〔降痰〕二陈汤 见一卷中风。
〔温通〕外台茯苓饮 见一卷中风。
〔健运〕六君子汤 参 苓 术 草 加陈皮，名异功散。再加半夏，名六君子汤。
〔平肝〕左金丸 见一卷火。
〔降浊〕吴茱萸汤 茱萸一味。
〔消导〕保和丸 见二卷痰饮。
〔开郁〕气郁汤 苓 夏 芎 陈 贝 栀 草 香附 苍术 木香 槟榔 紫苏
〔散郁〕逍遥散 见一卷火。
〔降痰〕导痰汤 见一卷中风。
〔治郁〕越鞠丸 见本卷诸气。
嗳气，即《内经》所谓噫也。经言脾病善噫。又言寒气客于胃，厥逆，从下上散，复出于胃，故为噫。
后人因谓脾胃气滞，起自中焦，出于上焦。凡病后，及老人脾胃虚弱者多有之。顾亦有肝气逆乘，嗳酸作饱，
心下痞硬，噫气不除者。仲景谓胃虚，
客气上升，必假重坠以镇逆，旋复代赭汤。亦有肺气失降而作嗳者，苏子降气汤去桂，加杏仁、贝母之属。
其胃虚气滞而作嗳者，十味保和汤。其胃寒气滞而作嗳者，和胃煎。其胃虚呕痰嗳气者，和胃二陈煎。其胃寒
饮食难化，时作虚饱嗳气者，养中煎，或理中丸。如脾肾虚寒，命门火衰，浊阴不降，致痞满嗳气者，
理阴煎加减。如胃有痰火嗳气者，星夏栀子汤。专由脾胃阳虚，中气为阴邪阻格者，和中为要，健脾散。
若木来乘土，厥逆上干之气，非镇制不能遏也。
【降痰】二陈汤（燥湿化痰、理气和中的方剂），详见第一卷中风篇。
【温通】外台茯苓饮（温中化饮的方剂），详见第一卷中风篇。
【健运】六君子汤（益气健脾、燥湿化痰的方剂）：由人参、茯苓、白术、甘草组成，加入陈皮，名为异功散；再加入半夏，名为六君子汤。
【平肝】左金丸（清泻肝火、降逆止呕的方剂），详见第一卷火证篇。
【降浊】吴茱萸汤（温中补虚、降逆止呕的方剂）：仅用吴茱萸一味药。
【消导】保和丸（消食导滞、和胃的方剂），详见第二卷痰饮篇。
【开郁】气郁汤：由茯苓、半夏、川芎、陈皮、贝母、栀子、甘草、香附、苍术、木香、槟榔、紫苏组成。
【散郁】逍遥散（疏肝解郁、养血调经的方剂），详见第一卷火证篇。
【降痰】导痰汤（祛痰开郁的方剂），详见第一卷中风篇。
【治郁】越鞠丸（行气解郁的方剂），详见本卷诸气病篇。
嗳气，就是《黄帝内经》中所说的“噫”。医经记载脾脏病变容易表现为善噫。又记载寒气侵袭胃部，导致气机厥逆，从下向上散发，再从胃中排出，所以称为噫。
后人因此认为脾胃气机阻滞，病起于中焦，出于上焦。凡是疾病初愈之后，以及老年人脾胃虚弱者，多有此症。然而也有因肝气逆乱乘犯脾胃，出现嗳气伴有酸味、感觉饱胀，心下部痞塞坚硬，嗳气不止的情况。张仲景认为这是胃气虚弱，客气（邪气）上升，必须借助沉重镇坠的药物来镇压逆气，可用旋复代赭汤。也有因肺气失于肃降而导致嗳气的，可用苏子降气汤去掉桂枝，加入杏仁、贝母等药物。
对于胃虚气滞导致的嗳气，用十味保和汤。对于胃寒气滞导致的嗳气，用和胃煎。对于胃虚呕吐痰涎并伴嗳气的，用和胃二陈煎。对于胃寒、饮食难以消化、时常出现虚性饱胀和嗳气的，用养中煎，或者理中丸。如果是脾肾阳虚寒冷，命门火衰，浊阴之气不能下降，导致痞满和嗳气的，用理阴煎加减。如果胃中有痰火导致的嗳气，用星夏栀子汤。专门由于脾胃阳气虚弱，中气被阴邪阻隔的，治疗以调和脾胃为主，用健脾散。如果是肝木乘克脾土，厥逆上干的气机，非用重镇抑制的方法不能遏制。
[Phlegm-Reducing] Erchen Tang (Two-Aged Decoction), see Volume 1, Stroke.
