海藏云∶仲景诸泻心等汤，手少阴也。以其心下痞，故入阳明例。
大黄黄连泻心汤 治太阳病，医发汗，遂发热恶寒，因复下之，心下痞，表里俱虚，阴
阳血气并竭，无阳则阴独，复加烧针因胸烦，面青黄肤 者难治。若色微黄，手足温
者易愈。心下痞，按之濡，其脉关上浮者。
大黄（二两） 黄连（一两 加黄芩，为伊芳尹三黄汤。）
上锉如麻豆，沸汤二升渍之，须臾绞去滓，分温再服。
附子泻心汤 治心下痞，而复恶寒汗出。本以下之，故心下痞，与泻心汤痞不解，其
人渴而口燥烦，小便不利者，五苓散主之。
大黄 黄连 黄芩（各一两） 附子（一枚，炮，去皮，切，别煮取汁）
上四味，切三味，以麻沸汤二升渍之，绞去滓，纳附子汁，分温再服。
生姜泻心汤 治伤寒汗出解之后，胃中不和，心下痞硬，干噫食臭，胁下有水气，腹
中雷鸣下利者。
生姜 半夏（洗。各二两） 甘草（炙） 黄芩 人参（各一两半） 干姜 黄连（各半两） 大枣（六
枚，擘）
上八味，以水五升，煮取三升，去滓，再煎取一升半，温服半升。
伊芳尹甘草泻心汤 治伤寒中风，医反下之，其人下痢日数十行，米谷不化，腹中雷
鸣，心下痞硬而满，干呕心烦不安，医见心下痞，谓病不尽，复下之，其痞益甚，此非
结热，但以胃中虚，客气上逆，故使硬，宜此汤治之。
甘草（二两） 半夏（一两） 黄芩 干姜（各三两半） 黄连 人参（各半两） 大枣（六枚）
上七味，以水五升，煮取三升，去滓，再煎取一升半，温服半升，分三。
半夏泻心汤 治心下满而不痛者，痞也，痛即为结胸。
半夏（半升，泡） 黄芩 干姜 人参（各三两） 黄连（一两） 甘草（炙，二两） 大枣（十二枚）
上七味，以水一斗，煮取六升，去滓，再煮取三升，分温三服。
钱氏泻心汤（见发热。）
黄 补中汤（东垣）
黄 人参（各二钱） 甘草 白术 苍术 陈皮（各一钱） 泽泻 猪苓 茯苓（各五分）
水一盅，煎七分，温服，送下大消痞丸。
大消痞丸（东垣） 治一切心下痞满，积年久不愈者。
白术 姜黄（各一两） 黄芩（去焦） 黄连（炒。各六钱） 枳实（麦炒，五钱） 半夏（汤洗七次） 陈皮
人参（各四钱） 泽泻 浓朴 砂仁（各三钱） 猪苓（二钱五分） 干生姜 神曲（炒） 炙甘草（各二钱）
上为细末，汤浸蒸饼为丸，如桐子大。每服五七十丸至百丸，食远白汤下。
黄连消痞丸（东垣） 治心下痞满，壅塞不散，烦热喘促不宁。
黄连（一两） 黄芩（炒，二两） 半夏（九钱） 枳实（炒，七钱） 橘红 猪苓（各五钱） 茯苓 白术
炙甘草（各三钱） 泽泻 姜黄（各一钱） 干生姜（二钱）
制丸服法同上。
失笑丸（一名枳实消痞丸 东垣） 治右关脉浮弦，心下湿痞，恶食懒倦，开胃进食。
枳实 黄连（各五钱） 白术 人参 半夏曲（各三钱） 浓朴（炙，四钱） 干生姜 炙甘草
白茯苓 麦 （各二钱）
上为细末，汤浸蒸饼为丸，桐子大。每服五七十丸，白汤下，不拘时。量虚实加减服。
（刘宗浓云∶以上二方，并半夏泻心汤加减法也。内有枳术汤、四君子、五苓、平胃等，利湿消痞
补虚之药也。
黄芩利膈丸（东垣） 除胸中热，利膈上痰。
黄芩（生，炒各一两） 白术 枳壳 陈皮 南星（各三钱） 半夏 黄连 泽泻（各五钱） 白矾（五分）
上为末，水浸蒸饼丸。每服三五十丸，白汤下，食远服。（合加薄荷叶一两，玄明粉二钱。）
葶苈丸（一名人参顺气饮子） 治心下痞，胸中不利。
半夏（洗） 浓朴（炙） 石膏 青皮（以上各五分） 当归身（七分） 白豆蔻仁 缩砂仁 茵陈（酒
制炒） 干葛（以上各一钱） 炙甘草 羌活 黄芩（一半酒洗，半炒） 苦葶苈（酒洗，炒） 人参 柴胡
（据） 独活（以上各三钱）
上为细末，汤浸蒸饼和匀，筛子内擦如米大。每服二钱，临卧用一口汤下。
消痞汤（一名木香化滞汤） 治因忧气郁结中脘，腹皮里微痛，心下痞满，不思饮食。
枳实（炒） 当归梢（各二分） 陈皮 生姜 木香（各三分） 柴胡（四分） 草豆蔻 炙甘草（各五
分） 半夏（一钱） 红花（少许） 《试效方》有益智三分，无木香。
上为粗末，作一服，水二盏，生姜三片，煎至一盏，食远服。忌酒湿面。
理中丸 治胃寒而痞。
人参 甘草 白术 干姜（以上各三两）
上四味，捣筛为末，蜜和丸，如鸡子黄大。以沸汤数合，和一丸研碎，温服之，日
三四，夜二服。腹中未热，益至三四丸。
增损理中丸（《伤寒》） 治太阴下之胸满硬。（诸结胸宜服此。）
人参 白术（各一两） 甘草 黄芩（各半两） 枳壳（十二片）
上为细末，炼蜜丸，如弹子大。沸汤化一丸。渴者加栝蒌根，汗出者加牡蛎。
枳实理中丸（《伤寒》） 治寒实结胸。
茯苓 人参 白术 干姜 甘草（各二两） 枳实（十六片）
上为细末，炼蜜丸，如鸡子黄大。每服一丸，热汤化下，连进二三服。
活人桔梗枳壳汤 治伤寒痞气，胸满欲绝。
桔梗 枳壳（去瓤，炒。各三两）
上锉，水煎，分作二服。
此手太阴经药也。《活人书》云∶审知是痞，先用此汤，无不验也。缘枳壳行气下膈，故效。
上清散（一名通气防风汤） 清利头目，宽快胸膈。
黄 （三钱） 甘草（二钱） 人参 葛根（各一钱五分） 防风根（一钱） 蔓荆子（半钱）
上分作二服，每服水一盏半，煎至一盏，去渣，临卧温服。以夹衣盖覆面首，不语，须
臾汗出为效。未服药，预一日不语，服毕亦一日不语。
枳术丸（见伤食。）
回金丸 泻肝火，行湿与热，能开痞结，
治肝邪，补脾土。（见发热。）
槟榔丸（见伤食。） 煮黄丸（见心痛。） 瓜蒂散（见伤食。） 二陈汤（见痰饮。） 平胃散（见中食。）
五苓散（见消瘅。） 越鞠丸（见郁。） 挝脾汤（见呕吐。） 丁沉透膈汤（见反胃。） 木香流气饮 四
七汤（并见气。） 导痰汤（见痰饮。） 来复丹（见中暑。） 四君子汤（见虚劳。） 补中益气汤（见劳
倦。） 木香顺气汤（见胀满，但减人参。）
木香宽中散 治七情伤于脾胃，以致胸膈痞满，停痰气逆，或成五膈之病。
青皮 陈皮 丁香（各四两） 浓朴（制，一斤） 甘草（炙，五两） 白豆蔻（二两） 香附（炒） 砂仁
木香（各三两）
上为末，每服二钱，姜、盐汤点服。属脾胃虚损之证，不可多服，当与六君子汤兼服之。
