（有湿热，寒湿，气积，食积，血积）
【湿热】术（除湿热，益气和中。脾胃不和，冷气客之为胀满，同陈皮丸服。） 黄连
（去
心火及中焦湿热。） 黄芩（脾经诸湿，利胸中热。） 柴胡（宣畅气血，引清气上行。） 桔
梗（腹满肠鸣，伤寒腹胀，同半夏、橘皮煎服。） 射干（主胸胁满，腹胀气喘。） 薄荷 防
风车前 泽泻 木通 白芍药（去脏腑壅气，利小便，于土中泻木而补脾。） 大黄（主
肠
结热，心腹胀满。） 半夏（消心腹痰热满结，除腹胀。小儿腹胀，以酒和丸，姜
姜
汁调，贴脐中。） 牵牛（除气分湿热，三焦壅结。湿气中满，足胫微肿，小便不利，气急
咳
嗽，同浓朴末服。水蛊胀满，白、黑牵牛末各二钱，大麦面四两，作饼食。小儿腹胀，水气
流肿，小便赤少，生研一钱，青皮汤下。） 忍冬（治腹胀满。） 泽泻
豆（治
热，利小便，下腹胀满，散气。） 豌豆（利小便，腹胀满。） 荠菜（子，治腹胀。根，主
胀
满腹大，四肢枯瘦，尿涩，以根同甜葶苈丸服。） 木瓜（治腹胀善噫。） 浓朴（消痰下气，
除胀满，破宿血，化水谷，治积年冷气雷鸣。腹胀脉数，同枳实、大黄煎服。腹痛胀满，加
甘草、桂、姜、枣。男女气胀，冷热相攻，久不愈，姜汁炙研，米饮日服。） 皂荚（主腹
胀满。胸腹胀满，煨研丸服，取利甚妙。） 枳实（消食破积，去胃中湿热。） 枳壳（逐水
消胀满，下气破结。老幼气胀，气血凝滞，四制丸服。） 茯苓（主心腹胀满，渗湿热。） 猪
苓鸬
消积。鸡屎醴∶治鼓胀，旦食不能暮食，以袋盛半升渍酒，日饮三次，或为末酒服。欲下，
则煮酒顿服。） 野鸡（心腹胀满，同茴香、马芹诸料，入蒸饼作馄饨食。） 豪猪肚及屎（主
热风鼓胀，烧研酒服。） 猪血（中满腹胀，旦食不能暮食，晒研酒服，取利。） 牛溺（主
腹胀，利小便气胀，空心温服一升。症瘕鼓胀，煎如饴，服枣许，取利。） 蛤蟆（鼓气，
研酒服。青蛙，入
【寒湿】草豆蔻（除寒燥湿，开郁破气。） 缩砂 （治脾胃结滞不散，补肺醒脾。） 益
智子（主客寒犯胃。腹胀忽泻，日夜不止，二两煎汤服，即止。） 胡芦巴（治肾冷，腹胁
胀满，面色青黑。） 胡椒（虚胀腹大，同全蝎丸服。） 附子（胃寒气满，不能传化，饥不
能食，同人参、生姜末，煎服。） 丁香（小儿腹胀，同鸡屎白，丸服。） 诃黎勒（主冷气，
心腹胀满，下气。） 禹余粮
【气虚】甘草（除腹胀满，下气。） 人参（治心腹鼓痛，泻心肺脾中火邪。） 萎蕤（主
心腹结气。） 青木香（主心腹一切气，散滞气，调诸气。） 香附子（治诸气胀满，同缩砂、
甘草为末服。） 紫苏（治一
切冷气，心腹胀满。） 莱菔子（气胀、气蛊，取汁浸缩砂，炒七次，为末服。） 生姜（下
气，消痰喘胀满，亦纳下部导
之。） 姜皮（消胀痞，性凉。） 马芹子（主心腹胀满，开胃下气。） 山药（心腹虚胀，
手足厥逆，或过服苦寒者，半
生
半炒为末，米饮服。） 百合（除浮肿，胪胀痞满。） 败瓢（酒炙三、五次，烧研服，治中
满鼓胀。）
槟榔（治腹胀，生捣末服。） 沉香（升降诸气。） 全蝎（病转下后，腹胀如鼓，烧灰，入
麝
【积滞】蓬莪术（治积聚诸气胀。） 京三棱（治
为末，酒服三钱，乃破血下胀仙药也。） 马鞭草（行血活血。鼓胀烦渴，身干黑瘦，锉曝，
水煮服。） 神曲（补虚消食。三焦滞气，同莱菔子煎服。少腹坚大如盘，胸满，食不消化，
汤服方寸匕。） 米（消食下气，去心腹胀满。产后腹胀，不得转气，坐卧不得，酒服一
合，
气转即愈。） 葫蒜（下气，消谷化肉。） 山楂（化积消食，行结气。） 橘皮（下气破癖，
除
痰水滞气。） 胡椒（腹中虚胀，同蝎尾、莱菔子丸服。） 车脂（少小腹胀，和轮下土服。）
胡
粉（化积消胀。小儿腹胀，盐炒摩服。） 古文钱（心腹烦满，及胸胁痛欲死，水煮汁服。） 钢
铁（主胸膈气塞，不化食。） 水银（治积滞鼓胀。） 黑盐（腹胀气满，酒服六铢。酒肉过
多，
胀满不快，用盐擦牙，温水漱下，二、三次即消。） 芒硝（治腹胀，大小便不通。） 绿矾
（消
积滞，燥脾湿，除胀满，平肝，同苍术丸服，名伐木丸。） 猪项肉（酒积，面黄腹胀，同
甘
遂捣丸服。取下酒布袋也。）
(Causes include damp-heat, cold-dampness, qi accumulation, food stagnation, and blood stasis)
[Damp-Heat] Baizhu (Atractylodis Rhizoma) (Removes damp-heat, benefits qi and harmonizes the Spleen and Stomach. Suitable for distension caused by disharmony of the Spleen and Stomach with cold pathogens lodging inside; can be taken together with Chenpi Wan [Tangerine Peel Pill].) Huanglian (Coptidis Rhizoma) (Clears Heart fire and damp-heat in the Middle Jiao.) Huangqin (Scutellariae Radix) (Clears various dampnesses in the Spleen channel, drains heat from the chest.) Chaihu (Bupleuri Radix) (Unblocks and promotes Qi and Blood, guides clear Yang upward.) Jiegeng (Platycodonis Radix) (Treats abdominal fullness and borborygmi, as well as abdominal distension due to Cold Damage; decocted and taken with Banxia [Pinelliae Rhizoma] and JuPi [Citri Reticulatae Pericarpium].) Shegan (Belamcandae Rhizoma) (Mainly treats fullness in the chest and hypochondrium, abdominal distension, and wheezing.) Bohe (Menthae Haplocalycis Herba), Fangfeng (Saposhnikoviae Radix), Cheqianzi (Plantaginis Semen), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis), Baishao (Paeoniae Radix Alba) (Removes stagnant Qi in the Zang-Fu organs, promotes urination, drains Liver Wood to tonify Spleen Earth within the Five Elements theory.) Dahuang (Rhei Radix et Rhizoma) (Mainly treats intestinal heat binding and abdominal distension.) Banxia (Pinelliae Rhizoma) (Eliminates phlegm-heat accumulation in the chest and