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The formula from Hejian (Liu Wansu) contains Moschus (She Xiang) and Gentianae Radix (Long Dan), but lacks Succinum (Hu Po). It is renamed Kutingli Gao (Bitter Lepidium Paste), and its treatment method is the same as this formula.

[Zhang Zhongjing] Abdominal fullness with dry mouth and tongue indicates water qi stagnating in the intestines and stomach; Fangji Jiaoli Wan (Piperis Methystici and Lepidii Pill) is the primary prescription.
Fangji (Stephaniae Tetrandrae Radix), Jiaomu (Semen Populi), Tingli (Semen Lepidii, roasted), Dahuang (Radix et Rhizoma Rhei, each one liang).
The above four ingredients are powdered, and honey is used to make pills the size of tung tree seeds. Take ten pills before meals with water, three times a day. Gradually increase the dose until saliva naturally flows in the mouth. If thirst occurs, add Mangxiao (Natrii Sulfas) five qian.

[Wang Haogu] Tingli Wan (Lepidium Pill) treats generalized edema, abdominal distension with large abdomen, emaciated limbs, and scanty turbid urination.
Tiantingli (Sweet Semen Lepidii, stir-fried between papers), Qicai Gen (Radix Capsellae, equal parts).
The above two ingredients are powdered, and honey is used to make pills the size of a bullet. Take one pill per dose, chewed down with Chenpi (Pericarpium Citri Reticulatae) decoction. After only three pills, urination becomes clear and frequent, and the pill usage returns to normal. (Above, Tingli and Jiaomu promote dampness elimination.)

[Luo Tianyi] Bai Wanzi (White Pill) treats isolated abdominal distension with miraculous effect. (Formula see Water Distension section.)

[Li Dongyuan] To treat water qi gu distension by cleansing the lower jiao (promoting urination), use Chushizi Wan (Cudrania Pill).
Chushizi (Fructus Cudrae, one dou boiled with two dou water into paste), Baidingxiang (Excrement Mustelidae, one and a half liang), Fuling (Poria, three liang).
The above two ingredients [Note: Text implies mixing paste with powders] are powdered, and chushizi paste is used to make pills the size of tung tree seeds. Do not limit the number of pills; start from a small amount and increase until urination is clear and profuse and abdominal distension subsides. Then take Zhongzhi Wan (Middle-Treating Pill).
Use Mo Zhi Yao (Powder Treatment Medicine) for conditioning, to open and unblock the middle jiao. Avoid sweet and bitter foods. For severe tonification of the lower jiao, use Wubu Qixuan Wan (Five Tonify Seven Disperse Pill). (Baidingxiang is a dampness-dispelling agent. Zhongzhi Wan is Baizhu San, made of equal parts Baizhu and Zexie powdered, taken with Fuling decoction. Mo Zhi refers to formulas like Huangqi Jianzhong Tang, all seen in the Edema section.)

[Worldly/Popular Formula] To treat Gu distension. Use one toad; remove internal organs, insert seven earthworms, roast on a new tile until dry, powder, make pills, take with wine. If earthworms are unavailable, use seven grains of Shasaren (Amomi Fructus Rotundus). (Bencao states: Toad is acrid, cold, toxic, treats evil qi, breaks firm masses.)

[Su Wen] The Yellow Emperor asked: There is a disease with heart and abdominal fullness, where one cannot eat dinner if they ate breakfast. What is this disease? Qibo replied: It is named Guzhang (Drum Distension). The Emperor asked: How to treat it? Qibo said: Treat with Jishi Li (Chicken Dropping Fermented Liquid); one dose brings improvement, two doses bring cure. The Emperor asked: Why does it sometimes recur? Qibo said: This is due to irregular diet, hence the occasional illness. Although so, when the disease seems resolved, it may still occur because qi gathers in the abdomen. (Fu Zhong Lun, Wang Bing's commentary: Chicken droppings greatly promote urination, slightly cold, taken as a decoction. Jieguy says: Take mixed with wine.)

[Wang Haogu] Wu Ji (Five Accumulations), if prolonged, inevitably lead to heart and abdominal fullness. Liver accumulation is named Feiqi (Fat Qi), Heart accumulation is Fuliang (Hidden Beam), Lung accumulation is Xiben (Breath Rush), Spleen accumulation is Piqi (Stagnant Qi), Kidney accumulation is Bentun (Running Piglet). For such cases, treating according to the methods for Wu Ji is appropriate.

