论曰黄帝针经曰，肠胃相通，疾病相连，人因饮食不节，寒温失宜，致肠胃受邪，有冷
有热，疾证俱见者，则善饥小腹痛胀，为胃热肠寒之病，胃热则消谷故善饥，肠寒则血凝脉
急故小腹痛，又寒则气聚，故痛而且胀。
治胃热肠寒，善饥小腹痛胀，芍药丸方
芍药 人参 赤茯苓（去黑皮） 浓朴（去粗皮姜汁炙各二两） 陈橘皮（汤浸去白
焙） 木香
上八味，为细末，炼蜜和丸，如梧桐子大，每服二十丸，食前米饮下，日二。
治胃热肠寒，善食数饥，小腹胀痛，立通丸方
京三棱（炮锉） 黄连（去须） 青橘皮（汤浸去白焙） 蓬莪术（炮各一两） 巴
豆（霜一分）
上五味，为细末，面糊和丸，如绿豆大，每服五丸，食后茶酒任下。
治胃热肠寒，食已善饥，小腹痛胀，沉香散方
沉香（锉） 白檀香（锉） 乌药（锉） 山芋 甘草（炙锉） 白茯苓（去黑皮） 京
三棱（炮锉） 前胡（去芦
上一十味，捣罗为细散，每服一钱匕，入盐少许，沸汤点服，不拘时。
治胃热肠寒，善食数饥，少腹痛胀。干地黄汤方
熟干地黄 人参 白茯苓（去黑皮） 麦门冬（去心焙） 枇杷叶（拭去毛） 地骨皮 甘
草（炙锉） 石斛（去根） 黄 （细锉）
上九味，各等分，粗捣筛，每服一钱匕，水一盏半，煎至七分，去滓一服，不拘时。
治胃热肠寒，食已辄饥，小腹痛胀，调中汤方
人参 白茯苓（去黑皮各十两） 紫河车 甘草（各二两生）
上四味，粗捣筛，每服三钱匕，水一盏，煎七分去滓，空心食前温服。
治胃热肠寒，食已复饥，小腹痛胀，京三棱煎丸方
京三棱（三两杵末取二两） 砂（一两飞过同三棱用米醋三升煎成膏） 当归（酒浸
切焙） 大黄（锉炒） 鳖甲（去裙 醋炙） 五灵脂（炒） 木香 沉香（锉各半两） 槟
榔（锉） 桂（去粗皮） 干漆（炒令烟尽各三分） 没药 马蔺花（各一分） 蓬莪术（炮
一两）
上一十四味，捣罗十二味为末，入三棱前搜和，丸如绿豆大，每服七丸，空心临卧，温
酒或盐汤下。
治胃热肠寒，食已复饥，小腹胀痛，分气黄 汤方
黄 （细锉半两） 人参 白术 白茯苓（去黑皮） 京三棱（锉各一两） 芎 陈
橘皮（汤去白焙） 麦门冬（去心焙） 诃黎勒皮 前胡（去芦头） 桔梗（炒） 柴胡
（去苗各半两） 牡丹皮 甘草（炙锉） 芍药（各三分）
上一十五味，粗捣筛，每服三钱匕，水一盏，生姜二片，煎至七分，去滓温服、不拘时
治胃热肠寒，食已复饥，小腹胀痛，前胡木香汤方
前胡（去芦头） 木香 柴胡（去苗） 秦艽（去苗土） 桂（去粗皮） 香子（炒
各一两） 槟榔（三枚面裹煨熟） 肉豆蔻（去壳三枚） 芎 甘草（炙锉） 青橘皮
（汤浸去白焙） 甜葶苈（隔纸炒各半两
上一十二味，粗捣筛，每服四钱匕，水一盏半，生姜三片，煎至一盏，去滓温服。
治胃热肠寒，善食数饥，少腹胀痛，麦门冬汤方
麦门冬（去心焙） 甘草（炙锉各二两） 白茯苓（去黑皮） 羌活（去芦头） 旋复
花玄参 白术 芍药 柴胡（去苗） 人参 升麻 当归（切焙） 桑根白皮（锉各一两）
胡黄连（一分） 熟干地黄（焙一两半） 木香（半两）
上一十六味，粗捣筛，每服三钱匕，水一盏，入甘草一寸，同煎至八分，去滓温服，不
拘时。
治胃热肠寒，冷热不匀，善食数饥，入腹胀痛，半夏汤方
半夏（汤洗七遍焙） 麦门冬（去心焙） 人参 白茯苓（去黑皮） 桔梗（炒） 青
橘皮（汤浸去白焙） 柴胡（去苗） 防风（去叉） 前胡（去芦头） 细辛（去苗叶） 白
芷紫菀（去土） 款冬花（各一两） 浓朴（去粗皮生姜汁炙） 枳壳（去瓤麸炒各一两
半）
上一十五味，粗捣筛，每服三钱匕，水一盏半，生姜三片，煎至一盏，去滓稍热服。
论述说：《黄帝针经》指出，肠胃相互贯通，疾病相互关联。人如果饮食没有节制，寒热调节失当，导致肠胃受到邪气侵袭，既有寒证又有热证，病症同时出现，就会表现为容易饥饿、小腹部疼痛胀满，这被称为“胃热肠寒”病。胃中有热则消化食物过快，所以容易饥饿；肠道有寒则血液凝滞、经脉拘急，所以小腹部疼痛；另外，寒邪会导致气机聚集，所以既痛又胀。
