《病源》心腹胀者，脏虚而邪气客之，乘于心脾故也。足太阴，脾之经也，脾虚则胀；
足少阴，肾之经也，其脉起于足小指之下，循行上络膀胱，其直者从肾上入肺，其支者从肺
出，络于心，脏虚邪气客于二经，与正气相搏，积聚在内，气并于脾，脾虚则胀，故令心腹
烦满，气急而胀也。诊其脉，迟而滑者，胀满也。其汤、熨、针、石，别有正方补养宣导，
今附于后。《养生方·导引法》云，伸右胫，屈左膝内压之，五息，引脾，去心腹寒热，胸
臆邪胀。依经为之，引脾中热气出，去心腹中寒热，胸臆中邪气胀满，久行之，无有寒热时
节之所中伤，名为真人之方。（出第十六卷中）
《广济》疗心腹胀满，脐下块硬如石，疼痛不止。芍药丸方。
芍药 当归 白术 鳖甲（炙各八分） 诃黎勒（十颗去核） 干姜 人参（各六分） 豆
蔻
上十味，捣筛，蜜和为丸，如梧子大。空肚以酒下二十丸，渐加至三十丸，日再服，不
吐不利。忌生菜、热面、葱、苋、桃、李、雀肉、蒜、粘食等物。
又疗鼓胀气急，冲心硬痛。鳖甲丸方。
鳖甲（炙） 芍药 枳实（炙） 人参 槟榔（各八分） 诃黎勒 大黄（各六分） 桂
心（四
分） 橘皮（四分）
上九味，捣筛为末，蜜和为丸。空肚以酒服如梧子大二十丸，渐加至三十丸，日二服，
微利为度。忌生葱、苋菜、炙肉、蒜、面等。
又疗鼓胀气急。通草汤方。
通草 茯苓 玄参 桑白皮 白薇 泽泻（各三两） 人参（二两） 郁李仁（五两） 泽
漆
叶（切一升）
上九味，切，以水一斗，煮取三升，去滓，分温四服，服别相去如人行六七里进一服，
不利。忌热面、油腻、酢、粘食等。
又疗鼓胀上下肿，心腹坚强，喘息气急，连阴肿，坐不得，仍下赤黑血汁，日夜不停者
。茯苓汤方。
茯苓（二两） 防己（一两半） 橘皮（一两） 玄参（一两） 黄芩（一两半） 泽
泻（一两半） 杏仁（二两半去尖、皮） 白术（一两半） 大豆（一升半） 郁李仁（二
两半） 桑白皮（二两
半） 泽漆叶（切一升） 猪苓（一两半）
上十三味，切，以水一斗，先煮桑白皮、大豆、泽漆叶取五升，去滓，澄去下淀，纳诸
药，煎取二升，绞去滓，分三服。咳者，加五味子二两，停二日服一剂。忌酢物、桃、李、
雀肉、热面、蒜、炙肉、粘食、油腻等。（茯苓一云茯神，防己一云防风）
又疗患久心痛腹满，并痰饮不下食。人参丸方。
人参 白术 枳实（各六分） 茯苓（八分） 浓朴（六分炙） 青木香（六分） 橘
皮（五分）
上九味，捣筛，蜜和丸。空腹煮生姜枣汤下如梧子二十丸，日二服，渐加至三十丸，不
利。忌酢物、桃、李、雀肉等。
又疗心腹胀满。柴胡浓朴汤方。
柴胡 浓朴（炙各十分） 茯苓 橘皮 紫苏（各八分） 生姜（十二分） 槟榔（五
分末）
上七味，切，以水七升，煮取二升五合，绞去滓，分温三服，服别相去如人行六七里进
一服，微利。忌酢物、生冷、油腻、粘食。
又疗心腹胀满，腹中有宿水，连两肋满闷，气急冲心坐不得。郁李仁丸方。
郁李仁（八分） 牵牛子（六分熬） 甘遂（熬四分） 防葵（三分） 子 桑白
皮
槟榔（各四分） 橘皮 泽泻（各二分） 茯苓 泽漆叶（炙） 杏仁（去皮、尖各三分）
上十二味，捣筛，蜜和丸。空肚饮服如梧子五丸，日二服，服到十丸，微利为度。忌酢
物、生冷、油腻、热面、炙肉、蒜等。
又疗患气发心腹胀满，两肋气急。紫苏汤方。
紫苏（一握） 诃黎勒皮 当归 生姜（各八分） 人参（六分） 槟榔（十颗） 生
地黄汁
（半升）
上七味，切，以水六升，煮六味，取二升，绞去滓，下地黄汁，分温三服，服别如人行
四五里，温进一服，利三两行。忌芜荑、生菜、热面、炙肉、鱼、蒜、粘食、陈臭等。
（并出第二卷中）
《深师》疗腹胀满彭彭，逆害饮食，热不得卧，流汗。浓朴汤方。
浓朴（炙） 桂心 芍药 半夏（洗各三两） 枳实（三枚炙） 甘草（二两炙） 麦
门冬（四
两去心） 黄芩（一两） 干姜（二两）
上九味，切，以水一斗，煮取二升半，绞去滓，服八合，日三。小便难，加术三两、人
参四两。忌生葱、海藻、菘菜、羊肉、饧。（出第十六卷中）
《千金》浓朴七味汤 主腹满气胀方。
浓朴（半斤炙） 甘草（炙） 大黄（各三两） 大枣（十枚） 枳实（五枚） 桂心
（二两） 干
姜（五两）
上切，以水一斗，煮取五升，去滓，纳大黄，取四升，服八合，日三。呕者，加半夏五
合；利者，去大黄；寒，加生姜至半斤。忌海藻、菘菜、生葱、羊肉、饧。（此本仲景《伤
寒论》方，并第十六卷中）
《集验》疗胸满有气，心腹胀，中冷。半夏汤方。
半夏（一升） 桂心（四两） 生姜（八两切）
上三味，切，以水七升，煮取二升，绞去滓，适寒温，饮七合。忌羊肉、饧、生葱等。
（出第六卷中）
《古今录验》消化丸 疗人腹胀心满，肠胃结，食不消化，呕逆头痛，手足烦疼。此方
出太医院，药常用。芫花丸方。
芫花（一两熬） 大黄 葶苈子（熬） 甘遂 黄芩（各二两） 巴豆（四十枚去心、
皮，熬
，别研） 硝石（一两）
上七味，捣，合蜜和丸如梧子。先食服三丸，日再服。一方无硝石。忌野猪肉、芦笋等
。（出第十卷中）
《必效》青木香丸 主气满腹胀不调，不消食，兼冷方。
青木香（六分） 槟榔（六分） 大黄（十二分） 芍药（五分） 诃黎勒（五分） 枳
实（五分
