论曰大便秘涩，盖非一证，皆营卫不调，阴阳之气相持也，若风气壅滞，肠胃干涩，是
谓风秘，胃蕴客热，口糜体黄，是谓热秘，下焦虚冷，窘迫后重，是谓冷秘，或因病后重亡
津液，或因老弱血气不足，是谓虚秘，或肾虚小水过多，大肠枯竭，渴而多秘者，亡津液也
，或胃实燥结，时作寒热者，中有宿食也，治法虽宜和顺阴阳，然疏风散滞，去热除冷，导
引补虚之法，不可偏废，当审其证以治之。
治大肠秘涩，疏风顺气，木香丸方
木香 槟榔（生锉） 羌活（去芦头） 桂（去粗皮） 陈橘皮（汤浸去白焙各一两） 大
黄（
上七味，捣罗为末，炼蜜丸如梧桐子大，每服十五丸，以生姜紫苏汤下，渐加至三十丸
治津液燥少，肠胃挟风，大便秘涩，气道不匀，匀气丸方
麻仁（别研二两） 人参 诃黎勒皮 枳壳（去瓤麸炒） 桂（去粗皮各一两） 木香
（一两
上九味，捣罗七味为末，入麻仁等再研匀，炼蜜为丸，如梧桐子大，每服三十丸，加至
五十丸，温熟水下，不计时候。
治大肠风热秘涩，牛黄丸方
牛黄（细研一分） 大黄（锉炒二两） 巴豆（去皮心膜麸炒研新瓦上取霜半两）
上三味，捣研为末，酒煮面糊，丸如绿豆大，每服五丸，临卧米饮下，量虚实加减。
治大便涩秘，牵牛散方
牵牛子（半生半炒） 槟榔（生锉各半两）
上二味，捣罗为散，每服三钱匕，生姜汤调下，未利良久以热茶投，疏利为度。
治胃气虚弱，饮食无味，上隔寒壅冷积症瘕气，食不消化，肺气积聚，心胸痰逆喘急，
卒中风毒香港脚，大肠秘涩，奔豚气痛，木香槟榔丸方
木香 槟榔（锉） 羌活（去芦头） 芎 桂（去粗皮各一两） 郁李仁（去皮双仁
研） 大
上七味，捣罗六味为末，与郁李仁同研匀，炼蜜丸如梧桐子大，每服二十丸，食前生姜
汤下，或诸气痛，温酒下。
治诸风湿痹，筋挛膝痛，胃中积热，口疮烦闷，大便秘涩，大豆 方
大豆黄卷（炒熟捣末一升） 酥（半两）
上二味研匀，不拘食前后，温水调下一匙。
治热毒风、大便秘涩，及心风健忘，肝风眼暗，羚羊角丸方
羚羊角（镑） 人参 羌活（去芦头） 苦参（锉） 防风（去叉） 玄参 丹参 大
黄（锉）
神（去木） 枳壳
李仁（去皮双仁研） 生干
上二十一味，捣罗十八味为末，与麻仁龙齿郁李仁膏，同研令匀，炼蜜和杵，丸如梧桐
子大，每服空腹、温酒下二十丸，加至三十丸。
治风气壅滞，大肠秘涩，地龙丸方
地龙（去土） 牵牛子（半生半炒） 苦参（各一两） 乌头（生去皮尖四两）
上四味，捣罗为末，醋煮稀面糊，丸如梧桐子大，每服十五丸，至二十丸，空心夜卧、
米饮下。
治大便秘涩，五脏风壅，膈实不宜，桃花汤方
桃花（干者二钱） 甘遂（炒一分） 郁李仁（去皮双仁别研膏） 海蛤（捣碎炒） 枳
实（去
上八味，先粗捣七味为末，与郁李仁和匀，每服五钱匕，水二盏，煎至一盏，去滓空腹
温服，良久以干饭一匙压之，觉转动腹如雷鸣，即以热水洗足，宣下诸恶物，以糜粥助之。
治健忘多惊，大便难，口中生疮，羚羊角饮方
羚羊角（镑） 人参 赤茯苓（去黑皮） 羌活（去芦头） 附子（炮裂去皮脐） 栀
子仁（炒）
己（二两） 胡黄连（半两） 甘草（炙三分）
上一十四味，锉如麻豆，每服五钱匕，水二盏，入生姜半分拍破，盐豉四十粒，同煎至
一盏，去滓更入淡竹沥少许，搅令匀，食前温服。
治胃实腹胀，水谷不消，溺黄体热，鼻塞衄血，口 唇紧，关格不通大便苦难，承气
泻胃，浓朴汤方
浓朴（去粗皮生姜汁炙三分） 大黄（锉炒二两） 枳壳（去瓤麸炒） 甘草（炙各半
两）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓空心温服，取利为度。
治大便秘难，麻仁丸方
大麻仁（别研膏） 大黄（锉炒各三两） 浓朴（去粗皮生姜汁炙二两） 枳壳（去瓤
麸炒一
上四味、捣罗三味为末，与麻仁同研，炼蜜和杵令匀，丸如梧桐子大，每服二十丸，空
心温水下，以利为度。
治反胃、大便难，肌肤干瘦，鸡 骨丸方
鸡 骨（慢火炙三两） 大黄（锉炒五两） 大麻仁（研如膏四两）
上三味，捣罗二味为末，与麻仁同研，炼蜜和杵，丸如梧桐子大，每服二十丸，食前米
饮下、日三。
治强壮人、热毒流入肠胃，骨节疼痛，腹中烦满，大便秘涩，升麻汤方
升麻 大黄（锉炒各四两） 前胡（去苗） 栀子仁（炒各三两）
上四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服，未通再服。
治 癖注气刺痛，大便秘涩，京三棱丸方
京三棱（煨乘热椎碎别捣为末） 木香 当归（切焙） 桂（去粗皮） 肉苁蓉（酒浸
切焙）
壳（去瓤麸炒）
如膏各一两）
上一十五味，除郁李仁外，捣罗为末，与郁李仁膏，同研令匀，炼蜜和杵，丸如梧桐子
大，每服二十丸，空腹米饮或温酒下，以利为度。
治三焦不和，脏腑虚结，胸膈痞闷，大便秘涩，麻仁丸方
大麻仁（研膏四两） 大黄（半生半熟四两） 白槟榔（生锉） 桂（去粗皮） 羌活
（去芦头）
（去叉各一两半）
上一十三味，捣研为末，炼蜜丸如梧桐子大，每服十五丸，至二十丸，温水下，临卧服
治大肠虚冷风秘，凌霄花根丸方
凌霄花根（去皮洗焙三两） 乌药（锉） 人参（各半两） 皂荚子（五十枚）
上四味，捣罗为末，炼蜜丸如绿豆大，每服十丸，至十五丸，温水下，一日二服。老人
多患此疾，服之半月渐调，亦不疏利。
治大肠冷秘，威灵仙丸方
威灵仙（不以多少洗切）
上一味，捣罗为末，炼蜜丸如梧桐子大，每服十五丸，至二十丸，生姜清米饮下，临卧
