（邪气乘虚。滞于心下。满而不痛曰痞）
心下满而不痛者。治用半夏泻心汤。或生姜泻心汤。或枳实理中丸。（方见前）
【仲景半夏泻心汤】
半夏(一两半） 黄芩 人参 甘草
干姜（各二两） 黄连（一两） 枣子（十二枚。擘破）
上锉。用水一斗。煮取六升。去渣。再煎取三升。温服一升。日三服。
【仲景生姜泻心汤】
生姜（四两） 甘草（炙） 人参 黄芩（冬三两）
干姜 黄连（各一两） 半夏（半升） 枣子（十二枚）
上八味。以水一斗。煮取六升。去渣。再煎取三升。温服一升。日三服。
心下痞满。心烦。腹鸣下利。治用生姜泻心汤。（方见前）
呕而身微热。或厥。或烦。小便利。脉弱者。治用四逆汤。（出此事难知。方见前）
（有物无声名曰吐）
吐而身热或不热者。治用小半夏加茯苓汤。或小半夏加橘皮汤。或干姜黄芩黄连人参汤。
【活人书小半夏加茯苓汤】
半夏（五两） 生姜（八两） 茯苓（三两） 白术
陈皮 甘草（各二两）
上锉。水煎服。
【活人书小半夏加橘皮汤】
半夏(一两） 陈皮（半两） 白术 茯苓
甘草（各半两）
上锉。每服五钱。水二盏。生姜十片。煎至八分。去渣。温服。
【仲景干姜黄芩黄连人参汤】
干姜 黄芩 黄连 人参（各三两）
上锉。每服五钱。水二盏。煎八分。去渣。温服。
（邪气趁虚而入，停滞在心下部位，胀满但不疼痛称为痞证。）
心下胀满但不疼痛的，治疗使用半夏泻心汤。或者生姜泻心汤。或者枳实理中丸。（方剂见前文）
【张仲景的半夏泻心汤】
半夏（一两半） 黄芩 人参 甘草
干姜（各二两） 黄连（一两） 枣子（十二枚，掰开）
以上药材切碎，用水一斗，煮取六升药液，去掉药渣，再次煎煮取三升药液，温服一升，每日服用三次。
【张仲景的生姜泻心汤】
生姜（四两） 甘草（炙过） 人参 黄芩（冬季用三两）
干姜 黄连（各一两） 半夏（半升） 枣子（十二枚）
以上八味药，用水一斗，煮取六升药液，去掉药渣，再次煎煮取三升药液，温服一升，每日服用三次。
心下痞满，心烦，腹部鸣响并伴有腹泻的，治疗使用生姜泻心汤。（方剂见前文）
呕吐且伴有发热，或者有寒热往来，或者有潮热的，治疗使用小柴胡汤。（方剂见前文）
呕吐且身体微热，或者有四肢厥冷，或者有烦躁，小便通利，脉象弱的，治疗使用四逆汤。（出自《此事难知》，方剂见前文）
呕吐且身体发热或不发热的，治疗使用小半夏加茯苓汤。或小半夏加橘皮汤。或干姜黄芩黄连人参汤。
【《活人书》的小半夏加茯苓汤】
半夏（五两） 生姜（八两） 茯苓（三两） 白术
陈皮 甘草（各二两）
以上药材切碎，用水煎服。
【《活人书》的小半夏加橘皮汤】
半夏（一两） 陈皮（半两） 白术 茯苓
甘草（各半两）
以上药材切碎，每次服用五钱，水两盏，生姜十片，煎至八分满，去掉药渣，温服。
【张仲景的干姜黄芩黄连人参汤】
干姜 黄芩 黄连 人参（各三两）
以上药材切碎，每次服用五钱，水两盏，煎至八分满，去掉药渣，温服。
(Evil qi takes advantage of deficiency, stagnates in the epigastrium; fullness without pain is termed Pi syndrome [Pih, obstructive distension].)
