问曰。中焦为病侯何谓也。答曰。乳食饥饱失度。遂致腹内万变病。假令如疳癖谷瘕。若肿满胀单。即是也。儿嗔
声缓急。啼号无泪。而脉弦急。此为腹痛也。腹痛在脐上硬满者。必食饪也在脐下石硬者。后必致淋也。腹痛。食饪所
致者。平胃散主之。
平胃散方
浓朴（三两四钱） 陈皮（四两） 苍术（一两） 甘草（五钱） 生姜（五钱）
上五味。 咀。焙捣为末。每服一钱。以盐汤。搅调服。伤寒。发汗后。腹胀满者。宜浓朴生姜甘草半夏人参汤主
之。
浓朴生姜甘草半夏人参汤方
浓朴（一钱） 生姜（三分） 半夏（五分） 人参（二分） 甘草（三分）
上五味。以水一升。煮取七合。去滓。分温服。儿肠脆窄。过餐生冷。腹郁满而微痛此为食郁。莪术丸主之。
莪术丸方
莪术 三棱 陈皮 青皮 缩砂（各五钱） 干姜 胡椒（各二钱）
上七味。捣筛。以醋糊为丸。每服二三分。胁腹。挛拘而痛者。与建中汤。若膨满而痛者不当。与也。体肤 白。
四肢乏力。腔内时痛。雷鸣而溏。宜浓朴枳实汤。
浓朴枳实汤方
浓朴（五分） 枳实（三分） 陈皮（五分） 茯苓（五分） 香附子（五分） 槟榔（五分） 黄连（三分）
上七味。以水二升。煮取一升。去滓。分温服。腹硬脉弦。痛而闭者。浓朴三物汤主之。
浓朴三物汤方
浓朴（一钱） 枳实（五分） 大黄（五分） 甘草（三分）
上四味。以水一升。煮取七合。去滓。分温服。腹内绞痛。四肢厥冷。脉沉伏而阴缩者。猪胆酒主之。
猪胆酒方
野猪胆（二个）
上一味。以烧酒一升。煮减二三分。分温。频频服。胸腹雷鸣急痛。脉沉弦。腰脚如冰冷者。宜熏脐法。熏脐法。
碗表凿二三孔。仍以熟艾指大。倒着其里面。点火以覆其脐。烟当从孔出。熏竭再三根据前法。以腹温为度。盘肠痛。属
寒疝。但不直视者是也。乌头桂枝汤主之。
乌头桂枝汤方
乌头（一枚熬）
上一味。以蜜三升。煎减一升。去滓。以桂枝汤一升解之。分温少少服。不知者。稍加服。知者如醉状。得吐者为
中病。盘肠痛。冷气郁结而不解者。当归四逆加吴茱萸汤主之。
当归四逆加吴茱萸汤方
当归（一钱） 芍药（一钱） 桂枝（三分） 细辛（三分） 吴茱萸（二分） 生姜（三分） 通草（一钱） 甘
草（二分） 大枣（二枚）
上九味。以水一升。清酒一升。煮和。取一升。去滓。分温三服。儿腹肚绞痛。有螈 者内钓也。无螈 此为盘肠。
宜当归附子汤。
当归附子汤方
当归 牛膝 芍药（各二钱） 桂枝 附子 甘草（各五分）
上六味。以水二升。煮取一升。去滓。分温服。妇女腰腹绞痛。面红者。此为血气所致也。宜桃核承气汤。桂枝茯
苓丸亦主之。
桂枝茯苓丸方
桂枝 茯苓 牡丹（去心） 桃仁（去皮尖熬） 芍药（各等分）
上五味。末之。炼蜜和丸。如弹丸大。每日食前服一丸。不知加至三丸。腹内血气 痛者。蟹爪枳实汤主之。
蟹爪枳实汤方
蟹爪（浸醋灸一钱） 枳实（一钱） 芒硝（三分） 芍药（一钱） 桃仁（五分） 甘草（三分）
上六味。以水二升。煮取一升。去滓。分温服。胁下偏痛。发热脉紧弦。此寒也。以温药下之。大黄附子汤主之。
大黄附子汤方
大黄（五分） 附子（三分） 细辛（三分）
上三味。以水二升。煮取一升。去滓。分温三服。腹中寒气。雷鸣切痛。胸胁逆满呕吐。附子粳米汤主之。
附子粳米汤方
附子（三分炮） 半夏（五分） 甘草（三分） 大枣（三枚） 粳米（五分）
上五味。以水一升。煮米熟。汤成去滓。分温服。论曰。腹满按之硬。而落落者。为癖块也。濡而漉漉者。为湿肿
也。儿脾弱。食谷不化。遂致食瘕。宜溃坚汤主之。腹内食谷不消。郁塞而硬满。逐致虫块。宜鹧鸪菜汤。癖块属脾弱。
