（附论）
夫热病服冷药。及饮冷水过多。结在心下。故心腹胀满。此为脏虚。先有旧癖故也。或
吐下以后。病不解。内外有热。亦心腹胀满。此为有实也。
方
槟榔散（出圣惠方）治热病。心腹胀满。四肢烦闷。不欲饮食。宜服。
槟榔 白术 枳壳（麸炒微黄去瓤） 人参（去芦头） 陈橘皮（汤洗去白瓤焙） 麦
（麸
炒微黄各一两） 川大黄（锉碎微炒） 甘草（炙微赤锉各三分） 上为粗散。每服三钱。
以水
一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。
赤芍药散 治热病。心腹胀满。或时疼痛。饮食全微。宜服。
赤芍药 柴胡（去苗） 桔梗（去芦头） 赤茯苓 鳖甲（涂醋炙令黄锉去裙 ） 郁
李仁
（汤浸去皮尖微炒各半两） 木通（三分锉） 上为散。每服四钱。以水一中盏。煎至六分。
去
滓。不计时候。温服之。
诃黎勒散（出圣惠方）治热病。心腹胀满。不能饮食。四肢羸乏。宜服。
诃黎勒（三分去核生用） 赤茯苓（一两半） 陈橘皮（汤浸去白瓤焙） 人参（去芦
头） 白
术槟榔（各一两） 甘草（半两炙微赤锉） 上为散。每服三钱。以水一中盏。入生姜半
分。
煎至六分。去滓。不计时候。温服。
人参散（出圣惠方）治热病出汗后。心腹胀满。呕逆少气。宜服。
人参（去芦头） 木香 半夏（汤洗七次去滑） 甘草（炙微赤锉各半两） 白术 陈
橘皮
（汤浸去白瓤焙各三分） 上为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六
分。
去滓。不计时候。温服。
浓朴散（出圣惠方）治热病。伤冷太过。腹胀呕逆。不纳饮食。宜服。
浓朴（去粗皮涂生姜汁炙令香熟） 半夏（汤洗七次去滑） 人参（去芦头各一两） 藿
香
诃黎勒皮（各三分） 陈橘皮（汤浸去白瓤焙） 甘草（炙微赤锉各半两） 上为散。每服
三钱。
以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。不计时候。温服。
柴胡散（出圣惠方）治热病得汗后。热不解。心腹胀满。宜服。
柴胡（去苗） 赤芍药（各一两） 白术 槟榔 桔梗（去芦头） 甘草（炙微赤锉各
半两）
枳实（麸炒微黄去瓤） 黄芩 诃黎勒皮（各三分） 上为散。每服三钱。以水一中盏。入
生姜
半分。煎至六分。去滓。不计时候。温服。
木香丸（出圣惠方）治热病得汗后。心腹胀满疼痛。宜服。
木香 槟榔 诃黎勒皮（各一两） 桂心 桃仁（汤浸去皮尖双仁麸炒研） 枳实（麸
炒微
黄去瓤各半两） 上为细末。炼蜜和丸。如梧桐子大。每服以生姜汤下二十丸。
大建中汤（出十便良方）治热自腹中。或从背膂。渐渐蒸热。日间小剧。至
夜渐退。或寐而汗出。小便或赤或白而浊。甚则频数尿精。夜梦鬼交。日渐羸瘦。此
由思虑太过。心气耗弱。阳气流散。精神不收。阴无所使。治属费力。
芍药（三两） 黄 远志 当归 泽泻（各一两半） 龙骨 人参 甘草（各一两） 上
为
粗散。每服五钱。水二盏。生姜三片。枣一个。壁泥少许。煎至一盏。去滓。食前温服。（一
方以菖蒲代远志）
参橘丸（出十便良方）治热从腹起。上循胸腋。绕颈与额。初似温温。渐至
大热。发作无时。遇饥愈剧。中脘不利。善食而瘦。其色苍黄。肌肉不泽。口唇干燥
。此由脾气素弱。会因他病瘥后。误投热药入于脾。脾热则消谷引食。消肌肉。其脉濡
弱而病。治之。
橘皮（三两） 麦子（一两） 人参（一两） 上为细末。蜜为丸。如梧桐子大。米饮
下三十
丸。食前服。若嗽加五味子一两。
（附论）
热病患者服用寒凉药物，以及饮用冷水过多，导致邪气结聚在心下部位。因此出现心腹胀满的症状。这属于脏气虚损，是因为体内先有积滞旧疾的缘故。或者在呕吐、泻下治疗后，病情仍未解除，体内内外均有热邪，也会出现心腹胀满。这属于实证。
方剂
槟榔散（出自《圣惠方》），治疗热病引起的心腹胀满，四肢烦闷不适，不想进食。适宜服用。
槟榔、白术、枳壳（用麦麸炒至微黄，去除瓤）、人参（去除芦头）、陈橘皮（用热水洗去白色瓤焙干）、麦芽（用麦麸炒至微黄，各一两）、川大黄（锉碎后微炒）、甘草（炙至微红并锉碎，各三分）。以上药材制成粗散。每次服用三钱。用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不分时候，温服。
赤芍药散，治疗热病引起的心腹胀满，有时伴有疼痛，饮食完全减少。适宜服用。
赤芍药、柴胡（去除苗）、桔梗（去除芦头）、赤茯苓、鳖甲（涂醋炙至黄色，锉碎并去除裙边）、郁李仁（热水浸泡去皮尖后微炒，各半两）、木通（三分，锉碎）。以上药材制成散剂。每次服用四钱。用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
