论曰脾胃大小肠膀胱者，仓廪之本，营之居也，名曰器，能化糟粕转味而出入者也。盖
营受水谷之真精，营卫之根源，大小肠膀胱得以变化，皆营为之本，是以小肠为受盛之官，
水谷初未分也，及其化物，归于膀胱而为溺，传于大肠而为糟粕，必曰气化则能出矣，或阴
阳之气不平，寒热相胜，或气实塞而不通，或气虚损而遗泄，或燥而结，或热而秘，皆阴阳
不和之病也，治此者，不概以寒热为法，寒剂荡涤，热剂枯燥，反伤和气，耗其津液，若关
格不通，三焦约病，责以营卫之痞塞，产后便难，与夫老者秘涩之病，又以津液不足，止可
滑以利之，润以滋之，苟荡以 剂，则糟粕不通，真气受弊，不可不知也。
论曰大小便不通者，阴阳关格，及三焦约之病也，阴阳和平，三焦升降，则水谷糟粕以
时传导，今阴阳偏盛，气痞于中，则营卫因之以不行，故气结于腹内，胀满不通，而大小肠
俱闭塞也。
治关格不通妨闷，大小便秘涩，大黄散方
大黄（锉二两） 桂（去粗皮三分） 冬瓜子（微炒一合） 滑石（研三两） 朴硝（生
铁铫子
上五味，先捣前三味，细罗为散，更与滑石朴硝同研匀细，每服二钱匕，浓煎白茅根汤
调，空腹服之，至晚再服。
治大小便不通，黄芩汤方
黄芩（去黑心二两） 赤芍药 白茅根 大黄（生用各三两） 瞿麦穗（一两半）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓入朴硝末半钱匕，更煎二沸，
空心温服。
治关格不通，脬肠妨闷，大小便不通，芒硝汤方
芒硝（研二两半） 冬葵子（微炒三合） 滑石（碎三两）
上三味，除芒硝外， 咀二味，每服五钱匕，水一盏半，煎至一盏，去滓入芒硝末，半
钱匕，更煎二沸，空心温服。
治腹胁胀满，关格，大小便不通，茱萸汤方
吴茱萸（汤浸洗去涎曝干微炒） 大黄（锉炒） 当归（切焙） 桂（去粗皮） 赤芍
药甘草
干姜（炮一两）
上一十三味，将一十一味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓下雄黄真珠
末一字，酒半盏，更煎三沸，空心服之。
治大小便不通，滑石汤方
滑石（一两半） 茅根 车前子（各三分） 天门冬（去心焙） 冬瓜瓤 莨菪子（淘
去浮者
上六味 咀，每服五钱匕，水一盏半，煎至一盏，去滓食前温服，日三。
治大小便俱不通，车前子汤方
车前子（五两生用） 木通（锉四两） 黄芩（去黑心） 郁李仁（汤浸去皮尖双仁研
如膏各
上四味，将前三味粗捣筛，与郁李仁拌匀，每服五钱匕，水一盏半，煎至一盏，去滓入
朴硝末半钱匕，更煎二沸，食前温服、日三。
治大小便俱不通，榆白皮汤方
榆白皮 甘草（炙锉各一两半） 滑石（三两） 桂（去粗皮一两）
上四味， 咀，每服四钱匕，水一盏半，煎至一盏，去滓食前服，日三。
治大小便不通，芍药汤方
赤芍药 桑根白皮（锉各三两） 瞿麦穗 大黄（锉炒） 榆白皮（锉） 防葵（去芦
头） 麻
上七味，将前六味粗捣筛，与麻子仁拌匀，每服五钱匕，水一盏半，煎至一盏，去滓
入芒硝末半钱匕，更煎二沸，空腹温服，日晚再服。
治大小便不通，木通汤方
木通（锉二两） 大黄（锉生用） 滑石（各三两） 麻子仁（一合研如膏）
上四味，将前三味粗捣筛，与麻子仁拌匀，每服五钱匕，水一盏半，煎至一盏，去滓入
芒硝末半钱匕，更煎二沸，空心服之。
治大小便不通，冬葵根汁方
生冬葵根（净洗二斤捣绞取汁三合） 生姜（四两捣绞取汁一合）
上二味搅匀，分作两服，空腹一服，有顷再服，服尽即通。
治气痞，心腹胀，喘促，大小便不利，甘遂散方
甘遂（煨） 牵牛子（炒） 续随子（去壳） 大戟 葶苈子（各等分）
上五味，捣罗为散，每服半钱匕，浓煎灯心汤，空心调服，利下水为度。
治大小便不通，紫金沙散方
紫金沙（不拘多少蜂房蒂也）
上一味，捣罗为散，每服一钱匕，温酒调下。
治大小便不通，土马鬃汤方
土马鬃（不拘多少）
上一味，走水陶火上，用新瓦爆过，为粗末，每服二钱匕，水一盏，煎至七分，去滓温
服。
治大小便不通，猪脂酒方
猪脂（如半鸡子大碎切）
上一味，以酒一升微煮沸，投猪脂，更煎一二沸，分为两度，食前温服，未通再服。
治大小便不通，冬葵子汤方
冬葵子（微炒一两）
上一味，粗捣筛，用水二盏，煎至一盏去滓，入人乳汁半合，和匀，空腹顿服。
治大小便不通，发灰散方
乱发（一两净洗烧为灰）
上一味细研，每服三钱匕，温水调，食前服，日三，以通利为度。
治下焦结热，肠胃燥涩，大小便不利，牵牛子丸方
黑牵牛（淘洗令净炊令气透便取出摊令微冷便杵取末三两） 青橘皮（焙和白用） 陈
橘皮
（焙和白用） 桑根白皮（锉炒） 芍药（焙各一两） 栝蒌根（一两） 木通（锉一两）
上七味，捣罗为末，炼蜜拌和，杵至三五千下，丸如梧桐子大，每服十五丸，加至二十
丸，茶酒任下。
治下焦热，大小便不通，气胀满闷，木香饮方
木香 黄芩（去黑心） 木通（锉炒） 陈橘皮（汤浸去白焙各三分） 冬葵子（研） 瞿
麦穗
上九味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治大小便不通，茯苓丸方
赤茯苓（去黑皮） 芍药 当归（切焙） 枳壳（去瓤麸炒） 白术 人参（各五两） 大
