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so dubbed in honor of the three rivers of Pittsburgh; before sex, give your [girlfriend] some horse laxative and then have normal, non-anal, [unprotected sex]. After climaxing inside of her box, give her the heimlich maneuver until she shits herself and then punch her in the mouth. The three streams of semen, shit and blood when [simultaneously] flowing create the Pittsburgh Lunchpail. Only for hard workers.
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