abdomen, removes abdominal distension. For pediatric abdominal distension, mix with wine to make pills, apply to the umbilicus with ginger juice.) Qianniu (Pharbitidis Semen) (Removes damp-heat in the Qi level, unblocks congestion in the Sanjiao. Suitable for middle-fullness due to dampness, slight swelling of lower legs, dysuria, shortness of breath, and cough; taken with Houpo [Magnoliae Officinalis Cortex] powder. For water-gu distension, take two qian of Baiqianniu [White Pharbitis Seed] and Heiqianniu [Black Pharbitis Seed] powder, mixed with four liang of barley flour, made into cakes. For pediatric abdominal distension, water-fluid retention with edema, and scanty dark urine, take one qian of raw ground seed, administered with Qingpi [Citri Reticulatae Pericarpium] decoction.) Rendong (Lonicerae Japonicae Flos) (Treats abdominal distension.) Zexi Dou (Vigna radiata var. angularis) (Treats heat syndromes, promotes urination, reduces lower abdominal distension, disperses Qi.) Wandou (Pisi Sativum) (Promotes urination, treats abdominal distension.) Qicai (Capsellae Fructus) (Seeds treat abdominal distension; roots mainly treat abdominal enlargement with emaciated limbs and dysuria; roots are decocted with Tiantingli [Descurainiae Semen] to make pills.) Mugua (Chaenomelis Fructus) (Treats abdominal distension with frequent belching.) Houpo (Magnoliae Officinalis Cortex) (Resolves phlegm, directs rebellious Qi downward, removes distension, breaks old blood stasis, transforms food and fluids, treats chronic cold-induced borborygmi. If abdominal distension with rapid pulse, decoct with Zhishi [Aurantii Fructus Immaturus] and Dahuang. If abdominal pain and distension, add Gancao [Glycyrrhizae Radix], Guizhi [Cinnamomi Ramulus], Shengjiang [Zingiberis Rhizoma Recens], and Dazao [Jujubae Fructus]. For male and female Qi distension with alternating cold and heat, long-standing and untreatable, roast with ginger juice, grind into powder, and take daily with rice drink.) Zaojia (Gleditsiae Sinensis Spina) (Mainly treats abdominal distension. For chest and abdominal fullness, bake until charred, grind into powder, and take as pills; inducing bowel movement is very effective.) Zhishi (Aurantii Fructus Immaturus) (Transforms food, breaks accumulation, removes damp-heat in the Stomach.) Zhike (Aurantii Fructus) (Expels water, reduces distension, directs Qi downward, breaks stagnation. For Qi distension in elderly and children with Qi and Blood stagnation, take as pills processed by four methods.) Fuling (Poria) (Mainly treats heart and abdominal fullness, leaches out damp-heat.) Zhuling (Polyporus) (Eliminates accumulation. Jieshi Li [Chicken Dropping Wine]: Treats gu-distension where the patient can eat in the morning but not at night. Soak half sheng of chicken droppings in a bag in wine, drink three times daily, or take as powder with wine. To induce purgation, boil the wine and take in one dose.) Yeji (Pheasant) (Treats heart and abdominal distension; steam with fennel, caraway, and other seasonings in steamed dough to make wontons.) Haozhu Du Ji Shi (Hystrix Adspersa Intestines and Feces) (Mainly treats wind-heat gu-distension; burn to ash and take with