胃痈中脘穴肿疼，不咳不嗽吐血脓，饮食之毒七情火，候治肠痈大法同。
【注】此证初起，中脘穴必隐痛微肿，寒热如疟，身皮甲错，并无咳嗽，咯吐脓血。由
饮食之毒，七情之火，热聚胃口成痈。脉来沉数者，初服清胃射干汤下之；若脉涩滞者，
瘀血也，宜服丹皮汤下之；脉洪数者，脓成
也，赤豆薏苡仁汤排之；体倦气喘作渴，小水频数者，肺气虚也，补中益气汤加表冬、五
味子补之。其候证生死、治法，与大、小肠痈同。
中脘穴又名胃募，在脐上四寸。
\r五脏六腑诸募穴图（一）\p04-34a137.bmp\r
清胃射干汤
射干 升麻 犀角 麦冬（去心） 元参 大黄 黄芩（各一钱） 芒硝 栀子 竹叶（各五钱）
水煎服。
【方歌】清胃射干汤射干，升麻犀角麦冬全，参芩大黄芒硝等，竹叶山栀胃痈痊。
赤豆薏苡仁汤
赤小豆 薏苡仁 防己 甘草（各等分）
水二盅，煎八分，食远服。
【方歌】赤豆薏苡汤最神，甘己赤豆薏苡仁，胃痈脓成脉洪数，二盅水煎服八分。
丹皮汤（见大、小肠痈）
补中益气汤（见溃疡门）
脾痈湿热瘀血凝，章门穴肿兼隐疼，腹胀嗌干小水短，利下湿瘀补收功。
【注】此证始发章门穴，必隐疼微肿。由过食生冷，兼湿热，或瘀血郁滞脾经而成。令
人腹胀，咽嗌干燥，小水短涩，初宜大黄汤、赤豆薏苡仁汤，二方合而用之，以攻滞郁。二
便通利，腹胀全消，宜六君子汤扶脾调理。顺逆看法与胃痈同。
章门穴又名脾募，在脐旁开六寸高上二寸。
\r五脏六腑诸募穴图（二）\p04-34a138.bmp\r
大黄汤（见大、小肠痈）
赤豆薏苡仁汤（见胃痈）
六君子汤（即香砂六君子汤去藿香、砂仁。见溃疡门）
胃痈表现为中脘穴处肿胀疼痛，患者没有咳嗽、咳痰或吐血脓的症状。其病因是饮食之毒与七情之火（由情绪波动引起的内热），治疗时机和方法与肠痈的大法相同。
【注】此证初起时，中脘穴必然有隐隐作痛和轻微肿胀，伴有类似疟疾的寒热症状，皮肤干枯粗糙如鳞甲，并没有咳嗽，也不咯吐脓血。这是由于饮食之毒和七情之火，导致热邪聚集在胃口形成痈肿。如果脉象沉数，初期服用清胃射干汤攻下；如果脉象涩滞，说明有瘀血，适宜服用丹皮汤攻下；如果脉象洪数，说明脓液已成，用赤豆薏苡仁汤排脓；如果身体疲倦、气喘、口渴，且小便频数，这是肺气虚的表现，用补中益气汤加款冬花、五味子来补益。其预后生死判断及治疗方法，与大肠痈、小肠痈相同。
清胃射干汤
组成：射干、升麻、犀角、麦冬（去心）、元参、大黄、黄芩（各一钱）；芒硝、栀子、竹叶（各五钱）。
用法：水煎服。
【方歌】清胃射干汤含射干，升麻犀角麦冬全，参芩大黄芒硝等，竹叶山栀治胃痈痊。
赤豆薏苡仁汤
组成：赤小豆、薏苡仁、防己、甘草（各等分）。
用法：用水两盅，煎至八分，饭后服用。
【方歌】赤豆薏苡汤最神效，甘己赤豆薏苡仁，胃痈脓成脉洪数，二盅水煎服八分。
脾痈由湿热与瘀血凝结所致，表现为章门穴处肿胀并伴有隐隐作痛，伴随腹胀、咽喉干燥、小便短少，通过利湿化瘀可获痊愈。
【注】此证始于章门穴，必然有隐隐作痛和轻微肿胀。这是由于过食生冷食物，兼夹湿热，或瘀血郁滞于脾经而成。导致患者腹胀，咽嗌干燥，小便短涩。初期适宜使用大黄汤和赤豆薏苡仁汤，将两方合用，以攻逐滞留郁结之气。待大小便通利，腹胀完全消除后，适宜用六君子汤扶助脾气进行调理。顺逆预后的看法与胃痈相同。
Gastric abscess presents with swelling and pain at the Zhongwan (CV12) acupoint. The patient does not cough, expectorate, or vomit pus and blood. Its etiology involves toxicity from diet and fire caused by seven emotions (internal heat generated by emotional fluctuations). The timing of treatment and general principles are the same as those for intestinal abscess.
