《病源论》云∶心腹胀者,脾虚而邪气客之,乘于心脾故也。
《葛氏方》治卒苦心腹烦满,又胸胁痛欲死方∶
以热汤令的的尔,渍手足,冷复易。秘方。
又方∶灸乳下一寸七壮。
又方∶捣香 汁,服一二升。
又方∶锉薏苡根,煮取汁,服三升。
《极要方》备急丸,疗忽然心腹胀满,急痛,气绝,大小便不通方∶
大黄(五两) 干姜(二两) 巴豆(三两,去心,熬) 芒硝(三两)
上,蜜丸,平晓饮服四丸,不利更加一二丸。取得四五度利,利如不止取醋饭止之。
《新录方》治心腹烦满方∶
桃仁去皮,捣如泥,热酒服如枣二枚,日三。
又云∶烦满吐逆方∶
生姜(一斤)
合皮切捣取汁,温服之。
又方∶生蓼捣取汁,服一合二合。
《医门方》云∶凡患胀满,频以利药下之,心腹中痛,妨(害也)不去气。又筑心者,
缘胃中
人参(三两) 甘草(三两,炙) 橘皮(二两) 枣(三十颗)
水七升,煮取二升半,去滓,分温三服。若心忪(织容反,心动也)加茯苓三两。
又云∶腹胀满,不能服药,导之方∶
取独头蒜,烧令熟,去皮,及热以薄绵裹纳下部,佳。冷易之。
又方∶暖生姜,削,绵裹纳下部中,冷易之,佳。
《耆婆方》治人腹胀痛方∶
浓朴(三两) 高良姜(三两)
切,以水三升煮,分取一升半,少少热饮之,乃止。
《僧深方》云∶浓朴汤,治腹满发数十日,脉浮数,食饮如故方∶
浓朴(半斤) 枳实(五枚) 大黄(四两)
凡三物,以水一斗二升,煮取五升,纳大黄;微火煎令得三升,先食服一升,日三。
《本草》云∶诃黎勒水摩或散,水服之。
《苏敬本草注》云∶槟榔子捣末,服之。
《孟诜食经》云∶薤可作宿菹,空腹食之。
《诸病源候论》说:心腹胀满,是因为脾气虚弱,邪气侵袭停留,乘袭心和脾的缘故。
《葛氏方》治疗突然苦心腹烦闷胀满,以及胸胁疼痛欲死的方子:
用热水让手足确实地浸泡,变冷后更换。这是秘方。
另一个方子:灸乳下一寸,七壮。
又一个方子:捣取香豉汁,服用一二升。
又一个方子:锉碎薏苡根,煮取汁液,服用三升。
《极要方》备急丸,治疗突然心腹胀满,剧烈疼痛,气息断绝,大小便不通的方子:
大黄(五两) 干姜(二两) 巴豆(三两,去心,炒制) 芒硝(三两)
以上药物,用蜂蜜制成丸药,清晨空腹时服用四丸,如果未通便,再加服一二丸。取得四五次通利后,如果腹泻不止,吃醋饭来止住。
《新录方》治疗心腹烦闷胀满的方子:
桃仁去皮,捣成泥状,用热酒送服,量如枣大两枚,每日三次。
又说:治疗烦闷胀满伴呕吐逆气的方子:
生姜(一斤)
连皮切碎捣取汁液,温服。
又一个方子:生蓼草捣取汁液,服用一合至二合。
《医门方》说:凡是患胀满病,频繁使用泻下药攻下,会导致心腹中疼痛,妨碍(害也)气机不去。又有筑心感(胃脘部堵塞感),
是因为胃中……
人参(三两) 甘草(三两,炙烤) 橘皮(二两) 枣(三十颗)
用水七升,煮取二升半,去渣,分三次温服。如果有心悸(织容反,心动也),加茯苓三两。
又说:腹胀满,不能服药,导引治疗的方子:
取独头蒜,烧熟,去皮,趁热用薄绵包裹塞入下部(肛门),效果佳。冷了再换。
又一个方子:暖生姜,削皮,用绵包裹塞入下部中,冷了再换,效果佳。
《耆婆方》治疗人腹胀痛的方子:
厚朴(三两) 高良姜(三两)
切碎,用水三升煮,分取一升半,少量多次热饮,直到停止。
《僧深方》说:厚朴汤,治疗腹满发作数十日,脉浮数,饮食正常的方子:
厚朴(半斤) 枳实(五枚) 大黄(四两)
这三种药,用水一斗二升,煮取五升,放入大黄;用微火煎至三升,饭前服用一升,每日三次。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Heart and abdominal distension and fullness occur due to Spleen Qi deficiency, allowing pathogenic factors to invade and lodge, affecting the Heart and Spleen.
