（附论）
夫 癖心腹胀满者。由阴阳不调。食饮宿滞。积聚成病。蕴结在内。气不宣通。邪气
搏
于正
方
枳壳散（出圣惠方）治 癖气胀。心肋急痛。食不能下。四肢少力。
枳壳（一两麸炒微黄去瓤） 桔梗（一两去芦头） 鳖甲（一两涂醋炙令黄去裙 ） 人
参
（一
陈橘皮（一
两
两）
当归（
去
滓。
桃仁散（出圣惠方）治 癖气。心腹胀满。不下食饮。胸膈壅滞。喘嗽气急
。
宜服。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 鳖甲（三分涂醋炙令黄去裙 ） 川乌头（三
分炮
裂
分）
桔
裂锉） 细
辛
桐子
大
大腹皮散（出圣惠方）治 癖气。腹胁胀满。喘息促急。不思饮食。宜服。
大腹皮（一两锉） 赤茯苓（三分） 桔梗（三分去芦头） 牡丹皮（三分） 桃仁（半
两汤浸
去皮
甲
（一两
件
药。
诃黎勒丸（出圣惠方）治 癖。气攻两胁胀满。心胸不利。少思饮食。
诃黎勒（一两煨用皮） 桔梗（三分去芦头） 赤芍药（半两） 枳壳（二两麸炒微黄
去瓤）
白术
炙令黄
去裙
蜜和捣
三
白术散（出圣惠方）治 癖冷气胀满。不能食。
白术（一两） 诃黎勒皮（一两） 枳壳（三分麸炒微黄去瓤） 陈橘皮（三分汤浸去
白瓤焙）
干
槟榔
（三
时候
半夏散（出圣惠方）治 癖气。急硬满胀。心肋多痛。不能食物。气攻胸背
壅
闷。
半夏（三分汤洗七遍去滑） 桔梗（一两去芦头） 大腹皮（一两锉） 前胡（一两去
芦头）
鳖甲
榔（一
两）
以
水一中
京三棱丸（出圣惠方）治 癖气。心腹胀满。不欲饮食。
京三棱（微煨锉） 木香 肉豆蔻（去壳） 桃仁（汤浸去皮尖双仁麸炒微黄） 干姜
（炮）
青橘
去油）
上
姜
大通散（出圣济总录）治 癖积聚。腹胀气逆。烦满呕逆。
沉香（锉） 木香 白术 陈橘皮（汤浸去白皮） 桑根白皮（锉） 木通（锉各一两）
胡椒
（一
每服
一钱
利为
木香三棱丸 治胸膈痞闷。心腹胀满。胁肋疼痛。饮食迟化。四肢困倦。呕逆恶心
\x。口苦无
腹胀满类）
【附论】
所谓癖心腹胀满，是由于阴阳失调，饮食停滞不化，积聚形成疾病。邪气蕴结在体内，导致气机不能宣通。邪气与正气相搏结。
枳壳散（出自《圣惠方》）：治疗癖气引起的胀满，心肋部拘急疼痛，食物无法咽下，四肢乏力。
药材组成：枳壳（一两，麸炒至微黄，去瓤）、桔梗（一两，去芦头）、鳖甲（一两，涂醋炙至黄色，去裙边）、人参（一两，去芦头）、陈橘皮（一两，汤洗去白瓤焙干）、当归（一两，去芦头）。
用法：将上述药物捣碎过筛为散。每次取三钱，加水一中盏，煎至六分，去渣滓，温服。
桃仁散（出自《圣惠方》）：治疗癖气引起的心腹胀满，饮食难进，胸膈壅滞，气喘咳嗽，呼吸急促。
药材组成：桃仁（一两，温水浸泡去皮尖，双仁者用，麸炒微黄）、鳖甲（三分，涂醋炙至黄色，去裙边）、川乌头（三分，炮裂，锉碎）、桔梗（三分，去芦头）、细辛（三分，去苗叶）。
用法：将上述药物捣碎过筛为散。每次取三钱，加水一中盏，煎至六分，去渣滓，温服。
大腹皮散（出自《圣惠方》）：治疗癖气引起的腹胁胀满，喘息急促，不思饮食。
药材组成：大腹皮（一两，锉碎）、赤茯苓（三分）、桔梗（三分，去芦头）、牡丹皮（三分）、桃仁（半两，温水浸泡去皮尖，麸炒微黄）、鳖甲（一两，涂醋炙至黄色，去裙边）。
用法：将上述药物捣碎过筛为散。每次取三钱，加水一中盏，煎至六分，去渣滓，温服。
诃黎勒丸（出自《圣惠方》）：治疗癖气攻冲两胁导致胀满，心胸不畅，食欲减退。
药材组成：诃黎勒（一两，煨熟用皮）、桔梗（三分，去芦头）、赤芍药（半两）、枳壳（二两，麸炒微黄，去瓤）、白术（一两，炙至黄色）。
用法：将上述药物研末，炼蜜和丸，如梧桐子大。每次服用二十丸，食前用米饮送下。
白术散（出自《圣惠方》）：治疗癖冷气引起的胀满，不能进食。
药材组成：白术（一两）、诃黎勒皮（一两）、枳壳（三分，麸炒微黄，去瓤）、陈橘皮（三分，温水浸泡去白瓤焙干）、干姜（一分，炮裂，锉）、槟榔（一个，锉）。
用法：将上述药物捣碎过筛为散。每次取三钱，加水一中盏，煎至六分，去渣滓，温服。
半夏散（出自《圣惠方》）：治疗癖气引起的急硬满胀，心肋多痛，不能进食，气攻胸背导致壅闷。
药材组成：半夏（三分，温水洗七遍去滑腻）、桔梗（一两，去芦头）、大腹皮（一两，锉碎）、前胡（一两，去芦头）、鳖甲（一两，涂醋炙至黄色，去裙边）、槟榔（一个，锉）。
用法：将上述药物捣碎过筛为散。每次取三钱，加水一中盏，煎至六分，去渣滓，温服。
京三棱丸（出自《圣惠方》）：治疗癖气引起的心腹胀满，不想饮食。
药材组成：京三棱（微煨，锉碎）、木香、肉豆蔻（去壳）、桃仁（温水浸泡去皮尖，双仁者用，麸炒微黄）、干姜（炮）、青橘皮（去油）。
用法：将上述药物研末，炼蜜和丸，如梧桐子大。每次服用十五丸，食前用米饮送下。
大通散（出自《圣济总录》）：治疗癖积聚，腹胀气逆，烦闷呕逆。
药材组成：沉香（锉）、木香、白术、陈橘皮（温水浸泡去白皮）、桑根白皮（锉）、木通（锉，各一两）、胡椒（一钱）。
用法：将上述药物捣碎过筛为散。每次取三钱，加水一中盏，煎至六分，去渣滓，温服。以大便通畅为度。
[Supplementary Discussion]
