（附论）
夫淋者。由肾虚膀胱热也。肾虚不能制水。则小便数也。膀胱热则小便行涩。而数不宣。
妊娠之人。胞系于肾。肾间虚热而成淋疾。甚者。心烦闷乱。故谓之子淋也。转胞证候。孕
妇多有之。患在忍缩小便。或喜食煎炒。或胞胎为热所迫。遂使小肠之气逆而不通。大肠之
气与之俱滞。外水不能入膀胱。内水不能出膀胱。淋沥数急。每欲尿时。痛不可言。大便亦
里急。似痢非痢。必以手从胸间按至脐下。庶可立出小便。否则逆上。出而不禁。甚者。因
此腹胀浮肿。治法。用凉药疏利小肠中热。仍与通泄大肠。迨其腹中搅痛。大便大下。则溺
胞随即归正。于是小便顺流。宜服葵子散。
方
地肤大黄汤（出圣惠方）疗妊娠患子淋。由肾虚膀胱热。则小便行涩而数不
宣
。心中烦。脐
川大黄 地肤子（各三两） 知母 黄芩 猪苓 赤芍药 通草 川升麻 枳实 甘草
（各二两） 上 咀。每服四钱。水一盏煎至七分去滓。温服。不瘥。还饮地肤、葵根汁。
忌海藻
疗妊娠数月。小便淋沥疼痛。心烦闷乱。不思饮食。（出圣惠方）
瞿麦穗 赤茯苓 桑白皮 木通 葵子（各一两） 黄芩 芍药 枳壳 车前子（各半
两）
上为粗末。每服四钱。水一盏。煎至六分温服。
安荣散（出危氏方）治妊娠小便淋沥。盖小便淋沥者何。答曰本因调摄失
宜。
子脏气虚。又缘酒色过度。伤其血气。致水脏涩。遂成淋沥。名曰子淋。宜服安荣散。
通利小便。
麦门冬（去心） 通草 滑石（各一钱） 当归（去芦酒浸） 灯心 甘草（炙各半两）
人参
细辛（洗各一钱） 上捣罗为细末。每服用三钱。煎麦门冬汤调服。不拘时候服之。尤妙。
一
方。止用槟榔、赤芍药各等分。水煎。空心服。屡效。或葱白煎亦可。
木通汤 治妊娠子淋涩痛。
木通（锉） 石苇（去毛各一两） 赤茯苓（去黑皮） 芍药 桑根白皮（锉） 陈橘
皮（汤浸去白炒） 人参（各三分） 上捣筛每服三钱。水一盏半。入生姜一枣大。煎至八
分去滓。温服。
冬葵子散（出圣惠方）治妊娠胎不安。小便淋涩。小腹疼痛。
冬葵子（炒） 柴胡（去苗） 桑根白皮（锉） 赤茯苓（以上各一两） 赤芍药（一
两） 当归
（三两锉成散） 上捣为散。每服四钱。水一中盏。煎入生姜半分。葱白七寸。同煎至六分
去滓
冬葵子汤（出大全良方）治妊娠患淋。小便涩不利。小肠水道热痛。
冬葵子（一升） 芍药（三两） 黄芩 赤茯苓 车前子（各三两） 上 咀。以水七
升。煎至二升。温分三服。
海蛤汤 治妊娠子淋。
海蛤 木通（锉） 猪苓（去黑皮各半两） 冬葵子（微炒一分） 滑石（研一分） 上
捣筛。每服三钱。水一盏。入灯心十茎。同煎至六分去滓。食前温服。
当归汤 治妊娠子淋涩痛。
当归（切焙） 芍药 赤茯苓（去黑皮） 甘草（炙锉） 栀子仁（各半两） 上捣筛。
每服三钱。水一盏。煎至八分去滓。温服。
人参散 治妊娠子淋。
人参 木通（锉） 青盐（细研以汤一盏化浸前二味一宿焙干） 海金沙（别研各一分）
莎草根（去毛二两） 上将人参、木通、莎草根、捣罗为细散。同海金沙、青盐一处再研匀。
每服二钱。空心酒或米饮调下。
葵子散（出圣惠方）治妊娠小便涩痛。谓之子淋。
葵子 滑石 木通 榆皮（各等分） 上为末。每服三钱。以水一盏半。葱白七寸。煎
至七分。食前服。一方无榆皮。
又方（出仁存方）
葵子 滑石 杏仁 寒水石（各等分） 上为末或煎或调服。神效。
白芷散 治妊娠子淋。小便频涩痛。
白芷（三分焙） 郁金 阿胶（炙燥） 滑石（各一两） 上捣罗为散。每服二钱。煎
葱白汤调下。
石蟹散 治妊娠子淋。日夜频数涩痛。夫妇人怀子而淋者。谓之子淋。因肾虚膀胱
经客邪热。令溲少而数。水道涩痛。痛引于脐下者。是其候也。
石蟹（碎一枚） 乳香（一分） 滑石（一两半） 上研细末为散。每服一钱。煎灯心
汤调下。
石苇汤 治妊娠小便频数。涩少疼痛。
石苇（去毛） 榆白皮（锉各一两） 滑石（二两） 上捣筛。每服三钱。水一盏入葱
白二寸。生
鲤鱼汁（出圣惠方）治妊娠小便淋涩。胎不安。
鲤鱼（一枚重一斤者理如食法） 葵菜（一斤） 葱白（四两切） 上以水五升煮熟。
加少许盐。和鱼菜并汁同食之效。
治妊娠患淋。小便数而少。涩痛。手足烦痛。（出圣惠方）
地肤草 茅根（锉） 大麻子（各一两） 上捣筛为散。每服四钱。以水一中盏。入葱
白七寸。煎至六分去滓。不计时候。温服。
槟榔散（出产经）治胎前诸般淋涩。小便不通。医作转脬。用他药不愈。此
方
屡神效。
槟榔（一枚面裹煨熟去面） 赤茯苓（各等分） 上为粗末。每用五钱。水一盏半。煎
至七
分去滓。温服。空心食前。寻常男子妇人血淋。及小便淋沥。水道疼痛。用之甚效。一方治
妊娠中恶。心腹 痛。温酒调下一钱。
滑石汤 治妊娠子淋。
滑石（二两研） 赤柳根（锉半两焙） 上捣筛。每服五钱。水一中盏半。煎至八分。
去滓。
食前温服。
治妊娠小便淋涩。脐腹妨闷。（出圣惠方）
猪苓（一两去黑皮） 瞿麦（一两） 上捣细罗为散。每服二钱。不计时候。煎葱白汤
调下。
