（附论）
夫妇人心腹胀满者。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。
肾。
相搏
胸
抢
膀胱有停宿水。因产而恶露不尽。二物相杂。流于胃。故使然也。胀闷之疾。龙涎汤降气汤
主之。夫妇人胸胁胀满者。由劳伤体虚。而风冷之气乘之。客于脏腑肠胃之间。搏于血气。
血气壅之不宣。气得冷则逆。与血相搏。则上抢胸胁胀满也。
方
诃黎勒散（出圣惠方）治妇人心腹两胁胀满。不思饮食。四肢少力。
诃黎勒（三分煨用皮） 吴茱萸（半两汤浸七次焙干微炒） 人参（半两去芦头） 半
夏（半
两汤
香（半
两）
仁（三分
汤浸去皮尖麸炒微黄） 上为散。每服四钱。水中一盏。入生姜半分。枣三枚。煎至六分。
阿魏丸（出圣惠方）治妇人藏气久虚。腹胀不能食。
阿魏（三分） 木香（一两） 槟榔（一两） 肉豆蔻（半两去壳） 陈橘皮（三分汤
浸去白瓤
焙）
香
（半两）
桃仁
成膏。令
槟榔散（出圣惠方）治妇人禀赋实热。心腹胀满。不欲饮食。
槟榔 前胡 川芎 青皮（各三分） 赤芍药 桂心 大黄 苦梗 木香 枳壳（各半
两）
上
鳖甲散（出圣惠方）治妇人血气壅滞。心腹胀满。背膊疼闷。
鳖甲（一两涂醋炙令黄去裙 ） 赤芍药 枳壳（麸炒微黄去瓤） 芎 （各半两） 赤
茯苓
（一
两）
荆
每服三
钱
白术散（出圣惠方）治妇人脾胃气虚。心腹胀满。不欲饮食。四肢少力。
白术 草果仁（亦作草豆蔻） 诃子肉（各三分） 赤茯苓 槟榔 桂心（各半两） 陈
皮
浓朴
七
分。
木香散（出圣惠方）治妇人脾胃虚冷。心腹胀满。不欲饮食。
木香 桂心 白术 干姜（炮） 陈皮 草果仁（亦作草豆蔻） 诃黎勒 人参（各一
两）
神曲
槟榔散（出圣惠方）治妇人脏腑气滞。心腹胀满。不能饮食。
槟榔（一两） 桔梗（三分去芦） 桂心（一两） 陈橘皮（三分汤浸去白瓤焙） 鳖
甲（一两
涂醋
两锉微
炒）
三
枚。
胡椒丸（出圣惠方）治妇人脾胃久冷。心腹虚胀。面无颜色。四肢羸瘦。不
思
饮食。
胡椒（一两） 桂心（三分炮） 芎 （三分） 当归（三分锉微炒） 高良姜（一两
锉） 附子
（一
和捣三
五百
龙涎汤 治心腹胀闷呕吐。不思饮食。噎塞。
沉香 木香（各一钱不见火） 人参（四钱不见火） 甘草（二钱炙） 丁香（四钱不
见火）
乌药
无碍丸 治心腹胀。呕逆酸水。
大腹皮 槟榔（炮） 三棱（各半两炮） 莪术（一两炮） 木香（半两不见火） 上
为细末。
以糊
五物汤 治心腹胀满。食不下。
木香（二钱半不见火） 槟榔（炮） 白术 制朴 甘草（各三钱） 上 咀。每服五
钱。水
二盏
降气丸 治心腹胀闷。不下饮食。
枳壳（去瓤炮） 橘皮（去瓤各二两） 木香（三钱半） 上为细末。炼蜜为丸。如梧
桐子大。
每
槟榔散（出圣惠方）治妇人血气攻心。胸膈壅滞。腹胁虚胀。
槟榔（半两） 当归（一两锉微炒） 桂心（半两） 木香（半两） 吴茱萸（一分汤
浸一次焙
赤微
一钱。
大黄丸（出圣惠方）治妇人心胸气壅。两胁满闷。不能饮食。
川大黄（一两锉碎微炒） 桂心（半两） 枳壳（三分麸炒微黄去白瓤） 诃黎勒（一
两煨用
皮）
半斤。
煎至
人参紫金丸（出大全良方）治妇人荣卫不和。心腹刺痛。胸膈胀满。不思饮
食。
紫金皮 苍术 石菖蒲 香附子（二两） 人参（半两） 木香（三钱） 上为末。蜜
米糊和
丸。
(Attached Discussion)
When women suffer from abdominal distension and fullness, it is due to long-standing coldness in the zang-fu organs, deficiency and damage of qi and blood, allowing pathogenic factors to invade and lodge in the heart and spleen. This condition primarily involves the Foot-Taiyin Spleen Meridian.
