荆芥、防风、连翘、枳壳、升麻，薄荷叶、羌活、
独活、桔梗、干葛、木通、金银花、黄苓，川芎、甘
草、山栀子，上肿加葱三茎，下肿加灯心一握，姜三片
引。水煎服。
凡肿胀，大小便不通，呕吐者，不治。脐突背平者，不治。
凡腹胀喘急，气长出，目闭，不食者，不治。
凡腹胀喘促，惊搐，闷乱者，不治。
祖传治胀满，以解毒丸下之，胃苓丸调之。
西江 月
腹胀名为恶症，寒热虚实分明，忽然饱闷势狰狞，伤食热家
体认。吐泄胀而寒取，大便秘而实因，四肢浮肿湿家寻，痞疟久成
虚病。
伤食胀而急下，下后还用保和，若是寒胀理中可，塌气神方
不错。秘结三黄葶苈，木香顺气宜多，胃苓又是湿家科，痞疟月
蟾堪妥。
实证闷乱喘满，治宜白饼灵丹，其症气喘作虚看，温药补养
方验。二术参苓厚朴，陈皮木香当参，更加木通利小便，此药虚症
可咽。
凡治小儿虚胀，先服塌气神方，不愈食积腹中藏，粪结小便
黄样。但觉时间微喘，饮水能食如常，脉浮而实下为良，下后再
宜补养。
大抵腹胀急症，背平脐突多凶，二便秘结下难通，反吐水浆
堪痛。气喘胀家常病，只愁目闭疲癃，面浮脚细黑筋丛，集圣丸子
妙用。
小儿腹胀多因食，山楂曲麦术青陈，甘草砂仁同入内，寒加
茱藿热加芩。
小儿患腹胀，紫萝葛陈甘，食少加白术，煎服自然安。
Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Lianqiao (Forsythiae Fructus), Zhike (Aurantii Fructus), Shengma (Cimicifugae Rhizoma), Boheye (Menthae Haplocalycis Folium), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Jiegeng (Platycodonis Radix), Gange (Puerariae Lobatae Radix), Mutong (Akebiae Caulis), Jinyinhua (Lonicerae Japonicae Flos), Huangqin (Scutellariae Radix), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Shanzhizi (Gardenoliae Fructus). For swelling in the upper part, add three stalks of Congbai (Allii Fistulosi Bulbus); for swelling in the lower part, add a handful of Dengxincao (Junci Medulla); use Sanjiang (Zingiberis Rhizoma Recens) as a guide. Decoct with water and take orally.
For any case of swelling accompanied by obstruction of urination and defecation, and vomiting, it is incurable. If the umbilicus protrudes and the back is flat, it is incurable.
For any case of abdominal distension with panting, long exhalations, closed eyes, and inability to eat, it is incurable.
For any case of abdominal distension with panting, convulsions, and restlessness, it is incurable.
The ancestral method for treating distension involves purging with Jiedu Wan (Detoxification Pill) first, followed by regulation with Weiling Wan (Stomach and Lingzhi Pill).
Xijiang Yue:
Abdominal distension is named a malignant condition; cold, heat, excess, and deficiency are distinct. Suddenly fullness and oppression present a ferocious appearance; recognize whether it is food injury or heat syndrome. Vomiting and diarrhea with distension indicate cold; constipation indicates excess. Seek the cause of four-limb edema in dampness; pi-malaria (痞疟) becomes a deficiency disease after a long time.
Food-injury distension requires urgent purging; after purging, Bahe Wan (Harmony-Preserving Pill) should still be used. If it is cold distension, Lizhong Tang (Regulate the Middle Decoction) is suitable; Taqi Shenfang (Divine Formula for Collapsing Qi) is not mistaken. Constipation can be treated with Sanhuang Tingli Wan (Three Yellows and Descurainia Seed Pill); Muxiang Shunqi San (Costus Regulating Qi Powder) should be used more frequently. Weiling Wan is again the standard for dampness cases; Yechan Wan (Moon Toad Pill) is appropriate for pi-malaria.
Excess syndromes with restlessness, panting, and fullness should be treated with Baibing Lindan (White Cake Spirit Pill). The symptom of panting may appear as deficiency, but warming medicines for tonification yield results. Ershu (Atractylodis Macrocephalae Radix and Atractylodis Rhizoma), Renshen (Ginseng Radix), Fuling (Poria), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), and Muxiang (Vladimiriae Radix) should be combined. Adding Mutong promotes urination; this medicine can also be taken for deficiency syndromes.
For treating pediatric deficiency distension, first administer Taqi Shenfang. If ineffective, food accumulation hides in the abdomen, feces are bound, and urine is yellow like rice wash. If only slight panting is felt occasionally, and drinking/eating remains normal, if the pulse is floating and excess, purging is good; afterwards, tonification is suitable.
Generally, acute abdominal distension with a flat back and protruding umbilicus often indicates a bad prognosis; difficulty in passing stool and urine, and vomiting water/gruel are painful. Panting and distension are common diseases; the worry lies in closed eyes and fatigue/strangury. Facial edema, thin legs, and clusters of black veins: Jisheng Wan (Collecting Sages Pill) has wonderful effects.
Pediatric abdominal distension is mostly due to food stagnation; Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Baizhu (Atractylodis Macrocephalae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi, Gancao, and Sharen (Amomi Fructus) are added together. Add Wuzhuyu (Evodiae Fructus) and Huoxiang (Agastaches Herba) for cold; add Huangqin for heat.
For pediatric abdominal distension, use Zisu (Perillae Folium), Gegen, Chenpi, and Gancao. Add Baizhu if appetite is poor; decoct and take to naturally achieve peace.