腹胀气满，虚胀，因吐泻之后，攻下太过，宜浓朴、白术、陈皮、肉桂、茯苓。寒胀，
因中气素寒，冷滞郁结，无身热口渴，面唇青，手足厥冷，气喘腹胀，先以揭元丸消之，后
以异功散调其脾胃。实胀，腹中本有食积，或饮食过饱，固结于中，外证则胃口胸前身热口
渴，倦卧不语，目闭不开，若误认为慢惊，而用宁神导痰之药，必死无疑。不知大实有赢状
，急宜下之，用《集成》沆瀣丹、《集成》三仙丹同服。热胀者，或伤寒热邪入里，大便闭
结，小便短赤，浑身壮热，面赤烦躁，用《集成》沆瀣丹。又有遍身疮疥，因淋洗涂搽逼毒
归内而腹胀者，轻则用荆防败毒散，重则用《集成》沆瀣丹。疮出胀消者吉，疮不出者凶，
方俱见“痢疾”。
治气胀水胀∶用羯鸡粪干者二升，炒焦黄色，出火毒，研细末，以百沸汤三升淋汁，每
服一盏，调木香、槟榔末各五分。此中满盅胀有一无二之方也。
治食胀气胀∶萝卜子一两，研细末，水调滤汁。砂仁一两，以萝卜子汁浸一宿，炒干，
又浸又炒，共七次，为末，每一钱，米饭调服。
面目指甲俱黄色。其症有二∶一曰阳黄，必身热烦躁，或躁扰不宁，或消谷善饥，或小
便热痛，或大便闭结，脉实而有力，此证不拘外感风湿、内伤饮食，皆能致之。但察儿之元
气尚强、脾胃无损者，宜清火邪，利小便。茵陈五苓饮最稳，或胃苓汤加茵陈。若大便闭结
，热盛者，宜沆瀣丹，见上“痢疾”。一曰阴黄，由气血败损所致，喜静恶动，喜暗畏明，
神思困倦，言语轻微，畏寒少食，四肢无力，或大便不利，小水如膏，此乃阳虚之候。宜四
君子汤为主，或加炮姜一钱，或加扁豆、当归各一钱。
腹部胀满气滞，属于虚性腹胀，多因呕吐腹泻之后，过度使用攻下药物所致，适宜使用浓朴、白术、陈皮、肉桂、茯苓。寒性腹胀，因中焦脾胃之气素来虚寒，冷邪停滞郁结，表现为无身热口渴、面色口唇青紫、手足厥冷、气喘且腹胀，应先使用揭元丸以消除积滞，随后使用异功散调理脾胃。实性腹胀，腹中原本有食积，或因饮食过饱，食物固结于中焦，外在证候表现为胃口处、胸前及全身发热、口渴、疲倦嗜卧、不愿说话、眼睛闭合不睁，如果误认为是慢惊风（慢性惊厥），而使用宁神导痰的药物，必然导致死亡。不知道“大实证有时呈现虚弱表象”，应当紧急使用泻下法，使用《集成》沆瀣丹与《集成》三仙丹同服。热性腹胀，或是伤寒热邪入里，导致大便闭结不通，小便短少色赤，全身高热，面红烦躁，使用《集成》沆瀣丹。又有遍身疮疥，因淋洗涂搽迫使毒邪内陷归里而导致腹胀者，轻症使用荆防败毒散，重症使用《集成》沆瀣丹。疮疹发出则腹胀消退为吉兆，疮疹发不出则为凶兆，方剂均见“痢疾”章节。
治疗气胀和水胀：使用干燥的羯羊粪二升，炒至焦黄色，去除火毒，研成细末，用三升沸水淋取汁液，每次服用一盏，调入木香、槟榔细末各五分。这是治疗中满蛊胀独一无二的有效方剂。
治疗食胀和气胀：萝卜子一两，研成细末，用水调匀过滤取汁。砂仁一两，用萝卜子汁浸泡一夜，炒干，再浸泡再炒，共进行七次，制成细末，每次一钱，用米饭调服。
面目指甲都呈现黄色。其症状有两种：一种叫阳黄，必定伴有身热烦躁，或躁动不安，或消谷善饥（食欲旺盛易饿），或小便热痛，或大便闭结，脉象实而有力，此证无论外感风湿还是内伤饮食，都能导致。只要观察小儿元气尚强、脾胃未受损者，适宜清泻火邪，通利小便。茵陈五苓饮最为稳妥，或者使用胃苓汤加入茵陈。如果大便闭结，热势盛者，适宜使用沆瀣丹，见上文“痢疾”章节。另一种叫阴黄，由气血败损所致，喜欢安静厌恶活动，喜欢昏暗害怕光亮，精神困倦，言语声音轻微，畏寒食少，四肢无力，或大便不利，小便如膏状浑浊，这是阳气虚弱的征候。适宜以四君子汤为主方，或者加入炮姜一钱，或者加入扁豆、当归各一钱。
Abdominal distension and Qi stagnation, specifically deficiency-type distension, often occur after vomiting and diarrhea when purgative treatments have been overused. It is appropriate to use *Cortex Magnoliae Officinalis* (Houpo), *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Exocarpium Citri Reticulatae* (Chenpi), *Cinnamomi Cortex* (Rougui), and *Poria* (Fuling). Cold-type distension arises from inherent coldness of the Middle Jiao Qi, with cold stagnation and constraint; symptoms include absence of fever or thirst, cyanosis of the face and lips, cold extremities, asthma, and abdominal distension. Initially, *Jieyuan Wan* should be used to eliminate stagnation, followed by *Yigong San* to regulate the Spleen and Stomach. Excess-type distension involves food retention already present in the abdomen, or food bound in the Middle Jiao due to overeating. External signs include heat at the epigastrium, chest, and whole body, thirst, lethargy, unwillingness to speak, and closed eyes. If mistakenly diagnosed as Slow Convulsion (Man Jing Feng) and treated with calming Spirit and resolving Phlegm herbs, death is inevitable. One must recognize that "great excess may present with deficiency-like signs," and