《宣明》槟榔散 治伤寒阴证，下后成痞，满而不痛，按之虚软。
槟榔 枳壳（各等分）
上为末，每服三钱，煎黄连汤调下。
三脘痞气丸（《宝鉴》） 治三焦痞滞，水饮停积，胁下虚满，或时刺痛。
木香 白豆蔻仁 青皮（炒） 京三棱（炮） 橘红（各一两） 半夏（汤炮七次，二两） 槟榔 砂
仁沉香 大腹子（各五钱）
上为末，神曲糊丸，梧桐子大。每服五六十丸，食后陈皮汤送下。
平补枳术丸 调中，补气血，消痞清热。
白术（三两） 白芍（酒炒，一两半） 陈皮 枳实（去穣，炒） 黄连（姜汁炒，各一两） 人参 木香
（各五钱）
上为末，荷叶打米糊为丸，如桐子大。每服六七十丸，米饮下。
方广云∶白术补脾气为君；白芍药补脾血为臣；陈皮以和胃，枳实消痞，黄连清热
为佐；人参以补元气，木香以调诸气为使。如此平补气血，廓清痰火，兼通气道，则病邪
日消，而脾胃日壮矣。
《济生》栝蒌实丸 治胸膈痞痛彻背，胁胀，喘急妨闷。
栝蒌实（研） 枳实（去穣，麸炒） 桔梗 半夏（各等分）
上为末，姜汁打糊为丸，梧子大。每服五七十丸，食后淡姜汤下。
按∶此方栝蒌以润肺涤痰，枳壳破滞气，半夏豁痰燥湿，桔梗开膈载药，可谓善治痞
闷喘急矣。然痰因火动者，加黄连尤妙，盖黄连佐枳壳消痞甚速。
茯苓杏仁甘草汤（仲景，下同）
茯苓（三两） 杏仁（五十枚） 甘草（一两）
上三味，以水一斗，煮取五升，温服一升，日三服。
橘枳生姜汤
橘皮（一斤） 枳实（三两） 生姜（半斤）
上三味，以水五升，煮取二升，分温再服。
薏苡仁附子散
薏苡仁（十五两） 大附子（十枚，炮）
上二味，杵为散，服方寸匕，日三服。
浓朴大黄汤
浓朴（一尺） 大黄（六两） 枳实（四枚，锉）
上三味，以水五升，煮取二升，分温再服。
栝蒌薤白白酒汤
栝蒌（一枚，捣） 薤白（半斤） 白酒（七升）
上三味，同煮取二升，分温再服。
栝蒌薤白半夏汤
栝蒌（一枚） 薤白（三两） 白酒（一斗） 半夏（半斤）
上四味，同煮至四升，温服一升，日三服。
枳实薤白桂枝汤
枳实（四枚，锉） 浓朴（四两） 薤白（半斤） 桂枝（一两） 栝蒌（一枚，捣）
上五味，以水五升，先煮浓朴、枳实，取二升，去滓，纳诸药，煮数沸，分温三服。
人参汤
白术 人参 甘草 干姜（各三两）
上四味，以水八升，煮取三升，温服一升，日三服。
利膈散 治胸痹，喘息不通。
人参（去芦） 赤茯苓 前胡（各一两） 干姜（炮） 桂心甘草（炙。各半两） 陈皮（去白，焙） 诃梨
勒（去核） 白术（各七钱半）
上 咀，每服五钱，用水一大盏，姜三片，煎至五分，去滓，不拘时，频频温服。
半夏汤 治胸痹，心下坚痞，急痛彻背，短气烦闷，自汗出。
半夏（汤洗，切，焙，二两半） 栝蒌实（一枚） 薤白（切，二合）
上锉片，每服五钱，水二盏，生姜三片，煎至一盏，去滓，食前温服，日三服。
吴茱萸散 治胸痹，咽喉噎塞，不能下食。
吴茱萸（汤浸，焙炒） 半夏（汤泡） 赤茯苓（去皮） 鳖甲（去裙 ，酥炙黄） 京三棱 前胡（去芦）
青皮（去白，焙） 浓朴（去粗皮，姜汁炙） 槟榔 白术 桂心（各一两） 枳壳（麦炒，半两）
咀，每服五钱，水一大盏，姜三片，枣三枚，煎至五分，去滓，不拘时，稍热服。
豆蔻汤 治胸痹，心下坚痞。
白豆蔻（去皮） 官桂（去粗皮） 木香 人参（各半两） 京三棱（煨） 神曲（炒，各一两） 陈皮（去
白） 麦 （炒。各七钱半） 干姜（炮） 甘草（炙。各二钱半）
上 咀，每服三钱，水二盏，生姜三片，盐少许，煎至七分，去滓，食前温服。
枳实散 治胸痹，心下坚痞，胸背拘急，心腹不利。
枳实（麸炒） 赤茯苓（去皮） 前胡（去芦） 陈皮（去白。各一两） 木香（半两）
上 咀，每服五钱，用水一大盏，姜三片，煎五分，去滓，食前温服。
半夏汤 治胸痹短气。
半夏（汤洗，焙） 柴胡（各半两） 赤茯苓（去皮） 前胡（去苗） 官桂（去粗皮） 人参（各七钱半） 甘
草（炙，二钱半）
咀，每服五钱，水二盏，生姜五片，枣三枚擘开，煎至一盏，去滓，不拘时温服。
熨背散 治胸痹，心背疼痛气闷。
乌头 细辛 附子 羌活 蜀椒 桂心（以上各一两） 川芎（一两二钱半）
上捣筛，以少醋拌，帛裹，微火炙令暖，以熨背上，取瘥乃止。忌生冷如常法。
枳实散 治胸痛及背痛。
枳实（麸炒，二两） 官桂（去粗皮，一两二钱半）
上为细末，每服二钱，温酒调服，橘皮汤调亦可，空心、日午、临卧各一服。
透膈汤 治脾胃不和，中脘气滞，胸膈满闷，噎塞不通，噫气吞酸，胁肋刺痛，呕
逆痰涎，食饮不下。
木香 白豆蔻 缩砂仁 槟榔 枳壳（麸炒） 浓朴（姜制炒） 半夏（汤泡） 青皮（去白） 陈皮
（去白） 大黄 朴硝 甘草（炙。各一钱）
上作一服，水二盅，姜三片，红枣一枚，煎至一盅，食远服。
Haizang stated: Zhang Zhongjing's various Xiexin Decoctions (Bitter Cold Decoction to Drain the Heart), such as those mentioned, target disorders of the Hand-Shaoyin Heart Meridian. Because the symptom manifests as epigastric fullness and stuffiness (Pi), it is categorized under Yangming disease patterns.
