龚子才治小儿患痞癖，服槟榔、蓬术、枳实、黄连之类，痞益甚。曰∶此脾经血虚痞也，不可克伐，遂用
六君子加当归，数剂。胃气耗惫，脾胃损伤，气血干涸，肢体羸瘦，面色瘦黄，肚大青筋，身热自汗，喘急气
促，泄泻腹胀，浮肿，不思饮食，与补中益气汤，久服而愈。
万密斋治一小儿周岁，因食鸡肉太早，自此成积，日渐羸瘦，不思乳食。其父详告，取药治之，与养脾去
积丸∶白术、陈皮、苍术、浓朴、枳壳、半夏、青皮、神曲、麦芽、山楂、甘草。先服三日，后服丁香脾积丸，
鸡肉汤下，取下鸡肉一片，犹未化也。再进养脾丸而愈。
王氏子，一日胃脘当心而痛，万治之，七日不止。以手按其胸腹，惟心下手不可近，曰∶误矣，无怪其不
效也。凡手可按者，虚痛也，手不可按者，实痛也，实痛非食即痰。另立方，以枳实导饮丸、控涎丹二方内，
摘取枳实、黄连、半夏各二钱，木香、黑牵牛头末、白芥子炒、甘草等分，捣罗为末，用生姜自然汁，和神曲
作丸麻子大，以沉香、木香、槟榔磨水下，或姜汤亦可。初服二十一丸，少顷痛移下中脘，又服七丸，至脐下，
又服五丸，利下清水而止，乃知是脾痛也。复作青皮丸，加青皮、陈皮、木香、砂仁、神曲、麦冬、山楂，调
理而安。
李时珍治宗室富顺王孙，嗜灯花，但闻其气，即哭索不已。诊之曰∶此癖也。以杀虫治癖之药丸，服一料
而愈。（《本草纲目》。）
陆养愚治潘司寇子，年十四，初因感冒，服药已愈。后复夜热便黄，日中亦微热。或谓表散之后，血气不
足，与补养气血，热益甚，遂以为童子劳，阴虚夜热也。滋阴降火，肚腹渐胀，肌肉渐瘦，饮食渐减，其热日
夜不止矣。脉之，人迎颇和，气口紧盛，两尺洪滑，此食积也。宜消导之，与枳实、黄连、槟榔、神曲、麦芽、
山楂、茯苓、泽泻、甘草，数剂胀减热除，精神渐复。去槟榔、泽泻、麦芽，加人参、白术、干姜，数剂全愈。
陆祖愚治费表侄，垂髫患疟后痢，初愈复伤食，蒸蒸内热，大便欲行不行，数至圊而未尝便。医不细审，
以久病初愈，复日数行，其为脾虚滑泄无疑，投以参、术补剂，经所谓益其胜而赞其复，病宁不剧乎？服后，
身热益甚，烦躁咽干。又以六脉浮洪，久痢身热脉大，均非吉候。诊之，果六脉洪盛有力，而胸腹手不可按，
曰∶脉症俱实，又且相应，无张皇也。但久痢之后，津液枯槁耳。用生地、当归、白芍、黄连、倍枳实、山楂，
一剂觉腹中运动，二剂即转矢气。少顷，去燥矢十余枚，遂连去三四次，脉静身凉，神清气爽。再用生津补脾，
调理半月而愈。
薛立斋治一小儿，腹内结块，或作痛上攻，小便不调，用龙胆泻肝汤、芦荟丸而愈。后形气消铄，发热作
渴，此肝木克制脾土，用补中益气汤及芦荟丸而愈。
汤某治户部侍郎小娘子患痞，蕴积结聚，已经年矣。其候腹满壮热，大小便闭，不食。诸医皆作虚热潮湿，
或作胃寒不食治。然既不食，大小便自然少，又欲作疳热治。百药俱试，而无一中，势已窘迫，招汤视之。问
曰∶合服何药？答曰∶当服甘遂、大黄。张惊曰∶前诸医者，皆用补剂，此女不进食久矣，不宜利动肠胃。答
曰∶信我者生，逆我者死。张曰∶更有无甘遂而次于此药方者可否？乃令即服大承气汤，二服而愈。次日诊之，
尚有余滞积实，其症必过数日而复闭，须服前药，始可除根。数日后，果再闭，腹满痞结，再服此药，一服而痊。
朱丹溪治贾福六舅子，十六岁，左胁有块，能饮食。青皮醋炒、三棱、柴胡三分，桂枝、川芎、防风各
二钱，白术二钱半，木通一钱半，海藻一钱，甘草五分，分七帖，煎取半盏，下保和丸十五丸，忌一切发物。
蒋仲芳治一儿，七岁，食后受惊，遂发寒热，右胁有块，重则胀痛，轻则硬满，已三年。忽患三阴疟，又
年余，以丸药截之。疟虽愈，而朝凉暮热，咳嗽骨立，痞块痛甚，用 、术、鳖甲、当归各四两，参、芍、知
母、丹皮、麦芽、神曲、山楂各二两，青皮、陈皮、槟榔、木香、官桂各一两，棱、莪、柴胡、桃仁各七钱，
