夫脾胃大小肠膀胱者。仓廪之本。营之居也。名曰器。能化糟粕。转味而入出者也。盖
营受
水谷
阳之
阳不
关格
可滑
关格。大便不通。谓之内关。小便不通。谓之外格。二便俱不通。为关格也。由阴阳气
不和
格。
格而大小便不通也。又风邪在三焦。三焦约者。则小肠痛内闭。大小便
而手足寒者。为三阴俱逆。三日死也。诊其脉来。浮牢且滑直者。不得
大小便难者。由冷热不调。大小肠有游气。游气在于肠间。搏于糟粕。小便不得通流。
故大
大便
方
茱萸汤（出千金方）治腹胁胀满。关格。大小便不通。
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
（炙
（一两
炮）
煎七
分
服三
木香散 治下焦热。大小便不通。气胀满闷。
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
（各
煎
八分
治大小便难。腹肚胀满短气。
荆芥 芎 蒲黄 当归（锉炒） 桂心（各一两） 虫（三十枚炒） 川大黄（二
两锉炒）
甘
服三
十丸
茯苓丸 治大小便不通。
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） 火
麻仁
大
大黄汤 治中焦热实闭塞。关格不通。吐逆喘急。
大黄（锉炒） 前胡（去芦头） 半夏（汤浸七次炒） 人参 黄芩（去黑心） 赤茯
苓（去黑
皮）
温
服。
赤芍药丸 治大小便难。脐腹妨闷。
赤芍药 桂心 羌活（各半两） 川大黄（锉炒） 郁李仁（汤浸去皮炒） 川芒硝 槟
榔
（各一
下。
芍药汤（一名大黄散）治大小便不通。心腹满闷。不可忍。
赤芍药 桑根白皮（锉各三两） 瞿麦穗 大黄（锉炒） 榆白皮（锉） 防风（去芦）
麻子
仁（
二
沸。空心温服。日晚再服。
牵牛子丸 治下焦结热。肠胃燥涩。大小便不通。
黑牵牛（淘洗令净炒令气透便取出摊令冷取末三两） 青橘皮（焙连白用） 桑根白皮
（锉
炒）
为末。
炼蜜杵。
白术散 治大小便难。腹胁胀满气急。
白术 牵牛子（炒） 木通（锉） 川大黄（锉炒） 槟榔 川朴硝（各一两） 陈橘
皮（半两
去白
滑石汤 治大小便俱不通。
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（浮
去浮者
煮令
日
治大小便气壅不利。胀满。关格不通。
木通（锉） 川朴硝 郁李仁（汤浸去皮炒） 车前子（各一两） 黄芩 瞿麦穗（各
半两）
上
大黄散 治关格不通烦闷。大小便秘涩。
大黄（锉二两） 桂（去粗皮三分） 冬瓜子（炒一两） 滑石（研三两） 朴硝（生
铁铫子炒
干刮
每
黄芩汤 治大小便不通。
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
咀。
每
甘遂散 治气痞。心腹胀。喘促。大小便不利。
甘遂（煨） 牵牛子（炒） 续随子（去壳） 葶苈子 大戟（各等分） 上为末。每
服半钱。
浓煎
治大小便不通。
大黄（煨） 牛蒡子（炒） 羌活 独活 滑石（各等分） 上为末。用熟水调下。空
心服即
便利
五宣散 治大小便不通。行滞气。
瞿麦 木通 甘草 虎杖 滑石（各等分） 上 咀。每服二钱。水一盏。灯心数茎。
煎
七分。临卧温服。
车前子汤 治大小便俱不通。
车前子（五两生用） 木通（四两锉） 黄芩（去黑心） 郁李仁（汤浸去皮尖双仁各
三两）
上将
煎二
榆白皮汤 治大小便俱不通。
榆白皮 甘草（炙锉各二两半） 滑石（三两） 桂（去粗皮一两） 上 咀。每服四
钱。水
一
木通汤 治大小便不通。
木通（锉二两） 大黄（锉生用） 滑石（各三两） 麻子仁（一合研如膏） 上 咀。
与麻子
仁
治大小便不通。腹胁坚胀。蒸下部方。
莲叶（二两） 葱（三七茎并用须去叶切） 皂角（一挺炙锉） 生姜（一两切） 上
以浆水一
斗二
即倾
大黄散（出肘后方）治风冷气入小肠。忽痛。坚急如吹状。大小便不通。或小
肠有气结。如
川大黄（锉炒） 苦参（锉） 贝齿（烧灰） 滑石（各一两） 上为末。每服二钱。
葵根汤下。
不
掩脐方（一名葱豆汤出危氏方）治大小便不通。
连根葱（二三茎） 生姜（一块带土者） 淡豆豉（一十一粒） 盐（二匙） 上同研
烂。捏作
饼子
治诸大小便不通。
海金沙 芒硝 朴硝 麝香（各等分） 上为末。白汤调服。大便不通者。加巴豆一枚。
黄连散 治大小便秘涩壅热。
黄连 川大黄（各二两好醋炒） 黄芩 甘草（各一两炙） 上为末。每服二钱。食后。
温
水调
芒硝汤（出千金方）治关格不通。脬腹妨闷。大小便不通。
芒硝（研二两半） 冬葵子（炒三合） 滑石（碎三两） 上 咀。每服五钱。水一盏
半。煎
至
芫花丸 治大小便不利。
芫花（炒） 滑石（碎各半两） 大黄（锉炒三分） 上为末。炼蜜丸梧桐子大。每服
二十丸。
葱
治大小便不通。
滑石（二两） 葵子 榆白皮（各一两） 上为散。煮麻子汁一升半。取五合分二服即
通。
治大小便不通。
干姜 盐 杏仁 上等分。捣导之。
治大小便关格不通。腹肠喘急。立效。（出圣惠方）
水银 腻粉 滑石（各一两） 上为末。研令水银星尽。每服一钱。葱白汤调下。
治大小便秘结。（出经验良方）
水银（一块豆大研细） 巴豆（二粒去壳膜） 硫黄（三块如豆大） 上研为膏。作一
剂。涂
于脐
治大小便难。腹中有燥粪。寒热烦迫短气。汗出腹胀。（方见濡脏汤）
治大小便难。（出圣惠方）
木香 青黛（各半两） 麻油（二合） 上水一大盏。同煎令水尽。惟有油。去滓。分
二服。
冬葵根汁方 治大小便不通。
生冬葵根（净洗二斤捣绞取汁三合） 生姜（四两捣绞取汁一合） 上搅匀。分作两服。
空
心一
治大小便关格不通。（出圣惠方）
胡椒（二十颗捣研） 川朴硝（半两） 上水一大盏。煎胡椒至六分。去滓入硝。更煎
一两
沸。
又方（出圣惠方）
腻粉（一钱） 生麻油（一合） 上相和。空心服之。
治大小便关格不通。肚胀气逆。心烦闷绝。（出圣惠方）
蜀葵花（一两捣烂） 麝香（半钱研） 上水一大盏。煎至五分。去滓服之。如无花即
取根。
擘
推车散（出本事方）治大小便秘。经月欲死者。
推车虫（七个） 土狗（七个）（如男子病推车虫用头
土狗用身如女子病土狗用头推车虫用身） 上用新瓦上焙干为末。用虎目树皮向南者。
浓煎汁调。只一服愈。治卒关格。大小便不通。支满欲死。二三日则杀人。出肘后方
苦酒 硝（等分） 上和涂脐上。干则易之。
又方（出肘后方）
甘遂（二铢） 贝齿（二枚） 上捣下。以三合浆水。尽服之。须臾即通。
紫金沙散 治大小便不通。
用紫金沙不拘多少。蜂房蒂七枚。捣为末。每服一钱。温酒调下。
土马鬃汤 治大小便不通。
上用土马鬃不拘多少。以水淘净。用新砖 过。为粗末。每服二钱。水一盏。煎至七分。
去
猪脂酒方（出千金方）治大小便不通。
用猪脂如半鸡子大。碎切。以酒一升微煮沸。投猪脂更煎一二沸。分为两度。食前温服。
未
发灰散（出肘后方）治大小便不通。及便血。
用乱发一两。洗净烧灰为末。细研。每服三钱。温水调。食前服。日三。以通利为度。
冬葵子汤 治大小便不通。
