(东垣)用归尾羌,桃仁麻仁及大黄。(归尾、羌活、大黄各五钱,桃仁、火麻仁各一
两,蜜丸。归尾、桃仁润燥活血,羌活散火搜风,大黄破结通幽,麻仁润肠利窍。)或加艽
防皂角子,(风湿加秦艽、防风、皂角子烧存性研。皂子得湿则滑,善通便秘,艽、防治风。)
风秘血秘善通肠。(治风燥、血燥致大汤秘。)
(东垣)中二地俱,桃仁红花归草濡。升麻升清以降浊,(清阳不升,则浊阴不降,故
大便不通。生地、熟地各五分,桃仁(研)、红花、当归身、甘草(炙)、升麻各一钱。)噎
塞便闭此方需。有加麻仁大黄者,当归润肠汤名殊。(以上药皆润燥通肠。)
(丸)大黄蒸,郁李麻仁山药增。防独车前及槟枳,菟丝牛膝山茱仍。中风风秘及气秘
,肠风下血总堪凭。(大黄(九蒸九晒)五两,火麻仁、郁李仁(去皮)、山药(酒蒸)、车
前子、牛膝(酒蒸)、山茱肉三两,菟丝子(酒浸)、防风、独活、槟榔、枳壳(麸炒)各一
两,蜜丸。防、独润肾搜风,槟、枳顺气破滞、大黄经蒸晒则性稍和缓,同二仁滑利,润燥
通幽。牛膝、车前下行利水,加山药、山茱、菟丝固本益阳,不使过于攻散也。)
(丹溪)中花粉连,藕汁(生)地汁牛乳研。(粉、连研为末,诸汁调研。)或加姜(汁)
蜜为膏服,泻火生津益血痊。(黄连泻心火,生地滋肾水,藕汁益胃,花粉生津,牛乳润燥益血。)
(李东垣)使用当归尾、羌活,以及桃仁、火麻仁和大黄。(当归尾、羌活、大黄各五钱,桃仁、火麻仁各一两,制成蜜丸。当归尾和桃仁能润燥活血,羌活能散火搜风,大黄能破结通幽,火麻仁能润肠利窍。)或者加入秦艽、防风、皂角子,(风湿证加秦艽、防风、皂角子烧存性后研末。皂角子遇湿则滑,善于通便,秦艽和防风能防治风。)治疗风秘和血秘引起的肠道闭塞效果良好。(治疗因风燥、血燥导致的大便闭塞。)
(李东垣的方剂中)包含熟地黄、生地黄,以及桃仁、红花、当归、甘草以濡养滋润。升麻提升清阳以降浊阴,(清阳不升,则浊阴不降,从而导致大便不通。生地、熟地各五分,桃仁(研碎)、红花、当归身、甘草(炙)、升麻各一钱。)噎塞和大便闭塞需要此方。如果加上火麻仁和大黄,该方名为当归润肠汤。(以上药物皆具有润燥通肠的功效。)
(丸药方中)大黄经过蒸制,增加郁李仁、火麻仁和山药。加入防风、独活、车前子和槟榔、枳壳,以及菟丝子、牛膝和山茱萸。中风引起的风秘和气秘,以及肠风下血,都依赖此方。(大黄(九蒸九晒)五两,火麻仁、郁李仁(去皮)、山药(酒蒸)、车前子、牛膝(酒蒸)、山茱萸三两,菟丝子(酒浸)、防风、独活、槟榔、枳壳(麸炒)各一两,制成蜜丸。防风、独活能润肾搜风,槟榔、枳壳能顺气破滞;大黄经过蒸晒后药性稍缓和,同两种仁类一起起到滑利作用,润燥通幽。牛膝、车前子下行利水,加入山药、山茱萸、菟丝子以固本益阳,防止攻伐太过。)
(朱丹溪的方剂中)包含天花粉、黄连,用藕汁(生)、生地黄汁和牛乳研磨。(花粉、黄连研为粉末,用各种汁液调服。)或者加入姜汁、蜂蜜制成膏剂服用,以泻火生津、益血痊愈。(黄连泻心火,生地黄滋肾水,藕汁益胃,天花粉生津,牛乳润燥益血。)
(Li Dongyuan) uses Dangguiwei (Radix Angelicae Sinensis Caudex), Qianghuo (Rhizoma et Radix Notopterygii), along with Taoren (Semen Persicae), Huomaren (Fructus Cannabis), and Dahuang (Radix et Rhizoma Rhei). (Dangguiwei, Qianghuo, and Dahuang each 5 qian; Taoren and Huomaren each 1 liang; processed into honey pills. Dangguiwei and Taoren moisten dryness and invigorate blood; Qianghuo disperses fire and searches for wind; Dahuang breaks stagnation and opens the orifices; Huomaren moistens the intestines and benefits the orifices.) Alternatively, add Qinjiao (Radix Gentianae Macrophyllae), Fangfeng (Radix Saposhnikoviae), and Zaojiaozizi (Fructus Gleditsiae Sinensis Carbonized). (For wind-dampness, add Qinjiao, Fangfeng, and Zaojiaozizi carbonized to retain its nature and ground. Zaojiaozizi becomes slippery when wet and is good at relieving constipation; Qinjiao and Fangfeng treat wind.) It effectively treats intestinal obstruction caused by wind-constipation (Fengmi) and blood-constipation (Xuemi). (Treats large bowel obstruction caused by wind-dryness and blood-dryness.)
