夫伤寒阳脉微。而汗出少。为不及。自和。汗出多。为太过。阳明脉实。因发其汗。汗
出多者。亦为太过。太过则阳气绝于里。绝于里。则津液竭。致热结在内。故大便牢而不通
也。
伤寒大便不通者。胃府实也。盖因太阳病。若发汗。若下。若利小便。亡其津液。胃中
干燥。因转属阳明。不更衣。内实大便难。此阳明证也。当下之。然有阳明证不可下者。当
问其小便日几行。若本小便日三四行。今日再行。故知大便不久出。为小便数少。津液当还
胃中。故知不久必大便也。如此则伤寒呕多。虽有阳明证。其不可下明矣。大凡胃中有燥粪。
法当以汤水和之。汤入腹中。转失气者。此所谓结燥。下之无害。若不转失气者。此但初硬
后必溏。不可下。下之。则胀满不能食也。经云。溲数。则大便难也。脾约丸。
方
大黄散（出圣惠方）治伤寒未解。烦躁口干。腹中有结燥不通。
川大黄（二两锉微炒） 枳实（一两麸炒微黄） 川芒硝（二两） 甘草（一两炙微赤
锉） 浓
朴（二两去粗皮涂生姜汁炙令香熟） 上为散。每服四钱。以水一中盏。煎至六分。去滓。
不
计
治伤寒五六日。热结在内。大便不通方。（出圣惠方）
川大黄（一两锉碎微炒） 牛蒡子（一两微炒） 枳壳（一两麸炒微黄去瓤） 上为散。
每服
四钱。以水一中盏。煎至六分。去滓。不计时候。温服。以得利为度。
柴胡散（出圣惠方）治伤寒四五日。壮热头痛。大便不通。
柴胡（去苗） 茵陈 木通（锉） 黄芩 土瓜根 白藓皮 川朴硝（以上各一两） 栀
子仁
（三分） 川大黄（一两锉碎微炒） 上为散。每服五钱。以水一大盏。入生姜一（半）分。
煎至
五
石膏散（出圣惠方）治伤寒五六日。壮热头痛。大便不通。小便血色。
石膏（一两） 赤芍药（三分） 川大黄（一两锉碎微炒） 川升麻（三分） 甘草（一
分炙微
赤锉） 柴胡（一两去苗） 木通（一两锉） 黄芩（三分） 川朴硝（一两） 上为散。
每服五钱。
以水
槟榔散（出圣惠方）治伤寒大便不通。小便赤涩。
槟榔（一两） 榆白皮（一两锉） 桂心（半两） 滑石（一两） 甘草（半两炙微赤
锉） 川大
黄（二两锉碎微炒） 上为散。每服五钱。以水一大盏。入生姜一（半）分。煎至五分。去
滓。
不
大腹皮散（出圣惠方）治伤寒六七日。大肠壅结不通。腹胁胀满。不下饮食。
大腹皮（半两锉碎） 枳壳（一分麸炒令微黄去瓤） 赤茯苓（三分） 赤芍药（三分）
桑根
白皮（三分锉） 牵牛子（一两微炒） 甘草（一分炙微赤锉） 郁李仁（一两汤浸去皮尖
微炒）
百合（一两） 上为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候。
温服。以得利为度。
黄芩散（出圣惠方）治伤寒八九日。大便不通。心神闷乱。
黄芩（一两） 川大黄（二两锉碎微炒） 枳壳（半两麸炒微黄去瓤） 大腹皮（一两
锉） 郁
李仁（一两汤浸去皮尖） 羚羊角屑（一两） 上为散。每服五钱。以水一大盏。煎至五分。
去
滓。不计时候。温服。以得利为度。
桑白皮散（出圣惠方）治伤寒五六日。大便不通。气喘。
桑白皮（一两锉） 大腹皮（半两锉） 枳壳（一两麸炒微黄去瓤） 川大黄（二两锉
碎微炒）
川芒硝（一两） 甘草（半两炙微赤锉） 上为散。每服五钱。以水一大盏。入生姜半分。
煎至
五分。去滓。不计时候。温服。以得利为度。
川大黄散（出圣惠方）治伤寒大便不通。心腹满闷。烦热喘促。
川大黄（锉碎微炒） 川芒硝 赤芍药 桑白皮（锉） 大麻仁 枳壳（麸炒微黄去瓤）
防
葵陈橘皮（汤浸去白瓤焙以上各一两） 上为散。每服五钱。以水一大盏。煎至五分。去
滓。
不
大黄丸（出圣惠方）治伤寒大便秘涩。是内有积热所为。诊其脉两手寸口悉洪
大而数。是其
川大黄（二两锉碎微炒） 枳壳（麸炒微黄去瓤） 陈橘皮（汤浸去白瓤焙） 麻仁（各
一两
二钱） 槟榔 木通（锉以上各一两） 上为细末。炼蜜和丸如梧桐子大。每服不计时候。
温
汤下三十丸。
牵牛丸 治伤寒后风气壅滞。胸膈聚痰。大便不通。
牵牛子（一半生一半炒二两） 半夏（汤洗七次炒干） 木通（锉各一两） 桑根白皮
（锉三
分） 青橘皮（去白锉炒半两） 上捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服二
十
丸。空心。生姜汤下。临卧再服。
治阳明病潮热。若不大便六七日。恐有燥屎。欲知之法。少与小承气汤。汤入腹中
转失气者。此有燥屎也。乃可攻之。若不转失气者。此但初头硬。后必溏。不可攻。攻
之必腹胀不能食也。欲饮水者。与之水则哕。其后发热者。必大便硬而少也。以小承气
汤和之。
大黄（酒浸四两） 浓朴（去粗皮炙二两） 枳实（三枚麸炒） 上细锉如麻豆大。每
服五
钱。以水一盏半。煎七分。去滓。温服。当更衣。不尔者。再服。更衣者勿复服。若不转失
