大小便俱不通者，前后热结也。
颠倒散 治脏腑实热，或小便不通，或大便不通，或大小便俱不通。
大黄（六钱） 滑石（三钱） 皂角（三钱）
上为末。黄酒送下。如大便不通，根据前分两服；如小便不通，大黄三钱、滑石六钱、皂
角如前；如大小便俱不通，黄、石均分，皂角如前。
蜣螂散 治大小便不通。六七月间寻牛粪中大蜣螂，不拘多少，用线串起，阴干收贮。
用时取一个，要完全者，放净砖上，四面以灰火煨干，以刀从腰切断。如大便闭，用上半截
；如小便闭，用下半截。各为末，新汲水调服。二便俱闭，则全用之。
八正散 方见淋症。
铁脚丸 治大小便不通。
皂角（去皮子，炙）不拘多少为末，酒搅面糊为丸，如梧桐子大。每服三十丸，酒下。
蜗牛膏 治大小便不通。
用蜗牛三枚，连壳研为泥，再加麝香少许，贴脐中，以手揉按之，立通。若用田螺捣烂
填脐中，亦妙。余用此方治大小便不通及热闭者，殊效。
掩脐法 治大小便不通。
连须葱（一根，不洗带土） 生姜（一块） 淡豆豉（二十粒） 盐（二匙）
同研烂，捏饼。烘热掩脐，以帛扎定，良久透气自通。不然，再易。
一方 治大小便不通。用蜜一钟，入皮硝二钱、滚白汤一钟，空心调下。
大小便不通。木通为末，黄酒送下。大人多用，小人少用。
丁香散 治大小便不通，如神。
苦丁香（五钱） 川乌（炮） 草乌 香白芷 牙皂（炮） 细辛（各三钱） 胡椒（一钱） 麝香（少许
上为细末。用竹筒将药吹入肛门内，即通。
When both urination and defecation are obstructed, it is due to the accumulation of heat in both the anterior and posterior orifices.
Diandao San (Inverted Scattering Powder): Treats excess heat in the Zang-Fu organs, manifesting as difficulty in urination, difficulty in defecation, or obstruction of both urination and defecation.
Ingredients: Radix et Rhizoma Rhei (Dahuang, 大黄) (6 qian), Talcum (Huashi, 滑石) (3 qian), Fructus Gleditsiae Sinensis (Zaojiao, 皂角) (3 qian).
Preparation and Administration: Grind the above ingredients into powder. Take with yellow wine. If only defecation is obstructed, take according to the aforementioned dosage; if only urination is obstructed, use 3 qian of Dahuang, 6 qian of Huashi, and Zaojiao as before; if both are obstructed, divide Dahuang and Huashi equally, and keep Zaojiao as before.
Qianglang San (Scarab Beetle Powder): Treats obstruction of both urination and defecation. In the sixth and seventh lunar months, locate scarab beetles (Qianglang, 蜣螂) in cow dung, string them together with thread, dry them in the shade, and store for use.
Usage: Take one complete beetle, place it on a clean brick, and bake it thoroughly with ash fire from all sides. Cut it in half horizontally with a knife. For constipation, use the upper half; for urinary retention, use the lower half. Grind each part into powder separately, mix with fresh well water, and take orally. If both urination and defecation are obstructed, use the whole beetle.
Bazheng San (Eight-Upright Decoction): See the section on Lin Syndrome (Strangury).
Tiejiao Wan (Iron-Foot Pill): Treats obstruction of both urination and defecation.
Ingredients: Fructus Gleditsiae Sinensis (Zaojiao, 皂角) (remove skin and seeds, stir-fry) as needed.
Preparation and Administration: Grind into powder, mix with wine and flour paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose with wine.
Woniugao (Snail Ointment): Treats obstruction of both urination and defecation.
Take three snails, grind them with their shells into a paste, add a small amount of Moschus (Shexiang, 麝香), apply to the umbilicus, and massage with hands until immediate relief occurs. Alternatively, grinding field snails and applying them to the umbilicus is also effective. I have used this prescription to treat cases of obstruction of both urination and defecation and heat-closure with remarkable efficacy.
Yanqi Fa (Umbilical Covering Method): Treats obstruction of both urination and defecation.
Ingredients: Scallion with roots intact (one stalk, unwashed, with soil), Fresh Ginger (one piece), Fermented Soybean (Danshidou, 淡豆豉) (20 grains), Salt (two spoons).
Preparation and Administration: Grind all ingredients into a smooth paste, shape into a cake. Heat it slightly and apply to the umbilicus, securing tightly with a cloth. After some time, qi will flow naturally and relief will occur. If not relieved, replace with a new cake.
Another Prescription: Treats obstruction of both urination and defecation.
Take one cup of honey, add 2 qian of Natrii Sulfas (Pinxiao, 皮硝), and mix with one cup of boiling water. Take on an empty stomach.
For obstruction of both urination and defecation: Grind Akebiae Caulis (Mutong, 木通) into powder and take with yellow wine. Adults take a larger dose, children take a smaller dose.
Dingxiang San (Clove Powder): Treats obstruction of both urination and defecation with miraculous effect.
Ingredients: Bitter Clove Bud (Kudingxiang, 苦丁香) (5 qian), Prepared Aconitum carmichaelii (Chuanwu, 川乌), Aconitum kusnezoffii (Caowu, 草乌), Angelica dahurica (Xiangbaizhi, 香白芷), Prepared Fructus Gleditsiae Sinensis (Yaogao, 牙皂), Asarum (Xixin, 细辛) (3 qian each), Piper nigrum (Hujiao, 胡椒) (1 qian), Moschus (Shexiang, 麝香) (a little).
Preparation and Administration: Grind into fine powder. Use a bamboo tube to insufflate the powder into the anus for immediate relief.