黑牵牛（二两，生） 青皮（去白，一两） 木香（半两）
上为细末，炼蜜丸如梧桐子大，空心，温水下二十丸。
治妇人肠胃风结，大便常秘。大麻仁丸。
大麻仁（去壳，秤，别研如膏） 大黄（各二两，炒） 槟榔 木香 枳壳（各一两）
上为细末，与麻仁研停，炼蜜丸如梧桐子大，空心，温水下二十丸。
论老人、虚人、风人大便秘不可用快药
初虞世云∶余历观古人用通药，率用降气等药。盖肺气不下降，则大肠不能传送，以
杏仁、枳壳、诃子等药是也。又老人、虚人、风人津液少，大便秘。经云∶涩者滑之。故用
胡麻、杏仁、麻子仁、阿胶之类是也。今人学不师古，妄意斟酌，每至大便秘燥，即以快药
荡涤之，既走津液、气血，大便随手愈更秘涩，兼生它病。余昔在鲁山日，有一 少，自
称太医。曹镇有寄居王世安少府，本京师人，始病风淫末疾，为此生以快药累累利之。后为
肺痿，咯脓血，卒至大便不通而死。古人服药，尤所谨重，不若今人之轻生，故举此以戒后
人。
经云∶春伤于风，夏必飧泄。盖木气刑土也，土不能渗泄，则木气胜，故泄。风气行，
津液燥，故秘。即不可专以秘燥为风也。余家中宗亲张公度母氏，年七十，日下利数十行，
百方治之不愈，又苦腰脚拘挛。公度以蒺藜、酸枣仁治拘挛而利愈。黄鲁直母安康郡大苦秘
结，以公度药投之而大便利。故知秘与利皆出于风。公度，潞人，名 ，世有令德。公度承
父医学而克其家，清修不妄取，真有德君子，今见于此。
治风人、香港脚人大便或秘或利，虚人尤宜方。
皂荚子（三百枚，破作两片，慢火炒燥甚，却入酥一枣大，又炒至燥，又入酥，至焦黑
为细末）
上炼蜜丸如梧桐子大。每服三十丸，煎蒺藜酸枣仁汤下，空腹服。两时久未利，再进一
服。渐加至百丸不妨，以通为度。
黑牵牛（二两，生用） 青皮（去除白色内层，一两） 木香（半两）
以上药材研成细末，用炼制的蜂蜜制成如梧桐子大小的药丸，空腹时，用温开水送服二十丸。
治疗妇人肠胃风邪结滞，大便经常秘结不通的大麻仁丸。
大麻仁（去壳，称重，单独研磨成膏状） 大黄（各二两，炒制） 槟榔 木香 枳壳（各一两）
以上药材研成细末，与麻仁混合研磨均匀，用炼制的蜂蜜制成如梧桐子大小的药丸，空腹时，用温开水送服二十丸。
论述老人、体虚之人、中风患者大便秘结不可使用峻下猛药
初虞世说：我观察古人使用通便药物，大多采用降气类药物。因为肺气不下降，大肠就无法传导糟粕，所以使用杏仁、枳壳、诃子等药物。另外，老人、体虚之人、中风患者津液不足，导致大便秘结。医经说：涩滞的病症要用滑利的方法治疗。因此使用胡麻、杏仁、火麻仁、阿胶之类的药物。现在的人学习不效法古人，随意妄加斟酌，每当遇到大便秘结干燥，就立即使用峻下猛药荡涤肠道，这样既耗伤了津液和气血，大便虽然暂时通畅，随后却更加秘涩，并且引发其他疾病。我以前在鲁山时，有一位年轻人，自称太医。曹镇有一位寄居的王世安少府，本是京城人，起初患风邪引起的四肢疾病，这位医生连续使用峻下药通利他。后来发展成肺痿，咳出脓血，最终因大便不通而死。古人服药尤为谨慎慎重，不像今人轻视生命，所以我举这个例子来告诫后人。
医经说：春天受风邪侵袭，夏天必定发生完谷不化的泄泻。这是因为肝木之气克制脾土，脾土不能正常渗泄，则肝木之气偏胜，所以发生泄泻。风气流行，津液干燥，所以导致便秘。这就不能单纯地将便秘干燥归结为风邪所致。我家同宗张公度的母亲，七十岁，每天腹泻几十次，用各种方法治疗都不见好，又苦于腰脚拘挛抽搐。张公度用蒺藜、酸枣仁治疗她的拘挛，结果腹泻也好了。黄鲁直的母亲安康郡太夫人苦于便秘，用张公度的药投治后，大便非常通畅。所以知道便秘和腹泻都源于风邪。张公度是潞州人，名叫[原文缺字]，世代有美好的德行。张公度继承父亲的医学并光耀家门，清心修行不妄取财物，真是有德行的君子，如今在此可见。
治疗中风患者、脚气病患者大便或秘结或泄泻，体虚之人尤其适宜使用的方剂。
皂荚子（三百枚，破开成两片，用慢火炒至极干，然后加入一枣核大小的酥油，再炒至干燥，再加入酥油，炒至焦黑色，研成细末）
以上用炼制的蜂蜜制成如梧桐子大小的药丸。每次服用三十丸，煎煮蒺藜酸枣仁汤送服，空腹服用。两个时辰后仍未排便，再进服一次。逐渐增加至一百丸也无妨，以大便通畅为限度。
Black Qian Niu (2 liang, raw) Qing Pi (remove the white inner layer, 1 liang) Mu Xiang (0.5 liang)
Grind the above herbs into a fine powder, mix with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills on an empty stomach with warm water.
