滑伯仁治一人，苦胸中痞满，愦愦若怔忡状，头目昏痛，欲吐不吐，忽善忘。时一臂偏
痹，脉之关以上溜而滑沉而有力，曰积饮滞痰，横于胸膈。盖得之浓味醇酒肥腻炙爆，蓄热而
生湿，湿聚而痰涎宿饮皆上甚也。王太仆云∶上甚不已，吐而夺之，治法宜吐。俟春日开
明，如法治之，以物探喉中，须臾，大吐黑色顽痰如胶饧者三四升，一二日更吐之，三四次
则胸中洞爽矣。
《正传》一人因夏秋劳苦，冬间得痞满证。历数医皆与疏气耗散之药，皆不效。两手关脉
皆浮洪而弦涩，关后脉皆沉伏。此膈上有稠痰，脾土之气敦阜，肝木郁而不伸，当用吐法，木
郁达之之理也。值冬月降沉之时，未可以行此法。且先与豁痰疏肝气，泻脾胃敦阜之气，用平
胃散加半夏、茯苓、青皮、川芎、草龙胆、香附、砂仁、柴胡、黄连、栝蒌等药，病退十有
三四。待次年二月初旬，为行倒仓法而安。
（《局方》）七气汤 治七情所伤，忧思郁结脏腑，气不和平，心胸痞闷。
半夏（制） 茯苓（各二钱） 浓朴（制，钱半） 紫苏叶（一钱）
上水盏半、姜三片，煎八分，温服。
（东垣）大消痞丸 治一切心下痞满，及年久不愈者。
干生姜 神曲（炒） 甘草（炙。各二钱） 猪苓（二钱半） 泽泻 浓朴（制） 砂仁（各三钱）
半夏（制） 陈皮（去白） 人参（各四钱） 枳实（麸炒，半两） 黄连（土炒） 黄芩（土炒。各六钱）
姜黄 白术（各一两）
上为末，汤泡蒸饼丸，小豆大。每服五十丸至百丸，空心白汤下。
（东垣）浓朴温中汤 治脾胃虚弱，心腹胀满疼痛，时作时止。
浓朴（姜汁炒） 陈皮（去白。各一钱） 茯苓 草豆蔻 甘草 木香（各五分） 干生姜（一钱）
水煎温服。
（东垣）木香化滞汤（一名消痞汤）治因忧气郁结中脘，腹痛心下痞满，不思饮食。
川归 枳实（炒。各四分） 陈皮 木香（各六分） 柴胡（七分） 甘草（炙） 草豆蔻（各一钱，
面包煨） 半夏（钱半） 红花（一分）
水二盏、姜五片，煎八分，温服。
（东垣）黄连消痞丸 治心下痞满，壅滞不散，烦热喘促不安。
泽泻 姜黄（各一钱） 干姜（二钱） 甘草（炙） 茯苓 白术（各三钱） 陈皮（半两）
猪苓（半两） 枳实（麸炒，七钱） 半夏（制，九钱） 黄连（一两） 木香（钱半） 黄芩（二两炒）
上为末，蒸饼丸，梧桐子大。每服五十丸，白汤下。
（《拔萃》）黄连消痞丸 治心下痞满，小便不利。
黄连（炒，两半） 黄芩（炒，三钱） 枳实（一两） 干姜（二钱） 茯苓 白术（炒） 甘草（炙。各半两）
猪苓（半两） 陈皮（七钱半） 泽泻（一钱） 半夏（制，一两三钱） 姜黄（钱半） 砂仁（三钱半）
浓朴（制，半两）
上为末，蒸饼丸，梧桐子大。每服一百丸，白汤送下。
（东垣）失笑丸（一名枳实消痞丸） 治右关脉弦，心下虚痞，恶食倦怠。开胃进食。
干生姜（一钱） 甘草（炙） 麦芽 白茯苓 白术（各二钱） 半夏曲 人参（各三钱）
浓朴（制，四钱） 枳实（曲炒） 黄连（各半两）
上为末，蒸饼丸，梧桐子大。每服七八十丸，白汤下。
（东垣）木香顺气汤 治心腹胀满。
木香 益智 陈皮 草豆蔻（各五分） 浓朴（姜炒） 青皮（各四分） 茯苓 半夏（各六分）
干姜 吴茱萸（各三分） 当归 升麻 柴胡（各一钱）
水盏半，煎八分，温服。
（东垣）黄芩利膈丸除胸热，利膈痰。
生黄芩 炒黄芩（各一两） 半夏 黄连 泽泻（各半两） 南星 枳壳（炒） 陈皮（去白。
各三钱） 白术（二钱） 白矾 萝卜子 小皂角（各一钱）
上为末，蒸饼丸，梧桐子大。每服五十丸，白汤下。忌酒面鸡鱼肥腻。
（丹溪）枳术丸助胃消食，宽中去痞。
白术（四两） 枳实（二两）
上为末，荷叶包烧饭为丸，梧桐子大。每服五十丸，食后白汤下。
（丹溪）橘皮枳术丸 治同前。
橘皮 枳实 白术（各等分）
如前法丸服。
茱连丸 治痞满。
吴茱萸（三两） 黄连（八两）
上为细末，米糊为丸，梧桐子大。每服五十丸，食后白汤下。
