（附论）
夫时气。小肠者心之腑也。心与小肠为表里。心脏热久而不除。汗后津液虚少。不能灌
溉。而热毒之气流注小肠。故令不通也。
方
赤茯苓散（出圣惠方）治时气有时寒热。四肢沉重。口不知味。胸中哕塞。
小便不通。宜服。
赤茯苓（一两） 前胡（三分去芦头） 白藓皮（一两） 瞿麦（一两） 子芩（半两）
栀子仁
（半两） 滑石（二两） 川升麻（三分） 木通（一两五钱锉） 上为散。每服三钱。水
一盏。煎
至六分。去滓。不计时候。温服。
贝齿散（出圣惠方）治时气热毒流注。小便不通。
贝齿（四十枚） 白藓皮（一两） 猪苓（一两去皮） 川大黄（一两锉碎微炒） 瞿
麦（一两）
上为散。每服不计时候。以水一中盏。半匙调下三钱。良久再服。以利为度。
犀角散（出圣惠方）治时气四五日。寒热头痛。心腹烦闷。小便不通。
犀角屑（一两） 柴胡（去苗一两） 赤芍药（一两） 瞿麦（一两） 黄芩（一两） 知
母（一
两） 木通（一两锉） 川大黄（二两锉碎微炒） 滑石（二两） 上为散。每服五钱。以
水一大
盏。煎至五分。去滓。不计时候。温服。以得通为度。
柴胡散（出圣惠方）治时气恶寒壮热。头痛。小便不通。
柴胡（一两去苗） 茵陈（一两） 川大黄（锉碎一两） 黄芩（一两） 木通（一两
锉） 川升
麻（一两） 栀子仁（一两） 川芒硝（一两） 茅根（一两锉） 上为散。每服五钱。以
水一大盏。
煎至五分。去滓。不计时候。温服。以得通为度。
治时气壅毒。心腹胀满。小便不通。（出圣惠方）
滑石（二两） 甜葶苈（一两隔纸炒令紫色） 上捣筛。以水二大盏。煎至一盏。去滓。
不
计时候。温服。以得通为度。
疗小腹满。不得小便方。兼治天行。
细末雄黄。蜜和为丸枣核大。纳溺孔中。令入中。等半寸。以竹管注阴令痛。搠之通。
（附论）
所谓时气病，小肠是心的腑。心与小肠互为表里关系。心脏热邪久留不去，发汗后津液亏虚减少，无法滋润灌溉，导致热毒之气流注于小肠，因此造成小便不通。
方剂
赤茯苓散（出自《圣惠方》），治疗时气病出现忽冷忽热、四肢沉重、口淡无味、胸中呃逆痞塞、小便不通的症状，适宜服用。
赤茯苓（一两）、前胡（三分，去芦头）、白藓皮（一两）、瞿麦（一两）、子芩（半两）、栀子仁（半两）、滑石（二两）、川升麻（三分）、木通（一两五钱，锉碎）。以上药物研为散剂。每次服用三钱，加水一盏，煎至六分，滤去药渣，不限时候，温服。
贝齿散（出自《圣惠方》），治疗时气热毒流注引起的小便不通。
贝齿（四十枚）、白藓皮（一两）、猪苓（一两，去皮）、川大黄（一两，锉碎微炒）、瞿麦（一两）。以上药物研为散剂。每次服用不限时候，用水一中盏，加半匙调匀，送服三钱。过一段时间再服，以通利为度。
犀角散（出自《圣惠方》），治疗时气病四五日，出现寒热头痛、心腹烦闷、小便不通的症状。
犀角屑（一两）、柴胡（去苗一两）、赤芍药（一两）、瞿麦（一两）、黄芩（一两）、知母（一两）、木通（一两，锉）、川大黄（二两，锉碎微炒）、滑石（二两）。以上药物研为散剂。每次服用五钱，加水一大盏，煎至五分，滤去药渣，不限时候，温服。以小便通畅为度。
柴胡散（出自《圣惠方》），治疗时气病恶寒壮热、头痛、小便不通的症状。
柴胡（一两，去苗）、茵陈（一两）、川大黄（锉碎一两）、黄芩（一两）、木通（一两，锉）、川升麻（一两）、栀子仁（一两）、川芒硝（一两）、茅根（一两，锉）。以上药物研为散剂。每次服用五钱，加水一大盏，煎至五分，滤去药渣，不限时候，温服。以小便通畅为度。
治疗时气壅滞毒邪，心腹胀满，小便不通。（出自《圣惠方》）
滑石（二两）、甜葶苈（一两，隔纸炒至紫色）。以上药物捣碎筛粉。加水两大盏，煎至一盏，滤去药渣，不限时候，温服。以小便通畅为度。
治疗小腹胀满，不能小便的方子。兼治天行时气。
将雄黄研成细末，用蜂蜜调和做成如枣核大小的丸药，纳入尿道口中，令其进入约半寸深，用竹管注入阴部使其感到疼痛，搠动即可通利。
(Attached Discussion)
Regarding "Shi Qi" (Seasonal Epidemic Disease), the Small Intestine is the Fu organ of the Heart. The Heart and Small Intestine are interior-exteriorly related. If Heat in the Heart persists for a long time without resolution, and after sweating, Body Fluids become deficient and reduced, failing to moisten and irrigate, the pathogenic Heat-Toxin flows into the Small Intestine. This causes urinary obstruction.
