论云∶五积久而必心腹胀满。且五积以五脏气不平，肝为肥气，心为伏梁，肺为息奔，
脾为痞气，肾为奔豚。皆聚结痞块，随所生所成之日，分推而究之，皆喜怒忧思，乘克胜克
，相因相感。如斯等类，从五积法治之可也。但内所因，不待成积，即为胀满，亦当随其脏
气而平治之。所谓虚实补泻，太过不及，以经调治。
治肝气不平，胜克于脾，脾郁不行，结聚涎沫，闭于脏气，腑气不舒，胃则
胀满，其脉弦迟。故知中虚胃冷胀满，可服此下气进食。
半夏(洗七次汤去滑) 桂心（各五两） 附子(炮去皮脐) 人参 甘草(炙) 浓朴(姜制炒)
当归 茯苓 枳实(麸炒去瓤，各三两） 川椒(炒出汗，去合口者，八百粒)
上为锉散。每服四大钱，水一盏半，姜五片，枣三枚，煎七分，去滓，食前服。
治忧思聚结，脾肺气凝，阳不能正，大肠与胃气不平，胀满冲咳，食
不得下，脉虚而紧涩。
附子(炮去皮脐) 当归 浓朴(去皮生用) 人参 橘皮 白芍药 甘草(炙，各一两） 干
姜（一两一分） 川椒(炒出汗，去合口者，三分)
上为锉散。每服四大钱，水二盏，煎七分，去滓，食前服。
治忧怒相乘，神志不守，思虑兼并，扰乱脏气，不主传导，使诸阳不舒，
反顺为逆，中寒气胀，肠鸣切痛，胸胁逆满，呕吐不食。
附子（一个，生去皮脐，虚人略炮) 半夏(汤洗七次) 粳米（各三钱半字） 甘草(炙，一钱一
字） 干姜（一分，《千金方》如此)
上锉散。每服四大钱，水二盏，枣三个，煎七分，去滓，食前服。
古籍论述说：五积（指五脏之气积聚形成的病证）日久必然导致心腹胀满。所谓五积，是由于五脏气机不平所致：肝脏积聚称为肥气，心脏积聚称为伏梁，肺脏积聚称为息奔，脾脏积聚称为痞气，肾脏积聚称为奔豚。这些积聚都形成痞块，根据它们生成和形成的时间，分别推究其成因，都是由于喜怒忧思等情志失调，导致五行相乘（过度克制）或相克（反向克制），相互影响、感应而致病。像这类情况，可以按照治疗五积的方法来处理。但是，如果是内因所致，尚未形成积聚，就已经出现胀满症状，也应当根据各脏的气机状况进行调和治疗。这就是所谓的虚实补泻原则，针对太过或不及的情况，依据经络理论进行调治。
治疗肝气不平，克制脾土，导致脾郁滞不行，凝聚成涎沫，闭塞脏气，腑气不舒畅，胃则出现胀满，脉象弦迟。因此可知这是中焦虚寒、胃冷引起的胀满，可以服用此方以降气开胃进食。
半夏（用汤洗七次以去除滑腻） 桂心（各五两） 附子（炮制后去皮及脐） 人参 甘草（炙） 浓朴（姜汁制后炒） 当归 茯苓 枳实（麸皮炒后去瓤，各三两） 川椒（炒至出汗，去掉开口者，八百粒）
以上药物捣碎成散剂。每次服用四大钱，加水一盏半，生姜五片，大枣三枚，煎煮至七分量，滤去药渣，饭前服用。
治疗忧思导致气机聚结，脾肺气机凝滞，阳气不能正常升发，大肠与胃气不平，出现胀满并伴有冲逆咳嗽，食物无法咽下，脉象虚而紧涩。
附子（炮制后去皮及脐） 当归 浓朴（去皮生用） 人参 橘皮 白芍药 甘草（炙，各一两） 干姜（一两一分） 川椒（炒至出汗，去掉开口者，三分）
以上药物捣碎成散剂。每次服用四大钱，加水二盏，煎煮至七分量，滤去药渣，饭前服用。
治疗忧怒相互交加，神志不能守持，思虑兼杂，扰乱脏气，导致传导功能失常，使诸阳之气不舒，反而顺行变为逆乱，中焦受寒气侵袭而胀满，肠鸣且剧烈疼痛，胸胁部逆气胀满，呕吐不能进食。
附子（一个，生用去皮及脐，体虚者略加炮制） 半夏（汤洗七次） 粳米（各三钱半字） 甘草（炙，一钱一字） 干姜（一分，《千金方》记载如此）
以上药物捣碎成散剂。每次服用四大钱，加水二盏，大枣三个，煎煮至七分量，滤去药渣，饭前服用。
The ancient texts state: When the Five Accumulations (pathological accumulations in the five Zang organs) persist for a long time, they inevitably lead to abdominal distension and fullness. The Five Accumulations arise from the disharmony of Qi in the five Zang organs: accumulation in the Liver is called Feiqi (Fatty Qi), in the Heart Fuliang (Hidden Beam), in the Lung Xiben (Panting Rush), in the Splei Piqi (Stagnant Qi), and in the Kidney Bentun (Running Piglet). All these form palpable masses. By investigating their formation based on the time of onset, one can trace them back to emotional disturbances such as anger, joy, worry, and overthinking, which cause excessive controlling (Cheng) or counter-restricting (Ke) interactions among the Five Elements, influencing each other. For such cases, treatment should follow the methods for resolving the Five Accumulations. However, if internal causes lead to distension and fullness before an accumulation is fully formed, treatment should still be guided by harmonizing the Qi of the respective Zang organs. This refers to the principles of tonifying deficiency and draining excess, addressing conditions of excess or deficiency, and regulating through the meridians.
