Library

Discourse states: The abdomen is the residence of extreme Yin. When injured by cold pathogenic factors, Yang Qi declines and Yin becomes excessive, resulting in diseases characterized by abdominal distension, borborygmus (intestinal rumbling), and severe cutting pain. This is generally due to Spleen deficiency and Stomach weakness, causing Qi distension and fullness with obstruction. When cold Qi combines with this condition and contends with healthy Qi, if left untreated, it may transform into symptoms of diarrhea.

Treatment for abdominal distension, borborygmus, and severe cutting pain that occurs at specific times. Baizhu Tang (Atractylodes Macrocephala Decoction):
Baizhu (Atractylodis Macrocephalae Rhizoma), Chifuling (Poria with Black Skin Removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Guizhi (Cinnamomi Ramulus, coarse bark removed), Jiegeng (Platycodonis Radix, radix tip removed, crushed and stir-fried), Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Wuzhuyu (Evodiae Fructus, washed in hot water, dried and stir-fried), Renshen (Ginseng Radix et Rhizoma; each 1 liang), Gancao (Licorice Root, roasted and crushed, 1 fen), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 0.5 liang).
The above eleven herbs are coarsely pounded and sifted. For each dose, take 3 qianbi (approx. 4-6 grams), add one zhan (approx. 200 ml) of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and one Zao (Jujubae Fructus) with the core removed. Decoct until reduced to 70% volume. Strain and take warm, at any time.

Treatment for abdominal distension, borborygmus, severe cutting pain, and inability to eat. Caodoukou Tang (Alpiniae Oxyphyllae Fructus Decoction):
Caodoukou (Alpiniae Oxyphyllae Fructus, skin removed), Muxiang (Aucklandiae Radix), Guizhi (Cinnamomi Ramulus, coarse bark removed), Xiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra), Baizhu (Atractylodis Macrocephalae Rhizoma), Binglang (Arecae Semen, crushed), Chenpi (Citri Reticulatae Pericarpium, soaked in hot water...).
The above nine herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add one zhan of water, decoct until reduced to 70% volume. Strain and take warm, on an empty stomach or before meals.

Treatment for internal accumulation of wind-cold causing abdominal distension, borborygmus, and pain. Danggui Tang (Angelicae Sinensis Radix Decoction):
Danggui (Angelicae Sinensis Radix, sliced and dried, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma, processed), Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Renshen (Ginseng Radix et Rhizoma; each 1 liang), Qingpi (Citri Reticulatae Pericarpium Viride...).
The above seven herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add one and a half zhan of water, decoct until reduced to 70% volume. Strain and take warm, at any time.

Treatment for Spleen deficiency causing abdominal distension, severe cutting borborygmus, poor appetite, and weakness. Gaoliangjiang Tang (Alpiniae Officinarum Rhizoma Decoction):
Gaoliangjiang (Alpiniae Officinarum Rhizoma, crushed, 0.5 liang), Renshen (Ginseng Radix et Rhizoma, 3 fen), Caodoukou (Alpiniae Oxyphyllae Fructus, skin removed), Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Helile (Chebulae Fructus, baked and cored...), Gancao (Licorice Root, roasted and crushed, 1 fen).
The above nine herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add one zhan of water, two Zao (Jujubae Fructus) with cores removed. Decoct until reduced to 70% volume. Strain and take warm at any time.

Treatment for abdominal distension, borborygmus, and lack of desire to eat. Danshen Tang (Salviae Miltiorrhizae Radix et Rhizoma Decoction):
Danshen (Salviae Miltiorrhizae Radix et Rhizoma, crushed), Jiegeng (Platycodonis Radix, radix tip removed, crushed and stir-fried), Shizuyu (Tetradii Fructus, stir-fried), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), BaiFuling (Poria, black skin removed), Houpo (Magnoliae Officinalis Cortex...).
The above six herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until reduced to 70% volume. Strain and take warm at any time.

Treatment for abdominal distension with loud rumbling like thunder, and chest/back pain. Jiegeng Tang (Platycodonis Radix Decoction):
Jiegeng (Platycodonis Radix, radix tip removed, crushed and stir-fried), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, sliced), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhike (Aurantii Fructus Immaturus, pulp and bran removed, stir-fried), Shaoyao (Paeoniae Radix), Binglang (Arecae Semen, crushed; each 1 liang).
The above six herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until reduced to 70% volume. Strain and take warm, three times daily.

Treatment for cold pathogenic factors in the abdomen causing loud borborygmus, severe cutting pain, and rebellious fullness in the chest and hypochondrium. Fuzi Jingmi Tang (Aconiti Lateralis Preparata Radix and Oryza Sativa Decoction):
Fuzi (Aconiti Lateralis Preparata Radix, processed, split, skin and navel removed, 1 piece), Banxia (Pinelliae Rhizoma, washed in hot water to remove slipperiness, sliced and dried), Gancao (Licorice Root, roasted and crushed; each 1 liang).
The above three herbs are crushed to the size of hemp seeds. For each dose, take 3 qianbi, add one and a half zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), two Zao (Jujubae Fructus) with cores removed, and a pinch of Jingmi (Oryza Sativa). Decoct together until the rice is cooked. Strain and take warm, three times daily.