论曰大肠者，传导之官，变化出焉，由营卫津液，有以滋利也，若邪热相搏，津液枯燥，
致糟粕内结而不得行，故肠胃痞塞而大便不通，令人腰痛腹满，不能饮食，经所谓热结下焦
则便难，然又有病后气血不足，内亡津液，或年高气涩，冷热相搏者，亦致大便难，治宜详
之。
治大肠壅结不通，腹胁胀满膨闷，不下食，枳壳汤方
枳壳（去瓤麸炒） 甘草（炙锉各一分） 大腹皮（三钱锉） 百合 牵牛子（炒） 赤
茯苓（
两）
上九味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓空心食前温服，以通为度。
治虚热痰实，三焦痞结，烦闷壮热，大便不通，麦门冬汤方
麦门冬（去心焙三分） 赤茯苓（去黑皮） 甘草（炙锉） 黄芩（去黑心） 大黄（锉
炒各半
上六味，粗捣筛，每服五钱匕，水一盏半，入竹叶十片，生姜一枣大拍破，煎至八分，
去滓食前温服、日三。
治膈气痰涎，食不消化，大便不通，腹中雷鸣，宣气木香饮方
木香 桂（去粗皮） 昆布（洗去咸焙） 槟榔（一两生锉一半炮锉） 大黄（锉炒） 半
夏（
上九味，粗捣筛，每服五钱匕，水一盏半，生姜一枣大拍碎，煎至八分，去滓食后温服，
日三。
治大肠秘涩不通、风结，黑神丸方
巴豆（一两麸炒去皮心膜出油） 硫黄（研一分） 干姜（炮半两） 皂荚（三挺不蛀
者烧令
上四味，捣干姜为细末，与三味同研令匀，用蒸饼去皮，汤浸搦干，纸裹煨透，和药捣
匀，丸如梧桐子大，每服三丸，空心生姜汤下，加至四丸。
治大便不通，消除痞气，牵牛子丸方
牵牛子（生捣为末一两半） 甘遂（锉炒半两） 木香（一两） 京三棱（煨锉） 陈
橘皮（汤
上六味，捣罗为末，用生姜四两，研绞取汁，白蜜五两，同煎成膏，和药为剂，捣五百
杵，丸如梧桐子大，每服二十丸，夜卧时煎粟米饮下，未利加至三十丸。
治大便不通，麻仁丸方
大麻仁（研如膏） 大黄（锉炒） 葛根（锉各一两半） 桑根白皮（锉） 芒硝（生
铁铫子内
上五味，捣罗三味为末，与芒硝麻仁同研令匀，炼蜜和剂，捣熟，丸如梧桐子大，每服
二十丸，空心煎粟米饮下，至晚再服。
治大便不通，小腹胀满，芍药丸方
赤芍药（一两） 黄芩（去黑心） 大黄（锉炒） 杏仁（汤浸去皮尖双仁炒研） 芒
硝（生铁
上五味，捣罗三味为末，与芒硝杏仁同研令匀，炼蜜和捣，丸如梧桐子大，每服十五丸，
食前熟水下，日三，加至二十丸，以通为度，煎粟米饮下、亦得。
治大便不通，疏风转气下痰，半夏丸方
半夏（汤洗七遍去滑麸炒一两） 牵牛子（四两一半生一半炒） 青橘皮（汤浸去白焙）
木
上五味，捣罗为末，炼蜜和剂，捣熟，丸如梧桐子大，每服四十丸，夜卧时，淡生姜汤
下。
治卒大便不通，或大肠热结风秘，大黄汤方
大黄（锉炒） 黄芩（去黑心） 栀子仁 甘草（炙锉各一两）
上四味，粗捣筛，每服四钱匕，水一盏半，煎至八分，去滓下硝石半钱匕，更煎两沸，
空心温服。
治大便不通，甘遂散方
甘遂（一两炒） 木香（一分）
上二味，捣罗为散，每服一钱匕，温蜜酒调下，不拘时。
治风热气壅，大便不通，雄黄丸方
雄黄（研） 郁金末（各一两） 巴豆（半两去皮心膜研如膏） 生面（二两）
上四味，再同研细，滴水丸如梧桐子大，每服二丸至三丸，食后临卧生姜汤下，量虚实
加减。
治风热大便不通，槟榔散方
槟榔（二枚锉） 朴硝（研） 大黄（锉炒） 青橘皮（汤浸去白焙各一两）
上四味，捣研为散，每服二钱匕，食后临卧葱蜜汤调下。
治大便不通，荆芥散方
荆芥穗（一两） 大黄（二两并生用）
上二味，捣罗为散，每服二钱匕，温生姜蜜汤调下，未通再服。
治大便不通，商陆煮豆方
商陆（干者） 大戟（锉炒一分）
上二味，粗捣筛，用水四盏，枣十枚去核，煎至一盏半，下黑豆半合，同煎至水尽，拣
取黑豆，初吞三粒，稍加之，以通利为度。
治大便不通，腹胀气急妨闷，滑石散方
滑石（细研二两分两帖） 手足指甲（剪患人自身者烧为灰研细分二帖）
上二味，取滑石末一帖，以水一盏半，煎至八分，去滓调爪甲灰一帖，空心服，至辰时
再服。
治大肠壅结不通，粉糖丸方
腻粉（秤半钱） 砂糖（如弹丸大一块）
上二味同研令匀，丸如梧桐子大，每服五丸，临卧温熟水下。
治大肠闭涩，大便不通，葵酥汤方
冬葵子（二合） 牛酥（二两如无以猪脂代）
上二味，将冬葵子粗捣筛，分四帖，每帖以水一盏，煎至五分，去滓下酥半两，更煎一
二沸，食前冷服。
