脱肛一证，气聚不散也，里急而不得出，外胀而不得入，先以枳壳散作剂，又以枳壳烧
灰存性，细末掺敷，或津唾调敷，气散则肿消矣。仍用生姜汁调五苓散如膏，入新水研散，
略煎，吞黄连阿胶丸。虽然，此论肛门挟热而肿胀也，其或肠中虚薄不收，则理中汤、钓肠
丸、养脏汤辈主治，乌贼骨、木贼草敷之。（详见脱肛类。）
大凡水道不行，其本在肾，合用牵牛、泽泻；其末在肺，合用葶苈、桑皮，二者得兼，
必然中病。其间更以木通、滑石佐之，又能透达。虽然，大便、小便脉络相贯也，人有多日
小便不通，但用神保丸、北亭丸辈，大泻数行，小肠自利。
沙淋凝脂而易散，石淋结块而难消。攻疗石淋，专以枳壳散空心食前吞来复丹为妙。但
恐太
转胞证候，孕妇多有之。患在忍缩小便，或喜食煎爆，或饱后为热所迫，遂使小肠之气
逆而不通，大肠之气与之俱滞，外水不能入膀胱，内水不能出膀胱，淋沥急数，每欲尿时痛
不可言，大便亦里急频并，似痢非痢。必以手从胸间按至脐下，庶可立出小便，否则逆上出
而不禁，甚者因此腹胀浮肿。治法用凉药疏利小肠中热，仍与通泄大肠，迨其腹中搅痛，大
便大下，则溺胞随即归正，于是小便顺流。葵子散见附妇人摘奇方。
孕妇七八个月，伤暑伤热以致子烦。胎气迫近于上，咽喉窒碍，心腹胀满，下坠似痢。
每登厕时，坐一炊久，忽而气下，方得大便一通。世俗率用痢药，不知病在胎热子烦，可小
柴胡汤下黄连阿胶丸，或用炒阿胶、净黄连各一分，枳壳、北大黄半之，分作两剂，乌梅、
姜、蜜煎服，俟其大便调导，却以川芎、茯苓、缩砂、甘草继之。若五苓散、感应丸、香连、
驻车，非其治也。
脱肛这一病症，是由于气机郁结不散所致。表现为肛门急迫却排不出，外部肿胀却无法回纳。治疗时，先用枳壳散制成制剂服用，再将枳壳烧成灰但保留药性，研成细末外敷患处；或者用唾液调和后涂抹，待气机消散，肿胀自然消退。随后仍需用生姜汁将五苓散调成膏状，加入新水研磨化开，稍微煎煮后，吞服黄连阿胶丸。虽然如此，上述论述是针对肛门伴有热邪而导致的肿胀情况。如果是肠道虚弱薄弱导致无法固摄收拢，则应当使用理中汤、钓肠丸、养脏汤等方剂主治，并配合乌贼骨、木贼草外敷。（详见脱肛类。）
大凡水道运行不畅，其根本原因在于肾，适宜使用牵牛子、泽泻；其标象在于肺，适宜使用葶苈子、桑白皮，这两类药物兼顾使用，必然能击中病根。其间再辅以木通、滑石作为佐使药，又能起到透达经络的作用。虽然如此，大便和小便的脉络是相互贯通的，有些人多天小便不通，只需使用神保丸、北亭丸等方剂，使其大便多次泄下，小肠的气机自然通畅，小便也就随之利出了。
沙淋（尿液中有砂石）像凝脂一样容易消散，石淋（尿液中有结石）结成块状而难以消除。治疗石淋，专门在空腹饭前吞服枳壳散和来复丹最为巧妙。只是担心过于……
转胞（妊娠期间小便不通）的证候，孕妇多有发生。病因在于强忍小便不排，或者喜好食用煎炸爆炒食物，或者饱食后被热邪逼迫，致使小肠之气逆乱而不通畅，大肠之气也随之停滞，外面的水液不能进入膀胱，里面的水液不能排出膀胱，出现淋漓不尽、急迫频数，每次想排尿时疼痛难忍，大便也里急后重、频繁发作，症状类似痢疾但并非痢疾。必须用手从胸部向下按压至脐下，才可以立即排出小便，否则尿液会逆上流出且无法控制，严重时因此导致腹部胀满浮肿。治疗方法是用凉性药物疏利小肠中的热邪，同时通泄大肠，等到腹中绞痛，大便大量泻下后，膀胱随即恢复正常位置，于是小便顺流而出。葵子散见附录《妇人摘奇方》。
孕妇在怀孕七八个月时，因伤暑、伤热而导致胎烦（妊娠期心烦）。胎气压迫向上，咽喉感到窒塞障碍，心腹胀满，下坠感类似痢疾。每次上厕所时，坐很久，忽然感觉气机下行，才能大便一通。世俗之人通常使用治痢疾的药物，不知道病根在于胎热引起的胎烦，可以用小柴胡汤送服黄连阿胶丸，或者使用炒阿胶、净黄连各一分，枳壳、北大黄减半用量，分为两剂，加乌梅、姜、蜜煎服，等到其大便调理顺畅后，再用川芎、茯苓、缩砂仁、甘草接续治疗。如果五苓散、感应丸、香连丸、驻车丸，就不是正确的治疗方法了。
The syndrome of rectal prolapse is caused by the stagnation and failure to disperse of Qi. It presents with a sense of urgency in the lower abdomen yet inability to defecate, and external swelling that cannot be reduced. Initially, Zhike San (Bitter Orange Powder) should be administered as a preparation. Subsequently, Zhike (Aurantii Fructus) should be burnt to ash while preserving its medicinal properties, ground into fine powder, and applied externally; or it may be mixed with saliva for topical application. Once the Qi disperses, the swelling will subside. Thereafter, Wuling San (Five-Ingredient Poria Pill) should be mixed with fresh ginger juice to form a paste, diluted with new water, slightly decocted, and taken orally along with Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill). Although this discussion addresses swelling accompanied by heat in the anal region, if the intestines are deficient and thin, failing to retain properly, then Lizhong Tang (Regulate the Middle Decoction), Diaochang Wan (Hook Intestine Pill), or Yangzang Tang (Nourish Viscera Decoction) should be used as primary treatments, supplemented by external application of Haiwu Gu (Sepiae Endoconcha) and Mozhe Cao (Equiseti Herba). (See details under Rectal Prolapse category.)
