治肝积气滞左胁下，遇发作手足头面昏痛。
川芎 当归 芍药 桂枝 防风 枳实 羌活 甘草（以上各一钱六分） 干葛（四分）
麻黄 侧子（二分）
上 咀，分作二帖，每帖用水二盅，生姜五片，煎至七分，去滓，不拘时服，有汗避风。
人之秘结，大肠为传道化物而出焉。凡人五味以养五脏，糟粕皆入归于大肠，大肠所司
，主出而不纳，或停蓄蕴结。肾主水，膀胱之腑，水潴于膀胱，而泄于小肠，实相通也。然
小肠独应于心者，何哉？盖阴不可无阳，水不可无火，水火即济，上下相交，荣卫流行，且
水道热不通，冷不禁。《难经》云∶谓七冲门者，唇飞门，其证为户门，会厌为吸门，胃为
贲门，大仓下口为幽门，大肠小肠会为阑门，此为七冲门也。易老云∶魄门对飞门，其证为
孤惑，以下冲上，故曰七冲门也。而幽门不通则上冲，吸门不开则噎塞。燥秘不便，气不得
上下者，治在幽门，宜以通幽汤，润肠去燥之剂。因体虚之人，摄养乖理，三焦气涩，运掉
不行，而壅滞于肠胃之间，遂成秘结之患。有风秘、气秘、湿秘、寒秘、热秘。风秘为病风
，痰秘于大肠，结而不通也，气秘者，因气滞后重迫疼，烦闷胀满，大便结燥而不通，寒秘
者，年高肠冷及 癖，冷气结滞，大便秘结。又有虚秘与夫积滞秘结∶虚秘者，年老血少，
肠胃枯涩，且古人论此病证，有方全在医者，看其虚实，随证治之，若妇人因产后失血耗气
大便秘者，不可妄用疏利之剂，恐伤元气，病之反复。大抵秘结治法，燥则润，涩则滑，秘
则通，寒则温，热则凉，风则散，气则顺，此为一定之法，学人诚心鉴之。
治疗肝积气滞导致左胁下疼痛，发作时伴有手足、头部和面部昏沉疼痛。
川芎、当归、芍药、桂枝（Cinnamon Twig）、防风、枳实、羌活、甘草（以上各一钱六分），干葛（四分），麻黄、侧子（Aconitum carmichaelii Lateral Root Preparatum, 附子炮制品）（二分）。
将药材切碎，分为两帖，每帖用水二盅，生姜五片，煎煮至七分水量，滤去药渣，不限时间服用，服药后若有汗出需避风。
人体的秘结（便秘），大肠是传导糟粕并排出体外的器官。普通人通过五味饮食来滋养五脏，产生的糟粕最终都归于大肠。大肠的功能主要是排泄而不收纳，如果停滞蓄积就会蕴结成病。肾主水，与膀胱相表里，水液储存在膀胱中，并通过小肠排泄，二者实质上是相通的。然而，小肠为何单独对应于心呢？这是因为阴不能没有阳，水不能没有火，水火既济，上下相交，营卫之气才能正常运行，否则水道因热而不通，因冷而无法禁固。《难经》说：所谓的“七冲门”，唇为飞门，齿为户门，会厌为吸门，胃上口为贲门，太仓（胃）下口为幽门，大肠与小肠交接处为阑门，这称为七冲门。罗天益（易老）说：魄门（肛门）对飞门（唇），其证候表现为孤惑，气从下冲上，所以称为七冲门。如果幽门不通则气上冲，吸门不开则出现噎塞。对于燥秘不便、气机不得上下通畅的情况，治疗重点在幽门，适宜使用通幽汤，这是润肠去燥的方剂。因为体质虚弱的人，调养不合常理，导致三焦气机涩滞，运化不行，从而壅滞在肠胃之间，于是形成了秘结的病患。秘结分为风秘、气秘、湿秘、寒秘、热秘。风秘是由于风邪致病，痰浊阻滞于大肠，凝结而不通；气秘是因为气机滞后，伴有重坠迫痛、烦闷胀满，大便干燥结硬而不通；寒秘多见于年高肠冷及有癖块者，冷气结滞，导致大便秘结。又有虚秘以及积滞导致的秘结：虚秘多见于年老血少之人，肠胃枯涩。而且古人论述此病证，强调全凭医者判断虚实，随证治疗。如果是妇人因产后失血耗气导致的大便秘结，不可妄用疏利通便的药物，恐怕损伤元气，导致病情反复。大体上秘结的治疗原则是：燥则润之，涩则滑之，秘则通之，寒则温之，热则凉之，风则散之，气则顺之，这是一定的法则，学习者应诚心借鉴。
To treat liver accumulation and qi stagnation causing pain under the left hypochondrium, accompanied by dizziness and pain in the hands, feet, head, and face upon attack.
