黄帝三部针灸经言。小腹肿痛。不得小便。邪在三焦。病名曰三焦约。内闭发不得大小
便。
之道
则决
通
方
顺气丸 治三焦约。小腹肿痛。不得大小便。
木香（二两） 青橘皮（汤浸去白焙一两） 人参（二两） 赤茯苓（去黑皮一两） 郁
李仁
（半斤）
遂（麸
炒微烟
三味
外。捣罗
时服。
郁李仁丸 治三焦约。通导大小便。
郁李仁（汤浸去皮研） 大黄（锉炒各一两） 赤茯苓（去黑皮） 泽泻（锉） 葶苈
〔隔纸上
炒各
半两研）
上
炒盐汤下。酒下亦得。
枳壳丸（出宣明论）调顺三焦。平匀气脉。消痰滞。利胸膈。祛风。利大小
便。
枳壳（去瓤麸炒二两） 牵牛子（拣择四两一半生一半炒捣罗取粉一两半余者不用） 槟
榔
（半
再
罗过
枳壳散 治三焦约。大小便不通。
枳壳（汤浸去瓤切作片子焙干五两） 浓朴（去粗皮涂生姜汁炙二两） 滑石（研细一
两）
桂（
冷
米
疏风散 治三焦约。大小便不通。
牵牛子（微炒一两） 大黄（锉炒一两） 槟榔（锉半两） 陈橘皮（汤浸去白焙一两）
上为
散。
皂荚散 治三焦约。大小便不通。
猪牙皂荚（酥炙去皮子） 白蒺藜（各等分） 上为末。如大肠不通。用盐汤茶汤调下
一钱。
小
淮南五柔丸（出活人书）治三焦不调。大小便秘涩。和营卫。利脏腑。
大黄（锉炒一斤） 前胡（去芦头二两） 赤茯苓（去黑皮） 细辛（去苗叶） 半夏
（汤洗切
焙）
为末。炼
蜜和搅。再捣千杵。丸如梧桐子大。每服五丸。食后。温水下。日三。稍增之。
《黄帝三部针灸经》中说：小腹部肿胀疼痛，小便不通畅，这是邪气侵犯三焦。这种病叫做“三焦约”。体内气机闭塞，导致大小便都无法排出。
治疗方法及方剂如下：
顺气丸：治疗三焦约证。症状表现为小腹部肿胀疼痛，大小便均无法排出。
药材组成：木香（二两）、青橘皮（用汤浸泡后去掉白色内层，焙干，一两）、人参（二两）、赤茯苓（去掉黑色外皮，一两）、郁李仁（半斤）、甘遂（用麸皮炒至微冒烟）。以上六味药，捣碎并过罗成细粉。每次服用适量，用盐汤送服。
郁李仁丸：治疗三焦约证。作用是通导大小便。
药材组成：郁李仁（用汤浸泡后去皮研碎）、大黄（锉碎炒制，各一两）、赤茯苓（去掉黑色外皮）、泽泻（锉碎）、葶苈子（隔纸炒）。以上五味药，捣碎并过罗成细粉，炼蜜为丸，如梧桐子大。每次服用适量，用炒盐汤送服，用酒送服也可以。
枳壳丸（出自《宣明论》）：调理顺和三焦，使气脉平和均匀，消除痰滞，通畅胸膈，祛风，利大小便。
药材组成：枳壳（去掉瓤，用麸皮炒，二两）、牵牛子（挑选干净，四两半，一半生用一半炒制，捣碎过罗取粉一两半，其余部分不用）、槟榔（半个，再经过罗）。以上药物处理成粉末，炼蜜为丸，如梧桐子大。每次服用适量，温水送服。
枳壳散：治疗三焦约证。症状为大小便不通。
药材组成：枳壳（用汤浸泡去掉瓤，切成片焙干，五两）、浓朴（去掉粗皮，涂生姜汁炙烤，二两）、滑石（研细，一两）、桂枝（少许）。以上药物研为散剂。每次服用适量，冷米汤送服。
疏风散：治疗三焦约证。症状为大小便不通。
药材组成：牵牛子（微炒，一两）、大黄（锉碎炒制，一两）、槟榔（锉碎，半两）、陈橘皮（用汤浸泡去掉白色内层焙干，一两）。以上药物研为散剂。每次服用适量，温水或米汤送服。
皂荚散：治疗三焦约证。症状为大小便不通。
药材组成：猪牙皂荚（用酥油炙烤，去掉皮和籽）、白蒺藜（各等分）。以上药物研为末。如果大肠不通，用盐汤或茶汤调服一钱。
淮南五柔丸（出自《活人书》）：治疗三焦不调。症状为大小便秘涩。作用是调和营卫，利脏腑。
药材组成：大黄（锉碎炒制，一斤）、前胡（去掉芦头，二两）、赤茯苓（去掉黑色外皮）、细辛（去掉苗叶）、半夏（用汤洗切后焙干）。以上药物研为末，用炼蜜调和搅拌，再捣千杵，制成如梧桐子大的丸药。每次服用五丸，饭后服用，温水送服，每日三次，可酌情稍增加剂量。
The *Huangdi Sanbu Zhenjiu Jing* (Yellow Emperor's Classic of Acupuncture and Moxibustion) states: Swelling and pain in the lower abdomen, with inability to urinate, indicates pathogenic factors affecting the Triple Burner (Sanjiao, 三焦). This disease is named "Sanjiao Yue" (Contraction/Restriction of the Triple Burner). Internal blockage leads to the inability to pass both stool and urine.
