论曰产后气血俱弱，津液虚少，将温过度，热入膀胱，气脉内燥，壅塞不通。始则淋涩
。甚则不通，令人少腹绕脐胀痛。气满于内，亦令胞转，治法使气得通则愈。
治产后小便不通。泽泻散方
泽泻（锉二两） 井泉石（半两研） 车前子（洗焙干） 赤茯苓（去黑皮锉） 当归
（切炒各
上七味捣罗为散，每服一钱匕，蜜汤温调下，食前，日再服。
治产后小便不通烦闷。滑石汤方
滑石 当归（切焙） 木通（锉各一两） 冬葵子（炒） 黄芩（去黑心） 麦门冬（去
心焙
上六味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，空心食前服。
治产后小便不通。木通汤方
木通（细锉） 黄芩（去黑心） 石苇（去毛各一两） 榆白皮（细切） 冬葵子（炒
各二两）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，食前日二。
治产后小便不通。葵根汤方
葵根（二两洗锉） 乱发灰（半两） 大黄 桂（去粗皮） 滑石 木通（锉） 当归
（锉炒各
上七味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，食前日再。
治产后小便不通。发灰汤方
乱发（烧灰） 车前子 大黄（锉炒） 桂（去粗皮） 当归（切焙） 滑石（各一两）
冬瓜
上八味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，日二夜一。
治产后小便不通。黄芩汤方
黄芩（去黑心） 瞿麦（取穗） 当归（切焙） 冬葵子（炒） 木通（锉各一两）
上五味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，日三。
治产后小便不通。车前子汤方
车前子（洗焙） 瞿麦（取穗） 当归（切焙各一两） 黄芩（去黑心洗） 郁金（各
半两锉）
上五味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不拘时。日二。
治产后小便不通。葵子汤方
葵子（炒） 石膏（生碎） 滑石（各一两） 贝齿（四枚） 阿胶（炒令燥半两）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三。
治产后小便秘涩，小腹疼痛。当归汤方
当归（切焙一两） 白芷（锉微炒） 紫葛 芎 （各半两） 白茅根 胡荽（各三分）
上六味细锉，每服五钱匕，水一盏半，入葱白五寸，同煎至八分，去滓温服。食后夜
卧。
治产后小便秘涩，小腹疼痛。榆白皮散方
榆白皮（锉） 木通（锉炒） 黄芩（去黑心） 葵子（炒各半两） 芎 芍药（炒）
滑石（
上八味，捣研为散，每服二钱匕，浓煎木通汤调下。
Discussion states: After childbirth, both Qi and Blood are deficient, and body fluids are scanty. If warming tonification is excessive, heat pathogens enter the Bladder (Bladder), causing internal dryness of Qi and meridians, leading to obstruction and blockage. Initially, it presents as dysuria with astringency; in severe cases, urination becomes completely obstructed, causing distending pain around the umbilicus in the lower abdomen. Accumulation of Qi internally may also cause uterine torsion (Bao Zhuan). The treatment principle is to restore the free flow of Qi, after which the condition will resolve.
Ze Xie San Formula for treating postpartum urinary retention:
Ze Xie (Rhizoma Alismatis, sliced 2 liang), Jing Quan Shi (Jingquan Stone, half liang, ground), Che Qian Zi (Semen Plantaginis, washed and dried), Chi Fu Ling (Poria Cocos with Red Skin, black skin removed and sliced), Dang Gui (Radix Angelicae Sinensis, sliced and stir-fried, each 1 liang).
The above seven ingredients are crushed, sifted into a powder. Each dose consists of one qian bi (approx. 3-5g), taken warm with honey water, before meals, twice daily.
Hua Shi Tang Decoction for treating postpartum urinary retention accompanied by restlessness:
Hua Shi (Talcum, 1 liang), Dang Gui (Radix Angelicae Sinensis, sliced and dried, 1 liang), Mu Tong (Caulis Akebiae, sliced, 1 liang), Dong Kui Zi (Semen Malvae, stir-fried), Huang Qin (Radix Scutellariae, black heart removed), Mai Men Dong (Radix Ophiopogonis, heart removed and dried, each 1 liang).
The above six ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one zhan (approx. 200ml) of water until reduced to 70%, strained, and taken warm on an empty stomach or before meals.
