论曰妊娠大小便不通者，以脏腑盛实。热气蕴积，不时宣导之所致也，若热结于大肠，
则大便不通。结于小肠，则小便不通。今大小肠俱有热，则大小便俱不通。其候令人烦满，
少腹胀急。惟能均调腑脏。使气疏达。则传化无所留滞也。
治妊娠大小便不通。脐腹胀痛。栀子汤方
栀子仁（一两半） 石膏（四两） 黄芩（去黑心一两半） 泽泻（二两） 柴胡（去
苗一两半）
上八味，粗捣筛，每服四钱匕，水一盏半，淡竹叶十片，同煎至八分。去滓食前服。
治妊娠大小便不通，心腹妨闷，不欲饮食。槟榔汤方
槟榔（锉） 赤茯苓（去黑皮） 大腹皮（锉） 木通（锉） 郁李仁（汤浸去皮尖微
炒各一两）
上八味，粗捣筛，每服四钱匕，水一盏，煎取七分，去滓不计时候温服。
治妊娠大小便不通，七八日以上，腹胀瞀闷。冬葵根汤方
冬葵根（干者一握洗冬即用子） 车前草（一两干者切） 木通（细锉三两） 大黄（锉
炒半
上四味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
治妊娠大小便不通。心腹胀闷，枳壳散方
枳壳（去瓤麸炒三分） 槟榔（锉） 木通（锉各一两） 大黄（锉微炒半两） 诃黎
勒（二枚
上六味，捣罗为散，每服用童子小便一盏，入葱白二寸，煎取七分，去滓调下二钱匕，
不拘时候。
治妊娠大小便不通。下焦热结。柴胡通塞汤方
柴胡（去苗） 黄芩（去黑心） 陈橘皮（汤浸去白微炒） 泽泻 羚羊角（镑各三分）
栀子
上八味，粗捣筛，每服四钱匕，水一盏，入生地黄一分拍破，豉半分微炒，同煎至七分
，去滓食前服。
治妊娠大小便不通，木通饮方
木通（细锉二两） 车前子（一两半） 黄芩（去黑心一两） 郁李仁（汤浸去皮曝干
一两半）
上五味，粗捣筛，每服五钱匕，水一盏，煎至八分。去滓空心温服。
治妊娠大小便不通，结闷气急，胀满欲死，茅根汤方
茅根（碎锉） 滑石 车前子（微炒） 大黄（锉碎微炒各一两半）
上四味，粗捣筛，每服四钱匕，水一盏半，煎至八分。去滓食前温服。
治妊娠大小便不通。冬葵子汤方。
冬葵子（二两微炒） 大黄（一两锉炒）
上二味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服。
治妊娠大小便俱不通。车前子汤方
车前子（五两生用） 木通（锉碎四两） 黄芩（去黑心三两锉） 郁李仁（汤浸去皮
二两半）
上五味，粗捣筛，每服四钱匕，水一盏半，煎至八分。去滓食前温服。
治妊娠大小便不通。下部胀满，坐卧不安。木通汤方
木通（锉碎二两） 大黄（锉碎生用二两） 滑石（三两） 火麻仁（一两）
上四味，粗捣筛，每服四钱匕，水一盏半，煎至七分，去滓空心温服。
治妊娠大小便不通。榆白皮汤方
榆白皮（细锉一两半） 桂（去粗皮一两锉碎） 甘草（一两半炙） 滑石（三两）
上四味粗捣筛，每服四钱匕，水一盏半。煎至八分。去滓食前温服。
治妊娠大小便不通。冬葵根汁方
生冬葵根（洗二斤细切烂捣生细布捩取汁三合） 生姜（四两洗切烂研生细布绞取汁半
合）
上二味，同和令匀，分作三服，空心日一服，未利再服，又未利，尽三服。
治妊娠大小便不通。方
猪脂（如半鸡子大碎切）
上一味，以酒半升，暖令沸，投猪膏在内，更煎一两沸，分三服，食前温服。未通再服
论述说：妊娠期间出现大、小便不通畅的情况，是由于脏腑功能亢盛、热气蕴结积聚，且未能及时疏导所致。如果热邪结聚在大肠，就会导致大便不通；如果热邪结聚在小肠，就会导致小便不通。如今大、小肠都有热邪，所以大、小便都不通。其症状表现为让人心烦胀满，小腹部胀急疼痛。只有能够均匀调和脏腑，使气机疏泄通达，那么传导和化生的功能就不会有留滞。
治疗妊娠期大、小便不通，脐部及腹部胀痛的栀子汤方：
栀子仁（一两半）、石膏（四两）、黄芩（去除黑色部分一两半）、泽泻（二两）、柴胡（去除苗茎一两半）。
以上五味药（注：原文此处误写为“上八味”，实际列出五味），粗捣筛碎，每次服用四钱匕，用水一盏半，加入淡竹叶十片，共同煎煮至八分满。滤去药渣，在饭前服用。
治疗妊娠期大、小便不通，心胸腹部痞闷不适，不想进食的槟榔汤方：
槟榔（锉碎）、赤茯苓（去除黑皮）、大腹皮（锉碎）、木通（锉碎）、郁李仁（用热水浸泡后去皮尖，微炒，各一两）。
以上五味药（注：原文此处误写为“上八味”，实际列出五味），粗捣筛碎，每次服用四钱匕，用水一盏，煎取七分药液，滤去药渣，不限时候温服。
治疗妊娠期大、小便不通，持续七八日以上，腹部胀满昏闷的冬葵根汤方：
冬葵根（干者一握，洗净，若冬季则改用冬葵子）、车前草（一两，干者切碎）、木通（细锉三两）、大黄（锉碎并微炒半两）。
以上四味药，粗捣筛碎，每次服用五钱匕，用水一盏半，煎煮至八分满，滤去药渣，在饭前温服。
治疗妊娠期大、小便不通，心胸腹部胀闷的枳壳散方：
枳壳（去除瓤，麸炒三分）、槟榔（锉碎）、木通（锉碎，各一两）、大黄（锉碎微炒半两）、诃黎勒（二枚）。
以上六味药，捣碎过罗成为散剂，每次服用时，取童子小便一盏，加入葱白二寸，煎取七分药液，滤去药渣，调服二钱散剂，不限时候。
