一风秘宜用 疏风顺气丸
一气秘宜用 六磨汤
一热秘宜用 调胃承气汤加减 脾约丸
一寒秘宜用 当归四逆汤
一湿热秘宜用 槟榔丸 大黄饮子
一血虚秘结宜用 五仁丸 通幽丸
一血虚肠燥宜用 当归润燥汤
治气滞腹胀大便秘涩
沉香 木香 槟榔 乌药 枳壳 大黄
白水煎八分食前服
治七情气结心腹痞闷大便秘结
羌活 紫苏 木瓜 沉香 木香 白术 槟榔 川芎 甘草 陈皮 大腹皮
白水煎不拘时服
治湿热便秘
大黄 杏仁 枳壳 栀子 升麻 生地黄 人参 黄芩 甘草 豆豉
水二钟姜五片乌梅一个煎八分不拘时服
治血虚便秘
当归 桃仁 生地黄 熟地黄 升麻 红花 甘草
水二钟煎八分食前服
治血虚肠燥便秘
当归尾 生地黄 升麻 麻仁 熟地黄 大黄 桃仁 甘草 红花
白水煎食前服
治热秘
麻仁(五两) 大黄(一斤) 浓朴 枳实 芍药(各八两) 杏仁(五两)
上为末炼蜜和丸如桐子大每服四五十丸空心滚白汤下
治湿热便秘
大黄(蒸) 黄芩 枳实 麻子仁 牵牛 槟榔 羌活 杏仁(各一两) 人参(五钱)
为末炼蜜和丸桐子大每服五六十丸空心滚白汤送下
治疗风秘(因风邪引起的便秘)适宜使用疏风顺气丸。
治疗气秘(因气机阻滞引起的便秘)适宜使用六磨汤。
治疗热秘(因热邪引起的便秘)适宜使用调胃承气汤进行加减,或选用脾约丸。
治疗寒秘(因寒邪引起的便秘)适宜使用当归四逆汤。
治疗湿热秘(因湿热蕴结引起的便秘)适宜使用槟榔丸或大黄饮子。
治疗血虚秘结(因血液亏虚导致的肠道干涩便秘)适宜使用五仁丸或通幽丸。
治疗血虚肠燥(因血液亏虚导致肠道失润)适宜使用当归润燥汤。
治疗气滞腹胀伴大便秘涩:
沉香、木香、槟榔、乌药、枳壳、大黄。
用水煎煮至八分满,饭前服用。
治疗七情气结导致的心腹痞闷及大便秘结:
羌活、紫苏、木瓜、沉香、木香、白术、槟榔、川芎、甘草、陈皮、大腹皮。
用水煎煮,不拘泥于固定时间服用。
治疗寒秘:
当归、附子、干姜、甘草。
用水两钟煎煮至八分满,在远离进食的时间服用。
治疗湿热便秘:
大黄、杏仁、枳壳、栀子、升麻、生地黄、人参、黄芩、甘草、豆豉。
用水两钟,加入生姜五片、乌梅一个,煎煮至八分满,不拘泥于固定时间服用。
治疗血虚便秘:
当归、桃仁、生地黄、熟地黄、升麻、红花、甘草。
用水两钟煎煮至八分满,饭前服用。
治疗血虚肠燥便秘:
当归尾、生地黄、升麻、麻仁、熟地黄、大黄、桃仁、甘草、红花。
用水煎煮,饭前服用。
治疗热秘:
麻仁(五两)、大黄(一斤)、浓朴、枳实、芍药(各八两)、杏仁(五两)。
以上药材研为细末,用炼蜜调和制成如梧桐子大小的丸剂,每次服用四五十丸,空腹时用滚开的白开水送服。
治疗湿热便秘:
大黄(蒸制)、黄芩、枳实、麻子仁、牵牛、槟榔、羌活、杏仁(各一两)、人参(五钱)。
以上药材研为细末,用炼蜜调和制成如梧桐子大小的丸剂,每次服用五六十丸,空腹时用滚开的白开水送服。
For Wind Constipation (constipation caused by wind pathogen), Shufeng Shunqi Wan is appropriate.
For Qi Constipation (constipation caused by qi stagnation), Liu Mo Tang is appropriate.
For Heat Constipation (constipation caused by heat pathogen), Tiaowei Chengqi Tang with modifications or Pi Yue Wan is appropriate.
For Cold Constipation (constipation caused by cold pathogen), Danggui Sini Tang is appropriate.
For Damp-Heat Constipation (constipation caused by damp-heat accumulation), Binglang Wan or Dahuang Yinzi is appropriate.
For Blood Deficiency Constipation (constipation due to dryness of the intestines from blood deficiency), Wuren Wan or Tongyou Wan is appropriate.
For Blood Deficiency Intestinal Dryness (intestinal dryness due to blood deficiency), Danggui Runzao Tang is appropriate.
Treating Qi Stagnation Abdominal Distension with Hard-to-Pass Constipation:
Chenxiang, Muxiang, Binglang, Wuyao, Zhike, Dahuang.
Decoct in water until reduced to 80% volume; take before meals.
Treating Heart and Abdominal Fullness/Obstruction with Constipation due to Emotional Qi Knotting:
Qianghuo, Zisu, Mugua, Chenxiang, Muxiang, Baizhu, Binglang, Chuanxiong, Gancao, Chenpi, Dafupi.
Decoct in water; take at any time without restriction.
Treating Cold Constipation:
Danggui, Fuzi, Ganjiang, Gancao.
Decoct two zhong of water until reduced to 80% volume; take far from meal times.
Treating Damp-Heat Constipation:
Dahuang, Xingren, Zhike, Zhizi, Shengma, Shengdihuang, Renshen, Huangqin, Gancao, Douchi.
Decoct two zhong of water with five slices of fresh ginger and one wumei until reduced to 80% volume; take at any time without restriction.
Treating Blood Deficiency Constipation:
Danggui, Taoren, Shengdihuang, Shudihuang, Shengma, Honghua, Gancao.
Decoct two zhong of water until reduced to 80% volume; take before meals.
Treating Blood Deficiency Intestinal Dryness Constipation:
Dangguiwei, Shengdihuang, Shengma, Mahan, Shudihuang, Dahuang, Taoren, Gancao, Honghua.
Decoct in water; take before meals.
Treating Constipation due to Heat in the Large Intestine:
Dahuang (prepared with wine), Gancao, Mangxiao.
Treating Heat Constipation:
Mahan (5 liang), Dahuang (1 jin), Nongpu, Zhishi, Shaoyao (each 8 liang), Xingren (5 liang).
Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 40–50 pills on an empty stomach with boiling plain water.
Treating Damp-Heat Constipation:
Dahuang (steamed), Huangqin, Zhishi, Maziren, Qianniu, Binglang, Qianghuo, Xingren (each 1 liang), Renshen (5 qian).
Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 50–60 pills on an empty stomach with boiling plain water.