夫大肠实实则生热。热则肠结胀满。喜气喘咳。身面热。喉中噎。乍实乍虚。乍来乍去
。大肠有宿滞。则发热寒栗如疟之状。秘涩不通。则是大肠实热之候也。
治大肠实热。头痛目眩。惊狂。喉痹。腹胁满闷。手足烦痛。宜服赤茯苓散方。
赤茯苓（一两） 川大黄（一两半） 犀角屑（三分） 枳实（三分麸炒微黄） 麦门
冬（一两
去心） 杏仁（半两汤浸去皮尖双仁麸炒微黄） 石膏（一两） 丹参（半两） 槟榔（一
两）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。食前温服。忌热面炙爆
治大肠实热。上气喘咳。心神烦闷。宜服杏仁散方。
杏仁（一两汤浸去皮尖双仁麸炒微黄） 赤芍药（三分） 黄芩（三分） 细辛〔二（三）
分〕
五味
草（一两
炙微赤
上件药。捣筛为散。每服三钱。以水一中盏。煎至三（六）分。去滓。食前温服。
治大肠实热。心神烦躁。口内生疮。宜服羚羊角散方。
羚羊角屑（三分） 青竹茹（一两） 黄芩（三分） 栀子仁（三分） 紫苏茎叶（三
分） 杏仁
（三
硝（二两）
甘草（半两炙微赤锉） 川大黄（一两锉碎微炒）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。入生地黄汁一分（合）。
更煎一两沸。不计时候温服。
治大肠实热。肠胀不通。热气上冲。口内生疮。宜服大腹皮散方。
大腹皮（二两锉） 柴胡〔二（一）两去苗〕 诃黎勒皮（一两） 枳壳（一两麸炒微
黄去瓤）
川大黄（二两锉碎微炒） 羚羊角屑（三分） 川朴硝（二两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。食前温服。
治大肠实热。气壅不通。心腹胀满。发歇寒热。宜服柴胡散方。
柴胡（一两去苗） 赤芍药（一两） 枳实（三分麸炒微黄） 杏仁（三分汤浸去皮尖
双仁麸
炒微
草（半两炙
微赤
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。食前温服。
治大肠实热。秘涩不通。心烦闷乱。宜服槟榔丸方。
槟榔（一两） 羌活（一两） 郁李仁（二两汤浸去皮尖微炒） 木香（一两） 川大
黄（一两
锉微
两锉研
如膏
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以生姜汤下二十丸
大肠邪气充实则产生热邪。热邪会导致肠道结滞、腹部胀满，出现气息急促、咳嗽，身体和面部发热，咽喉中有阻塞感，病情时而实证时而虚证，症状忽来忽去。如果大肠内有积滞不化的食物残渣，就会表现为像疟疾一样的发热和寒战，大便干结难解、不通畅，这是大肠实热的证候。
治疗大肠实热引起的头痛、目眩、惊悸发狂、喉痹（咽喉肿痛闭塞）、腹部和胁肋部胀闷不适、手足烦痛等症状，适宜服用赤茯苓散方。
赤茯苓（一两） 川大黄（一两半） 犀角屑（三分） 枳实（三分，麸炒至微黄） 麦门冬（一两，去心） 杏仁（半两，汤浸后去皮尖及双仁，麸炒至微黄） 石膏（一两） 丹参（半两） 槟榔（一两）
以上药物，捣碎并过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣，饭前温服。忌食热面、烤炙及油炸食物。
治疗大肠实热引起的上气喘咳、心神烦闷等症状，适宜服用杏仁散方。
杏仁（一两，汤浸后去皮尖及双仁，麸炒至微黄） 赤芍药（三分） 黄芩（三分） 细辛（二或三分） 五味子（一两） 甘草（一两，炙至微红）
以上药物，捣碎并过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余三或六分药液，滤去药渣，饭前温服。
治疗大肠实热引起的心神烦躁、口腔内生疮疡等症状，适宜服用羚羊角散方。
羚羊角屑（三分） 青竹茹（一两） 黄芩（三分） 栀子仁（三分） 紫苏茎叶（三分） 杏仁（三分，汤浸后去皮尖及双仁，麸炒至微黄） 芒硝（二两） 甘草（半两，炙至微红并锉碎） 川大黄（一两，锉碎后微炒）
以上药物，捣碎并过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣，加入生地黄汁一分，再共同煎煮一至两沸。不限时候，温服。
治疗大肠实热引起的肠腹胀满不通、热气上冲、口腔内生疮疡等症状，适宜服用大腹皮散方。
大腹皮（二两，锉碎） 柴胡（一或二两，去苗） 诃黎勒皮（一两） 枳壳（一两，麸炒至微黄并去瓤） 川大黄（二两，锉碎后微炒） 羚羊角屑（三分） 川朴硝（二两） 甘草（半两，炙至微红并锉碎）
以上药物，捣碎并过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣，饭前温服。
治疗大肠实热引起的气机壅塞不通、心腹胀满、阵发性寒热交替等症状，适宜服用柴胡散方。
