形体劳苦。或过食炒炙等物。小便中带血。宜清膀胱。
(〔吴按〕小水带血。频数而痛。为血淋。小水清长。带血不痛。为虚火。)
当归(二钱) 白芍 柴胡(各一钱) 茯苓 丹皮 山栀(各七分) 白术(一钱五分) 炙草(
四分)
孕妇遗尿。有虚与热之分。医者当审其因。如系脬中有热。用加味逍遥散。系脾肺气虚。用
补中益气汤。加益智。系肝肾阴虚。宜六味丸。
如孕遗尿。
白薇 白芍(等分) 为末。米饮送下。空心服。
遗尿不知而出。
桑螵蛸(七个) 炒黄。研为细末。空心米饮下二钱。
孕妇六个月以后。觉胎坠。一边小水不通。其症有因火。有气虚。有痰滞。有血虚。
两寸脉弦急。或两尺弦急有力。兼口干心烦等火症者。属热。宜用冬葵子。滑石。栀子。木
通。条芩。白术。以清之。外以冬葵子。滑石。栀子为末。以田螺研成膏。或生葱捣膏贴脐
上。立通。
(〔吴按〕譬如水壶。若贮水太满。则倾之不出。去其上盖。其嘴即通。亦此理也。)
右三部微弱无力。或气口虚大。兼倦怠不食者。属气虚。以补中益气汤。服下探吐。以提其
气。
左脉不足。或涩而数。兼夜热心烦。或大肠闭者属血虚。宜四物汤。加黄芩。知母。黄柏。
调益元散服。
Cinnamon Twig (Rougui, 1.5 liang), Phellodendri Cortex (Huangbai, 3 liang), Anemarrhenae Rhizoma (Zhimu, 2 liang). Grind together into powder and make into pills.
Physical overexertion or excessive consumption of fried and roasted foods may cause blood in the urine. The Bladder should be cleared [of heat].
([Wu's Note]: Blood in the urine accompanied by frequency, urgency, and pain is termed Bloody Lin Syndrome (Xuelin). Clear urine with blood but no pain indicates Deficient Fire.)
Angelicae Sinensis Radix (Danggui, 2 qian), White Peony Root (Baishao), Bupleuri Radix (Chaihu, each 1 qian), Poria (Fuling), Moutan Cortex (Danpi), Gardeniae Fructus (Shanzhi, each 7 fen), Atractylodis Macrocephalae Rhizoma (Baizhu, 1.5 qian), Prepared Licorice Root (Zhigancao, 4 fen).
Enuresis during pregnancy can be distinguished as either Deficiency or Heat patterns. Physicians must examine the etiology. If there is heat in the Paohuang (Bladder/Uterus), use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If it is Spleen and Lung Qi Deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Yi Zhi Ren (Alpinia Oxyphylla Fruit). If it is Liver and Kidney Yin Deficiency, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is appropriate.
For enuresis during pregnancy:
Baiwei (Cynanchum Atratum Root), Baishao (White Peony Root) in equal parts. Grind into powder and take with rice water on an empty stomach.
For enuresis occurring without awareness:
Sangpiaoxiao (Mantis Egg Case, 7 pieces). Stir-fry until yellow, grind into fine powder. Take 2 qian with rice water on an empty stomach.
After the sixth month of pregnancy, if the woman feels a sensation of fetal descent and experiences unilateral urinary retention, the causes may include Fire, Qi Deficiency, Phlegm Stagnation, or Blood Deficiency. If both Cun pulses are wiry and rapid, or both Chi pulses are wiry and forceful, accompanied by dry mouth and irritability (Heat symptoms), it belongs to the Heat pattern. Use Dongkuizi (Abelmoschus Manihot Seed), Huashi (Talcum), Zhizi (Gardeniae Fructus), Mutong (Akebiae Caulis), Tiaoqin (Scutellariae Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) to clear the heat. Externally, grind Dongkuizi, Huashi, and Zhizi into powder, mix with paste made from fresh snails or raw green onion, and apply to the umbilicus for immediate relief.
([Wu's Note]: This is like a teapot; if filled too full, pouring is difficult. Removing the lid allows flow, illustrating this principle.)
If the three positions (Cun, Guan, Chi) are weak and powerless, or the Qi Kou pulse is large and deficient, accompanied by fatigue and poor appetite, it belongs to Qi Deficiency. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) followed by induced vomiting to lift the sinking Qi.
If the Left pulse is insufficient, or choppy and rapid, accompanied by night fever, irritability, or constipation, it belongs to Blood Deficiency. Use Siwu Tang (Four Substance Decoction) with Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), and Huangbai (Phellodendri Cortex), taken with Heyuan San (Benefit the Origin Powder).