用冬葵子。微炒一两捣筛。用水二盏。煎一盏。去滓。入人乳半合。和匀。空心服之。
治卒大小便不通（出家藏经验方）
用盐以纸裹烧。投水中服之。一方以盐实脐内即通。又以和苦酒敷脐。又水三升。煮盐
三合
又方
用含硝石吐出水。
治大小便关格闭塞。（出圣惠方）
用蔓荆子油一合。空心服之即通。通后汗出勿怪。
治大小便关格不通。肚胀气筑。心闷绝。（出圣惠方）
用乌柏树东面白皮。阴干为末。如五七日不通。热水调下二钱。如急用。火上焙干为妙。
铁脚丸（一名皂荚饮出圣惠方）治大小便关格不通。经三五日者。
用不蛀皂角。烧灰研细。粥饮调下三钱立通。一方用皂角。炙去皮子为末。酒糊或炼蜜
丸。
治大小便不通。（出千金方）
用葵子末一升。青竹叶一把。水二升。煮五沸。顿服。
又方（出千金方）
用榆白皮切一升。葵子一升。水五升。煎取二升。分三服。
又方（出千金方）
用甑带煮取汁。和蒲黄方寸匕。日三服。
治大人小儿大小便不利。腹大且坚。（出经验良方）
用故衣多垢者。切一升。水三升。煮取一升。分三服。
治老人虚。大小便不通。（出经验良方一名琥珀散）
用真琥珀研如粉。人参汤调下。亦治心痛。老人虚大便不通。葱白三寸。水煎。葱熟不
用。
治关格大小便不通。胀满欲死。二三日则杀人。（出肘后方）
用芒硝二两。纸裹三四重。炭火烧之。令内一升汤中浸服。当先饮汤一升已。吐出乃服
之。
治卒关格大小便不通。支满欲死。及旬日一月不得大便。（出千金方）
用葵子二升。水四升。煮一升服。内猪脂如鸡子大一丸。弥佳。
贴脐膏
用甘遂为细末。以生面调为糊。摊纸上。掺末在上。涂脐中。及涂脐下硬处。别煎甘草
水。
甘遂散（出危氏方）治大小便不通。及腹满气急。
用甘遂二两。赤皮者为末。炼蜜二合。和匀。每一两重。分作四服。日进一服。蜜水下。
第
治大小便不通。
用羊屎烧熏鼻。又治中恶。心腹刺痛。
又方
用捣葱白。以醋和。封小腹上。
又方
用茱萸南枝。断取如手第二指中节。含之立下。
又方
用雄鼠粪两头尖者。敷脐中立效。
又方
用苋实末半两。分二服。新汲水调下。
又方
用白矾细研末。令患人仰卧。置矾末于脐中满。用汲水滴之。候觉冷透。腹内即自然通。
若
之
木香丸 治重伤。大小便不利腹痛。
苍术（一两） 巴豆（十粒） 京三棱（半两炒） 上为末。白面糊丸。绿豆大。每服
五七丸。
食
治男女水道不通。诸药不能疗。
用扁竹生紫花者根。水边生者为佳。研自然汁一盏。服通即止药。不可便服补药。
槟榔散 治大小便不通。亦治肠胃有湿。大便秘涩。
用槟榔至大者半枚。用麦门冬熟水磨一钱。重汤烫热服之。一方为末。每服二钱。蜜汤
点服
神仙导水丸 治上盛下虚。水火不能升降。大便秘涩。小便不通。赤眼口疮。便红
泻血。吐血泄痢不止者。兼治诸积气块。小儿脾疾。妇人经脉不通。男子打扑伤损等
证。
木香 当归 枳壳（炒） 黄芩 黄连 青皮 陈皮 槟榔 香附子（各一两） 三棱 莪
术（各
丸。
温饭
秘传解毒丸 治上盛下虚。水火不能升降。大便秘涩。小便不通。赤眼口疮。便红
泻血。吐血泄痢不止者。兼治诸积气块。小儿脾病。妇人经脉不通。男子打扑伤损等
证。
贯众 山豆根 黄药子 牙硝 寒水石 龙胆草 干葛 雄大豆 百药煎 紫河车 甘
草节
为
衣。
大黄散 治大小便不通。
大黄（五钱炮） 甘草（五钱） 滑石（五钱） 绿豆（一合） 上同研为细末。每服
二钱。新
汲水
治关格胀满。大小便不通。
用独头蒜烧熟。去皮绵裹纳下部。气立通。
治大人小儿腹中诸疾。疳湿。大小便不通。
用羊屎煮汤下灌。
轻粉散 治大小便秘。
用大枣十枚。却用真轻粉一匣。每一个入轻粉少许。合住。用盏子盛。覆之煮汤。甑上
蒸熟
莲心散 通阴阳。利大小便妙方。
莲心（四十九粒瓦上焙干为末） 建茶（一小挑） 蜜（一匙） 上作一服。用井花水
半盏。
调匀
治大小便并不通。
用桃叶取汁。和服半升。冬用桃树皮。
利大小便。去腹中结热。目下黄。
以田中螺煮食之。
调中下肠胃热气。利大小便。
用好井水。及土石间新出泉水。多饮之。令至喉少停即咽下。
治大小肠风热。
取猪肠脏食之。
治大小便关格不通。（出本草）
取蓖麻汁煮粥食之。
一方（出永类钤方）治大小便皆秘。加腹胀如鼓。气促。
大麻子（炒去壳半两） 八角茴香（七个） 上作末。生葱白三七个。同研。熟汤调五
苓散。
又
治宿食便秘而喘。（出永类钤方）
沉香（三钱） 净青皮 三棱 莪术（各七钱） 巴豆（二十一粒去壳） 上除沉香外、
The spleen, stomach, large intestine, small intestine, and bladder are the foundation of granaries (digestive system) and the residence of Ying Qi (nutritive qi). They are called "vessels," capable of transforming waste and converting flavors for excretion.
Guan-Ge (Obstruction and Rejection) refers to: constipation is called Inner Guan (Inner Obstruction); urinary retention is called Outer Ge (Outer Rejection); both constipation and urinary retention are called Guan-Ge. This results from the disharmony and mutual rejection of Yin and Yang Qi, leading to the obstruction of bowel and bladder movements.
Furthermore, if Wind pathogen invades the San Jiao (Triple Burner), causing constraint of the San Jiao, there will be internal pain and closure of the small intestine, accompanied by constipation, urinary retention, and coldness in the hands and feet. This indicates reversal of all three Yin meridians, which leads to death within three days.
Palpation of the pulse reveals a floating, firm, slippery, and straight quality, indicating a critical condition.