Da Ma Ren Wan (Cannabis Seed Pill): Treats wind stagnation in the intestines and stomach of women, resulting in chronic constipation.
Da Ma Ren (remove shells, weigh, grind separately into paste) Da Huang (each 2 liang, stir-fried) Bing Lang Mu Xiang Zhi Ke (each 1 liang)
Grind the above herbs into a fine powder, mix thoroughly with the hemp seed paste, combine with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills on an empty stomach with warm water.
Discussion: Fast-acting purgatives should not be used for constipation in the elderly, debilitated individuals, or those with wind disorders.
Chu Yushi stated: "I have observed that ancient practitioners generally used Qi-descending medicines for bowel unblocking. Since Lung Qi failing to descend prevents the Large Intestine from transporting waste, herbs such as Xing Ren (Apricot Seed), Zhi Ke (Aurantium Fruit), and He Zi (Chebula Fruit) are employed. Furthermore, the elderly, debilitated persons, and those with wind disorders lack body fluids, leading to constipation. The Classics state: 'For obstruction, use lubricating methods.' Therefore, herbs like Hu Ma (Sesame), Xing Ren (Apricot Seed), Ma Zi Ren (Hemp Seed), and E Jiao (Donkey-hide Gelatin) are used. Modern practitioners fail to follow ancient wisdom, making arbitrary adjustments. Whenever constipation occurs, they immediately employ fast-acting purgatives to scour the bowels. This depletes body fluids and Qi and Blood; although the bowels may clear temporarily, they subsequently become more obstructed, and other diseases arise. Previously, when I was in Lushan, there was a young man claiming to be an Imperial Physician. A resident named Wang Shi'an in Cao Town, originally from the capital, initially suffered from limb ailments caused by wind pathogenic factors. This physician repeatedly administered purgatives to him. Later, he developed Fei Wei (Lung Atrophy), expectorated pus and blood, and ultimately died due to inability to pass stool. Ancient practitioners were extremely cautious with medication, unlike modern people who disregard life. I cite this case to warn future generations."
The Classics state: "Wind injury in spring leads to undigested food diarrhea in summer." This is because Wood Qi overacts on Earth Qi; if Earth Qi fails to secrete properly, Wood Qi becomes excessive, causing diarrhea. Wind pathogen circulation dries up body fluids, causing constipation. Thus, one cannot solely attribute constipation and dryness to wind. My relative Zhang Gongdu's mother, aged seventy, suffered from dozens of diarrheal episodes daily. Despite numerous treatments, she remained ill and also suffered from stiffness and spasms in her waist and legs. Zhang Gongdu treated her spasms with Ji Li (Tribulus Fruit) and Suan Zao Ren (Zizyphus Seed), which cured both the spasms and the diarrhea. Huang Luzhi's mother, the Lady of Ankang Commandery, suffered severely from constipation. After administering Zhang Gongdu's prescription, her bowels moved freely. Thus, we know that both constipation and diarrhea stem from wind. Zhang Gongdu was from Luzhou, named [Name Missing in Original Text], from a family renowned for virtue. Inheriting his father's medical expertise, he upheld the family honor, practiced self-cultivation, and never took what was not his. He is truly a virtuous gentleman, as seen here.
Formula suitable for patients with wind disorders or Hong Kong Foot (Gouty Arthritis/Charcot Joint) experiencing either constipation or diarrhea, especially appropriate for debilitated individuals.
Zao Jia Zi (300 pods, broken into two halves, stir-fried slowly until very dry, then add Su You (Butter/Ghee) the size of a jujube pit, stir-fry until dry again, add more Su You, stir-fry until charred black, then grind into a fine powder)
Combine with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with a decoction of Ji Li (Tribulus Fruit) and Suan Zao Ren (Zizyphus Seed). Take on an empty stomach. If no bowel movement occurs after two hours (Shi Chen), administer another dose. The dosage can gradually increase to 100 pills without harm, stopping once bowel movement is achieved.