夫伤寒。太阳少阴并病。脉浮紧。而下之反入里。则作痞。痞者心下满也。病发于阴者
则不
痞满
治伤寒。心腹痞满。头痛。四肢烦疼。宜服前胡散方。
前胡（一两去芦头） 赤茯苓（三分） 柴胡（一两去苗） 赤芍药（三分） 枳壳（一
两麸炒
微黄去瓤） 诃黎勒（一两煨用皮） 桂心（三分） 白术（三分） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候温服。
治伤寒头痛。心腹痞满。痰壅。不下饮食。宜服旋复花散方。
旋复花（半两） 半夏（三分汤洗七遍去滑） 前胡（一两去芦头） 桂心（三分） 赤
茯苓（
一两） 陈橘皮（一两汤浸去白瓤焙） 石膏（一两） 甘草（二分炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒。心腹痞满。咽喉噎塞。四肢不和。背膊壅闷。不欲饮食。宜服诃黎勒散方
。
诃黎勒（一两煨用皮） 大腹皮（一两锉） 半夏（三分汤洗七遍去滑） 枳实（三分
麸炒微
黄）
两去芦头）
木
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
稍热服。
治伤寒。心腹痞满。恶寒汗出者。宜服附子泻心汤方。
附子（一两炮裂去皮脐） 黄连（一两去须） 黄芩（一两） 川大黄（一两锉碎微炒）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒。心腹痞满。下之后。心腹转胀。宜服陈橘皮散方。
陈橘皮（一两汤浸去白瓤焙） 诃黎勒皮（一两） 赤茯苓（一两） 人参（一两去芦
头） 木
香
术（一两）
上件药。捣筛为散。每服四钱。以水一中盏。入枣三枚。煎至六分。去滓。不计时候温
服。
治伤寒。冷气结在心腹。痞满妨闷。宜服白术散方。
白术（三分） 桂心（三分） 赤芍药〔一两（三分）〕 当归（三分锉微炒） 半夏
（三分汤
洗七遍
〔一（二）
两去
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
稍热不计时候服。
治伤寒。头痛急闷。心腹痞满。气逆。不思饮食。宜服此方。
附子（一两炮裂去皮脐） 人参（一两去芦头） 陈橘皮（一两汤浸去白瓤焙） 桂心
（半两）
白
去皮尖双
仁麸
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。稍热不计
时候服。
治伤寒。心腹痞满。两胁下急。不能饮食。宜服赤茯苓散方。
赤茯苓（一两） 枳壳（一两麸炒微黄去瓤） 白术（一两） 泽泻（三分） 甘草（一
分炙微
赤锉）
麸炒微
黄）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。稍热不计
时候服。
治伤寒气逆。心腹痞满。不下饮食。宜服此方。
人参（去芦头） 白术 枳壳（麸炒微黄去瓤） 赤茯苓（以上各一两） 桔梗（三分
去芦头）
桂心（半两）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。稍热不计
时候服。
治伤寒发汗后。心腹气痞满烦闷。宜服此方。
赤茯苓（一两） 桂心（一两） 青橘皮（一两汤浸去白瓤焙）
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。稍热不计时
候服。
治伤寒。其脉沉微。或因下后。心腹痞满。宜服附子散方。
附子（一两炮裂去皮脐） 干姜（三分炮裂锉） 甘草（半两炙微赤锉） 人参（一两
去芦头）
白茯苓（三分） 陈橘皮（三分汤浸去白瓤焙） 桂心（三分） 诃黎勒（三分煨用皮）
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。稍热不计时
候服。
治伤寒。发汗吐下后。心腹痞满。胸膈气不利。宜服代赭散方。
代赭（半两研） 旋复花（半两） 人参（半两去芦头） 甘草（半两炙微赤锉） 半
夏（三分
汤洗七遍去滑） 陈橘皮（一两汤浸去白瓤焙）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候温服。
治伤寒。心腹痞满。不思饮食。宜服前胡散方。
前胡（一两去芦头） 半夏（半两汤洗七遍去滑） 枳壳（一两麸炒微黄去瓤） 芎
（三分）
白
芦头） 桔
梗（
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒后。心腹痞坚。兼气促。宜服此方。
萝卜子（二两微炒） 阿魏（一钱面裹煨面熟为度）
上件药。捣细罗为散。每服。不计时候。以热酒调下一钱。
治伤寒。表热未除。数下之。遂夹热而利。利不止。心腹痞满。表里不解者。宜服
此方
桂心（一两） 甘草（一两炙微赤锉） 白术（三分） 人参（三分去芦头） 干姜（三
分炮裂
锉）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒发热。汗出不解。心腹痞坚。痰逆不止。宜服柴胡散方。\x
柴胡（一两半去苗） 枳实（半两麸炒微黄） 黄芩（半两） 赤芍药（三分） 半夏
（三分汤
洗七遍去滑）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候温服。
In the context of Cold Damage (Shanghan) diseases, when both the Taiyang (Greater Yang) and Shaoyin (Lesser Yin) meridians are simultaneously affected (Taiyang-Shaoyin concurrent disease), the pulse is floating and tight. If purgation is mistakenly applied, the pathogenic factor instead sinks inward, resulting in the formation of a Pi syndrome (epigastric fullness/stuffiness). "Pi" refers to a sensation of fullness in the epigastrium. If the disease originates from the Yin aspect, Pi-fullness does not occur.
