取龟尿摩其胸背，久即瘥。法取龟置瓦盆中，以镜照之，即失尿，急以物收之。或以猪
鬃刺其鼻即尿。龟胸者，肺热作胀，胸骨高起，有用桑皮钱半、地骨皮一钱，合白虎汤∶生
石膏四钱、知母钱半、糯米一撮、甘草五分，服数剂。间用六味丸加龟鹿二仙膏而见效者。
气喘则难治。龟背不可治，因禀赋不足，惟常服六味地黄汤加桂附、及十全大补汤加鹿茸龟
版为丸，俟长养气血，再用外治之法，庶可十全二三耳。
六味地黄汤
熟地（四钱） 山药 茯苓（各二钱） 山茱 丹皮 泽泻
再加肉桂、附片各一钱，名八味地黄汤。
十全大补汤
人参 白术（土炒） 熟地 当归（各二钱） 茯苓 酒芍 川芎 炙草（各一钱） 炙黄 （三钱）
肉桂（去粗，八分）
加重等分，可用炼蜜为丸。
症治并详“内科”。
罨脐法∶治中下二焦热，大小便秘。连须葱七根（不洗），生姜一大块，淡豆豉三钱，同
捣烂，作一饼，入铫子烘热，掩肚脐，以帛扎定，良久气通，二便自利。
蜜导法∶治二便不通。用冬蜜八两，炼至滴水成珠不散，入皂角细末二钱，和匀，稍冷
，捻如小指大一条，外以葱涎涂上，轻轻插入谷道中，气通则大便行而小便亦利矣。又方∶
猪胆一个，以小竹筒套住，蘸葱涎插入谷道七八分，用手挤胆汁入内，移时即通。
大小便不通经二三日危急者∶以皂角烧灰研末，米汤调下二钱，立通。又方∶以小竹筒
抹以葱涎，插入谷道，以芒硝五钱，研细，香油半盏，皂角末少许，令人口含灌入谷道中，
少时即通。
取龟的尿液涂抹其胸部和背部，时间久了即可痊愈。获取龟尿的方法是：将龟放置在瓦盆中，用镜子照射它，它就会排出尿液，迅速用器具收集。或者用猪鬃刺它的鼻子，它也会排尿。
所谓“龟胸”，是由于肺热导致胀满，胸骨高耸隆起。治疗可用桑白皮半钱、地骨皮一钱，配合白虎汤（清热生津方剂）：生石膏四钱、知母半钱、糯米一小撮、甘草五分，服用数剂。有时使用六味丸（滋阴补肾方剂）加入龟鹿二仙膏（滋补肝肾方剂）也能见效。如果出现气喘症状，则难以治疗。
“龟背”无法治愈，这是因为先天禀赋不足。只能常年服用六味地黄汤（滋阴补肾方剂）加入肉桂、附子，以及十全大补汤（温补气血方剂）加入鹿茸、龟板制成丸药，等待气血生长滋养后，再采用外治法，或许能有两三分的痊愈希望。
【六味地黄汤】
熟地黄（四钱）、山药、茯苓（各二钱）、山茱萸、牡丹皮、泽泻。
再加肉桂、附片各一钱，名为八味地黄汤（即金匮肾气丸）。
【十全大补汤】
人参、白术（土炒）、熟地黄、当归（各二钱）、茯苓、酒白芍、川芎、炙甘草（各一钱）、炙黄芪（三钱）、肉桂（去粗皮，八分）。
加重剂量比例，可用炼蜜制成丸药。
病症治疗详情见“内科”。
【罨脐法】：治疗中焦和下焦的热证，导致大小便闭塞不通。取带须葱七根（不清洗），生姜一大块，淡豆豉三钱，一同捣烂，做成一个饼状，放入锅中烘热，敷在肚脐上，用布扎紧固定，过一段时间后气机通畅，大小便自然通利。
【蜜导法】：治疗大小便不通。用冬蜜八两，炼制到滴水成珠不散的状态，加入皂角细末二钱，混合均匀，稍冷却后，搓捻成小指粗细的一条，外面涂上葱汁，轻轻插入肛门中，气机通畅后大便通行，小便也随之通利。
又一方：取一个猪胆，用小竹筒套住，蘸取葱汁插入肛门七八分深，用手挤压胆汁进入体内，过了一会儿即可通利。
对于大小便不通经过两三天已处于危急状态者：将皂角烧成灰研成粉末，用米汤调服二钱，立刻通利。
又一方：用小竹筒抹上葱汁，插入肛门中，将芒硝五钱研细，加入香油半盏、少许皂角末，让患者口含（此处原文可能有误，通常此类灌肠法为从肛门注入，或指通过口腔给药但语境为直肠给药，依原文直译：令人口含...灌入谷道中，疑为笔误，按原文逻辑理解为将药液灌入直肠），少时即可通利。
Obtain turtle urine and rub it on the chest and back; after a long time, the condition will heal. The method to obtain turtle urine is: place the turtle in a clay basin, shine a mirror on it, and it will urinate; quickly collect it with a vessel. Alternatively, prick its nose with a pig bristle to induce urination.
