脾约丸∶
约者，〔结〕约之象，又曰约束之约也。《内经》曰∶饮入于胃，游溢精气，上输
于脾，脾气散精，上归于肺，通调水道，下输膀胱，水精四布，五经并行，〔为〕其
津液者。脾气结，约束精液，不得四布五经，但输膀〔胱〕，致小便数，大便硬，故曰
其脾为约。麻仁味甘平，杏仁甘温，《内经》曰∶脾欲缓，急食甘以缓之。麻仁、杏仁润
物也，《本草》曰∶润可以去枯，肠燥必以甘润之物为主，是以麻仁为君，杏仁为臣。枳
壳味苦寒，浓朴味苦温，润燥者必以甘，甘以润之；破结者必以苦，苦以泄之。枳壳、
浓朴为佐，以散脾之约；芍药味酸微寒，大〔黄〕味苦涌泄为阴，芍药、大黄为使，
以下脾之结。燥润结化，津液还入胃中，则大便利，小便数愈。
麻仁（一两） 白芍药 枳壳 浓朴（各半两） 大黄（二两） 杏仁（汤浸，去皮尖，研三钱）
上为极细末，蜜丸梧子大，米饮下三十〔丸〕，日进三服，渐加，以利为度。
润肠丸∶
治脾胃〔中〕伏火，大便秘〔涩〕，或干燥不通，全不思食，〔此乃〕风结
秘、血结秘，皆令 塞也。〔风以润之，血以和之〕，和血疏风，自通利矣。
麻仁 桃仁（去皮尖） 羌活 当归 大黄（各半两）
上除麻仁、桃仁别研如泥，余药细研，炼蜜丸梧子大，每服五十丸至百丸，空心白汤
下。〔如血涩而大便燥者，加桃仁酒洗大黄〕。如大便不通而涩，滋其荣〔甚〕者，
急加酒洗大黄；如风结燥，大便不行，加〔麻〕仁、大黄；如风湿大便不行者，
加皂角仁、大黄、秦艽以利之；如脉涩，觉身有气〔涩〕而大便不通者，加郁李
仁、大黄以除气涩。
当归润燥汤∶
升麻（一两） 当归（一两） 生地黄（二两） 甘草（一钱炙） 干地黄（一钱）
桃仁（一钱研） 麻仁（一钱） 红花（半钱） 大黄（一钱煨）
上桃仁、麻仁别研如泥，余锉〔麻豆大〕作一服，水二钟，入桃、麻仁煎至
一盏，去渣，空心宿食消尽，稍热服。
橘杏丸∶
治气闭，老人虚弱〔人〕皆可服。
橘皮 杏仁（汤浸去皮尖）
上二味等分，炼蜜丸梧子大，每服七十丸，空心米饮下。
七〔宣〕丸∶
疗风气，治结聚宿食不消，兼〔砂〕石皮毛在腹中，及积年腰脚疼痛，冷如〔冰〕
石，香港脚冲心，烦〔愦〕，头〔眩〕暗倒，肩背重，心腹胀满，胸膈〔痞〕塞，
风毒肿气，连及头面，大便或秘，小便时涩，脾胃〔虚〕痞，不能饮食，脚转筋，挛
急〔掣〕痛，心神恍惚，眠卧不安等疾。
柴胡（去苗五两） 桃仁（去皮六两） 枳实（麸炒五两） 〔诃〕子皮（五两） 木香（五两）
大黄（面煨十五两） 甘草（炙四两）
上为细末，炼蜜丸梧子大，每服二十丸，食前临卧服，米饮下一服，加至四、五十
丸，宣利为度。觉病势退，服五补丸，不问男女老幼，并可服之，量与加减。
麻仁丸∶
调三焦，和五脏，润肠胃，除风气，及治风热壅结，津液耗少，令大便闭涩
不通，高年及有风人大便秘，宜服之。
枳实（面炒） 白槟榔（各一两半） 羌活（一两洗） 菟丝子（一两半酒浸别末） 〔山茱萸〕（一两
半） 郁李仁（四两去皮） 车前子（一两半） 肉桂（一两） 木香（一两） 大黄（四两半） 麻仁（四
两别研）
上为细末，炼蜜丸如梧子大，每服十五丸至二十丸，临卧温水下。
神功丸∶
治三焦气壅，心腹痞闷，六腑风热，大便不通，腰脚疼痛，肩背重〔疼〕，头
昏〔面〕热，口苦咽干，心胸烦躁，眠卧不安，及治香港脚，并素有风〔人〕大便
结燥。
大黄（四两面煨） 麻仁（二两别研） 人参（二两） 诃子皮（四两）
上一处研，炼蜜丸如梧子大，每服三十丸，温水下，酒亦得，食后服。如大便不通，
倍服，利为度。
浓朴汤∶
凡治脏腑之秘，不可一例治疗，有虚秘，有实秘。有胃实而秘者，能饮食，小便
赤，当以麻仁丸、七宣丸之类主之。胃虚而秘者，不能饮食，小便清利，浓朴汤宜之。
浓朴（三两锉） 白术（五两） 半夏（二两泡） 枳壳（二两炒） 陈皮（三两）
上为细末，每服三钱，水盏半，姜三片，枣三个，煎至一盏，去滓温服，空心食
前。胃实秘，物也；胃虚秘，气也。
七圣〔丸〕∶
治风气壅盛，痰热结搏，头目昏重，涕唾稠粘，心烦面热，咽干口燥，精神不爽，
夜卧不安，肩背拘急，胸膈痞闷，腹胀胁满，腰腿重痛，大便秘涩，小便赤涩，宜服之。
川芎 肉桂 木香 大黄（各半两酒浸） 羌活（一两） 郁李仁（一两去皮） 槟榔（半两）
上〔七味为末〕，炼蜜丸梧子大，每〔服〕十五〔丸〕〔至〕二十〔丸〕，温水下，
食后临卧〔服〕。〔山〕岚瘴地，最宜服之。〔更量脏腑虚实加减〕
犀角丸∶
治三焦邪热，一切风气，〔又〕治风盛痰实，头目昏重，肢体拘急，痰涎壅塞，
肠胃燥结，大小便难。
黄连 犀角（各一两） 人参（二两） 大黄（八两） 黑牵牛（二十两）
上与黑牵牛和合〔为〕细末，炼蜜丸如梧子大，每服十五丸至二十丸，卧时温水下，
更量虚实加减。
Pi Yue Wan (Spleen Restriction Pill):
