典藏书目

Yuyuliang Wan (from *San Yin Ji Yi Bing Zheng Fang Lun*): Treats the ten types of water qi disorders, manifesting as swelling of the feet and knees, rebellious qi causing chest fullness and wheezing, and difficult urination. It is indicated for any condition caused by water qi.
(Shu Shuwei and Zhu Danxi both stated: This formula is a key medicine for treating distension.)

Shehanshi (Ophicalcitum) (large pieces, 3 liang; place in a new iron pot, heat in charcoal fire until the ophicalcite turns red like the pot, remove with tongs, pour into vinegar, wait until cool, take out, and grind to an extremely fine powder); Yuyuliangshi (Hematitum) (3 liang); Zhenzhensha (Magnetitum Pulveratum) (5 liang; first wash clean with water, stir-fry dry, combine with Hematitum, add 2 sheng of rice vinegar, boil in the pot until the vinegar is dry, then put the pot and herbs into charcoal fire until red hot, remove with tongs, pour onto a clean brick ground, wait until cool, and grind finely).
These three substances are the main ingredients. Subsequently, based on the patient's deficiency or excess, add the following herbs. (In treating water qi disorders, purgative methods are often used. However, the three main herbs in this formula are not as harsh as Daji, Gansui, or Yuanhua, and are supported by the following herbs, so they can be taken by deficient elderly patients.)

Qianghuo (Notopterygii Rhizoma et Radix), Muxiang (Aucklandiae Radix), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine), Guixin (Cinnamomi Ramulus), Baishadoukou (Cardamomi Fructus Rotundus) (processed), Da Huixiang (Foeniculi Fructus) (stir-fried), Ezhu (Curcumae Rhizoma) (processed), Fuzi (Aconiti Lateralis Radix Praeparata) (processed), Ganjiang (Zingiberis Rhizoma) (processed), Qingpi (Citri Reticulatae Pericarpium Viride), Jing Sanleng (Sparganii Rhizoma) (processed), Bai Jili (Tribuli Fructus), Danggui (Angelicae Sinensis Radix) (soaked in wine overnight). Each, 0.5 liang.
Grind the above herbs into a fine powder, mix evenly with the previous three main substances. Soak steamed cake in water, wring out the water, mix with the herbal powder, and pound thoroughly until uniform. Form pills the size of paulownia seeds. Take 30–50 pills before meals with warm wine or plain boiled water. Salt is strictly forbidden; even a trace amount will exacerbate the disease. Upon taking the medicine, it acts quickly through urination without damaging the zang-fu organs. After the disease resolves, take three times daily, accompanied by mild qi- and blood-nourishing herbs. Truly a miraculous formula.

Muxiang Huazhi San: Resolves stagnant qi, treats epigastric and abdominal fullness and oppression.

Muxiang (Aucklandiae Radix), Jianghuang (Curcumae Longae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride) (remove white pith), Suosharen (Amomi Fructus Rotundus) (remove shell), Renshen (Ginseng Radix et Rhizoma), Binglang (Arecae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian), Baishadoukou (Cardamomi Fructus Rotundus) (remove shell), Huoxiangye (Agastachis Herba), Juapi (Citri Reticulatae Pericarpium), Dafuzi (Arecae Pericarpium), Bai Fuling (Poria) (remove skin), Baitanxiang (Santalum Album Lignum), Jiegeng (Platycodonis Radix) (each 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 4 fen).
Grind into a fine powder. Take 3 qian per dose, decoct with 1.5 sheng of water until 1 sheng remains. Drink slightly warm before meals. Alternatively, dissolve in boiling water. Avoid cold, raw, and hard foods.

Daoqi Wan: Treats various obstructive conditions, Guan Ge syndrome (obstruction of upper and lower orifices), abdominal distension like a drum, constipation, and disorders of the small intestine and kidney qi. Its efficacy is particularly rapid.

