凡小便不通，服药无效，用商陆五钱研末，入麝香少许，先以旧夏布盖于脐上，将药放布上。待药气入腹，
一时即通。
小便数日不通，遍身手足肿满，诸药不应者，用苏叶一斤煎浓汤，入脚盆内，令患者坐盆上熏之，冷则又添
热汤；外用炒盐熨
脐上，及遍身肿处。良久，便通肿消而愈。
又方 用连须葱白一斤，捣烂炒热，分作二处，各以布包，轮流热熨脐下，即通。小便闭结不通，药
不能效。用食盐一两，调温水服之；良久，以指入喉中探吐，一吐即通。盖上窍不通，下窍闭也。
又方 以皂角研末，吹些微入鼻中，令其喷嚏，亦是上升之意。如水注闭其上窍，则下窍不通，稍升
提之，实时通矣。
经曰∶太阴司天，阴痹，大便难，阴气不用，病在于肾。又曰∶太阳之胜，隐曲不利，互引阴股。夫饮食之
物，有入必有出也。苟大便不通，出入之机几乎息矣。急宜通之，使旧谷去而新谷得入。然有实闭、有虚闭，
最宜详审。如形实气实脉实又能食者，的有可下之证，则下之，如八正散、承气汤、木香槟榔之类，择而用之，
中病即止，不可过也；而形虚气虚脉虚而兼食少者，虽有可下之证，宜缓不宜急，但用保和丸加枳实微利之；如
平素便难者，血不足也，宜润汤丸、蜜导法。
凡是小便不通畅，服用药物无效的情况，使用商陆五钱研成粉末，加入少许麝香，先用旧的夏布覆盖在肚脐上，将药粉放在布上。等到药气进入腹部，大约一个时辰后小便即可通畅。
如果小便数日不通，导致全身及手足肿胀满闷，各种药物都无效的，用苏叶一斤煎煮成浓汤，倒入脚盆中，让患者坐在盆上熏蒸，变冷了就再添加热汤；同时在外部用炒热的盐熨烫肚脐以及全身肿胀的部位。过一段时间，小便通畅、肿胀消退后即可痊愈。
另一个方子：用带须的葱白一斤，捣烂后炒热，分成两份，各用布包裹，轮流热敷脐下部位，小便即可通畅。对于小便闭结不通，药物无法见效的情况，可以用食盐一两，调温水服下；过一会儿，用手指伸入喉咙催吐，一吐出来小便就通了。这是因为上窍不通，下窍就会闭塞的缘故。
又一个方子：将皂角研成粉末，吹入极少量到鼻中，使其打喷嚏，这也是取“上升”的意思。就像水注堵塞了上面的口，下面的口就不通，稍微提升一下（通过喷嚏），立刻就能通畅。
《内经》说：“太阴司天之年，会出现阴痹，大便困难，这是阴气不能发挥作用，病位在肾。”又说：“太阳之气偏胜时，会出现隐曲不利（指排尿或生殖功能异常），牵引大腿内侧疼痛。”饮食进入体内，必然有排出体外的时候。如果大便不通，身体出入的气机几乎就要停止了。应当紧急通便，使旧的食物残渣排出，新的食物才能进入。然而，便秘有实秘和虚秘之分，最需要仔细审察。如果形体壮实、正气充足、脉象有力且能进食的，确属可攻下的证候，就用攻下法，如八正散、承气汤、木香槟榔丸等，选择其中一种使用，中病即止，不可过度；而形体虚弱、正气不足、脉象虚弱且兼有食欲减退的，即使有可攻下的证候，也宜缓不宜急，只需用保和丸加枳实轻微通便；如果平时排便困难的，是血虚所致，宜用润肠丸、蜜导法（蜂蜜栓剂塞肛）。
In cases of urinary retention where medication has proven ineffective, use 5 qian (approx. 18.75g) of Phytolaccae Radix (Shanglu), ground into powder, mixed with a small amount of Moschus (Shexiang). Cover the umbilicus with an old linen cloth from summer, place the medicine on the cloth. Once the medicinal qi penetrates the abdomen, urination will likely resume within one shichen (approx. 2 hours).
For cases where urination is obstructed for several days, resulting in generalized edema and fullness of the body and extremities, unresponsive to various medications, decoct 1 jin (approx. 500g) of Perillae Folium (Suye) in concentrated water and pour it into a foot basin. Allow the patient to sit over the basin to inhale the steam; add hot water as it cools. Externally, apply hot stir-fried salt to massage the umbilicus and all swollen areas. After some time, urination will resume, edema will subside, and the patient will recover.
Another prescription: Use 1 jin of Scallion White (Congbai) with roots intact, mash it, and stir-fry until hot. Divide into two portions, wrap each in cloth, and alternately apply hot compresses below the umbilicus. Urination will immediately resume. For urinary obstruction unresponsive to internal medicine, take 1 liang (approx. 37.5g) of Sodium Chloride (Yan), dissolved in warm water. After a while, induce vomiting by stimulating the throat with a finger. Vomiting will lead to immediate urination. This is because if the upper orifice is blocked, the lower orifice becomes closed.
Yet another method: Grind Gleditsiae Sinensis Fructus (Zaojiao) into powder and blow a tiny amount into the nose to induce sneezing. This follows the principle of "ascending." Just as blocking the upper opening of a water vessel prevents flow from the bottom, slightly lifting the qi (via sneezing) restores patency immediately.
The Classic states: "When Taiyin governs the year, Yin Bi occurs, characterized by difficulty in defecation, due to the failure of Yin Qi, with the pathology located in the Kidney." It also states: "When Taiyang prevails, there is dysfunction in hidden/obscure matters (referring to urination or reproductive functions) and pulling pain in the medial thigh." Food ingested must eventually be excreted. If defecation is obstructed, the mechanism of intake and output nearly ceases. It is urgent to promote bowel movement to clear old residue so new food can enter. However, constipation can be excess-type (Shi) or deficiency-type (Xu), requiring careful differentiation. If the patient's constitution is robust, Qi is sufficient, pulse is forceful, and appetite is good, indicating a true excess pattern suitable for purgation, use purgatives such as Bazheng San (Eight-Herb Corrective Powder), Chengqi Tang (Order the Qi Decoction), or Muxiang Binglang Wan (Costus and Areca Nut Pill), selecting one appropriately. Stop once the disease is addressed; do not overuse. Conversely, if the patient is physically weak, Qi deficient, pulse is thready/weak, and accompanied by poor appetite, even if signs suggest purgation are indicated, slow rather than rapid action is preferred. Use Baohe Wan (Preserve Harmony Pill) augmented with Zhi Shi (Immature Bitter Orange) to mildly promote bowel movement. For those who habitually have difficulty defecating, this is due to Blood insufficiency; use Run Chang Wan (Moisten Intestines Pill) or Mi Dao Fa (Honey Suppository Method).