Chuanxiong Rhizoma (Chuanxiong), Danggui Radix (Danggui), Paoniae Radix Alba (Shaoyao), Guizhi Ramulus Cinnamomi (Guizhi), Saposhnikoviae Radix (Fangfeng), Aurantii Fructus Immaturus (Zhishi), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian 6 fen above); Ge Gen Radix Puerariae Lobatae (Gange) (4 fen); Mahuang Herba Ephedrae (Mahuang); Zizi Radix Aconiti Carmichaeliani Preparata (Cezhi) (2 fen).
Cut the herbs into pieces, divide into two doses. For each dose, use two zhong of water and five slices of fresh ginger. Decoct until three-tenths of the liquid remains, remove the dregs, and take at any time. Avoid wind if sweating occurs.
Constipation (Bijie) involves the Large Intestine, which is responsible for transmitting waste and excreting it. Generally, the five flavors from food nourish the five Zang organs, and the resulting waste returns to the Large Intestine. The function of the Large Intestine is primarily excretion without retention; if waste stagnates and accumulates, it leads to pathological consolidation. The Kidney governs Water and is the fu-organ paired with the Bladder. Water is stored in the Bladder and discharged via the Small Intestine, indicating a substantial connection between them. However, why does the Small Intestine correspond specifically to the Heart? This is because Yin cannot exist without Yang, and Water cannot exist without Fire. When Water and Fire interact harmoniously, Upper and Lower Jiao communicate, allowing Ying and Wei Qi to circulate normally. Otherwise, the water pathways become obstructed due to heat or fail to retain fluids due to cold. The *Nan Jing* states: The "Seven Rushing Gates" are: the lips as Feimen (Flying Gate), teeth as Humen (Household Gate), the epiglottis as Ximen (Sucking Gate), the upper opening of the Stomach as Benmen (Receiving Gate), the lower opening of the Tai Cang (Stomach) as Youmen (Secluded Gate), the junction of the Large and Small Intestines as Lanmen (Screen Gate). These constitute the Seven Rushing Gates. Luo Tianyi (Yi Lao) stated: The Poumen (Gate of the Soul) corresponds to Feimen. Its pathological manifestation is Guhuo (solitary perplexity), where Qi rushes upward from below, hence called the Seven Rushing Gates. If Youmen is blocked, Qi rushes upward; if Ximen fails to open, dysphagia occurs. For cases of dry constipation where Qi cannot move up and down, treatment focuses on Youmen, suitable for using Tongyou Tang, a formula that moistens the intestines and removes dryness. In individuals with weak constitutions, improper care leads to sluggish Qi in the Triple Burner, hindering transportation and causing stagnation in the stomach and intestines, resulting in constipation. Constipation is categorized into Wind Constipation, Qi Constipation, Dampness Constipation, Cold Constipation, and Heat Constipation. Wind Constipation arises from wind pathogens and phlegm obstructing the Large Intestine, causing blockage. Qi Constipation results from Qi stagnation, characterized by heaviness, pressing pain, irritability, distension, and hard, dry stools that are difficult to pass. Cold Constipation often affects the elderly with cold intestines or those with abdominal masses, where cold Qi stagnates, leading to severe constipation. There are also Deficiency Constipation and Accumulation Constipation: Deficiency Constipation typically affects the elderly with blood deficiency, leading to dry and rough intestines. Ancient texts emphasize that treating this condition depends entirely on the physician's assessment of deficiency and excess, tailoring treatment accordingly. For women with constipation due to blood loss and Qi depletion after childbirth, purgative or draining agents should not be used recklessly, as this may damage Yuan Qi and cause disease recurrence. Generally, the principles for treating constipation are: moisten if dry, lubricate if rough, unblock if obstructed, warm if cold, cool if hot, disperse if windy, and regulate if stagnant. These are fixed principles that students should study sincerely.