戴人木香槟榔丸散滞气胸腹胀满实痞气结痛
木香 槟榔 青皮 陈皮 广术 枳壳 黄连 黄柏 大黄(各半两) 牵牛 香附(各
二两)
上为末水丸梧子大每服五六十丸煎水下量虚实与之
按此阳明例药下热之剂也
局方神保丸治诸积气为痛
干蝎(七个) 木香 胡椒(各二钱半) 巴豆(十个去心皮别研取霜)
上为末和匀汤化蒸饼丸如麻子大朱砂为衣每五十丸随病气例汤下
按此太阳例药下寒之剂也
导气丸宣壅导气除胀满利大肠
大黄(四两 ) 胡椒(四十九粒) 青皮 陈皮 蝎梢(炒) 茴香(炒) 干姜(炮) 甘草
(炙各一两) 阿魏(半钱用面和炒) 黑牵牛(取头末二两)
上为末水丸
御院方木香顺气丸治诸气不和
方见积聚门
按以上二方手足太阴足厥阴阳明经药导滞之剂也
局方沉香降气汤治阴阳壅滞气不升降胸膈痞闷噫醋吞酸
沉香(四钱) 砂仁(半两) 甘草(炙一两二钱) 香附子(四两)
上为末每二钱入盐少许汤调下
分心气饮治一切气留滞于胸膈之间不能流畅以致痞闷噎塞
木香 丁皮(各二钱) 人参 麦门冬 大腹皮 大腹子 桑白皮 草果 桔梗 浓朴
白术(各半两) 香附子 藿香 陈皮 紫苏(各一两半) 甘草(炙一两)
上 咀每三钱入姜枣煎
按此二方手足太阴阳明足少阴经药也
大七气汤治喜怒不节忧思兼并多生悲恐致脏气不平心腹胀满
半夏 白茯苓(四钱) 浓朴(炒三钱) 紫苏(三钱)
上锉入姜煎服
按此足阳明手足太阴经药也
紫沉通气汤治三焦气涩不能宣通腹胁胀大便涩
紫苏 枳壳(炒) 陈皮 茯苓 甘草 槟榔(各一两) 沉香 木香 麦门冬 五味子
桑白皮 黄 干生姜 薄荷 枳实 荆芥穗(各半两)
上 咀每半两水煎服
按此手太阴之剂也世俗调理之剂而多杂峻削之药故并略去然此方有发散意而不大燥烈姑
存之
用者自宜损益按经云气血弱者不可服枳实以其损气也气血盛者不可服丁香以其益气也于调理
不可不分
东垣木香顺气汤治浊气在上则生 胀
方见胀满门
按此亦七情所致浊阴之气不降而为 胀也故出阳明承气例然七气之方先哲亦未见分其异
者盖气之厥逆收缓久而郁变病机不同而亦不可不本其所因而治之也
Dai Ren's Muxiang Binglang Wan (Aucklandia and Areca Nut Pill) disperses stagnant Qi, treating chest and abdominal distension, fullness, solid epigastric obstruction, Qi knotting, and pain.
Herbs: Xiangmu (Lignum Tauri), Binglang (Semen Arecae), Qingpi (Pericarpium Citri Reticulatae Viride), Chenpi (Pericarpium Citri Reticulatae), Ezhu (Rhizoma Curcumae), Zhike (Fructus Aurantii), Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri), Dahuang (Radix et Rhizoma Rhei) (each 0.5 liang); Qianniu (Semen Pharbitidis), Xiangfu (Rhizoma Cyperi) (each 2 liang).
Grind the above herbs into powder, make pills with water, size of Sophora japonica seeds. Take 50-60 pills per dose, swallowed with decoction, adjusting dosage according to the patient's deficiency or excess.
Note: This formula belongs to the Yangming category, a purgative for heat pathogens.
The Jufang Shenbao Wan (Divine Preservation Pill from the Bureau of Medical Welfare) treats pain caused by various accumulations of Qi stagnation.
Herbs: Ganxie (Whole Scorpio) (7 pieces), Xiangmu (Lignum Tauri), Hujiao (Piperis Longi Fructus) (each 2.5 qian); Badou (Semen Crotonis) (10 kernels, remove heart and skin, grind separately to extract the oil/resin).
Grind the above herbs into powder, mix evenly, dissolve in rice water, steam with steamed bread dough to form pills the size of sesame seeds, coat with Zhusha (Cinnabar). Take 50 pills per dose, administered with appropriate decoctions based on the disease and Qi nature.
Note: This formula belongs to the Taiyang category, a purgative for cold pathogens.
Daoqi Wan (Qi-Guiding Pill) unblocks congestion, guides Qi, relieves distension, and promotes bowel movement.
Herbs: Dahuang (Radix et Rhizoma Rhei) (4 liang), Hujiao (Piperis Longi Fructus) (49 grains), Qingpi (Pericarpium Citri Reticulatae Viride), Chenpi (Pericarpium Citri Reticulatae), Xeshao (Scorpio Tail tip) (stir-fried), Huixiang (Fructus Foeniculi) (stir-fried), Jiangjiang (Rhizoma Zingiberis Secundi) (pao-processed), Zhigancao (Radix Glycyrrhizae Preparata) (each 1 liang); Awei (Resina Asafetidae) (0.5 qian, stir-fried with flour), Heiqianniu (Semen Pharbitidis Nigrum) (take the first extraction powder, 2 liang).
