论曰内经谓大肠与膀胱。受五脏浊气，名曰传化之腑。此不能久留输泻者也，妇人大小
肠，本挟热者，即产之后，血气暴竭，津液内涸，燥热相搏，大小肠秘涩，不能传导，故大
小便俱不通也。
治产后大小便不通。茯苓丸方
赤茯苓（去黑皮） 赤芍药 当归（切焙） 人参 枳壳（去瓤麸炒） 白术（锉炒） 火
麻
上八味，捣罗七味为末，与麻仁研匀，炼蜜和丸，如梧桐子大，每服二十丸，煎茅根汤
下，以利为度。
治产后风气壅结，大小便不通。赤芍药丸方
赤芍药（一两一分） 桂（去粗皮一两） 瞿麦（取穗三分） 大黄（锉炒一两半） 槟
榔（锉）
上七味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，米饮下，以利为度。
治产后因肿满，小腹急胀，大小便不通。木香丸方
木香（一两炮） 牵牛子（二两微炒别捣罗为末入） 防己 陈橘皮（去白炒各一两半）
槟榔（锉） 诃黎勒（炮去核） 羚羊角（镑各一两）
上七味，捣罗为末，炼蜜和杵令熟，丸如梧桐子大，每服二十丸，煎生姜橘皮汤下。以
利为度。
治产后大小便不通。榆白皮汤方
榆白皮（锉碎四两） 桂（去粗皮） 当归（切炒） 甘草（炙锉） 滑石（各一两）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服，以利为度。
治产后大小便不通。葱胶汤方
葱白（一握） 牛胶（一片广二寸长四寸）
上二味锉碎，以水三升，和煮消尽，去滓顿服。
治产后冷热不调，大小便不通。木香煮散方
木香（炮为末） 青黛（研各一两）
上二味，再研令匀，每服二钱匕，水半盏，麻油少许，同煎十余沸，和滓温服之。少顷
即通，未通再服。
治产后脏腑壅滞，肠胃燥涩，大小便秘。三脘散方
大腹皮（炙锉） 紫苏茎叶 沉香 木瓜（切焙） 羌活（去芦头各一两） 白术 芎
上一十一味，捣为粗散，每服三钱匕，水一盏，煎至六分，去滓温服，不拘时。
治产后大小便不通。腹胀气急，芍药汤方
赤芍药 芒硝（别研） 杏仁（去皮尖双仁麸炒各一两） 火麻仁（三分研如膏） 大
黄（锉
上六味，将四味粗捣筛，入火麻仁，同研令匀，每服三钱匕，水一盏半，煎至八分。去
滓下芒硝末半钱匕温服，以利为度。
治产后大小便不通。脐下妨闷、兼痛。石苇汤方
石苇（去毛） 赤芍药（各一两） 当归（二两锉炒） 赤茯苓（去黑皮） 瞿麦（取
穗各一
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。以利为度。
治产后关格闭塞。大小便不通。大黄丸方
大黄（二两锉炒） 芒硝（一两别研） 黄芩（去黑心） 赤芍药 杏仁（去双仁皮尖
麸炒）
上七味，捣罗为末，炼蜜和杵，丸如梧桐子大，每服二十丸，食前煎粟米饮下，以利为
度
治产后大小便不通六七日，腹中有燥屎，寒热烦闷，短汗出腹满。濡藏汤方
生葛根（五两切无生者用干葛二两） 大黄（半两锉炒）
上二味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。以利为度。
治产后内热，大小便不通。柴胡汤方
柴胡（去苗） 黄芩（去黑心） 陈橘皮（汤浸去皮切炒） 泽泻 羚羊角（镑各三分）
栀
上九味，粗捣筛、八味，每服三钱匕，水一盏半，煎至八分，去滓下芒硝末半钱匕。更
煎一沸温服。
治产后大小便不通。栀子仁汤方
栀子仁 石膏（碎） 黄芩（圆小者） 泽泻 柴胡（去苗） 赤芍药（锉） 葳蕤（各
一两
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服，以利为度。
治产后胸膈噎塞。心下痞坚，行滞气，消饮食。通大小便。木香丸方
木香（二两） 牵牛子（二十四两炒香别捣取末一十二两） 荜澄茄 补骨脂（炒） 槟
榔（
