（附论）
夫膈气心腹痞满者，由寒气在于胸膈，逆满咽喉，噎塞不通，噫闻食臭，心腹胀满，此
皆荣
方
诃黎勒散（出圣惠方）
治膈气，心腹痞满，胃气虚弱，不能饮食。
诃黎勒皮（一两） 人参（三分去芦头） 京三棱（三分微炒锉） 草豆蔻（一两去皮）
陈橘皮（
榔（三分） 桂
心（三分） 干姜（三分炮制锉） 上为细末，每服不计时候，煎生姜橘皮汤，调下一钱。
白术散（出圣惠方）
治膈气，心腹痞满，四肢拘急，体重。
白术（三分） 木香（半两） 诃黎勒皮（三分） 甘草（一分炙微赤锉） 桂心（三
分） 丁香（半
汁炙） 草豆蔻（一
两去
柴胡散（出圣惠方）
治膈气，心腹痞满，不下饮食，肩背壅闷，四肢烦疼。
柴胡（二两去苗） 枳壳（一两麸炒微黄） 白术（一两） 甘草（半两炙微赤锉） 赤
茯苓（二两）
（二两） 上
为粗散，
赤茯苓丸（出圣惠方）
治膈气，咽喉噎塞，心腹痞满，不下饮食，胸背俱闷。
赤茯苓（一两） 桂心（一两） 干姜（三分炮） 甘草（半两炙微赤锉） 陈橘皮（一
两汤浸
去白）
为
末，炼蜜
一丸煎汤
沉香丸（出圣惠方）
治膈气，脾胃久冷，心腹痞满，吃食无味，面色痿黄。
沉香（半两） 丁香（半两） 木香（半两） 槟榔（半两） 桂心（一两） 诃黎勒
皮（一两）
川大
令匀，
炼蜜
人参丸（出圣惠方）
治膈气，心腹痞满，不下饮食，或时呕吐，四肢不和。
人参（二两去芦头） 桂心（一两） 赤茯苓（一两） 诃黎勒皮（一两） 甘草（一
分炙微赤
锉）
二百杵，
丸如
枇杷叶散（出圣惠方）
治膈气，吐涎痰，食不消化，心腹痞满雷鸣。
枇杷叶（一两拭去毛炙微黄） 人参（二两去芦头） 槟榔（半两） 桔梗（一两去芦
头） 半
夏（
生姜
半
枳壳散
治久患膈气，心腹痞满，咽喉噎塞，不下饮食，宜服此方。
枳壳（一两麸炒微黄去瓤） 诃黎勒皮（一两半） 上为散，每服不计时候，煎生橘皮
汤，
调下
荜茇饮（出圣济总录）
治膈气，心腹痞满，全不思食。
荜茇 沉香（锉） 草豆蔻（去皮） 丁香 桃仁（炒去皮尖） 青橘皮（去白焙） 大
腹子
（锉）
上粗
捣筛，每
黑丸子（出杨氏家藏方）
治胸膈痞塞，心腹坚胀，气积气块，及大小便不通。
黑牵牛 天门冬（去心各等分生用） 上为末，滴水和丸，如梧桐子大，每服五十丸，
温热水
六君子汤（出杨氏家藏方）
治胸膈痞满，脾寒不食，服燥药不得者，正宜服。
枳壳（去瓤麸炒） 人参（去芦头） 陈橘皮（去白） 白术 白茯苓（去皮） 半夏
（汤洗七
次切
服，
丁香丸（出杨氏家藏方）
治胸膈痞满，呕逆恶心，腹胁胀满。\x
丁香（二两） 沉香（一两） 人参（去芦头） 肉豆蔻（十四枚面裹煨熟） 上为细
末，用甘
草十
不拘
(Attached Discussion)
Ge Qi (Diaphragmatic Qi Stagnation) and Xinfu Piman (Fullness and Distension of the Heart and Abdomen) arise from Cold Qi residing in the chest and diaphragm, causing rebellious Qi to fill the throat, resulting in a sensation of choking and obstruction. Belching may emit the odor of food, accompanied by fullness and distension of the heart and abdomen. These are all due to...
Helile San (Powder of Chebula Epicarpium, sourced from *Taiping Shenghui Fang*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Xinfu Piman (Fullness and Distension of the Heart and Abdomen), Splei Qi Xu Ruo (Deficiency of Stomach Qi), and inability to eat.
