夫人脏腑不和。脾胃虚弱。不能消于水谷。则腹胀虚鸣也。此皆阳气不足。阴气有余。
邪冷之气。伏留在脏。流走往来不散。故令腹内虚鸣也。
治脾脏冷气。胸膈不利。腹内虚鸣。少思饮食。宜服赤茯苓散方。
赤茯苓（三分） 白术（三分） 桔梗（三分去芦头） 槟榔（半两） 吴茱萸（一分
汤浸七遍
焙干微炒） 木香（半两） 沉香（半两） 当归（半两锉微炒） 枳实（一分麸炒微黄）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
食前稍热服。忌生冷油腻。
治脾脏久积冷气。流走腹内虚鸣。两胁胀满。少思饮食。宜服桔梗散方。
桔梗（一两去芦头） 白术（一两） 丹参（一两去芦头） 白豆蔻（三分去皮） 附
子（三分
炮裂
（一两半用
皮）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。食前稍热
服。
治脾脏冷气。壅滞胀闷。腹内鸣转。不思饮食。宜服白术丸方。
白术（三两生姜二两同捣令烂慢火炒令黄色） 桂心（半两） 槟榔（一两） 高良姜
（一两
锉）
两汤浸七
遍焙
上件药。捣罗为末。煎醋浸蒸饼。和捣一二百杵。丸如梧桐子大。每服食前。以生姜
橘皮汤嚼下十丸。
治脾脏冷气积滞。醋心呕逆。宿食不消。腹脏虚鸣。时时疼痛。宜服吴茱萸丸方。
吴茱萸（半两汤浸七遍焙干微炒） 神曲（一两炒令微黄） 陈橘皮（一两汤浸去白瓤
焙）
白术
两炮裂锉）
诃
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以粥饮下二十丸
忌生冷。
治脾脏冷气。腹内虚鸣。胸膈气滞。不能饮食。虽食不消。又频呕逆。宜服诃黎
勒丸方
诃黎勒（一两半煨用皮） 吴茱萸（半两汤浸七遍焙干微炒） 白术（一两） 桂心（三
分）
人参
红豆
蔻（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以生姜汤下
三（二）十丸。
治脾脏冷气。腹内虚鸣。内寒外热。宿食不消。大便乍秘乍泄。腑脏不调。少思
饮食。
浓朴（一两半去粗皮涂生姜汁炙令香熟） 白术（半两） 干姜（半两炮裂锉） 桔梗
（一两
去芦
两炙微赤
锉）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。食前。以粥饮下三（二）
十丸。忌生冷油腻。
人的脏腑功能失调。脾胃虚弱。无法消化水谷精微。就会出现腹胀和肠鸣虚响的症状。这都是因为阳气不足。阴气偏盛。
寒邪冷之气。潜伏停留在脏腑。流动游走不散。所以导致腹内出现虚鸣声。
治疗脾脏受寒邪冷气侵袭。胸膈部气机不畅。腹内虚鸣。食欲减退。适宜服用赤茯苓散方。
赤茯苓（三分） 白术（三分） 桔梗（三分，去芦头） 槟榔（半两） 吴茱萸（一分，用汤浸泡七遍后焙干微炒） 木香（半两） 沉香（半两） 当归（半两，锉碎微炒） 枳实（一分，麸炒至微黄）
以上药材。捣碎过筛制成散剂。每次服用三钱。用水一中盏。加入生姜半分。大枣三枚。煎煮至剩余六分药液。滤去药渣。
饭前稍温热服用。忌食生冷油腻食物。
治疗脾脏久积寒邪冷气。流窜腹内引起虚鸣。两侧胁肋胀满。食欲减退。适宜服用桔梗散方。
桔梗（一两，去芦头） 白术（一两） 丹参（一两，去芦头） 白豆蔻（三分，去皮） 附子（三分，炮裂） （另有一说用皮一两半）
以上药材。捣碎过筛制成散剂。每次服用三钱。用水一中盏。加入生姜半分。煎煮至剩余六分药液。滤去药渣。饭前稍温热服用。
治疗脾脏受寒邪冷气侵袭。气机壅滞胀闷。腹内肠鸣转动。不思饮食。适宜服用白术丸方。
白术（三两，与生姜二两同捣烂，慢火炒至黄色） 桂心（半两） 槟榔（一两） 高良姜（一两，锉碎） （另有一说用两，汤浸七遍焙干）
以上药材。捣碎过罗制成细末。用醋浸泡蒸饼。调和捣击一二百下。制成梧桐子大小的丸剂。每次饭前。用生姜橘皮汤送服十丸。
治疗脾脏寒邪冷气积滞。泛酸呕逆。宿食不消化。腹脏虚鸣。时常疼痛。适宜服用吴茱萸丸方。
吴茱萸（半两，汤浸七遍焙干微炒） 神曲（一两，炒至微黄） 陈橘皮（一两，汤浸去白瓤焙干） 白术（一两，炮裂锉碎） 诃黎勒（一两，煨用皮）
以上药材。捣碎过罗制成细末。用炼蜜调和捣击三二百下。制成梧桐子大小的丸剂。每次饭前。用米粥饮送服二十丸。忌食生冷。
治疗脾脏受寒邪冷气侵袭。腹内虚鸣。胸膈气机阻滞。不能进食。即使吃了也不消化。又频繁呕吐逆气。适宜服用诃黎勒丸方。
诃黎勒（一两半，煨用皮） 吴茱萸（半两，汤浸七遍焙干微炒） 白术（一两） 桂心（三分） 人参（一两） 红豆蔻（三分）
以上药材。捣碎过罗制成细末。用炼蜜调和捣击三二百下。制成梧桐子大小的丸剂。每次服用。不限时候。用生姜汤送服三十丸。
治疗脾脏受寒邪冷气侵袭。腹内虚鸣。内寒外热。宿食不消化。大便时而便秘时而泄泻。腑脏功能不调。食欲减退。
厚朴（一两半，去粗皮涂生姜汁炙至香熟） 白术（半两） 干姜（半两，炮裂锉碎） 桔梗（一两，去芦头） 甘草（一两，炙微赤锉碎）
以上药材。捣碎过罗制成细末。用炼蜜调和捣击三二百下。制成梧桐子大小的丸剂。每次服用。饭前。用米粥饮送服三十丸。忌食生冷油腻。
The human viscera and bowels are in disharmony. The Spleen and Stomach are weak, unable to transform water and grain; thus, abdominal distension and empty rumbling occur. This is all due to insufficiency of Yang Qi and excess of Yin Qi.
