夫大便不通者。是三焦五脏不和。冷热不调。热气遍入肠胃。津液竭燥。故令糟粕痞结
。壅塞不通也。
治大便不通。下焦伤热闷。大黄散方。
川大黄（一两锉碎微炒） 槟榔（一两） 木香（半两） 川芒硝（一两） 枳壳（一
两麸炒微
黄去瓤） 子芩（半两）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。葱白七寸。煎至六分。去滓
空腹温服。如未通晚再服。
治肠胃积滞。大便不通。气壅上奔。宜服大戟丸方。
大戟（一两锉碎微炒） 川大黄（二两锉碎微炒） 木香（半两） 羌活（一两） 陈
橘皮（一
两汤浸去白瓤焙） 桑根白皮（一两锉） 牵牛子（四两微炒别捣罗取末二两）
上件药。捣罗为末。入牵牛子末。同研令匀。炼蜜和丸。如梧桐子大。每于空心。以生
姜汤下二十丸。
治大便不通。脐腹妨闷。不下饮食。遍宜服此方。
乌巢子（二两） 木香（一两） 芎 （一两） 青橘皮（一两汤浸去白瓤焙） 川大
黄〔二（
三）两锉碎微炒〕
上件药。捣罗为末。炼蜜和捣百余杵。丸如梧桐子大。食前。煎葱白生姜汤下二十丸。
治大便不通。腹内壅闷。喘息促。宜服此方。
川大黄（二两锉碎微炒） 川芒硝（一两） 桑根白皮（一两锉） 大麻仁（一两别研）
上件药。捣罗为末。入麻仁令匀。炼蜜和捣一二百杵。丸如梧桐子大。每于食前。以温
生姜汤下三十丸。以利为度。
治大肠结实。枳壳丸方。
枳壳（一两麸炒微黄去瓤） 川大黄（一两锉碎微炒） 川芒硝（一两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以生姜汤下三十丸。
治干粪塞肠。症肠胀痛不通方。
毛桃花（一两湿者） 面（三两）
上件药。和面作馄饨。熟煮。空腹食之。至日午后。腹中如雷鸣。当下恶物为效。
治大便不通。十日秘者方。
枣（一枚去核） 腻粉（一钱）
上以腻粉。纳于枣中。和白面裹之。于火上炙令熟。碾罗为末。以煎汤调顿服之。立效
治大便旬日不通方。
鼠粪（二枚） 白胶香（半枣大）
上件药。细研。入水少许。和丸如枣核大。以油涂。纳谷道中。良久便通。神妙。
又方。
腻粉（一分） 黄丹（一钱）
上件药。同研令匀。每服。以粥饮调下一钱。不过三服效。
治大便秘涩不通方。
上用大麻子烂研。以米相和。煮粥食之良。
又方。
蜣螂（微炒去翅足）
上捣罗为末。以热酒调下一钱。
又方。
牵牛子（二两一半微炒一半生用）
上捣细罗为散。每服。以生姜汤调下二钱。良久。以热茶投。
又方。
皂荚（二挺去黑皮微炙黄）
上捣罗为末。炼蜜和丸。如梧桐子大。每服空心。以温水下三十丸。
又方。
巴豆（一枚去皮以油燥焦去心膜）
上以粳米饭二十粒同研熟。丸如绿豆大。每服。以温水下三丸。如人行十里当通。未通
即再服。
又方。
上用瓜蒂五枚。捣罗为末。以绵裹。纳下部中。即通。
又方。
槟榔（半两）
上捣罗为末。以童子小便一大盏。煎至六分。入葱白三寸。盖定良久。去葱顿服。
Bowel obstruction is caused by disharmony among the Sanjiao (Triple Burner) and the Zang-Fu organs, with an imbalance of cold and heat. Heat qi pervades the intestines and stomach, exhausting body fluids and causing dryness, thereby leading to the stagnation and accumulation of fecal matter, resulting in blockage and lack of unobstructed passage.
For treating bowel obstruction due to heat oppression in the Lower Jiao, use the Dahuang San (Rhubarb Powder):
Radix et Rhizoma Rhei (Dahuang, 1 liang, crushed and lightly stir-fried), Arecae Semen (Binglang, 1 liang), Radix Aucklandiae (Muxiang, 0.5 liang), Natrii Sulfas (Chuan Mangxiao, 1 liang), Fructus Aurantii (Zhike, 1 liang, stir-fried with bran until slightly yellow, pith removed), Cortex Phellodendri (Ziqin, 0.5 liang).
Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 7 cun of scallion white. Decoct until reduced to 6 fen. Strain and take warm on an empty stomach. If stool is not passed, take again in the evening.
For treating intestinal stagnation, bowel obstruction, and qi rushing upward due to congestion, take the Daji Wan (Euphorbia Pill):
Radix Euphorbiae Humifusae (Daji, 1 liang, crushed and lightly stir-fried), Radix et Rhizoma Rhei (Dahuang, 2 liang, crushed and lightly stir-fried), Radix Aucklandiae (Muxiang, 0.5 liang), Radix Notopterygii (Qianghuo, 1 liang), Pericarpium Citri Reticulatae (Chenju pi, 1 liang, soaked in water, white pith removed, dried), Cortex Morus Radicis (Sangbaipí, 1 liang, crushed), Semen Phaseoli Sojae Preparatum (Qianniuzi, 4 liang, lightly stir-fried, separately ground and sifted to obtain 2 liang of powder).