麻仁
上八味，捣罗为末，炼蜜和丸，如梧桐子大，每服十五丸，至二十丸，空心煎茅根汤下
治大小便不利，芫花丸方
芫花（炒） 滑石（碎各半两） 大黄（锉炒三分）
上三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，葱汤下。
治中焦热实闭塞，关格不通，吐逆喘急，大黄汤方
大黄（锉微炒） 前胡（去芦头） 半夏（汤洗七遍炒） 人参（各三分） 黄芩（去
黑心） 赤
上八味，粗捣筛，每服五钱匕，水一盏半，入生姜五片，同煎至八分，去滓温服。
治大小便不通，腹胁坚胀，蒸下部方
莲叶（三两） 葱（三七茎并须用去叶切） 皂荚（一挺炙锉） 生姜（一两切）
上四味，以浆水一斗二升，煮十余沸，并滓分两度用，旋旋盛入小口瓷缸中，坐缸口上，
熏蒸冷则易之，未通即倾药于桶斛中，添热水，坐蘸下部即通。
Commentary states: The spleen, stomach, large intestine, small intestine, and bladder are the root of granaries and storehouses, the residence of Ying (Nutritive Qi), named as "vessels," capable of transforming dregs and flavors to excrete them. Generally, Ying receives the true essence from food and drink, serving as the root of Ying and Wei (Defensive Qi). The transformation and excretion functions of the large intestine, small intestine, and bladder all rely on Ying as their foundation. Therefore, the small intestine is called the "Official of Reception and Fulfillment." When food and drink enter, they have not yet separated; after digestion and transformation, fluids return to the bladder to become urine, while residues pass to the large intestine to become feces. It must be stated that "Qi transformation enables excretion." If Yin and Yang Qi are imbalanced, with cold and heat competing, or if Qi excess causes obstruction without passage, or Qi deficiency leads to leakage, or dryness causes accumulation, or heat causes constipation, these are all diseases of Yin-Yang disharmony. Treating these conditions should not generally rely solely on cold or hot methods. Cold purgatives may scour the bowels, while hot agents may cause dryness, both potentially damaging harmonious Qi and depleting body fluids. In cases of Guan-Ge (obstruction) where the San Jiao (Triple Burner) is constrained, the pathology is attributed to stagnation of Ying and Wei. For postpartum difficulty in defecation or constipation in the elderly due to insufficient body fluids, only lubricating and moistening methods should be used. Using harsh purgatives would fail to clear the feces and damage True Qi, a fact that must not be overlooked.
