阴弦腹痛，细小紧急，皆腹痛。濡滑为痰饮，短滑为宿食。芤涩为死血，沉伏为气滞。尺脉紧，脐下痛。
弦急，小腹痛，痛甚者，脉必伏。大为病久，细小而迟者易治；实大坚疾，紧数浮长者，难治。大痛而喘，
人中黑者，死。阴弦或紧，宜温，沉弦滑实，可下。
〔温中〕香砂理中汤 理中加木香、砂仁。
〔健运〕香砂六君汤 六君子汤加木香、砂仁。
〔消导〕香砂枳术丸 见本卷头痛。
〔消导〕保和丸 见二卷痰饮。
〔温通〕排气饮 见三卷积聚。
〔辛泄〕吴茱萸汤 见三卷呕吐。
〔甘缓〕小建中汤 桂 芍 姜 草 枣 饴
〔厥阴〕当归四逆汤 归 桂 芍 辛 草 通草 枣
〔少阴〕真武汤 见二卷喘。
〔霍乱〕藿香正气散 见一卷中风。
〔和解〕六和汤 见一卷暑。
〔火郁〕清中汤 见本卷心痛。
〔痰热〕二陈汤 夏 陈 苓 草
〔热厥〕金铃子散 见三卷郁。
〔气郁〕七气汤 见二卷咳嗽。
〔行气〕五磨饮 四磨饮见二卷哮，此去人参，加枳实、木香、白酒磨，名五磨饮。
〔血郁〕手拈散 见本卷心痛。
〔和营〕芍药甘草汤 芍 草 脉缓伤水，加桂枝、生姜。脉洪伤气，加黄 、大枣。脉涩伤血，加
当归。
〔血虚〕大营煎 见三卷关格。
〔气血〕理阴煎 见二卷咳嗽。
〔络瘀〕失笑散 见本卷胃脘痛。
〔补阴〕六味丸 见一卷中风。
〔宣络〕旋复花汤 旋复 新绛 葱
〔通瘀〕桃仁承气汤 见一卷疫症。
〔积聚〕木香槟榔丸 见三卷积聚。
〔热积〕阿魏丸 连翘 黄连（各五钱） 山楂 阿魏（各一两） 醋煮阿魏糊丸，白汤下。
〔跌伤〕复元活血汤 见二卷吐血。
〔酒积〕曲 丸 神曲 麦芽 枳实 白术
〔经闭〕玉烛散 四物汤加 大黄 芒硝 甘草
〔伤脾〕归脾汤 见二卷劳瘵。
〔痞结〕柴胡疏肝散 见二卷劳瘵。
〔肝火〕左金丸 黄连 吴萸
〔虫动〕理中安蛔散 见三卷呕吐。
〔蛔厥〕乌梅丸 见三卷呕吐。
〔疝痛〕立效散 楂肉（一两） 川楝子 茴香（盐水炒） 枳实 茅术 香附 山栀（姜汁炒）
青皮（醋炒。各五钱） 吴萸（三钱） 为末，每服五钱。
〔肠痈〕大黄汤 丹皮 栝蒌（各三钱） 桃仁 大黄 芒硝（各二钱）
〔肠痈〕牡丹散 见本卷胃脘痈。
〔肠痈〕排脓散 见一卷肺痈。
〔中恶〕苏合香丸 见一卷中风。
〔六郁〕越鞠丸 见三卷郁。
〔利湿〕平胃散 术 朴 陈 草
〔降火〕逍遥散 见一卷火。
〔除痰〕二术二陈汤 见二卷痰饮。
脉象呈现阴弦（尺部脉弦）且伴有腹痛，或脉象细小紧急，均属于腹痛的范畴。脉象濡滑提示为痰饮所致，短滑提示为宿食停滞。脉象芤涩提示为瘀血阻滞，沉伏提示为气机郁滞。尺部脉紧，疼痛部位在脐下。
若脉象弦急，小腹部疼痛，疼痛剧烈时，脉象必然表现为伏脉。脉象大表示病程已久；脉象细小而迟缓者容易治疗；若脉象实大坚疾、紧数浮长，则难以治疗。若剧烈疼痛并伴有喘息，且人中部位发黑，为死证。脉象阴弦或紧，适宜采用温法；若脉象沉弦滑实，可采用下法。
【温中法】香砂理中汤：在理中汤基础上加入木香、砂仁。
【健运法】香砂六君汤：在六君子汤基础上加入木香、砂仁。
【消导法】香砂枳术丸：参见本卷头痛章节。
【消导法】保和丸：参见二卷痰饮章节。
【温通法】排气饮：参见三卷积聚章节。
【辛泄法】吴茱萸汤：参见三卷呕吐章节。
【甘缓法】小建中汤：由桂枝、白芍、生姜、甘草、大枣、饴糖组成。