上五味，捣四味为末，与牵牛末和匀，渐滴井华水和丸，如绿豆大，每服四十丸。茶汤
熟水食后任下。
治产后大小便不通。脐下疼痛。兼腹满急胀。槟榔散方
槟榔（锉半两） 桂（去粗皮） 芎 独活（去芦头） 木香（各半两） 大黄（锉
炒）
上八味，捣罗为散，每服二钱匕，食前温水调下，以利为度。
治产后大小便不通。并服泻药腹胀气喘。方
盐（半斤炒令变色）
上一味，先以浆水一斗半。煎沸下盐末在汤中搅和，倾盆中，看冷热通手，即入盆中坐
浸腰腹，须臾便通。汤或渐冷，即入新热汤投之，常令稍热。人困即扶起，少顷又浸。
治产后大小便秘涩。木通饮方
木通（锉炒） 冬葵根（锉各三分） 陈橘皮（汤浸去白焙） 黄芩（去黑心） 甘草
（炙锉）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，日再。
论述说：《内经》提到大肠和膀胱，接受五脏的浊气，称为传化之腑。这些脏腑不能长久停留（糟粕），必须及时输送排泄。妇女的大肠和小肠，原本就挟有热邪，分娩之后，血气突然枯竭，津液在内干枯，燥热相互搏结，导致大小肠秘涩，不能传导，所以大、小便都不通。
治疗产后大小便不通。茯苓丸方
赤茯苓（去掉黑皮） 赤芍药 当归（切片焙干） 人参 枳壳（去掉瓤麸炒） 白术（锉碎炒） 火麻仁
以上八味药，将其中七味捣碎过筛成细末，与火麻仁研匀，用炼蜜调和做成丸子，如梧桐子大小，每次服用二十丸，用煎好的茅根汤送服，以大便通畅为度。
治疗产后风气壅结，大小便不通。赤芍药丸方
赤芍药（一两一分） 桂枝（去掉粗皮一两） 瞿麦（取穗三分） 大黄（锉碎炒一两半） 槟榔（锉碎）
以上七味药，捣碎过筛成细末，用炼蜜调和做成丸子，如梧桐子大小，每次服用二十丸，用米饮送服，以大便通畅为度。
治疗产后因肿满，小腹急胀，大小便不通。木香丸方
木香（一两炮制） 牵牛子（二两微炒，另捣罗成细末加入） 防己 陈皮（去白炒各一两半） 槟榔（锉碎） 诃黎勒（炮制去核） 羚羊角（镑片各一两）
以上七味药，捣碎过筛成细末，用炼蜜调和杵捣均匀，做成丸子如梧桐子大小，每次服用二十丸，用煎好的生姜橘皮汤送服，以大便通畅为度。
治疗产后大小便不通。榆白皮汤方
榆白皮（锉碎四两） 桂枝（去掉粗皮） 当归（切片炒） 甘草（炙烤锉碎） 滑石（各一两）
以上五味药，粗捣过筛，每次服用三钱匕，用水一盏，煎至七分，去渣食前温服，以大便通畅为度。
治疗产后大小便不通。葱胶汤方
葱白（一握） 牛胶（一片，宽二寸长四寸）
以上两味药锉碎，用水三升，一起煮直到完全融化，去渣一次性服下。
治疗产后冷热不调，大小便不通。木香煮散方
木香（炮制成末） 青黛（研细各一两）
以上两味药，再研令均匀，每次服用二钱匕，用水半盏，少许麻油，同煎十余沸，连渣温服。不久即通，未通再服。
治疗产后脏腑壅滞，肠胃燥涩，大小便秘。三脘散方
大腹皮（炙烤锉碎） 紫苏茎叶 沉香 木瓜（切片焙干） 羌活（去芦头各一两） 白术 川芎
以上十一味药，捣成粗散，每次服用三钱匕，用水一盏，煎至六分，去渣温服，不拘时间。
治疗产后大小便不通。腹胀气急，芍药汤方
赤芍药 芒硝（另研） 杏仁（去皮尖双仁麸炒各一两） 火麻仁（三分研如膏状） 大黄（锉碎）
以上六味药，将前四味粗捣过筛，加入火麻仁，同研令均匀，每次服用三钱匕，用水一盏半，煎至八分。去渣后加入芒硝末半钱匕温服，以大便通畅为度。
治疗产后大小便不通。脐下妨闷、兼痛。石苇汤方
石韦（去毛） 赤芍药（各一两） 当归（二两锉碎炒） 赤茯苓（去黑皮） 瞿麦（取穗各一两）
以上七味药，粗捣过筛，每次服用三钱匕，用水一盏，煎至七分，去渣温服，以大便通畅为度。
治疗产后关格闭塞。大小便不通。大黄丸方
大黄（二两锉碎炒） 芒硝（一两另研） 黄芩（去掉黑心） 赤芍药 杏仁（去双仁皮尖麸炒）