wine.) Zhuxue (Porcinis Sanguis) (Treats middle-fullness and abdominal distension where the patient can eat in the morning but not at night; dry, grind into powder, take with wine to induce purgation.) Niuni (Bovis Urine) (Mainly treats abdominal distension, promotes urination. For Qi distension, take one sheng warm on an empty stomach. For zheng-jia gu-distension, decoct until like maltose, take a date-sized amount to induce purgation.) Hamo (Bufo bufo gargarizans) (Generates Qi, grind into powder and take with wine. Qingwa [Rana tigrina], enters...)
[Cold-Dampness] Caodoukou (Alpiniae Katsumadai Semen) (Dispels cold and dries dampness, opens depression and breaks Qi.) Suasha (Amomi Fructus Rotundus) (Treats stagnation and accumulation in the Spleen and Stomach that does not disperse, tonifies Lung and awakens Spleen.) Yizhiren (Alpiniae Oxyphyllae Semen) (Mainly treats external cold invading the Stomach. Sudden abdominal distension with diarrhea, day and night without stopping; decoct two liang and take, stops immediately.) Huluba (Trigonellae Semen) (Treats Kidney cold, abdominal and hypochondriac distension, blue-black complexion.) Hujiao (Piperis Longi Fructus) (For deficiency-type abdominal distension with large belly, take with Quanxie [Scorpio] as pills.) Fuzi (Aconiti Lateralis Radix Praeparata) (Treats Stomach cold with Qi fullness, inability to transport and transform, hunger but no appetite; decoct with Renshen [Ginseng Radix] and Shengjiang [Zingiberis Rhizoma Recens] powder.) Dingxiang (Syzygdii Aromatisati Flos) (Treats pediatric abdominal distension; take with Jieshibai [Chicken Dropping White] as pills.) Helile (Terminaliae Chebulae Fructus) (Mainly treats cold pathogen, heart and abdominal distension, directs Qi downward.) Yuyuliang (Yiminis Fragmentum)
[Qi Deficiency] Gancao (Glycyrrhizae Radix et Rhizoma) (Removes abdominal distension, directs Qi downward.) Renshen (Ginseng Radix) (Treats drum-like pain in the heart and abdomen, drains Fire evil from the Heart, Lung, and Spleen.) Weirui (Polygonati Odorati Rhizoma) (Mainly treats knotting Qi in the heart and abdomen.) Qingmuxiang (Aucklandiae Radix) (Mainly treats all Qi disorders in the heart and abdomen, disperses stagnant Qi, regulates various Qi mechanisms.) Xiangfu (Cyperi Rhizoma) (Treats various Qi distensions; take as powder with Suosha [Amomi Fructus Rotundus] and Gancao [Glycyrrhizae Radix et Rhizoma].) Zisu (Perillae Folium) (Treats all cold pathogens, heart and abdominal distension.) Laifuzi (Radicis Raphani) (Treats Qi distension and Qi gu; soak Suosha [Amomi Fructus Rotundus] in juice, stir-fry seven times, grind into powder and take.) Shengjiang (Zingiberis Rhizoma Recens) (Directs Qi downward, eliminates phlegm-wheezing and distension; can also be inserted into the lower orifices as a guiding agent.) Jiangpi (Zingiberis Rhizoma Cum Scama) (Eliminates distension and痞满, nature is cool.) Maqinzi (Carvi Fructus) (Mainly treats heart and abdominal distension, opens appetite and directs Qi downward.) Shanyao (Dioscoreae Rhizoma) (Treats heart and abdominal deficiency distension, cold extremities, or cases of excessive bitter-cold medication; half raw and half