甘遂（半两） 白芷（二两） 大黄（四两） 浓朴（八两） 枳实（五枚） 芒硝（二合）
上六味。 咀。以水一斗。先煮浓朴枳实。取五升去滓。内大黄。煎取二升。去滓。下芒硝。更煎一两沸。分再服。
得快利止。
琥按上方乃治阳明经府。内外实热之剂。
又治伤寒有热。虚羸少气。心下满。胃中有宿食大便不利。宜生地黄汤方。
生地黄（三斤） 大黄（四两） 甘草（四两） 芒硝（二合） 大枣（二十枚）
上五味。合捣烂。蒸五升米下。熟绞取汁。分再服
琥按上方。乃治阳明燥结。肠胃实热之剂。阴虚人大宜服之。
生麦门冬（一升去心） 生地黄（一斤） 知母（二两） 生姜（五两半） 芒硝（二两半）
上五味。以水八升。煮取二升半。内芒硝。煎五沸。分五服。取利为度。
琥按上主疗云肉热如火者。阳明主肌肉也。阳明府热。肠胃燥结。热气上攻。则头疼。热气外蒸则体痛。故用麦门
冬生地黄之甘寒。以降火。知母之苦寒以除热。生姜之辛凉以散邪。芒硝之咸寒以润燥软坚。坚燥通。而头疼体痛肉热
等证。自除矣。此方治病患大便不通。但燥坚而不痞满者。宜用之又阴虚人具下证者。亦宜用。
大黄 杏人（去皮尖各二两） 枳实（一两炙） 芒硝（一合）
上五味。捣下筛。蜜和为丸。如弹子。以生姜汤六七合。研一丸服之。须臾即通。不通更服一丸。取通为度。
琥按上方。即仲景承气汤与麻仁丸。变其制而用之。
甘遂（半两） 白芷（二两） 大黄（四两） 浓朴（八两） 枳实（五枚） 芒硝（二合）
以上六味药。切碎。用水一斗。先煮浓朴和枳实。取五升药液，去渣。加入大黄。煎取二升药液，去渣。加入芒硝。再煮沸一两分钟。分两次服用。
大便通畅即停药。
琥按：上方是治疗阳明经腑内外实热的方剂。
又治伤寒发热。身体虚弱消瘦、气短。心下痞满。胃中有积食、大便不通利。宜用生地黄汤方。
生地黄（三斤） 大黄（四两） 甘草（四两） 芒硝（二合） 大枣（二十枚）
以上五味药。一起捣烂。在蒸熟的五升米下面蒸。煮熟后绞取汁液。分两次服用。
琥按：上方。是治疗阳明燥结。肠胃实热的方剂。阴虚之人非常适宜服用。
生麦门冬（一升，去心） 生地黄（一斤） 知母（二两） 生姜（五两半） 芒硝（二两半）
以上五味药。用水八升。煮取二升半药液。加入芒硝。煮沸五次。分五次服用。以大便通畅为度。
琥按：上述主治功效说肌肉热如火烧者。因为阳明经主司肌肉。阳明腑热。肠胃燥结。热气上攻。就会头痛。热气外蒸就会身体疼痛。所以用麦门冬、生地黄的甘寒之性。来降火。知母的苦寒之性来清热。生姜的辛凉之性来散邪。芒硝的咸寒之性来润燥软坚。坚硬燥结得以疏通。而头痛、身体疼痛、肌肉发热等症状。自然消除。此方治疗患大便不通。但只有燥坚而没有痞满症状的。适宜使用。又有阴虚之人具备下法适应证的。也适宜使用。
大黄 杏仁（去皮尖各二两） 枳实（一两，炙） 芒硝（一合）
以上五味药。捣碎过筛。蜂蜜调和做成丸药。如弹子大小。用生姜汤六七合。研化一丸服用。不久即通。不通再服一丸。以大便通畅为度。
琥按：上方。就是张仲景的承气汤与麻仁丸。改变其制剂形式而使用。
Gansui (Banliang) [Radix Kansui] (0.5 liang) Baizhi (Liang) [Rhizoma Angelicae Dahuricae] (2 liang) Dahuang (Liang) [Radix et Rhizoma Rhei] (4 liang) Nongpo (Liang) [Cortex Magnoliiae Officinalis] (8 liang) Zhishi (Wu) [Fructus Aurantii Immaturus] (5 pieces) Mangxiao (He) [Natrii Sulfas] (2 he)
The above six herbs. Cut into small pieces. Use one dou of water. First decoct Nongpo and Zhishi. Obtain five sheng of liquid, remove dregs. Add Dahuang. Decoct to obtain two sheng of liquid, remove dregs. Add Mangxiao. Boil for one or two more boils. Divide into two doses.
