（附论）
夫时气。小肠者心之腑也。心与小肠为表里。心脏热久而不除。汗后津液虚少。不能灌
溉。而热毒之气流注小肠。故令不通也。
方
赤茯苓散（出圣惠方）治时气有时寒热。四肢沉重。口不知味。胸中哕塞。
小便不通。宜服。
赤茯苓（一两） 前胡（三分去芦头） 白藓皮（一两） 瞿麦（一两） 子芩（半两）
栀子仁
（半两） 滑石（二两） 川升麻（三分） 木通（一两五钱锉） 上为散。每服三钱。水
一盏。煎
至六分。去滓。不计时候。温服。
贝齿散（出圣惠方）治时气热毒流注。小便不通。
贝齿（四十枚） 白藓皮（一两） 猪苓（一两去皮） 川大黄（一两锉碎微炒） 瞿
麦（一两）
上为散。每服不计时候。以水一中盏。半匙调下三钱。良久再服。以利为度。
犀角散（出圣惠方）治时气四五日。寒热头痛。心腹烦闷。小便不通。
犀角屑（一两） 柴胡（去苗一两） 赤芍药（一两） 瞿麦（一两） 黄芩（一两） 知
母（一
两） 木通（一两锉） 川大黄（二两锉碎微炒） 滑石（二两） 上为散。每服五钱。以
水一大
盏。煎至五分。去滓。不计时候。温服。以得通为度。
柴胡散（出圣惠方）治时气恶寒壮热。头痛。小便不通。
柴胡（一两去苗） 茵陈（一两） 川大黄（锉碎一两） 黄芩（一两） 木通（一两
锉） 川升
麻（一两） 栀子仁（一两） 川芒硝（一两） 茅根（一两锉） 上为散。每服五钱。以
水一大盏。
煎至五分。去滓。不计时候。温服。以得通为度。
治时气壅毒。心腹胀满。小便不通。（出圣惠方）
滑石（二两） 甜葶苈（一两隔纸炒令紫色） 上捣筛。以水二大盏。煎至一盏。去滓。
不
计时候。温服。以得通为度。
疗小腹满。不得小便方。兼治天行。
细末雄黄。蜜和为丸枣核大。纳溺孔中。令入中。等半寸。以竹管注阴令痛。搠之通。
(Attached Discussion)
Regarding "Shi Qi" (Seasonal Epidemic Disease), the Small Intestine is the Fu organ of the Heart. The Heart and Small Intestine are interior-exteriorly related. If Heat in the Heart persists for a long time without resolution, and after sweating, Body Fluids become deficient and reduced, failing to moisten and irrigate, the pathogenic Heat-Toxin flows into the Small Intestine. This causes urinary obstruction.
Prescriptions
Chifuling San (Red Poria Powder) [From *Shenghui Fang*]
Indications: Treats Shi Qi characterized by alternating chills and fever, heaviness of the four limbs, loss of taste in the mouth, hiccups and chest fullness/stuffiness, and urinary obstruction. Suitable for consumption.
Ingredients: Chifuling (Poria Cocos with Red Core, 1 liang), Qianhu (Peucedani Radix, 3 qian, remove rhizome), Baixianpi (Dictamni Cortex, 1 liang), Qumai (Dianthi Herba, 1 liang), Zixin (Scutellariae Radix, 0.5 liang), Zhizi Ren (Gardeniae Semen, 0.5 liang), Huashi (Talcum, 2 liang), Chuanshengma (Polygoni Sibirici Rhizoma, 3 qian), Mutong (Akebiae Caulis, 1.5 liang, sliced).
Preparation and Administration: Grind all ingredients into powder. Take 3 qian per dose. Add 1 zhan of water, decoct until 0.6 zhan remains. Strain the dregs. Drink warm at any time.
Beichi San (Concha Meretrix Powder) [From *Shenghui Fang*]
Indications: Treats urinary obstruction caused by the flow of Heat-Toxin from Shi Qi.
Ingredients: Beichi (Concha Meretrix, 40 pieces), Baixianpi (Dictamni Cortex, 1 liang), Zhuling (Polyporus, 1 liang, remove skin), Chuandahuang (Rhei Radix et Rhizoma, 1 liang, sliced and lightly stir-fried), Qumai (Dianthi Herba, 1 liang).
Preparation and Administration: Grind all ingredients into powder. Take 3 qian per dose at any time. Mix with half a spoonful using one zhan of water. Administer again after some time. Stop when urination becomes free.
Xijiao San (Rhino Horn Powder) [From *Shenghui Fang*]
Indications: Treats Shi Qi occurring after four or five days, presenting with alternating chills and fever, headache, restlessness and oppression in the heart and abdomen, and urinary obstruction.
Ingredients: Xijiao Xie (Hornis Rinocerotis, 1 liang), Chaihu (Bupleuri Radix, 1 liang, remove radix tip), Chishao Yao (Paeoniae Radix Rubra, 1 liang), Qumai (Dianthi Herba, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Mutong (Akebiae Caulis, 1 liang, sliced), Chuandahuang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried), Huashi (Talcum, 2 liang).
Preparation and Administration: Grind all ingredients into powder. Take 5 qian per dose. Add one large zhan of water, decoct until 0.5 zhan remains. Strain the dregs. Drink warm at any time. Stop when urination becomes free.
Chaihu San (Bupleurum Powder) [From *Shenghui Fang*]
Indications: Treats Shi Qi presenting with aversion to cold, high fever, headache, and urinary obstruction.
Ingredients: Chaihu (Bupleuri Radix, 1 liang, remove radix tip), Yichen (Artemisiae Scopariae Herba, 1 liang), Chuandahuang (Rhei Radix et Rhizoma, 1 liang, sliced), Huangqin (Scutellariae Radix, 1 liang), Mutong (Akebiae Caulis, 1 liang, sliced), Chuanshengma (Polygoni Sibirici Rhizoma, 1 liang), Zhizi Ren (Gardeniae Semen, 1 liang), Chunanxiaos (Natrii Sulfas, 1 liang), Maogen (Imperatae Rhizoma, 1 liang, sliced).
Preparation and Administration: Grind all ingredients into powder. Take 5 qian per dose. Add one large zhan of water, decoct until 0.5 zhan remains. Strain the dregs. Drink warm at any time. Stop when urination becomes free.
Treatment for Shi Qi with obstructing Toxins, causing abdominal distension and fullness, and urinary obstruction. [From *Shenghui Fang*]
Ingredients: Huashi (Talcum, 2 liang), Tiantingli (Semen Lepidii, 1 liang, stir-fried between papers until purple).
Preparation and Administration: Pound and sieve the ingredients. Add two large zhans of water, decoct until one zhan remains. Strain the dregs. Drink warm at any time. Stop when urination becomes free.
Prescription for treating lower abdominal fullness and inability to urinate. Also treats Tianxing (Epidemic Disease).
Grind Xionghuang (Realgar) into fine powder. Mix with honey to form pills the size of a jujube pit. Insert into the urethral meatus, advancing about half a cun. Inject fluid via a bamboo tube into the yin region to induce pain; this maneuver promotes unblocking.