Dahuang Huanglian Xiexin Tang (Rhubarb and Coptis Bitter Cold Decoction to Drain the Heart): Treats Taiyang disease where, after a physician erroneously induced sweating, fever and aversion to cold ensued; subsequently, purgation was incorrectly applied, resulting in epigastric fullness and stuffiness. At this stage, both exterior and interior are deficient, and Yin-Yang and Qi-Blood are exhausted. The absence of Yang leads to the dominance of Yin. If moxibustion with burning needles is additionally applied, chest irritability ensues. A cyan-yellow complexion indicates a difficult-to-treat condition. If the complexion is slightly yellow and the hands and feet are warm, recovery is easy. For cases of epigastric fullness and stuffiness that are soft upon palpation, with a floating pulse at the Guan position, this formula is indicated.
Ingredients: Dahuang (Rhei Radix et Rhizoma) (2 liang), Huanglian (Coptidis Rhizoma) (1 liang). Note: Adding Huangqin (Scutellariae Radix) creates Dongyuan's Sanhuang Tang (Three Yellows Decoction).
Preparation and Administration: Chop the herbs into sizes similar to hemp seeds. Soak in 2 sheng of boiling water for a short while, then strain to remove dregs. Divide into two doses and take warm.
Fuzi Xiexin Tang (Aconite Bitter Cold Decoction to Drain the Heart): Treats epigastric fullness and stuffiness accompanied by aversion to cold and sweating. This condition arises from erroneous purgation causing epigastric stuffiness. If the stuffiness does not resolve with Xiexin Tang, and the patient presents with thirst, dry mouth, vexation, and dysuria, Wuling San (Five-Ingredient Powder with Poria) should be used primarily.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) (each 1 liang); Fuzi (Aconiti Lateralis Radix Praeparata) (1 piece, processed, peeled, sliced, decocted separately to extract juice).
Preparation and Administration: Chop the first three herbs. Soak in 2 sheng of boiling hemp-seed decoction (Mafei Tang), strain to remove dregs, add the extracted Fuzi juice, divide into two doses, and take warm.
Shengjiang Xiexin Tang (Fresh Ginger Bitter Cold Decoction to Drain the Heart): Treats post-Taiyang disease where, after sweating resolved the exterior syndrome, stomach disharmony persists, manifesting as hard epigastric fullness and stuffiness, dry belching with food odor, fluid retention under the hypochondrium, borborygmus, and diarrhea.
Ingredients: Shengjiang (Zingiberis Rhizoma Recens), Banxia (Pinelliae Rhizoma Preparatum) (washed, each 2 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried); Huangqin (Scutellariae Radix); Renshen (Panacis Ginseng Radix) (each 1.5 liang); Ganjiang (Zingiberis Rhizoma); Huanglian (Coptidis Rhizoma) (each 0.5 liang); Dazao (Jujubae Fructus) (6 pieces, split).