以上七味药，捣碎过筛成细末，用炼蜜调和杵捣，做成丸子如梧桐子大小，每次服用二十丸，食前用煎好的粟米饮送服，以大便通畅为度。
治疗产后大小便不通六七日，腹中有燥屎，寒热烦闷，短汗出腹满。濡藏汤方
生葛根（五两切，无生者用干葛二两） 大黄（半两锉碎炒）
以上两味药，粗捣过筛，每次服用三钱匕，用水一盏，煎至七分，去渣温服，以大便通畅为度。
治疗产后内热，大小便不通。柴胡汤方
柴胡（去苗） 黄芩（去黑心） 陈皮（汤浸去皮切炒） 泽泻 羚羊角（镑片各三分） 栀子
以上九味药，粗捣过筛，取八味（注：原文此处可能有脱漏或排版错误，通常指除芒硝外的八味），每次服用三钱匕，用水一盏半，煎至八分，去渣后加入芒硝末半钱匕。再煎一沸温服。
治疗产后大小便不通。栀子仁汤方
栀子仁 石膏（碎） 黄芩（圆小者） 泽泻 柴胡（去苗） 赤芍药（锉碎） 葳蕤（各一两）
以上八味药，粗捣过筛，每次服用三钱匕，用水一盏，煎至七分，去渣食前温服，以大便通畅为度。
治疗产后胸膈噎塞。心下痞坚，行滞气，消饮食。通大小便。木香丸方
木香（二两） 牵牛子（二十四两炒香另捣取末十二两） 荜澄茄 补骨脂（炒） 槟榔
以上五味药，将前四味捣成细末，与牵牛子末和匀，逐渐滴入井华水调和做成丸子，如绿豆大小，每次服用四十丸。茶汤或熟水，饭后任意送服。
治疗产后大小便不通。脐下疼痛。兼腹满急胀。槟榔散方
槟榔（锉碎半两） 桂枝（去掉粗皮） 川芎 独活（去芦头） 木香（各半两） 大黄（锉碎炒）
以上八味药，捣碎过筛成散剂，每次服用二钱匕，食前温水调下，以大便通畅为度。
治疗产后大小便不通。并服泻药腹胀气喘。方
盐（半斤炒令变色）
以上一味药，先用浆水一斗半，煎沸后将盐末倒入汤中搅和，倒入盆中，看温度适宜人手，即坐入盆中浸泡腰腹，片刻即通。汤若渐冷，即加入新热汤，常令稍热。人困倦即扶起，稍后又浸泡。
治疗产后大小便秘涩。木通饮方
木通（锉碎炒） 冬葵根（锉碎各三分） 陈皮（汤浸去白焙干） 黄芩（去黑心） 甘草（炙烤锉碎）
以上八味药，粗捣过筛，每次服用五钱匕，用水一盏半，煎至八分，去渣温服，每日两次。
Discussion: The *Neijing* (Classic of Internal Medicine) states that the Large Intestine and Bladder receive turbid qi from the five Zang organs, termed "transmission and transformation fu-organs" (Chuanhua zhi fu). These organs cannot retain contents for long and must transport and excrete them. In women, the large intestine and small intestine originally harbor heat pathogens. After childbirth, blood and qi are suddenly depleted, and body fluids dry up internally. Dryness and heat contend with each other, causing constipation and obstruction in the large and small intestines, impairing their transmission function, thus resulting in the simultaneous obstruction of both defecation and urination.
