叙曰∶鼓胀是虚中之实，宜分气、血、虫、食而治之，以朝宽暮急，能食不能食而辨之
。实者可攻，虚者渐磨可也。例之相道焉，国内空虚，则宜惠养元气，恶能黩武？今考名方
七首，示大法耳。或较形气、病气而攻补兼施，此在人之妙用，初不必泥也。
山楂肉（二两，炒） 白术（炒） 神曲（炒） 半夏（制） 茯苓（各一两） 陈皮
（去白） 连
翘萝卜子（生用各五钱）
饮食伤脾，成鼓胀者，此方主之。
鼓胀者，腹皮虚大，鼓之坚急而有声也。经曰∶阴之五宫，伤在五味。故饮食过其分量
，则伤脾，脾伤则不能运化，积其谷气，虚大而鼓胀矣。然五味之变，酸性甘，腐胜焦，苦
胜热，香胜腐，燥胜湿，淡胜饮，利胜滞，气胜味。故用山楂之酸以消肥甘，用神曲之腐以
化焦炙，用连翘之苦以磨积热，用陈皮之香以开腐秽，用半夏之燥以胜土湿，用茯苓之淡以
利水饮，用萝卜子之利以行食滞，用白术之气以胜五味。五味能胜，则脾不伤，脾不伤，则
中气营运而无鼓胀矣。此大安之旨也！
青皮（水蛭炒） 莪术（虻虫炒） 三棱（干漆炒） 槟榔（斑蝥炒） 吴茱萸（牵牛
炒） 干姜
（砂炒） 胡椒（茴香炒） 附子（盐炒） 赤芍药（川椒炒） 石菖蒲（桃仁炒）
上件同炒药熟，去水蛭等不用，研末，酒糊为丸，如梧桐子大。每服五丸至七丸，空心
紫苏汤下。
诸腹胀大，痞塞不通，大便虚秘，此方主之。
青皮、莪术、三棱、菖蒲，气积药也，炒以水蛭、虻虫、干漆、桃仁，则逐败血矣！干
姜、附子、胡椒、茱萸，温中药也，炒以 砂、食盐、茴香、牵牛，则软坚而疏利矣。槟榔
炒以斑蝥，下气者得破气者而益悍。赤芍药炒以川椒，泻肝者得疏肝者而益利。制度之工如
此，以之而治气实有余之证，斯其选矣。
【序言】鼓胀属于本虚标实之证，应当区分气、血、虫、食四种病因进行治疗，通过观察患者早晨症状轻而傍晚加重、能进食或不能进食等情况来加以辨别。实证可以采用攻下法，虚证则宜采用缓慢磨积的方法。这就好比治理国家，如果国内空虚，就应当施行恩惠以养护元气，怎么能滥用武力呢？现在考证并列出七个著名方剂，只是展示治疗的大法罢了。或者根据形体与正气的强弱、病邪的盛衰，采取攻补兼施的方法，这在于医生的灵活妙用，起初不必拘泥于固定模式。
山楂肉（二两，炒制） 白术（炒制） 神曲（炒制） 半夏（炮制） 茯苓（各一两） 陈皮（去除白色内皮） 连翘萝卜子（生用，各五钱）
因饮食损伤脾胃而导致鼓胀的，此方主治。
所谓鼓胀，是指腹部皮肤虚浮膨大，敲击时感觉坚硬紧急且发出声音。《内经》说：“阴之五宫，伤在五味。”因此，饮食超过正常分量，就会损伤脾脏；脾脏受损，就不能运化水谷精微，导致谷气积聚，从而形成虚大而鼓胀的病证。然而，五味的变化规律是：酸味胜甘味，腐味胜焦味，苦味胜热邪，香味胜腐秽，燥性胜湿气，淡味胜饮停，利性胜停滞，气性胜滋味。所以使用山楂的酸味来消除肥腻甘甜之物，使用神曲的腐味来化解焦炙食物，使用连翘的苦味来磨除积热，使用陈皮的香味来开通腐秽之气，使用半夏的燥性来克制脾土之湿，使用茯苓的淡味来利去水饮，使用萝卜子的利性来行消食滞，使用白术的气机来调和五味。如果五味能够相互制约平衡，那么脾脏就不会受伤；脾脏不受伤，中气就能正常营运，也就不会发生鼓胀了。这就是大安丸的宗旨所在！
青皮（用水蛭炒制） 莪术（用虻虫炒制） 三棱（用干漆炒制） 槟榔（用斑蝥炒制） 吴茱萸（用牵牛子炒制） 干姜（用砂炒制） 胡椒（用茴香炒制） 附子（用盐炒制） 赤芍药（用川椒炒制） 石菖蒲（用桃仁炒制）
以上药材一同炒至熟透，去掉水蛭等辅料，研成细末，用酒糊制成梧桐子大小的丸药。每次服用五丸至七丸，空腹时用紫苏汤送服。
对于各种腹部胀大、痞塞不通、大便虚秘的症状，此方主治。
青皮、莪术、三棱、石菖蒲，属于行气积滞的药物，用水蛭、虻虫、干漆、桃仁炒制，就能驱逐败血！干姜、附子、胡椒、吴茱萸，属于温中散寒的药物，用砂、食盐、茴香、牵牛子炒制，就能软化坚积并疏通利导。槟榔经过斑蝥炒制，下行气机的药物得到破气药物的辅助而更加猛烈。赤芍药经过川椒炒制，泻肝火的药物得到疏肝药物的辅助而更加有利。这种炮制工艺的巧妙之处如此，用它来治疗气实有余的证候，真是最佳的选择啊。
[Preface] Distension and swelling (Gu Zhang) is a condition of deficiency in the root but excess in the branch. It should be treated by distinguishing between Qi, Blood, Parasites, and Food stagnation, differentiating based on whether symptoms are milder in the morning and worse in the evening, and whether the patient can or cannot eat. For excess patterns, purgative methods may be used; for deficiency patterns, gradual resolution is appropriate. This is analogous to governing a state: if the interior is empty, one should bestow grace to nourish Yuan Qi (Primal Energy); how could one resort to military force? Herein, seven famous prescriptions are examined to demonstrate the general principles. Alternatively, depending on the balance between physical constitution and pathogenic factors, simultaneous tonification and purgation may be employed. This relies on the subtle application of the physician and need not be rigidly adhered to initially.
