心（半两） 上粗捣筛为散。每服四钱。水一中盏。入生姜半分。煎六分。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。（出圣惠方）
赤茯苓 桂心 青橘皮（各一两汤浸去白瓤焙） 上捣筛为散。每服三钱。水一中盏。
入
枣三枚。煎至六分。去滓。稍热。不计时候服。
附子散（出圣惠方）治伤寒其脉沉微。或因下后。心腹痞满。宜服。
附子（炮裂去皮脐） 人参（各一两去芦头） 干姜（炮制锉） 白茯苓 陈橘皮（汤
浸去白
瓤焙） 桂心 诃黎勒（煨用皮各三分） 甘草（半两炙微赤锉） 上捣筛为散。每服三钱。
以
水一中盏。枣三枚。煎至六分。去滓。稍热。不计时候服。
代赭散（出圣惠方）治伤寒发汗吐下后。心腹痞满。胸膈气不利。宜服。
陈橘皮（一两汤浸去白瓤焙） 代赭（研） 旋复花 人参（去芦头） 甘草（各半两
炙微赤
锉） 半夏（三分汤浸七次去滑） 上捣筛为散。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。
前胡散（出圣惠方）治伤寒心腹痞满。不思饮食。宜服。
前胡（去芦头） 枳壳（各一两麸炒微黄去瓤） 半夏（汤浸七次去滑） 甘草（炙微
赤锉）
木香 人参（去芦头） 桔梗（去芦头） 枇杷叶（各半两拭去毛炙微黄） 芎 白术 赤
芍药
（各三分） 上捣筛为散。每服四钱。水一中盏。入生姜半分。煎六分。去滓。不计时候。
温
服
治伤寒后心腹痞坚。兼气促。宜服此方。（出圣惠方）
萝卜子（一两微炒） 阿魏（一钱麸裹煨麸热为度） 上捣细罗为散。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 甘草（各一两炙微赤锉） 白术 人参（去芦头） 干姜（各三分炮） 上捣筛
为散。
每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
柴胡汤（出圣惠方）治伤寒发热汗出不解。心腹痞坚。痰逆不止。宜服。
柴胡（一两半去苗） 枳实（半两麸炒微黄） 黄芩（半两） 赤芍药 半夏（各三分
汤浸七
次去滑） 上捣筛为散。每服四钱。水一中盏。入生姜半分。枣三枚。煎六分。去滓。不计
时候。温服。
桂枝去芍药加麻黄细辛附子汤（出金匮方）治气分。心下坚大如盘。边如旋
盘。
桂枝 生姜 甘草 麻黄 细辛（各二两） 大枣（十二枚） 附子（一枚炒） 上以
水七
升。煮麻黄。去上沫。纳诸药。煮取二升。分温三服。当汗出如虫行皮中。即愈。
枳术汤（出金匮方）治心下坚大如盘。边如旋盘。水饮所作。名曰气分。
枳实（七枚） 白术（二两） 上以水五升。煮取三升。分温三服。腹中 。即当散也。
导饮丸 治伤寒心下痞硬痛。噫气不转。腹与右胁满痛者。
木香 茴香 槟榔 青皮 橘皮（各一两） 黑牵牛 甘遂 大戟（各二两） 干姜（一
两）
上捣筛。炼蜜和桐子大。饮服三粒。或五粒。
桔梗半夏汤 治伤寒冷热不和。心腹痞满。时发疼痛。下气消痞。
桔梗（锉炒一两） 半夏（姜汁制切焙） 陈橘皮（汤浸去白焙各一两） 上粗捣筛。
每服四
钱。盐水一中盏。生姜三片。同煎七分。去滓。热服之。一方有枳实半两。
半夏泻心汤 治伤寒心下痞。但满不痛者。（一名泻心汤）
半夏（汤浸七次焙干一两） 黄芩（去黑心三分） 干姜（炮三分） 黄连（去须炒半
两） 人
参（三分） 甘草（炙锉半两） 上 咀如麻豆大。每服五钱。水一盏半。入生姜五分。枣
三枚。
擘破。同煎至八分。去滓。食后温服。或伤寒中风。医反下之。下利十数行。谷不化。腹中
泻。心下痞硬。干呕心烦者。加甘草半两。人参一两。名甘草泻心汤。或汗出解后。胃中不
和。心下痞硬。干噎。食臭。胁下水泻不痢者。加生姜一两。或干姜半两。余如正方。名生
姜泻心汤。一方治痰热。心胸烦痞。半夏丸。酒蒸黄连丸合和。每服三十五丸。米饮下。
甘草泻心汤 治伤寒中风。医反下之。其人下利。日数十行。谷不化。腹中雷鸣。
心下痞硬而满。干呕。心烦。不得安卧。医见心下痞闷。谓病不尽。复下之。其痞益
甚。此非结热。但以胃中虚。客气上逆。故使硬也。
甘草（炙四两） 黄芩（去黑心） 干姜（炮各三分） 半夏（汤浸七次二两半） 黄
连（去须
一两半） 上细锉如麻豆大。每服四钱。水一盏半。入大枣三枚擘。煎七分。去滓。温服。
日三。
大腹散 治伤寒后。气结不散。胸中痞满。欲成结胸。
大腹皮（并子锉） 前胡（去芦头） 木通（锉各一两） 赤茯苓（去黑皮一两） 枳
实（锉麸
炒一两半） 桂（去粗皮） 半夏（汤浸七次炒三分） 上 咀如麻豆大。每服五钱。水一
盏半。
入
苏橘汤 治伤寒胸中痞满。心腹气滞。不思饮食。
紫苏茎（锉一两） 陈橘皮（汤浸去白焙二两） 赤茯苓（去黑皮一两半） 大腹皮（锉）
旋
复花（各一两） 半夏（汤浸七次焙半两） 上 咀如麻豆大。每服五钱。水一盏半。入生
姜一
分。拍碎。枣二枚。擘破。同煎七分。去滓。温服。
陈橘皮汤（出圣济总录）治伤寒胸中痞满。心腹冷痛。
陈橘皮（汤浸去白焙一两） 桂（去粗皮半两） 半夏（汤洗七次炒干三分） 吴茱萸
