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[Supplementary Discussion]
When the bladder's Qi transformation is impaired, it is termed *Long* (癃, difficulty in urination); when its constraining function fails, resulting in urinary incontinence, this is caused by the loss of proper transmission between the Heart and Kidney Qi. Therefore, there are cases of astringent urination accompanied by incontinence.

**Formulas for Incontinence**
To treat women with urinary incontinence where the timing of urine release is unknown:
*Baiwei* (Radix Cynanchi Atrati) and *Baishaoyao* (Radix Paeoniae Alba) in equal parts. Grind into powder. Administer one *fangcunbi* (a traditional measuring spoon) with wine. Take three times daily on an empty stomach.

**Another Formula**
*Baijian* (Alumen) and *Muli* (Concha Ostreae) in equal parts. Grind into a fine powder. Administer one *fangcunbi* with rice water. This formula can also treat men with urinary incontinence. Another method is to administer with wine.

**Another Formula**
Take *Sangpiaoxiao* (Ootheca Mantidis), stir-fry with wine, and grind into a fine powder. Take two qian per dose. Mix with ginger decoction to take. Another method is to take before meals. Yet another method is to mix with rice water.

**To treat women with urinary incontinence and lower bleeding:**
Take the feathers from the comb of a rooster, burn to ash, and grind into powder. Administer one *fangcunbi* with wine.

**To treat women with urinary incontinence where the timing of release is unknown:**
Take old ship wood shavings (*Baichuanru*), grind into powder. Mix with wine and take three qian.

**Another Formula**
Take grass from a swallow's nest, burn to ash, and take. Administer half a *qianbi* with wine. This also treats men.

**Another Formula**
Take the birthing bed straw that has been soiled with urine, burn to ash, and take; the disease will heal.

[Supplementary Discussion]
Women suffering from constipation are due to dysfunction of the five Zang organs, where cold and heat Qi knot in the intestines and stomach, leading to dryness and depletion of body fluids, congestion and astringency of the Large Intestine, resulting in unpassable stool.

**Tiaoqi Wan (Regulating Qi Pill)**
To treat women with constipation.
*Binglang* (Arecae Semen), *Qianghuo* (Rhizoma Notopterygii), *Guixin* (Cortex Cinnamomi), *Xiong* (Radix Chuanxiong), *Muxiang* (Radix Aucklandiae) in equal parts; *Yuliren* (Semen Pruni Persicae) soaked in water, peeled, lightly stir-fried; *Chuan Dahuang* (Radix et Rhizoma Rhei) crushed, lightly stir-fried.
*Qianniuzi* (Fructus Phytolaccae Decandri) made into pills the size of mulberry seeds.
Treats dysfunction of Zang Qi, difficult defecation, unblocks Ying and Wei, benefits the nine orifices, promotes appetite.
*Dahuang* (Dahuang steamed evenly with a dou of rice, then dried), *Zhiqiao* (Fructus Aurantii, pith removed, bran-fried), *Baishaoyao* (Radix Paeoniae Alba), *Tinglizi* (Semen Lepidii seu Descurainiae, stir-fried until fragrant, separately ground), *Niuzhi* (Bovis Medulla), *Rongrong* (Cibotium Barometz) soaked in wine until soft and warm.
Grind all into powder... [Text incomplete].

**Qianniuzi San (Phytolacca Seed Powder)**
To treat women with constipation.
*Muxiang* (Ban liang), *Yuliren* (peeled, lightly stir-fried), *Qingpi* (white part removed), *Mutong* (Caulis Akebiae), *Zhiqiao* (white part removed, bran-fried), *Guixin* (each 1 liang), *Hei Qianniuzi* (Black Fructus Phytolaccae).
Administration details omitted.

**Yuliren San (Persica Seed Powder)**
To treat women with constipation, dispels wind and regulates Qi.
*Yuliren* (2 liang, soaked, peeled, lightly stir-fried), *Qianniuzi* (1 liang, lightly stir-fried), *Shenqu* (Medicated Leaven, lightly stir-fried), *Guixin*, *Muxiang*, *Qing Jupi* (green tangerine peel, soaked, white pith removed, dried), *Binglang* (Arecae Semen, each ban liang). Grind into fine powder. Take 2 qian mixed with ginger and tea on an empty stomach.

**Tongshen San (Spirit-Connecting Powder)**
To treat women with constipation of excess-heat type. Only use if symptoms include abdominal distension and pain, tenderness to touch, and chest/heart vexation.
*Dahuang*, *Mangxiao* (Natrii Sulfas), *Binglang*, *Taohua* (Peach Blossom), *Yuliren* (soaked, peeled, lightly stir-fried, each 1 liang), *Muxiang*. Grind into fine powder. Take 2 qian per dose on an empty stomach.

**Muxiang Wan (Aucklandia Pill)**
To treat women with Qi stagnation and Large Intestine constipation, promoting Qi movement.
*Muxiang*, *Chuan Dahuang* (crushed, lightly stir-fried), *Guixin*, *Binglang*, *Qing Jupi* (soaked, white pith removed, dried, each 1 liang), *Badou* (Semens Crotonis, 0.5 liang, peeled and cored).
Administration details omitted.

