论曰内经谓有病心腹满，旦食则不能暮食，名为鼓胀，夫水谷入口，则胃实肠虚。食下
则肠实胃虚，若乃饮食不节，寒温失宜，胃满气逆，聚而不散，大肠无以传道而变化，故心
腹逆满，气鼓而胀也，旦食不能暮食。则以至阴居中，五阳不布，水谷化迟而然也。
治鼓胀旦食不能暮食。鸡屎醴方
鸡屎（干者）
上一味，为末，每用醇酒调一钱匕，食后临卧服。
治鼓胀坚块。柴胡汤方
柴胡（去苗） 鳖甲（去裙 醋炙锉） 郁李仁（汤浸去皮尖捣碎） 芍药 大黄（锉
炒各一
两）
上八味，除郁李仁外，锉如麻豆，再同和匀，每服四钱匕，水一盏半，煎至七分。去
滓入朴硝少许，空腹温服，如人行四五里、再服。
治鼓胀。牡丹汤方
牡丹皮（一两半） 桃仁（汤浸去皮尖双仁二十一枚炒） 槟榔（锉） 桑根白皮（锉
各二两）
李仁（汤浸
上九味，锉如麻豆，每服五钱匕，水一盏半，入生姜半分切，煎至八分，去滓空腹温
服，如人行四五里、再服。
治肠胃冷气，鼓胀不能食。白术汤方
白术（一两半） 木香 陈橘皮（汤浸去白焙各一两） 芍药（一两半） 桑根白皮（锉）
木通（锉各二两） 牵牛子（一两半捣取粉一两旋入）
上七味，除牵牛粉外，锉如麻豆，每服五钱匕，水一盏半，煎至八分，去滓入牵牛粉
半钱，空腹温服。
治鼓胀，四肢羸瘦，喘急息促，食饮渐减，小便涩少，小腹妨闷。海蛤丸方
海蛤（研二两） 木香（一两一分） 桂（去粗皮半两） 防己 诃黎勒皮 浓朴（去
粗皮生
郁李仁（汤
上一十味，捣研为末，炼蜜和丸，如梧桐子大，每服十五丸至二十丸，浓煎木通汤下，
空腹食前服。
治症瘕腹胀满，硬如石，腹上青脉浮起。紫葛粉丸方
紫葛粉（二两） 赤芍药 桔梗（锉炒各一两半） 紫菀（去土半两） 木香 诃黎勒
皮（各
两）
上九味，捣研为末，炼蜜和丸，如梧桐子大，每服二十丸，用木通大枣浓煎汤下。老少
以意加减。
治鼓胀。桔梗汤方
桔梗（锉炒二两） 防葵（半两） 大黄（锉炒一两半） 桃仁（汤浸去皮尖双仁四十
九枚麸
上四味，锉如麻豆，每服三钱匕，水一盏，煎至六分，去滓入芒硝末半钱匕，空腹温服，
如人行五六里再服。日三。
治鼓胀不食。茯苓汤方
赤茯苓（去黑皮） 木通（锉各二两） 芍药（一两半） 吴茱萸（汤洗焙干炒） 郁
李仁（汤
上七味，锉如麻豆，每服五钱匕，水一盏半，煎至八分，去滓空腹温服、日二。
论述说：《内经》记载有患心腹满胀，早晨吃了饭到了晚上就不能再吃，这种病叫做鼓胀。水谷进入口中，胃中充实而肠道空虚；食物咽下后，肠道充实而胃中空虚。如果饮食没有节制，寒温失调，导致胃中气满、气机上逆，聚结而不消散，大肠无法传导变化，所以出现心腹部逆乱满胀，气机鼓动而发为胀满，表现为早晨能进食而晚上不能进食。这是因为至阴之气居于中焦，导致五阳之气不能布散，水谷运化迟缓所致。
治疗鼓胀症见早晨能进食而晚上不能进食的鸡屎醴方：
鸡屎（干燥者）
以上一味药，研成细末，每次用优质酒调服一钱匕的量，饭后临睡前服用。
治疗鼓胀伴有坚硬积块的柴胡汤方：
柴胡（去苗）、鳖甲（去裙边，醋炙后锉碎）、郁李仁（热水浸泡去皮尖捣碎）、芍药、大黄（锉碎炒制，各一两）。
以上八味药（注：原文列名似缺两味或计数有误，此处依原文“上八味”处理，实际列出五味主药及辅料），除去郁李仁外，将其他药材锉如麻豆大小，混合均匀。每次服用四钱匕，加水一盏半，煎煮至七分，去渣，加入少许朴硝，空腹温服。服药后行走四五里的时间，再服一次。
治疗鼓胀的牡丹汤方：
牡丹皮（一两半）、桃仁（热水浸泡去皮尖双仁二十一枚，炒制）、槟榔（锉碎）、桑根白皮（锉碎，各二两）、李仁（热水浸泡……[原文此处断句不清，结合上下文应为李仁处理]）。
以上九味药，锉如麻豆大小，每次服用五钱匕，加水一盏半，加入生姜半分切块，煎煮至八分，去渣，空腹温服。服药后行走四五里的时间，再服一次。
治疗肠胃寒气引起的鼓胀、不能进食的白术汤方：
白术（一两半）、木香、陈橘皮（热水浸泡去白焙干，各一两）、芍药（一两半）、桑根白皮（锉碎）、木通（锉碎，各二两）、牵牛子（一两半，捣取粉一两，随时加入）。
以上七味药，除去牵牛粉外，将其他药材锉如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至八分，去渣，加入牵牛粉半钱，空腹温服。
治疗鼓胀，四肢消瘦，气喘急促，呼吸短促，饮食逐渐减少，小便涩少，小腹胀闷的海蛤丸方：
海蛤（研细，二两）、木香（一两一分）、桂（去粗皮，半两）、防己、诃黎勒皮、浓朴（去粗皮生用……[原文此处可能有缺漏]）、郁李仁（热水……[原文此处断句不清]）。
以上十味药，捣碎研细成末，用炼蜜和丸，如梧桐子大小。每次服用十五丸至二十丸，用浓煎的木通汤送服，空腹食前服用。
治疗症瘕、腹胀满，硬如石头，腹部青筋浮起的紫葛粉丸方：