其治无泻法。宜磨谷化块方。 结。积聚虚冷。若中 霍乱。宜木天蓼汤主之。
木天蓼汤方
木天蓼（五分） 枳实（三分） 茯苓（五分） 桂枝（三分） 生姜（三分）
上五味。以水一升。煮取七合。去滓。分温服。 块鼓满。按之不移。四肢细削者。溃坚酒服之。
溃坚酒方
野狼毒（一两） 三棱（五钱） 莪术（五钱） 枳实（四钱） 槟榔（四钱） 缩砂（三钱） 青皮（三钱） 干
姜（三钱） 白糖（半斤）
上九味捣筛。以烧酒一斗。搅调蜜封。四五日分服。日二三次。病者腹满。时减。复如故。此为脾虚鼓满之渐也。
宜罗勒汤主之。
罗勒汤方
罗勒（一钱） 人参（三分） 枳实（三分） 青皮（三分） 茯苓（五分） 白术（三分） 浓朴（三分） 生
姜（三分） 大枣（三枚）
上九味。以水二升。煮取一升。去滓。分温服。消食破满气。槟榔丸主之。
槟榔丸方
槟榔（三钱） 木香 人参（各二钱） 枳实（四钱） 胡椒（一钱） 甘草（二钱）
上六味。酒糊丸。病患鼓满渐胀。饮食反如故。此为肠表 肉。名曰胀单。废人也。胸腹大满。奔豚悸动。短息而
额汗出者。不可治。块瘕渐大。四肢肿满。从脐水沥流者。为难治。肿从四肢。向腹者。尚可治也。从腹向四肢者。不
可治也。
问：中焦患病有哪些证候呢？答：由于哺乳和饮食饥饱失度，导致腹部产生各种病变。例如疳积、癖块、谷瘕（因食积形成的肿块），以及单腹胀（腹部肿胀而四肢消瘦）等，都属于此类。小儿哭闹时声音忽缓忽急，啼哭时无泪，脉象弦急，这是腹痛的表现。如果腹痛部位在肚脐上方且按之硬满，必定是食物停滞；如果在肚脐下方按之如石头般坚硬，日后必然会导致淋证（小便频数短涩、滴沥刺痛）。如果是因食物停滞引起的腹痛，用平胃散主治。
平胃散方
厚朴（三两四钱） 陈皮（四两） 苍术（一两） 甘草（五钱） 生姜（五钱）
以上五味药，切碎，焙干后捣成粉末。每次服用一钱，用盐汤调服。如果是伤寒病，发汗后出现腹胀满的，宜用厚朴生姜半夏甘草人参汤主治。
厚朴生姜半夏甘草人参汤方
厚朴（一钱） 生姜（三分） 半夏（五分） 人参（二分） 甘草（三分）
以上五味药，用水一升，煮取七合，去渣，分次温服。小儿肠道脆弱狭窄，过食生冷食物，导致腹部郁滞胀满且微痛，这是食郁证，用莪术丸主治。
莪术丸方
莪术 三棱 陈皮 青皮 缩砂仁（各五钱） 干姜 胡椒（各二钱）
以上七味药，捣碎过筛，用醋糊做成丸药。每次服用二三分。如果胁腹拘挛疼痛，给予建中汤。如果是腹部膨隆胀满而痛，则不适用建中汤。如果身体皮肤苍白，四肢乏力，腹部时常疼痛，肠鸣音重且大便溏薄，宜用厚朴枳实汤。
厚朴枳实汤方
厚朴（五分） 枳实（三分） 陈皮（五分） 茯苓（五分） 香附子（五分） 槟榔（五分） 黄连（三分）
以上七味药，用水二升，煮取一升，去渣，分次温服。如果腹部坚硬，脉象弦，疼痛且大便闭结，用厚朴三物汤主治。
厚朴三物汤方
厚朴（一钱） 枳实（五分） 大黄（五分） 甘草（三分）
以上四味药，用水一升，煮取七合，去渣，分次温服。如果腹内绞痛，四肢厥冷，脉象沉伏且阴器收缩，用猪胆酒主治。
猪胆酒方
野猪胆（两个）
以上一味药，用烧酒一升，煮至减少二三分，分次温服，频频饮用。如果胸腹雷鸣样急痛，脉象沉弦，腰脚感觉像冰冷一样，宜用熏脐法。熏脐法是用碗底凿两三个孔，将指头粗的熟艾绒倒置放入碗内，点火后用碗覆盖在脐上，烟雾从孔中冒出。熏灸完毕后再依前法重复几次，以腹部温暖为度。盘肠痛属于寒疝，只是不直视眼睛的是这种病。用乌头桂枝汤主治。
