二阴一阳发病，善胀，心满善噫者，肾胆同逆，三焦不行，气蓄于上也。
三阳盛入于阴，病 胀而头痛，言三阳之邪盛也，盛则满，满则溢，而入于阴之分矣。
夫头为阳，腹为阴，阴病故腹胀满也。
有所堕坠，恶血留内，腹中满胀，不得前后，此上伤厥阴之脉，下伤少阴之络。腹胀属
脾胃
肓膜之间者，则饮食亦少。其气亦壅塞于五脏，则气促急不食而病危矣。是故病在表者易治
腹胀满气不通者，加浓朴以破滞气，腹中坌闷。此非腹胀满，乃散而不收，可加芍药收
之。是知气结而胀，宜浓朴以散之。气散而胀，宜芍药以收之。
湿气归脾，壅塞不行，其脉濡，其体重，其小便不利，大便溏而不畅。经云∶诸湿肿满
属于脾。又土郁之发，民病心腹胀，跗肿是也。又脾土受湿，不能制水，水渍于肠胃而溢于
皮肤，漉漉有声，怔忡喘息，即为水胀是也。
小温中丸 治脾虚肝实，不能运化，不可下之。
陈皮 半夏 神曲 茯苓（各一两） 白术（二两） 生香附 针砂（醋炒红，各一两五钱）
苦参（炒） 川连（炒） 浓朴（各半两） 甘草（三钱）
为末，醋水各一盏打糊为丸桐子大，每服七八十丸。白术六钱、陈皮一钱、生姜一
汤吞下。虚甚加人参一钱。病轻者服此丸六七两，小便即长，病甚者服一斤后，小便如常。
胃苓汤 和脾胃，去湿消胀。
苍术 浓朴（姜汁炒） 陈皮 白术 茯苓（各一钱） 泽泻 猪苓（各一钱） 甘草（六分）
官桂（五分）
加姜煎。
禹余粮丸（《三因》） 许学士、朱丹溪云∶此乃治膨胀之要药。
蛇含石（大者，三两，置新铁铫上，入炭火中，烧与铫子一般红，倾入醋中，候冷取出
，研
极细） 禹余粮石（三两） 真针砂（五两，淘净炒干，入余粮一处，用米醋二升，铜器内煮干
为度。置铫中上炭火中烧红，倾净砖上，候冷研极细）
以上三物为主，其次量人虚实，加入下项∶
羌活 木香 茯苓 川芎 牛膝（酒浸） 桂心 白蔻（炒） 茴香（炒） 蓬术 附子 青
皮京三棱（炮） 白蒺藜 当归（酒浸，各半两）
为末，入前末拌匀，以汤浸蒸饼，捩去水，和药再杵极匀，丸如桐子大，空心温酒，白
汤下
三十丸，至五十丸。最忌盐，一毫不可入口，否则发疾愈甚。但试服药，即于小便内旋去，
不动脏腑病去，日二三服。兼以温和调补气血药助之，真神方也。
二阴经与一阳经同时发病，容易出现腹胀，心中痞满且容易嗳气，这是肾与胆之气同逆，三焦气化功能失常，导致气机郁积于上部的缘故。
三阳经邪气亢盛侵入阴分，病症表现为腹胀且头痛，这说的是三阳经邪气亢盛；邪气亢盛则导致胀满，胀满至极则溢出，进而侵入阴分的部位。
如果有跌坠损伤，恶血留滞体内，会导致腹部胀满，大小便不通利，这是因为上部损伤了厥阴肝经的脉络，下部损伤了少阴肾经的络脉。
腹部胀满如果病位在脾胃所属的肓膜之间，那么饮食也会减少。如果气机壅塞在五脏，就会出现气促、不能进食而病情危重。
因此，病在表层的容易治疗。对于腹胀满且气机不通的，加入厚朴来破滞气；如果是腹中烦闷，这并非真正的腹胀满，而是气散不收，可以加入芍药来收敛。由此可知，气结导致的胀满，适宜用厚朴来消散；气散导致的胀满，适宜用芍药来收敛。
湿气归并于脾，壅塞而不运行，脉象濡软，身体沉重，小便不利，大便溏薄且排出不畅。医经说：各种湿邪引起的肿胀和胀满，都归属于脾。又如同土气郁结发作时，百姓会出现心腹胀痛、足背浮肿等症状。另外，脾土受到湿气侵袭，不能制约水液，水液浸渍肠胃并溢于皮肤，发出漉漉的水声，伴有心悸喘息，这就形成了水胀病。
小温中丸用于治疗脾虚肝实，导致运化功能失常，不可使用攻下法。
方剂组成：陈皮、半夏、神曲、茯苓（各一两），白术（二两），生香附、针砂（醋炒至红，各一两五钱），苦参（炒制）、黄连（炒制）、厚朴（各半两），甘草（三钱）。
将上述药物研为细末，用醋和水各一盏调糊制作成梧桐子大小的药丸，每次服用七八十丸。若用白术六钱、陈皮一钱煎汤送服更佳。虚损严重的加人参一钱。病情轻者服用此丸六七两，小便即通畅；病情重者服用一斤后，小便恢复正常。
胃苓汤用于调和脾胃，祛除湿气以消除胀满。
方剂组成：苍术、厚朴（姜汁炒）、陈皮、白术、茯苓（各一钱），泽泻、猪苓（各一钱），甘草（六分），官桂（五分）。
加入生姜煎煮服用。
禹余粮丸（出自《三因极一病证方论》）：许学士、朱丹溪说：这是治疗膨胀病的要药。
主要药材：蛇含石（大的三两，放在新的铁锅中，放入炭火中烧至与铁锅同样红，倾入醋中，冷却后取出，研磨极细）；禹余粮石（三两）；真针砂（五两，淘洗干净炒干，与禹余粮一起，用米醋二升，在铜器内煮干为度。再放入铁锅中在炭火上烧红，倾倒在干净的砖上，冷却后研磨极细）。
以上三种药物为主药，其次根据病人的虚实情况，加入以下药物：
羌活、木香、茯苓、川芎（酒浸）、牛膝（酒浸）、桂心、白蔻（炒制）、茴香（炒制）、蓬术、附子、青皮、京三棱（炮制）、白蒺藜、当归（酒浸，各半两）。