炙） 桂心（四分）
上七味，捣筛，蜜和丸如梧子。饮服十五丸，渐渐常加，以利为度。不限丸多少，不利
者，乃至五十、六十丸亦得。忌生葱。（韩同识频服，大效，古今常用）
又疗腹胀满坚如石，积年不损者方。
取白杨东南枝，去苍皮护风细锉五升，熬令黄，酒五升，淋讫，则以绢袋盛滓，还纳酒
中，蜜封再宿。每服一合，日三。（并出第二卷中）
According to the *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases), the pathogenesis of heart and abdominal distension and fullness lies in the deficiency of the zang-fu organs, allowing pathogenic factors to invade. These pathogens affect the Heart and Spleen. The Foot-Taiyin channel is the meridian of the Spleen; when the Spleen is deficient, distension occurs. The Foot-Shaoyin channel is the meridian of the Kidney. Its vessel originates below the little toe, ascends to connect with the Bladder. The straight branch enters the Lung from the Kidney, and its branch emerges from the Lung to connect with the Heart. When the zang-fu are deficient and pathogenic factors lodge in these two meridians, they contend with the healthy Qi, accumulating internally. The Qi converges on the Spleen; due to Spleen deficiency, distension arises, causing vexation, fullness, rapid breathing, and abdominal swelling. Upon pulse diagnosis, a slow and slippery pulse indicates distension and fullness. Regarding decoctions, moxibustion/ironing therapy, acupuncture, and bian stone therapy, there are separate specific formulas for nourishment and guidance, which are appended below. The *Yangsheng Fang · Daoyin Fa* (Preservation Methods · Guiding and Pulling Methods) states: Extend the right leg, bend the left knee and press inward, for five breaths, to guide the Spleen Qi, thereby dispelling cold-heat pathogens from the heart and abdomen and evil distension from the chest and diaphragm. Practicing according to the meridians draws out the hot Qi from the Spleen, removing cold-heat from the heart and abdomen and evil distension from the chest and diaphragm. Long-term practice prevents injury from cold-heat pathogens at any season, known as the formula of the True Person. (From Volume 16)
The *Guangji Fang* treats heart and abdominal distension and fullness, with a hard mass under the umbilicus like stone, and unceasing pain. Formula for Shaoyao Wan (Peony Pill).
