（附论）
夫热病经发汗。汗出多则津液少。胃中干。结热在胃。所以大便不通。又有腑脏自生于
热者。此由三焦否隔。脾胃不和。蓄热在内。亦大便不通也。
方
犀角散（出圣惠方）治热病。恶寒壮热。大便不通。
犀角屑 大麻仁 黄芩 土瓜根 白藓皮 栀子仁（各一两） 麦门冬（一两半去心焙）
川大黄（二两锉碎微炒） 甘草（半两炙微赤锉） 上为散。每服四钱。水一中盏。煎至六
分。
去滓。不计时候。温服。
大黄散（出圣惠方）治热病。大便涩滞。妄语心烦。
川大黄（锉碎微炒） 羚羊角屑 川朴硝 黄芩（各一两） 枳实（麸炒令黄色） 甘
草（炙
微赤锉各半两） 上为粗散。每服五钱。用水一大盏。煎至六分。去滓。不计时候。温服。
羚羊角散（出圣惠方）治热病。脾胃壅热。大便不通。
羚羊角屑 栀子仁 土瓜根（各一两） 麦门冬（去心） 川大黄（锉碎微炒各一两半）
甘
草（半两炙微赤锉） 上为散。每服四钱。水一中盏。煎至六分。去滓。不计时候。温服。
大麻仁丸（出圣惠方）治热病。大便不通。
大麻仁（研入） 川大黄（锉碎微炒各二两） 郁李仁（汤浸去皮研入） 羚羊角屑 木
通
（锉各一两） 上为细末。入研了药令匀。炼蜜和丸。如梧子大。每服不计时候。以温水调
下
三十丸。
承气丸（出圣惠方）治热病。十余日不大便者。服之。
川大黄（锉碎微炒） 川芒硝（各一两） 郁李仁（汤浸去皮别研） 枳实（麸炒令黄
色） 大
麻仁（研入各一两） 上为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温水
下
三十丸。未利再服。
三黄丸（出圣惠方）治热病壅热。大便不通。
黄连（去须） 川大黄（锉碎微炒） 黄芩（各一两） 上为末。炼蜜和丸。如桐子大。
每服
不计时候。以温水调下三十丸。
牵牛子丸（出圣惠方）治热病后。风气壅滞。胸膈聚痰。大便不通。
牵牛子（八两四两生四两微炒捣罗取末四两） 木通（一两锉） 青橘皮（半两汤浸去
白瓤）
桑根白皮（三分锉） 上为末。入牵牛子末。都令匀炼。和捣三二百杵。丸如桐子大。每服
不
计时候。温水调下三十丸。以得通为度。
治热病烦满。目黄赤。小便黄。（本草）
用苜蓿茎叶。捣取汁服一升。令人吐利即愈。一方用根。
（附论）
热病经过发汗治疗后，如果出汗过多，就会导致津液减少。胃中干燥，热邪结聚在胃部，所以导致大便不通畅。又有脏腑自身产生热的情况，这是由于三焦气机阻滞，脾胃功能不和，热气蓄积在体内，也会导致大便不通。
方剂
犀角散（出自《圣惠方》），治疗热病，症见恶寒、高热、大便不通。
犀角屑、大麻仁、黄芩、土瓜根、白藓皮、栀子仁（各一两）、麦门冬（一两半，去心，焙干）、川大黄（二两，锉碎，微炒）、甘草（半两，炙至微红，锉碎）。以上药物研为散剂。每次服用四钱，用水一中盏，煎至六分。滤去药渣，不分时候，温服。
大黄散（出自《圣惠方》），治疗热病，症见大便涩滞、胡言乱语、心烦。
川大黄（锉碎，微炒）、羚羊角屑、川朴硝、黄芩（各一两）、枳实（麸炒至黄色）、甘草（炙至微红，锉碎，各半两）。以上药物研为粗散。每次服用五钱，用水一大盏，煎至六分。滤去药渣，不分时候，温服。
羚羊角散（出自《圣惠方》），治疗热病，症见脾胃壅热、大便不通。
羚羊角屑、栀子仁、土瓜根（各一两）、麦门冬（去心）、川大黄（锉碎，微炒，各一两半）、甘草（半两，炙至微红，锉碎）。以上药物研为散剂。每次服用四钱，用水一中盏，煎至六分。滤去药渣，不分时候，温服。
大麻仁丸（出自《圣惠方》），治疗热病，症见大便不通。
大麻仁（研入）、川大黄（锉碎，微炒，各二两）、郁李仁（汤浸去皮，研入）、羚羊角屑、木通（锉，各一两）。以上药物研为细末，将已研好的药物混合均匀。用炼蜜和药捣匀，制成梧桐子大小的丸剂。每次服用不分时候，用温水送下三十丸。
承气丸（出自《圣惠方》），治疗热病，十余日不大便者，服用此药。
川大黄（锉碎，微炒）、川芒硝（各一两）、郁李仁（汤浸去皮，另研）、枳实（麸炒至黄色）、大麻仁（研入，各一两）。以上药物研为末，用炼蜜和药捣三二百杵，制成梧桐子大小的丸剂。每次服用不分时候，用温水送下三十丸。若未通便，可再服。
三黄丸（出自《圣惠方》），治疗热病壅热，大便不通。
黄连（去须）、川大黄（锉碎，微炒）、黄芩（各一两）。以上药物研为末，用炼蜜和药制成桐子大小的丸剂。每次服用不分时候，用温水调下三十丸。
牵牛子丸（出自《圣惠方》），治疗热病后，风气壅滞，胸膈积聚痰饮，大便不通。
