李铁拐大仙择，如气虚下陷，因饥饱劳碌内伤正气，以致气乃下行，脾胃不能克化，饮
食不
轻则
致膨
三分
以为
即以此方
麻用于参
补者不至
则柴、
苟或不然
华真人择，补中益气汤从无言此痛快者，何幸得如是之褒扬哉，吾何言乎。惟是阳虚下
陷者
止，
药三
阴中
何大仙择，人腹中痛，手按疼甚，或胸中伤食，皆宜堕之也，如何。方用∶白术二钱 枳
壳
但消导之品足矣，何又以加术、芍。盖伤食，食不能化，结在胸中以致痛。若徒消食不健胃
之气，土弱而难化物之速。故用术以健胃口之气，以生其脾内之阴土，气有余食何难消哉。
若肝经乘我之困，来侵脾胃之土，所以加白芍以平肝木，此堕治之妙法也。
至于气挟食存于大肠，大肠内火气炎蒸，夹食作祟，痛而不可手按，是食已离脾胃，可
攻之
此大
但其
功，
许大仙曰∶不可思议之论，予又择《石室秘录》中更有一症相商，有人成痞块，一时发
作
一
备，
知之
张大仙曰∶吾择一方，如人腹痛手不可按。方用∶枳实一钱 大黄二钱 生甘草一钱 白
芍
华真人择，尚有二法未传，一阴阳汤也。法用滚水、凉水各一碗，均之，加炒盐一撮打
百余
一喷嚏之法未授也。用生半夏三钱为末，水丸如黄豆大，入鼻中必喷嚏不已，用饮之立
止。
李铁拐大仙点评：如果是气虚下陷，是因为饥饿、饱食或过度劳累导致内伤正气，致使气机下行，脾胃无法运化，饮食停滞。轻则导致腹部膨胀。取方中三分之一的药量作为补益之用，不至于……那么柴胡、白芍如果不用，或者情况不同……
华真人点评：补中益气汤从未有人如此痛快淋漓地赞誉过，何幸得到如此褒扬呢？我还有什么可说的呢。只是对于阳虚下陷的情况……停止……药物三味……阴中……
何大仙点评：人腹中疼痛，用手按压时疼痛加剧，或者是胸中因伤食所致，都适宜用消导法治疗，如何？方剂组成：白术二钱，枳壳……但仅用消导的药物就足够了，为什么又要加入白术、白芍呢？大概是因为伤食后，食物不能消化，结聚在胸中导致疼痛。如果只是单纯消食而不健胃气，脾气虚弱就难以快速运化食物。所以用白术来健胃口之气，以滋生脾内的阴土（脾属土），气有余力，食物又怎能难消呢？如果肝经乘人之困，来侵犯脾胃之土，所以加入白芍来平抑肝木，这是消导治疗的妙法。至于气夹带食物存留于大肠，大肠内火气炎蒸，夹带食物作祟，疼痛且不可用手按压，这是食物已经离开脾胃，可以攻下的……这是大……但是其……功效……
许大仙说：真是不可思议的论述，我又从《石室秘录》中选出一个病症来商量，有人形成痞块，一时发作……一……准备……知道……
张大仙说：我选一方，如人腹痛，手不可按压。方剂组成：枳实一钱，大黄二钱，生甘草一钱，白芍……
华真人点评：还有两种方法未传授，一种是阴阳汤。用法是用滚水、凉水各一碗，混合均匀，加入炒盐一撮，打百余次……另一种是喷嚏的方法未传授。用生半夏三钱研为末，用水泛丸如黄豆大小，纳入鼻中必然引起连续喷嚏，然后用饮液立刻停止。
Li Tieguai the Immortal commented: If there is Qi deficiency with sinking, caused by internal injury to the righteous Qi due to irregular eating and overwork, leading to downward movement of Qi, and the Spleen and Stomach failing to transform and transport, causing food stagnation. Mildly it leads to abdominal distension... using this formula... Ephedrae Herba (Mahuang) used with Ginseng Radix et Rhizoma (Renshen)... those who tonify will not reach... Bupleuri Radix (Chaihu), Paeoniae Radix Alba (Baishao)... or otherwise...
The Immortal Hua commented: Bu Zhong Yi Qi Tang has never been praised as so effective and refreshing before. How fortunate to receive such high praise! What more can I say? However, for cases of Yang deficiency with sinking... stop... medicine three... Yin within...
He the Immortal commented: When a person suffers from abdominal pain that worsens upon pressure, or chest discomfort due to food retention, it is appropriate to use methods of digestion and guidance. Why? The prescription consists of: Atractylodis Macrocephalae Rhizoma (Baizhu) 2 qian, Aurantii Fructus (Zhike)... Merely using digestive agents would suffice; why add Baizhu and Baishao? It is because after food retention, if the food cannot be transformed and knots in the chest causing pain, merely digesting food without strengthening Stomach Qi results in weak Earth element, making it difficult to quickly transform food. Therefore, Baizhu is used to strengthen Stomach Qi, thereby generating the Yin-Earth within the Spleen. With abundant Qi, what difficulty is there in digesting food? If the Liver Meridian takes advantage of one's weakness to invade the Earth of the Spleen and Stomach, then Baishao is added to pacify Liver Wood. This is the subtle method of treating via digestion and guidance.
As for Qi carrying food remaining in the Large Intestine, where fire qi flares up internally, causing turmoil with the retained food, resulting in pain that cannot be touched, this indicates the food has left the Spleen and Stomach, and purgative methods may be applied... This great... but its... merit...
The Immortal Xu said: This is an inconceivable discussion. I further consult a symptom from *Shishi Mulu*: someone develops a mass (Pi Kuai), which suddenly attacks... prepare... know...
The Immortal Zhang said: I select a formula for when a person suffers from abdominal pain that cannot be touched. The prescription consists of: Aurantii Fructus Immaturus (Zhishi) 1 qian, Rheum Palmatum Radix et Rhizoma (Dahuang) 2 qian, Glycyrrhizae Radix et Rhizoma (Sheng Gancao) 1 qian, Paeoniae Radix Alba (Baishao)...
The Immortal Hua commented: There are two other methods not yet transmitted. One is Yin-Yang Decoction. The method uses one bowl of boiling water and one bowl of cool water, mixed evenly, adding a pinch of fried salt, beaten over a hundred times... Another is the method for sneezing, not yet taught. Use Sanbanxia (Pinelliae Tuber) 3 qian ground into powder, made into pills the size of soybeans with water, inserted into the nose to induce continuous sneezing, then stopped immediately by drinking fluids.