胀满者，俗谚所谓膨亨是也。内经问∶人有病，旦食不能暮食，此为何病？歧伯对曰∶
名曰鼓胀。治之以鸡矢醴一剂至二剂已。治法虽详，而不论其病之所由生，故切有疑焉。大
抵人之脾胃，主于中州，大腹小腹是其候也。若阳气外强，阴气内正，则脏气得其平，病何
由生。苟或将理失宜，风寒暑湿得以外袭，喜怒忧思得以内伤，食啖生冷，过饮寒浆，扰动
冲和，如是阴气当升而不升，阳气当降而不降，中焦痞结，必成胀满。胀满不已，变证多端，
或肠鸣气走漉漉有声，或两胁腰背痛连上下，或头痛呕逆，或胸闷不食，或大小便为之不利，
未有不因胀满而使焉。更有五疸、水气、香港脚及妇人血膨，令人胀满。若论其脉，脉浮者可
治，脉虚小者为难治。
治喜怒不节，肝气不平，邪乘脾胃，心腹胀满，连两胁妨闷，头晕呕逆，脉来
防风（去芦） 桂枝（不见火） 枳壳（去瓤，麸炒） 赤芍药 桔梗（去芦，锉，炒。
各一两） 木香（不见火） 人参 槟榔 当归（去芦，酒浸） 川芎 桔红 甘草（炙。
各半两）
上 咀，每服四钱，水一盏半，姜五片，煎至七分，去滓，温服，不拘时候。
治忧思过度，邪伤脾肺，心腹膨胀，喘促胸满，肠鸣气走，漉漉有声，大小便不利，脉
虚紧而涩。
紫苏子（一两） 大腹皮 草果仁 半夏（汤泡七次） 浓朴（去皮，姜制，炒） 木
香（不见火） 桔红 木通 白术 枳实（去瓤，麸炒） 人参 甘草（炙。各半两）
上 咀，每服四钱，水一盏半，生姜五片，枣二枚，煎至七分，去滓，温服，不拘时候。
Distension and fullness, commonly referred to in folk sayings as "Peng Heng" (abdominal distension), is described in the *Neijing* (Classic of Internal Medicine): "There is a person who suffers from illness, able to eat in the morning but unable to eat in the evening; what disease is this?" Qibo replied: "It is called Drum Distension (Gu Zhang). Treat it with Ji Shi Li (Chicken Dropping Fermented Liquid) for one to two doses, and it will be cured." Although the treatment methods are detailed, the origin of the disease is not discussed, so I have doubts. Generally speaking, the Spleen and Stomach govern the Middle Jiao (Central Region), and the large and small abdomen are their manifestations. If Yang Qi is strong externally and Yin Qi is balanced internally, then the Zang organ Qi remains in equilibrium, and how could disease arise? However, if management is improper, Wind-Cold-Heat-Dampness can invade from outside, and Joy, Anger, Worry, or Overthinking can injure from inside. Eating raw and cold foods, or drinking excessive amounts of cold beverages, disturbs the harmonious Qi (Chong He). In such cases, Yin Qi should ascend but does not, and Yang Qi should descend but does not. The Middle Jiao becomes obstructed and knotted, inevitably leading to distension and fullness. If distension persists, various complications may arise: some experience borborygmus (intestinal rumbling) with gas moving and producing gurgling sounds; some suffer from pain in both hypochondria, waist, and back radiating up and down; some have headache and vomiting with rebellious Qi; some feel chest tightness and loss of appetite; some experience difficulty in urination and defecation. None of these occur without being caused by distension. Furthermore, the Five Jaundices (Wu Dan), Water Qi (Shui Qi), Hong Kong Foot (Gouty Arthritis/Edema), and Blood Distension (Xue Peng) in women also cause distension. Regarding the pulse, a floating pulse indicates a treatable condition, while a deficient and small pulse indicates a difficult-to-treat condition.
For treating irregularities in joy and anger, leading to unequal Liver Qi, where pathogenic factors attack the Spleen and Stomach, causing epigastric and abdominal distension and fullness, discomfort in both hypochondria, dizziness, and vomiting with rebellious Qi, with a pulse presenting as...
Fang Feng (Saposhnikoviae Radix, remove rhizome) Gui Zhi (Cinnamomi Ramulus, avoid roasting) Zhi Ke (Aurantii Fructus, remove albedo, stir-fry with bran) Chi Shao Yao (Paeoniae Radix Rubra) Jie Geng (Platycodonis Radix, remove rhizome, cut, stir-fry) [Each 1 liang] Mu Xiang (Aucklandiae Radix, avoid roasting) Ren Shen (Ginseng Radix et Rhizoma) Bing Lang (Arecae Semen) Dang Gui (Angelicae Sinensis Radix, remove rhizome, soak in wine) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Ju Hong (Citri Reticulatae Pericarpium) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [Each 0.5 liang]
Crush the above herbs into coarse powder. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until reduced to 0.7 zhan, strain, and take warm. No specific time restriction.
For treating excessive worry and overthinking, where pathogenic factors injure the Spleen and Lungs, causing epigastric and abdominal distension, shortness of breath with chest fullness, borborygmus with gas movement and gurgling sounds, difficulty in urination and defecation, with a pulse that is deficient, tight, and choppy.
Zi Su Zi (Perillae Fructus, 1 liang) Da Fu Pi (Arecae Catechu Pericarpium) Cao Guo Ren (Tsaoko Fructus Seed) Ban Xia (Pinelliae Rhizoma, soaked in boiling water seven times) Hou Po (Magnoliae Officinalis Cortex, remove bark, process with ginger, stir-fry) Mu Xiang (Aucklandiae Radix, avoid roasting) Ju Hong (Citri Reticulatae Pericarpium) Mu Tong (Akebiae Caulis) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Zhi Shi (Aurantii Fructus Immaturus, remove albedo, stir-fry with bran) Ren Shen (Ginseng Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [Each 0.5 liang]
Crush the above herbs into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, 5 slices of fresh ginger, and 2 jujubes, decoct until reduced to 0.7 zhan, strain, and take warm. No specific time restriction.