三因七物浓朴汤治腹满发热脉浮数饮食如故胀满者为热胀
浓朴(炒一两) 甘草(炙) 大黄(煨各三钱) 枳实(炒半两) 桂心(一分)
上为末每四大钱入姜枣煎呕者加半夏
按此治热之剂阳明例药也
简易是斋推气丸治三焦痞塞气不升降腹胀
槟榔 陈皮 黄芩 大黄 枳实 黑牵牛(等分)
上为末炼蜜丸梧子大每五七十丸临睡汤下量虚实与服
杨氏消胀丸
木香 黑牵牛 萝卜子(炒) 槟榔
上等分为末水糊丸梧子大每三十丸
宣明肉豆蔻丸治食痼腹胀如鼓不食者病可下
肉豆蔻 槟榔 轻粉(各一钱) 黑牵牛(一两半服头末)
上为末糊为丸如绿豆大每服十丸二三十丸煎连翘汤下食后日三服
按此并气分药也
鸡屎醴散治心腹胀满旦食不能暮食致令胃逆鼓胀证
大黄 桃仁 鸡屎糟(干者等分)
上为末每一二钱水煎入姜食前服
按此血分药也
东垣沉香海金沙丸治一切积聚脾湿肿胀肚大青筋羸瘦
海金沙(一钱半) 沉香(二钱) 牵牛末(一两) 轻粉(一钱)
上为末独蒜如泥为丸如梧子大每三十丸煎白沸灯芯通草汤量虚实与服
海金沙散治脾湿太过腹胀如鼓
(方见湿门)
按此二方治湿之剂也
沉香交泰丸治浊气在上干扰清阳之气菀而不伸以为 胀
沉香 白术 当归(各三钱) 浓朴(制五钱) 枳实(炒) 吴茱萸(洗) 白茯苓 泽泻
陈皮 青皮 木香(各二钱) 大黄(酒浸一两)
上为末汤浸蒸饼为丸梧子大每五十加至七十丸温汤送下
按此分消之剂也气血之药
三花神佑丸治一切肿病大腹实胀喘满
(方见湿门)
按此治湿热之药也
三因七物浓朴汤，用于治疗腹部胀满、发热、脉象浮数而饮食正常的情况，此类胀满属于热胀。
方药组成：浓朴（炒制一两）、甘草（炙）、大黄（煨制，各三钱）、枳实（炒制半两）、桂心（一分）。
将上述药物研为细末，每次取四大钱，加入生姜、大枣煎煮服用；若伴有呕吐症状，可加入半夏。
按语：这是治疗热证的方剂，属于阳明病的用药范畴。
简易是斋推气丸，用于治疗三焦气机痞塞、气机升降失常导致的腹部胀满。
方药组成：槟榔、陈皮、黄芩、大黄、枳实、黑牵牛（等分）。
将上述药物研为细末，用炼蜜制成梧桐子大小的丸剂，每次服用五七十丸，临睡前用米汤送服，根据患者虚实情况调整剂量。
杨氏消胀丸
方药组成：木香、黑牵牛、萝卜子（炒制）、槟榔。
将上述药物等分为细末，用水糊制成梧桐子大小的丸剂，每次服用三十丸。
宣明肉豆蔻丸，用于治疗食积停滞导致的腹部胀满如鼓、不能进食的情况，此类病症可采用下法治疗。
方药组成：肉豆蔻、槟榔、轻粉（各一钱）、黑牵牛（一两半，服用时取其头煎粉末）。
将上述药物研为细末，用面糊制成绿豆大小的丸剂，每次服用十至二三十丸，饭后服用，每日三次，用连翘汤煎服送下。
按语：这些方剂均属于调理气分的药物。
鸡屎醴散，用于治疗心腹部胀满，早晨能吃饭但晚上不能吃饭，导致胃气上逆、腹部鼓胀的证候。
方药组成：大黄、桃仁、鸡屎糟（干燥者，等分）。
将上述药物研为细末，每次取一二钱，用水煎煮，加入生姜，饭前服用。
按语：此方属于调理血分的药物。
东垣沉香海金沙丸，用于治疗各种积聚、脾虚湿盛引起的肿胀、腹部膨大伴青筋暴露、身体消瘦的症状。
方药组成：海金沙（一钱半）、沉香（二钱）、牵牛子末（一两）、轻粉（一钱）。
将上述药物研为细末，用独头蒜捣烂如泥作为粘合剂，制成梧桐子大小的丸剂，每次服用三十丸，用白沸水加灯芯草、通草煎汤送服，根据患者虚实情况调整剂量。
海金沙散，用于治疗脾湿过重导致的腹部胀满如鼓。
（该方详见“湿门”章节）
按语：这两个方剂都是治疗湿邪的方剂。
沉香交泰丸，用于治疗浊气停留在上部，干扰清阳之气，导致气机郁结不得舒展从而产生胀满。
方药组成：沉香、白术、当归（各三钱）、浓朴（制五钱）、枳实（炒制）、吴茱萸（洗）、白茯苓、泽泻、陈皮、青皮、木香（各二钱）、大黄（酒浸一两）。
将上述药物研为细末，用汤剂浸泡蒸饼作为粘合剂，制成梧桐子大小的丸剂，每次服用五十丸，逐渐增加至七十丸，用温开水送服。
按语：这是分消走泄的方剂，属于调理气血的药物。
San Yin Qi Wu Hou Po Tang (Three Causes Seven-Ingredient Magnolia Bark Decoction) is indicated for abdominal fullness, fever, a floating and rapid pulse, normal appetite, where the distension is attributed to heat.
