老人脏腑不可用大黄老人津液少所以秘涩更服大黄以泻之津液皆去定须再秘甚于前只可
服宽
润大肠之药如养生必用方二仁丸是也更用槐花末煎汤淋洗亦妙风药燥肠 又有一种风秘者当
用槟榔七圣丸虽有大黄斟酌服之勿令泻可也又有妇人产后大便秘须四五日六七日不通者出血
已多津液少也浓煎紫苏汤饮一两盏自通更一日不通服局方大麻仁丸三十丸(医余)
痔肠风脏毒一体病也极难得药亦缘所以致疾不同虽良药若非对病固难一概取效常人酒色
饮食不
节脏腑下血是谓风毒若释子辈患此多应饱食久坐体气不舒而得之乃脾毒也王涣之知舒州下血
不止郡人朝议大夫陈宜父令其四时取其方柏叶如春取东枝之类烧灰调二钱服而愈予得方后官
赣上以治二车吴令升亦即效提点司属官陈逸大夫偶来问疾吴 告以用陈公之方而获安陈君蹙
曰先人也仍须用仄柏为佳道场慧禅师曰若释子恐难用此不若灼艾最妙平直量骨脊与脐平处
椎上灸七壮或年深更于椎骨两傍各一寸灸如上数无不除根者又予外兄刘向为严掾予过之留饮
讶其瘦瘠问之答曰去岁脏毒作凡半月自分必死得一药服之至今无苦问何药不肯言再三扣始言
只这卓子上有之乃是干柿烧灰饮下二钱本草日柿治肠癖解热毒消宿血有病者宜求之素问肠癖
为痔(泊宅编)
老年人脏腑津液不足，因此出现大便干结秘涩。如果再用大黄来泻下，会使津液进一步耗损，必然导致再次便秘，且比之前更加严重。只可服用宽润大肠的药物，例如《养生必用方》中的二仁丸；也可以用槐花末煎汤淋洗肛门，效果也很好。风药性质燥烈，容易伤肠，所以不适用。
还有一种“风秘”的情况，应当使用槟榔七圣丸，虽然其中含有大黄，但要斟酌用量服用，不要让它引起腹泻即可。
另外有一种情况是妇女产后大便秘结，需要四五天甚至六七天不通畅，这是因为失血过多、津液亏少所致。可以浓煎紫苏汤饮用一两盏，大便自然通畅；如果再过一天仍不通畅，可服用《局方》的大麻仁丸三十丸。（出自《医余》）
肠胃有热邪流注，会导致肛门突然肿胀，将蜗牛细细研磨后涂抹患处，肿胀即可消退。
痔疮、肠风和脏毒本质上是同一种疾病，极难找到通用的药物。这也是因为致病原因不同，即使是良药，如果不针对具体病因，也很难一概取得疗效。普通人因饮酒、房事和饮食不节制，导致脏腑受损而下血，这被称为“风毒”。而僧侣等出家人患此病，多是因为饱食久坐、体内气机不畅所致，这属于“脾毒”。
王涣之担任舒州知州时，下血不止。当地一位朝议大夫陈宜父建议他按季节采集柏叶：春季取东边的枝条等，烧成灰后调服二钱，结果痊愈。我得到这个方子后，在赣上任职期间用它治疗车吴令升，也立即见效。提点司属官陈逸大夫偶然来问病，吴令升告诉他是用了陈公的方子而康复。陈逸皱起眉头说：“这是先人的秘方，仍然必须使用侧柏为佳。”道场慧禅师说：“如果是出家人，恐怕难以使用此法，不如艾灸最好。平直地量取骨脊与肚脐平齐处，在该椎骨上灸七壮；如果病程长久，再于该椎骨两旁各一寸处，分别像上面那样施灸，没有不能除根的。”
另外，我的外兄刘向担任严州掾吏时，我去探望他，留他饮酒，惊讶于他消瘦憔悴。问他原因，他回答说：“去年患脏毒症，持续了半个月，自己断定必死无疑，后来得到一种药服用，至今没有痛苦。”我问是什么药，他不肯说，再三追问才说：“就在这桌子上放着。”原来是干柿子烧成的灰，用水冲服二钱。《本草》记载：柿子能治肠癖（痢疾），解热毒，消宿血。有病的人应该去寻求它。（出自《泊宅编》）
The viscera of the elderly lack sufficient body fluids (Jinye), leading to constipation. If Da Huang (Rhei Radix et Rhizoma) is administered to purge, it will further deplete these fluids, inevitably causing recurrent constipation that is more severe than before. One should only administer herbs that moisten and lubricate the large intestine, such as Er Ren Wan (Two Seeds Pill) from *Yangsheng Biyong Fang*. Additionally, washing the anus with a decoction of Huai Hua (Flos Sophorae) is also effective. Wind-dispelling herbs are drying and damaging to the intestines and are therefore unsuitable.