服。
治气胀满，大便秘涩，腹肋刺痛，牵牛子丸方
牵牛子（半生半炒三两） 槟榔（生锉二两） 木香（一两）
上三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心温酒或米饮下。
治里急后重，大便不快，服炒桃仁法。
桃仁（去皮三两） 吴茱萸（二两） 盐（一两）
上三味，同炒熟，去盐并茱萸，只以桃仁空心夜卧不拘时，任意嚼五七粒，至一二十粒
治大便冷秘，附子散方
附子（一枚炮裂去皮脐）
上一味，削去外面，留中心如枣大，碾为细散，蜜水调下一钱匕。
治年老虚弱，大便秘滞，葱胶汤方
陈胶（十片） 葱（一握切）
上二味，以水二盏，同煎胶令烊，取一盏，温服之，立效。
治老人虚秘，大腹汤方
连皮大腹（十五枚） 木瓜（一枚） 葱白（五茎）
上三味，锉如麻豆，以水五盏，煎至二盏半，去滓分温五服。
治人病后，重亡津液，及老人津液不足，大便秘涩，平胃煮散加青橘皮方
浓朴（去粗皮姜汁炙五两） 苍术（去粗皮米泔浸一宿焙八两） 陈橘皮（汤浸去白焙
五两）
上四味，捣罗为散，每服三钱匕，水一盏半，加青橘皮末半钱匕，生姜二片，枣二枚劈，
煎至一盏，去滓温服。
治宿食不消，大便难，涤中丸方
大黄（锉炒八两） 葶苈（隔纸炒二两） 杏仁（去皮尖双仁炒研） 芒硝（研各四两）
上四味，捣研为末，炼蜜和杵，丸如梧桐子大，每服五丸至七丸，食后温水下，日三，
未通加至十丸。
治脾胃不和，内有虫滞，大便秘难，大黄丸方
大黄（锉炒） 赤芍药（各三两） 浓朴（去粗皮姜汁炙二两） 枳实（去瓤麸炒一两
半） 大
上五味，捣罗四味为末，与麻仁同研匀，炼蜜和杵，丸如梧桐子大，每服十丸至十五丸，
食前温水下，以通利为度。
治大肠秘涩，冷热相攻，寒热如疟，槟榔丸方
槟榔（锉一两） 羌活（去芦头一两） 郁李仁（汤浸去皮别研二两） 木香（一两） 大
黄（
锉炒二两） 牵牛子（四两捣细取三两） 青橘皮（汤去白焙一两） 大麻仁（别研二两）
上八味，捣罗六味为末，入研药令匀，炼蜜和丸，如梧桐子大，每服二十丸，生姜汤下
治大肠风秘，结涩不通，戟香散方
大戟（炒） 木香 干姜（炮） 陈橘皮（汤浸去白焙各一两） 牵牛子（五两取细末
二两）
一分） 桂（去粗
上一十一味，捣罗为散，每服二钱匕，生姜茶清调下，临卧服。
治大肠风壅，秘涩不通，大麻仁丸方
大麻仁（研如泥五两） 芎 （一两一分） 附子（生去皮脐半两） 大黄（锉碎酥炒
二两）
上五味，捣研为末，炼蜜和丸，如梧桐子大，每服三十丸，温酒下。
治大肠有热，津液竭燥，里急后重，大便秘涩，三仁丸方
松子仁 柏子仁 大麻子仁（各一两）
上三味，同研匀，黄蜡半两，熔汁和丸，如梧桐子大，每服二十丸，食前米饮下。未快
加丸数服。
论述说：大便秘涩，并非单一证候，都是由于营卫不调，阴阳之气相互持衡所致。如果是风气壅滞，肠胃干涩，这叫做风秘；胃中蕴积客热，导致口舌生疮、身体发黄，这叫做热秘；下焦虚冷，排便窘迫且有后重感，这叫做冷秘；或者因病后大量流失津液，或因年老体弱气血不足，这叫做虚秘；或者是肾虚导致小便过多，大肠枯竭，口渴且多便秘，这是亡失津液的表现；或者是胃实燥结，时而出现寒热症状，这是中有宿食的表现。治疗方法虽然应当调和顺应阴阳，但是疏风散滞、清热除冷、导引补虚的方法，不可偏废，应当审察其证候来治疗。
治疗大肠秘涩，疏风顺气，木香丸方
木香 槟榔（生锉） 羌活（去芦头） 桂枝（去粗皮） 陈皮（汤浸去白焙各一两） 大黄（上七味，捣罗为末，炼蜜丸如梧桐子大，每服十五丸，以生姜紫苏汤送下，逐渐加至三十丸）
治疗津液干燥稀少，肠胃挟风，大便秘涩，气道不匀，匀气丸方
火麻仁（别研二两） 人参 诃黎勒皮 枳壳（去瓤麸炒） 桂枝（去粗皮各一两） 木香（一两）上九味，捣罗七味为末，入火麻仁等再研匀，炼蜜为丸，如梧桐子大，每服三十丸，加至五十丸，温熟水送下，不限时候。
治疗大肠风热秘涩，牛黄丸方
牛黄（细研一分） 大黄（锉炒二两） 巴豆（去皮心膜麸炒研新瓦上取霜半两）上三味，捣研为末，酒煮面糊，丸如绿豆大，每服五丸，临卧米饮送下，量虚实加减。
治疗大便涩秘，牵牛散方
牵牛子（半生半炒） 槟榔（生锉各半两）上二味，捣罗为散，每服三钱匕，生姜汤调下，未通利良久以热茶投服，以疏利为度。
治疗胃气虚弱，饮食无味，上隔寒壅冷积症瘕气，食不消化，肺气积聚，心胸痰逆喘急，卒中风毒香港脚，大肠秘涩，奔豚气痛，木香槟榔丸方
木香 槟榔（锉） 羌活（去芦头） 川芎 桂枝（去粗皮各一两） 郁李仁（去皮双仁研） 大黄上七味，捣罗六味为末，与郁李仁同研匀，炼蜜丸如梧桐子大，每服二十丸，食前生姜汤送下，或诸气痛，温酒送下。
治疗诸风湿痹，筋挛膝痛，胃中积热，口疮烦闷，大便秘涩，大豆黄卷方
大豆黄卷（炒熟捣末一升） 酥（半两）上二味研匀，不拘食前后，温水调下一匙。
治疗热毒风、大便秘涩，及心风健忘，肝风眼暗，羚羊角丸方
羚羊角（镑） 人参 羌活（去芦头） 苦参（锉） 防风（去叉） 玄参 丹参 大黄（锉） 茯神（去木） 枳壳 郁李仁（去皮双仁研） 生干地黄上二十一味，捣罗十八味为末，与火麻仁龙齿郁李仁膏，同研令匀，炼蜜和杵，丸如梧桐子大，每服空腹、温酒送下二十丸，加至三十丸。
治疗风气壅滞，大肠秘涩，地龙丸方