滑伯仁治疗一个人，苦于胸中痞塞胀满，心中烦乱如同怔忡（心悸不安）的样子，头目昏沉疼痛，想吐却吐不出来，忽然出现健忘的症状。当时他的一只手臂偏侧麻痹，诊脉发现关脉以上的脉搏流利而滑，沉取有力，诊断为积饮和停滞的痰浊，横亘在胸膈之间。这大概是因为食用了浓厚的滋味、醇厚的酒以及肥腻、炙烤爆炒的食物，导致蓄积热邪而生湿，湿气聚集则痰涎和宿饮都向上壅盛。王太仆说：“病势在上且不止息，应当用吐法来攻夺病邪。”治疗方法适宜用催吐法。等到春天天气清明时，按照这个方法治疗，用物体探触喉咙，不久之后，大吐黑色顽固的痰液如胶饴状三四升，一两天后再吐一次，经过三四次后，胸中便感到通畅清爽了。
《正传》记载一人因为夏秋季节劳作辛苦，冬季得了痞满证。经过几位医生诊治，都给予疏气耗散的药物，都没有效果。两手关脉都浮洪而弦涩，关后的脉象都沉伏。这是膈上有稠痰，脾土之气敦厚高阜，肝木郁结而不能舒展，应当使用吐法，这是“木郁达之”的道理。正值冬月阳气降沉的时候，不可以施行这种方法。暂且先给予豁痰疏肝气的药物，泻除脾胃敦厚高阜之气，使用平胃散加入半夏、茯苓、青皮、川芎、草龙胆、香附、砂仁、柴胡、黄连、栝蒌等药物，病情退去十分之三或四。等到第二年二月初旬，施行倒仓法（牛胃排空疗法）而痊愈。
（出自《局方》）七气汤：治疗因七情所伤，忧思郁结脏腑，气机不和平，心胸痞闷。
半夏（制） 茯苓（各二钱） 浓朴（制，钱半） 紫苏叶（一钱）
以上药材加水一盏半、生姜三片，煎至八分，温服。
（李东垣）大消痞丸：治疗一切心下痞满，以及年久不愈者。
干生姜 神曲（炒） 甘草（炙。各二钱） 猪苓（二钱半） 泽泻 浓朴（制） 砂仁（各三钱）
半夏（制） 陈皮（去白） 人参（各四钱） 枳实（麸炒，半两） 黄连（土炒） 黄芩（土炒。各六钱）
姜黄 白术（各一两）
以上研为末，用汤泡蒸饼制作成丸，大小如小豆。每次服用五十丸至一百丸，空腹时用白开水送下。
（李东垣）浓朴温中汤：治疗脾胃虚弱，心腹胀满疼痛，时作时止。
浓朴（姜汁炒） 陈皮（去白。各一钱） 茯苓 草豆蔻 甘草 木香（各五分） 干生姜（一钱）
水煎温服。
（李东垣）木香化滞汤（又名消痞汤）：治疗因忧怒气郁结在中脘，腹痛心下痞满，不思饮食。
川归 枳实（炒。各四分） 陈皮 木香（各六分） 柴胡（七分） 甘草（炙） 草豆蔻（各一钱，面包煨） 半夏（钱半） 红花（一分）
水二盏、生姜五片，煎至八分，温服。
（李东垣）黄连消痞丸：治疗心下痞满，壅滞不散，烦热喘促不安。
泽泻 姜黄（各一钱） 干姜（二钱） 甘草（炙） 茯苓 白术（各三钱） 陈皮（半两）
猪苓（半两） 枳实（麸炒，七钱） 半夏（制，九钱） 黄连（一两） 木香（钱半） 黄芩（二两炒）
以上研为末，蒸饼制作成丸，大小如梧桐子。每次服用五十丸，白开水送下。
（出自《拔萃》）黄连消痞丸：治疗心下痞满，小便不利。
黄连（炒，两半） 黄芩（炒，三钱） 枳实（一两） 干姜（二钱） 茯苓 白术（炒） 甘草（炙。各半两）
猪苓（半两） 陈皮（七钱半） 泽泻（一钱） 半夏（制，一两三钱） 姜黄（钱半） 砂仁（三钱半）
浓朴（制，半两）
以上研为末，蒸饼制作成丸，大小如梧桐子。每次服用一百丸，白开水送下。
（李东垣）失笑丸（又名枳实消痞丸）：治疗右关脉弦，心下虚痞，恶食倦怠。开胃进食。
干生姜（一钱） 甘草（炙） 麦芽 白茯苓 白术（各二钱） 半夏曲 人参（各三钱）
浓朴（制，四钱） 枳实（曲炒） 黄连（各半两）
以上研为末，蒸饼制作成丸，大小如梧桐子。每次服用七八十丸，白开水送下。
（李东垣）木香顺气汤：治疗心腹胀满。
木香 益智 陈皮 草豆蔻（各五分） 浓朴（姜炒） 青皮（各四分） 茯苓 半夏（各六分）
干姜 吴茱萸（各三分） 当归 升麻 柴胡（各一钱）
水一盏半，煎至八分，温服。
（李东垣）黄芩利膈丸：清除胸热，利膈化痰。