[Zhu Danxi] Zhu Shu Bagu had a swollen belly, caused by dampness starting in May. He could drink alcohol, had a mass in the left hypochondrium, and his feet were occasionally swollen.
Baizhu (Atractodis Macrocephalae Rhizoma), Sanleng (Sparganii Rhizoma, vinegar-fried), Mutong (Akebiae Caulis), Chenpi (Citri Reticulatae Pericarpium), Dafupi (Arecae Pericarpium), Chi Fuling (Red Poria), Haijinsha (Lygodii Spora, each five fen), Gancao (Glycyrrhizae Radix, two fen), Chao Puhuo (Prepared Magnolia Bark, five fen), Rougui (Cinnamomi Cortex, three fen).
Decoct and take with Baohe Wan (Harmonize the Stomach Pill) thirty pills, Wenzhong Wan (Warm the Middle Pill) thirty pills, and Yiqing Wan (Suppress the Green Pill) ten pills.

[Li Dongyuan] Guangshu Kuijian Wan (Curcuma Softening Hardness Pill) treats middle-fullness abdominal distension, with internal accumulations hard as stone, shaped like a plate, causing restlessness in sitting and lying, obstructed urination and defecation, panting, and sallow complexion.
Houpo (Magnoliae Officinalis Cortex, five fen, raw), Huangqin (Scutellariae Radix, five fen), Huanglian (Coptidis Rhizoma, six fen), Caodoukou (Cardamomi Fructus, five fen), Yizhi (Alpiniae Oxyphyllae Fructus, five fen), Banxia (Pinelliae Rhizoma, seven fen), Pengshu (Curcumae Radix, two fen).
Gancao (Licorice Root, raw), Honghua (Carthami Flos, one qian), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Wuzhuyu (Evodiae Fructus), Zexie (Alismatis Rhizoma, each two fen), Shenqu (Massa Medicata Fermentata, three fen), Guishao (Angelicae Sinensis Radix tip, five fen), Qingpi (Citri Reticulatae Pericarpium Viride, two fen), Chenpi (Citri Reticulatae Pericarpium, one fen), Gegen (Puerariae Radix, four fen, for treating deficiency-thirst).
Cut into pieces the size of hemp seeds. Use two cups of water, decoct to one cup, strain, and take slightly warm. Avoid alcohol and wheat products. After two doses, middle-fullness reduces by half. If only the accumulation remains unresolved, establish another formula named Banxia Houpo Tang (Pinellia and Magnolia Decoction).
Houpo (Magnoliae Officinalis Cortex, eight fen), Banxia (Pinelliae Rhizoma, one qian), Wuzhuyu, Rougui, Honghua, Huanglian (each one fen), Taoren (Persicae Semen, seven fen), Sumu (Sappan Lignum, five fen), Jing Sanleng (Sparganii Rhizoma), Cangzhu (Atractodis Rhizoma), Baizhu, Chaihu, Gegen (omit if no thirst), Gancao (raw, each three fen), Guishao, Zhuling (Polyporus), Ganjiang (Zingiberis Rhizoma), Shengma (each four fen), Caodoukou (two qian), Zexie (six fen), Muxiang (Aucklandiae Radix), Qingpi, Chenpi, Huangqin (raw, each two fen), Kunbu (Laminariae Thallus, small amount), Shenqu.
Cut into pieces the size of hemp seeds. Prepare as one dose, decoct and take as before. Contraindications remain the same. After two doses of this medicine, previous symptoms reduce by half again, then adjust the previous formula.
Houpo (five fen), Huangqin (two fen), Gancao (roasted, five fen), Wuzhuyu (one fen), Yizhi (two fen), Sharen (Amomi Fructus, one fen), Doukou (Cardamomi Fructus, three fen).
Banxia (four fen), Huangqi (Astragali Radix, four fen), Honghua (small amount), Guishao (one qian), Huanglian (one fen).
Cut into pieces the size of hemp seeds. Prepare as one dose, use two large cups of water, decoct to one cup, strain, take slightly warm before meals. Avoid bitter-cold medicines that cause diarrhea, and avoid fish, rabbit meat, salted foods, and sexual intercourse.

[Zhu Danxi] Heart and abdominal distension is mostly caused by internal food retention.
Nanxing (Arisaematis Rhizoma, one and a half liang), Banxia, Gualouren (Trichosanthis Semen, ground and mixed well, each one liang), Xiangfu (Cyperi Rhizoma, soaked in child's urine), Huanglian (stir-fried with ginger, each two liang), Mengshi (Calamina, treated with saltpeter).
Luoboziren (Raphani Semen, five qian), She Xiang (Moschus, small amount), Lianqiao (Forsythiae Fructus, five qian).
Make pills using flour paste.

