苦丁香一物为末，熟枣肉作丸梧子大。每三十丸，空心枣汤下。
诸鼓胀内热者，此方主之。
苦丁香，即苦瓜蒂也。散用之则吐，丸用之则泻，凡有形之邪无不出之。亦良方也！
大戟（连根叶一握） 大枣（一斗）
二物同煮一时，去大戟不用，旋旋吃枣无时，服尽决效。
此攻水证鼓胀之方也。
大戟气大寒而味苦甘，有小毒，能下十二经之水。大枣味甘，取其大补脾胃，而不为攻
下所伤耳。服此方大忌甘草，以其与大戟相反故也。
人参 白术 茯苓 半夏（姜煮） 陈皮 甘草
脾虚鼓胀，手足倦怠，短气溏泄者，此方主之。
经曰∶脾主行气于三阴。三阴者，太阴脾、厥阴肝、少阴肾也。其脉皆行于腹里，脾病
则三阴之气不行，故令鼓胀。手足倦怠者，四肢受气于脾，脾病则无以受气，故倦怠。短气
者，脾病而中气弱也。溏泄者，土弱不能制湿也。是方也，人参、白术、茯苓、甘草，甘温
益脾之物也。半夏、陈皮，快脾利气之物也。然温者益气，甘者守中，下咽之后，必增胀满，
此勿疑之。经曰∶塞因塞用，故用补剂以治胀满，初服则胀，久服则通。此惟精达经旨者知
之，庸医未足道也。
叙曰∶溲溺不通，匪细故也。期朝不通，便令人呕，名曰关格，又日不通而死矣。一见
呕证，便不可救。经曰∶出入废，则神机化灭，升降息，则气立孤危。此之谓也。故考五方
以通溲溺。
【香枣丸方】
将苦丁香单独研磨成粉末，用熟透的枣肉制作成梧桐子大小的药丸。每次服用三十丸，空腹时用枣汤送服。
凡是患有鼓胀病且体内有热邪的患者，此方主治。
苦丁香，就是苦瓜蒂。散剂服用会引起呕吐，丸剂服用则引起腹泻，凡是有形质的病邪没有不能排出的。这也是一个很好的方子！
【大戟大枣汤方】
大戟（带根和叶子一把） 大枣（一斗）
将这两味药一起煮一个时辰（两小时），去掉大戟不用，随时慢慢吃枣，不限时间，吃完后必定见效。
这是治疗水饮停聚导致的鼓胀病的方子。
大戟性大寒，味苦甘，有小毒，能泻下十二经的水湿。大枣味甘，取其能大补脾胃，以免被攻下药所伤害。服用此方绝对禁忌甘草，因为甘草与大戟相反（十八反）。
【四君子汤加减方】
人参 白术 茯苓 半夏（姜汁煮） 陈皮 甘草
脾虚引起的鼓胀，伴有手足倦怠、气短、大便稀溏的患者，此方主治。
《内经》说：脾主将气输送到三阴经。三阴经，指的是太阴脾经、厥阴肝经、少阴肾经。它们的经脉都运行在腹部内部，脾生病则三阴经的气机不能正常运行，所以导致鼓胀。手足倦怠，是因为四肢的气血依赖脾的运化，脾生病则无法输送气血给四肢，所以感到倦怠。气短，是因为脾生病导致中气虚弱。大便稀溏，是因为土（脾）弱不能制约湿气。这个方子中，人参、白术、茯苓、甘草，是甘温以补益脾气的药物。半夏、陈皮，是快脾利气的药物。然而，温性的药能益气，甘味的药能守中，药液咽下之后，必然会增加胀满感，对此不要怀疑。《内经》说：塞因塞用（以补开塞），所以用补益剂来治疗胀满，初服时可能会觉得胀，久服后则会通畅。这只有精通经典旨意的人才能知道，平庸的医生是不值一提的。
【小便不通门序言】
叙述说：小便不通，不是小事情。如果一整天都不通，就会让人呕吐，这种病症名叫“关格”，如果不通就会导致死亡。一旦见到呕吐的症状，就不可救治了。《内经》说：出入功能废弛，则神机化灭；升降功能停止，则气立孤危。说的就是这个道理。所以考证五种方法以通利小便。
[Xiangzao Wan Formula]
Grind *Ku Dingxiang* (Bitter Dingleberry) alone into powder, and make pills using ripe jujube flesh the size of a Chinese quince seed. Take thirty pills each time, with jujube decoction on an empty stomach.
