（《圣济总录》） 治 瘕，积聚腹痛，大便坚涩，或时通者。
槟榔 大黄（炒） 枳壳（各二两麸炒） 桃仁（去皮尖麸炒） 大麻仁 木香（各一
两）蜜丸，每
《圣济》槟榔（丸）治 瘕，（《素问·气厥论》曰∶“小肠移热于大肠为 瘕。”）腹中
瘕痛时宽窄。大肠热结（大）便时坚， 者伏也瘕者瑕。“（大肠为传导之腑，热则气结液
耗，腹痛便涩，然或有时而通，故腹虽有形，聚散靡常，是为 瘕。 者，伏也。”瘕“与”
“瑕”通，女病恒有之。）润肠泄热必通幽，大黄枳壳无多寡，木香桃仁大麻仁，（槟榔、木
香、枳壳泄决大肠之气，大黄、桃仁、麻仁润下大肠之热，与润肠通幽二方同义。）宣通其
腑夺其下。（治在腑者，宣而通之；病在下者，因而夺之。）
（张子和《儒门事亲》） 治胸腹积滞，痞满结痛，二便不通，或泄泻下痢，里急后重，
食疟实积。
木香 槟榔 莪术 陈皮 青皮 黄柏（各一两） 黄连 大黄（各三两） 香附 黑
牵牛（各四两） 为细末，水丸如小豆大，每服三十丸，食后，生姜汤送下。（一方有三棱、
枳壳，芒硝水丸。）
木香槟榔（丸）青陈皮，三黄莪术附（香附）牵牛，一切实积能推荡，泻痢食疟用咸宜。
（此子和经验方也，善能推陈致新，破结散积。大人食积疟痢，黄胆肿胀，小儿惊疳积热，
皆可随宜服之。木香、香附、青、陈利气宽肠，而牵牛、槟榔下气尤速，气行则无痞满后重
之患矣。连、柏燥湿清热，莪术行气破血，硝、黄去血中伏热，并为推坚峻品。湿热积滞去，
则二便调而三焦通泰矣。盖宿垢不净，清阳终不得升，故必假此以推荡之，亦通因通用之法
也。）
（出自《圣济总录》）治疗瘕病，腹中积聚且疼痛，大便干结涩滞，有时又能通畅的情况。
槟榔、大黄（炒制）、枳壳（各二两，用麦麸炒制）、桃仁（去皮尖，用麦麸炒制）、大麻仁、木香（各一两）。制成蜜丸。
《圣济总录》中的槟榔丸治疗瘕病。（《素问·气厥论》说：“小肠的热邪移注于大肠形成瘕病。”）腹中的瘕痛有时宽舒有时狭窄。大肠热结导致大便时干硬，伏匿的瘕块如同瑕疵。“大肠是传导之腑，受热则气机郁结、津液耗伤，出现腹痛和大便涩滞，然而有时也能通畅，所以腹部虽有形迹，但聚散无常，这称为瘕。‘’意为伏匿。”“瘕”与“瑕”相通，女性常有此病。）使用润肠泄热的方法必须通幽，大黄和枳壳用量不分多少，配合木香、桃仁和大麻仁。（槟榔、木香、枳壳疏泄大肠的气机，大黄、桃仁、麻仁润下大肠的热邪，这与润肠汤、通幽汤两个方剂的意义相同。）宣通腑气，攻夺下部积滞。（治疗在腑的病证，采用宣散而通利的方法；病位在下部的，顺势攻逐祛除。）
（张子和《儒门事亲》）治疗胸腹间的积滞，痞塞胀满且结聚疼痛，大小便不通畅，或者出现泄泻下痢，里急后重，以及食疟实积等症。
木香、槟榔、莪术、陈皮、青皮、黄柏（各一两）、黄连、大黄（各三两）、香附、黑牵牛（各四两）。研成细末，用水泛丸如小豆大小，每次服用三十丸，饭后用生姜汤送服。（另一版本包含三棱、枳壳，芒硝水泛丸。）
木香槟榔丸含有青皮和陈皮，三黄（黄连、黄柏、大黄）、莪术和香附、牵牛子，能推荡一切实性积滞，治疗泻痢和食疟非常适宜。
（这是张子和的经验方，善于推陈出新，破除结聚消散积滞。成人因食积导致的疟疾痢疾，黄疸肿胀，小儿因惊疳引起的积热，都可以酌情服用。木香、香附、青皮、陈皮理气宽肠，而牵牛子、槟榔下气速度尤其快，气机运行则没有痞满和后重的忧患了。黄连、黄柏燥湿清热，莪术行气破血，芒硝、大黄去除血中的伏热，这些都是推荡坚积峻猛的药物。湿热积滞去除后，大小便就会调畅，三焦也就通达安泰了。大概因为宿存的垢浊不干净，清阳之气终究无法上升，所以必须借助这些药物来推荡清除，这也是“通因通用”的治疗方法。）
(From *Shengji Zonglu*) Treats *jia* (masses), abdominal accumulations with pain, hard and constipated stools, or occasional passage of stool.
