右关弱短，左关滑大，此脾虚肝盛也。寸脉紧而噫者属寒，寒在上焦，胸中不得而
噫。寸口脉弱而缓者，阳气不足。
趺阳脉微而涩，微无胃气，涩则伤脾。寒在膈而反下之，寒积不消，胃微脾伤。谷
气不行，食已自噫，胃气不通，为闭塞之病。
十味保和汤 治胃气虚而滞作嗳。
人参 茯苓 陈皮 半夏（姜制） 白术（各一钱） 藿香 香附子 砂仁（各六分）
木香 炙甘草（各三分）
上水二盏、姜三片、枣二枚，煎八分，食前温服。
（《本事》）枳壳散 治心下痞闷作痛，多噫气如败卵。
枳壳 白术（各五分） 香附子（一两） 槟榔（一钱）
上为细末，每服二钱，米饮调下。日三服，不拘时。
（丹溪）半星丸 治痰火气嗳。
半夏（制用姜） 南星（同上） 软石膏 香附子 栀子（各等分）
上为末，神曲为丸服。
脾经穴（经云∶足太阴之脉，是动则病腹胀善噫，视其盛虚热寒，陷下取之也。）中脘
馨之邪从口入者，宿食也，病头痛恶风憎寒，心腹胀满下利，不欲食，吞酸噫宿腐
气，或四肢浮肿。若胃实，热食停滞，脉滑数，宜下之；若脾脉浮大，按之反涩，尺脉
亦微涩，宜温而消之。
《杂着》以枳术丸加姜炒黄连、炒芍药、陈皮、甘草、石膏、砂仁、木香、川芎之类。
The pulse at the right Guan position is weak and short, while the pulse at the left Guan position is slippery and large; this indicates Spleen deficiency and Liver excess. A tight pulse at the Cun position accompanied by belching belongs to Cold; when Cold is in the Upper Jiao, Qi stagnation in the chest leads to belching. A weak and slow pulse at the Cun position indicates insufficiency of Yang Qi.
A faint and choppy pulse at the Fu Yang position indicates that a faint pulse signifies deficient Stomach Qi, while a choppy pulse indicates injury to the Spleen. If purgatives are incorrectly used when Cold is present in the diaphragm, Cold accumulation will not dissipate, resulting in weak Stomach Qi and injured Spleen. The movement of Grain Qi ceases, leading to spontaneous belching after eating; obstruction of Stomach Qi results in a disease of blockage.
Shiwei Baohe Tang (Ten-Ingredient Harmony-Preserving Decoction): Treats belching caused by Qi stagnation due to Stomach Qi deficiency.
Ren Shen (Ginseng Radix), Fu Ling (Poria), Chen Pi (Citrus Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma processed with ginger), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 1 qian); Huo Xiang (Agastaches Herba), Xiang Fu (Cyperi Rhizoma), Sha Ren (Amomi Fructus) (each 6 fen); Mu Xiang (Aucklandiae Radix), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma prepared with honey) (each 3 fen).
Add two cups of water, three slices of fresh Ginger, and two dates; decoct until one-eighth remains. Take warm before meals.
(Zhisao San from *Ben Shi Fang* /枳壳散): Treats epigastric fullness and pain with frequent belching smelling like rotten eggs.
Zhi Qiao (Aurantii Fructus), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 5 fen); Xiang Fu (Cyperi Rhizoma) (1 liang); Bing Lang (Arecae Semen) (1 qian).
Grind into fine powder. Take 2 qian per dose, mixed with rice water. Take three times daily, without restriction on timing.
(Danxi Banxing Wan /半星丸): Treats belching caused by Phlegm-Fire and rebellious Qi.
Ban Xia (Pinelliae Rhizoma processed with ginger), Nan Xing (Arisaematis Rhizoma processed similarly), Ruan Shi Gao (Gypsum Fibrosum), Xiang Fu (Cyperi Rhizoma), Zhi Zi (Gardeniae Fructus) (equal parts).
Grind into powder, mix with Shen Qu (Medicated Leaven) to form pills for administration.
Splein Meridian Acupoint: As stated in the classics, "When the Foot-Taiyin Spleen Meridian is disturbed, it causes abdominal distension and frequent belching; observe its excess or deficiency, heat or cold, and treat depressed pulses by selecting appropriate points." Zhongwan (CV12).
Foul pathogens entering through the mouth constitute retained food. Symptoms include headache, aversion to wind, fear of cold, epigastric and abdominal fullness, diarrhea, anorexia, acid regurgitation, belching of putrid food odors, or edema of the four limbs. If the Stomach is excess with stagnant hot food and the pulse is slippery and rapid, purgation is indicated. If the Spleen pulse is floating and large but choppy upon pressure, and the Chi pulse is also faint and choppy, warming and resolving methods are indicated.
(*Zazhuo*) uses Zhizhu Wan (Aurantii Fructus and Atractylodis Macrocephalae Rhizoma Pill) added with Ginger-fried Huang Lian (Coptidis Rhizoma), Stir-fried Shao Yao (Paeoniae Radix Alba), Chen Pi (Citrus Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shi Gao (Gypsum Fibrosum), Sha Ren (Amomi Fructus), Mu Xiang (Aucklandiae Radix), and Chuan Xiong (Ligustici Chuanxiong Rhizoma).