气者。慎不可攻也。
浓朴汤 治伤寒五六日。大便不通。壮热头疼。谵语。肠中有结燥。
浓朴（去粗皮姜汁炙一两） 柴胡（去苗） 大黄（锉炒各一两半） 朴硝（二两） 枳
壳（去
瓤麸炒三分） 上粗捣筛。每服五钱。以水一盏半。入生姜枣大。拍碎。煎至七分。去滓。
空心温服。良久再服。以通为度。未通再服。
浓朴半夏汤 治伤寒大便不通。呕。
浓朴（去粗皮生姜汁炙锉） 半夏（汤洗七次焙各一两） 大黄（锉二两） 枳壳（去
瓤麸炒
半两） 上粗捣筛。每服五钱。以水一盏半。生姜枣大。拍碎。煎至六分。去滓。空心温服。
如人
桑白皮汤 治伤寒五六日。大便不通。气喘。
桑根白皮（锉一两） 大腹皮（锉半两） 枳壳（去瓤麸炒） 大黄（锉炒各二两） 上
粗捣
筛。每服三钱。以水一盏。入生姜一枣大。拍碎。煎至六分。去滓。空心温服。如人行五里
再服。
桑白皮汤 治伤寒五六日。大便不通。气喘。
桑根白皮（锉一两） 大腹皮（锉半两） 枳壳（去瓤麸炒） 大黄（锉炒各二两） 上
粗捣
筛。每服三钱。以水一盏。入生姜一枣大。拍碎。煎至六分。去滓。下朴硝末半钱。空心温
服。未通再服。以通为度。
柴胡黄芩汤 治伤寒热气未解。恶寒。头痛壮热。四五日大便不通。
柴胡（去苗） 黄芩（去黑心） 土瓜根 白藓皮 木香 茵陈蒿（各一两一分） 山
栀子仁
（三分） 大黄（细锉醋炒一两半） 上粗捣筛。每服三钱。以水一盏。煎至六分。去滓。
下朴
硝
槟榔散（出永类钤方）治伤寒伏热在肠胃。大便不通。
槟榔（锉二两） 木香 枳壳（去瓤麸炒） 陈橘皮（汤浸去白炒各一两） 白术 大
戟（锉
炒各半两） 杏仁（汤浸去皮尖） 干姜（炮各三分） 上捣罗为细散。每服一钱。煎生姜
汤调
下。不拘时候。
麻仁丸（一名脾约丸）治伤寒趺阳脉浮而涩。浮则胃气强。涩则小便数。浮涩
相搏。则大便
麻子仁（半升） 芍药（二两） 浓朴（二寸半去粗皮姜汁炙透） 大黄（四两） 枳
实（麸炒
一两三分） 杏仁（去皮尖双仁炒二合半） 上为细末。炼蜜丸如梧桐子大。每服十丸。以
饮
下。未知渐加。以知为度。日三。利后服糜粥将理。
郁李仁散 治伤寒大便不通。
郁李仁（去皮尖炒研） 槟榔（锉各二两） 芎 （一两半） 木香（五钱） 上捣罗
四味为细
散。入二味研者。和匀。每服三钱。食前。温汤调下。以通为度。
麻仁汤 治伤寒大便五六日不通。
麻子仁 黄芩（去黑心） 甘草（炙锉） 栀子仁（各半两） 大黄（锉炒一两） 上
粗捣筛。
每服五钱。以水一盏半。煎至八分。去滓。下朴硝末半钱。温服。如人行五里再服。
蜜胆导方 治伤寒后大便秘涩。服药不通。
白蜜（三合） 猪胆（一枚） 腻粉（半分） 上先炼蜜二十沸。次下猪胆汁。慢火煎
成膏。
入腻粉相和。为丸如枣子核。以薄绵裹。纳下部中。未通再用。
治伤寒后大便不通。并吃转泻药后。腹胁转胀。不通利方。
上以盐半斤。熬令色变。用醋浆水二斗。煎五七沸。下盐搅匀。泻入盆中。看冷暖得所。
令病患盆中坐。淋浴少腹。须臾便通。
胃约汤 治伤寒腹满喘。不大便。下重。其人虚者。
枳壳（一两） 紫苏（一两） 橘皮（一两） 甘草 生姜（各五钱） 上以水三升。
煮取一升
半。去滓。温服五合。
濡肠丸 治少阴病。无热寒强。大便累日不通者。
威灵仙 黑牵牛（各等分） 上捣筛。炼蜜和丸如梧桐子大。以三十粒。白饮下。瘥。
妇
不大便甚。宜用此方。屡试屡验。
承气丸（出肘后方）治十余日不大便者。
大黄 杏仁（各二两） 枳实（一两） 芒硝（一两） 上捣蜜为丸。如弹子大丸。白
汤六七
合。服之。未通更服。
神圣自利膏（出德生堂）治伤寒及诸证大便闭。结连不通。腹肚胀满疼痛。病
者体虚。不欲
黄连（二两碾末） 巴豆（半两带壳与黄连和匀） 上为细末。作三次用。葱白自然涎
汁调
成膏。数贴脐上高半寸浓。不时大便自利。如不通。再上。行即止。
姜兑法 治胃中有燥粪。令人错语。正热盛。亦令人错语。若秘而错语者。宜服承
气汤。通利而错语者。宜服下四物黄连除热汤。承气汤。旧用芒硝。余以有毒。故去
之。用之数年。安稳得下。良。既服汤。亦应外用生姜兑。读作锐。下同。使必去燥
粪。若服汤兼兑而不得下者。可根据本方。\x
上以芒硝一两。削生姜如小指长二寸。研涂之。纳下部中。立通。