Ingredients: Magnoliae Officinalis Cortex (Houpo, 厚朴), stir-fried, 1 liang; Licorice Root (Gancao, 甘草), honey-fried; Rhubarb (Dahuang, 大黄), baked, each 3 qian; Immature Bitter Orange (Zhishi, 枳实), stir-fried, half liang; Cinnamon Twig (Guixin, 桂心), 1 fen.
Grind the above ingredients into powder. For each dose, take 4 qian, decoct with fresh ginger and jujube. If vomiting occurs, add Pinellia Tuber (Banxia, 半夏).
Note: This is a formula for treating heat syndromes, falling under the category of Yangming disease treatments.
Jian Yi Shi Zhai Tui Qi Wan (Simple Iszhai Pushing Qi Pill) is indicated for qi stagnation and obstruction in the Sanjiao (Triple Burner), impaired ascending and descending of qi, resulting in abdominal distension.
Ingredients: Areca Seed (Binglang, 槟榔); Tangerine Peel (Chenpi, 陈皮); Scutellaria Root (Huangqin, 黄芩); Rhubarb (Dahuang, 大黄); Immature Bitter Orange (Zhishi, 枳实); Black Morning Glory Seed (Hei Qianniu, 黑牵牛), equal parts.
Grind the above ingredients into powder, mix with refined honey to form pills the size of loquat seeds. Take 50–70 pills before sleep, washed down with rice water, adjusting the dosage according to the patient’s deficiency or excess condition.
Yang Shi Xiao Zhang Wan (Yang’s Distension-Resolving Pill)
Ingredients: Aucklandia Root (Muxiang, 木香); Black Morning Glory Seed (Hei Qianniu, 黑牵牛); Radish Seed (Luobozhi, 萝卜子), stir-fried; Areca Seed (Binglang, 槟榔).
Grind the above ingredients equally into powder, bind with water paste to form pills the size of loquat seeds. Take 30 pills per dose.
Xuan Ming Roudoukou Wan (Xuanming Myristica Pill) is indicated for food retention causing abdominal distension like a drum and anorexia; such conditions are suitable for purgative treatment.
Ingredients: Nutmeg (Roudoukou, 肉豆蔻); Areca Seed (Binglang, 槟榔); Calomel (Qingfen, 轻粉), each 1 qian; Black Morning Glory Seed (Hei Qianniu, 黑牵牛), 1.5 liang (use the first decoction powder for administration).
Grind the above ingredients into powder, bind with flour paste to form pills the size of mung beans. Take 10–20 pills per dose, after meals, three times daily, washed down with a decoction of Forsythia Fruit (Lianqiao, 连翘).
Note: These formulas belong to herbs regulating the Qi aspect.
Jishi Li San (Chicken Dropping Wine Powder) is indicated for epigastric and abdominal fullness, where the patient can eat in the morning but not in the evening, leading to rebellious Stomach Qi and drum-like abdominal distension.
Ingredients: Rhubarb (Dahuang, 大黄); Peach Kernel (Taoren, 桃仁); Dried Chicken Droppings (Jisizao, 鸡屎糟), equal parts.
Grind the above ingredients into powder. Take 1–2 qian per dose, decoct with water, add fresh ginger, and take before meals.
Note: This formula belongs to herbs regulating the Blood aspect.
Dongyuan Chenxiang Haijinsha Wan (Dongyuan Agarwood and Sandwort Pill) is indicated for various accumulations, Spleen dampness causing swelling, large abdomen with visible subcutaneous veins, and emaciation.
Ingredients: Sandwort Spores (Haijinsha, 海金沙), 1.5 qian; Agarwood (Chenxiang, 沉香), 2 qian; Powdered Morning Glory Seed (Qianniu Mo, 牵牛末), 1 liang; Calomel (Qingfen, 轻粉), 1 qian.
Grind the above ingredients into powder, use single-clove garlic mashed into a paste as a binder to form pills the size of loquat seeds. Take 30 pills per dose, washed down with a decoction of boiling white water with Juncus Effusus (Dengxincao, 灯芯草) and Thalia Herba (Tongcao, 通草), adjusting the dosage according to the patient’s deficiency or excess condition.
Haijinsha San (Sandwort Powder) is indicated for abdominal distension like a drum caused by excessive Spleen dampness.
(See formula in the "Dampness" section.)
Note: These two formulas are agents for treating dampness.
Chenxiang Jiaotai Wan (Agarwood Harmony Pill) is indicated when turbid Qi stays in the upper body, interfering with Clear Yang Qi, causing Qi stagnation and failure to extend, resulting in distension.
Ingredients: Agarwood (Chenxiang, 沉香); Atractylodes Macrocephala Rhizome (Baizhu, 白术); Angelica Sinensis Root (Danggui, 当归), each 3 qian; Magnolia Bark (Houpo, 厚朴), processed, 5 qian; Immature Bitter Orange (Zhishi, 枳实), stir-fried; Evodia Fruit (Wuzhuyu, 吴茱萸), washed; Poria (Fuling, 茯苓); Alisma Rhizome (Zexie, 泽泻); Tangerine Peel (Chenpi, 陈皮); Green Tangerine Peel (Qingpi, 青皮); Aucklandia Root (Muxiang, 木香), each 2 qian; Rhubarb (Dahuang, 大黄), wine-soaked, 1 liang.
Grind the above ingredients into powder, soak in decoction, steam with steamed bread dough as a binder, and form pills the size of loquat seeds. Take 50 pills initially, increasing to 70 pills, washed down with warm water.
Note: This is a dispersing and draining formula, belonging to herbs regulating Qi and Blood.
San Hua Shen You Wan (Three-Flower Divine Protection Pill) is indicated for all types of edema diseases, solid abdominal distension, wheezing, and chest fullness.
(See formula in the "Dampness" section.)
Note: This is an agent for treating damp-heat syndromes.