论曰大肠为传导之官,掌化糟粕,魄门为之候,若其脏寒气虚,不能收敛,致糟粕无所
制约,故遗失不时,治之宜涩固津液,方论所谓涩可去脱是也。
治大便失禁,手足厥冷,面色青白,救阳丸方
吴茱萸(汤浸焙干炒) 干姜(炮) 赤石脂 龙骨 蜀椒(去目并闭口者炒出汗) 桂
(去
粗皮) 附子(炮裂去皮脐) 天雄(炮裂去皮脐) 硫黄(飞研) 阳起石( 醋淬研)
上一十味等分,捣研为细末,稀糊丸如梧桐子大,每服十五丸,米饮下、空心食前。渐
加丸数,盐汤亦得。
治虚损泄泻,大便失禁,朝真丸方
硫黄(一两研飞) 晋矾(熬令汁枯研一两) 青盐(一钱研)
上三味合研匀,水浸炊饼,丸如绿豆大,每服十五丸,至二十丸,温酒下,空心食前,
或用丹砂为衣亦得。
治大便失禁并肠鸣,福庭丸方
附子(去皮脐锉一两) 浓朴(去粗皮二两同附子用生姜汁浸一宿于瓷器内炒)
上二味,捣罗为末,用酒煮陈曲末为糊,丸如梧桐子大,每服十五丸,至二十丸,生姜
盐汤下,空心食前。
治大便不禁,真气羸弱,龙骨汤方
龙骨 阿胶(炙令燥) 干姜(炮) 黄连(去须炒各一两) 粳米(三合炒熟)石榴
(一枚大者
上一十味, 咀如麻豆,每服五钱匕,以水一盏半,煎至一盏,去滓空心温服,日再
治虚冷、大便不禁,气脱神昏,石硫黄汤方
石硫黄(明者细研) 紫笋茶(微火焙干研末各一两)
上二味,以水一盏,下硫黄末半钱匕,茶一钱匕,煎至六分,去滓温服,不拘时候、日
三。
治大便不禁,地榆丸方
地榆(一两) 白龙骨 赤石脂 没石子 熟艾(去梗微炒) 橡实壳(炒令黄色各半
两)
上七味,捣罗为细末,炼蜜和丸,如梧桐子大,每服三十丸,空心米饮下日再。
治大便不禁,腹内 痛,陈曲丸方
陈曲末(炒) 白茯苓(去黑皮) 黄连(去须微炒) 黄柏(去粗皮炙) 干姜(炮)
附子(
上一十一味,捣罗为细末,炼蜜为丸,如梧桐子大,每服十五丸,空心米饮下、日再。
治虚寒客于下焦,肠滑洞泄,困极欲死,石榴皮汤方
酸石榴皮(微炒) 干姜(炮各一两) 黄柏(去粗皮炙) 阿胶(炙令燥各三分)
上四味,粗捣筛,每服四钱匕,用水一盏,煎至四分,去滓空心温服,或无黄柏,用黄
连亦得。
治下焦虚寒,大便不禁,附子汤方
附子(炮裂去皮脐半两) 黄连(去须炒二两) 阿胶(炙令燥三分) 甘草(炙锉) 干
姜(炮各半两) 赤石脂 浓朴(去粗皮生姜汁炙各一两)
上七味, 咀如麻豆,每服五钱匕,用水一盏半,煎至一盏,去滓空心温服,日再。
治大便不禁,浓朴豆蔻汤方
肉豆蔻(去壳炮半两) 龙骨 白术(锉炒三分) 浓朴(去粗皮生姜汁炙锉一两)
上四味,锉如麻豆,每服五钱匕,以水一盏半,入生姜三片,同煎至一盏,去滓空心
温服、日再。
Commentary states: The Large Intestine is the official responsible for conduction, managing the transformation and excretion of waste. The anus (Pomen) serves as its indicator. If there is cold qi in the viscera and deficiency of qi, leading to an inability to consolidate and retain, the waste loses its constraint, resulting in involuntary defecation and leakage at irregular times. Treatment should employ astringent methods to secure fluids, as stated in the formula commentary: "Astringency can remove prolapse/loss."
Formula for treating fecal incontinence with cold limbs and cyanotic-pale complexion: Jiuyang Wan (Rescuing Yang Pill)
Evodiae Fructus (Soaked in decoction, dried, roasted), Zingiberis Rhizoma Preparatum (Roasted), Halloysit Rubra, Os Draconis, Zanthoxyli Fructus (Remove eyes and closed-mouth ones, roast until sweat appears), Cinnamomi Ramulus (Remove coarse bark), Aconiti Lateralis Radix Preparata (Cracked by roasting, remove skin and umbilicus), Aconiti Tatarinowii Radix Preparata (Cracked by roasting, remove skin and umbilicus), Sulfur (Sublimed and ground), Yangqishi (Quenched in vinegar and ground).
The above ten ingredients are taken in equal parts, pounded and ground into fine powder, mixed with thin paste to form pills the size of Sophora seeds. Take 15 pills per dose, administered with rice drink, on an empty stomach or before meals. Gradually increase the number of pills; salt water decoction is also acceptable.
Formula for treating deficiency damage with diarrhea and fecal incontinence: Zhaozhen Wan (Morning Truth Pill)
Sulfur (1 liang, finely ground and sublimed), Jin Fan (Alum, boiled until juice dries, finely ground 1 liang), Qing Yan (Green Salt, 1 qian, finely ground).
