论曰上气腹胀者，由肺气上逆，胸中否塞，腹内虚胀，妨害饮食，由谷气衰少，阴湿交
攻，干连腹膜。膨闷不消，故上气而腹胀也。
治上气腹胀，疏气丸方
大黄（锉炒一两半） 郁李仁（去皮尖焙三两） 枳壳（去瓤麸炒半两） 羌活（去芦
头半两） 木香（一分） 青橘皮（汤浸去白焙半两） 槟榔（炮锉三枚） 芎 （半两） 檀
香（锉一分） 陈橘皮（汤浸去白焙
上一十味，捣罗为末，炼蜜和丸，梧桐子大，每服二十丸，生姜汤下，食后临卧服。
治上气心腹胀满，不能饮食，人参鳖甲汤方
人参 鳖甲（去裙 醋炙） 知母（焙各一两二钱） 诃黎勒皮（一两） 芍药（三分）
青橘皮（汤浸去白半两） 大腹（锉） 槟榔（锉各三枚） 柴胡（去苗） 茯神（去木） 当
归（切焙各一两） 甘草（炙一两）
上一十一味。粗捣筛，每服三钱匕，水一盏，生姜一枣大切，煎至七分，去滓温服、不
拘时。
治上气脾胃虚弱，心腹疼痛，胁肋胀满，或时便泄，健脾豆蔻丸方
白豆蔻仁（三分） 枳壳（去瓤麸炒） 陈橘皮（汤浸去白焙各二两） 诃黎勒（煨取
皮一两） 桂（去粗
上八味、捣研为细末。炼蜜和丸，梧桐子大，每服二十丸，至三十丸。煎生姜橘皮汤下。
空心食前服。
治上气喘痞，胀满气促，固气汤方
乌药 沉香 赤茯苓（去黑皮） 麦 （炒） 枳壳（去瓤麸炒） 黄 （锉） 木香 甘
草（炙各二两半
上八味，粗捣筛，每服三钱匕，水一盏，生姜少许，同煎七分，去滓温服，不拘时服。
治上气腹胀，脾胃不和，心胸满，茯苓丸方
白茯苓（去黑皮） 肉豆蔻仁（炮） 人参 白术（各一两） 干姜（炮一两半） 桂
（去粗皮） 诃黎勒（炮
上八味，捣罗为末，炼蜜和丸，梧桐子大，每服三十丸。生姜汤下。食前服。
治上气胸膈不利，心腹膨胀，饮食不消。木香散方
木香 香子（炒） 芍药 干姜（炮） 甘草（炙锉） 青橘皮（汤浸去白焙） 乌
药（锉各等分）
上七味，捣罗为散，每服一钱匕，炒姜盐汤调下，妇人当归酒调下。
治上气胸满腹胀。精神倦怠。沉香丸方
沉香（锉） 丁香 木香（各半两） 巴豆（七枚去皮铁条子穿烧灰研） 杏仁（七枚
去皮烧灰研）
上五味，捣研为细末，糯米粥和丸豆大，每服三丸，至五丸，生姜汤下，不拘时服。
治上气腹胀。半夏生姜汤方
半夏（汤洗去滑七遍焙五两） 生姜（半斤） 人参（一两半） 陈橘皮（汤浸去白焙
三两）
上四味。细锉如麻豆，每服五钱匕，水一盏半，煎至八分，去滓温服，不计时候。
治上气、心腹胀满，人参汤方
人参 甘草（炙锉） 陈橘皮（汤浸去白焙各五两）
上三味，细锉。如麻豆，每服五钱匕，水一盏半，入大枣三枚劈破，煎至八分，去滓温
服，如觉心闷，即加白茯苓一分
治上气心腹胀满，呕逆痰唾，鸡舌香丸方
鸡舌香 沉香（锉） 木香 槟榔（锉） 白术 丁香（各一两） 浓朴（去粗皮生姜
汁炙半两） 丹砂（细研一两半） 人参（三分） 当归（切焙半两） 芍药 枳壳（去瓤
麸炒各一分） 甘草（炙半两）
上一十三味，捣研为细末，拌和令匀，炼蜜和丸，樱桃大，每服一丸细嚼，生姜盐汤下，
空心食前服。
治气上逆，胸膈痞塞，饮食不下，及积气心腹胀满，大肠虚秘，遍气汤方
荜茇 连皮大腹（锉各一两） 沉香（锉） 荜豆蔻（去皮） 木香 干姜（炮） 诃
黎勒（去核） 甘草（炙锉） 青橘皮（去白焙炒） 桂（去粗皮） 枳壳（去瓤麸炒） 桃
仁（去皮尖双仁炒黄） 槟榔（锉各半两）
上一十三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治冷气呼吸短乏，胁肋刺痛，皮急寒战。心腹胀满疼痛，食饮不消，药盐煎方
木香 浓朴（去粗皮生姜汁炙） 苍术（米泔浸洗切焙） 大腹皮 枳壳（去瓤麸炒 芍
药诃黎
上九味，并细锉。共享水一斗。煎取三升，滤去滓，入盐花二斤，文武火煎汁尽。如红
雪法收之。每用半钱一钱匕，水一盏，生姜三片，同煎七分、温服。
Discussion: Upper Qi with Abdominal Distension arises from the rebellion of Lung Qi (Lung Qi Rebellion), causing obstruction in the chest and empty distension within the abdomen, which hinders food intake. This is due to the decline of Grain Qi (Grain Qi Deficiency), where Yin-Dampness attacks mutually, affecting the peritoneum. The resulting bloating and stifling sensation do not dissipate, leading to Upper Qi and abdominal distension.
Formula for Treating Upper Qi with Abdominal Distension: Shuqi Wan (Qi-Dispersing Pill)
Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried, 1 liang 5 qian); Yuli Ren (Semen Pruni Persicae, skin and tip removed, roasted, 3 liang); Zhi Ke (Fructus Aurantii Immaturus, pith removed, stir-bran-fried, 0.5 liang); Qiang Huo (Notopterygii Rhizoma et Radix, rhizome removed, 0.5 liang); Mu Xiang (Radix Aucklandiae, 1 fen); Qing Ju Pi (Pericarpium Citri Reticulatae Viride, soaked in water, white pith removed, roasted, 0.5 liang); Bing Lang (Semen Arecae, processed and crushed, 3 pieces); Xiong (Radix Chuanxiong, 0.5 liang); Tan Xiang (Lignum Santali Rubrum, crushed, 1 fen); Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, roasted).
The above ten ingredients are pounded and sieved into powder. Honey is refined and used to form pills the size of Sophora seeds. Take 20 pills per dose, administered with Ginger Decoction after meals and before bedtime.
Formula for Treating Upper Qi with Heart and Abdominal Fullness and Inability to Eat: Renshen Biejia Tang (Ginseng and Turtle Shell Decoction)
Renshen (Radix Ginseng); Biejia (Carapax et Plastrum Testudinis, skirt removed, vinegar-roasted); Zhimu (Rhizoma Anemarrhenae, roasted, each 1 liang 2 qian); Helile Pi (Pericarpium Terminaliae Chebulae, 1 liang); Shaoyao (Radix Paeoniae Alba, 3 fen); Qing Ju Pi (Pericarpium Citri Reticulatae Viride, soaked in water, white pith removed, 0.5 liang); Dafu (Fructus Arecae Catechu, crushed); Bing Lang (Semen Arecae, crushed, each 3 pieces); Chaihu (Radix Bupleuri, sprouts removed); Fushen (Poria cum Radix Pinelliae, wood removed); Danggui (Radix Angelicae Sinensis, sliced and roasted, each 1 liang); Gancao (Radix Glycyrrhizae, honey-roasted, 1 liang).
The above eleven ingredients are coarsely crushed and sieved. Take 3 qian bi per dose with one cup of water and one large date of fresh ginger cut roughly. Decoct until three-tenths remain, remove dregs, and take warm at any time.
Formula for Treating Upper Qi with Spleen-Stomach Weakness, Heart and Abdominal Pain, Hypochondriac Distension, or Occasional Diarrhea: Jianpi Doukou Wan (Spleen-Strengthening Cardamom Pill)
Baidoukou Ren (Semen Amomi Rotundus, 3 fen); Zhi Ke (Fructus Aurantii Immaturus, pith removed, stir-bran-fried); Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, roasted, each 2 liang); Helile (Fructus Terminaliae Chebulae, baked to obtain peel, 1 liang); Gui (Cortex Cinnamomi, rough bark removed).