诃黎勒散（出自《圣惠方》），治疗热病引起的心腹胀满，不能进食，四肢瘦弱乏力。适宜服用。
诃黎勒（三分，去核生用）、赤茯苓（一两半）、陈橘皮（热水浸泡去白瓤焙干）、人参（去除芦头）、白术、槟榔（各一两）、甘草（半两，炙至微红并锉碎）。以上药材制成散剂。每次服用三钱。用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不分时候，温服。
人参散（出自《圣惠方》），治疗热病出汗后，出现心腹胀满，呕吐逆气，气短少力。适宜服用。
人参（去除芦头）、木香、半夏（热水洗七次以去除滑腻）、甘草（炙至微红并锉碎，各半两）、白术、陈橘皮（热水浸泡去白瓤焙干，各三分）。以上药材制成散剂。每次服用三钱。用水一中盏，加入生姜半分、大枣三枚，煎煮至六分，滤去药渣。不分时候，温服。
浓朴散（出自《圣惠方》），治疗热病，因受冷太过，导致腹胀呕吐逆气，无法接纳饮食。适宜服用。
浓朴（去除粗皮，涂生姜汁炙至香熟）、半夏（热水洗七次以去除滑腻）、人参（去除芦头，各一两）、藿香、诃黎勒皮（各三分）、陈橘皮（热水浸泡去白瓤焙干）、甘草（炙至微红并锉碎，各半两）。以上药材制成散剂。每次服用三钱。用水一中盏，加入生姜半分、大枣三枚，煎煮至六分，滤去药渣。不分时候，温服。
柴胡散（出自《圣惠方》），治疗热病发汗后，热邪未解，出现心腹胀满。适宜服用。
柴胡（去除苗）、赤芍药（各一两）、白术、槟榔、桔梗（去除芦头）、甘草（炙至微红并锉碎，各半两）、枳实（用麦麸炒至微黄，去除瓤）、黄芩、诃黎勒皮（各三分）。以上药材制成散剂。每次服用三钱。用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不分时候，温服。
木香丸（出自《圣惠方》），治疗热病发汗后，出现心腹胀满疼痛。适宜服用。
木香、槟榔、诃黎勒皮（各一两）、桂心、桃仁（热水浸泡去皮尖及双仁，用麦麸炒后研碎）、枳实（用麦麸炒至微黄，去除瓤，各半两）。以上药材制成细末，用炼蜜和丸，如梧桐子大小。每次服用时，用生姜汤送服二十丸。
大建中汤（出自《十便良方》），治疗热感从腹中产生，或从背部脊柱渐渐蒸腾发热，白天症状稍重，到了夜晚逐渐消退，或者睡眠中出汗，小便颜色或红或白且浑浊，严重时频繁排尿甚至尿精，夜间梦见鬼怪交合，日渐消瘦。这是由于思虑过度，心气耗损虚弱，阳气流散，精神不能收敛，阴气无所使唤，治疗起来比较费力。
芍药（三两）、黄芪、远志、当归、泽泻（各一两半）、龙骨、人参、甘草（各一两）。以上药材制成粗散。每次服用五钱。用水二盏，生姜三片，大枣一个，壁土泥少许，煎煮至一盏，滤去药渣，饭前温服。（另一配方用石菖蒲代替远志）
参橘丸（出自《十便良方》），治疗热气从腹部升起，向上沿着胸腋，环绕颈部与前额，起初感觉微微温热，逐渐变为大热，发作没有固定时间，遇到饥饿时症状加剧，中脘部不利，食欲旺盛但身体消瘦，面色苍黄，肌肉无光泽，口唇干燥。这是由于脾气素来虚弱，又恰逢其他疾病痊愈后，误服热性药物进入脾脏，脾热则消化谷物快而引食，消耗肌肉。脉象濡弱而患病。治疗方法如下：
橘皮（三两）、麦子（一两）、人参（一两）。以上药材制成细末，用蜂蜜做成丸药，如梧桐子大小。用米饮送服三十丸，饭前服用。如果咳嗽，加五味子一两。
(Attached Discussion)
When patients with febrile disease (Re Bing) take cold-natured medicines or drink excessive amounts of cold water, pathogenic factors may knot in the epigastrium (Xin Xia). Consequently, abdominal distension and fullness (Xin Fu Zhang Man) occur. This is due to deficiency of the Zang organs, often because there were pre-existing accumulations or old habits within the body. Alternatively, after vomiting or purging treatments, if the disease does not resolve, and heat exists both internally and externally, abdominal distension and fullness will also occur. This indicates an Excess pattern (Shi Zheng).