The character "Yue" (Restriction) represents the image of binding and restricting, also referred to as the meaning of constraint. The *Neijing* (Classic of Internal Medicine) states: When food and drink enter the stomach, their essence qi flows and overflows, moving upward to be transported by the Spleen. The Spleen disperses the refined essence, sending it upward to return to the Lung. The Lung regulates the water passages, transporting fluids downward to the Bladder. Water and essence are distributed throughout the body, running through the five meridians; this constitutes the Jin Ye (Body Fluids). If the Spleen Qi becomes knotted and restricts the fluids, preventing them from distributing widely and traversing the five meridians, but only directing them to the Bladder, it results in frequent urination and hard stools. This is why it is called "its Spleen is restricted." Mahuang Ren (Cannabis Seed) has a sweet flavor and neutral nature; Xingren (Apricot Seed) has a sweet flavor and warm nature. The *Neijing* states: The Spleen desires relaxation; urgently one should eat sweet substances to relax it. Mahuang Ren and Xingren are moistening agents. The *Bencao* (Materia Medica) states: Moistening can remove dryness. Intestinal dryness must primarily be treated with sweet and moistening substances. Therefore, Mahuang Ren serves as the Jun (Emperor/Chief) herb, and Xingren as the Chen (Minister/Deputy) herb. Zhike (Immature Bitter Orange) has a bitter flavor and cold nature; Houpo (Magnolia Bark) has a bitter flavor and warm nature. To moisten dryness, one must use sweet flavors, as sweetness moistens; to break up knots, one must use bitter flavors, as bitterness drains and descends. Zhike and Houpo serve as Zuo (Assistant) herbs to dissipate the Spleen's restriction. Shaoyao (Peony Root) has a sour flavor and slightly cold nature; Dahuang (Rhubarb Rhizome) has a bitter flavor and acts as a purgative with Yin characteristics. Shaoyao and Dahuang serve as Shi (Envoy/Guide) herbs to descend and resolve the Spleen's knot. When dryness is moistened and knots are resolved, Jin Ye (Body Fluids) return to the Stomach, leading to smooth bowel movements and resolution of frequent urination.
Ingredients: Mahuang Ren (1 liang), Baishao Yao (White Peony Root), Zhike, Houpo (each 0.5 liang), Dahuang (2 liang), Xingren (steeped in hot water, skin and tips removed, pounded to 3 qian).