牵牛子（八两，其中四两生用，四两微炒，捣罗取末，共得四两）、木通（一两，锉）、青橘皮（半两，汤浸去白瓤）、桑根白皮（三分，锉）。以上药物研为末，加入牵牛子末，混合均匀，用炼蜜和药捣三二百杵，制成桐子大小的丸剂。每次服用不分时候，用温水调下三十丸，以大便通畅为度。
治疗热病烦闷胀满，目黄赤，小便黄。（出自《本草》）
用苜蓿茎叶，捣取汁液，服用一升。使人吐泻后即可痊愈。另一方法是用根部。
(Attached Discussion)
When a heat disease (Re Bing) has undergone sweating therapy, excessive sweating leads to a deficiency of body fluids (Jin Ye). Dryness in the Stomach and accumulated heat in the Stomach result in constipation. Additionally, there are cases where the Zang-Fu organs generate heat internally; this is due to obstruction in the San Jiao (Triple Burner), disharmony between the Spleen and Stomach, and accumulation of heat within, which also leads to constipation.
Prescriptions
Xijiao San (Rhinoceros Horn Powder) [from *Shenghui Fang*]: Treats heat disease with aversion to cold, high fever, and constipation.
Rhino Horn Shavings (Xi Jiao Xie), Hemp Seed (Da Ma Ren), Scutellaria Root (Huang Qin), Melon Root (Tu Gua Gen), Phellodendron Bark (Bai Xian Pi), Gardenia Seed (Zhi Zi Ren) (each 1 liang), Ophiopogon Tuber (Mai Men Dong) (1.5 liang, heart removed, roasted), Rhubarb (Chuan Da Huang) (2 liang, sliced and lightly stir-fried), Licorice Root (Gan Cao) (0.5 liang, honey-fried until slightly red, sliced). Grind all into powder. Take 4 qian per dose, decoct with one zhong of water until reduced to 6 fen. Strain and take warm at any time.
Dahuang San (Rhubarb Powder) [from *Shenghui Fang*]: Treats heat disease with sluggish bowel movements, delirium, and irritability.
Rhubarb (Chuan Da Huang) (sliced and lightly stir-fried), Antelope Horn Shavings (Ling Yang Jiao Xie), Mirabilite (Chuan Pu Xiao), Scutellaria Root (Huang Qin) (each 1 liang), Immature Bitter Orange (Zhi Shi) (bran-fried until yellow), Licorice Root (Gan Cao) (honey-fried until slightly red, sliced, each 0.5 liang). Grind into coarse powder. Take 5 qian per dose, decoct with one da zhong of water until reduced to 6 fen. Strain and take warm at any time.
