乳石发心腹胀满者。以饮食居处。皆犯温懊。石势壅遏。不得宣通。故腑脏之间。热气
相搏
能冷
病。
性清
酸之
痛。
其
方
葳蕤汤（出圣济总录）治乳石发动。心胸痞胀热毒。
葳蕤 黄芩（去黑皮） 升麻 干姜（炮） 柴胡（去苗各一两半） 芍药 黄连（去
须各一
两）
并
豉少许
止。
黄芩汤（一名黄芩散出圣济总录）治乳石发。腹胀头痛。先有癖实不消。或
饮酒食肉所致。时苦心急痛者。
大黄汤（出圣济总录）治乳石发动。上气热实。心腹满。小便赤。大便不利
。痞逆冲胸。口
大黄（锉炒一两） 黄芩（去黑心三两） 黄连（去须锉） 甘草（炙锉） 麦门冬（去心焙各
二两）
温服。
石膏汤（出圣济总录）治乳石发。大热心腹满胀。
石膏 大青（各三两） 黄芩（去黑心） 升麻 芍药（各二两） 上粗捣筛。每服五
钱。水
一盏
香豉汤（出圣济总录）治乳石发。内有虚热。胸腹痞满。外风湿不解。肌肉
拘急。
豉（二两） 栀子仁（十四枚） 葱白（一握切） 黄芩（去黑心三两） 上除葱豉外。
粗捣
筛。每
甘草汤（出圣济总录）治乳石发内热结不除。或以饮酒。冷食。澡洗犹不解
。或腹胀头痛。
眼目疼。或先由癖食不消。或连饮不食。或作心痛。
甘草（炙锉） 黄芩（去黑心） 大黄（锉炒二两） 上粗捣筛。每服五钱。水一盏半。
煎至
八分
导气丸（出圣济总录）治乳石发心腹胀满。
用牵牛四两。捣罗为末。以生姜自然汁。煮面糊和丸。如梧桐子大。每服五十丸。生姜
汤下
治乳石发。腹胀欲裂者。为久坐。下热及衣温。失食所致。（出圣济总录）
宜数冷食。冷冻饮料洗。当风取冷。须臾愈之。
乳石药性发作导致心腹胀满的病症，是因为饮食起居都触犯了温燥之邪，石药的势态壅滞遏阻，不能宣通散发。因此脏腑之间热气相互搏结，（进而）能引发冷病。（原文此处文字有脱漏或错简，难以完整连贯翻译，仅保留“能冷”、“性清”、“酸之”、“痛”等残存字词，意指可能伴有寒冷、清冷、酸痛等疼痛症状。）
葳蕤汤（出自《圣济总录》），治疗乳石药性发动，心胸痞塞胀满、热毒蕴结。
处方组成：葳蕤、黄芩（去除黑色外皮）、升麻、干姜（炮制）、柴胡（去除苗茎，各一两半）、芍药、黄连（去除须根，各一两）。
用法：以上药材切碎，加入少许豆豉，水煎服，以症状停止为度。
黄芩汤（又名黄芩散，出自《圣济总录》），治疗乳石药性发作，出现腹胀、头痛。患者先前可能有癥癖实积不消，或因饮酒、食肉所致，时常感到心中苦闷、急迫疼痛。
大黄汤（出自《圣济总录》），治疗乳石药性发动，气逆上冲、热实证候，心腹部胀满，小便颜色红赤，大便不通利，痞塞之气上逆冲击胸部，口舌干燥。
处方组成：大黄（锉碎炒制，一两）、黄芩（去除黑色中心，三两）、黄连（去除须根，锉碎）、甘草（炙烤后锉碎）、麦门冬（去除心，焙干，各二两）。
用法：以上药材粗捣筛匀，温水送服。
石膏汤（出自《圣济总录》），治疗乳石药性发作，大热、心腹满胀。
处方组成：石膏、大青（各三两）、黄芩（去除黑色中心）、升麻、芍药（各二两）。
用法：以上药材粗捣筛匀，每次服用五钱，加水一盏，煎煮至适量，加入香豉同煎。
香豉汤（出自《圣济总录》），治疗乳石药性发作，体内有虚热，胸腹部痞塞胀满，外部风湿之邪未解，肌肉拘挛紧急。
处方组成：豆豉（二两）、栀子仁（十四枚）、葱白（一握，切碎）、黄芩（去除黑色中心，三两）。
用法：除葱白和豆豉外，其余药材粗捣筛匀，加水煎煮，最后加入葱白和豆豉稍煮即可。
甘草汤（出自《圣济总录》），治疗乳石药性发作，内热结聚不散。或者因饮酒、吃冷食、洗澡洗浴后仍不解脱。或者出现腹胀、头痛，眼目疼痛。或者先前由癥癖食物不消化引起，或者连续饮水而不进食，或者引发心痛。
处方组成：甘草（炙烤后锉碎）、黄芩（去除黑色中心）、大黄（锉碎炒制，二两）。
用法：以上药材粗捣筛匀，每次服用五钱，加水一盏半，煎煮至八分满，去渣温服。
导气丸（出自《圣济总录》），治疗乳石药性发作导致的心腹胀满。
处方组成：用牵牛子四两，捣碎过罗成粉末，用生姜自然汁，煮面糊调和制成丸药，如梧桐子大小。
用法：每次服用五十丸，用生姜汤送下。
治疗乳石药性发作，腹胀欲裂的病症，多因久坐、下焦热盛及衣物过暖、饮食失节所致。（出自《圣济总录》）
宜多次食用冷食，饮用冷冻饮料，洗澡时当风取凉，片刻即可痊愈。
When the effects of mineral drugs (Rushi) manifest as fullness and distension in the heart and abdomen, it is because diet and lifestyle have all violated warm and stifling conditions. The momentum of the minerals becomes obstructed and stagnant, failing to diffuse and circulate freely. Consequently, heat qi within the zang-fu organs fights with each other, potentially leading to cold pathologies. [Note: The original text contains fragmented phrases such as "can cold," "nature clear," "sour," and "pain," indicating associated symptoms like cold sensations, clear/cold qualities, sour discomfort, and pain.]