Grind the above herbs into powder, make pills with water.
The Imperial Academy's Muxiang Shunqi Wan (Aucklandia Qi-Regulating Pill) treats disharmony of various Qi mechanisms.
See the "Accumulation" section for the formula.
Note: The above two formulas use herbs from the Hand-Foot Taiyin, Foot-Jueyin, and Yangming meridians; they are guiding-stagnation formulas.
The Jufang Chenxiang Jiangqi Tang (Agarwood Descending-Qi Decoction from the Bureau of Medical Welfare) treats Yin-Yang congestion, failure of Qi ascending and descending, leading to chest and diaphragm oppression, belching, and acid regurgitation.
Herbs: Chenxiang (Lignum Aquilariae Resinatum) (4 qian), Sharen (Fructus Amomi Rotundus) (0.5 liang), Zhigancao (Radix Glycyrrhizae Preparata) (1.2 liang), Xiangfuzi (Rhizoma Cyperi) (4 liang).
Grind the above herbs into powder. Take 2 qian per dose, add a little salt, and take with decoction.
Fenxin Qi Yin (Separating Heart Qi Infusion) treats all types of Qi retention between the chest and diaphragm that cannot flow smoothly, resulting in oppression, blockage, and dysphagia.
Herbs: Muxiang (Radix Aucklandiae), Dingpi (Cortex Caryophylli) (each 2 qian); Renshen (Radix Ginseng), Maimendong (Radix Ophiopogonis), Dafupi (Pericarpium Benincasae), Dafuzi (Semen Benincasae), Sangbaipi (Cortex Mori Radicis), Caoguo (Fructus Tsaoko), Jiegeng (Radix Platycodonis), Houpo (Cortex Magnoliae Officinalis), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 0.5 liang); Xiangfuzi (Rhizoma Cyperi), Huoxiang (Herba Pogostemonis), Chenpi (Pericarpium Citri Reticulatae), Zisu (Folium Perillae) (each 1.5 liang), Zhigancao (Radix Glycyrrhizae Preparata) (1 liang).
Cut the herbs into small pieces. Take 3 qian per dose, add fresh ginger and jujubes, and decoct.
Note: These two formulas use herbs from the Hand-Foot Taiyin, Yangming, and Foot-Shaoyin meridians.
Daqi Qi Tang (Great Seven Qi Decoction) treats irregularities in joy and anger, combined with worry and thought, often generating sorrow and fear, leading to imbalance of Zang-Qi, epigastric and abdominal fullness.
Herbs: Banxia (Rhizoma Pinelliae Preparata), Baifuling (Sclerotium Poriae Cocos) (4 qian); Houpo (Cortex Magnoliae Officinalis) (stir-fried, 3 qian), Zisu (Folium Perillae) (3 qian).
Cut the herbs into small pieces, add fresh ginger, and decoct for administration.
Note: This formula uses herbs from the Foot-Yangming and Hand-Foot Taiyin meridians.
Zichen Tongqi Tang (Purple Agarwood Unblocking-Qi Decoction) treats sluggishness of Sanjiao Qi unable to circulate freely, causing abdominal and hypochondriac distension and constipation.
Herbs: Zisu (Folium Perillae), Zhike (Fructus Aurantii) (stir-fried), Chenpi (Pericarpium Citri Reticulatae), Fuling (Sclerotium Poriae Cocos), Gancao (Radix Glycyrrhizae), Binglang (Semen Arecae) (each 1 liang); Chenxiang (Lignum Aquilariae Resinatum), Muxiang (Radix Aucklandiae), Maimendong (Radix Ophiopogonis), Wuweizi (Fructus Schisandrae Chinensis), Sangbaipi (Cortex Mori Radicis), Huangqin (Radix Scutellariae), Ganshengjiang (Rhizoma Zingiberis Recens), Bohe (Herba Menthae), Zhishi (Fructus Aurantii Immaturus), Jingjisui (Capitium Schizonepetae) (each 0.5 liang).
Cut the herbs into small pieces. Take 0.5 liang per dose, decoct with water, and administer.
Note: This formula belongs to the Hand-Taiyin category. Secular conditioning formulas often contain harsh draining drugs, so most are omitted here. However, this formula has a dispersing intent and is not overly drying, so it is tentatively retained for reference. Users should adjust it themselves. As the Classics state: Those with weak Qi and Blood should not take Zhishi (Immature Bitter Orange) as it damages Qi; those with abundant Qi and Blood should not take Dingxiang (Clove) as it augments Qi [Note: Contextually implies avoiding warming/augmenting agents in specific excess conditions]. In conditioning, distinctions must be made clearly.
Li Dongyuan's Muxiang Shunqi Tang (Aucklandia Qi-Regulating Decoction) treats turbid Qi remaining in the upper part causing distension.
See the "Distension" section for the formula.
Note: This is also caused by the Seven Emotions, where turbid Yin Qi fails to descend, resulting in distension. Thus, it follows the principle of Yangming Chengqi Tang. However, regarding formulas for the Seven Qi, ancient sages did not clearly distinguish their differences. Generally, Qi reversal, contraction, and slowness, when prolonged and constrained, transform into different pathomechanisms. Nevertheless, treatment must still be based on the underlying cause.