夫大肠风秘涩不通者。是五脏气不调。阴阳偏有虚实。三焦不和。冷热并结也。胃为水
谷之
在肠
治大肠风热。秘涩不通。心腹壅闷。宜服犀角散方。
犀角屑(三分) 白藓皮(三分) 防风(三分去芦头) 麦门冬(一两去心) 大麻
仁(一两)
木
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。食前温服。
治大肠风热。秘涩躁闷。宜服秦艽散方。
秦艽(三分去苗) 防风(一两去芦头) 枳壳(一两麸炒微黄去瓤) 大麻仁(一两)
槟榔
(一
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。食前温
服。
治大肠风热。秘涩不通。四肢烦闷。宜服槟榔散方。
槟榔〔一(二)两〕 木香(三分) 羌活(三分) 川朴硝(二两) 牵牛子(三两
微炒) 陈
橘皮
上件药。捣细罗为散。每服空腹。以生姜汤调下三钱。以利为度。
治大肠风热。秘涩。气壅闷。宜服麻仁丸方。
大麻仁(三两) 羚羊角屑(一两) 枳壳(一两麸炒微黄去瓤) 芎 (一两) 木
香(一两)
鳖
郁李
仁
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服食前。以温水下三十丸。
以利
治风热壅滞。调气。利大肠。羚羊角丸方。
羚羊角屑(三分) 人参(半两去芦头) 诃黎勒皮(半两) 槟榔(半两) 川大黄
(一两锉
碎微
浸去皮骨
炙令
茯苓(三
分)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以温水下三十丸。
以利
治风壅大肠涩滞。宜服大黄丸方。
川大黄(一两半锉碎微炒) 大麻仁(一两半) 车前子(一两半) 菟丝子(三分酒
浸三日
晒干
(三分
去芦
去苗)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每夜临卧时。以温浆水下三十
丸。
治大肠风热。结涩不通。宜服威灵仙丸方。
威灵仙(二两) 川大黄(二两锉碎微炒) 独活(一两) 芎 (一两) 槟榔(一
两) 牵牛
子〔
上件药。捣罗为末。炼蜜和为丸。如梧桐子大。每服食前。以温水下十五丸。
Obstruction and constipation of the Large Intestine due to Wind-Heat (Da Chang Feng Mi Se Bu Tong) refers to a condition where the Qi of the Five Viscera is disharmonious, Yin and Yang are imbalanced with excess or deficiency, the San Jiao (Triple Burner) mechanism is disordered, and Cold and Heat pathogens are bound together.
For treating obstruction and constipation of the Large Intestine due to Wind-Heat, accompanied by fullness and oppression in the chest, abdomen, and heart, it is appropriate to take Xi Jiao San Formula (Rhinoceros Horn Powder).
Xi Jiao Xie (Powdered Rhinoceros Horn, *Rhinocerotis Cornu*) (3 fen) Bai Xian Pi (Cortex Dictamni, *Dictamni Cortex*) (3 fen) Fang Feng (Radix Saposhnikoviae, *Saposhnikoviae Radix*, remove the root head) (3 fen) Mai Men Dong (Tuber Ophiopogonis, *Ophiopogonis Tuber*, remove the heart) (1 liang) Da Ma Ren (Seed Cannabis, *Cannabis Semen*) (1 liang)
The above herbs are crushed, sifted, and made into a powder. Take 5 qian per dose. Add 1 da zhen (approx. 200ml) of water, decoct until 5 fen remains, strain, and take warm before meals.
For treating obstruction and constipation of the Large Intestine due to Wind-Heat, accompanied by irritability and oppression, it is appropriate to take Qin Jiao San Formula (Gentian Powder).
