大钟、中 、石门、承山、太冲、中管、大溪、承筋、主大便难。（千）昆仑、主不得
。肓俞、主大便干。腹中切痛。石关、主大便闭。寒气结。心坚满。承山（见转筋。）
大溪、（见伤寒无汗。）治大便难。（铜）大钟、（铜见淋。）石关、治大便秘涩。肓俞、治
大便燥。（见腰痛。）中注、治小腹有热。大便坚燥不利。大白、治腰痛大便难。太冲
、治足寒大便难。石关、膀胱俞、疗腹痛大便难。（明下）大便难、灸七椎旁各一寸七壮
。（千）又承筋三壮。大便不通。大敦四壮。大便闭塞。气结。心坚满。石门百壮。（余见
千金。）腹中有积。大便秘。巴豆肉为饼。置脐中。灸三壮。即通。神效。耆域蜜兑治大
便秘。（详见既效。）
丰隆、主大小便涩难。（明同。）长强、（明下同。）小肠俞、主大小
便难。淋癃。包肓、主癃闭下重。大小便难。
水道、主三焦约。大小便不通。（又云生妇人。）营冲四穴、主大小便不利。大溪、
便难。尿黄。中注、浮 、主小腹热。大便坚。白环俞、（见腰脊。）扶承、（见痔。）大肠
俞、治大小便不利。（铜见腹胀。）会阴、治不得大小便。（见阴痛。千同）。浮 、治
小肠热。大肠结。（见筋急。）膀胱俞、疗大小便难。尿赤。（明）交信、疗大小便难。
一卒伤寒。大小便不通。予与五苓散而皆通。五苓固利小便矣。而大便亦通者。津液生
故也
。或小便通而大便尚不通。宜用蜜兑道之。（必用方。妇人老人大便秘。用麻子苏子煮粥食
。最佳。）
大钟、中管（注：原文“中 ”疑为“中管”或“中脘”，结合上下文及《针灸资生经》常见穴位，此处依原文字形暂译为“中[穴]”，若指中脘则需修正，但根据后文“中管”出现，此处可能为衍文或异写，按字面处理）、石门、承山、太冲、中管、大溪、承筋，主治大便困难。（出自《千金方》）昆仑，主治无法排便。肓俞，主治大便干燥。腹部剧烈疼痛。石关，主治大便闭塞。寒气凝结。心脏部位坚硬胀满。承山（参见转筋条目）。大溪（参见伤寒无汗条目），治疗大便困难。（出自《铜人腧穴针灸图经》）大钟（参见淋证条目），石关，治疗大便秘结涩滞。肓俞，治疗大便燥结。（参见腰痛条目）中注，治疗小腹有热感。大便坚硬燥结不通畅。大白，治疗腰痛伴大便困难。太冲，治疗足部寒冷伴大便困难。石关、膀胱俞，治疗腹痛伴大便困难。（出自《明堂灸经》下卷）大便困难，艾灸第七椎旁开各一寸处，每侧七壮。（出自《千金方》）另外，承筋穴灸三壮。大便不通，大敦穴灸四壮。大便闭塞，气机郁结。心脏部位坚硬胀满，石门穴灸一百壮。（其余内容参见《千金方》）腹中有积块。大便秘结，将巴豆肉制成饼状，置于脐中，灸三壮，即可通便，神效。耆域用蜂蜜灌肠法治疗大便秘结。（详见《济生方》）
丰隆，主治大小便涩滞困难。（《明堂灸经》同此记载）长强（《明堂灸经》同此记载），小肠俞，主治大小便困难。淋证。癃闭伴有下坠感。大小便困难。水道，主治三焦约束不利。大小便不通。（又云适用于刚生产过的妇女）营冲等四穴，主治大小便不利。大溪，大便困难。尿色黄。中注、浮郄，主治小腹发热。大便坚硬。白环俞（参见腰脊条目），扶承（参见痔疾条目），大肠俞，治疗大小便不利。（《铜人腧穴针灸图经》参见腹胀条目）会阴，治疗无法大小便。（参见阴痛条目，《千金方》同此记载）浮郄，治疗小肠热盛。大肠结滞。（参见筋急条目）膀胱俞，治疗大小便困难。尿色红赤。（《明堂灸经》）交信，治疗大小便困难。有一例突发伤寒患者，大小便不通。我给予五苓散服用，结果大小便都通畅了。五苓散固然能利小便，而大便也通畅的原因，是因为津液得以生成。或者小便已通而大便仍然不通，宜用蜜导法引导通便。（出自《必用方》。妇人老人大便秘结，用麻子、苏子煮粥食用，效果最佳。）
Dazhong (KI11), Zhong [acupoint], Shimen (CV5), Chengshan (BL57), Taichong (LR3), Zhongwan (CV12), Daxi (KI4), Chengjin (BL56) mainly treat difficult defecation. (From *Qianjin Fang*) Kunlun (BL60) mainly treats inability to pass stool. Huangshu (GB25) mainly treats dry stool. Severe abdominal pain. Shiguan (ST22) mainly treats fecal impaction. Cold qi accumulation. Hardness and fullness in the heart region. Chengshan (see entry for muscle cramp). Daxi (see entry for cold damage with no sweating) treats difficult defecation. (From *Tongren Shuxue Zhenjiu Tujing*) Dazhong (see entry for strangury), Shiguan treats constipation with astringency. Huangshu treats dry stool. (See entry for lower back pain) Zhongzhu (ST24) treats heat in the lower abdomen. Hard, dry, and unsmooth stool. Dabai (ST44) treats lower back pain accompanied by difficult defecation. Taichong treats cold feet accompanied by difficult defecation. Shiguan, Bladder Shu (BL28) treat abdominal pain accompanied by difficult defecation. (From *Mingtang Jiu Jing* Vol. 2) For difficult defecation, moxa is applied