转脬之病，由脬为热所迫，或忍小便，俱令水气迫于脬，屈辟不得充畅，外水应入不得入，
内溲应出不得出，内外壅滞，胀满不通，故为脬转。其状小腹急痛，不得小便，甚者致死，不
可治也。
有孕妇或因登高取物，亦致转脬，须根据前法则复故。生产难，因老妪手探以致转脬者有之，
服药后宜坦卧，用手法治之，无不愈者。
（《千金》）滑石散 治男妇转脬，小便数日不通。
滑石 寒水石（各一两） 葵子（一合）
上为末，以水一斗煮取五升，时时服一升即利。
箬叶散 治前症。
裹粽箬叶（烧灰，一两） 滑石（飞，半两。）
和匀，每服二钱，沸汤调服。
（《指迷》）石苇汤 治同前。
石苇（去毛） 车前子（各等分）
上为粗未，每服半两，水二盏煎一盏，食前服。
葵子散 治同前。
葵子 车前子 乱发（烧灰。各等分）
上为细末，每服二钱，茶汤调下。
益元散紫草末、紫菀末、紫金皮末，皆可用单方一味，葱汤调治转脬俱效。
一法用炒盐半斤，囊盐乘热熨小腹，治转脬小便不通立愈。
（《局方》）八味丸 治妇人转脬，小便不得。（方见虚损门。）
经云∶膀胱不利为癃，不约为遗溺。乃心肾之气，传送失度之所为也。故有小便涩而
遗者，有失禁而出不自知者。又妇人产理不顺，致伤膀胱，遗尿无时。又有脬寒脏冷遗尿不禁，
治之宜各详其类也。
鹿茸丸 治妇人久虚，小便白浊，滑数不禁。
鹿茸 川椒 桂心 附子 牡蛎（制） 破故纸 石斛 肉苁蓉 鸡 沉香（各一两）
桑螵蛸（十枚，酒炒）
上为细末，酒煮面糊丸，梧桐子大，空心，温酒下三十丸。
（《千金》）白薇散 治妇人遗尿不禁。
白薇 白芍药（等分）
上为细末，酒调服方寸匕，空心日三服。
秘元丸 治内虚自汗，小便不禁。
白龙骨（三两） 诃子（十枚，煨，去核） 砂仁（一两，去皮）
上为末，糯米粥丸梧桐子大，空心温酒下五十丸。
牡蛎散 治遗尿。
牡蛎 白矾（枯。各等分）
为细末，米饮调下方寸匕，效。
一方∶鸡 炙为末，空心调二钱，酒下。
一方∶鹿角屑炒令黄色，为细末，空心温酒调下二钱。
一方∶猪脬洗净，铁铲上炙，食之，以酒吞下。
一方∶桑螵蛸酒炒为细末，每服二钱，空心，姜汤调下。
一方∶用糯米 果一片，睡时炙令软熟，啖之，仍以酒吞。不饮酒者沸汤下，多啖
愈佳，行坐良久，待 下膈，心下空则睡最效。
The disease of "Pao Zhuan" (bladder torsion leading to urinary retention) arises when the bladder is forced by heat pathogens, or when urination is forcibly suppressed. Both conditions cause water qi to press upon the bladder, causing it to twist and close, preventing it from filling and draining smoothly. Consequently, external urine should enter but cannot, and internal urine should exit but cannot. This results in internal and external stagnation, distension, and obstruction, hence termed "Pao Zhuan". The presentation includes acute pain in the lower abdomen and inability to urinate; severe cases may lead to death and are difficult to treat.
In pregnant women, climbing high to retrieve objects can also induce Pao Zhuan; one must follow the aforementioned principles to restore normalcy. In cases of dystocia, Pao Zhuan may occur due to an elderly woman manually probing the vagina. After administering medication, the patient should lie flat, and manual therapy should be applied; recovery is invariably achieved.
(Sourced from *Qianjin Fang*) Huashi San (Talcum Powder Decoction): Treats Pao Zhuan in men and women, with urinary retention for several days.
Hua Shi (Talcum), Hanshui Shi (Calcitum) (each 1 liang), Kuizi (Abelmoschi Semen) (1 he).
Grind the above into powder. Boil in 10 dou of water until 5 sheng remains. Take 1 sheng frequently to promote urination.
Ruoye San (Bamboo Leaf Powder): Treats the aforementioned symptoms.
Ruoye (Leaf of Bambusa vulgaris used for wrapping zongzi) (burned to ash, 1 liang), Hua Shi (Talcum) (washed/flying, 0.5 liang).
Mix evenly. Take 2 qian per dose, mixed with boiling water.