This formula is indicated for all cases of drum distension (*Guzhang*) accompanied by internal heat.
*Ku Dingxiang* is the pedicel of the bitter melon (*Momordica charantia*). When used as a powder, it induces vomiting; when used as pills, it causes purgation. All有形 (material/structural) pathogenic factors will be expelled. It is also an excellent formula!
[Daji Dazao Decoction]
*Daji* (Rhizoma et Radix Euphorbiae, including roots and leaves, one handful) Jujube (one dou, approx. 10 liters)
Boil these two ingredients together for one shi (two hours), remove the *Daji* and do not use it. Eat the jujubes slowly at any time without restriction. After finishing the dose, efficacy is guaranteed.
This is a formula for attacking water retention in cases of drum distension.
*Daji* has a great cold nature and a bitter-sweet taste, with slight toxicity; it can purge water from the twelve meridians. Jujube has a sweet taste, chosen to greatly tonify the Spleen and Stomach so as not to be injured by the purgative action. The use of Gancao (Licorice Root) is strictly contraindicated with this formula because it is incompatible with *Daji* (according to the Eighteen Incompatibilities).
[Sijunzi Tang Modified Formula]
Renshen (Ginseng Root) Baizhu (Atractylodes Macrocephala Rhizome) Fuling (Poria) Banxia (Pinellia Tuber, boiled in ginger juice) Chenpi (Tangerine Peel) Gancao (Licorice Root)
This formula is indicated for drum distension caused by Spleen deficiency, accompanied by fatigue in the limbs, shortness of breath, and loose stools.
The Classics state: "The Spleen governs the distribution of Qi to the Three Yin meridians." The Three Yin meridians refer to the Taiyin Spleen meridian, Jueyin Liver meridian, and Shaoyin Kidney meridian. Their channels all run within the abdomen. When the Spleen is diseased, the Qi of the Three Yin meridians cannot circulate, thus causing drum distension. Fatigue in the limbs occurs because the four limbs receive their Qi from the Spleen; when the Spleen is diseased, it cannot transmit Qi, leading to fatigue. Shortness of breath occurs because Spleen disease weakens Middle Qi. Loose stools occur because weak Earth (Spleen) fails to control dampness. In this formula, Renshen, Baizhu, Fuling, and Gancao are sweet-warm substances that benefit the Spleen. Banxia and Chenpi are substances that promote Spleen function and move Qi. However, warm substances tonify Qi, and sweet substances secure the center; after swallowing, bloating will inevitably increase. Do not doubt this. The Classics state: "Use tonification to treat obstruction" (Se due sai yong). Therefore, tonifying formulas are used to treat distension. Initially, there may be increased bloating, but with prolonged use, patency will be achieved. Only those who thoroughly understand the principles of the Classics know this; mediocre physicians are not worthy of mention.
[Preface to the Section on Obstruction of Urination]
It is stated: Obstruction of urination is no trivial matter. If urine does not pass for a full day, it leads to vomiting, a condition named "Guan Ge" (Lock and Grid). If obstruction persists, death ensues. Once vomiting appears, the condition is incurable. The Classics state: "When exit and entry cease, the Spirit mechanism perishes; when ascent and descent stop, the Qi establishment stands alone and in danger." This refers to such cases. Therefore, five methods are examined to unblock urination.