Abdominal swelling without wide fullness, consuming much meat.
Huanglian (Coptidis Rhizoma, one liang), Aw ei (Ferulae Resina, half liang, soaked in vinegar, ground fine).
Make paste pills, take together with Wenzhong Wan, delivered with Baizhu Tang (Atractodes Decoction).

Consuming much meat, abdominal distension: Add Xiangfu and Banxia Qu (Pinellia Ferment) to the Sanbu Wan (Three Tonify Pill) material, make pills with steamed dough and take. (Sanbu formula see Treating Chills and Fever section.)

[Worldly/Popular Formula] Si Chao Zhiqiao Wan (Four-Fried Immature Bitter Orange Pill) treats qi and blood stagnation, internal gu distension.
Zhiqiao (Immature Bitter Orange Fruit, four liang, remove pith, cut into finger-nail sized large pieces, divide into four parts. One liang stir-fried with one liang Cangzhu until yellow, discard Cangzhu; one liang stir-fried with one liang Luoboziren until yellow, discard Luoboziren; one liang stir-fried with one liang Ganqi (Dry Lacquer) until yellow, discard Ganqi; one liang stir-fried with one liang Huixiang (Fennel) until yellow, discard Huixiang. Use only Zhiqiao powdered finely).
Use the original fried Cangzhu, Luoboziren, Ganqi, and Huixiang, boil with two bowls of water until one bowl remains, strain, cook flour paste to make pills the size of tung tree seeds. Take fifty pills after meals with rice drink.

[Sun Simiao] The younger sister of a certain Langzhong (Director) under Dianzhong Cheng was ten years old, with abdominal pain but unchanged complexion, pressing the abdomen left an indentation. Heart and abdominal blockage persisted for over a month. According to the *Jia Yi Jing*: "Distension of the Sanjiao means qi fills the skin, hard as stone." Thus, Zhang Zhongjing's formula was given: Houpo and Shengjiang (Fresh Ginger) two liang each, Banxia seven qian, Gancao half liang, Renshen (Ginseng Radix) one qian. Each dose of one liang five qian was decocted in water and divided into three servings, taken within one day. Cured in twenty days.

[Li Dongyuan] One dou of dates, placed in a pot, add water about four fingers deep. Cover completely with Daji (Euphorbiae Pekinensis Radix) and its stems/leaves. Cover with a basin and cook until done. Remove Daji and do not use it. Eat dates slowly at any time. When the dates are finished, the effect is miraculous.

[Zhu Danxi] Daji powdered, made into pills with date flesh. Seven pills per dose, to drain fluids and attack excess conditions rapidly.

[Li Dongyuan] Chenxiang Jiaotai Wan (Agarwood Harmonizing Heaven Pill) treats distension, dry constipation, pulse deep and surging/slow, floating and wiry.
Chenxiang (Aquilariae Lignum Resinatum), Baizhu (each three qian), Zhishi (Immature Bitter Orange Fruit, fried, one qian), Houpo (prepared with ginger, five qian), Zhuyu (Evodiae Fructus, soaked in boiling water), Baifuling (White Poria), Zexie, Chenpi.
Danggui (Angelicae Sinensis Radix, each two qian), Dahuang (Radix et Rhizoma Rhei, wine-soaked, one liang), Qingpi, Muxiang (each two qian).
Powder finely, soak steamed dough in water to make pills the size of tung tree seeds. Take fifty pills per dose, increase to seventy or eighty, take with warm water after meals. Stop when slight diarrhea occurs.

Chenxiang Haijinsha Wan (Agarwood and Lygodium Pill) treats all accumulations, spleen dampness swelling, large belly with blue veins, emaciation, and malignant signs.
Haijinsha (Lygodii Spora, five qian half), Chenxiang (two qian), Qingfen (Calomelas, one qian), Qianniu end (Semen Pharbitidis, one liang).
Powder finely, grind single-head garlic into paste to make pills the size of tung tree seeds. Take thirty pills per dose, increase to fifty, take on an empty stomach with boiling decoction of Dengxincao (Junci Medullia) and Tongcao (Tetrapanacis Medulla). Adjust dosage based on deficiency or excess, aiming for purgation.