Treatment for postpartum obstruction of both defecation and urination. Fuling Wan (Poria Pill) Formula
Chi Fuling (Red Poria, remove black skin), Chi Shaoyao (Red Peony Root), Danggui (Angelica Sinensis, slice and roast), Renshen (Ginseng), Zhike (Bitter Orange, remove pith and stir-fry with bran), Baizhu (Atractylodes Macrocephala, chop and stir-fry), Huomaren (Hemp Seed).
The above eight herbs: Crush and sieve seven of them into fine powder, mix evenly with Hemp Seed, combine with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose, administered with decoction of Imperata Rhizome water, until bowel movement is unobstructed.
Treatment for postpartum stagnation of wind-qi causing obstruction of both defecation and urination. Chi Shaoyao Wan (Red Peony Pill) Formula
Chi Shaoyao (1 liang 1 fen), Guizhi (Cinnamon Twig, remove rough bark, 1 liang), Qumai (Dianthus Flower Spike, take spike, 3 qian), Dahuang (Rhubarb Root and Rhizome, chop and stir-fry, 1.5 liang), Binglang (Areca Seed, chop).
The above seven herbs: Crush and sieve into fine powder, combine with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose, administered with rice drink, until bowel movement is unobstructed.
Treatment for postpartum edema and fullness, acute distension of the lower abdomen, and obstruction of both defecation and urination. Muxiang Wan (Costus Pill) Formula
Muxiang (Costus Root, stir-fried, 1 liang), Qianniuzi (Seed of Morning Glory, lightly stir-fried, separately crushed and sieved into powder, added later, 2 liang), Fangji (Stephania Tetrandra), Chenpi (Dried Tangerine Peel, remove white pith and stir-fry, 1.5 liang each), Binglang (Areca Seed, chop), Helile (Chebula Fruit, stir-fried and pitted), Lingyangjiao (Antelope Horn, shaved, 1 liang each).
The above seven herbs: Crush and sieve into fine powder, combine with refined honey and pound until cooked, make pills the size of Sophora seeds. Take 20 pills per dose, administered with decoction of Ginger and Tangerine Peel, until bowel movement is unobstructed.
Treatment for postpartum obstruction of both defecation and urination. Yubai Pi Tang (Elm Bark Decoction) Formula
Yubai Pi (Ulmus Thunbergii Bark, chopped, 4 liang), Guizhi (Cinnamon Twig, remove rough bark), Danggui (Angelica Sinensis, slice and stir-fry), Gancao (Licorice Root, honey-fried and chopped), Huashi (Talcum, 1 liang each).
The above five herbs: Coarsely crush and sieve. Take 3 qianbi per dose, with one cup of water, decoct to 70%, remove dregs, and take warm before meals, until bowel movement is unobstructed.
Treatment for postpartum obstruction of both defecation and urination. Congjiao Tang (Scallion and Bovine Glue Decoction) Formula
Congbai (White Part of Scallion, one handful), Niujiao (Bovine Glue, one piece, 2 cun wide by 4 cun long).
The above two ingredients: Chop finely, boil in three sheng of water until completely dissolved, remove dregs, and take in one dose.
