（脉二条 方二首 灸法七首）
大肠实热
右手寸口气口以前脉阳实者，手阳明经也。病苦肠满善喘咳，面赤身热，喉咽中如核状
，名曰大肠实热也。
治大肠实热，腹胀不通。口为生疮者方。
生姜 橘皮 青竹茹 白术 黄芩 栀子仁（各三两） 桂心（一两） 茯苓 芒硝（各
二
两） 地黄（十两） 大枣（十四枚）
上十一味 咀，以水七升，煮取三升，去滓，下芒硝，分二服。
治肠中胪胀不消方∶
灸大肠俞四十九壮。
大肠有热，肠鸣腹满挟脐痛，食不化，喘不能久立，巨虚上廉主之。
大肠虚冷
右手寸口气口以前脉阳虚者，手阳明经也。病苦胸中喘，肠鸣虚渴，唇干目急，善惊泄
白，名曰大肠虚冷也。
治大肠虚冷，痢下青白，肠中雷鸣相逐方。
黄连（四两） 茯苓 川芎（各三两） 地榆（五两） 酸石榴皮（五片） 伏龙肝（鸡
子大一
枚）
治肠中雷鸣相逐痢下方∶
灸承满五十壮。穴在挟巨阙相去五寸，巨阙在心下一寸。灸之者挟巨阙两边各二寸半。
治肠中常鸣，时上冲心方∶
灸脐中。
食饮不下，腹中雷鸣，大便不节，小便赤黄，阳纲主之。
腹胀肠鸣，气上冲胸不能久立，腹中痛濯濯，冬日重感于寒则泄，当脐而痛，肠胃间游
气切痛，食不化，不嗜食，身肿挟脐急，天枢主之。
肠鸣而痛，温溜主之。
大肠实热证
右手寸口脉在气口以前的部位，脉象表现为阳实，这是手阳明大肠经的病变。患者痛苦于腹部胀满，容易气喘咳嗽，面色发红，身体发热，咽喉中有异物感如同有核块阻塞，这被称为大肠实热证。
治疗大肠实热，腹胀不通，口腔生疮的方剂：
生姜、橘皮、青竹茹、白术、黄芩、栀子仁（各三两）、桂心（一两）、茯苓、芒硝（各二两）、地黄（十两）、大枣（十四枚）。
以上十一味药，切碎，用水七升，煎煮至三升，滤去药渣，加入芒硝，分两次服用。
大肠有热，肠鸣，腹部胀满，脐旁疼痛，食物不消化，气喘不能久立，取巨虚上廉穴主治。
大肠虚冷证
右手寸口脉在气口以前的部位，脉象表现为阳虚，这是手阳明大肠经的病变。患者痛苦于胸中气喘，肠鸣且感觉空虚口渴，嘴唇干燥，眼睛拘急，容易受惊，大便泄泻白色粘液，这被称为大肠虚冷证。
治疗大肠虚冷，痢疾下青色或白色粘液，肠中雷鸣样作响并伴随腹泻的方剂：
黄连（四两）、茯苓、川芎（各三两）、地榆（五两）、酸石榴皮（五片）、伏龙肝（如鸡蛋大小的一块）。
治疗肠中雷鸣样作响并伴随腹泻的方剂：
灸承满穴五十壮。穴位位于巨阙穴两旁各五寸处，巨阙穴在心下一寸。施灸时，在巨阙穴两边各距离二寸半的位置进行灸治。
治疗肠中经常鸣响，有时气向上冲撞心脏的方剂：
灸神阙穴（脐中）。
饮食难以下咽，腹中雷鸣样作响，大便失禁，小便赤黄，取阳纲穴主治。
腹部胀满，肠鸣，气向上冲撞胸部不能久立，腹中疼痛如水声濯濯，冬天再次感受寒邪则发生泄泻，肚脐周围疼痛，肠胃间游动之气切痛，食物不消化，食欲不振，身体浮肿且脐旁拘急，取天枢穴主治。
(Two pulse diagnosis texts, two formulas, seven moxibustion methods)
Excess Heat of the Large Intestine
When the pulse at the Cun Kou position on the right hand, specifically anterior to the Qi Kou, presents as Yang Excess (Yang Shi), it indicates a pathology of the Hand-Yangming Large Intestine Meridian. The patient suffers from abdominal fullness, frequent asthma and coughing, red face, body heat, and a sensation of a lump in the throat and pharynx. This is termed "Excess Heat of the Large Intestine."