乌头桂枝汤方
乌头（一枚，熬制）
以上一味药，用蜂蜜三升，煎至减少一升，去渣，用桂枝汤一升来化解乌头汁，分次少量温服。服药后若无反应，稍增加剂量。若服药后有类似醉酒的感觉，或者呕吐，说明药已中病。对于盘肠痛，若是冷气郁结不解的，用当归四逆加吴茱萸汤主治。
当归四逆加吴茱萸汤方
当归（一钱） 芍药（一钱） 桂枝（三分） 细辛（三分） 吴茱萸（二分） 生姜（三分） 通草（一钱） 甘草（二分） 大枣（二枚）
以上九味药，用水一升、清酒一升，混合煎煮，取一升药液，去渣，分三次温服。小儿腹部绞痛，伴有抽搐的是“内钓”证；没有抽搐的是“盘肠”痛，宜用当归附子汤。
当归附子汤方
当归 牛膝 芍药（各二钱） 桂枝 附子 甘草（各五分）
以上六味药，用水二升，煮取一升，去渣，分次温服。妇女腰腹绞痛，面色发红，这是血气失调所致，宜用桃核承气汤。桂枝茯苓丸也可主治。
桂枝茯苓丸方
桂枝 茯苓 牡丹皮（去心） 桃仁（去皮尖，炒） 芍药（各等分）
以上五味药，研成粉末，炼蜜和丸，如弹丸大小。每日饭前服一丸，无效可加至三丸。腹内血气作痛的，用蟹爪枳实汤主治。
蟹爪枳实汤方
蟹爪（浸醋后炙，一钱） 枳实（一钱） 芒硝（三分） 芍药（一钱） 桃仁（五分） 甘草（三分）
以上六味药，用水二升，煮取一升，去渣，分次温服。胁下偏侧疼痛，发热，脉象紧弦，这是寒邪所致，应用温药攻下，用大黄附子汤主治。
大黄附子汤方
大黄（五分） 附子（三分） 细辛（三分）
以上三味药，用水二升，煮取一升，去渣，分三次温服。腹中有寒气，肠鸣切痛，胸胁气逆胀满并呕吐，用附子粳米汤主治。
附子粳米汤方
附子（三分，炮制） 半夏（五分） 甘草（三分） 大枣（三枚） 粳米（五分）
以上五味药，用水一升，煮至米熟，药成后去渣，分次温服。论述说：腹部胀满，按之坚硬且有包块的，是癖块；按之濡软且漉漉有声的，是湿肿。小儿脾弱，食物不消化，导致食瘕，宜用溃坚汤主治。腹内食物不消，郁塞而硬满，逐渐形成虫块，宜用鹧鸪菜汤。癖块属于脾虚，治疗不能用泻法，宜用磨谷化块方。如果是积聚虚冷，或者中恶霍乱，宜用木天蓼汤主治。
木天蓼汤方
木天蓼（五分） 枳实（三分） 茯苓（五分） 桂枝（三分） 生姜（三分）
以上五味药，用水一升，煮取七合，去渣，分次温服。如果有痞块，腹部鼓胀，按之不移，四肢消瘦，用溃坚酒送服。
溃坚酒方
野狼毒（一两） 三棱（五钱） 莪术（五钱） 枳实（四钱） 槟榔（四钱） 缩砂仁（三钱） 青皮（三钱） 干姜（三钱） 白糖（半斤）
以上九味药捣碎过筛，用烧酒一斗，搅拌调和并用蜜封固，四五天后分服，每天二三次。病人腹部胀满，有时减轻，过后又恢复原状，这是脾虚导致鼓胀的征兆，宜用罗勒汤主治。
罗勒汤方
罗勒（一钱） 人参（三分） 枳实（三分） 青皮（三分） 茯苓（五分） 白术（三分） 厚朴（三分） 生姜（三分） 大枣（三枚）
以上九味药，用水二升，煮取一升，去渣，分次温服。为了消食破气除满，用槟榔丸主治。
槟榔丸方
槟榔（三钱） 木香 人参（各二钱） 枳实（四钱） 胡椒（一钱） 甘草（二钱）
以上六味药，用酒糊做丸。如果病人鼓胀逐渐加重，饮食却反而正常，这是肠外有肉，名叫“胀单”，会导致废人。如果胸腹大满，有奔豚悸动感，呼吸短促且额头出汗，则不可治。如果痞块瘕聚逐渐增大，四肢肿满，从脐部流水者，为难治。如果水肿从四肢开始向腹部发展，尚可治疗；如果从腹部向四肢发展，则不可治。