Mu Tong Tang Decoction for treating postpartum urinary retention:
Mu Tong (Caulis Akebiae, finely sliced), Huang Qin (Radix Scutellariae, black heart removed), Shi Wei (Folium Pyrrosiae, hairs removed, each 1 liang), Yu Bai Pi (Cortex Ulmi, finely cut), Dong Kui Zi (Semen Malvae, stir-fried, each 2 liang).
The above seven ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one zhan of water until reduced to 70%, strained, and taken warm before meals, twice daily.
Kui Gen Tang Decoction for treating postpartum urinary retention:
Kui Gen (Radix Malvae, 2 liang, washed and sliced), Luan Fa Hui (Ash of Human Hair, half liang), Da Huang (Radix et Rhizoma Rhei), Gui Zhi (Ramulus Cinnamomi, coarse bark removed), Hua Shi (Talcum), Mu Tong (Caulis Akebiae, sliced), Dang Gui (Radix Angelicae Sinensis, sliced and stir-fried, each 1 liang).
The above seven ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one zhan of water until reduced to 70%, strained, and taken warm before meals, twice daily.
Fa Hui Tang Decoction for treating postpartum urinary retention:
Luan Fa (Human Hair, burnt to ash), Che Qian Zi (Semen Plantaginis), Da Huang (Radix et Rhizoma Rhei, sliced and stir-fried), Gui Zhi (Ramulus Cinnamomi, coarse bark removed), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Hua Shi (Talcum, each 1 liang), Dong Gua Ren (Semen Benincasae, 3 liang).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one zhan of water until reduced to 70%, strained, and taken warm, twice during the day and once at night.
Huang Qin Tang Decoction for treating postpartum urinary retention:
Huang Qin (Radix Scutellariae, black heart removed), Qu Mai (Herba Dianthi, florets taken), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Dong Kui Zi (Semen Malvae, stir-fried), Mu Tong (Caulis Akebiae, sliced, each 1 liang).
The above five ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one zhan of water until reduced to 70%, strained, and taken warm, three times daily.
Che Qian Zi Tang Decoction for treating postpartum urinary retention:
Che Qian Zi (Semen Plantaginis, washed and dried), Qu Mai (Herba Dianthi, florets taken), Dang Gui (Radix Angelicae Sinensis, sliced and dried, each 1 liang), Huang Qin (Radix Scutellariae, black heart removed and washed), Yu Jin (Radix Curcumae, each half liang, sliced).
The above five ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one zhan of water until reduced to 70%, strained, and taken warm, without specific timing restrictions, twice daily.
Kui Zi Tang Decoction for treating postpartum urinary retention:
Kui Zi (Semen Malvae, stir-fried), Shi Gao (Gypsum Fibrosum, raw and crushed), Hua Shi (Talcum, each 1 liang), Bei Chi (Concha Arcae, four pieces), E Jiao (Colla Corii Asini, stir-fried until dry, half liang).
The above five ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one zhan of water until reduced to 70%, strained, and taken warm, three times daily.
Dang Gui Tang Decoction for treating postpartum difficult urination with astringency and lower abdominal pain:
Dang Gui (Radix Angelicae Sinensis, sliced and dried, 1 liang), Bai Zhi (Radix Angelicae Dahuricae, sliced and lightly stir-fried), Zi Ge (Rhizoma Parisatis), Chuan Xiong (Rhizoma Chuanxiong, each half liang), Bai Mao Gen (Rhizoma Imperatae, Hu Sui (Herba Siegesbeckiae, each 3 fen).
The above six ingredients are finely sliced. Each dose consists of five qian bi, boiled in one and a half zhan of water with five cun (approx. 15cm) of Cong Bai (White Part of Allium Fistulosum) until reduced to 80%, strained, and taken warm. Take after meals and before sleep.
Yu Bai Pi San Powder for treating postpartum difficult urination with astringency and lower abdominal pain:
Yu Bai Pi (Cortex Ulmi, sliced), Mu Tong (Caulis Akebiae, sliced and stir-fried), Huang Qin (Radix Scutellariae, black heart removed), Kui Zi (Semen Malvae, stir-fried, each half liang), Chuan Xiong (Rhizoma Chuanxiong), Shao Yao (Radix Paeoniae Alba, stir-fried), Hua Shi (Talcum, each 1 liang).
The above eight ingredients are crushed and ground into a powder. Each dose consists of two qian bi, taken mixed with a strong decoction of Mu Tong.