陽明病，潮熱，大便微鞕者，可與大承氣湯，不鞕者，不與之。若不大便六七日，恐有燥屎，欲知之法，少與小承氣湯。湯入腹中，轉失氣者，此有燥屎，乃可攻之。若不轉失氣者，此但初頭鞕，後必溏，不可攻之，攻之必脹滿不能食也。欲飲水者，與水則噦，其後發熱者，必大便復鞕而少也，以小承氣湯和之。不轉失氣者，慎不可攻也。
阳明病，潮热，大便微硬者，可与大承气汤，不硬者，不与之。若不大便六七日，恐有燥屎，欲知之法，少与小承气汤。汤入腹中，转失气者，此有燥屎，乃可攻之。若不转失气者，此但初头硬，后必溏，不可攻之，攻之必胀满不能食也。欲饮水者，与水则哕，其后发热者，必大便复硬而少也，以小承气汤和之。不转失气者，慎不可攻也。
yáng míng bìng cháo rè dà biàn wēi yìng zhě kě yǔ dà chéng qì tāng bù yìng zhě bù yǔ zhī ruò bù dà biàn liù qī rì kǒng yǒu zào shǐ yù zhī zhī fǎ shǎo yǔ xiǎo chéng qì tāng tāng rù fù zhōng zhuǎn shī qì zhě cǐ yǒu zào shǐ nǎi kě gōng zhī ruò bù zhuǎn shī qì zhě cǐ dàn chū tóu yìng hòu bì táng bù kě gōng zhī gōng zhī bì zhàng mǎn bù néng shí yě yù yǐn shuǐ zhě yǔ shuǐ zé yuě qí hòu fā rè zhě bì dà biàn fù yìng ér shào yě yǐ xiǎo chéng qì tāng hé zhī bù zhuǎn shī qì zhě shèn bù kě gōng yě
In yangming disease with tidal fever and slightly hard stool, Major Qi-Ordering Decoction may be given; if the stool is not hard, it is not given. If there has been no stool for six or seven days and dry dung is feared, the way to find out is to give a little Minor Qi-Ordering Decoction. If after it enters the abdomen gas passes down, there is dry dung and it may be attacked. If no gas passes, only the first part is hard and the rest will be loose; it must not be attacked, for attacking brings fullness and inability to eat. If the patient wants water, giving it causes retching; if fever comes afterwards, the stool will be hard again and scanty, and Minor Qi-Ordering Decoction harmonises it. When no gas passes, it must by no means be attacked.
不大便只是事，燥屎才是物；以轉失氣一試，事乃成物。
病人不大便五六日，繞臍痛，煩燥，發作有時者，此有燥屎，故使不大便也。
病人不大便五六日，绕脐痛，烦燥，发作有时者，此有燥屎，故使不大便也。
bìng rén bù dà biàn wǔ liù rì rào qí tòng fán zào fā zuò yǒu shí zhě cǐ yǒu zào shǐ gù shǐ bù dà biàn yě
When the patient has had no stool for five or six days, with pain around the navel and irritation coming at fixed times, there is dry dung, and that is why there is no stool.
繞臍痛、煩燥、發作有時三證並見，方斷爲燥屎，單言不大便不足。
病人無表裏證，發熱七八日，雖脉浮數者，可下之。假令已下，脉數不解，合熱則消榖善飢，至六七日不大便者，有瘀血，宜抵當湯。
病人无表里证，发热七八日，虽脉浮数者，可下之。假令已下，脉数不解，合热则消谷善饥，至六七日不大便者，有瘀血，宜抵当汤。
bìng rén wú biǎo lǐ zhèng fā rè qī bā rì suī mài fú shuò zhě kě xià zhī jiǎ lìng yǐ xià mài shuò bù jiě hé rè zé xiāo gǔ shàn jī zhì liù qī rì bù dà biàn zhě yǒu yū xuè yí dǐ dāng tāng
When the patient has no exterior or interior signs and has had fever for seven or eight days, though the pulse is floating and rapid it may be purged. Suppose it has been purged and the rapid pulse does not clear; when the heat joins within, grain is consumed and hunger is constant; if by the sixth or seventh day there is no stool, there is static blood, and Resisting Decoction is suitable.
已下而脉數不解、消榖善飢，是瘀血之的證，最易誤作燥屎再下。
少陰病六七日，腹脹不大便者，急下之，宜大承氣湯。
少阴病六七日，腹胀不大便者，急下之，宜大承气汤。
shào yīn bìng liù qī rì fù zhàng bù dà biàn zhě jí xià zhī yí dà chéng qì tāng
In shaoyin disease of six or seven days, with abdominal distension and no stool, purge at once; Major Qi-Coordinating Decoction is suitable.
「少陰病六七日，腹脹不大便者」——少陰病久，熱邪內結，腑氣不通，故腹脹不大便；陰液將竭，不急下則陰亡。此與陽明之痞滿燥實堅同形而異源，故曰急下。