[Li Dongyuan] Zhi Zhong Muxiang San (Treating Swelling Agarwood Powder) treats edema distending like a drum, or generalized swelling.
Muxiang (Costi Radix), Daji, Bai Qianniu (White Semen Pharbitidis, equal parts).
Powder finely. Slice one pair of pig kidneys, sprinkle powder inside, roast until cooked, take on an empty stomach. If eating the left kidney, massage the left arm; if eating the right kidney, massage the right arm. If swelling does not fully resolve, apply Gan Sui (Kansui Radix) fine powder around the navel covering the abdomen, then drink a little Gancao (Licorice) water, and the swelling will disappear.

[Bamboo Pavilion] Xiang Zao Wan (Fragrant Date Pill) treats ten types of Gu Qi disease.
Ku Dingxiang (Bitter Clove Bud) powdered, made into pills with cooked dates the size of tung tree seeds. Take thirty pills per dose, deliver with date decoction on an empty stomach, immediate effect. Three doses bring major recovery.

[Zhang Zhongjing] Disease with abdominal fullness, fever for ten days, pulse floating and rapid, diet normal: Houpo Qiwu Tang (Magnolia Seven-Ingredient Decoction) is the primary prescription.
Houpo (Magnoliae Officinalis Cortex, half jin), Gancao, Dahuang (each three liang), Dazao (Ten Jujubes), Zhishi (Immature Bitter Orange Fruit, five pieces), Guizhi (Cinnamomi Ramulus, three liang), Shengjiang (Fresh Ginger, five liang).
The above seven ingredients, use one dou of water, boil to obtain four sheng. Take eight ge warm, three times a day. If vomiting, add Banxia five ge. If diarrhea, remove Dahuang. If much cold, add Shengjiang to half jin.

Formulas for upper and lower abdominal distension are basically derived from the classics, embodying the principle that "purging resolves distension."

[Zhu Danxi] Treating distension focuses primarily on damp-heat; treatment methods are seen in the preceding "Tonify Deficiency and Move Dampness" section.

[Li Dongyuan] All abdominal distensions and enlargements belong to heat. Discussing this as an excess syndrome of the Eight Benefits pathogen entering from outside, feeling wind-cold pathogen transmitting from exterior to interior, cold transforming into heat, causing stomach excess abdominal disease, afternoon tidal fever, extreme thirst with desire to drink, delirious speech—this is Taiyang and Yangming combined with great excess and fullness, treated with Dachengqi Tang (Major Order the Qi Decoction) to purge. Shaoyang and Yangming with slight fullness and excess are treated with Xiao Chengqi Tang (Minor Order the Qi Decoction) to purge. The *Neijing* says "purging resolves distension," which refers to this. Also, the *Thermal Disease Treatise* says cold diseases transform into heat, so purging prevents distension, clarifying the principle of "treating cold with cold." Thus, it is said purging resolves distension, not referring to Yin excess generating internal cold or stomach cold distension. Suppose malaria causes distension; there are also cold distension and heat distension. This is heavenly pathogenic qi injuring summerheat. Why does it not erupt immediately but erupt in autumn? Because during summer, the righteous qi is assisted, so the pathogen cannot erupt. By late autumn, summerheat qi decays, and malaria erupts. Knowing it is cold, the *Ju Fang* uses Jiaojie Yinzi (Intersecting Resolution Drink). Although this heavenly pathogen has excess, regarding malaria as cold, how much more so for insufficiency diseases causing distension? Thus, we know abdominal distension is mostly a cold disease. Why say this? The *Mai Jing* says: Cold in the stomach causes distension. The *Ling Shu* says: Irregular diet and起居 (daily routine) eventually transmit to cold in the middle. It also says: Abdominal fullness, epigastric pain piercing through to both hypochondria, blockage of diaphragm and throat, inability to eat—take ST36 (Zusanli) of the Stomach meridian. It also says: Turbid qi staying in the upper generates pendulous distension. The *Ling Shu* says: For distension, treat the Three Yang. The Three Yang refers to Foot Taiyang Bladder cold water causing distension, consistent with the *Neijing* Tong Ping Xu Shi Lun saying: Sudden abdominal fullness, pressing does not yield, take Foot Taiyang collaterals, which are the Front-Mu point of the Stomach. Exactly the same. It also says: Abdominal fullness, pendulous distension, supporting diaphragm and hypochondria, lower reversal and upper dizziness, fault lies in Taiyin and Yangming. This is stomach cold-heat stagnation. It also says: Taiyin jue leads to abdominal fullness, pendulous distension, difficulty in defecation, lack of appetite, vomiting after eating, inability to lie down. As described in the *Neijing*, cold distension is mostly like this. I have only briefly mentioned the beginning. Patients who do not realize the prevalence of cold distension treat all distension as heat, mostly using Sanhua Shenyao Wan (Three Flowers Divine Protection Pill), Dahuang, Qianniu, etc., to purge. Sometimes the medicine does not match the disease, leading to immediate death.
From this argument, should one follow the *Ling Shu* and *Su Wen*? Or follow the subjective theories of common physicians? Now I establish one formula for treating middle-fullness pendulous distension cold distension, and one for heat distension, evaluate and use them, allowing the qi to be dispersed and eliminated from above and below. (Zhongman Fenxiao Tang treats cold distension, Fenxiao Wan treats heat distension; both formulas are seen in the following section.)