Process: Grind all ingredients into an extremely fine powder. Make pills the size of wutong seeds using honey. Take 30 pills with rice water, three times daily. Gradually increase the dose until the bowels move freely.
Run Chang Wan (Intestine-Moistening Pill):
Treats latent fire in the Spleen and Stomach, constipation with difficulty or dryness and obstruction, complete loss of appetite. This refers to Feng Jie Mi (Wind-induced Constipation) and Xue Jie Mi (Blood-induced Constipation), both causing blockage. Use moistening methods for wind, and harmonizing methods for blood. Harmonizing the blood and dispersing wind will naturally restore free flow.
Ingredients: Mahuang Ren, Taoren (Peach Kernel, skin and tips removed), Qianghuo, Danggui, Dahuang (each 0.5 liang).
Process: Remove Mahuang Ren and Taoren, grinding them separately into a paste. Grind the remaining herbs finely. Make pills the size of wutong seeds using refined honey. Take 50 to 100 pills each time, on an empty stomach with plain boiled water. (If blood stasis causes dry stool, add Dahuang washed in wine.) If stool is obstructed and difficult due to severe deficiency of Ying Blood (Nutritive Qi), urgently add Dahuang washed in wine; if wind-dryness causes non-movement of stool, add Mahuang Ren and Dahuang; if damp-wind causes non-movement of stool, add Zaoreng (Gleditsia Sinensis Fruit), Dahuang, and Qinjiao (Rhizoma Gentianae Macrophyllae) to promote movement; if the pulse is choppy and there is a sensation of Qi stagnation with constipation, add Yuliren (Bush Cherry Pit) and Dahuang to remove Qi stagnation.
Danggui Runzao Tang (Angelica Moistening-Dryness Decoction):
Ingredients: Shengma (Cimicifugae Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Shengdihuang (Rehmanniae Radix Recens, 2 liang), Gancao (Licorice Root, roasted, 1 qian), Ganhuihuang (Rehmanniae Radix Preparata, 1 qian), Taoren (1 qian, pounded), Mahuang Ren (1 qian), Honghua (Carthami Flos, 0.5 qian), Dahuang (1 qian, roasted).
Process: Grind Taoren and Mahuang Ren separately into a paste. Chop the remaining herbs to the size of hemp seeds for one dose. Add two zhong of water, boil with the pastes until reduced to one zhan. Strain. Take warm on an empty stomach after residual food has digested.
Ju Xing Wan (Tangerine-And-Almond Pill):
Treats Qi obstruction. Suitable for elderly and weak individuals.
Ingredients: Jupi (Tangerine Peel), Xingren (steeped in hot water, skin and tips removed).
Process: Mix equal parts. Make pills the size of wutong seeds using refined honey. Take 70 pills each time, on an empty stomach with rice water.
Qi Xuan Wan (Seven-Ventilating Pill):
Treats Wind pathogenic factors, treating accumulations and undigested food retention. Also treats accumulation of stones, sand, hair, and fur in the abdomen, chronic lower back and leg pain feeling cold like ice or stone, Hongjiao (Gout/Podagra) rushing to the heart, irritability, dizziness and fainting, heavy shoulders and back, abdominal distension and fullness, chest and diaphragm stuffiness, Wind-Toxin swelling affecting the head and face, constipation or difficult urination, Spleen-Stomach deficiency with stuffiness and inability to eat, leg cramps, spasmodic pulling pain, mental confusion, and restless sleep.
Ingredients: Chaihu (Bupleuri Radix, stems removed, 5 liang), Taoren (6 liang), Zhishi (Immature Bitter Orange, bran-fried, 5 liang), Hezi Pi (Terminalia Chebula Pericarpium, 5 liang), Muxiang (Aucklandiae Radix, 5 liang), Dahuang (15 liang, flour-roasted), Gancao (4 liang, roasted).
Process: Grind into fine powder. Make pills the size of wutong seeds using refined honey. Take 20 pills before meals and before bed, with rice water. Increase gradually to 40-50 pills until ventilation and purgation occur. When symptoms subside, take Wubu Wan (Five-Tonifying Pill). Suitable for all ages and genders, adjust dosage accordingly.
Mahuang Wan (Hemp Seed Pill):
Regulates the Sanjiao (Triple Burner), harmonizes the five Zang organs, moistens the intestines and stomach, dispels Wind, and treats Wind-Heat congestion with depletion of Jin Ye (Body Fluids), causing constipation. Suitable for the elderly and those with Wind disorders suffering from dry constipation.