治热结，大便不通，大黄汤方
大黄（锉炒） 黄芩（去黑心） 栀子仁 甘草（炙各一两）
上四味，粗捣筛，每服五钱匕，水一盏，煎八分，去滓温服食前。
治大便不通，巴豆丸方
巴豆（十枚去皮心膜）
上一味，以醋一盏，煮一馈久，取出烂研，用饭半匙，同研匀细，丸为七十粒，每服三
粒，空心煎粟米饮下，良久呷热茶汤投即通。
治下部闭塞，大便不通，蒴藿根汁方
蒴 根（嫩新者一把烂捣）
上一味，以水二盏，更同研生布绞取汁，分三服，食前饮之，强人分二服。
治大便不通腹胀，摩脐方
杏仁（汤浸去皮尖双仁三七枚生用） 葱白（三茎去须叶细切） 盐（一分）
上三味，同研如膏，每取如酸枣大许，涂手心，摩脐上三百转，须臾即利，如利不止，
以泠水洗手即定。
治病后津液燥少，大便不通，肠结方。
糯米（二合炒灰存性研细） 猪胆（一枚取汁） 砂糖（少许）
上三味，和研如膏，内少许入下部 立通。
治营卫痞涩，蕴热不散，腹中烦满，大便不通，大黄汤方
大黄（锉炒） 栀子仁（炒各四两） 升麻 前胡（去芦头各二两）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
治大便不通，皂荚散方
猪牙皂荚（去皮酥炙半两） 蒺藜子（炒去角一两）
上二味，捣为细散，每服一钱匕，盐茶汤调下。
治大便不通，麻仁大黄丸方
大麻仁（研二两） 大黄（锉炒五两）
上二味，捣研为末，炼蜜丸如梧桐子大，每服十丸，食后熟水下。
治大肠风热，结涩不通，威灵仙丸方
威灵仙（去土酒浸一昼夜焙干秤） 大黄（锉炒） 牵牛子（炒半熟各二两） 独活（去
芦头
上七味，捣罗为末，炼蜜和丸，如梧桐子大，每服空心熟水下十丸。
治卒大便不通，或热结，或风秘，及妇人产后，大便不通等方。
皂荚（二挺去皮炙令黄熟为末） 白梅肉（五枚） 蜜（少许）
上三味，将梅肉并蜜拌和皂荚末，如枣大，以绵裹引内下部中，须臾即通。
治大便不通，土瓜根内方
上以生土瓜根，捣汁少许，水解之竹筒中，倾内下部即通。
治大便不通，玄明粉散方
玄明粉（半两）
上一味，每服二钱匕，将冷茶磨木香，入药顿服，即通。
治大便不通，郁李仁粥方
郁李仁（一两去皮细研分两分用）
上一味，煮薄粥一碗，临熟时下郁李仁，煮三两沸，倾出空心吃，便通，再服一分，以
通利为度。
治大便久不通方
上取枣去核，入腻粉，更以枣裹，煨熟研匀，丸如梧桐子大，每服五丸，淡姜汤下。
治大便七八日不通，服诸未效，用穿肠丸方
猪胆汁（一枚）
上一味，以蜜二两，煮令可丸，入腻粉一钱匕，捏如中指长，内下部立通。
治大便七八日不通，奔气上冲，猪胆导方
上取猪胆一枚，系口头内下部，渐解开头，倒泻入肛门，须臾即通。
治大便不通，蜜导方。
上取白蜜二升，于微火上，煎令稠硬，投冷水中，须臾取出，拈丸如手指大，内下部
导之，即通。
治下部窒塞，大便不通方
乌梅（五枚）
上一味，内汤中渍软，取肉熟捣之，丸如弹子，内下部中。
Commentary states: The Large Intestine is the official of conduction, responsible for transformation and excretion, relying on the nourishment and lubrication of Ying Qi (Nutritive Qi), Wei Qi (Defensive Qi), and body fluids. If pathogenic heat clashes with these factors, causing dryness and depletion of body fluids, fecal matter will accumulate internally and fail to move, resulting in stagnation and obstruction of the intestines and stomach, leading to constipation. This causes lower back pain, abdominal fullness, and inability to eat. As stated in the classics, "Heat accumulation in the Lower