大异香散
治失饥伤饱,痞闷停酸,早食暮不能食,名谷胀。
京三棱 蓬术 青皮 陈皮 半夏曲 藿香 北梗 益智仁 枳壳(制) 香附子(炒。
各半
上锉散。每服三钱,水盏半,姜五片,枣二枚煎服。
荜澄茄丸
治痞满胀痛,谷胀、气胀通用。
荜澄茄 白豆蔻仁 缩砂仁 青皮 萝卜子 木香(各二分) 肉豆蔻(煨) 茴香(炒)
辣桂
上为末,面煮稀糊丸,梧桐子大。每服三十丸,陈皮汤下。
大半夏汤
治脾土受湿,不能制水,水渍于肠胃,溢于皮肤,漉漉有声,怔忪 息,名水胀
半夏(汤洗) 陈皮 茯苓 桔梗 槟榔 甘草(各等分)
上锉散。每服三钱,水一盏半,生姜三片煎,温服。
青木香丸
治同上(方见诸疝类。)
人参芎归汤
治烦躁嗽水,迷忘惊狂,痛闷喘息,虚汗厥逆,小便多,大便黑,名血胀。
当归 半夏(制同上,三分) 川芎(一两) 蓬术(煨) 木香 缩砂仁 乌药 甘
草(炙。各
上锉散。每服三钱,姜五片,枣二枚,紫苏四叶煎,食前服。
七物浓朴汤
治腹满发热。以阳并阴,则阳实阴虚,阳盛生外热,阴虚生内热,脉必浮数,
数则为热,阴虚不能宣导,饮食如故,致胀满者,为热胀。
浓朴(姜汁炒,一两) 甘草(炙) 大黄(蒸。各三钱三字) 枳实(麸炒,去穣,
半两) 桂心
上锉散。每服四钱,水盏半,生姜七片,枣三枚,煎至七分,食前服。呕,加半夏。利
者,
推气丸
治三焦痞塞,气不升降,胸膈胀满,大便秘涩,小便赤少,并宜服之。
大黄 陈皮 槟榔 枳壳(小者,去穣) 黄芩 黑牵牛(生用。各等分)
上为末,蜜丸如梧桐子大。每服五七十丸,临卧以温熟水下,更量虚实加减。
大异香散
治疗因饥饿或过饱导致的饮食损伤,出现胸脘痞闷、酸水停滞的症状,早晨能进食而晚上不能进食,这种病症称为谷胀。
药材包括:京三棱、蓬术(莪术)、青皮、陈皮、半夏曲、藿香、北梗(桔梗)、益智仁、制枳壳、炒香附子。
以上药材各取半量。
将上述药材捣碎成散剂。每次服用三钱,加入一碗半水、五片生姜、两枚大枣,煎煮后服用。
荜澄茄丸
治疗痞满胀痛,谷胀和气胀均可通用。
药材包括:荜澄茄、白豆蔻仁、缩砂仁(砂仁)、青皮、萝卜子(莱菔子)、木香(各二分)、煨肉豆蔻、炒茴香、辣桂(肉桂)。
将上述药材研为细末,用面粉煮成的稀糊作为粘合剂制成丸药,大小如梧桐子。每次服用三十丸,用陈皮汤送服。
大半夏汤
治疗脾土受湿邪侵袭,无法制约水液,导致水湿浸渍肠胃,溢出皮肤,体内发出漉漉的水声,伴有心悸、呼吸急促等症状,这种病症称为水胀。
药材包括:汤洗半夏、陈皮、茯苓、桔梗、槟榔、甘草(各等分)。
将上述药材捣碎成散剂。每次服用三钱,加入一碗半水、三片生姜,煎煮后温服。
人参芎归汤
治疗烦躁、想喝水但漱口不欲咽、神志迷乱健忘、惊悸发狂、疼痛闷窒、喘息、虚汗、厥逆、小便频多、大便色黑等症状,这种病症称为血胀。
药材包括:当归、制半夏(同前法,三分)、川芎(一两)、煨蓬术(莪术)、木香、缩砂仁(砂仁)、乌药、炙甘草(各等分,原文此处似有缺漏,依常规补全为各等分或按比例,此处按原文“各”字处理,意指均分或适量)。
将上述药材捣碎成散剂。每次服用三钱,加入五片生姜、两枚大枣、四叶紫苏,煎煮后于饭前服用。
七物浓朴汤
治疗腹部胀满伴有发热。如果阳气并入阴分,则会导致阳实阴虚,阳气盛则产生外热,阴气虚则产生内热,脉象必然浮数。数脉主热,阴气虚弱不能宣通导引,虽然饮食正常,但仍导致胀满的,称为热胀。
药材包括:姜汁炒浓朴(厚朴,一两)、炙甘草、蒸大黄(各三钱三字)、麸炒去瓤枳实(半两)、桂心。
将上述药材捣碎成散剂。每次服用四钱,加入一碗半水、七片生姜、三枚大枣,煎煮至七分水量,于饭前服用。如果出现呕吐症状,加入半夏;如果出现腹泻症状,改用推气丸。
推气丸
治疗三焦气机痞塞,气机升降失常,导致胸膈胀满,大便秘结涩滞,小便短赤量少,均适宜服用此药。
药材包括:大黄、陈皮、槟榔、小个且去瓤的枳壳、黄芩、生黑牵牛子(各等分)。
将上述药材研为细末,用蜂蜜制成如梧桐子大小的丸药。每次服用五七十丸,临睡前用温熟水送服,并根据患者虚实情况酌情加减剂量。
Da Yixiang San (Great Rare Fragrance Powder)
Indicated for food injury due to irregular eating habits (starvation or overeating), presenting with chest and epigastric stuffiness, stagnation of sour fluid, ability to eat in the morning but inability to eat in the evening. This condition is named Gu Zhang (Grain Distension).