Treatment for postpartum imbalance of cold and heat causing obstruction of both defecation and urination. Muxiang Zhusan (Costus Boiled Powder) Formula
Muxiang (Costus Root, stir-fried into powder), Qingdai (Indigo Naturalis, ground, 1 liang each).
The above two ingredients: Grind again until uniform. Take 2 qianbi per dose, with half a cup of water and a little Sesame Oil, decoct together for about ten boils, take warm including dregs. Bowel movement will likely open shortly; if not, take another dose.
Treatment for postpartum stagnation of zang-fu organs, dryness and astringency of intestines and stomach, and constipation of both defecation and urination. Sanwan San (Sanwan Powder) Formula
Dafupi (Areca Pericarpium, honey-fried and chopped), Zisu Jingye (Perilla Stem and Leaf), Chenxiang (Agarwood), Mugua (Chaenomeles Fruit, slice and roast), Qianghuo (Notopterygium Root and Rhizome, remove rhizome head, 1 liang each), Baizhu (Atractylodes Macrocephala), Xiong (Sichuan Lovage Rhizome).
The above eleven herbs: Crush into coarse powder. Take 3 qianbi per dose, with one cup of water, decoct to 60%, remove dregs, and take warm at any time.
Treatment for postpartum obstruction of both defecation and urination, abdominal distension and urgent breathing. Shaoyao Tang (Peony Decoction) Formula
Chi Shaoyao (Red Peony Root), Mangxiao (Mirabilite, separately ground), Xingren (Apricot Seed, remove skin and tip, double-kernel, stir-fry with bran, 1 liang each), Huomaren (Hemp Seed, 3 qian, ground into paste), Dahuang (Rhubarb Root and Rhizome, chopped).
The above six herbs: Coarsely crush and sieve four of them, add Hemp Seed, grind together until uniform. Take 3 qianbi per dose, with one and a half cups of water, decoct to 80%. Remove dregs, add half a qianbi of Mangxiao powder, take warm, until bowel movement is unobstructed.
Treatment for postpartum obstruction of both defecation and urination, discomfort and pain below the umbilicus. Shiwei Tang (Pyrosia Decoction) Formula
Shiwei (Leaf of Pyrosia, remove hairs), Chi Shaoyao (Red Peony Root, 1 liang each), Danggui (Angelica Sinensis, 2 liang, chopped and stir-fried), Chi Fuling (Red Poria, remove black skin), Qumai (Dianthus Flower Spike, take spike, 1 liang each).
The above seven herbs: Coarsely crush and sieve. Take 3 qianbi per dose, with one cup of water, decoct to 70%, remove dregs, and take warm, until bowel movement is unobstructed.
Treatment for postpartum Guan Ge (blockage syndrome) causing obstruction of both defecation and urination. Dahuang Wan (Rhubarb Pill) Formula
Dahuang (Rhubarb Root and Rhizome, 2 liang, chopped and stir-fried), Mangxiao (Mirabilite, 1 liang, separately ground), Huangqin (Scutellaria Root, remove black heart), Chi Shaoyao (Red Peony Root), Xingren (Apricot Seed, remove double kernel, skin, and tip, stir-fry with bran).
The above seven herbs: Crush and sieve into fine powder, combine with refined honey and pound, make pills the size of Sophora seeds. Take 20 pills per dose, administered with decoction of Millet Drink before meals, until bowel movement is unobstructed.
Treatment for postpartum obstruction of both defecation and urination for six or seven days, dry feces in the abdomen, alternating chills and fever, irritability, short sweating, and abdominal fullness. Rucang Tang (Rucang Decoction) Formula
Sheng Gegen (Fresh Kudzu Root, 5 liang, cut; if unavailable, use dried Gegen 2 liang), Dahuang (Rhubarb Root and Rhizome, 0.5 liang, chopped and stir-fried).
The above two herbs: Coarsely crush and sieve. Take 3 qianbi per dose, with one cup of water, decoct to 70%, remove dregs, and take warm, until bowel movement is unobstructed.