Jiao leads to difficult defecation." However, there are also cases where post-illness deficiency of Qi and Blood, internal loss of body fluids, or advanced age with sluggish Qi flow, combined with the clash of cold and heat pathogens, also result in difficult defecation. Treatment requires detailed differentiation.
Treatment for Large Intestine congestion and obstruction, abdominal and hypochondriac distension and stuffiness, inability to eat, Zhike Tang (Bitter Orange Decoction):
Zhike (Aurantii Fructus, pith removed, bran-fried) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, chopped, each 1 fen) Dafupi (Arecae Pericarpium, 3 qian, chopped) Baihe (Lilii Bulbus) Qianniu Zi (Pharbitidis Semen, fried) Chifuling (Poria Cocos with Red Skin, 2 liang)
The above nine ingredients are coarsely crushed and sifted. Each dose consists of 5 qian bi, decocted in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm before meals on an empty stomach, stopping when bowel movement is achieved.
Treatment for deficiency-heat and phlegm-stuffiness, Jiaozhou (Triple Burner) obstruction, irritability, high fever, and constipation, Maimendong Tang (Ophiopogonis Decoction):
Maimendong (Ophiopogonis Radix, heart removed, baked, 3 fen) Chifuling (Poria Cocos with Red Skin, black skin removed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, chopped) Huangqin (Scutellariae Radix, black heart removed) Dahuang (Rhei Radix et Rhizoma, chopped, fried, each half liang)
The above six ingredients are coarsely crushed and sifted. Each dose consists of 5 qian bi, decocted in 1.5 sheng of water with 10 leaves of Zhu Ye (Bambusae Folium) and one piece of Shengjiang (Zingiberis Rhizoma Recens) the size of a jujube, smashed, until reduced to 0.8 sheng. Strain and take warm before meals, three times daily.