地龙（去土） 牵牛子（半生半炒） 苦参（各一两） 乌头（生去皮尖四两）上四味，捣罗为末，醋煮稀面糊，丸如梧桐子大，每服十五丸，至二十丸，空心夜卧、米饮送下。
治疗大便秘涩，五脏风壅，膈实不宜，桃花汤方
桃花（干者二钱） 甘遂（炒一分） 郁李仁（去皮双仁别研膏） 海蛤（捣碎炒） 枳实（去瓤麸炒） 桃仁（去皮尖双仁研） 杏仁（去皮尖双仁研） 大黄（锉炒）上八味，先粗捣七味为末，与郁李仁和匀，每服五钱匕，水二盏，煎至一盏，去滓空腹温服，良久以干饭一匙压之，觉转动腹如雷鸣，即以热水洗足，宣下诸恶物，以糜粥助之。
治疗健忘多惊，大便难，口中生疮，羚羊角饮方
羚羊角（镑） 人参 赤茯苓（去黑皮） 羌活（去芦头） 附子（炮裂去皮脐） 栀子仁（炒） 知母（去毛） 己（二两） 胡黄连（半两） 甘草（炙三分）上一十四味，锉如麻豆，每服五钱匕，水二盏，入生姜半分拍破，盐豉四十粒，同煎至一盏，去滓更入淡竹沥少许，搅令匀，食前温服。
治疗胃实腹胀，水谷不消，溺黄体热，鼻塞衄血，口唇紧，关格不通大便苦难，承气泻胃，浓朴汤方
厚朴（去粗皮生姜汁炙三分） 大黄（锉炒二两） 枳壳（去瓤麸炒） 甘草（炙各半两）上四味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓空心温服，取利为度。
治疗大便秘难，麻仁丸方
大麻仁（别研膏） 大黄（锉炒各三两） 厚朴（去粗皮生姜汁炙二两） 枳壳（去瓤麸炒一两）上四味、捣罗三味为末，与麻仁同研，炼蜜和杵令匀，丸如梧桐子大，每服二十丸，空心温水送下，以利为度。
治疗反胃、大便难，肌肤干瘦，鸡内金骨丸方
鸡内金骨（慢火炙三两） 大黄（锉炒五两） 大麻仁（研如膏四两）上三味，捣罗二味为末，与麻仁同研，炼蜜和杵，丸如梧桐子大，每服二十丸，食前米饮送下、日三。
治疗强壮人、热毒流入肠胃，骨节疼痛，腹中烦满，大便秘涩，升麻汤方
升麻 大黄（锉炒各四两） 前胡（去苗） 栀子仁（炒各三两）上四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服，未通再服。
治疗癖注气刺痛，大便秘涩，京三棱丸方
京三棱（煨乘热椎碎别捣为末） 木香 当归（切焙） 桂枝（去粗皮） 肉苁蓉（酒浸切焙） 枳壳（去瓤麸炒） 郁李仁（去皮双仁研如膏各一两）上一十五味，除郁李仁外，捣罗为末，与郁李仁膏，同研令匀，炼蜜和杵，丸如梧桐子大，每服二十丸，空腹米饮或温酒送下，以利为度。
治疗三焦不和，脏腑虚结，胸膈痞闷，大便秘涩，麻仁丸方
大麻仁（研膏四两） 大黄（半生半熟四两） 白槟榔（生锉） 桂枝（去粗皮） 羌活（去芦头） 防风（去叉各一两半）上一十三味，捣研为末，炼蜜丸如梧桐子大，每服十五丸，至二十丸，温水送下，临卧服
治疗大肠虚冷风秘，凌霄花根丸方
凌霄花根（去皮洗焙三两） 乌药（锉） 人参（各半两） 皂荚子（五十枚）上四味，捣罗为末，炼蜜丸如绿豆大，每服十丸，至十五丸，温水送下，一日二服。老人多患此疾，服之半月渐调，亦不疏利。
治疗大肠冷秘，威灵仙丸方
威灵仙（不以多少洗切）上一味，捣罗为末，炼蜜丸如梧桐子大，每服十五丸，至二十丸，生姜清米饮送下，临卧服。
治疗气胀满，大便秘涩，腹肋刺痛，牵牛子丸方
牵牛子（半生半炒三两） 槟榔（生锉二两） 木香（一两）上三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心温酒或米饮送下。
治疗里急后重，大便不快，服炒桃仁法。
桃仁（去皮三两） 吴茱萸（二两） 盐（一两）上三味，同炒熟，去盐并茱萸，只以桃仁空心夜卧不拘时，任意嚼五七粒，至一二十粒
治疗大便冷秘，附子散方
附子（一枚炮裂去皮脐）上一味，削去外面，留中心如枣大，碾为细散，蜜水调下一钱匕。
治疗年老虚弱，大便秘滞，葱胶汤方
陈胶（十片） 葱（一握切）上二味，以水二盏，同煎胶令烊，取一盏，温服之，立效。
治疗老人虚秘，大腹汤方
连皮大腹皮（十五枚） 木瓜（一枚） 葱白（五茎）上三味，锉如麻豆，以水五盏，煎至二盏半，去滓分温五服。
治疗人病后，重亡津液，及老人津液不足，大便秘涩，平胃煮散加青橘皮方
厚朴（去粗皮姜汁炙五两） 苍术（去粗皮米泔浸一宿焙八两） 陈皮（汤浸去白焙五两） 青橘皮（汤浸去白焙半两）上四味，捣罗为散，每服三钱匕，水一盏半，加青橘皮末半钱匕，生姜二片，枣二枚劈，煎至一盏，去滓温服。
治疗宿食不消，大便难，涤中丸方
大黄（锉炒八两） 葶苈（隔纸炒二两） 杏仁（去皮尖双仁炒研） 芒硝（研各四两）上四味，捣研为末，炼蜜和杵，丸如梧桐子大，每服五丸至七丸，食后温水送下，日三，未通加至十丸。
治疗脾胃不和，内有虫滞，大便秘难，大黄丸方
大黄（锉炒） 赤芍药（各三两） 厚朴（去粗皮姜汁炙二两） 枳实（去瓤麸炒一两半） 火麻仁（研膏四两）上五味，捣罗四味为末，与麻仁同研匀，炼蜜和杵，丸如梧桐子大，每服十丸至十五丸，食前温水送下，以通利为度。
治疗大肠秘涩，冷热相攻，寒热如疟，槟榔丸方
槟榔（锉一两） 羌活（去芦头一两） 郁李仁（汤浸去皮别研二两） 木香（一两） 大黄（锉炒二两） 牵牛子（四两捣细取三两） 青橘皮（汤去白焙一两） 大麻仁（别研二两）上八味，捣罗六味为末，入研药令匀，炼蜜和丸，如梧桐子大，每服二十丸，生姜汤送下
治疗大肠风秘，结涩不通，戟香散方
