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To treat food stagnation caused by consuming meat, damp noodles, and pungent or strong-flavored foods, resulting in chest and epigastric stuffiness, mental restlessness, and discomfort.
Prescription: Zhi Shi (Bitter Orange Immature Fruit, bran-fried, 5 qian), Huang Lian (Coptis Rhizome, stamens removed, wine-washed), Da Huang (Rhubarb Root and Rhizome, wrapped in wet paper and baked), Shen Qu (Medicated Leaven, fried), Ju Pi (Tangerine Peel), Bai Zhu (Atractylodes Macrocephala Rhizome, each 1 liang), Huang Qin (Scutellaria Root, 2 liang).
Grind the above herbs into an extremely fine powder. Soak steamed leavened bread dough in water to form pills, twice the size of mung beans. Take 50 pills per dose with warm water. Adjust the dosage according to the amount of ingested food.

To treat heart and abdominal fullness and pain caused by consuming raw, cold, and hard foods.
Prescription: Ba Dou Shuang (Croton Seed Frost, 5 fen), Mu Xiang (Costus Root, 2 qian), Sheng Ma (Cimicifuga Rhizome), Chai Hu (Bupleurum Root, each 3 qian), Cao Dou Kou (Black Cardamom, wrapped in flour, roasted until cooked, use the kernel), Xiang Fu (Cyperus Rhizome, fried, each 5 qian), Shen Qu (Medicated Leaven, fried until yellow), San Leng (Curcuma Zedoaria Rhizome, peeled and roasted), E Zhu (Curcuma Phaeocaulis Rhizome, roasted, each 1 liang).
Grind the above herbs into a fine powder. Soak steamed leavened bread dough in water to form pills, twice the size of mung beans. Take 10-20 pills per dose with warm plain water. Adjust the dosage according to the amount of ingested food.

To treat food stagnation caused by consuming bean powder, damp noodles, and greasy foods.
Prescription: Bai Fan (Alumen, calcined, 3 qian), Huang Qin (Scutellaria Root, 5 qian), Ju Pi (Tangerine Peel, 7 qian), Shen Qu (Medicated Leaven, fried until yellow), Ban Xia (Pinellia Tuber, washed seven times in hot water), Bai Zhu (Atractylodes Macrocephala Rhizome, each 1 liang), Zhi Shi (Bitter Orange Immature Fruit, bran-fried until yellow, 1 liang 1 qian).
Grind the above herbs into an extremely fine powder. Soak steamed leavened bread dough in water to form pills, the size of mung beans. Take 30-50 pills per dose with warm water. For those consuming more vegetarian food, dried ginger is often used; therefore, Huang Qin is added to clear and drain heat.

To treat stomach pain at the epigastrium directly below the heart, extending upwards to both hypochondria and through the throat and diaphragm causing obstruction, triggered by cold foods during autumn and winter.
Prescription: Chao Yan (Fried Salt, 5 fen), Gan Sheng Jiang (Dried Ginger), Qing Pi (Green Tangerine Peel), Ju Pi (Tangerine Peel, each 2 qian), Mai Ya Mian (Fried Barley Flour), Sheng Huang Qin (Raw Scutellaria Root, not used in winter), Ban Xia (Pinellia Tuber, washed seven times in hot water), Shen Qu (Medicated Leaven, fried, each 5 qian), Cao Dou Kou (Black Cardamom, wrapped in flour, roasted, peel removed, kernel used), Bai Zhu (Atractylodes Macrocephala Rhizome, each 1 liang), Zhi Shi (Bitter Orange Immature Fruit, bran-fried, 2 liang).
Grind the above herbs into an extremely fine powder. Soak steamed leavened bread dough in water to form pills, the size of mung beans. Take 50 pills per dose with warm water.

The *Liuyuan Zhengji Lun* states: "When Taiyin prevails, it manifests as central fullness; when Taiyin prevails, it manifests as accumulation and fullness; all swelling and fullness due to dampness belong to Spleen Earth." The *Neijing* discusses: "The Spleen is Yin within Taiyin, sharing the transformation of damp earth. Excess Spleen dampness leads to abdominal fullness and indigestion. Heaven is Yang and Heat, governing transformation and transportation; Earth is Yin and Damp, governing growth and nourishment. Without Yang, Yin cannot transform and generate; thus it is said that 'Cold in the Zang organs generates fullness diseases.'" The *Suwen: Tiao Jing Pian* states: "Due to irregular diet and overexertion damaging the Spleen and Stomach, one initially suffers from Heat in the Middle (Re Zhong); if it does not transmit to Cold in the Middle (Han Zhong), this is all because the Qi of the Spleen and Stomach is weak and unable to transform and transport essence and micro-nutrients, causing food and fluids to accumulate without dispersing, resulting in distension." The *Neijing* states: "Abdominal fullness and swelling, obstructing the chest and diaphragm, with Qi reversing from the hypochondria up to the head, the pathology lies in the Taiyin and Yangming meridians; this is due to excessive stagnation of Cold-Damp." The *Mai Jing* says, "Cold in the Stomach causes fullness," which refers to this (from *Zhen Jing*, Vol. 3, Miscellaneous Diseases Chapter 8). "Abdominal fullness with difficulty in defecation, Qi moving upward to the chest, causing panting and audible breathing" should be treated by selecting points on the Foot Shaoyin meridian. It also states: "For distension, select the Three Yang meridians. The Foot Taiyang Bladder Meridian, belonging to Cold Water, is prone to distension." This aligns perfectly with the *Tong Ping Xu Shi Lun*, which says: "Sudden abdominal fullness that cannot be relieved by pressure should be treated by selecting the Foot Taiyang meridian collaterals and the Front-Mu point of the Stomach." Here, "selecting" implies "draining." The *Neijing* states, "Central fullness should be drained from within," which is exactly this principle. It is appropriate to use Pungent-Hot herbs to disperse, Bitter herbs to purge, and Acrid/Insipid herbs to promote diuresis, thereby dispersing dampness from above and below. This is just like "opening the ghost gate (sweating) and cleansing the residence (diuresis)," and "warming the clothes and applying Mi Ci needling," which first drains the blood collaterals and then regulates the Qi and Blood of the True Meridians, achieving balance of Yin and Yang, clarity of Spirit, and this is the correct treatment method. One might ask: "Why does it say that all distensions and abdominal enlargements belong to Heat?" This is a general statement from the *Bing Ji* (Pathogenesis). For example, if external pathogenic factors such as Wind-Cold, being excess pathogens, transmit from the exterior to the interior, transforming from Cold to Heat, leading to Stomach excess and abdominal fullness, Zhang Zhongjing treats this with Da Cheng Qi Tang. There are also those who consume rich and fatty foods, where Damp-Heat stagnates internally causing distension; this is referred to as "Heat Distension." Generally speaking, Cold Distension is more common than Heat Distension, so practitioners must distinguish carefully.