胀满专属于肺，有虚胀，积胀，热胀，寒胀。
虚胀者，或因吐泄，或误服下药，致成胀满着，此宜补中调
气，利小便，以四君子汤去甘草，加厚朴、陈皮、苍术。木香、木
通治之。盖中满忌甘草，所以去之，若厚补乃胀满必用之药。
积胀者，腹中原有食积结粪，小便黄，腹时作痛，微喘脉
实，时时饮水，又不能食者，可下。用丁香脾积丸，下后，以集圣
丸调之。
如脾胃素弱，不能消导运化，伤食作胀者，先补脾，四君子
汤去甘草，加厚朴。陈皮、砂仁，后以脾积丸下之。后又补脾，
集圣丸主之。轻者，只以保和丸调之。
热胀者，浑身壮热，面赤烦躁，大便秘，此因胎禀素厚，误服
药而致者，急以三黄丸下之。不通者，用胆导法，下后，以胃苓丸
调之。
寒胀者，因寒积郁结而胀，手足厥冷，面青气急。先以塌气
丸治之，后以胃苓丸调之。
凡胀满喘急，除寒胀一症，其余俱以葶苈丸治之。
亦有遍身疮疥，因淋洗涂搽，逼毒归内而腹胀者，轻则败毒
散治之，重则解毒丸下之，疮出胀消而愈。如面青黑，气上急，
手足冷，目直视，或目闭呕乳者，皆不可治。
胀满这一病症，其病机主要归属于肺，具体可分为虚胀、积胀、热胀和寒胀四种类型。
所谓虚胀，是因为呕吐腹泻，或者误服了泻下药，导致形成胀满的症状。这种情况适宜采用补益中气、调理气机、通利小便的方法治疗，方用四君子汤（由人参、白术、茯苓、甘草组成的补气基础方）去掉甘草，加入厚朴、陈皮、苍术、木香、木通来治疗。因为腹部胀满时忌讳使用甘草（甘草甘缓，易助湿满中），所以要将其去掉；而厚朴等药则是治疗胀满所必须使用的药物。
所谓积胀，是指腹中原有食物停滞和干结的粪便，伴有小便黄赤，腹部时常疼痛，轻微气喘，脉象实大，经常想喝水但又不能进食的情况。这种情形可以使用攻下法。方用丁香脾积丸，攻下之后，再用集圣丸进行调理。
如果患者脾胃素来虚弱，不能消化导运化，因伤食而导致胀满的，应先补益脾气，方用四君子汤去掉甘草，加入厚朴、陈皮、砂仁；之后再使用脾积丸攻下积滞。攻下后再补益脾气，以集圣丸为主方。病情较轻的，只用保和丸（消食导滞的代表方剂）进行调理即可。
所谓热胀，表现为全身高热，面色红赤，烦躁不安，大便秘结。这通常是因为先天禀赋厚实，误服药物所致。应当紧急使用三黄丸（清热泻火的方剂）攻下。如果大便仍不通畅，可采用胆导法（一种通便的外治法），攻下之后，用胃苓丸（健脾燥湿、行气利水的方剂）进行调理。
所谓寒胀，是因为寒邪积滞郁结而导致胀满，伴有手足厥冷，面色青暗，气息急促。应当先使用塌气丸治疗，之后再使用胃苓丸进行调理。
凡是出现胀满且伴有喘急症状的，除了寒胀这一种情况外，其余均可使用葶苈丸治疗。
也有因遍身疮疥，经过淋洗或涂搽药物后，迫使毒邪内陷归入体内而导致腹胀的情况。病情轻的，用败毒散治疗；病情重的，用解毒丸攻下。待疮疹发出，胀满消退，疾病即可痊愈。如果出现面色青黑，气息急促上逆，手足冰冷，眼睛直视，或者眼睛闭合、呕吐乳食等情况，都属于不可治愈的危重症。
塌气丸的配方：胡椒一两，蝎梢（去除毒性）五钱，共同研成细末，用面糊制作成丸剂，用陈米汤送服。另一种配方加入莱菔子（俗称萝卜籽），称为褐丸子。
Distension and fullness are primarily associated with the Lung. They can be categorized into deficiency distension, accumulation distension, heat distension, and cold distension.
Deficiency distension arises from vomiting or diarrhea, or from the mistaken administration of purgatives, resulting in distension and fullness. This condition is suitable for treatment by tonifying the Middle Jiao (the Spleen and Stomach), regulating Qi, and promoting urination. The prescription used is Sijunzi Tang (Four Gentlemen Decoction) with Licorice Root removed, supplemented with Magnolia Bark, Tangerine Peel, Atractylodes Rhizome, Aucklandia Root, and Akebia Stem. Licorice Root is removed because it is contraindicated in cases of fullness in the middle Jiao due to its sweet and cloying nature, whereas herbs like Magnolia Bark are essential for treating distension.
Accumulation distension is characterized by food stagnation and dry feces already present in the abdomen, accompanied by yellow urine, intermittent abdominal pain, slight wheezing, a solid pulse, frequent thirst, and an inability to eat. In such cases, purgation is indicated. Dingxiang Piji Wan (Clove Spleen Accumulation Pill) is used for purgation, followed by Jisheng Wan (Collective Sage Pill) for regulation.
If the patient has inherently weak Spleen and Stomach function, unable to digest and transport nutrients, leading to distension from food injury, the Spleen should first be tonified using Sijunzi Tang without Licorice Root, added with Magnolia Bark, Tangerine Peel, and Amomum Fruit. Subsequently, Piji Wan is used to purge the accumulation. After purgation, the Spleen is tonified again, primarily using Jisheng Wan. For mild cases, only Baohe Wan (Preserve Harmony Pill) is needed for regulation.
Heat distension presents with high fever throughout the body, red face, irritability, constipation, and hard stools. This is often caused by a robust constitutional foundation combined with the mistaken ingestion of drugs. It requires urgent purgation using Sanhuang Wan (Three Yellows Pill). If bowel movement remains obstructed, a gall-bladder suppository method (Dan Dao Fa) may be employed. After purgation, Weiling Wan (Stomach Cinnamon and Poria Pill) is used for regulation.
Cold distension results from the accumulation and constraint of cold pathogens, presenting with cold extremities, cyanotic complexion, and rapid breathing. Taki Wan (Collapse Qi Pill) should be administered first, followed by Weiling Wan for regulation.
For all cases of distension accompanied by wheezing and urgency, except for cold distension, Tingli Wan (Descurainia Seed Pill) is the appropriate treatment.
In some instances, widespread skin sores and scabies, after being washed or treated with topical applications, cause toxins to be forced inward, resulting in abdominal distension. Mild cases are treated with Baidu San (Defeat Toxin Powder); severe cases are purged with Jiedu Wan (Detoxify Toxin Pill). Recovery occurs when the sores erupt and the distension subsides. However, if the patient exhibits a cyanotic or black complexion,急促 upward rushing of Qi, cold hands and feet, fixed staring eyes, or closed eyes with vomiting of milk, these are signs of untreatable critical conditions.
Taki Wan Formula: Pepper (1 liang) and Scorpion Tail tip (de-toxified, 5 qian) are ground into powder, formed into pills with wheat paste, and taken with aged rice decoction. Another variation adds Radish Seeds, known as He Wan Zi (Brown Pill).