【厥阴病】当归四逆汤：由当归、桂枝、白芍、细辛、甘草、通草、大枣组成。
【少阴病】真武汤：参见二卷喘证章节。
【霍乱】藿香正气散：参见一卷中风章节。
【和解法】六和汤：参见一卷暑病章节。
【火郁法】清中汤：参见本卷心痛章节。
【痰热证】二陈汤：由半夏、陈皮、茯苓、甘草组成。
【热厥证】金铃子散：参见三卷郁证章节。
【气郁证】七气汤：参见二卷咳嗽章节。
【行气法】五磨饮：四磨饮见于二卷哮病，此方去掉人参，加入枳实、木香，用白酒研磨，名为五磨饮。
【血郁证】手拈散：参见本卷心痛章节。
【和营法】芍药甘草汤：由白芍、甘草组成。若脉缓提示伤水，加桂枝、生姜；若脉洪提示伤气，加黄芪、大枣；若脉涩提示伤血，加当归。
【血虚证】大营煎：参见三卷关格章节。
【气血双补】理阴煎：参见二卷咳嗽章节。
【络瘀证】失笑散：参见本卷胃脘痛章节。
【补阴法】六味丸：参见一卷中风章节。
【宣络法】旋复花汤：由旋覆花、新绛、葱组成。
【通瘀法】桃仁承气汤：参见一卷疫病章节。
【积聚证】木香槟榔丸：参见三卷积聚章节。
【热积证】阿魏丸：连翘、黄连各五钱，山楂、阿魏各一两，用醋煮阿魏制成糊丸，用白开水送服。
【跌打损伤】复元活血汤：参见二卷吐血章节。
【酒积证】神曲丸：由神曲、麦芽、枳实、白术组成。
【经闭】玉烛散：由四物汤加人大黄、芒硝、甘草组成。
【伤脾】归脾汤：参见二卷劳瘵章节。
【痞结证】柴胡疏肝散：参见二卷劳瘵章节。
【肝火证】左金丸：由黄连、吴茱萸组成。
【虫动证】理中安蛔散：参见三卷呕吐章节。
【蛔厥证】乌梅丸：参见三卷呕吐章节。
【疝痛】立效散：楂肉一两，川楝子、茴香（盐水炒）、枳实、茅术、香附、山栀（姜汁炒）、青皮（醋炒）各五钱，吴茱萸三钱，研为细末，每次服用五钱。
【肠痈】大黄汤：丹皮、栝蒌各三钱，桃仁、大黄、芒硝各二钱。
【肠痈】牡丹散：参见本卷胃脘痈章节。
【肠痈】排脓散：参见一卷肺痈章节。
【中恶】苏合香丸：参见一卷中风章节。
【六郁证】越鞠丸：参见三卷郁证章节。
【利湿法】平胃散：由白术、厚朴、陈皮、甘草组成。
【降火法】逍遥散：参见一卷火证章节。
【除痰法】二术二陈汤：参见二卷痰饮章节。
Yin-chord (Chord-like pulse at the Chi position) with abdominal pain, or a fine and tight pulse, both indicate abdominal pain. A soggy and slippery pulse indicates phlegm-fluid retention; a short and slippery pulse indicates retained food stagnation. A knotted and choppy pulse indicates dead blood (blood stasis); a deep and hidden pulse indicates Qi stagnation. A tight pulse at the Chi position corresponds to pain below the umbilicus.
