〔大〕夫妇人心腹胀满者，由脏腑久冷，气血虚损，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，其脉起于小指之下斜趣足心，入跟中上股内
后廉，贯肾络膀胱，从肾上贯肝膈入肺中；其支者从肺出络于心脏。邪气客于三经，与正
气相搏，积聚在内，气并于脾，脾虚有胀，故令心腹烦满而胀也。诊其脉迟而滑者，胀满
也。
〔薛〕前证脾胃虚痞，用六君子汤。（杂病虚劳。）脾胃虚寒者，用人参理中汤。郁结气
滞者，用归脾汤。（杂病健忘。）肝侮脾土，用六君、柴芍。脾气壅滞，用平胃散。（杂病中食。）肺
气壅滞，用紫苏饮。宿食壅滞，用养胃汤。脾血虚痞，用四物汤加参、术。（上六证当互相参用，
仍与血风攻脾不食同用。）一妇人胸膈不利，饮食少思，腹胀吞酸，或用疏利之药，反致中
满不食。予以为脾土虚而肝木盛，用补中益气汤（杂病伤劳倦。）加砂仁、香附、煨姜，又以
六君子加芎、归、桔梗而愈。 吴江史玄年母久病之后，遇事拂意，忽胸腹胀满，面目
微肿，两腿重滞，气逆上升，言语喘促，服清气之剂不效。予曰∶此脾肺虚寒也。先用
六君子汤，一剂病势顿减，后用补中益气加茯苓、半夏、干姜，二剂形体顿安。后以七
情失调，夜间腹胀，乃用十全大补汤加木香治之而痊。
白术散 治妇人脾胃气虚，心腹胀满，不欲饮食，四肢无力。
白术 草果仁 诃子肉（各三分） 赤茯苓 槟榔 桂心（各半两） 陈皮 浓朴 人参（各
一两） 甘草（一分）
上为粗末，每服四钱，水一盅，姜三片，枣一枚，煎至七分，去滓食前热服。
槟榔散 治妇人脾胃虚冷，心腹胀满，不欲饮食。
槟榔 前胡 川芎 青皮（七钱半） 赤芍药 桂心 大黄 苦梗 木香 枳壳（各半两）
甘草（二钱半）
上 咀，每服四钱，姜三片，煎至七分，
去滓温服。
木香散 治证同前。
木香 桂心 白术 干姜（炮） 陈皮（去白） 草果仁 诃梨勒 人参（各一两） 神曲（炒黄，
七钱半） 甘草（炙，半两）
上为细末，每服一钱，茶清点，热服。
《补遗》治心腹胀满。予尝独用浓朴姜汁炒过，每服五钱，姜七片，水煎温服，不拘
时候，间服沉香降气汤得效。（见《资生经》。）
《局方》分心气饮亦妙。（方见杂病气。）三腕散亦妙。（方见两胁胀痛。）
[Da Lun] When women experience fullness and distension in the heart and abdomen, it is caused by long-standing coldness of the Zang-Fu organs, deficiency and damage of Qi and Blood, allowing pathogenic factors to invade and attack the Heart and Spleen. The Foot-Taiyin Spleen Meridian belongs to the Spleen; when Spleen Qi is deficient, distension occurs. The Foot-Shaoyin Kidney Meridian belongs to the Kidney; its vessel originates below the little toe, slants toward the center of the foot, enters the heel, ascends along the posterior medial aspect of the thigh, penetrates the Kidney, and connects with the Bladder; from the Kidney, it ascends through the Liver and diaphragm into the Lung; its branch emerges from the Lung and connects with the Heart. Pathogenic factors lodging in these three meridians contend with Healthy Qi, accumulating internally. Qi merges with the Spleen; due to Spleen deficiency, distension arises, thus causing vexation, fullness, and distension in the chest, heart, and abdomen. Palpating a pulse that is slow (Chi) and slippery (Hua) indicates distension and fullness.