（汤洗
焙炒一分） 上 咀如麻豆大。每服五钱。水一盏半。生姜一分。拍碎。同煎七分。去滓。
温服。
半夏汤（出圣济总录）治伤寒痞满。呕哕。心下悸。不能食。
半夏（汤浸七次焙令干） 陈橘皮（汤浸去白瓤） 白术（各三分） 枳壳（去瓤麸炒
半两）
上粗捣筛。每服五钱。水一盏半。入生姜一分。拍碎。同煎至七分。去滓。温服。
茯苓汤（出圣济总录）治伤寒心下痞满。小便不利。
茯苓（去黑皮） 白芍药 瞿麦穗（各一两） 白术（半两炒） 上粗捣筛。每服五钱。
水一
盏半。入葱白五寸。生姜一分。拍碎。同煎七分。去滓。食温服。
又方 治伤寒痞满。滞气不散。似物噎塞。
赤茯苓（去黑皮） 枳实（细锉麸炒） 桂（去粗皮） 人参 桑根白皮（锉） 大腹
皮（并子
各二分） 陈橘皮（汤浸去白瓤） 甘草（炙锉） 木香（各半两） 上粗捣筛。每服五钱。
水一
盏半。生姜半分。拍碎。同煎至七分。去滓。温服。
消痞汤（出圣济总录）治伤寒痞满。心腹妨闷。不能食。
陈橘皮（汤浸去白焙） 浓朴（去粗皮姜汁炙） 白术 槟榔（锉各二两） 半夏（汤
浸七次
炒令干） 人参（各一两） 上粗捣筛。每服五钱。水一盏半。入生姜一分。拍碎。同煎至
七
分。去滓。温服。
茯苓前胡汤（出圣济总录）治伤寒心中痞满。结气不散。
赤茯苓（去黑皮一两） 前胡（去芦头三分） 枳实（锉麸炒） 木香 杏仁（汤浸去
双仁炒
各半两） 甘草（炙一分） 上粗捣筛。每服三钱。水一盏。入生姜半分。拍碎。同煎六分。
去滓。温服。
异效丸（出圣济总录）治伤寒四五日大下后。心中痞满。气息喘逆欲绝。
人参 白术 甘草（炙锉） 枳壳（去瓤麸炒） 赤茯苓（去黑皮） 木香 陈橘皮（汤
浸去
白焙各半两） 干姜（炮三分） 上粗捣罗为末。炼蜜和。更捣三五百杵。丸如梧桐子。每
服
空心米饮下二十丸。晚再服。加至三十丸。
沉香汤（出圣济总录）治伤寒虚痞。气逆呕吐。
沉香（锉一两） 青橘皮（汤浸去白瓤） 胡椒 香子（炒） 楝实（锉炒） 荜澄
茄（炒各
半两） 上粗捣。每服二钱。水半盏。酒半盏。葱白一握。同煎至半盏。去滓。温服。
豆蔻汤（出圣济总录）治伤寒发汗。胃气不和。心下结痞。噫气食臭。胁下气
满。虚鸣下利
草豆蔻（去皮） 陈橘皮（汤浸去白焙各一两重） 枳壳（去瓤麸炒半两） 半夏（汤
浸七次
炒） 干姜（炮） 甘草（炙锉） 人参（各三分） 上粗捣筛。每服五钱。水一盏半。入
生姜半
分。拍碎。枣三枚。擘破。同煎七分。去滓。温服。
一方（出肘后方）治胸胁痞满。心寒气急喘急。
人参 白术（各一分） 枳实（二两） 干姜（一两） 上捣蜜和丸。一服一枝。若嗽。
加栝
蒌二两。吐加牡蛎一两。日夜五七丸服。不愈更服。
枳壳汤（一名桔梗枳壳汤出活人书）治伤寒痞气胸满欲死者。出东坡家藏方。
枳壳（一作枳实） 桔梗（各一两） 上 咀。水一升半。煎一半。去滓。分作二服。
伤寒下早。则气上膨胸。谓之结胸。更多用巴豆、粉霜、腻粉。十死七八。此盖泻其下
焦。下焦虚。则气愈见上攻胸膈。多致不救。凡胸膈病。可泻膈。若按之坚硬而痛。此是结
胸。如胸有水。须用大黄甘遂辈下之。陷胸丸之类是也。若按之不甚硬。亦不甚痛。此名痞。
气上虚。气热膨胀。只可用黄芩、大黄、黄连之类化之。尝有患胸胀已危。因作结胸痞气。
治皆不瘥。史大夫以此汤饮之。下黄水一升许遂瘥。予得此法。用之如神。若是痞气。莫不
应手而消。凡伤寒胸胀。勿问结胸痞气。但先服此药。若不瘥。然后别下药。录此汤。行气
下膈耳。无他损。又西晋崔勋方。得伤寒或下或不下。心中结满。胸膈痞寒。气急厥逆欲绝。
心胸高起。手不得近。二三日辄死。用泻心大小陷胸汤。皆不瘥。当是下后虚逆气已不理。
而毒复上攻。气毒相搏。结于胸中。气毒相激。故到此病。若疗之。当用加减理中丸。先理
其气。次疗诸疾。
加减理中丸（出活人书）治寒实结胸。及伤寒诸吐利后。胸痞欲绝。膈高起急
痛。手不得
人参 白术 甘草（各二两） 干姜（一两半） 枳实（炮一两） 茯苓（二两） 上
俱研
末。蜜丸弹子大。一丸不效。再服。予时用此。神速。下喉。气即相接续。后与之不过五六
弹丸。胸中豁然矣。用药之速。未尝见此。渴者。加栝蒌二两。下利者。加牡蛎二两。又炒。
此予屡试之效。其功神速。今以此丸与枳实汤兼服。无不验。所谓枳实。只是枳壳。古人谓
之枳实。后人方别出枳壳。东坡先生以秘方广传。又每有论述。教人济活。存心仁矣。
浓朴汤（出圣济总录）治伤寒汗后。腹胁胀满。食少呕逆。
浓朴（去粗皮生姜汁炙令紫三分） 桂（去粗皮） 诃黎勒（炮去核） 人参 陈橘皮
（汤浸
去白焙） 赤茯苓（去黑皮） 丁香（各半两） 甘草（炙锉一分） 上捣筛。每服三钱。
水一盏。
入生姜半分。拍碎。枣三枚。擘破。同煎六分。去滓。食前温服。
附子汤（出圣济总录）治伤寒因下后。脾胃虚冷。腹胁胀满。
附子（一两炮裂去皮脐） 赤茯苓 赤芍药 人参（去芦头） 白术 桂心（各半两） 上
捣
筛为散。每服五钱。水一大盏。入生姜半分。枣三枚。煎五分。去滓。不计时候。温服。
茯苓汤（出圣济总录）治伤寒后中冷疾。心腹胀满。不下食。