治疗胃热肠寒，表现为容易饥饿、小腹部疼痛胀满的芍药丸方：
芍药、人参、赤茯苓（去除黑皮）、浓朴（去除粗皮，用姜汁炙烤，各二两）、陈橘皮（用汤浸泡，去除白瓤，焙干）、木香。
以上八味药，研成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，饭前用米汤送服，每日两次。
治疗胃热肠寒，表现为吃得多且频繁饥饿、小腹胀痛的立通丸方：
京三棱（炮制后锉碎）、黄连（去除须根）、青橘皮（用汤浸泡，去除白瓤，焙干）、蓬莪术（炮制，各一两）、巴豆（霜一分）。
以上五味药，研成细末，用面糊调和制成丸药，大小如绿豆。每次服用五丸，饭后用茶或酒任意送服。
治疗胃热肠寒，进食后即感饥饿、小腹部疼痛胀满的沉香散方：
沉香（锉碎）、白檀香（锉碎）、乌药（锉碎）、山芋、甘草（炙烤后锉碎）、白茯苓（去除黑皮）、京三棱（炮制后锉碎）、前胡（去除芦头）。
以上十味药，捣碎过筛成为细散剂。每次服用一钱匕，加入少许盐，用沸水冲服，不限时间。
治疗胃热肠寒，吃得多且频繁饥饿、少腹部疼痛胀满的干地黄汤方：
熟干地黄、人参、白茯苓（去除黑皮）、麦门冬（去除心，焙干）、枇杷叶（擦拭去毛）、地骨皮、甘草（炙烤后锉碎）、石斛（去除根）、黄耆（细锉）。
以上九味药，各取等分，粗捣筛过。每次服用一钱匕，用水一盏半，煎至七分，去掉药渣，一次服下，不限时间。
治疗胃热肠寒，进食后即感饥饿、小腹部疼痛胀满的调中汤方：
人参、白茯苓（去除黑皮，各十两）、紫河车、甘草（各二两，生用）。
以上四味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去掉药渣，空腹饭前温服。
治疗胃热肠寒，进食后即感饥饿、小腹部疼痛胀满的京三棱煎丸方：
京三棱（三两，捣碎取粉末二两）、砂（一两，飞处理后与三棱一起用米醋三升煎成膏状）、当归（酒浸，切片焙干）、大黄（锉碎炒制）、鳖甲（去除裙边，醋炙）、五灵脂（炒制）、木香、沉香（锉碎，各半两）、槟榔（锉碎）、桂枝（去除粗皮）、干漆（炒至烟尽，各三分）、没药、马蔺花（各一分）、蓬莪术（炮制，一两）。
以上十四味药，将其中十二味捣碎过筛成末，加入三棱粉混合均匀，制成如绿豆大小的丸药。每次服用七丸，空腹及睡前，用温酒或盐汤送服。
治疗胃热肠寒，进食后即感饥饿、小腹部疼痛胀满的分气黄耆汤方：
黄耆（细锉，半两）、人参、白术、白茯苓（去除黑皮）、京三棱（锉碎，各一两）、川芎、陈橘皮（汤洗去白瓤焙干）、麦门冬（去心焙干）、诃黎勒皮、前胡（去芦头）、桔梗（炒制）、柴胡（去苗，各半两）、牡丹皮、甘草（炙烤锉碎）、芍药（各三分）。
以上十五味药，粗捣筛过。每次服用三钱匕，用水一盏，生姜两片，煎至七分，去掉药渣温服，不限时间。
治疗胃热肠寒，进食后即感饥饿、小腹部疼痛胀满的前胡木香汤方：
前胡（去芦头）、木香、柴胡（去苗）、秦艽（去苗土）、桂枝（去粗皮）、香附子（炒制，各一两）、槟榔（三枚，面粉包裹煨熟）、肉豆蔻（去壳，三枚）、川芎、甘草（炙烤锉碎）、青橘皮（汤浸去白瓤焙干）、甜葶苈（隔纸炒制，各半两）。
以上十二味药，粗捣筛过。每次服用四钱匕，用水一盏半，生姜三片，煎至一盏，去掉药渣温服。
治疗胃热肠寒，吃得多且频繁饥饿、少腹部疼痛胀满的麦门冬汤方：
麦门冬（去心焙干）、甘草（炙烤锉碎，各二两）、白茯苓（去除黑皮）、羌活（去芦头）、旋复花、玄参、白术、芍药、柴胡（去苗）、人参、升麻、当归（切后焙干）、桑根白皮（锉碎，各一两）、胡黄连（一分）、熟干地黄（焙干，一两半）、木香（半两）。
以上十六味药，粗捣筛过。每次服用三钱匕，用水一盏，加入一寸长的甘草，同煎至八分，去掉药渣温服，不限时间。
治疗胃热肠寒，冷热不均，吃得多且频繁饥饿，入腹后出现腹胀痛的半夏汤方：