Formulas
Binglang San (Areca Nut Powder) [Source: *Shenghui Fang*]: Treats abdominal distension and fullness caused by febrile disease, accompanied by restlessness in the four limbs and loss of appetite. It is suitable for use.
Ingredients: Areca Seed (Binglang), Atractylodes Rhizome (Baizhu), Aurantium Fruit (Zhiqiao - stir-baked with bran until slightly yellow, pith removed), Ginseng Root (Renshen - radix removed), Dried Tangerine Peel (Chen Jupi - washed with hot water, white pith removed, dried), Fried Wheat Sprout (Maiya - stir-baked with bran until slightly yellow, each 1 liang), Rhubarb Radix et Rhizoma (Chuan Dahuang - chopped and slightly stir-fried), Licorice Root (Gancao - honey-fried until slightly red and chopped, each 3 qian). Process the above into a coarse powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm at any time.
Chishao Yao San (Red Peony Root Powder): Treats abdominal distension and fullness caused by febrile disease, sometimes accompanied by pain, and significantly reduced food intake. It is suitable for use.
Ingredients: Red Peony Root (Chishao Yao), Bupleurum Root (Chaihu - radix removed), Platycodon Root (Jiegeng - radix removed), Poria (Chi Fuling), Turtle Shell (Biejia - coated with vinegar, fried until yellow, chopped, skirt removed), Prunus Semen (Yuliren - soaked in hot water, skin and tip removed, slightly stir-fried, each 0.5 liang), Akebia Caulis (Mutong - 3 qian, chopped). Process the above into a powder. Take 4 qian per dose. Add 1 zhong of water, decoct until 0.6 zhong remains, strain, and take warm at any time.
Helile San (Chebulic Myrobalan Powder) [Source: *Shenghui Fang*]: Treats abdominal distension and fullness caused by febrile disease, inability to eat, and emaciation/weakness in the four limbs. It is suitable for use.
Ingredients: Chebulic Myrobalan Fruit (Helile - 3 qian, pit removed, used raw), Poria (Chi Fuling - 1.5 liang), Dried Tangerine Peel (Chen Jupi - soaked in hot water, white pith removed, dried), Ginseng Root (Renshen - radix removed), Atractylodes Rhizome (Baizhu), Areca Seed (Binglang - each 1 liang), Licorice Root (Gancao - 0.5 liang, honey-fried until slightly red and chopped). Process the above into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm at any time.
Renshen San (Ginseng Powder) [Source: *Shenghui Fang*]: Treats abdominal distension and fullness, vomiting and rebellious qi, and shortness of breath occurring after sweating from febrile disease. It is suitable for use.
Ingredients: Ginseng Root (Renshen - radix removed), Costus Root (Muxiang), Pinellia Tuber (Banxia - washed seven times with hot water to remove slipperiness), Licorice Root (Gancao - honey-fried until slightly red and chopped, each 0.5 liang), Atractylodes Rhizome (Baizhu), Dried Tangerine Peel (Chen Jupi - soaked in hot water, white pith removed, dried, each 3 qian). Process the above into a powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes, decoct until 0.6 zhong remains, strain, and take warm at any time.
Houpo San (Magnolia Bark Powder) [Source: *Shenghui Fang*]: Treats abdominal distension, vomiting, and rebellious qi due to excessive exposure to cold during febrile disease, leading to inability to accept food. It is suitable for use.
