凡腹满痛不得息。正仰卧。屈一膝申一脚。并气冲针入三寸。气至泻之。（千）大钟、
陷谷、（见噫。）悬钟、主腹满。（千云小儿腹满不食。）阴市、主腹中满。痿厥少气。
阴、主腹满积聚。冲门、主寒气腹满。腹中积聚痛。隐白、主腹满喜呕。三里、行
间、曲泉、主腹 满。商丘、主腹中满。向向然不便。心下有寒痛。漏谷、主肠鸣。强
欠。心悲。气逆。腹 满急。巨阙、上管、石门、阴跷、主腹中满。暴痛汗出。期门、
主伤食腹满。（见产。）通谷、主结积留饮癖。（见肠 。）石关、主心坚满。（见大便不
阴都、主心满气逆肠鸣。听宫、（明同。）治心腹满。（铜）冲门、治腹寒气满。（见积
聚。
）大都、治热病汗不出。手足逆冷。腹满善呕。烦热闷乱。吐逆目眩。厉兑、（见尸厥。
）漏谷、（见 癖。）治心腹胀满。腹满。灸绝骨。（千见上气。）巨阙等、主腹满。昆仑
、主腹暴满。（并见腹痛。）太白等、主腹大满。（见腹胀。） 、（在鼻衄门。）三里
、疗腹满。（明见腹大。）中管、治心下胀满。伤饱。食不化。霍乱。出泄不自知。心痛。
（铜）心腹诸病心痛。灸太仓。（千）心腹 痛。灸肝俞。胆俞、疗心胀满。（明见上气
。）府舍、治腹满。（铜）四满、治大腹有水。（见水肿。）神堂、治胸腹满。（见肩痛。
）鱼际（铜同。）等、治腹满。（见伤寒。）石门、主腹满疝积。（千见无子。）分水、疗
腹肿不能食。（见腹痛。）意舍、治腹满虚胀。（见腹胀。）
人有心腹满胀者。予只多以浓朴与之。令每服细锉七八钱重。（幼小量减。）用生姜七片
水小
碗煎至七分服。滓再煎服。不过五六服。胀满脱去。针灸之效。未必如此速也。因识于此。
腹痛、按之痛。重按却不痛。此是气痛。重按愈痛而坚。有积也。气痛不可下。下之愈
痛。虚寒证也。小建中汤治腹痛如神（良方）
凡是腹部胀满疼痛，呼吸受阻。患者正仰卧，屈起一膝，伸直另一脚。将针刺入气冲穴三寸，得气后施行泻法。（出自《千金方》）大钟穴、陷谷穴（参见“嗳气”条）、悬钟穴，主治腹部胀满。（《千金方》记载小儿腹胀不食。）阴市穴，主治腹中胀满、痿厥、少气。阴穴，主治腹部胀满及积聚病。冲门穴，主治寒气引起的腹部胀满、腹中积聚疼痛。隐白穴，主治腹部胀满且喜欢呕吐。足三里穴、行间穴、曲泉穴，主治腹部胀满。商丘穴，主治腹中胀满，感觉向向然不便，心下有寒痛。漏谷穴，主治肠鸣、强欠（频繁打哈欠）、心悲、气逆、腹部胀满急迫。巨阙穴、上管穴（即上脘穴）、石门穴、阴跷穴，主治腹中胀满，突发疼痛伴出汗。期门穴，主治因伤食引起的腹部胀满。（参见“产后”条）。通谷穴，主治结积留饮癖。（参见“肠痈”条）。石关穴，主治心部坚硬胀满。（参见“大便不通”条）。阴都穴，主治心部胀满、气逆、肠鸣。听宫穴（《明堂》记载相同），治疗心腹胀满。（《铜人腧穴针灸图经》记载）冲门穴，治疗寒气引起的腹部胀满。（参见“积聚”条）。大都穴，治疗热病汗不出、手足逆冷、腹部胀满、容易呕吐、烦热闷乱、吐逆、目眩。厉兑穴（参见“尸厥”条）、漏谷穴（参见“癖”条），治疗心腹胀满、腹部胀满。灸绝骨穴（《千金方》见于上气条）。巨阙等穴，主治腹部胀满。昆仑穴，主治突发腹部胀满。（均见于腹痛条）。太白等穴，主治腹部大满。（参见“腹胀”条）。[此处原文缺字或符号]（在鼻衄门条下）。足三里穴，治疗腹部胀满。（《明堂》见于腹大条）。中管穴（即中脘穴），治疗心下胀满、伤饱、食物不消化、霍乱、泄泻不知控制、心痛。（《铜人》记载心腹诸病之心痛，灸太仓穴（即中脘穴）。（《千金方》记载）心腹疼痛，灸肝俞穴。胆俞穴，治疗心部胀满。（《明堂》见于上气条）。府舍穴，治疗腹部胀满。（《铜人》记载）。四满穴，治疗大腹有水（腹水）。（参见“水肿”条）。神堂穴，治疗胸腹胀满。（参见“肩痛”条）。鱼际穴（《铜人》记载相同）等穴，治疗腹部胀满。（参见“伤寒”条）。石门穴，主治腹部胀满、疝气积聚。（《千金方》见于无子条）。分水穴，治疗腹部肿胀不能进食。（参见“腹痛”条）。意舍穴，治疗腹部胀满虚胀。（参见“腹胀”条）。
有人出现心腹满胀的症状，我大多使用浓朴（厚朴）给予治疗。令每次服用细锉后的药材七八钱重（幼小者减量）。用生姜七片，加水小碗煎至七分量时服用，药渣再煎一次服用。不超过五六次服药，胀满即可消除。针灸的效果，未必有如此迅速。因此记录于此。
腹痛，按压时疼痛，重按却不痛，这是气痛。重按时更加疼痛且腹部坚硬，是有积滞。气痛不可使用攻下法，攻下后疼痛加剧，属于虚寒证。小建中汤治疗腹痛如神效（出自《良方》）。
Whenever there is abdominal distension and pain with difficulty in breathing, the patient lies supine, flexes one knee, and extends the other leg. Needle into Qichong (ST30) to a depth of three cun; when Deqi (arrival of Qi) is achieved, apply the reducing method. (From *Qianjin Fang*) Dazhong (KI4), Xangu (GB41) (see "Eructation"), Xuanzhong (GB39) govern abdominal distension. (*Qianjin Fang* notes pediatric abdominal distension with anorexia.) Yinshi (ST89) governs abdominal distension, flaccidity-coldness (Wei-Jue), and shortness of breath. Yin (KI10) governs abdominal distension and accumulation-masses. Chongmen (SP15) governs cold-Qi-induced abdominal distension and abdominal accumulation-pain. Yinbai (SP1) governs abdominal distension with frequent vomiting. Zusanli (ST36), Xingjian (LR2), Ququan (LR8) govern abdominal distension. Shangqiu (SP5) governs abdominal distension, a sensation of obstruction ("Xiangxiangran"), and cold-pain below the heart. Lougu (SP7) governs borborygmus, frequent yawning, sadness of heart, rebellious Qi, and urgent abdominal distension. Juque (CV14), Shangguan (CV13, i.e., Shangwan), Shimen (CV5), Yinqiao (extra point) govern intra-abdominal distension, sudden pain with sweating. Qimen (LR14) governs abdominal distension due to food injury. (See "Postpartum" section.) Tonggu (BL65) governs accumulated fluid retention and phlegm-fluid masses. (See "Intestinal Abscess" section.) Shiguan (KI18) governs hardness and fullness in the heart region. (See "Constipation" section.) Yindu (KI17) governs fullness in the heart region, rebellious Qi, and borborygmus. Tinggong (SI19) (same as in *Mingtang*) treats heart and abdominal distension. (*Tongren* records) Chongmen (SP15) treats abdominal distension due to cold-Qi. (See "Accumulation-Mass" section.) Dada (SP2) treats febrile diseases with inability to sweat, cold extremities, abdominal distension, tendency to vomit, irritability, heat, confusion, retching, and vertigo. Lidui (ST45) (see "Corpse-like Coma"), Lougu (SP7) (see "Phlegm-Fluid Mass") treat heart and abdominal distension. Moxibustion on Jiegu (GB39) (seen in *Qianjin* under "Rebellious Qi"). Juque (CV14) and others govern abdominal distension. Kunlun (BL60) governs sudden abdominal distension. (Both seen in "Abdominal Pain" section). Taibai (SP3) and others govern large abdominal distension. (See "Abdominal Distension" section). [Missing character/symbol] (under "Epistaxis" section). Zusanli (ST36) treats abdominal distension. (*Mingtang* seen under "Large Abdomen"). Zhongguan (CV12, i.e., Zhongwan) treats subcardiac distension, food stagnation, indigestion, cholera-like disorder, involuntary diarrhea, and heart pain. (*Tongren* records heart and abdominal disorders involving heart pain: moxa Tai Cang (CV12, i.e., Zhongwan). (*Qianjin* records) Heart and abdominal pain: moxa Ganshu (BL18). Danshu (BL19) treats heart distension. (*Mingtang* seen under "Rebellious Qi"). Fushhe (SP16) treats abdominal distension. (*Tongren* records). Siman (CV3) treats water retention in the great abdomen (ascites). (See "Edema" section). Shentang (BL44) treats chest and abdominal distension. (See "Shoulder Pain" section). Yuji (LU10) (same as *Tongren*) and others treat abdominal distension. (See "Cold Damage" section). Shimen (CV5) governs abdominal distension, hernia, and accumulation-masses. (*Qianjin* seen under "Infertility"). Fen shui (extra point) treats abdominal swelling with inability to eat. (See "Abdominal Pain" section). Yishe (BL20) treats empty distension of the abdomen. (See "Abdominal Distension" section).
For patients with heart and abdominal distension, I mostly prescribe Houpo (Magnolia Bark). The dosage is seven or eight qian of finely chopped herb per dose (reduced for children). Decoct with seven slices of fresh ginger in a small bowl of water until reduced to 70% volume, then administer. The dregs are decocted again for a second dose. Within five to six doses, the distension resolves. The efficacy of acupuncture and moxibustion may not be this rapid. Therefore, I record this here.
Abdominal pain that hurts upon pressing but does not hurt upon heavy pressing is Qi pain. If heavy pressing causes more pain and the abdomen feels hard, it indicates an accumulation-mass. Qi pain should not be treated with purgatives; purging will exacerbate the pain. This is a deficiency-cold syndrome. Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) treats abdominal pain with miraculous effect (from *Liang Fang*).