论曰黄帝针经曰，肠胃相通，疾病相连，人因饮食不节，寒温失宜，致肠胃受邪，有冷
有热，疾证俱见者，则善饥小腹痛胀，为胃热肠寒之病，胃热则消谷故善饥，肠寒则血凝脉
急故小腹痛，又寒则气聚，故痛而且胀。
治胃热肠寒，善饥小腹痛胀，芍药丸方
芍药 人参 赤茯苓（去黑皮） 浓朴（去粗皮姜汁炙各二两） 陈橘皮（汤浸去白
焙） 木香
上八味，为细末，炼蜜和丸，如梧桐子大，每服二十丸，食前米饮下，日二。
治胃热肠寒，善食数饥，小腹胀痛，立通丸方
京三棱（炮锉） 黄连（去须） 青橘皮（汤浸去白焙） 蓬莪术（炮各一两） 巴
豆（霜一分）
上五味，为细末，面糊和丸，如绿豆大，每服五丸，食后茶酒任下。
治胃热肠寒，食已善饥，小腹痛胀，沉香散方
沉香（锉） 白檀香（锉） 乌药（锉） 山芋 甘草（炙锉） 白茯苓（去黑皮） 京
三棱（炮锉） 前胡（去芦
上一十味，捣罗为细散，每服一钱匕，入盐少许，沸汤点服，不拘时。
治胃热肠寒，善食数饥，少腹痛胀。干地黄汤方
熟干地黄 人参 白茯苓（去黑皮） 麦门冬（去心焙） 枇杷叶（拭去毛） 地骨皮 甘
草（炙锉） 石斛（去根） 黄 （细锉）
上九味，各等分，粗捣筛，每服一钱匕，水一盏半，煎至七分，去滓一服，不拘时。
治胃热肠寒，食已辄饥，小腹痛胀，调中汤方
人参 白茯苓（去黑皮各十两） 紫河车 甘草（各二两生）
上四味，粗捣筛，每服三钱匕，水一盏，煎七分去滓，空心食前温服。
治胃热肠寒，食已复饥，小腹痛胀，京三棱煎丸方
京三棱（三两杵末取二两） 砂（一两飞过同三棱用米醋三升煎成膏） 当归（酒浸
切焙） 大黄（锉炒） 鳖甲（去裙 醋炙） 五灵脂（炒） 木香 沉香（锉各半两） 槟
榔（锉） 桂（去粗皮） 干漆（炒令烟尽各三分） 没药 马蔺花（各一分） 蓬莪术（炮
一两）
上一十四味，捣罗十二味为末，入三棱前搜和，丸如绿豆大，每服七丸，空心临卧，温
酒或盐汤下。
治胃热肠寒，食已复饥，小腹胀痛，分气黄 汤方
黄 （细锉半两） 人参 白术 白茯苓（去黑皮） 京三棱（锉各一两） 芎 陈
橘皮（汤去白焙） 麦门冬（去心焙） 诃黎勒皮 前胡（去芦头） 桔梗（炒） 柴胡
（去苗各半两） 牡丹皮 甘草（炙锉） 芍药（各三分）
上一十五味，粗捣筛，每服三钱匕，水一盏，生姜二片，煎至七分，去滓温服、不拘时
治胃热肠寒，食已复饥，小腹胀痛，前胡木香汤方
前胡（去芦头） 木香 柴胡（去苗） 秦艽（去苗土） 桂（去粗皮） 香子（炒
各一两） 槟榔（三枚面裹煨熟） 肉豆蔻（去壳三枚） 芎 甘草（炙锉） 青橘皮
（汤浸去白焙） 甜葶苈（隔纸炒各半两
上一十二味，粗捣筛，每服四钱匕，水一盏半，生姜三片，煎至一盏，去滓温服。
治胃热肠寒，善食数饥，少腹胀痛，麦门冬汤方
麦门冬（去心焙） 甘草（炙锉各二两） 白茯苓（去黑皮） 羌活（去芦头） 旋复
花玄参 白术 芍药 柴胡（去苗） 人参 升麻 当归（切焙） 桑根白皮（锉各一两）
胡黄连（一分） 熟干地黄（焙一两半） 木香（半两）
上一十六味，粗捣筛，每服三钱匕，水一盏，入甘草一寸，同煎至八分，去滓温服，不
拘时。
治胃热肠寒，冷热不匀，善食数饥，入腹胀痛，半夏汤方
半夏（汤洗七遍焙） 麦门冬（去心焙） 人参 白茯苓（去黑皮） 桔梗（炒） 青
橘皮（汤浸去白焙） 柴胡（去苗） 防风（去叉） 前胡（去芦头） 细辛（去苗叶） 白
芷紫菀（去土） 款冬花（各一两） 浓朴（去粗皮生姜汁炙） 枳壳（去瓤麸炒各一两
半）
上一十五味，粗捣筛，每服三钱匕，水一盏半，生姜三片，煎至一盏，去滓稍热服。
Commentary states: The *Huangdi Zhenjing* (Yellow Emperor's Classic of Acupuncture) points out that the intestines and stomach are mutually connected, and diseases are interrelated. If a person fails to regulate their diet properly or maintains an inappropriate balance of cold and heat, pathogenic factors may invade the intestines and stomach. When both cold and heat syndromes are present simultaneously, symptoms such as excessive hunger and pain with distension in the lower abdomen occur. This condition is termed "Stomach Heat and Intestinal Cold" (Wei Re Chang Han). Stomach heat accelerates digestion, leading to excessive hunger; intestinal cold causes blood stasis and tension in the meridians, resulting in lower abdominal pain. Furthermore, cold pathogens cause Qi stagnation, leading to both pain and distension.
