夫心腹卒胀满者。由脏腑不调。寒气乘之。并于心脾也。脾主于消水谷。胃为水谷之海。
今
治心腹气壅滞。卒胀满。不能饮食。草豆蔻散方。
草豆蔻（一两去皮） 丁香（三分） 缩砂（三分去皮） 桃仁（三分汤浸去皮尖双仁
麸炒微
黄）
瓜（三
分）
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
治心腹气滞。卒胀满。不下食。当归散方。
当归（一两锉微炒） 赤茯苓（一两） 桔梗（一两去芦头） 青橘皮（一两汤浸去白
瓤焙）
高良
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。
治心腹卒胀满。胁肋疼痛。不欲饮食。大黄散方。
川大黄（一两锉碎微炒） 当归（半两锉微炒） 桂心（半两） 桃仁（半两汤浸去皮
尖双仁
麸炒
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
治心腹卒胀满。肩背壅闷。大小肠气滞。牵牛子散方。
牵牛子（一两） 木通（三分锉） 陈橘皮（三分汤浸去白瓤焙） 桑根白皮（三分锉）
槟榔
（一
上件药。捣细罗为散。每服。食前煎生姜葱白汤。调下二钱。
治心腹卒胀满。胸膈不利。难下饮食。枳实散方。
枳实（一两麸微炒） 桂心（一两） 诃黎勒（一两煨用皮）
上件药。捣细罗为散。不计时候。煎生姜汤调下一钱。
治心腹俱冷。卒胀满。短气。吴茱萸丸方。
吴茱萸（一两汤浸七遍焙干微炒） 青橘皮（半两汤浸去白瓤焙） 干姜（半两炮裂锉）
附
子（
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以温酒下二十丸。
又方。
草豆蔻（一两去皮）
上捣细罗为散。不计时候。以木瓜生姜汤。调下半钱。
Sudden distension and fullness of the heart and abdomen arise from dysfunction of the zang-fu organs, where cold pathogenic factors invade and accumulate in the Heart and Spleen. The Spleen governs the digestion and transformation of water and grain; the Stomach is the sea of water and grain.
Below are prescriptions for treating qi stagnation and obstruction in the heart and abdomen, sudden distension and fullness, and inability to eat:
**Caodoukou San (Grass Cardamom Powder)**
For treating qi stagnation and obstruction in the heart and abdomen, sudden distension and fullness, and inability to eat.
Ingredients: Caodoukou (Fructus Tsaoko, 1 liang, peeled), Dingxiang (Flos Caryophylli, 3 fen), Suosha (Fructus Amomi Rotundus, 3 fen, peeled), Taoren (Semen Persicae, 3 fen, soaked in decoction, skin and tips removed, double kernels discarded, stir-bran fried until slightly yellow), Gualou (Fructus Trichosanthis, 3 fen).
Preparation: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water and half a fen of Shengjiang (Rhizoma Zingiberis Recens) to the water. Decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
**Danggui San (Angelica Sinensis Powder)**
For treating qi stagnation in the heart and abdomen, sudden distension and fullness, and inability to eat.
Ingredients: Danggui (Radix Angelicae Sinensis, 1 liang, sliced and slightly stir-fried), Chi Fuling (Poria Cocos with Red Wood, 1 liang), Jiegeng (Radix Platycodonis, 1 liang, radix tip removed), Qingjupi (Pericarpium Citri Reticulatae Viride, 1 liang, soaked in decoction, white pith removed, dried), Gaoliangjiang (Rhizoma Alpiniae Officinarum, 1 liang, sliced).
Preparation: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water. Decoct until reduced to 6 fen. Remove the dregs. Take warm at any time.
**Dahuang San (Rhubarb Powder)**
For treating sudden distension and fullness of the heart and abdomen, pain in the hypochondrium, and lack of appetite.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly stir-fried), Danggui (Radix Angelicae Sinensis, 0.5 liang, sliced and slightly stir-fried), Guixin (Cortex Cinnamomi, 0.5 liang), Taoren (Semen Persicae, 0.5 liang, soaked in decoction, skin and tips removed, double kernels discarded, stir-bran fried).
Preparation: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water and half a fen of Shengjiang (Rhizoma Zingiberis Recens) to the water. Decoct until reduced to 6 fen. Remove the dregs. Take slightly warm at any time.
**Qianniuzi San (Seed of Morning Glory Powder)**
For treating sudden distension and fullness of the heart and abdomen, oppression and stuffiness in the shoulders and back, and qi stagnation in the Large Intestine and Small Intestine.
Ingredients: Qianniuzi (Fructus Pharbitidis, 1 liang), Mutong (Caulis Akebiae, 3 fen, sliced), Chenjupi (Pericarpium Citri Reticulatae, 3 fen, soaked in decoction, white pith removed, dried), Sangbaipipi (Cortex Morae Radicis, 3 fen, sliced), Binglang (Semen Arecae, 1 liang, sliced).
Preparation: Pound finely and sieve through a fine mesh into a powder. Before meals, take 2 qian by mixing with a decoction of Shengjiang (Rhizoma Zingiberis Recens) and Congbai (Bulbus Allii Cepae).
**Zhishi San (Immature Bitter Orange Powder)**
For treating sudden distension and fullness of the heart and abdomen, discomfort in the chest and diaphragm, and difficulty swallowing food.
Ingredients: Zhishi (Fructus Aurantii Immaturus, 1 liang, stir-bran fried lightly), Guixin (Cortex Cinnamomi, 1 liang), Helile (Fructus Chebulae, 1 liang, roasted, using the peel).
Preparation: Pound finely and sieve through a fine mesh into a powder. Take 1 qian mixed with a decoction of Shengjiang (Rhizoma Zingiberis Recens) at any time.
**Wuzhuyu Wan (Evodia Pill)**
For treating cold in both the heart and abdomen, sudden distension and fullness, and shortness of breath.
Ingredients: Wuzhuyu (Fructus Evodiae, 1 liang, soaked in decoction seven times, dried, and slightly stir-fried), Qingjupi (Pericarpium Citri Reticulatae Viride, 0.5 liang, soaked in decoction, white pith removed, dried), Ganjiang (Rhizoma Zingiberis Secatum, 0.5 liang, processed until cracked, then sliced), Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed until cracked, skin and umbilicus removed).
Preparation: Pound and sieve into a fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills with warm wine at any time.
Another prescription:
Caodoukou (Fructus Tsaoko, 1 liang, peeled).
Pound finely and sieve through a fine mesh into a powder. Take half a qian mixed with a decoction of Mugua (Fructus Chaenomelis) and Shengjiang (Rhizoma Zingiberis Recens) at any time.