大便难,灸第七椎两旁各一寸,七壮。
又灸承筋二穴各三壮,在 中央陷内。
大便不通,灸挟玉泉相去各二寸,名曰肠遗,随年壮。(一云二寸半)。又灸大敦四壮,
在足大趾聚毛中。大便闭塞,气结心坚满,灸石门百壮。后闭不通,灸足大都,随年壮。治
老人小儿大便失禁,灸两脚大趾去甲一寸,三壮。又灸大趾歧间各三壮。
治大小便不通方∶
葵子(末,一升) 青竹叶(一把)
上二味以水二升煮五沸,顿服。
又方 葵子(一升) 榆皮(切,一升)
上二味以水五升煮取二升,分三服。
又方 葵子一升,水三升煮取一升,去滓,纳猪脂一升,空心,分二服。
又方 甑带煮取汁,和蒲黄方寸匕,日二服。
又方 猪脂一斤,水二升煮三沸,饮汁立通。
治大小便不利方∶
葵子(一升),硝石(二两)
上二味以水五升煮取二升,分二服。
治小儿大小便不通方∶
捣白花胡葵子末,煮汁服之。
又方 末鸡屎白服一钱匕。
大小便不利欲作腹痛,灸营卫四穴百壮,穴在背脊四面各一寸。腹热闭时大小便难,
腰痛连胁,灸团冈百壮,穴在小肠俞下二寸横三间下,灸之。大小便不通,灸脐下一寸三壮。
又灸横纹百壮。大小便不利,灸八 百壮,穴在腰眼下三寸挟脊相去四寸,两边各四穴。
(计八穴,故名八 )小儿大小便不通,灸口两吻各一壮。小便不利大便数注,灸屈骨端五
十
壮。
又灸天枢百壮,穴在挟脐相去三寸。魂魄之舍不可针,大法在脐旁一寸,合脐相去可三
寸也。
大便困难,艾灸第七椎骨两旁各一寸处,每侧七壮。
又灸承筋穴(位于小腿后部腓肠肌两肌腹之间凹陷中),两侧各三壮,穴位在腘横纹中央的凹陷内。
大便不通,艾灸玉泉穴旁开各二寸处,此法名为“肠遗”,灸量随患者年龄而定(一说为二寸半)。又灸大敦穴(足厥阴肝经井穴,位于足大趾末节外侧,距趾甲角0.1寸)四壮,穴位在足大趾丛毛之中。大便闭塞,气机郁结导致心下坚硬胀满,灸石门穴(任脉穴,位于前正中线上,脐下二寸)一百壮。后阴闭塞不通,灸足太阴脾经的大都穴(位于足大趾内侧,第一跖趾关节前下方赤白肉际处),灸量随年龄而定。治疗老人和小孩大便失禁,灸双脚大趾距指甲边缘一寸处,每处三壮。又灸大趾趾缝间各三壮。
治疗大小便不通的方剂:
冬葵子(研成粉末,一升),青竹叶(一把)。
以上两味药,用水二升煮至沸腾五次,一次性服用。
另一个方子:冬葵子(一升),榆树皮(切碎,一升)。
以上两味药,用水五升煮取二升药液,分三次服用。
又一个方子:冬葵子一升,水三升煮取一升药液,去渣,加入猪脂一升,空腹时分两次服用。
又一个方子:用蒸锅底部的带子(甑带)煮取汁液,调和蒲黄一方寸匕大小的量,每日服用两次。
又一个方子:猪脂一斤,水二升煮至沸腾三次,饮用汤汁,大便立即通畅。
治疗大小便不利的方剂:
冬葵子(一升),硝石(二两)。
以上两味药,用水五升煮取二升药液,分两次服用。
治疗小儿大小便不通的方剂:
捣碎白花胡葵子成粉末,煮汁服用。
另一个方子:将鸡屎白研成粉末,服用一方寸匕的量。
大小便不利且欲发作腹痛,艾灸营卫四穴共一百壮,穴位在背部脊柱四面各一寸处。腹部发热闭阻导致大小便困难,腰痛牵连胁肋,灸团冈穴(此处指代特定经验穴或别名,非标准十四经穴名,通常对应小肠俞附近区域)一百壮,穴位在小肠俞穴下方二寸,横向间隔三个间隙处,进行艾灸。大小便不通,灸脐下一寸处三壮。又灸横纹处(可能指曲骨或耻骨联合上缘横纹)一百壮。大小便不利,灸八髎穴(上髎、次髎、中髎、下髎,左右共八个穴位)共一百壮,穴位在腰眼下方三寸,挟持脊柱两侧相距四寸,两边各四个穴位(共计八穴,故称八髎)。小儿大小便不通,灸口角两吻各一壮。小便不利而大便次数多且急迫,灸屈骨端(即曲骨穴,位于前正中线上,耻骨联合上缘的中点)五十壮。
又灸天枢穴(足阳明胃经穴,位于脐中旁开二寸)一百壮,穴位在挟持肚脐相去三寸处。(注:原文此处描述位置有争议,标准天枢穴为脐旁二寸,但依原文翻译为三寸;另注魂魄之舍不可针刺,大法规定在脐旁一寸,与脐相距约三寸。)
Difficulty in defecation: Moxibustion on both sides, one cun lateral to the seventh thoracic vertebra, seven moxa cones per side.