Question: What are the manifestations of diseases in the Middle Jiao? Answer: These arise from irregular feeding and eating habits, leading to various pathological changes within the abdomen. For instance, conditions such as Ganic accumulation (pediatric malnutrition syndrome), Piku masses (abdominal lumps due to food stagnation), Gujia (masses formed by undigested food), and Dan Zhang (monolithic abdominal distension with thin limbs) fall into this category. If a child cries with varying intensity, wails without tears, and presents with a wiry and rapid pulse, this indicates abdominal pain. If the painful area is above the umbilicus and feels hard and full upon palpation, it is certainly caused by food retention; if it feels stone-hard below the umbilicus, it will likely lead to Lin syndrome (dysuria) later. For abdominal pain caused by food retention, Pingwei San (Stomach-Pacifying Powder) is indicated.
Pingwei San Formula
Cortex Magnoliae Officinalis (3 liang 4 qian)
Pericarpium Citri Reticulatae (4 liang)
Rhizoma Atractylodis Macrocephalae (1 liang)
Radix Glycyrrhizae (5 qian)
Rhizoma Zingiberis Recens (5 qian)
The above five herbs are chopped, dried, and ground into powder. Take 1 qian per dose, mixed and taken with salt water. In cases of Cold Damage (Shanghan), if abdominal distension occurs after sweating, Houpo Shengjiang Banxia Gancao Renshen Tang (Magnolia Bark, Fresh Ginger, Pinellia, Licorice, and Ginseng Decoction) is indicated.