赤茯苓（去黑皮） 桔梗（炒） 陈橘皮（汤浸去白焙干各一两） 人参（半两） 上
捣筛为
散。每服三钱。用盐水一盏。入生姜半分。拍碎。同煎半盏。去滓。食前温服。
浓朴饮（出圣济总录）治伤寒后脾气未顺。腹胁胀满。
浓朴（去粗皮生姜汁炙一两令透） 人参 芍药 枳壳（去瓤麸炒各一两） 甘草（炙
锉半
两） 槟榔（煨锉三分） 上粗捣筛。每服三钱。盐水一中盏。入生姜半分。拍碎。同煎半
盏。
去滓
浓朴汤（出圣济总录）治伤寒后腹痛。兼两胁胀满。
浓朴（去粗皮生姜汁炙一两） 当归（切焙） 木香 枳壳（去瓤麸炒用） 大腹皮（炒
各半
两） 上为散。每服三钱。水一盏半。生姜半分。拍碎。煎半盏。去滓。食前温服。
茯苓汤（出圣济总录）治伤寒汗后。心腹及脐下满胀。
赤茯苓（去黑皮一两） 木香 桂（去粗皮） 木通（锉各半两） 甘草（炙锉一分） 上
粗捣
筛。每服三钱。水一盏。煎至半盏。去滓。食前温服。
枳壳汤（出圣济总录）治伤寒后。心腹气滞胀满。不能下饮食。
枳壳（去瓤麸炒一两半） 浓朴（去粗皮生姜汁炙） 白术 人参 赤茯苓（去黑皮各
一两）
上粗捣筛。每服三钱。水一盏。入生姜半分。拍碎。同煎半盏。去滓。食前温服。
浓朴茯苓汤（出圣济总录）治伤寒后气未和。心腹胀满。不能饮食。
浓朴（去粗皮姜汁炙） 赤茯苓（去黑皮各一两半） 人参（一两） 陈橘皮（汤浸去
白焙干
一两重） 甘草（炙锉半两） 上粗捣筛。每服三钱。水一盏。入生姜半分。拍碎。同煎取
半
盏。去滓。食前温服。
Xin (Banliang): The above herbs are coarsely pounded, sifted into a powder. Each dose is four qian. Use one zhong zhan of water, add half a fen of Shengjiang (Fresh Ginger), decoct to six fen, remove the dregs, and take it slightly warm at any time.
Treats heart and abdominal qi stagnation with fullness and oppression after sweating for Shanghan (Cold Damage). This formula is suitable. (From *Shenghui Fang*)
Chifuling (Red Poria), Guixin (Cinnamon Twig), Qingju pi (Green Tangerine Peel) (each 1 liang, soaked in hot water, white pith removed, dried): The above herbs are pounded and sifted into a powder. Each dose is three qian. Use one zhong zhan of water, add three dates, decoct to six fen, remove the dregs, and take it slightly warm at any time.
Fuzi San (Aconite Powder) (From *Shenghui Fang*): Treats Shanghan with deep and faint pulse, or heart and abdominal fullness following improper purgation. This formula is suitable.
Fuzi (Pao Lie, skin and umbilicus removed), Renshen (Ginseng Root) (each 1 liang, radix removed), Ganjiang (Dried Ginger), Baifuling (White Poria), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried), Guixin (Cinnamon Twig), Helile (Chebula Fruit) (roasted, use peel, each 3 fen), Gancao (Licorice Root) (Banliang, roasted until slightly red, crushed): The above herbs are pounded and sifted into a powder. Each dose is three qian. Use one zhong zhan of water, add three dates, decoct to six fen, remove the dregs, and take it slightly warm at any time.
