（一名开郁消积膏通治风寒暑湿气血痰食六郁五积诸症凡中州脾胃之病及四
感内伤表里不分寒热相杂非一逼所能治者并宜之又夏时多暑温湿温之症偏于暑者阳邪多宜行
水膏偏于湿者阴邪多宜此膏或两膏并用亦可虚人参用健脾膏○此膏升降阴阳流通气血当行则
行当止则止治寒症可加温药治热症可加凉药变化实无穷尽○此膏开胸隔进饮食化痰消痞攻而
不伤本原治肝气胁肋痛一切腹痛妇人痛经小儿虫痛俱效疟疾痢疾亦妙）
治外感风寒暑湿头疼
提出与观音膏贴心口治闷痘一理○加药之法如伤风寒者可用苍术川芎白芷羌活防风紫苏香附
菖蒲细辛生姜葱白之类或煎抹胸背或炒熨胸背伤暑湿者可用苍术浓朴陈皮黄连干葛香薷泽泻
猪苓车前子葱白生姜之类湿温即用苍术白虎汤如上法或煎抹或炒熨若兼食滞者用行气香苏饮
苍术羌活川芎香附紫苏陈皮甘草煎抹炒熨或合下内伤方用）内伤饮食。（内伤有劳倦伤饮食
伤）胸膈饱闷。（伤食者多飧饮食不能运化停于胸腹饱闷恶食不食嗳气作酸下泄臭屁或腹痛吐
泻重则发热头痛手按心口刺痛此有余症宜消导去之○膏贴胸口痛处并脐上用莱菔子枳实麸皮
食盐炒熨或用苍术香附浓朴半夏陈皮枳壳山楂麦芽神曲莱菔子紫苏生姜食盐炒熨重加山棱莪
术大黄槟榔又伤冷者加木香砂仁丁香草果甚加附子巴仁伤热者加黄芩花粉青黛黄连甚加甘遂
芒硝又消食消水消酒消气消痞消胀消积消痛有香灵丸用香附灵脂生熟各一两黑丑白丑生熟各
五钱加醋炒熨此药行而不泄响而不动其功甚捷如加川芎灵仙枳壳青皮乌药延胡木香炮甲之类
亦妙○若脾虚不思饮食食不化食后倒饱者用健脾膏贴胸口脐上再加党参白术甘草半夏陈
皮香附木香砂仁益智仁浓朴神曲干姜大枣之类炒熨若内伤发热胃痛不食亦贴健脾膏用补中益
气寒加草蔻热加栀子炒熨此膏皆勿用）痰嗽。（咳属肺嗽属脾痰嗽是脾湿生痰膏贴胸口用苍术
枳壳陈皮半夏白术干姜皂角炒熨化痰燥湿○凡治痰之药风用川乌草乌白附子半夏南星全蝎僵
蚕寒用干姜良姜青皮陈皮半夏草果丁香湿用苍术半夏浓朴陈皮南星皂角明矾热用黄芩黄连知
母贝母石膏花粉青黛蛤粉开用连翘香附枳实桔梗散用薄荷紫苏枳壳橘红降用杏仁苏子前胡莱
菔子葶苈子糁用木通泽泻猪苓滑石食积用神曲麦芽山楂槟榔酒积用黄连干葛又老痰热用甘遂
礞石瓦楞子朴硝寒用附子良姜巴仁黑丑痰饮用川乌青皮陈皮半夏南星浓朴草果干姜白
芥子甘遂大戟皂角明矾痰饮流注用导痰汤加木香姜黄或控涎丹加木鳖官桂痰块寒用草乌南星
干姜热用大黄五倍牡蛎芒硝痰迷心窍用胆星郁金朱砂明矾痰在胁下用青皮白芥子痰在肠胃用
大黄枳实竹沥达痰九痰在骨节四肢用姜汁竹沥劫痰用轻粉镇痰用黑锡丹痰积变生怪病用滚痰
丸加百药煎古云十病九痰以上诸药看症或糁或煎抹或炒熨○若肺咳用清肺膏胃咳用清胃膏肾
咳用滋阴膏此膏勿用）痰喘痰哮。（呼吸急促为喘喉中有声为哮○哮喘气壮胸满者为实症○膏
贴胸背文中有凤仙擦背方甚妙可仿其法用药○风寒喘宜麻黄
桂枝紫苏橘红杏仁半夏细辛干姜火喘宜黄芩
桑枝栝蒌花粉枳壳桔梗石膏青黛
蛤粉元明粉水喘宜芫花黄芩半夏陈皮黑丑葶苈大枣痰喘上气宜导痰降气用苏子杏仁半夏南星
陈皮青皮枳实前胡乌药沉香莱菔子生姜大枣有当下者用大黄白丑槟榔之类或煎抹或炒熨又痰
喘上气者兼用白芥子生南星糁膏贴足心○阴虚火炎喘者宜用清肺膏贴心口背心滋阴膏贴脐下
虚寒喘者宜用温肺膏贴心口背心健脾膏贴当脐扶阳膏贴脐下肾虚不纳气者宜用扶阳膏糁故纸
茴香贴脐下阴火逆冲真阳暴脱气喘痰鸣者宜用扶阳膏糁黑锡丹贴脐下老人喘急及短气者宜用
大补膏贴心口脐下此膏此药皆不可用○哮多寒包热宜带表散文中有麻黄白果方可炒熨又吼气
大者膏内糁雄黄明矾生半夏巴霜等分末贴）痰饮。（饮属阴邪宜用温药○膏贴心口加药见上或
用半夏陈皮苍术白术浓朴干姜合甘遂大戟白芥子等炒熨虚人用六君贴健脾膏）嘈杂噫气吞酸
吐酸。（嘈杂痰因火动似饥非饥食郁有热也噫气转出食气亦郁火与湿痰也吞酸者水刺心也吐
酸者吐出酸水也湿热郁遏不得传化也用平肝顺气保中方苍术白术香附陈皮川芎神曲半夏青皮
砂仁麦芽枳实山楂黄连白芍连翘栀子吴萸黄芩干姜木香莱菔子生姜竹茹之类凡肝胃不和气食
痰热并治如贴膏心口以此煎抹炒熨甚效或用苍术陈皮半夏黄连黄芩吴萸神曲亦可若五更心嘈
属血虚宜四物滋阴养血贴滋阴膏不因饮食而常噫属气虚宜六君子加沉香健脾调气贴健脾膏此
膏
不可用）恶心干呕（欲吐不得吐亦胃中有痰有热也○膏贴心口或用芦根煎汤抹胃脘糁黄连末贴
或用生姜竹茹黄芩半夏胆星陈皮栀子煎抹后贴）噎膈反胃。（症详文中○五噎气食劳嗳思也五
膈忧恚气食寒也○郁积饮食不进者用生姜汁韭菜汁牛乳抹胸口膏内糁真郁金末凤仙子末贴再
用陈米同黄土合上平肝顺气保中方药料炒熨可以开关或用古方选注治五膈方杏仁去皮尖香豉
熬曲
干姜吴萸蜀椒炒去汗各等分研末以蜜和丸擦胸日数次或用毛养生膈气方蜣螂一个贝母三钱青
黛元明粉各二钱木香沉香朱砂各一钱牛黄五分为末以万年青捣汁加陈酒和团擦此症难治古方
亦无必效者二方一温一凉可以应急然必多擦为是冀其或效○又血枯便秘者宜养血润燥用麦冬
生地当归白芍川芎甘草等加桃仁麻仁韭汁煎抹以清胃膏贴胸滋阴膏贴脐下参用文中栝蒌导法
蜜导法猪胆汁和醋灌下部此膏勿用○胃中虚冷者宜用温胃膏糁丁香砂仁益智仁胡椒官桂末贴
胃口再用平胃散合理中药料炒熨反胃暮食朝吐朝食暮吐酸臭不化者乃下焦无火用温胃膏贴胸
口扶阳膏糁附子干姜末贴脐上并后命门穴再用八味丸药料炒熨参用文中嗅附子方此膏亦不可
用）翻胃。（食入即翻而出乃痰热阻隔与反胃朝暮有定候者不同○膏贴心口用姜汁竹沥先抹之
或用干呕方煎抹）呕吐。（有寒有热症详文中与反胃霍乱不同膏贴心口寒宜丁香砂仁藿香陈皮
半夏干姜糁贴热宜黄连葛根白芍黄芩栀子竹茹加梅煎抹○有心痛不食呕苦水蓝水或酸水者肝
郁也膏贴心口用加味逍遥散炒熨参用清肝膏又有时常呕吐清水者脾热也用白芍甘草煎汤抹后
再用黄连糁膏贴参用清胃膏○若久病胃虚闻食即吐者宜温胃膏加党参白术黄 甘草半夏陈皮
丁香蔻仁炒熨此膏不可用）霍乱。（症详文中○上吐下泻腹痛者）名湿霍乱湿上为风木所克阴
阳不得升降而然渴为热不渴为寒然病由吐泻而出症虽重可不死不
得吐泻者为干霍乱乃寒湿太甚脾被绊而不能动故卒痛而手足厥冷俗名绞肠痧中宫痞塞病无由
出则胀闷而死矣此症皆忌服姜汤热汤热酒下喉即死○治湿霍乱先用生姜擦胸口膏内糁陈佛手
干明矾末贴胸口并脐上或用藿香陈皮苍术浓朴半夏大腹皮煎抹后贴热加黄连寒加姜炭腹痛加
木香丁香砂仁便秘加枳壳小便黄赤加木通俱可暑月发热烦渴者用黄连香薷浓朴猪苓泽泻益元
散煎抹分消上下或用黄金丹或用急救定中丸二方皆用黄连干姜陈皮木香砂仁香附荆穗槟榔麦
芽车前子之类可以炒熨古治霍乱云用食盐炒熨胸背即十分无事此法极妙宜推用冬月寒重者或
夏月受凉食冷伤重者用盐同吴萸炒熨胸背并脐下或理中汤白术干姜或大顺散干姜官桂杏仁甘
草合五积散苍术白芷浓朴吴萸陈皮半夏桔梗枳壳等药炒熨并缚脐上吐泻太多冷汗自出者用温
胃膏贴胸口再用附子理中加灶心土炒熨腹又医书一粒珠治呕吐泄泻有雄黄五 各一两枯矾五
钱葱头五个肉桂一钱麝香一分捣饼贴脐用热物熨者乃止法也○治干霍乱须温通亦先用生姜擦
胸以菖蒲白蔻丁香糁膏贴心口并脐上寒凝腹痛甚者用川乌郁金细辛白芷木香绛香乌药官桂吴
萸白芥子等炒熨关窍闭者用塘栖痧药或卧龙丹或皂角细辛末嗅鼻取嚏用文中日月丹或人马平
安
散点眼苏合丸擦胸背无苏合丸用瓷调羹蘸香油刮之五脏之系咸在于背刮之则邪气随降不得吐
者以手探喉令吐或多取嚏亦妙不得泻者用浓朴汤法以浓朴枳实槟榔大黄炒熨之转筋者紫苏木
瓜吴萸茴香延胡白盐醋炒熨蚕砂亦好文中有煮醋抹腹大蒜涂足等方可参用转筋入腹不忍者
以
