大小便涩者。皆由大肠虚。受邪气所致也。且府有高下。而肺府系在天上。中接土府名
之大
有虚
由藏
有余
肺遭
淋也
奔下
其少
接难
劳也
虚不
于大
宜。
以不
夫乳石发动。大小肠壅滞者。由阴阳不和。荣卫否涩。肠胃虚弱。津液不通。糟粕结于
肠中
方
解散 治盛热实。大小便赤秘。(一名大黄汤)
升麻 大黄 黄连 甘草 黄柏(各三两) 芍药(六两) 黄芩(四两) 栀子仁(十
四枚)
竹
升。去
滓
犀
大腹皮散 治乳石发动。心胸痰结。头目昏闷。大小肠壅滞不通。四肢烦疼。饮
食不下。
大腹皮(锉) 前胡(去芦) 赤茯苓 枳壳(麸炒微黄去瓤) 川芒硝(各一两) 旋
复花
甘草
大黄
(二两
日
三四
瞿麦散(出圣惠方)治乳石发动。壅热上攻。心神烦乱。大小肠壅滞。
瞿麦 大青 黄芩 赤茯苓 白茅根(各一两锉) 甘草(半两生锉) 川芒硝(二两)
栀
子仁
豉一
百粒
升麻汤(出圣济总录)治乳石发热。四肢烦满。脉至急数。大小便不通。
升麻(三两) 黄柏(微炙锉碎) 黄连(去须) 芍药(各一两) 甘草(炙令赤) 黄
芩(去
黑心)
先
以水三
日午晚
前胡汤(出圣济总录)治乳石发动。气上不得食。呕逆大小便不通。气满烦
闷。折热下气。
前胡(去芦头) 黄芩(去黑心) 甘草(炙微赤) 赤茯苓(去黑皮各二两) 杏仁
(汤浸去
皮尖
粗
捣筛
前各
茯苓饮(出圣济总录)治乳石发动。烦热。身体微肿。不能食饮。大小便不
利。
赤茯苓(去黑皮) 黄芩(去黑心各二两) 甘草(炙令赤) 栝蒌根(锉碎) 人参 桂
(去
粗皮)
煎至
一盏半
羚羊角散(出圣惠方)治乳石发动。三焦气壅。心神烦闷。大小肠壅滞不通。
羚羊角屑 槟榔 木通 枳壳(麸炒去瓤各一两) 红雪(二两) 甘草(半两炙微赤
锉)
川升
三
四服
芒硝汤(出圣济总录)治乳石发动。上气。热实不解。心腹满闷。大小便不
通。口燥目赤。
芒硝 黄连(去须) 黄芩(去黑心) 甘草(炙令赤各一两) 栀子仁 大黄(锉炒
各半两)
上
赤茯苓散(一名葵子散出圣惠方)治乳石发动。大小肠壅滞。脐腹妨闷。
赤茯苓(去黑皮) 木通(锉各三分) 葵子(半两) 恶实(炒) 枳壳(去瓤麸炒)
大黄
(锉碎
枳实汤(出圣惠方)治乳石发动。大小肠壅滞不通。胁肋妨闷。胸膈痰结。
不下饮食。
枳实(去瓤麸炒令黄) 前胡(去芦头) 槟榔(锉) 木通(锉各一两) 甘草(炙
半两) 大
黄(
候
温
槟榔散(出圣惠方)治乳石发动。心燥烦热。痰结。不下饮食。大小肠壅滞
。腰背疼重。
槟榔 川芒硝 枳壳(麸炒去瓤) 川大黄(各一两锉炒) 甘草(半两炙微赤锉) 上
为细
末。
三黄丸(出圣惠方)治乳石发热。大小肠壅滞不通。
川大黄(锉碎微炒) 黄芩 黄连(去须各三两) 上为末。炼蜜和捣三二百杵。丸如
梧桐
子大
大麻仁饮(出圣济总录)治乳石发动。致人虚劳。下焦有热。骨节烦疼。肌
急内痞。小便不
大麻仁(五合研烂绞取汁) 豉(三合以绵裹作袋子) 上以水四盏将麻仁研烂。绞取
汁。
并豉
治乳石发虚劳。下焦虚热。骨节烦疼。肌肉急。小便不利。大便数少。吸吸少气
。折石败热
用大麻子三合。研令极烂。以水三盏。煮至一盏半。分二服。早晨日午各一。
治乳石发动。大便难。腹中坚胀者。为积久。腹中干粪不去。(出圣济总录)
宜销酥及蜜。并石膏末和服。令滋润腹中即下。若不下。更服大黄朴硝等下之便瘥。
冷热熨方(出千金方)若大小便秘塞不通。或淋沥溺血。阴中疼痛。此是热
\x气所致。用此法
前以冷物熨小腹已。次以热物熨之。又以冷物熨之。若小便数。此亦是取冷所为。暖将
理自
大便和小便涩滞不畅,都是由于大肠虚弱,受到邪气侵袭所致。况且腑脏有高下之分,肺作为腑(此处指肺与大肠相表里,或泛指上焦之腑),其位置在人体上部,中间连接着属土的脏腑(脾胃)。如果肺气虚弱,就会感到劳损;如果肺气有余,就会导致淋证。热气向下奔迫,导致小便量少,接引困难。
服用乳石类药物引发的疾病,导致大小肠壅滞不通的,是由于阴阳不和,营卫之气阻塞涩滞,肠胃虚弱,津液不能通畅运行,糟粕结聚在肠道中。
【方剂】解散汤:治疗盛热实证,导致大小便赤涩秘结。(又名大黄汤)
药材:升麻、大黄、黄连、甘草、黄柏(各三两),芍药(六两),黄芩(四两),栀子仁(十四枚)。
制法:将上述药材切碎,用水三升,煎煮至一升,去渣,分次温服。
【方剂】大腹皮散:治疗乳石类药物引发疾病,心胸痰结,头目昏沉闷乱,大小肠壅滞不通,四肢烦痛,饮食不下。
药材:大腹皮(锉碎)、前胡(去芦头)、赤茯苓、枳壳(麸炒至微黄,去瓤)、川芒硝(各一两),旋覆花、甘草、大黄(各二两)。
用法:每日三次或四次服用。