柴胡（一两，去苗） 赤芍药（一两） 枳实（三分，麸炒至微黄） 杏仁（三分，汤浸后去皮尖及双仁，麸炒至微黄） 甘草（半两，炙至微红）
以上药物，捣碎并过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣，饭前温服。
治疗大肠实热引起的大便干结难解、心烦意乱等症状，适宜服用槟榔丸方。
槟榔（一两） 羌活（一两） 郁李仁（二两，汤浸后去皮尖并微炒） 木香（一两） 川大黄（一两，锉碎后微炒） 芒硝（二两，研成粉末如膏状）
以上药物，捣碎过筛成粉末，用炼蜜调和，捣杵三二百下，制成梧桐子大小的丸剂。每次在饭前，用生姜汤送服二十丸。
When the Large Intestine is full and solid, heat is generated. Heat causes intestinal obstruction and abdominal distension, accompanied by panting and coughing, heat in the body and face, a sensation of obstruction in the throat, alternating patterns of excess and deficiency, and symptoms that come and go intermittently. If there are retained stagnations in the Large Intestine, it manifests as fever and chills resembling malaria, along with constipation and difficulty in defecation; these are signs of Full-Heat of the Large Intestine (Da Chang Shi Re).
For treating Full-Heat of the Large Intestine manifesting as headache, dizziness, palpitations and mania, throat obstruction (Hou Bi), abdominal and hypochondriac fullness and oppression, and painful heat in the hands and feet, the Chifuling San Formula is indicated.
Chifuling (Radix Poriae Cum Rhizoma et Mycelium, 1 liang) Chuan Dahuang (Radix et Rhizoma Rhei, 1.5 liang) Xijiao Xie (Cornu Rhinocerotis, 3 fen) Zhishi (Fructus Aurantii Immaturus, 3 fen, stir-fried with bran until slightly yellow) Maimendong (Radix Ophiopogonis, 1 liang, heart removed) Xingren (Semen Armeniacae Amarum, 0.5 liang, soaked in water, skin and tips removed, double-kernel avoided, stir-fried with bran until slightly yellow) Shigao (Gypsum Fibrosum, 1 liang) Danshen (Radix et Rhizoma Salviae Miltiorrhizae, 0.5 liang) Bangle (Arecae Semen, 1 liang)
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to 0.6 zhong. Strain the dregs and take warm before meals. Avoid hot noodles, roasted, and fried foods.
For treating Full-Heat of the Large Intestine manifesting as upper jiao panting and coughing, and mental restlessness and oppression, the Xingren San Formula is indicated.