极盐盐卤煎汤抹之并刺委中穴转筋欲死盐填脐中大炷艾炙之如冷汗脉微者用加味理中干姜白
术附子吴萸官桂当归浓朴陈皮炒熨参用温胃膏散阴膏扶阳膏温中回阳为急○中恶之症即乌痧
胀感受暑秽所致面色黑紫胀急疼痛大便不通饮热汤即死以利肺大肠之气为主膏糁枳壳贴脐再
用皂角细辛或痧药取嚏加以挑刮之法并用生姜捣汁男左女右点眼角取汗发团蘸烧酒顺擦背脊
使之下降一方用食盐擦胸背手足心见斑点则松一切痧胀中暑霍乱并治文中亦有中恶方凡斑痧
忌紫苏陈皮半夏甘草不可不知○麻脚痧即吊脚痧吐泻厥逆转筋冷汗脉微顷刻人瘦目陷危症也
治法与霍乱不同盖霍乱属阳麻脚痧属阴霍乱以吐泻为通麻脚痧以吐泻为闭宜用生姜汁擦胸背
手足再以阴痧膏贴心口背心扶阳膏糁附子炮姜肉桂丁香麝香末贴脐上再用散阴膏糁制过硫黄
末同枯矾等分末贴对脐命门穴另用散阴膏二张不加药贴两膝盖两足心更用醋调南星末涂足心
或用胡椒官桂涂手足以泻止厥回去膏如躁热烦渴用萸连乌梅煎水稍稍抹胸口然须细心斟酌可
用方用此症暂用热药急救愈后即当救阴霍乱之症切勿误作麻脚痧治过用大热之药致变轻为重
。积聚 瘕 癖痞气。（症详文中皆气血痰食为病其实一也古皆以治痞法治之○此与伤寒之痞
气不同然可以伤寒 痞之法推用○如痛甚推不动热物熨之痛稍缓为血痛不甚推易动热物熨无
所觉为痰始如弹丸以渐而大时升时降时隐时现者气块也或左或右或上或下漉漉有声者痰饮也
先用生姜擦患处膏内糁药末贴○糁药用大蒜头三两生姜葱白各二两同捣烂加白芥子花椒凤仙
子红蓼花子无子用花同大黄芒硝雄黄轻粉明矾陈锻石各二钱研末和匀阴干临用以少许糁膏上
贴并可以少许加飞面醋调敷膏外再用酒蒸商陆或酒蒸三棱或醋炒吴萸或醋炒延胡熨之或竟用
温白丸川乌炮二两半吴萸桔梗柴胡菖蒲紫菀黄连炮姜肉桂花椒巴豆泽泻皂角浓朴各一两为粗
末炒熨或用温白丸合木香枳壳丸大黄黑丑各二两白术半夏南星木香青皮陈皮枳壳枳实三棱蓬
术麦芽神曲槟榔干姜良姜各一两为粗末炒熨并缚每用约取七八钱虚人加党参或加八珍或加补
中益气药料同用皆法也）黄胆（疸有五症详文中须分阴阳治○阳黄色明属湿热膏糁白术黄芩茵
陈末贴心口脐上参用行水膏贴脐旁天枢穴再加苍术浓朴广陈皮茵陈黄连黄芩栀子龙胆草葶苈
车前子泽泻木通寒水石滑石之类煎抹炒熨甚者加大黄芒硝下之○阴黄色黯属寒湿膏糁附子干
姜茵陈末贴心口脐上参用散阴膏贴后对脐命门穴再用苍术浓朴陈皮茵陈川芎川乌干姜吴萸青
皮姜黄官桂丁香川椒车前子泽泻之类煎抹炒熨甚者加附子○酒疸谷疸属阳女痨疸属阴治同○
瘟黄用实鉴瘴疸丸茵陈栀子大黄芒硝各一两杏仁六钱常山鳖甲巴霜各四钱豆豉二两此方具汗
吐下三法治诸急症可用此煎抹炒熨不独温黄也○文中有苦瓜蒂末嗅鼻法南星罨脐法药筒熏脐
法又有生姜茵陈点眼抹身法亦有东引桃枝煎浴法皆可参）浮肿。（湿胜则濡泄甚则水闭 肿大
约先头足肿后腹大者肿先腹大者胀○水有十亦宜分阴阴治○阳水先肿上体身热便闭膏贴心口
脐上参用行水膏贴脐两旁加五皮饮及八正散疏鉴饮子三花神 丸之类或煎抹或炒熨并缚脐○
阴水先肿下体身冷便利膏贴心口脐上参用散阴膏贴后对脐处再加木香顺气汤及肾气丸实脾散
复元丹药料或煎抹或炒熨并缚脐○轻者膏贴心口脐上只用平胃五苓散药料煎抹炒熨参用健
脾
膏可也○腰以上肿者宜汗用麻黄苍术甘草豆豉生姜煎抹胸背腰以下肿者宜利用木通车前子椒
目黑丑葱白煎抹胸腹肺气喘促者用杏仁贝母防己桑白皮葶苈陈皮桔梗木通枳壳苏子腹皮生姜
大枣花椒之类又臂肿者膏兼贴臂大肉上腿肿者兼贴腿肚脚肿者兼贴脚背但必以一张贴心脐否
则恐四肢消而归入腹也○文中治水肿有消河饼涂脐膏走小便丹房奇术走大便皆可酌用）胀满
。（胀有七寒热谷水气血蛊也症详文中东垣云大抵寒胀多而热胀少○又有五脏胀六腑胀之别
观
病起处与病甚处知为何部如咳喘者肺胁痛者肝是也又属脾胃者饮食少他脏则饮食如常又在皮
肤
经络者饮食亦如常在肠胃肓膜者饮食少甚则五脏壅塞则气促而不食病乃危矣○凡腹胀初得是
气宜行气久则成水宜行水○膏皆贴心口脐上酌用专药以浓朴为君寒用吴萸半夏干姜附子官桂
黑丑之属热用黄连白芍栀子知母枳实大黄之属谷用麦芽神曲三棱莪术槟榔之属水用苍术防己
葶苈甘遂泽泻之属气用木香乌药枳壳姜黄青皮腹皮莱菔子之属血用川芎当归延胡灵脂红花桃
仁韭莱之属或糁膏贴或煎抹或炒熨古云下之则胀已此亦下法然膏药与内服有瘥不致取快一时
（此膏又名开郁消积膏，通用治疗因风寒暑湿及气血痰食六郁、五积引起的各种病症。凡是中焦脾胃的疾病，以及外感内伤混杂、表里不分、寒热错杂，非单一疗法所能治愈的情况，都适宜使用。此外，夏季多发的暑温、湿温病症，偏于暑邪（阳邪）较多的，适宜使用行水膏；偏于湿邪（阴邪）较多的，适宜使用本膏；或者两膏配合使用也可以。体虚者可参考使用健脾膏。○此膏能升降阴阳、流通气血，该发散时则发散，该收敛时则收敛。治疗寒症可加入温性药物，治疗热症可加入凉性药物，变化无穷。○此膏能开通胸膈、增进食欲、化痰消痞，攻邪而不损伤正气本源。治疗肝气郁结引起的胁肋痛、各种腹痛、妇女痛经、小儿虫痛均有效，对疟疾、痢疾也有奇妙疗效。）
治疗外感风寒暑湿引起的头痛。
（此法与观音膏贴于心口治疗闷痘的原理相同。○加药的方法：如果是伤风寒者，可用苍术、川芎、白芷、羌活、防风、紫苏、香附、石菖蒲、细辛、生姜、葱白等药物，或者煎汤涂抹胸背，或者炒热熨烫胸背。如果是伤暑湿者，可用苍术、厚朴、陈皮、黄连、葛根、香薷、泽泻、猪苓、车前子、葱白、生姜等药物。如果是湿温，即使用苍术合白虎汤，按上述方法操作，或煎抹或炒熨。如果兼有食滞，用行气香苏饮，包含苍术、羌活、川芎、香附、紫苏、陈皮、甘草，煎抹炒熨，或者结合下面的内伤方使用。）内伤饮食。（内伤包括劳倦伤和饮食伤。）胸膈饱闷。（伤食者多为饮食不能运化，停滞在胸腹，导致饱闷、厌恶食物、不想进食、嗳气泛酸、下泄臭屁，或者腹痛吐泻。重则发热头痛，手按心口刺痛，这是有余之症，适宜消导去除。○膏药贴在胸口痛处及肚脐上，用莱菔子、枳实、麸皮、食盐炒热熨烫；或者用苍术、香附、厚朴、半夏、陈皮、枳壳、山楂、麦芽、神曲、莱菔子、紫苏、生姜、食盐炒热熨烫。重症加三棱、莪术、大黄、槟榔。又如果是伤冷者，加木香、砂仁、丁香、草果，极重者加附子、巴豆仁。如果是伤热者，加黄芩、天花粉、青黛、黄连，极重者加甘遂、芒硝。又有消食、消水、消酒、消气、消痞、消胀、消积、消痛的功效，可用香灵丸，由香附、五灵脂生熟各一两，黑丑、白丑生熟各五钱组成，加醋炒熨。此药行气而不泄气，响亮而不动荡，功效甚快。如果加川芎、威灵仙、枳壳、青皮、乌药、延胡索、木香、炮穿山甲等，也很好。○如果是脾虚不想饮食、食不消化、食后倒饱的，用健脾膏贴在胸口和脐上，再加党参、白术、甘草、半夏、陈皮、香附、木香、砂仁、益智仁、厚朴、神曲、干姜、大枣等药物炒熨。如果是内伤发热、胃痛、不食，也贴健脾膏，用补中益气汤，寒加草蔻，热加栀子，炒熨。这些膏药都不适用。）痰嗽。（咳属于肺，嗽属于脾，痰嗽是脾湿生痰所致。膏药贴在胸口，用苍术、枳壳、陈皮、半夏、白术、干姜、皂角炒熨，以化痰燥湿。○凡治痰的药物：风痰用川乌、草乌、白附子、半夏、南星、全蝎、僵蚕；寒痰用干姜、良姜、青皮、陈皮、半夏、草果、丁香；湿痰用苍术、半夏、厚朴、陈皮、南星、皂角、明矾；热痰用黄芩、黄连、知母、贝母、石膏、天花粉、青黛、蛤粉；开郁用连翘、香附、枳实、桔梗；散邪用薄荷、紫苏、枳壳、橘红；降气用杏仁、苏子、前胡、莱菔子、葶苈子；渗利用木通、泽泻、猪苓、滑石；食积用神曲、麦芽、山楂、槟榔；酒积用黄连、葛根。又有老痰热用甘遂、礞石、瓦楞子、朴硝；寒痰用附子、良姜、巴豆仁、黑丑。