治大肠风气壅热结涩 用黑牵牛微炒捣末一两，桃仁麸炒去皮尖半两，为末，炼蜜丸如
桐子大。温水服二三十丸。
又方 用牵牛子半生半熟为末，每服二钱，姜汤调下。如未通，再服，以热茶调下。量
虚实，无时候加减服之。
又方 用乌 木方一寸劈破。水一盏，煎半盏，服之立通，不用多服。兼能去水症，其
功最大。
治大便不通，气奔欲绝 用乌梅十个置汤中，须臾 出核，捣为丸如枣大，内下部少时
即通。
又方 用蜜四两铜器中微火煎凝如饴，搅勿令焦，乘热捻作梃如指长。投谷道中，以手
按住，大便来时乃去之。土瓜根、大猪胆皆可为导。
又方 用皂角末炼蜜丸，内谷道中；或以葱白，或葱尖纳肛门内。
又方 用麻子一合，水一盏，研取汁饮之。
又方 用不蛀皂角中一寸去黑皮，以沸汤半盏泡良久，通口服之，通后即食少粥。
又方 用紫苏子、麻子仁不拘多少。研取汁，煮粥食之。
治老人气秘，大腑不通 用橘红、杏仁汤浸去皮尖等分为末，炼蜜丸如桐子大。每服七
十丸，空心米饮下。
治发汗过多，耗散津液，大腑秘结 用肉苁蓉酒浸、焙二两，沉香别研一两，为末，用
麻
治年高冷秘、虚秘及 癖冷气 用生硫黄研细、半夏汤洗七次，焙干为末，等分，用姜
糊丸如桐子大。每服五十丸，空心温酒、姜汤下。
治大便秘涩不通 用麻子仁、芝麻各一盏，微炒、研取汁，桃仁去皮尖、荆芥穗各一两，
为
治大小便不通 用皂角烧存性为末，空心米饮或酒调下三钱，立通。
又方 用连根葱一、二茎，生姜一片，淡豉二十粒，盐二匙同研作饼。烘热掩脐中，以
帛扎定，良久，气透自通，不然再换一剂。
治大小便久不得通，胀满欲死 用葵子二升，水四升，煮一升，顿服。入猪脂鸡子大一
块弥佳。
治大便秘结上焦热 用大黄一两，牵牛头末五钱，共为细末。有厥冷，酒调下三钱；无
厥冷而手足烦者，蜜汤调下。
治大便不通 用大黄九钱，荆芥一钱。水煎，空心服即效。
又方 用萝卜子一合擂，冷水调皂角灰末二三钱，服立通。
Treatment for constipation and dryness caused by the stagnation of wind-heat in the Large Intestine: Use 1 liang of Black Qian Niu (Semen Koelpiniae) lightly stir-fried and ground into powder, and 0.5 liang of Tao Ren (Semen Persicae) stir-fried with bran, peeled, and de-pitted, ground into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take 20–30 pills with warm water.
Another prescription: Use Semen Koelpiniae (Qian Niu Zi), half raw and half cooked, ground into powder. Take 2 qian per dose, mixed with ginger decoction. If bowel movement is not yet achieved, take another dose, this time mixed with hot tea. Adjust dosage according to the patient's deficiency or excess condition, without fixed timing.
Another prescription: Take a piece of Ebony Wood (Wu Mu) one cun square, split open. Decoct in one cup of water until reduced to half a cup. Ingest; bowel movement will be immediately unblocked. Do not take excessive amounts. This method also effectively treats edema and fluid retention disorders, with significant efficacy.
Treatment for fecal impaction with qi rushing and impending exhaustion: Take ten Wu Mei (Fructus Mume), soak them in soup/water, remove pits after a short while, pound into a paste, and form pills the size of dates. Insert into the anus; passage will occur shortly.
Another prescription: Take 4 liang of honey, gently heat in a copper vessel until it thickens like maltose syrup. Stir constantly to prevent burning. While hot, shape into sticks the length and thickness of a finger. Insert into the anus and press firmly with hand. Remove only when defecation occurs. Radix Trichosanthis (Tu Gua Gen) and Porcine Gallbladder (Da Zhu Dan) can also be used as suppositories/guiding agents.
