论曰三焦胀者，经所谓气满于皮肤，壳壳然而坚不痛是也，盖胀有痛痞，以别虚实。若
鼓胀之类，内挟宿食，按之坚痛，是谓邪实，今三焦皮肤壳壳然而坚不痛，特以气满为虚胀
而已。治宜升降其气则愈。
治三焦气满。皮肤坚胀。顺气白术橘香汤方
白术（四两） 陈橘皮（去白焙） 赤茯苓（去黑皮） 甘草（炙锉各二两） 附子（炮
裂去皮
脐一两） 干姜（炮半两）
上六味，锉如麻豆，每服三钱匕，水一盏，姜二片，枣一枚，同煎至七分，去滓温服
。如觉感寒，入荆芥煎。凡稍觉三焦不和，并服即效。
治三焦虚胀，心腹满闷。五香丸方
沉香（锉） 丁香 白檀香（锉） 香子（炒） 荜澄茄 青橘皮（去白焙） 胡椒 缩
砂（
去皮） 赤茯苓（去黑皮） 白芷 牛膝（酒浸切焙） 甘草（炮各一两） 木香（一两半）
麝香（
研三分） 蓬莪术（炮锉半两） 枳壳（去瓤麸炒半两） 葛花（一两半） 肉豆蔻（去壳
五枚）
槟榔（炮三枚锉） 半夏（三两汤洗七遍入生姜三两同杵为末作饼焙干） 人参（半两） 桂
（去
粗皮半两） 荜茇（半两） 赤小豆花（三两） 葛根（炒二两）
上二十五味，捣研为末，拌匀炼蜜和丸，樱桃大，每服一丸，细嚼，用淡生姜汤下。不
拘时候。或饮酒多气闷，即含化一丸。
治三焦气满虚胀，及一切脏腑气疾。槟榔汤方
白槟榔（四两一半煨一半生用） 肉豆蔻（去壳） 木香（各一两） 青橘皮（去白焙）
浓朴
（去粗皮生姜汁炙透） 枳壳（去瓤麸炒） 京三棱（煨锉） 桂（去粗皮） 人参 白茯
苓（去黑
皮） 陈曲（炒） 麦 （炒） 干姜（炮） 白术 诃黎勒（炮去核） 甘草（炙锉各二
两）
上一十六味。粗捣筛，每服三钱匕，入生姜一块拍破，枣二枚去核。同煎至七分。去滓
温服，不计时候。
治三焦胀，和养脾骨，除积聚气。京三棱散方
京三棱（煨为末十两） 陈曲（微炒） 大麦 （微炒） 木香 肉豆蔻（去壳） 白
槟榔（锉）
姜汁炙熟各一两）
上一十味，捣罗为散拌匀。每服二钱匕，入盐少许，沸汤点服。不计时候。
治三焦虚胀。丁沉丸方
丁香 沉香（锉） 木香 香子（炒各一分） 鸡舌香（半分） 胡椒（半分） 阿
魏（少许
上七味。除阿魏外，捣罗为末，以阿魏末煮糊和丸。如绿豆大，每服五七丸。细嚼。盐
汤下，如本藏气弱，炒 香子酒下，妇人血气醋汤下。
治三焦胀气满。撞气丸方
荜澄茄 木香 干姜（炮） 桂（去粗皮各半两） 胡椒（一分） 白豆蔻（去皮半两）
荜茇
两） 阿魏（一
上一十二味。捣罗为末，炼蜜和丸。如梧桐子大，每服二十丸。米饮下，空心食前服。
治三焦胀满，消化滞气。小丁香丸方
丁香 沉香（锉各一分） 乳香（研一钱半） 香子（半两炒） 桂（去粗皮半两） 槟
榔（
豆（十五枚
上一十味。除研者外，捣罗为末，次入乳香巴豆阿魏令匀，煮白米粥和丸，如绿豆大，
每服五丸。生姜汤下，如胸膈气不和。及元脏冷气，上攻迷闷。加至十丸，温酒下。常服熟
水亦得，要微动以意加服之。
治三焦虚胀。通气生姜丸方
生姜（去粗皮切作片焙） 浓朴（去粗皮生姜汁炙熟各六两） 半夏（汤洗七遍一两） 陈
橘皮（去白焙六两） 人参 白茯苓（去黑皮） 陈曲（微炒） 大麦 （炒各一两半）
上八味，捣罗为细末，用生姜汁煮面糊和丸。如梧桐子大，曝干，每服三十丸，空心食
前米饮下。
治三焦胀，按之坚不痛。匀气散方
京三棱（煨熟锉） 蓬莪术（炮锉） 益智子 甘草（炙锉） 木香 桂（去粗皮） 丁
香（各
上九味，捣罗为散。每服二钱匕，温米饮入盐少许调下，空心夜卧服，小儿疳胀。熟水
调下半钱。
治脾胃气弱，不思饮食，呕逆吞酸，腹内虚鸣，下利胀满。饮食迟化，气道痞涩，升降
不匀，水饮停滞，胸下偏痛，寒气加之。结聚成形。动气癖结，痼冷陈寒，久而不去者，常
服健脾暖胃，调中进食。消饮匀气。均气丸方
香子（炒） 木香 桂（去粗皮） 桃仁（汤浸去皮尖炒） 京三棱（炮） 青橘皮
（去白）
上一十味。同捣罗为末，酒煮面糊为丸。如梧桐子大，每服五十丸，温熟水下。不计时
候。
治阴阳气不升降，心腹鼓胀，胁肋刺痛，倦怠嗜卧。全不思食。寸金丸方
雄黄 京三棱（炮锉） 石三棱 鸡爪三棱 蓬莪术（炮） 桂（去粗皮） 木香 沉
香（锉）
四枚） 砂（
两） 大麦 （炒四两）
上一十八味。捣研为末，同和匀，以糊饼剂作糊，和丸如梧桐子大，风干。用油煤、令
紫色为度。入瓷合收贮，以研麝香一分熏之。每服先嚼枣一枚，下二丸干咽。不得嚼破，食
后或临卧服，虚弱人有所伤，皆可服。
治三焦滞气，陈曲汤方
陈曲（炒黄） 莱菔子（炒黄等分）
上二味，粗捣筛，每服三钱匕，水一盏，煎三四沸，去滓入麝香末少许，再煎一沸。温
服不拘时。
Discussion states: Sanjiao distension (Sanjiao Distension) is what the classics refer to as "Qi filling the skin, appearing hard and taut but without pain." Generally, distension may present with pain or a sensation of blockage, which serves to distinguish between deficiency (Xu) and excess (Shi). For instance, in cases like drum distension (Guzhang), where old food stagnation is retained internally, pressing on the area reveals hardness and pain; this is termed pathogenic excess. However, in the current case of Sanjiao skin being hard and taut without pain, it is merely a deficiency-type distension caused by Qi fullness. The treatment should focus on regulating the ascending and descending of Qi, after which the condition will resolve.