大戟（炒） 木香 干姜（炮） 陈皮（汤浸去白焙各一两） 牵牛子（五两取细末二两） 甘遂（炒一分） 桂枝（去粗皮一分）上一十一味，捣罗为散，每服二钱匕，生姜茶清调下，临卧服。
治疗大肠风壅，秘涩不通，大麻仁丸方
大麻仁（研如泥五两） 川芎（一两一分） 附子（生去皮脐半两） 大黄（锉碎酥炒二两） 郁李仁（去皮双仁研二两）上五味，捣研为末，炼蜜和丸，如梧桐子大，每服三十丸，温酒送下。
治疗大肠有热，津液竭燥，里急后重，大便秘涩，三仁丸方
松子仁 柏子仁 大麻子仁（各一两）上三味，同研匀，黄蜡半两，熔汁和丸，如梧桐子大，每服二十丸，食前米饮送下。未快加丸数服。
Discussion states: Constipation and dryness of stool is not a single syndrome, but results from the disharmony of Ying (Nutritive) and Wei (Defensive) Qi, and the mutual stagnation of Yin and Yang Qi. If Wind pathogen causes stagnation and dryness in the intestines and stomach, it is called Wind Bi (Wind-type Constipation). If heat lingers in the Stomach causing mouth ulcers and yellowing of the body, it is called Heat Bi (Heat-type Constipation). If deficiency-cold in the Lower Jiao causes urgency and tenesmus, it is called Cold Bi (Cold-type Constipation). If fluid loss occurs after illness or if Qi and Blood are insufficient due to old age and weakness, it is called Deficiency Bi (Deficiency-type Constipation). If Kidney deficiency leads to excessive urination and depletion of the Large Intestine, resulting in thirst and constipation, this is due to the loss of Body Fluids. If excess heat and dryness in the Stomach cause alternating chills and fever, this indicates retained food. Although the treatment method should generally harmonize and smooth Yin and Yang, methods such as dispersing Wind and resolving stagnation, clearing Heat and dispelling Cold, and guiding movement while tonifying deficiency must not be neglected. One must examine the specific syndrome to treat it.
For treating Large Intestine constipation and dryness, to disperse Wind and promote Qi flow, Muxiang Wan Formula:
Muxiang (Costus Root), Binglang (Areca Seed, raw and sliced), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome stump), Guizhi (Cinnamon Twig, remove coarse bark), Chenpi (Aged Tangerine Peel, soaked in water, remove white pith and dried, each 1 liang), Dahuang (Rhubarb Root and Rhizome).
The above seven herbs are pounded and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take 15 pills per dose, administered with Ginger and Perilla Decoction, gradually increasing to 30 pills.