Houpo Shengjiang Banxia Gancao Renshen Tang Formula
Cortex Magnoliae Officinalis (1 qian)
Rhizoma Zingiberis Recens (3 fen)
Rhizoma Pinelliae Preparatum (5 fen)
Radix Ginseng (2 fen)
Radix Glycyrrhizae (3 fen)
The above five herbs are boiled in 1 sheng of water until reduced to 7 ge. Strain and take warm in divided doses. Children have fragile and narrow intestines; overconsumption of cold and raw foods leads to abdominal stagnation, distension, and mild pain, known as Food Stagnation Syndrome. Ezhu Wan (Curcuma Pill) is indicated.
Ezhu Wan Formula
Rhizoma Curcumae (5 qian)
Rhizoma Sparganii (5 qian)
Pericarpium Citri Reticulatae (5 qian)
Pericarpium Citri Reticulatae Viride (5 qian)
Fructus Amomi Rotundus (5 qian)
Rhizoma Zingiberis Secatum (2 qian)
Fructus Piperis Longi (2 qian)
The above seven herbs are crushed, sifted, and made into pills using vinegar paste. Take 2-3 fen per dose. For cramping pain in the hypochondrium and abdomen, Jianzhong Tang (Middle-Jiao-Supplementing Decoction) is given. However, for distension and fullness with pain, Jianzhong Tang is not suitable. For pale skin, weak limbs, occasional abdominal pain, loud borborygmus, and loose stools, Houpo Zhishi Tang (Magnolia Bark and Immature Bitter Orange Decoction) is indicated.
Houpo Zhishi Tang Formula
Cortex Magnoliae Officinalis (5 fen)
Fructus Aurantii Immaturus (3 fen)
Pericarpium Citri Reticulatae (5 fen)
Poria (5 fen)
Rhizoma Cyperi Rotundi (5 fen)
Semen Arecae (5 fen)
Rhizoma Coptidis (3 fen)
The above seven herbs are boiled in 2 sheng of water until reduced to 1 sheng. Strain and take warm in divided doses. For a hard abdomen, wiry pulse, pain, and constipation, Houpo Sangu Tang (Magnolia Bark and Three Ingredients Decoction) is indicated.
Houpo Sangu Tang Formula
Cortex Magnoliae Officinalis (1 qian)
Fructus Aurantii Immaturus (5 fen)
Radix et Rhizoma Rhei (5 fen)
Radix Glycyrrhizae (3 fen)
The above four herbs are boiled in 1 sheng of water until reduced to 7 ge. Strain and take warm in divided doses. For severe colicky abdominal pain, cold extremities, deep and hidden pulse, and retraction of the genitals, Zhudanjie (Pig Gallbladder Wine) is indicated.
Zhudanjie Formula
Gallbladder of Wild Boar (2 units)
Boil the above single ingredient in 1 sheng of distilled spirits until reduced by 2-3 fen. Take warm frequently. For urgent thunder-like pain in the chest and abdomen, deep wiry pulse, and icy cold sensation in the waist and legs, the Umbilical Moxibustion Method is indicated. The method involves drilling two or three holes in a bowl, placing a thumb-sized piece of prepared mugwort inside, lighting it, and covering the umbilicus so that smoke exits through the holes. Repeat this process several times until the abdomen feels warm. Pan Chang Tong (Intestinal Coiling Pain) belongs to Cold Hernia, characterized by the absence of upward gaze. Wutou Guizhi Tang (Aconite and Cinnamon Twig Decoction) is indicated.
Wutou Guizhi Tang Formula
Radix Aconiti Lateralis Preparata (1 piece, processed)
Boil the above single ingredient in 3 sheng of honey until reduced to 1 sheng. Strain and mix with 1 sheng of Guizhi Tang (Cinnamon Twig Decoction). Take small amounts warm. If there is no effect, slightly increase the dose. A feeling similar to drunkenness or vomiting indicates the medicine has taken effect. For Pan Chang Tong caused by unresolved cold qi stagnation, Danggui Sini Jia Wuzhuyu Tang (Angelica Sinensis, Cold-Unblocking Decoction plus Evodia) is indicated.
