Library

Ganlu Yin (Sweet Dew Decoction): Treats Stomach Heat with excessive appetite but failure to build muscle tissue.
Shengdi Huang (Rehmanniae Radix), Shudi Huang (Rehmanniae Radix Preparata), Tiandong (Asparagi Rhizoma), Maidong (Ophiopogonis Radix), Pianling (Scutellariae Radix, i.e., Huangqin), Shihu (Dendrobii Caulis), Gancao (Glycyrrhizae Radix et Rhizoma), Pipaye (Loquat Leaf), Zhike (Aurantii Fructus Immaturus), Yichen (Artemisiae Scopariae Herba) (equal parts).
Decoct in water and take 3 qian per dose.

Lizhong Tang (Cinnamon Twig and Ginger Decoction) (see section on Heart and Abdominal Pain)
Jianzhong Tang (Acupuncture Point: Jianzhong is not a formula name here, likely referring to Guizhi Jia Huangqi Tang or similar variations in context, but literally "Establish Middle Decoction")
Shaoyao (Paeoniae Radix Alba) (6 qian), Guizhi (Cinnamomi Ramulus) (3 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian), Shengjiang (Zingiberis Rhizoma Recens) (3 qian), Yitang (Maltose), Dazao (Jujubae Fructus) (4 pieces).
Take the above six ingredients, add three cups of water, boil to obtain one cup, remove dregs, add Yitang, heat gently over low fire until dissolved, take warm, three times daily.

Yinchen Hao Tang (Artemisia Scoparia and Soybean Decoction): Treats Yangming Disease with fever and sweating; this indicates heat dispersing outward, so jaundice will not occur. However, if there is only sweating on the head, no sweating on the body, stopping at the neck, dysuria, and thirst for fluids, this indicates stagnant heat inside the interior, leading to jaundice; this formula governs it.
Yinchen Hao (Artemisiae Scopariae Herba) (6 qian), Zhizi (Gardeniae Fructus) (3 qian), Dahuang (Rhei Radix et Rhizoma) (2 qian, peeled).
Take the above three ingredients, add three cups of water, first decoct Yinchen Hao until the volume reduces by one and a half cups, then add the other two ingredients, decoct to eight-tenths strength, remove dregs, take warm, three times daily. When urine flows freely, appearing dark red like soapberry juice, after one night the abdomen will reduce, and the yellow pigment will exit via the urine.

Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction): Treats Cold Damage with jaundice and fever.
Zhizi (Gardeniae Fructus) (3 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian), Huangbai (Phellodendri Cortex) (2 qian).
Take the above three ingredients, add two and a half cups of water, decoct to eight-tenths strength, take twice daily.

Lizhong Tang Tongmai Sini Tang plus Porcine Bile (see *Shanghan Lun*)

Wuling San (Five-Ingredient Powder with Poria): Treats Huoluan (Cholera-like syndrome) with vomiting, diarrhea, and thirst; presents all symptoms of Taiyang Disease, such as thirst, vomiting, dysuria, etc.; borrowed for Edema (Water Swelling) with good efficacy.
Zexie (Alismatis Rhizoma) (2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zhuling (Polypori Umbellati Mycelium) (each 1 liang), Guizhi (Cinnamomi Ramulus) (7 qian).
Grind into powder, mix with rice drink and take 3 qian; drink plenty of warm water to induce sweating. Modern practitioners use small doses, decocted in water.

Weiling San (Stomach and Cinnamon Powder) (see section on Diarrhea)

Shengzhu Jian (Sage Atractylodes Decoction): Treats abdominal distension due to Spleen Deficiency, and chronic vomiting and diarrhea.
Baizhu (Atractylodis Macrocephalae Rhizoma) (lightly stir-fried, 1 liang), Chenpi (Citri Reticulatae Pericarpium) (2 qian), Ganjiang (Zingiberis Rhizoma) (3 qian), Rougui (Cinnamomi Cortex) (2 qian).
Decoct in water and take. If deficiency is severe, add Fuzi (Aconiti Lateralis Radix Preparata).
Baizhu tonifies the Spleen; when the Spleen is tonified, its transportation function improves, digestion occurs, and distension resolves. To emphasize transportation over tonification, use raw Baizhu; to emphasize tonification over transportation, use prepared Baizhu. Generally, herbs act quickly when raw and slowly when processed/cooked; this is natural law. If charred, they lose their nature and damage the Spleen, increasing distension.
Chenpi directs stagnant Qi outward; Ganjiang dispels cold from the middle Jiao; Rougui transforms Taiyang Qi in the lower Jiao. When lower Jiao Qi transformation functions, Qi in the upper and middle Jiao is also regulated. This is the premier formula among Zhang Jingyue's new prescriptions.

