千金疗关格胀满不通方。
芍药（六分） 芒硝（六分） 黄芩（五分） 杏仁（八分去皮尖） 大黄（八分）
上五味末之，蜜和丸如桐子，饮下十丸，日二服良。
又方
独头蒜烧熟去皮，绵裹纳下部，气立通，削姜裹盐导，并佳。
又方
干姜 盐 杏仁
上三味等分捣导之。
又疗胀满关格不通方。
吴茱萸（一升熬） 干姜 大黄 桂心 当归 芍药 甘草（炙） 芎 （各二
两） 雄黄（三分研） 人参 细辛（各四两） 真珠（一分研） 桃白皮（一握）
上十三味切，以水一斗，煮取三升，去滓，纳雄黄真珠末，酒一升，微火煎三沸，服一
升，得下即止，不必尽也，每服如人行十里久，进之。（并出第十五卷中）
许仁则论曰，此病久无余候，但由饮食将息过热，热气蕴积秘结，若缘气秘，自须仍前
疗气法，服巴豆等三味丸，及疗水气葶苈等诸方取利，若是风秘，自依后服大黄等五味丸，
暴秘之状，骨肉强痛，体气烦热，唇口干焦，大便不通，宜依后大黄芒硝二味汤取利方。
大黄（六两） 芒硝（五两）
上药先切大黄，以水四升，煮取二升，去滓，纳芒硝，顿服之，须臾利，良久不觉，以
热饮投之，若服此依前不利，宜合后大麻仁等五味丸服之，取快利。
五味大黄丸方。
大黄（五两） 大麻子（一升微熬研之） 芒硝（六两） 干葛 桑根白皮（各五两）
上五味，先捣四味为散，然后捣麻仁令如膏，即投四味散和捣，和少蜜捣之，丸如梧子
大，初服十丸，日再服，稍稍服得大便通为限。（主大便风秘不通吴升同出下卷中）
A prescription from *Qianjin Fang* for treating Guan Ge (obstruction and regurgitation), abdominal distension, and fecal impaction.
Radix Paeoniae Alba (Shaoyao) [6 fen], Natrii Sulfas (Mangxiao) [6 fen], Radix Scutellariae (Huangqin) [5 fen], Semen Armeniacae Amarum (Xingren) [8 fen, skin and tips removed], Radix et Rhizoma Rhei (Dahuang) [8 fen].
Grind the above five herbs into fine powder, mix with honey to form pills the size of a loquat seed. Take ten pills per dose with warm water, twice daily, which is effective.
Another prescription:
Roast a single-clove garlic until cooked, peel it, wrap it in silk, and insert it into the anus; qi flow will immediately resume. Alternatively, slice ginger, wrap it in salt, and use as an enema suppository; both methods are excellent.
Another prescription:
Rhizoma Zingiberis Siccatum (Ganjiang), Sal (Yan), Semen Armeniacae Amarum (Xingren).
Grind the above three herbs in equal proportions and use as an enema suppository.
Another prescription for treating abdominal distension, Guan Ge, and fecal obstruction:
Fructus Evodiae (Wuzhuyu) [1 sheng, roasted], Rhizoma Zingiberis Siccatum (Ganjiang), Radix et Rhizoma Rhei (Dahuang), Cinnamomi Cortex (Guixin), Radix Angelicae Sinensis (Danggui), Radix Paeoniae Alba (Shaoyao), Radix Glycyrrhizae Preparata (Gancao, roasted), Radix Chuanxiong (Chuanxiong) [each 2 liang], Realgar (Xionghuang) [3 fen, ground], Ginseng Radix et Rhizoma (Renshen), Radix et Rhizoma Asari (Xixin) [each 4 liang], Concha Margaritifera (Zhenzhu) [1 fen, ground], Cortex Pruni Persicae Albus (Taobaipi) [one handful].
Cut the above thirteen herbs. Decoct in one dou of water until reduced to three sheng. Strain the dregs. Add the powders of Realgar and Concha Margaritifera, along with one sheng of wine. Simmer over low heat for three boils. Take one sheng per dose. Stop taking the medicine once bowel movement occurs; it is not necessary to consume the entire volume. Administer doses at intervals corresponding to the time it takes a person to walk ten li. (All extracted from Volume 15)
Xu Renze stated: This disease has persisted without other residual symptoms, caused solely by improper dietary management leading to excessive heat. The accumulation of heat causes constipation. If the constipation is due to qi stagnation, one should continue using previous qi-regulating methods, such as taking Baidu Sanwei Wan or formulas containing Semen Lepidii (Tinglizi) for water retention to induce laxation. If it is Feng Bi (wind-type constipation), follow the method of taking Dahuang Wuwei Wan described below. In cases of acute constipation, characterized by stiffness and pain in bones and muscles, bodily restlessness and heat, dry and cracked lips and mouth, and inability to pass stool, one should use the following Erwei Tang of Dahuang and Mangxiao to induce laxation.
Radix et Rhizoma Rhei (Dahuang) [6 liang], Natrii Sulfas (Mangxiao) [5 liang].
First, cut the Radix et Rhizoma Rhei. Decoct in four sheng of water until reduced to two sheng. Strain the dregs. Add Natrii Sulfas and take in one dose. Laxation should occur shortly thereafter. If there is no sensation after a long period, administer hot drinks to assist. If this formula fails to produce results as before, combine it with Damaren Wuwei Wan to achieve smooth and rapid evacuation.
Formula for Wuwei Dahuang Wan:
Radix et Rhizoma Rhei (Dahuang) [5 liang], Semen Cannabis Sativae (Damarenzi) [1 sheng, lightly roasted and ground], Natrii Sulfas (Mangxiao) [6 liang], Radix Puerariae Lobatae (Gange), Cortex Morus Radicis (Sanggenbaipi) [each 5 liang].
For the above five herbs, first grind the first four into a powder. Then grind the Semen Cannabis Sativae into a paste. Mix the paste with the four-herb powder and knead thoroughly. Add a small amount of honey and knead again. Form pills the size of a loquat seed. Initial dose is ten pills, taken twice daily. Gradually increase the dosage until bowel movements become regular. (Indicated for wind-type constipation with obstruction; also found in the lower volume by Wu Sheng)