[Ling Shu] Cold in the stomach causes abdominal distension. Cold in the stomach and heat in the intestines cause distension with diarrhea. (Shi Zhuan Pian)
Distension from exposure to cold and coolness resolves with purging. (Wu Chang Zheng Lun, Dongyuan's Chenxiang Haijinsha Wan formula seen in Pulse Excess section.) Yin merging downward causes cold feet; cold feet cause distension. (Jue Lun)

[Li Dongyuan] Turbid qi staying in the upper generates pendulous distension. The *Yin Yang Ying Xiang Da Lun* says: Clear qi staying below generates undigested diarrhea; turbid qi staying above generates pendulous distension. This is yin-yang reversal, the逆从 (reversal and compliance) of disease. Regarding pendulous distension, discussing it by cold, heat, warmth, and coolness—what kind of distension is this? Answer: This is distension caused by dietary irregularity, the beginning of the disease. Damp-heat can also cause distension; Right Guan pulse is surging, slow, deep, and wiry. Pulse floating above indicates the combination of wind-damp-heat pulses causing disease. This is the failure of Spleen-Stomach commands, Yin fire hyperactivity attacking the Spleen-Stomach. When excessive, it moves left and the Yang pathway fails, meaning the qi of the Six Fu organs is exhausted externally. Fire excess makes the mother element solid, wind qi cuts off externally. Wind qi cutting off externally means grain qi entering the stomach, clear qi and Ying qi fail to circulate, becoming wind qi. Different sounding but similar category, i.e., Stomach qi. The Classics say: Deficiency involves its conquering element. Earth failing is the Liver's pathogen; this is Spleen-Stomach Earth insufficiency with Wood and Fire excessive victory. The Classics say: Turbid Yin exits lower orifices, Turbid Yin travels to Five Zang, Turbid Yin returns to Six Fu, Turbid Yin returns to Earth. This is the normal state of health without disease; reversing this causes distension. The *Yin Yang Lun* says: Irregular diet and daily routine, Yin receives it; Yin receiving it enters Five Zang; entering Five Zang causes pendulous distension and blockage. The *Tiao Jing Pian* says: Lower Wan (Lower Stomach) obstruction causes Stomach qi heat, hot qi steaming the chest, thus internal heat. Lower Wan is Youmen (Ulpore). In the human body, there are Seven Chong Men (Pass Gates) from top to bottom, all flowing upward from below. Youmen connects upward to Xi Men (Inhalation Gate), which is the Epiglottis. Blocking the inhaled qi prevents it from returning to the Kidney; Liver acts as Yin fire moving to resist, causing throat and diaphragm blockage, preventing turbid qi from descending, leading to dry stool and non-movement. Stomach dampness and guest Yin fire are both present, causing abdominal distension. Treatment focuses on Youmen, making Youmen patent, draining Yin fire, moistening dry blood, generating new blood. When Youmen is patent, stool does not close, Xi Men is not attacked by pathogens, throat and diaphragm become patent, pendulous and abdominal distension both disappear, and turbid Yin returns to Earth. Thus the Classics say: "Fullness in the center is drained internally." This is the correct method.

Chenxiang Jiaotai Wan treats turbid qi staying in the upper, disturbing clear yang qi, stagnating and not extending, causing abdominal distension. Take until beneficial/purgative. (Formula seen previously.)
Above treats pulse surging, constipation, and distension.

Madam Fan Tianzhi, Langzhong's wife, in mid-August, first due to labor and dietary irregularity, plus worry and thought causing qi knotting, suffered heart and abdominal distension, unable to eat dinner if she ate breakfast, stabbing pain in both hypochondria. Her pulse was wiry and thin. At night, turbid qi should descend but does not, making pendulous distension worse. Generally, Yang governs transformation and transportation. Dietary and fatigue injuries damage Spleen-Stomach; Yang qi cannot transform essence and micro-nutrients, gathering without dispersing, resulting in distension. First moxa Zhongwan (CV12), the Front-Mu point of the Stomach, to draw Stomach rising qi up the Yang pathway, then assist with Shunqi Tang (Regulating Qi Decoction), so turbid qi descends from here.