Shanzha Rou (Hawthorn Fruit Flesh, 2 liang, stir-fried) Baizhu (Atractylodis Rhizoma, stir-fried) Shenqu (Medicated Leaven, stir-fried) Banxia (Pinelliae Rhizoma, processed) Fuling (Poria, each 1 liang) Chenpi (Citri Reticulatae Pericarpium, white pith removed) Lianqiao Luobozi (Folium Coptidis et Semen Raphi, raw, each 5 qian)
This prescription is indicated for distension and swelling caused by dietary injury to the Spleen and Stomach.
Distension and swelling refers to the condition where the abdominal skin is flaccidly enlarged, feeling hard and tense upon percussion with an audible sound. The Classics state: "The five Yin palaces are injured by the Five Flavors." Therefore, consuming food beyond proper limits injures the Spleen; when the Spleen is injured, it fails to transport and transform, leading to the accumulation of Grain Qi, resulting in a flaccid yet distended abdomen. However, the transformations of the five flavors follow specific rules: Sour overcomes Sweet, Putrid overcomes Scorched, Bitter overcomes Heat, Fragrant overcomes Putrid, Dryness overcomes Dampness, Blandness overcomes Fluid retention, Acuity overcomes Stagnation, and Qi movement overcomes Flavor. Thus, the sourness of Shanzha is used to digest rich and sweet foods; the putridity of Shenqu is used to resolve scorched/fried foods; the bitterness of Lianqiao is used to grind down accumulated heat; the fragrance of Chenpi is used to open up putrid turbidity; the dryness of Banxia is used to overcome Spleen Earth dampness; the blandness of Fuling is used to promote urination to remove fluid retention; the acuity of Luobozi is used to move food stagnation; and the Qi-moving property of Baizhu is used to harmonize the five flavors. If the five flavors can mutually overcome and balance each other, the Spleen will not be injured; if the Spleen is not injured, Middle Qi will circulate and operate normally, preventing distension and swelling. This is the essence of Da'an Wan!
Qingpi (Citri Reticulatae Pericarpium Viride, stir-fried with Shuizhi/Leeches) Ezhu (Curcumae Rhizoma, stir-fried with Mengchong/Ground Beetles) Sanleng (Sparganii Rhizoma, stir-fried with Ganxi/Dry Lacquer) Binglang (Arecae Semen, stir-fried with Banmao/Mustard Blister Beetles) Wuzhuyu (Evodiae Fructus, stir-fried with Qianniu/Pharbitidis Semen) Ganjiang (Zingiberis Rhizoma, stir-fried with Sha/Sand) Hujiao (Piperis Longi Fructus, stir-fried with Huixiang/Foeniculi Fructus) Fuzi (Aconiti Lateralis Radix Praeparata, stir-fried with Yan/Salt) Chishaoyao (Paeoniae Radix Rubra, stir-fried with Chuanjiao/Zanthoxyli Pericarpium) Shichangpu (Acori Tatarinowii Rhizoma, stir-fried with Taoren/Persicae Semen)
All the above ingredients are stir-fried together until cooked, then the leeches, ground beetles, etc., are removed. The remaining material is ground into powder, mixed with wine paste to form pills the size of paulownia seeds. Take 5 to 7 pills per dose, administered on an empty stomach with Zisu Tang (Perilla Decoction).
This prescription is indicated for various types of abdominal distension and enlargement, stuffiness and obstruction, and false constipation.
Qingpi, Ezhu, Sanleng, and Shichangpu are Qi-accumulating herbs; when stir-fried with Shuizhi, Mengchong, Ganxi, and Taoren, they drive out stale blood! Ganjiang, Fuzi, Hujiao, and Wuzhuyu are Middle-Warming herbs; when stir-fried with Sha, Salt, Huixiang, and Qianniu, they soften hardness and promote unblocking and draining. Binglang, when stir-fried with Banmao, enhances the aggressive nature of Qi-descending herbs by combining them with Qi-breaking herbs. Chishaoyao, when stir-fried with Chuanjiao, enhances the benefit of Liver-draining herbs by combining them with Liver-soothing herbs. Such craftsmanship in processing demonstrates their efficacy; using them to treat conditions of Qi excess and surplus is indeed an excellent choice.