For treating Liver Qi disharmony that overacts upon the Spleen, causing Spleen Qi stagnation and failure to move, leading to the condensation of phlegm-fluids, blocking Zang Qi, and preventing the smooth flow of Fu Qi, resulting in gastric distension and fullness with a wiry and slow pulse: This indicates middle Jiao deficiency-cold and cold stomach causing distension. One may take this formula to direct Qi downward and promote appetite.
Banxia (Pinelliae Rhizoma, washed seven times in water to remove slipperiness) Guixin (Cinnamomi Cortex, five liang each) Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, and navel removed) Renshen (Ginseng Radix et Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Houpo (Magnoliae Officinalis Cortex, ginger-processed and stir-fried) Danggui (Angelicae Sinensis Radix) Fuling (Poria) Zhishi (Aurantii Fructus Immaturus, bran-fried and pulp removed, three liang each) Chuanjiao (Zanthoxyli Pericarpium, stir-fried until oil appears, those with open seams removed, 800 grains)
Crush the above into a coarse powder. Take four qian per dose, add one and a half zhan of water, five slices of fresh ginger, and three jujubes. Decoct until reduced to 70%, strain, and administer before meals.
For treating distress and overthinking causing Qi aggregation, stagnation of Spleen and Lung Qi, failure of Yang Qi to rise properly, imbalance between Large Intestine and Stomach Qi, leading to distension with rushing cough, inability to swallow food, and a deficient, tight, and choppy pulse:
Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, and navel removed) Danggui (Angelicae Sinensis Radix) Houpo (Magnoliae Officinalis Cortex, peeled and used raw) Renshen (Ginseng Radix et Rhizoma) Juapi (Citri Reticulatae Pericarpium) Baishao (Paeoniae Radix Alba) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, one liang each) Ganjiang (Zingiberis Rhizoma, one liang and one fen) Chuanjiao (Zanthoxyli Pericarpium, stir-fried until oil appears, those with open seams removed, three fen)
Crush the above into a coarse powder. Take four qian per dose, add two zhan of water. Decoct until reduced to 70%, strain, and administer before meals.
For treating simultaneous sorrow and anger, loss of mental stability, mixed overthinking disturbing Zang Qi, impairing transmission and transformation, causing the Yang Qi to become stagnant and reverse its normal course, resulting in cold-induced abdominal distension in the middle Jiao, borborygmus with cutting pain, rebellious fullness in the chest and hypochondrium, vomiting, and inability to eat:
Fuzi (Aconiti Lateralis Radix, raw, peeled, and navel removed; slightly processed for deficient patients, one piece) Banxia (Pinelliae Rhizoma, washed seven times in water) Jingmi (Oryza Sativa Glutinosa Semen, three qian and half zi each) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, one qian and one zi) Ganjiang (Zingiberis Rhizoma, one fen, as recorded in Qianjin Fang)
Crush the above into a coarse powder. Take four qian per dose, add two zhan of water and three jujubes. Decoct until reduced to 70%, strain, and administer before meals.