人参 白术 茯苓 猪苓(以上各半两) 滑石(六两) 泽泻 甘草(各一两)
上为细末,每服三钱,食前白滚汤调服。
治关格不通,气不升降,胀满。
丁香(不见火) 沉香(不见火) 砂仁(去壳) 白豆蔻(去壳) 三棱(去毛,炮)
香附(去毛) 乌药(已上各一钱半) 甘草(炙,半钱。)
上作一服,水二盏,煎至七分,食远温服。
治腹满,紧硬如石,或阴囊肿大,先用甘草嚼后,用此。
大戟 芫花 甘遂 海藻(各等分。)
上为细末,用酽醋调面和药,摊于绵纸上,覆贴肿处,仍以软帛裹住。
治痞满胀痛,谷胀气胀。
荜澄茄 砂仁 青皮 白豆蔻 萝卜子 木香(以上各二分) 茴香(炒) 肉豆蔻(煨)
辣桂 丁香(以上各一分半) 陈皮(三分)
上为细末,面糊和丸,如梧桐子大,每服三十丸,空心用陈皮汤送下。
治心腹痞闷,胁肋胀满,食少多伤。
丁香 木香(各一两) 枳壳(麸炒) 京三棱(去毛,煨) 莪术 青皮(去白) 陈
皮(去白) 缩砂仁(去壳) 槟榔(以上各二两) 香附子(炒,四两)
上为细末,面糊和丸,如梧桐子大,每服五十丸,食前用米饮送下。
破滞气,治心腹满闷。
木香 姜黄 青皮(去白) 缩砂仁(去壳) 人参 槟榔 白术(以上各二钱) 白
豆蔻(去壳) 藿香 橘皮 大腹子 白茯苓(去皮) 白檀香 桔梗(以上各五分) 甘
草(炙,四分)
上为细末,每服三钱,水一盏半,煎至一盏,食前稍热服,沸汤点服亦可,忌生冷硬物。
治腹胀方
腹里胸间久痞疼,多因气食动脾经;
缩砂三和同煎服,调理中汤效最灵。
治久患腹胀,脾疼中满,痞闷不食,大小便或涩,小腹胀急,用《局方》三和散二帖,
缩砂仁二十粒捶碎,用水三盏,生姜十片,灯心十茎,同煎至一盏半,去滓,分作三次,每
服用前药调理中汤半帖,立效。
治腹胀方
腹胀脾疼怎抵当,椒姜之外有丁香;
三般等分罗教细,次入白盐和白汤。
脾疼之疾,皆因寒气停滞,积于胸膈,或时呕吐酸水,不思饮食,用胡椒食姜丁香三味
等分为细末,每服一钱半或二钱,入盐少许,不拘时白汤点服。
【人参、白术、茯苓、猪苓(以上各半两),滑石(六两),泽泻、甘草(各一两)】
将上述药材研成细末,每次服用三钱,饭前用白开水调服。
治疗关格不通(上下气机阻隔,小便不通为关,呕吐不止为格),气机升降失常,腹部胀满。
【丁香(不经过火烤)、沉香(不经过火烤)、砂仁(去掉外壳)、白豆蔻(去掉外壳)、三棱(去掉毛刺,炮制)、香附(去掉毛刺)、乌药(以上各一钱半),甘草(蜜炙,半钱)】
作为一剂药,加水二盏,煎煮至七分量,饭后较长时间温服。
治疗腹部胀满,触之紧硬如石头,或阴囊肿大,先用甘草咀嚼后,再用此方。
【大戟、芫花、甘遂、海藻(各等分)】
将上述药材研成细末,用浓醋调和面粉和药物,摊在绵纸上,敷贴于肿胀处,仍用软布包裹固定。
治疗痞满胀痛,因食物停滞引起的胀气和因气机阻滞引起的胀气。
【荜澄茄、砂仁、青皮、白豆蔻、萝卜子、木香(以上各二分),茴香(炒制),肉豆蔻(煨制),辣桂,丁香(以上各一分半),陈皮(三分)】
将上述药材研成细末,用面糊和药制成丸剂,大小如梧桐子,每次服用三十丸,空腹时用陈皮汤送下。
治疗心腹痞闷,胁肋部胀满,饮食减少且容易受伤积滞。
【丁香、木香(各一两),枳壳(麸皮炒),京三棱(去掉毛刺,煨制),莪术,青皮(去掉白色内层),陈皮(去掉白色内层),缩砂仁(去掉外壳),槟榔(以上各二两),香附子(炒制,四两)】
将上述药材研成细末,用面糊和药制成丸剂,大小如梧桐子,每次服用五十丸,饭前用米汤送下。
破除滞气,治疗心腹部胀满闷痛。
【木香、姜黄、青皮(去掉白色内层),缩砂仁(去掉外壳),人参,槟榔,白术(以上各二钱),白豆蔻(去掉外壳),藿香,橘皮,大腹子,白茯苓(去掉外皮),白檀香,桔梗(以上各五分),甘草(蜜炙,四分)】
将上述药材研成细末,每次服用三钱,加水一盏半,煎煮至一盏量,饭前稍热时服用,用沸水冲服也可以,忌食生冷坚硬食物。
治疗腹胀的方歌:
胸腹之间长久痞塞疼痛,多是因为气滞和食积扰动脾经;
缩砂仁三钱同煎服用,调理中气的汤药效果最灵验。
治疗久患腹胀,脾脏疼痛伴中焦胀满,痞闷不想进食,大小便有时涩滞,小腹胀急,使用《局方》中的三和散两帖,
取缩砂仁二十粒捶碎,用水三盏,生姜十片,灯心草十茎,一同煎煮至一盏半量,去渣滓,分作三次服用,每次服用前先喝半帖前述的调理中气汤,立即见效。
