七气汤 治实胀属七情之气者。
方见《心腹痛》。
胃苓散 消胀行水。
苍术（一钱五分，炒) 白术 浓朴（各一钱五分） 桂枝（一钱） 陈皮 泽泻 猪苓（各一钱五分）
炙草（七分） 茯苓（四钱）
加生姜五片，水三杯，煎八分服。去桂、草，以煨半熟蒜头捣为丸。陈米汤下三四钱，
一日两服更妙。
浓朴三物汤
浓朴七物汤
二方俱见《腹痛》。
桂甘姜枣麻辛附子汤(《金匮》) 治气分，心下坚大如盘，边如旋杯。
桂枝 生姜（各三钱） 甘草 麻黄 细辛（各二钱） 附子（一钱） 大枣（三枚）
水三杯，先煮麻黄至二杯，去沫，入诸药，煎八分，温服，日夜作三服。当汗出如虫行皮上即愈。
此症是心肾不交病。上不能降，下不能升，日积月累，如铁石难破。方中桂、甘、姜、
枣以和其上，而复用麻黄、细辛、附子少阴的剂以治其下，庶上下交通而病愈。所谓大气一
转，其气乃散也。
枳术汤(《金匮》) 治心下坚大如盘。(如盘而不如杯，邪尚散漫未结，虽坚大而不满痛
也)，水饮所作(与气分有别也，气无形以辛甘散之，水有形以苦泄之)。
枳实（二钱） 白术（四钱）
水二杯，煎八分服，日夜作三服。腹中软即止。
禹余粮丸(《三因》) 治十肿水气，脚膝肿，上气喘急，小便不利，但是水气，悉皆主
之(许学士及丹溪皆云此方治臌胀之要药)。
蛇含石(大者，三两，以新铁铫盛，入炭火中烧石与铫子一般红，用钳取石，倾入醋中，
候冷取出，研极细) 禹余粮石（三两） 真针砂（五两，先以水淘净炒干，入余粮一处，用米醋二
升，就铫内煮醋干为度，后用铫。并药入炭中，烧红钳出，倾药净砖地上，候冷研细。)
以三物为主。其次量人虚实，入下项。治水妙在转输，此方三物，既非大戟、甘遂、芫
花之比，又有下项药扶持，故虚人老人亦可服。
羌活 木香 茯苓 川芎 牛膝(酒浸) 桂心 蓬术 青皮 附子(炮) 干姜(炮) 白
豆蔻(炮) 大茴香(炒) 京三棱(炮) 白蒺藜 当归(酒浸一宿，各半两）
上为末，入前药拌匀，以汤浸蒸饼，捩去水，和药再杵极匀，丸如桐子大。食前温酒白
汤送下三十丸至五十丸。最忌盐，一毫不可入口，否则发疾愈甚。但试服药，即于小便内旋
去，不动脏腑。病去日，日三服，兼以温和调补气血药助之，真神方也。
此方昔人用之屡效，以其大能暖水藏也，服此丸更以调补气血药助之，不为峻也。
七气汤：治疗因七情之气导致的实性胀满。
方剂详见《心腹痛》篇。
胃苓散：消除胀满，行气化水。
苍术（一钱五分，炒制）、白术、厚朴（各一钱五分）、桂枝（一钱）、陈皮、泽泻、猪苓（各一钱五分）、炙甘草（七分）、茯苓（四钱）。
加入生姜五片，水三杯，煎煮至八分量的药液后服用。去掉桂枝和甘草，将煨至半熟的蒜头捣碎制成丸剂。用陈米汤送服三四钱，每日服用两次效果更佳。
桂甘姜枣麻辛附子汤（出自《金匮要略》）：治疗气分病，表现为心下部位坚硬且大如盘状，边缘像倒扣的杯子一样。
桂枝、生姜（各三钱）、甘草、麻黄、细辛（各二钱）、附子（一钱）、大枣（三枚）。
用水三杯，先煮麻黄至剩余两杯，撇去浮沫，加入其他药物，煎煮至八分量的药液，温服，白天黑夜分三次服用。应当出现汗出，感觉像虫子在皮肤上爬行一样的感觉，病即可痊愈。
这种病症属于心肾不交的病证。上面的阳气不能下降，下面的阴气不能上升，日积月累，就像铁石一样难以攻破。方中桂枝、甘草、生姜、大枣用来调和上部，同时使用麻黄、细辛、附子作为少阴病的对症药剂来治疗下部，这样上下交通而病愈。这就是所谓的“大气一转，其气乃散”的道理。
枳术汤（出自《金匮要略》）：治疗心下坚硬且大如盘状。（如果像盘子但不像杯子那样边缘高耸，说明邪气尚散漫未凝结，虽然坚硬巨大但并不胀痛），这是由水饮引起的（与气分病不同，气是无形的，用辛甘之品发散；水是有形的，用苦味之品泄下）。
枳实（二钱）、白术（四钱）。
用水二杯，煎煮至八分量的药液后服用，白天黑夜分三次服用。腹部变软即停止服药。
禹余粮丸（出自《三因极一病证方论》）：治疗十种水肿和水气病，脚膝肿胀，上气喘急，小便不利，只要是水气病，都主治此方（许学士及朱丹溪都说此方是治疗鼓胀的要药）。
蛇含石（大的，三两，用新的铁锅盛放，放入炭火中将石头烧得与铁锅一样红，用钳子取出石头，倒入醋中，等冷却后取出，研磨至极细）、禹余粮石（三两）、真针砂（五两，先用水淘洗干净炒干，与禹余粮放在一起，用米醋二升，就在铁锅内煮至醋干为止，然后用铁锅。连同药物一起放入炭中，烧红后用钳子取出，倒在干净的砖地上，等冷却后研磨细）。