治疗妊娠期大、小便不通，下焦热邪结聚的柴胡通塞汤方：
柴胡（去除苗茎）、黄芩（去除黑色部分）、陈橘皮（用热水浸泡后去除白色内皮，微炒）、泽泻、羚羊角（镑成薄片，各三分）、栀子。
以上八味药，粗捣筛碎，每次服用四钱匕，用水一盏，加入生地黄一分拍破，豆豉半分微炒，共同煎煮至七分满，滤去药渣，在饭前服用。
治疗妊娠期大、小便不通的木通饮方：
木通（细锉二两）、车前子（一两半）、黄芩（去除黑色部分一两）、郁李仁（用热水浸泡后去皮，晒干一两半）。
以上五味药，粗捣筛碎，每次服用五钱匕，用水一盏，煎煮至八分满。滤去药渣，空腹温服。
治疗妊娠期大、小便不通，结滞闷乱气息急促，胀满欲死的茅根汤方：
茅根（碎锉）、滑石、车前子（微炒）、大黄（锉碎微炒，各一两半）。
以上四味药，粗捣筛碎，每次服用四钱匕，用水一盏半，煎煮至八分满。滤去药渣，在饭前温服。
治疗妊娠期大、小便不通的冬葵子汤方：
冬葵子（二两，微炒）、大黄（一两，锉碎并炒）。
以上两味药，粗捣筛碎，每次服用三钱匕，用水一盏，煎煮至七分满，滤去药渣，在饭前温服。
治疗妊娠期大、小便俱不通的车前子汤方：
车前子（五两，生用）、木通（锉碎四两）、黄芩（去除黑色部分三两，锉碎）、郁李仁（用热水浸泡后去皮二两半）。
以上五味药，粗捣筛碎，每次服用四钱匕，用水一盏半，煎煮至八分满。滤去药渣，在饭前温服。
治疗妊娠期大、小便不通，下部胀满，坐卧不安的木通汤方：
木通（锉碎二两）、大黄（锉碎生用二两）、滑石（三两）、火麻仁（一两）。
以上四味药，粗捣筛碎，每次服用四钱匕，用水一盏半，煎煮至七分满，滤去药渣，空腹温服。
治疗妊娠期大、小便不通的榆白皮汤方：
榆白皮（细锉一两半）、桂枝（去除粗皮一两，锉碎）、甘草（一两半，炙制）、滑石（三两）。
以上四味药，粗捣筛碎，每次服用四钱匕，用水一盏半，煎煮至八分满。滤去药渣，在饭前温服。
治疗妊娠期大、小便不通的冬葵根汁方：
生冬葵根（洗净二斤，细切烂捣，用生细布拧取汁液三合）、生姜（四两，洗净切烂研碎，用生细布绞取汁液半合）。
以上两味药，混合均匀，分作三次服用，空腹每日服一次，若未通便再服，若仍未通便，则服完这三份。
治疗妊娠期大、小便不通的方剂：
猪脂（如半个鸡蛋大小，切碎）。
以上一味药，用酒半升，加热至沸腾，投入猪膏在内，再煎煮一两个沸次，分作三次服用，饭前温服。若未通便，可再次服用。
Discussion states: The condition of urinary and fecal retention during pregnancy is caused by the excessiveness of the Zang-Fu organs, where heat pathogenic factors accumulate and are not promptly guided out. If heat binds in the Large Intestine (大肠), fecal retention occurs; if heat binds in the Small Intestine (小肠), urinary retention occurs. When heat exists in both intestines, both urinary and fecal retention occur. The symptoms manifest as mental irritability and fullness, along with distension and urgency in the lower abdomen. Only by evenly regulating the Zang-Fu organs and ensuring the free flow of Qi (气) can transmission and transformation functions proceed without stagnation.
Gardenia Decoction (Zhizi Tang) for treating urinary and fecal retention during pregnancy accompanied by umbilical and abdominal distension and pain:
Gardenia Fruit (Zhizi Ren, 1.5 liang), Gypsum (Shigao, 4 liang), Scutellaria Root (Huangqin, removed black heart, 1.5 liang), Alisma Rhizome (Zexie, 2 liang), Bupleurum Root (Chaihu, removed sprout, 1.5 liang).
