治妇人先患浑身麻木睡觉则少减开目则已而全愈又证已痊又因心中烦恼遍身骨节疼身体
沉重饮食减少腹中气不运转
木香 生姜(各一分) 桂枝 半夏 陈皮 草豆蔻仁 浓朴 黑附子 黄柏(各二分)
炙甘草 升麻 白术 茯苓 泽泻(各三分) 黄 麻黄(不去节) 人参(各五分)
上都作一服水二盏煎至一盏去渣食远服之
金匮真言论云北方黑色入通肾开窍于二阴藏精于肾又云肾主大便大便难者取足少阴夫肾
主五
液津液盛则大便如常若饥饱失节劳役过度损伤胃气及食辛热味浓之物而助火邪伏于血中耗散
真阴津液亏少故大便结燥然结燥之病不一有热燥有风燥有阳结有阴结又有年老气虚津液不足
而结燥者治法云肾恶燥急食辛以润之结者散之如少阴不得大便以辛润之太阴不得大便以苦
泄
之阳结者散之阴结者温之仲景云小便利而大便硬不可攻下以脾约丸润之食伤太阴腹满而食
不化
腹响然不能大便者以苦药泄之如血燥而不能大便者以桃仁酒制大黄通之风结燥而大便不行者
以麻子仁加大黄利之如气涩而大便不通者以郁李仁枳实皂角仁润之大抵治病必究其源不可一
概用巴豆牵牛之类下之损其津液燥结愈甚复下复结极则以至导引于下而不通遂成不救噫可不
慎哉
治大便难幽门不通上冲吸门不开噎塞不便燥秘气不得下治在幽门以辛润之
炙甘草 红花(各一分) 生地黄 熟地黄(各五分) 升麻 桃仁泥 当归身(各一钱)
上都作一服水二大盏煎至一盏去渣调槟榔细末五分稍热食前服之
治疗妇人先出现全身麻木，睡觉时症状减轻，睁开眼睛后则完全痊愈；之后病症虽然已经痊愈，又因为心中烦闷苦恼，导致遍身骨节疼痛、身体沉重、饮食减少、腹中气机不运转。
木香、生姜（各一分），桂枝、半夏、陈皮、草豆蔻仁、浓朴、黑附子、黄柏（各二分），炙甘草、升麻、白术、茯苓、泽泻（各三分），黄芪、麻黄（不去节）、人参（各五分）。以上药物作为一剂，用水两盏煎煮至一盏，去渣滓，在进食前后服用。
《金匮真言论》说：“北方对应黑色，内通于肾，开窍于二阴，精气藏于肾。”又说：“肾主管大便，大便困难者，取足少阴肾经。”肾主管五种体液，津液充足则大便正常。如果饥饱失常、劳役过度损伤了胃气，以及食用辛辣热味浓厚之物而助长火邪，火邪潜伏在血中，耗散真阴，导致津液亏少，所以大便结燥。然而结燥的病因不止一种，有热燥、风燥、阳结、阴结，又有年老体弱气虚、津液不足而致结燥的情况。治疗方法说：肾厌恶燥，急用辛味药来润之；结滞者用消散法。如少阴病大便不通，用辛味药润之；太阴病大便不通，用苦味药泄之；阳结者消散它，阴结者温补它。张仲景说：小便利而大便硬，不可攻下，应用脾约丸润之。饮食损伤太阴，腹部胀满且食物不消化，腹部作响不能大便者，用苦味药泄之。如血燥而不能大便者，用桃仁、酒制大黄通便；风结燥而大便不行者，用麻子仁加大黄利导；如气涩而大便不通者，用郁李仁、枳实、皂角仁润之。大抵治病必须究其根源，不可一概使用巴豆、牵牛等峻下药，否则会损伤津液，使燥结更加严重，反复攻下反复结滞，极端情况下甚至导致下部导引不通，最终成为不治之症。唉，能不谨慎吗？
治疗大便困难、幽门不通、上冲吸门不开、噎塞不便、干燥秘结、气不得下行。治疗部位在幽门，以辛味药润之。
炙甘草、红花（各一分），生地黄、熟地黄（各五分），升麻、桃仁泥、当归身（各一钱）。以上药物作为一剂，用两大盏水煎煮至一盏，去渣滓，调入槟榔细末五分，稍温热，饭前服用。
To treat a woman who first suffered from whole-body numbness, which decreased during sleep and completely resolved upon opening her eyes; subsequently, although the symptoms had subsided, due to mental distress and vexation, she experienced pain in all bone joints, heaviness of the body, reduced appetite, and stagnation of Qi in the abdomen.