Treatment for Ge Qi (Diaphragmatic Qi stagnation) and phlegm-saliva, indigestion, constipation, and borborygmus, Xuanqi Muxiang Yin (Qi-Releasing Wood-Aroma Drink):
Muxiang (Aucklandiae Radix) Gui (Cinnamomi Ramulus, coarse bark removed) Kunbu (Laminariae Thallus, washed to remove salt, baked) Binglang (Arecae Semen, 1 liang, half raw-chopped, half processed-chopped) Dahuang (Rhei Radix et Rhizoma, chopped, fried) Banxia (Pinelliae Rhizoma, 1 liang, washed seven times in hot water to remove slipperiness, bran-fried)
The above nine ingredients are coarsely crushed and sifted. Each dose consists of 5 qian bi, decocted in 1.5 sheng of water with one piece of Shengjiang (Zingiberis Rhizoma Recens) the size of a jujube, smashed, until reduced to 0.8 sheng. Strain and take warm after meals, three times daily.
Treatment for Large Intestine constipation and dryness, wind-congestion, Heishen Wan (Black Divine Pill):
Badou (Crotonis Fructus, 1 liang, bran-fried, peel, heart, and membrane removed, oil pressed out) Liuhuang (Sulfur, ground, 1 fen) Ganjiang (Zingiberis Rhizoma, processed, half liang) Zaojiao (Gleditsiae Sinensis Fructus, three stalks, non-borer quality, burned to retain essence)
The above four ingredients: Ganjiang (Zingiberis Rhizoma) is pounded into fine powder and mixed evenly with the other three. Zhengbing (Steamed Dough Cake) is peeled, soaked in water, wrung dry, wrapped in paper, and roasted thoroughly. It is then mixed with the medicine and pounded evenly into pills the size of Sophora seeds. Each dose is 3 pills, taken with Shengjiang (Zingiberis Rhizoma Recens) decoction on an empty stomach; dosage may be increased to 4 pills.
Treatment for constipation and elimination of epigastric stuffiness, Qianniu Zi Wan (Pharbitis Seed Pill):
Qianniu Zi (Pharbitidis Semen, raw-ground into powder, 1.5 liang) Gansui (Kansui Radix, chopped, fried, half liang) Muxiang (Aucklandiae Radix, 1 liang) Jingsanleng (Curcumae Radix, roasted, chopped) Chenpi (Citri Reticulatae Pericarpium, soaked in water, white part removed, baked) Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in water, white part removed, baked)
The above six ingredients are pounded and sieved into powder. 4 liang of fresh ginger is pounded and juiced. 5 liang of white honey is boiled together with the juice to form a paste. The powder is mixed with this paste and pounded 500 times into pills the size of Sophora seeds. Each dose is 20 pills, taken at bedtime with millet drink; if unrelieved, increase to 30 pills.
Treatment for constipation, Maren Wan (Hemp Seed Pill):
Dama Ren (Cannabis Fructus, ground into paste) Dahuang (Rhei Radix et Rhizoma, chopped, fried) Gegen (Puerariae Radix, chopped, each 1.5 liang) Sangbaipipi (Mori Cortex, chopped) Mangxiao (Natrii Sulfas, raw, fried in iron pot)
The above five ingredients: Three are pounded into powder, then mixed evenly with Mangxiao (Natrii Sulfas) and Dama Ren (Cannabis Fructus). Honey is refined and used to bind the mixture, which is pounded until smooth, into pills the size of Sophora seeds. Each dose is 20 pills, taken on an empty stomach with millet drink, and another dose at night.
Treatment for constipation and lower abdominal distension, Shaoyao Wan (Peony Pill):
Chishaoyao (Paeoniae Radix Rubra, 1 liang) Huangqin (Scutellariae Radix, black heart removed) Dahuang (Rhei Radix et Rhizoma, chopped, fried) Xingren (Armeniacae Semen Amarum, soaked in water, peel and tip removed, double-kernel, fried, ground) Mangxiao (Natrii Sulfas, raw, fried in iron pot)
The above five ingredients: Three are pounded into powder, then mixed evenly with Mangxiao (Natrii Sulfas) and Xingren (Armeniacae Semen Amarum). Honey is refined and used to bind and pound the mixture into pills the size of Sophora seeds. Each dose is 15 pills, taken before meals with cooked water, three times daily; dosage may be increased to 20 pills, stopping when bowel movement is achieved. Millet drink may also be used.