**Dama Ren Wan (Hemp Seed Pill)**
To treat women with wind-knotting in intestines and stomach, causing chronic constipation.
*Dama Ren* (Semen Cannabis, hulled, weighed, and ground into paste), *Dahuang* (each 2 liang, stir-fried), *Binglang*, *Muxiang*, *Zhiqiao* (each 1 liang). Grind into fine powder... [Text incomplete].

**Daodao Yin (Guiding Drink)**
To treat wind-constipation in women before and after childbirth, with unpassable stool.
*Danggui* (Radix Angelicae Sinensis), *Chuanxiong* (Rhizoma Chuanxiong), *Fangfeng* (Radix Saposhnikoviae), *Zhiqiao* (processed, each 4 qian), *Gancao* (honey-fried, 2 qian). Finely chop. Take 3 qian per dose, decocted with ginger and jujube before meals.

**Erren Wan (Two Seeds Pill)**
*Xingren* (Semen Armeniacae Amarum, peeled, tips removed, bran-fried yellow), *Maren* (Semen Cannabis, separately ground), *Zhiqiao* (pith removed, bran-fried red), *Hezi* (Fructus Terminaliae Chebulae, fire-roasted, pounded to remove pits). Each of the main ingredients is 1 liang... [Text incomplete].

**Runchang Wan (Moistening Intestine Pill)**
To treat Large Intestine knotting and astringency.
*Mahuang* (Herba Ephedrae, stir-fried, 0.5 liang), *Zhiqiao* (stir-fried, 0.5 liang), *Dahuang* (steamed), *Ruxiang* (Resina Acaciae Cathartae, 1 liang). Grind into powder, make pills with refined honey the size of mulberry seeds.
Dosage omitted.

**Medical Case Record**
Physician Li Wan used *Chishizhi* (Halloysit Rubrum), *Longgu* (Os Draconis et Mastodi), *Ganjiang* (Rhizoma Zingiberis Preparatum) and other herbs to treat a certain nobleman. After taking them, he suffered from several days of constipation, with severe heat distress. The nobleman disliked taking *Dahuang*. I advised him: "The dryness is in the rectum, beyond the reach of oral medicine. It should be regulated using honey suppositories." He agreed. Honey pills were prepared. That evening, after three applications, he passed 40-50 hard fecal pellets, as large as walnuts, black like acorns. Within two to three days, his diet returned to normal. There are some deficient patients who cannot tolerate purgatives. This method is recorded here.

**Yanhua Wan (Genkwa Pill)**
To treat women with severe constipation.
*Yanhua* (Flos Genkvae, 0.5 liang, mixed with vinegar and stir-fried until dry), *Qing Jupi* (0.5 liang, soaked, white pith removed, dried), *Chuan Dahuang* (3 fen, crushed, lightly stir-fried). Grind into powder, make pills with refined honey... [Text incomplete].

**Xuandou Wan (Black Bean Pill)**
To treat women with retained food and constipation.
*Xuandou* (Vigna Angularis, 1 fen, roasted until scorched, peeled), *Badou* (5 seeds, peeled, cored, oil removed via paper wrapping), *Xiangmo* (Ink Stick, 2 qian). Grind into fine powder, incorporate Badou and grind... [Text incomplete].

**To treat Wind entering Hong Kong Jiao (podagra/gout), with constipation or diarrhea, for deficient elderly persons. (Also known as Zaojia Wan)**
*Zaojiazi* (Fructus Gleditsiae Sinensis, 300 seeds, broken into slices, slowly dried, added to sour jujube size, stir-dried again, added vinegar until charred black, then ground). Make pills with refined honey the size of mulberry seeds.
Administration omitted.

**Jili Tang (Tribulus Decoction)**
*Tribulus* (Fructus Tribuli) as needed, stir-fried until dark red-black. Pound in a mortar with a wooden pestle, sift clean. Take 3 liang of Tribulus per dose, with 1 liang of *Suanzaoren* (Semen Ziziphi Spinosae), stir-fried... [Text incomplete].

**Midui Fang (Honey Suppository Method)**
Good honey 4-5 liang. Simmer gently in a silver or earthenware vessel, stirring constantly with a spoon. When it can be molded and hardens upon exposure to air, coat hands with *Ge Fen* (Calamina), mold into human-shaped suppositories... [Text incomplete].

**Qianniuzi Wan (Phytolacca Pill)**
To treat women with constipation and empty distension in heart and abdomen.
*Hei Qianniuzi* (Black Fructus Phytolaccae, 2 liang, raw), *Qingpi* (green tangerine peel, white part removed, 1 liang), *Muxiang* (0.5 liang). Grind into fine powder, make pills with refined honey the size of mulberry seeds.
Take on an empty stomach... [Text incomplete].

**Congbai Tang (Scallion White Decoction)**
To treat women with constant tenesmus.
*Ejiao* (Colla Corii Asini), *Congbai* (Bulbus Allii Cepae) in equal parts. Decoct in water and take warm. Effective immediately regardless of time.