（仲景）
治阳明证，自汗，小便利，大便秘者（胃实自汗，小便复利，此为津液内竭，非热结也，
若与下药，则液愈耗矣，虽大便硬，不可攻之，宜用外导之法）。
蜂蜜。用铜器微火熬，频搅勿令焦，候凝如饴，捻作挺子，头锐如指，糁皂角末少许，
乘热纳谷道中，用手抱住，欲大便时去之（加盐少许亦可，盐能润燥软坚）。
此手阳明药也。蜜能润肠，热能行气，皂能通窍。经曰∶表解无证者，胃虽实忌攻，故
外导而通之，不欲以苦寒伤胃也（徐忠可曰∶此为大便不行而别无所苦者设也。结胸痞满脏
结，胃
（仲景）
治证同前。
猪胆（一枚）。取汁，入醋少许，用竹筒长三四寸，以一半纳谷道中，将胆汁灌入肛中，
顷
此手阳明药也。便秘者，属燥属热，自汗者，为亡津液，当小便不利，今反利，是热犹
未实，故不可攻，猪胆汁寒胜热、滑润燥、苦能降，醋酸善入，故能引入大肠通之也（津液
枯者宜蜜导，热邪盛者宜胆导，如冷秘者，削酱姜亦能导之。海藏法用蜜煎盐相合，或草乌
末相合
病在表者，宜汗宜散；病在里者，宜攻宜清。至于表证未除，里证又急者，仲景复立大
柴胡、葛根、黄芩等法，合表里而兼治之。后人师其意，则有防风通圣、参苏、五积诸剂。
故采
（张仲景）
治疗阳明病证，出现自汗出，小便通畅，大便干结不通的情况。（这是胃中实热导致自汗，小便反而通利，这是因为体内津液枯竭所致，并非燥屎热结。如果给予泻下药，会使津液更加耗损。虽然大便坚硬，也不可用攻下法，适宜使用外部导引的方法）。
蜂蜜。用铜器在微火上熬煮，频繁搅拌不要让它烧焦，等到凝固像饴糖一样时，捏成条状，一头尖细如手指粗细，蘸少许皂角末，趁热纳入肛门中，用手抱住臀部，想要大便时再取出（加少许盐也可以，盐能润燥软坚）。
这是手阳明经的药物。蜂蜜能润肠，热能行气，皂角能通窍。经典记载：表证解除且无其他症状者，即使胃中有实邪也忌讳攻下，所以采用外部导引来通便，不想用苦寒之药损伤胃气。（徐忠可说：这是为大便不通畅而身体没有其他痛苦的人设立的。如果是结胸、痞满或脏结等证……
（张仲景）
治疗的证候与前述相同。
猪胆（一枚）。取胆汁，加入少许醋，用长三四寸的竹筒，将一半插入肛门中，把胆汁灌入直肠内，片刻后……
这是手阳明经的药物。便秘属于燥热，自汗是津液亡失，应当小便不利，现在反而通利，说明热邪尚未完全结实，所以不可攻下。猪胆汁性寒能胜热、滑润能燥、味苦能降，醋味酸善于入里，所以能将药力引入大肠从而通便（津液枯槁者适宜用蜜导，热邪盛者适宜用胆导，如果是冷秘，削酱姜也能起到导便作用。海藏法用蜜煎与盐相合，或与草乌末相合……
病在体表者，适宜发汗发散；病在体内者，适宜攻下清里。至于表证未除，里证又急迫的情况，张仲景又创立了大柴胡汤、葛根黄芩黄连汤等方法，结合表里两经同时治疗。后人效法其意，则有防风通圣散、参苏饮、五积散等方剂。因此采集……
(Zhang Zhongjing)
Treats Yangming disease syndrome, characterized by spontaneous sweating, free urination, and constipation. (This is stomach excess with spontaneous sweating, and urination is also profuse; this indicates exhaustion of body fluids internally, not heat accumulation with dryness. If purgatives are administered, fluids will be further depleted. Although the stool is hard, it should not be attacked with purgatives; external guiding methods are appropriate).
Honey. Use a copper vessel to simmer over low fire, stirring frequently to prevent burning. When it thickens like maltose syrup, shape it into suppositories, pointed at one end like a finger. Dip in a small amount of Gleditsiae Sinensis Powder, insert into the anus while warm, hold buttocks together with hands, and remove when defecation is desired. (A small amount of salt may also be added; salt can moisten dryness and soften hardness).
This is a medicine for the Hand-Yangming channel. Honey can moisten the intestines, heat can move qi, and Gleditsiae sinensis can open orifices. The Classics state: "When the exterior is resolved and there are no other symptoms, even if the stomach has excess, attacking with purgatives is contraindicated." Therefore, external guidance is used to unblock, avoiding bitter-cold herbs that might damage the stomach. (Xu Zhongke said: This is prescribed for those who have difficulty passing stool but suffer from no other discomfort. In cases of chest binding, fullness, or internal knotting...)
(Zhang Zhongjing)
The treated syndrome is the same as mentioned above.
Pig Gallbladder (one). Extract the juice, add a little vinegar. Use a bamboo tube three or four cun long, insert half into the anus, and pour the bile into the rectum. After a short while...
This is a medicine for the Hand-Yangming channel. Constipation belongs to dryness and heat. Spontaneous sweating indicates loss of body fluids, which should result in difficult urination. Now that urination is actually free, it shows that heat has not yet fully consolidated, so attacking with purgatives is contraindicated. Pig bile is cold to overcome heat, slippery to moisten dryness, and bitter to descend. Vinegar is sour and penetrates well, thus introducing the medicine into the large intestine to unblock it. (Those with exhausted body fluids should use honey guidance; those with abundant heat pathogens should use gallbladder guidance. For cold constipation, sliced preserved ginger can also guide stool. Haizang's method combines honey suppositories with salt, or with Aconiti Lateralis Radix Preparata powder...)
When the disease is in the exterior, diaphoresis and dispersal are appropriate; when the disease is in the interior, purging and clearing are appropriate. As for situations where the exterior syndrome is not yet resolved but the interior syndrome is urgent, Zhang Zhongjing established methods such as Da Chai Hu Tang (Major Bupleurum Decoction), Gegen Huangqin Huanglian Tang (Kudzu, Scutellaria, and Coptis Decoction), etc., treating both exterior and interior simultaneously. Later generations followed this principle, creating formulas such as Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder), Rensu Yin (Ginseng and Perilla Infusion), and Wuji San (Five Accumulations Powder). Therefore, collected...