Commentary states: Obstruction of urination and defecation constitutes a disease of Yin-Yang Guan-Ge and constraint of the San Jiao. When Yin and Yang are in harmony and the San Jiao ascends and descends properly, food residues are transmitted and excreted at appropriate times. Currently, if Yin or Yang is excessively dominant, Qi becomes stagnant in the middle Jiao, causing Ying and Wei to fail to circulate. Consequently, Qi knots within the abdomen, leading to distension, fullness, and lack of passage, resulting in blockage of both the large and small intestines.
Da Huang San (Rhubarb Powder) for treating Guan-Ge obstruction, chest stuffiness, and constipation of stool and urine:
Da Huang (Cortex Rhei, 2 liang, sliced), Guizhi (Ramulus Cinnamomi, 3 qian, bark removed), Dongguazi (Semen Benincasae, 1 he, lightly fried), Huashi (Talcum, 3 liang, ground), Puxiao (Natrii Sulfas, raw).
The above five ingredients: First, pound the first three ingredients finely, sift through a fine sieve to make a powder, then mix evenly with Huashi and Puxiao. Take 2 qian bi per dose, mixed with thick decoction of Baimaogen (Radix Imperatae), taken on an empty stomach, and repeated at night.
Huang Qin Tang (Scutellaria Decoction) for treating obstruction of stool and urine:
Huang Qin (Radix Scutellariae, 2 liang, black heart removed), Chishao Yao (Radix Paeoniae Rubra), Baimaogen (Radix Imperatae), Da Huang (Cortex Rhei, 3 liang, raw), Qumai Sui (Herba Dianthi, 1.5 liang).
The above five ingredients: Coarsely crush and sieve. Take 5 qian bi per dose, with 1.5 sheng of water, decoct to 1 sheng, remove dregs, add 0.5 qian bi of Puxiao powder, boil two more times, and take warm on an empty stomach.
Mang Xiao Tang (Mirabilite Decoction) for treating Guan-Ge obstruction, bladder and intestinal stuffiness, and obstruction of stool and urine:
Mang Xiao (Natrii Sulfas, 2.5 liang, ground), Dongkuizi (Semen Malvae, 3 he, lightly fried), Huashi (Talcum, 3 liang, crushed).
The above three ingredients: Except for Mang Xiao, chop the other two. Take 5 qian bi per dose, with 1.5 sheng of water, decoct to 1 sheng, remove dregs, add 0.5 qian bi of Mang Xiao powder, boil two more times, and take warm on an empty stomach.
Zhu Yu Tang (Evodia Decoction) for treating abdominal and hypochondriac distension, Guan-Ge, and obstruction of stool and urine:
Wuzhuyu (Fructus Evodiae, soaked in water, washed to remove saliva, dried, lightly fried), Da Huang (Cortex Rhei, sliced and fried), Dang Gui (Radix Angelicae Sinensis, cut and roasted), Guizhi (Ramulus Cinnamomi, bark removed), Chishao Yao (Radix Paeoniae Rubra), Gancao (Radix Glycyrrhizae), Ganjiang (Rhizoma Zingiberis, processed, 1 liang).
The above thirteen ingredients (note: text lists fewer specific weights for some): Coarsely crush and sieve eleven ingredients. Take 3 qian bi per dose, with 1 sheng of water, decoct to 0.7 sheng, remove dregs, add Xionghuang (Realgar) and Zhenzhu (Pearl) powder (one zi), half a sheng of wine, boil three more times, and take on an empty stomach.
Huashi Tang (Talcum Decoction) for treating obstruction of stool and urine:
Huashi (Talcum, 1.5 liang), Maogen (Radix Imperatae), Cheqianzi (Semen Plantaginis, 3 qian each), Tianmendong (Rhizoma Asparagi, heart removed, roasted), Dongguabang (Pulp Benincasae), Langdangzi (Semen Hyoscyami, floated ones removed).
The above six ingredients: Chop. Take 5 qian bi per dose, with 1.5 sheng of water, decoct to 1 sheng, remove dregs, take warm before meals, three times daily.
Cheqianzi Tang (Plantago Seed Decoction) for treating simultaneous obstruction of stool and urine:
Cheqianzi (Semen Plantaginis, 5 liang, raw), Mutong (Caulis Akebiae, sliced, 4 liang), Huang Qin (Radix Scutellariae, black heart removed), Yuliren (Semen Pruni, soaked in water, skin and pit removed, double-kernel paste).
The above four ingredients: Coarsely crush and sieve the first three, mix with Yuliren paste. Take 5 qian bi per dose, with 1.5 sheng of water, decoct to 1 sheng, remove dregs, add 0.5 qian bi of Puxiao powder, boil two more times, take warm before meals, three times daily.
