治腹胀气喘,坐卧不得。
沉香 木香(各一钱半) 枳壳(麸炒) 萝卜子(炒,各三钱)
上作一服,水二盅,生姜三片,煎至一盅,不拘时服。
治气不升降,呕逆恶心,胸膈痞闷,胁肋胀满,及酒食所伤,噎气吞酸,心脾剌痛,大
便不调,面色萎黄,肌肉消瘦,不思饮食。兼治妇人血气刺痛,一切冷气,并皆治之。
方见气门
治腹满发热,阳盛阴虚,阳盛则外热,阴虚则内热,脉必浮数,浮则为虚,数则为热,
阴虚不能宣导,饮食如故致胀满者为热胀。
浓朴(姜汁炒,三钱) 大黄(蒸,二钱) 桂心(五分) 枳实(去幅,麸炒,一钱
半) 甘草(炙,一钱)
上作一服,水二盅,生姜五片,红枣二枚,煎至一盅,食前服,呕者加半夏,利者去大
黄。
治中满热胀,鼓腹气胀。
浓朴(姜制炒,一两) 半夏(汤泡) 枳实(炒,各半两) 黄芩(去皮,半两,夏
月一两) 干生姜 知母(炒,各四钱) 茯苓(去皮) 砂仁(去皮) 泽泻 陈皮(以
上各三钱) 猪苓(去皮) 黄连(去须炒) 姜黄 白术 人参 甘草(各二钱半)
上为细末,和匀汤浸蒸饼和丸,如梧桐子大,每服一百丸,焙热以熟水送下,食远服
,量病大小加减。
治中满腹胀,内有积块,坚硬如石,令人坐卧不安,大小便涩滞,上喘气促,面色痿黄,
通身虚肿。
广术(煨) 黄连 柴胡(去芦) 甘草(生用) 神曲(炒) 泽泻(以上各一钱半)
陈皮(去白) 吴茱萸(汤泡) 青皮(去白) 升麻(以上各一钱) 黄芩(去黑皮) 草
豆蔻(煨) 浓朴(姜制) 当归梢 益智(以上各半钱) 红花(一分) 半夏(七分) 干
葛(二分)
上作一服,水二盅,先浸药少时,煎至一盅,食远服,忌酒湿面。中满服后渐减,积块
未溃,再服后半夏浓朴汤。
治疗腹部胀满、气喘,导致坐立和躺卧都不安适。
沉香、木香(各一钱半)、枳壳(用麦麸炒制)、萝卜子(炒制,各三钱)。
以上药材作为一剂服用,加水两盅,生姜三片,煎煮至一盅,不限时间服用。
治疗气机升降失常,呕吐逆气、恶心,胸膈部痞塞闷痛,胁肋部胀满,以及因饮酒和饮食不当所致的损伤,嗳气吞酸,心脾部位刺痛,大便不调,面色萎黄,肌肉消瘦,不想进食。兼治妇女血气刺痛,各种冷气病,均能治疗。
方剂见“气门”章节。
治疗腹部胀满伴发热,阳气盛而阴气虚。阳气盛则体表发热,阴气虚则体内发热,脉象必定浮数,脉浮表示虚证,脉数表示热证。阴气虚不能宣通疏导,饮食正常却导致胀满的,称为热胀。
浓朴(用姜汁炒制,三钱)、大黄(蒸制,二钱)、桂心(五分)、枳实(去掉粗皮,用麦麸炒制,一钱半)、甘草(炙制,一钱)。
以上药材作为一剂服用,加水两盅,生姜五片,红枣二枚,煎煮至一盅,饭前服用。若伴有呕吐者加半夏,若伴有腹泻者去掉大黄。
治疗中焦痞满、热性胀满,腹部膨隆如鼓、气机胀满。
浓朴(姜制炒制,一两)、半夏(热水浸泡)、枳实(炒制,各半两)、黄芩(去皮,半两,夏季用一两)、干生姜、知母(炒制,各四钱)、茯苓(去皮)、砂仁(去皮)、泽泻、陈皮(以上各三钱)、猪苓(去皮)、黄连(去掉须根并炒制)、姜黄、白术、人参、甘草(各二钱半)。
以上药材研成细末,混合均匀,用汤水浸湿蒸饼调和制成丸药,大小如梧桐子。每次服用一百丸,加热焙干后用熟水送下,饭后较长时间服用,根据病情轻重增减剂量。
治疗中焦痞满、腹部胀满,体内有积块,坚硬如石头,令人坐卧不安,大小便涩滞不畅,上部气喘气促,面色萎黄,全身虚肿。
广术(煨制)、黄连、柴胡(去掉芦头)、甘草(生用)、神曲(炒制)、泽泻(以上各一钱半)、陈皮(去掉白色内层)、吴茱萸(热水浸泡)、青皮(去掉白色内层)、升麻(以上各一钱)、黄芩(去掉黑色外皮)、草豆蔻(煨制)、浓朴(姜制)、当归梢、益智(以上各半钱)、红花(一分)、半夏(七分)、干葛(二分)。
以上药材作为一剂服用,加水两盅,先将药材浸泡一段时间,煎煮至一盅,饭后较长时间服用,忌食酒、湿面。中焦痞满症状在服药后逐渐减轻,若积块未消散,再服用后半夏厚朴汤。
Treats abdominal distension and asthma, causing discomfort in sitting or lying down.