Preparation and Administration: Decoct the eight herbs in 5 sheng of water to obtain 3 sheng. Strain, then further decoct to obtain 1.5 sheng. Take 0.5 sheng warm per dose.
Li Dongyuan Gancao Xiexin Tang (Licorice Bitter Cold Decoction to Drain the Heart): Treats Shanghan or Fengzhong where erroneous purgation caused frequent diarrhea (dozens of times daily) with undigested food, borborygmus, hard and full epigastric stuffiness, dry vomiting, and restlessness. Seeing the epigastric stuffiness, the physician mistakenly believed pathogenic factors remained and purged again, worsening the stuffiness. This is not heat accumulation but deficiency of Stomach Qi with rebellious hostile Qi rising, causing hardness. This formula is suitable.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang); Banxia (Pinelliae Rhizoma Preparatum) (1 liang); Huangqin (Scutellariae Radix), Ganjiang (Zingiberis Rhizoma) (each 3.5 liang); Huanglian (Coptidis Rhizoma), Renshen (Panacis Ginseng Radix) (each 0.5 liang); Dazao (Jujubae Fructus) (6 pieces).
Preparation and Administration: Decoct the seven herbs in 5 sheng of water to obtain 3 sheng. Strain, then further decoct to obtain 1.5 sheng. Take 0.5 sheng warm per dose, divided into three servings.
Banxia Xiexin Tang (Pinellia Bitter Cold Decoction to Drain the Heart): Treats epigastric fullness without pain, which is defined as Pi (stuffiness); if painful, it is Jie Xiong (Chest Binding).
Ingredients: Banxia (Pinelliae Rhizoma Preparatum) (0.5 sheng, soaked); Huangqin (Scutellariae Radix), Ganjiang (Zingiberis Rhizoma), Renshen (Panacis Ginseng Radix) (each 3 liang); Huanglian (Coptidis Rhizoma) (1 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 2 liang); Dazao (Jujubae Fructus) (12 pieces).
Preparation and Administration: Decoct the seven herbs in 1 dou of water to obtain 6 sheng. Strain, then further decoct to obtain 3 sheng. Divide into three warm doses.
Qian Shi Xiexin Tang (See Fever chapter).
Huangqi Buzhong Tang (Astragalus Middle-Nourishing Decoction) (Li Dongyuan):
Ingredients: Huangqi (Astragali Radix), Renshen (Panacis Ginseng Radix) (each 2 qian); Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian); Zexie (Alismatis Rhizoma), Zhuling (Polypori Umbellati Sclerotium), Fuling (Poria) (each 5 fen).
Preparation and Administration: Decoct in 1 zhong of water to 0.7 zhong. Take warm, administering Daxiao Pi Wan (Large Elimination of Stuffiness Pill) with the decoction.
Li Dongyuan Daxiao Pi Wan (Large Elimination of Stuffiness Pill): Treats all forms of epigastric fullness and stuffiness that have persisted for years and resisted treatment.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Jianghuang (Curcumae Longae Rhizoma) (each 1 liang); Huangqin (Scutellariae Radix) (remove charred parts), Huanglian (Coptidis Rhizoma) (stir-fried, each 6 qian); Zhishi (Aurantii Fructus Immaturus) (wheat-bran fried, 5 qian); Banxia (Pinelliae Rhizoma Preparatum) (washed in hot water seven times); Chenpi (Citri Reticulatae Pericarpium), Renshen (Panacis Ginseng Radix) (each 4 qian); Zexie (Alismatis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Sharen (Amomi Fructus) (each 3 qian); Zhuling (Polypori Umbellati Sclerotium) (2.5 qian); Ganshengjiang (Zingiberis Rhizoma Recens), Shenqu (Massae Medicatae Fermentatae), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 2 qian).
Preparation and Administration: Grind into fine powder. Make pills using steamed dough soaked in decoction, size of Sophora japonica seeds. Take 50-100 pills per dose, with plain warm water after meals.
Li Dongyuan Huanglian Xiaopi Wan (Coptis Elimination of Stuffiness Pill): Treats epigastric fullness and stuffiness with obstruction and stagnation, vexatious heat, panting, and discomfort.
Ingredients: Huanglian (Coptidis Rhizoma) (1 liang); Huangqin (Scutellariae Radix) (stir-fried, 2 liang); Banxia (Pinelliae Rhizoma Preparatum) (9 qian); Zhishi (Aurantii Fructus Immaturus) (stir-fried, 7 qian); Juhong (Citri Reticulatae Pericarpium Rubrum), Zhuling (Polypori Umbellati Sclerotium) (each 5 qian); Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 3 qian); Zexie (Alismatis Rhizoma), Jianghuang (Curcumae Longae Rhizoma) (each 1 qian); Ganshengjiang (Zingiberis Rhizoma Recens) (2 qian).
Preparation and Administration: Pill preparation and administration same as above.
Li Dongyuan Shixiao Wan (Pain-Dispersing Pill) (aka Zhishi Xiaopi Wan): Treats floating-wiry pulse at the Right Guan position, damp stuffiness in the epigastrium, aversion to food, lethargy, and poor appetite.
Ingredients: Zhishi (Aurantii Fructus Immaturus), Huanglian (Coptidis Rhizoma) (each 5 qian); Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Panacis Ginseng Radix), Banxiaqu (Pinelliae Rhizoma Fermentatum) (each 3 qian); Houpo (Magnoliae Officinalis Cortex) (honey-fried, 4 qian); Ganshengjiang (Zingiberis Rhizoma Recens), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Bai Fuling (Poria), Maiya (Hordei Fructus Germinatus) (each 2 qian).
Preparation and Administration: Grind into fine powder. Make pills using steamed dough soaked in decoction, size of Sophora japonica seeds. Take 50-70 pills per dose with plain warm water, anytime. Adjust dosage based on deficiency or excess.