For treating dryness and scarcity of Body Fluids, Wind invading the intestines and stomach, constipation and dryness of stool, and uneven Qi flow, Yunqi Wan Formula:
Haren (Hemp Seed, separately ground, 2 liang), Renshen (Ginseng Root), Helilepi (Pericarpium Terminaliae Chebulae), Zhike (Immature Bitter Orange, remove core, stir-fried with bran), Guizhi (Cinnamon Twig, remove coarse bark, each 1 liang), Muxiang (Costus Root, 1 liang).
The above nine herbs: pound and sift seven herbs into powder, add Hemp Seed and others, grind evenly. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose, increasing to 50 pills, administered with warm cooked water, at any time.
For treating Wind-Heat constipation of the Large Intestine, Niuhuang Wan Formula:
Niuhuang (Calculus Bovis, finely ground, 1 fen), Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried, 2 liang), Badou (Croton Seed, remove skin, heart, and membrane, stir-fried with bran, grind on new tile to take the frost/resin, 0.5 liang).
The above three herbs are pounded and ground into powder. Boil wheat paste in wine to bind the pills, forming them the size of mung beans. Take 5 pills per dose before sleep, administered with rice drink, adjusting dosage according to deficiency or excess.
For treating astringent constipation, Qianni San Powder:
Qiannzi (Seed of Morning Glory, half raw half stir-fried), Binglang (Areca Seed, raw and sliced, each 0.5 liang).
The above two herbs are pounded and sifted into powder. Take 3 qianbi per dose, mixed with Ginger Decoction. If no evacuation occurs after a while, administer hot tea. Continue until evacuation is achieved.
For treating weak Stomach Qi, lack of taste in food, upper obstruction by cold stagnation and mass, indigestion, accumulation of Lung Qi, phlegm reversal in chest and heart with wheezing and urgency, sudden stroke toxin, beriberi, Large Intestine constipation, and Ben Tun (Rushing Pig) abdominal pain, Muxiang Binglang Wan Formula:
Muxiang (Costus Root), Binglang (Areca Seed, sliced), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome stump), Xiong (Sichuan Lovage Rhizome), Guizhi (Cinnamon Twig, remove coarse bark, each 1 liang), Yuliren (Dried Peach Kernel, remove skin and double kernels, grind), Dahuang (Rhubarb Root and Rhizome).
