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Glomus qì

痞气 〔痞氣〕pǐ qì

1. One of the five accumulations, the accumulation of the spleen; a prominent mass in the stomach duct shaped like an upturned dish, accompanied by emaciation of the flesh and lack of strength in the limbs, and if persistent, may also be associated with jaundice. Glomus qì is attributable to spleen vacuity and qì depression causing glomus blockage and binding accumulation.

Medicinal therapy: Treat by fortifying the spleen and dispersing stagnation. Use Glomus Qì Pill (痞气丸 pǐ qì wán) from Three Causes Formulary (三因方 sān yīn fāng), which contains aconite main tuber (Aconiti Radix, 川乌头 chuān wū tóu), aconite (Aconiti Radix Lateralis Praeparata, 附子 fù zǐ), halloysite (Halloysitum Rubrum, 赤石脂 chì shí zhī), zanthoxylum (Zanthoxyli Pericarpium, 花椒 huā jiāo), dried ginger (Zingiberis Rhizoma, 干姜 gān jiāng), and shaved cinnamon bark (Cinnamomi Cortex Rasus, 桂心 guì xīn).

2. Fullness and discomfort in the anterior chest, mostly arising after inappropriate precipitation cold damage when the disease evil fails to disperse and turbid qì gathers and binds.

Medicinal therapy: Use Pinellia Heart-Draining Decoction (半夏泻心汤 bàn xià xiè xīn tāng) or Unripe Bitter Orange Center-Rectifying Pill (枳实理中丸 zhǐ shí lǐ zhōng wán) and variations.

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