Daizhe San (Hematite Powder) (From *Shenghui Fang*): Treats heart and abdominal fullness and chest diaphragm qi obstruction after sweating, vomiting, or purging for Shanghan. This formula is suitable.
Chenju pi (Aged Tangerine Peel) (1 liang, soaked in hot water, white pith removed, dried), Daizhe (Hematite) (ground), Xuanfuhua (Inula Flower), Renshen (Ginseng Root) (radix removed), Gancao (Licorice Root) (each Banliang, roasted until slightly red, crushed), Banxia (Pinellia Tuber) (3 fen, soaked in hot water seven times to remove slipperiness): The above herbs are pounded and sifted into a powder. Each dose is three qian. Use one zhong zhan of water, add half a fen of Shengjiang (Fresh Ginger) and three dates, decoct to six fen, remove the dregs, and take it warm at any time.
Qianhu San (Peucedanum Powder) (From *Shenghui Fang*): Treats heart and abdominal fullness and loss of appetite after Shanghan. This formula is suitable.
Qianhu (Peucedanum Root) (radix removed), Zhike (Bitter Orange Fruit) (each 1 liang, bran-fried until slightly yellow, pith removed), Banxia (Pinellia Tuber) (soaked in hot water seven times to remove slipperiness), Gancao (Licorice Root) (roasted until slightly red, crushed), Muxiang (Aucklandia Root), Renshen (Ginseng Root) (radix removed), Jiegeng (Platycodon Root) (radix removed), Pipaye (Loquat Leaf) (each Banliang, hairs wiped off, roasted until slightly yellow), Xiong (Ligusticum Rhizome), Baizhu (Atractylodes Rhizome), Chishao Yao (Red Peony Root) (each 3 fen): The above herbs are pounded and sifted into a powder. Each dose is four qian. Use one zhong zhan of water, add half a fen of Shengjiang (Fresh Ginger), decoct to six fen, remove the dregs, and take it warm at any time.
Treats heart and abdominal hardness and fullness with shortness of breath after Shanghan. This formula is suitable. (From *Shenghui Fang*)
Luobozhi (Radish Seed) (1 liang, lightly fried), Awèi (Asafoetida) (1 qian, wrapped in bran and roasted until bran is hot): The above herbs are finely ground into a powder. Take one qian mixed with hot wine at any time.
Treats Shanghan where exterior heat remains, followed by multiple purgations leading to dysentery with heat, unceasing diarrhea, heart and abdominal fullness, and unresolved exterior and interior conditions. This formula is suitable.
Guixin (Cinnamon Twig), Gancao (Licorice Root) (each 1 liang, roasted until slightly red, crushed), Baizhu (Atractylodes Rhizome), Renshen (Ginseng Root) (radix removed), Ganjiang (Dried Ginger) (each 3 fen, roasted): The above herbs are pounded and sifted into a powder. Each dose is four qian. Use one zhong zhan of water, decoct to six fen, remove the dregs, and take it warm at any time.
Chaihu Tang (Bupleurum Decoction) (From *Shenghui Fang*): Treats Shanghan with fever and sweating without resolution, hard and full heart and abdomen, and incessant phlegm counterflow. This formula is suitable.
Chaihu (Bupleurum Root) (1.5 liang, radix removed), Zhishi (Immature Bitter Orange Fruit) (Banliang, bran-fried until slightly yellow), Huangqin (Scutellaria Root) (Banliang), Chishao Yao (Red Peony Root), Banxia (Pinellia Tuber) (each 3 fen, soaked in hot water seven times to remove slipperiness): The above herbs are pounded and sifted into a powder. Each dose is four qian. Use one zhong zhan of water, add half a fen of Shengjiang (Fresh Ginger) and three dates, decoct to six fen, remove the dregs, and take it warm at any time.
Guizhi Qu Shaoyao Jia Mahuang Xixin Fuzi Tang (Decoction of Cinnamon Twig minus Red Peony plus Ephedra, Asarum, and Aconite) (From *Jingui Fang*): Treats Qi Fen syndrome, hardness and fullness under the heart like a plate, with edges like a rotating plate.
Guizhi (Cinnamon Twig), Shengjiang (Fresh Ginger), Gancao (Licorice Root), Mahuang (Ephedra Herb), Xixin (Asarum Root) (each 2 liang), Dazao (Jujube Fruit) (12 pieces), Fuzi (Aconite Lateral Root) (one piece, stir-fried): Use seven sheng of water. First boil Mahuang (Ephedra Herb), remove the foam on top, then add the other herbs. Boil to obtain two sheng. Divide into three warm doses. Sweating should occur, feeling like insects crawling on the skin, indicating cure.
Zhizhu Tang (Immature Bitter Orange and Atractylodes Decoction) (From *Jingui Fang*): Treats hardness and fullness under the heart like a plate, with edges like a rotating plate, caused by fluid retention, named Qi Fen syndrome.
Zhishi (Immature Bitter Orange Fruit) (7 pieces), Baizhu (Atractylodes Rhizome) (2 liang): Use five sheng of water. Boil to obtain three sheng. Divide into three warm doses. Abdominal rumbling will occur, and the qi stagnation will dissipate.
Dao Yin Wan (Guiding Fluid Pill): Treats heart lower hardness and pain, inability to belch, and abdominal and right hypochondriac fullness and pain after Shanghan.