stir-fried, grind into powder, take with rice drink.) Baihe (Lilii Bulbus) (Removes edema, limb distension and痞满.) Baitiao (Benincasae Fructus Exsiccatus) (Roast with wine three to five times, burn to ash and take, treats middle-fullness gu-distension.) Binglang (Arecae Semen) (Treats abdominal distension, crush raw and take as powder.) Chenxiang (Aquilariae Lignum Resinatum) (Ascends and descends various Qi mechanisms.) Quanxie (Scorpio) (After disease shifts downward, abdominal distension like a drum; burn to ash, add Moshe... [Shexiang])
[Stagnation] Peng'ezhu (Curcumae Rhizoma) (Treats accumulation and various Qi distensions.) Jingsanleng (Sparganii Rhizoma) (Treats... grind into powder, take three qian with wine; it is a celestial medicine for breaking blood and reducing distension.) Mabiancao (Verbenae Herba) (Moves and invigorates blood. Treats gu-distension with irritability and thirst, dry black emaciated body; chop, sun-dry, decoct in water and take.) Shenqu (Massa Medicata Fermentata) (Tonifies deficiency, transforms food. Treats stagnant Qi in the Sanjiao; decoct with Laifuzi [Radicis Raphani]. For hard and large lower abdomen like a plate, chest fullness, and indigestion, take one cunbi with decoction.) Mi (Oryzae Sativa Granum) (Transforms food, directs Qi downward, removes heart and abdominal distension. For postpartum abdominal distension with inability to pass gas, restlessness in sitting and lying down, take one he with wine; heals when Qi moves.) Husuan (Allii Fistulosi Bulbus / Allii Sativi Bulbus) (Directs Qi downward, digests grains and meat.) Shanzha (Crataegi Fructus) (Transforms accumulation, aids digestion, moves knotted Qi.) Jupi (Citri Reticulatae Pericarpium) (Directs Qi downward, breaks masses, removes phlegm-fluid and stagnant Qi.) Hujiao (Piperis Longi Fructus) (For abdominal deficiency distension, take with Xiewei [Scorpio Tail] and Laifuzi [Radicis Raphani] as pills.) Chezhi (Equi Medulla) (Treats pediatric abdominal distension; mix with soil from under the wheel and take.) Hufen (Cerussa) (Transforms accumulation and reduces distension. For pediatric abdominal distension, stir-fry with salt and massage onto the skin.) Guwenqian (Ancient Coins) (Treats heart and abdominal irritability and fullness, and severe chest and hypochondriac pain; decoct in water and take.) Gangtie (Ferrum) (Mainly treats Qi obstruction in the chest and diaphragm, indigestion.) Shuiyin (Hydrargyrum) (Treats stagnation gu-distension.) Heiyan (Sal Nigrum) (Treats abdominal distension and Qi fullness; take six zhu with wine. For discomfort and distension due to overeating alcohol and meat, rub teeth with salt, rinse and swallow with warm water; resolves in two or three times.) Mangxiao (Natrii Sulfas) (Treats abdominal distension with constipation and urinary retention.) Lvfan (Chalcanthitum) (Eliminates stagnation, dries Spleen dampness, removes distension, calms Liver; taken with Cangzhu [Atractylodis Rhizoma] as pills, named Famù Wan [Wood-Overcoming Pill].) Zhu Xiang Rou (Porci Cervicalis Carneo) (Treats alcohol accumulation, yellow face, and abdominal distension; crush with Gansui [Kansui Radix] and take as pills. Aims to expel the "wine bag".)