又老人、虚人、风人津液少而秘者，宜以药而滑之，用胡麻、麻仁、阿胶等是也。如妄以峻利药逐之，则津液
走，气血耗，虽暂通而即秘矣，必更生他病。昔王少府患此疾，有人以快药利之者累矣，后为肺痿咯脓血，卒
至不通而死。
〔《本》〕妇人产后有三种疾，郁冒则多汗，汗多则大便秘，故难于用药，惟麻子苏子粥最为稳当。
一用紫苏子、大麻子二味各半合，洗净，研极细，用水再研，取汁一盏，分二次，煮粥啜下。此粥不唯产
后可服，大抵老人诸虚风秘，皆宜服之。尝有一人母，年八十四，忽尔腹痛头疼，恶心不食，召医数十，议皆
用补脾进食、治风清利头目等药，数日虽愈，全不入食，其家忧惶。予辨说前药皆误矣。此症正是老人风秘，
脏腑壅滞聚于胸中，则腹胀恶心，不思饮食。又上至于颠，则头痛神不清也。若脏腑流畅，诸疾悉去矣。予
令作此粥两啜而气泄，先下结粪如胡椒者十余枚，后渐得通利，不用药而自愈矣。
〔丹〕产后秘结不通膨满者，气急难坐卧。用麦 末，酒下一合，神效。（出《兵部手集》。）
〔丹〕一妇人脾疼，后患大小便不通，此是痰隔中焦，气聚上焦，二陈加木通。初服后吐，渣再服。
〔《山》〕大小便不通。烧皂角灰为末，粥清调下。
〔《本》〕车狗散 治大小便经久不通欲死者。
用推车客七个，土狗七个，（在土名土狗，在水名水狗。）二物新瓦上焙干为末，以虎目树皮向东南者浓
煎汤服之，经验如神。虎目即虎杖，其性大能利小便，又解暑毒。（一说，男子病，推车客用头，土
狗用身；女人病，土狗用头，推车客用身，效。）
〔海〕回生神膏 治阴症大小便不通，及诸杂病阴候，大小便不通者，宜用此治法。数日不通危急者用之，
非急不用。
牡蛎 陈粉 干姜（炮。各一两）
上为细末。男病用女人唾调，手内擦热，紧掩二卵上，得汗出愈。女病用男子唾调，手内擦热，紧掩二乳
上，得汗出愈。盖卵与乳，乃男女之根蒂，坎离之分属也。
脉盛，皮热，肚胀，前后不通，瞀闷，此谓五实。（全文见治虚实法。）
〔丹〕掩脐法 治大小便不通。
用连根葱一二茎，带土生姜一块，淡豆豉二十一粒，盐二匙，同研烂作饼，烘热掩脐中，以帛扎定，良久
气透自通，不通再换一饼。
〔桑〕大小便不通∶大都（七分）
〔东〕大小便难∶环冈（在小肠俞下二寸，横纹间灸取之） 水道（二十壮） 荣卫（在背脊四面各一
寸八分，腰眼下三寸，挟脊相去四寸，两边各四穴，灸十壮至百壮。或云此穴未详。）
〔《甲》〕三焦约，大小便不通，水道主之。
另外，对于老年人、体质虚弱者以及风邪患者因津液不足导致的大便干结，应当使用具有润滑作用的药物进行治疗，例如使用胡麻、火麻仁、阿胶等药材。如果错误地使用峻猛泻下的药物强行通便，会导致津液流失，气血耗损，虽然暂时通畅但随即又会便秘，并且必然引发其他疾病。过去王少府患有此病，有人多次用猛烈泻药给他通便，后来他发展为肺痿并咳出脓血，最终因二便不通而死亡。
〔《本草衍义》〕妇人产后有三种疾病，其中郁冒（产后头晕目眩伴汗出）会导致多汗，汗出过多则大便干结，因此此时用药需谨慎，唯有麻子苏子粥最为稳妥恰当。
一种方法是：取紫苏子和大麻子各半合，洗净后研磨至极细，再加水研磨，取汁一盏，分两次服用，煮成粥喝下。这种粥不仅产后可以服用，大体上老年人各种虚证及风秘也适宜服用。曾经有一位八十多岁的老妇人母亲，突然腹痛头痛，恶心不想进食，请了数十位医生诊治，大家的意见都是使用补脾进食、治风清利头目等药物。虽然数日后症状缓解，但她完全无法进食，家属非常担忧。我辨析认为之前的用药都错了。这个病症正是老年人的风秘，脏腑气机壅滞聚于胸中，所以出现腹胀恶心，不思饮食。气机上逆至头顶，则导致头痛、神志不清。如果脏腑气机流畅，各种疾病自然消除。我让她吃两碗这种粥，随后气机宣通，先排出十余枚如胡椒大小的干硬粪便，之后逐渐通畅，未用其他药物而自愈。
〔朱丹溪〕产后便秘不通且腹部胀满的，伴有气急、难以坐卧的症状。使用麦麸末，用酒送服一合，效果神奇。（出自《兵部手集》。）
〔朱丹溪〕一位妇女患有脾脏疼痛，后来出现大小便不通，这是痰湿阻隔中焦，气机聚集在上焦，使用二陈汤加木通治疗。初次服用后发生呕吐，将药渣再次煎服。
〔《本草衍义》〕车狗散 治疗大小便经久不通、痛苦欲死的情况。
用车前草七个，土狗（即蝼蛄，在土中生活的叫土狗，在水中生活的叫水狗）七个。将这两味药放在新瓦上焙干研末，用虎杖树皮（朝向东南方向的）浓煎汤剂送服，疗效神奇。虎杖即虎杖，其性大能通利小便，又能解暑毒。（另一种说法是：男子患病，车前草用头部，蝼蛄用身体；女子患病，蝼蛄用头部，车前草用身体，同样有效。）
〔海藏〕回生神膏 治疗阴证引起的大小便不通，以及各类杂病中的阴寒证候导致的大小便不通，适宜采用此法治疗。对于数日不通、病情危急者使用，非紧急情况不用。
牡蛎、陈粉、干姜（炮制，各一两）。
以上药物研为细末。男子患病用女人唾液调和，在手心中擦热，紧紧敷在两个睾丸上，待出汗则痊愈。女子患病用男人唾液调和，在手心中擦热，紧紧敷在两个乳房上，待出汗则痊愈。因为睾丸和乳房，分别是男女的根本所在，属于坎离卦象的分属部位。
脉象盛大，皮肤发热，腹部胀满，前后二便不通，昏闷，这称为“五实”。（全文见治虚实法章节。）
〔朱丹溪〕掩脐法 治疗大小便不通。
用带根的葱一二茎，带土的生姜一块，淡豆豉二十一粒，盐二匙，一同捣烂做成饼，烘热后敷在肚脐中，用布扎紧固定，过一段时间后气机透达自然通畅，若不通则再换一张饼。
〔东垣〕大小便困难：环冈穴（在小肠俞穴下二寸，横纹间取穴施灸）、水道穴（灸二十壮）、荣卫穴（在背脊四面各一寸八分，腰眼下三寸，挟脊相去四寸，两边各四穴，灸十壮至百壮。有人说此穴位不详）。