生黄芩 炒黄芩（各一两） 半夏 黄连 泽泻（各半两） 南星 枳壳（炒） 陈皮（去白。各三钱） 白术（二钱） 白矾 萝卜子 小皂角（各一钱）
以上研为末，蒸饼制作成丸，大小如梧桐子。每次服用五十丸，白开水送下。忌酒、面、鸡、鱼及肥腻食物。
（朱丹溪）枳术丸：助胃消食，宽中去痞。
白术（四两） 枳实（二两）
以上研为末，用荷叶包裹烧饭制作成丸，大小如梧桐子。每次服用五十丸，饭后白开水送下。
（朱丹溪）橘皮枳术丸：治疗同上。
橘皮 枳实 白术（各等分）
按照上述方法制成丸剂服用。
茱连丸：治疗痞满。
吴茱萸（三两） 黄连（八两）
以上研为细末，米糊制作成丸，大小如梧桐子。每次服用五十丸，饭后白开水送下。
Bo Ren Hua treated a patient who suffered from chest fullness and distension, feeling restless as if palpitations (heart palpitations) were present, with dizziness and headache in the head and eyes, a desire to vomit but unable to do so, and sudden forgetfulness. At that time, one arm was partially paralyzed. The pulse at the Guan position (middle cun) above was slippery and smooth, deep and forceful upon pressing. This was diagnosed as accumulated fluid retention and stagnant phlegm obstructing the chest and diaphragm. This condition likely resulted from consuming rich flavors, strong wine, fatty foods, and roasted or fried items, leading to heat accumulation generating dampness; dampness gathering causes phlegm-fluids and retained drinks to ascend excessively. Wang Taipu stated: "When pathology is excessive in the upper part and does not cease, vomiting should be used to drain it." The treatment method should employ emesis. Waiting for the clear weather of spring, the treatment was performed according to this method by stimulating the throat with an object. Shortly after, large amounts of black, stubborn phlegm resembling maltose syrup (three to four sheng) were vomited. Two days later, it was repeated once more. After three or four times, the chest felt thoroughly clear and comfortable.