In Taiyang disease (Disease of the Taiyang channel), if the Yang pulse is faint and sweating is scanty, it indicates a state of self-recovery; however, if sweating is excessive, it indicates an excess condition. In Yangming disease (Disease of the Yangming channel), if the pulse is solid and sweating was induced excessively, this also constitutes an excess condition. Excessive sweating leads to the exhaustion of Yang Qi within the interior, which in turn depletes Body Fluids (Jin Ye). This results in Heat binding internally, causing the stool to become hard and difficult to pass.
Constipation in Taiyang disease is due to excess in the Stomach Fu organ. It generally arises because during Taiyang disease, treatments such as sweating, purging, or promoting urination have depleted Body Fluids, leading to dryness in the Stomach. Consequently, the condition transforms into Yangming disease, characterized by infrequent bowel movements, internal fullness, and difficult defecation. This is a Yangming syndrome and should be treated with purgatives. However, there are cases of Yangming syndrome where purgatives are contraindicated. In such cases, one should inquire about the frequency of urination. If the patient originally urinated three or four times a day but now only twice, it can be inferred that the stool will pass soon. This is because reduced urination suggests that Body Fluids are returning to the Stomach, indicating that defecation will occur shortly. Therefore, in patients with frequent vomiting during Taiyang disease, even if Yangming symptoms are present, purgatives are clearly contraindicated. Generally, when dry feces are present in the Stomach, decoctions should be administered. If, after ingesting the decoction, the patient passes gas (flatus), this indicates dry heat binding, and purgatives are safe to use. If no flatus occurs, it suggests that the stool is only hard at the beginning and loose later; purgatives must not be used, as they would cause abdominal distension and loss of appetite. The Classics state: "Frequent urination leads to difficulty in defecation." Pi Yue Wan (Spleen Restriction Pill) formula follows.
