胀满者，俗谚所谓膨亨是也。内经问∶人有病，旦食不能暮食，此为何病？歧伯对曰∶
名曰鼓胀。治之以鸡矢醴一剂至二剂已。治法虽详，而不论其病之所由生，故切有疑焉。大
抵人之脾胃，主于中州，大腹小腹是其候也。若阳气外强，阴气内正，则脏气得其平，病何
由生。苟或将理失宜，风寒暑湿得以外袭，喜怒忧思得以内伤，食啖生冷，过饮寒浆，扰动
冲和，如是阴气当升而不升，阳气当降而不降，中焦痞结，必成胀满。胀满不已，变证多端，
或肠鸣气走漉漉有声，或两胁腰背痛连上下，或头痛呕逆，或胸闷不食，或大小便为之不利，
未有不因胀满而使焉。更有五疸、水气、香港脚及妇人血膨，令人胀满。若论其脉，脉浮者可
治，脉虚小者为难治。
治喜怒不节，肝气不平，邪乘脾胃，心腹胀满，连两胁妨闷，头晕呕逆，脉来
防风（去芦） 桂枝（不见火） 枳壳（去瓤，麸炒） 赤芍药 桔梗（去芦，锉，炒。
各一两） 木香（不见火） 人参 槟榔 当归（去芦，酒浸） 川芎 桔红 甘草（炙。
各半两）
上 咀，每服四钱，水一盏半，姜五片，煎至七分，去滓，温服，不拘时候。
治忧思过度，邪伤脾肺，心腹膨胀，喘促胸满，肠鸣气走，漉漉有声，大小便不利，脉
虚紧而涩。
紫苏子（一两） 大腹皮 草果仁 半夏（汤泡七次） 浓朴（去皮，姜制，炒） 木
香（不见火） 桔红 木通 白术 枳实（去瓤，麸炒） 人参 甘草（炙。各半两）
上 咀，每服四钱，水一盏半，生姜五片，枣二枚，煎至七分，去滓，温服，不拘时候。
胀满，就是民间俗称的“膨亨”（腹部胀大）。《内经》问道：有人患病，早上能吃晚饭却吃不下，这是什么病？岐伯回答说：名叫鼓胀。用鸡矢醴治疗，服用一到两剂即可痊愈。虽然治疗方法记载得很详细，但没有论述疾病产生的原因，所以我对此存有疑问。大抵人的脾胃位于中焦，大腹和小腹是其反映部位。如果阳气在外强盛，阴气在内平和，那么脏气就能保持平衡，病从何而生呢？假如调摄失当，风寒暑湿得以从外侵袭，喜怒忧思得以从内损伤，进食生冷食物，过量饮用寒凉浆饮，扰乱了体内的冲和之气，导致阴气该升发而不升发，阳气该下降而不下降，中焦痞塞结聚，必然形成胀满。胀满如果不愈，变证多种多样，有的肠鸣气体走动发出漉漉的声音，有的两胁腰背痛牵连上下，有的头痛呕吐逆气，有的胸闷不想吃东西，有的大小便不通利，这些没有不是由胀满引起的。更有五疸、水气、香港脚以及妇人的血膨，令人出现胀满。如果论其脉象，脉浮的可以治疗，脉虚小的难以治疗。
治疗因喜怒不节制，导致肝气不平，邪气乘袭脾胃，引起心腹胀满，牵连两胁感到憋闷，头晕呕吐逆气，脉象表现为……
防风（去除芦头） 桂枝（避免火烤） 枳壳（去除瓤，麸皮炒） 赤芍药 桔梗（去除芦头，切碎，炒。各一两） 木香（避免火烤） 人参 槟榔 当归（去除芦头，酒浸） 川芎 桔红 甘草（炙。各半两）
以上药物捣碎成粗末，每次服用四钱，用水一盏半，生姜五片，煎煮至七分，去渣，温服，不限时候。
治疗因忧思过度，邪气损伤脾肺，引起心腹膨胀，气喘急促胸满，肠鸣气体走动，发出漉漉的声音，大小便不利，脉象虚紧而涩。
紫苏子（一两） 大腹皮 草果仁 半夏（汤泡七次） 浓朴（去皮，姜制，炒） 木香（避免火烤） 桔红 木通 白术 枳实（去除瓤，麸皮炒） 人参 甘草（炙。各半两）
以上药物捣碎成粗末，每次服用四钱，用水一盏半，生姜五片，大枣二枚，煎煮至七分，去渣，温服，不限时候。
Distension and fullness, commonly referred to in folk sayings as "Peng Heng" (abdominal distension), is described in the *Neijing* (Classic of Internal Medicine): "There is a person who suffers from illness, able to eat in the morning but unable to eat in the evening; what disease is this?" Qibo replied: "It is called Drum Distension (Gu Zhang). Treat it with Ji Shi Li (Chicken Dropping Fermented Liquid) for one to two doses, and it will be cured." Although the treatment methods are detailed, the origin of the disease is not discussed, so I have doubts. Generally speaking, the Spleen and Stomach govern the Middle Jiao (Central Region), and the large and small abdomen are their manifestations. If Yang Qi is strong externally and Yin Qi is balanced internally, then the Zang organ Qi remains in equilibrium, and how could disease arise? However, if management is improper, Wind-Cold-Heat-Dampness can invade from outside, and Joy, Anger, Worry, or Overthinking can injure from inside. Eating raw and cold foods, or drinking excessive amounts of cold beverages, disturbs the harmonious Qi (Chong He). In such cases, Yin Qi should ascend but does not, and Yang Qi should descend but does not. The Middle Jiao becomes obstructed and knotted, inevitably leading to distension and fullness. If distension persists, various complications may arise: some experience borborygmus (intestinal rumbling) with gas moving and