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C14 Chinese medication chart: Masses and accumulations etc. Wellcome Collection. Public Domain Mark. Source: Wellcome Collection.
abdominal accumulations, vomiting. From a manuscript copy of Shanghan diandian jin shu (The Gold-dust Book of Cold Damage) dated '1st year of the Zhengyuan reign period of the Yuan dynasty' (1341), section entitled Shanghan diandian jin yongyao muji (Cold Damage Gold-Dust Repertory of Medication).
The text states: Jiexiong (thoracic accumulation) refers to conditions involving distention and feeling of fullness (zhangman), aches and pains, in the chest and sides. If the pulse is tense and sunken, it is normally treated with Qi Supporting decoction (cheng qi tang) or Centre-Regulating decoction (li zhong tang). If the pulse is large and floating (fuda), Minor Bupleurum decoction (xiao chaihu tang) or Major Chest Bind decoction (da xianxiong tang)is usually given.
Pi (lump in the abdomen) illness refers to a condition where there is a mass and sensation of fullness in the thoracic and abdominal region, but it is not painful to the touch. The usual treatment is Five-Drug Powder (wu ling san), liquorice Heart-Purging decoction, etc. to promote diuresis; aconite Heart-Purging decoction or Ten-Dates deocoction (shizao tang) to release the exterior; limonite pills (yuyuliang wan) or trifoliate orange Centre-Regulating pills (zhishi li zhong wan) to stop diarrhoea.
Visceral accumulation (zangjie) refers to a condition in which there is a hard mass below the heart which is painful to the touch. This disease cannot readily be cured.
Retching and vomiting illnesses (ou zheng) are divided into four types: Yang Brightness (yangming) retching and vomiting, which is normally treated with Minor Bupleurum Decoction (xiao chaihu tang); Greater Yang and Yang Brightness (taiyang yangming) retching and vomiting, which is usually treated with arrowroot and pinellia decoction (gegen banxia tang); Lesser Yin (shaoyin) retching and vomiting, which is usually treated with True Warrior decoction (zhen wu tang) or Four Retrograde/Cold Extremities decoction (sini tang); and Greater Yang and Lesser Yang (taiyang shaoyang) retching and vomiting, which is usually treated with scutellaria decoction with pinellia (huangqin jia banxia tang) or ginger decoction.