【方剂】瞿麦散(出自《圣惠方》):治疗乳石类药物引发疾病,壅热向上攻冲,心神烦乱,大小肠壅滞。
药材:瞿麦、大青、黄芩、赤茯苓、白茅根(各一两,锉碎),甘草(半两,生锉),川芒硝(二两),栀子仁、豆豉(一百粒)。
【方剂】升麻汤(出自《圣济总录》):治疗乳石类药物引发发热,四肢烦满,脉搏急促数动,大小便不通。
药材:升麻(三两),黄柏(微炙后锉碎),黄连(去须),芍药(各一两),甘草(炙至红褐色),黄芩(去黑心)。
用法:先以水三升……于日午和晚间服用。
【方剂】前胡汤(出自《圣济总录》):治疗乳石类药物引发疾病,气逆上冲无法进食,呕吐逆气,大小便不通,气满烦闷。具有折热下气的功效。
药材:前胡(去芦头)、黄芩(去黑心)、甘草(炙至微赤)、赤茯苓(去黑皮,各二两)、杏仁(汤浸去皮尖)。
制法:粗捣筛过。
【方剂】茯苓饮(出自《圣济总录》):治疗乳石类药物引发疾病,烦热,身体轻微浮肿,不能进食饮水,大小便不利。
药材:赤茯苓(去黑皮)、黄芩(去黑心,各二两)、甘草(炙至红褐色)、栝蒌根(锉碎)、人参、桂枝(去粗皮)。
用法:煎至一盏半。
【方剂】羚羊角散(出自《圣惠方》):治疗乳石类药物引发疾病,三焦气机壅滞,心神烦闷,大小肠壅滞不通。
药材:羚羊角屑、槟榔、木通、枳壳(麸炒去瓤,各一两)、红雪(二两)、甘草(半两,炙至微赤锉碎)。
用法:川升……分三四次服用。
【方剂】芒硝汤(出自《圣济总录》):治疗乳石类药物引发疾病,上气,热实不解,心腹满闷,大小便不通,口燥目赤。
药材:芒硝、黄连(去须)、黄芩(去黑心)、甘草(炙至红褐色,各一两)、栀子仁、大黄(锉炒,各半两)。
【方剂】赤茯苓散(一名葵子散,出自《圣惠方》):治疗乳石类药物引发疾病,大小肠壅滞,脐腹部妨闷。
药材:赤茯苓(去黑皮)、木通(锉,各三分)、葵子(半两)、恶实(炒)、枳壳(去瓤,麸炒)、大黄(锉碎)。
【方剂】枳实汤(出自《圣惠方》):治疗乳石类药物引发疾病,大小肠壅滞不通,胁肋部妨闷,胸膈痰结,不下饮食。
药材:枳实(去瓤,麸炒令黄)、前胡(去芦头)、槟榔(锉)、木通(锉,各一两)、甘草(炙,半两)、大黄。
用法:候温服用。
【方剂】槟榔散(出自《圣惠方》):治疗乳石类药物引发疾病,心燥烦热,痰结,不下饮食,大小肠壅滞,腰背疼痛沉重。
药材:槟榔、川芒硝、枳壳(麸炒去瓤)、川大黄(各一两,锉炒)、甘草(半两,炙至微赤锉)。
制法:上药为细末。
【方剂】三黄丸(出自《圣惠方》):治疗乳石类药物引发发热,大小肠壅滞不通。
药材:川大黄(锉碎微炒)、黄芩、黄连(去须,各三两)。
制法:上药为末,炼蜜调和,捣三二百杵,制成梧桐子大小的丸剂。
【方剂】大麻仁饮(出自《圣济总录》):治疗乳石类药物引发疾病,导致人虚劳,下焦有热,骨节烦痛,肌肤紧急,内部痞塞,小便不通。
药材:大麻仁(五合,研烂绞取汁)、豉(三合,用绵裹作袋子)。
制法:以上用水四盏,将麻仁研烂,绞取汁,并与豆豉同煮。
另法:治疗乳石引发虚劳,下焦虚热,骨节烦痛,肌肉紧急,小便不利,大便次数少,呼吸短促。具有折石败热的功效。
用法:用大麻子三合,研至极烂,用水三盏,煮至一盏半,分两次服用,早晨和日午各一次。
治疗乳石引发疾病,大便困难,腹中坚硬胀满的,是因为积久,腹中干粪不去除。(出自《圣济总录》)
适宜用消酥(融化的酥油)及蜂蜜,并石膏末混合服用,使腹部滋润即可排便。如果仍不排便,再服用大黄、朴硝等药物泻下,病就好了。
【方剂】冷热熨方(出自《千金方》):如果大小便秘塞不通,或淋沥溺血,阴中疼痛,这是热气所致。使用此方法。
用法:先用冷物熨烫小腹,接着用热物熨烫,再用冷物熨烫。如果小便频数,这也是受冷所致,应当注意保暖调理,自然……
When defecation and urination are obstructed and difficult, it is all caused by the deficiency of the Large Intestine (Large Intestine) and the invasion of pathogenic factors. Furthermore, the Fu organs (Hollow Organs) have high and low positions. The Lung (Lung), as a Fu organ in this context (referring to its connection with the Large Intestine or upper jiao), is located in the upper part of the body, connecting centrally to the Earth-element organs (Spleen and Stomach). If Lung Qi is deficient, it leads to fatigue; if Lung Qi is excessive, it results in strangury (Strangury). Heat qi rushing downward causes scanty urine and difficulty in flow.
