升麻 生地黄(各二钱) 熟地黄 当归梢 生甘草 大黄(煨) 桃仁泥 麻仁(各一钱)
红花(五分)
上除桃仁麻仁另研如泥外锉如麻豆大都作一服水二盏入桃仁麻仁泥煎至一盏去渣空心稍热
服
治脾胃中伏火大便秘涩或干燥闭塞不通全不思食乃风结血秘皆令闭塞也以润燥和血疏风
自然通利矣
桃仁(汤浸去皮尖) 麻仁(各一两) 当归梢 大黄(煨) 羌活(各一两)
上除桃仁麻仁另研如泥外捣为极细末炼蜜为丸如梧桐子大每服三五十丸空心白汤下
如病入不大便为大便不通而涩其邪盛者急加酒洗大黄以利之
如血燥而大便燥干者加桃仁酒洗大黄
如风结燥大便不行者加麻仁大黄
如风湿而大便不行加煨皂角仁大黄秦艽以利之
如脉涩觉身痒气涩而大便不通者加郁李仁大黄以除气燥
如寒阴之病为寒结闭而大便不通者以局方中半硫丸或加煎附子干姜汤冰冷与之其病虽阴
寒之证当服阳药补之若大便不通者亦当十服中与一服药微通其大便不令结闭乃治之大法
若病患虽是阴证或者阴寒之证其病显躁脉实坚亦宜于阳药中少加苦寒之药以去热躁躁止
勿加
如阴躁欲坐井中者其二肾脉按之必虚或沉细而迟此易为辨耳知有客邪之病亦当从权加药
治大便不通五日一遍小便黄赤浑身肿面上及腹尤甚其色黄麻木身重如山沉困无力四肢痿
软不
旋眼黑目中溜火冷泪鼻不闻香臭少腹急痛当脐中有动气按之坚硬而痛
青皮(去腐) 酒黄连(各一分) 酒黄柏 橘红 甘草(炙半) 升麻(各二分) 黄 人
参
炒曲(各五分) 麻黄(不去节五钱) 杏仁(四个)
上 咀分作二服水二大盏半先煎麻黄令沸去沫再入诸药同煎至一盏去渣稍热食远服
此证宿有风湿热伏于荣血之中其木火乘于阳道为上盛元气短少上喘为阴火伤其气四肢痿
在肾水
之间乃所胜之病今正遇冬寒得时乘其肝木又实其母肺金克火凌木是大胜必有大复其证善恐欠
多嚏鼻中如有物不闻香臭目视KT KT 多悲健忘少腹急痛通身黄腹大胀面目肿尤甚食不下痰唾涕
有血目 疡大便不通并宜此药治之
Shengma (Rhizoma Cimicifugae), Shengdihuang (Radix Rehmanniae Recens), Shudihuang (Radix Rehmanniae Praeparata), Dangguishao (Ramulus Angelicae Sinensis), Shenggancao (Radix Glycyrrhizae uralensis), Dahuang (Radix et Rhizoma Rhei Palmati, baked), Taoren (Semen Persicae, pounded into paste), Mahren (Semen Cannabis, each 2 qian), Honghua (Flos Carthami, 0.5 qian).
For the above herbs, except for Taoren and Mahren which are separately pounded into paste, the remaining herbs are cut into pieces the size of hemp seeds. Generally taken as one dose, add two cups of water, include the pastes of Taoren and Mahren, decoct until one cup remains, remove dregs, and take warm on an empty stomach.
Treating constipation, dryness, or complete obstruction due to latent fire in the Spleen and Stomach, accompanied by loss of appetite. This is caused by wind accumulation or blood stasis leading to obstruction; using methods to moisten dryness, harmonize blood, and disperse wind will naturally restore smoothness.
Taoren (Semen Persicae, soaked in hot water, skin and tip removed), Mahren (Semen Cannabis, each 1 liang), Dangguishao (Ramulus Angelicae Sinensis), Dahuang (Radix et Rhizoma Rhei Palmati, baked), Qianghuo (Rhizoma et Radix Notopterygii, each 1 liang).
For the above herbs, except for Taoren and Mahren which are separately pounded into paste, the remaining herbs are ground into a very fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take 30-50 pills per dose, swallowed with plain boiled water on an empty stomach.