The above three ingredients are mixed and ground evenly. Soak steamed bread dough in water, shape into pills the size of mung beans. Take 15 to 20 pills per dose, administered with warm wine, on an empty stomach or before meals. Coating with Cinnabar is also acceptable.
Formula for treating fecal incontinence accompanied by borborygmus: Futing Wan (Fortune Court Pill)
Aconiti Lateralis Radix Preparata (Remove skin and umbilicus, cut into pieces 1 liang), Magnoliae Officinalis Cortex (Remove coarse bark 2 liang, soak together with Aconite in ginger juice overnight, stir-fry in porcelain vessel).
The above two ingredients are pounded and sieved into powder. Use fermented grain powder boiled in wine as a binder to form pills the size of Sophora seeds. Take 15 to 20 pills per dose, administered with ginger-salt water decoction, on an empty stomach or before meals.
Formula for treating fecal incontinence with weak true qi: Longgu Tang (Dragon Bone Decoction)
Os Draconis, Euphorbiae Humifusae Herba (Zhi/Applied heat until dry), Zingiberis Rhizoma Preparatum (Roasted), Coptidis Rhizoma (Remove mustards, stir-fried, each 1 liang), Oryza Sativa Germ (3 he, roasted ripe), Punicae Granati Pericarpium (One large fruit).
*Note: The original text lists "Ten flavors" but only enumerates six items here explicitly in the snippet provided, implying missing ingredients or a textual error in the source. Translating based on visible text.*
The above ingredients (as listed), cut like hemp seeds. Take 5 qian bi per dose, add 1.5 sheng of water, boil down to 1 sheng, remove dregs, take warm on an empty stomach, twice daily.
Formula for treating deficiency-cold, fecal incontinence, qi collapse with unconsciousness: Shiliuhuang Tang (Stone Sulfur Decoction)
Sulfur (Bright quality, finely ground), Zisun Cha (Purple Bamboo Shoot Tea, dried over mild fire and ground, each 1 liang).
The above two ingredients, use 1 sheng of water, add half qian bi of sulfur powder and 1 qian bi of tea powder, boil down to 6 fen, remove dregs, take warm. No specific time restriction, three times daily.
Formula for treating fecal incontinence: Diyü Wan (Sanguisorba Pill)
Sanguisorbae Radix (1 liang), Bai Longgu (White Dragon Bone), Halloysit Rubra, Myrobalani Fructus (Bellerica), Artemisiae Argyi Folium Preparatum (Remove stems, lightly stir-fried), Quercus Galls Shell (Roasted until yellow, each half liang).
The above seven ingredients are pounded and sieved into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose, administered with rice drink on an empty stomach, twice daily.
Formula for treating fecal incontinence with abdominal pain: Chenqu Wan (Fermented Grain Pill)
Chenqu Mo (Stir-fried), Poria Cocos (Remove black skin), Coptidis Rhizoma (Remove mustards, lightly stir-fried), Phellodendri Cortex (Remove coarse bark, applied heat), Zingiberis Rhizoma Preparatum (Roasted), Aconiti Lateralis Radix Preparata (*Text cuts off here*).
The above eleven ingredients (implied from count), pounded and sieved into fine powder, made into pills with refined honey, size of Sophora seeds. Take 15 pills per dose, administered with rice drink on an empty stomach, twice daily.
Formula for treating deficiency-cold lodging in the Lower Jiao, intestinal slipperiness with watery diarrhea, extreme exhaustion approaching death: Shiliupi Tang (Pomegranate Peel Decoction)
Acidic Punicae Granati Pericarpium (Lightly stir-fried), Zingiberis Rhizoma Preparatum (Roasted, each 1 liang), Phellodendri Cortex (Remove coarse bark, applied heat), Euphorbiae Humifusae Herba (Applied heat until dry, each 3 fen).
The above four ingredients are coarsely crushed and sieved. Take 4 qian bi per dose, use 1 sheng of water, boil down to 4 fen, remove dregs, take warm on an empty stomach. If Phellodendri Cortex is unavailable, Coptidis Rhizoma may be used instead.
Formula for treating deficiency-cold of the Lower Jiao and fecal incontinence: Fuzi Tang (Aconite Decoction)
Aconiti Lateralis Radix Preparata (Cracked by roasting, remove skin and umbilicus, half liang), Coptidis Rhizoma (Remove mustards, stir-fried, 2 liang), Euphorbiae Humifusae Herba (Applied heat until dry, 3 fen), Glycyrrhizae Radix et Rhizoma (Applied heat, cut), Zingiberis Rhizoma Preparatum (Roasted, each half liang), Halloysit Rubra, Magnoliae Officinalis Cortex (Remove coarse bark, ginger juice applied heat, each 1 liang).
The above seven ingredients, cut like hemp seeds. Take 5 qian bi per dose, use 1.5 sheng of water, boil down to 1 sheng, remove dregs, take warm on an empty stomach, twice daily.
Formula for treating fecal incontinence: Houpo Doukou Tang (Magnolia and Nutmeg Decoction)
Myristicae Semen (Remove shell, roasted, half liang), Os Draconis, Atractylodis Macrocephalae Rhizoma (Cut and stir-fried, 3 fen), Magnoliae Officinalis Cortex (Remove coarse bark, ginger juice applied heat, cut, 1 liang).
The above four ingredients, cut like hemp seeds. Take 5 qian bi per dose, use 1.5 sheng of water, add 3 slices of fresh ginger, boil together down to 1 sheng, remove dregs, take warm on an empty stomach, twice daily.