当归 羚羊角（屑） 赤芍药（各半两） 生地黄（一两） 刺蓟叶（三分）
上为粗末，每服三钱。水煎，去滓服。
又方∶以生地黄捣取汁，每服一小盏，日三服。
又方∶以蒲黄末酒调二钱服之，水调亦可。
又方∶鹿角胶（三两，炙令黄）
以水一大盏，煎至半盏，去滓分为三服，食前服。
夫妇人大便不通者，由五脏不调，冷热之气结于肠胃，则津液燥竭，大肠壅涩，故大便
不通也。仲景云∶妇人经水过多，则亡津液，亦大便难也。
《局方》四物汤加青皮煎服。
大三脘散（又名三和散。见第七卷第十七论）。七宣丸、麻仁丸。（并见《局方》不复
重录）
治妇人大便不通，牵牛子散。
木香（半两） 郁李仁（去皮，微炒） 青皮（去白） 木通 枳壳（去白，麸炒） 桂
心（各一两） 黑牵牛（三两，半生、半炒）
上为细末，每服二钱。如煎茶一沸，搅起放温，空心服。
治妇人大便不通。（热而实者，方可投此药。其证心腹胀痛，手不得近，心胸烦闷，六
脉沉滑而实，是其证也）
大黄 芒硝 槟榔 桃花 郁李仁（汤浸去皮，微炒，各一两） 木香（半两）
上为细末，空心，粥饮调下二钱。
治妇人大便不通，心腹虚胀。（《博济方》有大黄、槟榔，名气针丸）牵牛丸。
当归、羚羊角（锉成屑）、赤芍药（各半两）、生地黄（一两）、刺蓟叶（三分）。
以上药物捣碎为粗末，每次服用三钱。加水煎煮，滤去药渣后服用。
另一个方子：用生地黄捣取汁液，每次服用一小盏，每日服用三次。
另一个方子：用蒲黄粉末，以酒调服二钱，用水调服也可以。
另一个方子：鹿角胶（三两，炙烤至黄色）。
用水一大盏，煎至半盏，滤去药渣，分三次服用，饭前服用。
妇女大便不通的原因，是由于五脏功能不调，冷气和热气结聚在肠胃，导致津液干燥枯竭，大肠壅滞涩滞，所以大便不通。张仲景说：妇女月经量过多，就会耗伤津液，也会导致大便困难。
《局方》中的四物汤加青皮煎服。
大三脘散（又名三和散。见第七卷第十七论）。七宣丸、麻仁丸。（均见于《局方》，不再重复收录）
治疗妇女大便不通，使用牵牛子散。
木香（半两）、郁李仁（去皮，微炒）、青皮（去白）、木通、枳壳（去白，麸炒）、桂心（各一两）、黑牵牛（三两，一半生用、一半炒用）。
以上药物捣碎为细末，每次服用二钱。像煎茶一样煮沸一次，搅起后放温，空腹服用。
治疗妇女大便不通。（热邪且实证者，方可投用此药。其症状表现为心腹胀痛，手不能触碰，心胸烦闷，六脉沉滑而实，这是该证候的表现。）
大黄、芒硝、槟榔、桃花、郁李仁（汤浸去皮，微炒，各一两）、木香（半两）。
以上药物捣碎为细末，空腹时，用米粥饮调下二钱。
治疗妇女大便不通，心腹虚胀。（《博济方》中有大黄、槟榔，名气针丸）牵牛丸。
Angelicae Sinensis Radix (Danggui), Antelope Horn (Lingyangjiao, processed into powder), Red Peony Root (Chishao) (each 0.5 liang), Rehmanniae Radix Recens (Shengdihuang) (1 liang), Cirsii Japonici Herba (Cijiye) (3 fen).
The above herbs are crushed into coarse powder. Each dose is 3 qian. Decoct with water, remove the dregs, and take the decoction.
Another prescription: Crush fresh Rehmanniae Radix (Shengdihuang) to extract the juice. Each dose is one small cup, taken three times a day.
Another prescription: Take Polygoni Orientalis Semen (Puhuang) powder, mixed with wine for 2 qian per dose; mixing with water is also acceptable.
Another prescription: Cornu Cervi Colla (Lujiaojiao) (3 liang, roasted until yellow).
Decoct with one large cup of water until reduced to half a cup. Remove the dregs and divide into three doses. Take before meals.
In women, constipation arises from the dysfunction of the five zang organs, where cold and heat qi knot in the intestines and stomach, leading to the dryness and exhaustion of body fluids, and congestion and stagnation of the large intestine, thus causing constipation. Zhang Zhongjing stated: "If a woman's menstrual flow is excessive, it leads to the loss of body fluids, which also results in difficult defecation."
Siwu Tang (Four Substances Decoction) from *Ju Fang* (Prescriptions of the Imperial Medical Bureau), added with Tangerine Peel (Qingpi), decocted and taken.
Dasanwan San (also known as Sanhe San. See Volume 7, Discourse 17). Qixuan Wan (Seven Revitalizing Pills) and Mahuan Wan (Hemp Seed Pills). (Both are found in *Ju Fang* and are not repeated here.)
For treating female constipation, use Qianniuzi San (Pharbitidis Semen Powder).
Costus Root (Muxiang) (0.5 liang), Prunus japonica seed (Yuliren, peeled, slightly stir-fried), Tangerine Peel (Qingpi, pith removed), Akebia Caulis (Mutong), Aurantii Fructus Immaturus (Zhiqiao, pith removed, stir-fried with bran), Cinnamon Twig Heart (Guixin) (each 1 liang), Pharbitidis Semen Nigrum (Heiqianniu) (3 liang, half raw, half stir-fried).
The above herbs are ground into fine powder. Each dose is 2 qian. Boil like tea for one boil, stir, let cool to warm temperature, and take on an empty stomach.
Treating female constipation. (This medicine should only be administered if there is heat and excess syndrome. The symptoms include abdominal distension and pain that cannot be touched by hand, mental restlessness and oppression in the chest and heart, and the six pulses are deep, slippery, and forceful. These are the signs of this syndrome.)
Rhei Radix et Rhizoma (Dahuang), Mirabilite (Mangxiao), Areca Seed (Binglang), Peach Flower (Taohua), Prunus japonica seed (Yuliren, soaked in hot water, peeled, slightly stir-fried, each 1 liang), Costus Root (Muxiang) (0.5 liang).
The above herbs are ground into fine powder. On an empty stomach, take 2 qian mixed with rice broth.
Treating female constipation and deficiency-type abdominal distension. (*Boji Fang* contains Dahuang and Binglang, named Qizhen Wan) Qianniu Wan (Pharbitidis Semen Pill).