痰饮用川乌、青皮、陈皮、半夏、南星、厚朴、草果、干姜、白芥子、甘遂、大戟、皂角、明矾。痰饮流注用导痰汤加木香、姜黄，或者控涎丹加木鳖子、官桂。痰块寒用草乌、南星、干姜；热用大黄、五倍子、牡蛎、芒硝。痰迷心窍用胆南星、郁金、朱砂、明矾。痰在胁下用青皮、白芥子。痰在肠胃用大黄、枳实、竹沥。达痰九用轻粉镇痰，用黑锡丹镇痰。痰积变生怪病用滚痰丸加百药煎。古语说“十病九痰”，以上诸药看症状，或者糁药，或者煎抹，或者炒熨。○如果是肺咳用清肺膏，胃咳用清胃膏，肾咳用滋阴膏，此膏不适用。）痰喘痰哮。（呼吸急促称为喘，喉中有声音称为哮。○哮喘气壮胸满的是实证。○膏药贴在胸背，文中有关于凤仙花擦背的方法很妙，可以仿照其法用药。○风寒喘适宜麻黄、桂枝、紫苏、橘红、杏仁、半夏、细辛、干姜；火喘适宜黄芩、桑枝、栝蒌、天花粉、枳壳、桔梗、石膏、青黛、蛤粉、元明粉；水喘适宜芫花、黄芩、半夏、陈皮、黑丑、葶苈子、大枣；痰喘上气适宜导痰降气，用苏子、杏仁、半夏、南星、陈皮、青皮、枳实、前胡、乌药、沉香、莱菔子、生姜、大枣。有当下者用大黄、白丑、槟榔等，或者煎抹或者炒熨。又有痰喘上气者，兼用白芥子、生南星糁膏贴足心。○阴虚火炎喘者适宜用清肺膏贴心口背心，滋阴膏贴脐下。虚寒喘者适宜用温肺膏贴心口背心，健脾膏贴当脐，扶阳膏贴脐下。肾虚不纳气者适宜用扶阳膏糁故纸、茴香贴脐下。阴火逆冲、真阳暴脱、气喘痰鸣者适宜用扶阳膏糁黑锡丹贴脐下。老人喘急及短气者适宜用大补膏贴心口、脐下。这些膏药和药物都不可用。○哮多属寒包热，适宜带表散，文中有麻黄、白果方可炒熨。又吼气大者，膏内糁雄黄、明矾、生半夏、巴霜等分末贴。）痰饮。（饮属于阴邪，适宜用温药。○膏贴心口，加药见上文，或者用半夏、陈皮、苍术、白术、厚朴、干姜合甘遂、大戟、白芥子等炒熨。体虚人用六君子汤贴健脾膏。）嘈杂噫气吞酸吐酸。（嘈杂是因为痰因火动，似饥非饥，食郁有热。噫气是转出食气，也是郁火与湿痰。吞酸是水刺心，吐酸是吐出酸水。湿热郁遏不得传化，用平肝顺气保中方，包含苍术、白术、香附、陈皮、川芎、神曲、半夏、青皮、砂仁、麦芽、枳实、山楂、黄连、白芍、连翘、栀子、吴茱萸、黄芩、干姜、木香、莱菔子、生姜、竹茹等。凡肝胃不和，气、食、痰、热并治，如贴膏在心口，以此煎抹炒熨，甚效。或者用苍术、陈皮、半夏、黄连、黄芩、吴茱萸、神曲也可以。如果是五更心嘈，属血虚，适宜四物汤滋阴养血，贴滋阴膏。不因饮食而常噫，属气虚，适宜六君子汤加沉香健脾调气，贴健脾膏，此膏不可用。）恶心干呕（想吐吐不出，也是胃中有痰有热。○膏贴心口，或者用芦根煎汤抹胃脘，糁黄连末贴；或者用生姜、竹茹、黄芩、半夏、胆南星、陈皮、栀子煎抹后贴。）噎膈反胃。（症状详见文中。○五噎指气、食、劳、嗳、思五种噎证；五膈指忧、恚、气、食、寒五种膈证。○郁积饮食不进者，用生姜汁、韭菜汁、牛乳抹胸口，膏内糁真郁金末、凤仙子末贴。再用陈米同黄土合上平肝顺气保中方药料炒熨，可以开关。或者用古方选注治五膈方，杏仁去皮尖、香豉熬曲、干姜、吴茱萸、蜀椒炒去汗，各等分研末，以蜜和丸擦胸，日数次。或者用毛养生膈气方，蜣螂一个、贝母三钱、青黛、元明粉各二钱、木香、沉香、朱砂各一钱、牛黄五分，为末，以万年青捣汁加陈酒和团擦。此症难治，古方也无必效者，二方一温一凉，可以应急，然而必须多擦，希望其有效。○又是血枯便秘者，适宜养血润燥，用麦冬、生地、当归、白芍、川芎、甘草等加桃仁、麻仁、韭汁煎抹，以清胃膏贴胸，滋阴膏贴脐下，参考文中栝蒌导法、蜜导法、猪胆汁和醋灌下部，此膏勿用。○胃中虚冷者，适宜用温胃膏糁丁香、砂仁、益智仁、胡椒、官桂末贴胃口，再用平胃散合理中药料炒熨。反胃暮食朝吐、朝食暮吐、酸臭不化者，乃下焦无火，用温胃膏贴胸口，扶阳膏糁附子、干姜末贴脐上并后命门穴，再用八味丸药料炒熨，参考文中嗅附子方，此膏亦不可用。）翻胃。（食入即翻而出，乃痰热阻隔，与反胃朝暮有定候者不同。○膏贴心口，用姜汁、竹沥先抹之，或者用干呕方煎抹。）呕吐。（有寒有热，症状详见文中，与反胃霍乱不同。膏贴心口，寒宜丁香、砂仁、藿香、陈皮、半夏、干姜糁贴；热宜黄连、葛根、白芍、黄芩、栀子、竹茹加梅煎抹。○有心痛不食、呕苦水蓝水或酸水者，是肝郁。膏贴心口，用加味逍遥散炒熨，参考清肝膏。又有时常呕吐清水者，是脾热，用白芍、甘草煎汤抹后，再用黄连糁膏贴，参考清胃膏。○若久病胃虚闻食即吐者，适宜温胃膏加党参、白术、黄芪、甘草、半夏、陈皮、丁香、蔻仁炒熨，此膏不可用。）霍乱。（症状详见文中。○上吐下泻腹痛者，名湿霍乱。湿上为风木所克，阴阳不得升降而然。渴为热，不渴为寒。然病由吐泻而出，症虽重可不死。不得吐泻者为干霍乱，乃寒湿太甚，脾被绊而不能动，故卒痛而手足厥冷，俗名绞肠痧。中宫痞塞，病无由出，则胀闷而死矣。此症皆忌服姜汤、热汤、热酒，下喉即死。○治湿霍乱先用生姜擦胸口，膏内糁陈佛手、干明矾末贴胸口并脐上，或者用藿香、陈皮、苍术、厚朴、半夏、大腹皮煎抹后贴。热加黄连，寒加姜炭，腹痛加木香、丁香、砂仁，便秘加枳壳，小便黄赤加木通，俱可。暑月发热烦渴者，用黄连香薷厚朴猪苓泽泻益元散煎抹分消上下，或者用黄金丹，或者用急救定中丸，二方皆用黄连、干姜、陈皮、木香、砂仁、香附、荆穗、槟榔、麦芽、车前子之类，可以炒熨。古治霍乱云用食盐炒熨胸背即十分无事，此法极妙宜推用。冬月寒重者或夏月受凉食冷伤重者，用盐同吴茱萸炒熨胸背并脐下，或者理中汤白术干姜，或者大顺散干姜官桂杏仁甘草合五积散苍术白芷厚朴吴茱萸陈皮半夏桔梗枳壳等药炒熨并缚脐上。吐泻太多冷汗自出者，用温胃膏贴胸口，再用附子理中加灶心土炒熨腹。又医书一粒珠治呕吐泄泻，有雄黄五钱各一两、枯矾五钱、葱头五个、肉桂一钱、麝香一分，捣饼贴脐用热物熨者乃止法也。○治干霍乱须温通，亦先用生姜擦胸，以菖蒲、白蔻、丁香糁膏贴心口并脐上。寒凝腹痛甚者，用川乌、郁金、细辛、白芷、木香、绛香、乌药、官桂、吴茱萸、白芥子等炒熨。关窍闭者，用塘栖痧药或卧龙丹或皂角细辛末嗅鼻取嚏，用文中日月丹或人马平安散点眼，苏合丸擦胸背，无苏合丸用瓷调羹蘸香油刮之。五脏之系咸在于背，刮之则邪气随降。不得吐者，以手探喉令吐，或多取嚏亦妙。不得泻者，用厚朴汤法以厚朴、枳实、槟榔、大黄炒熨之。转筋者，紫苏、木瓜、吴茱萸、茴香、延胡、白盐、醋炒熨，蚕砂亦可。文中有煮醋抹腹、大蒜涂足等方可参用。转筋入腹不忍者，以极盐、盐卤煎汤抹之，并刺委中穴。转筋欲死，盐填脐中大炷艾炙之。如冷汗脉微者，用加味理中干姜、白术、附子、吴茱萸、官桂、当归、厚朴、陈皮炒熨，参考温胃膏、散阴膏、扶阳膏温中回阳为急。○中恶之症即乌痧胀，感受暑秽所致，面色黑紫胀急疼痛，大便不通，饮热汤即死，以利肺大肠之气为主。膏糁枳壳贴脐，再用皂角细辛或痧药取嚏，加以挑刮之法，并用生姜捣汁男左女右点眼角取汗，发团蘸烧酒顺擦背脊使之下降。一方用食盐擦胸背手足心见斑点则松。一切痧胀中暑霍乱并治，文中亦有中恶方。凡斑痧忌紫苏、陈皮、半夏、甘草，不可不知。○麻脚痧即吊脚痧，吐泻厥逆转筋冷汗脉微，顷刻人瘦目陷危症也。治法与霍乱不同，盖霍乱属阳，麻脚痧属阴。霍乱以吐泻为通，麻脚痧以吐泻为闭。宜用生姜汁擦胸背手足，再以阴痧膏贴心口背心，扶阳膏糁附子、炮姜、肉桂、丁香、麝香末贴脐上，再用散阴膏糁制过硫黄末同枯矾等分末贴对脐命门穴，另用散阴膏二张不加药贴两膝盖两足心，更用醋调南星末涂足心，或者用胡椒官桂涂手足以泻止厥回去。膏如躁热烦渴用萸连乌梅煎水稍稍抹胸口，然须细心斟酌可用方用此症暂用热药急救，愈后即当救阴。