Binglang (Arecae Semen), Dahuang (Rhei Radix et Rhizoma, stir-fried), Zhike (Aurantii Fructus, each 2 liang, stir-fried with bran), Taoren (Persicae Semen, peeled and removed of tips, stir-fried with bran), Damaren (Cannabis Fructus), Muxiang (Aucklandiae Radix, each 1 liang). Made into honey pills.
The Binglang Wan in *Shengji Zonglu* treats *jia*. (*Suwen: Qi Jue Lun* states: "Heat transferring from the Small Intestine to the Large Intestine forms *jia*.") The pain from abdominal *jia* fluctuates between wide and narrow intervals. Heat binding in the Large Intestine causes stools to be hard at times; the hidden *jia* is like a flaw. "The Large Intestine is the official organ of transmission; heat causes qi stagnation and fluid consumption, leading to abdominal pain and difficult defecation, yet sometimes it passes freely. Thus, although there is a form in the abdomen, it gathers and scatters irregularly, which is called *jia*. 'Fu' means hidden." 'Jia' shares the character with 'Xia' (flaw); women often suffer from this.) To moisten the intestines and drain heat, one must unblock the deep pathways; the amounts of Dahuang and Zhike are not fixed. Combined with Muxiang, Taoren, and Damaren, (Binglang, Muxiang, and Zhike vent the qi of the Large Intestine; Dahuang, Taoren, and Mahuang moisten and descend the heat of the Large Intestine, sharing the same principle as the Run Chang Tang and Tong You Tang formulas.) They promote the free flow of the fu organs and purge the lower jiao. (For diseases located in the fu organs, promote and unblock them; for diseases in the lower part, purge them according to their nature.)
(Zhang Zihe, *Rumen Shishen*) Treats stagnation in the chest and abdomen, distension and fullness with knotted pain, obstruction of both urination and defecation, or diarrhea and dysentery with tenesmus, and excess accumulation from food malaria.
Muxiang, Binglang, Ezhu, Chenpi, Qingpi, Huangbai (each 1 liang), Huanglian, Dahuang (each 3 liang), Xiangfu, Heiqianni (each 4 liang). Pulverized into fine powder, made into water pills the size of small beans. Take 30 pills per dose after meals, washed down with ginger decoction. (Another prescription includes Sanleng and Zhike, made into water pills with Mangxiao.)
Mu Xiang Bing Lang Wan contains Qing Pi and Chen Pi, San Huang (Huang Lian, Huang Bai, Da Huang), E Zhu, Xiang Fu, and Qian Niu. It can push away all kinds of excess accumulations and is suitable for treating dysentery and food malaria.
(This is an empirical formula by Zhang Zihe, excellent at pushing out the old to generate the new, breaking knots and dissipating accumulations. For adults with food stagnation, malaria, dysentery, jaundice, and swelling, and for children with fright, malnutrition, and accumulated heat, it can be taken as appropriate. Muxiang, Xiangfu, Qingpi, and Chenpi regulate qi and broaden the intestines, while Qian Niu and Binglang descend qi especially quickly; when qi moves, there will be no worry of distension, fullness, or tenesmus. Huanglian and Huangbai dry dampness and clear heat, Ezhu promotes qi circulation and breaks blood stasis, Mangxiao and Dahuang remove latent heat from the blood; these are all harsh agents for pushing hard accumulations. Once damp-heat and stagnation are removed, urination and defecation will normalize, and the Triple Burner will be smooth and unobstructed. Generally, if old filth is not cleared, the clear yang cannot rise; thus, one must rely on these to push it away. This is also the method of 'treating obstruction with draining methods' [Tong Yin Tong Yong].)