Lingyang Jiao San (Antelope Horn Powder) [from *Shenghui Fang*]: Treats heat disease with stagnation-heat in the Spleen and Stomach, and constipation.
Antelope Horn Shavings (Ling Yang Jiao Xie), Gardenia Seed (Zhi Zi Ren), Melon Root (Tu Gua Gen) (each 1 liang), Ophiopogon Tuber (Mai Men Dong) (heart removed), Rhubarb (Chuan Da Huang) (sliced and lightly stir-fried, each 1.5 liang), Licorice Root (Gan Cao) (0.5 liang, honey-fried until slightly red, sliced). Grind into powder. Take 4 qian per dose, decoct with one zhong of water until reduced to 6 fen. Strain and take warm at any time.
Dama Ren Wan (Hemp Seed Pill) [from *Shenghui Fang*]: Treats heat disease with constipation.
Hemp Seed (Da Ma Ren) (ground), Rhubarb (Chuan Da Huang) (sliced and lightly stir-fried, each 2 liang), Apricot Seed (Yu Li Ren) (soaked in hot water, skin removed, ground), Antelope Horn Shavings (Ling Yang Jiao Xie), Akebia Stem (Mu Tong) (sliced, each 1 liang). Grind into fine powder, mix thoroughly with the ground ingredients. Combine with refined honey and pound into pills the size of mulberry seeds. Take 30 pills at any time, washed down with warm water.
Chengqi Wan (Cheng Qi Pill) [from *Shenghui Fang*]: Treats heat disease where there has been no bowel movement for ten-plus days. Take this prescription.
Rhubarb (Chuan Da Huang) (sliced and lightly stir-fried), Mirabilite (Chuan Mang Xiao) (each 1 liang), Apricot Seed (Yu Li Ren) (soaked in hot water, skin removed, separately ground), Immature Bitter Orange (Zhi Shi) (bran-fried until yellow), Hemp Seed (Da Ma Ren) (ground, each 1 liang). Grind into powder. Combine with refined honey, pound 200-300 times, and form pills the size of mulberry seeds. Take 30 pills at any time, washed down with warm water. If stool is not passed, take again.
Sanhuang Wan (Three Yellows Pill) [from *Shenghui Fang*]: Treats heat disease with stagnation-heat and constipation.
Coptis Rhizome (Huang Lian) (mustards removed), Rhubarb (Chuan Da Huang) (sliced and lightly stir-fried), Scutellaria Root (Huang Qin) (each 1 liang). Grind into powder. Combine with refined honey and form pills the size of poppy seeds. Take 30 pills at any time, mixed with warm water.
Qianniuzi Wan (Pharbitis Seed Pill) [from *Shenghui Fang*]: Treats post-heat disease conditions with qi stagnation, phlegm accumulation in the chest and diaphragm, and constipation.
Pharbitis Seed (Qian Niu Zi) (8 liang total: 4 liang raw, 4 liang lightly stir-fried, pounded and sifted to obtain 4 liang of powder), Akebia Stem (Mu Tong) (1 liang, sliced), Green Tangerine Peel (Qing Ju Pi) (0.5 liang, soaked in hot water, white pith removed), Mulberry Root Bark (Sang Gen Bai Pi) (3 fen, sliced). Grind into powder, add the Pharbitis Seed powder, mix uniformly, combine with refined honey, and pound 200-300 times. Form pills the size of poppy seeds. Take 30 pills at any time, washed down with warm water. Stop when bowel movement is achieved.
To treat heat disease with irritability and fullness, yellow/red eyes, and yellow urine. [from *Ben Cao*]
Use Medicago sativa stems and leaves, crush to extract juice, and take 1 sheng. Inducing vomiting and diarrhea will lead to recovery. Another method uses the root.