论曰乳石发心腹胀满者，以饮食居处，皆犯温燠，石势壅遏，不得宣通。故腑脏之间，
热气相搏，而心腹胀满也，又有腹胀欲断衣带者，亦以寝处之温。失食失洗，不时动役之过
，但能冷食冷洗，当风而立，则胀满自消。
治乳石发，心腹胀满。导气丸方
牵牛（四两）
上一味，捣罗为末，用生姜自然汁煮面糊，和丸梧桐子大，每服五十丸，生姜汤下。
治乳石发，大热，心腹满胀。石膏汤方
石膏 大青（各三两） 黄芩（去黑心） 升麻 芍药（各二两）
上五味，粗捣筛，每用五钱匕，水一盏半，煎至一盏，去滓分温二服，如腹痛加续断二
两。
治乳石发，腹胀头痛，先有癖实不消，或饮酒食肉所致，时苦心急痛者。黄芩汤方
黄芩（去黑心） 甘草（炙锉） 大黄（锉炒各二两） 麦门冬（去心焙一两） 栀子
仁（四十
枚）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓下芒硝一钱匕，再煎三两沸
，温服，早晨晚后各一服。
治乳石发动，上气热实，心腹满，小便赤，大便不利，痞逆冲胸，口焦燥，目赤痛。大
黄汤方
大黄（锉炒一两） 黄芩（去黑心三两） 黄连（去须） 甘草（炙锉） 麦门冬（去
心焙各二
两）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓纳芒硝一钱匕，再煎三两沸
，温服，早晨近晚各一，通利即愈。
治乳石发动，心胸痞胀，热毒。葳蕤汤方
葳蕤 黄芩（去黑心） 升麻 干姜（炮） 柴胡（去苗各一两半） 芍药 黄连（去
须各一
两） 石膏（四两） 栀子仁（七枚）
上九味，粗捣筛，每服三钱匕，水一盏，入生姜一分拍碎，并豉少许，同煎至六分，去
滓下芒硝半字令沸，温服，如人行十里许再服，日二，快利即止。
治乳石发，内有虚热，胸腹痞满，外风湿不解，肌肉拘急。香豉汤方
豉（二合） 栀子仁（十四枚） 葱白（一握切） 黄芩（去黑心三两）
上四味，除葱豉外，粗捣筛，每服先以水三盏，煮葱豉至一盏半，下药四钱匕，更煎至
八分，去滓温服。
治乳石发，内热结不除，或已饮酒冷食澡洗犹不解，或腹胀头痛眼目疼，或先有癖实不
消，或连饮不食，或时作心痛。甘草汤方
甘草（炙锉） 黄芩（去黑心） 大黄（锉炒各二两）
上三味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，早晨晚后各一服。
治乳石发，心腹胀痛，冷热相搏。桔梗汤方
桔梗（锉炒三两） 甘草（炙锉） 白术 枳实（去瓤麸炒） 栀子仁（各二两）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服。早晨晚后各一服。
治乳石发，心痛胀满，饮热酒不解。葱豉酒方
葱（一握切） 豉（五合绵裹）
上二味，以水三盏，煎至二盏，去滓分三服，热饮之，早晨日午近晚各一。
治乳石发动，腹胀欲裂者，为久坐下热，及衣温失食所致。方
上宜数冷食冷冻饮料，洗当风取冷，须臾即愈。
论述：乳石引发的心腹胀满，是因为饮食起居都沾染了温热之气，导致石药之势壅滞阻塞，无法宣通。因此脏腑之间热气相互搏结，从而产生心腹胀满。又有那种腹胀严重到仿佛要崩断衣带的情况，也是因为寝居处所过于温暖，加之饮食不节、洗浴不及时、不时过度劳累所致。如果能吃冷食、用冷水洗浴，站在有风的地方取凉，那么胀满自然就会消除。
治疗乳石引发的心腹胀满。导气丸方
牵牛子（四两）
以上一味药，捣碎过筛成粉末，用生姜自然汁煮面糊，调和制成梧桐子大小的丸剂。每次服用五十丸，用生姜汤送服。
治疗乳石引发的大热、心腹满胀。石膏汤方
石膏 大青（各三两） 黄芩（去除黑心部分） 升麻 芍药（各二两）
以上五味药，粗捣筛碎，每次取五钱匕，加水一盏半，煎煮至一盏，滤去药渣，分两次温服。如果腹痛，加续断二两。
治疗乳石引发，腹胀头痛，原本就有癖积实证不消，或因饮酒食肉所致，时常心中苦闷急痛者。黄芩汤方
黄芩（去除黑心部分） 甘草（炙烤后锉碎） 大黄（锉碎炒制，各二两） 麦门冬（去心焙干一两） 栀子仁（四十枚）
以上五味药，粗捣筛碎，每次取五钱匕，加水一盏半，煎煮至七分，滤去药渣，加入芒硝一钱匕，再煎煮三沸，温服，早晨和晚上各服一次。
治疗乳石发动，上焦气热实证，心腹满胀，小便赤红，大便不通，痞塞逆气冲胸，口舌焦燥，眼睛红肿疼痛。大黄汤方
大黄（锉碎炒制一两） 黄芩（去除黑心部分三两） 黄连（去除须根） 甘草（炙烤后锉碎） 麦门冬（去心焙干，各二两）
以上五味药，粗捣筛碎，每次取五钱匕，加水一盏半，煎煮至八分，滤去药渣，纳入芒硝一钱匕，再煎煮三沸，温服，早晨和临近晚上各服一次，大便通畅即愈。
治疗乳石发动，心胸痞塞胀满，热毒。葳蕤汤方
葳蕤 黄芩（去除黑心部分） 升麻 干姜（炮制） 柴胡（去苗，各一两半） 芍药 黄连（去除须根，各一两） 石膏（四两） 栀子仁（七枚）
以上九味药，粗捣筛碎，每次取三钱匕，加水一盏，放入生姜一分拍碎，并加入少许豆豉，同煎至六分，滤去药渣，加入芒硝半字令其沸腾，温服，如人行走十里路后再服，每日两次，大便畅快即停止服用。
治疗乳石引发，体内有虚热，胸腹痞塞满闷，外感风湿不解，肌肉拘挛紧急。香豉汤方
豆豉（二合） 栀子仁（十四枚） 葱白（一握切段） 黄芩（去除黑心部分三两）
以上四味药，除葱和豆豉外，其余粗捣筛碎。每次服用时，先用水三盏，煮葱和豆豉至一盏半，再加入药末四钱匕，继续煎煮至八分，滤去药渣，温服。
治疗乳石引发，内热结聚不除，或者已经饮酒、吃冷食、洗澡后仍不缓解，或者腹胀头痛眼目疼痛，或者原本就有癖积实证不消，或者连续饮水而不进食，或者时常发作心痛。甘草汤方
甘草（炙烤后锉碎） 黄芩（去除黑心部分） 大黄（锉碎炒制，各二两）
以上三味药，粗捣筛碎，每次取五钱匕，加水一盏半，煎煮至八分，滤去药渣，温服，早晨和晚上各服一次。
治疗乳石引发，心腹胀痛，冷热之气相互搏结。桔梗汤方
桔梗（锉碎炒制三两） 甘草（炙烤后锉碎） 白术 枳实（去除瓤麸皮炒制） 栀子仁（各二两）
