病源大便不通者，由三焦五脏不和，冷热之气不调，热气偏入肠胃，津液竭燥，故令糟
粕痞
行气
肘后疗大便不通方。
研麻子以米杂为粥食之。
又方
用 石如指大者导下部。（并出第六卷中）
千金疗大便不通方。
灸第七椎两旁各一寸七壮。
又方
桃皮三升，水五升，煮取一升，顿服。
又方
水一升，煮羊蹄根一把，取半升，顿服。
又方
煮麻子取汁饮之。
又方
常服蜜煎五合。
又方
猪脂和陈葵子末为丸，如梧桐子大，每服饮下十丸，通即止。
又方
常服车前子及苗，并通也。
又方
捣葵根汁服之良。
又方
葵子一升，牛酥一升，猪脂亦得，以水三升，煮葵子取一升，纳酥，煮一沸，待冷，分
二服。（并出第十五卷中）
必效疗大便不通方。
牛胶一条（广二寸长四寸） 葱白（一握）
上二味，用水二升和，煮消尽，去滓，顿服之。（千金同）
又方
湿瓜蒂七枚，绵裹纳下部，如非时，酱瓜亦得。（并出第三卷中）
崔氏疗大便不通方。
菖蒲末 石盐末
上二味相和取半匕，和乌麻脂少许，绵裹纳下部中，即通。
又方
猪脂一升，温酒一服，令尽，良。（并出第四卷中）
古今录验疗心腹胀满，大便不通方。
芍药（六分） 黄芩（五分） 大黄（八分） 芒硝（六分） 杏仁（熬去皮尖八分）
上五味捣筛为末，炼蜜为丸，如梧桐子大，每服十五丸，粥饮下，加至二十丸，取通利
为度。（经心录同出第二十六卷中）
近效疗大便不通方。
用猪胆和少蜜，于铛中熬令熟稠，丸如枣大，纳下部中，即瘥。
[Pathogenesis] The cause of constipation (impediment in defecation) lies in the disharmony of the Sanjiao (Triple Burner) and the five Zang organs, with an imbalance of cold and heat qi. Excessive heat qi invades the stomach and intestines, leading to the exhaustion and drying up of body fluids (Jin-Ye), thereby causing the stagnation of fecal matter.
Formulas from *Zhou Hou Bei Ji Fang* (Handbook of Prescriptions for Emergencies) for treating constipation:
Grind sesame seeds (Huo Ma Ren, 火麻仁) and mix them with rice to cook into a porridge for consumption.
Another formula:
Insert a piece of soapberry (Zao Jiao, 皂角; text says "Shi", likely referring to Gleditsiae Fructus or similar suppository material) the size of a finger into the lower orifice (anus). (Both extracted from Volume VI)
Formulas from *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) for treating constipation:
Moxibustion on both sides one cun lateral to the seventh thoracic vertebra, seven moxa cones per side.
Another formula:
Take three sheng of peach bark, add five sheng of water, decoct until one sheng remains, and take it all at once.
Another formula:
Take one sheng of water, decoct a handful of alderleaf buckthorn root (Yang Ti Gen, 羊蹄根) until half a sheng remains, and take it all at once.
Another formula:
Decoct sesame seeds (Huo Ma Ren, 火麻仁) and drink the juice.
Another formula:
Regularly consume honey suppositories (Mi Jian, 蜜煎) measuring five he.
Another formula:
Mix lard (Zhu Zhi, 猪脂) with powder of mallow seeds (Kui Zi, 葵子) to make pills the size of sophora seeds (Wu Tong Zi, 梧桐子). Take ten pills with water each time; stop when defecation is unobstructed.
Another formula:
Regularly consume plantago seeds (Che Qian Zi, 车前子) and their seedlings, both of which promote bowel movement.
Another formula:
Crush mallow root (Kui Gen, 葵根) to extract juice and take it; this is effective.
Another formula:
Take one sheng of mallow seeds (Kui Zi, 葵子) and one sheng of beef tallow/suet (Niu Su, 牛酥); pork lard may also be used. Add three sheng of water, decoct the mallow seeds until one sheng remains, add the suet, boil once, let cool, and divide into two doses. (Both extracted from Volume XV)
Formulas from *Bi Xiao Fang* (Highly Effective Prescriptions) for treating constipation:
One strip of ox glue (Niu Jiao, 牛胶) (two cun wide, four cun long); one handful of scallion white (Cong Bai, 葱白).
Combine the above two ingredients with two sheng of water, boil until completely dissolved, filter out the dregs, and take it all at once. (Also found in *Qian Jin Fang*)
Another formula:
Take seven fresh melon stalk tips (Gua Di, 瓜蒂), wrap them in cotton, and insert them into the lower orifice. If not in season, pickled melon stalks can be used instead. (Both extracted from Volume III)
Cui Shi's formulas for treating constipation:
Acorus powder (Chang Pu Mo, 菖蒲末); salt powder (Yan Shi Mo, 石盐末).
Mix the above two powders, take half a bi (spoonful), add a little black sesame oil (Wu Ma Zhi, 乌麻脂), wrap in cotton, and insert into the lower orifice; defecation will immediately become unobstructed.
Another formula:
One sheng of lard (Zhu Zhi, 猪脂) and one serving of warm wine; drink it all thoroughly; this is effective. (Both extracted from Volume IV)
Formulas from *Gu Jin Lu Yan Fang* (Ancient and Modern Verified Prescriptions) for treating abdominal distension and fullness, and constipation:
Peony root (Bai Shao/Yu Mu, 芍药) (6 fen); Scutellaria root (Huang Qin, 黄芩) (5 fen); Rhubarb (Da Huang, 大黄) (8 fen); Mirabilite (Mang Xiao, 芒硝) (6 fen); Apricot kernel (Xing Ren, 杏仁) (peeled, tip removed, stir-fried, 8 fen).
Pulverize and sieve the above five herbs into powder. Form pills with refined honey, the size of sophora seeds. Take fifteen pills per dose with millet broth; the dosage may be increased to twenty pills. Stop when bowel movement becomes smooth. (Also found in *Jing Xin Lu*, extracted from Volume XXVI)
Formulas from *Jin Xiao Fang* (Recently Effective Prescriptions) for treating constipation:
Mix pig bile (Zhu Dan, 猪胆) with a small amount of honey. Cook in a pan until thick and ripe. Form pills the size of dates. Insert into the lower orifice; the condition will immediately heal.