半夏（汤洗七遍后焙干）、麦门冬（去心焙干）、人参、白茯苓（去除黑皮）、桔梗（炒制）、青橘皮（汤浸去白瓤焙干）、柴胡（去苗）、防风（去叉）、前胡（去芦头）、细辛（去苗叶）、白芷、紫菀（去土）、款冬花（各一两）、浓朴（去粗皮，生姜汁炙烤）、枳壳（去瓤，麸炒，各一两半）。
以上十五味药，粗捣筛过。每次服用三钱匕，用水一盏半，生姜三片，煎至一盏，去掉药渣稍热时服用。
Commentary states: The *Huangdi Zhenjing* (Yellow Emperor's Classic of Acupuncture) points out that the intestines and stomach are mutually connected, and diseases are interrelated. If a person fails to regulate their diet properly or maintains an inappropriate balance of cold and heat, pathogenic factors may invade the intestines and stomach. When both cold and heat syndromes are present simultaneously, symptoms such as excessive hunger and pain with distension in the lower abdomen occur. This condition is termed "Stomach Heat and Intestinal Cold" (Wei Re Chang Han). Stomach heat accelerates digestion, leading to excessive hunger; intestinal cold causes blood stasis and tension in the meridians, resulting in lower abdominal pain. Furthermore, cold pathogens cause Qi stagnation, leading to both pain and distension.
Prescription for Shaoyao Wan (Peony Pill) to treat Stomach Heat and Intestinal Cold, characterized by excessive hunger and lower abdominal pain with distension:
Shaoyao (Radix Paeoniae Alba), Renshen (Radix Ginseng), Chifuling (Poria cum Ramis et Cortice Polypori, removed black skin), Nongpou (Cortex Magnoliae Officinalis, removed coarse bark, processed with ginger juice, 2 liang each), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, removed white pith, dried), Muxiang (Radix Aucklandiae).
The above eight herbs are ground into fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose before meals, washed down with rice water, twice daily.