"Guixiong" (Turtle Chest) refers to a condition where lung heat causes distension and the sternum protrudes. Treatment involves using Sangbaipi (Mori Cortex, 桑白皮) half qian, Digupi (Dugongpi/Cortex Lycii Radicis, 地骨皮) one qian, combined with Baihu Tang (White Tiger Decoction): Sheng Shigao (Gypsum Fibrosum, 生石膏) four qian, Zhimu (Anemarrhenae Rhizoma, 知母) half qian, Nuomi (Oryzae Sativa Semen Glutinatum, 糯米) a small pinch, Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) five fen. Administer for several doses. Sometimes, Liuwei Wan (Six-Ingredient Pill with Rehmannia, 六味丸) added with Guilu Erxian Gao (Two Immortals Paste of Turtle and Deer, 龟鹿二仙膏) shows efficacy. If panting occurs, it is difficult to treat.
"Gubei" (Turtle Back) is incurable due to congenital insufficiency. One can only take Liuhuang Diwan Tang (Decoction of Six Ingredients with Rehmannia, 六味地黄汤) added with Rougui (Cinnamomi Cortex, 肉桂) and Fupian (Prepared Aconiti Lateralis Radix, 附片), as well as Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction, 十全大补汤) added with Luzhong (Cervus Nippon Cornu, 鹿茸) and Guiban (Testudinis Carapax et Plastrum, 龟版), processed into pills. Wait for qi and blood to grow and nourish, then use external treatment methods; perhaps two or three percent recovery is possible.
[Liuwei Dihuang Tang]
Shudi (Rehmanniae Radix Praeparata, 熟地) (4 qian), Shanyao (Dioscoreae Rhizoma, 山药), Fuling (Poria, 茯苓) (2 qian each), Shanzhuyu (Corni Fructus, 山茱), Danpi (Moutan Cortex, 丹皮), Zexie (Alismatis Rhizoma, 泽泻).
Add Rougui (Cinnamomi Cortex, 肉桂) and Fupian (Prepared Aconiti Lateralis Radix, 附片) one qian each, named Bawei Dihuang Tang (Eight-Ingredient Rehmannia Decoction, 八味地黄汤).
[Shiquan Dabu Tang]
Renshen (Ginseng Radix, 人参), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (soil-fried), Shudi (Rehmanniae Radix Praeparata, 熟地), Danggui (Angelicae Sinensis Radix, 当归) (2 qian each), Fuling (Poria, 茯苓), Jiushaoyao (Paeoniae Radix Alba, 酒芍), Chuanxiong (Chuanxiong Rhizoma, 川芎), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 炙草) (1 qian each), Zhi Huangqi (Astragali Radix Preparata, 炙黄) (3 qian), Rougui (Cinnamomi Cortex, 肉桂) (de-barked, 8 fen).
Increase proportions equally, can be made into pills with refined honey.
Symptom treatment details are described in "Internal Medicine".
[Yan Qi Method]: Treats heat in the middle and lower jiao causing constipation of both stool and urine. Take seven green onions with roots (unwashed), one large piece of fresh ginger, and three qian of Danshidou (Fermented Soybean, 淡豆豉). Pound them together into a paste, form into a cake, heat in a pot, apply to the umbilicus, and bind tightly with cloth. After a while, qi circulation resumes, and bowel and bladder functions normalize.
[Mi Dao Method]: Treats obstruction of both stool and urine. Use eight liang of winter honey, refine until it forms beads that do not scatter when dropped in water. Add two qian of fine powder from Zaojiao (Gleditsiae Fructus, 皂角), mix evenly. When slightly cool, roll into a strip the size of a little finger. Coat the outside with onion juice, and gently insert into the anus (gudu). Once qi circulates, stool passes and urine flows freely.
Another prescription: Take one pig gallbladder, cover with a small bamboo tube, dip in onion juice, and insert 7-8 fen into the anus. Squeeze the bile into the body by hand; passage occurs after a while.
For critical cases of urinary and fecal retention lasting two to three days: Burn Zaojiao (Gleditsiae Fructus, 皂角) to ash, grind into powder, mix with rice soup, and administer two qian orally; passage occurs immediately.
Another prescription: Apply onion juice to a small bamboo tube, insert into the anus. Mix five qian of finely ground Mangxiao (Natrii Sulfas, 芒硝), half cup of sesame oil, and a little Zaojiao powder. [Note: Original text says "let person hold in mouth and灌 into gudu", likely a textual error for rectal administration], and within a short time, passage occurs.