If there is retained water in the Bladder, and lochia fails to clear after childbirth, these two pathological products mix and flow into the Stomach, causing such distension and oppression. Longxian Tang (Dragon Saliva Decoction) and Jiangqi Tang (Qi-Descending Decoction) are indicated for these conditions.
When women experience distension and fullness in the chest and hypochondrium, it arises from physical exhaustion leading to bodily weakness, allowing wind-cold pathogens to invade and lodge between the zang-fu organs and intestines. The pathogens contend with qi and blood, causing stagnation and obstruction. Qi becomes rebellious when exposed to cold, and its contention with blood leads to upward rushing into the chest and hypochondrium, resulting in distension and fullness.
Formulas:
Helile San (Persimmon Seed Powder) (from *Shenghui Fang*), treating abdominal and hypochondriac distension, loss of appetite, and limb weakness in women.
Ingredients: Helile (Persimmon Seed, 3 fen, roasted, using the peel), Wuzhuyu (Evodia Fruit, 0.5 liang, soaked in water seven times, dried, lightly fried), Renshen (Ginseng Root, 0.5 liang, radix removed), Banxia (Pinellia Tuber, 0.5 liang, soaked in water... [text missing]), Xiang... [text missing], Ren... [text missing, likely Tao Ren or Xing Ren, 3 fen, soaked in water, skin and tips removed, bran-fried until slightly yellow].
Usage: Grind the above ingredients into a powder. Take 4 qian per dose, add one cup of water, half a piece of fresh ginger, and three jujubes. Decoct until six-tenths remains.
Awei Wan (Asafoetida Pill) (from *Shenghui Fang*), treating chronic deficiency of internal organ qi, abdominal distension, and inability to eat in women.
Ingredients: Awei (Asafoetida, 3 fen), Muxiang (Costus Root, 1 liang), Binglang (Areca Seed, 1 liang), Roudoukou (Nutmeg, 0.5 liang, shell removed), Chenjupi (Aged Tangerine Peel, 3 fen, soaked in water, white pith removed, dried), Xiang... [text missing, 0.5 liang], Taoren... [text missing, likely processed into paste].
Binglang San (Areca Seed Powder) (from *Shenghui Fang*), treating constitutive excess-heat, abdominal distension, and loss of appetite in women.
Ingredients: Binglang (Areca Seed), Qianhu (Peucedani Radix), Chuanxiong (Ligusticum Rhizome), Qingpi (Green Tangerine Peel, each 3 fen), Chi Shaoyao (Red Peony Root), Guixin (Cinnamon Twig), Dahuang (Rhubarb Root), Kugeng (Platycodon Root), Muxiang (Costus Root), Zhike (Aurantium Fructus, each 0.5 liang).
[Specific usage instructions are missing in the source text.]
Biejia San (Turtle Shell Powder) (from *Shenghui Fang*), treating qi and blood stagnation, abdominal distension, and pain/heaviness in the back and shoulders in women.
Ingredients: Biejia (Turtle Shell, 1 liang, coated with vinegar, roasted until yellow, fringed edges removed), Chi Shaoyao (Red Peony Root), Zhike (Aurantium Fructus, bran-fried until slightly yellow, pith removed), Xiong... [text missing, likely Chuanxiong, 0.5 liang], Chi Fuling (Red Poria, 1 liang), Jing... [text missing].
Usage: Take 3 qian per dose... [subsequent usage instructions are missing].
Baizhu San (Atractylodes Macrocephala Powder) (from *Shenghui Fang*), treating spleen and stomach qi deficiency, abdominal distension, loss of appetite, and limb weakness in women.
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome), Caoguoren (Grass Cardamom Seed, also known as Caodoukou), Hezirou (Persimmon Flesh, each 3 fen), Chi Fuling (Red Poria), Binglang (Areca Seed), Guixin (Cinnamon Twig, each 0.5 liang), Chenpi (Tangerine Peel)... [text missing], Nongpo (Magnolia Bark)... [text missing].
Usage: ...7 fen... [subsequent usage instructions are missing].
Muxiang San (Costus Root Powder) (from *Shenghui Fang*), treating spleen and stomach deficiency-cold, abdominal distension, and loss of appetite in women.
Ingredients: Muxiang (Costus Root), Guixin (Cinnamon Twig), Baizhu (Atractylodes Macrocephala Rhizome), Ganjiang (Dried Ginger, processed), Chenpi (Tangerine Peel), Caoguoren (Grass Cardamom Seed, also known as Caodoukou), Helile (Persimmon Seed), Renshen (Ginseng Root, each 1 liang), Shenqu (Medicated Leaven)... [text missing].
Binglang San (Areca Seed Powder) (from *Shenghui Fang*), treating visceral qi stagnation, abdominal distension, and inability to eat in women.