Treatment for constipation, dispersing wind, regulating Qi, and descending phlegm, Banxia Wan (Pinellia Pill):
Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness, bran-fried, 1 liang) Qianniu Zi (Pharbitidis Semen, 4 liang, half raw, half fried) Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in water, white part removed, baked) Muxiang (Aucklandiae Radix) Dahuang (Rhei Radix et Rhizoma, chopped, fried)
The above five ingredients are pounded and sieved into powder. Honey is refined and used to bind the mixture, pounded until smooth, into pills the size of Sophora seeds. Each dose is 40 pills, taken at bedtime with light ginger water.
Treatment for sudden constipation, or Large Intestine heat-congestion and wind-dryness, Dahuang Tang (Rhubarb Decoction):
Dahuang (Rhei Radix et Rhizoma, chopped, fried) Huangqin (Scutellariae Radix, black heart removed) Zhizi Ren (Gardeniae Semen, fried) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, chopped, each 1 liang)
The above four ingredients are coarsely crushed and sifted. Each dose is 4 qian bi, decocted in 1.5 sheng of water until reduced to 0.8 sheng. Strain, add Nixiao (Natrii Nitras) half a qian bi, boil twice more, and take warm on an empty stomach.
Treatment for constipation, Gansui San (Kansui Powder):
Gansui (Kansui Radix, 1 liang, fried) Muxiang (Aucklandiae Radix, 1 fen)
The above two ingredients are pounded and sieved into powder. Each dose is 1 qian bi, taken with warm honey wine, at any time.
Treatment for wind-heat Qi congestion and constipation, Xionghuang Wan (Realgar Pill):
Xionghuang (Realgar, ground) Yujin Mo (Curcumae Radix powder, each 1 liang) Badou (Crotonis Fructus, half liang, peel, heart, and membrane removed, ground into paste) Shengmian (Raw Flour, 2 liang)
The above four ingredients are finely ground together. Water drops are added to form pills the size of Sophora seeds. Each dose is 2-3 pills, taken after meals and before bed with ginger water. Dosage should be adjusted according to excess or deficiency.
Treatment for wind-heat constipation, Binglang San (Areca Seed Powder):
Binglang (Arecae Semen, 2 pieces, chopped) Puxiao (Natrii Sulfas Crystallisatus, ground) Dahuang (Rhei Radix et Rhizoma, chopped, fried) Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in water, white part removed, baked, each 1 liang)
The above four ingredients are pounded and ground into powder. Each dose is 2 qian bi, taken after meals and before bed with scallion-honey water.
Treatment for constipation, Jingjie San (Schizonepeta Powder):
Jingjie Sui (Schizonepetae Spica, 1 liang) Dahuang (Rhei Radix et Rhizoma, 2 liang, both raw)
The above two ingredients are pounded and sieved into powder. Each dose is 2 qian bi, taken with warm ginger-honey water. Repeat if unrelieved.
Treatment for constipation, Shanglu Bo Dou (Phytolacca Root and Black Bean Decoction):
Shanglu (Phytolaccae Radix, dried) Daji (Euphorbiae Pekinensis Radix, chopped, fried, 1 fen)
The above two ingredients are coarsely crushed and sifted. Decoct in 4 sheng of water with 10 jujubes (pitted) until reduced to 1.5 sheng. Add half he of black beans and cook until water is exhausted. Pick out the black beans. Start by swallowing 3 beans, gradually increasing, until bowel movement is achieved.
Treatment for constipation, abdominal distension, urgent Qi, and stifling sensation, Huashi San (Talcum Powder):
Huashi (Talcum, finely ground, 2 liang, divided into two doses) Shouzhi Jiajia (Fingernails/Toenails from the patient, burned to ash, finely ground, divided into two doses)
The above two ingredients: Take one dose of Huashi (Talcum) powder, decoct in 1.5 sheng of water until reduced to 0.8 sheng. Strain and mix with one dose of nail ash. Take on an empty stomach, and again at Chen hour (7-9 AM).