Diseases induced by taking mineral drugs (Mineral Drugs) that lead to stagnation and obstruction of the Small and Large Intestines are due to disharmony between Yin and Yang, blockage and stasis of Ying and Wei (Defensive and Nutritive Qi), weakness of the stomach and intestines, inability of body fluids to circulate freely, and accumulation of waste matter in the intestines.
[Formula] Jie San Decoction: Treats excess heat syndromes causing red and constipated stool and urine. (Also known as Da Huang Tang).
Ingredients: Cimicifugae Rhizoma (Shengma), Rheum Palmatum Radix et Rhizoma (Dahuang), Coptis Chinensis Rhizoma (Huanglian), Glycyrrhiza Uralensis Radix (Gancao), Phellodendri Cortex (Huangbai) (each 3 liang), Paeonia Lactiflora Radix (Shaoyao) (6 liang), Scutellaria Baicalensis Radix (Huangqin) (4 liang), Gardeniae Fructus (Zhizi Ren) (14 seeds).
Preparation: Coarsely crush the above ingredients, add 3 sheng of water, decoct until 1 sheng remains, remove dregs, and take warm in divided doses.
[Formula] Dadoupi Powder: Treats diseases induced by mineral drugs, characterized by phlegm knotting in the chest and heart, dizziness and stuffiness of the head and eyes, obstruction of the Small and Large Intestines, painful irritability in the four limbs, and inability to eat or drink.
Ingredients: Arecae Pericarpium (Dadoupi) (coarsely crushed), Peucedani Radix (Qianhu) (deprived of radix base), Polyporus (Chifuling), Aurantii Fructus Immaturus (Zhiqiao) (bran-fried until slightly yellow, pith removed), Natrii Sulfas (Chuanniaoxiao) (each 1 liang), Inulae Flos (Xuanjufuhua), Glycyrrhiza Uralensis Radix (Gancao), Rheum Palmatum Radix et Rhizoma (Dahuang) (each 2 liang).
