治胀满不通方。
芒硝 芍药(各一两半) 杏仁 大黄(各三两) 黄芩(一两六铢)
上五味为末,蜜丸如梧子大,饮服十五丸加至二十丸,取通利为度,日三。
又方 通草 朴硝(各四两) 郁李仁 黄芩 瞿麦(各三两) 车前子(五合,一云
六两)
上六味 咀,以水八升煮取二升半、分三服。(一方用绢袋盛煮顿服二升。)
又方 独头蒜烧熟去皮,绵裹,纳下部,中气立通。
又方 削姜裹盐导之,及干姜食盐杏仁捣丸导之。
治胀满闭不下方∶
吴茱萸(一升) 干姜 大黄 当归 桂心 芍药 甘草 川芎(各二两) 人参 细
辛
(各一两) 桃白皮(一把) 真珠(半两) 雄黄(十八铢)
上十三味 咀,以水一斗煮取三升,去滓,纳雄黄,真珠末酒一升,微火煮三沸,服
一升,得下即止。
主一切猝中恶心痛腹胀大便不通方。
巴豆(二枚,去皮心熬) 杏仁(二枚)
上二味以绵缠捶令碎,热汤二合捻取白汁,饮之当下,老小量之,通治飞尸鬼击病。
主寒癖宿食,久饮饱不消,大便不通方。巴豆仁一升,清酒五升煮三日三夕碎,大熟,
合酒微火煎令可丸如胡豆,欲取吐下者,服二丸。
主宿食不消,大便难方,(《肘后》名承气丸)。
大黄(八两) 葶苈 杏仁(熬) 芒硝(各四两)
上四味为末,蜜丸如梧子大,食后服七丸,日三,后稍加之。
治疗腹部胀满、大便不通的方剂。
芒硝、芍药(各一两半)、杏仁、大黄(各三两)、黄芩(一两六铢)。
以上五味药研成细末,用蜂蜜制成梧桐子大小的丸剂,温水送服十五丸,逐渐增加至二十丸,以大便通畅为度,每日三次。
另一个方剂:通草、朴硝(各四两)、郁李仁、黄芩、瞿麦(各三两)、车前子(五合,另一种说法是六两)。
以上六味药切碎,用水八升煮取二升半,分三次服用。(另一种方法是用绢袋盛装煎煮,一次性服用二升。)
又一个方剂:独头蒜烧熟后去皮,用棉布包裹,塞入肛门内,中气立刻通畅。
又一个方剂:将生姜切片包裹盐巴进行导引通便,或者将干姜、食盐、杏仁捣碎制成丸剂进行导引通便。
治疗腹部胀满闭塞严重的方剂:
吴茱萸(一升)、干姜、大黄、当归、桂心、芍药、甘草、川芎(各二两)、人参、细辛(各一两)、桃白皮(一把)、真珠(半两)、雄黄(十八铢)。
以上十三味药切碎,用水一斗煮取三升,滤去药渣,加入雄黄和真珠粉末,再用一升酒微火煮三沸,服用一升,大便通畅后即停止服用。
主治一切突然发作的恶心腹痛、腹胀、大便不通的方剂。
巴豆(二枚,去皮去心并炒制)、杏仁(二枚)。
以上两味药用棉布缠绕并捶碎,用热水二合揉搓提取白色汁液,饮用后应当排便,老人小孩酌情减量,通用治疗飞尸鬼击病。
主治寒癖宿食,长期饮酒饱食不消化,大便不通的方剂:巴豆仁一升,清酒五升煮三天三夜直至破碎且完全熟透,混合酒液用微火煎至可制成如胡豆大小的丸剂,想要催吐或泻下的,服用二丸。
主治宿食不消化,大便困难的方剂,《肘后备急方》称为承气丸。
大黄(八两)、葶苈、杏仁(炒制)、芒硝(各四两)。
以上四味药研成细末,用蜂蜜制成梧桐子大小的丸剂,饭后服用七丸,每日三次,之后逐渐增加剂量。
Formula for treating abdominal distension and obstruction.
Mangxiao (Natrii Sulfas), Shaoyao (Paeoniae Radix Alba) (each 1.5 liang), Xingren (Armeniacae Semen Amarum), Dahuang (Rhei Radix et Rhizoma) (each 3 liang), Huangqin (Scutellariae Radix) (1 liang 6 zhu).
The above five herbs are ground into powder, mixed with honey to form pills the size of a cockspur (Wuzi), taken with warm water starting from fifteen pills and increasing to twenty pills, until bowel movement is achieved, three times daily.
Another formula: Tongcao (Tetrapanacis Medulla), Puxiao (Natrii Sulfas), Yuliren (Pruni Semen), Huangqin (Scutellariae Radix), Qumai (Dianthi Herba) (each 3 liang), Cheqianzi (Plantaginis Semen) (5 he, another version says 6 liang).
The above six herbs are chopped, boiled in eight sheng of water until reduced to two and a half sheng, divided into three doses. (One method uses a silk bag for boiling, taken all at once as two sheng.)
Yet another formula: A single-clove garlic is roasted, peeled, wrapped in cotton, and inserted into the anus; the qi will immediately flow freely.
Yet another formula: Slice ginger, wrap it with salt, and use for guided evacuation; or grind dried ginger, salt, and Xingren (Armeniacae Semen Amarum) into pills for guided evacuation.
Formula for severe abdominal distension and closure:
Wuzhuyu (Evodiae Fructus) (1 sheng), Ganjiang (Zingiberis Rhizoma), Dahuang (Rhei Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 liang), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma) (each 1 liang), Taobaipi (Pruni Cortex) (one handful), Zhenzhu (Margarita), Xionghuang (Realgar) (18 zhu).
The above thirteen herbs are chopped, boiled in ten dou of water until reduced to three sheng, strained, then add Xionghuang (Realgar) and powdered Zhenzhu (Margarita), boil gently in one sheng of wine for three boils, take one sheng, stop when bowel movement occurs.
Formula for treating sudden onset of nausea, abdominal pain, distension, and constipation.
Badou (Crotonis Fructus) (two seeds, skin and heart removed, roasted), Xingren (Armeniacae Semen Amarum) (two seeds).
The above two herbs are wrapped in cotton, beaten until crushed, squeezed in two he of hot water to extract the white juice, drink it to induce defecation; adjust dosage for elderly and children; generally treats Feishi Guiji disease (sudden death-like conditions or epidemic diseases).
Formula for treating cold accumulation and retained food, indigestion after long-term drinking and overeating, and constipation. Badou Ren (Crotonis Semen) one sheng, Qingjiu (clear wine) five sheng, boiled for three days and nights until broken and thoroughly cooked, mixed with wine and simmered on low heat to form pills the size of a broad bean; for inducing vomiting or purging, take two pills.
Formula for treating retained food indigestion and difficult defecation, named Chengqi Wan (Bowel-Regulating Pill) in *Zhouhou Beiji Fang*.
Dahuang (Rhei Radix et Rhizoma) (8 liang), Tingli (Descurainiae Semen seu Lepidii Semen), Xingren (Armeniacae Semen Amarum) (roasted), Mangxiao (Natrii Sulfas) (each 4 liang).
The above four herbs are ground into powder, mixed with honey to form pills the size of a cockspur (Wuzi), take seven pills after meals, three times daily, gradually increasing the dose later.