Stop when rapid purgation occurs.
Hu notes: The above formula is an agent treating excess-heat in both the exterior and interior of the Yangming channel and fu-organs.
It also treats febrile disease with heat. Emaciation with shortness of breath. Fullness below the heart. Retained food in the stomach with difficulty in defecation. Shengdihuang Tang (Rehmannia Root Decoction) is suitable.
Shengdihuang (Sanjin) [Radix Rehmanniae Recens] (3 jin) Dahuang (Liang) [Radix et Rhizoma Rhei] (4 liang) Gancao (Liang) [Radix Glycyrrhizae Uralensis] (4 liang) Mangxiao (He) [Natrii Sulfas] (2 he) Dazao (Shiermu) [Fructus Jujubae] (20 pieces)
The above five herbs. Pound together until mushy. Steam over five sheng of cooked rice. After cooking, squeeze out the juice. Divide into two doses.
Hu notes: The above formula. Is an agent treating Yangming dryness accumulation. Excess-heat in the intestines and stomach. It is highly suitable for persons with yin deficiency.
Sheng Maidong (Yisheng quxin) [Herba Ophiopogonis] (1 sheng, removed heart) Shengdihuang (Jin) [Radix Rehmanniae Recens] (1 jin) Zhimu (Liang) [Rhizoma Anemarrhenae Asphodeloidis] (2 liang) Shengjiang (Wuliangban) [Rhizoma Zingiberis Recens] (5.5 liang) Mangxiao (Liangban) [Natrii Sulfas] (2.5 liang)
The above five herbs. Use eight sheng of water. Decoct to obtain two and a half sheng of liquid. Add Mangxiao. Boil five times. Divide into five doses. Take as much as necessary to achieve bowel movement.
Hu notes: Regarding the aforementioned indications, it states that flesh heat like fire. This is because Yangming governs the muscles. Yangming fu-organ heat. Dryness accumulation in the intestines and stomach. Heat qi attacking upward causes headache. Heat qi steaming outward causes body pain. Therefore, Maidong and Shengdihuang's sweet-cold nature is used to descend fire. Zhimu's bitter-cold nature is used to eliminate heat. Shengjiang's pungent-cool nature is used to dissipate pathogenic factors. Mangxiao's salty-cold nature is used to moisten dryness and soften hardness. Once hardness and dryness are unblocked, symptoms such as headache, body pain, and flesh heat naturally disappear. This formula treats patients with constipation. But only dryness and hardness without fullness/distension. It is suitable for use. For persons with yin deficiency who present indications for purgation, it is also suitable.
Dahuang [Radix et Rhizoma Rhei] Xingren (Qupijian ge erliang) [Semen Armeniacae Amarum] (removed skin and tips, 2 liang each) Zhishi (Yiliang zhi) [Fructus Aurantii Immaturus] (1 liang, stir-baked) Mangxiao (Yihe) [Natrii Sulfas] (1 he)
The above five herbs. Pound and sieve. Mix with honey to form pills. Size like bullet seeds. Use six or seven he of Shengjiang (Ginger) soup. Dissolve one pill and take. Bowel movement will occur shortly. If not, take another pill. Stop when bowel movement is achieved.
Hu notes: The above formula. Is Zhang Zhongjing's Chengqi Tang (Bowel-Purging Decoction) and Mahuang Wan (Ephedra Pill). Modified in its preparation method and used.