Difficulty in passing stool and urine is caused by imbalance of cold and heat, with wandering Qi in the large and small intestines. This wandering Qi stays between the intestines, battling with fecal matter, preventing the smooth flow of urine, and consequently making defecation difficult.
Wuzhuyu Tang (Evodia Decoction, from *Qianjin Fang*) treats abdominal and hypochondriac distension, Guan-Ge, and obstruction of both stool and urine.
Herbs: Wu Zhuyu (Evodiae Fructus, soaked in water to remove saliva, dried and lightly stir-fried), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Danggui (Angelicae Sinensis Radix, sliced and baked), Guizhi (Cinnamomi Ramulus, bark removed), Chishao Yao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Usage: Slice the herbs, take 5 qian, add 1.5 sheng of water, decoct to 0.7 sheng, and take warm.
Muxiang San (Costus Powder) treats heat in the Lower Jiao, obstruction of stool and urine, and abdominal distension with stifling sensation.
Herbs: Muxiang (Aucklandiae Radix), Huangqin (Scutellariae Radix, black heart removed), Mutong (Akebiae Caulis, sliced and stir-fried), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, baked), Dongkuizi (Malvae Semen, ground), Qumai Sui (Dianthi Herba spike).
Usage: Slice the herbs, take 4 qian, add 1 sheng of water, decoct to 0.7 sheng, and take warm.
Jingjie San (Schizonepeta Powder) treats difficulty in stool and urine, abdominal distension, and shortness of breath.
Herbs: Jingjie (Schizonepetae Spica), Xiong (Ligustici Chuanxiong Rhizoma), Puhuang (Typhae Pollen), Danggui (Angelicae Sinensis Radix, sliced and stir-fried), Guixin (Cinnamomi Ramulus cortex), Shuizhi (Hirudo, thirty pieces stir-fried), Chuan Dahuang (Rhei Radix et Rhizoma, two lian sliced and stir-fried).
Usage: Make into fine powder, mix with refined honey to form pills the size of paulownia seeds, take 20 pills each time with warm water.
Fuling Wan (Poria Pill) treats obstruction of stool and urine.
Herbs: Chi Fuling (Poria with Red Skin, black skin removed), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix, sliced and baked), Zhiqiao (Aurantii Fructus, pith removed, bran-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma) (each 5 liang), Huomaren (Cannabis Semen).
Usage: Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds, take 30 pills each time with warm water.
Dahuang Tang (Rhubarb Decoction) treats blockage due to excess heat in the Middle Jiao, Guan-Ge obstruction, vomiting, and rapid panting.
Herbs: Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Qianhu (Peucedani Radix, radicle removed), Banxia (Pinelliae Tuber, soaked in water seven times then stir-fried), Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix, black heart removed), Chifuling (Poria with Red Skin, black skin removed).
Usage: Slice the herbs, take 4 qian, add 1 sheng of water, decoct to 0.7 sheng, and take warm.
Chishaoyao Wan (Red Peony Pill) treats difficulty in stool and urine, and stifling discomfort around the umbilicus and abdomen.