A case recorded in *Zhengzhuan*: A person developed a syndrome of fullness and obstruction due to hard labor in summer and autumn. Several physicians treated him with qi-regulating and dissipating herbs, all without effect. The pulses at the Guan positions on both hands were floating, surging, wiry, and choppy, while the pulses behind the Guan positions were deep and hidden. This indicated thick phlegm above the diaphragm, where the Qi of Spleen Earth was overly abundant and high, causing Liver Wood to be depressed and unable to extend. Emesis should be used, following the principle of "releasing Liver depression." However, during the winter month when Yang Qi descends, this method cannot yet be applied. Initially, herbs to resolve phlegm and soothe Liver Qi, and to drain the excessive Qi of Spleen and Stomach were given. Pingwei San (Regularize the Stomach Powder) was modified with Banxia (Pinellia Rhizome), Fuling (Poria), Qingpi (Green Tangerine Peel), Chuanxiong (Sichuan Lovage Rhizome), Caolongdan (Gentiana Scabra Root), Xiangfu (Cyperus Rhizome), Sharen (Amomum Fruit), Chaihu (Bupleurum Root), Huanglian (Coptis Rhizome), and Gualou (Trichosanthes Fruit). The condition improved by three or four tenths. By early February of the next year, Dao Cang Fa (Cow Stomach Emptying Therapy) was administered, resulting in recovery.
(Jufang) Seven-Qi Decoction: Treats injury from the seven emotions, where worry and thought cause stagnation in the Zang-Fu organs, Qi becomes unharmonious, leading to chest and heart fullness and oppression.
Zhi Banxia (Prepared Pinellia Rhizome) [2 qian], Fu Ling (Poria) [2 qian], Zhi Houpo (Prepared Magnolia Bark) [1.5 qian], Zi Su Ye (Perilla Leaf) [1 qian].
Add 1.5 cups of water and 3 slices of fresh ginger, decoct to 0.8 cup, take warm.
(Li Dongyuan) Da Xiao Pi Wan (Great Elimination of Fullness Pill): Treats all types of epigastric fullness and obstruction, including chronic cases lasting years.
Gan Jiang Sheng (Dried Ginger) [2 qian], Chao Shen Qu (Fried Medicated Leaven) [2 qian], Zhi Gancao (Honey-fried Licorice Root) [2 qian], Zhu Ling (Polyporus) [2.5 qian], Ze Xie (Alisma Rhizome), Zhi Houpo (Prepared Magnolia Bark), Sha Ren (Amomum Fruit) [each 3 qian], Zhi Banxia (Prepared Pinellia Rhizome), Chen Pi (Tangerine Peel, white part removed), Ren Shen (Ginseng Root) [each 4 qian], Zhi Shi (Immature Bitter Orange, bran-fried) [0.5 liang], Tu Chao Huanglian (Earth-fried Coptis Rhizome), Tu Chao Huangqin (Earth-fried Scutellaria Root) [each 6 qian], Jiang Huang (Turmeric Rhizome), Bai Zhu (Atractylodes Macrocephala Rhizome) [each 1 liang].
Grind into powder, mix with steamed dough soaked in decoction, form pills the size of adzuki beans. Take 50-100 pills per dose, with plain warm water on an empty stomach.