Ingredients: Magnolia Bark (Houpo - rough bark removed, coated with fresh ginger juice, fried until fragrant and cooked), Pinellia Tuber (Banxia - washed seven times with hot water to remove slipperiness), Ginseng Root (Renshen - radix removed, each 1 liang), Patchouli Herb (Huoxiang), Chebulic Myrobalan Pericarpium (Helile Pi - each 3 qian), Dried Tangerine Peel (Chen Jupi - soaked in hot water, white pith removed, dried), Licorice Root (Gancao - honey-fried until slightly red and chopped, each 0.5 liang). Process the above into a powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes, decoct until 0.6 zhong remains, strain, and take warm at any time.
Chaihu San (Bupleurum Powder) [Source: *Shenghui Fang*]: Treats persistent heat and abdominal distension and fullness after sweating from febrile disease. It is suitable for use.
Ingredients: Bupleurum Root (Chaihu - radix removed), Red Peony Root (Chishao Yao - each 1 liang), Atractylodes Rhizome (Baizhu), Areca Seed (Binglang), Platycodon Root (Jiegeng - radix removed), Licorice Root (Gancao - honey-fried until slightly red and chopped, each 0.5 liang), Aurantium Fruit (Zhishi - stir-baked with bran until slightly yellow, pith removed), Scutellaria Root (Huangqin), Chebulic Myrobalan Pericarpium (Helile Pi - each 3 qian). Process the above into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm at any time.
Muxiang Wan (Costus Pill) [Source: *Shenghui Fang*]: Treats abdominal distension, fullness, and pain after sweating from febrile disease. It is suitable for use.
Ingredients: Costus Root (Muxiang), Areca Seed (Binglang), Chebulic Myrobalan Pericarpium (Helile Pi - each 1 liang), Cinnamon Twig Heart (Guixin), Peach Kernel (Taoren - soaked in hot water, skin and tip removed, double-kernel removed, stir-baked with bran and crushed), Aurantium Fruit (Zhishi - stir-baked with bran until slightly yellow, pith removed, each 0.5 liang). Process the above into a fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose, washed down with fresh ginger decoction.
Da Jianzhong Tang (Great Construct Middle Decoction) [Source: *Shibian Liangfang*]: Treats heat sensation arising from the abdomen or slowly steaming up from the back and spine. Symptoms are slightly worse during the day and gradually recede at night, or sweating occurs during sleep. Urine may be red or white and turbid; in severe cases, frequent urination or seminal emission occurs. Nightmares of sexual intercourse with spirits occur, and the patient becomes increasingly emaciated. This is caused by excessive mental exertion, weakening of Heart Qi, dispersion of Yang Qi, failure of Spirit to gather, and Yin having no function. Treatment is laborious.
Ingredients: White Peony Root (Shaoyao - 3 liang), Astragalus Root (Huangqi), Polygala Root (Yuanzhi), Angelica Sinensis Root (Danggui), Alisma Rhizome (Zexie - each 1.5 liang), Dragon Bone (Longgu), Ginseng Root (Renshen), Licorice Root (Gancao - each 1 liang). Process the above into a coarse powder. Take 5 qian per dose. Add 2 zhong of water, 3 slices of fresh ginger, 1 jujube, and a small amount of wall mud, decoct until 1 zhong remains, strain, and take warm before meals. (Another formula uses Rhizoma Acori Tatarinowii/Shichangpu instead of Yuanzhi).
Canju Wan (Ginseng and Tangerine Peel Pill) [Source: *Shibian Liangfang*]: Treats heat rising from the abdomen, circulating upwards along the chest and axillae, encircling the neck and forehead. Initially feeling slightly warm, it gradually becomes intense heat. Attacks occur without fixed timing, worsening when hungry. There is discomfort in the Zhongwan region, increased appetite but weight loss, sallow complexion, lack of luster in muscles, and dry lips. This is due to inherent Spleen Qi weakness, combined with the mistaken administration of heat-inducing drugs after recovery from other illnesses. The drug enters the Spleen, causing Spleen Heat which digests grain quickly and draws in food, consuming muscle tissue. The pulse is soggy and weak. Treatment follows:
Ingredients: Dried Tangerine Peel (Chenpi - 3 liang), Wheat Grain (Maizi - 1 liang), Ginseng Root (Renshen - 1 liang). Process the above into a fine powder, mix with honey to form pills the size of paulownia seeds. Take 30 pills per dose with rice water, before meals. If coughing is present, add Schisandra Berry (Wuweizi) 1 liang.