将上述药物研为细末，与前文主药粉末拌匀，用热水浸泡蒸饼，拧去水分，与药粉混合再次杵捣均匀，制成梧桐子大小的药丸。空腹时用温酒或白开水送服三十丸至五十丸。最忌讳食盐，丝毫不可入口，否则疾病会加重。只要尝试服药，尿液中就会随即排出病邪，不伤及脏腑，疾病即可去除，每日服用二三次。同时配合温和调理补益气血的药物辅助治疗，真是神奇的方子。
When the two Yin meridians and one Yang meridian are affected simultaneously, distension is prone to occur, accompanied by chest fullness and frequent belching. This indicates that Qi from the Kidney and Gallbladder rebels together, the Sanjiao (Triple Burner) fails to circulate normally, causing Qi to accumulate in the upper body.
When the pathogenic factors of the three Yang meridians become excessive and invade the Yin aspect, the disease manifests as abdominal distension and headache. This refers to the excess of pathogenic factors in the three Yang meridians; when excessive, it leads to fullness, and when fullness reaches its peak, it overflows and invades the Yin regions.
The head belongs to Yang, while the abdomen belongs to Yin. Since the disease affects the Yin, abdominal distension and fullness result.
If there has been a fall or injury, causing blood stasis to remain inside, it leads to abdominal fullness and distension, with inability to urinate or defecate. This is because the upper part injures the vessels of the Jueyin Liver meridian, and the lower part injures the collaterals of the Shaoyin Kidney meridian.
Abdominal distension located between the stomach, spleen, and the Hui-mo (Blind Membrane) results in reduced food intake. If Qi becomes obstructed within the five Zang organs, it leads to shortness of breath, anorexia, and critical illness.
Therefore, diseases at the exterior level are easier to treat. For abdominal distension and fullness with blocked Qi, add Houpo (Magnolia Bark) to break up stagnant Qi. If there is abdominal stuffiness without true distension, but rather Qi scattering and failing to consolidate, add Shaoyao (Peony Root) to astringe it. Thus, distension caused by Qi knotting should be dispersed with Houpo, while distension caused by Qi scattering should be astringed with Shaoyao.