Prescription for Litong Wan (Instant Unblocking Pill) to treat Stomach Heat and Intestinal Cold, characterized by polyphagia with frequent hunger and lower abdominal distension and pain:
Jingsanleng (Rhizoma Sparganii), Huanglian (Rhizoma Coptidis, removed roots), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, removed white pith, dried), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed, 1 liang each), Badou (Semen Crotonis Tiglii, frost, 1 fen).
The above five herbs are ground into fine powder, mixed with wheat paste to form pills the size of mung beans. Take 5 pills per dose after meals, washed down with tea or wine as preferred.
Prescription for Chenxiang San (Agarwood Powder) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Chenxiang (Lignum Aquilariae Resinatum, crushed), Baitanxiang (Lignum Santali Albi, crushed), Wuyao (Radix Linderae Aggregate, crushed), Shanyu (Rhizoma Dioscoreae Hypoglaucae), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Baifuling (Poria, removed black skin), Jingsanleng (Rhizoma Sparganii, processed and crushed), Qianhu (Radix Peucedani, removed rhizome).
The above ten herbs are pounded and sifted into a fine powder. Take one qianbi (approx. 3-5g) per dose, add a small amount of salt, and brew with boiling water. Take at any time.
Prescription for Gadihuang Tang (Rehmannia Decoction) to treat Stomach Heat and Intestinal Cold, characterized by polyphagia with frequent hunger and lower abdominal pain with distension:
Shugan Dihuang (Radix Rehmanniae Preparata), Renshen (Radix Ginseng), Baifuling (Poria, removed black skin), Maimendong (Radix Ophiopogonis, removed heart, dried), Pipaye (Folium Eriobotryae, wiped clean of hairs), Digupi (Cortex Lycii), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Shihu (Caulis Dendrobii, removed roots), Huangqi (Radix Astragali Membranacei, finely crushed).
The above nine herbs are taken in equal parts, coarsely crushed and sifted. Take one qianbi per dose, with 1.5 cups of water, decoct until 0.7 cup remains, remove dregs, and take once. Take at any time.
Prescription for Zhongzhong Tang (Middle Harmonizing Decoction) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Renshen (Radix Ginseng), Baifuling (Poria, removed black skin, 10 liang each), Ziheche (Placenta Hominis), Gancao (Radix Glycyrrhizae Cruda, 2 liang each).
The above four herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water, decoct until 0.7 cup remains, remove dregs, and take warm on an empty stomach before meals.
Prescription for Jingsanleng Jian Wan (Sparganium Decoction Pill) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Jingsanleng (Rhizoma Sparganii, 3 liang, pounded to powder, take 2 liang of powder), Sha (Realgar, 1 liang, purified, used together with Sanleng, decocted with 3 sheng of rice vinegar into a paste), Danggui (Radix Angelicae Sinensis, soaked in wine, sliced and dried), Dahuang (Radix et Rhizoma Rhei, crushed and fried), Biejia (Carapax et Plastrum Testudinis, removed skirt, vinegar-processed), Wulingzhi (Faeces Trogopterori, fried), Muxiang (Radix Aucklandiae), Chenxiang (Lignum Aquilariae Resinatum, crushed, half liang each), Binglang (Semen Arecae, crushed), Gui (Ramulus Cinnamomi, removed coarse bark), Ganqi (Resina Taxodi, fried until smoke ceases, 3 fen each), Moyao (Olibanum), Malanhua (Flos Iris pseudacorii), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed, 1 liang).
The above fourteen herbs: pound twelve herbs into powder, mix with the previously prepared Sanleng paste, and form pills the size of mung beans. Take 7 pills per dose on an empty stomach and before sleep, washed down with warm wine or salt water.
Prescription for Fenqi Huangqi Tang (Qi-Distributing Astragalus Decoction) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Huangqi (Radix Astragali Membranacei, finely crushed, half liang), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Baifuling (Poria, removed black skin), Jingsanleng (Rhizoma Sparganii, crushed, 1 liang each), Xiong (Radix Chuanxiong), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, removed white pith and dried), Maimendong (Radix Ophiopogonis, removed heart and dried), Helilepi (Pericarpium Terminaliae Chebulae), Qianhu (Radix Peucedani, removed rhizome), Jiegeng (Radix Platycodonis, fried), Chaihu (Radix Bupleuri, removed sprouts, half liang each), Mudanpi (Cortex Moutan), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Shaoyao (Radix Paeoniae Alba, 3 fen each).