车前子汤 治妊娠患淋。水道热不通。
车前子（五两研） 葵根（切一升） 上以水五升。煎取一升半。分二服。
葵子饮（出大全良方）治妊娠患子淋。
以葵子一升。水五升。煮取二升。分二服。一方无葵子。用葵根亦可。亦治小便不通。
甘遂散（出大全良方）疗妊娠子淋。大小便并不利。气急。已服猪苓散不瘥
者
。宜服此药下之。
用大山赤皮甘遂二两为末。以白蜜二合。和合。如大豆粒多觉心下烦。得微下者。日一
服。下之后。还服猪苓散。不得下者日三服渐加至半钱。以微利为度。
猪苓散（出大全良方）疗妊娠小便涩痛。兼疗胎水。亦治子淋。
用猪苓五两。去皮为细末。用白汤调方寸匕。加至二匕。日三夜二。不瘥。宜转下之。
服前药。
地肤汤（出大全良方）疗妊娠患子淋。小便数出少。或热。疼痛。手足疼
烦。
及子烦。\x
用地肤草三两细切。水四升煮取二升半。去滓。分三服。日三。一方。作地肤子十二两。
(Attached Discussion)
Lin syndrome (strangury) arises from Kidney deficiency and Heat in the Bladder. When the Kidney is deficient and fails to control water metabolism, frequent urination occurs. Heat in the Bladder causes difficult and obstructed urination, accompanied by frequency without relief.
In pregnant women, the uterus is connected to the Kidney. Deficient Heat within the Kidney region can induce Lin syndrome. In severe cases, it manifests as mental restlessness and oppression, hence termed "Zi Lin" (Pregnancy Strangury). The syndrome of "Zhuan Bao" (Displacement of the Urinary Bladder) is common among pregnant women. Its etiology lies in holding urine retention, a preference for fried and roasted foods, or heat forcing the fetus, causing Qi stagnation and reversal in the Small Intestine and concurrent stagnation in the Large Intestine. External fluids cannot enter the Bladder, and internal fluids cannot exit, resulting in dribbling urgency. Each attempt to urinate brings unbearable pain. There is also a sensation of tenesmus in defecation, resembling dysentery but not being so. One must press manually from the chest down to below the umbilicus to immediately expel urine; otherwise, urine may reflux upward and flow uncontrollably. Severe cases lead to abdominal distension and edema. The treatment method involves using cooling herbs to clear Heat in the Small Intestine while simultaneously purging the Large Intestine. Once abdominal cramping occurs and significant diarrhea ensues, the urinary bladder returns to its normal position, allowing urine to flow smoothly. It is advisable to take Kui Zi San (Malva Seed Powder).
