论曰内经谓浊气在上,则生 胀,此阴阳反作病之逆从也,夫清阳为天,浊阴为地,二
者不可相干,今浊气在上,为阴气干扰,清阳之气,郁而不散,所以 塞而胀满常若饱也。
治阴盛生寒,腹满 胀。吴茱萸汤方
吴茱萸(汤浸焙炒) 浓朴(去粗皮生姜汁炙) 桂(去粗皮) 干姜(炮各二两) 白
术陈
上八味,锉如麻豆,每服四钱匕,以水一盏半,入生姜三片,煎至七分,去滓温服、
日三。
治虚冷气满 胀。不能饮食,虽食不消,呕逆虚满,腹内雷鸣,下气。桔梗丸方
桔梗(锉炒一两一分) 吴茱萸(汤浸去干炒) 白术(各一两) 桂(去粗皮三分) 人
参
炒) 干姜(
上一十一味,捣罗为末,炼蜜和丸,如梧桐子大,空心温酒下二十丸,加至三十丸。
治腹冷 胀,及虚气不能食。茯苓汤方
白茯苓(去黑皮) 陈橘皮(汤浸去白焙) 人参 白术 浓朴(去粗皮生姜汁炙) 五
味子
上八味,锉如麻豆,每服五钱匕,水二盏,入姜三片,煎至一盏,去滓温服日三。
治虚冷 胀,及呕逆醋心,翻胃不能食,面色萎黄。人参汤方
人参 白茯苓(去黑皮) 白术(各一两) 浓朴(去粗皮生姜汁炙二两) 陈橘皮(汤
浸白
上八味,粗捣筛,每服四钱匕,水一盏半,入生姜五片,煎至七分,去滓空心温服、日
再。
治 胀不能食,背上冷汗出。白术汤方
白术 人参(各二两) 浓朴(去粗皮生姜汁炙) 陈橘皮(汤浸去白焙各一两半) 桂
(去
上五味,粗捣筛,每服三钱匕,水一盏,入生姜三片,煎至六分。去滓温服。日二、
不拘时。
治虚冷 胀,或反胃两胁妨满。食不化。浓朴汤方
浓朴(去粗皮姜汁炙二两) 槟榔(三枚) 肉豆蔻(去壳一两) 吴茱萸(汤浸焙干
炒三分)
上五味,锉如麻豆,每服五钱匕,水一盏半,入生姜三片,煎取八分,去滓空腹温服,
良久再服。
《黄帝内经》中说:浊气停留在上部,就会发生胀满病,这是阴阳颠倒、病情逆乱的表现。清阳之气上升为天,浊阴之气下降为地,二者互不干扰。如今浊气滞留于上部,是因为阴气干扰了清阳之气,导致清阳之气郁结而不能宣散,所以出现堵塞感,腹部胀满,常常感觉像吃饱了一样。
治疗阴气过盛产生寒邪,导致腹部胀满的方剂:吴茱萸汤方。
药材:吴茱萸(用汤浸泡后焙干炒制)、厚朴(刮去粗皮,用生姜汁炙烤)、桂枝(刮去粗皮)、干姜(炮制),各二两;白术(原文此处似有缺漏或排版错误,结合上下文及常见配伍,通常包含白术等,但依原文仅列前四味及“上八味”之语,推测原文可能有脱文,此处忠实翻译可见部分)。
以上八味药,切碎如麻豆大小,每次服用四钱匕,用水一盏半,加入生姜三片,煎煮至七分量,滤去药渣,温服,每日三次。
治疗因虚寒之气导致的腹部胀满,不能进食,即使吃了也不消化,呕吐逆气,自觉腹部虚满,腹内有肠鸣音,排气。桔梗丸方。
药材:桔梗(切碎炒制一两一分)、吴茱萸(汤浸泡去干水后炒制)、白术(各一两)、桂枝(刮去粗皮三分)、人参(原文此处有缺漏,通常为党参或人参)、干姜(炮制,原文此处有缺漏)。
以上十一味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子,空腹时用温酒送服二十丸,可加至三十丸。
治疗腹部冷痛胀满,以及因虚气导致不能进食的方剂:茯苓汤方。
药材:白茯苓(刮去黑皮)、陈皮(汤浸泡去白瓤后焙干)、人参、白术、厚朴(刮去粗皮,用生姜汁炙烤)、五味子。
以上八味药,切碎如麻豆大小,每次服用五钱匕,用水二盏,加入生姜三片,煎煮至一盏量,滤去药渣,温服,每日三次。
治疗虚寒性胀满,以及呕吐逆气、泛酸、翻胃不能进食,面色萎黄的方剂:人参汤方。
药材:人参、白茯苓(刮去黑皮)、白术(各一两)、厚朴(刮去粗皮,用生姜汁炙烤二两)、陈皮(汤浸泡去白瓤)。
以上八味药,粗捣筛选,每次服用四钱匕,用水一盏半,加入生姜五片,煎煮至七分量,滤去药渣,空腹时温服,每日两次。
治疗胀满不能进食,背部出冷汗的方剂:白术汤方。
药材:白术、人参(各二两)、厚朴(刮去粗皮,用生姜汁炙烤)、陈皮(汤浸泡去白瓤焙干,各一两半)、桂枝(刮去粗皮)。
以上五味药,粗捣筛选,每次服用三钱匕,用水一盏,加入生姜三片,煎煮至六分量,滤去药渣,温服,每日两次,不拘泥于固定时间。
治疗虚寒性胀满,或者反胃、两胁部胀闷不适,食物不消化的方剂:厚朴汤方。
药材:厚朴(刮去粗皮,姜汁炙烤二两)、槟榔(三枚)、肉豆蔻(去壳一两)、吴茱萸(汤浸泡焙干炒制三分)。
以上五味药,切碎如麻豆大小,每次服用五钱匕,用水一盏半,加入生姜三片,煎取八分量,滤去药渣,空腹时温服,隔一段时间后再服。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When turbid Qi remains in the upper part, distension occurs." This is a condition of Yin-Yang reversal and pathological deviation. Clear Yang ascends to form Heaven, while Turbid Yin descends to form Earth; the two should not interfere with each other. Now, because Turbid Qi remains in the upper part due to interference by Yin Qi, the Clear Yang Qi becomes stagnant and fails to disperse. Consequently, there is a sensation of blockage, abdominal distension, and a constant feeling of fullness as if one has just eaten.