The condition of Pi-Xin (accumulation in the heart region) with abdominal distension and fullness arises from disharmony between Yin and Yang, retention of food and drink, and the accumulation forming pathology. Pathogenic factors accumulate internally, obstructing the free flow of Qi. Pathogenic Qi contends with Healthy Qi.
Zhike San (Bitter Orange Peel Powder) [Source: *Shenghui Fang*]: Treats distension caused by Pi-Qi (accumulation of Qi), urgency and pain in the heart and hypochondrium, inability to swallow food, and weakness in the four limbs.
Ingredients: Zhike (Fructus Aurantii, 1 liang, stir-fried with bran until slightly yellow, placenta removed); Jiegeng (Radix Platycodonis, 1 liang, radix tip removed); Biejia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt removed); Renshen (Radix Ginseng, 1 liang, radix tip removed); Chenjupi (Pericarpium Citri Reticulatae, 1 liang, soaked in water, white pith removed, dried); Danggui (Radix Angelicae Sinensis, 1 liang, radix tip removed).
Usage: The above ingredients are crushed and sieved into a powder. Take 3 qian per dose, add 1 zhongzhan of water, decoct until 6 fen remains, strain, and take warm.
Taoren San (Peach Kernel Powder) [Source: *Shenghui Fang*]: Treats Pi-Qi causing abdominal distension and fullness, difficulty in eating and drinking, stagnation in the chest and diaphragm, wheezing and coughing, and rapid breathing.
Ingredients: Taoren (Semen Persicae, 1 liang, soaked in warm water, skin and pointed end removed, use double-kernel ones, stir-fried with bran until slightly yellow); Biejia (Carapax et Plastrum Testudinis, 3 fen, brushed with vinegar and roasted until yellow, skirt removed); Chuanwutou (Radix Aconiti Kusnezoffii, 3 fen, processed until cracked, sliced); Jiegeng (Radix Platycodonis, 3 fen, radix tip removed); Xixin (Herba Asari, 3 fen, roots and leaf stalks removed).
Usage: The above ingredients are crushed and sieved into a powder. Take 3 qian per dose, add 1 zhongzhan of water, decoct until 6 fen remains, strain, and take warm.
Dafupi San (Areca Peel Powder) [Source: *Shenghui Fang*]: Treats Pi-Qi causing abdominal and hypochondriac distension and fullness, rapid and urgent breathing, and loss of appetite.