Dahuang San (Cassiae Semen Powder, from *Shenghui Fang*): Treats Taiyang disease where pathogens remain unresolved, accompanied by irritability, dry mouth, and internal dry heat binding causing constipation.
Chuan Dahuang (Rhizoma et Radix Rhei, 2 liang, crushed and lightly stir-fried) Zhishi (Fructus Aurantii Immaturus, 1 liang, bran-fried until slightly yellow) Chuan Mangxiao (Natrii Sulfas, 2 liang) Gancao (Radix Glycyrrhizae, 1 liang, honey-fried until slightly red and crushed) Houpo (Cortex Magnoliae Officinalis, 2 liang, bark removed, coated with ginger juice, fried until fragrant). Crush all ingredients into powder. Take 4 qian per dose. Decoct with one zhong cup of water until reduced to 6 fen. Strain. Take warm at any time.
Formula for treating Taiyang disease after five to six days, with internal heat binding and constipation (from *Shenghui Fang*):
Chuan Dahuang (Rhizoma et Radix Rhei, 1 liang, crushed and lightly stir-fried) Niubangzi (Fructus Arctii, 1 liang, lightly stir-fried) Zhiqiao (Fructus Aurantii, 1 liang, bran-fried until slightly yellow, pith removed). Crush into powder. Take 4 qian per dose. Decoct with one zhong cup of water until reduced to 6 fen. Strain. Take warm at any time. Stop when bowels move freely.
Chaihu San (Bupleuri Decoction Powder, from *Shenghui Fang*): Treats Taiyang disease after four to five days, with high fever, headache, and constipation.
Chaihu (Radix Bupleuri, rootlets removed) Yinchen (Herba Artemisiae Scopariae) Mutong (Caulis Akebiae or Caulis Tetrapanacis, crushed) Huangqin (Radix Scutellariae) Tugua Gen (Radix Trichosanthis Kirilowii) Baixianpi (Cortex Dictamni) Chuan Puxiao (Natrii Sulfas, each 1 liang above) Zhizi Ren (Semen Gossypii Herbacei, 3 fen) Chuan Dahuang (Rhizoma et Radix Rhei, 1 liang, crushed and lightly stir-fried). Crush into powder. Take 5 qian per dose. Decoct with one large cup of water, add half a fen of fresh Ginger (Shengjiang), reduce to 5 fen. Strain. Take warm at any time.
Shigao San (Gypsum Powder, from *Shenghui Fang*): Treats Taiyang disease after five to six days, with high fever, headache, constipation, and hematuria (blood in urine).
Shigao (Gypsum Fibrosum, 1 liang) Chi Shaoyao (Radix Paeoniae Rubra, 3 fen) Chuan Dahuang (Rhizoma et Radix Rhei, 1 liang, crushed and lightly stir-fried) Chuan Shengma (Rhizoma Cimicifugae, 3 fen) Gancao (Radix Glycyrrhizae, 1 fen, honey-fried until slightly red and crushed) Chaihu (Radix Bupleuri, 1 liang, rootlets removed) Mutong (Caulis Akebiae or Caulis Tetrapanacis, 1 liang, crushed) Huangqin (Radix Scutellariae, 3 fen) Chuan Puxiao (Natrii Sulfas, 1 liang). Crush into powder. Take 5 qian per dose. Decoct with one large cup of water until reduced to 5 fen. Strain. Take warm at any time.
Binglang San (Areca Seed Powder, from *Shenghui Fang*): Treats Taiyang disease with constipation and dark, scanty, painful urination.
Binglang (Semen Arecae, 1 liang) Yubai Pi (Cortex Ulmi, 1 liang, crushed) Guixin (Cortex Cinnamomi, 0.5 liang) Huashi (Talcum, 1 liang) Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red and crushed) Chuan Dahuang (Rhizoma et Radix Rhei, 2 liang, crushed and lightly stir-fried). Crush into powder. Take 5 qian per dose. Decoct with one large cup of water, add half a fen of fresh Ginger (Shengjiang), reduce to 5 fen. Strain. Take warm at any time.