紫葛粉（二两）、赤芍药、桔梗（锉碎炒制，各一两半）、紫菀（去土，半两）、木香、诃黎勒皮（各……[原文剂量缺失]）。
以上九味药，捣碎研细成末，用炼蜜和丸，如梧桐子大小。每次服用二十丸，用木通和大枣浓煎的汤剂送服。老人和小孩根据情况酌情加减。
治疗鼓胀的桔梗汤方：
桔梗（锉碎炒制，二两）、防葵（半两）、大黄（锉碎炒制，一两半）、桃仁（热水浸泡去皮尖双仁四十九枚，麸炒……[原文断句不清]）。
以上四味药，锉如麻豆大小，每次服用三钱匕，加水一盏，煎煮至六分，去渣，加入芒硝末半钱匕，空腹温服。服药后行走五六里的时间再服。每日三次。
治疗鼓胀不能进食的茯苓汤方：
赤茯苓（去黑皮）、木通（锉碎，各二两）、芍药（一两半）、吴茱萸（热水洗焙干炒制）、郁李仁（热水……[原文断句不清]）。
以上七味药，锉如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至八分，去渣，空腹温服，每日两次。
It is stated: The *Neijing* (Inner Canon) records that there is a condition characterized by fullness in the heart and abdomen, where one can eat in the morning but cannot eat in the evening, named "Gu Zhang" (Drum Distension). When food and water enter the mouth, the Stomach becomes full while the Intestines are empty. After swallowing food, the Intestines become full while the Stomach becomes empty. If dietary habits are irregular, or cold and heat are not regulated properly, it leads to Qi stagnation and reversal in the Stomach, gathering without dispersing. Consequently, the Large Intestine fails to transmit and transform, resulting in rebellious fullness in the heart and abdomen, with Qi bubbling causing distension. This manifests as the ability to eat in the morning but inability to eat in the evening. This occurs because the Extreme Yin resides in the center, preventing the distribution of the Five Yangs, leading to slow transformation of food and fluids.
Treatment for Gu Zhang presenting with the inability to eat in the evening after eating in the morning: Jishi Li Formula (Chicken Dropping Sweet Wine Decoction)
Jishi (Dried Chicken Droppings)
Take the above single herb, grind into powder. Each time, mix one Qianbi (approx. 2-3 grams) with high-quality wine. Take after meals before retiring.
Chai Hu Tang (Bupleurum Decoction) for treating Gu Zhang with hard masses:
Chai Hu (Remove seedlings), Biejia (Remove skirt, vinegar-fried and crushed), Yuliren (Soak in hot water, remove skin and tips, crush), Shaoyao (White Peony Root), Dahuang (Crush and stir-fry, each 1 liang).