Formulas
Di Fu Da Huang Tang (Kochia and Rhubarb Decoction) [Source: *Sheng Hui Fang*]. Treats pregnancy complicated by Zi Lin due to Kidney deficiency and Bladder Heat, causing difficult, frequent urination and mental restlessness.
Da Huang (Rhubarb Root and Rhizome), Di Fu Zi (Kochia Fruit) (each 3 liang); Zhi Mu (Anemarrhena Rhizome), Huang Qin (Scutellaria Root), Zhu Ling (Polyporus), Chi Shao Yao (Red Peony Root), Tong Cao (Tetrapanax Pith), Sheng Ma (Cimicifuga Rhizome), Zhi Shi (Immature Bitter Orange), Gan Cao (Licorice Root) (each 2 liang).
Process the herbs into coarse pieces. Take 4 qian per dose, decoct with one sheng of water until reduced to 0.7 sheng, strain, and take warm. If not cured, drink juice from Di Fu Zi and Kui Gen (Malva Root). Avoid consuming Algae (Hai Zao).
Treats pregnancy at several months' gestation with dribbling painful urination, mental restlessness, and loss of appetite. [Source: *Sheng Hui Fang*]
Qu Mai Sui (Dianthus Flower Spike), Chi Fu Ling (Red Poria), Sang Bai Pi (Mulberry Root Bark), Mu Tong (Akebia Stem), Kui Zi (Malva Seed) (each 1 liang); Huang Qin (Scutellaria Root), Shao Yao (Peony Root), Zhi Ke (Bitter Orange), Che Qian Zi (Plantago Seed) (each 0.5 liang).
Grind into coarse powder. Take 4 qian per dose, decoct with one sheng of water until reduced to 0.6 sheng, and take warm.
An Rong San (Nourishing Harmony Powder) [Source: *Wei Shi Fang*]. Treats pregnancy with dribbling urination. What constitutes dribbling urination? The answer is: it originates from improper care, leading to Qi deficiency in the Zi Zang (Uterus), exacerbated by excessive alcohol and sexual activity damaging Blood and Qi. This causes obstruction in the Water Organ (Kidney/Bladder), resulting in dribbling, named Zi Lin. It is suitable to take An Rong San to promote diuresis.
Mai Men Dong (Ophiopogon Tuber, heart removed), Tong Cao (Tetrapanax Pith), Hua Shi (Talcum) (each 1 qian); Dang Gui (Angelica Sinensis Root, radix removed, soaked in wine), Deng Xin Cao (Juncus Medulla), Gan Cao (Licorice Root, honey-fried) (each 0.5 liang); Ren Shen (Ginseng Root), Xi Xin (Asarum Root) (washed, each 1 qian).
Pulverize into fine powder. Take 3 qian per dose, mix with Mai Men Tang (Ophiopogon Decoction) and take. Timing is flexible; this is particularly effective.
Alternative prescription: Use equal parts of Bing Lang (Areca Seed) and Chi Shao Yao (Red Peony Root). Decoct in water and take on an empty stomach; this has proven highly effective. Decocting with Cong Bai (Green Onion White) is also acceptable.
Mu Tong Tang (Akebia Decoction). Treats pregnancy complicated by Zi Lin with difficult and painful urination.
Mu Tong (Akebia Stem, sliced), Shi Wei (Pyrrosiae Leaf, hairs removed) (each 1 liang); Chi Fu Ling (Red Poria, black skin removed), Shao Yao (Peony Root), Sang Gen Bai Pi (Mulberry Root Bark, sliced), Chen Pi (Aged Tangerine Peel, soaked in water, white pith removed, stir-fried), Ren Shen (Ginseng Root) (each 0.3 qian).
Pulverize and sieve. Take 3 qian per dose, add one sheng and a half of water and a piece of fresh ginger the size of a date, decoct until reduced to 0.8 sheng, strain, and take warm.
Dong Kui Zi San (Winter Malva Seed Powder) [Source: *Sheng Hui Fang*]. Treats pregnancy with fetal unrest, difficult dribbling urination, and lower abdominal pain.
Dong Kui Zi (Winter Malva Seed, stir-fried), Chai Hu (Bupleurum Root, sprouts removed), Sang Gen Bai Pi (Mulberry Root Bark, sliced), Chi Fu Ling (Red Poria) (each 1 liang); Chi Shao Yao (Red Peony Root, 1 liang), Dang Gui (Angelica Sinensis Root, 3 liang, sliced into powder form).