Ingredients: Dafupi (Pericarpium Arecae, 1 liang, sliced); Chifuling (Poria cum Ligno, 3 fen); Jiegeng (Radix Platycodonis, 3 fen, radix tip removed); Mudanpi (Cortex Moutan, 3 fen); Taoren (Semen Persicae, half liang, soaked in warm water, skin and pointed end removed, stir-fried with bran until slightly yellow); Biejia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt removed).
Usage: The above ingredients are crushed and sieved into a powder. Take 3 qian per dose, add 1 zhongzhan of water, decoct until 6 fen remains, strain, and take warm.
Helile Wan (Chebula Pill) [Source: *Shenghui Fang*]: Treats Pi-Qi attacking both hypochondria causing distension and fullness, discomfort in the chest and heart, and reduced desire for food.
Ingredients: Helile (Fructus Chebulae, 1 liang, roasted, use the peel); Jiegeng (Radix Platycodonis, 3 fen, radix tip removed); Chishao (Radix Paeoniae Rubra, half liang); Zhike (Fructus Aurantii, 2 liang, stir-fried with bran until slightly yellow, placenta removed); Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang, roasted until yellow).
Usage: The above ingredients are powdered, mixed with refined honey, and formed into pills the size of tung tree seeds. Take 20 pills per dose before meals, washed down with rice broth.
Baizhu San (Atractylodes Macrocephala Powder) [Source: *Shenghui Fang*]: Treats distension and fullness caused by cold-Pi-Qi, with inability to eat.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang); Helile pi (Pericarpium Chebulae, 1 liang); Zhike (Fructus Aurantii, 3 fen, stir-fried with bran until slightly yellow, placenta removed); Chenjupi (Pericarpium Citri Reticulatae, 3 fen, soaked in water, white pith removed, dried); Ganjiang (Rhizoma Zingiberis Recens, 1 fen, processed until cracked, sliced); Binglang (Semen Arecae, 1 piece, sliced).
Usage: The above ingredients are crushed and sieved into a powder. Take 3 qian per dose, add 1 zhongzhan of water, decoct until 6 fen remains, strain, and take warm.
Banxia San (Pinellia Powder) [Source: *Shenghui Fang*]: Treats Pi-Qi causing acute hardness, distension, and fullness, frequent pain in the heart and hypochondrium, inability to eat, and Qi attacking the chest and back causing oppression and stuffiness.
Ingredients: Banxia (Rhizoma Pinelliae, 3 fen, washed seven times in warm water to remove acridity); Jiegeng (Radix Platycodonis, 1 liang, radix tip removed); Dafupi (Pericarpium Arecae, 1 liang, sliced); Qianhu (Radix Peucedani, 1 liang, radix tip removed); Biejia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt removed); Binglang (Semen Arecae, 1 piece, sliced).
Usage: The above ingredients are crushed and sieved into a powder. Take 3 qian per dose, add 1 zhongzhan of water, decoct until 6 fen remains, strain, and take warm.
Jingsanleng Wan (Curcuma Longa Pill) [Source: *Shenghui Fang*]: Treats Pi-Qi causing abdominal distension and fullness and lack of desire for food.
Ingredients: Jingsanleng (Rhizoma Curcumae, lightly roasted, sliced); Muxiang (Radix Aucklandiae); Roudoukou (Semen Myristicae, shell removed); Taoren (Semen Persicae, soaked in warm water, skin and pointed end removed, use double-kernel ones, stir-fried with bran until slightly yellow); Ganjiang (Rhizoma Zingiberis Recens, processed); Qingjupi (Pericarpium Citri Reticulatae Viride, oil removed).
Usage: The above ingredients are powdered, mixed with refined honey, and formed into pills the size of tung tree seeds. Take 15 pills per dose before meals, washed down with rice broth.
Datong San (Great Unblocking Powder) [Source: *Shengji Zonglu*]: Treats Pi-Jiju (accumulations and masses), abdominal distension with rebellious Qi, irritability and fullness, vomiting, and counterflow.
Ingredients: Chenxiang (Lignum Aquilariae Resinatum, sliced); Muxiang (Radix Aucklandiae); Baizhu (Rhizoma Atractylodis Macrocephalae); Chenjupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed); Sangbaipi (Cortex Mori Radicis, sliced); Mutong (Caulis Akebiae, sliced, each 1 liang); Hujiao (Fructus Piperis NigrI, 1 qian).
Usage: The above ingredients are crushed and sieved into a powder. Take 3 qian per dose, add 1 zhongzhan of water, decoct until 6 fen remains, strain, and take warm. The treatment is considered effective when bowel movements become unobstructed.
Muxiang Sanleng Wan (Aucklandia and Curcuma Pill): Treats chest and diaphragm oppression, abdominal distension and fullness, hypochondriac pain, slow digestion of food, fatigue in the four limbs, vomiting and nausea, bitter taste in the mouth, and lack of taste. (Belongs to the category of abdominal distension and fullness diseases)