[Note] At the onset of this condition, there is necessarily dull pain and slight swelling at the Zhongwan (CV12) acupoint, accompanied by chills and fever resembling malaria, and dry, scaly skin like fish scales. There is no cough, nor is there expectoration of pus and blood. This arises because toxicity from diet and fire from the seven emotions cause heat pathogens to gather at the stomach opening, forming an abscess. If the pulse is deep and rapid, administer Qingwei Shegan Tang (Clear Stomach Belamcanda Decoction) initially to purge; if the pulse is choppy and stagnant, it indicates blood stasis, and Danpi Tang (Moutan Decoction) should be administered to purge; if the pulse is surging and rapid, it indicates that pus has formed, and Chidou Yiyiren Tang (Red Bean Coix Seed Decoction) should be used to drain pus; if the body is fatigued, there is panting and thirst, and urination is frequent, this indicates deficiency of Lung Qi, and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Kuandonghua (Flos Farfarae) and Wuweizi (Fructus Schisandrae Chinensis) should be used to tonify. The judgment of life and death prognosis and treatment methods are the same as those for Large Intestine Abscess and Small Intestine Abscess.
Zhongwan (CV12), also known as the Front-Mu point of the Stomach, is located four cun above the umbilicus.
Qingwei Shegan Tang (Clear Stomach Belamcanda Decoction)
Ingredients: Belamcandae Rhizoma (Shegan), Cimicifugae Rhizoma (Shengma), Cornu Rinocerotis (Xijiao), Ophiopogonis Radix (Maidong, heart removed), Scrophulariae Radix (Yuanshen), Rhei Radix et Rhizoma (Dahuang), Scutellariae Radix (Huangqin) (each 1 qian); Natrii Sulfas (Mangxiao), Gardeniae Fructus (Zhizi), Phyllostachidis Folium (Zhuye) (each 5 qian).
Usage: Decoct in water and take orally.
[Formula Song] Qingwei Shegan Tang contains Shegan, Shengma, Xijiao, and Maidong complete, Yuanshen, Huangqin, Dahuang, Mangxiao etc., Zhuye and Zhizi cure gastric abscess.
Chidou Yiyiren Tang (Red Bean Coix Seed Decoction)
Ingredients: Phaseoli Semen Rubrum (Chixiaodou), Coicis Semen (Yiyiren), Stephaniae Tetrandrae Radix (Fangji), Glycyrrhizae Radix et Rhizoma (Gancao) (equal parts).
Usage: Use two bowls of water, decoct until reduced to eight-tenths, take after meals.
[Formula Song] Chidou Yiyi Tang is most miraculous, Gancao, Fangji, Chixiaodou, and Yiyiren, when gastric abscess pus forms and pulse is surging and rapid, decoct two bowls of water and take eight-tenths.
Danpi Tang (See Large and Small Intestine Abscess section)
Buzhong Yiqi Tang (See Ulcer Section)
Spleen abscess is凝 (coagulated) by damp-heat and blood stasis, presenting with swelling at the Zhangmen (LR13) acupoint accompanied by dull pain, abdominal distension, dry throat, and short urine. Promoting diuresis to eliminate dampness and invigorating blood to resolve stasis achieves recovery.
[Note] This condition originates at the Zhangmen (LR13) acupoint, necessarily presenting with dull pain and slight swelling. It is caused by excessive consumption of cold and raw foods, combined with damp-heat, or blood stasis stagnating in the Spleen meridian. This leads to abdominal distension, dryness of the pharynx and throat, and scanty, difficult urination. Initially, Dahuang Tang (Rhubarb Decoction) and Chidou Yiyiren Tang (Red Bean Coix Seed Decoction) are suitable; using these two formulas together attacks the stagnation and郁 (depression). Once bowel movements and urination are unobstructed and abdominal distension completely subsides, Liujunzi Tang (Six Gentlemen Decoction) should be used to support the Spleen and regulate. The assessment of favorable and unfavorable prognoses is the same as for gastric abscess.
Zhangmen (LR13), also known as the Front-Mu point of the Spleen, is located six cun lateral to the umbilicus and two cun superiorly.
Dahuang Tang (Rhubarb Decoction) (See Large and Small Intestine Abscess section)
Chidou Yiyiren Tang (Red Bean Coix Seed Decoction) (See Gastric Abscess section)
Liujunzi Tang (Six Gentlemen Decoction) (i.e., Xiangsha Liujunzi Tang minus Huoxiang and Sharen. See Ulcer Section)