煎成膏，入饴糖四两和匀，不俱时服，未终剂而愈。
龚子才治疗一名患有痞癖的小儿，服用槟榔、蓬术、枳实、黄连等药物后，痞证反而加重。他说：“这是脾经血虚导致的痞证，不可使用攻伐之法。”于是使用六君子汤（由人参、白术、茯苓、甘草、陈皮、半夏组成）加入当归，服用数剂后痊愈。
若出现胃气耗损疲惫、脾胃损伤、气血枯竭、肢体消瘦、面色萎黄、腹部胀大且青筋暴露、身体发热并自汗、气喘急促、腹泻腹胀、浮肿、不思饮食等症状，应给予补中益气汤（由黄芪、人参、白术、甘草、当归、陈皮、升麻、柴胡组成），长期服用即可痊愈。
万密斋治疗一名周岁小儿，因过早食用鸡肉，从此形成积滞，日渐消瘦，不想吃奶和食物。其父亲详细告知病情，取药治疗，给予养脾去积丸：由白术、陈皮、苍术、厚朴、枳壳、半夏、青皮、神曲、麦芽、山楂、甘草组成。先服用三日，随后服用丁香脾积丸，用鸡肉汤送服，排出了一片鸡肉，仍未完全消化。再服用养脾丸后痊愈。
王家的儿子，一天感到胃脘部当心处疼痛，万密斋诊治，七日不止。用手按压其胸腹，只有心下部位不能触碰，万密斋说：“之前的医生误诊了，难怪无效。凡是手可以按压的，是虚痛；手不可按压的，是实痛。实痛非食积即痰饮。”另立一方，从枳实导饮丸和控涎丹两方中，选取枳实、黄连、半夏各二钱，木香、黑牵牛头末、炒白芥子、甘草等量，捣碎过筛为末，用生姜自然汁调和神曲制成如麻子大小的丸药，用沉香、木香、槟榔磨成的水送服，或用姜汤送服也可以。初次服用二十一丸，不久疼痛移至中脘穴位置，又服用七丸，疼痛至脐下，再服用五丸，泻下清水后停止，这才知道是脾痛。随后制作青皮丸，加入青皮、陈皮、木香、砂仁、神曲、麦冬、山楂，调理后安愈。
李时珍治疗宗室富顺王的孙子，嗜好闻灯花的气味，只要闻到就哭闹不止。诊察后说：“这是癖积。”用杀虫治癖的药物制成丸剂，服用一料后痊愈。（出自《本草纲目》。）
陆养愚治疗潘司寇的儿子，十四岁，起初因感冒，服药后已愈。后来再次出现夜间发热、小便黄，白天也有微热。有人说是解表发汗后，血气不足，给予补养气血的药物，热势反而更甚，于是被诊断为童子劳，认为是阴虚夜热。采用滋阴降火法，导致肚腹逐渐胀大，肌肉逐渐消瘦，饮食逐渐减少，发热日夜不停。诊脉发现，人迎脉颇为平和，气口脉紧盛，两尺脉洪滑，这是食积所致。应当消食导滞，给予枳实、黄连、槟榔、神曲、麦芽、山楂、茯苓、泽泻、甘草，服用数剂后胀满减轻、热退，精神逐渐恢复。去掉槟榔、泽泻、麦芽，加入人参、白术、干姜，服用数剂后完全痊愈。
陆祖愚治疗费家的外甥，幼童时期患疟疾后转为痢疾，初愈后又伤食，体内蒸蒸发热，大便想排却排不出，多次去厕所却没有排便。医生不仔细审察，认为久病初愈，又每日排便数次，无疑是脾虚滑泄，投以人参、白术等补剂，这正如医经所说的“助长邪气而帮助复发”，病怎能不加重呢？服药后，身体发热更甚，烦躁咽干。又因为六脉浮洪，久痢身热脉大，均不是吉兆。诊察后，果然六脉洪盛有力，且胸腹部手不可按压，说：“脉象与症状都属实证，而且相互对应，无需惊慌。只是久痢之后，津液干枯罢了。”使用生地、当归、白芍、黄连、加倍用量的枳实、山楂，服用一剂感觉腹中蠕动，二剂即放屁。不久，排出十余枚燥屎，连续排便三四次，脉象平静、身体凉爽，神清气爽。再用生津补脾的方法，调理半月后痊愈。
薛立斋治疗一名小儿，腹内有结块，有时疼痛上攻，小便不调，使用龙胆泻肝汤、芦荟丸后痊愈。后来形体消瘦、气息衰弱，发热口渴，这是肝木克制脾土，使用补中益气汤及芦荟丸后痊愈。
