痞满者，胸中结滞也。但其证虽属实，而亦有因虚而致者。凡有邪有滞而痞者，实也。无邪无滞而痞
者，虚也。有胀
有痛而满者，实也。无胀无痛而满者，虚也。如痞满属实者，以二陈汤主之。如痞满属虚者，以理中汤
主之。如痞满属半实半虚，有寒有热者，以半夏泻心汤主之。
二陈汤（方见呕吐） 理中汤（方见霍乱） 半夏泻心汤（方见呕吐）
伤食者，必有胸闷、嗳腐、腹满等证，是停食不消也。以平胃散主之。如食停上脘属实，宜吐者，
以瓜蒂散主之。如食停下脘属实，宜下者，以大承气汤主之。
平胃散（方见吞酸） 瓜蒂散（方见痰饮） 大承气汤（方见温证）
伤酒者，呕逆心烦，胸满不食，小便不利是也。以葛花解酲汤主之。如宜从膀胱以化之者，以五苓
散加减主之。如大醉恐致烂肠，《千金》渍法可用。
葛花解酲汤
青皮（五分） 橘红 人参 猪苓 茯苓（各一钱半） 神曲 泽泻 白术（各二钱） 白
蔻仁 砂仁 葛花（各五钱） 上为极细末，每服三钱，白汤调服，但得微汗，则酒病去矣。
五苓散加减方
白术（二钱） 茯苓（三钱） 猪苓（三钱） 泽泻（三钱） 黄柏（一钱半） 黄连（一钱）
葛花（三钱） 水煎大半杯，温服。
《千金》渍法
作汤，贮大器中渍之，冷复易之，酒自消下亦佳，或绞茅根汁饮之，或捣生葛汁饮之
，或粳米汁饮之。
Pi Man (Distension and Fullness) refers to the stagnation and obstruction of Qi in the chest. Although Pi Man syndromes are mostly excess patterns, there are also cases caused by deficiency. When Pi Man is accompanied by pathogenic factors and stagnation, it is an excess pattern; when it occurs without pathogenic factors or stagnation, it is a deficiency pattern. When fullness is accompanied by distension and pain, it is an excess pattern; when fullness occurs without distension or pain, it is a deficiency pattern. If Pi Man belongs to an excess pattern, Erchen Tang (Two-Chen Decoction) should be used as the primary formula. If Pi Man belongs to a deficiency pattern, Lizhong Tang (Regulate the Middle Decoction) should be used. If Pi Man presents as half-excess and half-deficiency, complicated by mixed cold and heat, Banxia Xiexin Tang (Pinellia Heart-Draining Decoction) should be used.
Shang Shi (Food Injury) necessarily presents with symptoms such as chest tightness, belching with a putrid odor, and abdominal distension, indicating food retention and failure to digest. Pingwei San (Level the Stomach Powder) should be used as the primary formula. If food is retained in the upper epigastrium and constitutes an excess pattern suitable for emesis, Gua Di San (Melon Seed Powder) should be used. If food is retained in the lower epigastrium and constitutes an excess pattern suitable for purgation, Da Chengqi Tang (Major Order the Qi Decoction) should be used.
Shang Jiu (Alcohol Injury) manifests as vomiting and regurgitation, irritability, chest fullness, loss of appetite, and difficulty in urination. Ge Hua Jie Cheng Tang (Kudzu Flower Sobering Decoction) should be used as the primary formula. If the condition is suitable for resolution through bladder Qi transformation, Wuling San (Five-Ingredient Powder with Poria) modified should be used. In cases of severe drunkenness where intestinal rotting is feared, the soaking method from Qianjin Fang (Essential Prescriptions Worth a Thousand Gold) can be applied.
Modified Wuling San: Atractylodis Macrocephalae Rhizoma (2 qian), Poria (3 qian), Polyporus (3 qian), Alismatis Rhizoma (3 qian), Phellodendri Cortex (1.5 qian), Coptidis Rhizoma (1 qian), Puerariae Flos (3 qian). Decoct in water until approximately half a cup remains, and take warm.
Qianjin Fang Soaking Method: Prepare a decoction, store it in a large vessel, and soak the affected area. Replace with fresh solution when cooled; this will naturally dissipate the alcohol toxicity and is effective. Alternatively, drink juice extracted from Imperata Rhizome, or drink juice extracted from fresh Pueraria root, or drink rice gruel.