Pulverize into powder. Take 4 qian per dose, add one zhong sheng of water, half a fen of fresh ginger, and seven cun of green onion white, decoct together until reduced to 0.6 sheng, and strain.
Dong Kui Zi Tang (Winter Malva Seed Decoction) [Source: *Da Quan Liang Fang*]. Treats pregnancy complicated by Lin syndrome with difficult, obstructed urination and hot, painful urination in the Small Intestine water pathway.
Dong Kui Zi (Winter Malva Seed, 1 sheng), Shao Yao (Peony Root, 3 liang); Huang Qin (Scutellaria Root), Chi Fu Ling (Red Poria), Che Qian Zi (Plantago Seed) (each 3 liang).
Cut into pieces. Add seven sheng of water, decoct until reduced to two sheng, and divide into three warm doses.
Hai Ge Tang (Clam Shell Decoction). Treats pregnancy complicated by Zi Lin.
Hai Ge (Clam Shell), Mu Tong (Akebia Stem, sliced), Zhu Ling (Polyporus, black skin removed) (each 0.5 liang); Dong Kui Zi (Winter Malva Seed, lightly stir-fried, 1 fen), Hua Shi (Talcum, ground, 1 fen).
Pulverize and sieve. Take 3 qian per dose, add one sheng of water and ten stems of Deng Xin Cao (Juncus Medulla), decoct together until reduced to 0.6 sheng, strain, and take warm before meals.
Dang Gui Tang (Angelica Decoction). Treats pregnancy complicated by Zi Lin with difficult and painful urination.
Dang Gui (Angelica Sinensis Root, sliced and baked), Shao Yao (Peony Root), Chi Fu Ling (Red Poria, black skin removed), Gan Cao (Licorice Root, honey-fried and sliced), Zhi Zi Ren (Gardenia Seed) (each 0.5 liang).
Pulverize and sieve. Take 3 qian per dose, add one sheng of water, decoct until reduced to 0.8 sheng, strain, and take warm.
Ren Shen San (Ginseng Powder). Treats pregnancy complicated by Zi Lin.
Ren Shen (Ginseng Root), Mu Tong (Akebia Stem, sliced), Qing Yan (Green Salt) (finely ground, soaked overnight in one sheng of water with the previous two ingredients, then dried and baked), Hai Jin Sha (Lygodium Spore, separately ground) (each 1 fen); Sha Cao Gen (Cyperi Rhizoma, hairs removed, 2 liang).
First, pulverize Ren Shen, Mu Tong, and Sha Cao Gen into a fine powder. Mix with Hai Jin Sha and Qing Yan, grinding again until uniform. Take 2 qian per dose on an empty stomach, mixed with wine or rice water.
Kui Zi San (Malva Seed Powder) [Source: *Sheng Hui Fang*]. Treats pregnancy with difficult, painful urination, termed Zi Lin.
Kui Zi (Malva Seed), Hua Shi (Talcum), Mu Tong (Akebia Stem), Yu Pi (Elm Bark) (equal parts).
Grind into powder. Take 3 qian per dose, add one and a half sheng of water and seven cun of green onion white, decoct until reduced to 0.7 sheng, and take before meals. Another version excludes Yu Pi.
Another Formula [Source: *Ren Cun Fang*]
Kui Zi (Malva Seed), Hua Shi (Talcum), Xing Ren (Apricot Seed), Han Shui Shi (Calcitum) (equal parts).
Grind into powder. Administer either by decoction or mixing with water; this is miraculous.
Bai Zhi San (Angelica Dahurica Powder). Treats pregnancy complicated by Zi Lin with frequent, difficult, and painful urination.
Bai Zhi (Angelica Dahurica Root, 0.3 qian, baked), Yu Jin (Curcuma Tuber), E Jiao (Donkey-hide Gelatin, honey-fried and dried), Hua Shi (Talcum) (each 1 liang).
Pulverize into powder. Take 2 qian per dose, mixed with green onion white decoction.
Shi Xie San (Stone Crab Powder). Treats pregnancy complicated by Zi Lin with frequent, difficult, and painful urination day and night. When a woman suffers from strangury during pregnancy, it is called Zi Lin. It is caused by pathogenic Heat invading the Kidney and Bladder meridians due to Kidney deficiency, leading to scanty, frequent urination, difficult and painful water pathways, with pain radiating to below the umbilicus, which are the characteristic signs.
Shi Xie (Stone Crab, crushed, one unit), Ru Xiang (Frankincense, 1 fen), Hua Shi (Talcum, 1.5 liang).