Danggui Sini Jia Wuzhuyu Tang Formula
Radix Angelicae Sinensis (1 qian)
Radix Paeoniae Alba (1 qian)
Ramulus Cinnamomi (3 fen)
Radix Asari (3 fen)
Fructus Evodiae (2 fen)
Rhizoma Zingiberis Recens (3 fen)
Herba Tectariae Communes (1 qian)
Radix Glycyrrhizae (2 fen)
Fructus Jujubae (2 pieces)
The above nine herbs are boiled together in 1 sheng of water and 1 sheng of clear wine until reduced to 1 sheng. Strain and take warm in three divided doses. Severe colicky abdominal pain in children with convulsions indicates Neidiao (Internal Hooking); without convulsions, it is Pan Chang (Coiled Intestine) pain. Danggui Fuzi Tang (Angelica and Aconite Decoction) is indicated.
Danggui Fuzi Tang Formula
Radix Angelicae Sinensis
Radix Achyranthis Bidentatae
Radix Paeoniae Alba (each 2 qian)
Ramulus Cinnamomi
Radix Aconiti Lateralis Preparata
Radix Glycyrrhizae (each 5 fen)
The above six herbs are boiled in 2 sheng of water until reduced to 1 sheng. Strain and take warm in divided doses. Abdominal and lumbar colicky pain with facial redness in women is caused by blood and qi disorders. Taohe Chengqi Tang (Peach Kernel and Salty Decoction) is indicated. Guizhi Fuling Wan (Cinnamon Twig and Poria Pill) is also applicable.
Guizhi Fuling Wan Formula
Ramulus Cinnamomi
Poria
Cortex Moutan (core removed)
Semen Persicae (skin and tip removed, roasted)
Radix Paeoniae Alba (equal parts)
The above five herbs are powdered, mixed with refined honey, and made into pills the size of a bullet. Take one pill before meals daily; increase to three pills if ineffective. For abdominal pain due to blood and qi stagnation, Xiezha Zhishi Tang (Crab Claw and Immature Bitter Orange Decoction) is indicated.
Xiezha Zhishi Tang Formula
Claws of Crab (soaked in vinegar and roasted, 1 qian)
Fructus Aurantii Immaturus (1 qian)
Natrii Sulfas (3 fen)
Radix Paeoniae Alba (1 qian)
Semen Persicae (5 fen)
Radix Glycyrrhizae (3 fen)
The above six herbs are boiled in 2 sheng of water until reduced to 1 sheng. Strain and take warm in divided doses. Unilateral hypochondriac pain with fever and a tight, wiry pulse indicates Cold. Warm purgatives should be used. Dahuang Fuzi Tang (Rhubarb and Aconite Decoction) is indicated.
Dahuang Fuzi Tang Formula
Radix et Rhizoma Rhei (5 fen)
Radix Aconiti Lateralis Preparata (3 fen)
Radix Asari (3 fen)
The above three herbs are boiled in 2 sheng of water until reduced to 1 sheng. Strain and take warm in three divided doses. For cold qi in the abdomen causing loud borborygmus, cutting pain, rebellious fullness in the chest and hypochondrium, and vomiting, Fuzi Jingmi Tang (Aconite and Rice Decoction) is indicated.