If the pulse is chord-like and urgent, with pain in the lower abdomen, severe pain will necessarily present with a hidden (Fu) pulse. A large pulse indicates a long-standing disease; a fine, small, and slow pulse is easy to treat; however, if the pulse is solid, large, firm, rapid, floating, and long, it is difficult to treat. Severe pain accompanied by panting, and blackening of the area between the nose and upper lip (Ren Zhong), indicates a fatal condition. If the Yin-chord or tight pulse is present, warming methods are appropriate; if the pulse is deep, chord-like, slippery, and solid, purgative methods may be used.
[Warming the Middle] Xiangsha Lizhong Tang (Amomum and Cardamom Regulate the Middle Decoction): Lizhong Tang added with Mugher (Aucklandiae Radix) and Sharen (Tsaoko Fructus).
[Strengthening Transportation] Xiangsha Liujun Tang (Amomum and Cardamom Six-Gentlemen Decoction): Liujunzi Tang added with Mugher and Sharen.
[Resolving Stagnation] Xiangsha Zhizhu Wan (Amomum and Cardamom Immature Bitter Orange and Atractylodes Pill): See Headache section in this volume.
[Resolving Stagnation] Baohe Wan (Preserve Harmony Pill): See Phlegm-Fluid Retention section in Volume II.
[Warming and Unblocking] Paiqi Yin (Expel Qi Decoction): See Accumulation and Masses section in Volume III.
[Pungent Draining] Wuzhuyu Tang (Evodia Decoction): See Vomiting section in Volume III.
[Sweet Soothing] Xiaojianzhong Tang (Minor Construct the Middle Decoction): Composed of Guizhi (Cinnamon Twig), Shaoyao (Peony Root), Shengjiang (Fresh Ginger), Gancao (Licorice Root), Dazao (Jujube), and Yitang (Maltose).
[Jueyin Disease] Danggui Sini Tang (Angelica Sinensis Reversal-Cold Decoction): Composed of Danggui (Angelicae Sinensis Radix), Guizhi, Shaoyao, Xixin (Asari Radix et Rhizoma), Gancao, Tongcao (Tetrapanacis Medulla), and Dazao.
[Shaoyin Disease] Zhenwu Tang (True Warrior Decoction): See Asthma section in Volume II.
[Huo Luan] Huoxiang Zhengqi San (Pogostemon Rectifying Qi Powder): See Wind-Stroke section in Volume I.
[Harmonizing] Liuhe Tang (Six-Harmonies Decoction): See Summerheat section in Volume I.
[Fire Depression] Qingzhong Tang (Clear the Middle Decoction): See Heartache section in this volume.
[Phlegm-Heat] Erchen Tang (Two-Aged Decoction): Composed of Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), and Gancao.
[Heat Jue] Jinlingzi San (Melia Toosendan Powder): See Depression section in Volume III.
[Qi Depression] Qiqi Tang (Seven-Qi Decoction): See Cough section in Volume II.
[Moving Qi] Wumo Yin (Five-Mortars Decoction): Simo Yin is seen in the Asthma section in Volume II; this formula removes Renshen (Ginseng Radix et Rhizoma), adds Zhishi (Immature Bitter Orange), Mugher, and is ground with Baijiu (White Liquor), named Wumo Yin.
[Blood Depression] Shounian San (Hand-Picking Powder): See Heartache section in this volume.
[Nourishing Ying] Shaoyao Gancao Tang (Peony and Licorice Decoction): Composed of Shaoyao and Gancao. If the pulse is slow, indicating injury to Water, add Guizhi and Shengjiang; if the pulse is surging, indicating injury to Qi, add Huangqi (Astragali Radix) and Dazao; if the pulse is choppy, indicating injury to Blood, add Danggui.
[Blood Deficiency] Daying Jian (Great Camp Strengthening Decoction): See Guan Ge section in Volume III.