For treating Cold Damage manifesting as epigastric and abdominal fullness, headache, and vexatious pain in the four limbs, Qianhu San (Peucedanum Powder) is indicated.
Peucedani Radix (Qianhu, 1 liang, remove rhizome base)
Polyporus (Chifuling, 3 fen)
Bupleuri Radix (Chaihu, 1 liang, remove sprouts)
Paeoniae Radix Rubra (Chishaoyao, 3 fen)
Aurantii Fructus Immaturus (Zhiqiao, 1 liang, stir-bran-fried until slightly yellow, remove pith)
Terminalia Chebula Fruit (Helilei, 1 liang, use peel after roasting)
Cinnamomi Cortex (Guixin, 3 fen)
Atractylodis Macrocephalae Rhizoma (Baizhu, 3 fen)
Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red, cut into pieces)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.
For treating Cold Damage manifesting as headache, epigastric and abdominal fullness, phlegm obstruction, and inability to eat, Xuanfuhua San (Inula Flower Powder) is indicated.
Inulae Flos (Xuanfuhua, 0.5 liang)
Pinelliae Tuber (Banxia, 3 fen, wash seven times with hot water to remove slipperiness)
Peucedani Radix (Qianhu, 1 liang, remove rhizome base)
Cinnamomi Cortex (Guixin, 3 fen)
Polyporus (Chifuling, 1 liang)
Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soak in water, remove white pith, dry)
Gypsum Fibrosum (Shigao, 1 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen, honey-fried until slightly red, cut into pieces)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.
For treating Cold Damage manifesting as epigastric and abdominal fullness, throat obstruction sensation, disharmony of the four limbs, stuffiness in the back and shoulders, and loss of appetite, Helilei San (Terminalia Chebula Fruit Powder) is indicated.
Terminalia Chebula Fruit (Helilei, 1 liang, use peel after roasting)
Arecae Pericarpium (Dafupi, 1 liang, cut into pieces)
Pinelliae Tuber (Banxia, 3 fen, wash seven times with hot water to remove slipperiness)
Immature Bitter Orange Fruit (Zhishi, 3 fen, stir-bran-fried until slightly yellow)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhong. Strain. Take slightly warm at any time.
For treating Cold Damage manifesting as epigastric and abdominal fullness, aversion to cold, and sweating, Fuzi Xiexin Tang (Aconite Decoction for Draining the Epigastrium) is indicated.