Moxibustion on Chengjin (Chengjin, BL57) acupoints, three moxa cones each, located in the depression at the center of the popliteal crease.
Constipation: Moxibustion two cun lateral to Yuquan (Yuquan, REN14), named "Changyi" (Intestinal Leakage); the number of moxa cones corresponds to the patient's age (some say two and a half cun). Moxibustion on Dadun (Dadun, LR1) four moxa cones; the point is located among the hair on the big toe. Fecal impaction with qi stagnation causing hardness and fullness in the heart region: Moxibustion on Shimen (Shimen, REN5) one hundred moxa cones. Obstruction of the posterior orifice: Moxibustion on Dadu (Dadu, SP2) corresponding to the patient's age. To treat fecal incontinence in the elderly and children: Moxibustion one cun distal to the nail on both big toes, three moxa cones each. Also, moxibustion in the webbing between the big toes, three moxa cones each.
Formula for treating constipation and urinary retention:
Malvae Semen (Kui Zi), one sheng, powdered; Green Bamboo Leaves (Qing Zhu Ye), one handful.
Boil the above two ingredients in two sheng of water until boiling five times, take all at once.
Another formula:
Malvae Semen (Kui Zi), one sheng; Ulmus Papyrifera Cortex (Yu Pi), one sheng, sliced.
Boil the above two ingredients in five sheng of water until reduced to two sheng, divide into three doses.
Another formula:
Malvae Semen (Kui Zi), one sheng; boil in three sheng of water until reduced to one sheng, remove dregs, add Pig Fat (Zhu Zhi), one sheng, take on an empty stomach in two doses.
Another formula:
Decoct the strap of the steamer (Zeng Dai) to obtain juice, mix with Acori Tatarinowii Rhizoma powder (Pu Huang) equivalent to one cun cube, take twice daily.
Another formula:
Pig Fat (Zhu Zhi), one jin; boil in two sheng of water for three boils, drink the juice for immediate relief.
Formula for treating difficulty in defecation and urination:
Malvae Semen (Kui Zi), one sheng; Natrii Sulfas (Xiao Shi), two liang.
Boil the above two ingredients in five sheng of water until reduced to two sheng, divide into two doses.
Formula for treating constipation and urinary retention in children:
Powdered Malvae Semen (Bai Hua Hu Kui Zi), decoct and drink the juice.
Another formula:
Powdered White Chicken Droppings (Ji Shi Bai), take one cun cube.
For difficulty in defecation and urination with impending abdominal pain: Moxibustion on Yingwei Four Acupoints (Yingwei Si Xue), one hundred moxa cones total; points are located one cun lateral to the spine on all four sides of the back. For abdominal heat obstruction causing difficulty in defecation and urination, lower back pain radiating to the flanks: Moxibustion on Tuangang (Tuangang, non-standard name, likely referring to a point near Xiaochangshu) one hundred moxa cones; the point is two cun below Xiaochangshu (Xiaochangshu, BL27), spanning three horizontal intervals. For constipation and urinary retention: Moxibustion one cun below the umbilicus, three moxa cones. Also, moxibustion on the transverse crease (Hengwen) one hundred moxa cones. For difficulty in defecation and urination: Moxibustion on Baliao (Baliao, eight acupoints: Shangliao, Ciliao, Zhongliao, Xiroliao bilaterally) one hundred moxa cones total; points are three cun below the waist eyes, four cun lateral to the spine, four on each side (total eight points, hence named Baliao). For constipation and urinary retention in children: Moxibustion one moxa cone at each corner of the mouth (Kouliang). For dysuria with frequent loose stools: Moxibustion on Qugu (Qu Gu, CV2) fifty moxa cones.
Also, moxibustion on Tianshu (Tianshu, ST25) one hundred moxa cones; the point is three cun lateral to the umbilicus. (Note: The abode of Hun and Po should not be needled; the general rule states it is one cun lateral to the umbilicus, approximately three cun from the umbilicus.)