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[Da] Incontinence or retention of urine and stool during pregnancy is caused by heat in the Zang-Fu organs. If there is heat in the Large Intestine, stool will be retained; if there is heat in the Small Intestine, urination will be difficult; if there is heat in both the Large and Small Intestines, both urine and stool will be retained. One should further investigate the etiology and medicate accordingly.

[Xue] For the aforementioned conditions: if it is dryness of blood in the Large Intestine, use Siwu Tang (Four Substance Decoction) with added Huangqin (Scutellariae Radix) and Taoren (Persicamidis Semen). If it is Qi stagnation in the Large Intestine, use Zisu Yin (Perilla Decoction) with added Xingren (Armeniacae Semen Amarum) and Huangqin. If it is Qi deficiency in the Stomach and Intestines, use Liujunzi Tang (Six Gentlemen Decoction) with added Zisu (Perillae Folium) and Xingren. If it is heat accumulation in the Liver and Spleen, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction). If it is deficient heat in the Heart and Liver, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with added Cheqianzi (Plantaginis Semen). The concubine of Vice Minister Li Puting suffered from difficulty in urination and defecation during pregnancy. After using herbs to clear fire and regulate Qi, her Yuan Qi became deficient. Her Liver pulse was wiry and tense, and her Spleen pulse was slow and sluggish. Observing her complexion, it was greenish-yellow and lusterless. I said: "This is caused by depression and anger." I used Jiawei Guipi Tang (Modified Gui Pi Decoction) as the main prescription, assisted by Jiawei Xiaoyao San, and she recovered. The wife of Director Wang Tiancheng suffered from dysentery during pregnancy. After recovery, she experienced retention of urine and stool. Her family had been physicians for generations, but their self-administered heat-clearing prescriptions were ineffective. I palpated her pulse as floating, large, and choppy, indicating deficiency of Qi and Blood. In the morning, she took Bazhen Tang (Eight Treasures Decoction) with added Taoren and Xingren; in the evening, she took Jiawei Xiaoyao San with added Cheqianzi, and she recovered.

*Duanju* treats Zi Lin (dysuria during pregnancy) where both urine and stool are difficult, accompanied by shortness of breath. If Zhuling San (Polyporus Powder) has failed, Gansui San (Kansui Powder) should be administered to purge.
Formula for Gansui San
Use Tianshan Chipi Gansui (2 liang).
Grind the above single herb into powder. Mix with 2 he of white honey and take one pill-sized grain (size of a bean). If one feels irritability in the epigastrium and experiences slight purging, take once daily. After purging, resume taking Zhuling San. If no purging occurs, take twice daily, gradually increasing to half qian, stopping when mild laxation is achieved. (Same as *Jingxin Lu*. This medicine is too harsh and should not be used lightly.)

Zhuling San treats painful and difficult urination during pregnancy and also addresses Tai Shui (pregnancy edema/fluid retention).
Zhuling (5 liang, peeled). Grind into powder. Take with warm water, starting with one fangcun bi (a measure approx. 1 cubic inch), gradually increasing to two bi. Take three times daily and twice at night. If ineffective, switch to purgatives and take the previous medicines.

Kuizi Tang (Two formulas from *Gujin Luyan*). Treats pregnancy illness lasting more than six or seven days, where pathogenic heat enters the Zang organs, causing difficulty in urination and defecation. It calms the fetus and clears heat.
Dongkuizi (Winter Melon Seed/Abelmoschi Fructus - Note: Context implies Abutilon or Abelmoschus, typically Dongguazi or Kuizi, here translated as Kuizi) (2 sheng)
Huashi (Talcum, 4 liang, crushed)
Boil the above in 5 sheng of water until reduced to 1 sheng. Strain and drink completely. Purging will occur shortly after, and the disease will resolve.

Another formula:
Kuizi (1 he)
Chuan Puxiao (Natrii Sulfas, 2 liang)
Take 3 qian each time, decoct in water and take warm.