Yubai Pi Tang (Ulmus Bark Decoction) for treating simultaneous obstruction of stool and urine:
Yubai Pi (Cortex Ulmi), Gancao (Radix Glycyrrhizae, honey-fried and sliced, 1.5 liang each), Huashi (Talcum, 3 liang), Guizhi (Ramulus Cinnamomi, bark removed, 1 liang).
The above four ingredients: Chop. Take 4 qian bi per dose, with 1.5 sheng of water, decoct to 1 sheng, remove dregs, take before meals, three times daily.
Shaoyao Tang (Peony Decoction) for treating obstruction of stool and urine:
Chishao Yao (Radix Paeoniae Rubra), Sanggen Baidi (Cortex Mori Radicis, sliced, 3 liang each), Qumai Sui (Herba Dianthi), Da Huang (Cortex Rhei, sliced and fried), Yubai Pi (Cortex Ulmi, sliced), Fangkui (Radix Dictamni, rhizome removed), Maziren (Semen Cannabis, added later).
The above seven ingredients: Coarsely crush and sieve the first six, mix with Maziren paste. Take 5 qian bi per dose, with 1.5 sheng of water, decoct to 1 sheng, remove dregs, add 0.5 qian bi of Mang Xiao powder, boil two more times, take warm on an empty stomach, and repeat in the evening.
Mutong Tang (Akebia Decoction) for treating obstruction of stool and urine:
Mutong (Caulis Akebiae, sliced, 2 liang), Da Huang (Cortex Rhei, sliced, raw), Huashi (Talcum, 3 liang each), Maziren (Semen Cannabis, 1 he, ground into paste).
The above four ingredients: Coarsely crush and sieve the first three, mix with Maziren paste. Take 5 qian bi per dose, with 1.5 sheng of water, decoct to 1 sheng, remove dregs, add 0.5 qian bi of Mang Xiao powder, boil two more times, and take on an empty stomach.
Dong Kui Gen Zhi (Malva Root Juice) for treating obstruction of stool and urine:
Sheng Dong Kui Gen (Root Malvae, cleaned, 2 jin, pounded and juiced to obtain 3 he), Shengjiang (Rhizoma Zingiberis, 4 liang, pounded and juiced to obtain 1 he).
The above two ingredients: Mix well, divide into two doses. Take one dose on an empty stomach, and another shortly after. Passage will occur upon completion.
Gan Sui San (Kansui Powder) for treating Qi stagnation, abdominal distension, panting, and difficulty in urination and defecation:
Gansui (Radix Kansui, baked), Qianniu Zi (Semen Pharbitidis, fried), Xu Sui Zi (Semen Euphorbiae Lathyridis, shell removed), Daji (Radix Euphorbiae Humifusae), Tinglizi (Semen Lepidii et Descurainiae, equal parts).
The above five ingredients: Pound and sieve into powder. Take 0.5 qian bi per dose, mixed with thick decoction of Dengxin Cao (Medulla Junci), taken on an empty stomach. Continue until watery diarrhea occurs.
Zi Jin Sha San (Purple Gold Sand Powder) for treating obstruction of stool and urine:
Zi Jin Sha (Beehive Stalk, amount unspecified).
The above single ingredient: Pound and sieve into powder. Take 1 qian bi per dose, mixed with warm wine.
Tu Ma Zong Tang (Earth Horse Mane Decoction) for treating obstruction of stool and urine:
Tu Ma Zong (Herba Siegesbeckiae, amount unspecified).
The above single ingredient: Roast over fire in a new tile, grind into coarse powder. Take 2 qian bi per dose, with 1 sheng of water, decoct to 0.7 sheng, remove dregs, and take warm.
Zhu Zhi Jiu (Lard Wine) for treating obstruction of stool and urine:
Zhu Zhi (Porcine Fat, size of half a chicken egg, chopped).
The above single ingredient: Boil 1 sheng of wine slightly, add lard, boil one or two more times. Divide into two doses, take warm before meals. Repeat if no passage.
Dong Kui Zi Tang (Malva Seed Decoction) for treating obstruction of stool and urine:
Dong Kui Zi (Semen Malvae, 1 liang, lightly fried).
The above single ingredient: Coarsely crush and sieve. Use 2 sheng of water, decoct to 1 sheng, remove dregs, add 0.5 he of human milk, mix well, and take in one dose on an empty stomach.
