论曰大肠者，传道之官，变化出焉，产后津液减耗，胃中枯燥，润养不足，糟粕壅滞，
故大便难而或致不通，凡新产之人，喜病此者，由去血多，内亡津液故也。
治产后大便秘涩不通，脐腹坚痛。十圣丸方
槟榔（锉） 木香 芎 羌活（去芦头） 桂（去粗皮各一两） 大黄（锉蒸） 郁
李
上一十味，除郁李仁外，捣罗为末，入郁李仁和匀，炼蜜为丸，梧桐子大，每服二十丸
，米饮下，不拘时，以利为度。
治产后大便不通。三脘汤方
大腹皮（锉） 紫苏茎叶 羌活（去芦头） 甘草（炙） 木瓜（切焙） 芎 陈橘
皮（
上一十一味，粗捣筛，每服二钱匕，水一盏，煎七分，去滓温服，不拘时。
治产后大便秘涩不通。诃黎勒丸方
诃黎勒（煨去核） 大黄（锉炒） 当归（切焙） 熟干地黄（焙） 火麻仁（别研如
膏） 人
上六味，捣罗五味为末，与火麻仁，同研令匀，炼蜜和丸，如梧桐子大，每服三十丸，
米饮下，不拘时服。
治产后大肠虚结，秘涩不通，浓朴丸方
浓朴（去粗皮生姜汁炙透） 人参 陈橘皮（去白焙） 大黄（锉） 郁李仁（去皮别
研如
上六味，捣罗五味为末，入郁李仁膏，同研令匀，炼蜜和丸，如梧桐子大，每服三十丸
，温水下，不拘时。
治产后大便不通。人参丸方
人参 槟榔（锉各一两半） 当归（切焙一两） 浓朴（去粗皮生姜汁炙透三分） 郁
李仁
上五味，捣罗四味为末，入郁李仁膏，同研令匀，炼蜜和丸，如梧桐子大，每服二十丸
，温水下，加至三十丸，不拘时。
治产后大便秘涩不通。大黄丸方
大黄（锉炒） 赤芍药 当归（切焙） 浓朴（去粗皮生姜汁炙透各一两） 枳实（去
瓤麸
上七味，捣罗六味为末，与麻仁膏同研令匀，炼蜜和丸，如梧桐子大，每服二十丸。米
饮下，不拘时服。
治产后大便秘涩不通。调胃散方
大黄（锉炒） 当归（切焙） 麦门冬（去心焙） 桃仁（去双仁皮尖麸炒） 生干地
黄（焙）
炙透） 秦艽（去
干炒半两）
上一十三味，捣罗为散，每服二钱匕，温水调下，空心食前服。
治产后风热，大便秘涩。大黄丸方
大黄（锉炒） 火麻仁（研如膏） 当归（切焙各三两） 生干地黄（焙四两）
上四味，捣罗三味为末，与麻仁膏研令匀，炼蜜和丸，如梧桐子大，每服二十丸。米饮
下，以利为度。
治产后肠胃燥热，大便秘涩。郁李仁饮方
郁李仁（去双仁皮尖研如膏） 朴硝（研各一两） 当归（切焙） 生干地黄（焙各二
两）
上四味，将二味粗捣筛，与别研者二味和匀，每服三钱匕，水一盏，煎至七分，去滓温
服，未通更服。
治产后大便秘涩。升麻汤方
升麻 大黄（锉各一两） 当归（切焙二两） 生干地黄（焙三两） 前胡（去芦头二
两半）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
治产后热燥。大便秘涩。升麻汤方
升麻 枳实（去瓤麸炒） 黄芩（去黑心各三分） 大黄（锉） 栀子仁 杏仁（去双
仁皮
上一十味，粗捣筛，每服二钱匕，水一盏，煎至七分，去滓食前服。
治产后大便不通。皂荚内药方
猪牙皂荚（生） 杏仁（汤退去皮尖生） 蛇蜕皮（微炙） 干姜（炮各一分） 蜜（半
两）
上五味先捣前四味，细罗为末，于铫子内，熬蜜三两沸后，下药末，不住手搅，候可丸
，即丸如枣核大，每一丸，用绵子裹药，以麻油润药上，纳下部中，仰卧便通。未通再纳。
治产后热毒瓦斯结燥，大便不通。壅滞气闷疼痛。腰重胁胀。大腹皮汤方
大腹（皮五枚细锉） 枳壳（去瓤麸炒） 赤芍药（锉各一两） 秦艽（去苗土） 羌
活（
李仁（去皮
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，得利为度。
治产后大肠结燥秘涩，气壅胀闷欲死。宜。蜜煎导方
蜜（半碗）
上一味，铫内微火煎之，搅令稠如饧，取出搓，如手指大小，约长二寸，纳下部中，须
臾即通。未通再纳不妨。
治产后大便不通。大肠结燥，腹中壅胀。纳药方
皂荚（不锉 者一梃去皮子酥炙捣为末） 盐豉（半合研细） 白蜜（一合）
上三味，先熬蜜令消，次下盐豉皂荚末，慢火煎，不住手搅，候如饧即止。丸如枣核大
，纳一丸入下部中，未通可纳三五丸不妨，药在内自化，如得通利，即随出。
治产后下部闭塞，大便秘结不通。以乌梅导。方
乌梅（十四枚）
上一味，温汤浸取肉，捣丸如小槟榔大，每用一枚，纳下部中，立通。
治产后大肠热燥，糟粕结硬，药势不入，大便不通，宜以皂荚导。方
皂荚（肥不 者去皮子一梃）
上一味，捣罗为末，炼蜜和丸，如枣大，取一丸纳下部中，须臾即通。
治产后大便不通。七八日以上者。温中丸方
硫黄（用柳木细研飞过生用）
上一味，用水浸，炊饼和丸，如梧桐子大，每服二十丸，或三十丸，用木香少许。煎汤
吞下即效。
治大便不通。不问老幼，皆可吃。中和散方
附子（一两一半生一半炒） 大黄（一两一半生一半炒）
上二味，同碾为散，每服二钱匕，温米饮调下，临卧服。