Qingpi (Citri Reticulatae Pericarpium Viride) (stir-fried with equal parts leeches until red, discard leeches), Ezhu (Curcumae Rhizoma) (stir-fried with equal parts dragonflies until red, discard dragonflies), Hujiao (Piperis Nigris Fructus) (stir-fried with fennel, discard fennel), Sanleng (Sparganii Rhizoma) (stir-fried with dried lacquer, discard lacquer), Binglang (Arecae Semen) (stir-fried with blister beetles, discard blister beetles), Chishao (Paeoniae Radix Rubra) (stir-fried with Sichuan pepper, discard pepper), Ganjiang (Zingiberis Rhizoma) (stir-fried with sand, discard sand), Fuzi (Aconiti Lateralis Radix Praeparata) (stir-fried with green salt, discard salt), Zhuyu (Evodiae Fructus) (stir-fried with morning glory seeds, discard seeds), Shichangpu (Acori Tatarinowii Rhizoma) (stir-fried with peach kernels, discard kernels).
All in equal proportions. Chop finely, stir-fry with the prepared processing agents until cooked, discard the processing agents (leeches, etc.), and use only the ten herbs (including Qingpi) ground into a fine powder. Mix with wine paste to form pills the size of paulownia seeds. Take 50 pills per dose, increasing to 70 pills. Take on an empty stomach with Perilla Decoction.

(Sanleng Jian Wan): Treats hardness and distension in the heart and abdomen, fullness and hardness under the ribs, chest obstruction, wheezing, and shortness of breath. Regular use promotes qi circulation, eliminates accumulations, and reduces distension.

Jing Sanleng (Sparganii Rhizoma) (raw, 8 liang, grind to fine powder, add 3 sheng of wine, simmer in a silver or ceramic vessel until a paste forms); Xingren (Armeniacae Semen Amarum) (scalded, remove skin and tips, stir-fry until yellow); Ganqi (Lac Cum Resina) (stir-fry until smoke ceases); Maiya (Hordei Fructus Germinatus) (stir-fried. Each of the above, 3 liang); Qingpi (Citri Reticulatae Pericarpium Viride) (remove white pith); Luobozhongzi (Brassicae Semenis) (stir-fried); Shenqu (Massa Medicata Fermentata) (stir-fried. Each of the above, 2 liang); Sha (Borax) (flying and ground, 1 liang).
Grind into a fine powder. Mix with the Sanleng paste to form pills the size of paulownia seeds. Take 20 pills per dose after meals with warm rice drink.

Chenxiang San: Treats abdominal distension, wheezing, and inability to sit or lie comfortably.

Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix) (each 2.5 qian); Zhike (Aurantii Fructus Immaturus) (bran-fried); Luobozhongzi (Brassicae Semenis) (stir-fried. Each 3 qian).
For one dose, add 2 zhong of water and 3 slices of fresh ginger. Decoct until 1 zhong remains. Take at any time.

Wenwei Tang: Treats emotional stagnation leading to qi condensation in the spleen and lungs, yang qi failing to regulate properly, imbalance between the large intestine and stomach qi, resulting in distension, rebellious qi causing cough, inability to eat, and a pulse that is deficient, tight, and choppy.

Fuzi (Aconiti Lateralis Radix Praeparata) (processed, remove skin and navel), Houpo (Magnoliae Officinalis Cortex) (remove bark, use raw), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried), Juapi (Citri Reticulatae Pericarpium) (each 1.5 qian), Ganjiang (Zingiberis Rhizoma) (1.1 qian), Chuanjiao (Zanthoxyli Pericarpium) (remove closed-mouth peppers, stir-fry until sweat appears, 0.3 qian).
For one dose, add 2 zhong of water and 3 slices of ginger. Decoct until 1 zhong remains. Take before meals.

Mutong Yin: Treats stabbing pain in the hypochondrium, distension, dark and scanty urination, difficult defecation, or edema.

