治大便燥结不通。
生地黄 升麻(各一钱) 当归尾 麻仁(去壳) 熟地黄 大黄(煨) 桃仁(另研)
甘草(生,以上各一钱) 红花(三分)
上作一服,水二盅,煎至一盅,食前服。一方有黄柏,无红花。
治大实大满,心胸高起,气塞不通者,为结也。
蟾酥 轻粉 麝香(各等分) 巴豆(少许,另研)
上研极细,用孩儿乳汁和丸,如黍米大,每服二三丸,不拘时姜汤下。
治大肠有热,津液竭燥,里急后重,大便秘结。
柏子仁 松子仁 火麻子仁(各一两)
上研令匀,用黄蜡半两,焙化和丸,如梧桐子大,每服二十丸,食前用米饮送下,未快
加丸数服之。一方以白蜡和丸,用黄丹汤下,治老人虚秘。
治大便燥结,服转药久不通。
灶突墨(一钱) 沧盐(三钱)
上研匀,每用一钱,竹筒吹入肛门,立透。
治秘结至极,昏不知人。
上用生大螺一二枚,以盐一匕,连壳生捣碎,置病者脐下一寸三分,用宽帛紧缚之,即
大便。如未效,乌 木根三寸,研井水服亦效,就多研烂敷脐下亦可。
治三焦约证,调顺气脉,消痞滞,利胸膈,治风气,通利大小便。
枳壳(二两) 陈皮(一两) 槟榔(半两) 木香(二钱半) 黑牵牛(取头末七钱
半,半生
上为细末,炼蜜和丸,如梧桐子大,每服十五丸,不拘时,生姜汤送下,日三服。
To treat dry and hard stool with obstruction of defecation.
Shengdihuang (Rehmanniae Radix), Shengma (Cimicifugae Rhizoma) (each 1 qian); Dangguwei (Angelicae Sinensis Radix Caulis), Mahuren (Cannabis Semen, removed from shell); Shudihuang (Rehmanniae Radix Preparata), Dahuang (Rhei Radix et Rhizoma, stir-fried); Taoren (Persicae Semen, ground separately); Gancao (Glycyrrhizae Radix et Rhizoma, raw; above herbs each 1 qian); Honghua (Carthami Flos, 3 fen).
Take the above as one dose, add two zhong of water, decoct until one zhong remains, and take before meals. Another prescription contains Huangbai (Phellodendri Cortex) but no Honghua.
To treat severe excess and fullness, with distension and elevation in the chest and heart region, and qi obstruction causing blockage, this is termed "Jie" (Knot/Constriction).
Chansu (Bufonis Venenum), Qingfen (Calomelas), Shexiang (Moschus) (equal parts); Badou (Crotonis Fructus, a small amount, ground separately).
Grind the above to an extremely fine powder, mix with milk from a young child to form pills the size of millet seeds. Take 2-3 pills per dose at any time, washed down with ginger soup.
To treat heat in the Large Intestine, exhaustion of body fluids leading to dryness, tenesmus, and constipation.
Baiziren (Biota Semen), Songziren (Pinii Semen), Huomazi Ren (Cannabis Semen) (each 1 liang).
Grind the above evenly, melt half a liang of yellow beeswax by heating, and mix to form pills the size of sophora seeds. Take 20 pills per dose before meals, washed down with rice drink. If defecation is not satisfactory, increase the number of pills taken. Another prescription uses white beeswax to form pills, taken with Huangdan (Lithargyri Pulvis) soup, used to treat deficiency-type constipation in the elderly.
To treat dry and hard stool where purgative medicines have failed to produce bowel movement for a long time.
Zaotu Mo (Soot from the chimney flue, 1 qian); Cangyan (Halitum, 3 qian).
Grind the above evenly. Use 1 qian each time, blow into the anus using a bamboo tube, resulting in immediate passage.
To treat extreme constipation leading to unconsciousness.
Use 1-2 fresh large snails, add one spoonful of salt, crush together with shells while raw. Apply to the area one cun three fen below the umbilicus of the patient, and bind tightly with a wide cloth band. Defecation will occur immediately. If there is no effect, take three cun of Wumu Gen (Urticae Radix or related root, specifically *Urtica ferox* or similar local variety often referred to as such in ancient texts, here likely referring to a specific toxic root contextually treated as Wumu), grind it, and take with well water; this is also effective. Alternatively, grind a larger amount into a paste and apply to the area below the umbilicus.
To treat the syndrome of constraint in the Sanjiao (Triple Burner), regulate and smooth the qi and meridians, dissipate痞 (痞 - stagnation/fullness), benefit the chest and diaphragm, treat wind-pathogens, and promote the free flow of both urine and feces.
Zhike (Aurantii Fructus), Chenpi (Citri Reticulatae Pericarpium) (1 liang); Binglang (Arecae Semen) (half liang); Muxiang (Aucklandiae Radix) (2 qian half); Heiqianniu (Morning Glory Seed, take the finest powder 7 qian half, half raw [text cuts off but implies processing]).
Make into a fine powder, mix with refined honey to form pills the size of sophora seeds. Take 15 pills per dose at any time, washed down with ginger soup, three times a day.