The above five herbs (note: text erroneously states eight) are coarsely crushed and sieved. Each dose consists of four qianbi, decocted with one and a half zhan of water and ten slices of Light Bamboo Leaf (Danzhuye) until reduced to eight parts. Strain and take before meals.
Betel Nut Decoction (Binglang Tang) for treating urinary and fecal retention during pregnancy, accompanied by chest and abdominal stuffiness and loss of appetite:
Betel Nut (Binglang, crushed), Red Poria (Chifuling, removed black skin), Areca Peel (Dafupi, crushed), Akebia Caulis (Mutong, crushed), Prunus Seed (Yuliren, soaked in hot water, peeled, core removed, slightly fried, each 1 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of four qianbi, decocted with one zhan of water until reduced to seven parts. Strain and take warm at any time.
Malva Root Decoction (Dongkuigen Tang) for treating urinary and fecal retention during pregnancy lasting seven to eight days or more, accompanied by abdominal distension and dizziness/stuffiness:
Malva Root (Dongkuigen, dried handful, washed; use seeds in winter), Plantago Herb (Cheqiancao, dried, chopped, 1 liang), Akebia Caulis (Mutong, finely crushed, 3 liang), Rhubarb (Dahuang, crushed and slightly fried, 0.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of five qianbi, decocted with one and a half zhan of water until reduced to eight parts. Strain and take warm before meals.
Citrus Aurantium Powder (Zhiqiao San) for treating urinary and fecal retention during pregnancy accompanied by chest and abdominal distension and stuffiness:
Aurantii Fructus (Zhiqiao, removed pith, bran-fried, 3 fen), Betel Nut (Binglang, crushed), Akebia Caulis (Mutong, crushed, each 1 liang), Rhubarb (Dahuang, crushed and slightly fried, 0.5 liang), Chebula Fruit (Helile, 2 pieces).
The above six herbs are pounded and sifted into powder. For each dose, mix with one zhan of urine from an uncircumcised boy, add two cun of Scallion White (Congbai), decoct until reduced to seven parts, strain, and mix with two qianbi of powder. Take at any time.