Another prescription: Use powder of Gleditsia Sinensis (Zao Jiao) mixed with refined honey to make pills, insert into the anus; or use white part of Scallion (Cong Bai) or the tip of Scallion (Cong Jian) inserted into the anus.
Another prescription: Take 1 he of Hemp Seeds (Ma Zi), add one cup of water, grind to extract juice, and drink.
Another prescription: Take one cun of non-moth-eaten Gleditsia Sinensis (Zao Jiao), remove black skin. Soak in half a cup of boiling water for a long time. Drink through. After bowel movement is achieved, consume a small amount of porridge.
Another prescription: Use Perilla Seeds (Zi Su Zi) and Hemp Seeds (Ma Zi Ren) in unspecified amounts. Grind to extract juice, cook with rice to make porridge, and eat.
Treatment for elderly patients with qi-type constipation and unblocking of the Large Intestine: Use Ju Hong (Exocarpium Citri Reticulatae Rubrum) and Xing Ren (Semen Armeniacae Amarum), soaked in water, peeled, and de-pitted, ground into equal parts powder. Mix with refined honey to make pills the size of paulownia seeds. Take 70 pills per dose, on an empty stomach with rice gruel.
Treatment for constipation due to excessive sweating consuming body fluids: Use Rou Cong Rong (Cistanches Herba) soaked in wine and dried, 2 liang; Chen Xiang (Lignum Aquilariae Resinatum) separately ground fine, 1 liang. [Text incomplete here regarding excipient/preparation].
Treatment for cold constipation, deficiency constipation in the elderly, and cold qi accumulation: Use Raw Sulfur (Sheng Liu Huang) finely ground; Ban Xia (Rhizoma Pinelliae) washed seven times in water, dried and ground. Mix in equal parts. Form pills with ginger paste the size of paulownia seeds. Take 50 pills per dose, on an empty stomach with warm wine or ginger decoction.
Treatment for severe constipation and dryness: Use Semen Cannabisae (Ma Zi Ren) and Sesame Seeds (Zhi Ma), each 1 zhan, lightly stir-fried and ground to extract juice; Tao Ren (Semen Persicae) peeled and de-pitted, Jing Jie Sui (Capitium Schizonepetae) each 1 liang. [Text incomplete here regarding preparation].
Treatment for obstruction of both urination and defecation: Burn Zao Jiao (Fructus Gleditsiae) until carbonized but retaining its nature, grind into powder. Take 3 qian on an empty stomach mixed with rice gruel or wine; immediate relief.
Another prescription: Take 1–2 stalks of green onion with roots, one slice of fresh ginger, 20 grains of Dan Chi (Fermen Sojae Preparatum), and 2 spoons of salt. Grind together into a cake. Heat it, apply to the umbilicus, and bind tightly with cloth. After a while, qi will penetrate and natural passage will occur. If not, replace with a new application.
Treatment for prolonged obstruction of both urination and defecation with distension and unbearable pain: Use 2 sheng of Kui Zi (Semen Malvae), decoct in 4 sheng of water until reduced to 1 sheng. Take all at once. Adding a piece of Pork Fat (Zhu Zhi) the size of a chicken egg is better.
Treatment for constipation with upper jiao heat: Use 1 liang of Da Huang (Radix et Rhizoma Rhei), 5 qian of top-grade Semen Koelpiniae powder. Grind together into fine powder. If accompanied by cold limbs, mix with wine and take 3 qian; if no cold limbs but with restlessness in hands and feet, mix with honey water and take.
Treatment for fecal impaction: Use 9 qian of Da Huang (Radix et Rhizoma Rhei), 1 qian of Jing Jie (Herba Schizonepetae). Decoct in water, take on an empty stomach for immediate effect.
Another prescription: Grind 1 he of Luo Bo Zi (Semen Raphani). Mix with cold water and 2–3 qian of ash from Gleditsia Sinensis (Zao Jiao Hui). Ingest for immediate relief.