(Liu Zongnong states: These two formulas are modifications of Banxia Xiexin Tang. They contain Zhiji Tang, Sijunzi Tang, Wuling San, Pingwei San, etc., possessing functions of draining dampness, eliminating stuffiness, and tonifying deficiency.)
Li Dongyuan Huangqin Lige Wan (Scutellaria Diaphragm-Relieving Pill): Clears heat in the chest, benefits the diaphragm, and resolves phlegm.
Ingredients: Huangqin (Scutellariae Radix) (raw, stir-fried, each 1 liang); Baizhu (Atractylodis Macrocephalae Rhizoma), Zhike (Aurantii Fructus), Chenpi (Citri Reticulatae Pericarpium), Nanxing (Arisaematis Rhizoma) (each 3 qian); Banxia (Pinelliae Rhizoma Preparatum), Huanglian (Coptidis Rhizoma), Zexie (Alismatis Rhizoma) (each 5 qian); Baifan (Alum) (5 fen).
Preparation and Administration: Grind into powder. Make pills using dough soaked in water. Take 30-50 pills per dose with plain warm water, after meals. (Suggested addition: Bohe Ye (Menthae Haplocalycis Folium) 1 liang, Xuanmingfen (Mirabilite) 2 qian.)
Tingli Wan (Descurainiae Seed Pill) (aka Renshen Shunqi Yinzi): Treats epigastric stuffiness and chest discomfort.
Ingredients: Banxia (Pinelliae Rhizoma Preparatum) (washed); Houpo (Magnoliae Officinalis Cortex) (honey-fried); Shigao (Gypsum Fibrosum), Qingpi (Citri Reticulatae Pericarpium Viride) (each 5 fen); Dangguishen (Angelicae Sinensis Radix) (7 fen); Baidoukou Ren (Cardamomi Fructus), Suasharen (Amomi Fructus), Yinchen (Artemisiae Scopariae Herba) (wine-processed, stir-fried), Gange (Puerariae Radix) (each 1 qian); Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Qianghuo (Notopterygii Rhizoma et Radix), Huangqin (Scutellariae Radix) (half wine-washed, half stir-fried), Ku Tingli (Descurainiae Semen), Renshen (Panacis Ginseng Radix), Chaihu (Bupleuri Radix), Duhuo (Angelicae Pubescentis Radix) (each 3 qian).
Preparation and Administration: Grind into fine powder. Mix with steamed dough soaked in decoction, rub through a sieve to rice-grain size. Take 2 qian per dose before bed with a mouthful of water.
Xiaopi Tang (Stuffiness-Eliminating Decoction) (aka Muxiang Huazhi Tang): Treats epigastric qi stagnation due to emotional depression, slight pain in the abdominal wall, epigastric fullness and stuffiness, and loss of appetite.
Ingredients: Zhishi (Aurantii Fructus Immaturus) (stir-fried), Dangguishaoshao (Angelicae Sinensis Radix tip) (each 2 fen); Chenpi (Citri Reticulatae Pericarpium), Shengjiang (Zingiberis Rhizoma Recens), Muxiang (Vladimiriae Radix) (each 3 fen); Chaihu (Bupleuri Radix) (4 fen); Caodoukou (Bennettiae Fructus), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 5 fen); Banxia (Pinelliae Rhizoma Preparatum) (1 qian); Honghua (Carthami Flos) (a little). *Shixiao Fang* contains Yizhi 3 fen, no Muxiang.
Preparation and Administration: Coarse powder. One dose with 2 zhan of water and 3 slices of ginger. Decoct to 1 zhan. Take after meals. Avoid alcohol and wet noodles.
Lizhong Wan (Regulate the Middle Pill): Treats Pi caused by Stomach Cold.
Ingredients: Renshen (Panacis Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma) (each 3 liang).
Preparation and Administration: Pound and sift into powder. Mix with honey to make pills the size of chicken egg yolks. Dissolve one pill in a small amount of boiling water, crush, and take warm. Take 3-4 times daily, 2 times at night. If the abdomen does not feel warm, increase to 3-4 pills.
Zengsun Lizhong Wan (Modified Regulate the Middle Pill) (*Shanghan Lun*): Treats chest fullness and hardness after erroneous purgation in Taiyin disease. (Suitable for all Jie Xiong/Chest Binding cases.)
Ingredients: Renshen (Panacis Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 0.5 liang); Zhike (Aurantii Fructus) (12 slices).
Preparation and Administration: Grind into fine powder. Make pills with refined honey, size of a marble. Dissolve one pill in boiling water. Add Gualougen (Trichosanthis Radix) for thirst; add Muli (Ostreae Concha) for sweating.
Zhishi Lizhong Wan (Aurantium Regulate the Middle Pill) (*Shanghan Lun*): Treats Cold-Excess Jie Xiong (Chest Binding).
Ingredients: Fuling (Poria), Renshen (Panacis Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 liang); Zhishi (Aurantii Fructus Immaturus) (16 slices).
Preparation and Administration: Grind into fine powder. Make pills with refined honey, size of chicken egg yolk. Take one pill dissolved in hot water per dose. Continue for 2-3 doses.
Huoren Jiegeng Zhike Tang (Platycodon and Aurantium Decoction from *Huoren Shu*): Treats Shanghan Pi Qi (Stagnant Qi), extreme chest fullness.
Ingredients: Jiegeng (Platycodi Radix), Zhike (Aurantii Fructus) (pith removed, stir-fried, each 3 liang).
Preparation and Administration: Chop and decoct in water. Divide into two doses.
This targets the Hand-Taiyin Lung Meridian. *Huoren Shu* states: Once Pi is confirmed, use this decoction first; it is invariably effective because Zhike moves Qi downward through the diaphragm.
Shangqing San (Upper-Clearing Powder) (aka Tongqi Fangfeng Tang): Clears and benefits the head and eyes, relaxes the chest and diaphragm.
