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）
治疗脾胃功能失调，经常患大便干结坚硬难解的方剂。
大黄、芍药、浓朴（炙制，各二两）、枳实（六枚）、麻子（单独研碎，五合）。
以上五味药，捣碎过筛，加入麻子，用蜂蜜调和制成丸药，大小如梧桐子，每次服用十丸，每日三次，逐渐增加剂量，以大便通畅为度，可以长期服用。（出自《外台秘要》卷二十七）
治疗十天或一个月无法排便，烦躁胀满几乎要死去的方剂。
冬葵子二升，用水四升，煮取一升，去掉药渣，一次性服下。（出自《医心方》卷十二）
治疗大便极其困难，腹部发热持续数日，痛苦欲死的方剂。
白蜜三升，在微火上煎煮，使其变得像稠胶一样，投入冷水中，片刻后凝结成丸，丸药如手指大，长六寸至七寸，纳入肛门中，即可通便。（出自《医心方》卷十二）
治疗七八日后奔气上冲伤心，痛苦欲死，须臾间大便即通的方剂。
猪胆一枚，纳入下部（肛门）中，效果良好。（出自《外台秘要》卷二十七）
治疗大、小便不通，三阳经实证，大便不通的方剂。
榆白皮（三两）、桂心（二两）、滑石（六两）、甘草（炙制，三两）。
以上四味药，用水一斗，煮取三升，分三次服用。（出自《外台秘要》卷二十七）
治疗关格病，肠中转动疼痛，大小便均不能排出，一日一夜不愈痛苦欲死的方剂。
芒硝三两，用三层纸包裹，在炭火中烧至沸腾，放入一升水中，全部服下。服药前应先喝温汤一至二升左右。
风寒冷气侵入肠道，突然疼痛坚硬紧急如同吹胀状，大小便不通，或者小肠有气结聚，像升大一样胀起，这称为关格病。又用于治疗大、小便不利的病症。
苦参、滑石、贝齿（各等分）。
以上三味药，捣碎过筛做成散剂，每次服用时饮下一匕。（出自《外台秘要》卷二十七）
另一个方剂
煮葵根汁服用，更为佳妙。（出自《外台秘要》卷二十七）
治疗长久无法大、小便的方剂。
猪脂如鸡蛋大小，放入一杯酒中，煮至沸腾，一次性服下。（出自《医心方》卷十二）
治疗大、小便突然发生关格不通的方剂。
吴茱萸南行枝，截取长度如人手第二指中间一节，含在口中，立刻见效。（出自《证类本草》卷十三）
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)