Prescriptions
Chifuling San (Red Poria Powder) [From *Shenghui Fang*]
Indications: Treats Shi Qi characterized by alternating chills and fever, heaviness of the four limbs, loss of taste in the mouth, hiccups and chest fullness/stuffiness, and urinary obstruction. Suitable for consumption.
Ingredients: Chifuling (Poria Cocos with Red Core, 1 liang), Qianhu (Peucedani Radix, 3 qian, remove rhizome), Baixianpi (Dictamni Cortex, 1 liang), Qumai (Dianthi Herba, 1 liang), Zixin (Scutellariae Radix, 0.5 liang), Zhizi Ren (Gardeniae Semen, 0.5 liang), Huashi (Talcum, 2 liang), Chuanshengma (Polygoni Sibirici Rhizoma, 3 qian), Mutong (Akebiae Caulis, 1.5 liang, sliced).
Preparation and Administration: Grind all ingredients into powder. Take 3 qian per dose. Add 1 zhan of water, decoct until 0.6 zhan remains. Strain the dregs. Drink warm at any time.
Beichi San (Concha Meretrix Powder) [From *Shenghui Fang*]
Indications: Treats urinary obstruction caused by the flow of Heat-Toxin from Shi Qi.
Ingredients: Beichi (Concha Meretrix, 40 pieces), Baixianpi (Dictamni Cortex, 1 liang), Zhuling (Polyporus, 1 liang, remove skin), Chuandahuang (Rhei Radix et Rhizoma, 1 liang, sliced and lightly stir-fried), Qumai (Dianthi Herba, 1 liang).
Preparation and Administration: Grind all ingredients into powder. Take 3 qian per dose at any time. Mix with half a spoonful using one zhan of water. Administer again after some time. Stop when urination becomes free.
Xijiao San (Rhino Horn Powder) [From *Shenghui Fang*]
Indications: Treats Shi Qi occurring after four or five days, presenting with alternating chills and fever, headache, restlessness and oppression in the heart and abdomen, and urinary obstruction.
Ingredients: Xijiao Xie (Hornis Rinocerotis, 1 liang), Chaihu (Bupleuri Radix, 1 liang, remove radix tip), Chishao Yao (Paeoniae Radix Rubra, 1 liang), Qumai (Dianthi Herba, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Mutong (Akebiae Caulis, 1 liang, sliced), Chuandahuang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried), Huashi (Talcum, 2 liang).
Preparation and Administration: Grind all ingredients into powder. Take 5 qian per dose. Add one large zhan of water, decoct until 0.5 zhan remains. Strain the dregs. Drink warm at any time. Stop when urination becomes free.
Chaihu San (Bupleurum Powder) [From *Shenghui Fang*]
Indications: Treats Shi Qi presenting with aversion to cold, high fever, headache, and urinary obstruction.
Ingredients: Chaihu (Bupleuri Radix, 1 liang, remove radix tip), Yichen (Artemisiae Scopariae Herba, 1 liang), Chuandahuang (Rhei Radix et Rhizoma, 1 liang, sliced), Huangqin (Scutellariae Radix, 1 liang), Mutong (Akebiae Caulis, 1 liang, sliced), Chuanshengma (Polygoni Sibirici Rhizoma, 1 liang), Zhizi Ren (Gardeniae Semen, 1 liang), Chunanxiaos (Natrii Sulfas, 1 liang), Maogen (Imperatae Rhizoma, 1 liang, sliced).
Preparation and Administration: Grind all ingredients into powder. Take 5 qian per dose. Add one large zhan of water, decoct until 0.5 zhan remains. Strain the dregs. Drink warm at any time. Stop when urination becomes free.
Treatment for Shi Qi with obstructing Toxins, causing abdominal distension and fullness, and urinary obstruction. [From *Shenghui Fang*]
Ingredients: Huashi (Talcum, 2 liang), Tiantingli (Semen Lepidii, 1 liang, stir-fried between papers until purple).
Preparation and Administration: Pound and sieve the ingredients. Add two large zhans of water, decoct until one zhan remains. Strain the dregs. Drink warm at any time. Stop when urination becomes free.
Prescription for treating lower abdominal fullness and inability to urinate. Also treats Tianxing (Epidemic Disease).
Grind Xionghuang (Realgar) into fine powder. Mix with honey to form pills the size of a jujube pit. Insert into the urethral meatus, advancing about half a cun. Inject fluid via a bamboo tube into the yin region to induce pain; this maneuver promotes unblocking.