Shaoyao (Radix Paeoniae Rubra), Danggui (Radix Angelicae Sinensis), Baizhu (Rhizoma Atractylodis Macrocephalae), Biejia (Carapax et Plastrum Testudinis, prepared by frying, 8 fen each), Helile (Fructus Chebulae, 10 pieces, pitted), Ganjiang (Rhizoma Zingiberis Recens, dried, 6 fen each), Renshen (Radix Ginseng, 6 fen each), Doukou (Fructus Cardamomi Rotundus).
The above ten ingredients are crushed, sifted, and mixed with honey to form pills the size of wutong seeds. Take 20 pills on an empty stomach with wine, gradually increasing to 30 pills, twice daily. Stop if vomiting or diarrhea occurs. Avoid raw vegetables, hot noodles, scallions, amaranth, peaches, plums, sparrow meat, garlic, and sticky foods.
Also treats drum distension with rapid breathing and hard pain rushing to the heart. Formula for Biejia Wan (Turtle Shell Pill).
Biejia (Carapax et Plastrum Testudinis, prepared by frying), Shaoyao (Radix Paeoniae Rubra), Zhishi (Fructus Aurantii Immaturus, prepared by frying), Renshen (Radix Ginseng), Binglang (Semen Arecae, 8 fen each), Helile (Fructus Chebulae), Dahuang (Radix et Rhizoma Rhei, 6 fen each), Guixin (Cortex Cinnamomi, 4 fen), Ju pi (Pericarpium Citri Reticulatae, 4 fen).
The above nine ingredients are crushed, sifted into powder, and mixed with honey to form pills. Take 20 pills the size of wutong seeds on an empty stomach with wine, gradually increasing to 30 pills, twice daily. Stop when mild laxation occurs. Avoid raw scallions, amaranth, roasted meat, garlic, and noodles.
Also treats drum distension with rapid breathing. Formula for Tongcao Tang (Tetrapanacis Medulla Decoction).
Tongcao (Medulla Tetrapanacis), Fuling (Poria), Xuanshen (Radix Scrophulariae), Sangbaipi (Cortex Mori), Baiwei (Radix Cynanchi Atrati), Zexie (Rhizoma Alismatis, 3 liang each), Renshen (Radix Ginseng, 2 liang), Yuliren (Semen Pruni Armeniacae Amarum, 5 liang), Zeqiye (Folium Euphorbiae Lathyridis, chopped 1 sheng).
The above nine ingredients are chopped, boiled in one dou of water until three sheng remain. Strain the dregs. Divide into four warm doses. Administer one dose every interval equivalent to walking six or seven li. Do not induce diarrhea. Avoid hot noodles, greasy food, vinegar, and sticky foods.
Also treats drum distension with edema above and below, hardness of the heart and abdomen, panting and rapid breathing, swelling of the yin organs, inability to sit, and continuous passage of red-black bloody fluid day and night. Formula for Fuling Tang (Poria Decoction).
Fuling (Poria, 2 liang), Fangji (Radix Stephaniae Tetrandrae, 1.5 liang), Ju pi (Pericarpium Citri Reticulatae, 1 liang), Xuanshen (Radix Scrophulariae, 1 liang), Huangqin (Radix Scutellariae, 1.5 liang), Zexie (Rhizoma Alismatis, 1.5 liang), Xingren (Semen Pruni Armeniacae, 2.5 liang, remove skin and tip), Baizhu (Rhizoma Atractylodis Macrocephalae, 1.5 liang), Dadou (Soybean, 1.5 sheng), Yuliren (Semen Pruni Armeniacae Amarum, 2.5 liang), Sangbaipi (Cortex Mori, 2.5 liang), Zeqiye (Folium Euphorbiae Lathyridis, chopped 1 sheng), Zhuling (Polyporus, 1.5 liang).
The above thirteen ingredients are chopped. Boil Sangbaipi, Dadou, and Zeqiye in one dou of water until five sheng remain. Strain, clarify to remove sediment, add remaining herbs, and boil until two sheng remain. Strain and divide into three doses. If coughing, add Wuweizi (Fructus Schisandrae Chinensis, 2 liang); stop medication for two days before taking another dose. Avoid vinegar products, peaches, plums, sparrow meat, hot noodles, garlic, roasted meat, sticky foods, and greasy foods. (Note: Fuling may be replaced with Fushen; Fangji may be replaced with Fangfeng).
Also treats chronic heart pain with abdominal fullness, and inability to swallow phlegm-fluids or eat. Formula for Renshen Wan (Ginseng Pill).
Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Zhishi (Fructus Aurantii Immaturus, 6 fen each), Fuling (Poria, 8 fen), Houpo (Cortex Magnoliae Officinalis, 6 fen, prepared by frying), Qingmuxiang (Radix Aucklandiae, 6 fen), Ju pi (Pericarpium Citri Reticulatae, 5 fen).
The above nine ingredients are crushed, sifted, and mixed with honey to form pills. Take 20 pills the size of wutong seeds on an empty stomach with decoction of Shengjiang (Rhizoma Zingiberis Recens) and Zao (Fructus Jujubae), twice daily. Gradually increase to 30 pills. Do not induce diarrhea. Avoid vinegar products, peaches, plums, and sparrow meat.
Also treats heart and abdominal distension and fullness. Formula for Chaihu Houpo Tang (Bupleurum and Magnolia Bark Decoction).
Chaihu (Radix Bupleuri), Houpo (Cortex Magnoliae Officinalis, prepared by frying, 10 fen each), Fuling (Poria), Ju pi (Pericarpium Citri Reticulatae), Zisu (Folium Perillae, 8 fen each), Shengjiang (Rhizoma Zingiberis Recens, 12 fen), Binglang (Semen Arecae, 5 fen, powdered).
The above seven ingredients are chopped, boiled in seven sheng of water until two sheng and five he remain. Strain and divide into three warm doses. Administer one dose every interval equivalent to walking six or seven li. Mild laxation is acceptable. Avoid vinegar products, raw/cold foods, greasy foods, and sticky foods.
Also treats heart and abdominal distension and fullness, with retained water in the abdomen, fullness and oppression extending to both hypochondria, rapid breathing rushing to the heart making sitting impossible. Formula for Yuliren Wan (Apricot Kernel Pill).
Yuliren (Semen Pruni Armeniacae Amarum, 8 fen), Qianniu zi (Semen Pharbitidis, 6 fen, stir-fried), Gansui (Radix Euphorbiae Kansui, 4 fen, stir-fried), Fangkui (Radix Anemones Raddeanae, 3 fen), [Text missing/garbled here, likely referring to another herb], Sangbaipi (Cortex Mori), Binglang (Semen Arecae, 4 fen each), Ju pi (Pericarpium Citri Reticulatae), Zexie (Rhizoma Alismatis, 2 fen each), Fuling (Poria), Zeqiye (Folium Euphorbiae Lathyridis, prepared by frying), Xingren (Semen Pruni Armeniacae, 3 fen each, remove skin and tip).
The above twelve ingredients are crushed, sifted, and mixed with honey to form pills. Take 5 pills the size of wutong seeds on an empty stomach with water, twice daily. Increase to 10 pills. Mild laxation is the goal. Avoid vinegar products, raw/cold foods, greasy foods, hot noodles, roasted meat, and garlic.
Also treats heart and abdominal distension and fullness caused by Qi attacks, with rapid breathing in both hypochondria. Formula for Zisu Tang (Perilla Leaf Decoction).
Zisu (Folium Perillae, one handful), Helile pi (Pericarpium Chebulae), Danggui (Radix Angelicae Sinensis), Shengjiang (Rhizoma Zingiberis Recens, 8 fen each), Renshen (Radix Ginseng, 6 fen), Binglang (Semen Arecae, 10 pieces), Shengdihuang汁 (Jus Rehmanniae Recens, half sheng).
The above seven ingredients are chopped. Boil the first six in six sheng of water until two sheng remain. Strain, add Shengdihuang juice, and divide into three warm doses. Administer one dose every interval equivalent to walking four or five li. Expect two or three bowel movements after administration. Avoid Wuyi (Herba Elaeagnophangi Mollis), raw vegetables, hot noodles, roasted meat, fish, garlic, sticky foods, and stale/foul-smelling foods. (All from Volume 2)
The *Shenshi Fang* treats abdominal distension and bloating, obstruction of diet, heat preventing sleep, and sweating. Formula for Houpo Tang (Magnolia Bark Decoction).
Houpo (Cortex Magnoliae Officinalis, prepared by frying), Guixin (Cortex Cinnamomi), Shaoyao (Radix Paeoniae Rubra), Banxia (Rhizoma Pinelliae Ternatae, washed, 3 liang each), Zhishi (Fructus Aurantii Immaturus, 3 pieces, prepared by frying), Gancao (Radix Glycyrrhizae Uralensis, 2 liang, prepared by frying), Maidong (Radix Ophiopogonis Japonici, 4 liang, remove heart), Huangqin (Radix Scutellariae, 1 liang), Ganjiang (Rhizoma Zingiberis Recens, dried, 2 liang).