[Xue Ji's Commentary] For the aforementioned syndrome of Spleen-Stomach deficiency leading to stuffiness, use Liu Jun Zi Tang (Six Gentlemen Decoction). (From Miscellaneous Diseases: Deficiency Labor.) For Spleen-Stomach deficiency-cold, use Ren Shen Li Zhong Tang (Ginseng Regulate the Middle Decoction). For constraint and Qi stagnation, use Gui Pi Tang (Restore the Spleen Decoction). (From Miscellaneous Diseases: Forgetfulness.) For Liver overacting on Spleen Earth, use Liu Jun Zi Tang plus Chai Hu (Bupleuri Radix) and Bai Shao (Paeoniae Radix Alba). For Spleen Qi congestion and stagnation, use Ping Wei San (Calm the Stomach Powder). (From Miscellaneous Diseases: Food Retention.) For Lung Qi congestion and stagnation, use Zi Su Yin (Perilla Infusion). For retained food stagnation, use Yang Wei Tang (Nourish the Stomach Decoction). For Spleen Blood deficiency leading to stuffiness, use Si Wu Tang (Four Substances Decoction) added with Ren Shen (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma). (The above six syndromes should be used in conjunction with reference to one another, and still employed together with treatments for Blood Wind attacking the Spleen causing anorexia.) A woman suffered from chest and diaphragm discomfort, poor appetite, abdominal distension, and acid regurgitation. After using draining and regulating herbs, she instead developed middle-jiao fullness and inability to eat. I considered this to be Spleen Earth deficiency with Liver Wood excess. I used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Sha Ren (Amomi Fructus), Xiang Fu (Cyperi Rhizoma), and Wei Jiang (Roasted Ginger), followed by Liu Jun Zi Tang added with Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Jie Geng (Platycodonis Radix), resulting in recovery. The mother of Shi Xuan from Wujiang, after a prolonged illness, encountered frustrating events and suddenly developed chest and abdominal distension, slight facial edema, heavy and sluggish legs, ascending rebellious Qi, and panting speech. Administration of clearing-heat agents was ineffective. I stated: This is Spleen-Lung deficiency-cold. First, administer Liu Jun Zi Tang; after one dose, the disease severity decreased abruptly. Then, use Bu Zhong Yi Qi Tang added with Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma Preparatum), and Gan Jiang (Zingiberis Rhizoma), resulting in physical restoration after two doses. Later, due to emotional imbalance, she experienced nighttime abdominal distension; thus, Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) added with Mu Xiang (Aucklandiae Radix) was used to cure her.
Bai Zhu San (Atractylodis Macrocephalae Powder) treats women with Spleen-Stomach Qi deficiency, heart and abdominal distension, lack of desire for food, and weakness in the four limbs.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Cao Guo Ren (Tsaoko Cardamomi Fructus), He Zi Rou (Terminalia Chebulae Fructus Flesh) (each 3 fen), Chi Fu Ling (Poria cum Ligno Rubrum), Bing Lang (Arecae Semen), Gui Xin (Cinnamomi Ramulus Cortex) (each 0.5 liang), Chen Pi (Citri Reticulatae Pericarpium), Nong Po (Magnoliae Officinalis Cortex), Ren Shen (Ginseng Radix et Rhizoma) (each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 fen).
Grind into coarse powder. Each dose consists of 4 qian, boiled with 1 zhong of water, 3 slices of ginger, and 1 jujube, until reduced to 7/10. Strain and take warm before meals.
Bing Lang San (Arecae Semen Powder) treats women with Spleen-Stomach deficiency-cold, heart and abdominal distension, and lack of desire for food.
Bing Lang (Arecae Semen), Qian Hu (Peucedani Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride) (7.5 qian), Chi Shao Yao (Paeoniae Radix Rubra), Gui Xin (Cinnamomi Ramulus Cortex), Da Huang (Rhei Radix et Rhizoma), Ku Jing (Platycodonis Radix), Mu Xiang (Aucklandiae Radix), Zhi Ke (Aurantii Fructus Immaturus) (each 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (2.5 qian).
Chop ingredients. Each dose consists of 4 qian, boiled with 3 slices of ginger, until reduced to 7/10. Strain and take warm.
Mu Xiang San (Aucklandiae Radix Powder) treats the same syndromes as above.
Mu Xiang (Aucklandiae Radix), Gui Xin (Cinnamomi Ramulus Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma Preparatum) (processed), Chen Pi (Citri Reticulatae Pericarpium) (peeled), Cao Guo Ren (Tsaoko Cardamomi Fructus), He Li Le (Terminalia Chebulae Fructus), Ren Shen (Ginseng Radix et Rhizoma) (each 1 liang), Shen Qu (Massa Medicata Fermentata) (stir-fried yellow, 7.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted, 0.5 liang).
Grind into fine powder. Each dose consists of 1 qian, taken with tea infusion, hot.
[Bu Yi] Treats heart and abdominal distension. I once used alone Nong Po (Magnoliae Officinalis Cortex) stir-fried with ginger juice, each dose 5 qian, with 7 slices of ginger, boiled in water and taken warm, at any time. Intermittently taking Chen Xiang Jiang Qi Tang (Aquilariae Descending Qi Decoction) proved effective. (See Zi Sheng Jing.)
Fen Xin Qi Yin (Dividing Heart Qi Infusion) from Ju Fang is also excellent. (Formula seen in Miscellaneous Diseases: Qi.) San Wan San (Three Wrists Powder) is also excellent. (Formula seen in Hypochondriac Distension and Pain.)