Aconiti Lateralis Radix Praeparata (Fuzi, 1 liang, processed until cracked, remove skin and umbilicus)
Coptidis Rhizoma (Huanglian, 1 liang, remove stamens)
Scutellariae Radix (Huangqin, 1 liang)
Rhei Radix et Rhizoma (Chuan dahuang, 1 liang, cut into pieces, lightly stir-fried)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong of water. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.
For treating Cold Damage manifesting as epigastric and abdominal fullness, which turns into abdominal distension after purgation, Chenju pi San (Aged Tangerine Peel Powder) is indicated.
Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soak in water, remove white pith, dry)
Terminalia Chebula Fruit Peel (Helilei pi, 1 liang)
Polyporus (Chifuling, 1 liang)
Ginseng Radix et Rhizoma (Renshen, 1 liang, remove rhizome base)
Costi Radix (Muxiang)
Atractylodis Macrocephalae Rhizoma (Baizhu, 1 liang)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water and 3 jujubes. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.
For treating Cold Damage where cold qi knots in the epigastrium and abdomen causing fullness and stifling oppression, Baizhu San (Atractylodis Macrocephalae Powder) is indicated.
Atractylodis Macrocephalae Rhizoma (Baizhu, 3 fen)
Cinnamomi Cortex (Guixin, 3 fen)
Paeoniae Radix Rubra (Chishaoyao, 1 liang, 3 fen)
Angelicae Sinensis Radix (Danggui, 3 fen, cut into pieces, lightly stir-fried)
Pinelliae Tuber (Banxia, 3 fen, wash seven times with hot water)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 zhong. Strain. Take slightly warm at any time.
For treating Cold Damage manifesting as urgent and stifling headache, epigastric and abdominal fullness, rebellious Qi, and lack of desire to eat, this formula is indicated.
Aconiti Lateralis Radix Praeparata (Fuzi, 1 liang, processed until cracked, remove skin and umbilicus)
Ginseng Radix et Rhizoma (Renshen, 1 liang, remove rhizome base)
Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soak in water, remove white pith, dry)
Cinnamomi Cortex (Guixin, 0.5 liang)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhong. Strain. Take slightly warm at any time.
For treating Cold Damage manifesting as epigastric and abdominal fullness, tension under the hypochondria, and inability to eat, Chifuling San (Polyporus Powder) is indicated.
Polyporus (Chifuling, 1 liang)
Aurantii Fructus Immaturus (Zhiqiao, 1 liang, stir-bran-fried until slightly yellow, remove pith)
Atractylodis Macrocephalae Rhizoma (Baizhu, 1 liang)
Alismatis Rhizoma (Zexie, 3 fen)
Glycyrrhizae Radix et Rhizoma (Gancao, 1 fen, honey-fried until slightly red, cut into pieces)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhong. Strain. Take slightly warm at any time.
For treating Cold Damage manifesting as rebellious Qi, epigastric and abdominal fullness, and inability to eat, this formula is indicated.
Ginseng Radix et Rhizoma (Renshen, remove rhizome base)
Atractylodis Macrocephalae Rhizoma (Baizhu)
Aurantii Fructus Immaturus (Zhiqiao, stir-bran-fried until slightly yellow, remove pith)
Polyporus (Chifuling) (Each of the above: 1 liang)
Platycodonis Radix (Jiegeng, 3 fen, remove rhizome base)
Cinnamomi Cortex (Guixin, 0.5 liang)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhong. Strain. Take slightly warm at any time.
For treating post-sweating Cold Damage manifesting as Qi stagnation, epigastric fullness, and vexatious oppression, this formula is indicated.
Polyporus (Chifuling, 1 liang)
Cinnamomi Cortex (Guixin, 1 liang)
Citri Reticulatae Pericarpium (Qing ju pi, 1 liang, soak in water, remove white pith, dry)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong of water and 3 jujubes. Decoct until reduced to 0.6 zhong. Strain. Take slightly warm at any time.