(Li Dongyuan) Houpo Wenzhong Tang (Magnolia Bark Warms the Middle Decoction): Treats Spleen and Stomach deficiency, abdominal distension and pain, occurring intermittently.
Jiang Zhi Chao Houpo (Ginger-juice stir-fried Magnolia Bark) [1 qian], Chen Pi (Tangerine Peel, white part removed) [1 qian], Fu Ling (Poria), Dou Kou (Cardamom Seed), Gan Cao (Licorice Root), Mu Xiang (Aucklandia Root) [each 0.5 qian], Gan Jiang Sheng (Dried Ginger) [1 qian].
Decoct in water, take warm.
(Li Dongyuan) Muxiang Huazhi Tang (Costus Regulates Stagnation Decoction, also known as Xiao Pi Tang): Treats epigastric fullness and lower abdominal pain due to emotional depression and Qi stagnation in the middle Jiao, with loss of appetite.
Chuan Gui (Sichuan Angelica Root), Chao Zhi Shi (Fried Immature Bitter Orange) [each 0.4 fen], Chen Pi (Tangerine Peel), Mu Xiang (Aucklandia Root) [each 0.6 fen], Chai Hu (Bupleurum Root) [0.7 fen], Zhi Gancao (Honey-fried Licorice Root), Bao Mian Wei Dou Kou (Bread-wrapped baked Cardamom Seed) [each 1 qian], Banxia (Pinellia Rhizome) [1.5 qian], Hong Hua (Safflower Flower) [0.1 fen].
Add 2 cups of water and 5 slices of ginger, decoct to 0.8 cup, take warm.
(Li Dongyuan) Huanglian Xiao Pi Wan (Coptis Eliminates Fullness Pill): Treats epigastric fullness and obstruction that does not disperse, accompanied by irritability, heat, panting, and restlessness.
Ze Xie (Alisma Rhizome), Jiang Huang (Turmeric Rhizome) [each 1 qian], Gan Jiang Sheng (Dried Ginger) [2 qian], Zhi Gancao (Honey-fried Licorice Root), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome) [each 3 qian], Chen Pi (Tangerine Peel) [0.5 liang], Zhu Ling (Polyporus) [0.5 liang], Zhi Shi (Immature Bitter Orange, bran-fried) [0.7 qian], Zhi Banxia (Prepared Pinellia Rhizome) [0.9 qian], Huanglian (Coptis Rhizome) [1 liang], Mu Xiang (Aucklandia Root) [1.5 qian], Chao Huangqin (Stir-fried Scutellaria Root) [2 liang].
Grind into powder, mix with steamed dough, form pills the size of paulownia seeds. Take 50 pills per dose with plain warm water.
(Bacui) Huanglian Xiao Pi Wan (Coptis Eliminates Fullness Pill): Treats epigastric fullness and difficult urination.
Chao Huanglian (Stir-fried Coptis Rhizome) [0.5 liang], Chao Huangqin (Stir-fried Scutellaria Root) [3 qian], Zhi Shi (Immature Bitter Orange) [1 liang], Gan Jiang Sheng (Dried Ginger) [2 qian], Fu Ling (Poria), Chao Bai Zhu (Stir-fried Atractylodes Macrocephala Rhizome), Zhi Gancao (Honey-fried Licorice Root) [each 0.5 liang], Zhu Ling (Polyporus) [0.5 liang], Chen Pi (Tangerine Peel) [0.75 qian], Ze Xie (Alisma Rhizome) [1 qian], Zhi Banxia (Prepared Pinellia Rhizome) [1.3 qian], Jiang Huang (Turmeric Rhizome) [1.5 qian], Sha Ren (Amomum Fruit) [3.5 qian], Zhi Houpo (Prepared Magnolia Bark) [0.5 liang].
Grind into powder, mix with steamed dough, form pills the size of paulownia seeds. Take 100 pills per dose with plain warm water.
(Li Dongyuan) Shixiao Wan (Pain-Causing Pill, also known as Zhishi Xiao Pi Wan): Treats wiry pulse at the right Guan position, empty fullness in the epigastrium, aversion to food, and fatigue. Opens the stomach and promotes eating.