霍乱之症切勿误作麻脚痧治，过用大热之药致变轻为重。）积聚 瘕 癖痞气。（症状详见文中，皆气血痰食为病，其实一也。古皆以治痞法治之。○此与伤寒之痞气不同，然可以伤寒痞之法推用。○如痛甚推不动，热物熨之；痛稍缓为血痛；不甚推易动，热物熨无所觉为痰。始如弹丸以渐而大，时升时降，时隐时现者，气块也。或左或右，或上或下，漉漉有声者，痰饮也。先用生姜擦患处，膏内糁药末贴。○糁药用大蒜头三两、生姜葱白各二两同捣烂，加白芥子、花椒、凤仙子、红蓼花子（无子用花），同大黄、芒硝、雄黄、轻粉、明矾、陈锻石各二钱研末和匀，阴干临用以少许糁膏上贴，并可以少许加飞面醋调敷膏外。再用酒蒸商陆或酒蒸三棱或醋炒吴茱萸或醋炒延胡熨之。或者竟用温白丸，川乌炮二两半、吴茱萸、桔梗、柴胡、菖蒲、紫菀、黄连、炮姜、肉桂、花椒、巴豆、泽泻、皂角、厚朴各一两为粗末炒熨。或者用温白丸合木香枳壳丸、大黄、黑丑各二两、白术、半夏、南星、木香、青皮、陈皮、枳壳、枳实、三棱、蓬术、麦芽、神曲、槟榔、干姜、良姜各一两为粗末炒熨并缚。每用约取七八钱，虚人加党参或加八珍或加补中益气药料同用，皆法也。）黄胆（疸有五症，详见文中，须分阴阳治。○阳黄色明，属湿热，膏糁白术、黄芩、茵陈末贴心口脐上，参考行水膏贴脐旁天枢穴，再加苍术、厚朴、广陈皮、茵陈、黄连、黄芩、栀子、龙胆草、葶苈子、车前子、泽泻、木通、寒水石、滑石之类煎抹炒熨。甚者加大黄、芒硝下之。○阴黄色黯，属寒湿，膏糁附子、干姜、茵陈末贴心口脐上，参考散阴膏贴后对脐命门穴，再用苍术、厚朴、陈皮、茵陈、川芎、川乌、干姜、吴茱萸、青皮、姜黄、官桂、丁香、川椒、车前子、泽泻之类煎抹炒熨。甚者加附子。○酒疸谷疸属阳，女痨疸属阴，治同。○瘟黄用实鉴瘴疸丸，茵陈、栀子、大黄、芒硝各一两，杏仁六钱，常山、鳖甲、巴霜各四钱，豆豉二两。此方具汗吐下三法，治诸急症可用此煎抹炒熨，不独温黄也。○文中有苦瓜蒂末嗅鼻法、南星罨脐法、药筒熏脐法，又有生姜茵陈点眼抹身法，亦有东引桃枝煎浴法，皆可参。）浮肿。（湿胜则濡泄，甚则水闭肿大。约先头足肿后腹大者肿，先腹大者胀。○水有十，亦宜分阴阴治。○阳水先肿上体，身热便闭，膏贴心口脐上，参考行水膏贴脐两旁，加五皮饮及八正散疏鉴饮子、三花神丸之类，或煎抹或炒熨并缚脐。○阴水先肿下体，身冷便利，膏贴心口脐上，参考散阴膏贴后对脐处，再加木香顺气汤及肾气丸、实脾散、复元丹药料，或煎抹或炒熨并缚脐。○轻者膏贴心口脐上，只用平胃五苓散药料煎抹炒熨，参考健脾膏可也。○腰以上肿者宜汗，用麻黄、苍术、甘草、豆豉、生姜煎抹胸背；腰以下肿者宜利，用木通、车前子、椒目、黑丑、葱白煎抹胸腹。肺气喘促者，用杏仁、贝母、防己、桑白皮、葶苈子、陈皮、桔梗、木通、枳壳、苏子、腹皮、生姜、大枣、花椒之类。又臂肿者膏兼贴臂大肉上，腿肿者兼贴腿肚，脚肿者兼贴脚背，但必以一张贴心脐，否则恐四肢消而归入腹也。○文中治水肿有消河饼涂脐、膏走小便、丹房奇术走大便，皆可酌用。）胀满。（胀有七：寒、热、谷、水、气、血、蛊也。症状详见文中。东垣云大抵寒胀多而热胀少。○又有五脏胀六腑胀之别，观病起处与病甚处知为何部，如咳喘者肺，胁痛者肝是也。又属脾胃者饮食少，他脏则饮食如常，又在皮肤经络者饮食亦如常，在肠胃肓膜者饮食少，甚则五脏壅塞则气促而不食，病乃危矣。○凡腹胀初得是气，宜行气，久则成水，宜行水。○膏皆贴心口脐上，酌用专药以厚朴为君。寒用吴茱萸、半夏、干姜、附子、官桂、黑丑之属；热用黄连、白芍、栀子、知母、枳实、大黄之属；谷用麦芽、神曲、三棱、莪术、槟榔之属；水用苍术、防己、葶苈、甘遂、泽泻之属；气用木香、乌药、枳壳、姜黄、青皮、腹皮、莱菔子之属；血用川芎、当归、延胡、灵脂、红花、桃仁、韭莱之属。或糁膏贴或煎抹或炒熨。古云下之则胀已，此亦下法，然膏药与内服有瘥，不致取快一时。）
(This paste, also known as Kaiyu Xiaoji Paste, is generally used to treat various conditions caused by the six stagnations (wind, cold, summer-heat, dampness, qi and blood, phlegm, and food) and five accumulations. It is suitable for diseases of the middle jiao spleen and stomach, as well as cases where external contraction and internal injury are mixed, the exterior and interior are indistinguishable, and cold and heat are intermingled, which cannot be cured by a single method. Additionally, for summer-heat warm diseases and damp-warm diseases prevalent in summer, if yang pathogens (summer-heat) predominate, Xingshui Paste is suitable; if yin pathogens (dampness) predominate, this paste is suitable; or both pastes can be used together. For deficiency patterns, Jianpi Paste may be referenced. ○ This paste regulates the ascending and descending of yin and yang, promotes the circulation of qi and blood. It disperses when necessary and astringes when appropriate. When treating cold patterns, warming herbs can be added; when treating heat patterns, cooling herbs can be added, offering infinite variations. ○ This paste opens the chest and diaphragm, promotes appetite, resolves phlegm, and dissipates masses, attacking pathogenic factors without damaging the healthy qi. It is effective for hypochondriac pain due to liver qi stagnation, various abdominal pains, dysmenorrhea in women, and intestinal parasitic pain in children. It is also miraculous for malaria and dysentery.)
