小儿大便有秘涩者。有不通者。皆由腑脏有热。乘于肠胃。胃热则津液少。少则粪燥结实而硬。大便难下。
则为秘涩。甚者则不能便。乃为不通也。小便有滴沥者。有不通者。由小肠与膀胱有热。二经俱主水。水入小
肠。传于膀胱。循水道出而小便也。热气乘之。则水耗少而行涩。故滴沥而下也。甚者水道干而不通也。若热
入大小肠。则皆壅滞。不得宣利。故大小便俱不通也。
金花散
治大便秘涩便难。
皂角仁（一钱炒） 槟榔（一个生） 甘草（一钱）
上为细末。每服一字或半钱。沙糖熟水调下。
柏子仁膏
治如前。
柏子仁（拣净） 松子仁 胡桃仁（各等分）
上研和膏。每弹子大。热汤化下。未快再服。
人参荆芥汤
以人参荆芥各自为末。每用人参末半钱。荆芥末一钱和匀。水一盏。煎至七分。放冷量大小时时与服。
木香粗散
治大便不通。木香诃子煨取皮等分。为粗末。每半钱或一钱。水煎去滓。放温时服。
又方 治如前。以猪苓一两为末。水少许。煮鸡矢白汤调下一钱。瘥。
又方 治如前。以酵不拘多少。先搦干曝为末。面糊为丸绿豆大。每服五七丸。至十余丸。量大小。米饮
下。
木通散
治小便涩滞滴沥。不得通快。
木通 滑石 甘草（炙） 焰硝（研各半两） 三叶草（一分）
上为末细匀。每服一字或半钱。沸汤点服。乳食前。
滑石散
治如前。
滑石 瞿麦 葵子（炒） 芸薹子 甘草（炙） 山栀子仁 郁金 海金砂（炒各一钱）
上为细末。每服半钱。煎灯心葱汤调下。乳食前。
如圣散
治如前。海金砂炒。滑石等分。为细末。每服一字或半钱。煎灯心汤调下。乳前食。
八正散
治如前。又治心经邪热。又治热淋。
瞿麦 木通 山栀子仁 地扁竹 车前子 甘草 滑石（各三钱） 大黄（一钱半）
上为细末。每服一钱。水七分。入薄荷二叶。同煎二分。去滓温服。无时。
治小儿小便不通。三日欲死。葵根一握锉。壁鱼七枚。别研。以水一大盏。煎葵根取汁六分。入壁鱼末。再
煎三五沸。去滓。放温服。
治小儿小便赤涩不通 蒲黄滑石各等分。研匀细。每服一钱。煎灯心汤调下。沙糖水亦得。亦治淋痛。乳食
前。
治小儿卒不得小便 盐安脐中灸之。
治小儿小便赤涩不通
滑石（二两） 木通（一两） 葵子（一合）
上为粗散。每服一钱。水一小盏。煎五分。去滓温服。无时。
冬葵子散
治小儿卒小便不通。小腹急闷。冬葵子一两。木通半两。为粗末。每服一钱。水一小盏。煎至五分。去滓。
不拘时候。
捻头散
治小便不通。延胡索去皮。川苦楝去核。为细末。每服半钱或一钱。捻头汤调下。如无捻头。即于汤中
滴油三两点。食前服。一方车前草小麦各一升。水二升。煮取一升二合。去滓，煮粥服。日二。量儿大小加减。
葶苈散
治如前。葶苈半两炒。青皮去穣炒黄。半两。为细末。每服半分或一分。空心姜汤调下。乳食前。
僵蚕散
治如前。白僵蚕炒去丝嘴。当归去芦洗净。等分为细末。每服半钱或一钱。煎车前子汤调下。亦治血淋。若
沙淋者。煎羊蹄草汤调下。无时。
又方 治如前。以绵黄 为末。每服一钱。水一盏。煎至五分。温服无时。
又方 治如前。以乌梅肉为末。每服一钱。水调服。神效。
又方 以地扁竹煎汤。放温服。如熟水饮之。效。
白术膏
治小便涩滞不通。胸腹痞满。
白术（半两） 白茯苓（一分） 泽泻（半两） 人参（去芦一分） 滑石（一分）
上为末。炼蜜和膏。每皂子大。米饮化下。亦治脾胃不和。不美
乳食。
朱砂散
治小便赤涩不通。心神烦躁。
朱砂（一两研） 滑石（半两研） 犀角屑（半两） 黄芩（一分） 车前子（一分炒） 甘草（一分炙）
上为散拌匀。每服半钱。煎竹叶汤调下。乳食前。
葵石散
治小便不通闷乱。
葵根（一握锉） 滑石（一两） 木通（一两） 牵牛子（半两炒）
上为粗散。每服一钱。水一大盏。入灯心葱白各少许。煎至六分。去滓放温。食前服。
鸡肠草散
治小肠膀胱有热。小便难涩。服冷药过多。却致小便不能禁止。
鸡肠草（一两） 牡蛎粉（三分） 龙骨（火 半两） 麦门冬（去心焙半两） 白茯苓（去黑皮半两）
桑螵蛸（米泔水煮半两）
上为粗散。每服一钱。水一盏。入生姜二片。枣一个。煎至六分。去滓温服。亦治遗尿。乳食前。
郁李仁丸
治大小便秘涩不通。
郁李仁（二两汤浸去皮） 大黄（一两） 槟榔（三两） 青皮（去穣半两）
上为细末。炼蜜和丸绿豆大。每服十丸至十五丸。姜汤下。无时。
芎黄散
治如前。
芎 （一两） 川大黄（三分锉碎微炒） 郁李仁（三分温汤浸去皮微炒黄）