urgent purgation is required using *Hangxie Dan* and *Sanxian Dan* from *Jicheng*, administered together. Heat-type distension results from Shaoyang/Shaoyin heat pathogens entering the interior, causing constipation, scanty dark urine, high fever, facial redness, and irritability; treat with *Hangxie Dan*. Another cause is generalized sores and scabies where washing and topical applications force toxins inward, leading to abdominal distension; mild cases use *Jingfang Baidu San*, severe cases use *Hangxie Dan*. If sores erupt and distension subsides, it is auspicious; if sores do not erupt, it is ominous. Formulas are detailed under the section "Dysentery."
For treating Qi distension and Water distension: Use two sheng of dry ram feces, stir-fry until scorched yellow, remove fire toxicity, and grind into fine powder. Pour three sheng of boiling water over the powder to extract the juice. Take one zhan per dose, mixed with five fen each of *Costus Root* (Muxiang) and *Areca Seed* (Binglang) powders. This is a unique and effective formula for middle-fullness and蛊 distension.
For treating Food distension and Qi distension: Take one liang of *Brassicae Semina* (Luobozzi/Radish seed), grind into fine powder, mix with water, filter, and take the juice. Take one liang of *Amomi Fructus* (Sharen), soak overnight in Radish seed juice, stir-fry until dry, repeat soaking and frying seven times, then grind into powder. Take one qian per dose, mixed with rice congee.
The face, eyes, and nails all appear yellow. There are two types of symptoms: The first is Yang Jaundice (Yang Huang), characterized by fever and irritability, restlessness, excessive hunger, hot painful urination, constipation, and a full, forceful pulse. This condition can result from external Wind-Damp invasion or internal dietary injury. Provided the child's Yuan Qi remains strong and the Spleen and Stomach are undamaged, clearing Fire and promoting urination is suitable. *Yinchen Wuling Yin* is the most stable choice, or *Weiling Tang* added with *Artemisiae Scopariae Herba* (Yinchen). If constipation and intense heat are present, *Hangxie Dan* is suitable (see Dysentery section above). The second is Yin Jaundice (Yin Huang), caused by depletion of Qi and Blood. Symptoms include preference for stillness over activity, preference for darkness over light, mental fatigue, faint speech, aversion to cold, poor appetite, limb weakness, difficult defecation, and turbid urine resembling gruel. This indicates Yang deficiency. The primary treatment is *Sijunzi Tang*, optionally adding one qian of *Zingiberis Rhizoma Preparatum* (Paojiang), or adding one qian each of *Dolichoris Semen* (Biandou) and *Angelicae Sinensis Radix* (Danggui).