【气结腹胀之症】胸腹凝结作胀，胀而不休，或胸前饱闷，或小腹胀急，此气结作胀之
【气结腹胀之因】或因恼怒伤肝，肝气怫郁，或因思虑伤脾，脾气郁结，郁怒思虑，则
【气结腹胀之脉】多见沉涩，或见沉弦，或见沉伏，《脉经》云，下手脉沉，便知是气
【气结腹胀之治】攻冲刺痛，四七汤。寒凝结胀，浓朴汤。胸前饱闷，枳桔
平胃散。小腹胀急，青皮散。小便涩滞，木通饮。
四七汤 治七情气结。
半夏 苏叶 浓朴 白茯苓
加生姜、红枣。
浓朴汤
浓朴 陈皮 甘草 干姜 白茯苓
枳桔平胃散
枳壳 桔梗 苍术 广皮 甘草 浓朴
青皮散
青皮 大腹皮
二味同煎。
木通饮 治胁肋刺痛臌胀。
木通 陈皮 苏梗 甘草
加生姜、红枣。
【气散腹胀之症】时胀时退，气怯，言微，目慢神清，静则稍减，动作胀急，此气散腹
【气散腹胀之因】或劳动太过，中气受伤，或久病缠绵，元气受损，肺不能通调，脾不
能转输，肾不能闭藏，则真气散，而腹胀之症作矣。
【气散腹胀之脉】六脉无力，虚大无根，浮缓散慢，神离反疾。
【气散腹胀之治】气怯言微，生脉散。动作胀急，静则稍减，戊己汤，加敛气之药。气
不归原，都气丸、纳气丸。气虚极，以四君子汤、参橘煎送下。
生脉散 生津液，充血脉，助元敛神。
人参 麦冬 北五味
戊己汤 伐肝扶脾，调敛中州，故名戊己。
白芍药 甘草
都气丸 即六味地黄丸加北五味。
纳气丸 即六味地黄丸加益智仁。
四君子汤 见后脾虚胀。
参橘煎 见喘症条。
【气结腹胀的症状】胸腹部气机凝结导致胀满，胀感持续不停，或者胸前感到饱闷，或者小腹胀满急迫，这是气结引起胀满的表现。
【气结腹胀的原因】可能是因为恼怒损伤肝脏，导致肝气郁结不畅；也可能是因为思虑过度损伤脾脏，导致脾气郁结。郁怒和思虑这两种情绪，会导致……（原文此处中断）
【气结腹胀的脉象】多见沉涩脉，或见沉弦脉，或见沉伏脉。《脉经》说，切诊时脉象沉，就知道是气……（原文此处中断）
【气结腹胀的治疗】如果是攻冲刺痛，使用四七汤。如果是寒邪凝结导致的胀满，使用浓朴汤。如果是胸前饱闷，使用枳桔平胃散。如果是小腹胀急，使用青皮散。如果是小便涩滞不通，使用木通饮。
四七汤：治疗七情（喜、怒、忧、思、悲、恐、惊）导致的气机郁结。
组成：半夏、苏叶、浓朴、白茯苓。
用法：加生姜、红枣同煎。
枳桔平胃散：
组成：枳壳、桔梗、苍术、广皮（陈皮）、甘草、浓朴。
木通饮：治疗胁肋部刺痛及鼓胀。
组成：木通、陈皮、苏梗、甘草。
用法：加生姜、红枣同煎。
【气散腹胀的症状】胀满感时有时无，时轻时重，气息怯弱，说话声音低微，眼神迟缓但神志清醒，静止时症状稍减，活动时则感到胀满急迫，这是气散引起的腹胀。
【气散腹胀的原因】或者是劳动过度，损伤了中气；或者是久病缠绵不愈，损伤了元气。肺不能正常通调水道，脾不能正常转输精微，肾不能正常闭藏精气，导致真气涣散，从而出现腹胀的症状。
【气散腹胀的脉象】六脉无力，虚大而无根底，浮缓且散漫缓慢，甚至出现神气离散、脉搏反快等危象。
【气散腹胀的治疗】如果气息怯弱、说话声音低微，使用生脉散。如果活动时胀满急迫，静止时稍减，使用戊己汤，并加入收敛气机的药物。如果气不归元（肾），使用都气丸、纳气丸。如果气虚极其严重，使用四君子汤、参橘煎送服。
生脉散：生津液，充盈血脉，助元气并收敛神气。
组成：人参、麦冬、北五味子。
[Symptoms of Abdominal Distension due to Qi Stagnation] Condensation of Qi in the chest and abdomen causes distension, which is continuous. There may be a feeling of fullness and oppression in the chest, or urgency and distension in the lower abdomen. This is the manifestation of distension caused by Qi stagnation.