Muxiang (Aucklandia Root), Huixiang (Fennel Fruit), Binglang (Areca Seed), Qingpi (Green Tangerine Peel), Ju pi (Tangerine Peel) (each 1 liang), Heiqianniu (Black Morning Glory Seed), Gansui (Kansui Root), Daji (Euphorbia Root), Ganjiang (Dried Ginger) (each 2 liang, Ganjiang is 1 liang): The above herbs are pounded and sifted. Mix with refined honey to make pills the size of Sophora seeds. Take three or five pills with water.
Jiegeng Banxia Tang (Platycodon and Pinellia Decoction): Treats cold-heat disharmony after injury from cold, heart and abdominal fullness, intermittent pain, with effects of descending qi and dissipating fullness.
Jiegeng (Platycodon Root) (crushed and fried 1 liang), Banxia (Pinellia Tuber) (processed with ginger juice, sliced, dried), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried, each 1 liang): The above herbs are coarsely pounded and sifted. Each dose is four qian. Use one zhong zhan of salt water, add three slices of Shengjiang (Fresh Ginger), decoct together to seven fen, remove dregs, and take hot. Another version includes Zhishi (Immature Bitter Orange Fruit) Banliang.
Banxia Xiexin Tang (Pinellia Decoction to Drain the Epigastrium): Treats epigastric fullness (Pi) after Shanghan, characterized by fullness without pain. (Also known as Xiexin Tang).
Banxia (Pinellia Tuber) (soaked in hot water seven times, dried 1 liang), Huangqin (Scutellaria Root) (remove black heart 3 fen), Ganjiang (Dried Ginger) (roasted 3 fen), Huanglian (Coptis Rhizome) (remove whiskers, fried Banliang), Renshen (Ginseng Root) (3 fen), Gancao (Licorice Root) (roasted, crushed Banliang): Chop the above herbs to the size of hemp seeds. Each dose is five qian. Use one and a half zhan of water, add five fen of Shengjiang (Fresh Ginger) and three broken dates. Decoct to eight fen, remove dregs, and take warm after meals. If Shanghan or wind-stroke was treated incorrectly with purgatives, causing frequent diarrhea, undigested food, abdominal borborygmus, hard epigastric fullness, dry heaving, and irritability, add Gancao (Licorice Root) Banliang and Renshen (Ginseng Root) 1 liang, named Gancao Xiexin Tang (Licorice Decoction to Drain the Epigastrium). If after sweating and resolution, stomach disharmony occurs with hard epigastric fullness, dry belching with food odor, and subcostal fluid diarrhea without dysentery, add Shengjiang (Fresh Ginger) 1 liang or Ganjiang (Dried Ginger) Banliang, rest as per original formula, named Shengjiang Xiexin Tang (Fresh Ginger Decoction to Drain the Epigastrium). Another method treats phlegm-heat causing chest irritability and fullness using Banxia Wan (Pinellia Pill) mixed with Jiuzheng Huanglian Wan (Wine-steamed Coptis Pill), take thirty-five pills with rice drink.
Gancao Xiexin Tang (Licorice Decoction to Drain the Epigastrium): Treats Shanghan or wind-stroke where the physician incorrectly used purgatives, resulting in diarrhea dozens of times daily, undigested food, abdominal borborygmus, hard and full epigastrium, dry heaving, irritability, and inability to lie down peacefully. Seeing epigastric fullness, the physician thought the pathogen remained and purged again, worsening the fullness. This is not heat binding, but deficiency in the stomach with rebellious qi ascending, causing hardness.
Gancao (Licorice Root) (roasted 4 liang), Huangqin (Scutellaria Root) (remove black heart), Ganjiang (Dried Ginger) (roasted, each 3 fen), Banxia (Pinellia Tuber) (soaked in hot water seven times 2.5 liang), Huanglian (Coptis Rhizome) (remove whiskers 1.5 liang): Finely chop the above herbs to the size of hemp seeds. Each dose is four qian. Use one and a half zhan of water, add three broken dates. Decoct to seven fen, remove dregs, and take warm. Three times daily.
Dafu San (Greater Abdomen Powder): Treats post-Shanghan qi knotting and dispersion failure, chest fullness, threatening to become Jie Xiong (Chest Binding).
Dafupi (Areca Pericarp) (with seeds crushed), Qianhu (Peucedanum Root) (radix removed), Mutong (Akebia Stem) (crushed, each 1 liang), Chifuling (Red Poria) (remove black skin 1 liang), Zhishi (Immature Bitter Orange Fruit) (crushed, bran-fried 1.5 liang), Gui (Cinnamon Bark) (remove coarse bark), Banxia (Pinellia Tuber) (soaked in hot water seven times, fried 3 fen): Chop the above herbs to the size of hemp seeds. Each dose is five qian. Use one and a half zhan of water.
Siju Tang (Perilla and Tangerine Decoction): Treats Shanghan chest fullness, heart and abdominal qi stagnation, and loss of appetite.
Zisu Jing (Perilla Stem) (crushed 1 liang), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried 2 liang), Chifuling (Red Poria) (remove black skin 1.5 liang), Dafupi (Areca Pericarp) (crushed), Xuanfuhua (Inula Flower) (each 1 liang), Banxia (Pinellia Tuber) (soaked in hot water seven times, dried Banliang): Chop the above herbs to the size of hemp seeds. Each dose is five qian. Use one and a half zhan of water, add one fen of crushed Shengjiang (Fresh Ginger) and two broken dates. Decoct to seven fen, remove dregs, and take warm.
