痞满者，胸中结滞也。但其证虽属实，而亦有因虚而致者。凡有邪有滞而痞者，实也。无邪无滞而痞
者，虚也。有胀
有痛而满者，实也。无胀无痛而满者，虚也。如痞满属实者，以二陈汤主之。如痞满属虚者，以理中汤
主之。如痞满属半实半虚，有寒有热者，以半夏泻心汤主之。
二陈汤（方见呕吐） 理中汤（方见霍乱） 半夏泻心汤（方见呕吐）
伤食者，必有胸闷、嗳腐、腹满等证，是停食不消也。以平胃散主之。如食停上脘属实，宜吐者，
以瓜蒂散主之。如食停下脘属实，宜下者，以大承气汤主之。
平胃散（方见吞酸） 瓜蒂散（方见痰饮） 大承气汤（方见温证）
伤酒者，呕逆心烦，胸满不食，小便不利是也。以葛花解酲汤主之。如宜从膀胱以化之者，以五苓
散加减主之。如大醉恐致烂肠，《千金》渍法可用。
葛花解酲汤
青皮（五分） 橘红 人参 猪苓 茯苓（各一钱半） 神曲 泽泻 白术（各二钱） 白
蔻仁 砂仁 葛花（各五钱） 上为极细末，每服三钱，白汤调服，但得微汗，则酒病去矣。
五苓散加减方
白术（二钱） 茯苓（三钱） 猪苓（三钱） 泽泻（三钱） 黄柏（一钱半） 黄连（一钱）
葛花（三钱） 水煎大半杯，温服。
《千金》渍法
作汤，贮大器中渍之，冷复易之，酒自消下亦佳，或绞茅根汁饮之，或捣生葛汁饮之
，或粳米汁饮之。
痞满，是指胸中气机郁结阻滞。虽然痞满的证候多属实证，但也有因虚证导致的。凡是体内有邪气、有积滞而出现的痞满，属于实证；没有邪气、没有积滞而出现的痞满，属于虚证。伴有胀感和疼痛感的满闷，属于实证；没有胀感、没有疼痛感的满闷，属于虚证。如果痞满属于实证，以二陈汤（Erchen Tang, Two-Chen Decoction）为主治方剂。如果痞满属于虚证，以理中汤（Lizhong Tang, Regulate the Middle Decoction）为主治方剂。如果痞满属于半实半虚，且兼有寒热错杂的情况，以半夏泻心汤（Banxia Xiexin Tang, Pinellia Heart-Draining Decoction）为主治方剂。
伤食，必然会出现胸闷、嗳气带有腐臭味、腹部胀满等症状，这是食物停滞不消的表现。以平胃散（Pingwei San, Level the Stomach Powder）为主治方剂。如果食物停滞在上脘（Upper Epigastrium），属于实证，适宜采用催吐法治疗的，以瓜蒂散（Gua Di San, Melon Seed Powder）为主治方剂。如果食物停滞在下脘（Lower Epigastrium），属于实证，适宜采用攻下法治疗的，以大承气汤（Da Chengqi Tang, Major Order the Qi Decoction）为主治方剂。
伤酒，表现为呕吐逆气、心烦意乱、胸部满闷、食欲不振、小便不利等。以葛花解酲汤（Ge Hua Jie Cheng Tang, Kudzu Flower Sobering Decoction）为主治方剂。如果适宜通过膀胱气化来化解酒湿的，以五苓散（Wuling San, Five-Ingredient Powder with Poria）加减为主治方剂。如果大醉担心导致肠道腐烂，《千金方》（Qianjin Fang, Essential Prescriptions Worth a Thousand Gold）中的渍法（Soaking Method）可以使用。
五苓散加减方：白术（Atractylodis Macrocephalae Rhizoma, 2 qian）、茯苓（Poria, 3 qian）、猪苓（Polyporus, 3 qian）、泽泻（Alismatis Rhizoma, 3 qian）、黄柏（Phellodendri Cortex, 1.5 qian）、黄连（Coptidis Rhizoma, 1 qian）、葛花（Puerariae Flos, 3 qian）。水煎至大半杯，温服。
《千金》渍法：将药制成汤剂，储存在大容器中浸泡患处，冷却后更换，酒毒自然消散，效果也很好。或者绞取茅根汁饮用，或者捣碎生葛根取汁饮用，或者饮用粳米汁。
Pi Man (Distension and Fullness) refers to the stagnation and obstruction of Qi in the chest. Although Pi Man syndromes are mostly excess patterns, there are also cases caused by deficiency. When Pi Man is accompanied by pathogenic factors and stagnation, it is an excess pattern; when it occurs without pathogenic factors or stagnation, it is a deficiency pattern. When fullness is accompanied by distension and pain, it is an excess pattern; when fullness occurs without distension or pain, it is a deficiency pattern. If Pi Man belongs to an excess pattern, Erchen Tang (Two-Chen Decoction) should be used as the primary formula. If Pi Man belongs to a deficiency pattern, Lizhong Tang (Regulate the Middle Decoction) should be used. If Pi Man presents as half-excess and half-deficiency, complicated by mixed cold and heat, Banxia Xiexin Tang (Pinellia Heart-Draining Decoction) should be used.
Shang Shi (Food Injury) necessarily presents with symptoms such as chest tightness, belching with a putrid odor, and abdominal distension, indicating food retention and failure to digest. Pingwei San (Level the Stomach Powder) should be used as the primary formula. If food is retained in the upper epigastrium and constitutes an excess pattern suitable for emesis, Gua Di San (Melon Seed Powder) should be used. If food is retained in the lower epigastrium and constitutes an excess pattern suitable for purgation, Da Chengqi Tang (Major Order the Qi Decoction) should be used.
Shang Jiu (Alcohol Injury) manifests as vomiting and regurgitation, irritability, chest fullness, loss of appetite, and difficulty in urination. Ge Hua Jie Cheng Tang (Kudzu Flower Sobering Decoction) should be used as the primary formula. If the condition is suitable for resolution through bladder Qi transformation, Wuling San (Five-Ingredient Powder with Poria) modified should be used. In cases of severe drunkenness where intestinal rotting is feared, the soaking method from Qianjin Fang (Essential Prescriptions Worth a Thousand Gold) can be applied.
Modified Wuling San: Atractylodis Macrocephalae Rhizoma (2 qian), Poria (3 qian), Polyporus (3 qian), Alismatis Rhizoma (3 qian), Phellodendri Cortex (1.5 qian), Coptidis Rhizoma (1 qian), Puerariae Flos (3 qian). Decoct in water until approximately half a cup remains, and take warm.
Qianjin Fang Soaking Method: Prepare a decoction, store it in a large vessel, and soak the affected area. Replace with fresh solution when cooled; this will naturally dissipate the alcohol toxicity and is effective. Alternatively, drink juice extracted from Imperata Rhizome, or drink juice extracted from fresh Pueraria root, or drink rice gruel.