此火郁结不散所致。用柴胡、栀子（炒）、花粉各三钱，白芍一两，甘草二钱，煎服，
即
薏苡仁一两，用东方壁土炒黄色，入水煮烂，放砂盆内研成膏，每用无灰酒调服二钱，
即消。
凡腹内瘀血凝结，疼痛时发时止，谓之痞积。又有形者为症，无形者为瘕。又久疟不愈
亦成痞积，方见疟疾门。
消痞膏∶治积年恶痞，至重贴至两张即消。屡试神验。密陀僧六两，阿魏五钱，羌活、
水红花子各一两，穿山甲三钱，香油一斤八两，火候照常熬膏法，膏成时，下麝香一钱，用
布照痞大小摊贴。凡患痞癖处肌肤定无毫毛，须看准以笔圈记，用膏贴之。内用水红花子研
末三钱，烧酒二斤泡之，时饮一杯，痞消乃止。水红花子，即红蓼花子，以自取为真，药店
多假，用之不效。
又方∶苋菜（不拘红白均可）十斤，洗去泥，不必去根，以河水煎汤两大钵；用活甲鱼
一
用麻油八两熬至滴水成珠，下甲鱼膏末四两（如甲鱼膏不足，以铅粉添配），搅匀成膏，收
之
又方∶臭椿树皮（在上、中者佳，要一大束）去粗皮，只用白皮二斤，切碎，入锅内水
熬
块
于
一
又方∶雄黄、白矾各一两，为末，面糊调膏摊布上贴之，俟大便胀满而极多者，即愈。
此秘方也。
又方∶香附、皂矾各一两，二味拌匀，分三分，各用纸包，外用黄泥裹成团，阴干。若
有破裂，再以泥补之，候干，以大炭火 之，自早至晚，过夜冷透，取中间不焦者，去矾，
只用香附为细末，以枣肉为丸如绿豆大。每早开水下一丸，不忌口，轻不过三五服，重不过
七服，即愈。病自大便而下， 时忌一切人见，并不可闻鸡犬声，犯则伤人，恐致火灾，切
记。
这是由于火邪郁结不散所导致的。使用柴胡、栀子（炒制）、天花粉各三钱，白芍一两，甘草二钱，煎煮后服用，症状即可缓解。
另外一方：薏苡仁一两，用东方墙壁上的土炒至黄色，放入水中煮烂，置于砂盆中研磨成膏状，每次用无灰酒调服二钱，痞块即可消除。
凡是腹内有瘀血凝结，疼痛时发时止的，称为痞积。又有形体的称为症，无形体的称为瘕。此外，久疟不愈也会形成痞积，相关方剂见疟疾门。
消痞膏：治疗多年的顽固性痞块，最重的贴两张即可消除。多次试验非常灵验。密陀僧六两，阿魏五钱，羌活、水红花子各一两，穿山甲三钱，香油一斤八两，按照常规火候熬制成膏。膏成时加入麝香一钱，用布根据痞块大小摊开贴敷。凡是患痞癖部位的皮肤上一定没有毫毛，必须看清楚后用笔圈记出来，贴上药膏。内服用水红花子研成末三钱，烧酒二斤浸泡，时常饮用一杯，直到痞块消除为止。水红花子，就是红蓼花子，以自行采集的为真品，药店里多作假货，使用假货无效。
又一方：苋菜（不论红色白色均可）十斤，洗去泥土，不必去掉根部，用河水煎煮成两大钵汤；取活甲鱼一只，用麻油八两熬至滴水成珠的状态，下入甲鱼膏末四两（如果甲鱼膏不足，用铅粉补充），搅拌均匀成膏，收藏起来。
又一方：臭椿树皮（上部和中部的为佳，需要一大束），去掉粗皮，只用白色的皮二斤，切碎，放入锅中用水熬煮成膏。
又一方：雄黄、白矾各一两，研成细末，用面糊调成膏状，摊在布上贴敷，等到大便胀满且排出极多时，病就好了。这是秘方。
又一方：香附、皂矾各一两，将这两味药拌匀，分成三份，各自用纸包好，外面用黄泥裹成团，阴干。如果有破裂，再用泥补好，等干了以后，用大炭火煅烧，从早到晚，过夜冷却透后，取出中间没有焦黑的部分，去掉矾，只用香附研成细末，用枣肉做成如绿豆大小的丸药。每天早晨用开水送服一丸，不需要忌口，轻症不超过三五次服药，重症不超过七次服药，即可痊愈。病邪会从大便排出，期间忌讳一切人看见，并且不可听到鸡犬的声音，否则伤人，恐怕导致火灾，切记。
This is caused by the stagnation and accumulation of fire pathogen. Use Chai Hu (Bupleuri Radix), Zhi Zi (Gardeniae Fructus, stir-fried), Hua Fen (Trichosanthis Radix) each 3 qian, Bai Shao (Paeoniae Radix Alba) 1 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) 2 qian; decoct with water and take orally, symptoms will relieve immediately.