Commentary states: The Large Intestine is the official of conduction and transmission, responsible for transforming waste into feces. Postpartum, body fluids are reduced and depleted; the stomach becomes dry and withered, lacking sufficient nourishment and moistening. Consequently, waste accumulates and stagnates, leading to difficult defecation or even obstruction. This condition is common in women who have just given birth, due to excessive blood loss and the subsequent depletion of internal body fluids.
Treatment for postpartum constipation with hard, dry stools and stiffness/pain in the umbilical and abdominal regions. Shisheng Wan (Ten-Sage Pill) Formula:
Areca Seed (crushed), Aromatic Twig (Costus Root), Szechwan Lovage Rhizome, Notopterygium Rhizome (rhizome tip removed), Cinnamon Twig (bark removed, each 1 liang), Rhubarb Root and Rhizome (crushed and steamed), Apricot Kernel (Prunus armeniaca seed).
The above ten ingredients, except for the Apricot Kernels, are crushed and sieved into powder. The Apricot Kernels are added and mixed evenly. Honey is refined and used to form pills the size of sophora seeds. Take 20 pills per dose, washed down with rice water, at any time, stopping when bowel movement occurs.
Treatment for postpartum constipation. Sanwan Tang (Three-Abdomen Decoction) Formula:
Betel Nut Peel (crushed), Perilla Stem and Leaf, Notopterygium Rhizome (rhizome tip removed), Licorice Root (roasted), Quince (sliced and dried), Szechwan Lovage Rhizome, Tangerine Peel (dried).
The above eleven ingredients are coarsely crushed and sieved. Take 2 qian bi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take warm at any time.
Treatment for postpartum constipation with hard, dry stools. Helile Wan (Chebulic Myrobalan Pill) Formula:
Chebulic Myrobalan Fruit (roasted, pitted), Rhubarb Root and Rhizome (crushed and stir-fried), Angelica Sinensis Root (sliced and dried), Prepared Rehmannia Root (dried), Hemp Seed (separately ground into paste), Ginseng Root.
The above six ingredients: five are crushed and sieved into powder, then mixed evenly with the Hemp Seed paste. Honey is refined and used to form pills the size of sophora seeds. Take 30 pills per dose, washed down with rice water, at any time.