Lianli Wan (Lotus Root and Licorice Pill): Treats abdominal distension large as a basket with occasional regurgitation of sour fluid; also treats chronic diarrhea with miraculous effect.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Chuanlian (Coptidis Rhizoma) (each 2 liang), Zhi Cao (Honey-processed Glycyrrhizae Radix et Rhizoma) (1 liang).
Make pills with honey, take 3 qian per dose, swallow with rice soup, twice daily.
Yu Jiayan said: "Sour fluid appearing intermittently indicates single-abdomen distension, and pain in the heart, chest, abdomen, and hypochondrium. Do not use Bawei Dihuang Wan as 'soft within hard,' but use this pill as 'hard within soft,' utilizing its great bitterness and pungency to transform the Stomach without being transformed by it." I note: Substituting Baizhu for Cangzhu increases potency.

Guigan Jiangzao Maxinfu Zi Tang (Cinnamon Twig, Licorice, Ginger, Jujube, Ephedra, Asarum, and Prepared Aconite Decoction): Treats Qi Division disease, hardness and fullness below the heart large as a plate, with edges like a rotating cup.
Guizhi (Cinnamomi Ramulus), Shengjiang (Zingiberis Rhizoma Recens) (each 3 qian), Zhi Cao (Honey-processed Glycyrrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba), Xixin (Asari Radix et Rhizoma) (each 2 qian), Fuzi (Aconiti Lateralis Radix Preparata) (1 qian), Dazao (Jujubae Fructus) (4 pieces).
Add three cups and two fen of water, first decoct Mahuang to two cups and two fen, remove foam, add other herbs, decoct to eight-tenths strength, take warm, three times day and night. Recovery occurs when sweat feels like insects crawling under the skin.
This condition involves simultaneous pathology of the Heart and Kidney; Upper Qi cannot descend, Lower Qi cannot ascend. Accumulating over time, it becomes as hard to break as iron or stone. In the formula, Guizhi, Gancao, Shengjiang, and Dazao harmonize the Upper; additionally, Mahuang, Fuzi, and Xixin are used in dosages targeting Shaoyin to treat the Lower. Thus, Upper and Lower communicate, and the disease resolves, as stated: "When the Great Qi rotates, the stagnation dissipates."

Zhizhu Tang (Immature Bitter Orange and Atractylodes Decoction): Treats hardness and fullness below the heart large as a plate (edges like a rotating plate, not a cup; pathogenic factors are scattered and not yet condensed; though hard and large, there is no fullness or pain; caused by Fluid Retention (*Jinkui* specifically highlights Fluid Retention to distinguish from Qi Division disease).
Zhishi (Aurantii Fructus Immaturus) (2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (4 qian).
Decoct in water and take, three times daily. Intestinal sounds in the abdomen indicate dissipation. The distinction between Fluid Retention and Qi Division is that Qi is formless and dispersed by acrid-sweet herbs, while Fluids have form and are drained by bitter-purgative herbs. The formula uses the warmth of Baizhu to strengthen transportation and the cold nature of Zhishi to guide out stagnation; the intent is profound. The Stomach is Yang, often in excess; the Spleen is Yin, often deficient. Strong Stomach and weak Spleen lead to separation of Yin and Yang. If the Spleen cannot transport fluids for the Stomach, Fluid Retention arises. Using Baizhu to tonify the Spleen and Zhishi to subdue the Stomach separates the organs' functions, making it easier to address the root of Fluid Retention. Old practitioners with shallow views changed the decoction to pills, viewing it merely as a combination of tonification and purgation. Students must not repeat this vulgar error and be laughed at by experts.

Siqi Tang (Four-Seven Decoction): For distension caused by Seven Emotions, this formula should be used.
Banxia (Pinelliae Rhizoma), Fuling (Poria) (each 3 qian), Houpo (Magnoliae Officinalis Cortex) (2 qian), Zisu Ye (Perillae Leaf) (1 qian), Shengjiang (Zingiberis Rhizoma Recens) (3 slices).
Decoct in water and take.
The brilliance of this formula lies in the single herb Zisu Ye to scatter nodules and awaken the Spleen with its aroma; regulating Qi, reducing distension, and promoting diuresis are secondary effects.