Another prescription: Yi Yi Ren (Coicis Semen) 1 liang, stir-fry with soil from the eastern wall until yellow, boil in water until soft, grind into paste in a mortar, take 2 qian mixed with pure wine each time, the mass will dissipate.
Whenever blood stasis condenses within the abdomen, causing pain that comes and goes intermittently, it is called Pi Ji (accumulation due to qi and blood stagnation). Those with a tangible form are called Zheng (masses), while those without a tangible form are called Jia (fluctuating masses). Additionally, chronic malaria that does not resolve can also lead to Pi Ji; see the Malaria section for formulas.
Xiao Pi Gao (Mass-Dissolving Paste): Treats stubborn masses accumulated over years; even severe cases dissipate after applying up to two patches. Tested repeatedly with miraculous efficacy. Mi Tuo Seng (Lithargyrum) 6 liang, A Wei (Ferulae Resina) 5 qian, Qiang Huo (Notopterygii Rhizoma et Radix) and Shui Hong Hua Zi (Polygoni Ayersii Fructus) each 1 liang, Chuan Shan Jia (Manis Squama) 3 qian, Xiang You (Sesame Oil) 1 jin 8 liang. Prepare according to standard paste-making methods. When the paste is ready, add She Xiang (Moschus) 1 qian. Spread on cloth according to the size of the mass and apply externally. The skin at the site of the mass or lump invariably lacks fine hair; mark the area accurately with a pen before application. Internally, grind Shui Hong Hua Zi into powder (3 qian), soak in 2 jin of strong liquor, drink one cup occasionally until the mass dissolves. Shui Hong Hua Zi refers to Polygoni Ayersii Fructus; self-harvested ones are authentic, whereas pharmacy stocks are often counterfeit and ineffective.
Another prescription: Xian Cai (Amaranthus leaves, red or white) 10 jin, wash off mud, do not remove roots, decoct in river water to make two large bowls of soup; take one live soft-shelled turtle, fry in Ma You (Sesame Oil) 8 liang until it beads when dropped in water, add Turtle Shell Paste powder 4 liang (if insufficient turtle shell paste, supplement with Qian Fen [Lead Oxide]), mix evenly into a paste, and store.
Another prescription: Chou Chun Shu Pi (Celastrus bark, upper and middle parts preferred, one large bundle), remove coarse outer bark, use only the white inner bark 2 jin, chop finely, decoct in water in a pot to make paste.
Another prescription: Xiong Huang (Realgar) and Bai Fan (Alumen) each 1 liang, grind into powder, mix with wheat flour paste to form a plaster, spread on cloth and apply externally. Recovery occurs when bowel movements become excessively full and frequent. This is a secret formula.
Another prescription: Xiang Fu (Cyperi Rhizoma) and Zao Fan (Ferrosum Sulfas) each 1 liang, mix well, divide into three portions, wrap each in paper, encase in yellow clay balls, and dry in shade. If cracks appear, repair with clay. Once dry, calcine over intense charcoal fire from morning till night, allow to cool overnight. Retrieve the uncharred center, remove the alum, grind only the Xiang Fu into fine powder, bind with jujube flesh to form pills the size of mung beans. Take one pill daily with warm water in the morning; no dietary restrictions are needed. Mild cases resolve within 3–5 doses, severe cases within 7 doses. The pathogenic factor exits via stool. During this period, avoid letting others see you, and do not hear the sounds of chickens or dogs; violating these taboos may cause harm or fire disasters. Remember strictly.