Treatment methods and formulas are as follows:
**Shunqi Wan (Smooth Qi Pill)**: Treats Sanjiao Yue. Symptoms include swelling and pain in the lower abdomen, and inability to pass both stool and urine.
Ingredients: Mugwort Wood (Muxiang, 木香, 2 liang), Green Tangerine Peel (Qingju Pi, 青橘皮, soaked in decoction, white pith removed, dried, 1 liang), Ginseng (Renshen, 人参, 2 liang), Red Poria (Chifuling, 赤茯苓, black skin removed, 1 liang), Apricot Seed (Yuliren, 郁李仁, 8 liang), Kansui Root (Gansui, 甘遂, bran-fried until slight smoke appears). The above six herbs are crushed, sifted into fine powder. Take an appropriate amount each time, administered with salt water.
**Yuliren Wan (Apricot Seed Pill)**: Treats Sanjiao Yue. Its function is to unblock and guide both stool and urine.
Ingredients: Apricot Seed (Yuliren, 郁李仁, soaked in decoction, skin removed, ground), Rhubarb (Dahuang, 大黄, cut and fried, 1 liang each), Red Poria (Chifuling, 赤茯苓, black skin removed), Alisma (Zexie, 泽泻, cut), Lepidium Seed (Tinglizi, 葶苈子, fried on paper). The above five herbs are crushed, sifted into fine powder, mixed with refined honey to form pills the size of sophora seeds. Take an appropriate amount each time, administered with fried salt water; wine administration is also acceptable.
**Zhike Wan (Bitter Orange Pill)** (from *Xuanming Lun*): Regulates and harmonizes the Triple Burner, smooths qi meridians evenly, eliminates phlegm stagnation, benefits the chest and diaphragm, dispels wind, and promotes urination and defecation.
Ingredients: Bitter Orange (Zhike, 枳壳, pith removed, bran-fried, 2 liang), Morning Glory Seed (Qianniu Zi, 牵牛子, selected, 4.5 liang, half raw and half fried, crushed and sifted to obtain 1.5 liang of powder, discard the rest), Areca Nut (Binglang, 槟榔, half, re-sifted). Process the above herbs into powder, mix with refined honey to form pills the size of sophora seeds. Take an appropriate amount each time, administered with warm water.
**Zhike San (Bitter Orange Powder)**: Treats Sanjiao Yue. Symptoms include obstruction of both stool and urine.
Ingredients: Bitter Orange (Zhike, 枳壳, soaked in decoction, pith removed, sliced and dried, 5 liang), Magnolia Bark (Noupi, 浓朴, coarse bark removed, coated with ginger juice and roasted, 2 liang), Talcum (Huashi, 滑石, finely ground, 1 liang), Cinnamon Twig (Guizhi, 桂, a small amount). Grind the above herbs into powder. Take an appropriate amount each time, administered with cold rice water.
**Shufeng San (Dispel Wind Powder)**: Treats Sanjiao Yue. Symptoms include obstruction of both stool and urine.
Ingredients: Morning Glory Seed (Qianniu Zi, 牵牛子, lightly fried, 1 liang), Rhubarb (Dahuang, 大黄, cut and fried, 1 liang), Areca Nut (Binglang, 槟榔, cut, 0.5 liang), Aged Tangerine Peel (Chenju Pi, 陈橘皮, soaked in decoction, white pith removed, dried, 1 liang). Grind the above herbs into powder. Take an appropriate amount each time, administered with warm water or rice water.
**Zaojia San (Soap Pod Powder)**: Treats Sanjiao Yue. Symptoms include obstruction of both stool and urine.
Ingredients: Pig Tooth Soap Pod (Zhuya Zaojia, 猪牙皂荚, fried with lard, skin and seeds removed), White Tribulus (Baijili, 白蒺藜) (in equal proportions). Grind the above herbs into powder. If large intestine obstruction occurs, mix one qian with salt water or tea water and administer.
**Huainan Wuru Wan (Huainan Five-Softness Pill)** (from *Huren Shu*): Treats dysfunction of the Triple Burner. Symptoms include constipation and difficult passage of stool and urine. Its functions are to harmonize Ying and Wei (Nutritive and Defensive Qi), and benefit the zang-fu organs.
Ingredients: Rhubarb (Dahuang, 大黄, cut and fried, 1 jin), Peucedanum Root (Qianhu, 前胡, radicle removed, 2 liang), Red Poria (Chifuling, 赤茯苓, black skin removed), Asarum (Xixin, 细辛, seedlings and leaves removed), Pinellia Tuber (Banxia, 半夏, washed in decoction, sliced, and dried). Grind the above herbs into powder, mix with refined honey while stirring, then pound for a thousand strokes. Form pills the size of sophora seeds. Take five pills each time, after meals, administered with warm water, three times daily. The dosage may be slightly increased as needed.