The above nine ingredients are chopped, boiled in one dou of water until two sheng and five he remain. Strain. Take eight he per dose, three times daily. If urination is difficult, add Baizhu (3 liang) and Renshen (4 liang). Avoid raw scallions, seaweed, Chinese cabbage, mutton, and maltose syrup. (From Volume 16)
The *Qianjin Fang* Houpo Qiwu Tang (Magnolia Bark Seven-Ingredient Decoction) primarily treats abdominal fullness and Qi distension. Formula.
Houpo (Cortex Magnoliae Officinalis, half jin, prepared by frying), Gancao (Radix Glycyrrhizae Uralensis, prepared by frying), Dahuang (Radix et Rhizoma Rhei, 3 liang each), Dazao (Fructus Jujubae, 10 pieces), Zhishi (Fructus Aurantii Immaturus, 5 pieces), Guixin (Cortex Cinnamomi, 2 liang), Ganjiang (Rhizoma Zingiberis Recens, dried, 5 liang).
Chop all ingredients. Boil in one dou of water until five sheng remain. Strain, add Dahuang, and boil until four sheng remain. Take eight he per dose, three times daily. If vomiting occurs, add Banxia (5 he); if diarrhea occurs, remove Dahuang; if cold pattern, add Shengjiang (Rhizoma Zingiberis Recens) up to half jin. Avoid seaweed, Chinese cabbage, raw scallions, mutton, and maltose syrup. (This formula originally comes from Zhang Zhongjing's *Shanghan Lun*, and is also found in Volume 16).
The *Jiyan Fang* treats chest fullness with Qi sensation, heart and abdominal distension, and middle jiao cold. Formula for Banxia Tang (Pinellia Decoction).
Banxia (Rhizoma Pinelliae Ternatae, 1 sheng), Guixin (Cortex Cinnamomi, 4 liang), Shengjiang (Rhizoma Zingiberis Recens, 8 liang, chopped).
The above three ingredients are chopped, boiled in seven sheng of water until two sheng remain. Strain. Drink seven he when temperature is suitable. Avoid mutton, maltose syrup, and raw scallions. (From Volume 6)
The *Gujin Luyan Fang* Xiaohua Wan (Digestion Pill) treats abdominal distension and heart fullness, intestinal and gastric knotting, undigested food, vomiting with headache, and painful heat in hands and feet. This formula comes from the Imperial Hospital and is commonly used. Formula for Yuanhua Wan (Kadua Pill).
Yuanhua (Flos Genkwa, 1 liang, stir-fried), Dahuang (Radix et Rhizoma Rhei), Tinglizi (Semen Lepidii Descurainiae, stir-fried), Gansui (Radix Euphorbiae Kansui), Huangqin (Radix Scutellariae, 2 liang each), Badou (Semen Crotonis Tiglii, 40 pieces, remove heart and skin, stir-fried, separately ground), Xiaoshi (Natrii Nitras, 1 liang).
The above seven ingredients are crushed, mixed with honey to form pills the size of wutong seeds. Take 3 pills before meals, twice daily. Another version excludes Xiaoshi. Avoid wild boar meat and reeds. (From Volume 10)
The *Bixiao Fang* Qingmuxiang Wan (Aucklandia Pill) primarily treats Qi-fullness, abdominal distension, irregularity, indigestion, and cold patterns. Formula.
Qingmuxiang (Radix Aucklandiae, 6 fen), Binglang (Semen Arecae, 6 fen), Dahuang (Radix et Rhizoma Rhei, 12 fen), Shaoyao (Radix Paeoniae Rubra, 5 fen), Helile (Fructus Chebulae, 5 fen), Zhishi (Fructus Aurantii Immaturus, 5 fen, prepared by frying), Guixin (Cortex Cinnamomi, 4 fen).
The above seven ingredients are crushed, sifted, and mixed with honey to form pills the size of wutong seeds. Take 15 pills with water, gradually increasing the dose as tolerated, stopping when laxation occurs. The number of pills is not limited; even 50 or 60 pills may be taken if no laxation occurs. Avoid raw scallions. (Han Tongshi frequently took this with great effect; it is commonly used in ancient and modern times).
Also treats abdominal distension and fullness hard as stone, persisting for years without improvement. Formula.
Take branches of Populus alba growing towards the southeast. Remove the old bark. Finely chop the inner wood to five sheng. Stir-fry until yellow. Pour five sheng of wine over them. After filtering, place the dregs in a silk bag and return them to the wine. Seal with honey and leave overnight. Take one he per dose, three times daily. (All from Volume 2)