Chenju pi Tang (Aged Tangerine Peel Decoction) (From *Shengji Zonglu*): Treats Shanghan chest fullness and cold pain in the heart and abdomen.
Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried 1 liang), Gui (Cinnamon Bark) (remove coarse bark Banliang), Banxia (Pinellia Tuber) (washed in hot water seven times, fried dry 3 fen), Wuzhuyu (Evodia Fruit) (washed in hot water, dried, fried 1 fen): Chop the above herbs to the size of hemp seeds. Each dose is five qian. Use one and a half zhan of water, add one fen of crushed Shengjiang (Fresh Ginger). Decoct to seven fen, remove dregs, and take warm.
Banxia Tang (Pinellia Decoction) (From *Shengji Zonglu*): Treats Shanghan fullness, vomiting and hiccupping, palpitations under the heart, and inability to eat.
Banxia (Pinellia Tuber) (soaked in hot water seven times, dried), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed), Baizhu (Atractylodes Rhizome) (each 3 fen), Zhike (Bitter Orange Fruit) (pith removed, bran-fried Banliang): Coarsely pound and sift the above herbs. Each dose is five qian. Use one and a half zhan of water, add one fen of crushed Shengjiang (Fresh Ginger). Decoct to seven fen, remove dregs, and take warm.
Fuling Tang (Poria Decoction) (From *Shengji Zonglu*): Treats Shanghan epigastric fullness and difficult urination.
Fuling (Poria) (remove black skin), Baishao Yao (White Peony Root), Qumai Sui (Agrostidis Spikes) (each 1 liang), Baizhu (Atractylodes Rhizome) (Banliang, fried): Coarsely pound and sift the above herbs. Each dose is five qian. Use one and a half zhan of water, add five cun of Congbai (Scallion White) and one fen of crushed Shengjiang (Fresh Ginger). Decoct to seven fen, remove dregs, and take warm after meals.
Another Formula: Treats Shanghan fullness, stagnant qi failing to disperse, feeling like an obstruction.
Chifuling (Red Poria) (remove black skin), Zhishi (Immature Bitter Orange Fruit) (finely crushed, bran-fried), Gui (Cinnamon Bark) (remove coarse bark), Renshen (Ginseng Root), Sangbaipi (Mulberry Root Bark) (crushed), Dafupi (Areca Pericarp) (with seeds, each 2 fen), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed), Gancao (Licorice Root) (roasted, crushed), Muxiang (Aucklandia Root) (each Banliang): Coarsely pound and sift the above herbs. Each dose is five qian. Use one and a half zhan of water, add half a fen of crushed Shengjiang (Fresh Ginger). Decoct to seven fen, remove dregs, and take warm.
Xiao Pi Tang (Eliminate Fullness Decoction) (From *Shengji Zonglu*): Treats Shanghan fullness, heart and abdominal oppression, and inability to eat.
Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried), Houpo (Magnolia Bark) (remove coarse bark, ginger juice roasted), Baizhu (Atractylodes Rhizome), Binglang (Areca Seed) (crushed, each 2 liang), Banxia (Pinellia Tuber) (soaked in hot water seven times, fried dry), Renshen (Ginseng Root) (each 1 liang): Coarsely pound and sift the above herbs. Each dose is five qian. Use one and a half zhan of water, add one fen of crushed Shengjiang (Fresh Ginger). Decoct to seven fen, remove dregs, and take warm.
Fuling Qianhu Tang (Poria and Peucedanum Decoction) (From *Shengji Zonglu*): Treats Shanghan mental fullness and stagnant qi.
Chifuling (Red Poria) (remove black skin 1 liang), Qianhu (Peucedanum Root) (radix removed 3 fen), Zhishi (Immature Bitter Orange Fruit) (crushed, bran-fried), Muxiang (Aucklandia Root), Xingren (Apricot Seed) (soaked in hot water, remove double kernels, fried, each Banliang), Gancao (Licorice Root) (roasted 1 fen): Coarsely pound and sift the above herbs. Each dose is three qian. Use one zhan of water, add half a fen of crushed Shengjiang (Fresh Ginger). Decoct to six fen, remove dregs, and take warm.
Yixiao Wan (Miraculous Effect Pill) (From *Shengji Zonglu*): Treats severe purgation after four or five days of Shanghan, resulting in mental fullness and gasping breath nearly ceasing.
Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), Gancao (Licorice Root) (roasted, crushed), Zhike (Bitter Orange Fruit) (pith removed, bran-fried), Chifuling (Red Poria) (remove black skin), Muxiang (Aucklandia Root), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried, each Banliang), Ganjiang (Dried Ginger) (roasted 3 fen): Coarsely grind the above herbs into powder. Mix with refined honey, pound three or five hundred times more, and make pills the size of Sophora seeds. Take twenty pills with rice drink on an empty stomach, and another dose at night, increasing to thirty pills.
Chenxiang Tang (Aquilaria Decoction) (From *Shengji Zonglu*): Treats Shanghan deficiency fullness, rebellious qi, and vomiting.
Chenxiang (Aquilaria Wood) (crushed 1 liang), Qingju pi (Green Tangerine Peel) (soaked in hot water, white pith removed), Hujiao (Pepper), Xiangzi (Amomum Fruit), Lianshi (Melia Fruit) (crushed, fried), Bichengqie (Long Pepper Fruit) (fried, each Banliang): Coarsely pound the above herbs. Each dose is two qian. Use half a zhan of water, half a zhan of wine, and a handful of Congbai (Scallion White). Decoct to half a zhan, remove dregs, and take warm.