The *Ge Shi Fang* (Formulas by Ge Hong) for treating sudden severe heart and abdominal vexation, fullness, and chest-hypochondriac pain nearly causing death:
Soak hands and feet in hot water until thoroughly warm, replacing with fresh hot water as it cools. This is a secret formula.
Another formula: Moxibustion at one cun below the nipple, seven moxa cones.
Yet another formula: Crush Xiangchi (Fermented Soybean Paste) to extract juice, take one or two sheng.
Yet another formula: Chop Yi Yi Gen (Rhizoma Coicis), decoct to obtain juice, take three sheng.
The *Ji Yao Fang* (Essential Formulas) Beiji Wan (Emergency Pill) for treating sudden heart and abdominal distension and fullness, acute pain, cessation of breath, and obstruction of urination and defecation:
Da Huang (Rhei Radix et Rhizoma, five liang), Gan Jiang (Zingiberis Rhizoma, two liang), Ba Dou (Crotonis Fructus, three liang, remove heart, stir-fried), Mang Xiao (Natrii Sulfas, three liang).
Grind these into powder, mix with honey to make pills. Take four pills early in the morning on an empty stomach. If there is no bowel movement, increase by one or two pills. After achieving four or five bowel movements, if diarrhea persists, stop it by eating vinegar-rice.
The *Xin Lu Fang* (Newly Recorded Formulas) for treating heart and abdominal vexation and fullness:
Tao Ren (Persicae Semen, peel off skin, crush into paste), take with hot wine, amount equivalent to two jujubes, three times daily.
It also states: For treating vexation, fullness, vomiting, and regurgitation:
Sheng Jiang (Zingiberis Rhizoma Recens, one jin).
Chop with skin, crush to extract juice, take warm.
Another formula: Crush fresh Liao Cao (Polygonum orientale) to extract juice, take one or two ge.
The *Yi Men Fang* (Medical Gate Formulas) states: Whenever suffering from distension and fullness, frequently using purgatives to drain downward causes pain in the heart and abdomen, obstructing the departure of Qi. Also, the sensation of "building the heart" (epigastric blockage):
Ren Shen (Ginseng Radix, three liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, three liang, honey-fried), Ju Pi (Citri Reticulatae Pericarpium, two liang), Zao (Jujubae Fructus, thirty pieces).
Add seven sheng of water, decoct to obtain two and a half sheng, strain, divide into three warm doses. If Xin Song (palpitations) is present, add Fu Ling (Poria, three liang).
It also states: For abdominal distension and fullness where medication cannot be taken, use a suppository method:
Take a single-clove garlic bulb, roast until cooked, peel, wrap in thin cotton while hot, and insert into the lower orifice (anus). This is optimal. Replace when cool.
Another formula: Warm Sheng Jiang (Zingiberis Rhizoma Recens), peel, wrap in cotton, insert into the lower orifice, replace when cool. This is optimal.
The *Qipo Fang* (Formulas by Qibo) for treating abdominal distension and pain:
Hou Po (Magnoliae Officinalis Cortex, three liang), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, three liang).
Chop, decoct in three sheng of water, obtain one and a half sheng, drink slowly while warm until symptoms cease.
The *Seng Shen Fang* (Formulas by Monk Shen) states: Hou Po Tang (Magnolia Decoction) for treating abdominal fullness persisting for dozens of days, with floating and rapid pulse, but normal appetite:
Hou Po (Magnoliae Officinalis Cortex, half jin), Zhi Shi (Aurantii Fructus Immaturus, five pieces), Da Huang (Rhei Radix et Rhizoma, four liang).
For these three herbs, add twelve sheng of water, decoct to obtain five sheng, then add Da Huang; simmer over low heat until three sheng remain. Take one sheng before meals, three times daily.
The *Bencao* (Materia Medica) states: He Li Le (Terminalia Chebulae Fructus) can be rubbed with water or taken as powder, swallowed with water.
Su Jing's commentary on the *Bencao* states: Bing Lang Zi (Arecae Semen) should be crushed into powder and taken.
Meng Shen's *Shijing* (Food Classic) states: Xie (Allii Macrostemonis Bulbus) can be made into preserved vegetables and eaten on an empty stomach.