Dampness returns to the Spleen, becoming obstructed and failing to circulate. The pulse is soggy, the body feels heavy, urination is difficult, and stool is loose and unsmooth. The Classics state: "All dampness-induced swelling and distension belong to the Spleen." Furthermore, when Earth Qi is郁 (stagnant) and erupts, people suffer from heart and abdominal distension, and edema of the dorsum of the foot. Additionally, when Spleen Earth is invaded by dampness and cannot control Water, Water infiltrates the intestines and stomach and overflows into the skin, producing gurgling sounds, palpitations, and wheezing, which constitutes Shuizhang (Water Distension).
Xiaowenzhong Wan (Small Warm Middle Pill) treats Spleen deficiency with Liver excess, leading to failure of transformation and transportation; purgatives should not be used.
Ingredients: Chenpi (Tangerine Peel), Banxia (Pinellia Rhizome), Shenqu (Medicated Leaven), Fuling (Poria) (each 1 liang); Baizhu (Atractylodes Macrocephala Rhizome) (2 liang); Sheng Xiangfu (Cyperus Rotundus Rhizome), Zhensha (Hematite) (vinegar-fried until red, each 1.5 liang); Kushen (Sophora Flavescens Root) (fried), Chuanlian (Coptis Rhizome) (fried), Houpo (Magnolia Bark) (each 0.5 liang); Gancao (Licorice Root) (3 qian).
Grind into powder, make pills using a paste of vinegar and water (one cup of each) sized like paulownia seeds. Take 70-80 pills per dose. Taking them with a decoction of Baizhu (6 qian) and Chenpi (1 qian) and ginger is beneficial. Add Renshen (Ginseng Root) (1 qian) for severe deficiency. For mild cases, taking 6-7 liang of these pills will restore normal urination; for severe cases, taking 1 jin after administration will normalize urination.
Weiling Tang (Stomach-Cinnamon Decoction) harmonizes the Stomach and Spleen, removes dampness, and eliminates distension.
Ingredients: Cangzhu (Atractylodes Lancea Rhizome), Houpo (Magnolia Bark) (fried with ginger juice), Chenpi (Tangerine Peel), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria) (each 1 qian); Zexie (Alisma Rhizome), Zhuling (Polyporus) (each 1 qian); Gancao (Licorice Root) (6 fen); Guigui (Cinnamon Twig) (5 fen).
Decoct with ginger.
Yuyuliang Wan (Halloysitum Pill) (from *San Yin Fang*): Xu Xueshi and Zhu Danxi stated: This is a crucial medicine for treating Zhanghang (Distension and Swelling).
Main ingredients: Shutanshi (Ore of Hematite containing Goethite) (large pieces, 3 liang, placed in a new iron pot, heated in charcoal fire until red-hot like the pot, then quenched in vinegar, cooled, removed, and ground extremely fine); Yuyuliangshi (Halloysitum) (3 liang); Zhen Zhensha (Authentic Hematite) (5 liang, washed clean, fried dry, combined with Halloysitum, boiled in 2 sheng of rice vinegar in a copper vessel until dry. Then placed in an iron pot, heated in charcoal fire until red-hot, poured onto a clean brick, cooled, and ground extremely fine).
These three substances are the main components. Secondly, based on the patient's deficiency or excess, add the following:
Qianghuo (Notopterygium Rhizome), Muxiang (Vladimiria Root), Fuling (Poria), Chuanxiong (Ligusticum Chuanxiong Rhizome) (soaked in wine), Niuxi (Achyranthes Bidentata Root) (soaked in wine), Guixin (Cinnamon Bark), Baikou (Cardamom Seed) (fried), Huixiang (Fennel Fruit) (fried), Pengzhu (Curcuma Longa Rhizome), Fuzi (Aconite Lateralis Radix Praeparata), Qingpi (Aurantii Fructus Immaturus Pericarpium), Jingsanleng (Sparganii Rhizoma), Baijili (Tribulus Terrestris Fruit), Danggui (Angelica Sinensis Radix) (soaked in wine, each 0.5 liang).
Grind into powder, mix evenly with the previous powders. Soak steamed leaven cake in hot water, wring out the water, mix with the medicine, pound thoroughly, and form pills sized like paulownia seeds. Take 30-50 pills on an empty stomach with warm wine or plain water. Salt is strictly forbidden; even a trace can worsen the disease. Upon taking the medicine, the pathogenic factor will immediately exit through urine without damaging the Zang-Fu organs. The disease will resolve with two to three doses daily. Assist with mild Qi and Blood tonifying herbs. This is truly a miraculous prescription.