治胎前诸疾。或因怒，中气充子脏，或充脬脉，腹急肚胀，腰腹时疼，不思饮
食，四肢浮肿，气急时喘，大便忽难，小便忽涩，产门忽肿。
当归（一两） 赤茯苓 枳壳 白芍药 川芎（各二两） 川白姜（炮） 木香（煨） 粉
草（各半两）
上 咀，每服三大钱。水一盏半，姜三片，煎至八分，去滓，无时温服。如禀受气弱及
南人，枳壳减半；如气实及北人，于内加分量服之。或连日大便秘涩，加蜜同煎。
初虞世治妊娠大便秘涩方。
枳壳（三两） 防风（二两） 甘草（炙，一两）
上为细末，沸汤点服一、二钱，空心，日三。
又治虚羸大便秘方。
枳壳（制） 阿胶（炒，等分）
上为细末，炼蜜和剂杵二、三千下，丸如梧子大。别研滑石末为衣，温水下二十丸。半
日来未通，再服三十丸，止于五十丸。
又方∶车前子（一两） 大黄（半两，炒）
上为细末，每服三钱，空心，蜜汤调下。
论曰∶夫妊娠小便不通者，由小肠有热，热入于脬，内热结甚者，故令小便不通也。若
小便不通，则心胁、小腹气涩而喘急也。陈无择云∶凡妊娠胎满逼脬，多致小便不利者。或
心肾气不足，不能使脬冷，清浊相干，为诸淋病；或胞系了戾，小便不通，名曰转胞。又胎
满尿出不知时，名曰遗尿，治之各有方。
Treats various diseases during pregnancy. Some cases arise from anger, causing the middle Qi to fill the uterus (Zizang) or the bladder meridians (Paomai), resulting in abdominal tension and distension, frequent pain in the waist and abdomen, loss of appetite and thirst, edema of the four limbs, shortness of breath with occasional asthma, sudden difficulty in defecation, sudden astringency and obstruction of urination, and sudden swelling of the birth canal.
Dang Gui (Radix Angelicae Sinensis, 1 liang) Chi Fu Ling (Poria Cocos with Red Sand, 2 liang each) Zhi Qiao (Fructus Aurantii, 2 liang each) Bai Shao Yao (Radix Paeoniae Lactiflorae, 2 liang each) Chuan Xiong (Rhizoma Chuanxiong, 2 liang each) Chuan Bai Jiang (Rhizoma Zingiberis Recens, processed/fired, 0.5 liang each) Mu Xiang (Radix Aucklandiae, roasted/warmed, 0.5 liang each) Fen Cao (Radix Glycyrrhizae Uralensis, 0.5 liang each).
Crush the above herbs. Take three qian per dose. Add one and a half zhan of water and three slices of ginger. Decoct until reduced to eight fen. Remove the dregs and take warm at any time. If the constitution is weak due to endowment, or for people from the South, reduce the dosage of Zhi Qiao by half; if the Qi is excess or for people from the North, increase the dosage within the formula. If constipation persists for several days, add honey and decoct together.
Chu Yushi's prescription for treating severe constipation during pregnancy:
Zhi Qiao (Fructus Aurantii, 3 liang) Fang Feng (Radix Saposhnikoviae, 2 liang) Gan Cao (Radix Glycyrrhizae Uralensis, roasted, 1 liang).
Grind the above into fine powder. Mix with boiling water and take one or two qian. Take on an empty stomach, three times a day.
Another prescription for treating emaciation and severe constipation:
Zhi Qiao (Fructus Aurantii, prepared) E Jiao (Colla Corii Asini, fried, equal parts).
Grind the above into fine powder. Mix with refined honey to form a paste, pound 2,000 to 3,000 times. Shape into pills the size of mulberry seeds. Coat with powder of Hua Shi (Talcum) separately prepared. Take twenty pills with warm water. If no bowel movement occurs after half a day, take another thirty pills, not exceeding fifty pills in total.
Another prescription:
Che Qian Zi (Semen Plantaginis, 1 liang) Da Huang (Radix et Rhizoma Rhei, fried, 0.5 liang).
Grind the above into fine powder. Take three qian per dose. Take on an empty stomach, mixed with honey water.
Discussion states: The cause of urinary retention during pregnancy lies in heat in the Small Intestine. Heat enters the bladder (Pao). When internal heat accumulation is severe, it causes urinary retention. If urine cannot be discharged, Qi stagnation in the heart, hypochondrium, and lower abdomen leads to shortness of breath and urgency. Chen Wuyue said: In pregnancy, when the full fetus presses against the bladder, it often leads to difficult urination. This may be due to insufficiency of Heart and Kidney Qi, failing to keep the bladder cold (referring to dysfunction of Qi transformation), causing turbid and clear energies to interfere, resulting in various strangury diseases; or due to the twisting of the bladder ligaments (Baoxi), causing urinary retention, named Zhuanbao (Displacement of the Bladder). Also, when the full fetus causes involuntary leakage of urine without awareness, it is named Yi Niao (Urinary Incontinence). Each has its specific treatment prescriptions.