上为散。每服一钱。温水调下。乳食前。
朱粉丹
治如前。心神烦。腹胁闷。卧中多惊。
朱砂（半两研细水飞） 腻粉（一钱） 续随子（半两）
上为末。研拌匀。炼蜜和丸黍米大。每服七粒。食后温水送下。
木通锉散
治大小便不通。
木通 瞿麦 滑石 山栀子仁（各三钱） 茯苓（去黑皮） 甘草（各四钱） 续随子（三钱） 车前子
（一分）
上 咀。每服一钱。水一盏。煎至半盏。去滓温服。更量大小加减。乳食前。
红绵散
治如前。
朱砂（研水飞） 郁金 轻粉（各一分） 马牙硝（半两）
上入麝香少许，研匀细。每服半钱。薄荷蜜水调下。无时。
又方 治如前。以滑石为末。每服半钱。清油调如稀糊。再入好酒一茶脚许。搅匀服之。如一时久。未通再
服。
又方 治如前。以不 皂角去皮核。生为末。用二钱。取独头蒜一颗。沙盆内同皂角末磨擦蒜尽。以酽米
醋少许和之。捻作饼子。如香花子。贴脐中。立通。
又方 治如前。以露蜂房烧灰研细。酒调一钱或半钱。日二。
郁李仁膏
治襁褓小儿。大小便不通。
郁李仁（一两浸去皮） 滑石（半两研） 大黄（去粗皮取实者一两锉碎酒浸半日捏干炒焦为末）
上先将郁李研为膏。和二味丸黍米大。每服一二十丸。量大小与。小者乳汁下。大者薄荷汤下。要疏风热痰
实服。但微溏极稳。
Infants and children may experience constipation or complete obstruction of defecation. This is caused by heat in the fu organs invading the stomach and intestines. Heat in the stomach consumes body fluids (Jinye), leading to dry, hard, and compacted feces that are difficult to pass. This condition is termed "constipation" (bise). If severe enough to result in total inability to defecate, it is termed "obstruction" (butong).
Similarly, dribbling urination or complete urinary retention is caused by heat in the small intestine and bladder. Both meridians govern water metabolism; water enters the small intestine, transmits to the bladder, and exits via the water pathways as urine. When heat pathogen invades, it depletes fluids, causing sluggish urine flow resulting in dribbling. In severe cases, the water pathways become dry, leading to urinary retention. If heat enters both the large and small intestines, it causes stagnation and prevents the free flow and discharge, resulting in simultaneous obstruction of both stool and urine.
Jinhua San (Golden Flower Powder)
Indicated for constipation with difficulty in defecation.
Gleditsiae Sinensis Semen (Zaojiaoren), one qian, stir-fried; Areca Seed (Binglang), one piece, raw; Licorice Root (Gancao), one qian.
