李某，男，23岁，工人。患者近日来因饮食不 节，暴饮暴食，致胃脘胀闷，嗳气频频，伴食 欲不振，大便不利，小便短赤，日晡手心潮 热，口渴欲饮，胸下及少腹疼痛拒按，脉洪大 而滑，舌质红，苔黄厚腻。治疗应首选方剂是

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