大黄（四两酒洗） 浓朴（半斤去皮炙） 枳实（五枚炙） 芒硝（三合）
上四味以水一斗。先煮二物取五升。去滓。纳大黄煮取二升。去滓。纳芒硝更上火微一两沸。分温再服得下。余勿
服。
大黄（四两） 浓朴（二两去皮炙） 枳实（三枚炙）
上三味以水四升。煮取一升二合。去滓。分温二服初服汤当更衣。不尔者尽饮之。若更衣者勿服之。
桃仁（五十个去皮尖） 桂枝（二两） 甘草（二两炙） 大黄（四两酒浸） 芒硝（二两）
上五味。以水七升。煮取二升半。去滓纳芒硝更上火微沸温服五合日三服当微利。
水蛭（三十个猪脂熬黑） 虻虫（三十个熬去翅足） 大黄（三两酒浸） 桃仁（二十个去皮尖）
上四味为末。以水五升煮取三升。去滓。温服一升。不下再服。
水蛭（三十个猪脂熬黑） 虻虫（二十五个熬去足翅） 大黄（三两） 桃仁（二十个去皮尖）
上四味杵分为四。丸以水一升。煮一丸。取七合服之 时当下血若不下者更服。
茵陈蒿（六两） 栀子（十四枚擘） 大黄（二两）
上三味以水一斗。先煮茵陈减六升。纳二味煮取三升。去滓分温三服。
麻子仁（二升蒸胭去壳） 芍药（半斤） 枳实（半斤炙） 大黄（一斤去皮） 浓朴（一斤去皮炙） 杏仁
（一斤去皮尖熬作脂）
上六味为末炼蜜为丸桐子大饮服十丸日三服渐加以利为度。
此治素惯脾约之人复感外邪。预防燥结之法。方中用麻杏二仁以润肠燥。芍药以养阴血。枳实大黄以泄实热浓朴以
破滞气也然必因客邪加热者用之方为合辙后世以此概治老人津枯血燥。之 结但取一时之通利。罔顾愈伤其真气得不速
其咎耶。
Rhizoma et Radix Rhei (Dahuang, Rhubarb) (4 liang, washed with wine) Cortex Magnoliae Officinalis (Houpo, Magnolia Bark) (8 liang, bark removed, stir-fried) Fructus Aurantii Immaturus (Zhishi, Immature Bitter Orange) (5 pieces, stir-fried) Natrii Sulfas (Mangxiao, Mirabilite) (3 he)
The above four ingredients are boiled in 10 dou of water. First, boil Houpo and Zhishi to obtain 5 sheng of liquid, then filter out the dregs. Add Dahuang and boil to obtain 2 sheng of liquid, then filter out the dregs. Add Mangxiao and boil gently for one or two boils over fire. Divide into two doses and take warm. If bowel movement occurs, stop taking the remaining medicine.
Rhizoma et Radix Rhei (Dahuang, Rhubarb) (4 liang) Cortex Magnoliae Officinalis (Houpo, Magnolia Bark) (2 liang, bark removed, stir-fried) Fructus Aurantii Immaturus (Zhishi, Immature Bitter Orange) (3 pieces, stir-fried)
The above three ingredients are boiled in 4 sheng of water to obtain 1 sheng 2 he of liquid, then filter out the dregs. Divide into two doses and take warm. After the first dose, defecation should occur. If not, drink the entire remainder. If defecation has occurred, do not take the rest.
Semen Persicae (Taoren, Peach Seed) (50 pieces, skin and tip removed) Ramulus Cinnamomi (Guizhi, Cinnamon Twig) (2 liang) Radix Glycyrrhizae Preparata (Gancao, Prepared Licorice Root) (2 liang, stir-fried) Rhizoma et Radix Rhei (Dahuang, Rhubarb) (4 liang, soaked in wine) Natrii Sulfas (Mangxiao, Mirabilite) (2 liang)
The above five ingredients are boiled in 7 sheng of water to obtain 2.5 sheng of liquid, then filter out the dregs. Add Mangxiao and boil gently over fire. Take 5 he warm each time, three times a day. A mild laxative effect is expected.
Hirudo (Shuizhi, Leech) (30 pieces, fried in suet until black) Ophryotrocha (Mengchong, Blowfly Larva) (30 pieces, fried, wings and legs removed) Rhizoma et Radix Rhei (Dahuang, Rhubarb) (3 liang, soaked in wine) Semen Persicae (Taoren, Peach Seed) (20 pieces, skin and tip removed)
The above four ingredients are ground into powder. Boil in 5 sheng of water to obtain 3 sheng of liquid, then filter out the dregs. Take 1 sheng warm. If no evacuation occurs, take another dose.
Hirudo (Shuizhi, Leech) (30 pieces, fried in suet until black) Ophryotrocha (Mengchong, Blowfly Larva) (25 pieces, fried, legs and wings removed) Rhizoma et Radix Rhei (Dahuang, Rhubarb) (3 liang) Semen Persicae (Taoren, Peach Seed) (20 pieces, skin and tip removed)
The above four ingredients are pounded and divided into four portions. Boil one portion in 1 sheng of water to obtain 7 he of liquid and take it. Blood stasis should be discharged at this time. If not, take another dose.
Herba Artemisiae Scopariae (Yinchenhao, Wormwood Herb) (6 liang) Fructus Gardeniae Jasminoidis (Zhizi, Gardenia Fruit) (14 pieces, broken open) Rhizoma et Radix Rhei (Dahuang, Rhubarb) (2 liang)
The above three ingredients are boiled in 10 dou of water. First, boil Yinchenhao until the volume reduces by 6 dou, then add the other two ingredients and boil to obtain 3 sheng of liquid. Filter out the dregs and divide into three doses to take warm.
Semen Cannabis (Huomaren, Hemp Seed) (2 sheng, steamed and husked) Radix Paeoniae Alba (Shaoyao, White Peony Root) (8 liang) Fructus Aurantii Immaturus (Zhishi, Immature Bitter Orange) (8 liang, stir-fried) Rhizoma et Radix Rhei (Dahuang, Rhubarb) (1 jin, peeled) Cortex Magnoliae Officinalis (Houpo, Magnolia Bark) (1 jin, bark removed, stir-fried) Semen Armeniacae Amarum (Xingren, Apricot Seed) (1 jin, skin and tip removed, cooked into paste)
The above six ingredients are ground into powder, mixed with refined honey to form pills the size of tung tree seeds. Take 10 pills with water, three times a day. Gradually increase the dosage until bowel movement is achieved.
This formula treats individuals prone to "Pi Yue" (Spleen Constraint) who contract external pathogens, serving as a preventive measure against dryness and constipation. The formula uses Huomaren and Xingren to moisten intestinal dryness, Shaoyao to nourish yin blood, Zhishi and Dahuang to purge excess heat, and Houpo to break up stagnant qi. However, it must only be used when external pathogens have transformed into heat internally; otherwise, it is inappropriate. Later generations used this formula indiscriminately to treat constipation in the elderly due to fluid depletion and blood dryness, seeking only temporary relief without regard for further damaging true qi, thereby hastening adverse consequences.