If the condition is severe with no bowel movement and涩 (astringency/stagnation), and pathogenic factors are strong, urgently add Jiuxi Dahuang (Alcohol-washed Radix et Rhizoma Rhei Palmati) to promote bowel movement.
If dryness is due to Blood deficiency causing dry stools, add Taoren (Semen Persicae) and Jiuxi Dahuang (Alcohol-washed Radix et Rhizoma Rhei Palmati).
If stagnation is due to Wind accumulation preventing bowel movement, add Mahren (Semen Cannabis) and Dahuang (Radix et Rhizoma Rhei Palmati).
If stagnation is due to Wind-Dampness, add Wei Zaojiaoren (Baked Gleditsia sinensis seed), Dahuang (Radix et Rhizoma Rhei Palmati), and Qinjiao (Radix Gentianae Macrophyllae) to promote bowel movement.
If the pulse is choppy (Se), the body feels itchy, Qi is stagnant, and there is no bowel movement, add Yuliren (Semen Pruni Armeniacae Amarum) and Dahuang (Radix et Rhizoma Rhei Palmati) to resolve Qi dryness.
If the condition is Yin-Cold type, where cold accumulation causes obstruction and no bowel movement, use Banliu Wan (Half-Sulfur Pill) from the Bureau Formulary, or decoct Fuzi (Radix Aconiti Lateralis Preparata) and Ganjiang (Rhizoma Zingiberis) soup, but serve it cold. Although the syndrome is Yin-Cold, Yang-tonifying medicines should be administered. If there is no bowel movement, among ten doses, provide one dose to slightly loosen the bowels without allowing complete blockage; this is the general principle of treatment.
If the patient has a Yin syndrome or Yin-Cold syndrome but presents with restlessness and a firm, solid pulse, a small amount of Bitter-Cold medicine should be added to the Yang medicines to clear heat and calm restlessness. Once restlessness subsides, do not add more.
For those with Yin-restlessness who wish to sit in a well, palpation of the Kidney pulses on both sides will reveal weakness, or a deep, thin, and slow pulse. This is easy to differentiate. Knowing that there is an external pathogenic factor, medication should be adjusted flexibly.
Treating no bowel movement for five days, yellow-red urine, generalized edema especially severe on the face and abdomen, yellowish and numb skin, heaviness like carrying mountains, fatigue and weakness, flaccidity of limbs, frequent vertigo/blacking out, sensation of fire in eyes, cold tearing, anosmia, lower abdominal urgency/pain, pulsation at the umbilicus with hardness and pain upon pressure.
Qingpi (Pericarpium Citri Reticulatae, rind removed), Jiu Huanglian (Rhizoma Coptidis, wine-processed, each 1 fen), Jiu Huangbai (Cortex Phellodendri, wine-processed), Juhong (Exocarpium Citri Reticulatae Rubrum), Zhigancao (Radix Glycyrrhizae uralensis, roasted, half portion), Shengma (Rhizoma Cimicifugae, each 2 fen), Huangqi (Radix Astragali Membranacei), Renshen (Radix Ginseng), Chao Qu (Massa Medicata Fermentata, fried, each 5 fen), Mahuang (Herba Ephedrae, stems not removed, 5 qian), Xingren (Semen Pruni Armeniacae, four pieces).
Cut the herbs into two doses. Add two large cups and a half of water, first decoct Mahuang (Herba Ephedrae) until boiling, skim off foam, then add other herbs and decoct together until one cup remains. Remove dregs, take warm after meals.
This syndrome involves latent Wind-Damp-Heat in the Ying-Blood level. Wood-Fire overacting on the Yang pathways leads to excess above and deficiency below, shortness of Yuan-Qi, and upper asthma due to Yin-Fire damaging Qi. The pathology involves the Kidney Water and represents excessive overcoming. Currently encountering winter cold, seasonal factors attack Liver-Wood, while strengthening its mother organ Lung-Metal, which overcomes Fire and suppresses Wood. This represents extreme excess leading to reactive compensation. Symptoms include fearfulness, frequent yawning/sighing, sneezing, nasal obstruction/anosmia, blurred vision, excessive sadness, amnesia, lower abdominal urgency/pain, generalized jaundice, abdominal distension, severe facial/ocular edema, inability to eat, bloody sputum/phlegm/nasal discharge, eye ulcers, and constipation. All these are suitable for treatment with this prescription.