Treats headaches caused by external contraction of wind, cold, summer-heat, and dampness.
(The principle is the same as using Guanyin Paste applied to the heart region to treat "men dou" [a type of smallpox with obscured eruption]. ○ Method of adding herbs: For wind-cold injury, use Atractylodis Rhizoma (Cangzhu), Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Dahuricae Radix (Baizhi), Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Perillae Folium (Zisu), Cyperi Rhizoma (Xiangfu), Acori Tatarinowii Rhizoma (Changpu), Asari Radix et Rhizoma (Xixin), Zingiberis Rhizoma Recens (Shengjiang), and Allii Fistulosi Bulbus (Congbai). These can be decocted to apply to the chest and back, or stir-fried and hot-compressed on the chest and back. For summer-heat-dampness injury, use Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Houpo), Citri Reticulatae Pericarpium (Chenpi), Scutellariae Radix (Huangqin), Puerariae Radix (Gegen), Elsholtziae Herba (Xiangru), Alismatis Rhizoma (Zexie), Polypori Sclerotium (Zhuling), Plantaginis Semen (Cheqianzi), Allii Fistulosi Bulbus (Congbai), and Zingiberis Rhizoma Recens (Shengjiang). For damp-warm disease, use Atractylodis Rhizoma (Cangzhu) combined with Baihu Decoction, applying as above (decocted application or stir-fried hot compression). If accompanied by food stagnation, use Xingqi Xiangsu Yin, containing Atractylodis Rhizoma (Cangzhu), Notopterygii Rhizoma et Radix (Qianghuo), Ligustici Chuanxiong Rhizoma (Chuanxiong), Cyperi Rhizoma (Xiangfu), Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Chenpi), and Glycyrrhizae Radix et Rhizoma (Gancao), applied via decoction or stir-fried hot compression, or combined with the following internal injury formulas.) Internal Injury from Diet. (Internal injuries include those from overwork and those from diet.) Chest and epigastric fullness and oppression. (Food injury often results in inability to transform and transport food, leading to stagnation in the chest and abdomen, causing fullness, aversion to food, anorexia, belching with acid reflux, foul flatulence, or abdominal pain with vomiting and diarrhea. Severe cases involve fever, headache, and stabbing pain at the heart region upon palpation; this is an excess pattern suitable for resolution and drainage. ○ Apply paste to the painful area of the chest and the umbilicus, stir-frying Radish Seed (Laifuzi), Immature Bitter Orange (Zhishi), bran, and salt for hot compression; or stir-frying Atractylodis Rhizoma (Cangzhu), Cyperi Rhizoma (Xiangfu), Magnoliae Officinalis Cortex (Houpo), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Aurantii Fructus (Zhike), Crataegi Fructus (Shanzha), Malto (Maiya), Medicated Leaven (Shenqu), Radish Seed (Laifuzi), Perillae Folium (Zisu), Zingiberis Rhizoma Recens (Shengjiang), and salt for hot compression. For severe cases, add Bupleuri Radix (Sanleng), Curcumae Longae Rhizoma (Ezhu), Rheum Palmatum Radix et Rhizoma (Dahuang), and Arecae Semen (Binglang). For cold injury, add Aucklandiae Radix (Muxiang), Amomi Fructus (Sharen), Symplocos Fructus (Dingxiang), and Tsaoko Cardamomi Fructus (Caoguo); for extreme cases, add Aconiti Lateralis Radix Preparata (Fuzi) and Crotonis Fructus (Baren). For heat injury, add Scutellariae Radix (Huangqin), Trichosanthis Radix (Huafen), Qingdai, and Coptidis Rhizoma (Huanglian); for extreme cases, add Kansui Radix (Gansui) and Mirabilite (Mangxiao). This formula also has effects of resolving food, water, alcohol, qi,痞 (masses), distension, accumulation, and pain. Xiangling Pill can be used, composed of Cyperi Rhizoma (Xiangfu) and Tyrrell's Five-Limb Root (Wulingzhi), raw and processed each one liang, plus Black Morning Glory Seed (Heiqiu) and White Morning Glory Seed (Baiqiu), raw and processed each five qian, stir-fried with vinegar. This medicine moves qi without draining it, resonates without causing agitation, and acts swiftly. Adding Ligustici Chuanxiong Rhizoma (Chuanxiong), Salviae Miltiorrhizae Radix (Lingxian - *Note: likely refers to Salviae Miltiorrhizae Radix et Rhizoma or similar*, here interpreted as Lingxian/Wanglingxian contextually but standard is Salviae), Aurantii Fructus (Zhike), Citri Reticulatae Pericarpium (Qingpi), Linderae Cortex (Wuyao), Corydalis Rhizoma (Yanhusu), Aucklandiae Radix (Muxiang), and prepared Pangolin Scales (Paojia) is also excellent. ○ For spleen deficiency with loss of appetite, indigestion, and postprandial fullness, apply Jianpi Paste to the chest and umbilicus, adding Codonopsis Radix (Dangshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Glycyrrhizae Radix et Rhizoma (Gancao), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu), Aucklandiae Radix (Muxiang), Amomi Fructus (Sharen), Alpinia Oxyphylla Fructus (Yizhiren), Magnoliae Officinalis Cortex (Houpo), Medicated Leaven (Shenqu), Zingiberis Rhizoma (Ganjiang), and Jujubae Fructus (Dazao) for stir-fried hot compression. For internal injury with fever, stomach pain, and anorexia, apply Jianpi Paste, using Buzhong Yiqi Decoction, adding Amomi Fructus (Caokou) for cold or Gardenia Fruit (Zhizi) for heat, stir-fried and compressed. These pastes are not applicable.) Phlegm-Cough. (Cough belongs to the Lung, sputum production belongs to the Spleen; phlegm-cough arises from spleen dampness generating phlegm. Apply paste to the chest, stir-frying Atractylodis Rhizoma (Cangzhu), Aurantii Fructus (Zhike), Citri Reticulatae Pericarpium (Chenpi), Pinelliae Rhizoma (Banxia), Atractylodis Macrocephalae Rhizoma (Baizhu), Zingiberis Rhizoma (Ganjiang), and Gleditsiae Sinensis Spina (Zaojiao) for hot compression to resolve phlegm and dry dampness. ○ Herbs for treating phlegm: Wind-phlegm uses Aconiti Radix (Chuanwu), Aconiti Kusnezoffii Radix (Caowu), Bryoniae Radix (Baifuzi), Pinelliae Rhizoma (Banxia), Arisaematis Rhizoma (Nanxing), Scorpio (Quanjie), and Bombyx Batryticatus (Jiangcan); Cold-phlegm uses Zingiberis Rhizoma (Ganjiang), Zingiberis Rhizoma (Liangjiang), Citri Reticulatae Pericarpium (Qingpi/Chenpi), Pinelliae Rhizoma (Banxia), Tsaoko Cardamomi Fructus (Caoguo), and Symplocos Fructus (Dingxiang); Damp-phlegm uses Atractylodis Rhizoma (Cangzhu), Pinelliae Rhizoma (Banxia), Magnoliae Officinalis Cortex (Houpo), Citri Reticulatae Pericarpium (Chenpi), Arisaematis Rhizoma (Nanxing), Gleditsiae Sinensis Spina (Zaojiao), and Alum (Mingfan); Heat-phlegm uses Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Anemarrhenae Rhizoma (Zhimu), Fritillariae Thunbergii Bulbus (Beimu), Gypsum Fibrosum (Shigao), Trichosanthis Radix (Huafen), Qingdai, and Meretricis Concha (Geafen); Opening depression uses Forsythiae Fructus (Lianqiao), Cyperi Rhizoma (Xiangfu), Immature Bitter Orange (Zhishi), and Platycodonis Radix (Jiegeng); Dispersing uses Menthae Haplocalycis Herba (Bohe), Perillae Folium (Zisu), Aurantii Fructus (Zhike), and Citri Reticulatae Pericarpium (Juhong); Descending uses Apricot Seed (Xingren), Perilla Fructus (Suzi), Peucedani Radix (Qianhu), Radish Seed (Laifuzi), and Lepidii Semen (Tinglizi); Draining uses Akebia Caulis (Mutong), Alismatis Rhizoma (Zexie), Polypori Sclerotium (Zhuling), and Talcum (Huashi); Food stagnation uses Medicated Leaven (Shenqu), Malto (Maiya), Crataegi Fructus (Shanzha), and Arecae Semen (Binglang); Alcohol stagnation uses Scutellariae Radix (Huangqin) and Puerariae Radix (Gegen). Old heat-phlegm uses Kansui Radix (Gansui), Pyritum (Mengshi), Arca Shell (Walengzi), and Glauber Salt (Piaoxiao); Cold-phlegm uses Aconiti Lateralis Radix Preparata (Fuzi), Zingiberis Rhizoma (Liangjiang), Crotonis Fructus (Baren), and Black Morning Glory Seed (Heiqiu). Phlegm-fluid retention uses Aconiti Radix (Chuanwu), Citri Reticulatae Pericarpium (Qingpi/Chenpi), Pinelliae Rhizoma (Banxia), Arisaematis Rhizoma (Nanxing), Magnoliae Officinalis Cortex (Houpo), Tsaoko Cardamomi Fructus (Caoguo), Zingiberis Rhizoma (Ganjiang), White Mustard Seed (Baijiezi), Kansui Radix (Gansui), Euphorbiae Pekinensis