东垣导滞通幽汤治大便难幽门不通上冲吸门不开噎塞不便燥闭气不得下治在幽门以辛润
之
当归 升麻 桃仁(各一钱另研) 生地黄 熟地黄(各半钱) 红花 炙甘草(各三分)
上件作一服水煎调槟榔细末半钱服加大黄名当归润燥汤
元戎四物汤治脏结秘涩者
当归 熟地黄 川芎 白芍药 大黄(煨) 桃仁(各等分)
上 咀水煎或为丸服亦得
按此手足厥阴经药也
子和脾约丸
麻仁(一两二钱半) 枳实(炒) 浓朴 芍药(各二两) 大黄(四两蒸) 杏仁(去皮尖炒
一两二钱)
上为末炼蜜丸梧子大每三二十丸温水下
润体丸
郁李仁 大黄 桂心 黑牵牛 当归 黄柏(各半两) 轻粉(少许)
上为末水丸如梧子大每三四十丸温水下
按以上二方一气分药一血分药也二方故所主不同然气血不能宣通者非此莫能疗而气虚津
液不足者慎之
神功丸
方见咳门
按此手足太阴药也气分之剂
拔萃六味地黄丸治下焦燥热小便涩而数
丹溪大补丸治阴虚燥热
方见火门
举痛论云寒气入经而稽泣经脉不行客于脉外则血少客于脉中则气不通故卒然而痛重中于
寒则
痛久矣 寒气客于小肠募原之间络血之中血泣不得注于大经血气稽留不得行故宿昔而成积
寒气客于肠胃厥逆上出故痛而呕也 寒气客于小肠小肠不得成聚故腹痛后泄矣
谨按篇中具寒气客于诸脉及相引腹股等为痛甚
详宜玩本文为积
又详见积聚门
宣明当归龙胆丸
方剂记载于“火门”章节。
清凉饮子
方剂记载于“热门”章节。
东垣导滞通幽汤：治疗大便困难、幽门（胃与十二指肠连接处，此处指消化道狭窄部位）不通畅、向上冲击导致吸门（会厌，呼吸与吞咽的门户）不开、噎塞不适、排便干燥闭塞、气机无法下行。治疗重点在于幽门，采用辛味滋润的方法。
药材：当归、升麻、桃仁（各一钱，单独研磨）、生地黄、熟地黄（各半钱）、红花、炙甘草（各三分）。
以上药材作为一剂，加水煎煮，调入槟榔细末半钱服用。若加入大黄，则名为“当归润燥汤”。
元戎四物汤：治疗脏结（脏腑气血凝结）、便秘涩滞者。
药材：当归、熟地黄、川芎、白芍药、大黄（煨制）、桃仁（各等分）。
以上药材切碎，加水煎煮，或制成丸剂服用亦可。
按语：这是手足厥阴经的药物。
子和脾约丸：
药材：麻仁（一两二钱半）、枳实（炒制）、浓朴、芍药（各二两）、大黄（四两，蒸制）、杏仁（去皮尖，炒制，一两二钱）。
以上药材研为细末，用炼蜜制成梧桐子大小的丸剂，每次服用三二十丸，温水送下。
润体丸：
药材：郁李仁、大黄、桂心、黑牵牛、当归、黄柏（各半两）、轻粉（少许）。
以上药材研为细末，用水泛丸，制成梧桐子大小，每次服用三四十丸，温水送下。
按语：以上两个方剂，一个是气分药，一个是血分药，因此主治不同。然而，对于气血不能宣通的情况，非此二方不能治愈，但气虚津液不足者慎用。
神功丸
方剂记载于“咳门”章节。
按语：这是手足太阴经的药物，属于气分剂。
《举痛论》说：寒气侵入经脉，导致血液运行迟滞不畅，经脉气血不行。寒邪客于脉外，则血液减少；客于脉中，则气机不通，所以突然发生疼痛。如果再次受到寒邪侵袭，疼痛就会持续很久。寒气客于小肠募原之间及络脉血液中，血液凝涩不能注入大经脉，气血稽留不能运行，所以经过一段时间形成积块。寒气客于肠胃，引起厥逆之气上出，所以疼痛并伴有呕吐。寒气客于小肠，小肠无法正常聚化食物，所以腹痛并伴有泄泻。
谨按：篇中详细说明了寒气客于各种经脉以及相互牵引导致的腹股等部位的疼痛非常严重。
详细情况宜研读本文以了解积块的成因。
又详见“积聚门”。
Xuanning Danggui Longdan Wan (Danggui and Gentian Pill)
The formula is recorded in the "Fire Gate" chapter.
Qingliang Yinzi (Cooling Drink)
The formula is recorded in the "Heat Gate" chapter.
