According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of difficult urination and defecation in infants: When an infant suffers from both constipation and difficulty in urination, it is due to the imbalance of cold and heat in the Zang-Fu organs. There is wandering Qi in the Large Intestine and Small Intestine; the Qi becomes stagnant within these intestines and cannot disperse, resulting in obstruction, astringency, and lack of smoothness in both urination and defecation.

Yang Daye, a Hanlin Daizhao (Attendant Physician in the Hanlin Academy), asked: What causes constipation and astringency in urination and defecation in infants? The answer was: Improper feeding and dietary habits cause the imbalance of the "Four Elements" (Earth, Water, Fire, Wind). Greed for rich flavors leads to disease in the Five Zang organs. Sweet foods accumulate in digestion, while salty and sour foods cause stagnation of saliva. Food remains stagnant and knotted in the stomach and intestines. Wind stagnates and infiltrates the Heart and Lungs, causing the Qi and vessels to be unsmooth, and water and grain to fail to circulate. Although the pathogenic factor does not rebel upwards causing vomiting or irritability, it forms constipation in the lower part. Infants do not understand pain nor can they explain the cause; they only cry frequently with fright, refuse milk due to anger and distension. One may not realize that the piercing pain extends to the umbilicus, presenting with a blue-yellow complexion. At this point, one must examine the pulse and treat accordingly. If the root cause of the disease is not identified, but medication is prescribed solely based on external symptoms, efficacy will certainly not be achieved.

*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) treats the syndrome of blocked urination and defecation in infants.
Grind Baihua Hu Kui Zi (seeds of *Malva verticillata*) into powder, decoct in water, and take the juice.

Another prescription from *Qian Jin Fang*:
Take Ji Si Bai (white excrement of chickens) as powder, administer one Qianbi (a small measuring unit for powder) per dose.

*Waitai Miyao* (Secret Essentials of the Outer Chamber), citing *Bixiao Fang*, treats the syndrome of blocked urination and defecation with distress in infants.
Take one He (a volume unit) of white honey, boil it in a pan until it forms pills, insert them into the lower orifice (anus or urethra), and passage will be restored. For blocked urination, chew raw green onion, wrap a small amount in cotton, and insert it into the urethral opening; passage will be restored.

*Zimu Milu* (Secret Records of Mother and Child) treats the syndrome of blocked urination and defecation in infants.
Burn Feng Fang (bee comb/nest) to ash, grind into powder, and take one Qian with wine. Administer twice daily.

Qian Yi's Yuli Ren Wan (Prunus japonica Seed Pill) treats blocked urination and defecation in swaddled infants, accompanied by fright-heat and phlegm-excess, aiming to induce loose stools.
Yu Li Ren (Prunus japonica seed, peeled), Chuan Da Huang (Rhei Radix et Rhizoma, remove coarse skin, select solid parts, cut, soak in wine for half a day, drain, stir-fry into fine powder. Each 1 liang), Hua Shi (Talcum, 0.5 liang, finely ground).
First, grind Yu Li Ren into a paste, mix with Da Huang and Hua Shi, and form pills the size of millet seeds. Adjust the dosage according to the child's age. Administer before meals with breast milk or Bo He Tang (Mint Decoction).

Qian Yi's Xi Jiao Wan (Rhino Horn Pill) treats infantile wind-heat with phlegm-excess, red face, constipation and difficult urination, pathogenic heat in the San Jiao (Triple Burner), and accumulated toxicity in the Fu organs. It provides very stable dredging effects.
Sheng Xi Jiao (Raw Rhinoceros Cornu, powdered, 1 fen), Ren Shen (Ginseng Radix, remove whiskers, slice), Zhi Shi (Immature Bitter Orange, remove pulp, roast), Bing Lang (Areca Seed, 0.5 liang), Huang Lian (Coptis Rhizome, 1 liang), Da Huang (Rhei Radix et Rhizoma, 2 liang, soak in wine, slice. Place 100去皮 Pitaya/Ba Dou seeds onto the Da Huang slices, wrap in paper, steam over rice three times, cut, stir-fry until yellow and scorched, discard Ba Dou).
Grind all ingredients into fine powder, mix with refined honey to form pills the size of sesame seeds. Take 10-20 pills each time, swallow with warm boiled water before bedtime. Increase the number of pills if bowel movement is not achieved. This formula is also suitable for adults and safe for pregnant women.

Shao Yao San (Peony Powder) from *Huiyan Guanzheng* treats cases where oral medications fail to relieve blocked urination and defecation.
Shao Yao (Paeonia Radix), Da Huang (Rhei Radix et Rhizoma), Gan Cao (Licorice Root, roasted), Dang Gui (Angelica Sinensis), Po Xiao (Mirabilite Natrii Sulfatis. Each 1 fen).
Grind into powder. Take one large Qian per dose, decoct with one zhan (unit of volume) of water in a clay vessel until half a zhan remains, filter the dregs, and take. Passage will be restored.

Prescription from *Jishi Jiazhuang* for blocked urination and defecation.
Gan Cao Jie (Licorice Root Node, stir-fried), Huai Hua (Sophora Flower. Each 1 liang).
Grind into powder. Take one Qian per dose, mixed with half a Qian of tea, taken with hot water.

Another prescription from the Jishi family:
Hua Shi (Talcum, one large Qian), Deng Xin (Junci Medulla, one handful).
Decoct two bowls of water until reduced to one bowl, take warm.

Moxibustion method from *Qian Jin Fang*: For infants with blocked urination and defecation, moxa at the corners of the mouth, one Zhu (moxa cone) at each side.