（附论）
夫妊娠肠胃有风。加之挟热。津液不足。气道否涩。故令肠胃枯燥。大便不通。甚则呼
吸奔喘。腹胀干呕。
方
羌活丸 治妊娠热在脏腑。大便秘涩。
羌活（二两半） 大麻仁（三两） 槟榔（五枚） 防风 枳壳（各一两） 大黄（一
两半） 木
香（
下。
食前服。日三。以微利为度。
槟榔丸 治妊娠大便热结。旬日不通。
槟榔（一两） 木香（半两） 大黄（二两） 青橘皮（焙半两） 牵牛子（二两用一
半生一半
炒） 上为末。炼蜜和剂。更于臼内涂酥杵匀。丸如梧桐子大。每服二十丸。空心下。温水
服。
麻仁丸 治妊娠大便不通。腹病不能食。养津液。润肠胃。
大麻仁（四两） 人参 诃黎勒（各二两） 大黄（半两） 上先捣后三味为末。次入
麻仁。
炼蜜和剂。更于臼内涂酥杵匀。丸如梧桐子大。每服三十丸。空心温水下。大便通即止。
疏气黄 丸 治妊娠大便不通。
黄 枳壳（各一两） 威灵仙（二两） 上为末。用面糊和丸如小豆大。每服三十丸。
温
水下。不拘时。未通稍加之。
治妊娠大便秘涩。（大全良方）
枳壳（三两） 防风（二两） 甘草（炙一两） 上为细末。沸汤点服一二钱。空心。
日三。
枳壳丸 治妊娠大便结塞不通。脐腹硬胀。不能安卧。气上喘逆。
枳壳（一两半） 大黄（二两半） 上为末。炼蜜和丸如梧桐子大。每服二十丸。空心
米汤
下。未通再服。以通为度。
润肠丸 治妊娠大便不通。腹胁坚胀。
枳壳 大麻仁（各一两） 上再研匀。炼蜜和丸如梧桐子大。每服三十丸。食前温服。
下
生姜汤亦得。
葱胶汤 治妊娠大便不通。
葱白（一茎切） 牛皮胶（二片） 上以水一盏半。煎令胶熔化。去滓。顿服之。
治虚羸大便秘。
枳壳（制） 阿胶（炒等分） 上为末。炼蜜和剂。杵二三千下。丸如梧桐子大。另研
滑石
末为衣。温水下二十丸。半日来未通。再服三十丸。止于五十丸。
【附论】
妊娠期间，肠胃受风邪侵袭，加之体内挟有热邪，导致津液不足，气机运行不畅、涩滞。因此造成肠胃干燥枯槁，大便不通畅。严重时会出现呼吸急促喘息、腹部胀满、干呕等症状。
方剂：
羌活丸：治疗妊娠期间脏腑内有热邪，大便秘结涩滞。
药材及用量：羌活（二两半）、大麻仁（三两）、槟榔（五枚）、防风、枳壳（各一两）、大黄（一两半）、木香（一两）。
制法与服法：将上述药物研为细末，用炼蜜调和制成丸药，如梧桐子大小。每次服用二十丸，饭前服用，每日三次，以轻微通利为度。
槟榔丸：治疗妊娠期间大便因热邪结聚，十余日不通。
药材及用量：槟榔（一两）、木香（半两）、大黄（二两）、青橘皮（焙干，半两）、牵牛子（二两，一半生用，一半炒用）。
制法与服法：将上述药物研为细末，用炼蜜调和成药剂，再在臼中涂抹酥油捣匀，制成如梧桐子大小的丸药。每次服用二十丸，空腹时温水送服。
麻仁丸：治疗妊娠期间大便不通，腹部疼痛不能进食，旨在滋养津液，润泽肠胃。
药材及用量：大麻仁（四两）、人参、诃黎勒（诃子）（各二两）、大黄（半两）。
制法与服法：先将后三种药物研为细末，再加入大麻仁，用炼蜜调和成药剂，再在臼中涂抹酥油捣匀，制成如梧桐子大小的丸药。每次服用三十丸，空腹时温水送服。大便通畅后即停止服用。
疏气黄丸：治疗妊娠期间大便不通。
药材及用量：黄芪、枳壳（各一两）、威灵仙（二两）。
制法与服法：将上述药物研为细末，用面糊调和制成如小豆大小的丸药。每次服用三十丸，温水送服，不限时间。若未通便可稍加剂量。
治妊娠大便秘涩。（出自《大全良方》）
药材及用量：枳壳（三两）、防风（二两）、甘草（炙，一两）。
制法与服法：将上述药物研为细末，用沸水冲服一二钱。空腹服用，每日三次。
枳壳丸：治疗妊娠期间大便结塞不通，脐部及腹部坚硬胀满，无法安卧，气逆上冲致喘。
药材及用量：枳壳（一两半）、大黄（二两半）。
制法与服法：将上述药物研为细末，用炼蜜调和制成如梧桐子大小的丸药。每次服用二十丸，空腹时用米汤送服。若未通便可再次服用，以大便通畅为度。
润肠丸：治疗妊娠期间大便不通，腹部及胁肋部坚硬胀满。
药材及用量：枳壳、大麻仁（各一两）。
制法与服法：将上述药物再次研磨均匀，用炼蜜调和制成如梧桐子大小的丸药。每次服用三十丸，饭前温服。也可用生姜汤送服。
葱胶汤：治疗妊娠期间大便不通。
药材及用量：葱白（一根，切碎）、牛皮胶（两片）。
制法与服法：用水一盏半，煎煮至牛皮胶熔化，去渣，一次性服下。
治虚损羸弱所致的大便秘结。
药材及用量：枳壳（炮制）、阿胶（炒），等分。
制法与服法：将上述药物研为细末，用炼蜜调和，捣杵二三千下，制成如梧桐子大小的丸药。另取滑石研末作为包衣。每次温水送服二十丸。若半天后仍未通便，再服用三十丸，最多不超过五十丸。
[Supplementary Discussion]
During pregnancy, the intestines and stomach are invaded by Wind pathogen. Complicated by internal Heat, the body fluids become insufficient, causing the Qi mechanism to be obstructed and stagnant. This results in dryness and withering of the intestines and stomach, leading to constipation. In severe cases, it may manifest as rapid breathing and panting, abdominal distension, and dry heaving.