The above seven herbs: pound and sift six herbs into powder, mix with ground Dried Peach Kernel. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose before meals with Ginger Decoction. For various Qi pains, administer with warm wine.
For treating wind-damp bi syndrome, tendon spasms and knee pain, accumulated heat in the Stomach, mouth ulcers, restlessness, and constipation, Dadou Huangjuan Formula:
Dadou Huangjuan (Sojae Semen Praeparatum, stir-fried ripe and ground, 1 sheng), Su (Butter/Ghee, 0.5 liang).
Grind the above two ingredients evenly. Administer one spoonful mixed with warm water, regardless of meal timing.
For treating Heat-Toxic Wind, constipation, Heart Wind with forgetfulness, and Liver Wind with blurred vision, Lingyangjiao Wan Formula:
Lingyangjiao (Saiga Antelope Horn, shaved), Renshen (Ginseng Root), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome stump), Kushen (Sophora Root, sliced), Fangfeng (Saposhnikovia Root, remove forked root ends), Xuanshen (Scrophularia Root), Danshen (Salvia Root), Dahuang (Rhubarb Root and Rhizome, sliced), Fushen (Poria with Hostwood, remove wood), Zhike (Immature Bitter Orange, remove core), Yuliren (Dried Peach Kernel, remove skin and double kernels, grind), Sheng Gan Di Huang (Raw Rehmannia Root).
The above twenty-one herbs: pound and sift eighteen herbs into powder. Mix with paste made from Hemp Seed, Dragon Bone, and Dried Peach Kernel. Grind evenly, mix with refined honey and pound. Form pills the size of Sophora seeds. Take 20 pills per dose on an empty stomach with warm wine, increasing to 30 pills.
For treating Wind-Qi stagnation and Large Intestine constipation, Dilong Wan Formula:
Dilong (Pheretima, remove soil), Qiannzi (Seed of Morning Glory, half raw half stir-fried), Kushen (Sophora Root, each 1 liang), Wutou (Aconite Root, raw, remove skin and tip, 4 liang).
The above four herbs are pounded and sifted into powder. Boil thin wheat paste in vinegar to bind the pills, forming them the size of Sophora seeds. Take 15 to 20 pills per dose on an empty stomach and before bed, administered with rice drink.
For treating constipation, Wind stagnation in the Five Zang Organs, and fullness in the diaphragm unsuitable for harsh purging, Taohua Tang Decoction:
Taohua (Peach Blossom, dried, 2 qian), Gansui (Kansui Root, stir-fried, 1 fen), Yuliren (Dried Peach Kernel, remove skin and double kernels, separately ground into paste), Hai Ge (Clam Shell, crushed and stir-fried), Zhishi (Immature Bitter Orange, remove core and stir-fried with bran), Tao Ren (Dried Peach Kernel, remove skin and tip, double kernels, grind), Xing Ren (Apricot Seed, remove skin and tip, double kernels, grind), Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried).
The above eight herbs: first coarsely chop seven herbs into powder, mix with Dried Peach Kernel paste. Take 5 qianbi per dose with 2 zhan of water, decoct to 1 zhan. Strain and take warm on an empty stomach. After a while, press with one spoonful of dry rice. When rumbling sounds are felt in the abdomen, wash feet with hot water to promote evacuation of foul matter, then assist with millet gruel.
For treating forgetfulness, frequent fright, difficult defecation, and mouth ulcers, Lingyangjiao Yin Decoction:
Lingyangjiao (Saiga Antelope Horn, shaved), Renshen (Ginseng Root), Chifuling (Red Poria, remove black skin), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome stump), Fuzi (Prepared Aconite Root, cracked, remove skin and navel), Zhizi Ren (Gardenia Seed, stir-fried), Zhimu (Anemarrhena Rhizome, remove hairs), Ji (likely referring to a specific part or herb fragment, context implies Zhi Mu or similar), Huhuanglian (Coptis Chinensis Rhizome, 0.5 liang), Gancao (Licorice Root, honey-fried, 3 fen).
Fourteen ingredients: cut like hemp seeds. Take 5 qianbi per dose with 2 zhan of water, add 0.5 fen of smashed fresh ginger and 40 salted soybeans. Decoct to 1 zhan. Strain, add a little light bamboo sap, stir evenly. Take warm before meals.
For treating Stomach excess with abdominal distension, inability to digest water and grain, yellow urine and body heat, nasal congestion and epistaxis, tight lips, Guan Ge (obstruction) preventing bowel movement, Chengqi Xiwei Nongpo Tang Decoction:
Nongpo (Magnolia Bark, remove coarse bark, stir-fried with ginger juice, 3 fen), Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried, 2 liang), Zhike (Immature Bitter Orange, remove core and stir-fried with bran), Gancao (Licorice Root, honey-fried, each 0.5 liang).
The above four herbs: coarsely chop and sieve. Take 5 qianbi per dose with 1.5 zhan of water, decoct to 1 zhan. Strain and take warm on an empty stomach. Stop when evacuation occurs.
