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It is stated: The *Huangdi Sanbu Zhenjiu Jing* (Classic of Yellow Emperor on Acupuncture and Moxibustion of the Three Parts) records that swelling and pain in the lower abdomen, accompanied by inability to urinate, indicates pathogenic factors affecting the Sanjiao (Triple Burner), a condition named "Sanjiao Yue" (Constraint of the Triple Burner). Internal closure occurs, resulting in the inability to pass both stool and urine. The Sanjiao is the pathway for water and grain, and the beginning and end of Qi circulation. The Upper Jiao is like mist, the Middle Jiao is like fermentation, and the Lower Jiao is like a ditch. When these three circulate smoothly, Ying (Nutritive) and Wei (Defensive) Qi nourish and support the body, facilitating the rotting and ripening of food and drink, separating the clear from the turbid, and transmitting them downward in due time without stagnation. If Ying and Wei Qi are disharmonious and wind pathogens invade, the official responsible for draining (the Sanjiao) becomes constrained and blocked, leading to the inability to pass stool and urine. Acupuncture therapy should select meridians of the Foot-Shaoyin (Kidney) and Foot-Taiyang (Bladder), assisted by decoctions, so that the Sanjiao is unblocked, and clear and turbid substances are distinguished.

To regulate and smooth the Sanjiao, balance Qi and pulses, resolve phlegm stasis, benefit the chest and diaphragm, dispel wind, and promote bowel and bladder function. Formula for Zhike Wan (Bitter Orange Pill):
Zhike (Aurantii Fructus, pith removed, stir-fried with bran, 2 liang) Qianniu Zi (Pharbitidis Semen, selected, 4.5 liang; half stir-fried, half raw, pounded and sifted to obtain 1.5 liang of powder, discard the rest) Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 0.5 liang) Binglang (Arecae Semen, 0.5 liang, sliced) Muxiang (Aucklandiae Radix, 1 fen)
The above five herbs: Pound and sift the four herbs (excluding the powder) into fine powder, mix evenly with the Qianniu powder, and sieve again. Blend with refined honey to form pills the size of Sophora japonica seeds. Take 15 to 20 pills per dose after meals, washed down with ginger soup. Increase the number of pills if stronger purgation is desired.

Formula for Zhike San (Bitter Orange Powder) to treat Sanjiao Yue with obstruction of both stool and urine:
Zhike (Aurantii Fructus, soaked in hot water, pith removed, sliced, dried, 5 liang) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, brushed with ginger juice, roasted, 2 liang) Huashi (Talcum, finely ground, 1 liang) Gui (Cinnamomi Ramulus, coarse bark removed, 2 liang)
The above four herbs: Pound, grind, and mix evenly. For every 1 liang of herbal powder, add 0.5 qian of Nifen (Calomelas/Calomel) and mix well. Take 1 qianbi (approx. 3-5 grams) per dose, mixed with cold rice beverage, taken on an empty stomach. Adjust dosage according to age and deficiency/excess conditions.

Formula for Shunqi Wan (Regulating Qi Pill) to treat Sanjiao Yue and facilitate bowel and bladder movement:
Muxiang (Aucklandiae Radix, 2 liang) Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried) Renshen (Ginseng Radix) Chifuling (Poria Cocos with Red Skin, black skin removed) Daji (Euphorbiae Pekinensis Radix, boiled in river water, peeled, dried, each 1 liang) Yuliren (Pruni Semen, 0.5 liang) Mahren (Cannabis Semen, 0.5 liang; pound separately with Daji and Yuliren until fine, then add to the mixture) Gansui (Kansui Radix, stir-fried with bran until slight smoke appears, remove and cool on the ground)
The above ten herbs: Except for the three herbs processed separately, pound and sift the remaining herbs into powder. Mix in the three prepared herbs, sieve again, and blend with refined honey to form pills the size of Vicia faba seeds. Take 10 pills per dose, washed down with a decoction of Plantago seed (Cheqianzi), at any time.

Formula for Yuliren Wan (Prunus Seed Pill) to treat Sanjiao Yue with lower abdominal swelling and pain, and obstruction of stool and urine:
Yuliren (Pruni Semen, soaked in hot water, peeled, ground) Dahuang (Rhei Radix et Rhizoma, sliced, stir-fried, each 1 liang) Chifuling (Poria Cocos with Red Skin, black skin removed) Zexie (Alismatis Rhizoma, sliced) Tingli (Semen Lepidii et Descurainiae, stir-fried over paper, each 2 liang) Damaren (Cannabis Semen, 1.5 liang, ground) Binglang (Arecae Semen, 3 liang, sliced) Xingren (Armeniacae Semen Amarum, peeled, pointed ends removed, double-kernelled, stir-fried with bran, 0.5 liang, ground)
The above eight herbs: Pound and grind, mix evenly, and grind again until extremely fine. Blend with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose on an empty stomach, washed down with licorice soup. Take three times daily. Alternatively, wash down with salted wine.

Formula for Shufeng San (Dispersing Wind Powder) to treat Sanjiao Qi Yue with obstruction of stool and urine:
Qianniu Zi (Pharbitidis Semen, lightly stir-fried, 1 liang) Dahuang (Rhei Radix et Rhizoma, sliced, stir-fried, 1 liang) Binglang (Arecae Semen, 0.5 liang, sliced) Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 1 liang)
The above four herbs: Pound and sift into powder. Take 2 qianbi per dose, mixed with ginger and honey water, taken long after meals.

Formula for Zaojia San (Soap Pod Powder) to treat Sanjiao Yue with obstruction of stool and urine:
Zhuya Zaojia (Gleditsiae Sinensis Spina, roasted with lard, peeled, seeds removed) Baijili (Tribuli Fructus, equal parts)
The above two herbs: Pound and sift into powder. For large intestine obstruction, take 1 qianbi mixed with salt tea. For urinary obstruction, take 1 qianbi mixed with warm wine.