Formulas:
Qianghuo Wan (Notopterygium Pill): Treats Heat in the Zang-Fu organs during pregnancy, presenting with constipation and difficult defecation.
Ingredients: Qianghuo (Rhizoma et Radix Notopterygii) (2 liang 5 qian), Dama Ren (Semen Cannabisae) (3 liang), Binglang (Arecae Semen) (5 pieces), Fangfeng (Radix Saposhnikoviae), Zhike (Fructus Aurantii), Dahuang (Radix et Rhizoma Rhei) (1.5 liang), Muxiang (Radix Aucklandiae) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form pills the size of phoenix seeds. Take 20 pills per dose before meals, three times a day. The dosage should be adjusted until mild laxation is achieved.
Binglang Wan (Areca Pill): Treats constipation due to Heat accumulation during pregnancy, lasting for ten days or more without passage.
Ingredients: Binglang (Arecae Semen) (1 liang), Muxiang (Radix Aucklandiae) (0.5 liang), Dahuang (Radix et Rhizoma Rhei) (2 liang), Qingjupi (Pericarpium Citri Reticulatae, roasted) (0.5 liang), Qianniuzi (Semen Pharbitidis) (2 liang, half raw, half stir-fried).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form a paste. Further pound in a mortar with butter until uniform. Form into pills the size of phoenix seeds. Take 20 pills per dose on an empty stomach with warm water.
Maren Wan (Cannabis Seed Pill): Treats constipation during pregnancy, accompanied by abdominal pain and inability to eat. It nourishes body fluids and moistens the intestines and stomach.
Ingredients: Dama Ren (Semen Cannabisae) (4 liang), Renshen (Radix Ginseng), Helile (Fructus Chebulae) (each 2 liang), Dahuang (Radix et Rhizoma Rhei) (0.5 liang).
Preparation and Administration: First grind the latter three ingredients into fine powder, then add Dama Ren. Mix with refined honey and pound in a mortar with butter until uniform. Form into pills the size of phoenix seeds. Take 30 pills per dose on an empty stomach with warm water. Discontinue once bowel movement is normalized.
Shuqi Huang Wan (Astragalus Qi-Regulating Pill): Treats constipation during pregnancy.
Ingredients: Huangqi (Radix Astragali), Zhike (Fructus Aurantii) (each 1 liang), Weilingxian (Herba Clematidis) (2 liang).
Preparation and Administration: Grind the above ingredients into fine powder, mix with wheat flour paste to form pills the size of mung beans. Take 30 pills per dose with warm water at any time. If constipation persists, slightly increase the dosage.
To treat constipation and difficult defecation during pregnancy. (From *Daquan Liangfang*)
Ingredients: Zhike (Fructus Aurantii) (3 liang), Fangfeng (Radix Saposhnikoviae) (2 liang), Gancao (Radix Glycyrrhizae, honey-fried) (1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 1-2 qian mixed with boiling water. Take on an empty stomach, three times a day.
Zhike Wan (Aurantii Pill): Treats complete obstruction of stool during pregnancy, with hard and distended abdomen and umbilicus, inability to lie down comfortably, and rebellious Qi causing wheezing.
Ingredients: Zhike (Fructus Aurantii) (1.5 liang), Dahuang (Radix et Rhizoma Rhei) (2.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form pills the size of phoenix seeds. Take 20 pills per dose on an empty stomach with rice soup. If unrelieved, take again. Continue until bowel movement is normalized.
Runchang Wan (Intestine-Moistening Pill): Treats constipation during pregnancy, with hard and distended abdomen and hypochondrium.
Ingredients: Zhike (Fructus Aurantii), Dama Ren (Semen Cannabisae) (each 1 liang).
Preparation and Administration: Grind the above ingredients finely and uniformly, mix with refined honey to form pills the size of phoenix seeds. Take 30 pills per dose before meals with warm water. Ginger decoction can also be used for administration.
Congjiao Tang (Scallion and Gelatin Decoction): Treats constipation during pregnancy.
Ingredients: Congbai (Bulbus Allii Fistulosi) (one stalk, chopped), Niujiaojiao (Colla Corii Asini) (two slices).
Preparation and Administration: Add one and a half cups of water, boil until the gelatin melts. Strain and take in one dose.
To treat constipation due to deficiency and emaciation.
Ingredients: Zhike (Fructus Aurantii, processed), Ejiao (Colla Corii Asini, stir-fried), in equal proportions.
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey, and pound two to three thousand times. Form into pills the size of phoenix seeds. Coat with powder from ground Huashi (Talcum). Take 20 pills per dose with warm water. If no bowel movement occurs after half a day, take another 30 pills, not exceeding 50 pills in total.