Treatment for Large Intestine congestion and obstruction, Fentang Wan (Powdered Sugar Pill):
Nifen (Calomelas, weighed half qian) Shatang (White Sugar, one piece the size of a marble)
The above two ingredients are ground together evenly into pills the size of Sophora seeds. Each dose is 5 pills, taken at bedtime with warm cooked water.
Treatment for Large Intestine closure and dryness, constipation, Kuaisu Tang (Okra Seed and Butter Decoction):
Dongkuizi (Abutili Semen, 2 he) Niusu (Cow Butter, 2 liang; if unavailable, use lard)
The above two ingredients: Dongkuizi (Abutili Semen) is coarsely crushed and sifted, divided into four doses. Each dose is decocted in 1 sheng of water until reduced to 0.5 sheng. Strain, add half liang of butter, boil once or twice, and take cold before meals.
Treatment for heat-congestion and constipation, Dahuang Tang (Rhubarb Decoction):
Dahuang (Rhei Radix et Rhizoma, chopped, fried) Huangqin (Scutellariae Radix, black heart removed) Zhizi Ren (Gardeniae Semen, fried) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang)
The above four ingredients are coarsely crushed and sifted. Each dose is 5 qian bi, decocted in 1 sheng of water until reduced to 0.8 sheng. Strain and take warm before meals.
Treatment for constipation, Badou Wan (Croton Pill):
Badou (Crotonis Fructus, 10 pieces, peel, heart, and membrane removed)
The above single ingredient: Cook in 1 sheng of vinegar for a long time, remove, pound until soft. Mix with half a spoonful of rice and grind finely into 70 pills. Each dose is 3 pills, taken on an empty stomach with millet drink. After a while, sip hot tea soup to induce passage.
Treatment for lower orifice blockage and constipation, Suohuo Gen Zhi (Descurainia Root Juice):
Suohuo Gen (Descurainiae Radix, fresh tender handful, pounded)
The above single ingredient: Add 2 sheng of water, grind together, squeeze juice through raw cloth. Divide into three doses, taken before meals. Strong individuals divide into two doses.
Treatment for constipation and abdominal distension, Mo Qi (Umbilical Massage):
Xingren (Armeniacae Semen Amarum, soaked in water, peel and tip removed, double-kernel, 3-7 pieces, raw) Congbai (Allii Fistulosi Bulb, 3 stalks, roots and leaves removed, finely chopped) Yan (Salt, 1 fen)
The above three ingredients are pounded into a paste. Take an amount the size of a sour jujube, apply to the palm, and rub over the umbilicus 300 times. Passage occurs shortly. If diarrhea persists, wash hands with cold water to stop it.
Treatment for post-illness dryness of body fluids and constipation, Changjie Fang (Intestinal Knot Formula):
Nuomi (Oryza Sativa Glutinosa, 2 he, burned to ash retaining essence, ground fine) Zhudan (Sus Scrofa Domesticus Bile, one gallbladder, juice extracted) Shatang (White Sugar, a little)
The above three ingredients are mixed and pounded into a paste. Insert a small amount into the lower orifice for immediate relief.
Treatment for Ying-Wei stagnation, accumulated heat not dissipating, abdominal irritability and fullness, and constipation, Dahuang Tang (Rhubarb Decoction):
Dahuang (Rhei Radix et Rhizoma, chopped, fried) Zhizi Ren (Gardeniae Semen, fried, each 4 liang) Shengma ( Cimicifugae Rhizoma) Qianhu (Peucedani Radix, root tufts removed, each 2 liang)
The above four ingredients are coarsely crushed and sifted. Each dose is 5 qian bi, decocted in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm before meals.
Treatment for constipation, Zaojiao San (Gleditsia Powder):
Zhuya Zaojiao (Gleditsiae Sinensis Fructus, peel removed, fried in butter, half liang) Jili Zi (Tribuli Fructus, fried, thorns removed, 1 liang)
The above two ingredients are pounded into fine powder. Each dose is 1 qian bi, taken with salt-tea water.