Furthermore, for the elderly, those with deficient constitutions, and patients affected by wind pathogens who suffer from constipation due to a deficiency of body fluids (Jinye), it is appropriate to use lubricating herbs. Examples include Sesamum indicum seed (Huma), Cannabis sativa seed (Maren), and Donkey-hide gelatin (Ejiao). If one recklessly uses harsh purgatives to force bowel movements, it will cause the loss of body fluids and depletion of Qi and blood. Although there may be temporary relief, constipation will immediately return, and other diseases are bound to arise. In the past, Wang Shaofu suffered from this condition. Someone repeatedly used strong laxatives on him. Later, he developed Lung萎 (Fei Wei, pulmonary atrophy/withering) and coughed up pus and blood, ultimately dying from the obstruction of both urine and stool.
[Ben Cao Yan Yi] There are three types of postpartum disorders in women. Yu Mao (postpartum dizziness and vertigo accompanied by sweating) leads to excessive sweating; excessive sweating results in dry stools, making medication difficult to administer. Therefore, only Mazhi Suzi Zhou (Hemp Seed and Perilla Seed Porridge) is considered the safest and most appropriate remedy.
One method involves taking half a he of Perilla frutescens seed (Zisuzi) and half a he of Hemp seed (Damaizi). After washing, grind them extremely finely, add water and grind again to extract one cup of juice. Divide into two doses, cook into porridge, and consume. This porridge is not only suitable for postpartum use but is also generally appropriate for the elderly suffering from various deficiency patterns and wind-induced constipation. I once treated the mother of a patient, aged eighty-four, who suddenly experienced abdominal pain, headache, nausea, and anorexia. Dozens of physicians were summoned, all recommending formulas to tonify the Spleen, promote digestion, dispel wind, and clear the head and eyes. Although her symptoms improved after several days, she could not eat at all, causing great anxiety among her family. I analyzed that the previous prescriptions were incorrect. This case was precisely wind-induced constipation in the elderly, where Zang-Fu organ Qi stagnation accumulated in the chest, causing abdominal distension, nausea, and lack of appetite. When the rebellious Qi ascended to the vertex, it caused headache and mental cloudiness. If the Zang-Fu Qi flow becomes smooth, all ailments will disappear. I instructed her to consume two bowls of this porridge. Subsequently, her Qi unblocked, and she first passed more than ten hard fecal pellets resembling peppercorns, followed by gradual normalization of bowel movements. She recovered without further medication.
