汤及归脾汤（薛氏的说法，可以作为久病体虚消瘦者的治疗法则）；如果是肝火郁滞引起的，配合使用芦荟丸、六味地黄丸，外用阿魏膏贴敷。患者必须谨慎对待七情（喜、怒、忧、思、悲、恐、惊）和六淫（风、寒、暑、湿、燥、火），注意饮食起居，医者也要不时审察病机并用药治疗，这样才可能有效。
《女科百问》又说：妇人食积（因饮食停滞而形成的积块），是因为脏腑虚弱，在月经来潮时食用生冷食物，脾胃已经虚弱，无法消化，与脏气相互搏结，凝聚成块，日渐生长，盘踞牢固不移，所以称为“食积”。
薛己说：上述病症如果形体气息虚弱，必须先以调补脾胃为主，辅以消食导滞；如果形体气息充实，应当先以疏导为主，辅以补益脾胃；如果气机壅滞、血液瘀阻而不流通的，适宜用乌药散，疏散并推动气血运行。（乌药散的组成是：乌药、莪术用醋浸炒，桂心、当归、桃仁、青皮、木香各等分研为末，每次服用二钱，用热酒调服。）
脾气虚弱导致血液不行的，适宜用四君子汤加川芎、当归，补益并推动气血运行；如果脾气郁结导致血液不行的，适宜用归脾汤，解郁并推动气血运行；如果肝脾血燥导致血液不行的，适宜用加味逍遥散，清热并推动气血运行。大抵食积痞块这类病症属于有形之邪，大概是因为邪气盛则表现为实证，真气耗夺则表现为虚证，应当养护正气、驱除邪气，积块自然就会消除。虽然如此，坚硬的东西要削伐它，外来的邪气要清除它，如果胃气没有虚弱，或许可以使用这些攻伐之法，但如果病程长久且身体虚弱的，不可轻易尝试。
*Daquan* (Comprehensive Questions on Gynecology) states: A woman's *zheng* (masses, characterized by fixed abdominal lumps that do not move when pushed) arises from irregular diet and damage to the Spleen and Stomach. When pathogenic factors and healthy Qi contend, accumulation occurs in the abdomen, remaining firm and immobile, with distinct signs for verification; hence it is called "*zheng*". Because the flow of Qi is obstructed, it is also called "*pi*" (fullness/stagnation). It manifests upon exposure to cold; if cold enters the *Zi Zang* (uterus), it causes infertility; if it enters the *Bao Luo* (perimetrium/uterine vessels), it leads to amenorrhea.
Xue Ji stated: If the aforementioned condition is due to Spleen-Stomach deficiency, use *Liujunzi Tang* (Six Gentlemen Decoction) plus *Chuanxiong Rhizoma* (Chuanxiong) and *Danggui Radix* (Danggui). If it is due to Liver-Spleen deficiency, use *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) and *Guipi Tang* (Restore the Spleen Decoction) [Xue's approach serves as a model for patients with chronic illness and emaciation]. If it is due to stagnant Liver Fire, assist with *Lushui Wan* (Aloe Pill) and *Liuwei Dihuang Wan* (Six-Ingredient Pill with Rehmannia), and apply *awei Gao* (Styrax Plaster) externally. Patients must be cautious regarding the Seven Emotions (Joy, Anger, Worry, Thought, Sadness, Fear, Fright) and Six Exogenous Pathogens (Wind, Cold, Summerheat, Dampness, Dryness, Fire), as well as their diet and daily routine. Physicians must frequently examine the disease mechanism and prescribe medication accordingly, so that effectiveness may be achieved.
*Daquan* further states: A woman's *shi ji* (food stagnation masses) results from weak Zang-Fu organs. When menstruation arrives, consumption of raw or cold foods exacerbates the existing Spleen-Stomach weakness, preventing digestion. This conflicts with the organ Qi, condensing into a mass that grows day by day, becoming firmly entrenched and immobile; thus it is termed "*shi ji*".
Xue Ji stated: For the aforementioned condition, if the patient's constitution and Qi are weak, one must first focus on regulating and tonifying the Spleen and Stomach, assisting with digestive-promoting herbs. If the constitution and Qi are robust, one should first focus on unblocking and draining, assisting with Spleen-Stomach tonification. If there is Qi stagnation and Blood stasis causing obstruction, *Wuyao San* (Lindera Powder) is suitable to disperse and promote circulation. (The composition of *Wuyao San*: *Linderae Radix* (Wuyao) and *Curcumae Rhizoma* (Ezhu) soaked in vinegar and stir-fried, *Cinnamomi Cortex* (Guixin), *Angelicae Sinensis Radix* (Danggui), *Persicae Semen* (Taoren), *Citri Reticulatae Pericarpium* (Qingpi), and *Aucklandiae Radix* (Muxiang) in equal parts, ground into powder. Take 2 qian per dose, mixed with hot wine.)
If Spleen Qi deficiency causes Blood non-circulation, use *Sijunzi Tang* (Four Gentlemen Decoction) plus *Chuanxiong* and *Danggui* to tonify and promote circulation. If Spleen Qi depression causes Blood non-circulation, use *Guipi Tang* to resolve depression and promote circulation. If Liver-Spleen Blood dryness causes Blood non-circulation, use *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder) to clear heat and promote circulation. Generally, food stagnation and *pi* masses are tangible pathogens. Essentially, excess of pathogenic factors indicates an Excess pattern, while depletion of True Qi indicates a Deficiency pattern. One should nourish the righteous Qi and repel the pathogenic factors, after which the accumulation will naturally dissipate. Nevertheless, hard masses should be削 (scraped/reduced), and external pathogens should be eliminated. These methods may be used if the Stomach Qi is not yet deficient. However, for patients with long-standing illness and weakness, they should not be lightly attempted.