Mutong (Akebiae Caulis), Chenpi (Citri Reticulatae Pericarpium), Zisu geng (Perillae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried. Each 3 qian).
For one dose, add 2 zhong of water, 3 slices of fresh ginger, 2 red dates, and 10 stems of Jiaxin (Verticillae Herba). Decoct until 1 zhong remains. Take at any time.

Shenxiang San: Treats all types of qi stagnation, distension due to spleen deficiency, and痞气 (pi mass).

Renshen (Ginseng Radix et Rhizoma), Guanzi Gui (Cinnamomi Cortex) (official cinnamon), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried. Each 0.7 fen); Sangbaipi (Mori Cortex), Jiegeng (Platocodonis Radix), Chenpi (Citri Reticulatae Pericarpium), Zhishi (Aurantii Fructus Immaturus) (bran-fried), Maidong (Ophiopogonis Radix) (remove core, bake dry. Each 4 qian).
Grind into an extremely fine powder. Process with bile from a male pig to form pills the size of paulownia seeds. Bile from a black dog is even better. Take 0.7–0.8 fen per dose; for severe cases, 1 qian. Take at dawn (wugeng time) with wine. Stop when masses dissipate; do not finish the entire course if cured.

Sun Yikui said: When I was in the Wu region, there was a gentleman named Wu Zhen, who was learned and elegant. One day, discussing Drum Distension (Guzhang), he asked me: "Is there any insect in Drum Distension?" I dared not answer initially, thought for a long time, and replied: "Perhaps." *Ben Shi Fang* states: Swelling of the umbilicus, abdomen, and limbs indicates Water Disorder; swelling only in the abdomen with minimal limb swelling indicates Gu Disorder. The annotation says: Gu is synonymous with Drum Distension. Comparing these, ancients once used Gu and Gu interchangeably. Moreover, Gu prioritizes three insects; surely there is significance. I believe Drum Distension is what is now called Qi Deficiency Middle Fullness. Because it is firm outside and hollow inside, with tense abdominal skin resembling a drum, it is named Drum Distension. As for Gu disorders, there is solid matter inside accumulated for a long time, which may exist theoretically. Wu said: "Your wit is remarkably sharp." My cousin-in-law suffered from Drum Distension for three years. Her abdomen was large as a winnowing basket, sometimes painful and distended, while her limbs wasted away. Famous remedies in Wu were tried repeatedly without success. In Wu custom, corpses are cremated. When burning reached the abdomen, a sound like a cannon burst forth, terrifying everyone. Suddenly, insects exploded from the abdomen, rising two or three zhang high, darkening the sky where they burned, then falling to the ground. Upon close inspection, they were all roundworms (Ascaris), numbering no less than tens of millions. Large ones were over a chi long. Inside their abdomens were smaller worms: some had 15–16, others 10+, or 5–6. If insects multiply thus in the human abdomen, how could one not become distended? Alas, no medical texts have mentioned this. Hearing this, I was enlightened, as if waking from a dream, though I had not seen it myself. In the year Guisi of the Wanli era, I went to Huaiyin at the invitation of Wu Bibu, Supervisor of Grain Transport and Judge. A local gentry named Wang had a son, aged sixteen, who developed abdominal distension after marriage. Palpation revealed lumps, shape like a flattened melon, limbs wasted, fever day and night for half a year. Physicians treated only with heat-clearing and distension-reducing formulas, but distension increased and fever intensified. Ulcers appeared in the throat and ears. I examined him: pulse slippery and rapid; lips red; abdomen tender; he loved rich and sweet foods. I reasoned that abdominal pain usually presents with pale lips and poor appetite. This case differs; could it be parasites? I administered Awei Jikuai Wan. He indeed passed dozens of worms. Two were large, one red, one black, over a chi long, with red lines running head to tail. Inside their abdomens were smaller worms: several large, 3–4 small. After passing the worms, fever subsided, distension decreased. After three doses, he recovered. This confirmed the truth of the previous account.