Herbs: Chishaoyao (Paeoniae Radix Rubra), Guixin (Cinnamomi Ramulus cortex), Qianghuo (Notopterygii Rhizoma et Radix) (each half lian), Chuan Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Yuliren (Pruni Semen, soaked in water, skin removed, stir-fried), Chuan Mangxiao (Natrii Sulfas), Binglang (Arecae Semen).
Usage: Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds, take 20 pills each time with warm water.
Shaoyao Tang (Peony Decoction, also known as Dahuang San) treats obstruction of stool and urine, severe fullness and stifling pain in the heart and abdomen that is unbearable.
Herbs: Chishaoyao (Paeoniae Radix Rubra), Sanggen Baidi (Mori Cortex, sliced, each 3 lian), Qumai Sui (Dianthi Herba spike), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Yubaidi (Ulmus Cortex, sliced), Fangfeng (Saposhnikoviae Radix, radicle removed), Maziren (Cannabis Semen).
Usage: Slice the herbs, take 4 qian, add 1 sheng of water, decoct to 0.7 sheng, take warm on an empty stomach, and repeat in the evening.
Qianniuzi Wan (Pharbitis Seed Pill) treats accumulated heat in the Lower Jiao, dryness and stagnation of the intestines and stomach, and obstruction of stool and urine.
Herbs: Hei Qianniu (Pharbitidis Semen, washed clean, stir-fried until aroma penetrates, taken out and spread to cool, then powdered, 3 lian), Qing Ju Pi (Citri Reticulatae Pericarpium, baked including white pith), Sanggen Baidi (Mori Cortex, sliced and stir-fried).
Usage: Grind into fine powder, mix with refined honey and pound to form pills the size of paulownia seeds, take 20 pills each time with warm water.
Baizhu San (Atractylodes Powder) treats difficulty in stool and urine, abdominal and hypochondriac distension with urgent breathing.
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Qianniu Zi (Pharbitidis Semen, stir-fried), Mutong (Akebiae Caulis, sliced), Chuan Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Binglang (Arecae Semen), Chuan Puxiao (Natrii Sulfas) (each 1 lian), Chenpi (Citri Reticulatae Pericarpium, half lian, white pith removed).
Usage: Grind into fine powder, take 2 qian each time, mixed with warm water.
Huashi Tang (Talc Decoction) treats complete obstruction of stool and urine.
Herbs: Huashi (Talcum, one and a half lian), Maogen (Imperatae Rhizoma), Cheqianzi (Plantaginis Semen) (each 3 fen), Tianmendong (Asparagi Radix, heart removed, baked), Donggua Rang (Benincasae Exocarpium), Langdangzi (Daturae Semen, floaters removed).
Usage: Slice the herbs, take 4 qian, add 1 sheng of water, decoct to 0.7 sheng, and take warm.
Mutong San (Akebia Powder) treats Qi congestion and dysfunction in stool and urine, distension, and Guan-Ge obstruction.
Herbs: Mutong (Akebiae Caulis, sliced), Chuan Puxiao (Natrii Sulfas), Yuliren (Pruni Semen, soaked in water, skin removed, stir-fried), Cheqianzi (Plantaginis Semen) (each 1 lian), Huangqin (Scutellariae Radix), Qumai Sui (Dianthi Herba spike) (each half lian).
Usage: Grind into fine powder, take 2 qian each time, mixed with warm water.
Dahuang San (Rhubarb Powder) treats Guan-Ge obstruction with irritability, and constipation with dryness.
Herbs: Dahuang (Rhei Radix et Rhizoma, sliced, 2 lian), Gui (Cinnamomi Ramulus, bark removed, 3 fen), Donggua Zi (Benincasae Semen, stir-fried, 1 lian), Huashi (Talcum, ground, 3 lian), Puxiao (Natrii Sulfas, raw, stir-fried in an iron pot until dry, scraped off).
Usage: Grind into fine powder, take 2 qian each time, mixed with warm water.
Huangqin Tang (Scutellaria Decoction) treats obstruction of stool and urine.
Herbs: Huangqin (Scutellariae Radix, black heart removed, 2 lian), Chishaoyao (Paeoniae Radix Rubra), Baimaogen (Imperatae Rhizoma), Dahuang (Rhei Radix et Rhizoma, raw, each 3 lian), Qumai Sui (Dianthi Herba spike, 1.5 lian).
Usage: Slice the herbs, take 4 qian, add 1 sheng of water, decoct to 0.7 sheng, and take warm.
Gansui San (Kansui Powder) treats Qi痞 (fullness due to Qi stagnation), abdominal distension, panting, and difficulty in stool and urine.
Herbs: Gansui (Kansui Radix, roasted), Qianniu Zi (Pharbitidis Semen, stir-fried), Xuisui Zi (Euphorbiae Lathyridis Semen, shell removed), Tinglizi (Descurainiae Semen Lepidii et Descurainiae), Daji (Euphorbiae Pekinensis Radix) (equal parts).
Usage: Grind into fine powder, take half qian each time, mixed with concentrated decoction of Gancao.
Dahuang San (Rhubarb Powder) treats obstruction of stool and urine.
Herbs: Dahuang (Rhei Radix et Rhizoma, roasted), Niubangzi (Arctii Fructus, stir-fried), Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Angelicae Pubescentis Radix), Huashi (Talcum) (equal parts).
Usage: Grind into fine powder, mix with cooked water, take on an empty stomach for immediate relief.
Wuxuan San (Five-Ventilation Powder) treats obstruction of stool and urine, promoting the movement of stagnant Qi.
Herbs: Qumai (Dianthi Herba), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma), Huzhang (Polygoni Cuspidati Rhizoma et Radix), Huashi (Talcum) (equal parts).
Usage: Slice the herbs, take 2 qian each time, add 1 sheng of water and a few stems of Dengxin (Acori Tatarinowii Rhizoma), decoct to 0.7 sheng, take warm before sleep.
Cheqianzi Tang (Plantago Decoction) treats complete obstruction of stool and urine.
Herbs: Cheqianzi (Plantaginis Semen, five lian raw), Mutong (Akebiae Caulis, four lian sliced), Huangqin (Scutellariae Radix, black heart removed), Yuliren (Pruni Semen, soaked in water, skin and tip removed, double kernel, each 3 lian).
