治脾胃不和，常患大便坚强难方。
大黄 芍药 浓朴（炙各二两） 枳实（六枚） 麻子（别研五合）
上五味，捣筛，入麻子，蜜和为丸，如梧桐子大，每服十丸，日三服，稍稍增之，以通
利为度，可常将之。（《外台》卷二十七）
治不得大便十日，或一月，烦满欲死方。
葵子二升，以水四升，煮取一升，去滓，顿服之。（《医心方》卷十二）
治大便牢难，腹热连日，欲死方。
白蜜三升，于微火上煎之，使如强 ，以投冷水中，须臾当凝出丸，丸如手指大，长六
寸、七寸，内谷道中，即得通。（《医心方》卷十二）
治七、八日奔气伤心欲死者，须臾便通方。
猪胆一枚，内下部中，良。（《外台》卷二十七）
治大、小便不通，三阳实，大便不通方。
榆白皮（三两） 桂心（二两） 滑石（六两） 甘草（三两炙）
上四味，以水一斗，煮取三升，分三服。（《外台》卷二十七）
治关格之病，肠中转痛，不得大、小便，一日一夜不瘥欲死方。
芒硝三两，纸三重裹，于炭火内烧令沸，安一升水中尽服之，当先饮温汤一、二升以来，
吐
风寒冷气入肠，忽痛坚急如吹状，大、小便不通，或小肠有气结，如升大胀起，名为关
格病。又治大、小便不利病。
苦参 滑石 贝齿（各等分）
上三味，捣筛为散，每服饮下一匕。（《外台》卷二十七）
又方
煮葵根汁服之，弥佳。（《外台》卷二十七）
治久不得大、小便方。
猪脂如鸡子，着一杯酒中，煮之令沸，顿服。（《医心方》卷十二）
治大、小便卒关格不通方。
吴茱萸南行枝，取之断度如手第二指中节，含之立下。（《证类本草》卷十三）
治大小便闭方。
乱发末三指撮，投半升水中，一服。（《证类本草》卷十五）
Formula for treating spleen and stomach disharmony, frequently suffering from hard and difficult defecation.
Rhubarb Radix et Rhizoma (Dahuang), Peony Root (Shaoyao), Magnolia Bark (Noupu) (stir-fried with bran, each 2 liang), Immature Bitter Orange (Zhishi) (6 pieces), Hemp Seed (Mazi) (separately ground, 5 he).
The above five herbs are crushed, sifted, mixed with hemp seed, and bound with honey into pills the size of sophora seeds. Take 10 pills per dose, three times daily. Gradually increase the dosage until bowel movement is unobstructed. It can be used regularly. (From *Waitai Mi Yao*, Vol. 27)
Formula for treating inability to defecate for ten days or a month, accompanied by irritability, fullness, and near-death distress.
Okra Seeds (Kuizi) 2 sheng. Boil in 4 sheng of water until reduced to 1 sheng. Remove dregs and take in one dose. (From *Yixin Fang*, Vol. 12)
Formula for treating severe constipation, abdominal heat persisting for days, and extreme distress.
White Honey (Baimi) 3 sheng. Simmer over low heat until it becomes thick like strong glue. Pour into cold water; it will solidify into pills within moments. Shape into pills the size of fingers, 6-7 cun long. Insert into the anus to facilitate bowel movement. (From *Yixin Fang*, Vol. 12)
Formula for treating qi rushing upward striking the heart after seven or eight days, causing extreme distress, with immediate relief upon defecation.
Pig Gallbladder (Zhudan) one piece. Insert into the lower orifice (anus). Effective. (From *Waitai Mi Yao*, Vol. 27)
Formula for treating obstruction of both urination and defecation, excess syndrome of the Three Yang meridians, and constipation.
Ulmus Pumila Bark (Yubai Pi) (3 liang), Cinnamon Twig (Guixin) (2 liang), Talcum (Huashi) (6 liang), Licorice Root (Gancao) (roasted, 3 liang).
The above four herbs are boiled in 1 dou of water until reduced to 3 sheng. Divide into three doses. (From *Waitai Mi Yao*, Vol. 27)
Formula for treating Guan Ge disease, characterized by twisting pain in the intestines, inability to pass stool or urine, and extreme distress if not relieved within one day and night.
Mirabilite (Mangxiao) 3 liang. Wrap in three layers of paper and roast in charcoal fire until boiling. Dissolve in 1 sheng of water and drink completely. Prior to taking this medicine, drink 1-2 sheng of warm soup.
When wind-cold pathogenic qi enters the intestines, sudden hardness and urgency occur as if inflated, leading to obstruction of stool and urine. Alternatively, qi stagnation in the small intestine causes distension resembling an inverted cup. This condition is named Guan Ge disease. Also treats disorders of difficult urination and defecation.
Sophora Root (Kushen), Talcum (Huashi), Concha Meretricis seu Cyclinae (Beichi) (equal parts).
The above three herbs are crushed, sifted, and made into powder. Take one bi (a spoonful) with drinking water per dose. (From *Waitai Mi Yao*, Vol. 27)
Another formula:
Boil Okra Root Juice (Kuigen Zhi) and take it. More effective. (From *Waitai Mi Yao*, Vol. 27)
Formula for treating chronic obstruction of both urination and defecation.
Pork Lard (Zhuzhi) the size of a chicken egg. Place in one cup of wine, boil until bubbling, and take in one dose. (From *Yixin Fang*, Vol. 12)
Formula for treating sudden Guan Ge obstruction of both urination and defecation.
Wu Zhu Yu Southern Branches (Wuzhuyu Nan Xing Zhi). Cut a segment the length of the middle joint of the second finger of the hand. Hold in the mouth; effect is immediate. (From *Zhenglei Bencao*, Vol. 13)
Formula for treating closure of both urination and defecation.
Human Hair Ash (Luancha Mo) three finger-pinches. Throw into half a sheng of water. Take in one dose. (From *Zhenglei Bencao*, Vol. 15)