The above eight ingredients (Note: Text lists fewer than eight distinct items explicitly, but states "eight"), excluding Yuliren, crush the remaining herbs to the size of hemp seeds. Mix evenly. Take 4 Qianbi per dose. Add 1.5 cups of water, decoct until reduced to 0.7 cups. Strain, add a small amount of Puxiao (Mirabilite), take warm on an empty stomach. After walking for the distance covered in four to five Li, take another dose.
Mudan Tang (Moutan Decoction) for treating Gu Zhang:
Mudanhpi (1.5 liang), Taoren (Soak in hot water, remove skin and tips, use 21 double-kernel almonds, stir-fry), Binglang (Crush), Sanggenbaipi (Crush, each 2 liang), Liren (Soak in hot water...).
The above nine ingredients, crush to the size of hemp seeds. Take 5 Qianbi per dose. Add 1.5 cups of water, add 0.5 parts of sliced Shengjiang (Fresh Ginger), decoct until reduced to 0.8 cups. Strain, take warm on an empty stomach. After walking for the distance covered in four to five Li, take another dose.
Baizhu Tang (Atractylodes Macrocephala Decoction) for treating Gu Zhang caused by Cold Qi in the Stomach and Intestines, accompanied by anorexia:
Baizhu (1.5 liang), Muxiang (Costus Root), Chenjupi (Tangerine Peel soaked in hot water, white part removed, dried, each 1 liang), Shaoyao (1.5 liang), Sanggenbaipi (Crush), Mutong (Crush, each 2 liang), Qianniuzi (1.5 liang, pounded to extract powder, 1 liang added as needed).
The above seven ingredients, excluding Qiannifen (Powder of Semen Kochiae), crush the rest to the size of hemp seeds. Take 5 Qianbi per dose. Add 1.5 cups of water, decoct until reduced to 0.8 cups. Strain, add half a Qianbi of Qiannifen, take warm on an empty stomach.
Hai Ge Wan (Clam Pill) for treating Gu Zhang with emaciated limbs, panting, shortness of breath, gradual reduction in food and fluid intake, scanty and difficult urination, and lower abdominal oppression:
Haige (Pounded, 2 liang), Muxiang (1.1 liang), Gui (Remove coarse bark, 0.5 liang), Fangji (Stephania Root), Helilepi (Pericarpium Terminaliae Chebulae), Houpo (Remove coarse bark... [text incomplete]), Yuliren (Soak in hot water...).
The above ten ingredients, pound and grind into fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 15 to 20 pills per dose, washed down with a strong decoction of Mutong. Take on an empty stomach before meals.
Zige Fen Wan (Polygonum Multiflorum Powder Pill) for treating Zheng Jia (masses), abdominal distension and fullness, hardness like stone, and floating blue veins on the abdomen:
Zigefen (2 liang), Chishaoyao (Red Peony Root), Jiegeng (Crush and stir-fry, each 1.5 liang), Ziwan (Remove soil, 0.5 liang), Muxiang, Helilepi (Each ... [dose missing]).
The above nine ingredients, pound and grind into fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose, washed down with a strong decoction of Mutong and Dazao (Jujube). Adjust dosage according to age and condition for adults and children.
Jiegeng Tang (Platycodon Decoction) for treating Gu Zhang:
Jiegeng (Crush and stir-fry, 2 liang), Fangkui (0.5 liang), Dahuang (Crush and stir-fry, 1.5 liang), Taoren (Soak in hot water, remove skin and tips, use 49 double-kernel almonds, bran-stir-fried...).
The above four ingredients, crush to the size of hemp seeds. Take 3 Qianbi per dose. Add 1 cup of water, decoct until reduced to 0.6 cups. Strain, add half a Qianbi of Mangxiao (Natrii Sulfas) powder, take warm on an empty stomach. After walking for the distance covered in five to six Li, take another dose. Three times daily.
Fuling Tang (Poria Decoction) for treating Gu Zhang with anorexia:
Chifuling (Remove black skin), Mutong (Crush, each 2 liang), Shaoyao (1.5 liang), Wuzhuyu (Wash in hot water, dry, stir-fry), Yuliren (Soak in hot water...).
The above seven ingredients, crush to the size of hemp seeds. Take 5 Qianbi per dose. Add 1.5 cups of water, decoct until reduced to 0.8 cups. Strain, take warm on an empty stomach. Twice daily.