Accumulation of breath

　　It is caused by the lung failing to descend and the long-term stagnation of lung Qi. The underwaist feels distended, with difficulty in breathing, and may have tangible masses. 'Accumulation of breath' refers to Qi stagnation in the sides, not between the internal organs and the defensive and nutritive Qi, forming over time. Qi does not affect the stomach, so it does not interfere with eating. Only the right side of the underwaist may feel full and breathing difficult, without any visible masses. Treatment should focus on regulating Qi flow, with formulas such as San Yin Hua Qi decoction, Mu Xiang Tiao Qi powder, and the use of guidance and exercise methods.

　　This condition is prone to complications such as abdominal distension, difficulty in breathing, and fatigue. The patient may experience fullness in the sides, difficulty in breathing, frequent recurrence without relief, and is named as 'accumulation of breath'. Due to Qi stagnation, it accumulates in the sides, not between the internal organs and the defensive and nutritive Qi, forming over time. Qi does not affect the stomach, so it does not interfere with eating. Moxibustion may lead to internal burning of fire, while acupuncture may stir up the meridian. Even with the administration of digestive medicine, it cannot be treated alone. It is advisable to dissipate the accumulation and assist with guidance and exercise.

　　The underwaist feels distended. This may be due to an imbalance of Qi and blood in the liver channel, or invasion of pathogenic factors into the Shaoyang meridian. When the liver is distended, the underwaist feels full and painful, with pain radiating to the lower abdomen. After four or five days of illness, the patient may have fever, aversion to wind, stiff neck, fullness in the sides, warm hands and feet, and thirst. The Xiaochaihu decoction is indicated for such symptoms.

　　Symptoms include chest and hypochondriac fullness, Qi reversal in breathing, but does not interfere with eating. The mass is not in the middle but below the hypochondrium. Initially, it is small, but over time it becomes larger, causing fullness in the hypochondrium, Qi reversal, and difficulty in breathing. The mass is below the left hypochondrium, commonly known as痞, and children are particularly prone to this disease. If the diet is too heavy, the spleen is not enough to transform, the remaining Qi stagnates and aggregates, the root is between the ribs, and the disease of Yangming is severe, then it is connected to the lung.

　　Mass is caused by lung Qi failing to descend and lung Qi being stagnated for a long time. The symptoms include fullness in the hypochondrium, Qi reversal, and difficulty in breathing, or there may be palpable masses. There are no effective preventive measures, and early detection and treatment are the key to prevention.

　　This disease is diagnosed through observation, listening, asking, and touching.Side pain caused by excessive liver Qi or Qi stagnation transforming into fire. The symptoms include easy anger, pain in the hypochondria that extends to the lower abdomen, bitter and sour mouth, or irritability, or thirst, or hot defecation and urination, or rapid, tense, and full pulse..

　　In addition to conventional treatment, patients with mass should eat light, eat more vegetables and fruits, rationally match their diet, and pay attention to sufficient nutrition. Avoid smoking and drinking, spicy food, greasy food, smoking and drinking, and cold food.

　　For patients with mass, treatment should focus on regulating Qi, using prescriptions such as San Yin Huaxi Decoction, Muxiang Tiaoqi Powder, etc., and can also use guiding and leading methods.

　　Push Qi Powder

　　For right side pain, fullness, and loss of appetite. Pian Jiang Huang, Bupleurum, and Cinnamon heart (each 3 qian), Zhigancao (3 qian ground into powder), take two qian, mixed with ginger and date decoction, take after meals.

　　赤茯苓 Soup

　　For treating mass in the hypochondrium and Qi reversal with fullness.赤茯苓桂心陈皮（half a liang, fried），Gao Liang Jiang (1 liang), Da Fu Pi (5 qian), Gan Cao (1 fen), Wu Zhu Yu (3 fen), take three qian of water decoction, twice a day.

　　Atractylodes Pill

　　Atractylodes (roasted with old soil), Bupleurum (roasted with bran), Cinnamon (each 1 liang and a half), Ginseng, Citrus peel, and Cinnamon bark (each 1 liang ground into powder), honey pills the size of梧子, take thirty pills with an empty stomach with wine, twice a day. For side pain, left belongs to the liver which is the master of blood, right belongs to the lung which is the master of Qi, with much phlegm accumulation, and sadness, anger, and frustration can hurt liver Qi, causing pain in both sides of the ribs, tense muscles and tendons, and heavy and stiff lower back.

　　Bupleurum Powder

　　Bupleurum (4 liang first boiled), Asarum, Platycodon, and Forsythia (each 2 liang), Pueraria (1 liang and a half), Liquorice (1 liang as coarse powder), take four qian, one bowl and a half of water, boil with ginger and dates until seven parts, take on an empty stomach before meals.