Library

Chishi Zhi (Lithong, Red Stone Lip) (one jin) Yuyuliang (Hematitum, Hematite) (one jin, crushed)
The above two ingredients are boiled in six sheng of water to obtain two sheng of decoction. The dregs are removed, and the liquid is divided into three doses for administration.

Originally, due to the erroneous use of purgative methods, epigastric fullness and obstruction (Xin Xia Pi) occurred. After administering Xiexin Tang (Heart-Draining Decoction), the fullness did not resolve. If the patient presents with thirst, irritability in the mouth, and difficulty in urination, Wuling San (Five-Ingredient Powder with Poria) should be used as the primary treatment (formula found in Taiyang Chapter 42).
Originally, epigastric fullness was induced by the erroneous use of purgatives. Although Xiexin Tang was indicated, the fullness persisted after administration. In this case, due to dampness of the Spleen-Earth and retention of water, accompanied by thirst, vexation, and oliguria, Wuling San is appropriate to drain water and dry the Earth to facilitate urination. When the Earth becomes dry, the Middle Qi rotates normally, turbid Yin descends and clear Yang ascends, and the epigastric fullness and hardness naturally dissipate.
Fullness syndromes (Pi Zheng) must be accompanied by diarrhea. The previous chapter stated that if diarrhea persists, one should promote urination. The method for promoting urination is Wuling San. In the Wuling San syndrome, both fullness and diarrhea are present; here, only fullness is mentioned while diarrhea is omitted for brevity.

After Taiyang disease has been treated with sweating, vomiting, or purging, and the exterior symptoms have resolved, if epigastric fullness and hardness persist with incessant belching (Yi Qi), Xuanshuhua Daizheshi Tang (Inula and Hematite Decoction) should be administered.
After Taiyang disease is treated with sweating, vomiting, or purging, although the exterior symptoms have resolved, the sweating and purging have damaged the Middle Jiao Earth, leading to deficiency of Stomach Qi and rebellious Stomach Qi. This obstructs the descending pathway of the Gallbladder Meridian, causing blockage at the stomach opening. Lung Qi becomes stagnant and steams to generate phlegm-fluids, and Stomach Earth stagnation generates hiccups and belching. In Xuanshuhua Daizheshi Tang, Renshen (Ginseng Radix), Gancao (Licorice Root), and Dazao (Jujube Fruit) tonify the Middle Jiao; Banxia (Pinellia Tuber), Shengjiang (Fresh Ginger Rhizome), and Daizheshi (Hematitum) descend rebellious Qi; and Xuanshuhua (Flower of Inula) moves phlegm-fluids and opens stagnant turbidity. If turbid Qi fills upward causing fullness and belching, Xuanshuhua and Daizheshi tonify deficiency and descend rebellion, immediately relieving belching. However, if taken again after relief, it may cause the pathogen to sink downward; thus, it should not be taken continuously.

Xuanshuhua (Flos Inulae) (three liang) Daizheshi (Hematitum) (one liang) Shengjiang (Rhizoma Zingiberis Recens) (five liang) Banxia (Tuber Pinelliae) (half a jin, washed) Gancao (Radix Glycyrrhizae) (three liang, honey-fried) Renshen (Radix Ginseng) (two liang) Dazao (Fructus Jujubae) (twelve pieces)
The above seven ingredients are boiled in ten dou of water to obtain six sheng of decoction. The dregs are removed, and the decoction is further concentrated to three sheng. Each dose is one sheng, taken warm, three times daily.

The condition resembles Guizhi Tang syndrome, but without headache or stiffness of the neck, with a slightly floating pulse at the Cun position, epigastric fullness and hardness, Qi rushing upward to the throat causing dyspnea. This indicates cold-phlegm (Han) in the Chest. It should be treated with emesis, and Goudi San (Thladiantha Seed Powder) is suitable. Patients who have suffered blood loss should not receive this formula.
The condition resembles Guizhi Tang syndrome, but without headache or neck stiffness, with a slightly floating pulse at the Cun position. Internally, there is epigastric fullness and hardness, with Qi rushing upward to the throat causing inability to breathe. This is due to cold-phlegm blocking the orifices, causing Lung Qi stagnation and failure to disperse. The treatment method requires emesis, and Goudi San is appropriate. Xiangchi (Fermented Soybean) moves stagnation, Chixiaodou (Adzuki Bean) drains dampness, and Goudi (Fructus Thladianthae) induces vomiting of cold-phlegm. For patients with a history of blood loss, whose blood tends to rebel upward, this formula is contraindicated.