桂枝人参汤
(证附 表未解而里虚) 外证未除数下之,里虚热利痞成时,参姜术桂兼甘草,补正攻邪妙法施。
大黄黄连泻心汤
(证附 表解里实上有热) 汗下亡阳病象彰,恶寒仍服桂枝汤,嗣经表解方攻痞,渍用黄连与大黄。
附子泻心汤
(证附 表解里实下有寒) 心下痞生辨要详,恶寒汗出是亡阳,重煎附子专温里,
轻渍芩连合大黄。
(表解而里有水) 表解旋惊里未和,内停水饮病偏多,头疼胁痛兼干呕,心下痞成总不瘥。
十枣汤
表寒解后水邪伤,开痞先煎十枣汤,大戟芫花甘遂入,消除积饮此方良。
(表解而里有痞) 痞气凌心硬不移,胃生干噫食消迟,水停胁下成留饮,腹作雷鸣
泄利时。
生姜泻心汤
半夏生姜降浊阴,欲清心胆用连芩,汗伤中气宜温补,甘草干姜枣合参。
(表解而里有痞) 下利日经数十行,腹停水谷作雷鸣,心烦干呕复攻痞,因致胃虚客气生。
甘草泻心汤
补脾草枣有专长,降逆温寒用夏姜,再入芩连清上热,胃虚痞甚力能匡。
赤石脂禹余粮汤
(证附 里湿而便滑) 已服泻心与理中,谁知治利尚无功,下焦滑脱宜收涩,赤石余粮力独雄。
Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction)
(Condition Note: Exterior syndrome unresolved with interior deficiency)
When the exterior symptoms persist and purgatives have been administered repeatedly, resulting in interior deficiency, feverish diarrhea, and fullness (pi), one should simultaneously employ Ren Shen (Ginseng Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gui Zhi (Cinnamomi Ramulus), and Gan Cao (Glycyrrhizae Radix et Rhizoma). This constitutes an ingenious method of supporting the healthy qi while attacking the pathogenic factor.
Dahuang Huanglian Xiexin Tang (Rhubarb and Coptis Decoction for Draining the Epigastrium)
(Condition Note: Exterior syndrome resolved, interior excess with heat above)
Sweating or purging may lead to yang depletion, manifesting prominently in pathological signs. If chills persist, Guizhi Tang (Cinnamon Twig Decoction) should still be administered. Only after the exterior syndrome is completely resolved should the fullness be treated by attacking it. Huang Lian (Coptidis Rhizoma) and Da Huang (Rhei Radix et Rhizoma) are used via infusion/steeping.
Fuzi Xiexin Tang (Aconite Decoction for Draining the Epigastrium)
(Condition Note: Exterior syndrome resolved, interior excess with cold below)
The occurrence of epigastric fullness (pi) requires careful differentiation. Chills accompanied by sweating indicate yang depletion. Fu Zi (Aconiti Lateralis Radix Praeparata) should be decocted separately and heavily to specifically warm the interior, while Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), and Da Huang (Rhei Radix et Rhizoma) are lightly infused. The two preparations are then combined.
(Condition Note: Exterior syndrome resolved with water retention in the interior)
After the exterior syndrome resolves, palpitations arise due to internal disharmony. Conditions involving retained fluid and phlegm are common. Symptoms include headache, hypochondriac pain, and dry retching, with epigastric fullness remaining unrelieved.
Shizao Tang (Ten Jujube Decoction)
After the exterior cold resolves, water pathogens injure the body. To treat fullness, Shizao Tang (Ten Jujube Decoction) should be decocted first. Da Ji (Euphorbiae Pekinensis Radix), Yuan Hua (Genkwa Flos), and Gan Sui (Kansui Radix) are added; this formula is excellent for eliminating accumulated fluids.
(Condition Note: Exterior syndrome resolved with interior fullness)
Fullness invades the heart region, causing hardness that does not shift. Stomach qi rebels causing belching without food odor, and digestion is slow. Water stagnates under the hypochondrium forming retained fluid, while the abdomen makes rumbling sounds accompanied by diarrhea.
Shengjiang Xiexin Tang (Fresh Ginger Decoction for Draining the Epigastrium)
Ban Xia (Pinelliae Rhizoma) and Sheng Jiang (Zingiberis Rhizoma Recens) descend turbid yin. To clear heat from the heart and gallbladder, Huang Lian (Coptidis Rhizoma) and Huang Qin (Scutellariae Radix) are used. Since sweating damages middle qi, warming and tonification are appropriate, employing Gan Cao (Glycyrrhizae Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Da Zao (Jujubae Fructus), and Ren Shen (Ginseng Radix et Rhizoma).
(Condition Note: Exterior syndrome resolved with interior fullness)
Diarrhea occurs dozens of times a day. Water and food remain in the abdomen making rumbling sounds. Restlessness, dry retching, and repeated attempts to treat fullness lead to stomach deficiency and the generation of rebellious qi (pathogenic factors arising from deficiency).
Gancao Xiexin Tang (Licorice Decoction for Draining the Epigastrium)
Tonifying the spleen is the specialty of Gan Cao (Glycyrrhizae Radix et Rhizoma) and Da Zao (Jujubae Fructus). Ban Xia (Pinelliae Rhizoma) and Sheng Jiang (Zingiberis Rhizoma Recens) are used to descend rebellion and warm cold. Huang Qin (Scutellariae Radix) and Huang Lian (Coptidis Rhizoma) are added to clear upper heat. For severe fullness caused by stomach deficiency, this formula has the power to restore balance.
Chishizhi Yuyuliang Tang (Red Halloysite and Metastone Decoction)
(Condition Note: Interior dampness with slippery stool/incontinence)
Xiexin Tang (Decoctions for Draining the Epigastrium) and Lizhong Tang (Regulate the Middle Decoction) have already been taken, yet treating diarrhea remains ineffective. Slippery incontinence of the lower jiao requires astringent methods. Chishizhi (Halloysitum Rubrum) and Yuyuliang (Metastone) possess unique strength.
(Condition Note: Interior dampness with water retention - Formula see Sunyang Benbing Chapter)
Water retention after purgation is the root of the disease. Even after taking Xiexin Tang, fullness persists. Furthermore, urination is difficult, thirst is present, and restlessness occurs in the chest.