治疗腹胀的另一首方歌:
腹胀脾痛如何抵挡?除了花椒、生姜之外还有丁香;
这三样等分研磨极细,其次加入白盐和温水冲服。
脾脏疼痛的疾病,都是因为寒气停滞,积聚在胸膈部位,有时呕吐酸水,不思饮食,用胡椒、生姜、丁香三味药等分为细末,每次服用一钱半或二钱,加入少许盐,不拘时间用温水冲服。
[Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhu Ling (Polyporus) (each half liang above), Hua Shi (Talcum) (six liang), Ze Xie (Alismatis Rhizoma), Gan Cao (Licorice Root) (each one liang)]
Grind the above herbs into a fine powder. Take three qian each time, mixed with plain boiled water before meals.
Treating Guan Ge obstruction (blockage of upper and lower qi mechanisms, characterized by urinary retention as Guan and persistent vomiting as Ge), abnormal ascending and descending of qi mechanism, abdominal distension.
[Ding Xiang (Caryophylli Flos) (not roasted over fire), Chen Xiang (Aquilariae Lignum Resinatum) (not roasted over fire), Sha Ren (Amomi Fructus) (shell removed), Bai Dou Kou (Cardamomi Fructus Rotundus) (shell removed), San Leng (Sparganii Rhizoma) (hairs removed, processed), Xiang Fu (Cyperi Rhizoma) (hairs removed), Wu Yao (Linderae Radix) (each one and a half qian above), Gan Cao (Licorice Root) (honey-fried, half qian)]
Combine as one dose, add two zhan of water, decoct until seven-tenths remain, take warm after a long interval post-meal.
Treating abdominal fullness, tight and hard like stone, or scrotal swelling. First chew Gan Cao (Licorice Root), then apply this formula.
[Da Ji (Euphorbiae Pekinensis Radix), Yuan Hua (Genkwa Flos), Gan Sui (Kansui Radix), Hai Zao (Sargassum) (each equal parts)]
Grind the above herbs into a fine powder. Mix with thick vinegar and flour to form a paste, spread on cotton paper, apply to the swollen area, and wrap securely with soft cloth.
Treating Pi Man (epigastric fullness) and distending pain, food stagnation distension, and qi stagnation distension.