Treatment for postpartum deficiency-type large intestine constipation with dryness and difficulty passing stool. Houpo Wan (Magnolia Bark Pill) Formula:
Magnolia Bark (outer bark removed, roasted through with ginger juice), Ginseng Root, Tangerine Peel (white part removed, dried), Rhubarb Root and Rhizome (crushed), Apricot Kernel (skin removed, separately ground into paste).
The above six ingredients: five are crushed and sieved into powder, then mixed evenly with the Apricot Kernel paste. Honey is refined and used to form pills the size of sophora seeds. Take 30 pills per dose, washed down with warm water, at any time.
Treatment for postpartum constipation. Renshen Wan (Ginseng Pill) Formula:
Ginseng Root, Areca Seed (crushed, each 1.5 liang), Angelica Sinensis Root (sliced and dried, 1 liang), Magnolia Bark (outer bark removed, roasted through with ginger juice, 3 fen), Apricot Kernel.
The above five ingredients: four are crushed and sieved into powder, then mixed evenly with the Apricot Kernel paste. Honey is refined and used to form pills the size of sophora seeds. Take 20 pills per dose, washed down with warm water, can increase to 30 pills, at any time.
Treatment for postpartum constipation with hard, dry stools. Dahuang Wan (Rhubarb Pill) Formula:
Rhubarb Root and Rhizome (crushed and stir-fried), Red Peony Root, Angelica Sinensis Root (sliced and dried), Magnolia Bark (outer bark removed, roasted through with ginger juice, each 1 liang), Immature Bitter Orange (pulp removed, bran-roasted).
The above seven ingredients: six are crushed and sieved into powder, then mixed evenly with the Hemp Seed paste. Honey is refined and used to form pills the size of sophora seeds. Take 20 pills per dose, washed down with rice water, at any time.
Treatment for postpartum constipation with hard, dry stools. Tiaowei San (Regulate Stomach Powder) Formula:
Rhubarb Root and Rhizome (crushed and stir-fried), Angelica Sinensis Root (sliced and dried), Ophiopogon Tuber (heart removed, dried), Peach Kernel (double kernels removed, skin and tips removed, bran-roasted), Raw Dried Rehmannia Root (dried), Roasted Licorice Root (roasted through), Gentian Macrophylla Root (rhizome tip removed, dry-roasted, half liang).
The above thirteen ingredients are crushed and sieved into powder. Take 2 qian bi per dose, mix with warm water, take on an empty stomach before meals.
Treatment for postpartum wind-heat with constipation and hard, dry stools. Dahuang Wan (Rhubarb Pill) Formula:
Rhubarb Root and Rhizome (crushed and stir-fried), Hemp Seed (ground into paste), Angelica Sinensis Root (sliced and dried, each 3 liang), Raw Dried Rehmannia Root (dried, 4 liang).
The above four ingredients: three are crushed and sieved into powder, then mixed evenly with the Hemp Seed paste. Honey is refined and used to form pills the size of sophora seeds. Take 20 pills per dose, washed down with rice water, stopping when bowel movement occurs.
Treatment for postpartum gastrointestinal dryness-heat with constipation and hard, dry stools. Yuliren Yin (Apricot Kernel Drink) Formula:
Apricot Kernel (double kernels removed, skin and tips removed, ground into paste), Mirabilite (ground, each 1 liang), Angelica Sinensis Root (sliced and dried), Raw Dried Rehmannia Root (dried, each 2 liang).
The above four ingredients: two are coarsely crushed and sieved, mixed evenly with the other two separately ground ingredients. Take 3 qian bi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take warm. If not relieved, take again.
Treatment for postpartum constipation with hard, dry stools. Shengma Tang (Cimicifuga Decoction) Formula:
Cimicifuga Rhizome, Rhubarb Root and Rhizome (crushed, each 1 liang), Angelica Sinensis Root (sliced and dried, 2 liang), Raw Dried Rehmannia Root (dried, 3 liang), Peucedanum Root (rhizome tip removed, 2.5 liang).
The above six ingredients are coarsely crushed and sieved. Take 5 qian bi per dose, add one and a half zhan of water, decoct until eight-tenths remain, remove dregs, and take warm before meals.