Treatment for constipation, Maren Dahuang Wan (Hemp Seed and Rhubarb Pill):
Dama Ren (Cannabis Fructus, ground, 2 liang) Dahuang (Rhei Radix et Rhizoma, chopped, fried, 5 liang)
The above two ingredients are pounded and ground into powder. Refined honey is used to form pills the size of Sophora seeds. Each dose is 10 pills, taken after meals with cooked water.
Treatment for Large Intestine wind-heat, knotting and dryness, Weilingshen Wan (Clematis Pill):
Weilingshen (Clematidis Radix et Rhizoma, dirt removed, soaked in wine for one day and night, baked dry, weighed) Dahuang (Rhei Radix et Rhizoma, chopped, fried) Qianniu Zi (Pharbitidis Semen, fried, half-ripe, each 2 liang) Duohuo (Angelicae Pubescentis Radix, root tufts removed) Zhishi (Aurantii Fructus Immaturus, bran-fried) Houpo (Magnoliae Officinalis Cortex, ginger-processed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
The above seven ingredients are pounded and sieved into powder. Refined honey is used to form pills the size of Sophora seeds. Each dose is 10 pills, taken on an empty stomach with cooked water.
Treatment for sudden constipation, heat-congestion, wind-dryness, and postpartum constipation in women:
Zaojiao (Gleditsiae Sinensis Fructus, two stalks, peel removed, fried until yellow and ripe, powdered) Baimei Rou (White Plum Flesh, 5 pieces) Mi (Honey, a little)
The above three ingredients: Mix plum flesh and honey with Gleditsia powder, form into balls the size of jujubes, wrap in silk, insert into the lower orifice. Passage occurs shortly.
Treatment for constipation, Tugua Gen Nei (Melon Root Suppository):
Use fresh Tugua Gen (Trichosanthes Radix), pound into juice, dilute slightly with water in a bamboo tube, and pour into the lower orifice for immediate passage.
Treatment for constipation, Xuanmingfen San (Mirabilite Powder):
Xuanmingfen (Mirabilitum, half liang)
The above single ingredient: Each dose is 2 qian bi. Grind Muxiang (Aucklandiae Radix) in cold tea, mix with the medicine, and take immediately for passage.
Treatment for constipation, Yuliren Zhou (Apricot Kernel Porridge):
Yuliren (Pruni Semen, 1 liang, peel removed, finely ground, divided into two portions)
Cook a thin porridge in one bowl. Near completion, add Yuliren (Pruni Semen), boil for 2-3 boils, pour out, and eat on an empty stomach. Bowel movement ensues. Take another portion if needed, until passage is achieved.
Treatment for long-term constipation:
Take jujubes, remove pits, insert Nifen (Calomelas), wrap in jujube, roast until cooked, pound evenly into pills the size of Sophora seeds. Each dose is 5 pills, taken with light ginger water.
Treatment for constipation lasting 7-8 days, unresponsive to other medicines, Chuanchang Wan (Penetrating Intestine Pill):
Zhudan (Sus Scrofa Domesticus Bile, one gallbladder)
Mix with 2 liang of honey, boil until moldable. Add 1 qian bi of Nifen (Calomelas), shape into a cylinder the length of a middle finger, insert into the lower orifice for immediate passage.
Treatment for constipation lasting 7-8 days with rushing Qi ascending, Zhudan Dao (Gallbladder Enema):
Take one pig gallbladder, tie the mouth, insert into the lower orifice. Gradually untie the mouth, invert to drain bile into the anus. Passage occurs shortly.
Treatment for constipation, Mi Dao (Honey Suppository):
Take 2 sheng of white honey, boil over low heat until thick and hard. Drop into cold water, remove shortly, shape into suppositories the size of a finger, insert into the lower orifice for passage.
Treatment for lower orifice blockage and constipation:
Wumei (Mume Fructus, 5 pieces)
Soak in hot water until soft. Remove flesh, pound thoroughly, form into pills the size of marbles, insert into the lower orifice.