Generally, when the water passages fail to flow, the root lies in the Kidney, where Qian Niu Zi (Pharbitidis Semen) and Ze Xie (Alismatis Rhizoma) are indicated; the branch lies in the Lung, where Ting Li Zi (Lepidii Semen) and Sang Bai Pi (Mori Cortex) are indicated. Utilizing both sets of herbs will surely hit the disease's core. Additionally, using Mutong (Akebiae Caulis) and Hua Shi (Talcum) as adjuvants can further facilitate penetration and unblocking. Although the meridians of the large intestine and small intestine are interconnected, some individuals suffer from urinary retention for several days. By administering Shenbao Wan (Divine Preservation Pill) or Beiting Wan (Northern Pavilion Pill) to induce frequent bowel movements, the Qi of the small intestine becomes free, and urination naturally resumes.
Sha Lin (Sand Strangury), resembling congealed fat, is easy to dissipate; Shi Lin (Stone Strangury), forming hard masses, is difficult to eliminate. For treating Stone Strangury, it is most effective to take Zhike San (Bitter Orange Powder) and Laifu Dan (Reviving Life Pellet) on an empty stomach before meals. However, there is concern regarding excessive...
Zhuan Bao (Twisted Bladder) syndrome is common among pregnant women. The etiology involves holding back urine, preference for fried and roasted foods, or heat forcing the system after overeating. This causes the Qi of the Small Intestine to reverse and become obstructed, and the Qi of the Large Intestine to stagnate simultaneously. External fluids cannot enter the Bladder, and internal fluids cannot exit the Bladder. Symptoms include dribbling, urgency, and frequency; pain is unbearable when attempting to urinate. Defecation also presents with tenesmus and frequency, mimicking dysentery but not being dysentery. One must press manually from the chest down to below the umbilicus to immediately expel urine; otherwise, urine may regurgitate uncontrollably, potentially leading to severe abdominal distension and edema. The treatment method involves using cooling herbs to clear heat in the Small Intestine and simultaneously purging the Large Intestine. When abdominal cramping occurs and significant diarrhea ensues, the Bladder returns to its correct position, allowing urine to flow smoothly. Kuizi San (Abelmoschus Seed Powder) is found in the appendix "Women's Unique Prescriptions."
During the seventh or eighth month of pregnancy, injury from summerheat and heat can cause Tai Fan (Fetal Distress/Restlessness). The fetal Qi presses upward, causing obstruction in the throat, fullness and distension in the heart and abdomen, and a bearing-down sensation resembling dysentery. Upon visiting the toilet, after sitting for a long time, suddenly the Qi descends, allowing for one bowel movement. Laypeople typically administer dysentery medications, unaware that the pathology lies in fetal heat causing fetal distress. Xiao Chaihu Tang (Minor Bupleurum Decoction) can be used to deliver Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill), or a formula consisting of Chao Ejiao (Stir-fried Donkey-Hide Gelatin) and Jing Huanglian (Pure Coptis Rhizoma) each at 1 fen, Zhike (Aurantii Fructus) and Bei Dahuang (Northern Rheum Radix et Rhizoma) at half that amount, divided into two doses, decocted with Wu Mei (Mume Fructus), Ginger, and Honey. Once bowel movements are regulated, follow up with Chuanxiong (Chuanxiong Rhizoma), Fuling (Poria), Suosha (Amomi Fructus Rotundus), and Gancao (Glycyrrhizae Radix et Rhizoma). Wuling San (Five-Ingredient Poria Pill), Yinggan Wan (Responsive Digestion Pill), Xianglian Wan (Cardamom and Coptis Pill), and Zhuche Wan (Park-Charge Pill) are not appropriate treatments for this condition.