Treatment for postpartum heat-dryness with constipation and hard, dry stools. Shengma Tang (Cimicifuga Decoction) Formula:
Cimicifuga Rhizome, Immature Bitter Orange (pulp removed, bran-roasted), Scutellaria Root (black heart removed, each 3 fen), Rhubarb Root and Rhizome (crushed), Gardenia Seed, Apricot Kernel (double kernels removed, skin and tips removed).
The above ten ingredients are coarsely crushed and sieved. Take 2 qian bi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take before meals.
Treatment for postpartum constipation. Zaojia Neiyao Fang (Soap Pod Internal Medication Formula):
Zanthoxylum Soap Pod (raw), Apricot Kernel (skin and tips removed after hot water soak, raw), Snake Slough (lightly roasted), Dried Ginger (processed, each 1 fen), Honey (half liang).
The above five ingredients: first crush the first four, sieve finely into powder. In a small pot, boil the honey until bubbling, add the powder, stir continuously. When ready to form pills, shape them like jujube pits. Wrap one pill in cotton, moisten with sesame oil, insert into the lower orifice (anus), lie supine until bowel movement occurs. If not relieved, insert again.
Treatment for postpartum heat-toxin qi stagnation-dryness causing constipation. Stagnant qi, stifling pain. Heavy waist, distended hypochondrium. Dafupi Tang (Betel Nut Peel Decoction) Formula:
Betel Nut Peel (five pods, finely crushed), Immature Bitter Orange (pulp removed, bran-roasted), Red Peony Root (crushed, each 1 liang), Gentian Macrophylla Root (seedlings and soil removed), Notopterygium Rhizome (rhizome tip removed), Apricot Kernel (skin removed).
The above nine ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take warm. Stop when relief is achieved.
Treatment for postpartum large intestine dryness-stasis with constipation, qi stagnation, distension, and suffocating sensation. Use Mi Jian Dao (Honey Suppository) Formula:
Honey (half bowl).
The above single ingredient is gently heated in a pot, stirred until thick like maltose syrup. Remove, roll into shapes the size of fingers, about two cun long. Insert into the lower orifice (anus). Bowel movement will occur shortly. If not relieved, re-insert without harm.
Treatment for postpartum constipation. Large intestine dryness-stasis, abdominal distension. Insertion Medicine Formula:
Soap Pod (one whole pod, unbroken, skin and seeds removed, roasted in butter, ground to powder), Salted Fermented Soybeans (half he, ground fine), White Honey (one he).
The above three ingredients: first melt the honey, then add the salted fermented soybeans and soap pod powder. Simmer over low fire, stirring continuously, until consistency resembles maltose syrup. Shape into pills like jujube pits. Insert one pill into the lower orifice (anus). If not relieved, up to three or five pills may be inserted. The medicine will dissolve internally; if bowel movement occurs, it will pass out naturally.
Treatment for postpartum lower orifice blockage, severe constipation. Use Wumei Dao (Mume Fruit Suppository) Formula:
Mume Fruit (fourteen pieces).
The above single ingredient is soaked in warm water to extract the flesh, pounded, and formed into pills the size of small areca nuts. Use one piece per application, insert into the lower orifice (anus), immediate relief follows.
Treatment for postpartum large intestine heat-dryness, hardened waste preventing medication entry, causing constipation. Use Zaojia Dao (Soap Pod Suppository) Formula:
Soap Pod (plump, unbroken, one whole pod, skin and seeds removed).
The above single ingredient is crushed and sieved into powder, mixed with refined honey to form pills the size of jujubes. Take one pill, insert into the lower orifice (anus), relief follows shortly.
Treatment for postpartum constipation lasting seven to eight days or more. Wenzhong Wan (Warm Middle Pill) Formula:
Sulfur (finely ground with willow wood, sifted, raw use).
The above single ingredient is soaked in water, mixed with cooked dough to form pills the size of sophora seeds. Take 20 or 30 pills per dose, swallowed with a decoction made from a small amount of Aromatic Twig (Costus Root). Immediate effect expected.
Treatment for constipation. Suitable for all ages. Zhonghe San (Neutralizing Powder) Formula:
Aconite Lateral Root (1.5 liang, half raw, half stir-fried), Rhubarb Root and Rhizome (1.5 liang, half raw, half stir-fried).
The above two ingredients are ground together into powder. Take 2 qian bi per dose, mix with warm rice water, take before bed.