Qin Jiao (Radix Gentianae Macrophyllae, *Gentianae Macrophyllae Radix*, remove the sprout) (3 fen) Fang Feng (Radix Saposhnikoviae, *Saposhnikoviae Radix*, remove the root head) (1 liang) Zhi Ke (Fructus Aurantii, *Aurantii Fructus*, stir-fried with bran until slightly yellow, remove the pith) (1 liang) Da Ma Ren (Seed Cannabis, *Cannabis Semen*) (1 liang) Bing Lang (Areca Seed, *Arecae Semen*) (1 piece)
The above herbs are coarsely crushed and sifted to make a powder. Take 3 qian per dose. Add 1 zhong zhen (approx. 150ml) of water and 1/2 fen of Sheng Jiang (Rhizoma Zingiberis Recens, *Zingiberis Rhizoma Recens*), decoct until 6 fen remains, strain, and take warm before meals.
For treating obstruction and constipation of the Large Intestine due to Wind-Heat, accompanied by vexation and oppression in the four limbs, it is appropriate to take Bing Lang San Formula (Areca Powder).
Bing Lang (Areca Seed, *Arecae Semen*) (1 or 2 liang) Mu Xiang (Radix Aucklandiae, *Aucklandiae Radix*) (3 fen) Qiang Huo (Rhizoma et Radix Notopterygii, *Notopterygii Rhizoma et Radix*) (3 fen) Chuan Po Xiao (Natrii Sulfas, *Natrii Sulfas*) (2 liang) Qian Niu Zi (Seed Pharbitidis, *Pharbitidis Semen*, lightly stir-fried) (3 liang) Chen Pi (Pericarpium Citri Reticulatae, *Citri Reticulatae Pericarpium*, remove the white pith) (1 liang)
The above herbs are finely crushed and sifted to make a powder. Take 3 qian on an empty stomach, mixed with Sheng Jiang Tang (Ginger Decoction), until bowel movement is unobstructed.
For treating obstruction and constipation of the Large Intestine due to Wind-Heat, accompanied by Qi stagnation and oppression, it is appropriate to take Ma Ren Wan Formula (Hemp Seed Pill).
Da Ma Ren (Seed Cannabis, *Cannabis Semen*) (3 liang) Ling Yang Jiao Xie (Powdered Antelope Horn, *Saigae Tataricae Cornu*) (1 liang) Zhi Ke (Fructus Aurantii, *Aurantii Fructus*, stir-fried with bran until slightly yellow, remove the pith) (1 liang) Xiong (Radix Chuanxiong, *Chuanxiong Radix*) (1 liang) Mu Xiang (Radix Aucklandiae, *Aucklandiae Radix*) (1 liang) Bie Jia (Carapax et Plastrum Testudinis, *Testudinis Carapax et Plastrum*, vinegar-baked until yellow) (1 liang) Yu Li Ren (Seed Pruni Persicae, *Pruni Semen Persicae*, soaked in water, skin and tip removed, ground into paste) (1 liang)
The above herbs are crushed, sifted into powder, mixed with refined honey, and pounded for 300–500 strokes to form pills the size of Sophora seeds (*Sophorae Japonicae Fructus*). Take 30 pills before meals with warm water, until bowel movement is unobstructed.
Ling Yang Jiao Wan Formula (Antelope Horn Pill) for treating Wind-Heat stagnation, regulating Qi, and promoting bowel movement.
Ling Yang Jiao Xie (Powdered Antelope Horn, *Saigae Tataricae Cornu*) (3 fen) Ren Shen (Radix Ginseng, *Ginseng Radix*, remove the root head) (1/2 liang) He Li Le Pi (Pericarpium Chebulae, *Chebulae Pericarpium*) (1/2 liang) Bing Lang (Areca Seed, *Arecae Semen*) (1/2 liang) Chuan Da Huang (Radix et Rhizoma Rhei, *Rhei Radix et Rhizoma*, cut into pieces, lightly stir-fried) (1 liang) Chi Fu Ling (Poria, *Poria*) (1 liang) Chen Ju Pi (Pericarpium Citri Reticulatae, *Citri Reticulatae Pericarpium*, soaked in water, white pith removed, dried) (1 liang) Gui Xin (Cortex Cinnamomi Cassiae, *Cinnamomi Cortex*) (1 liang) Gan Cao (Radix Glycyrrhizae, *Glycyrrhizae Radix*, baked until slightly yellow, cut) (1/2 liang) Wei Ling Xian (Herba Clematidis, *Clematidis Herba*) (1 liang) Chai Hu (Radix Bupleuri, *Bupleuri Radix*, remove the sprout) (1 liang) Chuan Sheng Ma (Rhizoma Cimicifugae, *Cimicifugae Rhizoma*) (1 liang) Chuan Po Xiao (Natrii Sulfas, *Natrii Sulfas*) (1 liang) Xing Ren (Seed Armeniacae Amarum, *Armeniacae Semen Amarum*, soaked in water, skin and tip removed, stir-fried with bran until slightly yellow) (1 liang) Yu Li Ren (Seed Pruni Persicae, *Pruni Semen Persicae*, soaked in water, skin and tip removed, ground into paste) (1 liang)
The above herbs are crushed, sifted into powder, mixed with refined honey, and pounded for 200–300 strokes to form pills the size of Sophora seeds. Take 30 pills before meals with warm water, until bowel movement is unobstructed.
