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Answer: When Yang deficiency fails to transport Yin, Qi lacks Yin to clear its Yang, causing Yang to dominate alone and generate heat. When Yin deficiency fails to transport Yang, Qi lacks Yang to harmonize its Yin, causing Yin to dominate alone and generate cold (Jue). Therefore, when the two Qi (Yin and Yang) are harmonious, the Qi mechanism is smooth; when urination and defecation are unobstructed, the Qi pathway is patent. Now, with constipation of both urine and stool, it clearly indicates the solitary dominance of Yin pathogenic factors. If a person has excess Qi in the Fu and Zang organs generating heat, disease forms according to where the heat accumulates. If heat binds in the Large Intestine, defecation is obstructed; if heat binds in the Small Intestine, urination is obstructed. If both urine and stool are bound by heat, there will be irritability, fullness, and closure of both excretions. Excessive heat causes rebellious Qi in the Stomach and Intestines, while cold transforms into vomiting.

Binglang San (Areca Seed Powder), treating postpartum constipation of both urine and stool, abdominal distension and fullness, and shortness of breath.
Binglang (Arecae Semen, 1 liang), Cheqianzi (Plantaginis Semen, 3 fen), Dongguazi (Benincasae Semen, 3 fen), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, slightly stir-fried), Mutong (Akebiae Caulis, 1 liang), Guixin (Cinnamomi Cortex, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang), Danggui (Angelicae Sinensis Radix, stir-fried, 0.5 liang), Shishi (Talcum, 1 liang), Chuan Puxiao (Natrii Sulfas, 1 liang, added if calcined thoroughly).
Crush the herbs. Take 3 qian per dose, decoct with 1.5 cups of water until half a cup remains, strain, and take warm. No specific time restriction.

Mutong San (Akebia Caulis Powder), treating postpartum difficult and scanty urination and defecation.
Mutong (Akebiae Caulis), Damaren (Cannabis Fructus), Kuizi (Abelmoschi Semen, or Dongguazi/Benincasae Semen in another version), Shishi (Talcum), Binglang (Arecae Semen, each 1 liang), Zhishi (Aurantii Fructus, bran-fried, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang).

Question 4 from Yan Shi: What is the cause of facial redness, bitter taste, dry tongue, mental restlessness, and abdominal distension during pregnancy? Answer: It is likely due to indulging in alcohol and consuming peaches, pears, mutton, chicken, wheat noodles, fish, and other pungent or toxic foods, leading to soreness and pain in all joints, and constipation of both urine and stool. One may take Guiliang Jieming San.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhu Gen (Stemonae Radix), Baishao Yao (Paeoniae Radix Alba), Maimendong (Ophiopogonis Radix, heart removed), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang), Nuomi (Oryza Sativa Glutinosa, 0.5 he), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang).
Crush the herbs. Take 4 qian per dose, decoct with 1.5 cups of water until 9/10 remains, strain, and take warm. No specific time restriction.

Dafupi San (Tangerine Peel Powder), treating obstruction of both urine and stool during pregnancy.
Zhiqiao (Aurantii Fructus), Dafupi (Arecae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Chi Fuling (Poria, peeled, 3 qian).
Grind into fine powder. Take 2 qian per dose, mixed with strong decoction of Scallion White (Congbai), no specific time restriction.

Dongkuizi San (Abelmoschi Semen Powder), treating difficult urination during pregnancy, heavy body sensation with aversion to cold, dizziness upon rising, and edema.
Dongkui (Abelmoschi Semen, 3 qian), Chi Fuling (Poria, 2 qian).
Grind into fine powder. Take 3 qian per dose, mixed with rice water, no specific time restriction. Stop if diarrhea occurs. If still obstructed after taking, it may be Zhuanbao (cystoptosis/compression of the bladder); adding a small amount of hair ash is highly effective.
Once, a pregnant woman had abdominal distension, difficult urination, and vomiting. Various physicians administered medicines for warming the Spleen and Stomach, moving Qi, and reducing distension. After taking them, she vomited more, could not retain medicine or food, and the distension worsened, pressing on the Heart. Verification revealed the fetus had died in the womb. Other abortifacient medicines failed to resolve it, causing family panic. Then, the treatise on Liyu Tang (Carp Decoction) was consulted: "Foot swelling is commonly called 'wrinkled feet'; if the whole body is swollen and the chest and abdomen are tight and distended, it is called Taishui (Fetal Water)." The clothes over the pregnant woman's chest were removed for examination, revealing indistinct boundaries between chest and abdomen. She urgently took 4-5 doses of Liyu Tang. Both urine and stool discharged foul water, swelling subsided, distension resolved, and she was finally able to deliver the dead fetus. This was a fortunate survival. This condition arises because the abdomen enlarges during pregnancy, which the mother does not perceive; everyone assumes this is normal for pregnancy and never considers it Taishui disease. How can physicians know? Thus, this treatise is written. Patients' families should be self-aware.

Liyu Tang (Carp Decoction)
Danggui (Angelicae Sinensis Radix), Baishao Yao (Paeoniae Radix Alba, peeled, each 4 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang).
Crush the herbs. Take 4 qian per dose. Use one carp, regardless of size, clean, remove scales and entrails, and boil in plain water until cooked. Remove the fish meat. Take 1.5 cups of the fish broth per dose, add 5 slices of ginger and a little Chenpi (Citri Reticulatae Pericarpium), decoct until one cup remains, and take on an empty stomach. If Taishui is not completely expelled, take again.