Chenxiang (Aquilaria Lignum), Muxiang (Aucklandiae Radix) (each 1.5 qian), Zhike (Bitter Orange Pericarpium, stir-fried with bran), Luobozhi (Radish Seed, stir-fried) (each 3 qian).
Take as one dose. Add two zhong of water and three slices of Shengjiang (Fresh Ginger Rhizome). Decoct until one zhong remains. Take at any time.
Treats dysfunction of Qi ascending and descending, retching, nausea, chest and diaphragm stuffiness and oppression, hypochondriac distension, and injuries caused by alcohol and food stagnation, belching with acid regurgitation, stabbing pain in the heart and spleen, irregular bowel movements, sallow complexion, emaciation, and anorexia. Also treats stabbing pain due to blood and Qi disorders in women, and all types of cold Qi pathologies.
See the formula under "Qi Gate" chapter.
Treats abdominal fullness with fever, characterized by excess Yang and deficiency Yin. Excess Yang leads to external heat; deficiency Yin leads to internal heat. The pulse must be floating and rapid: floating indicates deficiency, rapid indicates heat. When deficiency Yin fails to promote circulation and guidance, yet diet remains normal leading to distension, it is termed Heat Distension.
Nongpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice, 3 qian), Dahuang (Rhei Radix et Rhizoma, steamed, 2 qian), Guixin (Cinnamomi Ramulus, 0.5 fen), Zhishi (Immature Bitter Orange Fruit, remove coarse skin, stir-fried with bran, 1.5 qian), Gancao (Licorice Root, honey-fried, 1 qian).
Take as one dose. Add two zhong of water, five slices of Shengjiang (Fresh Ginger Rhizome), and two Hongzao (Jujube Fruit). Decoct until one zhong remains. Take before meals. If vomiting occurs, add Banxia (Pinelliae Rhizoma); if diarrhea occurs, remove Dahuang (Rhei Radix et Rhizoma).
Treats middle jiao fullness, heat-type distension, and abdominal swelling like a drum with Qi distension.
Nongpo (Magnoliae Officinalis Cortex, processed with ginger, 1 liang), Banxia (Pinelliae Rhizoma, soaked in boiling water), Zhishi (Immature Bitter Orange Fruit, stir-fried, each 0.5 liang), Huangqin (Scutellariae Radix, peel removed, 0.5 liang, 1 liang in summer), Ganshengjiang (Dried Ginger Rhizome), Zhimu (Anemarrhenae Rhizoma, stir-fried, each 4 qian), Fuling (Poria, peel removed), Sharen (Amomi Fructus, peel removed), Zexie (Alismatis Rhizoma), Chenpi (Citri Reticulatae Pericarpium, each 3 qian), Zhuling (Polyporus, peel removed), Huanglian (Coptidis Rhizoma, remove stamens and stir-fried), Jianghuang (Curcumae Longae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root, each 2.5 qian).
Grind all into fine powder, mix evenly. Moisten with decoction and knead with steamed wheat cake dough to make pills the size of Sophora seeds. Take 100 pills per dose. Roast until warm and swallow with boiled water. Take long after meals. Adjust dosage according to the severity of the disease.
Treats middle jiao fullness, abdominal distension, intra-abdominal masses that are hard as stone, causing restlessness in sitting or lying, difficult urination and defecation, upper body asthma and shortness of breath, sallow complexion, and generalized edema.
Guangzhu (Curcumae Zedoariae Rhizoma, baked), Huanglian (Coptidis Rhizoma), Chaihu (Bupleuri Radix, remove rhizome head), Gancao (Licorice Root, raw use), Shenqu (Massa Medicata Fermentata, stir-fried), Zexie (Alismatis Rhizoma, each 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, remove white pith), Wuzhuyu (Evodiae Fructus, soak in boiling water), Qingpi (Unripe Citrus Peel, remove white pith), Shengma (Cimicifugae Rhizoma, each 1 qian), Huangqin (Scutellariae Radix, remove black skin), Caodoukou (Cardamomi Fructus, baked), Nongpo (Magnoliae Officinalis Cortex, ginger-processed), Danggui Shao (Angelicae Sinensis Radix tip), Yizhi (Alpiniae Oxyphyllae Fructus, each 0.5 qian), Honghua (Carthami Flos, 1 fen), Banxia (Pinelliae Rhizoma, 7 fen), Gange (Puerariae Radix, dried, 2 fen).
Take as one dose. Add two zhong of water. Soak herbs for a while first. Decoct until one zhong remains. Take long after meals. Avoid alcohol and damp noodles. For middle jiao fullness, symptoms will gradually decrease after taking this. If the mass has not dissolved, take Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) subsequently.