汤某治疗户部侍郎的小女儿患痞证，蕴积结聚，已经一年了。其症状为腹部胀满、壮热、大小便闭塞、不能进食。各位医生都当作虚热潮湿，或当作胃寒不食来治疗。然而既然不能进食，大小便自然减少，又想当作疳热来治疗。各种药物都试过了，但没有一种对症，病情已十分窘迫，请汤某诊治。汤某问：“应该服用什么药？”回答说：“应当服用甘遂、大黄。”张姓医生惊讶地说：“前面的各位医生都用补剂，这个女孩很久没进食了，不宜利动肠胃。”汤某回答说：“相信我就能活，违背我就会死。”张姓医生说：“有没有不用甘遂但次于此药的方子可以吗？”于是令立即服用大承气汤，服用两次后痊愈。第二天诊察，尚有余留的积滞，症状必然过几天会再次闭塞，必须服用前药，才能除根。数日后，果然再次闭塞，腹部胀满痞结，再服用此药，一次服用后痊愈。
朱丹溪治疗贾福六舅子的儿子，十六岁，左胁下有肿块，能正常饮食。处方：青皮醋炒、三棱、柴胡三分，桂枝、川芎、防风各二钱，白术二钱半，木通一钱半，海藻一钱，甘草五分，分为七帖，煎取半盏药液，送服保和丸十五丸，忌食一切发物。
蒋仲芳治疗一名七岁儿童，食后受惊，随即发生寒热，右胁下有块，重则胀痛，轻则硬满，已有三年。忽然患上三阴疟，又过了一年多，用丸药截断疟疾。疟疾虽愈，但早晨凉晚上热，咳嗽、骨瘦如柴，痞块疼痛剧烈。处方：用[缺字]、白术、鳖甲、当归各四两，人参、白芍、知母、丹皮、麦芽、神曲、山楂各二两，青皮、陈皮、槟榔、木香、官桂各一两，三棱、莪术、柴胡、桃仁各七钱，煎成膏状，加入饴糖四两调和均匀，不拘时候服用，未服完一剂就痊愈了。
Gong Zicai treated a pediatric patient suffering from Pi Xi (痞癖, abdominal masses and accumulation). After administering drugs such as Areca Seed (Binglang), Curcuma Aromatica Rhizome (Pengzhu), Immature Bitter Orange (Zhishi), and Coptis Rhizome (Huanglian), the Pi condition worsened. Gong stated: "This is Pi caused by Blood deficiency in the Spleen Meridian; it cannot be treated with purgative or attacking methods." He subsequently prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) added with Angelica Sinensis Root (Danggui), which cured the patient after several doses.
In cases where Stomach Qi is exhausted and depleted, Spleen and Stomach are damaged, Qi and Blood are dried up, limbs are emaciated, complexion is sallow, abdomen is distended with visible veins, body heat with spontaneous sweating, panting and shortness of breath, diarrhea with abdominal distension, edema, and anorexia, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be administered for a prolonged period to achieve recovery.