Usage: Slice the herbs, take 4 qian, add 1 sheng of water, decoct to 0.7 sheng, and take warm.
Yubaidi Tang (Elm Bark Decoction) treats complete obstruction of stool and urine.
Herbs: Yubaidi (Ulmus Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced, each 2.5 lian), Huashi (Talcum, 3 lian), Gui (Cinnamomi Ramulus, bark removed, 1 lian).
Usage: Slice the herbs, take 4 qian, add 1 sheng of water, decoct to 0.7 sheng, and take warm.
Mutong Tang (Akebia Decoction) treats obstruction of stool and urine.
Herbs: Mutong (Akebiae Caulis, sliced, 2 lian), Dahuang (Rhei Radix et Rhizoma, sliced raw), Huashi (Talcum) (each 3 lian), Maziren (Cannabis Semen, one he measured as paste).
Usage: Slice the herbs, first decoct Mutong, Dahuang, and Huashi, remove dregs, then add Maziren paste, and take warm.
Steaming Lower Part Formula, treats obstruction of stool and urine, hardness and distension of the abdomen and hypochondrium.
Herbs: Lianye (Nelumbinis Folium, 2 lian), Cong (Allii Fistulosi Bulb, 3-7 stalks including roots, leaves removed and chopped), Zaojiao (Gleditsiae Fructus, one stick roasted and sliced), Shengjiang (Zingiberis Rhizoma Recens, 1 lian chopped).
Usage: Add 1 dou 2 sheng of Jiangshui (fermented grain liquid), decoct until reduced by half, remove dregs, steam the lower part with the hot liquid, and wash when the temperature is suitable.
Dahuang San (Rhubarb Powder, from *Zhouhou Fang*) treats wind-cold Qi entering the small intestine, sudden pain, hardness and urgency like inflation, obstruction of stool and urine, or Qi knot in the small intestine.
Herbs: Chuan Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Kushen (Sophorae Flavescentis Radix, sliced), Beichi (Concha Arcae, burnt to ash), Huashi (Talcum) (each 1 lian).
Usage: Grind into fine powder, take 2 qian each time, mixed with Kui Gen Tang (Mallow Root Decoction).
Yanqi Fang (Umbilical Covering Formula, also known as Congdou Tang, from *Wei Shi Fang*) treats obstruction of stool and urine.
Herbs: Liangen Cong (Allii Fistulosi Bulb with roots, 2-3 stalks), Shengjiang (Zingiberis Rhizoma Recens, one piece with soil), Danshidouchi (Sojae Semens Praeparatum, 11 grains), Yan (Sal).
Usage: Grind together until pasty, shape into cakes, and apply to the umbilicus.
Haijinsha San (Lygodium Powder) treats various cases of obstruction of stool and urine.
Herbs: Haijinsha (Lygodii Spora), Mangxiao (Natrii Sulfas), Puxiao (Natrii Sulfas), Shexiang (Moschus) (equal parts).
Usage: Grind into fine powder, mix with plain boiled water. For constipation, add one Badou (Crotonis Fructus).
Huanglian San (Coptis Powder) treats constipation with dryness, heat accumulation.
Herbs: Huanglian (Coptidis Rhizoma), Chuan Dahuang (Rhei Radix et Rhizoma) (each 2 lian, stir-fried with good vinegar), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 1 lian).
Usage: Grind into fine powder, take 2 qian each time after meals, mixed with warm water.
Mangxiao Tang (Natrii Sulfas Decoction, from *Qianjin Fang*) treats Guan-Ge obstruction, stifling discomfort in the bladder and abdomen, and obstruction of stool and urine.
Herbs: Mangxiao (Natrii Sulfas, ground, 2.5 lian), Dongkuizi (Malvae Semen, stir-fried, 3 he), Huashi (Talcum, crushed, 3 lian).
Usage: Slice the herbs, take 5 qian, add 1.5 sheng of water, decoct to 0.7 sheng, and take warm.
Yanhua Wan (Genkwa Pill) treats difficulty in stool and urine.
Herbs: Yanhua (Genkawi Flos, stir-fried), Huashi (Talcum, crushed) (each half lian), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried, 3 fen).
Usage: Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds, take 20 pills each time with warm water.
Huashi San (Talc Powder) treats obstruction of stool and urine.
Herbs: Huashi (Talcum, 2 lian), Kuizi (Malvae Semen), Yubaidi (Ulmus Cortex) (each 1 lian).
Usage: Make into powder, boil Maziren juice (Cannabis Semen juice) 1.5 sheng to obtain 0.5 sheng, divide into two doses for immediate relief.
Xingren Dao Fa (Apricot Seed Guiding Method) treats obstruction of stool and urine.
Herbs: Ganjiang (Zingiberis Rhizoma), Yan (Sal), Xingren (Armeniacae Semen Amarum) (equal parts).
Usage: Pound into a paste and insert into the anus as a suppository.
Shuiyin San (Mercury Powder) treats Guan-Ge obstruction of stool and urine, abdominal and intestinal panting, effective immediately (from *Shenghui Fang*).
Herbs: Shuiyin (Hydrargyrum), Nifen (Calomel), Huashi (Talcum) (each 1 lian).
Usage: Grind into fine powder, grind until mercury stars disappear, take 1 qian each time, mixed with Congbai Tang (Green Onion Decoction).
Liuhuang Gao (Sulfur Ointment) treats constipation (from *Jingyan Liangfang*).
Herbs: Shuiyin (Hydrargyrum, bean-sized piece, finely ground), Badou (Crotonis Fructus, two kernels, shell and membrane removed), Liuhuang (Sulfur, three bean-sized pieces).
Usage: Grind into a paste, form one dose, and apply to the umbilicus.
Ruzang Tang (Moistening Viscera Decoction) treats difficulty in stool and urine, dry feces in the abdomen, alternating chills and fever, irritability, shortness of breath, sweating, and abdominal distension. (Formula see Ruzang Tang)
Muxiang San (Costus Powder) treats difficulty in stool and urine (from *Shenghui Fang*).
