痞者，皆土之病也，与胀满有轻重之分。痞则内觉痞闷，而外无胀急形者是也。有中气
虚弱
一方 治禀受充实，面苍骨露，气实之人，心下痞者。
枳实 黄连 青皮 陈皮 枳壳
上为末，每服三钱，灯心汤下。
一方 禀受素弱，转运不调，饮食不化而心下痞者。
白术 山楂（去核） 神曲 麦芽 陈皮
上为末，每服三钱，米饮调下。
一方 治肥人心下痞者。乃是郁热在中焦。
枳实 黄连 葛根 升麻
上为末，每服三钱，薄荷汤下。
一方 治食后感寒，饮食不化，心下痞者。
藿香 豆蔻 吴茱萸 砂仁
上为末，每服三钱，姜汤下。
一方 治挟血成窠囊，心下痞者。
桃仁 红花 香附 大黄
上为末，每服四钱，酒下。
加芍药、黄连各一钱，治内伤心下痞，瞀闷者。如痞腹胀，加枳实三分，姜朴七分，
木香、砂仁各三分。见内伤门。
枳实 黄连（各五钱） 干生姜（二钱） 半夏曲（三钱） 浓朴（四钱） 人参（二
钱） 甘草（炙，二钱） 白术（三钱） 茯苓 麦芽（各二钱）
为末，蒸饼丸，每五十丸，温水下。
气逆也，气自脐下直冲，上出于口而作声之名也。古谓之哕，今谓之呃，乃胃寒所生，
寒气自逆而呃上也。有痰，有气虚，有火，有因饮食太过，填塞胸中，而气不得升降者，或
有痰闭于上，火起于下，而气不得伸越者。又有伤寒热病，阳明内实，过期失下，清气不得
升，浊气不得降，以致气不宣通而发呃者，此皆实症也。
一方 治痰咳。
陈皮 半夏
上姜五片，水煎服。或以人参芦煎汤吐之。
Pi syndrome (fullness and obstruction) is a disease of the Spleen and Stomach (Earth element), differing from Zhangman (distension and fullness) in severity. Pi refers to a condition where the patient feels internal stuffiness and oppression, but there are no external signs of distension or urgency.
Prescription 1: Treats Pi located below the heart in individuals with robust constitution, dark complexion, prominent bones, and excess Qi.
Herbs: Zhi Shi (Immature Bitter Orange Fruit), Huang Lian (Coptis Rhizome), Qing Pi (Green Tangerine Peel), Chen Pi (Aged Tangerine Peel), Zhi Ke (Bitter Orange Fruit).
Preparation: Grind into powder. Take 3 qian per dose, administered with Deng Xin Cao Tang (Juncus Decoction).
Prescription 2: Treats Pi located below the heart in individuals with weak constitution, impaired transport and transformation, and indigestion.
Herbs: Bai Zhu (Atractylodes Macrocephala Rhizome), Shan Zha (Hawthorn Fruit, pitted), Shen Qu (Medicated Leaven), Mai Ya (Barley Sprout), Chen Pi (Aged Tangerine Peel).
Preparation: Grind into powder. Take 3 qian per dose, mixed with Mi Yin (Rice Decoction).
Prescription 3: Treats Pi located below the heart in obese individuals. This is caused by stagnant heat accumulating in the Middle Jiao.
Herbs: Zhi Shi (Immature Bitter Orange Fruit), Huang Lian (Coptis Rhizome), Ge Gen (Kudzu Root), Sheng Ma (Cimicifuga Rhizome).
Preparation: Grind into powder. Take 3 qian per dose, administered with Bo He Tang (Mint Decoction).
Prescription 4: Treats Pi located below the heart caused by catching cold after eating, leading to indigestion.
Herbs: Huo Xiang (Patchouli Herb), Dou Kou (Black Cardamom Seed), Wu Zhu Yu (Evodia Fruit), Sha Ren (Amomum Fruit).
Preparation: Grind into powder. Take 3 qian per dose, administered with Jiang Tang (Ginger Decoction).
Prescription 5: Treats Pi located below the heart caused by blood stasis forming a "nest-like" accumulation.
Herbs: Tao Ren (Peach Kernel), Hong Hua (Safflower), Xiang Fu (Cyperus Rhizome), Da Huang (Rhubarb Root and Rhizome).
Preparation: Grind into powder. Take 4 qian per dose, administered with wine.
Add Shao Yao (Peony Root) and Huang Lian (Coptis Rhizome), each 1 qian, to treat Pi below the heart caused by internal injury, accompanied by dizziness and chest oppression. If Pi is accompanied by abdominal distension, add Zhi Shi (Immature Bitter Orange Fruit) 3 fen, Jiang Po (Ginger-processed Magnolia Bark) 7 fen, Mu Xiang (Costus Root) and Sha Ren (Amomum Fruit), each 3 fen. (See Internal Injury Section).
Herbs: Zhi Shi (Immature Bitter Orange Fruit), Huang Lian (Coptis Rhizome) (each 5 qian), Gan Sheng Jiang (Dried Ginger) (2 qian), Ban Xia Qu (Pinellia Medicated Leaven) (3 qian), Nong Po (Magnolia Bark) (4 qian), Ren Shen (Ginseng Root) (2 qian), Gan Cao (Licorice Root, honey-fried) (2 qian), Bai Zhu (Atractylodes Macrocephala Rhizome) (3 qian), Fu Ling (Poria), Mai Ya (Barley Sprout) (each 2 qian).
Preparation: Grind into powder, make pills using steamed bread paste. Take 50 pills per dose, with warm water.
E Ni (hiccups) is named for the sound produced when Qi rushes straight up from below the umbilicus and exits through the mouth. In ancient times it was called Yue, now it is called E. It is generated by Stomach Cold; cold Qi rebels upward causing hiccups. Etiologies include Phlegm, Qi Deficiency, Fire, excessive food intake blocking the chest preventing Qi ascent and descent, phlegm obstructing above while fire rises below preventing Qi extension, or Taiyang-Shaoyang transition diseases/heat diseases where Yangming interior excess persists without purgation, preventing clear Qi from ascending and turbid Qi from descending, leading to blocked Qi mechanism and hiccups. These are all Excess syndromes.
Prescription: Treats Phlegm-induced cough and hiccups.
Herbs: Chen Pi (Aged Tangerine Peel), Ban Xia (Pinellia Tuber).
Preparation: Add 5 slices of fresh ginger, decoct in water and drink. Alternatively, decoct Ren Shen Lu (Ginseng Stalk) in water to induce vomiting.