Treats retention of urine and stool during pregnancy, with fullness and oppression in the heart and abdomen, loss of appetite, and vexatious heat in the hands and feet.
Bolang (Arecae Semen)
Chi Fuling (Red Polyporus)
Dafupi (Arecae Pericarpium)
Mutong (Akebiae Caulis)
Yuliren (Pruni Semen) (peeled and core removed)
Bei Wuwei (Schisandrae Fructus) (each 1 liang)
Sangjisheng (Taxilli Caulis et Folium)
Gancao (Glycyrrhizae Radix et Rhizoma)
Kugeng (Platycodonis Radix) (each half liang)
Grind into coarse powder. Take 3 qian each time, decoct in 1 jin of water until reduced to 6 fen. Take warm.

Treats retention of urine and stool during pregnancy, with heat closing the Heart and Diaphragm, distension and oppression in the abdomen and hypochondrium, interfering with diet.
Dahuang (Rhei Radix et Rhizoma)
Mutong
Bolang (each 1 liang)
Zhiqiao (Aurantii Fructus) (7.5 qian)
Dafuzi (Arecae Semen) (3 pieces)
Hezi (Myrobalani Fructus) (4 pieces, pitted, half raw half roasted)
Grind into powder. Decoct with 1 jin of Tongbian (child's urine) and 2 cun of Congbai (Scallion White) until reduced to 6 fen. Mix and take 2 qian.

Danggui San treats various pre-partum disorders. It addresses cases where anger causes Qi to rush to the Zi Zang (uterus) or Chong and Ren meridians, leading to abdominal urgency and distension, intermittent pain in the waist and abdomen, loss of appetite, edema of the four limbs, shortness of breath with wheezing, sudden difficulty in defecation, sudden obstruction of urination, and sudden swelling of the birth canal.
Danggui (Angelicae Sinensis Radix) (1 liang)
Chi Fuling
Zhiqiao
Baishao (Paeoniae Radix Alba)
Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 liang)
Chuan Baijiang (Zingiberis Rhizoma Praeparatum) (prepared)
Muxiang (Aucklandiae Radix) (roasted)
Fengcao (Licorice Root) (each half liang)
Cut into small pieces. Take 3 da qian each time, decoct in 1.5 jin of water with 3 slices of Shengjiang (Fresh Ginger) until reduced to 8 fen. Strain and take warm at any time. For those with weak constitution or Southerners, reduce Zhiqiao by half. For those with excess Qi or Northerners, increase the dosage within the formula. If constipation persists for several days, add honey and decoct together.

Chu Yushi's formula for treating constipation during pregnancy.
Zhiqiao (3 liang)
Fangfeng (Saposhnikoviae Radix) (2 liang)
Zhi Cao (Prepared Licorice) (1 liang)
Grind into fine powder. Take 1-2 qian with boiling water. Take on an empty stomach, three times daily.

Another formula for treating constipation due to emaciation and deficiency.
Zhiqiao (prepared)
Ejiao (Asini Corii Colla) (fried, equal parts)
Grind into fine powder. Mix with refined honey, pound 2000-3000 times, and form pills the size of Wuzi (walnut seeds). Coat with ground Huashi (Talcum) powder. Take 20 pills with warm water. If no bowel movement after half a day, take another 30 pills. Do not exceed 50 pills.

Another formula:
Cheqianzi (Plantaginis Semen) (1 liang)
Dahuang (Rhei Radix et Rhizoma) (fried, half liang)
Grind into fine powder. Take 3 qian each time, mixed with honey water on an empty stomach.

Dafupi Tang treats retention of urine and stool in pregnant women.
Zhiqiao
Dafupi
Chi Fuling (each 1 liang)
Gancao (2 qian)
Grind into powder. Take 2 qian mixed with Congbai Tang (Scallion White Decoction).

*Buyi* (Supplement) Ju Fang Bazen San treats heat accumulation in the Heart Meridian of pregnant women, internal organ blockage, Large Intestine obstruction, and dark, scanty, or obstructed urination. (See Miscellaneous Diseases: Lin Syndrome). The above formulas recorded by Chen Liangfu are preserved here. Adding Gansui and Puxiao is reserved only for severe excess conditions where no other option exists; do not use lightly. Other formulas should also be carefully reviewed before use. Following Master Xue's comments and referencing methods for miscellaneous diseases ensures accuracy.