Herbs: Muxiang (Aucklandiae Radix), Qingdai (Indigo Naturalis) (each half lian), Mayou (Sesame Oil, 2 he).
Usage: Add 1 sheng of water, decoct until water is gone, leaving only oil, remove dregs, and divide into two doses.
Dongkuigen Zhi Fang (Winter Mallow Root Juice Formula) treats obstruction of stool and urine.
Herbs: Sheng Dongkuigen (Malvae Radix, washed clean, 2 jin, pounded and juiced to obtain 3 he), Shengjiang (Zingiberis Rhizoma Recens, 4 lian, pounded and juiced to obtain 1 he).
Usage: Mix evenly, divide into two doses, take once on an empty stomach.
Hujiao San (Pepper Powder) treats Guan-Ge obstruction of stool and urine (from *Shenghui Fang*).
Herbs: Hujiao (Piperis Longi Fructus, twenty grains, pounded and ground), Chuan Puxiao (Natrii Sulfas, half lian).
Usage: Add 1 sheng of water, decoct pepper to 0.6 sheng, remove dregs, add Xiao, decoct until boiling once more.
Another Formula (from *Shenghui Fang*) treats Guan-Ge obstruction of stool and urine.
Herbs: Nifen (Calomel, 1 qian), Sheng Mayou (Raw Sesame Oil, 1 he).
Usage: Mix well, take on an empty stomach.
Shuhua San (Hibiscus Powder) treats Guan-Ge obstruction of stool and urine, abdominal distension, rebellious Qi, extreme mental distress (from *Shenghui Fang*).
Herbs: Shuhua (Hibisci Mutabilis Flos, 1 lian, pounded), Shexiang (Moschus, half qian, ground).
Usage: Add 1 sheng of water, decoct to 0.5 sheng, remove dregs and take. If flowers are unavailable, use roots.
Tuiche San (Pushcart Insect Powder) (from *Benshi Fang*) treats severe constipation lasting a month, approaching death.
Herbs: Tuiche Chong (Staphylinidae Insect, seven pieces), Tudougou (Ground Beetle, seven pieces) (For men: use head of Tuiche Chong, body of Tudougou; for women: use head of Tudougou, body of Tuiche Chong).
Usage: Roast on a new tile until dry, grind into powder, mix with concentrated decoction of Nanxiang Huskipi (Southern-facing Birch Bark), take one dose for cure. Treats acute Guan-Ge, obstruction of stool and urine, fullness approaching death, fatal within 2-3 days. From *Zhouhou Fang*.
Kujiu Navel Application, treats acute Guan-Ge, obstruction of stool and urine, fullness approaching death.
Herbs: Kujiu (Vinegar), Xiao (Natrii Sulfas) (equal parts).
Usage: Mix and apply to the umbilicus, change when dry.
Another Formula (from *Zhouhou Fang*) treats acute Guan-Ge, obstruction of stool and urine.
Herbs: Gansui (Kansui Radix, 2 zhu), Beichi (Concha Arcae, 2 pieces).
Usage: Pound and insert into anus, drink 3 he of Jiangshui, pass quickly.
Zijinsha San (Purple Gold Sand Powder) treats obstruction of stool and urine.
Herbs: Zijinsha (Purple Gold Sand, any amount), Fengfang Di (Honeycomb Peduncle, seven pieces).
Usage: Pound into powder, take 1 qian each time, mixed with warm wine.
Tumazong Tang (Earth Horse Mane Decoction) treats obstruction of stool and urine.
Herbs: Tumazong (Earth Horse Mane, any amount).
Usage: Wash clean with water, heat over a new brick, grind into coarse powder, take 2 qian each time, add 1 sheng of water, decoct to 0.7 sheng, remove dregs and take warm.
Zhizhi Jiu Fang (Pork Fat Wine Formula, from *Qianjin Fang*) treats obstruction of stool and urine.
Herbs: Zhizhi (Pork Lard, size of half a chicken egg).
Usage: Chop finely, add 1 sheng of wine, simmer gently, add lard, boil 1-2 more times, divide into two doses, take warm before meals.
Fa Hui San (Hair Ash Powder, from *Zhouhou Fang*) treats obstruction of stool and urine, and hematochezia.
Herbs: Luankou Hair (1 lian).
Usage: Wash clean, burn to ash, grind finely, take 3 qian each time, mixed with warm water, before meals, three times a day, stop when bowel movement is relieved.
Dongkuizi Tang (Winter Mallow Seed Decoction) treats obstruction of stool and urine.
Herbs: Dongkuizi (Malvae Semen).
Usage: Lightly stir-fry 1 lian, pound and sieve, add 2 sheng of water, decoct to 1 sheng, remove dregs, add half he of Renru (Human Milk), mix well, take on an empty stomach.
Yan Yun Fa (Salt Heat Compress) treats acute obstruction of stool and urine (from *Jiacang Jingyan Fang*).
Herbs: Yan (Sal).
Usage: Wrap salt in paper, roast red, throw into water and drink. Another method: fill umbilicus with salt for immediate relief. Another method: mix salt with Kujiu (vinegar) and apply to umbilicus. Another method: boil 3 sheng of water with 3 he of salt.
Xiaoshi Han Fa (Nitrate Inhalation/Extraction Method), another formula.
Herbs: Xiaoshi (Natrii Nitras).
Usage: Hold Xiaoshi in mouth to induce salivation and spitting.
Manjingzi You Fa (Vitex Oil Method) treats Guan-Ge blockage of stool and urine (from *Shenghui Fang*).
Herbs: Manjingzi You (Viticis Fructus Oil, 1 he).
Usage: Take on an empty stomach for immediate relief. Sweating after relief is normal.
Wobai Pi Fa (Chinese Tallow Bark Method) treats Guan-Ge obstruction of stool and urine, abdominal distension, pounding Qi, extreme chest oppression (from *Shenghui Fang*).
Herbs: Wobaishu Dongmian Baipi (White bark of Chinese Tallow tree on the east side).
