（仲景） 治证同前。
猪胆一枚，取汁，入醋少许。用竹管长三四寸，一半纳谷道中，将胆汁灌入，顷当大便。
便
胆
相
绳
宜
惟
宜于蜜道中，加姜汁生附子末，或削陈酱姜导之，此补长沙之未备也。）
宋季饶医熊彦诚，年五十五岁，病前后便溺不通，五日，腹胀如鼓。同辈环视，皆不能
措力
外高
施一
寸三
人，
不见矣
螺，便
凡伤寒结胸，其有中气虚弱，不堪攻击内消，须以此法外罨之，则滞行邪散
葱白头（四两） 生姜（四两） 生萝卜（此味加倍，如无以子代之。） 上三味，共
捣一处，炒
无不实时
又法以大蒜头一二十个。捣烂，摊浓纸或薄绢上，贴于胀处，少顷即散。用治一切腹胀，
无
凡大便不通，实结在肛门，而不得下。将烈火煮竹叶一锅，乘滚热倾净桶内，上撒绦矾
末一
（消者，散其积也。导者，行其气也。脾虚不健，则气不流行，气不流行，则停滞而为
积。
故
（洁古） 消痞除痰，健脾进食。
白术（二两土蒸） 枳实（一两麸炒） 为末，荷叶包陈米饭，煨干为丸。痞闷加陈皮，
气痞加
东垣曰∶白术甘温，补脾胃之元气，其味苦，除胃中湿热利腰脐间血，过于枳实克化之
药一
中空
感此
矣。
夫
余
滞
意
之
有推墙倒壁之功，此实乃攻于守之剂。推脾气不清，而滞胜者，正当用之。若脾气已虚，非
所宜也。今人不察，相传为补脾之药，而朝吞暮吐。或以小儿瘦弱，制今常服，则过足以伤
其气，助其瘦弱，用宜酌也。）
金匮用枳实七枚，白术二两，作汤，名枳术汤。治水饮心下坚大如盘，边如旋盘。（心
下，
者。
术丸
使
香
干姜七钱，名消饮丸，治停饮胸满呕逆。加酒炒黄连黄芩大黄炒神曲橘红各一两，名三黄枳
术丸，治伤肉食湿面辛热味浓之物，填塞闷乳不快。加神曲麦芽各一两。名三黄枳术丸，治
内伤饮食，或泄泻。
（张仲景）治疗的证候与前述相同。
取猪胆一个，挤出胆汁，加入少许醋。用一根长三四寸的竹管，将一半插入肛门中，把胆汁灌入，不久应当排出大便。
（若便秘伴有阴寒之象，宜在肛门内加入姜汁和生附子末，或者削陈年酱姜作为导引物，这是为了补充长沙太守张仲景方书的不足。）
宋代末年，饶州医生熊彦诚，五十五岁，患前阴后阴二便不通，持续五天，腹部胀大如鼓。同辈人围观，都束手无策。
（此处原文有残缺或乱码，无法准确翻译，略过“外高 施一 寸三 人， 不见矣 螺，便”等无意义字符）
凡是伤寒病出现结胸证，其中气虚弱，不能耐受攻下消积的药物，必须用此法在外敷贴，则停滞之气得以运行，邪气得以消散。
葱白头（四两） 生姜（四两） 生萝卜（此味加倍，如果没有萝卜可用萝卜子代替。）以上三味药，共同捣碎一处，炒热……（原文此处有残缺，“无不实时”似为衍文或错简）
另一种方法是用大蒜头一二十个，捣烂，摊在厚纸或薄绢上，贴在腹胀处，不久即可消散。用于治疗各种腹胀，没有不即时见效的。（原文“无”字后可能有缺漏）
凡是导致大便不通，实邪结聚在肛门，而无法排下。用烈火煮一锅竹叶，趁滚热倒入干净的桶内，上面撒上绦矾末……（原文此处有残缺）
使用萝卜菜，按照上述方法，也很奇妙。如果没有萝卜菜，青菜也可以。
（所谓“消”，是消散积滞；所谓“导”，是行气通畅。脾虚不健运，则气机不流行，气机不流行，则停滞而形成积滞。
故……（原文此处有残缺）
（李洁古）消除痞满，祛除痰饮，健脾开胃进食。
白术（二两，经土蒸制） 枳实（一两，经麸皮炒制） 研为细末，用荷叶包裹陈米饭，煨干制成丸剂。若有痞闷感加陈皮，若是气痞加……（原文此处有残缺）
李东垣说：白术味甘性温，能补脾胃之元气，其味苦，能去除胃中湿热，利腰脐间血，功效超过枳实这类克伐化滞的药物……（原文中间夹杂“中空 感此 矣。 夫 余 滞 意 之”等疑似乱码或错简，忽略不影响主意的部分）具有推墙倒壁的功效，这实际上是一首攻守兼施的方剂。对于脾气不清、湿滞盛行的情况，正当使用。如果脾气已经虚弱，就不适宜使用了。现在的人不加考察，相传这是补脾的药，结果早上吞服晚上呕吐。有的人因为小儿瘦弱，命令他们常服，这就足以损伤正气，助长瘦弱，用药应当斟酌。）
《金匮要略》用枳实七枚，白术二两，煎汤服用，名为枳术汤。治疗水饮停聚心下，坚硬大如盘，边缘像旋转的盘子。（心下，即胃脘部……原文“者。 术丸 使 香”为乱码，忽略）
干姜七钱，名为消饮丸，治疗停饮导致的胸满呕逆。加入酒炒黄连、黄芩、大黄、炒神曲、橘红各一两，名为三黄枳术丸，治疗因食用肉食、湿面、辛辣浓味之物导致的填塞闷乳不快。加入神曲、麦芽各一两，名为三黄枳术丸（注：此处原文重复命名，通常加神曲麦芽者为保和丸类或特定加减，依原文直译），治疗内伤饮食，或泄泻。
(Zhang Zhongjing) The treated syndrome is the same as mentioned above.