For treating Cold Damage manifesting as a deep and minute pulse, or epigastric and abdominal fullness following purgation, Fuzi San (Aconite Powder) is indicated.
Aconiti Lateralis Radix Praeparata (Fuzi, 1 liang, processed until cracked, remove skin and umbilicus)
Zingiberis Rhizoma (Ganjiang, 3 fen, processed until cracked, cut into pieces)
Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red, cut into pieces)
Ginseng Radix et Rhizoma (Renshen, 1 liang, remove rhizome base)
Polyporus (Baifuling, 3 fen)
Citri Reticulatae Pericarpium (Chenju pi, 3 fen, soak in water, remove white pith, dry)
Cinnamomi Cortex (Guixin, 3 fen)
Terminalia Chebula Fruit (Helilei, 3 fen, use peel after roasting)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong of water and 3 jujubes. Decoct until reduced to 0.6 zhong. Strain. Take slightly warm at any time.
For treating Cold Damage after sweating, vomiting, or purgation, manifesting as epigastric and abdominal fullness and obstructed Qi in the chest and diaphragm, Daizhe San (Hematite Powder) is indicated.
Hematitum (Daizhe, 0.5 liang, ground)
Inulae Flos (Xuanfuhua, 0.5 liang)
Ginseng Radix et Rhizoma (Renshen, 0.5 liang, remove rhizome base)
Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried until slightly red, cut into pieces)
Pinelliae Tuber (Banxia, 3 fen, wash seven times with hot water to remove slipperiness)
Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soak in water, remove white pith, dry)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.
For treating Cold Damage manifesting as epigastric and abdominal fullness and lack of desire to eat, Qianhu San (Peucedanum Powder) is indicated.
Peucedani Radix (Qianhu, 1 liang, remove rhizome base)
Pinelliae Tuber (Banxia, 0.5 liang, wash seven times with hot water to remove slipperiness)
Aurantii Fructus Immaturus (Zhiqiao, 1 liang, stir-bran-fried until slightly yellow, remove pith)
Ligustici Chuanxiong Rhizoma (Chuanxiong, 3 fen)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.
For treating post-Cold Damage manifesting as hard and firm epigastric/abdominal fullness accompanied by shortness of breath, this formula is indicated.
Brassicae Napus Semen (Luobozzi, 2 liang, lightly stir-fried)
Asafoetida (awei, 1 qian, wrapped in dough and roasted until the dough is cooked)
Grind the above ingredients finely through a sieve to make a powder. Take one dose at any time, mixed with hot wine, 1 qian per administration.
For treating Cold Damage where exterior heat remains unresolved, and after multiple purgations, diarrhea occurs mixed with heat that does not stop, accompanied by epigastric and abdominal fullness, indicating unresolved exterior and interior pathogens, this formula is indicated.
Cinnamomi Cortex (Guixin, 1 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang, honey-fried until slightly red, cut into pieces)
Atractylodis Macrocephalae Rhizoma (Baizhu, 3 fen)
Ginseng Radix et Rhizoma (Renshen, 3 fen, remove rhizome base)
Zingiberis Rhizoma (Ganjiang, 3 fen, processed until cracked, cut into pieces)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.
For treating Cold Damage manifesting as fever, sweating without resolution, hard and firm epigastric/abdominal fullness, and incessant rebellious phlegm, Chaihu San (Bupleurum Powder) is indicated.
Bupleuri Radix (Chaihu, 1.5 liang, remove sprouts)
Immature Bitter Orange Fruit (Zhishi, 0.5 liang, stir-bran-fried until slightly yellow)
Scutellariae Radix (Huangqin, 0.5 liang)
Paeoniae Radix Rubra (Chishaoyao, 3 fen)
Pinelliae Tuber (Banxia, 3 fen, wash seven times with hot water to remove slipperiness)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 zhong. Strain. Take warm at any time.