论曰∶产后大便秘涩者何？答曰∶产卧水血俱下，肠胃虚竭，津液不足，是以大便秘涩
不通也。若过五、六日腹中胀闷者，此有燥屎在脏腑，以其干涩，未能出耳。宜服麻仁丸，
以津润之。若误以为有热而投以寒药，则阳消阴长，变证百出，性命危矣。
麻仁 枳壳 人参（各四分） 大黄（二分，煨）
上为末，炼蜜丸如梧桐子大。空心，温酒下二十丸。未通渐加丸数，不可太过。
评曰∶产后不得利，利者百无一生。去血过多，脏燥大便秘涩，涩则固，当滑之。大黄
似难轻用，唯葱涎调蜡茶为丸，复以葱茶下之必通。（仆常以《局方》四物汤，以生干地黄
易熟地黄，加青皮去白，煎服效）
疗产后五、七日不大便，切不宜妄服药。先宜用麦 散方。
大麦芽（不以多少）
上炒黄为末，每服三钱，沸汤调下，与粥间服。
治产后虚羸，大便秘涩。
阿胶 枳壳（等分）
上为末，炼蜜丸如梧桐子大，别研滑石末为衣，温水下二十丸。半日以来，未通再服。
许学士云∶妇人产后有三种疾。郁冒则多汗，汗则大便秘，故难于用药。唯麻子仁、苏
子粥最佳，稳当。
紫苏子 大麻子仁
上二味各二合净洗，研令极细，用水再研，取汁一盏，分二次煮粥啜之。此粥不惟产后
可服，大抵老人诸虚风秘皆得力。
论曰：产后大便秘涩的原因是什么？回答说：分娩后，水和血同时下行，导致肠胃空虚衰竭，津液不足，因此出现大便秘结不通的情况。如果过了五、六天腹部胀闷，这是体内有燥屎积滞，因为大便干涩，所以未能排出。适宜服用麻仁丸，以滋润肠道。如果误认为是热证而使用寒凉药物，就会导致阳气消减、阴气增长，从而引发各种变证，危及生命。
麻仁 枳壳 人参（各四分） 大黄（二分，煨制）
以上药材研为细末，用炼蜜制成如梧桐子大小的丸剂。空腹时，用温酒送服二十丸。若未通便，可逐渐增加丸数，但不可过量。
评曰：产后不宜使用泻下法，若强行泻下，百无一活。失血过多，脏腑干燥导致大便秘涩，涩则固结，应当采用滑利之法。大黄似乎难以轻易使用，唯有用葱汁调和蜡茶制成丸剂，再用葱茶送服，必然能通便。（我曾用《局方》中的四物汤，将熟地黄换为生干地黄，加入去白的青皮，煎服有效）
治疗产后五、七天不大便，切不要随意服药。先宜用麦蘖散方。
大麦芽（适量）
以上炒黄研为细末，每次服用三钱，用沸水调服，与喝粥间隔服用。
治疗产后身体虚弱消瘦，大便秘涩。
阿胶 枳壳（等分）
以上研为细末，用炼蜜制成如梧桐子大小的丸剂，另取滑石粉研细作为包衣，温水送服二十丸。半天后若未通便，再服用。
许学士说：妇人产后有三种疾病。郁冒则多汗，出汗多则导致大便秘结，因此用药困难。唯有麻子仁、苏子粥最佳，稳妥得当。
紫苏子 大麻子仁
以上两味药各二合，洗净，研磨至极细，用水再次研磨，取汁一盏，分两次煮粥食用。此粥不仅产后可以服用，大致上老人各种虚损风秘也都能见效。
Translation:
The treatise states: What is the cause of constipation and dryness of stool after childbirth? The answer is: After delivery, both fluids (water) and blood are discharged together, leading to emptiness and exhaustion of the intestines and stomach, and a deficiency of body fluids (Jin Ye), resulting in constipation and difficulty in defecation. If abdominal distension and fullness occur after five or six days, this indicates the presence of dry feces in the zang-fu organs; due to their dryness and roughness, they cannot be expelled easily. It is appropriate to take Mahuang Wan (Cannabis Seed Pill) to moisten and lubricate the bowels. If mistakenly treated as a heat syndrome and cold-natured medicines are administered, Yang will decline and Yin will grow, leading to various complicated syndromes and endangering life.
Hemp Seed (Renshen, *Cannabis Semen*), Bitter Orange (*Zhiqiao*, *Aurantii Fructus*), Ginseng (*Renshen*, *Ginseng Radix*) (each 4 fen), Rhubarb (*Dahuang*, *Rhei Radix et Rhizoma*) (2 fen, stir-baked).
Grind the above into powder, mix with refined honey, and make pills the size of paulownia seeds. Take twenty pills on an empty stomach with warm wine. If defecation has not occurred, gradually increase the number of pills, but do not exceed the proper dose.
Commentary: Postpartum patients should not undergo purgation; if purged, few survive. Excessive blood loss leads to dryness of the viscera and constipation. Since it is dry and constricted, it should be treated with lubricating methods. Rhubarb (*Dahuang*) seems difficult to use lightly. Instead, one may use scallion juice mixed with wax tea to form pills, taken with scallion and tea decoction, which will surely induce defecation. (I have previously used Siwu Tang [Four Substances Decoction] from the Bureau of Medical Relief formula book, replacing Shu Dihuang [Prepared Rehmannia Root] with Sheng Dihuang [Fresh/Unprepared Rehmannia Root], adding Qingpi [Tangerine Peel without Pith], and administering the decoction with good effect.)
To treat postpartum constipation lasting five to seven days, one must strictly avoid arbitrary medication. First, use Maiya San (Barley Sprout Powder).
Barley Sprout (*Maiya*, *Hordei Fructus Germinatus*) (as needed).
Stir-fry until yellow, grind into powder. Take three qian per dose, mixed with boiling water, and administer between meals with porridge.
To treat postpartum emaciation and weakness with constipation.
Donkey-hide Gelatin (*Ejiao*, *Colla Corii Asini*), Bitter Orange (*Zhiqiao*, *Aurantii Fructus*) (equal parts).
Grind into powder, mix with refined honey, and make pills the size of paulownia seeds. Coat with powdered Talc (*Huashi*, *Talcum*). Take twenty pills with warm water. If defecation has not occurred after half a day, take again.
Scholar Xu stated: There are three types of ailments in women after childbirth. Yu Mao [Depression and Dizziness] causes excessive sweating; excessive sweating leads to constipation, making medication difficult. The best and safest remedy is Maziren [Hemp Seed] and Suzi [Perilla Seed] porridge.
Perilla Seed (*Suzi*, *Perillae Fructus*), Hemp Seed (*Maziren*, *Cannabis Semen*).
Take two he of each of the above two ingredients, clean them, and grind them extremely finely. Add water and grind again to extract one zhan of juice. Divide into two doses and cook into porridge for consumption. This porridge is suitable not only for postpartum women but is also effective for the elderly suffering from various deficiency-type wind-induced constipation.