Weirui Decoction (Cistanche Decoction, from *Shengji Zonglu*) treats the manifestation of mineral drugs, characterized by chest and epigastric stuffiness, distension, and heat toxicity.
Ingredients: Weirui (Rhizoma Polygonati), Huangqin (Scutellariae Radix, remove black skin), Shengma (Cimicifugae Rhizoma), Ganjiang (Zingiberis Rhizoma Praeparatum, processed), Chaihu (Bupleuri Radix, remove seedlings, each 1.5 liang), Shaoyao (Paeoniae Radix), Huanglian (Coptidis Rhizoma, remove mustache, each 1 liang).
Usage: Coarsely crush the herbs, add a small amount of Douchi (Fermented Soybean), decoct with water, and take orally until symptoms cease.
Huangqin Decoction (also known as Huangqin Powder, from *Shengji Zonglu*) treats the manifestation of mineral drugs, presenting with abdominal distension and headache. Patients may previously have had fixed masses or accumulation that did not resolve, caused by drinking alcohol or eating meat, often suffering from bitter sensation in the heart, urgency, and pain.
Dahuang Decoction (from *Shengji Zonglu*) treats the manifestation of mineral drugs, featuring rebellious qi, excess heat syndrome, fullness and distension of the heart and abdomen, red urine, difficult defecation, stuffiness with rebellious qi rushing to the chest, and dry mouth.
Ingredients: Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, 1 liang), Huangqin (Scutellariae Radix, remove black center, 3 liang), Huanglian (Coptidis Rhizoma, remove mustache and crush), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Maimendong (Ophiopogonis Radix, remove heart and baked, each 2 liang).
Usage: Coarsely crush and sieve the herbs, take orally with warm water.
Shigao Decoction (Gypsum Decoction, from *Shengji Zonglu*) treats the manifestation of mineral drugs, presenting with high fever, fullness, and distension of the heart and abdomen.
Ingredients: Shigao (Gypsum Fibrosum, 3 liang), Daqing (Indigo Naturalis, 3 liang), Huangqin (Scutellariae Radix, remove black center), Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix, each 2 liang).
Usage: Coarsely crush and sieve the herbs. Take 5 qian per dose, decoct with one zhan of water, adding Xiangchi (Fragrant Fermented Soybean) during decoction.
Xiangchi Decoction (Fragrant Fermented Soybean Decoction, from *Shengji Zonglu*) treats the manifestation of mineral drugs, characterized by internal deficient heat, chest and abdominal stuffiness and distension, unresolved external wind-dampness, and muscle contraction and tension.
Ingredients: Chi (Fermented Soybean, 2 liang), Zhizi Ren (Gardeniae Semen, 14 pieces), Congbai (Allii Fistulosi Bulbus, one handful, chopped), Huangqin (Scutellariae Radix, remove black center, 3 liang).
Usage: Except for Congbai and Chi, coarsely crush and sieve the remaining herbs. Decoct with water, adding Congbai and Chi towards the end.
Gancao Decoction (Licorice Decoction, from *Shengji Zonglu*) treats the manifestation of mineral drugs where internal heat accumulates and does not dissipate. This may occur after drinking alcohol, eating cold food, or bathing/washing without relief. Symptoms may include abdominal distension, headache, eye pain, prior indigestion of accumulated food, continuous drinking without eating, or heart pain.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Huangqin (Scutellariae Radix, remove black center), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, 2 liang).
Usage: Coarsely crush and sieve the herbs. Take 5 qian per dose, decoct with 1.5 zhan of water until reduced to 0.8 zhan, strain, and take warm.
Daoqi Pill (Qi-Guiding Pill, from *Shengji Zonglu*) treats the manifestation of mineral drugs causing heart and abdominal distension and fullness.
Ingredients: Qianniu (Semen Pharbitidis, 4 liang), crushed and sieved into powder. Use natural juice of Shengjiang (Zingiberis Rhizoma Recens) to cook wheat paste for binding.
Usage: Form pills the size of Sophora seeds. Take 50 pills per dose, washed down with Shengjiang Tang (Ginger Decoction).
For treating the manifestation of mineral drugs causing abdominal distension as if bursting, often due to prolonged sitting, lower jiao heat, warm clothing, and dietary irregularities (from *Shengji Zonglu*):
It is advisable to frequently consume cold foods, drink chilled beverages, bathe while facing the wind to cool down, and the condition will resolve shortly.