[Warming and Unblocking] Waitai Fuling Yin (Fuling Decoction from the External Cabinet), see Volume 1, Stroke.
[Spleen-Strengthening and Transporting] Liujunzi Tang (Six-Gentlemen Decoction): Consists of Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), and Gancao (Licorice Root). Adding Chenpi (Citri Reticulatae Pericarpium) makes it Yigong San (Yi-Gong Powder). Adding Banxia (Pinelliae Rhizoma) makes it Liujunzi Tang (Six-Gentlemen Decoction).
[Liver-Calming] Zuojin Wan (Left Metal Pill), see Volume 1, Fire.
[Turbid-Yin-Descending] Wuzhuyu Tang (Evodia Decoction): Composed solely of Wuzhuyu (Evodiae Fructus).
[Digestion-Promoting] Baohe Wan (Preserve Harmony Pill), see Volume 2, Phlegm-Fluids.
[Depression-Opening] Qiyu Tang (Qi-Stagnation Decoction): Composed of Fuling (Poria), Banxia (Pinelliae Rhizoma), Xiong (Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Beimu (Fritillariae Bulbus), Zhizi (Gardeniae Fructus), Gancao (Licorice Root), Xiangfu (Cyperi Rhizoma), Cangzhu (Atractylodis Rhizoma), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), and Zisu (Perillae Folium).
[Depression-Dispersing] Xiaoyao San (Free Wanderer Powder), see Volume 1, Fire.
[Phlegm-Reducing] Daotan Tang (Expelling Phlegm Decoction), see Volume 1, Stroke.
[Depression-Treating] Yueju Wan (Overcoming Depression Pill), see this volume, Qi Disorders.
Belching is what the *Huangdi Neijing* (Yellow Emperor's Inner Canon) refers to as "yi" (burping). The classics state that spleen disease predisposes one to frequent belching. It also states that when cold qi invades the stomach, causing rebellious counterflow, it rises from below and disperses upward, exiting through the stomach, thus resulting in belching.
Later physicians attributed this to stagnation of spleen and stomach qi, originating in the middle jiao and emerging from the upper jiao. It is common after illness and in elderly individuals with weak spleen and stomach. However, there are cases where liver qi rebels and overacts upon the spleen/stomach, presenting with sour belching, a sensation of fullness, epigastric hardness and stuffiness, and persistent belching. Zhang Zhongjing stated that when stomach qi is deficient and pathogenic qi ascends, heavy and sinking agents must be used to suppress the rebellion; Xuanfudaihzhe Tang (Inula and Hematite Decoction) is indicated. There are also cases where lung qi fails to descend, causing belching; Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction) with Gui (Cinnamomi Ramulus) removed, plus Xingren (Pruni Armeniaci Semen) and Beimu (Fritillariae Bulbus), may be used.
For belching due to stomach deficiency and qi stagnation, Shiwei Baohe Tang (Ten-Ingredient Preserve Harmony Decoction) is used. For belching due to stomach cold and qi stagnation, Hewei Jian (Harmonize Stomach Decoction) is used. For belching accompanied by vomiting phlegm due to stomach deficiency, Hewei Erchen Jian (Harmonize Stomach Two-Aged Decoction) is used. For belching with false fullness due to stomach cold and indigestion, Yangzhong Jian (Nourish Middle Decoction) or Lizhong Wan (Regulate the Middle Pill) is used. If spleen and kidney yang deficiency with cold, leading to decline of Mingmen fire (Gate of Life fire) and failure of turbid yin to descend, resulting in stuffiness and belching, Liyin Jian (Nourish Yin Decoction) with modifications is used. For belching due to phlegm-fire in the stomach, Xingxia Zhizi Tang (Arisaema, Pinellia, and Gardenia Decoction) is used. When belching is specifically caused by spleen and stomach yang deficiency, with middle qi obstructed by yin pathogens, the treatment focuses on harmonizing the middle, using Jianpi San (Spleen-Strengthening Powder). If wood overacts on earth, the rebellious qi ascending from the liver cannot be restrained without heavy sedative and suppressing agents.