The above eight ingredients are pounded and ground into fine powder. Honey is refined and used to form pills the size of Sophora seeds. Take 20 to 30 pills per dose, administered with decocted Ginger and Tangerine Peel Tea on an empty stomach before meals.
Formula for Treating Upper Qi with Panting and Obstruction, Distension and Shortness of Breath: Guqi Tang (Qi-Securing Decoction)
Wuyao (Radix Linderae); Chenxiang (Lignum Aquilariae Resinatum); Chi Fuling (Poria Cum Rubro, black skin removed); Maidong (Radix Ophiopogonis, stir-fried); Zhi Ke (Fructus Aurantii Immaturus, pith removed, stir-bran-fried); Huangqi (Radix Astragali, crushed); Mu Xiang (Radix Aucklandiae); Gancao (Radix Glycyrrhizae, honey-roasted, each 2 liang 5 qian).
The above eight ingredients are coarsely crushed and sieved. Take 3 qian bi per dose with one cup of water and a little fresh ginger. Decoct until three-tenths remain, remove dregs, and take warm at any time.
Formula for Treating Upper Qi with Abdominal Distension, Spleen-Stomach Disharmony, and Chest Fullness: Fuling Wan (Poria Pill)
Baifuling (Poria Cum Silk, black skin removed); Roudoukou Ren (Semen Myristicae, processed); Renshen (Radix Ginseng); Baizhu (Rhizoma Atractylodis Macrocephalae, each 1 liang); Jiangjiang (Rhizoma Zingiberis, processed, 1 liang 5 qian); Gui (Cortex Cinnamomi, rough bark removed); Helile (Fructus Terminaliae Chebulae, processed).
The above eight ingredients are pounded and sieved into powder. Honey is refined and used to form pills the size of Sophora seeds. Take 30 pills per dose, administered with Ginger Decoction before meals.
Formula for Treating Upper Qi with Chest and Diaphragm Discomfort, Heart and Abdominal Expansion, and Indigestion: Muxiang San (Aucklandia Powder)
Muxiang (Radix Aucklandiae); Xiangzi (Fructus Cyperi, stir-fried); Shaoyao (Radix Paeoniae Alba); Jiangjiang (Rhizoma Zingiberis, processed); Gancao (Radix Glycyrrhizae, honey-roasted and crushed); Qing Ju Pi (Pericarpium Citri Reticulatae Viride, soaked in water, white pith removed, roasted); Wuyao (Radix Linderae, crushed, equal parts).
The above seven ingredients are pounded and sieved into powder. Take 1 qian bi per dose, mixed with stir-fried Ginger and Salt Tea. For women, mix with Danggui Wine.
Formula for Treating Upper Qi with Chest Fullness and Abdominal Distension, Mental Fatigue: Chenxiang Wan (Aquilaria Pill)
Chenxiang (Lignum Aquilariae Resinatum, crushed); Dingxiang (Flos Caryophylli); Muxiang (Radix Aucklandiae, each 0.5 liang); Badou (Semen Crotonis, 7 seeds, skin removed, pierced with iron wire, burned to ash and ground); Xingren (Semen Armeniacae Amarum, 7 seeds, skin removed, burned to ash and ground).
The above five ingredients are pounded and ground into fine powder. Rice porridge is used to form pills the size of beans. Take 3 to 5 pills per dose, administered with Ginger Decoction at any time.
Formula for Treating Upper Qi with Abdominal Distension: Banxia Shengjiang Tang (Pinellia and Fresh Ginger Decoction)
Banxia (Rhizoma Pinelliae, washed in water seven times to remove slipperiness, roasted, 5 liang); Shengjiang (Rhizoma Zingiberis Recens, half jin); Renshen (Radix Ginseng, 1 liang 5 qian); Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, roasted, 3 liang).
The above four ingredients are finely crushed like hemp seeds. Take 5 qian bi per dose with one and a half cups of water. Decoct until four-fifths remain, remove dregs, and take warm at any time.