Dongyuan Daoshi Tongyou Tang (Dongyuan's Stagnation-Dispersing and Obstruction-Unblocking Decoction): Treats difficult defecation, obstruction of Youmen (the pylorus or narrow passage of the digestive tract), upward rushing causing Ximen (the glottis/epiglottis) to remain closed, dysphagia, dry constipation, and qi stagnation preventing downward movement. The treatment focuses on Youmen, employing acrid and moistening methods.
Herbs: Danggui (Radix Angelicae Sinensis), Shengma (Rhizoma Cimicifugae), Taoren (Semen Persicae) (each 1 qian, separately ground), Shengdihuang (Radix Rehmanniae Preparata? No, Fresh Radix Rehmanniae), Shudihuang (Radix Rehmanniae Preparata) (each half qian), Honghua (Flos Carthami), Zhigancao (Radix Glycyrrhizae Preparata) (each 3 fen).
Take the above ingredients as one dose, decoct with water, and administer with half a qian of fine powder of Binglang (Areca Seed). If Dahuang (Radix et Rhizoma Rhei) is added, it is named Danggui Runzao Tang (Danggui Moistening-Dryness Decoction).
Yuanrong Siwu Tang (Yuanrong's Four Substances Decoction): Treats zang-jie (visceral binding/stagnation) and constipation with涩滞 (astringency/stagnation).
Herbs: Danggui (Radix Angelicae Sinensis), Shudihuang (Radix Rehmanniae Preparata), Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba), Dahuang (Radix et Rhizoma Rhei, baked/wrapped), Taoren (Semen Persicae) (each equal parts).
Chop the above ingredients, decoct with water, or process into pills; both methods are acceptable.
Note: These are herbs for the Hand and Foot Jueyin meridians.
Hezi Pi Yue Wan (Hezi's Spleen-Restriction Pill):
Herbs: Maren (Semen Cannabis), Zhishi (Fructus Aurantii Immaturus, stir-fried), Houpo (Cortex Magnoliae Officinalis), Shaoyao (Radix Paeoniae Alba) (each 2 liang), Dahuang (Radix et Rhizoma Rhei, steamed, 4 liang), Xingren (Semen Armeniacae Amarum, peeled and removed of tips, stir-fried, 1 liang 2 qian).
Grind the above ingredients into powder, mix with refined honey to make pills the size of wutong seeds. Take 30-20 pills per dose with warm water.
Runti Wan (Body-Moistening Pill):
Herbs: Yuliren (Semen Pruni Japonicae), Dahuang (Radix et Rhizoma Rhei), Guixin (Cortex Cinnamomi), Qian Niu Zi (Semen Pharbitidis), Danggui (Radix Angelicae Sinensis), Huangbai (Cortex Phellodendri) (each half liang), Qingfen (Calomelas, a small amount).
Grind the above ingredients into powder, use water to form pills the size of wutong seeds. Take 30-40 pills per dose with warm water.
Note: The above two formulas, one acts on the Qi level and the other on the Blood level, hence their indications differ. However, for conditions where Qi and Blood cannot circulate freely, neither can cure them except these two. Caution should be exercised in cases of Qi deficiency and insufficient body fluids.
Shengong Wan (Divine Merit Pill)
The formula is recorded in the "Cough Gate" chapter.
Note: These are herbs for the Hand and Foot Taiyin meridians, belonging to Qi-level agents.
Bacui Liuwei Dihuang Wan (Bacui's Six-Ingredient Rehmannia Pill): Treats lower jiao dry-heat, with astringent and frequent urination.
Danxi Dabu Wan (Danxi's Great Tonification Pill): Treats yin-deficiency dry-heat.
The formula is recorded in the "Fire Gate" chapter.
The *Ju Tong Lun* (Treatise on Pain) states: When cold pathogen enters the meridians, blood flow becomes sluggish and stagnant, and meridian qi-blood fails to circulate. If cold lodges outside the vessels, blood volume decreases; if it lodges inside the vessels, qi mechanism becomes obstructed, resulting in sudden pain. If repeatedly attacked by cold, the pain persists for a long time. Cold lodging between the Xiaochang (Small Intestine) mu-yuan (source areas) and collateral vessels causes blood to become viscous and unable to enter the major meridians; qi and blood stagnate and fail to move, thus forming accumulations over time. Cold lodging in the stomach and intestines causes rebellious qi to rush upward, resulting in pain accompanied by vomiting. Cold lodging in the Small Intestine prevents its normal function of gathering and transforming, leading to abdominal pain and diarrhea.
Carefully note: The chapter details how cold pathogen lodging in various meridians and mutual traction cause severe pain in the abdomen and groin.
For detailed information on accumulations, study this text carefully.
See also the "Ji Ju Men" (Accumulation and Mass Chapter) for further details.