For fullness in the epigastrium without pain, treatment employs Banxia Xiexin Tang (Pinellia Decoction to Drain the Epigastrium). Or Shengjiang Xiexin Tang (Fresh Ginger Decoction to Drain the Epigastrium). Or Zhishi Lizhong Wan (Immature Bitter Orange Pill to Regulate the Middle). (Formula seen previously.)
[Zhongjing's Banxia Xiexin Tang]
Banxia (Pinelliae Rhizoma) (one tael and a half) Huangqin (Scutellariae Radix) Renshen (Ginseng Radix et Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma)
Ganjiang (Zingiberis Rhizoma) (two taels each) Huanglian (Coptidis Rhizoma) (one tael) Zaozi (Jujubae Fructus) (twelve pieces, split open)
The above are coarsely powdered. Use one dou of water, decoct to obtain six sheng of liquid, remove the dregs, and decoct again to obtain three sheng. Take one sheng warm, three times daily.
[Zhongjing's Shengjiang Xiexin Tang]
Shengjiang (Zingiberis Rhizoma Recens) (four taels) Gancao (Glycyrrhizae Radix et Rhizoma) (roasted) Renshen (Ginseng Radix et Rhizoma) Huangqin (Scutellariae Radix) (three taels in winter)
Ganjiang (Zingiberis Rhizoma) Huanglian (Coptidis Rhizoma) (one tael each) Banxia (Pinelliae Rhizoma) (half sheng) Zaozi (Jujubae Fructus) (twelve pieces)
The above eight ingredients. Use one dou of water, decoct to obtain six sheng of liquid, remove the dregs, and decoct again to obtain three sheng. Take one sheng warm, three times daily.
For epigastric Pi with fullness, mental restlessness, abdominal borborygmus, and diarrhea, treatment employs Shengjiang Xiexin Tang (Fresh Ginger Decoction to Drain the Epigastrium). (Formula seen previously.)
(There is substance and sound, termed Ou [Ou, vomiting]; dry retching has no substance.)
For vomiting accompanied by fever, or chills and fever alternating, or tidal fever, treatment employs Xiaochaihu Tang (Minor Bupleurum Decoction). (Formula seen previously.)
For vomiting accompanied by slight body heat, or cold extremities, or irritability, with free urination and a weak pulse, treatment employs Sini Tang (Frigid Extremities Decoction). (From *Ci Nan Zhi*, formula seen previously.)
(There is substance but no sound, termed Tu [Tu, spitting up/vomiting].)
For vomiting accompanied by body heat or absence of heat, treatment employs Xiao Banxia Jia Fuling Tang (Minor Pinellia Decoction with Added Poria), or Xiao Banxia Jia Chupi Tang (Minor Pinellia Decoction with Added Tangerine Peel), or Ganjiang Huangqin Huanglian Renshen Tang (Dried Ginger, Scutellaria, Coptis, and Ginseng Decoction).
[Huoren Shu's Xiao Banxia Jia Fuling Tang]
Banxia (Pinelliae Rhizoma) (five taels) Shengjiang (Zingiberis Rhizoma Recens) (eight taels) Fuling (Poria) Baizhu (Atractylodis Macrocephalae Rhizoma)
Chenpi (Citri Reticulatae Pericarpium) Gancao (Glycyrrhizae Radix et Rhizoma) (two taels each)
The above are coarsely powdered. Decoct with water and take orally.
[Huoren Shu's Xiao Banxia Jia Chupi Tang]
Banxia (Pinelliae Rhizoma) (one tael) Chenpi (Citri Reticulatae Pericarpium) (half tael) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria)
Gancao (Glycyrrhizae Radix et Rhizoma) (half tael each)
The above are coarsely powdered. For each dose of five qian, use two zhan of water, ten slices of fresh ginger, decoct until reduced to eighty percent, remove the dregs, and take warm.
[Zhongjing's Ganjiang Huangqin Huanglian Renshen Tang]
Ganjiang (Zingiberis Rhizoma) Huangqin (Scutellariae Radix) Huanglian (Coptidis Rhizoma) Renshen (Ginseng Radix et Rhizoma) (three taels each)
The above are coarsely powdered. For each dose of five qian, use two zhan of water, decoct until reduced to eighty percent, remove the dregs, and take warm.