Radix (Daji), Gleditsiae Sinensis Spina (Zaojiao), and Alum (Mingfan). Phlegm-fluid flowing and accumulating uses Daotan Decoction plus Aucklandiae Radix (Muxiang) and Turmeric Rhizome (Jianghuang), or Kongyan Dan plus Manihoti Radix (Miebie) and Cinnamomi Cortex (Guangui). Phlegm-masses: Cold uses Aconiti Radix (Caowu), Arisaematis Rhizoma (Nanxing), Zingiberis Rhizoma (Ganjiang); Heat uses Rheum Palmatum Radix et Rhizoma (Dahuang), Myrobalan (Wubeizi), Ostrea Concha (Muli), and Mirabilite (Mangxiao). Phlegm confusing the heart orifices uses Arisaematis Rhizoma (Dansheng), Curcumae Radix (Yujin), Cinnabaris (Zhusha), and Alum (Mingfan). Phlegm in the hypochondrium uses Citri Reticulatae Pericarpium (Qingpi) and White Mustard Seed (Baijiezi). Phlegm in the intestines and stomach uses Rheum Palmatum Radix et Rhizoma (Dahuang), Immature Bitter Orange (Zhishi), and Bamboo Shavings (Zhuli). Datam Jiu uses Calomelas (Qingfen) to suppress phlegm; Heixi Dan to calm phlegm. Phlegm accumulation causing strange diseases uses Guntan Wan plus Baoyaojian. Ancient saying: "Nine out of ten diseases involve phlegm." The above herbs, depending on symptoms, can be sprinkled, decocted for application, or stir-fried for hot compression. ○ For Lung cough, use Qingfei Paste; for Stomach cough, use Qingwei Paste; for Kidney cough, use Ziyin Paste; this paste is not applicable.) Phlegm-Asthma and Wheezing. (Rapid breathing is called asthma/chuan; sound in the throat is called wheezing/xiao. ○ Asthma with strong breath and chest fullness is an excess pattern. ○ Apply paste to the chest and back; the text mentions a method of rubbing the back with Fairy Flower (Fengxianhua) which is excellent and can be imitated. ○ For wind-cold asthma, use Ephedrae Herba (Mahuang), Cinnamon Twig (Guizhi), Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Juhong), Apricot Seed (Xingren), Pinelliae Rhizoma (Banxia), Asari Radix et Rhizoma (Xixin), and Zingiberis Rhizoma (Ganjiang); for fire asthma, use Scutellariae Radix (Huangqin), Mulberry Twig (Sangzhi), Trichosanthis Fructus (Gualou), Trichosanthis Radix (Huafen), Immature Bitter Orange (Zhike), Platycodonis Radix (Jiegeng), Gypsum Fibrosum (Shigao), Qingdai, Meretricis Concha (Geafen), and Yuanming Fen (Mirabilite); for water asthma, use Genkwa Flos (Yuanhua), Scutellariae Radix (Huangqin), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Black Morning Glory Seed (Heiqiu), Lepidii Semen (Tinglizi), and Jujubae Fructus (Dazao); for phlegm-asthma with rebellious qi, use Daotan Decoction to descend qi, using Perilla Fructus (Suzi), Apricot Seed (Xingren), Pinelliae Rhizoma (Banxia), Arisaematis Rhizoma (Nanxing), Citri Reticulatae Pericarpium (Chenpi), Citri Reticulatae Pericarpium (Qingpi), Immature Bitter Orange (Zhishi), Peucedani Radix (Qianhu), Linderae Radix (Wuyao), Aquilariae Lignum Resinatum (Chenxiang), Radish Seed (Laifuzi), Zingiberis Rhizoma Recens (Shengjiang), and Jujubae Fructus (Dazao). For those needing purgation, use Rheum Palmatum Radix et Rhizoma (Dahuang), White Morning Glory Seed (Baiqiu), and Arecae Semen (Binglang), applied via decoction or stir-fried hot compression. For phlegm-asthma with rebellious qi, also sprinkle White Mustard Seed (Baijiezi) and raw Arisaematis Rhizoma (Nanxing) on paste applied to the soles of the feet. ○ For yin deficiency with flaming fire causing asthma, use Qingfei Paste applied to the chest and back, and Ziyin Paste applied below the umbilicus. For deficiency-cold asthma, use Wenfei Paste applied to the chest and back, Jianpi Paste applied to the umbilicus, and Fuyang Paste applied below the umbilicus. For kidney deficiency failing to grasp qi, use Fuyang Paste sprinkled with Psoraleae Fructus (Guzhi) and Foeniculi Fructus (Huixiang) applied below the umbilicus. For yin fire counterflow and sudden collapse of true yang causing asthma and phlegm-rattling, use Fuyang Paste sprinkled with Heixi Dan applied to the umbilicus. For elderly people with urgent asthma and shortness of breath, use Dabu Paste applied to the chest and below the umbilicus. These pastes and medicines are not applicable. ○ Asthma is mostly cold enveloping heat, suitable for releasing the exterior; the text mentions Ephedrae Herba (Mahuang) and Ginkgo Seed (Baiguo) for stir-fried hot compression. For loud wheezing, sprinkle Realgar (Xionghuang), Alum (Mingfan), raw Pinelliae Rhizoma (Banxia), and Crotonis Fructus (Bashuang) in equal parts into the paste.) Phlegm-Fluid Retention. (Fluid retention belongs to yin pathogens, suitable for warming medicines. ○ Apply paste to the chest, adding herbs as mentioned above, or use Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Rhizoma (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Magnoliae Officinalis Cortex (Houpo), and Zingiberis Rhizoma (Ganjiang) combined with Kansui Radix (Gansui), Euphorbiae Pekinensis Radix (Daji), and White Mustard Seed (Baijiezi) for stir-fried hot compression. For deficient persons, use Liujunzi Tang applied with Jianpi Paste.) Clamoring, Belching, Acid Regurgitation, and Vomiting Acid. (Clamoring is due to phlegm stirred by fire, feeling like hunger but not quite; food stagnation with heat. Belching is the release of food qi, also due to stagnant fire and damp-phlegm. Acid regurgitation is water piercing the heart; vomiting acid is spitting out sour fluid. Damp-heat stagnation preventing transformation uses Pinggan Shunqi Baozhong Fang, containing Atractylodis Rhizoma (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Cyperi Rhizoma (Xiangfu), Citri Reticulatae Pericarpium (Chenpi), Ligustici Chuanxiong Rhizoma (Chuanxiong), Medicated Leaven (Shenqu), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Qingpi), Amomi Fructus (Sharen), Malto (Maiya), Immature Bitter Orange (Zhishi), Crataegi Fructus (Shanzha), Coptidis Rhizoma (Huanglian), Paeoniae Radix Alba (Baishao), Forsythiae Fructus (Lianqiao), Gardenia Fruit (Zhizi), Evodiae Fructus (Wuyu), Scutellariae Radix (Huangqin), Zingiberis Rhizoma (Ganjiang), Aucklandiae Radix (Muxiang), Radish Seed (Laifuzi), Zingiberis Rhizoma Recens (Shengjiang), and Bamboo Shavings (Zhuru). This treats liver-stomach disharmony with qi, food, phlegm, and heat simultaneously. Applying paste to the chest and decocting for application or stir-fried hot compression is very effective. Alternatively, use Atractylodis Rhizoma (Cangzhu), Citri Reticulatae Pericarpium (Chenpi), Pinelliae Rhizoma (Banxia), Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Evodiae Fructus (Wuyu), and Medicated Leaven (Shenqu). For clamoring at dawn, belonging to blood deficiency, use Siwu Tang to nourish yin and blood, apply Ziyin Paste. For frequent belching unrelated to diet, belonging to qi deficiency, use Liujunzi Tang plus Aquilariae Lignum Resinatum (Chenxiang) to invigorate spleen and regulate qi, apply Jianpi Paste; this paste is not applicable.) Nausea and Dry Heaving. (Desire to vomit but unable to, indicating phlegm and heat in the stomach. ○ Apply paste to the chest, or decoct Reedeerhorn Grass Root (Lugen) to wipe the epigastrium and sprinkle Coptidis Rhizoma (Huanglian) powder. Or decoct Zingiberis Rhizoma Recens (Shengjiang), Bamboo Shavings (Zhuru), Scutellariae Radix (Huangqin), Pinelliae Rhizoma (Banxia), Arisaematis Rhizoma (Danning), Citri Reticulatae Pericarpium (Chenpi), and Gardenia Fruit (Zhizi) for application before pasting.) Dysphagia, Regurgitation, and Reverse Stomach. (Symptoms detailed in the text. ○ Five types of dysphagia relate to qi, food, labor, belching, and thought; five types of obstruction relate to worry, anger, qi, food, and cold. ○ For stagnation preventing food intake, wipe the chest with Ginger Juice, Chinese Chive Juice, and Cow Milk, sprinkle real Curcumae Radix (Yujin) and Fairy Flower (Fengxianzi) powder into the paste. Also stir-fry Chenmi with yellow earth and Pinggan Shunqi Baozhong Fang ingredients for hot compression to open the