Fuzi Jingmi Tang Formula
Radix Aconiti Lateralis Preparata (3 fen, processed)
Rhizoma Pinelliae Preparatum (5 fen)
Radix Glycyrrhizae (3 fen)
Fructus Jujubae (3 pieces)
Semen Oryzae Glutinosa (5 fen)
The above five herbs are boiled in 1 sheng of water until the rice is cooked. Strain and take warm in divided doses. It is stated: Abdominal fullness that is hard upon palpation with distinct masses indicates Pi Ku (accumulated masses); soft and gurgling upon palpation indicates Shi Zhong (dampness-induced edema). Due to weak spleen function and inability to digest food, children may develop Shi Xia (food mass). Kuijian Tang (Hardness-Dissolving Decoction) is indicated. If food remains undigested in the abdomen, causing stagnation, hardness, and eventually worm masses, Zhegu Cai Tang (Pheasant Fern Decoction) is indicated. Pi Ku belongs to spleen deficiency; treatment should not involve purging. Mogu Huakuai Fang (Grain-Grinding Mass-Dissolving Formula) is indicated. For accumulation and excess-cold, or sudden violent vomiting and diarrhea (Huoluan), Mutianliao Tang (Kadsura and Vine Decoction) is indicated.
Mutianliao Tang Formula
Fructus Kadsurae Longipedunculatae (5 fen)
Fructus Aurantii Immaturus (3 fen)
Poria (5 fen)
Ramulus Cinnamomi (3 fen)
Rhizoma Zingiberis Recens (3 fen)
The above five herbs are boiled in 1 sheng of water until reduced to 7 ge. Strain and take warm in divided doses. For fixed masses and drum-like abdominal distension that does not move upon pressure, with emaciated limbs, Kuijian Jiu (Hardness-Dissolving Wine) is taken.
Kuijian Jiu Formula
Radix Stellerae Chamaejasme (1 liang)
Rhizoma Sparganii (5 qian)
Rhizoma Curcumae (5 qian)
Fructus Aurantii Immaturus (4 qian)
Semen Arecae (4 qian)
Fructus Amomi Rotundus (3 qian)
Pericarpium Citri Reticulatae Viride (3 qian)
Rhizoma Zingiberis Secatum (3 qian)
Saccharum (half jin)
The above nine herbs are crushed and sifted, mixed with 1 dou of distilled spirits, sealed with honey, and left for 4-5 days. Take in divided doses, 2-3 times daily. If the patient's abdomen is full but occasionally reduces, only to return to normal, this is the onset of Pi Xu Drum Distension (Spleen Deficiency Abdominal Distension). Luole Tang (Basil Decoction) is indicated.
Luole Tang Formula
Herba Ocimi Basilici (1 qian)
Radix Ginseng (3 fen)
Fructus Aurantii Immaturus (3 fen)
Pericarpium Citri Reticulatae Viride (3 fen)
Poria (5 fen)
Rhizoma Atractylodis Macrocephalae (3 fen)
Cortex Magnoliae Officinalis (3 fen)
Rhizoma Zingiberis Recens (3 fen)
Fructus Jujubae (3 pieces)
The above nine herbs are boiled in 2 sheng of water until reduced to 1 sheng. Strain and take warm in divided doses. To digest food and break up Qi stagnation and fullness, Binglang Wan (Areca Nut Pill) is indicated.
Binglang Wan Formula
Semen Arecae (3 qian)
Lignum Aucklandiae (2 qian)
Radix Ginseng (2 qian)
Fructus Aurantii Immaturus (4 qian)
Fructus Piperis Longi (1 qian)
Radix Glycyrrhizae (2 qian)
The above six herbs are made into pills using a rice wine paste. If abdominal distension gradually worsens while appetite remains normal, this is "Chang Biao Rou" (intestinal outer flesh), named Zhang Dan. This condition renders the person disabled. If the chest and abdomen are largely full, with sensations of running piglet (Ben Tun) palpitations, shortness of breath, and sweating on the forehead, it is incurable. If masses gradually enlarge, limbs become swollen and full, and fluid leaks from the umbilicus, it is difficult to treat. Edema starting from the limbs and moving toward the abdomen is still treatable; edema starting from the abdomen and moving toward the limbs is incurable.