Wan Mizhai treated a one-year-old infant who developed accumulation due to eating chicken meat too early. The child became increasingly emaciated and lost appetite for milk and food. Upon detailed inquiry from the father, Wan prescribed Yang Pi Qu Ji Wan (Nourish Spleen and Remove Accumulation Pill), composed of Atractodis Macrocephalae Rhizoma (Baizhu), Tangerine Peel (Chenpi), Atractodis Rhizoma (Cangzhu), Magnoliae Officinalis Bark (Houpo), Aurantii Fructus Immaturus (Zhiqiao), Pinelliae Tuber (Banxia), Citri Reticulatae Pericarpium Viride (Qingpi), Medicated Leaven (Shenqu), Hordeum Vulgare Sprout (Maiya), Crataegi Fructus (Shanzha), and Licorice Root (Gancao). The infant took this for three days, followed by Ding Xiang Pi Ji Wan (Clove Abdominal Mass Pill), taken with chicken broth. A piece of undigested chicken meat was expelled. Subsequent administration of Yang Pi Wan led to full recovery.
The son of Mr. Wang suffered from pain at the epigastrium directly below the heart for seven days despite treatment. Palpation revealed that only the area below the heart was intolerable to touch. Wan remarked: "Previous treatments were erroneous, hence ineffective. Pain that can be pressed is deficient pain; pain that cannot be pressed is excess pain. Excess pain is either due to food stagnation or phlegm-fluid." He formulated a new prescription, extracting Zhi Shi, Huanglian, and Banxia (each 2 qian) from Zhi Shi Dao Yin Wan and Kong Yan Dan, along with equal parts of Aucklandia Root (Muxiang), Black Morning Glory Seed Powder (Hei Qianniu Toumo), Stir-fried White Mustard Seed (Baijiezi Chao), and Gancao. These were powdered and mixed with fresh ginger juice and Shenqu to form pills the size of hemp seeds. They were taken with water infused with Agarwood (Chenxiang), Muxiang, and Areca Seed (Binglang), or alternatively with ginger soup. Initially, 21 pills were taken; shortly after, the pain shifted to the Zhongwan point. Seven more pills were taken, moving the pain to below the umbilicus. Five additional pills resulted in the discharge of clear fluid, stopping the pain. It was then determined to be Spleen pain. Finally, Qing Pi Wan, added with Qingpi, Chenpi, Muxiang, Amomum Fruit (Sharen), Shenqu, Ophiopogon Tuber (Maidong), and Shanzha, was used for regulation, leading to recovery.
Li Shizhen treated the grandson of the Duke of Fushun, who had a craving for the smell of lamp wick oil. Whenever he smelled it, he would cry incessantly. Diagnosis indicated Pi Ji (癖积, specific type of accumulation). Treatment with vermifuge and anti-accumulation pills cured him after one course. (Source: *Bencao Gangmu*).
Lu Yangyu treated the son of Vice Minister Pan, aged fourteen. Initially, he contracted a cold, which resolved after medication. Later, he developed night fever and yellow urine, with slight daytime fever. Some physicians attributed this to Qi and Blood deficiency following diaphoresis and prescribed tonics, but the fever intensified. He was diagnosed with "Tongzi Lao" (Juvenile Consumption) and Yin-deficiency night fever. Treatment with Yin-nourishing and fire-reducing herbs caused abdominal distension, muscle wasting, reduced intake, and continuous day-and-night fever. Pulse diagnosis showed a harmonious Renying pulse, a tight and full Qikou pulse, and surging and slippery pulses at both Chi positions. This indicated Food Stagnation. Treatment focused on digestion and guidance, using Zhishi, Huanglian, Binglang, Shenqu, Maiya, Shanzha, Poria (Fuling), Alisma Rhizome (Zexie), and Gancao. After several doses, distension decreased and fever subsided, with gradual recovery of spirit. Binglang, Zexie, and Maiya were removed, and Ginseng Root (Renshen), Baizhu, and Dried Ginger (Ganjiang) were added. Several doses led to complete recovery.