Helile Pi (Epicarpium Terminaliae Chebulae, 1 liang) Renshen (Radix Ginseng, 3 fen, remove radicle) Jingsanleng (Rhizoma Sparganii Stoloniferi, 3 fen, slightly stir-fried and crushed) Caodoukou (Fructus Cardamomi Rotundus, 1 liang, remove pericarp)
Chenju Pi (Pericarpium Citri Reticulatae,
Lang (Arecae Semen, 3 fen) Guixin (Cortex Cinnamomi Cassiae, 3 fen) Ganjiang (Rhizoma Zingiberis Recens, 3 fen, processed and crushed) The above are ground into fine powder. Take one qian each time without regard to meal times, mixed with decoction of Shengjiang (Rhizoma Zingiberis Recens) and Chenju Pi.
Baizhu San (Powder of Atractylodis Macrocephalae Rhizoma, sourced from *Taiping Shenghui Fang*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Xinfu Piman (Fullness and Distension of the Heart and Abdomen), Sizhi Juji (Stiffness and Tension of the Four Limbs), and Zhongti (Heaviness of the Body).
Baizhu (Rhizoma Atractylodis Macrocephalae, 3 fen) Muxiang (Radix Aucklandiae, 0.5 liang) Helile Pi (Epicarpium Terminaliae Chebulae, 3 fen) Gancao (Radix Glycyrrhizae Preparata, 1 fen, honey-fried until slightly red and crushed) Guixin (Cortex Cinnamomi Cassiae, 3 fen) Dingxiang (Flos Caryophylli, 0.5
Zhi (fried with juice) Caodoukou (Fructus Cardamomi Rotundus, 1 liang, remove pericarp)
Chaihu San (Decoction of Bupleuri Radix, sourced from *Taiping Shenghui Fang*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Xinfu Piman (Fullness and Distension of the Heart and Abdomen), inability to ingest food, Yongmen (Congestion and oppression) of the shoulders and back, and Fenteng (Vexing pain) of the four limbs.
Chaihu (Radix Bupleuri, 2 liang, remove radix) Zhike (Fructus Aurantii, 1 liang, bran-fried until slightly yellow) Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang) Gancao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and crushed) Chi
Fuling (Poria, 2 liang)
(2 liang) The above
are made into coarse powder.
Chifuling Wan (Pill of Polyporus, sourced from *Taiping Shenghui Fang*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Yese (Choking sensation) of the throat, Xinfu Piman (Fullness and Distension of the Heart and Abdomen), inability to ingest food, and Men (Oppression) of both chest and back.
Chifuling (Poria cum Ramis et Mycelio, 1 liang) Guixin (Cortex Cinnamomi Cassiae, 1 liang) Ganjiang (Rhizoma Zingiberis Recens, 3 fen, processed) Gancao (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and crushed) Chenju Pi (Pericarpium Citri Reticulatae, 1 liang, soaked in water
remove white pith)
Ground into
powder, refined honey
one pill, decocted in soup.
Chenxiang Wan (Pill of Aquilaria Lignum Resinatum, sourced from *Taiping Shenghui Fang*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Ji Leng (Long-standing cold) of the Spleen and Stomach, Xinfu Piman (Fullness and Distension of the Heart and Abdomen), loss of taste when eating, and Wei Huang (Sallow complexion).
Chenxiang (Lignum Aquilariae Resinatum, 0.5 liang) Dingxiang (Flos Caryophylli, 0.5 liang) Muxiang (Radix Aucklandiae, 0.5 liang) Binglang (Semen Arecae, 0.5 liang) Guixin (Cortex Cinnamomi Cassiae, 1 liang) Helile Pi (Epicarpium Terminaliae Chebulae, 1 liang)
Chuan Da
mix evenly,
refined honey
Renshen Wan (Pill of Ginseng Radix, sourced from *Taiping Shenghui Fang*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Xinfu Piman (Fullness and Distension of the Heart and Abdomen), inability to ingest food, occasional vomiting, and Bu He (Disorder) of the four limbs.