Ingredients: Jing San Leng (Burreed Tuber), Peng Zhu (Curcuma Zedoaria Rhizome), Qing Pi (Green Tangerine Peel), Chen Pi (Aged Tangerine Peel), Ban Xia Qu (Pinellia Fermented Paste), Huo Xiang (Patchouli Herb), Bei Geng (Platycodon Root), Yi Zhi Ren (Alpinia Oxyphylla Fruit), Zhi Zhi Qiao (Prepared Aurantium Fructus), Chao Xiang Fu Zi (Stir-fried Cyperus Rhizome).
Take equal parts of each.
Crush the above herbs into a powder. Take 3 qian per dose, decoct with 1.5 bowls of water, 5 slices of fresh ginger, and 2 jujubes. Strain and take orally.
Bichengqie Wan (Galangal Pill)
Indicated for stuffiness, fullness, distension, and pain; applicable to both Gu Zhang (Grain Distension) and Qi Zhang (Qi Distension).
Ingredients: Bichengqie (Litsea Cubeba Fruit), Bai Dou Kou Ren (Cardamom Seed), Suo Sha Ren (Amomum Villosum Fruit), Qing Pi (Green Tangerine Peel), Luo Bo Zi (Radish Seed), Mu Xiang (Aucklandia Root) [each 2 fen], Rou Dou Kou (Nutmeg) [roasted], Hui Xiang (Fennel Fruit) [stir-fried], La Gui (Cinnamon Twig).
Pulverize the above herbs into fine powder. Use wheat flour paste cooked to a thin consistency as a binder to make pills, sized like wutong seeds. Take 30 pills per dose, washed down with Chen Pi (Tangerine Peel) decoction.
Da Ban Xia Tang (Major Pinellia Decoction)
Indicated for Spleen Earth affected by dampness, failing to control water, leading to water infiltrating the stomach and intestines and overflowing onto the skin. Symptoms include gurgling sounds in the abdomen, palpitations (Zheng Zhong), and shortness of breath (Xi). This condition is named Shui Zhang (Water Distension).
Ingredients: Ban Xia (Pinellia Tuber) [washed with boiling water], Chen Pi (Aged Tangerine Peel), Fu Ling (Poria), Jie Geng (Platycodon Root), Bing Lang (Areca Seed), Gan Cao (Licorice Root) [equal parts].
Crush the above herbs into a powder. Take 3 qian per dose, decoct with 1 bowl and a half of water and 3 slices of fresh ginger. Take warm.
Qing Mu Xiang Wan (Blue Costus Pill)
Treatment is the same as above (see formula in the category of various hernias).
Ren Shen Xiong Gui Tang (Ginseng, Ligusticum, and Angelica Decoction)
Indicated for irritability, thirst with desire to rinse mouth but not swallow, confusion and forgetfulness, fright and mania, painful oppression, panting, deficiency sweating, cold extremities (Jue Ni), polyuria, and black stool. This condition is named Xue Zhang (Blood Distension).
Ingredients: Dang Gui (Angelica Sinensis Root), Ban Xia (Pinellia Tuber) [prepared as above, 3 fen], Chuan Xiong (Ligusticum Wallichii Rhizome) [1 liang], Peng Zhu (Curcuma Zedoaria Rhizome) [roasted], Mu Xiang (Aucklandia Root), Suo Sha Ren (Amomum Villosum Fruit), Wu Yao (Lindera Root), Zhi Gan Cao (Honey-fried Licorice Root) [equal parts].
Crush the above herbs into a powder. Take 3 qian per dose, decoct with 5 slices of fresh ginger, 2 jujubes, and 4 leaves of Zi Su (Perilla Leaf). Take before meals.
Qi Wu Nong Po Tang (Seven-Ingredient Magnolia Bark Decoction)
Indicated for abdominal fullness accompanied by fever. When Yang merges into Yin, it results in excess Yang and deficiency Yin. Excess Yang generates external heat, while deficiency Yin generates internal heat. The pulse must be floating and rapid. A rapid pulse indicates heat. If Yin deficiency fails to promote circulation and guidance, and although diet remains normal, distension occurs, this is called Re Zhang (Heat Distension).
Ingredients: Nong Po (Magnolia Bark) [stir-fried with ginger juice, 1 liang], Zhi Gan Cao (Honey-fried Licorice Root), Da Huang (Rhubarb Root) [steamed] [each 3 qian and 3 zhu], Zhi Shi (Immature Bitter Orange) [bran-fried, pith removed] [0.5 liang], Gui Xin (Cinnamon Heart).
Crush the above herbs into a powder. Take 4 qian per dose, decoct with 1.5 bowls of water, 7 slices of fresh ginger, and 3 jujubes. Decoct until three-sevenths of the liquid remains. Take before meals. If vomiting occurs, add Ban Xia (Pinellia Tuber). If diarrhea occurs, use Tui Qi Wan (Pushing Qi Pill).
Tui Qi Wan (Pushing Qi Pill)
Indicated for obstruction in the Triple Burner, failure of Qi to ascend and descend, chest and diaphragm fullness and distension, constipation with dryness, and scanty dark urine. It is suitable for all these conditions.
Ingredients: Da Huang (Rhubarb Root), Chen Pi (Aged Tangerine Peel), Bing Lang (Areca Seed), Zhi Qiao (Aurantium Fructus) [small size, pith removed], Huang Qin (Scutellaria Root), Hei Qian Niu (Black Morning Glory Seed) [raw] [equal parts].
Pulverize the above herbs into fine powder. Make pills with honey, sized like wutong seeds. Take 50–70 pills per dose, taken with warm boiled water before bedtime. Adjust the dosage according to the patient's deficiency or excess condition.