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Two large river snails are mashed. Add three fen of green salt, and apply the mixture to one cun and three fen below the umbilicus. Bowel movement will immediately become unobstructed.

Wrap musk in a packet and place it inside the umbilicus. After one or two shichen (4-8 hours), bowel movement will become unobstructed. Alternatively, peel ginger into a strip one cun long, coat it with salt, and insert it into the anus. Bowel movement will immediately become unobstructed. Furthermore, [text missing/fragmented] immediately becomes unobstructed. (Adding a small amount of good vinegar is even more effective for treating heat-closure of stool). Also, grind seven seeds of Melon Seed (Tianguadi) into powder. Wrap in cotton and insert into the anus; bowel movement will immediately become unobstructed. Soak ten dark plums (Wumei) in decoction, remove pits, and form pills the size of dates. Insert into the anus. After a short while, bowel movement will become unobstructed.

Zhang Zhongjing stated in *Shanghan Lun* (Treatise on Cold Damage): In Yangming disease, if there is spontaneous sweating and urination is unusually frequent, yet defecation is obstructed, this is due to the exhaustion of body fluids internally. Use two liang of honey, simmer over a mild fire until it can be shaped into strips while hot. (Alternatively, boil high-quality honey into an ointment, dripping it into cold water until it hardens). The strip should be as thick as a finger and about one cun and half long. Insert into the anal opening. After a brief moment, defecation will become unobstructed. One may also add musk, Asarum root (Xixin), and soapberry powder, mix evenly, shape into strips, soak in cold water until hard, and push into the anus. This method is suitable for the elderly with depleted qi, women who have recently given birth, and those recovering from chronic illness, where purging is contraindicated but retention is problematic. Its efficacy is very rapid.

Obstruction of urination: This syndrome varies by cold, heat, deficiency, and excess, so treatment methods are not fixed. Try one formula; if ineffective after one or two shichen, try another. Do not act rashly or prescribe indiscriminately, lest you harm yourself.

Powder of Kansui root (Gansui) mixed with water is applied to one cun and three fen below the umbilicus. Internally, drink a decoction made from the tips of Licorice root (Gancao). Alternatively, boil the white parts of leeks into a concentrated juice and wash the area one cun and three fen below the umbilicus; urination will immediately become unobstructed. Also, mash lettuce and apply it below the umbilicus; after one or two shichen, urination will become unobstructed with miraculous effect. Additionally, retain the bile from one pig gallbladder. Insert the penis into the gallbladder. After a short while, the bile enters, and urination flows naturally. For women, drip bile into the vagina. Also, wash the roots of Ramie (Zhugen), mash them, spread on silk, and apply to the lower abdomen extending to the genital region. Within moments, urination will become unobstructed. Also, decoct several liang each of Shepherd's Purse seed (Niu Bang Zi? Note: Text says "Wang Bu Liu Xing" which is Vaccariae Semen, likely a typo in source or specific local usage, translating as Vaccariae Semen) and sit in the basin, fumigating and washing the lower abdomen and body. Over time, warm qi reaches internally, and urination becomes unobstructed. Boil the flowers, roots, and leaves of [missing plant name] and wash the scrotum, penis, and inner thighs while hot; urination becomes unobstructed. Also, soak feet in yellow wine. Also, insert a paper wick made of Ricinus communis [seed/oil?] into the urethra; urination becomes unobstructed. Also, fill the umbilicus with powder of Pinellia tuber (Banxia) mixed with a small amount of musk. Use the white part of scallion and river snail... bind tightly with cloth. Burn soapberry underneath to produce smoke and fumigate the genital area; urination will flow naturally. For women, decoct soapberry and wash the genitals. At one cun and three fen, massage with hands. Adding a small amount of musk is even better. Also, for heat-closure obstruction, scrape Talcum (Huashi) and reapply. Also, for severe generalized edema approaching death, apply seventeen layers of blue cloth below the umbilicus and irons with a large pot of boiling yellow liquor (Baijiu).