Formula for Regulating Qi, Baizhu Juxiang Tang, to treat Sanjiao Qi fullness and hard, distended skin:
Baizhu (Atractylodis Rhizoma, four liang), Chenju pi (Citri Reticulatae Pericarpium Vetustum, peeled of white pith and dried), Chifuling (Poria Coccos with Red Skin, black skin removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, two liang each), Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, peel and navel removed, one liang), Ganjiang (Zingiberis Rhizoma, roasted, half liang).
The above six herbs are chopped into pieces the size of hemp seeds. Each dose consists of three qianbi (approx. 9-10g), boiled with one zhan (approx. 200ml) of water, two slices of fresh ginger, and one jujube, until reduced to seven-tenths. Strain and take warm. If cold invasion is suspected, add Jingjie (Schizonepetae Herba) during decoction. This formula is effective for any slight disharmony of the Sanjiao.
Formula for Five Fragrances Pill (Wuxiang Wan) to treat Sanjiao deficiency distension and fullness/stuffiness of the heart and abdomen:
Chenxiang (Aquilariae Lignum Resinatum), Dingxiang (Caryophylli Flos), Baitanxiang (Santalum Album Lignum), Xiangzi (Boswelliae Fructus), Bidengqie (Fructus Chebulae), Qingju pi (Citri Reticulatae Pericarpium, peeled of white pith and dried), Hujiao (Piperis Longi Fructus), Suosha (Amomi Fructus Rotundus, peel removed), Chifuling (Poria Coccos with Red Skin, black skin removed), Baizhi (Angelicae Dahuricae Radix), Niuxi (Achyranthis Bidentatae Radix, wine-soaked, sliced, and dried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, one liang each), Muxiang (Vladimiriae Radix, one and a half liang), Shexiang (Moschus, powdered, three fen), Peng'e zhu (Curcumae Rhizoma, roasted and chopped, half liang), Zhiqiao (Aurantii Fructus, pith removed, bran-roasted, half liang), Gehua (Flos Kudzu, one and a half liang), Roudoukou (Myristicae Semen, shell removed, five fruits), Binglang (Arecae Semen, roasted, three fruits, chopped), Banxia (Pinelliae Rhizoma, three liang, washed seven times in hot water, pounded with three liang of fresh ginger into powder, formed into cakes and dried), Renshen (Ginseng Radix et Rhizoma, half liang), Gui (Cinnamomi Ramulus, bark removed, half liang), Biba (Piperis Kadsurae Fructus, half liang), Chixiaodou hua (Vigna umbellata flower, three liang), Gegen (Puerariae Lobatae Radix, roasted, two liang).