Treatment for postpartum internal heat causing obstruction of both defecation and urination. Chaihu Tang (Bupleurum Decoction) Formula
Chaihu (Bupleurum Root, remove seedling), Huangqin (Scutellaria Root, remove black heart), Chenpi (Dried Tangerine Peel, soak in water, remove peel, cut and stir-fry), Zexie (Alisma Rhizome), Lingyangjiao (Antelope Horn, shaved, 3 qian each), Zhizi (Gardenia Fruit).
The above nine herbs: Coarsely crush and sieve. Take eight of them (Note: Text implies excluding Mangxiao initially), take 3 qianbi per dose, with one and a half cups of water, decoct to 80%. Remove dregs, add half a qianbi of Mangxiao powder. Decoct for one more boil, take warm.
Treatment for postpartum obstruction of both defecation and urination. Zhiren Tang (Gardenia Kernel Decoction) Formula
Zhiren (Gardenia Kernel), Shigao (Gypsum, crushed), Huangqin (Scutellaria Root, small round ones), Zexie (Alisma Rhizome), Chaihu (Bupleurum Root, remove seedling), Chi Shaoyao (Red Peony Root, chopped), Weirui (Polygonatum Rhizome, 1 liang each).
The above eight herbs: Coarsely crush and sieve. Take 3 qianbi per dose, with one cup of water, decoct to 70%, remove dregs, and take warm before meals, until bowel movement is unobstructed.
Treatment for postpartum chest and diaphragm blockage, epigastric hardness, promoting stagnant qi, digesting food, and unblocking both defecation and urination. Muxiang Wan (Costus Pill) Formula
Muxiang (Costus Root, 2 liang), Qianniuzi (Seed of Morning Glory, 24 liang, stir-fried until fragrant, separately crushed to obtain powder, 12 liang), Bichengqie (Long Pepper Fruit), Buguzhi (Psoralea Fruit, stir-fried), Binglang (Areca Seed).
The above five herbs: Crush four of them into powder, mix evenly with Qianniuzi powder, gradually drip well water to make pills the size of mung beans. Take 40 pills per dose. Administer with tea soup or boiled water after meals as desired.
Treatment for postpartum obstruction of both defecation and urination, pain below the umbilicus, accompanied by abdominal fullness and acute distension. Binglang San (Areca Seed Powder) Formula
Binglang (Areca Seed, chopped, 0.5 liang), Guizhi (Cinnamon Twig, remove rough bark), Xiong (Sichuan Lovage Rhizome), Duohuo (Notopterygium Root and Rhizome, remove rhizome head), Muxiang (Costus Root, 0.5 liang each), Dahuang (Rhubarb Root and Rhizome, chopped and stir-fried).
The above eight herbs: Crush and sieve into powder. Take 2 qianbi per dose, mixed with warm water before meals, until bowel movement is unobstructed.
Treatment for postpartum obstruction of both defecation and urination, taking purgatives leading to abdominal distension and asthma. Formula
Yan (Salt, 0.5 jin, stir-fried until color changes).
The above single herb: First, boil one dan and a half of Jiangshui (fermented grain liquid) until boiling, add salt powder, stir, pour into a basin. Check temperature so it is suitable for hands, then sit in the basin to soak waist and abdomen. Bowel movement will likely open shortly. If the water cools, add new hot water, keeping it slightly warm. If fatigued, help the patient stand up, then soak again after a while.
Treatment for postpartum constipation and astringency. Mutong Yin (Akebia Decoction) Formula
Mutong (Akebia Stem, chopped and stir-fried), Dongkuigen (Malva Root, chopped, 3 qian each), Chenpi (Dried Tangerine Peel, soak in water, remove white pith and roast), Huangqin (Scutellaria Root, remove black heart), Gancao (Licorice Root, honey-fried and chopped).
The above eight herbs: Coarsely crush and sieve. Take 5 qianbi per dose, with one and a half cups of water, decoct to 80%, remove dregs, and take warm, twice daily.