Ingredients: Binglang (Areca Seed, 1 liang), Jiegeng (Platycodon Root, 3 fen, radix removed), Guixin (Cinnamon Twig, 1 liang), Chenjupi (Aged Tangerine Peel, 3 fen, soaked in water, white pith removed, dried), Biejia (Turtle Shell, 1 liang... [text missing, coated with vinegar...]), Liang Cuo Wei... [text missing, chopped and lightly fried].
Usage: ...3 pieces... [subsequent usage instructions are missing].
Hujiao Wan (Pepper Pill) (from *Shenghui Fang*), treating chronic spleen and stomach cold, empty abdominal distension, pallor, emaciation of limbs, and loss of appetite in women.
Ingredients: Hujiao (Black Pepper, 1 liang), Guixin (Cinnamon Twig, 3 fen, processed), Xiong... [text missing, likely Chuanxiong, 3 fen], Danggui (Angelica Sinensis Root, 3 fen, chopped and lightly fried), Gaoliangjiang (Galangal Root, 1 liang, chopped), Fuzi (Prepared Aconite Root)... [text missing, 1...].
Usage: Mix and pound... [text missing, 3...] ...500... [text missing].
Longxian Tang (Dragon Saliva Decoction), treating abdominal distension and oppression, vomiting, loss of appetite, and dysphagia.
Ingredients: Chenxiang (Agarwood), Muxiang (Costus Root, each 1 qian, not exposed to fire), Renshen (Ginseng Root, 4 qian, not exposed to fire), Gancao (Licorice Root, 2 qian, honey-fried), Dingxiang (Clove, 4 qian, not exposed to fire), Wuyao (Lindera Root)... [text missing].
Wu'ai Wan (Harmless Pill), treating abdominal distension, acid regurgitation, and vomiting.
Ingredients: Dafupi (Areca Peel), Binglang (Areca Seed, processed), Sanleng (Sparganium Rhizome, each 0.5 liang, processed), Ezhu (Curcuma Rhizome, 1 liang, processed), Muxiang (Costus Root, 0.5 liang, not exposed to fire).
Usage: Grind the above into fine powder, bind with paste... [text missing, to form pills].
Wuwu Tang (Five-Ingredient Decoction), treating abdominal distension and fullness, and inability to eat.
Ingredients: Muxiang (Costus Root, 2.5 qian, not exposed to fire), Binglang (Areca Seed, processed), Baizhu (Atractylodes Macrocephala Rhizome), Zhi Po (Prepared Magnolia Bark), Gancao (Licorice Root, each 3 qian).
Usage: Chop the above... [text missing]. Take 5 qian per dose, with two cups of water... [text missing].
Jiangqi Wan (Qi-Descending Pill), treating abdominal distension and oppression, and inability to eat.
Ingredients: Zhike (Aurantium Fructus, pith removed, processed), Jupi (Tangerine Peel, pith removed, each 2 liang), Muxiang (Costus Root, 3.5 qian).
Usage: Grind the above into fine powder, bind with refined honey to form pills the size of tung tree seeds. Take... [text missing, dosage].
Binglang San (Areca Seed Powder) (from *Shenghui Fang*), treating blood and qi attacking the heart, chest and diaphragm stagnation, and empty distension of the abdomen and hypochondrium in women.
Ingredients: Binglang (Areca Seed, 0.5 liang), Danggui (Angelica Sinensis Root, 1 liang, chopped and lightly fried), Guixin (Cinnamon Twig, 0.5 liang), Muxiang (Costus Root, 0.5 liang), Wuzhuyu (Evodia Fruit, 1 fen, soaked in water once, dried... [text missing, reddish-brown]).
Usage: 1 qian... [subsequent usage instructions are missing].
Dahuang Wan (Rhubarb Pill) (from *Shenghui Fang*), treating chest and heart qi stagnation, fullness and oppression in both hypochondria, and inability to eat in women.
Ingredients: Chuan Dahuang (Sichuan Rhubarb Root, 1 liang, chopped and lightly fried), Guixin (Cinnamon Twig, 0.5 liang), Zhike (Aurantium Fructus, 3 fen, bran-fried until slightly yellow, white pith removed), Helile (Persimmon Seed, 1 liang, roasted, using the peel), Ban Jin... [text missing, half jin], Jian Zhi... [text missing, decoct until].
Renshen Zijin Wan (Ginseng Purple Gold Pill) (from *Daquan Liangfang*), treating disharmony of Ying and Wei, stabbing pain in the heart and abdomen, chest and diaphragm distension, and loss of appetite in women.
Ingredients: Zijin Pi (Purple Gold Bark), Cangzhu (Atractylodes Lancea Rhizome), Shichangpu (Acorus Rhizome), Xiangfuzi (Cyperi Rhizome, 2 liang), Renshen (Ginseng Root, 0.5 liang), Muxiang (Costus Root, 3 qian).
Usage: Grind the above into powder, bind with rice paste to form pills.