Doukou Tang (Cardamom Decoction) (From *Shengji Zonglu*): Treats Shanghan after sweating, stomach disharmony, epigastric knotted fullness, belching with food odor, hypochondriac fullness, false rumbling, and diarrhea.
Caodoukou (Grass Cardamom Seed) (peeled), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried, each 1 liang weight), Zhike (Bitter Orange Fruit) (pith removed, bran-fried Banliang), Banxia (Pinellia Tuber) (soaked in hot water seven times, fried), Ganjiang (Dried Ginger) (roasted), Gancao (Licorice Root) (roasted, crushed), Renshen (Ginseng Root) (each 3 fen): Coarsely pound and sift the above herbs. Each dose is five qian. Use one and a half zhan of water, add half a fen of crushed Shengjiang (Fresh Ginger) and three broken dates. Decoct to seven fen, remove dregs, and take warm.
One Formula (From *Zhouhou Fang*): Treats chest and hypochondriac fullness, cold qi in the heart, rapid breathing, and急促 panting.
Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome) (each 1 fen), Zhishi (Immature Bitter Orange Fruit) (2 liang), Ganjiang (Dried Ginger) (1 liang): Pound the above herbs and mix with honey to make pills. Take one branch-sized pill. If coughing, add Gualou (Trichosanthes Fruit) 2 liang; if vomiting, add Muli (Oyster Shell) 1 liang. Take five to seven pills day and night. If not cured, continue taking.
Zhike Tang (Bitter Orange Fruit Decoction) (also known as Jiegeng Zhike Tang, From *Huo Ren Shu*): Treats Shanghan Pi Qi (Fullness Qi) with chest fullness nearing death. From Dongpo's family preserved formula.
Zhike (Bitter Orange Fruit) (or Zhishi), Jiegeng (Platycodon Root) (each 1 liang): Chop the above herbs. Use one and a half sheng of water, decoct to half, remove dregs, and divide into two doses.
If Shanghan is purged too early, qi swells upward in the chest, called Jie Xiong (Chest Binding). More often, Badou (Croton Seed), Fenshuang (Calomel), and Nifen (Mercurous Chloride) are used, resulting in seven or eight deaths out of ten. This is because purging the lower jiao causes lower jiao deficiency, making qi attack the chest and diaphragm even more, often leading to untreatable conditions. For chest and diaphragm diseases, the diaphragm can be purged. If pressing reveals hardness and pain, this is Jie Xiong. If there is water in the chest, Da Huang (Rhubarb Root) and Gansui (Kansui Root) must be used to purge it, such as in Xianxiong Wan (Trap the Chest Pill). If pressing is not very hard and not very painful, this is called Pi (Fullness). It is upper qi deficiency with heat expansion; only Huangqin (Scutellaria Root), Da Huang (Rhubarb Root), and Huanglian (Coptis Rhizome) can resolve it. I once saw a patient with critical chest distension due to Jie Xiong Pi Qi, all treatments failed. Physician Shi gave him this tea, and after passing about one sheng of yellow water, he recovered. I obtained this method and use it effectively. For Pi Qi, it dissolves upon contact. For any Shanghan chest distension, regardless of Jie Xiong or Pi Qi, first take this medicine. If not cured, then use other purgatives. Record this tea to move qi and descend diaphragm, with no other harm. Additionally, Cui Xun's formula from Western Jin treats Shanghan where purging did or did not occur, resulting in knotted fullness in the heart, cold chest and diaphragm,急促 breathing, syncope nearly ceasing, high chest, and touch sensitivity, dying in two or three days. Xiexin Tang and large/small Xianxiong Tang were ineffective. This is likely due to post-purgation deficiency and rebellious qi being chaotic, with toxin attacking upwards again, qi and toxin fighting and knotting in the chest. To treat this, use Jiajian Lizhong Wan (Modified Regulate the Middle Pill). First regulate the qi, then treat other diseases.
Jiajian Lizhong Wan (Modified Regulate the Middle Pill) (From *Huo Ren Shu*): Treats Cold Excess Jie Xiong (Chest Binding) and post-Shanghan vomiting/diarrhea with near-death epigastric fullness, high and painful diaphragm, and touch sensitivity.
Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), Gancao (Licorice Root) (each 2 liang), Ganjiang (Dried Ginger) (1.5 liang), Zhishi (Immature Bitter Orange Fruit) (roasted 1 liang), Fuling (Poria) (2 liang): Grind the above herbs into powder, mix with honey to make pills the size of bullet seeds. If one pill is ineffective, take another. I usually use this formula with swift results. Upon swallowing, qi connects immediately. Later, giving no more than five or six bullet seeds clears the chest豁然ly. The speed of medication effect has never been seen. If thirsty, add Gualou (Trichosanthes Fruit) 2 liang; if diarrhea, add Muli (Oyster Shell) 2 liang, stir-fried. This is my frequently tested effective formula, with swift merit. Now, taking this pill with Zhishi Tang (Immature Bitter Orange Decoction) together yields no failure. What is called Zhishi (Immature Bitter Orange Fruit) is just Zhike (Bitter Orange Fruit). Ancients called it Zhishi, later separated Zhike. Mr. Dongpo widely disseminated this secret formula and provided discussions to teach people to save lives, showing benevolent intent.
Houpo Tang (Magnolia Bark Decoction) (From *Shengji Zonglu*): Treats Shanghan after sweating, abdominal and hypochondriac fullness, poor appetite, and vomiting.