orifice. Or use ancient formulas for five obstructions: Apricot Seeds (Xingren) peeled and crushed, Fermented Soybean (Chidouchi) roasted into cake, Zingiberis Rhizoma (Ganjiang), Evodiae Fructus (Wuyu), and Sichuan Pepper (Shuzhao) roasted to remove sweat, all in equal parts, ground to powder, mixed with honey into pills to rub the chest several times a day. Or use Maoyangsheng's Geqi Formula: Dung Beetle (Qianglang) one, Fritillariae Thunbergii Bulbus (Beimu) three qian, Qingdai and Yuanming Fen two qian each, Aucklandiae Radix (Muxiang), Aquilariae Lignum Resinatum (Chenxiang), and Cinnabaris (Zhusha) one qian each, Niu Huang five fen, ground to powder, mixed with Ten-Thousand-Year Green (Wannianqing) juice and aged wine into balls to rub. This condition is difficult to treat, and no ancient formula guarantees efficacy. The two formulas above are one warming and one cooling, useful for emergencies, but must be rubbed frequently to hope for efficacy. ○ For blood depletion with constipation, nourish blood and moisten dryness using Ophiopogonis Radix (Maidong), Rehmanniae Radix Preparata (Shengdi), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Ligustici Chuanxiong Rhizoma (Chuanxiong), Glycyrrhizae Radix et Rhizoma (Gancao), etc., plus Persicae Semen (Taoren), Cannabis Fructus (Maren), and Chinese Chive Juice for decocted application, apply Qingwei Paste to the chest and Ziyin Paste below the umbilicus, reference Gua Lou Dao Fa, Honey Suppository, and Pig Gallbladder with vinegar enema; this paste is not applicable. ○ For cold deficiency in the stomach, use Wenwei Paste sprinkled with Symplocos Fructus (Dingxiang), Amomi Fructus (Sharen), Alpinia Oxyphylla Fructus (Yizhiren), Piperis Fructus (Hujiao), and Cinnamomi Cortex (Guangui) powder applied to the stomach opening, then stir-fry Pingwei San with appropriate herbs. For reverse stomach where evening food is vomited in the morning or morning food in the evening, sour and undigested, indicating lack of fire in the lower jiao, apply Wenwei Paste to the chest, Fuyang Paste sprinkled with Aconiti Lateralis Radix Preparata (Fuzi) and Zingiberis Rhizoma (Ganjiang) powder to the upper umbilicus and Mingmen point, then stir-fry Bawei Wan ingredients; reference Smelling Aconite method; this paste is not applicable.) Flip Stomach. (Food is immediately vomited after ingestion, due to phlegm-heat obstruction, different from reverse stomach which has fixed timing. ○ Apply paste to the chest, first wiping with Ginger Juice and Bamboo Shavings, or decoct the dry heaving formula.) Vomiting. (Can be cold or heat, symptoms detailed in the text, different from reverse stomach and cholera. Apply paste to the chest: for cold, sprinkle Aconiti Lateralis Radix Preparata (Dingxiang? *Text says Dingxiang*), Amomi Fructus (Sharen), Agastaches Herba (Huoxiang), Citri Reticulatae Pericarpium (Chenpi), Pinelliae Rhizoma (Banxia), and Zingiberis Rhizoma (Ganjiang); for heat, decoct Coptidis Rhizoma (Huanglian), Puerariae Radix (Gegen), Paeoniae Radix Alba (Baishao), Scutellariae Radix (Huangqin), Gardenia Fruit (Zhizi), and Bamboo Shavings (Zhuru) with plum for application. ○ For heart pain, anorexia, vomiting bitter/blue or sour water, it is liver stagnation. Apply paste to the chest, stir-fry Jiawei Xiaoyao San, reference Qinggan Paste. For frequent vomiting of clear water, it is spleen heat; decoct Paeoniae Radix Alba (Baishao) and Glycyrrhizae Radix et Rhizoma (Gancao) to wipe, then sprinkle Coptidis Rhizoma (Huanglian) on paste, reference Qingwei Paste. ○ For long-term illness with stomach deficiency and vomiting upon smelling food, use Wenwei Paste plus Codonopsis Radix (Dangshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Eugeniae Caryophyllati Flos (Dingxiang), and Amomi Fructus (Kouren) for stir-fried hot compression; this paste is not applicable.) Cholera. (Symptoms detailed in the text. ○ Upper vomiting and lower diarrhea with abdominal pain is named Wet Cholera. Dampness above is overcome by wind-wood, causing failure of yin and yang to ascend and descend. Thirst indicates heat, no thirst indicates cold. However, since the disease exits through vomiting and diarrhea, even if severe, death is unlikely. Failure to vomit or diarrhea is Dry Cholera, caused by excessive cold-dampness binding the spleen, causing sudden pain and cold limbs, commonly known as Intestinal Colic Sha. Middle jiao blockage prevents exit, leading to death from distension. These conditions strictly forbid ginger soup, hot soup, or hot wine, as they cause immediate death. ○ Treat Wet Cholera: First wipe chest with ginger, sprinkle dried Bergamot (Chenfoshou) and dried Alum (Mingfan) powder into paste applied to chest and umbilicus. Or decoct Agastaches Herba (Huoxiang), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Houpo), Pinelliae Rhizoma (Banxia), and Arecae Catenuatae Pericarpium (Dafupi) for application. Add Scutellariae Radix (Huangqin) for heat, Charred Zingiberis Rhizoma (Jiantan) for cold, Aucklandiae Radix (Muxiang), Symplocos Fructus (Dingxiang), and Amomi Fructus (Sharen) for abdominal pain, Immature Bitter Orange (Zhike) for constipation, and Akebia Caulis (Mutong) for yellow-red urine. For summer heat with fever and thirst, decoct Huanglian, Xiangru, Houpo, Zhuling, Zexie, and Yi Yuan San to separate upper and lower, or use Huangjin Dan or Jijiu Dingzhong Wan. Both formulas contain Huanglian, Ganjiang, Chenpi, Muxiang, Sharen, Xiangfu, Jingjie, Binglang, Maiya, Cheqianzi, etc., suitable for stir-fried hot compression. Ancient treatment for cholera suggests stir-frying salt on chest and back for complete recovery; this method is excellent. In winter with heavy cold or summer with cold food injury, stir-fry salt with Evodiae Fructus (Wuyu) on chest, back, and below umbilicus, or Lizhong Tang (Baizhu, Ganjiang), or Dashun San (Ganjiang, Guangui, Xingren, Gancao) combined with Wuji San (Cangzhu, Baizhi, Houpo, Wuyu, Chenpi, Banxia, Jiegeng, Zhike) for stir-fried hot compression and binding to umbilicus. For excessive vomiting/diarrhea with cold sweat, apply Wenwei Paste to chest, then Fuzi Lizhong Tang plus Zaocinxis Terra (Zaoxintu) for abdominal stir-fried hot compression. Also, Yilizhu treats vomiting/diarrhea with Xionghuang, Kufan, Congtou, Rougui, and Shexiang applied to umbilicus with hot compression. ○ Treat Dry Cholera: Requires warming and unblocking. First wipe chest with ginger, sprinkle Acori Tatarinowii Rhizoma (Changpu), Amomi Fructus (Baikou), and Symplocos Fructus (Dingxiang) into paste applied to chest and umbilicus. For severe cold-coagulation abdominal pain, stir-fry Aconiti Radix (Chuanwu), Curcumae Radix (Yujin), Asari Radix et Rhizoma (Xixin), Angelicae Dahuricae Radix (Baizhi), Aucklandiae Radix (Muxiang), Jiangxiang, Linderae Radix (Wuyao), Cinnamomi Cortex (Guangui), and Evodiae Fructus (Wuyu) with White Mustard Seed (Baijiezi). For closed orifices, use Tangqi Sha Medicine, Wolong Dan, or Gleditsiae Sinensis Spina (Zaojiao) and Asari Radix et Rhizoma (Xixin) powder to induce sneezing by sniffing, or Riyue Dan/Renma Ping'an San drops for eyes, Suhe Wan rub on chest/back (or scrape with porcelain spoon dipped in sesame oil). Since organs connect to the back, scraping reduces pathogenic qi. For inability to vomit, induce vomiting by probing throat or inducing sneezing. For inability to defecate, use Houpo Tang method (Houpo, Zhishi, Binglang, Dahuang) for stir-fried hot compression. For muscle cramps, stir-fry Zisu, Mugua, Wuyu, Huixiang, Yanhusu, Baiyan, and vinegar. Can also use Can Sha. Reference boiling vinegar to wipe abdomen, garlic on feet. For cramps entering abdomen intolerably, use extremely salty brine to wipe and puncture Weizhong point. For fatal cramps, fill umbilicus with salt and moxa. For cold sweat and faint pulse, use Jiawei Lizhong Tang (Ganjiang, Baizhu, Fuzi, Wuyu, Guangui, Danggui, Houpo, Chenpi) for stir-fried hot compression, reference Wenwei