论曰妊娠肠胃有风，加之挟热，津液不足，气道痞涩。故令肠胃枯燥，大便不通。甚则
呼吸奔喘，腹胀干呕。
治妊娠大便不通，腹满不能食，养津液，润肠胃。麻仁丸方
火麻仁（别研如膏四两） 人参 诃黎勒（煨去核各二两） 大黄（锉炒半两）
上四味，先捣后三味为末，次入麻仁。炼蜜和剂。更于臼内涂酥杵匀，丸如梧桐子大。
每服三十丸，空心温水下，大便通即止。
治妊娠大便热结，旬日不通。槟榔丸方
槟榔（碎锉一两） 木香（半两） 大黄（锉炒二两） 青橘皮（汤浸去白焙半两） 牵
牛子（
上五味，捣罗为末，炼蜜和剂，更于臼内涂酥杵匀。丸如梧桐子大，每服二十丸。温水
下。空心服。
治妊娠热在脏腑。大便秘涩。羌活丸方
羌活（去芦头二两半） 火麻仁（别研三两） 槟榔（五枚锉） 防风（去叉） 枳壳
（去瓤麸
上七味捣罗六味为末，与麻仁同研匀，炼蜜和丸，如梧桐子大。每服二十丸，温水下。
食前服。日三，以微利为度。
治妊娠大便结塞不通。脐腹硬胀，不能安卧。气上喘逆。枳壳丸方
枳壳（去瓤麸炒一两半） 大黄（微炒二两半）
上二味，捣罗为末。炼蜜和丸，如梧桐子大，每服二十丸，空心米饮下，未通再服，以
通为度。
治妊娠大便不通，腹胁坚胀。润肠丸方
枳壳（去瓤麸炒为末） 火麻仁（别研各一两）
上二味，再研匀，炼蜜和丸，如梧桐子大，每服三十丸，食前温水下，生姜汤亦得。
治妊娠大便不通。葱胶汤方
葱白（一茎切） 牛皮胶（二斤大者椎碎）
上二味，以水一盏半，煎令胶烊尽，去滓顿服之。
治妊娠大便不通。疏气。黄 丸方
黄 （锉） 枳壳（去瓤麸炒各一两） 威灵仙（二两）
上三味，捣罗为末，用面糊和丸，如小豆大，每服三十丸，温水下，不拘时，未通稍加
之。
Commentary states: During pregnancy, the intestines and stomach are invaded by wind pathogens, compounded by heat, leading to a deficiency of body fluids and obstructed, stagnant qi mechanism. This results in dryness and withering of the intestines and stomach, causing constipation. In severe cases, it manifests as rapid breathing and panting, abdominal distension, and dry heaving.
To treat constipation during pregnancy accompanied by abdominal fullness and inability to eat, one should nourish body fluids and moisten the intestines and stomach. Hemp Seed Pill (Maren Wan) Formula:
Hemp Seed (Ephedrae Semen? No, Cannabis Fructus, Huomaren - ground into paste separately, 4 liang) Ginseng Root (Renshen) Chebula Fruit (Helile - roasted, pitted, each 2 liang) Rhubarb (Dahuang - cut and stir-fried, 0.5 liang)
Take the above four ingredients. First, pound the latter three into powder, then add the Hemp Seed. Mix with refined honey to form a dough. Further pound evenly in a mortar with butter/oil applied to the surface. Shape into pills the size of paulownia seeds. Take 30 pills per dose, with warm water on an empty stomach. Stop taking when bowel movement is normalized.
To treat constipation during pregnancy due to heat accumulation, lasting for ten days or more without passage. Areca Nut Pill (Binglang Wan) Formula:
Areca Seed (Binglang - crushed and cut, 1 liang) Costus Root (Muxiang, 0.5 liang) Rhubarb (Dahuang - cut and stir-fried, 2 liang) Green Tangerine Peel (Qingjupi - soaked in hot water, white pith removed, dried, 0.5 liang) Morning Glory Seed (Qianniuzi - dosage missing in source text)
Pound the above five ingredients into powder using a sieve. Mix with refined honey to form a dough. Further pound evenly in a mortar with butter/oil applied. Shape into pills the size of paulownia seeds. Take 20 pills per dose with warm water. Take on an empty stomach.
To treat heat in the zang-fu organs during pregnancy, resulting in hard and dry stools. Qianghuo Pill Formula:
Notopterygium Root (Qianghuo - remove rhizome, 2.5 liang) Hemp Seed (Huomaren - ground separately, 3 liang) Areca Seed (Binglang - 5 pieces, cut) Saposhnikovia Root (Fangfeng - remove branch tips) Aurantium Fruit (Zhike - remove pulp, stir-fried with bran - text truncated here)
Pound six of the seven ingredients into powder. Grind together with the Hemp Seed until uniform. Mix with refined honey and shape into pills the size of paulownia seeds. Take 20 pills per dose with warm water. Take before meals. Three times daily, aiming for mild laxation.
To treat constipation during pregnancy where stool is blocked and impeded. Hardness and distension of the umbilical and abdominal region, inability to lie down comfortably. Qi rebelling upwards causing panting and counterflow. Aurantium Pill (Zhike Wan) Formula:
Aurantium Fruit (Zhike - remove pulp, stir-fried with bran, 1.5 liang) Rhubarb (Dahuang - lightly stir-fried, 2.5 liang)
Pound the above two ingredients into powder. Mix with refined honey and shape into pills the size of paulownia seeds. Take 20 pills per dose with rice water on an empty stomach. If not relieved, take again. Continue until bowel movement is normalized.
To treat constipation during pregnancy with hard and distended abdomen and hypochondrium. Intestine-Moistening Pill (Runchang Wan) Formula:
Aurantium Fruit (Zhike - remove pulp, stir-fried with bran, made into powder) Hemp Seed (Huomaren - ground separately, each 1 liang)
Grind the above two ingredients together until uniform. Mix with refined honey and shape into pills the size of paulownia seeds. Take 30 pills per dose with warm water before meals. Ginger decoction can also be used as the vehicle.
To treat constipation during pregnancy. Scallion and Glue Decoction (Congjiao Tang) Formula:
Scallion White (Congbai - one stalk, cut) Cowhide Glue (Niujiaojiao - large piece, 2 jin, crushed)
Add one and a half cups of water to the above two ingredients. Boil until the glue is completely dissolved. Remove the dregs and take in one dose.
To treat constipation during pregnancy. Dispersing Qi. Astragalus Pill (Huangqi Wan) Formula [Note: Source text "Huang " implies Huangqi/Astragalus]:
Astragalus Root (Huangqi - cut) Aurantium Fruit (Zhike - remove pulp, stir-fried with bran, each 1 liang) Clematis Root (Weilingxian, 2 liang)
Pound the above three ingredients into powder. Mix with wheat flour paste and shape into pills the size of small beans. Take 30 pills per dose with warm water at any time. If not relieved, slightly increase the dosage.