Grind into a fine powder. Take one zi or half a qian each time, mixed with rock sugar and boiled water.
Baiziren Gao (Platycladi Seed Paste)
Indicated for the above condition.
Platycladi Seed (Baiziren), cleaned; Pine Nut (Songziren); Walnut Kernel (Hutaoren), equal parts.
Grind and mix into a paste. Take an amount the size of a bullet pellet, dissolved in hot water. Re-administer if unrelieved.
Renshen Jingjie Tang (Ginseng and Schizonepeta Decoction)
Grind Ginseng Root (Renshen) and Schizonepeta Spike (Jingjie) separately into powders. Mix half a qian of Ginseng powder with one qian of Schizonepeta powder. Add one zhan of water, decoct until reduced to seven-tenths, cool, and administer frequently according to the child's age and condition.
Muxiang Cu San (Aucklandia Coarse Powder)
Indicated for constipation. Aucklandia Root (Muxiang) and Chebula Fruit (Hezi), roasted for skin, equal parts. Grind into a coarse powder. Take half a qian or one qian, decoct in water, strain, and take when warm.
Another prescription: Indicated for the above. Use Polyporus (Zhuling), one liang, ground into powder. Boil Chicken Droppings (Jishibai) in a small amount of water, mix with one qian of Polyporus powder. Cured.
Another prescription: Indicated for the above. Use fermented dough (Jiao), any quantity. Dry and sun-dry, grind into powder, bind with wheat paste into pills the size of mung beans. Take five to seven pills, up to ten-plus, according to the child's size, with rice drink.
Mutong San (Akebia Powder)
Indicated for dysuria with dribbling and lack of smooth passage.
Akebia Stem (Mutong); Talcum (Huashi); Roasted Licorice Root (Zhi Gancao); Saltpeter (Yanxiao), pulverized, half a liang each; Three-leaf Grass (Sanyecao), one fen.
Grind into a fine uniform powder. Take one zi or half a qian, taken with boiling water. Administer before milk or food.
Huashi San (Talcum Powder)
Indicated for the above.
Talcum (Huashi); Knotweed Herb (Qumai); Malva Seed (Kuizi), fried; Rapeseed (Yuntaizi); Roasted Licorice Root (Zhi Gancao); Gardenia Fruit (Shanzhizi Ren); Curcuma Tuber (Yujin); Lygodium Spore (Haijinsha), fried, one qian each.
Grind into a fine powder. Take half a qian, mixed with decoction of Juncus Arteriflexus (Dengxincao) and Scallion White (Congbai). Administer before milk or food.
Rusheng San (Like-Sage Powder)
Indicated for the above. Stir-fried Lygodium Spore (Haijinsha) and Talcum (Huashi), equal parts. Grind into a fine powder. Take one zi or half a qian, mixed with Juncus Arteriflexus (Dengxincao) decoction. Administer before meals.
Bazheng San (Eight Righteousness Powder)
Indicated for the above. Also indicated for evil heat in the Heart meridian and damp-heat strangury (Relin).
Knotweed Herb (Qumai); Akebia Stem (Mutong); Gardenia Fruit (Shanzhizi Ren); Isatis Root (Diban Zhu); Plantago Seed (Cheqianzi); Licorice Root (Gancao); Talcum (Huashi), three qian each; Rhubarb (Dahuang), one qian half.
Grind into a fine powder. Take one qian, add seven-tenths water and two leaves of Mint (Bohe), decoct together until reduced to two-tenths, strain, and take warm at any time.
For infantile urinary retention, life-threatening after three days: Take a handful of Okra Root (Kuigen), chopped. Seven Wall Lizards (Bi Yu), separately ground. Add one zhan of water, decoct Okra root to obtain six-tenths juice, add Wall Lizard powder, boil for three to five boils, strain, and take when warm.
For infantile red and scanty urine with retention: Powders of Polygonum Multiflorum Root (Puhuang) and Talcum (Huashi), equal parts, ground finely. Take one qian, mixed with Juncus Arteriflexus (Dengxincao) decoction; rock sugar water is also acceptable. Also treats strangury pain. Administer before milk or food.
For sudden infantile anuria: Place salt in the umbilicus and moxa.