[Zhu Danxi] For postpartum constipation with abdominal distension, accompanied by shortness of breath and inability to sit or lie down comfortably, use Wheat bran (Maifan) powder. Administer one he mixed with wine. The effect is miraculous. (From Bingbu Shouji.)
[Zhu Danxi] A woman suffered from Spleen pain, which later progressed to obstruction of both urine and stool. This was due to Phlegm obstructing the Middle Jiao and Qi accumulating in the Upper Jiao. Treatment involved Er Chen Tang (Two-Cured Decoction) added with Akebia stem (Mutong). After the first dose, she vomited; the dregs were re-decocted and administered, leading to improvement.
[Shanting] For obstruction of both urine and stool: Burn Gleditsia sinensis fruit (Saojiao) to ash, make into powder, and take with rice gruel.
[Ben Cao Yan Yi] Che Gou San (Cart-Dog Powder) treats severe, chronic obstruction of both urine and stool causing extreme distress.
Use seven fresh Plantago asiatica seeds (Cheqianke - literally "cart passenger," referring to the plantain seed/plant), and seven earth dogs (Lougu, i.e., mole crickets; those living in soil are called Tu Gou, those in water are Shui Gou). Dry these two substances on a new tile until brittle, grind into powder, and take with a concentrated decoction of the bark of Polygonum cuspidatum root (Huzhang tree bark facing southeast). The efficacy is divine. Huzhang is Polygonum cuspidatum root; its nature strongly promotes urination and resolves summer-heat toxicity. (Another theory states: for male patients, use the head of Plantago asiatica and the body of the mole cricket; for female patients, use the head of the mole cricket and the body of Plantago asiatica. Both methods are effective.)
[Hai Zang] Huisheng Shen Gao (Life-Restoring Divine Ointment) treats Yin-pattern obstruction of both urine and stool, as well as various miscellaneous diseases presenting with Yin-cold patterns causing such obstruction. This treatment is indicated for critical cases where obstruction has persisted for several days. It should not be used for non-emergency conditions.
Oyster shell (Muli), aged starch powder (Chenfen), Dried ginger (Ganjiang, processed), each 1 liang.
Grind all ingredients into a fine powder. For male patients, mix with female saliva, warm in the palm of the hand, and apply tightly over both testes until sweating occurs, indicating recovery. For female patients, mix with male saliva, warm in the palm of the hand, and apply tightly over both breasts until sweating occurs, indicating recovery. This is because the testes and breasts are the roots of men and women respectively, corresponding to the Kan and Li trigrams.
A surging pulse, hot skin, abdominal distension, obstruction of anterior and posterior orifices, and mental confusion constitute the "Five Excess" (Wu Shi) pattern. (See full text in the chapter on treating Deficiency and Excess patterns.)
[Zhu Danxi] Navel Covering Method (Yan Qi Fa) treats obstruction of both urine and stool.
Take 1-2 stalks of Scallion with roots, a piece of Ginger with soil attached, 21 grains of Prepared soybean (Danshidou), and 2 spoons of Salt. Pound them together into a paste, heat it, and apply it to the navel. Secure firmly with cloth. After some time, Qi will penetrate and passage will naturally open. If not, replace with another cake.
[Sang] For obstruction of both urine and stool: Dada (B-32) acupoint (Moxibustion 7 fen).
[Dong Yuan] For difficulty in urination and defecation: Huangang (Located 2 cun below Xiaochangshu BL-27, between transverse folds, moxa); Shuidao ST-28 (20 moxa cones); Rongwei (Four points on each side of the spine, 1.8 cun lateral to the midline, 3 cun below the waist-eye level, 4 cun apart from each other, totaling four points on both sides; moxa 10 to 100 cones. Note: Some sources state the exact location of this point is unclear).
[Jia Yi Jing] When the Triple Warmer (San Jiao) is constrained, causing obstruction of both urine and stool, Shuidao ST-28 is the primary point for treatment.