Dafupi San (Pericarpium Arecae Powder, from *Shenghui Fang*): Treats Taiyang disease after six to seven days, with obstruction in the Large Intestine, abdominal and hypochondriac distension, and inability to eat.
Dafupi (Pericarpium Arecae, 0.5 liang, crushed) Zhiqiao (Fructus Aurantii, 1 fen, bran-fried until slightly yellow, pith removed) Chi Fuling (Poria with Red Wood, 3 fen) Chi Shaoyao (Radix Paeoniae Rubra, 3 fen) Sanggen Baipi (Cortex Mori Radicis, 3 fen, crushed) Qianniuzi (Semen Pharbitidis, 1 liang, lightly stir-fried) Gancao (Radix Glycyrrhizae, 1 fen, honey-fried until slightly red and crushed) Yuliren (Semen Pruni, 1 liang, soaked in water, skin and tip removed, lightly stir-fried) Baihe (Bulbus Lilii, 1 liang). Crush into powder. Take 5 qian per dose. Decoct with one large cup of water, add half a fen of fresh Ginger (Shengjiang), reduce to 5 fen. Strain. Take warm at any time. Stop when bowels move freely.
Huangqin San (Scutellaria Powder, from *Shenghui Fang*): Treats Taiyang disease after eight to nine days, with constipation, mental restlessness, and confusion.
Huangqin (Radix Scutellariae, 1 liang) Chuan Dahuang (Rhizoma et Radix Rhei, 2 liang, crushed and lightly stir-fried) Zhiqiao (Fructus Aurantii, 0.5 liang, bran-fried until slightly yellow, pith removed) Dafupi (Pericarpium Arecae, 1 liang, crushed) Yuliren (Semen Pruni, 1 liang, soaked in water, skin and tip removed) Lingyangjiao Xie (Cornu Saigae Tataricae Shavings, 1 liang). Crush into powder. Take 5 qian per dose. Decoct with one large cup of water until reduced to 5 fen. Strain. Take warm at any time. Stop when bowels move freely.
Sangbaipi San (Morus Alba Root Bark Powder, from *Shenghui Fang*): Treats Taiyang disease after five to six days, with constipation and asthma/wheezing.
Sangbaipi (Cortex Mori Radicis, 1 liang, crushed) Dafupi (Pericarpium Arecae, 0.5 liang, crushed) Zhiqiao (Fructus Aurantii, 1 liang, bran-fried until slightly yellow, pith removed) Chuan Dahuang (Rhizoma et Radix Rhei, 2 liang, crushed and lightly stir-fried) Chuan Mangxiao (Natrii Sulfas, 1 liang) Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red and crushed). Crush into powder. Take 5 qian per dose. Decoct with one large cup of water, add half a fen of fresh Ginger (Shengjiang), reduce to 5 fen. Strain. Take warm at any time. Stop when bowels move freely.
Chuan Dahuang San (Rhubarb Powder, from *Shenghui Fang*): Treats Taiyang disease with constipation, chest and abdominal fullness, irritability, heat, and panting.
Chuan Dahuang (Rhizoma et Radix Rhei, crushed and lightly stir-fried) Chuan Mangxiao (Natrii Sulfas) Chi Shaoyao (Radix Paeoniae Rubra) Sangbaipi (Cortex Mori Radicis, crushed) Damaren (Semen Cannabis) Zhiqiao (Fructus Aurantii, bran-fried until slightly yellow, pith removed) Fangfeng (Radix Saposhnikoviae) Chen Jupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried, each 1 liang above). Crush into powder. Take 5 qian per dose. Decoct with one large cup of water until reduced to 5 fen. Strain. Take warm at any time.
Dahuang Wan (Rhubarb Pill, from *Shenghui Fang*): Treats severe constipation in Taiyang disease caused by internal accumulated heat. Pulse diagnosis reveals both Cun (inch) positions on both wrists are surging (Hong) and rapid (Shu), indicating this syndrome.