For infantile red and scanty urine with retention:
Talcum (Huashi), two liang; Akebia Stem (Mutong), one liang; Malva Seed (Kuizi), one he.
Grind into a coarse powder. Take one qian, add a small zhan of water, decoct to five-tenths, strain, and take warm at any time.
Dongkuizi San (Winter Okra Seed Powder)
For sudden infantile urinary retention with abdominal urgency and fullness. Winter Okra Seed (Dongkuizi), one liang; Akebia Stem (Mutong), half a liang. Grind into a coarse powder. Take one qian, add a small zhan of water, decoct to five-tenths, strain. Take at any time.
Niantou San (Pinch-Head Powder)
For urinary retention. Corydalis Rhizome (Yanhusuo), peeled; Toosendan Fruit (Chuan Kulian), pitted. Grind into a fine powder. Take half a qian or one qian, mixed with Niantou decoction. If Niantou is unavailable, add three to two drops of oil to the decoction. Take before meals. Another formula: Purslane (Cheqiancao) and Wheat (Xiaomai), one sheng each; Water, two sheng. Boil to obtain one sheng two he, strain, cook into porridge, and eat. Twice daily. Adjust dosage according to child's size.
Tingli San (Descurainia Powder)
Indicated for the above. Descurainia Seed (Tingli), half a liang, fried; Tangerine Peel (Qingpi), pith removed, fried yellow, half a liang. Grind into a fine powder. Take half a fen or one fen, mixed with ginger decoction on an empty stomach. Before milk or food.
Jiangcan San (Bombyx Batryticatus Powder)
Indicated for the above. Bombyx Batryticatus (Bai Jiangcan), fried, remove silk mouth; Angelica Root (Danggui), remove radix, wash clean. Equal parts, grind into fine powder. Take half a qian or one qian, mixed with Plantago Seed (Cheqianzi) decoction. Also treats bloody strangury. For sandy strangury, use Salfoly Herb (Yangti Cao) decoction. Take at any time.
Another prescription: Indicated for the above. Astragalus Root (Mian Huangqi), ground into powder. Take one qian, add one zhan of water, decoct to five-tenths, take warm at any time.
Another prescription: Indicated for the above. Dried Plum Flesh (Wumei Rou), ground into powder. Take one qian, mixed with water. Miraculous effect.
Another prescription: Decoct Isatis Root (Diban Zhu), take when warm. Drink like regular water, effective.
Baizhu Gao (Atractylodes Macrocephala Paste)
For dysuria with retention, chest and abdominal distension.
Atractylodes Macrocephala Rhizome (Baizhu), half a liang; Poria (Baifuling), one fen; Alisma Rhizome (Zexie), half a liang; Ginseng Root (Renshen), radix removed, one fen; Talcum (Huashi), one fen.
Grind into powder, blend with refined honey into a paste. Take an amount the size of a soapberry seed, dissolved in rice drink. Also treats spleen and stomach disharmony and poor feeding.
Zhusha San (Cinnabar Powder)
For red and scanty urine with retention, mental restlessness.
Cinnabar (Zhusha), one liang, ground; Talcum (Huashi), half a liang, ground; Rhinoceros Horn (Xijiao), half a liang; Scutellaria Root (Huangqin), one fen; Plantago Seed (Cheqianzi), one fen, fried; Licorice Root (Gancao), one fen, roasted.
Mix powders evenly. Take half a qian, mixed with Bamboo Leaf (Zhuye) decoction. Before milk or food.
Kuishi San (Okra and Talcum Powder)
For urinary retention with confusion and distress.
Okra Root (Kuigen), a handful, chopped; Talcum (Huashi), one liang; Akebia Stem (Mutong), one liang; Morning Glory Seed (Qianniuzi), half a liang, fried.
Grind into a coarse powder. Take one qian, add one zhan of water, plus a little Juncus Arteriflexus (Dengxincao) and Scallion White (Congbai), decoct to six-tenths, strain, and take warm. Before meals.
Jichangcao San (Pilea Powder)
For heat in small intestine and bladder, difficult and scanty urination. Caused by excessive intake of cold medicines, leading to inability to control urination.