The above fifteen herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water and two slices of fresh ginger, decoct until 0.7 cup remains, remove dregs, and take warm. Take at any time.
Prescription for Qianhu Muxiang Tang (Peucedani and Aucklandia Decoction) to treat Stomach Heat and Intestinal Cold, characterized by immediate hunger after eating and lower abdominal pain with distension:
Qianhu (Radix Peucedani, removed rhizome), Muxiang (Radix Aucklandiae), Chaihu (Radix Bupleuri, removed sprouts), Qinjiao (Radix Gentiana Macrophyllae, removed sprouts and soil), Gui (Ramulus Cinnamomi, removed coarse bark), Xiangzi (Fructus Ligustici Chaotici, fried, 1 liang each), Binglang (Semen Arecae, three pieces, wrapped in flour and baked until cooked), Roudoukou (Nucis Arecae Preparata, shelled, three pieces), Xiong (Radix Chuanxiong), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, removed white pith and dried), Tiantingli (Semen Lepidii Descurainiae, stir-fried between papers, half liang each).
The above twelve herbs are coarsely crushed and sifted. Take four qianbi per dose, with 1.5 cups of water and three slices of fresh ginger, decoct until one cup remains, remove dregs, and take warm.
Prescription for Maimendong Tang (Ophiopogon Decoction) to treat Stomach Heat and Intestinal Cold, characterized by polyphagia with frequent hunger and lower abdominal pain with distension:
Maimendong (Radix Ophiopogonis, removed heart and dried), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed, 2 liang each), Baifuling (Poria, removed black skin), Qianghuo (Rhizoma et Radix Notopterygii, removed rhizome), Xuanfuhua (Flos Inulae), Xuanshen (Radix Scrophulariae), Baizhu (Rhizoma Atractylodis Macrocephalae), Shaoyao (Radix Paeoniae Alba), Chaihu (Radix Bupleuri, removed sprouts), Renshen (Radix Ginseng), Shengma (Rhizoma Cimicifugae), Danggui (Radix Angelicae Sinensis, sliced and dried), Sangbaipi (Cortex Morus Radicis, crushed, 1 liang each), Huhuanglian (Rhizoma Coptidis Chinensis, 1 fen), Shugan Dihuang (Radix Rehmanniae Preparata, dried, 1.5 liang), Muxiang (Radix Aucklandiae, half liang).
The above sixteen herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water and one cun length of Gancao, decoct together until 0.8 cup remains, remove dregs, and take warm. Take at any time.
Prescription for Banxia Tang (Pinellia Decoction) to treat Stomach Heat and Intestinal Cold, characterized by uneven cold and heat, polyphagia with frequent hunger, and abdominal distension and pain upon food entering the abdomen:
Banxia (Rhizoma Pinelliae, washed seven times in water and dried), Maimendong (Radix Ophiopogonis, removed heart and dried), Renshen (Radix Ginseng), Baifuling (Poria, removed black skin), Jiegeng (Radix Platycodonis, fried), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, removed white pith and dried), Chaihu (Radix Bupleuri, removed sprouts), Fangfeng (Radix Saposhnikoviae, removed forked roots), Qianhu (Radix Peucedani, removed rhizome), Xixin (Herba Asari, removed sprouts and leaves), Baizhi (Radix Angelicae Dahuricae), Ziwan (Radix Asteris), Kuandonghua (Flos Farfarae, 1 liang each), Nongpou (Cortex Magnoliae Officinalis, removed coarse bark, processed with ginger juice), Zhike (Fructus Aurantii, removed pulp, bran-fried, 1.5 liang each).
The above fifteen herbs are coarsely crushed and sifted. Take three qianbi per dose, with 1.5 cups of water and three slices of fresh ginger, decoct until one cup remains, remove dregs, and take when slightly warm.