Ingredients: Huangqi (Astragali Radix) (3 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian); Renshen (Panacis Ginseng Radix), Gegen (Puerariae Radix) (each 1.5 qian); Fangfenggen (Saposhnikoviae Radix) (1 qian); Manjingzi (Viticis Semen) (0.5 qian).
Preparation and Administration: Divide into two doses. Each dose decocted in 1.5 zhan of water to 1 zhan. Strain and take warm before bed. Cover the face and head with a jacket, remain silent, and expect sweating shortly for efficacy. Do not speak one day before taking the medicine, and continue silence for one day after finishing.
Zhizhu Wan (Aurantium and Atractylodes Pill) (See Food Stagnation chapter).
Huijin Wan: Drains Liver Fire, moves Dampness and Heat, opens Pi knots, treats Liver Pathogens, and tonifies Spleen Earth. (See Fever chapter.)
Binglang Wan (Areca Seed Pill) (See Food Stagnation chapter). Zhu Huang Wan (Boiled Yellow Pill) (See Heartache chapter). Gouti San (Melon Seed Powder) (See Food Stagnation chapter). Erchen Tang (Two-Aged Decoction) (See Phlegm-Fluids chapter). Pingwei San (Level the Stomach Powder) (See Middle Food Stagnation chapter). Wuling San (Five-Ingredient Powder with Poria) (See Xiao Dao/Thirst chapter). Yueju Wan (Resolve Depression Pill) (See Yu/Depression chapter). Zhuopi Tang (Beating Spleen Decoction) (See Vomiting chapter). Dingchen Touge Tang (Clove and Amber Throat-Penetrating Decoction) (See Fanwei/Regurgitation chapter). Muxiang Liqi Yin (Aromatic Qi-Flowing Drink), Siqi Tang (Four-Qi Decoction) (Both see Qi Disorders chapter). Daotan Tang (Phlegm-Conducting Decoction) (See Phlegm-Fluids chapter). Laifu Dan (Reviving Life Pellet) (See Summerheat chapter). Sijunzi Tang (Four Gentlemen Decoction) (See Xu Lao/Deficiency Consumption chapter). Buzhong Yiqi Tang (Middle-Nourishing Qi-Supplementing Decoction) (See Laojun/Fatigue chapter). Muxiang Shunqi Tang (Aromatic Qi-Smooth Decoction) (See Zhangman/Bloating chapter, but remove Renshen).
Muxiang Kuanzhong San (Aromatic Broad-Middle Powder): Treats Seven Emotions damaging the Spleen and Stomach, leading to chest and diaphragm fullness/stuffiness, retained phlegm with rebellious Qi, or formation of Wu Ge (Five Obstructions) diseases.
Ingredients: Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Dingxiang (Syzygii Flos) (each 4 liang); Houpo (Magnoliae Officinalis Cortex) (processed, 1 jin); Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (5 liang); Baidoukou (Cardamomi Fructus) (2 liang); Xiangfu (Cyperi Rhizoma) (stir-fried), Sharen (Amomi Fructus), Muxiang (Vladimiriae Radix) (each 3 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with ginger and salt water. For Spleen-Stomach deficiency damage, do not take excessively; combine with Liu Junzi Tang (Six-Gentlemen Decoction).
*Xuanming Lun* Binglang San (Areca Seed Powder): Treats Shanghan Yin Syndrome, Pi formed after purgation, fullness without pain, soft upon palpation.
Ingredients: Binglang (Arecae Semen), Zhike (Aurantii Fructus) (equal parts).
Preparation and Administration: Grind into powder. Take 3 qian per dose, mixed with Huanglian Tang (Coptis Decoction).
Sanwan Piaqi Wan (Three-Manubrium Stuffiness Qi Pill) (*Weisheng Baojian*): Treats Sanjiao (Triple Burner) stagnation, fluid retention, hypochondriac fullness, or occasional stabbing pain.
Ingredients: Muxiang (Vladimiriae Radix), Baidoukou Ren (Cardamomi Fructus), Qingpi (Citri Reticulatae Pericarpium Viride) (stir-fried), Jingsanleng (Sparganii Rhizoma) (processed), Juhong (Citri Reticulatae Pericarpium Rubrum) (each 1 liang); Banxia (Pinelliae Rhizoma Preparatum) (hot-water processed seven times, 2 liang); Binglang (Arecae Semen), Sharen (Amomi Fructus), Chenxiang (Aquilariae Lignum Resinatum), Dafuzi (Arecae Pericarpium) (each 5 qian).
Preparation and Administration: Grind into powder. Make pills with Shenqu (Massa Medicata Fermentata) paste, size of Sophora japonica seeds. Take 50-60 pills per dose after meals with Chenpi Tang (Tangerine Peel Decoction).
Pingbu Zhizhu Wan (Balanced Tonification Aurantium-Atractylodes Pill): Regulates the Middle, tonifies Qi and Blood, eliminates Pi, and clears Heat.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (3 liang); Baishao (Paeoniae Radix Alba) (wine-fried, 1.5 liang); Chenpi (Citri Reticulatae Pericarpium), Zhishi (Aurantii Fructus Immaturus) (pith removed, stir-fried), Huanglian (Coptidis Rhizoma) (ginger-juice fried, each 1 liang); Renshen (Panacis Ginseng Radix), Muxiang (Vladimiriae Radix) (each 5 qian).
Preparation and Administration: Grind into powder. Make pills with rice paste made from lotus leaves. Take 60-70 pills per dose with rice drink.
Fang Guang states: Baizhu tonifies Spleen Qi as Sovereign herb; Baishao tonifies Spleen Blood as Minister herb; Chenpi harmonizes the Stomach, Zhishi eliminates Pi, Huanglian clears Heat as Assistant herbs; Renshen tonifies Primordial Qi, Muxiang regulates all Qi as Envoy herbs. Thus, balancing and tonifying Qi and Blood, clearing Phlegm-Fire, and unblocking Qi pathways will gradually eliminate pathogens and strengthen the Spleen and Stomach.