Bupleurum Unblocking Decoction (Chaihu Tongse Tang) for treating urinary and fecal retention during pregnancy due to heat binding in the Lower Jiao (下焦):
Bupleurum Root (Chaihu, removed sprout), Scutellaria Root (Huangqin, removed black heart), Tangerine Peel (Chenju pi, soaked in hot water, white pith removed, slightly fried), Alisma Rhizome (Zexie), Antelope Horn (Lingyangjiao, shaved, each 3 fen), Gardenia Fruit (Zhizi).
The above eight herbs are coarsely crushed and sieved. Each dose consists of four qianbi, decocted with one zhan of water, adding one part of Fresh Rehmannia Root (Shengdihuang, smashed) and half a fen of Fermented Soybean (Chidou, slightly fried). Decoct until reduced to seven parts, strain, and take before meals.
Akebia Drink (Mutong Yin) for treating urinary and fecal retention during pregnancy:
Akebia Caulis (Mutong, finely crushed, 2 liang), Plantago Seed (Cheqianzi, 1.5 liang), Scutellaria Root (Huangqin, removed black heart, 1 liang), Prunus Seed (Yuliren, soaked in hot water, peeled, dried, 1.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of five qianbi, decocted with one zhan of water until reduced to eight parts. Strain and take warm on an empty stomach.
Imperata Root Decoction (Maogen Tang) for treating urinary and fecal retention during pregnancy, characterized by binding, stuffiness, rapid breathing, and severe distension threatening death:
Imperata Root (Maogen, crushed), Talcum (Huashi), Plantago Seed (Cheqianzi, slightly fried), Rhubarb (Dahuang, crushed and slightly fried, each 1.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of four qianbi, decocted with one and a half zhan of water until reduced to eight parts. Strain and take warm before meals.
Malva Seed Decoction (Dongkui Zi Tang) for treating urinary and fecal retention during pregnancy:
Malva Seed (Dongkui Zi, 2 liang, slightly fried), Rhubarb (Dahuang, 1 liang, crushed and fried).
The above two herbs are coarsely crushed and sieved. Each dose consists of three qianbi, decocted with one zhan of water until reduced to seven parts. Strain and take warm before meals.
Plantago Seed Decoction (Cheqian Zi Tang) for treating simultaneous urinary and fecal retention during pregnancy:
Plantago Seed (Cheqianzi, 5 liang, raw), Akebia Caulis (Mutong, crushed, 4 liang), Scutellaria Root (Huangqin, removed black heart, 3 liang, crushed), Prunus Seed (Yuliren, soaked in hot water, peeled, 2.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of four qianbi, decocted with one and a half zhan of water until reduced to eight parts. Strain and take before meals.
Akebia Decoction (Mutong Tang) for treating urinary and fecal retention during pregnancy, accompanied by lower body distension and inability to sit or lie comfortably:
Akebia Caulis (Mutong, crushed, 2 liang), Rhubarb (Dahuang, crushed, raw, 2 liang), Talcum (Huashi, 3 liang), Hemp Seed (Huomaren, 1 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of four qianbi, decocted with one and a half zhan of water until reduced to seven parts. Strain and take warm on an empty stomach.
Ulmus Bark Decoction (Yubai Pi Tang) for treating urinary and fecal retention during pregnancy:
Ulmus Bark (Yubai pi, finely crushed, 1.5 liang), Cinnamon Twig (Gui, removed rough bark, 1 liang, crushed), Licorice Root (Gancao, 1.5 liang, honey-fried), Talcum (Huashi, 3 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of four qianbi, decocted with one and a half zhan of water until reduced to eight parts. Strain and take warm before meals.
Malva Root Juice Formula (Dongkuigen Zhi Fang) for treating urinary and fecal retention during pregnancy:
Fresh Malva Root (Sheng Dongkuigen, washed 2 jin, finely cut, pounded, juice extracted through fine linen cloth, 3 he), Fresh Ginger (Shengjiang, 4 liang, washed, cut, pounded, juice extracted through fine linen cloth, 0.5 he).
Mix the above two ingredients evenly, divide into three doses. Take one dose on an empty stomach daily. If defecation/urination does not occur, take again. If still not occurring, finish all three doses.
Formula for treating urinary and fecal retention during pregnancy:
Pork Fat (Zhuzhi, size of half a chicken egg, chopped).
Take this single ingredient, add half sheng of wine, heat until boiling, add the pork fat, boil for one or two cycles, divide into three doses, and take warm before meals. If retention persists, take again.