Muxiang (Aucklandiae Radix), Shengjiang (Zingiberis Rhizoma Recens) (each 1 fen); Guizhi (Cinnamomi Ramulus), Banxia (Pinelliae Rhizoma Praeparatum), Chenpi (Citri Reticulatae Pericarpium), Caodoukou Ren (Cardamomi Fructus), Nongpo (Magnoliae Officinalis Cortex), Hei Fuzi (Aconiti Lateralis Radix Preparata), Huangbai (Phellodendri Cortex) (each 2 fen); Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Shengma (Bupleuri Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zexie (Alismatis Rhizoma) (each 3 fen); Huangqi (Astragali Radix), Mahuang (Ephedrae Herba, unremoved nodes), Renshen (Ginseng Radix et Rhizoma) (each 5 fen). All above ingredients are combined as one dose, decocted with two cups of water until one cup remains, strained, and taken before or after meals.
The *Jingui Zhenyan Lun* (Treatise on True Discussions of the Golden Cabinet) states: "The North corresponds to black, connects internally to the Kidney, opens into the two yin orifices, and stores essence within the Kidney." It further states: "The Kidney governs defecation; for difficulty in defecation, select points from the Foot-Shaoyin Kidney Meridian." The Kidney governs the five fluids; when Jin-Ye (body fluids) are abundant, defecation is normal. If there is irregular eating and drinking, excessive labor damaging Stomach Qi, or consumption of pungent, hot, and rich foods that assist Fire pathogen, causing the Fire to lurk in the blood and consume Zhenyin (True Yin), leading to deficiency of Jin-Ye, thus resulting in dry and hard stools. However, the pathology of dryness and hardness varies: there is Heat-dryness, Wind-dryness, Yang-constraint, and Yin-constraint, as well as cases in the elderly where Qi deficiency and insufficient Jin-Ye cause dryness. The treatment principle states: The Kidney dislikes dryness; urgently use Pungent substances to moisten it; constrained conditions are dispersed. For Shaoyin disease with constipation, use Pungent substances to moisten; for Taiyin disease with constipation, use Bitter substances to purge; Yang-constraint is dispersed, Yin-constraint is warmed. Zhang Zhongjing stated: When urination is frequent but stool is hard, purgatives should not be used; instead, apply *Pi Yue Wan* (Spleen-Restriction Pill) to moisten. If dietary injury affects the Taiyin, causing abdominal fullness, indigestion, borborygmus, and inability to defecate, use Bitter substances to purge. For blood dryness causing constipation, use Tao Ren (Persicae Semen) and Da Huang (Rhei Radix et Rhizoma processed with wine) to promote bowel movement; for Wind-dryness causing constipation, use Huozhiren (Cannabis Fructus) plus Da Huang to facilitate; for Qi stagnation causing constipation, use Yuliren (Pruni Semen), Zhishi (Aurantii Fructus Immaturus), and Zaorao Ren (Gleditsiae Sinensis Spina) to moisten. Generally, treating disease requires investigating its root cause; one must not indiscriminately use harsh purgatives such as Badou (Crotonis Fructus) and Qianniubang (Semen Phytolaccae) or (Semen Mirabilite), as this damages Jin-Ye, worsening the dryness. Repeated purging leads to repeated constraint; in extreme cases, it may result in lower orifice obstruction becoming untreatable. Alas, can one not be cautious?
To treat difficult defecation, obstruction of the幽门 (Yumen/Huiyang area), upward rushing blocking the吸门 (Ximen/epiglottis area), dysphagia, inconvenience, dryness, constipation, and failure of Qi to descend. The treatment focuses on the Yumen, using Pungent substances to moisten.
Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Honghua (Carthami Flos) (each 1 fen); Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Preparata) (each 5 fen); Shengma (Bupleuri Radix), Taoren (Persicae Semen prepared as paste), Dangguishen (Angelicae Sinensis Radix) (each 1 qian). All above ingredients are combined as one dose, decocted with two large cups of water until one cup remains, strained, mixed with 5 fen of fine powder of Binglang (Arecae Semen), slightly heated, and taken before meals.