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[Symptoms of Abdominal Distension in the Six Fu Organs] Fullness and distension in the chest and anterior region, interfering with food intake, indicates Wei (Stomach) distension. Borborygmus accompanied by pain, producing a sloshing sound, indicates Da Chang (Large Intestine) distension. Scanty urine with difficulty in urination and fullness/distension in the lower abdomen indicates Xiao Chang (Small Intestine) distension. Qi stagnation leading to difficult urination and urgency/fullness in the Shao (Lower) abdomen indicates Pang Guang (Bladder) distension. Qi filling the skin and muscles, sounding hollow, indicates San Jiao (Triple Burner) distension. Pain in the hypochondrium, bitter taste in the mouth, and frequent sighing indicate Dan (Gallbladder) distension. These are the symptoms of abdominal distension in the Six Fu Organs.

[Etiology of Abdominal Distension in the Six Fu Organs] Irregular diet, suffering from hunger or overeating, often leads to Wei (Stomach) distension; stagnation in the Middle Jiao generates Phlegm or Accumulation, causing Lung Qi to fail in clearing, which descends to affect the Da Chang (Large Intestine), resulting in abdominal distension. Heat in the Xin (Heart) and Wei (Stomach) descends to affect the Xiao Chang (Small Intestine), also causing abdominal distension. Lung Qi stagnation prevents downward transmission to the Pang Guang (Bladder), causing lower abdominal distension. The San Jiao (Triple Burner) governs the Qi of the body; when Great Qi circulates freely, there are no obstructions; however, if the San Jiao (Triple Burner) is congested and stagnant, abdominal distension arises. Gan (Liver) and Dan (Gallbladder) belong to Wood and prefer smooth flow; failure to unblock them leads to Dan (Gallbladder) distension. These are the etiologies of abdominal distension in the Six Fu Organs.

[Therapeutics for Abdominal Distension in the Six Fu Organs] For Wei (Stomach) distension, treat with Ping Wei San (Calm the Stomach Powder) with modifications. For Da Chang (Large Intestine) distension, use Zhi Qiao Hua Zhi Tang (Immature Bitter Orange Decoction for Resolving Stagnation) or Dao Tan Tang (Guiding Out Phlegm Decoction). For Xiao Chang (Small Intestine) distension, use Mu Tong Yin (Akebia Decoction). For Pang Guang (Bladder) distension, use Wu Ling San (Five-Ingredient Powder with Poria). For San Jiao (Triple Burner) distension, use Zhi Qiao Qing Pi Yin (Immature Bitter Orange and Green Tangerina Peel Decoction); for Dan (Gallbladder) distension, use Chai Hu Qing Gan Yin (Bupleurum Decoction for Clearing the Liver).

Ping Wei San (Calm the Stomach Powder)
Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma).
If there is heat in the Wei (Stomach), add Zhizi (Gardeniae Fructus) and Lian (Scutellariae Radix). If there is cold in the Wei (Stomach), add Jiang (Zingiberis Rhizoma) and Gui (Cinnamomi Ramulus).

Zhi Qiao Hua Zhi Tang (Immature Bitter Orange Decoction for Resolving Stagnation)
Zhi Qiao (Aurantii Fructus Immaturus), Hou Po (Magnoliae Officinalis Cortex), Shen Qu (Massa Medicata Fermentata), Chen Pi (Citri Reticulatae Pericarpium), Laifu Zi (Raphini Semen), Mai Ya (Hordei Fructus Germinatus), Sha Ren (Amomi Fructus).
If there is heat, add Lian (Scutellariae Radix). If stool is hard, add Huang Bo (Phellodendri Cortex) or Da Huang (Rhei Radix et Rhizoma - *Note: Text says Da Huang*).

Dao Tan Tang (Guiding Out Phlegm Decoction)
Nan Xing (Arisaematis Cum Bile), Ban Xia (Pinelliae Rhizoma), Zhi Qiao (Aurantii Fructus Immaturus), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Gan Cao (Glycyrrhizae Radix et Rhizoma).

Mu Tong Yin (Akebia Decoction)
Mu Tong (Akebiae Caulis), Chen Pi (Citri Reticulatae Pericarpium), Su Geng (Perillae Caulis), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Add Sheng Jiang (Zingiberis Rhizoma Recens) and Hong Zao (Jujubae Fructus). If there is heat, add Lian (Scutellariae Radix).

Wu Ling San (Five-Ingredient Powder with Poria)
Zhu Ling (Polypori Umbilicati Sclerotium), Ze Xie (Alismatis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria cum Ligno), Rou Gui (Cinnamomi Ramulus).
If heat binds in the Pang Guang (Bladder), take with Che Qian Mu Tong Tang (Plantago and Akebia Decoction). If Qi transformation fails to reach the Zhou Du (Lower Jiao/Bladder), take with Shen Ju Jian (Ginseng and Citrus Decoction).

Zhi Qiao Qing Pi Yin (Immature Bitter Orange and Green Tangerina Peel Decoction)
Zhi Qiao (Aurantii Fructus Immaturus), Qing Pi (Citri Reticulatae Pericarpium Viride), Da Fu Pi (Arecae Pericarpium).
These three ingredients in equal parts. For Upper Jiao distension, add Jie Geng (Platycodonis Radix); for Middle Jiao distension, add Su Geng (Perillae Caulis); for Lower Jiao distension, add Mu Tong (Akebiae Caulis).

Chai Hu Qing Gan Yin (Bupleurum Decoction for Clearing the Liver)
Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus), Dan Pi (Moutan Cortex), Qing Pi (Citri Reticulatae Pericarpium Viride), Su Geng (Perillae Caulis), Bai Shao Yao (Paeoniae Radix Alba), Gou Teng (Uncariae Ramulus cum Uncis).
If there is heat in Gan (Liver) and Dan (Gallbladder), add Long Dan Cao (Gentianae Radix) and Qing Dai (Indigo Naturalis).

Jia Mi Xiao Zhang San (Secret Formula for Reducing Distension)
Treats gastrointestinal stagnation and various forms of abdominal distension and enlargement.
Ban Xia (Pinelliae Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Zhi Shi (Aurantii Fructus Immaturus), Xiang Fu (Cyperi Rhizoma), Mai Ya (Hordei Fructus Germinatus), Zha Rou (Crataegi Fructus), Cang Zhu (Atractylodis Rhizoma), Bing Lang (Arecae Semen), Chen Pi (Citri Reticulatae Pericarpium), Gan Ge (Puerariae Radix), Shen Qu (Massa Medicata Fermentata), Laifu Zi (Raphini Semen).
Grind all into fine powder. Take with a decoction of Mu Tong (Akebiae Caulis) and Da Fu Pi (Arecae Pericarpium), each 3 qian, mixed as a suspension.