Usage: Take three or four times daily.
[Formula] Qumai San (from *Taiping Shenghui Fang*): Treats diseases induced by mineral drugs, where stagnant heat attacks upward, causing mental restlessness and obstruction of the Small and Large Intestines.
Ingredients: Dianthi Herba (Qumai), Isatidis Folium (Daqing), Scutellaria Baicalensis Radix (Huangqin), Polyporus (Chifuling), Imperatae Rhizoma (Baimaogen) (each 1 liang, coarsely crushed), Glycyrrhiza Uralensis Radix (Gancao) (0.5 liang, raw and coarsely crushed), Natrii Sulfas (Chuanniaoxiao) (2 liang), Gardeniae Fructus (Zhizi Ren), Sojae Preparata (Chi) (100 grains).
[Formula] Shengma Tang (from *Shengji Zonglu*): Treats fever induced by mineral drugs, irritability and fullness in the four limbs, rapid and frequent pulse, and obstruction of defecation and urination.
Ingredients: Cimicifugae Rhizoma (Shengma) (3 liang), Phellodendri Cortex (Huangbai) (lightly fried and coarsely crushed), Coptis Chinensis Rhizoma (Huanglian) (deprived of roots), Paeonia Lactiflora Radix (Shaoyao) (each 1 liang), Glycyrrhiza Uralensis Radix (Gancao) (fried until reddish-brown), Scutellaria Baicalensis Radix (Huangqin) (deprived of blackened heart).
Usage: Add 3 sheng of water... take at noon and evening.
[Formula] Qianhu Tang (from *Shengji Zonglu*): Treats diseases induced by mineral drugs, characterized by rebellious Qi preventing food intake, vomiting and reflux, obstruction of defecation and urination, abdominal fullness, and mental irritability. It has the effect of clearing heat and directing Qi downward.
Ingredients: Peucedani Radix (Qianhu) (deprived of radix base), Scutellaria Baicalensis Radix (Huangqin) (deprived of blackened heart), Glycyrrhiza Uralensis Radix (Gancao) (fried until slightly reddish), Polyporus (Chifuling) (deprived of black skin, each 2 liang), Armeniacae Semen Amarum (Xingren) (soaked in hot water, skin and tips removed).
Preparation: Coarsely crush and sieve.
[Formula] Fuling Yin (from *Shengji Zonglu*): Treats diseases induced by mineral drugs, characterized by irritability and heat, slight edema of the body, inability to eat or drink, and difficulty in defecation and urination.
Ingredients: Polyporus (Chifuling) (deprived of black skin), Scutellaria Baicalensis Radix (Huangqin) (deprived of blackened heart, each 2 liang), Glycyrrhiza Uralensis Radix (Gancao) (fried until reddish-brown), Trichosanthis Radix (Gualougen) (coarsely crushed), Ginseng Radix et Rhizoma (Renshen), Cinnamomi Ramulus (Guizhi) (deprived of rough bark).
Usage: Decoct until 1.5 zhan remains.
[Formula] Lingyangjiao San (from *Taiping Shenghui Fang*): Treats diseases induced by mineral drugs, characterized by stagnation of Qi in the Triple Burner (San Jiao), mental irritability, and obstruction of the Small and Large Intestines.
Ingredients: Antelopis Cornu (Lingyangjiao xie), Areca Seed (Binglang), Akebiae Caulis (Mutong), Aurantii Fructus Immaturus (Zhiqiao) (bran-fried, pith removed, each 1 liang), Hongxue (Red Snow/Snow Sugar) (2 liang), Glycyrrhiza Uralensis Radix (Gancao) (0.5 liang, fried until slightly reddish and coarsely crushed).
Usage: Chuan Sheng... take in three or four divided doses.
[Formula] Xiaong Tang (from *Shengji Zonglu*): Treats diseases induced by mineral drugs, characterized by ascending Qi, unresolved heat-excess, abdominal fullness and oppression, obstruction of defecation and urination, dry mouth, and red eyes.
Ingredients: Natrii Sulfas (Xiaosong), Coptis Chinensis Rhizoma (Huanglian) (deprived of roots), Scutellaria Baicalensis Radix (Huangqin) (deprived of blackened heart), Glycyrrhiza Uralensis Radix (Gancao) (fried until reddish-brown, each 1 liang), Gardeniae Fructus (Zhizi Ren), Rheum Palmatum Radix et Rhizoma (Dahuang) (coarsely crushed and fried, each 0.5 liang).