Prescription for Shaoyao Wan (Peony Pill) to treat Stomach Heat and Intestinal Cold, characterized by excessive hunger and lower abdominal pain with distension:
Shaoyao (Radix Paeoniae Alba), Renshen (Radix Ginseng), Chifuling (Poria cum Ramis et Cortice Polypori, removed black skin), Nongpou (Cortex Magnoliae Officinalis, removed coarse bark, processed with ginger juice, 2 liang each), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, removed white pith, dried), Muxiang (Radix Aucklandiae).
The above eight herbs are ground into fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose before meals, washed down with rice water, twice daily.
Prescription for Litong Wan (Instant Unblocking Pill) to treat Stomach Heat and Intestinal Cold, characterized by polyphagia with frequent hunger and lower abdominal distension and pain:
Jingsanleng (Rhizoma Sparganii), Huanglian (Rhizoma Coptidis, removed roots), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, removed white pith, dried), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed, 1 liang each), Badou (Semen Crotonis Tiglii, frost, 1 fen).
The above five herbs are ground into fine powder, mixed with wheat paste to form pills the size of mung beans. Take 5 pills per dose after meals, washed down with tea or wine as preferred.
Prescription for Chenxiang San (Agarwood Powder) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Chenxiang (Lignum Aquilariae Resinatum, crushed), Baitanxiang (Lignum Santali Albi, crushed), Wuyao (Radix Linderae Aggregate, crushed), Shanyu (Rhizoma Dioscoreae Hypoglaucae), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Baifuling (Poria, removed black skin), Jingsanleng (Rhizoma Sparganii, processed and crushed), Qianhu (Radix Peucedani, removed rhizome).
The above ten herbs are pounded and sifted into a fine powder. Take one qianbi (approx. 3-5g) per dose, add a small amount of salt, and brew with boiling water. Take at any time.
Prescription for Gadihuang Tang (Rehmannia Decoction) to treat Stomach Heat and Intestinal Cold, characterized by polyphagia with frequent hunger and lower abdominal pain with distension:
Shugan Dihuang (Radix Rehmanniae Preparata), Renshen (Radix Ginseng), Baifuling (Poria, removed black skin), Maimendong (Radix Ophiopogonis, removed heart, dried), Pipaye (Folium Eriobotryae, wiped clean of hairs), Digupi (Cortex Lycii), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Shihu (Caulis Dendrobii, removed roots), Huangqi (Radix Astragali Membranacei, finely crushed).
The above nine herbs are taken in equal parts, coarsely crushed and sifted. Take one qianbi per dose, with 1.5 cups of water, decoct until 0.7 cup remains, remove dregs, and take once. Take at any time.
Prescription for Zhongzhong Tang (Middle Harmonizing Decoction) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Renshen (Radix Ginseng), Baifuling (Poria, removed black skin, 10 liang each), Ziheche (Placenta Hominis), Gancao (Radix Glycyrrhizae Cruda, 2 liang each).
The above four herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water, decoct until 0.7 cup remains, remove dregs, and take warm on an empty stomach before meals.
Prescription for Jingsanleng Jian Wan (Sparganium Decoction Pill) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Jingsanleng (Rhizoma Sparganii, 3 liang, pounded to powder, take 2 liang of powder), Sha (Realgar, 1 liang, purified, used together with Sanleng, decocted with 3 sheng of rice vinegar into a paste), Danggui (Radix Angelicae Sinensis, soaked in wine, sliced and dried), Dahuang (Radix et Rhizoma Rhei, crushed and fried), Biejia (Carapax et Plastrum Testudinis, removed skirt, vinegar-processed), Wulingzhi (Faeces Trogopterori, fried), Muxiang (Radix Aucklandiae), Chenxiang (Lignum Aquilariae Resinatum, crushed, half liang each), Binglang (Semen Arecae, crushed), Gui (Ramulus Cinnamomi, removed coarse bark), Ganqi (Resina Taxodi, fried until smoke ceases, 3 fen each), Moyao (Olibanum), Malanhua (Flos Iris pseudacorii), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed, 1 liang).
