论曰胃气胀，则令人腹满不能食。此盖脾胃虚弱，冷气搏于阴经，故胃胀满塞而不能饮
食，其气虚者，但虚胀而膨满于腹肋也。
治脾胃不和，中寒虚胀。人参汤方
人参 白茯苓（去黑皮） 肉豆蔻（去壳） 槟榔（锉） 木香（各一分） 白术 诃
黎勒皮（
两）
上一十味，粗捣筛，每服二钱匕，水一盏，生姜三片，木瓜一片，同煎至八分。去滓热
服。
治心胸满闷，气滞腹虚胀。大腹汤方
大腹子（四枚锉） 槟榔（二枚锉） 陈橘皮（汤浸去白焙） 前胡（去芦头） 桔梗
（锉炒）
上八味，粗捣筛，每服二钱匕，水一盏，入生姜三片，煎至六分，去滓温服，不拘时候
治腹虚胀，分导滞气。分气散方
仙人枯骨（一两） 槟榔（大者一枚锉） 防己 白豆蔻（各一分） 皂子（雄者二百
七十枚
炒焦令作声为度一两）
上九味，捣研为细散，每服一盏匕，煎大腹皮汤调下。不拘时候。
和脾胃，治虚胀，化久滞，进饮食。木香三棱散方
木香（一两） 京三棱（煨锉四两） 甘草（炙锉三钱） 青橘皮（汤浸去白焙一两） 山
芋白茯苓（去黑皮各半两）
上六味，捣罗为细散，每服一钱匕，入盐如茶点。不拘时候。
治大泻后，虚气心腹胀满。木香丸方
木香（一两锉） 蝎梢（炒四十九枚） 胡椒（二百粒） 青橘皮（汤浸去白焙） 陈
橘皮（汤浸
上七味，捣罗为末，酒煮面糊。丸如梧桐子大，每服七丸，煎橘皮汤下。空心食前。
治心腹虚胀，两胁疼痛，不欲饮食。浓朴三棱丸方
浓朴（去粗皮为末生姜汁拌和银器内炒干六两） 京三棱（炮锉） 半夏（汤洗七遍去
滑炒
上四味，捣罗为末，煮枣肉和丸，如梧桐子大，每服二十丸，空心食前、生姜汤下。
治中焦冷气腹胀，饮食不消。吴茱萸丸方
吴茱萸（汤浸去滑焙干） 桂（去粗皮各一两） 槟榔（锉半两） 陈橘皮（汤浸去白
焙三分）
右四味，捣罗为细末，醋煮面糊，丸如梧桐子大，每服十五丸，生姜汤下。不拘时候。
治心腹虚胀。四圣丸方
干蝎（去土炒一两） 胡椒 木香 青橘皮（汤浸去白焙各一分）
上四味，捣罗为细末，研饭和丸，如绿豆大，姜橘汤或温酒下五七丸，不拘时候。
论述说：胃气胀，会导致人腹部胀满，无法进食。这大概是脾胃虚弱，寒气与阴经相搏结，所以胃中胀满堵塞而不能饮食；如果是气虚的情况，只是出现虚性胀满，使腹部和肋部膨隆。
治疗脾胃不和，中焦受寒引起的虚性胀满。人参汤方
人参、白茯苓（去掉黑色外皮）、肉豆蔻（去掉外壳）、槟榔（切碎）、木香（以上各一分）、白术、诃黎勒皮（二两）
以上十味药，粗捣筛碎，每次服用二钱匕，用水一盏，加入生姜三片、木瓜一片，共同煎煮至八分满。滤去药渣，趁热服用。
治疗心胸满闷，气机阻滞引起的腹部虚胀。大腹汤方
大腹子（四枚，切碎）、槟榔（二枚，切碎）、陈橘皮（用热水浸泡后去掉白色内层并焙干）、前胡（去掉芦头）、桔梗（切碎并炒制）
以上八味药，粗捣筛碎，每次服用二钱匕，用水一盏，加入生姜三片，煎煮至六分满，滤去药渣，温服，不限定时间。
治疗腹部虚胀，分别疏导停滞的气机。分气散方
仙人枯骨（一两）、槟榔（大者一枚，切碎）、防己、白豆蔻（以上各一分）、皂子（雄性二百七十枚，炒焦至发出声响为度，约一两）
以上九味药，捣碎研成细粉，每次服用一盏匕，用大腹皮煎汤调服。不限定时间。
调和脾胃，治疗虚胀，化解长期积滞，增进饮食。木香三棱散方
木香（一两）、京三棱（煨制后切碎四两）、甘草（炙制后切碎三钱）、青橘皮（热水浸泡后去掉白色内层并焙干一两）、山芋、白茯苓（去掉黑色外皮，各半两）
以上六味药，捣碎过罗成细粉，每次服用一钱匕，像点茶一样加入盐。不限定时间。
治疗严重腹泻后，虚气导致的心腹胀满。木香丸方
木香（一两，切碎）、蝎梢（炒制四十九枚）、胡椒（二百粒）、青橘皮（热水浸泡后去掉白色内层并焙干）、陈橘皮（热水浸泡后去掉白色内层并焙干）
以上七味药，捣碎过罗成粉末，用酒煮面糊作为粘合剂。制成梧桐子大小的丸药，每次服用七丸，用橘皮煎汤送服。空腹或饭前服用。
治疗心腹虚胀，两侧胁肋疼痛，不想吃东西。浓朴三棱丸方
浓朴（去掉粗皮研末，用生姜汁拌和，在银器中炒干六两）、京三棱（炮制后切碎）、半夏（热水洗涤七遍，去掉滑液并炒制）
以上四味药，捣碎过罗成粉末，煮枣肉作为粘合剂，制成梧桐子大小的丸药，每次服用二十丸，空腹或饭前，用生姜汤送服。
