夫时气大便不通者。由脾胃有热。发汗太过。则津液竭。津液竭则胃中干燥。结热在内
。则大便不通也。
治时气热毒在脏。大肠不通。宜服羚羊角散方。
羚羊角屑（一两） 麦门冬（二两去心） 大腹皮（一两锉） 川大黄（一两锉碎微炒）
川升
麻（一两） 柴胡（一两去苗） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服三钱。水一中盏。煎至六分。去滓。入玄明粉一钱。搅令匀。
不计时候温服。
治时气十日以上。腹微满而喘。脐下 痛。大便不通。宜服大黄散方。
川大黄（二两锉碎微炒） 羚羊角屑（一两） 枳实（一两麸炒微黄） 川芒硝（二两）
桑根
白皮（一两）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。以利
为度。
治时气恶寒。头痛。壮热。大便不通。宜服柴胡散方。
柴胡（去苗） 茵陈 木通 土瓜根 白藓皮 栀子仁（各一两） 川芒硝（二两） 川
大黄
（二两锉碎微炒）
上件药。捣细罗为散。不计时候。以温水调服三钱。少时当利一两行。利后煮葱豉稀粥
食之。如热未歇。再服
治时气胃中壅热。大便不通。宜服大麻仁丸方。
大麻仁（二两研入） 川大黄（二两） 郁李仁（一两汤浸去皮尖研） 犀角屑 川朴
硝枳
壳（麸炒微黄去瓤） 木通（以上各一两）
上件药。捣细罗为末。入大麻仁等令匀。炼蜜和丸。如梧桐子大。每服不计时候。以温
水下二十丸。
治时气十余日不大便。调气丸方。
川芒硝（二两） 枳实（一两麸炒微黄） 川大黄（二两锉碎微炒） 杏仁（二两汤浸
去皮尖
双仁麸炒黄研如膏）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以温水下三十丸。如未利。再
服。
治时气热毒在胃。大便不通方。
川大黄（一两锉碎微炒） 川芒硝（一两）
上件药。细锉。以水一大盏。浸一宿。明早煎五七沸。绵滤取汁。不计时候温温顿服。
良久下恶滞物。
In cases of seasonal febrile diseases (Shiqi) presenting with constipation, the etiology lies in heat within the Spleen and Stomach. Excessive sweating depletes Body Fluids (Jinye). When Body Fluids are depleted, the Stomach becomes dry, and pathogenic heat accumulates internally, resulting in constipation.
For seasonal febrile diseases where heat-toxin resides in the Zang organs and the Large Intestine fails to transmit, Lingyangjiao San (Antelope Horn Powder) is indicated.
Lingyangjiao Xie (Antelope Horn Shavings) (1 liang)
Maimendong (Ophiopogonis Radix) (2 liang, heart removed)
Dafupi (Arecae Pericarpium) (1 liang, sliced)
Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, sliced and lightly stir-fried)
Chuan Shengma (Cimicifugae Rhizoma) (1 liang)
Chaihu (Bupleuri Radix) (1 liang, radix removed)
Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and sliced)
The above herbs are crushed, sifted, and made into a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to 6 fen. The dregs are filtered out, and Xuanmingfen (Mirabilite) 1 qian is added and stirred until dissolved. It is taken warm at any time.
For seasonal febrile diseases lasting more than ten days, presenting with slight abdominal fullness, panting, pain below the umbilicus, and constipation, Dahuang San (Rhubarb Powder) is indicated.
Chuan Dahuang (Rhei Radix et Rhizoma) (2 liang, sliced and lightly stir-fried)
Lingyangjiao Xie (Antelope Horn Shavings) (1 liang)
Zhishi (Aurantii Fructus Immaturus) (1 liang, bran-fried until slightly yellow)
Chuan Mangxiao (Natrii Sulfas) (2 liang)
Sanggen Baipi (Mori Cortex) (1 liang)
The above herbs are crushed, sifted, and made into a powder. Each dose consists of 5 qian, decocted with one large zhong of water until reduced to 5 fen. The dregs are filtered out. It is taken warm at any time, with the goal of achieving bowel movement.
For seasonal febrile diseases presenting with aversion to cold, headache, high fever, and constipation, Chaihu San (Bupleurum Powder) is indicated.
Chaihu (Bupleuri Radix) (radix removed)
Yinchen (Artemisiae Scopariae Herba)
Mutong (Akebiae Caulis)
Tuguagen (Trichosanthis Radix)
Baixianpi (Dictamni Cortex)
Zhizi Ren (Gardeniae Semen) (each 1 liang)
Chuan Mangxiao (Natrii Sulfas) (2 liang)
Chuan Dahuang (Rhei Radix et Rhizoma) (2 liang, sliced and lightly stir-fried)
The above herbs are finely ground and sifted. Each dose of 3 qian is mixed with warm water and taken at any time. Bowel movements should occur once or twice shortly after administration. After purgation, consume a thin porridge made with Scallion and Fermented Soybean (Congchi). If the fever persists, administer again.
For seasonal febrile diseases presenting with stagnating heat in the Stomach and constipation, Damaoren Wan (Hemp Seed Pill) is indicated.
Damaoren (Cannabis Fructus) (2 liang, pounded and incorporated)
Chuan Dahuang (Rhei Radix et Rhizoma) (2 liang)
Yuliren (Pruni Semen) (1 liang, soaked in hot water, skin and tip removed, then pounded)
Xijiao Xie (Rhino Cornu Shavings)
Chuan Puxiao (Natrii Sulfas)
Zhike (Aurantii Fructus) (bran-fried until slightly yellow, albedo removed)
Mutong (Akebiae Caulis) (each 1 liang for the above items)
The above herbs are finely ground and sifted. Hemp seed and other ingredients are mixed evenly. Honey is refined and used to bind the powder into pills the size of Sophora seeds. Each dose consists of 20 pills, taken with warm water at any time.
For seasonal febrile diseases presenting with no bowel movement for more than ten days, Tiaoqi Wan (Regulating Qi Pill) is indicated.
Chuan Mangxiao (Natrii Sulfas) (2 liang)
Zhishi (Aurantii Fructus Immaturus) (1 liang, bran-fried until slightly yellow)
Chuan Dahuang (Rhei Radix et Rhizoma) (2 liang, sliced and lightly stir-fried)
Xingren (Armeniacae Semen Amarum) (2 liang, soaked in hot water, skin and tip removed; double-kernel almonds fried in bran until yellow, then pounded into a paste)
The above herbs are ground into powder. Honey is refined and used to bind the powder into pills the size of Sophora seeds. Each dose consists of 30 pills, taken with warm water at any time. If bowel movement does not occur, administer again.
For seasonal febrile diseases where heat-toxin resides in the Stomach causing constipation:
Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, sliced and lightly stir-fried)
Chuan Mangxiao (Natrii Sulfas) (1 liang)
The above herbs are finely sliced and soaked in one large zhong of water overnight. On the morning of the next day, boil for five to seven boils. Filter through silk cloth to obtain the juice. Take the entire amount warm at any time. After some time, foul stagnant matter will be evacuated.