Grind the above ingredients into fine powder, add the Qianniu powder, and mix thoroughly. Blend with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills on an empty stomach with ginger decoction.
For treating bowel obstruction, abdominal distension and stuffiness around the umbilicus, and inability to eat, this formula is generally suitable:
Wuchaizi (2 liang), Radix Aucklandiae (Muxiang, 1 liang), Radix Chuanxiong (Xiong, 1 liang), Pericarpium Citri Reticulatae Viride (Qingju pi, 1 liang, soaked in water, white pith removed, dried), Radix et Rhizoma Rhei (Dahuang, 2-3 liang, crushed and lightly stir-fried).
Grind the above ingredients into fine powder. Blend with refined honey and pound for over 100 strokes to form pills the size of Sophora japonica seeds. Before meals, take 20 pills with decoction of scallion white and ginger.
For treating bowel obstruction, abdominal fullness and stuffiness, and rapid breathing, take this formula:
Radix et Rhizoma Rhei (Dahuang, 2 liang, crushed and lightly stir-fried), Natrii Sulfas (Chuan Mangxiao, 1 liang), Cortex Morus Radicis (Sangbaipí, 1 liang, crushed), Semen Cannabis (Dama ren, 1 liang, separately ground).
Grind the above ingredients into fine powder, mix evenly with hemp seed powder. Blend with refined honey and pound for 100-200 strokes to form pills the size of Sophora japonica seeds. Before meals, take 30 pills with warm ginger decoction. Stop when bowel movement occurs.
For treating solid accumulation in the Large Intestine, use Zhike Wan (Citrus Aurantium Pill):
Fructus Aurantii (Zhike, 1 liang, stir-fried with bran until slightly yellow, pith removed), Radix et Rhizoma Rhei (Dahuang, 1 liang, crushed and lightly stir-fried), Natrii Sulfas (Chuan Mangxiao, 1 liang).
Grind the above ingredients into fine powder. Blend with refined honey to form pills the size of Sophora japonica seeds. Before meals, take 30 pills with ginger decoction.
For treating dry feces blocking the intestine, causing pain and swelling without relief:
Flos Persicae (Maotao hua, 1 liang, fresh), Wheat Flour (Mian, 3 liang).
Mix the ingredients with flour to make wontons. Boil until cooked. Eat on an empty stomach. By afternoon, if thunder-like sounds are heard in the abdomen and foul matter is discharged, it is effective.
For treating bowel obstruction lasting ten days:
Jujube (Zao, 1 piece, pit removed), Calomelas (Nifen, 1 qian).
Place Nifen inside the jujube, wrap with white flour, roast on fire until cooked. Grind into powder. Mix with decoction and take at once. Immediate effect.
For treating bowel obstruction lasting ten days:
Mus Feces (Shufen, 2 pieces), Boswellia Carteri Resina (Baijiaoxiang, size of half a jujube).
Grind finely, add a little water, and form pills the size of a jujube pit. Coat with oil, insert into the anus. Passage will occur after a while. Miraculous effect.
Another prescription:
Calomelas (Nifen, 1 fen), Minium (Huangdan, 1 qian).
Grind together until uniform. Take 1 qian mixed with rice gruel. Effective within three doses.
For treating severe constipation:
Grind Semen Cannabis (Dama zi) thoroughly, cook with rice to make porridge. Eating this is beneficial.
Another prescription:
Scarabaeus (Qianglang, lightly stir-fried, wings and legs removed).
Grind into powder. Take 1 qian mixed with hot wine.
Another prescription:
Semen Phaseoli Sojae (Qianniuzi, 2.5 liang, half lightly stir-fried, half raw).
Grind finely and sieve into powder. Take 2 qian mixed with ginger decoction. After a while, follow with hot tea.
Another prescription:
Gleditsia Sinensis Fructus (Zaojiao, 2 pods, remove black skin, lightly roast until yellow).
Grind into powder. Blend with refined honey to form pills the size of Sophora japonica seeds. On an empty stomach, take 30 pills with warm water.
Another prescription:
Seminar Crotonis Tiglii (Badou, 1 seed, peel off, fry with oil until scorched, remove heart and membrane).
Grind together with 20 grains of Oryza Sativa Germen (Jingsimi) until cooked. Form pills the size of mung beans. Take 3 pills with warm water. Passage should occur after walking about five kilometers. If not, take again.
Another prescription:
Take 5 Gaideniae Fructus (Guadi), grind into powder, wrap in cotton, and insert into the lower orifice (anus). Passage will occur immediately.
Another prescription:
Arecae Semen (Binglang, 0.5 liang).
Grind into powder. Decoct with one zhong zhan of urine from an uncircumcised boy until reduced to 6 fen. Add 3 cun of scallion white, cover and let stand for a long time. Remove scallion and take at once.