治疗中焦寒气导致的腹胀，饮食不消化。吴茱萸丸方
吴茱萸（热水浸泡去掉滑液后焙干）、桂枝（去掉粗皮，以上各一两）、槟榔（切碎半两）、陈橘皮（热水浸泡去掉白色内层并焙干三分）
以上四味药，捣碎过罗成细末，用醋煮面糊作为粘合剂，制成梧桐子大小的丸药，每次服用十五丸，用生姜汤送服。不限定时间。
治疗心腹虚胀。四圣丸方
干蝎（去掉泥土炒制一两）、胡椒、木香、青橘皮（热水浸泡去掉白色内层并焙干，以上各一分）
以上四味药，捣碎过罗成细末，研磨米饭作为粘合剂，制成绿豆大小的丸药，用姜橘汤或温酒送服五到七丸，不限定时间。
It is discussed that distension of Stomach Qi causes abdominal fullness and inability to eat. This is due to deficiency and coldness of the Spleen and Stomach, where Cold pathogen combats with the Yin meridians, resulting in gastric distension and blockage preventing food and drink intake; in cases of Qi deficiency, there is merely false distension causing bulging of the abdomen and hypochondrium.
For treating disharmony of the Spleen and Stomach, and false distension caused by middle Jiao Cold: Renshen Tang (Ginseng Decoction)
Renshen (Radix Ginseng), Baifuling (Poria with Cortex, removed black skin), Roudoukou (Nux Vomica Seed, removed shell), Binglang (Areca Seed, chopped), Muxiang (Aucklandiae Radix, each 1 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Helilepi (Pericarpium Terminaliae Chebulae, 2 liang).
The above ten ingredients are coarsely pounded and sieved. Each dose consists of 2 qianbi, decocted with 1 zhan of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 1 slice of Mugua (Chaenomelis Fructus) until reduced to 8 fen. Strain the dregs and take hot.
For treating chest and heart oppression, and false abdominal distension due to Qi stagnation: Dafu Tang (Greater Abdomen Decoction)
Dafuzi (Arecae Pericarpium, 4 pieces, chopped), Binglang (Areca Seed, 2 pieces, chopped), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Qianhu (Peucedani Radix, radicle removed), Jiegeng (Platycodonis Radix, chopped and stir-fried).
