用麝香包肚脐内。一二时即通。又生姜削长一寸。涂盐纳下部。即通。又
门即通。(加好醋少许治大便热闭更妙)又甜瓜蒂(七枚)研末。绵裹塞下部即
者。乌梅(十个)汤浸去核。丸如枣大纳下部。少时即通。
张仲景伤寒论云。阳明病自汗。小便反利。大便不通者。津液内竭也。用蜜(二
中微火煎之。乘热捻作条。(或以好蜜煎膏滴冷水中即硬为度)大如指。长寸半许。
纳粪门中。少顷即通。或加麝香 细辛 皂角末和匀。捻成条。浸冷水中候硬。推
凡年老气衰。妇人新产。及久病之后。下不可。不下不可。则宜用此。其效甚速。
便热闭)
小便不通(此症寒热虚实不同治无一定每用一方俟过一二时不效方可另治不得性急乱投
自误)
口插入
甘遂末。水调敷脐下一寸三分。内以甘草梢煎汤饮之。又韭白煎浓汁。洗脐下一寸三分即通。
又莴苣菜捣敷脐下。一二时即通。神效。又猪胆(一个)留汁。以阳物插入胆中。少倾汁
入自通。妇人以胆汁滴入阴中。又苎根洗净。捣摊绢上。贴小腹连阴际须臾。即通。又
头王不留行(各数两) 煎汤一盆。坐浸其中。熏洗小腹下体。久之热气内达。即通
仙花连根叶熬水。乘热洗肾囊阳物及两胯内。即通。又黄酒浸脚。又蓖
纸捻内插入茎中。即通。又半夏末加麝香(少许)填脐中。用葱白 田
以布捆定。下以皂角烧烟。熏入阴中自通。妇女用皂角煎汤。洗阴
寸三分。以手摩之。加麝香(少许)更妙。又热结不通。刮滑石
复涂之。又遍身水肿欲死者。以青布十七层贴脐下。用滚烧酒一大壶熨之。
大田螺（两个）捣烂。加入青盐（三分），贴敷在脐下一寸三分处。大便即可通畅。
用麝香包好放入肚脐内。一两个时辰后大便即可通畅。另外，将生姜削成一寸长，涂上盐纳入肛门内。大便即可通畅。还有，门即通。（加入少许优质醋治疗大便热闭效果更佳）还有甜瓜蒂（七枚）研成粉末。用棉布包裹塞入肛门内，大便即可通畅。乌梅（十个）用汤水浸泡去核。制成如枣子大小的丸剂纳入肛门内。过一会儿大便即可通畅。
张仲景《伤寒论》说：阳明病自汗出，小便反而通利，大便不通的，是津液在内枯竭所致。使用蜂蜜（二两），在微火上煎煮，趁热搓成条状。（或者用优质蜂蜜煎成膏，滴入冷水中至变硬为度），大小如手指，长约一寸半。纳入肛门中。过了一会儿大便即可通畅。或者加入麝香、细辛、皂角末混合均匀，搓成条状，浸在冷水中等待变硬。推入肛门。凡是年老体衰气弱，妇女新近分娩，以及久病之后，下之不可，不下亦不可的情况，则适宜使用此法。其疗效非常迅速。
小便不通（此症寒热虚实不同，治疗方法没有定式，每用一方等待一两个时辰不效方可另治，不得性急乱投药物以免自误）。
甘遂末，用水调匀敷在脐下一寸三分处。内部以甘草梢煎汤饮用。另外，韭菜白煎浓汁，清洗脐下一寸三分处，小便即可通畅。还有莴苣菜捣烂敷在脐下，一两个时辰后小便即可通畅，神效。还有猪胆（一个）保留胆汁，将阴茎插入胆中。过一会儿胆汁进入体内，小便自然通畅。妇女将胆汁滴入阴道内。还有苎麻根洗净，捣烂摊在绢布上，贴敷在小腹连及阴际处，片刻后小便即可通畅。还有王不留行（各数两）煎成一盆汤，坐浸其中，熏洗小腹和下体。久而久之热气内达，小便即可通畅。仙花连根叶熬水，趁热清洗肾囊、阴茎及两胯内侧，小便即可通畅。还有黄酒浸脚。还有蓖麻纸捻插入尿道中，小便即可通畅。还有半夏末加麝香（少许）填塞脐中，用葱白、田螺……以布捆定，下面用皂角烧烟，熏入阴中，小便自然通畅。妇女用皂角煎汤，清洗阴部。一寸三分处，用手按摩。加入麝香（少许）效果更佳。还有热结不通，刮滑石粉复涂之。还有遍身水肿欲死者，用青布十七层贴敷在脐下，用滚开的烧酒一大壶熨烫。
Two large river snails are mashed. Add three fen of green salt, and apply the mixture to one cun and three fen below the umbilicus. Bowel movement will immediately become unobstructed.