For treating severe constipation, Mahuang Wan Formula (Note: Text says Mahuang Wan but ingredients suggest Ma Ren Wan):
Dama Ren (Hemp Seed, separately ground into paste), Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried, each 3 liang), Nongpo (Magnolia Bark, remove coarse bark, stir-fried with ginger juice, 2 liang), Zhike (Immature Bitter Orange, remove core and stir-fried with bran, 1 liang).
The above four herbs: pound and sift three herbs into powder, mix with Hemp Seed. Mix with refined honey and pound evenly. Form pills the size of Sophora seeds. Take 20 pills per dose on an empty stomach with warm water. Stop when evacuation occurs.
For treating regurgitation, difficult defecation, dry and emaciated skin, Jigu Wan Formula:
Jigu (Chicken Gizzard Lining, slow-fire roasted, 3 liang), Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried, 5 liang), Dama Ren (Hemp Seed, ground into paste, 4 liang).
The above three herbs: pound and sift two herbs into powder, mix with Hemp Seed. Mix with refined honey and pound. Form pills the size of Sophora seeds. Take 20 pills per dose before meals with rice drink, three times daily.
For treating robust individuals with Heat-Toxin flowing into intestines and stomach, bone and joint pain, abdominal fullness and distress, and constipation, Shengma Tang Decoction:
Shengma (Cimicifuga Rhizome), Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried, each 4 liang), Qianhu (Peucedani Radix, remove seed heads), Zhizi Ren (Gardenia Seed, stir-fried, each 3 liang).
The above four herbs: coarsely chop and sieve. Take 3 qianbi per dose with 1 zhan of water, decoct to 70%. Strain and take warm before meals. If no passage, take again.
For treating Pi (mass) and Zhu (flowing qi) stabbing pain, and constipation, Jingsanleng Wan Formula:
Jingsanleng (Burreed Tuber, baked, crush while hot, separately grind into powder), Muxiang (Costus Root), Danggui (Angelica Sinensis Root, sliced and dried), Guizhi (Cinnamon Twig, remove coarse bark), Roushou Rong (Cistanche Stem, wine-soaked, sliced and dried), Zhike (Immature Bitter Orange, remove core and stir-fried with bran), Yuliren (Dried Peach Kernel, remove skin and double kernels, ground into paste, each 1 liang).
Fifteen ingredients: except for Dried Peach Kernel, pound and sift into powder. Mix with Dried Peach Kernel paste. Grind evenly, mix with refined honey and pound. Form pills the size of Sophora seeds. Take 20 pills per dose on an empty stomach with rice drink or warm wine. Stop when evacuation occurs.
For treating disharmony of the Three Jiao, deficiency-stagnation of Zang-Fu, chest and diaphragm stuffiness, and constipation, Mahuang Wan Formula (Note: Text says Mahuang Wan but ingredients suggest Ma Ren Wan):
Dama Ren (Hemp Seed, ground into paste, 4 liang), Dahuang (Rhubarb Root and Rhizome, half raw half cooked, 4 liang), Baibinglang (White Areca Seed, raw and sliced), Guizhi (Cinnamon Twig, remove coarse bark), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome stump), Fangfeng (Saposhnikovia Root, remove forked root ends, each 1.5 liang).
Thirteen ingredients: pound and grind into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 15 to 20 pills per dose with warm water, before bed.
For treating deficiency-cold Wind constipation of the Large Intestine, Lingxiaohua Gen Wan Formula:
Lingxiaohua Gen (Campsis Root, remove skin, wash and dry, 3 liang), Yaowu (Lindera Root, sliced), Renshen (Ginseng Root, each 0.5 liang), Zhaojia Zi (Gleditsia Sinensis Fruit Seed, 50 pieces).
The above four herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of mung beans. Take 10 to 15 pills per dose with warm water, twice daily. Elderly people often suffer from this; take for half a month for gradual regulation, without causing diarrhea.
For treating Cold constipation of the Large Intestine, Weilingxian Wan Formula:
Weilingxian (Clematis Root, washed and sliced as needed).
One ingredient: pound and sift into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 15 to 20 pills per dose with clear Ginger Rice Drink, before bed.
For treating Qi distension and fullness, constipation, and stabbing pain in abdomen and ribs, Qiannzi Wan Formula:
Qiannzi (Seed of Morning Glory, half raw half stir-fried, 3 liang), Binglang (Areca Seed, raw and sliced, 2 liang), Muxiang (Costus Root, 1 liang).
The above three herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose on an empty stomach with warm wine or rice drink.
For treating tenesmus and slow defecation, method of consuming stir-fried Apricot Kernels:
Tao Ren (Dried Peach Kernel, remove skin, 3 liang), Wuzhuyu (Evodia Fruit, 2 liang), Yan (Salt, 1 liang).
Stir-fry the above three ingredients until cooked. Remove salt and Evodia. Chew 5-7 Apricot Kernels on an empty stomach before bed at any time, up to 10-20 kernels.
For treating Cold constipation, Fuzi San Powder:
Fuzi (Prepared Aconite Root, one piece, cracked, remove skin and navel).
One ingredient: scrape off the outside, keep the center date-sized. Grind into fine powder. Mix with honey water and take 1 qianbi per dose.
