典藏书目

Difficult urination and defecation arise from the disharmony of cold and heat, with wandering qi (Wandering Qi) present in the large and small intestines. This wandering qi resides between the intestinal walls, clashing with the fecal matter, preventing the smooth flow of urine, thus causing difficulty in both urination and defecation. Upon palpating the Chi pulse (Radial Artery Pulse at the Distal Position), if it appears slippery, floating, and large, this indicates yang pathogenic factors invading yin. If the patient experiences fullness and pain in the lower abdomen and is unable to urinate, urination will be accompanied by pain in the genitalia.

To treat difficult urination and defecation accompanied by chest and abdominal fullness and stifling sensation, where symptoms are severe and uncontrollable, Da Huang San (Rhubarb Powder) is indicated.
Ingredients: Chuan Da Huang (Cortex et Radix Rhei, 2 liang, crushed and lightly stir-fried), Chuan Mang Xiao (Natrii Sulfas, 2 liang), Chi Shao Yao (Radix Paeoniae Rubra, 0.5 liang), Da Ma Ren (Semen Cannabis, 2 liang), Sang Gen Bai Pi (Cortex Morus Radicis, 1 liang, crushed), Ju Mai (Fagopyri Dibotryis Fructus, 1 liang), Fang Kui (Radix Dictamni, 1 liang), Yu Bai Pi (Cortex Ulmi, 1 liang, crushed).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose. Add one zhong zhan (a traditional volume unit) of water, decoct until reduced to six parts, strain, and take warm on an empty stomach. Administer a second dose after walking for ten li. Discontinue when urination and defecation become smooth.

To treat difficult urination and defecation accompanied by abdominal and hypochondriac distending pain and急促 breathing (Qi Urgency), Bai Zhu San (Atractylodes Macrocephala Powder) is indicated.
Ingredients: Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Qian Niu Zi (Semen Pharbitidis, 1 liang, lightly stir-fried), Mu Tong (Caulis Akebiae, 1 liang, crushed), Chuan Da Huang (Cortex et Radix Rhei, 1 liang, crushed and lightly stir-fried), Chen Ju Pi (Pericarpium Citri Reticulatae, 0.5 liang, soaked in hot water, white pith removed, and dried), Bing Lang (Arecae Semen, 1 liang), Chuan Pu Xiao (Natrii Sulfas, 1 liang).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose. Add one zhong zhan of water, decoct until reduced to six parts, strain, and take warm on an empty stomach. Administer a second dose after walking for ten li. Discontinue when defecation becomes smooth.

To treat difficult urination and defecation, this formula is indicated.
Ingredients: Mu Tong (Caulis Akebiae, 1 liang, crushed), Chuan Pu Xiao (Natrii Sulfas, 1 liang), Che Qian Zi (Semen Plantaginis, 1 liang), Huang Qin (Radix Scutellariae, 1 liang), Yu Li Ren (Semen Pruni, 1 liang, soaked in hot water, skin removed, and lightly stir-fried).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose. Add one zhong zhan of water, decoct until reduced to six parts, strain, and take warm before meals.

To treat difficult urination and defecation accompanied by discomfort and stifling sensation around the umbilicus and abdomen, Chi Shao Yao Wan (Red Peony Root Pill) is indicated.
Ingredients: Chi Shao Yao (Radix Paeoniae Rubra, 0.5 liang), Gui Xin (Cortex Cinnamomi, 0.5 liang), Qiang Huo (Rhizoma et Radix Notopterygii, 0.5 liang), Chuan Da Huang (Cortex et Radix Rhei, 1 liang, crushed and lightly stir-fried), Yu Li Ren (Semen Pruni, 1 liang, soaked in hot water, skin removed, and lightly stir-fried), Chuan Mang Xiao (Natrii Sulfas, 1 liang), Bing Lang (Arecae Semen, 1 liang), Da Ma Ren (Semen Cannabis, 2 liang).
Preparation and Administration: Crush the above ingredients into fine powder, mix with refined honey, and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Take thirty pills on an empty stomach with warm water, and repeat the dose in the evening.

To treat difficult urination and defecation accompanied by abdominal distension, shortness of breath, Jing Jie Wan (Schizonepeta Pill) is indicated.
Ingredients: Jing Jie (Herba Schizonepetae, 1 liang), Chong (Insect, 30 pieces, lightly stir-fried), Chuan Da Huang (Cortex et Radix Rhei, 2 liang, crushed and lightly stir-fried), Xiong (Radix Ligustici Chuanxiong, 1 liang), Pu Huang (Pollen Typhae, 1 liang), Dang Gui (Radix Angelicae Sinensis, 1 liang, stir-fried with bran until slightly yellow).
Preparation and Administration: Crush the above ingredients into fine powder, mix with refined honey, and pound for over one hundred strokes. Form pills the size of paulownia seeds. Take thirty pills at any time, administered with a decoction of fresh ginger and scallion whites.

To treat difficult urination and defecation accompanied by dry stool in the abdomen, alternating chills and fever, restlessness and urgency, shortness of breath, sweating, and abdominal pain, this formula is indicated.
Ingredients: Ge Gen (Radix Puerariae Lobatae, 1 liang, crushed), Zhu Gao (Medulla Cerae Suillae, 1 liang), Chuan Da Huang (Cortex et Radix Rhei, 1 liang, crushed and lightly stir-fried).
Preparation and Administration: Add two da zhan of water, decoct Ge Gen and Da Huang, obtain one and a half zhan of juice, strain, add Zhu Gao, and decoct until one zhan remains. Divide into two doses.

A miraculous formula for treating difficult urination and defecation.
Ingredients: Mu Xiang (Radix Aucklandiae, 0.5 liang), Qing Dai (Indigo Naturalis, 0.5 liang), Ma You (Semen Sesami Indici Oleum, 2 he).
Preparation and Administration: Add one da zhan of water, decoct all ingredients together until the water is completely evaporated, leaving only the oil. Strain, divide into two doses. Take within the time it takes to walk ten li.

Another prescription.
Ingredients: Xian Shi Mo (Fructus Amaranthi Powder, 0.5 liang).
Preparation and Administration: Divide into two doses, taken with newly drawn cold water.