Muxiang Shunqi Tang treats turbid qi staying in the upper, generating pendulous distension.
Muxiang, Cangzhu, Caodoukou (wrapped in flour and roasted, each three fen), Houpo (prepared, four fen), Qingpi (one qian), Yizhi, Chenpi, Zexie, Baifuling (peeled), Banxia, Ganjiang, Wuzhuyu (soaked in boiling water, each two fen), Danggui, Renshen (each five fen), Shengma, Chaihu (remove radix tips, each one fen).
The *Neijing* says: Retained items are moved, knotted items are scattered. Using the bitter-pure nature of Chaihu and Shengma to traverse Shaoyang and Yangming meridians, disperse clear qi, and circulate Yang division as Sovereign. Using the sweet-acrid-hot nature of Shengjiang, Banxia, Caodoukou, and Yizhi to dissipate middle cold as Minister. Using the bitter-acrid-hot nature of Houpo, Muxiang, Cangzhu, and Qingpi to smooth stagnant qi; using the sweet-acrid-warm nature of Chenpi, Danggui, and Renshen to harmonize Ying and Wei, nourish middle qi; since turbid qi does not descend, it should be drained with bitter; Wuzhuyu's bitter-hot drains it. Qi that is thin belongs to Yin within Yang; Fuling is sweet-pour, Zexie is salty-pour, thin qi guides turbid qi from above to below, so they serve as Assistants. Flavors and odors combine, dispersing and draining, ascending and descending, allowing clear and turbid qi to reside in their proper positions.
Coarsely cut, prepare as one dose, use two cups of water, decoct to one cup, strain, take warm before meals. Avoid cold, raw, and hard foods.
Above treats wiry-thin pulse, hypochondriac pain, and distension.

Zhongman Fenxiao Tang treats middle-fullness cold distension, cold hernia, obstruction of urination and defecation, yin restlessness with inability to move legs, cold extremities, regurgitation of food, lower deficiency with middle fullness, abdominal cold, epigastric blockage, lower jiao restless cold and sinking reversal, Bentun (running piglet) not contained. Cured in two doses.
Huangqi (Astragali Radix, five fen), Yizhi, Banxia (each three fen), Chuanwu (Aconiti Radix Preparata, one fen), Wuzhuyu, Caodoukou (each five fen), Renshen, Muxiang, Qingpi, Danggui, Huanglian (each two fen), Houpo (five fen), Fuling, Zexie, Shengjiang, Mahuang (Ephedrae Herba, not removing joints, each two fen), Shengma (three fen), Chaihu Shao (Bupleuri Radix tip), Ganjiang, Bidengqie (Blitae Fructus, each two fen), Huangbai (Phellodendri Cortex, five fen).
Cut into pieces the size of hemp seeds. Prepare as one dose, use two cups of water, decoct to one cup, strain, take slightly warm before meals. Strictly avoid sexual exertion, alcohol, wheat products, cold/raw, hard, and greasy foods.

[Zhu Danxi] To treat adults and children with abdominal distension and shortness of breath due to excessive consumption of fruits. Rougui (Cinnamomi Cortex) fine rice meal pills, size of mung beans. Take ten pills per dose, five grains for children, delivered with hot water. (Experience Formula)

[Li Dongyuan] The *Ling Shu* says: Abdominal fullness with difficult defecation, qi moving up to the chest and epigastrium, panting loudly—treat Foot Shaoyin. "Treat" means to purge. Should be dissipated with acrid-hot herbs.
Liangjiang (Alpiniae Katsumadai Rhizoma), Rougui, Yizhi, Caodoukou Ren, Houpo, Shengma, Gancao, Duhuo (Angelicae Pubescentis Radix, guiding herb), Huangbai (small amount for reference).
Another Formula
Guizhi (Cinnamomi Ramulus), Jiegeng (Platycodonis Radix), Renshen, Qingpi (small amount), Chenpi, Liangjiang, Baizhu, Zexie, Wuzhuyu.
For wet swelling of the four limbs, Miao Ci (Mirror Pricking) is appropriate. First purge the blood knot, then regulate the true meridians. (Meaning pricking to remove blood knots.)