one cun lateral to the seventh thoracic vertebra, seven moxa cones on each side. (From *Qianjin Fang*) Additionally, three moxa cones are applied to Chengjin (BL56). For obstipation, four moxa cones are applied to Dadun (LR1). For fecal impaction with qi stagnation and hardness/fullness in the heart region, one hundred moxa cones are applied to Shimen (CV5). (For other contents, see *Qianjin Fang*). For abdominal masses and constipation, a cake made of croton seed flesh is placed in the umbilicus, and three moxa cones are applied; this immediately relieves the condition and is miraculous. Qiyu's honey suppository method treats severe constipation. (See detailed description in *Jisheng Fang*)
Fenglong (ST40) mainly treats difficult and astringent urination and defecation. (*Mingtang Jiu Jing* agrees). Changqiang (GV1) (*Mingtang Jiu Jing* agrees), Xiaochang Shu (BL27) mainly treat difficult urination and defecation. Strangury. Longbi (prolapse/obstruction) with a sensation of heaviness in the lower body. Difficult urination and defecation. Shuidao (ST28) mainly treats dysfunction of the Sanjiao (Triple Burner) causing obstruction. Urinary and fecal retention. (Also stated to be suitable for postpartum women). The four acupoints Yingchong mainly treat unfavorable urination and defecation. Daxi (KI4) causes difficult defecation. Yellow urine. Zhongzhu (ST24), Fuxi (GB35) mainly treat heat in the lower abdomen. Hard stool. Baihuan Shu (BL30) (see entry for lumbar spine), Fucheng (BL37) (see entry for hemorrhoids), Dachang Shu (BL25) treat unfavorable urination and defecation. (See entry for abdominal distension in *Tongren Shuxue Zhenjiu Tujing*) Huiyin (CV2) treats inability to urinate or defecate. (See entry for genital pain, *Qianjin Fang* agrees). Fuxi (GB35) treats heat in the small intestine. Accumulation in the large intestine. (See entry for tendon tension). Bladder Shu (BL28) treats difficult urination and defecation. Red urine. (*Mingtang Jiu Jing*) Jiaoxin (KI8) treats difficult urination and defecation. In a case of sudden cold damage where both urination and defecation were blocked, I administered Wuling San (Five-Ingredient Poria Decoction), resulting in the patency of both. Although Wuling San primarily promotes diuresis, the reason the stool also became loose is that body fluids were generated. If urination is patent but defecation remains obstructed, honey suppositories should be used to guide the passage of stool. (From *Biyong Fang*. For elderly women suffering from constipation, porridge boiled with sesame seeds and perilla seeds is best.)