[Bi Cheng Qie (Schizonepetae Semen), Sha Ren (Amomi Fructus), Qing Pi (Citri Reticulatae Pericarpium Viride), Bai Dou Kou (Cardamomi Fructus Rotundus), Luo Bo Zi (Raphani Semen), Mu Xiang (Aucklandiae Radix) (each two fen above), Hui Xiang (Foeniculi Fructus) (stir-fried), Rou Dou Kou (Myristicae Semen) (baked), La Gui (Cinnamomi Ramulus) (spicy cinnamon twig), Ding Xiang (Caryophylli Flos) (each one and a half fen above), Chen Pi (Citri Reticulatae Pericarpium) (three fen)]
Grind the above herbs into a fine powder. Mix with wheat paste to make pills, size of Sophora japonica seeds. Take thirty pills each time, swallow with Chen Pi (Citri Reticulatae Pericarpium) decoction on an empty stomach.
Treating epigastric stuffiness and oppression, hypochondriac distension, reduced appetite and frequent injury from food stagnation.
[Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix) (each one liang), Zhi Ke (Aurantii Fructus) (bran-fried), Jing San Leng (Sparganii Rhizoma) (hairs removed, baked), E Zhu (Curcumae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride) (white pith removed), Chen Pi (Citri Reticulatae Pericarpium) (white pith removed), Suo Sha Ren (Amomi Fructus) (shell removed), Bing Lang (Arecae Semen) (each two liang above), Xiang Fu Zi (Cyperi Rhizoma) (stir-fried, four liang)]
Grind the above herbs into a fine powder. Mix with wheat paste to make pills, size of Sophora japonica seeds. Take fifty pills each time, swallow with rice water before meals.
Breaking stagnant qi, treating heart and abdominal fullness and oppression.
[Mu Xiang (Aucklandiae Radix), Jiang Huang (Curcumae Longae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride) (white pith removed), Suo Sha Ren (Amomi Fructus) (shell removed), Ren Shen (Ginseng Radix), Bing Lang (Arecae Semen), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each two qian above), Bai Dou Kou (Cardamomi Fructus Rotundus) (shell removed), Huo Xiang (Agastaches Herba), Ju Pi (Citri Reticulatae Pericarpium), Da Fu Zi (Arecae Pericarpium), Bai Fu Ling (Poria) (skin removed), Bai Tan Xiang (Santalum Album Lignum), Jie Geng (Platycodonis Radix) (each five fen above), Gan Cao (Licorice Root) (honey-fried, four fen)]
Grind the above herbs into a fine powder. Take three qian each time, add one and a half zhan of water, decoct until one zhan remains. Take slightly warm before meals; mixing with boiling water is also acceptable. Avoid raw, cold, and hard foods.
Formula verse for treating abdominal distension:
Long-standing stuffiness and pain in the chest and abdomen are often due to qi stagnation and food accumulation disturbing the Spleen meridian;
Decoct three qian of Suo Sha Ren (Amomi Fructus) together; the decoction regulating the middle jiao is most effective.
For chronic abdominal distension, Spleen pain with middle jiao fullness, stuffiness and loss of appetite, occasional difficulty in urination and defecation, and lower abdominal urgency, use two doses of San He San (Three Harmonizing Powder) from *Ju Fang*.
Crush twenty grains of Suo Sha Ren (Amomi Fructus). Add three zhan of water, ten slices of Sheng Jiang (Zingiberis Rhizoma Recens), and ten stems of Deng Xin Cao (Junci Medulla). Decoct together until one and a half zhan remains. Strain and divide into three doses. Before taking the medicine, drink half a dose of the aforementioned Middle Regulating Decoction. Immediate effect is expected.
Another formula verse for treating abdominal distension:
How to withstand abdominal distension and Spleen pain? Besides Jiao (Zanthoxyli Pericarpium) and Jiang (Zingiberis Rhizoma Recens), there is Ding Xiang (Caryophylli Flos);
Grind these three ingredients in equal parts to a fine powder, then mix with Bai Yan (Halitum) and warm water for administration.
Diseases of Spleen pain are all caused by cold qi stagnation accumulating in the chest and diaphragm, sometimes accompanied by vomiting of sour fluid and loss of appetite. Use Hu Jiao (Piperis Nigris Fructus), Sheng Jiang (Zingiberis Rhizoma Recens), and Ding Xiang (Caryophylli Flos) in equal parts, ground into a fine powder. Take one and a half or two qian each time, add a little salt, and mix with warm water at any time.