夫时气太阳少阳并病。脉浮紧。而下之。紧反入里。则作痞。痞者心下满也。病发于阴
者不
满。
治时气热毒不退。大便秘涩。心腹痞满。食饮不下。精神昏乱。恍惚狂言。脉候
洪数。
鳖甲（涂醋炙令黄去裙 ） 赤茯苓 桔梗（去芦头） 人参（去芦头） 槟榔 茵陈 白
藓
皮
微黄去
瓤）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
。温服。
治时气心下痞满。胸膈不利。宜服前胡散方。
前胡（去芦头） 赤芍药 木香 青橘皮（汤浸去白瓤焙） 槟榔（以上各一两）
上件药。捣筛为散。每服五钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治时气。若吐下发汗后。心下痞满。气上冲胸。起即头眩。脉沉紧者。宜服半夏
散方。
半夏（汤洗七遍去滑） 白术 甘草（炙微赤锉） 赤茯苓 桂心 人参（去芦头） 诃
黎勒
（用皮） 前胡（去芦头）（以上各一两）
上件药。捣筛为散。每服五钱。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。
治时气心腹痞满。身体疼痛。烦热。呕逆。宜服前胡散方。
前胡（去芦头） 半夏（汤洗七遍去滑） 枳壳（麸炒微黄去瓤） 黄芩 人参（去芦
头） 桔
梗（去芦头） 槟榔（以上七味各一两） 赤芍药（半两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一中盏。入生姜半分。枣三枚。煎至五分。去滓。
不计时候。温服。
治时气已汗下后。脾胃气虚。心下痞满。腹中雷鸣。宜服陈橘皮散方。
陈橘皮（二两汤浸去白瓤焙） 人参（半两去芦头） 干姜（炮裂锉） 甘草（炙微赤
锉） 半
夏（汤洗七遍去滑） 赤茯苓 桔梗（去芦头） 白术 木香（以上各一两）
上件药。捣筛为散。每服五钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治时气心腹痞满。气喘。痰涎不绝。宜桔梗散方。
桔梗（三分去芦头） 前胡（一两去芦头） 半夏（三分汤洗七遍去滑） 旋复花（半
两） 大
腹皮
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。去滓。不计时候。温服。
治时气气壅上冲。心腹痞满。坐卧不安。宜服赤茯苓散方。
赤茯苓（三分） 赤芍药（三分） 枳壳（半两麸炒微黄去瓤） 大腹皮（半两锉） 百
合（一
两） 紫苏茎叶（三分） 甘草（半两炙微赤锉） 郁李仁（一两汤浸去皮尖微炒）
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。
治时气吃水过多。水结心下。痞满喘急方。
川大黄（一两锉碎微炒） 甘遂（一钱煨令黄） 川朴硝〔二（一）两〕
上件药。捣细罗为散。每服不计时候。以温水调下一钱。以利为度。
治时气饮水过多。心下痞硬痛方。\x
芫花（半斤）
上以醋拌令匀。 以慢火炒热。用帛裹熨之。冷即更炒。以效为度。
In the context of seasonal febrile diseases (Shi Qi), simultaneous involvement of the Taiyang (Greater Yang) and Shaoyang (Lesser Yang) meridians occurs. The pulse is floating and tight. If purgation is incorrectly applied, the tightness reverses and enters the interior, resulting in a Pi syndrome (epigastric fullness/oppression). "Pi" refers to fullness below the heart. If the disease originates from Yin patterns, fullness does not occur.
For treating seasonal febrile diseases where heat-toxin persists, with constipation and difficult defecation, epigastric and abdominal fullness, inability to eat or drink, mental confusion, delirious speech, and a flooding and rapid pulse:
Bie Jia (Turtle Shell, *Chinemys reevesii* shell) [prepared by coating with vinegar and roasting until yellow, removing the skirt], Chi Fu Ling (Red Poria), Jie Geng (Platycodon Root, *Platycodonis Radix*), Ren Shen (Ginseng Root, *Panacis Ginseng Radix*) [remove rhizome], Bing Lang (Areca Seed, *Arecae Semen*), Yin Chen (Artemisia Capillaris Herb, *Artemisiae Scopariae Herba*), Bai Xian Pi (Dawsonia Root Bark, *Dawsoniae Cortex*).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of five qian. Boil with one large zhan of water and half a qian of fresh ginger until reduced to half a zhan. Strain the dregs. Take warm at any time.
For treating seasonal febrile diseases causing epigastric fullness and obstruction in the chest and diaphragm, the Qian Hu San formula is indicated.
Qian Hu (Peucedanum Root, *Peucedani Radix*) [remove rhizome], Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*), Mu Xiang (Aucklandia Root, *Aucklandiae Radix*), Qing Ju Pi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride*) [soak in hot water, remove white pith, roast], Bing Lang (Areca Seed, *Arecae Semen*) [each of the above, one liang].
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of five qian. Boil with one medium zhan of water until reduced to six-tenths. Strain the dregs. Take warm at any time.
For treating seasonal febrile diseases, if after vomiting, purgation, or sweating, there is epigastric fullness, qi rushing up to the chest, dizziness upon rising, and a deep, tight pulse, the Ban Xia San formula is indicated.
Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*) [wash seven times in hot water to remove slipperiness], Bai Zhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [roast until slightly red, cut into pieces], Chi Fu Ling (Red Poria), Gui Xin (Cinnamon Twig Heart, *Cinnamomi Ramulus*), Ren Shen (Ginseng Root, *Panacis Ginseng Radix*) [remove rhizome], He Li Le (Chebulic Myrobalan Fruit, *Terminaliae Chebulae Fructus*) [use the peel], Qian Hu (Peucedanum Root, *Peucedani Radix*) [remove rhizome] [each of the above, one liang].
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of five qian. Boil with one medium zhan of water, add half a qian of fresh ginger and three dates, until reduced to six-tenths. Strain the dregs. Take warm at any time.
For treating seasonal febrile diseases causing epigastric and abdominal fullness, body pain, irritability and heat, and vomiting/nausea, the Qian Hu San formula is indicated.
Qian Hu (Peucedanum Root, *Peucedani Radix*) [remove rhizome], Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*) [wash seven times in hot water to remove slipperiness], Zhi Ke (Immature Bitter Orange Fruit, *Citri Aurantii Fructus*) [bran-fried until slightly yellow, remove pith], Huang Qin (Scutellaria Root, *Scutellariae Radix*), Ren Shen (Ginseng Root, *Panacis Ginseng Radix*) [remove rhizome], Jie Geng (Platycodon Root, *Platycodonis Radix*) [remove rhizome], Bing Lang (Areca Seed, *Arecae Semen*) [these seven herbs, each one liang], Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*) [half liang], Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [half liang, roasted until slightly red, cut into pieces].
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of five qian. Boil with one medium zhan of water, add half a qian of fresh ginger and three dates, until reduced to five-tenths. Strain the dregs. Take warm at any time.
For treating seasonal febrile diseases after sweating and purgation have depleted Spleen and Stomach Qi, causing epigastric fullness and borborygmus (rumbling in the abdomen), the Chen Ju Pi San formula is indicated.
Chen Ju Pi (Aged Tangerine Peel, *Citri Reticulatae Pericarpium*) [two liang, soak in hot water, remove white pith, roast], Ren Shen (Ginseng Root, *Panacis Ginseng Radix*) [half liang, remove rhizome], Gan Jiang (Dried Ginger, *Zingiberis Rhizoma Recens*), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [roasted until slightly red, cut into pieces], Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*) [wash seven times in hot water to remove slipperiness], Chi Fu Ling (Red Poria), Jie Geng (Platycodon Root, *Platycodonis Radix*) [remove rhizome], Bai Zhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Mu Xiang (Aucklandia Root, *Aucklandiae Radix*) [each of the above, one liang].
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of five qian. Boil with one medium zhan of water until reduced to six-tenths. Strain the dregs. Take warm at any time.
For treating seasonal febrile diseases causing epigastric and abdominal fullness, asthma/wheezing, and incessant phlegm-saliva, the Jie Geng San formula is indicated.
Jie Geng (Platycodon Root, *Platycodonis Radix*) [three fen, remove rhizome], Qian Hu (Peucedanum Root, *Peucedani Radix*) [one liang, remove rhizome], Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*) [three fen, wash seven times in hot water to remove slipperiness], Xuan Fu Hua (Inula Flower, *Inulae Flos*), Da Fu Pi (Areca Peel, *Arecae Pericarpium*) [half liang, roasted until slightly red, cut into pieces].
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of four qian. Boil with one medium zhan of water, add half a qian of fresh ginger. Strain the dregs. Take warm at any time.
For treating seasonal febrile diseases causing qi stagnation rushing upward, epigastric and abdominal fullness, and restlessness in sitting or lying down, the Chi Fu Ling San formula is indicated.
Chi Fu Ling (Red Poria), Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*) [each three fen], Zhi Ke (Immature Bitter Orange Fruit, *Citri Aurantii Fructus*) [half liang, bran-fried until slightly yellow, remove pith], Da Fu Pi (Areca Peel, *Arecae Pericarpium*) [half liang, cut into pieces], Bai He (Lily Bulb, *Lilii Bulbus*), Zi Su Jing Ye (Perilla Stem and Leaf, *Perillae Caulis et Folium*), Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [half liang, roasted until slightly red, cut into pieces], Yu Li Ren (Bush Cherry Kernel, *Pruni Semen*) [one liang, soaked in hot water, skin and tip removed, lightly fried].
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of four qian. Boil with one medium zhan of water until reduced to six-tenths. Strain the dregs. Take warm at any time.
Formula for treating seasonal febrile diseases caused by excessive water intake, where fluid retention knots below the heart, causing fullness and urgent asthma.
Chuan Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*) [one liang, cut into pieces and lightly fried], Gan Sui (Kansui Root, *Euphorbiae Kansui Radix*) [one qian, roasted until yellow], Chuan Po Xiao (Mirabilite, *Natri Sulfas*).
The above ingredients are finely ground through a sieve into a powder. Each dose, taken at any time, is one qian mixed with warm water. Stop when bowel movement is achieved.
Formula for treating seasonal febrile diseases caused by excessive water intake, leading to hardness, fullness, and pain below the heart.
Yuan Hua (Genkwa Flower, *Forsythiae Flos* - Note: Traditionally *Genkwa flos*, here likely referring to *Genkwa flos* or similar drying flower, strictly Yuan Hua is *Forsythiae suspensa* calyx but in this context often *Genkwa flos* / *Daphnes Genkwei Flos*. WHO term: Daphne Genkwei Flower). [half jin].
Mix the above ingredient evenly with vinegar. Stir-fry over slow fire until hot. Wrap in cloth and apply as a hot compress. Reheat when cold. Continue until effective.