Paste, Sanyin Paste, Fuyang Paste to warm middle and restore yang urgently. ○ Zhong'e syndrome (Wu Sha Zhang) is caused by summer-heat and turbidity, presenting with black-purple face, distension, pain, and constipation; drinking hot soup causes death. Mainly promote lung and large intestine qi. Sprinkle Zhishi on umbilicus paste, induce sneezing with Zaojiao/Xixin/Sha medicine, apply picking/scraping methods, wipe corners of eyes with ginger juice (male left, female right) to induce sweat, rub back with hair ball dipped in burning wine to guide qi down. Another method: wipe chest/back/extremities with salt until spots appear for relief. Treats all Sha distension, summer-heat, and cholera. Text also has Zhong'e formula. Note: For spot-sha, avoid Zisu, Chenpi, Banxia, Gancao. ○ Majiao Sha (Diaojiao Sha) presents with vomiting/diarrhea, cold limbs, cramps, cold sweat, faint pulse, emaciation, and sunken eyes rapidly. Treatment differs from cholera: Cholera is yang (vomiting/diarrhea is discharge); Majiao Sha is yin (vomiting/diarrhea is closure). Use ginger juice to wipe chest/back/extremities, apply Yins Sha Paste to chest/back, Fuyang Paste sprinkled with Fuzi, Paogjiang, Rougui, Dingxiang, Shexiang to umbilicus, Sanyin Paste sprinkled with processed Sulfur and Kufan to opposite umbilicus/Mingmen, two sheets of Sanyin Paste (no herbs) to knees and soles, and Arisaematis Rhizoma (Nanxing) mixed with vinegar on soles or Piperis Fructus (Hujiao)/Guangui on hands to stop vomiting/cramps. If restlessness/thirst occurs after stopping, decoct Yu Lian Wu Mei to wipe chest cautiously. Use heat medicines only for emergency rescue, then restore yin. Do not mistake cholera for Majiao Sha and overuse heat medicines, turning mild cases severe.) Accumulation, Mass, and Qi Stagnation. (Symptoms detailed in text, all caused by qi, blood, phlegm, and food. Historically treated as痞 (pi). ○ Different from shaang pi, but shaang pi methods can be extrapolated. ○ If pain is severe and immovable, hot compress; slight pain indicates blood stasis; movable pain with no sensation to heat indicates phlegm. Small mass growing gradually, moving up/down/in/out is qi mass. Noisy mass moving left/right/up/down is phlegm-fluid. First wipe affected area with ginger, sprinkle herb powder into paste. ○ Sprinkle powder: Garlic (3 liang), Ginger and Scallion (2 liang each), pounded, add White Mustard Seed (Baijiezi), Sichuan Pepper (Huajiao), Fairy Flower (Fengxianzi), Polygoni Multiflori Caulis flower (Hongliaohua), Rhubarb (Dahuang), Mirabilite (Mangxiao), Realgar (Xionghuang), Calomelas (Qingfen), Alum (Mingfan), and Calcined Hematite (Chenduan Shi) each 2 qian, mix evenly, dry in shade. Apply small amount to paste. Can also mix with flour and vinegar for external application. Then hot compress with Wine-steamed Phytolaccae Radix (Shanglu), Wine-steamed Sanleng, Vinegar-processed Evodiae Fructus (Wuyu), or Vinegar-processed Corydalis Rhizoma (Yanhusu). Or use Wenbai Wan: Prepared Aconiti Radix (Chuanwu) 2.5 liang, Wuyu, Jiegeng, Chaihu, Changpu, Ziwan, Huanglian, Paogjiang, Rougui, Huajiao, Badou, Zexie, Zaojiao, Houpo each 1 liang, coarse powder for stir-fried hot compression. Or Wenbai Wan combined with Muxiang Zhike Wan, Dahuang, Heiqiu each 2 liang, Baizhu, Banxia, Nanxing, Muxiang, Qingpi, Chenpi, Zhike, Zhishi, Sanleng, Pengzhu, Maiya, Shenqu, Binglang, Ganjiang, Liangjiang each 1 liang, coarse powder for stir-fried hot compression and binding. Use 7-8 qian per application. For deficient persons, add Dangshen, Bazhen, or Buzhong Yiqi ingredients.) Jaundice. (Five types of jaundice, detailed in text, must distinguish yin/yang. ○ Yang jaundice is bright, due to damp-heat. Sprinkle Baizhu, Huangqin, and Yinchen powder into paste on chest/umbilicus, reference Xingshui Paste on Tianshu point beside umbilicus, plus Cangzhu, Houpo, Guang Chenpi, Yinchen, Huangqin, Huanglian, Zhizi, Longdancao, Tinglizi, Cheqianzi, Zexie, Mutong, Hanshuishi, Huashi, etc., for decocted application or stir-fried hot compression. Severe cases add Dahuang and Mangxiao for purgation. ○ Yin jaundice is dark, due to cold-damp. Sprinkle Fuzi, Ganjiang, and Yinchen powder into paste on chest/umbilicus, reference Sanyin Paste on opposite umbilicus/Mingmen, plus Cangzhu, Houpo, Chenpi, Yinchen, Chuanxiong, Chuanwu, Ganjiang, Wuyu, Qingpi, Jianghuang, Guanggui, Dingxiang, Chuanjiao, Cheqianzi, Zexie, etc., for decocted application or stir-fried hot compression. Severe cases add Fuzi. ○ Wine jaundice and Grain jaundice are yang; Female Consumption jaundice is yin; treatments are similar. ○ Plague jaundice uses Shijian Zhangdan Wan: Yinchen, Zhizi, Dahuang, Mangxiao each 1 liang, Xingren 6 qian, Changshan, Biejia, Bashuang each 4 qian, Douchi 2 liang. This formula has sweating, vomiting, and purging methods, suitable for acute conditions, applied via decoction or stir-fried hot compression, not just for warm jaundice. ○ Text mentions Bitter Melon Stem Powder snuffing, Nanxing on umbilicus, Herb Tube Moxibustion on umbilicus, Ginger/Yinchen eye drop/body wipe, and East-flowing Peach Branch bath, all referencable.) Edema. (Excess dampness causes loose stools, severe cases cause water closure and swelling. Swelling starting head/feet then abdomen is edema; swelling starting abdomen then extremities is distension. ○ Water diseases have ten types, must distinguish yin/yang. ○ Yang water swells upper body first, with fever and constipation. Apply paste to chest/umbilicus, reference Xingshui Paste beside umbilicus, add Wupi Yin, Bazheng San, Shujian Yinzi, Sanhua Shenwan, etc., for decocted application or stir-fried hot compression and binding. ○ Yin water swells lower body first, with cold limbs and free stool. Apply paste to chest/umbilicus, reference Sanyin Paste opposite umbilicus, add Muxiang Shunqi Tang, Shenqi Wan, Shipi San, Fuyuan Dan ingredients, for decocted application or stir-fried hot compression and binding. ○ Mild cases: Apply paste to chest/umbilicus, use Pingwei San and Wuling San ingredients for decocted application or stir-fried hot compression, reference Jianpi Paste. ○ Swelling above waist: Induce sweating with Mahuang, Cangzhu, Gancao, Douchi, Shengjiang for chest/back wipe. Swelling below waist: Promote urination with Mutong, Cheqianzi, Jiaomu, Heiqiu, Congbai for chest/abdomen wipe. For lung asthma/panting, use Xingren, Beimu, Fangji, Sangbaipi, Tinglizi, Chenpi, Jiegeng, Mutong, Zhike, Suzi, Fupi, Shengjiang, Dazao, Huajiao. For arm swelling, apply paste to arm muscles; leg swelling to calf; foot swelling to instep, but always apply one sheet to chest/umbilicus to prevent fluid returning to abdomen. ○ Text mentions Xiaoheping on umbilicus, Gaizou Xiaobian, Danfang Qishu for bowels, all referencable.) Distension and Fullness. (Seven types: cold, heat, grain, water, qi, blood, gu. Symptoms detailed. Dongyuan said cold distension is more common than heat. ○ Distinguish five-zang and six-fu distension by onset and severity site (e.g., cough/asthma=Lung, hypochondriac pain=Liver). Spleen/stomach issues reduce appetite; other organs do not. Skin/meridian issues do not affect appetite; gut/membrane issues reduce appetite; severe cases block five zangs, causing breathlessness and anorexia, critical. ○ Early abdominal distension is qi, move qi; later becomes water, move water. ○ Apply paste to chest/umbilicus, choose specific herbs with Houpo as chief. Cold: Wuyu, Banxia, Ganjiang, Fuzi, Guanggui, Heiqiu. Heat: Huanglian, Baishao, Zhizi, Zhimu, Zhishi, Dahuang. Grain: Maiya, Shenqu, Sanleng, Ezhu, Binglang. Water: Cangzhu, Fangji, Tinglizi, Gansui, Zexie. Qi: Muxiang, Wuyao, Zhike, Jianghuang, Qingpi, Fupi, Laifuzi. Blood: Chuanxiong, Danggui, Yanhusu, Lingzhi, Honghua, Taoren, Jiucai. Sprinkle, decoct, or stir-fry hot compress. Ancient saying: "Purgation cures distension." This is a purgative method, but paste differs from oral meds, avoiding rapid but temporary relief.)