Chuan Dahuang (Rhizoma et Radix Rhei, 2 liang, crushed and lightly stir-fried) Zhiqiao (Fructus Aurantii, bran-fried until slightly yellow, pith removed) Chen Jupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried) Mahren (Semen Cannabis, each 1 liang 2 qian) Binglang (Semen Arecae) Mutong (Caulis Akebiae or Caulis Tetrapanacis, crushed, each 1 liang above). Grind into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills with warm water at any time.
Qianniu Wan (Pharbitis Pill): Treats post-Taiyang disease where Wind-Pathogen causes stagnation, phlegm accumulation in the chest and diaphragm, and constipation.
Qianniuzi (Semen Pharbitidis, half raw half fried, 2 liang) Banxia (Rhizoma Pinelliae, washed seven times in water, dried) Mutong (Caulis Akebiae or Caulis Tetrapanacis, crushed, each 1 liang) Sanggen Baipi (Cortex Mori Radicis, crushed, 3 fen) Qing Jupi (Green Pericarpium Citri Reticulatae, white pith removed, crushed, fried, 0.5 liang). Pound into powder. Mix with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. Take 20 pills on an empty stomach with Ginger decoction. Take again before sleep.
Treatment for Yangming disease with tidal fever, if no bowel movement for six to seven days, suspecting dry feces. To confirm, administer a small amount of Xiao Chengqi Tang (Minor Order the Commander Decoction). If the patient passes gas after ingestion, dry feces are present, and purgation is appropriate. If no gas passes, the stool is only hard at the start and loose later; do not purge. Purging will cause abdominal distension and inability to eat. If the patient desires water, giving water may induce hiccups. Subsequent fever indicates hard, scanty stool. Harmonize with Xiao Chengqi Tang.
Dahuang (Rhizoma et Radix Rhei, wine-soaked, 4 liang) Houpo (Cortex Magnoliae Officinalis, bark removed, fried, 2 liang) Zhishi (Fructus Aurantii Immaturus, 3 pieces, bran-fried). Finely crush to the size of hemp seeds. Take 5 qian per dose. Decoct with 1.5 cups of water until reduced to 7 fen. Strain. Take warm. Bowel movement should follow. If not, take another dose. If bowel movement occurs, do not take more. If no gas passes, absolutely do not purge.
Houpo Tang (Magnolia Bark Decoction): Treats Taiyang disease after five to six days, with constipation, high fever, headache, delirium, and internal dry heat binding.
Houpo (Cortex Magnoliae Officinalis, bark removed, ginger juice-fried, 1 liang) Chaihu (Radix Bupleuri, rootlets removed) Dahuang (Rhizoma et Radix Rhei, crushed and fried, each 1.5 liang) Puxiao (Natrii Sulfas, 2 liang) Zhiqiao (Fructus Aurantii, pith removed, bran-fried, 3 fen). Coarsely grind and sieve. Take 5 qian per dose. Decoct with 1.5 cups of water, add a piece of Ginger (Shengjiang) and Jujube (Dazao) the size of a date, smashed. Reduce to 7 fen. Strain. Take warm on an empty stomach. Take again after some time. Stop when bowels move freely. If not free, take again.
Houpo Banxia Tang (Magnolia Bark and Pinellia Decoction): Treats Taiyang disease with constipation and vomiting.
Houpo (Cortex Magnoliae Officinalis, bark removed, ginger juice-fried, crushed) Banxia (Rhizoma Pinelliae, washed seven times in water, dried, each 1 liang) Dahuang (Rhizoma et Radix Rhei, crushed, 2 liang) Zhiqiao (Fructus Aurantii, pith removed, bran-fried, 0.5 liang). Coarsely grind and sieve. Take 5 qian per dose. Decoct with 1.5 cups of water, add a piece of Ginger (Shengjiang) and Jujube (Dazao) the size of a date, smashed. Reduce to 6 fen. Strain. Take warm on an empty stomach. Take again after walking for five li distance.
Sangbaipi Tang (Morus Alba Root Bark Decoction): Treats Taiyang disease after five to six days, with constipation and asthma/wheezing.
Sanggen Baipi (Cortex Mori Radicis, crushed, 1 liang) Dafupi (Pericarpium Arecae, crushed, 0.5 liang) Zhiqiao (Fructus Aurantii, pith removed, bran-fried) Dahuang (Rhizoma et Radix Rhei, crushed and fried, each 2 liang). Coarsely grind and sieve. Take 3 qian per dose. Decoct with one cup of water, add a piece of Ginger (Shengjiang) the size of a date, smashed. Reduce to 6 fen. Strain. Take warm on an empty stomach. Take again after walking for five li distance.