Fa Hui San (Hair Ash Powder) for treating obstruction of stool and urine:
Luan Fa (Human Hair, 1 liang, cleaned and burned to ash).
The above single ingredient: Grind finely. Take 3 qian bi per dose, mixed with warm water, taken before meals, three times daily. Continue until passage is achieved.
Qian Niu Zi Wan (Pharbitis Pill) for treating lower Jiao heat accumulation, dryness and roughness of intestines and stomach, and difficulty in urination and defecation:
Hei Qian Niu (Semen Pharbitidis, washed clean, steamed until vapor penetrates, spread to cool slightly, pounded to powder, 3 liang), Qing Ju Pi (Pericarpium Citri Reticulatae Viride, roasted, white pith removed, used as is), Chen Ju Pi (Pericarpium Citri Reticulatae, roasted, white pith removed, used as is), Sanggen Baidi (Cortex Mori Radicis, sliced and fried), Shaoyao (Radix Paeoniae, roasted, 1 liang each), Gualou Gen (Radix Trichosanthis, 1 liang), Mutong (Caulis Akebiae, sliced, 1 liang).
The above seven ingredients: Pound and sieve into powder, mix with refined honey, pound 3,000-5,000 times, form pills the size of Sophora seeds. Take 15 pills per dose, increasing to 20, swallowed with tea or wine as preferred.
Mu Xiang Yin (Costus Drink) for treating lower Jiao heat, obstruction of stool and urine, and abdominal distension/stuffiness:
Mu Xiang (Radix Aucklandoniae), Huang Qin (Radix Scutellariae, black heart removed), Mutong (Caulis Akebiae, sliced and fried), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, roasted, 3 qian each), Dong Kui Zi (Semen Malvae, ground), Qumai Sui (Herba Dianthi).
The above nine ingredients: Chop to the size of hemp seeds. Take 5 qian bi per dose, with 1.5 sheng of water, decoct to 0.8 sheng, remove dregs, and take warm.
Fu Ling Wan (Poria Pill) for treating obstruction of stool and urine:
Chi Fu Ling (Poria, black skin removed), Shaoyao (Radix Paeoniae), Dang Gui (Radix Angelicae Sinensis, cut and roasted), Zhike (Fructus Aurantii, pulp and bran removed, stir-fried), Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng, 5 liang each), Dama Ren (Semen Cannabis).
The above eight ingredients: Pound and sieve into powder, mix with refined honey and form pills the size of Sophora seeds. Take 15-20 pills per dose, swallowed with decoction of Maogen on an empty stomach.
Yuan Hua Wan (Genkwa Pill) for treating difficulty in urination and defecation:
Yuan Hua (Flos Genkwa, fried), Huashi (Talcum, crushed, 0.5 liang each), Da Huang (Cortex Rhei, sliced and fried, 3 qian).
The above three ingredients: Pound and sieve into powder, mix with refined honey and form pills the size of Sophora seeds. Take 20 pills per dose, swallowed with scallion decoction.
Da Huang Tang (Rhubarb Decoction) for treating middle Jiao heat-excess blockage, Guan-Ge obstruction, vomiting, and panting:
Da Huang (Cortex Rhei, sliced and lightly fried), Qian Hu (Radium Peucedani, rhizome removed), Banxia (Rhizoma Pinelliae, washed in water seven times, fried), Renshen (Radix Ginseng, 3 qian each), Huang Qin (Radix Scutellariae, black heart removed), Chi Shao Yao (Radix Paeoniae Rubra).
The above eight ingredients: Coarsely crush and sieve. Take 5 qian bi per dose, with 1.5 sheng of water and 5 slices of Shengjiang, decoct to 0.8 sheng, remove dregs, and take warm.
Zheng Xia Bu Fang (Lower Body Fumigation Method) for treating obstruction of stool and urine, hardness and distension of abdomen and hypochondrium:
Lian Ye (Folium Nelumbinis, 3 liang), Cong (Allii Fistulosi, 3-7 stems including roots, leaves removed, cut), Zao Jia (Fructus Gleditsiae, one stick, roasted and sliced), Shengjiang (Rhizoma Zingiberis, 1 liang, cut).
The above four ingredients: Boil in 12 sheng of Jiangshui (fermented grain liquid) for more than ten boils. Use both liquid and dregs in two portions. Slowly pour into a narrow-mouthed porcelain jar. Sit on top of the jar opening to fumigate the lower body; replace when cool. If no passage, pour medicine into a bucket, add hot water, and sit to soak the lower body until passage occurs.