For treating elderly weakness and constipation, Congjiao Tang Decoction:
Chenjiao (Old Gelatin, 10 slices), Cong (Green Onion, one handful, chopped).
Two ingredients: decoct gelatin in 2 zhan of water until melted. Take 1 zhan, warm. Immediate effect.
For treating elderly deficiency constipation, Dafu Tang Decoction:
Lianpidafupi (Areca Pericarp with peel, 15 pieces), Mugua (Chaenomeles Fruit, one piece), Congbai (White Part of Green Onion, 5 stalks).
Three ingredients: cut like hemp seeds. Decoct in 5 zhan of water to 2.5 zhan. Strain and divide into five warm doses.
For treating post-illness severe fluid loss, elderly fluid deficiency, and constipation, Pingwei Zhusan added with Qingchupi Formula:
Nongpo (Magnolia Bark, remove coarse bark, stir-fried with ginger juice, 5 liang), Cangzhu (Atractylodes Rhizome, remove coarse bark, soak in rice wash overnight, dry, 8 liang), Chenpi (Aged Tangerine Peel, soaked in water, remove white pith and dry, 5 liang), Qingchupi (Green Tangerine Peel, soaked in water, remove white pith and dry, 0.5 liang).
Four ingredients: pound and sift into powder. Take 3 qianbi per dose with 1.5 zhan of water, add half qianbi of Qingchupi powder, 2 slices of ginger, and 2 split jujubes. Decoct to 1 zhan. Strain and take warm.
For treating retained food indigestion and difficult defecation, Dizhong Wan Formula:
Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried, 8 liang), Tingli (Descurainia Seed, stir-fried between papers, 2 liang), Xingren (Apricot Seed, remove skin and tip, double kernels, stir-fried and ground), Mangxiao (Mirabilite, ground, each 4 liang).
Four ingredients: pound and grind into powder. Mix with refined honey and pound. Form pills the size of Sophora seeds. Take 5-7 pills per dose after meals with warm water, three times daily. Increase to 10 pills if no passage.
For treating Spleen-Stomach disharmony, internal parasitic stagnation, and difficult defecation, Dahuang Wan Formula:
Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried), Chishao Yao (Red Peony Root, each 3 liang), Nongpo (Magnolia Bark, remove coarse bark, stir-fried with ginger juice, 2 liang), Zhishi (Immature Bitter Orange, remove core and stir-fried with bran, 1.5 liang), Haren (Hemp Seed, ground into paste, 4 liang).
Five ingredients: pound and sift four herbs into powder, mix with Hemp Seed. Mix with refined honey and pound. Form pills the size of Sophora seeds. Take 10-15 pills per dose before meals with warm water. Stop when evacuation occurs.
For treating Large Intestine constipation with conflicting Cold and Heat, chills and fever like malaria, Binglang Wan Formula:
Binglang (Areca Seed, sliced, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome stump, 1 liang), Yuliren (Dried Peach Kernel, soaked in water, remove skin, separately ground, 2 liang), Muxiang (Costus Root, 1 liang), Dahuang (Rhubarb Root and Rhizome, sliced and stir-fried, 2 liang), Qiannzi (Seed of Morning Glory, 4 liang, pounded fine, take 3 liang), Qingchupi (Green Tangerine Peel, soaked in water, remove white pith and dry, 1 liang), Dama Ren (Hemp Seed, separately ground, 2 liang).
Eight ingredients: pound and sift six herbs into powder, add ground medicines and mix evenly. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose with Ginger Decoction.
For treating Wind constipation of the Large Intestine, knotting and dryness with no passage, Jixiang San Powder:
Daji (Euphorbia Root, stir-fried), Muxiang (Costus Root), Jiangjiang (Dried Ginger, roasted), Chenpi (Aged Tangerine Peel, soaked in water, remove white pith and dry, each 1 liang), Qiannzi (Seed of Morning Glory, 5 liang, take fine powder 2 liang), Gansui (Kansui Root, stir-fried, 1 fen), Guizhi (Cinnamon Twig, remove coarse bark, 1 fen).
Eleven ingredients: pound and sift into powder. Take 2 qianbi per dose, mixed with Ginger Tea Clear. Take before bed.
For treating Wind stagnation in the Large Intestine, constipation with no passage, Dama Ren Wan Formula:
Dama Ren (Hemp Seed, ground into mud, 5 liang), Xiong (Sichuan Lovage Rhizome, 1.1 liang), Fuzi (Raw Aconite Root, remove skin and navel, 0.5 liang), Dahuang (Rhubarb Root and Rhizome, sliced, crushed, stir-fried with butter, 2 liang), Yuliren (Dried Peach Kernel, remove skin and double kernels, ground, 2 liang).
Five ingredients: pound and grind into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with warm wine.
For treating Heat in the Large Intestine, exhaustion and dryness of Body Fluids, tenesmus, and constipation, Sanren Wan Formula:
Songzi Ren (Pine Nut Kernel), Baizi Ren (Biota Seed), Daziren (Hemp Seed, each 1 liang).
Three ingredients: grind evenly. Melt half liang of yellow wax and mix to form pills the size of Sophora seeds. Take 20 pills per dose before meals with rice drink. Increase dosage if ineffective.