For treating stagnation and constipation of the Large Intestine due to Wind stagnation, it is appropriate to take Da Huang Wan Formula (Rhubarb Pill).
Chuan Da Huang (Radix et Rhizoma Rhei, *Rhei Radix et Rhizoma*, cut into pieces, lightly stir-fried) (1.5 liang) Da Ma Ren (Seed Cannabis, *Cannabis Semen*) (1.5 liang) Che Qian Zi (Seed Plantaginis, *Plantaginis Semen*) (1.5 liang) Tu Si Zi (Seed Cuscutae, *Cuscutae Semen*, soaked in wine for 3 days, sun-dried) (3 fen) Zhi Ke (Fructus Aurantii, *Aurantii Fructus*, stir-fried with bran until slightly yellow, remove the pith) (1 liang) Yu Li Ren (Seed Pruni Persicae, *Pruni Semen Persicae*, soaked in water, skin and tip removed, ground into paste) (3 fen) Chuan Po Xiao (Natrii Sulfas, *Natrii Sulfas*) (1 liang) Gan Cao (Radix Glycyrrhizae, *Glycyrrhizae Radix*, baked until slightly yellow, cut) (1/2 liang) Wei Ling Xian (Herba Clematidis, *Clematidis Herba*) (1 liang) Chai Hu (Radix Bupleuri, *Bupleuri Radix*, remove the sprout) (1 liang)
The above herbs are crushed, sifted into powder, mixed with refined honey, and pounded for 200–300 strokes to form pills the size of Sophora seeds. Take 30 pills every night before going to bed with warm rice water.
For treating obstruction and constipation of the Large Intestine due to Wind-Heat binding, it is appropriate to take Wei Ling Xian Wan Formula (Clematis Pill).
Wei Ling Xian (Herba Clematidis, *Clematidis Herba*) (2 liang) Chuan Da Huang (Radix et Rhizoma Rhei, *Rhei Radix et Rhizoma*, cut into pieces, lightly stir-fried) (2 liang) Du Huo (Radix Angelicae Pubescentis, *Angelicae Pubescentis Radix*) (1 liang) Xiong (Radix Chuanxiong, *Chuanxiong Radix*) (1 liang) Bing Lang (Areca Seed, *Arecae Semen*) (1 liang) Qian Niu Zi (Seed Pharbitidis, *Pharbitidis Semen*, lightly stir-fried, crushed) (1 liang) Yu Li Ren (Seed Pruni Persicae, *Pruni Semen Persicae*, soaked in water, skin and tip removed, ground into paste) (1 liang) Chuan Po Xiao (Natrii Sulfas, *Natrii Sulfas*) (1 liang) Gan Cao (Radix Glycyrrhizae, *Glycyrrhizae Radix*, baked until slightly yellow, cut) (1/2 liang) Wei Ling Xian (Herba Clematidis, *Clematidis Herba*) (1 liang) Chai Hu (Radix Bupleuri, *Bupleuri Radix*, remove the sprout) (1 liang)
The above herbs are crushed, sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take 15 pills before meals with warm water.