(Sourced from *Zhi Mi Fang*) Shiwei Tang (Pyrosia Decoction): Treats the same as above.
Shiwei (Folium Pyrrosiae) (dehired), Cheqianzi (Plantaginis Semen) (equal parts).
Grind the above into coarse powder. Take 0.5 liang per dose, decoct in 2 zhan of water until 1 zhan remains. Take before meals.
Kuizi San (Abelmoschi Semen Powder): Treats the same as above.
Kuizi (Abelmoschi Semen), Cheqianzi (Plantaginis Semen), Luafa (Calamitatis Crinis Carbonized) (burned to ash, equal parts).
Grind the above into fine powder. Take 2 qian per dose, taken down with tea or warm water.
Yiyuan San, Zicao Mo (Arnebiae Radix Powder), Ziwan Mo (Asteris Radix Powder), Zijinpi Mo (Lithospermi Radicis Cortex Powder) can all be used singly. Treating Pao Zhuan with Congtang (Scallion Decoction) is effective.
Another method: Use 0.5 jin of stir-fried salt, place in a bag, and apply hot compress to the lower abdomen while still hot. This treats Pao Zhuan with urinary retention, resulting in immediate cure.
(Sourced from *Ju Fang*) Bawei Wan (Eight-Ingredient Pill): Treats Pao Zhuan in women, with inability to urinate. (Formula see Section on Deficiency Damage.)
The Classic states: "Bladder dysfunction leads to Long (urinary retention); lack of restraint leads to Yi Ni (enuresis)." This is caused by the disordered transmission of Heart and Kidney qi. Thus, there are cases of painful, scanty urination with leakage, and cases of enuresis where the patient is unaware. Furthermore, difficult childbirth may injure the bladder, causing frequent enuresis. There are also cases of enuresis due to cold bladder and cold viscera; treatment should be detailed according to their specific categories.
Lurong Wan (Deer Antler Pill): Treats chronic deficiency in women, with turbid white urine and uncontrollable slippery frequency.
Lurong (Cornu Cervi Pantotrichum), Chuanjiao (Sichuan Pepper), Guixin (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata), Muli (Concha Ostreae) (prepared), Poguzhi (Fructus Cnidii), Shihu (Dendrobii Caulis), Rongshirong (Cynomorphi Herba), Ji [Note: Text implies a chicken part, likely Jineijin], Chenxiang (Aquilariae Lignum Resinatum) (each 1 liang), Sangpiaoxiao (Ovi Mantidis Oötheca) (10 pieces, stir-fried with wine).
Grind the above into fine powder. Make pills with wine-boiled wheat paste, size of Sophora seeds. Take 30 pills on an empty stomach with warm wine.
(Sourced from *Qianjin Fang*) Baiwei San (Cynanchi Atrati Radix Powder): Treats enuresis in women.
Baiwei (Cynanchi Atrati Radix), Baishaoyao (Paeoniae Radix Alba) (equal parts).
Grind the above into fine powder. Take one fangcun bi (approx. 5-10g) mixed with wine, three times daily on an empty stomach.
Mi Yuan Wan (Secret Origin Pill): Treats internal deficiency with spontaneous sweating and urinary incontinence.
Bailonggu (Os Draconis et Ossis Femoris) (3 liang), Hezi (Terminalia Chebulae Fructus) (10 pieces, baked, pitted), Sharen (Amomi Fructus) (1 liang, peeled).
Grind into powder. Make pills with glutinous rice porridge, size of Sophora seeds. Take 50 pills on an empty stomach with warm wine.
Muli San (Oyster Shell Powder): Treats enuresis.
Muli (Concha Ostreae), Baifan (Alumen Exsiccatum) (calcined, equal parts).
Grind into fine powder. Take one fangcun bi mixed with rice drink. Effective.
Another prescription: Ji [Note: Text implies a chicken part] roasted and ground into powder. Take 2 qian on an empty stomach, washed down with wine.
Another prescription: Lujiaoxie (Cornu Cervi Deglutitium) stir-fried until yellow, ground into fine powder. Take 2 qian on an empty stomach with warm wine.
Another prescription: Clean pig bladder, roast on an iron shovel, eat, and swallow with wine.
Another prescription: Sangpiaoxiao (Ovi Mantidis Oötheca) stir-fried with wine and ground into powder. Take 2 qian per dose on an empty stomach, mixed with ginger soup.
Another prescription: Use glutinous rice and a piece of fruit [Text unclear, possibly 'Guo' referring to a specific ingredient]. Roast until soft and cooked before sleep, consume, and swallow with wine. Non-drinkers use boiling water. Eating more is better. Walk or sit for a long time until the food passes the diaphragm and the epigastrium feels empty; then sleeping is most effective.