产后小便不通及淋沥涩痛者,由气虚挟热,不可专用分利渗导之药,重损真气。膀胱虚热用六味丸,若阴
虚而阳无以化,用滋阴肾气丸。盖土生金,金生水,当滋化源也。
滑石散
疗产后淋闭。
滑石(一两二钱) 通草 车前子 葵子(各一两)
上为末,热水调服三钱。
张不愚方
疗产后小便不通。
陈皮(一两,去白为末)
上空心温酒调下二钱,一服便通。
又方
杏仁十四枚去皮尖炒为末,和饮顿服,立通。
又方
用食盐填脐中,可与脐平,却用葱白剥去粗皮十余茎作一缚,切作一指浓安盐上,大艾炷如葱饼子大小,
以火灸之,觉热气直入腹内,实时便通,神验不可俱述。
产妇生理不顺,致伤尿脬,遗尿无时。丹溪曰∶尝见收生者不谨,损破尿脬,因而淋漓遂成废疾者。有徐
氏妇得此,因思肌肉破伤在外者,既可补完,在内者,恐也可治,遂兹其脉虚甚,试与峻补。因以参 为君,
芎归为臣,陈皮、茯苓为佐,以猪羊胞煮汤煎服,极饥时饮之,一月而安。盖气血骤长,其胞自完,恐稍缓亦
难成功矣。
补脬饮
治产妇伤动脬破,终日不小便,但淋湿不干。
黄丝绢(一尺,自然黄丝织成者) 白芨末 白牡丹 根皮(各一钱) 黄蜡(五钱)
用水三碗,煎至绢烂如饧,服之勿作声,作声无效。
Postpartum urinary retention accompanied by dribbling and painful urination is caused by Qi deficiency with accompanying heat. It is inadvisable to exclusively use diuretic and draining herbs (herbs that promote urination to drain dampness), as this would severely damage the True Qi. For bladder deficiency-heat, Liuwei Wan (Six-Ingredient Pill) should be used; if Yin deficiency leads to an inability of Yang to transform fluids, Ziyin Shenqi Wan (Yin-Nourishing Kidney-Energy Pill) is indicated. This is because Earth generates Metal, and Metal generates Water; therefore, treatment should focus on nourishing the source of transformation (i.e., tonifying the Spleen, Lung, and Kidney to restore fluid metabolism).
Shihui San (Talc Powder)
Treats postpartum strangury and urinary obstruction.
Talcum (1 liang 2 qian) Tongcao (Licorice Root of Akebia Vine), Cheqianzi (Plantago Seed), Kuizi (Okra Seed) (each 1 liang)
Grind the above into powder, mix with hot water, and take 3 qian per dose.
Zhang Buyu's Formula
Treats postpartum urinary retention.
Chenpi (Dried Tangerine Peel) (1 liang, remove the white pith and grind into powder)
Take 2 qian mixed with warm wine on an empty stomach; patency is achieved after one dose.
Another Formula
Take 14 Xingren (Apricot Seeds), remove the skin and tips, stir-fry, and grind into powder. Mix with a beverage and consume in one dose; urination will immediately become patent.
Another Formula
Fill the umbilicus with edible salt until level with the navel. Then, take more than ten stalks of Congbai (Scallion White), peel off the coarse skin, bundle them together, cut them into slices about one finger-thick, and place them on the salt. Apply a large moxa cone (Ai Zhu) the size of a scallion pancake and moxibustion. When heat sensation is felt penetrating directly into the abdomen, urination will immediately become patent. This method is miraculous and cannot be fully described.
If a parturient experiences irregular physiological processes leading to injury of the Niao Pao (Urinary Bladder), she may suffer from involuntary urination at any time. Zhu Danxi stated: "I have observed cases where midwives were not careful, damaging or rupturing the urinary bladder, resulting in continuous dribbling and becoming a chronic disability." There was a woman surnamed Xu who suffered from this condition. She reasoned that since external muscle wounds can be repaired, internal injuries might also be treatable. Upon examination, her pulse was extremely deficient, so we attempted strong tonification (Jun Bu). We used Renshen (Ginseng) as the Sovereign herb, Chuanxiong (Szechwan Lovage Rhizome) and Danggui (Angelica Sinensis) as the Minister herbs, Chenpi (Dried Tangerine Peel) and Fuling (Poria) as the Assistant herbs, and decocted them in soup made from Zhu Yang Bao (Pig/Sheep Bladder). The patient drank this when extremely hungry and recovered within one month. This is because rapid regeneration of Qi and Blood allows the bladder to heal itself; delay would have hindered success.
Bupao Yin (Bladder-Repairing Decoction)
Treats postpartum injury causing rupture of the bladder, resulting in an inability to void urine for the entire day, with only constant wetness.
Huang Si Juan (Yellow Silk Fabric) (1 chi, woven from natural yellow silk) Baiji (Bletilla Rhizome) powder, Baidanpi Genpi (White Peony Root Bark) (each 1 qian) Huang La (Yellow Beeswax) (5 qian)
Decoct in three bowls of water until the silk fabric dissolves like syrup. Take orally without making any noise; making noise renders it ineffective.