[Causes of Abdominal Distension due to Qi Stagnation] It may be due to anger injuring the Liver (Liver), causing Liver Qi (Liver Qi) depression and constraint; or it may be due to overthinking injuring the Spleen (Spleen), causing Spleen Qi (Spleen Qi) knotting and stagnation. Depression from anger and overthinking lead to... [Text cuts off here]
[Pulse of Abdominal Distension due to Qi Stagnation] The pulse is mostly Chen (Deep) and Se (Choppy), or Chen (Deep) and Xian (Wiry), or Chen (Deep) and Fu (Hidden). The *Mai Jing* (Pulse Classic) states: "When the pulse feels deep upon palpation, one knows it is Qi..." [Text cuts off here]
[Treatment of Abdominal Distension due to Qi Stagnation] For stabbing pain with thrusting sensations, use Siqi Tang (Seven Emotions Decoction). For cold condensation causing distension, use Nongpo Tang (Magnolia Bark Decoction). For fullness and oppression in the chest, use Zhijie Pingwei San (Bitter Orange and Platycodon Powder for Regulating the Stomach). For urgency and distension in the lower abdomen, use Qingpi San (Green Peel Powder). For astringent and stagnant urination, use Mutong Yin (Akebia Decoction).
Siqi Tang (Seven Emotions Decoction): Treats Qi stagnation caused by the Seven Emotions (Joy, Anger, Worry, Overthinking, Grief, Fear, Fright).
Ingredients: Banxia (Pinellia Rhizome), Ziyè (Perilla Leaf), Nongpo (Magnolia Bark), Bai Fuling (Poria Cocos).
Preparation: Add Shengjiang (Fresh Ginger) and Hongzao (Jujube).
Nongpo Tang (Magnolia Bark Decoction):
Ingredients: Nongpo (Magnolia Bark), Chenpi (Tangerine Peel), Gancao (Licorice Root), Ganjiang (Dried Ginger), Bai Fuling (Poria Cocos).
Zhijie Pingwei San (Bitter Orange and Platycodon Powder for Regulating the Stomach):
Ingredients: Zhike (Bitter Orange Fruit), Jiegeng (Platycodon Root), Cangzhu (Atractylodes Rhizome), Guangpi (Tangerine Peel), Gancao (Licorice Root), Nongpo (Magnolia Bark).
Qingpi San (Green Peel Powder):
Ingredients: Qingpi (Green Tangerine Peel), Dafupi (Areca Peel).
Preparation: Decoct these two herbs together.
Mutong Yin (Akebia Decoction): Treats stabbing pain in the hypochondrium and鼓胀 (Drum-like Distension/Ascites).
Ingredients: Mutong (Akebia Stem), Chenpi (Tangerine Peel), Sugeng (Perilla Stem), Gancao (Licorice Root).
Preparation: Add Shengjiang (Fresh Ginger) and Hongzao (Jujube).
[Symptoms of Abdominal Distension due to Qi Scattering] Distension comes and goes; Qi is weak, speech is faint, eyes are slow but spirit is clear. Symptoms decrease slightly when resting and become urgent/distended during movement. This is abdominal distension caused by Qi scattering.
[Causes of Abdominal Distension due to Qi Scattering] It may be due to excessive labor injuring Middle Qi (Middle Qi); or due to prolonged illness damaging Yuan Qi (Primordial Qi). If the Lung (Lung) cannot regulate water passages, the Spleen (Spleen) cannot transport and transform, and the Kidney (Kidney) cannot secure and store, then True Qi (True Qi) scatters, resulting in abdominal distension.
[Pulse of Abdominal Distension due to Qi Scattering] All six pulses are powerless, empty and large without root, floating, slow, scattered, and slow. There may be signs of spirit separation and rapid pulse.
[Treatment of Abdominal Distension due to Qi Scattering] For weak Qi and faint speech, use Shengmai San (Generate Pulse Powder). For distension and urgency during movement that decreases at rest, use Wuji Tang (Wu-Ji Decoction), adding herbs that astringe Qi. If Qi does not return to its origin, use Duqi Wan (Duqi Pill) and Nayqi Wan (Receive Qi Pill). If Qi deficiency is extreme, administer Sizijunzi Tang (Four Gentlemen Decoction) and Shenju Jian (Ginseng and Tangerine Peel Decoction) as a vehicle.
Shengmai San (Generate Pulse Powder): Generates body fluids, fills the blood vessels, assists Yuan Qi (Primordial Qi), and consolidates the spirit.
Ingredients: Renshen (Ginseng Root), Maidong (Ophiopogon Tuber), Bei Wuweizi (Schisandra Berry).
Wuji Tang (Wu-Ji Decoction): Subdues the Liver (Liver) and supports the Spleen (Spleen), regulates and consolidates the Middle Jiao (Middle Burner), hence named Wu-Ji.
Ingredients: Baishao Yao (White Peony Root), Gancao (Licorice Root).
Duqi Wan (Duqi Pill): Is Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) plus Bei Wuweizi (Schisandra Berry).
Nayqi Wan (Receive Qi Pill): Is Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) plus Yizhiren (Bilberry Seed).
Sizijunzi Tang (Four Gentlemen Decoction): See section on Spleen Deficiency Distension below.
Shenju Jian (Ginseng and Tangerine Peel Decoction): See section on Asthma.