There is another type known as "Wind Constipation," for which Bing Lang Qi Sheng Wan (Areca Seed Seven-Sages Pill) should be used. Although this formula contains Da Huang, the dosage must be carefully adjusted to avoid causing diarrhea.
Another scenario involves postpartum women suffering from severe constipation lasting four to seven days. This results from excessive blood loss and subsequent deficiency of body fluids. Drinking one or two cups of a strong decoction of Zi Su (Perilla Fructus) can naturally promote bowel movement. If constipation persists for another day, 30 pills of Da Ma Ren Wan (Hemp Seed Pill) from *Ju Fang* may be taken. (From *Yiyu*)
When heat pathogens flow through the stomach and intestines, sudden swelling of the anal opening occurs. Applying finely ground Snail (Concha Haliotidis) to the affected area will resolve the swelling.
Hemorrhoids (Zhi), Intestinal Wind (Chang Feng), and Visceral Toxin (Zang Du) are essentially manifestations of the same disease. It is extremely difficult to find a universal remedy because the etiologies differ. Even potent medicines cannot guarantee efficacy if they do not target the specific cause. For common people, hemorrhaging due to immoderate consumption of alcohol, sexual activity, and diet is termed "Wind Toxin." In contrast, for monks and nuns, this condition often arises from overeating, prolonged sitting, and stagnant qi, which is classified as "Spleen Toxin."
Wang Huanzhi, while serving as the Prefect of Shuzhou, suffered from persistent rectal bleeding. Chen Yifu, a Councilor of State from the local gentry, advised him to collect Cei Ye (Cacumen Platycladi) according to the seasons—for example, taking branches from the east in spring—char them into ash, and take two qian mixed with water, which resulted in a cure. I obtained this prescription and later used it while serving in Ganshang to treat Wu Lingheng, the magistrate of Che, who recovered immediately. Chen Yi, an official under the Surveillance Commission, visited me asking about his illness. Wu Lingheng told him he had been cured by Mr. Chen's prescription. Chen Yi frowned and said, "This was a secret formula of my ancestors; one must specifically use Ce Bai Ye (Cacumen Platycladi) for best results." Master Hui of Daochang stated, "For monastics, using this herbal method might be difficult; moxibustion is superior. Measure the point level with the umbilicus on the spinal column and apply seven moxa cones directly on the vertebra. If the condition is chronic, apply moxa cones at each side, one cun lateral to the vertebra, in the same manner. This will eradicate the root cause."
Furthermore, my maternal cousin Liu Xiang served as a clerk in Yanzhou. When I visited and invited him to drink, I was surprised by his emaciation. Upon inquiry, he replied, "Last year I suffered from Zang Du for half a month and believed I would certainly die. However, after taking a certain medicine, I have had no discomfort since." When asked what medicine it was, he initially refused to say but eventually revealed, "It is on this table." It was dried Persimmon (Fructus Diospyri) charred into ash, taken with water, two qian per dose. The *Bencao* records that Persimmon treats intestinal dysentery, clears heat toxins, and resolves old blood stasis. Those with such ailments should seek it out. (From *Bozhai Bian*)