以上五味药，粗捣筛碎，每次取五钱匕，加水一盏半，煎煮至八分，滤去药渣，温服，早晨和晚上各服一次。
治疗乳石引发，心痛胀满，饮用热酒不能缓解。葱豉酒方
葱（一握切段） 豆豉（五合绵裹）
以上两味药，用水三盏，煎煮至二盏，滤去药渣，分三次服用，热饮之，早晨、中午、临近晚上各服一次。
治疗乳石发动，腹胀欲裂的情况，这是因为久坐受热，以及衣物过暖、饮食失宜所致。此证适宜多次食用冷食冷冻饮料，在风中洗浴取凉，片刻即可痊愈。
Discussion: The epigastric and abdominal distension caused by the eruption of "Rushi" (mineral drugs) occurs because diet and living habits are all exposed to warm and hot conditions, causing the mineral drug's potential to become stagnant and obstructed, preventing free circulation. Consequently, heat qi in the zang-fu organs fights with each other, resulting in epigastric and abdominal distension. There are also cases where abdominal distension is so severe that it feels as if the belt will break; this is also due to warm sleeping and living environments, combined with improper diet, untimely bathing, and excessive physical exertion. If one can consume cold food, bathe with cold water, and stand in the wind to cool down, the distension will naturally subside.
To treat epigastric and abdominal distension caused by Rushi eruption. Daoqi Wan Prescription:
Qian Niu Zi (Semen Pharbitidis, four liang).
The above single herb is crushed, sifted into powder, mixed with a paste made from natural ginger juice and flour, and formed into pills the size of paulownia seeds. Take fifty pills per dose, administered with ginger decoction.
To treat high fever and epigastric/abdominal fullness/distension caused by Rushi eruption. Shigao Tang Prescription:
Shi Gao (Gypsum Fibrosum), Da Qing (Indigo Naturalis) (each three liang); Huang Qin (Scutellariae Radix, remove black heart); Sheng Ma (Bupleuri Radix); Shao Yao (Paeoniae Radix) (each two liang).
The above five herbs are coarsely crushed and sieved. For each dose, take five qian bi (approx. 15g), add one dan half of water, boil until one dan remains, strain, and divide into two warm doses. If abdominal pain occurs, add Xu Duan (Dipsaci Radix, two liang).
To treat Rushi eruption presenting with abdominal distension, headache, pre-existing fixed masses (Pi) not resolving, or caused by drinking alcohol and eating meat, accompanied by occasional bitter feeling in the heart and urgent pain. Huang Qin Tang Prescription:
Huang Qin (Scutellariae Radix, remove black heart); Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut); Da Huang (Rhei Radix et Rhizoma, cut and stir-fried, each two liang); Mai Men Dong (Ophiopogonis Tuber, remove heart, baked, one liang); Zhi Zi Ren (Gardeniae Fructus, forty seeds).