*Jisheng Fang* Gualoushi Wan (Trichosanthes Fruit Pill): Treats chest and diaphragm Pi pain radiating to the back, hypochondriac distension, panting, and suffocation.
Ingredients: Gualoushi (Trichosanthis Fructus) (ground); Zhishi (Aurantii Fructus Immaturus) (pith removed, bran-fried); Jiegeng (Platycodi Radix), Banxia (Pinelliae Rhizoma Preparatum) (equal parts).
Preparation and Administration: Grind into powder. Make pills with ginger juice paste, size of Sophora japonica seeds. Take 50-70 pills per dose after meals with light ginger water.
Commentary: In this formula, Gualou moistens the Lungs and washes away Phlegm; Zhike breaks Qi stagnation; Banxia expels Phlegm and dries Dampness; Jiegeng opens the diaphragm and carries the medicinal properties. It is excellent for treating Pi, stuffiness, panting, and urgency. However, if Phlegm is stirred by Fire, adding Huanglian is particularly effective, as Huanglian assists Zhike in rapidly eliminating Pi.
Fuling Xingren Gancao Tang (Poria, Apricot Seed, and Licorice Decoction) (Zhang Zhongjing, same below):
Ingredients: Fuling (Poria) (3 liang); Xingren (Pruni Armeniaci Semen) (50 seeds); Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang).
Preparation and Administration: Decoct the three herbs in 1 dou of water to obtain 5 sheng. Take 1 sheng warm, three times daily.
Ju Zhi Sheng Jiang Tang (Tangerine Peel, Aurantium, and Fresh Ginger Decoction):
Ingredients: Jupi (Citri Reticulatae Pericarpium) (1 jin); Zhishi (Aurantii Fructus Immaturus) (3 liang); Shengjiang (Zingiberis Rhizoma Recens) (0.5 jin).
Preparation and Administration: Decoct the three herbs in 5 sheng of water to obtain 2 sheng. Divide into two warm doses.
Yiyiren Fuzi San (Coix Seed and Aconite Powder):
Ingredients: Yiyiren (Coicis Semen) (15 liang); Da Fuzi (Aconiti Lateralis Radix Praeparata) (10 pieces, processed).
Preparation and Administration: Pound into powder. Take 1 fangcun bi (square-inch spoonful) per dose, three times daily.
Houpo Dahuang Tang (Magnolia Bark and Rhubarb Decoction):
Ingredients: Houpo (Magnoliae Officinalis Cortex) (1 chi); Dahuang (Rhei Radix et Rhizoma) (6 liang); Zhishi (Aurantii Fructus Immaturus) (4 pieces, chopped).
Preparation and Administration: Decoct the three herbs in 5 sheng of water to obtain 2 sheng. Divide into two warm doses.
Gualou Xiebai Baijiu Tang (Trichosanthes, Allium, and White Wine Decoction):
Ingredients: Gualou (Trichosanthis Fructus) (1 piece, crushed); Xiebai (Allii Macrostemonis Bulbus) (0.5 jin); Baijiu (White Wine) (7 sheng).
Preparation and Administration: Decoct the three herbs together to obtain 2 sheng. Divide into two warm doses.
Gualou Xiebai Banxia Tang (Trichosanthes, Allium, and Pinellia Decoction):
Ingredients: Gualou (Trichosanthis Fructus) (1 piece); Xiebai (Allii Macrostemonis Bulbus) (3 liang); Baijiu (White Wine) (1 dou); Banxia (Pinelliae Rhizoma Preparatum) (0.5 jin).
Preparation and Administration: Decoct the four herbs together to 4 sheng. Take 1 sheng warm, three times daily.
Zhishi Xiebai Guizhi Tang (Aurantium, Allium, and Cinnamon Twig Decoction):
Ingredients: Zhishi (Aurantii Fructus Immaturus) (4 pieces, chopped); Houpo (Magnoliae Officinalis Cortex) (4 liang); Xiebai (Allii Macrostemonis Bulbus) (0.5 jin); Guizhi (Cinnamomi Ramulus) (1 liang); Gualou (Trichosanthis Fructus) (1 piece, crushed).
Preparation and Administration: Decoct the five herbs in 5 sheng of water. First decoct Houpo and Zhishi to obtain 2 sheng, strain, then add remaining herbs. Boil briefly. Divide into three warm doses.
Renshen Tang (Ginseng Decoction):
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Panacis Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma) (each 3 liang).
Preparation and Administration: Decoct the four herbs in 8 sheng of water to obtain 3 sheng. Take 1 sheng warm, three times daily.
Lige San (Diaphragm-Relieving Powder): Treats Xiongbi (Chest Bi/Pain), panting, and inability to breathe freely.
Ingredients: Renshen (Panacis Ginseng Radix) (de-rhizome), Chi Fuling (Poria), Qianhu (Peucedani Radix) (each 1 liang); Ganjiang (Zingiberis Rhizoma) (processed), Guixin (Cinnamomi Cortex), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 0.5 liang); Chenpi (Citri Reticulatae Pericarpium) (peeled, baked), Helile (Terminaliae Chebulae Fructus) (de-seeded), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 7.5 qian).
Preparation and Administration: Chop. Take 5 qian per dose with 1 large zhan of water and 3 slices of ginger. Decoct to 0.5 zhan. Strain. Take warm frequently, anytime.
Banxia Tang (Pinellia Decoction): Treats Xiongbi (Chest Bi/Pain), hard Pi in the epigastrium, acute pain radiating to the back, shortness of breath, vexation, and spontaneous sweating.
Ingredients: Banxia (Pinelliae Rhizoma Preparatum) (hot-water washed, cut, baked, 2.5 liang); Gualoushi (Trichosanthis Fructus) (1 piece); Xiebai (Allii Macrostemonis Bulbus) (cut, 2 he).