Houpo (Magnolia Bark) (remove coarse bark, ginger juice roasted until purple 3 fen), Gui (Cinnamon Bark) (remove coarse bark), Helile (Chebula Fruit) (roasted, pit removed), Renshen (Ginseng Root), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried), Chifuling (Red Poria) (remove black skin), Dingxiang (Clove) (each Banliang), Gancao (Licorice Root) (roasted, crushed 1 fen): Pound and sift the above herbs. Each dose is three qian. Use one zhan of water, add half a fen of crushed Shengjiang (Fresh Ginger) and three broken dates. Decoct to six fen, remove dregs, and take warm before meals.
Fuzi Tang (Aconite Decoction) (From *Shengji Zonglu*): Treats Shanghan after purgation, spleen and stomach deficiency-cold, abdominal and hypochondriac fullness.
Fuzi (Aconite Lateral Root) (1 liang, Pao Lie, skin and umbilicus removed), Chifuling (Red Poria), Chishao Yao (Red Peony Root), Renshen (Ginseng Root) (radix removed), Baizhu (Atractylodes Rhizome), Guixin (Cinnamon Twig) (each Banliang): Pound and sift the above herbs into a powder. Each dose is five qian. Use one large zhan of water, add half a fen of Shengjiang (Fresh Ginger) and three dates. Decoct to five fen, remove dregs, and take warm at any time.
Fuling Tang (Poria Decoction) (From *Shengji Zonglu*): Treats post-Shanghan cold disease, heart and abdominal fullness, inability to eat.
Chifuling (Red Poria) (remove black skin), Jiegeng (Platycodon Root) (fried), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried, each 1 liang), Renshen (Ginseng Root) (Banliang): Pound and sift the above herbs into a powder. Each dose is three qian. Use one zhan of salt water, add half a fen of crushed Shengjiang (Fresh Ginger). Decoct to half a zhan, remove dregs, and take warm before meals.
Houpo Yin (Magnolia Bark Drink) (From *Shengji Zonglu*): Treats post-Shanghan spleen qi unsmoothness, abdominal and hypochondriac fullness.
Houpo (Magnolia Bark) (remove coarse bark, ginger juice roasted thoroughly 1 liang), Renshen (Ginseng Root), Shaoyao (Peony Root), Zhike (Bitter Orange Fruit) (pith removed, bran-fried, each 1 liang), Gancao (Licorice Root) (roasted, crushed Banliang), Binglang (Areca Seed) (roasted, crushed 3 fen): Coarsely pound and sift the above herbs. Each dose is three qian. Use one zhong zhan of salt water, add half a fen of crushed Shengjiang (Fresh Ginger). Decoct to half a zhan, remove dregs.
Houpo Tang (Magnolia Bark Decoction) (From *Shengji Zonglu*): Treats post-Shanghan abdominal pain with bilateral hypochondriac fullness.
Houpo (Magnolia Bark) (remove coarse bark, ginger juice roasted 1 liang), Danggui (Angelica Sinensis Root) (sliced, fried), Muxiang (Aucklandia Root), Zhike (Bitter Orange Fruit) (pith removed, bran-fried), Dafupi (Areca Pericarp) (fried, each Banliang): Make into a powder. Each dose is three qian. Use one and a half zhan of water, half a fen of crushed Shengjiang (Fresh Ginger). Decoct to half a zhan, remove dregs, and take warm before meals.
Fuling Tang (Poria Decoction) (From *Shengji Zonglu*): Treats post-Shanghan sweating, heart and abdominal and umbilical fullness.
Chifuling (Red Poria) (remove black skin 1 liang), Muxiang (Aucklandia Root), Gui (Cinnamon Bark) (remove coarse bark), Mutong (Akebia Stem) (crushed, each Banliang), Gancao (Licorice Root) (roasted, crushed 1 fen): Coarsely pound and sift the above herbs. Each dose is three qian. Use one zhan of water, decoct to half a zhan, remove dregs, and take warm before meals.
Zhike Tang (Bitter Orange Fruit Decoction) (From *Shengji Zonglu*): Treats post-Shanghan heart and abdominal qi stagnation and fullness, inability to ingest food and drink.
Zhike (Bitter Orange Fruit) (pith removed, bran-fried 1.5 liang), Houpo (Magnolia Bark) (remove coarse bark, ginger juice roasted), Baizhu (Atractylodes Rhizome), Renshen (Ginseng Root), Chifuling (Red Poria) (remove black skin, each 1 liang): Coarsely pound and sift the above herbs. Each dose is three qian. Use one zhan of water, add half a fen of crushed Shengjiang (Fresh Ginger). Decoct to half a zhan, remove dregs, and take warm before meals.
Houpo Fuling Tang (Magnolia Bark and Poria Decoction) (From *Shengji Zonglu*): Treats post-Shanghan qi unharmonized, heart and abdominal fullness, inability to eat.
Houpo (Magnolia Bark) (remove coarse bark, ginger juice roasted), Chifuling (Red Poria) (remove black skin, each 1.5 liang), Renshen (Ginseng Root) (1 liang), Chenju pi (Aged Tangerine Peel) (soaked in hot water, white pith removed, dried 1 liang weight), Gancao (Licorice Root) (roasted, crushed Banliang): Coarsely pound and sift the above herbs. Each dose is three qian. Use one zhan of water, add half a fen of crushed Shengjiang (Fresh Ginger). Decoct to half a zhan, remove dregs, and take warm before meals.