Usage: Dry in shade, grind into powder. If no relief after 5-7 days, mix with hot water and take 2 qian. For urgent cases, roast on fire until dry.
Tiejiao Wan (Iron Foot Pill, also known as Zaojiao Yin, from *Shenghui Fang*) treats Guan-Ge obstruction of stool and urine lasting 3-5 days.
Herbs: Bu Zhu Zhaojiao (Sound Gleditsiae Fructus without worms).
Usage: Burn to ash, grind fine, mix with congee water, take 3 qian for immediate relief. Another method: roast Zaojiao, remove skin and seeds, grind into powder, mix with rice wine paste or refined honey to form pills.
Kuizi Zhuye Tang (Mallow Seed Bamboo Leaf Decoction) treats obstruction of stool and urine (from *Qianjin Fang*).
Herbs: Kuizi Mo (Mallow Seed Powder, 1 sheng), Qingzhuye (Green Bamboo Leaf, one handful).
Usage: Add 2 sheng of water, boil five times, take in one dose.
Another Formula (from *Qianjin Fang*) treats obstruction of stool and urine.
Herbs: Yubaidi (Ulmus Cortex, sliced, 1 sheng), Kuizi (Mallow Seed, 1 sheng).
Usage: Add 5 sheng of water, decoct to obtain 2 sheng, divide into three doses.
Another Formula (from *Qianjin Fang*) treats obstruction of stool and urine.
Herbs: Zengdai (Steamer Strap juice), Puhuang (Typhae Pollen, one cun cube).
Usage: Take three times a day.
Guyi Tang (Old Clothes Decoction) treats difficulty in stool and urine in adults and children, with large and hard abdomen (from *Jingyan Liangfang*).
Herbs: Guyi Duo Gouzhe (Dirty old clothes).
Usage: Slice 1 sheng, add 3 sheng of water, decoct to obtain 1 sheng, divide into three doses.
Hupo San (Amber Powder) treats deficiency in elderly with obstruction of stool and urine (from *Jingyan Liangfang*, also known as Hupo San).
Herbs: Zhen Hupo (True Amber).
Usage: Grind to powder, mix with Renshen Tang (Ginseng Decoction). Also treats heart pain. For elderly deficiency constipation, decoct 3 cun of Congbai (Green Onion White) in water, discard onion.
Mangxiao Jin Fu Fa (Natrii Sulfas Soaking Method) treats Guan-Ge obstruction of stool and urine, distension approaching death, fatal within 2-3 days (from *Zhouhou Fang*).
Herbs: Mangxiao (Natrii Sulfas, 2 lian).
Usage: Wrap in 3-4 layers of paper, roast in charcoal fire, soak in 1 sheng of soup, and drink. Drink 1 sheng of soup first, vomit, then take the mixture.
Kuizi Zhizhi Tang (Mallow Seed Pork Fat Decoction) treats acute Guan-Ge obstruction of stool and urine, fullness approaching death, and inability to pass stool for 10 days to a month (from *Qianjin Fang*).
Herbs: Kuizi (Mallow Seed, 2 sheng), Zhizhi (Pork Lard, size of chicken egg).
Usage: Add 4 sheng of water, decoct to obtain 1 sheng, take, add pork fat the size of a chicken egg, which is better.
Qibi Gao (Umbilical Paste) treats obstruction of stool and urine.
Herbs: Gansui (Kansui Radix, fine powder), Shengmian (Raw Flour).
Usage: Mix powder with raw flour to make paste, spread on paper, sprinkle powder on top, apply to umbilicus and hard areas below. Decoct Gancao water separately.
Gansui San (Kansui Powder, from *Wei Shi Fang*) treats obstruction of stool and urine, abdominal fullness, and urgent breathing.
Herbs: Gansui (Kansui Radix, 2 lian, red bark variety ground), Lianmi (Refined Honey, 2 he).
Usage: Mix evenly, each 1 lian weight divided into four doses, take one dose per day, downed with honey water.
Yangshi Xun Bi Fa (Sheep Dropping Nasal Fumigation) treats obstruction of stool and urine.
Herbs: Yangshi (Sheep Droppings).
Usage: Roast and fumigate nose. Also treats Zhong'e (sudden evil invasion), stabbing pain in heart and abdomen.
Congcu Feng Qi Fa (Green Onion Vinegar Umbilical Seal), another formula.
Herbs: Congbai (Green Onion White), Cu (Vinegar).
Usage: Pound Congbai, mix with vinegar, seal on lower abdomen.
Zhuyu Han Fu Fa (Evodia Containment Method), another formula.
Herbs: Zhuyu (Evodiae Fructus) southern branch.
Usage: Break off a segment the size of the middle joint of the second finger, hold in mouth for immediate effect.
Shufen Fu Qi Fa (Mouse Dropping Umbilical Application), another formula.
Herbs: Xiong Shufen (Male Mouse Droppings, pointed at both ends).
Usage: Apply to umbilicus for immediate effect.
Xianshi Fa (Amaranth Seed Method), another formula.
Herbs: Xianshi Mo (Amaranthi Fructus Powder, half lian).
Usage: Divide into two doses, mix with fresh well water and take.
Bai Fan Di Qi Fa (Alum Umbilical Drop Method), another formula.
Herbs: Bai Fan (Alumen, finely ground).
Usage: Have patient lie supine, fill umbilicus with alum powder, drip fresh well water into it. When coldness penetrates, bowel movement occurs naturally.
Muxiang Wan (Costus Pill) treats severe trauma, difficulty in stool and urine, abdominal pain.
Herbs: Cangzhu (Atractylodis Rhizoma, 1 lian), Badou (Crotonis Fructus, ten kernels), Jingsanleng (Curcumae Radix, half lian stir-fried).
Usage: Grind into powder, mix with white flour paste to form pills the size of mung beans, take 5-7 pills each time after meals with rice drink.
Bianzhu Gen Zhi (Arrowroot Root Juice) treats urinary obstruction in men and women unresponsive to other medicines.