以这三种药为主。其次根据病人的虚实情况，加入下列药物。治疗水气的妙处在于转输运化，此方中的三种主药，既不是大戟、甘遂、芫花那种峻烈之药可比，又有下面列出的药物扶持，所以虚人老人也可以服用。
羌活、木香、茯苓、川芎、牛膝（酒浸）、桂心、蓬莪术、青皮、附子（炮制）、干姜（炮制）、白豆蔻（炮制）、大茴香（炒制）、京三棱（炮制）、白蒺藜、当归（酒浸一夜，各半两）。
以上药物研为末，与前药拌匀，用热水浸泡蒸饼，拧去水分，与药粉混合再杵捣极均匀，制成梧桐子大小的丸剂。饭前用温酒或白开水送服三十丸至五十丸。最忌讳盐，一丝一毫都不能入口，否则疾病发作会更严重。只要尝试服药，尿液中就会随即排出药效，不伤及脏腑。病愈之日，每日服用三次，兼用温和调补气血的药物辅助，真是神效的方子。
这个方子前人使用多次有效，因为它能大暖水脏（肾）。服用此丸剂再用调补气血的药物辅助，就不算峻猛了。
Qiqi Tang (Seven-Emotions Decoction): Treats excess distension caused by the qi of the seven emotions.
The formula is seen in the "Heart and Abdominal Pain" chapter.
Weiling San (Stomach-Ling Powder): Eliminates distension and promotes water metabolism.
Cangzhu (Atractylodis Rhizoma, 1.5 qian, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex, each 1.5 qian), Guizhi (Cinnamomi Ramulus, 1 qian), Chenpi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma), Zhuling (Polyporus, each 1.5 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 0.7 qian), Fuling (Poria, 4 qian).
Add five slices of Shengjiang (Zingiberis Rhizoma Recens), three cups of water, decoct until eight-tenths remain, and take orally. Remove Guizhi and Zhigancao; mash half-cooked suan tou (Allii Sativi Bulbus) roasted in hot ashes into pills. Take three to four qian with Chenmi Tang (Chenpi Rice Decoction); taking it twice a day is even better.
Houpo Sanwu Tang (Magnolia Three-Ingredient Decoction)
Houpo Qiwu Tang (Magnolia Seven-Ingredient Decoction)
Both formulas are seen in the "Abdominal Pain" chapter.
Guigan Jiangzao Maxinfuzi Tang (Cinnamon Twig, Licorice, Ginger, Jujube, Ephedra, Asarum, and Aconite Decoction) (from *Jin Gui Yao Lue*): Treats Qi Fen disease (diseases of the Qi level), characterized by hardness and enlargement below the heart like a plate, with edges like an inverted cup.