The above fourteen herbs: pound twelve herbs into powder, mix with the previously prepared Sanleng paste, and form pills the size of mung beans. Take 7 pills per dose on an empty stomach and before sleep, washed down with warm wine or salt water.
Prescription for Fenqi Huangqi Tang (Qi-Distributing Astragalus Decoction) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Huangqi (Radix Astragali Membranacei, finely crushed, half liang), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Baifuling (Poria, removed black skin), Jingsanleng (Rhizoma Sparganii, crushed, 1 liang each), Xiong (Radix Chuanxiong), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, removed white pith and dried), Maimendong (Radix Ophiopogonis, removed heart and dried), Helilepi (Pericarpium Terminaliae Chebulae), Qianhu (Radix Peucedani, removed rhizome), Jiegeng (Radix Platycodonis, fried), Chaihu (Radix Bupleuri, removed sprouts, half liang each), Mudanpi (Cortex Moutan), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Shaoyao (Radix Paeoniae Alba, 3 fen each).
The above fifteen herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water and two slices of fresh ginger, decoct until 0.7 cup remains, remove dregs, and take warm. Take at any time.
Prescription for Qianhu Muxiang Tang (Peucedani and Aucklandia Decoction) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Qianhu (Radix Peucedani, removed rhizome), Muxiang (Radix Aucklandiae), Chaihu (Radix Bupleuri, removed sprouts), Qinjiao (Radix Gentiana Macrophyllae, removed sprouts and soil), Gui (Ramulus Cinnamomi, removed coarse bark), Xiangzi (Fructus Ligustici Chaotici, fried, 1 liang each), Binglang (Semen Arecae, three pieces, wrapped in flour and baked until cooked), Roudoukou (Nucis Arecae Preparata, shelled, three pieces), Xiong (Radix Chuanxiong), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, removed white pith and dried), Tiantingli (Semen Lepidii Descurainiae, stir-fried between papers, half liang each).
The above twelve herbs are coarsely crushed and sifted. Take four qianbi per dose, with 1.5 cups of water and three slices of fresh ginger, decoct until one cup remains, remove dregs, and take warm.
Prescription for Maimendong Tang (Ophiopogon Decoction) to treat Stomach Heat and Intestinal Cold, characterized by polyphagia with frequent hunger and lower abdominal pain with distension:
Maimendong (Radix Ophiopogonis, removed heart and dried), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed, 2 liang each), Baifuling (Poria, removed black skin), Qianghuo (Rhizoma et Radix Notopterygii, removed rhizome), Xuanfuhua (Flos Inulae), Xuanshen (Radix Scrophulariae), Baizhu (Rhizoma Atractylodis Macrocephalae), Shaoyao (Radix Paeoniae Alba), Chaihu (Radix Bupleuri, removed sprouts), Renshen (Radix Ginseng), Shengma (Rhizoma Cimicifugae), Danggui (Radix Angelicae Sinensis, sliced and dried), Sangbaipi (Cortex Morus Radicis, crushed, 1 liang each), Huhuanglian (Rhizoma Coptidis Chinensis, 1 fen), Shugan Dihuang (Radix Rehmanniae Preparata, dried, 1.5 liang), Muxiang (Radix Aucklandiae, half liang).
The above sixteen herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water and one cun length of Gancao, decoct together until 0.8 cup remains, remove dregs, and take warm. Take at any time.
Prescription for Banxia Tang (Pinellia Decoction) to treat Stomach Heat and Intestinal Cold, characterized by uneven cold and heat, polyphagia with frequent hunger, and abdominal distension and pain upon food entering the abdomen:
Banxia (Rhizoma Pinelliae, washed seven times in water and dried), Maimendong (Radix Ophiopogonis, removed heart and dried), Renshen (Radix Ginseng), Baifuling (Poria, removed black skin), Jiegeng (Radix Platycodonis, fried), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, removed white pith and dried), Chaihu (Radix Bupleuri, removed sprouts), Fangfeng (Radix Saposhnikoviae, removed forked roots), Qianhu (Radix Peucedani, removed rhizome), Xixin (Herba Asari, removed sprouts and leaves), Baizhi (Radix Angelicae Dahuricae), Ziwan (Radix Asteris), Kuandonghua (Flos Farfarae, 1 liang each), Nongpou (Cortex Magnoliae Officinalis, removed coarse bark, processed with ginger juice), Zhike (Fructus Aurantii, removed pulp, bran-fried, 1.5 liang each).
The above fifteen herbs are coarsely crushed and sifted. Take three qianbi per dose, with 1.5 cups of water and three slices of fresh ginger, decoct until one cup remains, remove dregs, and take when slightly warm.