The above eight ingredients are coarsely pounded and sieved. Each dose consists of 2 qianbi, decocted with 1 zhan of water and 3 slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to 6 fen. Strain and take warm, at any time.
For treating false abdominal distension and separately directing stagnant Qi: Fenqi San (Qi-Dividing Powder)
Xianrenkugu (unknown herb, 1 liang), Binglang (Areca Seed, large one piece, chopped), Fangji (Stephaniae Tetrandrae Radix), Baidoukou (Amomi Fructus Rotundus, each 1 fen), Zaozi (Gleditsiae Spina, male, 270 pieces, stir-fried until smoking and making sound, approx. 1 liang).
The above nine ingredients are pounded and ground into fine powder. Each dose is 1 zhanyi, taken mixed with decoction of Dafupi (Arecae Pericarpium). At any time.
To harmonize the Spleen and Stomach, treat false distension, resolve long-standing stagnation, and promote appetite: Muxiang Sanleng San (Aucklandia and Curcuma Powder)
Muxiang (Aucklandiae Radix, 1 liang), Jingsanleng (Curcumae Radix, roasted and chopped, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, 3 qian), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried, 1 liang), Shanyu (Dioscoreae Rhizoma), Baifuling (Poria with Cortex, removed black skin, each 0.5 liang).
The above six ingredients are pounded and sifted into fine powder. Each dose is 1 qianbi, taken with salt like tea seasoning. At any time.
For treating cardiac and abdominal distension after severe diarrhea due to deficient Qi: Muxiang Wan (Aucklandia Pill)
Muxiang (Aucklandiae Radix, 1 liang, chopped), Xeshao (Scorpio tail, stir-fried, 49 pieces), Hujiao (Piperis Longi Fructus, 200 grains), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried).
The above seven ingredients are pounded and sifted into powder. Use wine-boiled wheat paste as binder. Make pills the size of Sophora seeds. Each dose is 7 pills, taken with decoction of Jupi (Citri Reticulatae Pericarpium). On an empty stomach or before meals.
For treating false distension of the heart and abdomen, pain in both hypochondria, and loss of appetite: Nongpu Sanleng Wan (Magnolia Bark and Curcuma Pill)
Nongpu (Magnoliae Officinalis Cortex, coarse bark removed, powdered, mixed with Shengjiang juice, stir-fried dry in silver vessel, 6 liang), Jingsanleng (Curcumae Radix, processed and chopped), Banxia (Pinelliae Rhizoma, washed seven times in hot water, slippery mucus removed, stir-fried).
The above four ingredients are pounded and sifted into powder. Use boiled jujube flesh as binder. Make pills the size of Sophora seeds. Each dose is 20 pills, taken on an empty stomach or before meals with Shengjiang decoction.
For treating abdominal distension from Cold Qi in the Middle Jiao and indigestion: Wuzhuyu Wan (Evodia Fruit Pill)
Wuzhuyu (Evodiae Fructus, soaked in hot water, slippery mucus removed, dried), Gui (Cinnamomi Ramulus, coarse bark removed, each 1 liang), Binglang (Areca Seed, chopped, 0.5 liang), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 3 fen).
The above four ingredients are pounded and sifted into fine powder. Use vinegar-boiled wheat paste as binder. Make pills the size of Sophora seeds. Each dose is 15 pills, taken with Shengjiang decoction. At any time.
For treating false distension of the heart and abdomen: Sisheng Wan (Four Sages Pill)
Ganxie (Dried Scorpio, remove soil, stir-fried, 1 liang), Hujiao (Piperis Longi Fructus), Muxiang (Aucklandiae Radix), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried, each 1 fen).
The above four ingredients are pounded and sifted into fine powder. Grind rice and mix as binder. Make pills the size of mung beans. Take 5-7 pills with Jiangju decoction or warm wine. At any time.