**Wuzhuyu Tang Formula** for treating cold generated by excessive Yin Qi leading to abdominal fullness and distension.
Ingredients: Evodiae Fructus (Wuzhuyu, soaked in decoction, dried, and stir-fried), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, stir-fried with ginger juice), Cinnamomi Ramulus (Guizhi, coarse bark removed), Zingiberis Rhizoma Preparatum (Ganjiang, processed), each 2 liang; Atractylodis Macrocephalae Rhizoma (Baizhu). [Note: The original text mentions "eight flavors" but lists fewer explicitly or has textual gaps; translation follows the visible text].
These eight ingredients are chopped like hemp seeds. Each dose consists of 4 qianbi (approx. 10-15g depending on era/measure), boiled in 1.5 zhan (approx. 300ml) of water with 3 slices of fresh Ginger (Shengjiang) until reduced to 0.7 portion. Strain and take warm, three times daily.
**Jiegeng Wan Pill** for treating abdominal fullness and distension caused by deficiency-cold Qi, inability to eat, indigestion even after eating, vomiting and regurgitation, subjective abdominal fullness, borborygmus (rumbling in the abdomen), and flatus.
Ingredients: Platycodonis Radix (Jiegeng, chopped and stir-fried, 1 liang 1 fen), Evodiae Fructus (Wuzhuyu, soaked in decoction, drained, and stir-fried), Atractylodis Macrocephalae Rhizoma (Baizhu, each 1 liang), Cinnamomi Ramulus (Guizhi, coarse bark removed, 3 fen), Ginseng Radix et Rhizoma (Renshen), Zingiberis Rhizoma Preparatum (Ganjiang). [Note: Text indicates 11 flavors total].
These eleven ingredients are pounded into powder and sifted. Mixed with refined honey to make pills the size of Sophora japonica seeds. Take 20 pills with warm wine on an empty stomach, increasing up to 30 pills.
**Fuling Tang Decoction** for treating cold abdominal distension and inability to eat due to deficient Qi.
Ingredients: Poria (Fuling, black skin removed), Citri Reticulatae Pericarpium (Chenpi, soaked in decoction, white pith removed, dried), Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, stir-fried with ginger juice), Schisandrae Fructus (Wuweizi).
These eight ingredients are chopped like hemp seeds. Each dose consists of 5 qianbi, boiled in 2 zhan of water with 3 slices of ginger until reduced to 1 zhan. Strain and take warm, three times daily.
**Renshen Tang Decoction** for treating deficiency-cold distension, vomiting with acid regurgitation, reverse flow of food (fanwei) preventing eating, and sallow complexion.
Ingredients: Ginseng Radix et Rhizoma (Renshen), Poria (Fuling, black skin removed), Atractylodis Macrocephalae Rhizoma (Baizhu, each 1 liang), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, stir-fried with ginger juice, 2 liang), Citri Reticulatae Pericarpium (Chenpi, soaked in decoction, white pith removed).
These eight ingredients are coarsely crushed and sifted. Each dose consists of 4 qianbi, boiled in 1.5 zhan of water with 5 slices of fresh ginger until reduced to 0.7 portion. Strain and take warm on an empty stomach, twice daily.
**Baizhu Tang Decoction** for treating distension with inability to eat and cold sweat on the back.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu), Ginseng Radix et Rhizoma (Renshen, each 2 liang), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, stir-fried with ginger juice), Citri Reticulatae Pericarpium (Chenpi, soaked in decoction, white pith removed, dried, each 1.5 liang), Cinnamomi Ramulus (Guizhi, coarse bark removed).
These five ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 zhan of water with 3 slices of fresh ginger until reduced to 0.6 portion. Strain and take warm. Twice daily, at any time.
**Houpo Tang Decoction** for treating deficiency-cold distension, reverse flow of food, fullness and discomfort in the hypochondrium, and indigestion.
Ingredients: Magnoliae Officinalis Cortex (Houpo, coarse bark removed, ginger juice stir-fried, 2 liang), Arecae Semen (Binglang, 3 pieces), Myristicae Semen (Roudoukou, shelled, 1 liang), Evodiae Fructus (Wuzhuyu, soaked in decoction, dried, and stir-fried, 3 fen).
These five ingredients are chopped like hemp seeds. Each dose consists of 5 qianbi, boiled in 1.5 zhan of water with 3 slices of fresh ginger until 0.8 portion remains. Strain and take warm on an empty stomach, repeat after some time.