Take one pig gallbladder, extract the juice, and add a small amount of vinegar. Use a bamboo tube three or four cun long; insert half of it into the anus, and instill the bile juice. Bowel movement should occur shortly thereafter.
(If constipation is accompanied by signs of yin-cold, ginger juice and powder of raw Fuzi (Aconiti Lateralis Radix Preparata) should be added into the anus, or aged pickled ginger can be carved and used as a suppository. This supplements the incompleteness in the works of Changsha [Zhang Zhongjing].)
At the end of the Song Dynasty, Xiong Yancheng, a physician from Raozhou, aged fifty-five, suffered from obstruction of both urination and defecation for five days, with his abdomen distended like a drum. His peers looked on helplessly, unable to apply any treatment.
(The following text contains fragmented characters "wai gao shi yi cun san ren, bu jian yi luo bian" which are unintelligible and omitted.)
In cases of Shanghan (Cold Damage) presenting with Jie Xiong (Chest Binding), if the Middle Qi is deficient and cannot withstand purgative or resolving treatments, this external application method must be used. Then, the stagnation will move and the pathogenic factor will dissipate.
Scallion White (Si Liang / 4 liang) Fresh Ginger (Si Liang / 4 liang) Raw Radish (This ingredient should be doubled; if unavailable, Radish Seed may substitute.) These three ingredients are crushed together, stir-fried... (The text "wu bu shi shi" appears to be an interpolation or error and is omitted).
Another method: Take ten to twenty garlic bulbs, crush them into a paste, spread it thickly on heavy paper or thin silk, and apply it to the distended area. It will dissipate shortly. This treats all types of abdominal distension without fail. (The character "wu" at the end suggests missing text).
When bowel obstruction occurs due to excess accumulation in the anal region preventing passage, boil a pot of Bamboo Leaf over high fire. Pour the boiling liquid into a clean bucket, and sprinkle Tiao Fan (Alum) powder on top... (Text is incomplete here).
Using Radish Greens, following the above method, is also excellent. If Radish Greens are unavailable, Green Vegetables (Qing Cai) can be used.
("Xiao" refers to dispersing accumulation. "Dao" refers to promoting the flow of Qi. When Spleen deficiency leads to poor transportation, Qi fails to circulate. When Qi fails to circulate, it stagnates and forms accumulation.
Therefore... (Text is incomplete here).
(Li Jieggu) Resolves epigastric fullness, eliminates phlegm, strengthens the Spleen, and promotes appetite.
Baizhu (Bupleuri Radix / Atractylodis Macrocephalae Rhizoma) (Two Liang, steamed in soil) Zhishi (Immature Bitter Orange / Aurantii Fructus Immaturus) (One Liang, stir-fried with bran) Grind into powder. Wrap in Lotus Leaf with leftover rice, and bake until dry to form pills. Add Chenpi (Tangerine Peel / Citri Reticulatae Pericarpium) for fullness; add [missing ingredient] for Qi stagnation.
Li Dongyuan stated: Baizhu is sweet and warm, tonifying the Yuan Qi of the Spleen and Stomach. Its bitter taste clears damp-heat in the Stomach and benefits blood in the waist and umbilical region. Its efficacy surpasses that of Zhishi, which is a drug that attacks and transforms stagnation... [Fragmented text "zhong kong gan ci yi fu yu zhi yi" omitted] ...It possesses the power to push down walls and overturn battlements. This is actually a formula that combines attack and defense. It is indicated when Spleen Qi is unclear and stagnation prevails. However, if Spleen Qi is already deficient, it is not suitable. People today do not examine this carefully, mistakenly believing it to be a Spleen-tonifying medicine, resulting in morning ingestion and evening vomiting. Some, because children are emaciated, order them to take it regularly, which sufficiently damages their Qi and exacerbates their emaciation. Dosage and usage must be carefully considered.)
Jinkui Yaolue uses seven Zhi Shi fruits and two Liang of Baizhu, decocted as a soup, named Zhiji Zhu Tang (Immature Bitter Orange and Atractylodes Decoction). It treats water-fluid retention under the heart, presenting as hardness and enlargement like a plate, with edges like a rotating disk. ("Under the heart" refers to the epigastrium...) [Fragmented text "zhe shu wan shi xiang" omitted].
Gan Jiang (Dried Ginger / Zingiberis Rhizoma) Seven Qian, named Xiaoyin Wan (Drinking-Dissipating Pill), treats chest fullness and retching caused by retained fluids. Add Jiu Chao Huanglian (Wine-processed Coptidis Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhubarb Root / Rheomi Radix et Rhizoma), Chao Shenqu (Stir-fried Massa Medicata Fermentata), and Hongchen Pi (Orange Peel / Citri Reticulatae Pericarpium), each One Liang. This is named Sanhuang Zhiji Wan (Three-Yellow Immature Bitter Orange Pill), treating discomfort and fullness caused by consuming meat, damp noodles, and spicy, rich foods. Add Shenqu and Maiya (Barley Sprout / Hordei Fructus Germinatus), each One Liang. This is also named Sanhuang Zhiji Wan (note: original text repeats name), treating internal injury from diet or diarrhea.