Guizhi (Cinnamomi Ramulus), Shengjiang (Zingiberis Rhizoma Recens) (each 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba), Xixin (Asari Radix et Rhizoma) (each 2 qian), Fuzi (Aconiti Lateralis Radix Preparata, 1 qian), Dazao (Ziziphi Jujubae Fructus, three pieces).
Use three cups of water; first boil Mahuang until two cups remain, skim off the foam, add the other herbs, decoct until eight-tenths remain, take warm, divided into three doses throughout day and night. Sweating should occur, feeling as if insects are crawling on the skin, at which point the disease will be cured.
This condition is a disease of Heart-Kidney Non-Interaction (Xin Shen Bu Jiao). The upper cannot descend, and the lower cannot ascend. Accumulating day after day, it becomes hard to break like iron or stone. In the formula, Guizhi, Gancao, Shengjiang, and Dazao harmonize the upper, while Mahuang, Xixin, and Fuzi are used as specific agents for Shaoyin disease to treat the lower. Thus, upper and lower communicate, and the disease is cured. This is what is meant by "When the Great Qi turns, the pathogenic Qi disperses."
Zhizhu Tang (Immature Bitter Orange and Atractylodes Decoction) (from *Jin Gui Yao Lue*): Treats hardness and enlargement below the heart like a plate. (If it resembles a plate but not an inverted cup, the pathogen is still scattered and unconsolidated; although hard and large, it is not painful or full). It is caused by Water-Drink retention (distinct from Qi Fen disease; Qi is formless and dispersed with pungent-sweet herbs, whereas Water has form and is drained with bitter-draining herbs).
Zhishi (Aurantii Fructus Immaturus, 2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 4 qian).
Use two cups of water, decoct until eight-tenths remain, and take orally, divided into three doses throughout day and night. Stop medication when the abdomen becomes soft.
Yuyuliang Wan (Yuyu Grain Pill) (from *San Yin Ji Yi Bing Zheng Fang Lun*): Treats ten types of edema and Water-Qi, swelling of feet and knees, shortness of breath and rapid breathing due to upward rebellion, and difficult urination. It governs all conditions caused by Water-Qi (Xu Xueshi and Zhu Danxi both stated this formula is a key medicine for treating Drum Distension/Guzhang).
Shetanhshi (Ophiopsidi Lithospermum, large pieces, 3 liang; place in a new iron pot, heat in charcoal fire until the stone is as red as the pot, remove with tongs, pour into vinegar, wait for cooling, remove, and grind extremely fine), Yuyuliangshi (Haematitum, 3 liang), Zhenzhensha (Magnetitum, 5 liang; first wash clean with water, stir-fry dry, combine with Yuyuliang, use two sheng of rice vinegar, boil in the pot until vinegar is dry, then use the pot. Combine medicine and put in charcoal, heat until red, remove with tongs, pour onto clean brick ground, wait for cooling, and grind fine).
These three substances are the main ingredients. Secondly, according to the patient's deficiency or excess, add the following:
Qianghuo (Notopterygii Rhizoma et Radix), Muxiang (Aucklandiae Radix), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Guixin (Cinnamomi Cortex), Pengzhu (Curcumae Phaeocaulis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Fuzi (Aconiti Lateralis Radix Preparata), Ganjiang (Zingiberis Rhizoma), Baidoukou (Cardamomi Rotundus Fructus, prepared), Dahuixiang (Foeniculi Fructus, stir-fried), Jingsanleng (Sparganii Rhizoma, prepared), Baijili (Tribuli Fructus), Danggui (Angelicae Sinensis Radix, soaked in wine overnight, each half liang).
Grind the above into powder, mix evenly with the previous medicines. Soak steamed cake dough in water, wring out the water, mix with the medicine, pound thoroughly until uniform, and make pills the size of paulownia seeds. Take thirty to fifty pills before meals with warm wine or plain water. Salt is strictly forbidden; even a trace must not enter the mouth, otherwise the disease will flare up more severely. Upon taking the medicine, it will immediately pass through urine without affecting the Zang-Fu organs. On the day the disease is cured, take three times a day, assisted by mild Qi and Blood tonifying medicines. Truly a miraculous formula.
Ancestors used this formula with frequent success because it greatly warms the Water Zang (Kidney). Taking this pill assisted by Qi and Blood tonifying medicines is not overly harsh.