(In Li Dongyuan's formula) Shudi (Radix Rehmanniae Preparata) and Shengdi (Radix Rehmanniae) are present, along with Taoren (Semen Persicae), Honghua (Flos Carthami), Dangguishen (Radix Angelicae Sinensis Root), and Gancao (Radix Glycyrrhizae Preparata) to nourish and moisten. Shengma (Rhizoma Cimicifugae) raises the clear yang to descend the turbid yin. (When clear yang does not rise, turbid yin does not descend, leading to fecal impaction. Shengdi and Shudi each 5 fen; Taoren (ground), Honghua, Dangguishen, Gancao (honey-fried), and Shengma each 1 qian.) This formula is needed for dysphagia and fecal impaction. If Huomaren and Dahuang are added, the formula is named Danggui Runchang Tang (Angelica Intestine-Moistening Decoction). (All the above herbs have the effect of moistening dryness and unblocking the intestines.)
(In the pill formula) Dahuang (Radix et Rhizoma Rhei) is steamed, and Yuliren (Semen Pruni Armeniacae Laevigatum), Huomaren (Fructus Cannabis), and Shanyao (Rhizoma Dioscoreae) are added. Fangfeng (Radix Saposhnikoviae), Duhuo (Radix Angelicae Pubescentis), Cheqianzi (Semen Plantaginis), Binglang (Arecae Semen), and Zhike (Pericarpium Citri Reticulatae Viride) are included, along with Tusizi (Semen Cuscutae), Niuxi (Radix Achyranthis Bidentatae), and Shanzhuyu (Fructus Corni). For wind-constipation and qi-constipation caused by stroke (Zhongfeng), as well as intestinal wind bleeding (Changfeng Xiexue), this formula is reliable. (Dahuang (steamed and dried nine times) 5 liang; Huomaren, Yuliren (skin removed), Shanyao (wine-steamed), Cheqianzi, Niuxi (wine-steamed), Shanzhuyu 3 liang; Tusizi (wine-soaked), Fangfeng, Duhuo, Binglang, Zhike (bran-fried) each 1 liang; processed into honey pills. Fangfeng and Duhuo moisten the kidney and search for wind; Binglang and Zhike regulate qi and break stagnation; Dahuang, after steaming and drying, has a milder property. Together with the two seeds, it provides slipperiness, moistens dryness, and opens the orifices. Niuxi and Cheqianzi direct downward and promote urination; adding Shanyao, Shanzhuyu, and Tusizi consolidates the root and benefits yang, preventing excessive attacking and dispersing.)
(Zhu Danxi's formula) contains Huafen (Radix Platycodi) and Lian (Rhizoma Coptidis), ground with Ouji (Succus Nelumbinis Nuciferae Raw), Shengdizhi (Succus Radicis Rehmanniae), and Niurou (Carnis Bovis). (Huafen and Lian are ground into powder, mixed with various juices.) Alternatively, add Jiangzhi (Succus Zingiberis Recens) and Fengmi (Mel) to make a paste for administration, to purge fire, generate fluids, benefit blood, and cure. (Lian purges heart fire; Shengdi nourishes kidney water; Ouji benefits the stomach; Huafen generates fluids; Niurou moistens dryness and benefits blood.)