Renshen (Radix Ginseng, 2 liang, remove radicle) Guixin (Cortex Cinnamomi Cassiae, 1 liang) Chifuling (Poria cum Ramis et Mycelio, 1 liang) Helile Pi (Epicarpium Terminaliae Chebulae, 1 liang) Gancao (Radix Glycyrrhizae Preparata, 1 fen, honey-fried until slightly red
crushed)
Two hundred beats,
pill size like
Pipaye San (Powder of Loquat Leaf, sourced from *Taiping Shenghui Fang*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Tu Xiantan (Spitting of saliva and phlegm), Shi Bu Xiaohua (Indigestion of food), Xinfu Piman (Fullness and Distension of the Heart and Abdomen) with Leiming (Borborygmus).
Pipaye (Folium Eriobotryae, 1 liang, wipe off hairs, fry until slightly yellow) Renshen (Radix Ginseng, 2 liang, remove radicle) Binglang (Semen Arecae, 0.5 liang) Jiegeng (Radix Platycodonis, 1 liang, remove radicle) Ban
Xia (Rhizoma Pinelliae Preparata,
Shengjiang (Rhizoma Zingiberis Recens,
half
Zhike San (Powder of Aurantium Fructus, unattributed source in text)
Treats long-standing Ge Qi (Diaphragmatic Qi Stagnation), Xinfu Piman (Fullness and Distension of the Heart and Abdomen), Yese (Choking sensation) of the throat, and inability to ingest food. This formula is suitable.
Zhike (Fructus Aurantii, 1 liang, bran-fried until slightly yellow, remove pith) Helile Pi (Epicarpium Terminaliae Chebulae, 1.5 liang) The above are ground into powder. Take each time without regard to meal times, decocted with fresh Chenju Pi (Pericarpium Citri Reticulatae)
soup,
mixed and taken.
Bibo Yin (Infusion of Long Pepper Fruit, sourced from *Jisheng Fang* / *Shengji Zonglu*)
Treats Ge Qi (Diaphragmatic Qi Stagnation), Xinfu Piman (Fullness and Distension of the Heart and Abdomen), complete lack of appetite.
Bibo (Fructus Piperis Longi) Chenxiang (Lignum Aquilariae Resinatum, crushed) Caodoukou (Fructus Cardamomi Rotundus, remove pericarp) Dingxiang (Flos Caryophylli) Taoren (Semen Persicae, fried, remove skin and pointed end) Qingju Pi (Pericarpium Citri Reticulatae Viride, remove white pith and bake) Dafuzi (Fructus Arecae,
crushed)
The above coarse
pounded and sifted, each
Hei Wanzi (Black Pill, sourced from *Yangshi Jiacang Fang*)
Treats Xiongge Pise (Obstruction and fullness in the chest and diaphragm), Xinjian Zhang (Hardness and distension of the heart and abdomen), Qi Ji Qi Kuai (Qi accumulation and masses), and Tongbu (Unfreedom) of large and small bowels.
Heiqianniu (Semen Pharbitidis Nigrae) Tianmendong (Radix Asparagi, remove core, equal parts, raw use) The above are ground into powder, drop water to form pills, size like Sophora seeds. Take fifty pills each time,
warm hot water
Liujunzi Tang (Decoction of Six Gentlemen, sourced from *Yangshi Jiacang Fang*)
Treats Xiongge Piman (Fullness and oppression in the chest and diaphragm), Pi Han Bu Shi (Spleen cold and anorexia), for those who cannot tolerate dry drugs, this is precisely suitable.
Zhike (Fructus Aurantii, remove pith, bran-fried) Renshen (Radix Ginseng, remove radicle) Chenju Pi (Pericarpium Citri Reticulatae, remove white pith) Baizhu (Rhizoma Atractylodis Macrocephalae) Baifuling (Poria, remove skin) Banxia (Rhizoma Pinelliae Preparata,
wash seven times with water, cut
take,
Dingxiang Wan (Pill of Clove, sourced from *Yangshi Jiacang Fang*)
Treats Xiongge Piman (Fullness and oppression in the chest and diaphragm), Ni E (Rebellious Qi and nausea), and Fu Xie Zhangman (Distension and fullness of the abdomen and flanks).
Dingxiang (Flos Caryophylli, 2 liang) Chenxiang (Lignum Aquilariae Resinatum, 1 liang) Renshen (Radix Ginseng, remove radicle) Roudoukou (Semen Myristicae, fourteen pieces, wrapped in flour and baked until cooked) The above are ground into fine
powder, using Gan
Gancao (Radix Glycyrrhizae Preparata, ten
without restriction