Sangbaipi Tang (Morus Alba Root Bark Decoction): Treats Taiyang disease after five to six days, with constipation and asthma/wheezing.
Sanggen Baipi (Cortex Mori Radicis, crushed, 1 liang) Dafupi (Pericarpium Arecae, crushed, 0.5 liang) Zhiqiao (Fructus Aurantii, pith removed, bran-fried) Dahuang (Rhizoma et Radix Rhei, crushed and fried, each 2 liang). Coarsely grind and sieve. Take 3 qian per dose. Decoct with one cup of water, add a piece of Ginger (Shengjiang) the size of a date, smashed. Reduce to 6 fen. Strain. Add 0.5 qian of Puxiao (Natrii Sulfas) powder. Take warm on an empty stomach. If not free, take again. Stop when bowels move freely.
Chaihu Huangqin Tang (Bupleuri and Scutellaria Decoction): Treats Taiyang disease where Heat pathogen remains unresolved, with aversion to cold, headache, high fever, and constipation after four to five days.
Chaihu (Radix Bupleuri, rootlets removed) Huangqin (Radix Scutellariae, black heart removed) Tugua Gen (Radix Trichosanthis Kirilowii) Baixianpi (Cortex Dictamni) Muxiang (Radix Aucklandiae) Yinchen Hao (Herba Artemisiae Scopariae, each 1 liang 1 fen) Shanzhizi Ren (Semen Gossypii Herbacei, 3 fen) Dahuang (Rhizoma et Radix Rhei, finely crushed, vinegar-fried, 1.5 liang). Coarsely grind and sieve. Take 3 qian per dose. Decoct with one cup of water until reduced to 6 fen. Strain. Add Puxiao (Natrii Sulfas) powder. Take warm.
Binglang San (Areca Seed Powder, from *Yonglei Linqing Fang*): Treats latent Heat in Taiyang disease located in the intestines and stomach, causing constipation.
Binglang (Semen Arecae, crushed, 2 liang) Muxiang (Radix Aucklandiae) Zhiqiao (Fructus Aurantii, pith removed, bran-fried) Chen Jupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, fried, each 1 liang) Baizhu (Rhizoma Atractylodis Macrocephalae) Daji (Radix Euphorbiae Pekinensis, crushed and fried, each 0.5 liang) Xingren (Semen Armeniacae, soaked in water, skin and tip removed) Jiang (Rhizoma Zingiberis Recens, roasted, each 3 fen). Pound into fine powder. Take 1 qian per dose, mixed with Ginger decoction. Take at any time.
Maren Wan (Hemp Seed Pill, also known as Pi Yue Wan): Treats Taiyang disease where the Futang pulse is floating (Fu) and choppy (Se). Floating indicates strong Stomach Qi; choppy indicates frequent urination. The interaction of floating and choppy pulses leads to difficult defecation.
Maren (Semen Cannabis, half sheng) Shaoyao (Radix Paeoniae Alba) Houpo (Cortex Magnoliae Officinalis, 2.5 cun, bark removed, ginger juice-fried thoroughly) Dahuang (Rhizoma et Radix Rhei, 4 liang) Zhishi (Fructus Aurantii Immaturus, bran-fried, 1 liang 3 fen) Xingren (Semen Armeniacae, skin and tip removed, double-kernel fried, 2 he 2.5 sheng). Grind into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 10 pills with drink. Increase gradually if ineffective, stop when effective. Three times daily. After diarrhea, consume millet porridge to nourish.
Yuliren San (Prune Seed Powder): Treats Taiyang disease with constipation.
Yuliren (Semen Pruni, skin and tip removed, fried and ground) Binglang (Semen Arecae, crushed, each 2 liang) Xiong (Radix Ligustici Chuanxiong, 1.5 liang) Muxiang (Radix Aucklandiae, 5 qian). Pound the four ingredients into fine powder. Mix with the two ground ingredients evenly. Take 3 qian before meals, mixed with warm water. Stop when bowels move freely.
Maren Tang (Hemp Seed Decoction): Treats Taiyang disease with constipation for five to six days.