Gan Jiang Sheng (Dried Ginger) [1 qian], Zhi Gancao (Honey-fried Licorice Root), Mai Ya (Malt), Bai Fu Ling (White Poria), Bai Zhu (Atractylodes Macrocephala Rhizome) [each 2 qian], Banxia Qu (Pinellia Fermented Leaven), Ren Shen (Ginseng Root) [each 3 qian], Zhi Houpo (Prepared Magnolia Bark) [4 qian], Qu Chao Zhi Shi (Qu-fried Immature Bitter Orange), Huanglian (Coptis Rhizome) [each 0.5 liang].
Grind into powder, mix with steamed dough, form pills the size of paulownia seeds. Take 70-80 pills per dose with plain warm water.
(Li Dongyuan) Muxiang Shunqi Tang (Costus Smooths Qi Decoction): Treats abdominal distension and fullness.
Mu Xiang (Aucklandia Root), Yi Zhi (Alpinia Oxyphylla Fruit), Chen Pi (Tangerine Peel), Dou Kou (Cardamom Seed) [each 0.5 qian], Jiang Chao Houpo (Ginger-stir-fried Magnolia Bark), Qingpi (Green Tangerine Peel) [each 0.4 qian], Fu Ling (Poria), Banxia (Pinellia Rhizome) [each 0.6 fen], Gan Jiang (Dried Ginger), Wu Zhu Yu (Evodia Fruit) [each 0.3 fen], Dang Gui (Angelica Sinensis Root), Sheng Ma (Cimicifuga Rhizome), Chai Hu (Bupleurum Root) [each 1 qian].
Add 1.5 cups of water, decoct to 0.8 cup, take warm.
(Li Dongyuan) Huangqin Li Ge Wan (Scutellaria Benefits Diaphragm Pill): Clears chest heat, benefits the diaphragm, and resolves phlegm.
Sheng Huangqin (Raw Scutellaria Root), Chao Huangqin (Stir-fried Scutellaria Root) [each 1 liang], Banxia (Pinellia Rhizome), Huanglian (Coptis Rhizome), Ze Xie (Alisma Rhizome) [each 0.5 liang], Nan Xing (Arisaema Rhizome), Chao Zhi Qiao (Stir-fried Bitter Orange Peel), Chen Pi (Tangerine Peel, white part removed) [each 3 qian], Bai Zhu (Atractylodes Macrocephala Rhizome) [2 qian], Bai Fan (Alum), Luo Bo Zi (Radish Seed), Xiao Zao Jiao (Small Gleditsia Spine) [each 1 qian].
Grind into powder, mix with steamed dough, form pills the size of paulownia seeds. Take 50 pills per dose with plain warm water. Avoid alcohol, wheat products, chicken, fish, and fatty/greasy foods.
(Zhu Danxi) Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill): Assists the stomach, digests food, relieves distension, and eliminates fullness.
Bai Zhu (Atractylodes Macrocephala Rhizome) [4 liang], Zhi Shi (Immature Bitter Orange) [2 liang].
Grind into powder, wrap in lotus leaves, cook with rice to form pills the size of paulownia seeds. Take 50 pills per dose after meals with plain warm water.
(Zhu Danxi) Ju Pi Zhizhu Wan (Tangerine Peel, Immature Bitter Orange, and Atractylodes Pill): Treats the same conditions as above.
Ju Pi (Tangerine Peel), Zhi Shi (Immature Bitter Orange), Bai Zhu (Atractylodes Macrocephala Rhizome) [equal parts].
Form pills and administer as described above.
Zhu Lian Wan (Evodia and Coptis Pill): Treats fullness and obstruction.
Wu Zhu Yu (Evodia Fruit) [3 liang], Huanglian (Coptis Rhizome) [8 liang].
Grind into fine powder, mix with rice paste to form pills the size of paulownia seeds. Take 50 pills per dose after meals with plain warm water.