[Formula] Chifuling San (also known as Kuizi San, from *Taiping Shenghui Fang*): Treats diseases induced by mineral drugs, characterized by obstruction of the Small and Large Intestines, and oppression in the umbilical and abdominal regions.
Ingredients: Polyporus (Chifuling) (deprived of black skin), Akebiae Caulis (Mutong) (coarsely crushed, each 3 fen), Malvae Semen (Kuizi) (0.5 liang), Arctii Fructus (Eshi) (fried), Aurantii Fructus Immaturus (Zhiqiao) (pith removed, bran-fried), Rheum Palmatum Radix et Rhizoma (Dahuang) (coarsely crushed).
[Formula] Zhishi Tang (from *Taiping Shenghui Fang*): Treats diseases induced by mineral drugs, characterized by obstruction of the Small and Large Intestines, oppression in the hypochondrium, phlegm knotting in the chest and diaphragm, and inability to ingest food.
Ingredients: Aurantii Fructus Immaturus (Zhishi) (pith removed, bran-fried until yellow), Peucedani Radix (Qianhu) (deprived of radix base), Areca Seed (Binglang) (coarsely crushed), Akebiae Caulis (Mutong) (coarsely crushed, each 1 liang), Glycyrrhiza Uralensis Radix (Gancao) (fried, 0.5 liang), Rheum Palmatum Radix et Rhizoma (Dahuang).
Usage: Take when warm.
[Formula] Binglang San (from *Taiping Shenghui Fang*): Treats diseases induced by mineral drugs, characterized by dryness and irritability, phlegm knotting, inability to ingest food, obstruction of the Small and Large Intestines, and heavy pain in the waist and back.
Ingredients: Areca Seed (Binglang), Natrii Sulfas (Chuanniaoxiao), Aurantii Fructus Immaturus (Zhiqiao) (bran-fried, pith removed), Rheum Palmatum Radix et Rhizoma (Chuanda Huang) (each 1 liang, coarsely crushed and fried), Glycyrrhiza Uralensis Radix (Gancao) (0.5 liang, fried until slightly reddish and coarsely crushed).
Preparation: Grind the above into a fine powder.
[Formula] Sanhuang Wan (from *Taiping Shenghui Fang*): Treats fever induced by mineral drugs and obstruction of the Small and Large Intestines.
Ingredients: Rheum Palmatum Radix et Rhizoma (Chuanda Huang) (coarsely crushed and lightly fried), Scutellaria Baicalensis Radix (Huangqin), Coptis Chinensis Rhizoma (Huanglian) (deprived of roots, each 3 liang).
Preparation: Grind the above into powder, mix with refined honey, pound 200-300 times, and form pills the size of Sophora japonica seeds.
[Formula] Damaoren Yin (from *Shengji Zonglu*): Treats diseases induced by mineral drugs leading to deficiency-wasting (Xu Lao), heat in the Lower Jiao (Lower Burner), painful irritability in bone joints, tight muscles, internal palpitations/blockage, and obstruction of urination.
Ingredients: Cannabis Fructus (Damaoren) (5 he, ground thoroughly and juice extracted), Sojae Preparata (Chi) (3 he, wrapped in silk to make a bag).
Preparation: Add 4 zhan of water, grind the hemp seeds thoroughly, extract the juice, and boil together with the soybeans.
Alternative Method: Treats deficiency-wasting induced by mineral drugs, deficiency-heat in the Lower Jiao, painful irritability in bone joints, tight muscles, difficulty in urination, infrequent bowel movements, and shortness of breath. It has the effect of neutralizing stone-drug heat.
Usage: Use 3 he of Hemp Seeds, grind extremely thoroughly, add 3 zhan of water, decoct until 1.5 zhan remains, divide into two doses, taken once in the morning and once at noon.
For diseases induced by mineral drugs causing difficult defecation and hard, distended abdomen due to long-standing accumulation of dry feces (from *Shengji Zonglu*):
It is suitable to consume melted butter (Su) and honey mixed with gypsum powder to moisten the intestines and promote evacuation. If no evacuation occurs, administer purgatives such as Rheum Palmatum Radix et Rhizoma (Dahuang) and Natrii Sulfas (Puxiao) to resolve the condition.
[Formula] Cold and Hot Compress Method (from *Qianjin Fang*): For complete obstruction of defecation and urination, or dribbling hematuria and pain in the genital region, caused by heat qi. Use this method:
Usage: First apply cold compresses to the lower abdomen, then hot compresses, then cold compresses again. If there is frequent urination, this is also caused by cold; one should keep warm and manage the condition appropriately, and it will naturally...