Xingren (Semen Armeniacae Amarum, 1 liang, soaked in water, skin and tips removed, double-kernel avoided, stir-fried with bran until slightly yellow) Chishao Yao (Radix Paeoniae Rubra, 3 fen) Huangqin (Radix Scutellariae, 3 fen) Xixin (Herba Asari, 2 or 3 fen) Wuweizi (Fructus Schisandrae Chinensis, 1 liang) Gancao (Radix Glycyrrhizae Uralensis, 1 liang, honey-fried until slightly red)
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to 3 or 6 fen. Strain the dregs and take warm before meals.
For treating Full-Heat of the Large Intestine manifesting as mental irritability and sores inside the mouth, the Lingyangjiao San Formula is indicated.
Lingyangjiao Xie (Cornu Saigae Tataricae, 3 fen) Qingzhuru (Bambusa Textilis internodium, 1 liang) Huangqin (Radix Scutellariae, 3 fen) Zhizi Ren (Semen Gardeniae, 3 fen) Zisu Jingye (Folium et Caulis Perillae Frutescentis, 3 fen) Xingren (Semen Armeniacae Amarum, 3 fen, soaked in water, skin and tips removed, double-kernel avoided, stir-fried with bran until slightly yellow) Mangxiao (Natrii Sulfas, 2 liang) Gancao (Radix Glycyrrhizae Uralensis, 0.5 liang, honey-fried until slightly red and cut) Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, cut into pieces and lightly stir-fried)
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to 0.6 zhong. Strain the dregs, add 1 fen of fresh Shengdihuang juice (Radix Rehmanniae Recens), and boil for one or two more boils. Take warm at any time.
For treating Full-Heat of the Large Intestine manifesting as intestinal distension and obstruction, rising of hot qi, and sores inside the mouth, the Dafupi San Formula is indicated.
Dafupi (Pericarpium Arecae Catechui, 2 liang, cut) Chaihu (Radix Bupleuri, 1 or 2 liang, radix removed) Helile Pi (Cortex Terminaliae Chebulae, 1 liang) Zhike (Fructus Aurantii, 1 liang, stir-fried with bran until slightly yellow and pith removed) Chuan Dahuang (Radix et Rhizoma Rhei, 2 liang, cut into pieces and lightly stir-fried) Lingyangjiao Xie (Cornu Saigae Tataricae, 3 fen) Chuan Pu Xiao (Natrii Sulfas, 2 liang) Gancao (Radix Glycyrrhizae Uralensis, 0.5 liang, honey-fried until slightly red and cut)
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to 0.6 zhong. Strain the dregs and take warm before meals.
For treating Full-Heat of the Large Intestine manifesting as qi congestion and obstruction, abdominal distension and fullness, and intermittent chills and fever, the Chaihu San Formula is indicated.
Chaihu (Radix Bupleuri, 1 liang, radix removed) Chishao Yao (Radix Paeoniae Rubra, 1 liang) Zhishi (Fructus Aurantii Immaturus, 3 fen, stir-fried with bran until slightly yellow) Xingren (Semen Armeniacae Amarum, 3 fen, soaked in water, skin and tips removed, double-kernel avoided, stir-fried with bran until slightly yellow) Gancao (Radix Glycyrrhizae Uralensis, 0.5 liang, honey-fried until slightly red)
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to 0.6 zhong. Strain the dregs and take warm before meals.
For treating Full-Heat of the Large Intestine manifesting with constipation and obstruction, and mental restlessness and confusion, the Bangle Wan Formula is indicated.
Bangle (Arecae Semen, 1 liang) Qianghuo (Rhizoma et Radix Notopterygii, 1 liang) Yuliren (Semen Pruni Persicae cum Amygdala, 2 liang, soaked in water, skin and tips removed, lightly stir-fried) Muxiang (Radix Aucklandiae, 1 liang) Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, cut into pieces and lightly stir-fried) Mangxiao (Natrii Sulfas, 2 liang, ground into powder like paste)
The above ingredients are pounded into fine powder, mixed with refined honey, and pounded for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills with ginger soup before meals.