Lu Zuyu treated his nephew Fei, who suffered from dysentery following malaria in childhood. After initial recovery, dietary injury occurred, causing internal steaming heat, difficulty defecating, frequent urges without passage. Physicians incorrectly diagnosed Spleen deficiency with loose stools due to recent illness and frequent bowel movements, prescribing Renshen and Baizhu tonics. As noted in medical classics, this "augmented the pathogen and aided recurrence," worsening the condition. Post-medication, fever increased, accompanied by irritability and dry throat. With floating and surging pulses throughout, and considering that fever with large pulses in chronic dysentery is ominous, Lu confirmed surging and forceful pulses with an abdomen intolerable to touch. He stated: "Pulse and symptoms both indicate excess, consistent with each other; do not panic. It is merely dehydration after chronic dysentery." He used Rehmannia Root (Shengdi), Danggui, White Peony Root (Baishao), Huanglian, doubled Zhishi, and Shanzha. After one dose, abdominal movement was felt; after two, flatus occurred. Soon after, over ten hard feces were passed, followed by three to four more episodes. Pulses calmed, body cooled, and spirit refreshed. Subsequent nourishment of fluids and tonification of the Spleen for half a month led to recovery.
Xue Lizhai treated a child with intra-abdominal masses causing upward attacking pain and irregular urination. Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction) and Lu Hui Wan (Aloe Pill) cured the condition. Later, the child exhibited emaciation, fever, and thirst, indicating Liver Wood overacting on Spleen Earth. Bu Zhong Yi Qi Tang and Lu Hui Wan restored health.
Mr. Tang treated the daughter of a Vice Minister of Revenue suffering from Pi syndrome, with accumulated stagnation persisting for a year. Symptoms included abdominal fullness, high fever, constipation and urinary retention, and anorexia. Other physicians treated it as deficient heat-dampness or Stomach cold. Since she could not eat, reduced excretion was expected, and some considered it Glandular Heat (Gan Re). Various medicines failed, leaving the situation critical. Tang asked what medicine should be taken and answered: "Gansui and Dahuang." Dr. Zhang exclaimed: "Previous doctors used tonics; this girl has not eaten for long, so purgatives moving the intestines are unsuitable." Tang replied: "Trust me and live; oppose me and die." Zhang asked if there was a formula second only to these without Gansui. Thus, Da Cheng Qi Tang (Major Order the Qi Decoction) was administered, curing her after two doses. On the next day, residual stagnation remained, predicting recurrence of blockage in a few days. The original strong purgatives were needed to eradicate the root. Days later, blockage recurred with abdominal fullness and Pi knotting. Re-administration of the medicine cured her in one dose.
Zhu Danxi treated the son-in-law of Jia Fu's sixth uncle, aged sixteen, with a mass in the left hypochondrium but normal appetite. Prescription: Vinegar-fried Citri Reticulatae Pericarpium Viride (Qingpi), Sparganii Rhizoma (Sanleng), Bupleuri Radix (Chaihu) 3 fen; Cinnamon Twig (Guizhi), Ligusticum Wallichii Rhizome (Chuanxiong), Saposhnikoviae Radix (Fangfeng) each 2 qian; Atractodis Macrocephalae Rhizoma (Baizhu) 2.5 qian; Akebia Caulis (Mutong) 1.5 qian; Sargassum (Haizao) 1 qian; Licorice Root (Gancao) 0.5 fen. Divided into seven doses, decocted to half a cup, taken with 15 Bao He Wan (Preserve Harmony Pills). Avoid all triggering foods.
Jiang Zhongfang treated a seven-year-old boy who, after eating and being startled, developed chills and fever with a mass in the right hypochondrium, causing severe distending pain when heavy, and hardness/fullness when light, lasting three years. He subsequently suffered from San Yin Malaria for over a year, which was stopped with pill medication. Although the malaria ceased, he developed morning chill and evening fever, coughing, emaciation, and severe pain from the Pi mass. Prescription: [Missing Character], Baizhu, Trionycis Carapax (Biejia), Danggui each 4 liang; Renshen, Baishao, Anemarrhenae Rhizome (Zhimu), Moutan Cortex (Danpi), Maiya, Shenqu, Shanzha each 2 liang; Qingpi, Chenpi, Binglang, Muxiang, Cinnamomi Cortex (Guangui) each 1 liang; Sanleng, Curcumae Rhizoma (Ezhu), Chaihu, Peach Kernel (Taoren) each 7 qian. Decocted into a paste, mixed with 4 liang of Maltose (Yitang). Taken at any time. Recovery occurred before the course was finished.