Evil cold Qi lingers and remains within the Zang organs, flowing and wandering without dispersing, thereby causing empty rumbling within the abdomen.
To treat Cold Qi in the Spleen organ, with discomfort in the chest and diaphragm, empty rumbling in the abdomen, and poor appetite, it is suitable to take Chi Fuling San (Red Poria Powder).
Chi Fuling (Poria, 3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Jiegeng (Platycodonis Radix, 3 fen, remove radicle), Binglang (Arecae Semen, 0.5 liang), Wuzhuyu (Evodiae Fructus, 1 fen, soaked in hot water seven times, dried by baking, slightly stir-fried), Muxiang (Aucklandiae Radix, 0.5 liang), Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang), Danggui (Angelicae Sinensis Radix, 0.5 liang, sliced and slightly stir-fried), Zhishi (Immature Bitter Orange Fruit, 1 fen, bran-fried until slightly yellow).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan of water, half a fen of fresh ginger, and three jujubes. Decoct until six parts remain. Strain off the dregs. Take slightly warm before meals. Avoid raw, cold, and greasy foods.
To treat long-standing accumulation of Cold Qi in the Spleen organ, flowing through the abdomen causing rumbling, fullness and distension in both hypochondria, and poor appetite, it is suitable to take Jiegeng San (Platycodon Powder).
Jiegeng (Platycodonis Radix, 1 liang, remove radicle), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 1 liang, remove radicle), Baishadoukou (Cardamomi Rotundi Fructus, 3 fen, remove peel), Fuzi (Aconiti Lateralis Radix Praeparata, 3 fen, processed until cracked) [Note: alternative text mentions using peel, 1.5 liang].
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger. Decoct until six parts remain. Strain off the dregs. Take slightly warm before meals.
To treat Cold Qi in the Spleen organ, with stagnation, distension, and oppression, intestinal sounds turning within the abdomen, and lack of desire for food, it is suitable to take Baizhu Wan (Atractylodes Pill).
Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang, pounded together with 2 liang of fresh ginger until mushy, then slowly fried until yellow), Guixin (Cinnamomi Ramulus, 0.5 liang), Binglang (Arecae Semen, 1 liang), Gaoliangjiang (Galangal Rhizome, 1 liang, sliced) [Note: alternative text mentions soaking in water seven times and drying by baking].
Sieve the above ingredients into fine powder. Soak steamed leavened bread in vinegar, mix with the powder, and pound 100-200 times. Form pills the size of paulownia seeds. Before meals, chew and swallow ten pills with Ginger and Tangerine Peel Decoction.
To treat Cold Qi accumulation and stagnation in the Spleen organ, acid regurgitation, vomiting, undigested food, empty rumbling in the abdomen and viscera, and frequent pain, it is suitable to take Wuzhuyu Wan (Evodia Pill).
Wuzhuyu (Evodiae Fructus, 0.5 liang, soaked in hot water seven times, dried by baking, slightly stir-fried), Shenqu (Massa Medicata Fermentata, 1 liang, stir-fried until slightly yellow), Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soaked in hot water, white pith removed, dried), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang, processed until cracked and sliced), Helile (Chebulae Fructus, 1 liang, roasted, use peel).
Sieve the above ingredients into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Before meals, swallow twenty pills with gruel drink. Avoid raw and cold foods.
To treat Cold Qi in the Spleen organ, empty rumbling in the abdomen, Qi stagnation in the chest and diaphragm, inability to eat, indigestion even after eating, and frequent vomiting/regurgitation, it is suitable to take Helile Wan (Chebula Pill).
Helile (Chebulae Fructus, 1.5 liang, roasted, use peel), Wuzhuyu (Evodiae Fructus, 0.5 liang, soaked in hot water seven times, dried by baking, slightly stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Guixin (Cinnamomi Ramulus, 3 fen), Renshen (Ginseng Radix et Rhizoma, 1 liang), Hongdoukou (Cardamomi Rubi Fructus, 3 fen).
Sieve the above ingredients into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take at any time. Swallow thirty pills with Ginger Water.
To treat Cold Qi in the Spleen organ, empty rumbling in the abdomen, internal cold with external heat, undigested food, alternating constipation and diarrhea, disharmony of the Fu organs, and poor appetite.
Houpo (Magnoliae Officinalis Cortex, 1.5 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed until cracked and sliced), Jiegeng (Platycodonis Radix, 1 liang, remove radicle), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted until slightly red and sliced).
Sieve the above ingredients into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Before meals, swallow thirty pills with gruel drink. Avoid raw, cold, and greasy foods.