Formula for treating Excess Heat of the Large Intestine, characterized by abdominal distension and obstruction, and oral ulcers:
Shengjiang (Fresh Ginger Rhizome, *Zingiberis Rhizoma Recens*), Jupi (Tangerine Peel, *Citri Reticulatae Pericarpium*), Qingzhuru (Green Bamboo Shavings, *Bambusae Caulis in Taeniam*), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Huangqin (Scutellaria Root, *Scutellariae Radix*), Zhiziren (Gardenia Seed, *Gardeniae Semen), each 3 liang; Guixin (Cinnamon Twig Heart, *Cinnamomi Ramulus), 1 liang; Fuling (Poria, *Polyporus); Mangxiao (Mirabilite, *Natrii Sulfas), each 2 liang; Dihuang (Rehmannia Root, *Rehmanniae Radix), 10 liang; Dazao (Jujube Fruit, *Ziziphi Jujubae Fructus), 14 pieces.
The above eleven ingredients are chopped, decocted with 7 sheng of water until reduced to 3 sheng, strained, then Mangxiao is added. Divide into two doses.
Formula for treating intestinal distension that does not resolve:
Moxibustion on Dachangshu (BL25, Bladder 25) acupoint, 49 moxa cones.
When there is heat in the Large Intestine, accompanied by borborygmus, abdominal fullness, pain flanking the umbilicus, indigestion, asthma, and inability to stand for long periods, Jiuxu Shanglian (ST37, Stomach 37) is indicated.
Deficiency Cold of the Large Intestine
When the pulse at the Cun Kou position on the right hand, specifically anterior to the Qi Kou, presents as Yang Deficiency (Yang Xu), it indicates a pathology of the Hand-Yangming Large Intestine Meridian. The patient suffers from chest asthma, borborygmus with a sensation of emptiness and thirst, dry lips, eye tension/spasm, susceptibility to fright, and diarrhea with white discharge. This is termed "Deficiency Cold of the Large Intestine."
Formula for treating Deficiency Cold of the Large Intestine, characterized by dysentery with green or white discharge, and borborygmus with accompanying diarrhea:
Huanglian (Coptis Rhizome, *Coptidis Rhizoma), 4 liang; Fuling (Poria, *Polyporus), Chuanxiong (Ligusticum Rhizome, *Chuanxiong Rhizoma), each 3 liang; Diyü (Sanguisorba Root, *Sanguisorbae Radix), 5 liang; Suan Shiliu Pi (Pericarpium Granati Acidum, *Punicae Granati Pericarpium), 5 slices; Fulonggan (Dragon's House Liver, *Argillae Rubra), one piece the size of a chicken egg.
Formula for treating borborygmus with accompanying diarrhea:
Moxibustion on Chengman (ST22, Stomach 22) acupoint, 50 moxa cones. The acupoint is located 5 cun lateral to Juque (CV14, Conception Vessel 14). Juque is located 1 cun below the heart center. When applying moxibustion, treat points 2.5 cun lateral to both sides of Juque.
Formula for treating frequent borborygmus and qi rushing upward to strike the heart:
Moxibustion on Qizhong (CV8, Umbilicus/Shenque).
When food and drink cannot be swallowed, borborygmus occurs in the abdomen, bowel control is lost, and urine is dark yellow, Yanggang (BL29, Bladder 29) is indicated.
When abdominal distension and borborygmus occur, qi rushes upward to the chest preventing prolonged standing, abdominal pain sounds like water sloshing, winter exposure to cold causes diarrhea, pain centers around the umbilicus, wandering qi in the intestines and stomach causes cutting pain, indigestion occurs, appetite is poor, edema is present, and tension flanks the umbilicus, Tianshu (ST25, Stomach 25) is indicated.
For borborygmus with pain, Wenliu (LI7, Large Intestine 7) is indicated.