[Qi and Blood] Liyin Jian (Nourishing Yin Strengthening Decoction): See Cough section in Volume II.
[Collateral Stasis] Shixiao San (Quick Effect Powder): See Epigastric Pain section in this volume.
[Nourishing Yin] Liuwei Wan (Six-Ingredient Pill): See Wind-Stroke section in Volume I.
[Ventilating Collaterals) Xuanfuhua Tang (Inula Flower Decoction): Composed of Xuanfuhua (Inulae Flos), Xinjiang (Safflower), and Congbai (Scallion Stem).
[Unblocking Blood Stasis] Tao Ren Chengqi Tang (Peach Kernel Decocting Qi Decoction): See Epidemic Diseases section in Volume I.
[Accumulation and Masses] Muxiang Binglang Wan (Aucklandia and Betel Nut Pill): See Accumulation and Masses section in Volume III.
[Heat Accumulation] Awai Wan (Styrax Pill): Lianqiao (Forsythiae Fructus) and Huanglian (Coptidis Rhizoma) each 5 qian; Shan Zha (Crataegi Fructus) and Awai (Styrax Resina) each 1 liang. Boil Awai in vinegar to make a paste for pills, taken with warm water.
[Traumatic Injury] Fuyuan Huoxue Tang (Restore Origin Invigorate Blood Decoction): See Hematemesis section in Volume II.
[Alcohol Accumulation] Shenqu Wan (Medicated Leaven Pill): Composed of Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Zhishi, and Baizhu (Atractodis Macrocephalae Rhizoma).
[Amenorrhea) Yuzhu San (Jade Candle Powder): Siwu Tang added with Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), and Gancao.
[Spleen Injury) Guipi Tang (Restore the Spleen Decoction): See Laozai (Consumption) section in Volume II.
[Fullness and Knotting) Chaihu Shugan San (Bupleurum Soothing Liver Decoction): See Laozai section in Volume II.
[Liver Fire) Zuojin Wan (Left Metal Pill): Composed of Huanglian and Wu Zhu Yu (Evodiae Fructus).
[Parasite Movement) Lizhong An Hui San (Regulate the Middle Calm Ascaris Powder): See Vomiting section in Volume III.
[Ascaric Jue) Wumei Wan (Mume Pill): See Vomiting section in Volume III.
[Chan Pain) Lixiao San (Immediate Effect Powder): Shan Zha Rou (Hawthorn Flesh) 1 liang; Chuan Lian Zi (Meliae Fructus), Huixiang (Foeniculi Fructus, stir-fried in salt water), Zhishi, Maoyu (Atractodis Rhizoma), Xiangfu (Cyperi Rhizoma), Shanzhi (Gardeniae Fructus, stir-fried in ginger juice), Qingpi (Citri Reticulatae Pericarpium Viride, stir-fried in vinegar) each 5 qian; Wu Zhu Yu 3 qian. Grind into powder, take 5 qian per dose.
[Intestinal Abscess) Dahuang Tang (Rhubarb Decoction): Danpi (Moutan Cortex) and Gualou (Trichosanthis Fructus) each 3 qian; Taoren (Persicae Semen), Dahuang, Mangxiao each 2 qian.
[Intestinal Abscess) Mudan San (Moutan Powder): See Epigastric Abscess section in this volume.
[Intestinal Abscess) Paimao San (Drain Pus Powder): See Lung Abscess section in Volume I.
[Sudden Evil) Suhexiang Wan (Liquidambar Pill): See Wind-Stroke section in Volume I.
[Six Depressions) Yueju Wan (Surmount Depression Pill): See Depression section in Volume III.
[Draining Dampness) Pingwei San (Level the Stomach Powder): Composed of Baizhu, Houpo (Magnoliae Officinalis Cortex), Chenpi, and Gancao.
[Descending Fire) Xiaoyao San (Free Wanderer Powder): See Fire section in Volume I.
[Eliminating Phlegm) Eryu Erchen Tang (Two-Atractodes Two-Aged Decoction): See Phlegm-Fluid Retention section in Volume II.