大钟、中 、石门、承山、太冲、中管、大溪、承筋、主大便难。（千）昆仑、主不得
。肓俞、主大便干。腹中切痛。石关、主大便闭。寒气结。心坚满。承山（见转筋。）
大溪、（见伤寒无汗。）治大便难。（铜）大钟、（铜见淋。）石关、治大便秘涩。肓俞、治
大便燥。（见腰痛。）中注、治小腹有热。大便坚燥不利。大白、治腰痛大便难。太冲
、治足寒大便难。石关、膀胱俞、疗腹痛大便难。（明下）大便难、灸七椎旁各一寸七壮
。（千）又承筋三壮。大便不通。大敦四壮。大便闭塞。气结。心坚满。石门百壮。（余见
千金。）腹中有积。大便秘。巴豆肉为饼。置脐中。灸三壮。即通。神效。耆域蜜兑治大
便秘。（详见既效。）
丰隆、主大小便涩难。（明同。）长强、（明下同。）小肠俞、主大小
便难。淋癃。包肓、主癃闭下重。大小便难。
水道、主三焦约。大小便不通。（又云生妇人。）营冲四穴、主大小便不利。大溪、
便难。尿黄。中注、浮 、主小腹热。大便坚。白环俞、（见腰脊。）扶承、（见痔。）大肠
俞、治大小便不利。（铜见腹胀。）会阴、治不得大小便。（见阴痛。千同）。浮 、治
小肠热。大肠结。（见筋急。）膀胱俞、疗大小便难。尿赤。（明）交信、疗大小便难。
一卒伤寒。大小便不通。予与五苓散而皆通。五苓固利小便矣。而大便亦通者。津液生
故也
。或小便通而大便尚不通。宜用蜜兑道之。（必用方。妇人老人大便秘。用麻子苏子煮粥食
。最佳。）
Dazhong (KI11), Zhong [acupoint], Shimen (CV5), Chengshan (BL57), Taichong (LR3), Zhongwan (CV12), Daxi (KI4), Chengjin (BL56) mainly treat difficult defecation. (From *Qianjin Fang*) Kunlun (BL60) mainly treats inability to pass stool. Huangshu (GB25) mainly treats dry stool. Severe abdominal pain. Shiguan (ST22) mainly treats fecal impaction. Cold qi accumulation. Hardness and fullness in the heart region. Chengshan (see entry for muscle cramp). Daxi (see entry for cold damage with no sweating) treats difficult defecation. (From *Tongren Shuxue Zhenjiu Tujing*) Dazhong (see entry for strangury), Shiguan treats constipation with astringency. Huangshu treats dry stool. (See entry for lower back pain) Zhongzhu (ST24) treats heat in the lower abdomen. Hard, dry, and unsmooth stool. Dabai (ST44) treats lower back pain accompanied by difficult defecation. Taichong treats cold feet accompanied by difficult defecation. Shiguan, Bladder Shu (BL28) treat abdominal pain accompanied by difficult defecation. (From *Mingtang Jiu Jing* Vol. 2) For difficult defecation, moxa is applied one cun lateral to the seventh thoracic vertebra, seven moxa cones on each side. (From *Qianjin Fang*) Additionally, three moxa cones are applied to Chengjin (BL56). For obstipation, four moxa cones are applied to Dadun (LR1). For fecal impaction with qi stagnation and hardness/fullness in the heart region, one hundred moxa cones are applied to Shimen (CV5). (For other contents, see *Qianjin Fang*). For abdominal masses and constipation, a cake made of croton seed flesh is placed in the umbilicus, and three moxa cones are applied; this immediately relieves the condition and is miraculous. Qiyu's honey suppository method treats severe constipation. (See detailed description in *Jisheng Fang*)
Fenglong (ST40) mainly treats difficult and astringent urination and defecation. (*Mingtang Jiu Jing* agrees). Changqiang (GV1) (*Mingtang Jiu Jing* agrees), Xiaochang Shu (BL27) mainly treat difficult urination and defecation. Strangury. Longbi (prolapse/obstruction) with a sensation of heaviness in the lower body. Difficult urination and defecation. Shuidao (ST28) mainly treats dysfunction of the Sanjiao (Triple Burner) causing obstruction. Urinary and fecal retention. (Also stated to be suitable for postpartum women). The four acupoints Yingchong mainly treat unfavorable urination and defecation. Daxi (KI4) causes difficult defecation. Yellow urine. Zhongzhu (ST24), Fuxi (GB35) mainly treat heat in the lower abdomen. Hard stool. Baihuan Shu (BL30) (see entry for lumbar spine), Fucheng (BL37) (see entry for hemorrhoids), Dachang Shu (BL25) treat unfavorable urination and defecation. (See entry for abdominal distension in *Tongren Shuxue Zhenjiu Tujing*) Huiyin (CV2) treats inability to urinate or defecate. (See entry for genital pain, *Qianjin Fang* agrees). Fuxi (GB35) treats heat in the small intestine. Accumulation in the large intestine. (See entry for tendon tension). Bladder Shu (BL28) treats difficult urination and defecation. Red urine. (*Mingtang Jiu Jing*) Jiaoxin (KI8) treats difficult urination and defecation. In a case of sudden cold damage where both urination and defecation were blocked, I administered Wuling San (Five-Ingredient Poria Decoction), resulting in the patency of both. Although Wuling San primarily promotes diuresis, the reason the stool also became loose is that body fluids were generated. If urination is patent but defecation remains obstructed, honey suppositories should be used to guide the passage of stool. (From *Biyong Fang*. For elderly women suffering from constipation, porridge boiled with sesame seeds and perilla seeds is best.)