The above twenty-five herbs are pounded and ground into fine powder, mixed evenly, and bound with refined honey into pills the size of cherries. Take one pill per dose, chew thoroughly, and swallow with light ginger water. Time is not restricted. If excessive alcohol consumption causes Qi stagnation and stuffiness, hold one pill in the mouth to dissolve.
Formula for Binglang Tang to treat Sanjiao Qi fullness deficiency distension and all types of organ Qi disorders:
Bai binglang (Arecae Semen, four and a half liang, half roasted, half raw), Roudoukou (Myristicae Semen, shell removed), Muxiang (Vladimiriae Radix, one liang each), Qingju pi (Citri Reticulatae Pericarpium, peeled of white pith and dried), Nongpu (Magnoliae Officinalis Cortex, bark removed, roasted through with ginger juice), Zhiqiao (Aurantii Fructus, pith removed, bran-roasted), Jing sanleng (Sparganii Rhizoma, roasted and chopped), Gui (Cinnamomi Ramulus, bark removed), Renshen (Ginseng Radix et Rhizoma), Bai fuling (Poria Coccos, black skin removed), Chen qu (Fermented Wheat Mass, roasted), Maiya (Hordei Fructus Germinatus, roasted), Ganjiang (Zingiberis Rhizoma, roasted), Baizhu (Atractylodis Rhizoma), Helile (Terminaliae Chebulae Fructus, roasted, pit removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, two liang each).
The above sixteen herbs are coarsely crushed and sifted. Each dose consists of three qianbi, with one piece of smashed fresh ginger and two pitted jujubes. Decoct until reduced to seven-tenths, strain, and take warm. Time is not restricted.
Formula for Jing Sanleng Powder to treat Sanjiao distension, nourish the spleen and bones, and eliminate accumulated Qi:
Jing sanleng (Sparganii Rhizoma, roasted into powder, ten liang), Chen qu (Fermented Wheat Mass, lightly roasted), Damai (Hordei Fructus Germinatus, lightly roasted), Muxiang (Vladimiriae Radix), Roudoukou (Myristicae Semen, shell removed), Bai binglang (Arecae Semen, chopped), Jiangzhi zhishu (Ginger juice roasted, one liang each).
The above ten herbs are pounded, sifted into powder, and mixed evenly. Each dose consists of two qianbi, taken with a pinch of salt and boiling water. Time is not restricted.
Formula for Dingchen Wan to treat Sanjiao deficiency distension:
Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum, chopped), Muxiang (Vladimiriae Radix), Xiangzi (Boswelliae Fructus, roasted, one fen each), Jitixiang (Cardamomi Fructus, half fen), Hujiao (Piperis Longi Fructus, half fen), Awèi (Asafoetida, a small amount).
The above seven herbs. Except for Awèi, pound and sift into powder. Use Awèi powder cooked into paste to bind the pills. Make them the size of mung beans. Take five to seven pills per dose, chew thoroughly, and swallow with salt water. If the internal organs are weak, take with wine infused with roasted Xiangzi; for women's blood and Qi disorders, take with vinegar water.
Formula for Zhuangqi Wan to treat Sanjiao distension Qi fullness:
Bidengqie (Fructus Chebulae), Muxiang (Vladimiriae Radix), Ganjiang (Zingiberis Rhizoma, roasted), Gui (Cinnamomi Ramulus, bark removed, half liang each), Hujiao (Piperis Longi Fructus, one fen), Baidoukou (Amomi Fructus, peel removed, half liang), Biba (Piperis Kadsurae Fructus, one liang), Awèi (Asafoetida, one liang).
The above twelve herbs are pounded and sifted into powder, bound with refined honey into pills the size of sophora seeds. Take twenty pills per dose, swallow with rice drink. Take on an empty stomach before meals.
Formula for Xiao Dingxiang Wan to treat Sanjiao distension fullness and digest stagnant Qi:
Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum, chopped, one fen each), Ruxiang (Olibanum, powdered, one and a half qian), Xiangzi (Boswelliae Fructus, half liang roasted), Gui (Cinnamomi Ramulus, bark removed, half liang), Binglang (Arecae Semen, four fruits), Badou (Crotonis Fructus, fifteen fruits, peel and tip removed), Awèi (Asafoetida, one liang).