producing gurgling sounds; some suffer from pain in both hypochondria, waist, and back radiating up and down; some have headache and vomiting with rebellious Qi; some feel chest tightness and loss of appetite; some experience difficulty in urination and defecation. None of these occur without being caused by distension. Furthermore, the Five Jaundices (Wu Dan), Water Qi (Shui Qi), Hong Kong Foot (Gouty Arthritis/Edema), and Blood Distension (Xue Peng) in women also cause distension. Regarding the pulse, a floating pulse indicates a treatable condition, while a deficient and small pulse indicates a difficult-to-treat condition.
For treating irregularities in joy and anger, leading to unequal Liver Qi, where pathogenic factors attack the Spleen and Stomach, causing epigastric and abdominal distension and fullness, discomfort in both hypochondria, dizziness, and vomiting with rebellious Qi, with a pulse presenting as...
Fang Feng (Saposhnikoviae Radix, remove rhizome) Gui Zhi (Cinnamomi Ramulus, avoid roasting) Zhi Ke (Aurantii Fructus, remove albedo, stir-fry with bran) Chi Shao Yao (Paeoniae Radix Rubra) Jie Geng (Platycodonis Radix, remove rhizome, cut, stir-fry) [Each 1 liang] Mu Xiang (Aucklandiae Radix, avoid roasting) Ren Shen (Ginseng Radix et Rhizoma) Bing Lang (Arecae Semen) Dang Gui (Angelicae Sinensis Radix, remove rhizome, soak in wine) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Ju Hong (Citri Reticulatae Pericarpium) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [Each 0.5 liang]
Crush the above herbs into coarse powder. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until reduced to 0.7 zhan, strain, and take warm. No specific time restriction.
For treating excessive worry and overthinking, where pathogenic factors injure the Spleen and Lungs, causing epigastric and abdominal distension, shortness of breath with chest fullness, borborygmus with gas movement and gurgling sounds, difficulty in urination and defecation, with a pulse that is deficient, tight, and choppy.
Zi Su Zi (Perillae Fructus, 1 liang) Da Fu Pi (Arecae Catechu Pericarpium) Cao Guo Ren (Tsaoko Fructus Seed) Ban Xia (Pinelliae Rhizoma, soaked in boiling water seven times) Hou Po (Magnoliae Officinalis Cortex, remove bark, process with ginger, stir-fry) Mu Xiang (Aucklandiae Radix, avoid roasting) Ju Hong (Citri Reticulatae Pericarpium) Mu Tong (Akebiae Caulis) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Zhi Shi (Aurantii Fructus Immaturus, remove albedo, stir-fry with bran) Ren Shen (Ginseng Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [Each 0.5 liang]
Crush the above herbs into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, 5 slices of fresh ginger, and 2 jujubes, decoct until reduced to 0.7 zhan, strain, and take warm. No specific time restriction.