Maren (Semen Cannabis) Huangqin (Radix Scutellariae, black heart removed) Gancao (Radix Glycyrrhizae, honey-fried and crushed) Zhizi Ren (Semen Gossypii Herbacei, each 0.5 liang) Dahuang (Rhizoma et Radix Rhei, crushed and fried, 1 liang). Coarsely grind and sieve. Take 5 qian per dose. Decoct with 1.5 cups of water until reduced to 8 fen. Strain. Add 0.5 qian of Puxiao (Natrii Sulfas) powder. Take warm. Take again after walking for five li distance.
Mi Dan Dao Fang (Honey and Pig Gallbladder Suppository Formula): Treats post-Taiyang disease with severe constipation unrelieved by oral medication.
Bai Mi (White Honey, 3 he) Zhu Dan (Pig Gallbladder, one piece) Nifen (Calomelas, 0.5 fen). First boil honey twenty times. Then add pig bile. Simmer over low heat until paste-like. Mix in Nifen. Form pills the size of date pits. Wrap in thin silk. Insert into the anus. Repeat if not effective.
Formula for post-Taiyang disease constipation, abdominal and hypochondriac distension after taking laxatives.
Take half a jin of salt, roast until color changes. Use two dou of sour rice wash water. Boil five to seven times. Add salt and stir well. Pour into a basin. Adjust temperature to suit. Have the patient sit in the basin and shower the lower abdomen. Bowels will open shortly.
Wei Yue Tang (Stomach Restriction Decoction): Treats Taiyang disease with abdominal fullness, panting, constipation, and tenesmus. For patients who are deficient.
Zhiqiao (Fructus Aurantii, 1 liang) Zisu (Pericarpium Fructus Perillae) Jupi (Pericarpium Citri Reticulatae, 1 liang each) Gancao (Radix Glycyrrhizae) Shengjiang (Rhizoma Zingiberis Recens, 5 qian each). Decoct with three sheng of water until reduced to 1.5 sheng. Strain. Take 5 he warm.
Ru Chang Wan (Moisten Intestine Pill): Treats Shaoyin disease with chills without fever, and consecutive days of constipation.
Weilingxian (Herba Syringae Vulgaris) Hei Qianniu (Semen Pharbitidis Nigrae, equal parts). Grind and sieve. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills with plain water. Cured. For women with severe constipation, this formula is suitable and has proven effective repeatedly.
Chengqi Wan (Order the Commander Pill, from *Zhouhou Fang*): Treats constipation lasting ten-plus days.
Dahuang (Rhizoma et Radix Rhei) Xingren (Semen Armeniacae, each 2 liang) Zhishi (Fructus Aurantii Immaturus, 1 liang) Mangxiao (Natrii Sulfas, 1 liang). Pound with honey to form pills the size of marbles. Take with six or seven he of plain water. If not effective, take more.
Shensheng Zili Gao (Divine Self-Purging Ointment, from *Desheng Tang*): Treats Taiyang disease and other syndromes with closed constipation, continuous blockage, abdominal distension and pain. For patients who are physically weak and cannot tolerate harsh purgatives.
Huanglian (Rhizoma Coptidis, 2 liang, ground to powder) Badou (Semen Crotonis, 0.5 liang, with shell, mixed evenly with Huanglian). Grind into fine powder. Divide into three doses. Mix with natural juice from scallion whites to form ointment. Apply thickly on the navel, half cun high. Bowels will open spontaneously. If not, reapply. Stop when bowel movement occurs.
Jiang Dui Method (Ginger Suppository Method): Treats dry feces in the Stomach causing confused speech. High Heat also causes confused speech. If constipation with confused speech, take Chengqi Tang. If diarrhea with confused speech, take Si Wu Huanglian Chu Re Tang (Four Substances and Coptidis Heat-Removing Decoction). Chengqi Tang traditionally uses Mangxiao (Natrii Sulfas), but I consider it toxic and remove it. Used for years, it safely induces bowel movement. After taking the decoction, external application of Ginger suppository is also recommended. Read as 'rui'. Same below. Ensures removal of dry feces. If decoction and suppository together fail to induce movement, refer to this formula.
Take 1 liang of Mangxiao (Natrii Sulfas). Peel a piece of Ginger (Shengjiang) to the length of a little finger (2 cun). Grind and apply. Insert into the anus. Bowels will open immediately.