The above ten herbs. Except for those requiring grinding, pound and sift into powder. Then mix in the powdered Ruxiang, Badou, and Awèi evenly. Bind with white rice porridge into pills the size of mung beans. Take five pills per dose, swallow with ginger water. If there is disharmony of Qi in the chest and diaphragm, or if primordial Yang cold Qi attacks upward causing confusion, increase to ten pills and swallow with warm wine. Taking with warm water for daily maintenance is also acceptable; use intention to slightly increase dosage.
Formula for Tongqi Shengjiang Wan to treat Sanjiao deficiency distension:
Shengjiang (Zingiberis Rhizoma Recens, coarse skin removed, sliced and dried), Nongpu (Magnoliae Officinalis Cortex, bark removed, roasted through with ginger juice, six liang each), Banxia (Pinelliae Rhizoma, washed seven times in hot water, one liang), Chenju pi (Citri Reticulatae Pericarpium Vetustum, peeled of white pith and dried, six liang), Renshen (Ginseng Radix et Rhizoma), Bai fuling (Poria Coccos, black skin removed), Chen qu (Fermented Wheat Mass, lightly roasted), Maiya (Hordei Fructus Germinatus, roasted, one and a half liang each).
The above eight herbs are pounded and sifted into fine powder. Bind with wheat paste cooked in ginger juice into pills the size of sophora seeds. Dry in the sun. Take thirty pills per dose, swallow with rice drink on an empty stomach before meals.
Formula for Yunqi Powder to treat Sanjiao distension, which is hard and painless upon pressure:
Jing sanleng (Sparganii Rhizoma, roasted thoroughly and chopped), Peng'e zhu (Curcumae Rhizoma, roasted and chopped), Yizhi zi (Alpiniae Oxyphyllae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped), Muxiang (Vladimiriae Radix), Gui (Cinnamomi Ramulus, bark removed), Dingxiang (Caryophylli Flos, one liang each).
The above nine herbs are pounded and sifted into powder. Take two qianbi per dose, mix with warm rice drink and a little salt, and swallow. Take on an empty stomach and before sleep. For pediatric malnutrition distension (Ganzhang), take half qian mixed with warm water.
Formula for Junqi Wan to treat Spleen and Stomach Qi weakness, loss of appetite, vomiting and acid regurgitation, abdominal rumbling, diarrhea with distension, delayed digestion of food, Qi pathway blockage, uneven ascending and descending, fluid retention, lower chest pain exacerbated by cold, formation of masses, moving Qi masses, chronic cold, and long-standing conditions. It strengthens the spleen, warms the stomach, regulates the middle, promotes eating, resolves fluids, and regulates Qi:
Xiangzi (Boswelliae Fructus, roasted), Muxiang (Vladimiriae Radix), Gui (Cinnamomi Ramulus, bark removed), Taoren (Persicae Semen, soaked in hot water, peel and tip removed, roasted), Jing sanleng (Sparganii Rhizoma, roasted), Qingju pi (Citri Reticulatae Pericarpium, peeled of white pith).
The above ten herbs are pounded and sifted into powder together. Bind with wheat paste cooked in wine into pills the size of sophora seeds. Take fifty pills per dose, swallow with warm warm water. Time is not restricted.
Formula for Jinjin Wan to treat Yin and Yang Qi failing to ascend and descend, drum-like distension of the heart and abdomen, stabbing pain in the hypochondrium, fatigue and desire to lie down, and complete loss of appetite:
Xionghuang (Realgar), Jing sanleng (Sparganii Rhizoma, roasted and chopped), Shi sanleng (Sparganii Rhizoma), Jizhao sanleng (Sparganii Rhizoma variant), Peng'e zhu (Curcumae Rhizoma, roasted), Gui (Cinnamomi Ramulus, bark removed), Muxiang (Vladimiriae Radix), Chenxiang (Aquilariae Lignum Resinatum, chopped), [Text incomplete/missing specific weights for some items], Maiya (Hordei Fructus Germinatus, roasted, four liang).
The above eighteen herbs are pounded and ground into powder, mixed evenly, and bound with paste made from dough pieces into pills the size of sophora seeds. Air-dry. Coat with oil coal until purple. Store in porcelain containers. Smoke with one fen of powdered Moschus. Before taking, chew one jujube, then swallow two pills dry with water. Do not chew the pills. Take after meals or before bed. Suitable even for weak individuals who have been injured.
Formula for Chenqu Tang to treat Sanjiao stagnant Qi:
Chen qu (Fermented Wheat Mass, roasted yellow), Laifuzi (Raphani Fructus, roasted yellow, equal parts).
The above two herbs are coarsely crushed and sifted. Each dose consists of three qianbi, boiled with one zhan of water for three to four boils. Strain, add a small amount of powdered Moschus, boil once more. Take warm. Time is not restricted.