Pilea (Jichangcao), one liang; Oyster Shell (Muli), three fen; Fossilized Bone (Longgu), calcined, half a liang; Ophiopogon Tuber (Mendong), heart removed, baked, half a liang; Poria (Baifuling), black skin removed, half a liang; Mantis Egg Case (Sangpiaoxiao), boiled in rice wash water, half a liang.
Grind into a coarse powder. Take one qian, add one zhan of water, two slices of Ginger (Shengjiang), one Jujube (Zao), decoct to six-tenths, strain, and take warm. Also treats enuresis. Before milk or food.
Yuliren Wan (Prunus Marginata Pill)
For constipation and urinary retention.
Prunus Marginata Seed (Yuliren), two liang, soaked in water, peeled; Rhubarb (Dahuang), one liang; Areca Seed (Binglang), three liang; Tangerine Peel (Qingpi), pith removed, half a liang.
Grind into fine powder, blend with refined honey into pills the size of mung beans. Take ten to fifteen pills, with ginger decoction. At any time.
Xionghuang San (Ligusticum and Rhubarb Powder)
Indicated for the above. Ligusticum Rhizome (Xiong), one liang; Sichuan Rhubarb (Chuan Dahuang), three fen, chopped and lightly fried; Prunus Marginata Seed (Yuliren), three fen, soaked in warm water, peeled, lightly fried yellow.
Grind into powder. Take one qian, mixed with warm water. Before milk or food.
Zhu Fen Dan (Cinnabar and Calomel Pellet)
Indicated for the above. Mental restlessness, abdominal and hypochondriac fullness, frequent startles during sleep.
Cinnabar (Zhusha), half a liang, finely ground and floated in water; Calomel (Nifen), one qian; Euphorbia Seed (Xuisui Zi), half a liang.
Grind into powder, mix well, blend with refined honey into pellets the size of millet seeds. Take seven grains, after meals with warm water.
Mutong Cuo San (Akebia Chopped Powder)
For urinary and fecal retention.
Akebia Stem (Mutong); Knotweed Herb (Qumai); Talcum (Huashi); Gardenia Fruit (Shanzhizi Ren), three qian each; Poria (Fuling), black skin removed; Licorice Root (Gancao), four qian each; Euphorbia Seed (Xuisui Zi), three qian; Plantago Seed (Cheqianzi), one fen.
Chop ingredients. Take one qian, add one zhan of water, decoct to half a zhan, strain, and take warm. Adjust dosage according to child's size. Before milk or food.
Hongmian San (Red Cotton Powder)
Indicated for the above.
Cinnabar (Zhusha), ground and floated in water; Curcuma Tuber (Yujin); Calomel (Qingfen), one fen each; Horse Tooth Niter (Mayaxiao), half a liang.
Add a small amount of Musk (Shexiang), grind uniformly. Take half a qian, mixed with Mint (Bohe) and honey water. At any time.
Another prescription: Indicated for the above. Talcum (Huashi), ground into powder. Take half a qian, mixed with clear oil to form a thin paste, add a tea-footful of good wine, mix well, and take. If no relief after an hour, re-administer.
Another prescription: Indicated for the above. Unripe Gleditsia Sinensis Fruit (Bu Zaojiao), peel and pit removed, raw ground into powder, two qian. Take one single-clove garlic, rub with the powder in a mortar until fully incorporated, mix with a little strong rice vinegar, shape into a cake the size of a flower seed, apply to the umbilicus. Immediate relief.
Another prescription: Indicated for the above. Wasp Nest (Lufengfang), burnt to ash, ground fine. Mixed with wine, take one qian or half a qian, twice daily.
Yuliren Gao (Prunus Marginata Paste)
For infants in swaddling clothes with urinary and fecal retention.
Prunus Marginata Seed (Yuliren), one liang, soaked and peeled; Talcum (Huashi), half a liang, ground; Rhubarb (Dahuang), remove rough bark, take solid part, one liang, chopped, soaked in wine for half a day, squeezed dry, fried until scorched, ground into powder.
First grind Prunus Marginata Seed into a paste, mix with the other two ingredients, and form pills the size of millet seeds. Take ten to twenty pills, according to size. Infants take with breast milk; older children with Mint (Bohe) decoction. To disperse wind-heat and phlegm-stagnation, slight diarrhea is sufficient and very safe.