Herbs: Bianzhu Gen (Root of Arrowroot with purple flowers).
Usage: Those growing by water are best, crush to obtain 1 sheng of natural juice, take until relief stops medication, do not immediately take tonics.
Binglang San (Areca Powder) treats obstruction of stool and urine, dampness in intestines and stomach, constipation.
Herbs: Binglang (Arecae Semen, largest half piece), Maimendong (Ophiopogonis Radix, ground with cooked water, 1 qian).
Usage: Heat in double boiler and take. Another method: grind into powder, take 2 qian each time, mixed with honey water.
Shenxian Dao Shui Wan (Immortal Water-Guiding Pill) treats upper excess and lower deficiency, failure of Water and Fire to ascend and descend, constipation, urinary retention, red eyes, mouth ulcers, bloody stool, dysentery, continuous vomiting and bleeding. Also treats Qi masses, pediatric spleen disease, female menstrual obstruction, male trauma.
Herbs: Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix), Zhiqiao (Aurantii Fructus, stir-fried), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Binglang (Arecae Semen), Xiangfu (Cyperi Rhizoma) (each 1 lian), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma) (each 1 lian).
Usage: Grind into powder, mix with refined honey to form pills the size of paulownia seeds, take 20 pills each time with warm rice.
Michuan Jiedu Wan (Secret Detoxifying Pill) treats upper excess and lower deficiency, failure of Water and Fire to ascend and descend, constipation, urinary retention, red eyes, mouth ulcers, bloody stool, dysentery, continuous vomiting and bleeding. Also treats Qi masses, pediatric spleen disease, female menstrual obstruction, male trauma.
Herbs: Guanzhong (Dryopteridis Crassirhizomatis Rhizoma), Shandougen (Sophorae Tonkinensis Radix), Huangyaozi (Dioscoreophylli Rhizoma), Yaxiao (Natrii Sulfas), Hanshuishi (Aragonitum), Longdancao (Gentianae Radix), Gange (Puerariae Radix), Xiong Dadou (Yellow Soybean), Baiyaojian (Massa Medicata Fermentata), Zihache (Placentahominis), Gancao Jie (Glycyrrhizae Radix et Rhizoma nodes).
Usage: Grind into powder, coat with Nuomici paste (Glutinous Rice Paste), form pills the size of paulownia seeds, coat with Zhusha (Cinnabar).
Dahuang San (Rhubarb Powder) treats obstruction of stool and urine.
Herbs: Dahuang (Rhei Radix et Rhizoma, 5 qian processed), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian), Huashi (Talcum, 5 qian), Lvdou (Phaseoli Radiatus Semen, one he).
Usage: Grind together into fine powder, take 2 qian each time, mixed with fresh well water.
Suan Na Xiabu Fa (Garlic Insertion into Anus) treats Guan-Ge distension and obstruction of stool and urine.
Herbs: Dutou Suan (Single-clove Garlic).
Usage: Roast熟, peel, wrap in cotton, insert into anus, Qi flows immediately.
Yangshi Guan Chang Fa (Sheep Dropping Enema) treats various abdominal diseases in adults and children, malnutrition dampness, obstruction of stool and urine.
Herbs: Yangshi (Sheep Droppings).
Usage: Decoct in water and enema.
Qingfen Zao (Calomel Date) treats constipation.
Herbs: Dazao (Jujubae Fructus, ten pieces), Zhen Qingfen (Pure Calomel, one box).
Usage: Put a little Qingfen into each date, close, place in cup, cover and boil, steam in steamer until cooked.
Lianxin Cha (Lotus Plumule Tea) treats obstruction of stool and urine, excellent formula for benefiting Yin and Yang.
Herbs: Lianxin (Nelumbinis Plumula, forty-nine grains, roasted on tile until dry and ground), Jiancha (Jian Tea, small scoop), Mi (Honey, one spoon).
Usage: Mix as one dose, add half cup of Jinghua Shui (Well Water), mix well.
Taoye Zhi (Peach Leaf Juice) treats complete obstruction of stool and urine.
Herbs: Taoye (Peach Leaf).
Usage: Extract juice, mix and take half sheng. In winter, use Taoshupi (Peach Tree Bark).
Tianluo Fa (River Snail Method) benefits stool and urine, removes heat accumulation in abdomen, dark circles under eyes.
Herbs: Tianzhong Luo (River Snails from fields).
Usage: Boil and eat.
Jingshui Fa (Well Water Method) regulates Middle and Lower Jiao Qi-heat, benefits stool and urine.
Herbs: Hao Jing Shui (Good Well Water), Shitu Jian Xin Chu Quanshui (New Spring Water from Soil and Rocks).
Usage: Drink plenty, let it reach throat, pause slightly, then swallow.
Zhuchang Fa (Pork Intestine Method) treats Wind-Heat in Large and Small Intestines.
Herbs: Zhuchang Zangshi (Pork Intestines and Offal).
Usage: Eat.
Bimazi Zhou Fa (Castor Porridge Method) treats Guan-Ge obstruction of stool and urine (from *Bencao*).
Herbs: Bimazi Zhi (Castor Juice).
Usage: Cook porridge with juice and eat.
Dama Zi Huixiang San (Hemp Seed Fennel Powder), another formula (from *Yonglei Lingfang*), treats total constipation with drum-like abdominal distension and rapid breathing.
Herbs: Dama Zi (Hemp Seed, stir-fried, shell removed, half lian), Bajiao Huixiang (Star Anise, seven pieces).
Usage: Grind into powder, mix with 3-7 green onion whites, grind together, mix with cooked water and Wuling San.
Chenxiang San (Agarwood Powder), another formula, treats constipation due to retained food with panting (from *Yonglei Lingfang*).
Herbs: Chenxiang (Aquilariae Lignum Resinatum, 3 qian), Jing Qingpi (Pure Tangerine Peel), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma) (each 7 qian), Badou (Crotonis Fructus, twenty-one kernels, shell removed).
Usage: Except for Chenxiang, grind others into powder, mix with Chenxiang, refine honey to form pills, take 10 pills each time with warm water.