Formula for Treating Upper Qi, Heart and Abdominal Fullness: Renshen Tang (Ginseng Decoction)
Renshen (Radix Ginseng); Gancao (Radix Glycyrrhizae, honey-roasted and crushed); Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, roasted, each 5 liang).
The above three ingredients are finely crushed like hemp seeds. Take 5 qian bi per dose with one and a half cups of water and three cracked red dates. Decoct until four-fifths remain, remove dregs, and take warm. If heart oppression is felt, add 1 fen of Baifuling.
Formula for Treating Upper Qi with Heart and Abdominal Fullness, Vomiting and Regurgitation of Phlegm-Saliva: Jiti Xiang Wan (Cloves Pill)
Jiti Xiang (Flos Caryophylli); Chenxiang (Lignum Aquilariae Resinatum, crushed); Muxiang (Radix Aucklandiae); Bing Lang (Semen Arecae, crushed); Baizhu (Rhizoma Atractylodis Macrocephalae); Dingxiang (Flos Caryophylli, each 1 liang); Houpo (Cortex Magnoliae Officinalis, rough bark removed, stir-fried with ginger juice, 0.5 liang); Dansha (Cinnabaris, finely ground, 1 liang 5 qian); Renshen (Radix Ginseng, 3 fen); Danggui (Radix Angelicae Sinensis, sliced and roasted, 0.5 liang); Shaoyao (Radix Paeoniae Alba); Zhi Ke (Fructus Aurantii Immaturus, pith removed, stir-bran-fried, each 1 fen); Gancao (Radix Glycyrrhizae, honey-roasted, 0.5 liang).
The above thirteen ingredients are pounded and ground into fine powder, mixed evenly, and formed into pills the size of cherries using refined honey. Chew one pill per dose thoroughly, administered with Ginger and Salt Tea on an empty stomach before meals.
Formula for Treating Qi Rebellion, Chest and Diaphragm Obstruction, Inability to Eat, Accumulated Qi with Heart and Abdominal Fullness, and Large Intestine Empty Constipation: Bianqi Tang (Universal Qi Decoction)
Bibo (Fructus Piperis Longi); Lianpi Dafu (Fructus Arecae Catechu with skin, crushed, each 1 liang); Chenxiang (Lignum Aquilariae Resinatum, crushed); Bidoukou (Fructus Alpiniae Katsumadai, skin removed); Muxiang (Radix Aucklandiae); Jiangjiang (Rhizoma Zingiberis, processed); Helile (Fructus Terminaliae Chebulae, pit removed); Gancao (Radix Glycyrrhizae, honey-roasted and crushed); Qing Ju Pi (Pericarpium Citri Reticulatae Viride, white pith removed, roasted and stir-fried); Gui (Cortex Cinnamomi, rough bark removed); Zhi Ke (Fructus Aurantii Immaturus, pith removed, stir-bran-fried); Taoren (Semen Persicae, skin and tip removed, twin kernels stir-fried until yellow); Bing Lang (Semen Arecae, crushed, each 0.5 liang).
The above thirteen ingredients are coarsely crushed and sieved. Take 3 qian bi per dose with one cup of water. Decoct until three-tenths remain, remove dregs, and take warm.
Formula for Treating Cold Qi with Shortness of Breath, Stabbing Pain in Hypochondrium, Tight Skin with Chills, Heart and Abdominal Fullness and Pain, and Indigestion: Yao Yan Jian (Medicinal Salt Decoction)
Muxiang (Radix Aucklandiae); Houpo (Cortex Magnoliae Officinalis, rough bark removed, stir-fried with ginger juice); Cangzhu (Rhizoma Atractylodis Lanceae, soaked in rice wash water, sliced and roasted); Dafupi (Pericarpium Arecae Catechu); Zhi Ke (Fructus Aurantii Immaturus, pith removed, stir-bran-fried); Shaoyao (Radix Paeoniae Alba); Helile (Fructus Terminaliae Chebulae).
The above nine ingredients are finely crushed. Use one dou of water to decoct until three sheng remain. Filter out dregs, add two jin of flower salt, and boil over gentle and strong fire until the liquid is exhausted. Store according to the method for Hongxue (Red Snow). Take 0.5 to 1 qian bi per dose with one cup of water and three slices of fresh ginger. Decoct until three-tenths remain and take warm.