Preparation and Administration: Slice. Take 5 qian per dose with 2 zhan of water and 3 slices of ginger. Decoct to 1 zhan. Strain. Take warm before meals, three times daily.
Wuzhuyu San (Evodia Powder): Treats Xiongbi (Chest Bi/Pain), throat obstruction, inability to swallow food.
Ingredients: Wuzhuyu (Evodiae Fructus) (hot-water soaked, baked, stir-fried), Banxia (Pinelliae Rhizoma Preparatum) (hot-water soaked), Chi Fuling (Poria) (peeled), Biejia (Testudinis Carapax et Plastrum) (remove apron, fry in butter until yellow), Jingsanleng (Sparganii Rhizoma), Qianhu (Peucedani Radix) (de-rhizome), Qingpi (Citri Reticulatae Pericarpium Viride) (peeled, baked), Houpo (Magnoliae Officinalis Cortex) (remove rough bark, ginger-juice fried), Binglang (Arecae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma), Guixin (Cinnamomi Cortex) (each 1 liang); Zhike (Aurantii Fructus) (wheat-bran fried, 0.5 liang).
Preparation and Administration: Chop. Take 5 qian per dose with 1 large zhan of water, 3 slices of ginger, and 3 dates. Decoct to 0.5 zhan. Strain. Take slightly warm, anytime.
Doukou Tang (Cardamom Decoction): Treats Xiongbi (Chest Bi/Pain), hard Pi in the epigastrium.
Ingredients: Baidoukou (Cardamomi Fructus) (peeled), Guanguui (Cinnamomi Cortex) (remove rough bark), Muxiang (Vladimiriae Radix), Renshen (Panacis Ginseng Radix) (each 0.5 liang); Jingsanleng (Sparganii Rhizoma) (roasted), Shenqu (Massae Medicatae Fermentatae) (stir-fried, each 1 liang); Chenpi (Citri Reticulatae Pericarpium) (peeled), Mairen (Linii Semen) (stir-fried, each 7.5 qian); Ganjiang (Zingiberis Rhizoma) (processed), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 2.5 qian).
Preparation and Administration: Chop. Take 3 qian per dose with 2 zhan of water, 3 slices of ginger, and a little salt. Decoct to 0.7 zhan. Strain. Take warm before meals.
Zhishi San (Aurantium Powder): Treats Xiongbi (Chest Bi/Pain), hard Pi in the epigastrium, stiffness and urgency in chest and back, and discomfort in heart and abdomen.
Ingredients: Zhishi (Aurantii Fructus Immaturus) (bran-fried), Chi Fuling (Poria) (peeled), Qianhu (Peucedani Radix) (de-rhizome), Chenpi (Citri Reticulatae Pericarpium) (peeled, each 1 liang); Muxiang (Vladimiriae Radix) (0.5 liang).
Preparation and Administration: Chop. Take 5 qian per dose with 1 large zhan of water and 3 slices of ginger. Decoct to 0.5 zhan. Strain. Take warm before meals.
Banxia Tang (Pinellia Decoction): Treats Xiongbi (Chest Bi/Pain) with shortness of breath.
Ingredients: Banxia (Pinelliae Rhizoma Preparatum) (hot-water washed, baked), Chaihu (Bupleuri Radix) (each 0.5 liang); Chi Fuling (Poria) (peeled), Qianhu (Peucedani Radix) (de-radicle), Guiguan (Cinnamomi Cortex) (remove rough bark), Renshen (Panacis Ginseng Radix) (each 7.5 qian); Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (2.5 qian).
Preparation and Administration: Chop. Take 5 qian per dose with 2 zhan of water, 5 slices of ginger, and 3 split dates. Decoct to 1 zhan. Strain. Take warm, anytime.
Yibeisan (Back-Warming Powder): Treats Xiongbi (Chest Bi/Pain), heart and back pain with Qi oppression.
Ingredients: Wutou (Aconiti Radix), Xixin (Asari Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Qianghuo (Notopterygii Rhizoma et Radix), Shujiao (Zanthoxyli Pericarpium), Guixin (Cinnamomi Cortex) (each 1 liang); Chuanxiong (Ligustici Chuanxiong Rhizoma) (1.25 liang).
Preparation and Administration: Pound and sift. Mix with a little vinegar, wrap in cloth, warm over low fire, and apply to the back until cured. Avoid raw/cold foods as usual.
Zhishi San (Aurantium Powder): Treats chest pain and back pain.
Ingredients: Zhishi (Aurantii Fructus Immaturus) (bran-fried, 2 liang); Guiguan (Cinnamomi Cortex) (remove rough bark, 1.25 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose with warm wine, or tangerine peel decoction. Take once on an empty stomach, at noon, and before bed.
Touge Tang (Throat-Penetrating Decoction): Treats Spleen-Stomach disharmony, Middle Jiao Qi stagnation, chest and diaphragm fullness, obstruction, belching with acid regurgitation, stabbing pain in hypochondrium, vomiting of phlegm-saliva, and inability to eat or drink.
Ingredients: Muxiang (Vladimiriae Radix), Baidoukou (Cardamomi Fructus), Suasharen (Amomi Fructus), Binglang (Arecae Semen), Zhishi (Aurantii Fructus Immaturus) (bran-fried), Houpo (Magnoliae Officinalis Cortex) (ginger-processed, stir-fried), Banxia (Pinelliae Rhizoma Preparatum) (hot-water soaked), Qingpi (Citri Reticulatae Pericarpium Viride) (peeled), Chenpi (Citri Reticulatae Pericarpium) (peeled), Dahuang (Rhei Radix et Rhizoma), Poxiao (Natrii Sulfas), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 1 qian).
Preparation and Administration: One dose with 2 zhong of water, 3 slices of ginger, and 1 red date. Decoct to 1 zhong. Take after meals.