The above five herbs are coarsely crushed and sieved. For each dose, take five qian bi, add one dan half of water, boil until seven-tenths remain, strain, add Mang Xiao (Natrii Sulfas, one qian bi), boil for three boils, and take warm. One dose in the morning and one in the evening.
To treat Rushi eruption manifesting as upper jiao heat excess, epigastric/abdominal fullness, red urine, difficult defecation, chest stuffiness with rebellious qi rushing to the chest, dry scorching mouth, and red painful eyes. Da Huang Tang Prescription:
Da Huang (Rhei Radix et Rhizoma, cut and stir-fried, one liang); Huang Qin (Scutellariae Radix, remove black heart, three liang); Huang Lian (Coptidis Rhizoma, remove roots); Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut); Mai Men Dong (Ophiopogonis Tuber, remove heart, baked, each two liang).
The above five herbs are coarsely crushed and sieved. For each dose, take five qian bi, add one dan half of water, boil until eight-tenths remain, strain, add Mang Xiao (Natrii Sulfas, one qian bi), boil for three boils, and take warm. One dose in the morning and one near evening. Recovery occurs when bowels become unobstructed.
To treat Rushi eruption manifesting as chest/stuffiness and distension, heat toxicity. Weirui Tang Prescription:
Wei Rui (Polygonati Odorati Rhizoma); Huang Qin (Scutellariae Radix, remove black heart); Sheng Ma (Bupleuri Radix); Gan Jiang (Zingiberis Rhizoma, processed); Chai Hu (Bupleuri Radix, remove sprouts, each one liang half); Shao Yao (Paeoniae Radix); Huang Lian (Coptidis Rhizoma, remove roots, each one liang); Shi Gao (Gypsum Fibrosum, four liang); Zhi Zi Ren (Gardeniae Fructus, seven seeds).
The above nine herbs are coarsely crushed and sieved. For each dose, take three qian bi, add one dan of water, include one fen of smashed fresh ginger and a small amount of Dou Chi (Sojae Semen Praeparatum), boil together until six-tenths remain, strain, add Ban Zi (half zi measure) of Mang Xiao (Natrii Sulfas) until boiling, and take warm. Take another dose after walking about ten li. Twice daily. Stop when bowel movement becomes rapid and free.
To treat Rushi eruption manifesting as internal deficiency heat, chest/abdominal stuffiness and fullness, unresolved external wind-dampness, and muscle tension/spasm. Xiang Chi Tang Prescription:
Chi (Sojae Semen Praeparatum, two he); Zhi Zi Ren (Gardeniae Fructus, fourteen seeds); Cong Bai (Allii Fistulosi Bulb, one handful cut); Huang Qin (Scutellariae Radix, remove black heart, three liang).
For the above four herbs, excluding Cong Bai and Chi, coarsely crush and sieve. For each dose, first boil Cong Bai and Chi in three dan of water until one dan half remains, then add four qian bi of the herbal powder, boil until eight-tenths remain, strain, and take warm.
To treat Rushi eruption manifesting as persistent internal heat accumulation, or failure to resolve even after drinking alcohol, eating cold food, or bathing; or presenting with abdominal distension, headache, eye pain; or pre-existing fixed masses not resolving; or continuous drinking without eating; or occasional heart pain. Gan Cao Tang Prescription:
Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut); Huang Qin (Scutellariae Radix, remove black heart); Da Huang (Rhei Radix et Rhizoma, cut and stir-fried, each two liang).
The above three herbs are coarsely crushed and sieved. For each dose, take five qian bi, add one dan half of water, boil until eight-tenths remain, strain, and take warm. One dose in the morning and one in the evening.
To treat Rushi eruption manifesting as epigastric/abdominal distension and pain, with fighting between cold and heat. Jie Geng Tang Prescription:
Jie Geng (Platycodonis Radix, cut and stir-fried, three liang); Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut); Bai Zhu (Atractylodis Macrocephalae Rhizoma); Zhi Shi (Aurantii Fructus Immaturus, remove pith and bran, stir-fried); Zhi Zi Ren (Gardeniae Fructus, each two liang).
The above five herbs are coarsely crushed and sieved. For each dose, take five qian bi, add one dan half of water, boil until eight-tenths remain, strain, and take warm. One dose in the morning and one in the evening.
To treat Rushi eruption manifesting as heart pain and distension, which does not resolve with drinking hot wine. Cong Chi Jiu Prescription:
Cong (Allii Fistulosi Bulb, one handful cut); Chi (Sojae Semen Praeparatum, five he, wrapped in silk).
The above two herbs are boiled in three dan of water until two dan remain, strained, and divided into three doses. Drink warm. One dose in the morning, at noon, and near evening.
To treat Rushi eruption manifesting as abdominal distension threatening to burst, caused by prolonged sitting in heat and warm clothing leading to improper diet. Prescription:
It is suitable to frequently consume cold foods and frozen drinks, bathe in the wind to cool down. Recovery will occur shortly.