Ingredients: Zhishi (flour-fried), Bai Binglang (Areca Seed, each 1.5 liang), Qianghuo (Notopterygii Rhizoma et Radix, 1 liang, washed), Tusizi (Cuscutae Semen, 1.5 liang, soaked in wine, ground separately), Shanzhuyu (Corni Fructus, 1.5 liang), Yuliren (Pruni Semen, 4 liang, peeled), Cheqianzi (Plantaginis Semen, 1.5 liang), Rougui (Cinnamomi Cortex, 1 liang), Muxiang (1 liang), Dahuang (4.5 liang), Mahuang Ren (4 liang, ground separately).
Process: Grind into fine powder. Make pills the size of wutong seeds using refined honey. Take 15-20 pills before bed with warm water.
Shen Gong Wan (Divine Efficacy Pill):
Treats Sanjiao Qi congestion, chest and abdominal stuffiness, Six Fu organs' Wind-Heat, constipation, lower back and leg pain, heavy and painful shoulders and back, dizziness and facial heat, bitter taste in mouth and dry throat, chest irritability, and restless sleep. Also treats Hongjiao (Gout/Podagra) and chronic constipation in patients with Wind disorders.
Ingredients: Dahuang (4 liang, flour-roasted), Mahuang Ren (2 liang, ground separately), Renshen (Ginseng Radix et Rhizoma, 2 liang), Hezi Pi (4 liang).
Process: Grind together. Make pills the size of wutong seeds using refined honey. Take 30 pills with warm water or wine, after meals. If constipated, double the dose until purgation occurs.
Houpo Tang (Magnolia Bark Decoction):
In treating constipation of the Zang and Fu organs, treatment cannot be uniform; there is Deficiency Constipation and Excess Constipation. For Excess Constipation due to Stomach Excess, where the patient can eat and urine is red, treat primarily with Mahuang Wan or Qi Xuan Wan. For Deficiency Constipation due to Stomach Deficiency, where the patient cannot eat and urine is clear and profuse, Houpo Tang is suitable.
Ingredients: Houpo (3 liang, chopped), Baizhu (Atractylodis Macrocephalae Rhizoma, 5 liang), Banxia (Pinelliae Rhizoma, processed, 2 liang), Zhike (2 liang, fried), Chenpi (Tangerine Peel, 3 liang).
Process: Grind into fine powder. Take 3 qian per dose. Add 1.5 zhan of water, 3 slices of ginger, and 3 jujubes. Boil to one zhan. Strain and take warm on an empty stomach before meals. Stomach Excess constipation is caused by material accumulation; Stomach Deficiency constipation is caused by Qi deficiency.
Qi Sheng Wan (Seven-Sages Pill):
Treats excessive Wind congestion, phlegm-heat knotting, heavy head and eyes, thick sputum and nasal discharge, heart vexation and facial heat, dry throat and mouth, poor spirit, restless night sleep, stiff shoulders and back, chest and diaphragm stuffiness, abdominal distension and hypochondriac fullness, heavy and painful waist and legs, constipation, and red, difficult urination.
Ingredients: Chuanxiong (Ligusticum Chuanxiong Rhizoma), Rougui, Muxiang, Dahuang (each 0.5 liang, soaked in wine), Qianghuo (1 liang), Yuliren (1 liang, peeled), Binglang (Areca Seed, 0.5 liang).
Process: Grind these seven ingredients into powder. Make pills the size of wutong seeds using refined honey. Take 15-20 pills with warm water, after meals and before bed. Most suitable for areas with mountain miasma. Adjust according to Zang-Fu deficiency or excess.
Xijiao Wan (Rhinoceros Horn Pill):
Treats Sanjiao pathogenic heat and all Wind conditions. Also treats severe Wind with Phlegm-Excess, heavy head and eyes, limb stiffness, phlegm-saliva congestion, intestinal-stomach dryness and knotting, and difficulty in urination and defecation.
Ingredients: Huanglian (Coptidis Rhizoma), Xijiao (Rhinocerotis Cornu) (each 1 liang), Renshen (2 liang), Dahuang (8 liang), Heiqianniu (Pharbitidis Semen Nigrum, 20 liang).
Process: Mix with Heiqianniu and grind into fine powder. Make pills the size of wutong seeds using refined honey. Take 15-20 pills at bedtime with warm water. Adjust dosage based on deficiency or excess.