Wrap musk in a packet and place it inside the umbilicus. After one or two shichen (4-8 hours), bowel movement will become unobstructed. Alternatively, peel ginger into a strip one cun long, coat it with salt, and insert it into the anus. Bowel movement will immediately become unobstructed. Furthermore, [text missing/fragmented] immediately becomes unobstructed. (Adding a small amount of good vinegar is even more effective for treating heat-closure of stool). Also, grind seven seeds of Melon Seed (Tianguadi) into powder. Wrap in cotton and insert into the anus; bowel movement will immediately become unobstructed. Soak ten dark plums (Wumei) in decoction, remove pits, and form pills the size of dates. Insert into the anus. After a short while, bowel movement will become unobstructed.
Zhang Zhongjing stated in *Shanghan Lun* (Treatise on Cold Damage): In Yangming disease, if there is spontaneous sweating and urination is unusually frequent, yet defecation is obstructed, this is due to the exhaustion of body fluids internally. Use two liang of honey, simmer over a mild fire until it can be shaped into strips while hot. (Alternatively, boil high-quality honey into an ointment, dripping it into cold water until it hardens). The strip should be as thick as a finger and about one cun and half long. Insert into the anal opening. After a brief moment, defecation will become unobstructed. One may also add musk, Asarum root (Xixin), and soapberry powder, mix evenly, shape into strips, soak in cold water until hard, and push into the anus. This method is suitable for the elderly with depleted qi, women who have recently given birth, and those recovering from chronic illness, where purging is contraindicated but retention is problematic. Its efficacy is very rapid.
Obstruction of urination: This syndrome varies by cold, heat, deficiency, and excess, so treatment methods are not fixed. Try one formula; if ineffective after one or two shichen, try another. Do not act rashly or prescribe indiscriminately, lest you harm yourself.
Powder of Kansui root (Gansui) mixed with water is applied to one cun and three fen below the umbilicus. Internally, drink a decoction made from the tips of Licorice root (Gancao). Alternatively, boil the white parts of leeks into a concentrated juice and wash the area one cun and three fen below the umbilicus; urination will immediately become unobstructed. Also, mash lettuce and apply it below the umbilicus; after one or two shichen, urination will become unobstructed with miraculous effect. Additionally, retain the bile from one pig gallbladder. Insert the penis into the gallbladder. After a short while, the bile enters, and urination flows naturally. For women, drip bile into the vagina. Also, wash the roots of Ramie (Zhugen), mash them, spread on silk, and apply to the lower abdomen extending to the genital region. Within moments, urination will become unobstructed. Also, decoct several liang each of Shepherd's Purse seed (Niu Bang Zi? Note: Text says "Wang Bu Liu Xing" which is Vaccariae Semen, likely a typo in source or specific local usage, translating as Vaccariae Semen) and sit in the basin, fumigating and washing the lower abdomen and body. Over time, warm qi reaches internally, and urination becomes unobstructed. Boil the flowers, roots, and leaves of [missing plant name] and wash the scrotum, penis, and inner thighs while hot; urination becomes unobstructed. Also, soak feet in yellow wine. Also, insert a paper wick made of Ricinus communis [seed/oil?] into the urethra; urination becomes unobstructed. Also, fill the umbilicus with powder of Pinellia tuber (Banxia) mixed with a small amount of musk. Use the white part of scallion and river snail... bind tightly with cloth. Burn soapberry underneath to produce smoke and fumigate the genital area; urination will flow naturally. For women, decoct soapberry and wash the genitals. At one cun and three fen, massage with hands. Adding a small amount of musk is even better. Also, for heat-closure obstruction, scrape Talcum (Huashi) and reapply. Also, for severe generalized edema approaching death, apply seventeen layers of blue cloth below the umbilicus and irons with a large pot of boiling yellow liquor (Baijiu).