Grind into fine powder. Take 1 qian per dose, mixed with Deng Xin Cao (Juncus Medulla) decoction.
Shi Wei Tang (Pyrrosia Decoction). Treats pregnancy with frequent urination, scanty output, and painful difficulty.
Shi Wei (Pyrrosiae Leaf, hairs removed), Yu Bai Pi (White Mulberry Bark, sliced) (each 1 liang), Hua Shi (Talcum, 2 liang).
Pulverize and sieve. Take 3 qian per dose, add one sheng of water and two cun of green onion white.
Sheng Li Yu Zhi (Fresh Carp Juice) [Source: *Sheng Hui Fang*]. Treats pregnancy with difficult, dribbling urination and fetal unrest.
Li Yu (Carp, one weighing one jin, prepared for consumption), Kui Cai (Malva Vegetable, one jin), Cong Bai (Green Onion White, four liang, chopped).
Cook with five sheng of water until done. Add a small amount of salt. Consume the fish, vegetables, and broth together for efficacy.
Treats pregnancy complicated by Lin syndrome with frequent, scanty, difficult, and painful urination, along with vexatious pain in hands and feet. [Source: *Sheng Hui Fang*]
Di Fu Cao (Kochia Herb), Mao Gen (Imperata Rhizome, sliced), Da Ma Zi (Hemp Seed) (each 1 liang).
Pulverize and sieve into powder. Take 4 qian per dose, add one zhong sheng of water and seven cun of green onion white, decoct until reduced to 0.6 sheng, strain, and take warm at any time.
Bing Lang San (Areca Seed Powder) [Source: *Chan Jing*]. Treats various types of strangury and obstructed urination during pregnancy. Physicians often misdiagnose this as Zhuan Pao (bladder displacement); other medicines fail, but this formula proves miraculous repeatedly.
Bing Lang (Areca Seed, one unit, wrapped in flour, baked thoroughly, flour removed), Chi Fu Ling (Red Poria) (equal parts).
Grind into coarse powder. Use 5 qian per dose, add one and a half sheng of water, decoct until reduced to 0.7 sheng, strain, and take warm. Take on an empty stomach before meals. For ordinary men and women suffering from Blood Lin (hematuria) or dribbling strangury with painful water pathways, this is also highly effective. Another version treats pregnancy complicated by malignant qi invasion causing heart and abdominal pain; take 1 qian mixed with warm wine.
Hua Shi Tang (Talcum Decoction). Treats pregnancy complicated by Zi Lin.
Hua Shi (Talcum, 2 liang, ground), Chi Liu Gen (Red Willow Root, sliced, 0.5 liang, baked).
Pulverize and sieve. Take 5 qian per dose, add one and a half zhong sheng of water, decoct until reduced to 0.8 sheng, strain, and take warm before meals.
Treats pregnancy with difficult, dribbling urination and oppressive fullness in the umbilical and abdominal regions. [Source: *Sheng Hui Fang*]
Zhu Ling (Polyporus, 1 liang, black skin removed), Qu Mai (Dianthus Herb, 1 liang).
Pulverize finely. Take 2 qian per dose, mixed with green onion white decoction at any time.
Che Qian Zi Tang (Plantago Seed Decoction). Treats pregnancy complicated by Lin syndrome with heat obstruction in the water pathway.
Che Qian Zi (Plantago Seed, 5 liang, ground), Kui Gen (Malva Root, chopped, 1 sheng).
Add five sheng of water, decoct to obtain one and a half sheng, and divide into two doses.
Kui Zi Yin (Malva Seed Drink) [Source: *Da Quan Liang Fang*]. Treats pregnancy complicated by Zi Lin.
Use one sheng of Kui Zi (Malva Seed) and five sheng of water, boil to obtain two sheng, and divide into two doses. Another version excludes Kui Zi, using Kui Gen (Malva Root) instead. This also treats obstructed urination.
Gan Sui San (Kansui Powder) [Source: *Da Quan Liang Fang*]. Treats pregnancy complicated by Zi Lin where both large and small bowel movements are obstructed, accompanied by shortness of breath. For those who have taken Zhu Ling San (Polyporus Powder) without improvement, this medicine should be used to purge.
Use two liang of Da Shan Chi Pi Gan Sui (Kansui Root with red bark) ground into powder. Mix with two he of white honey to form pills the size of soybeans. If the patient feels mental oppression in the epigastrium and experiences slight purging, administer once daily. After purging, resume taking Zhu Ling San. If no purging occurs, increase to three times daily, gradually adding up to half a qian. Stop when mild laxation is achieved.
Zhu Ling San (Polyporus Powder) [Source: *Da Quan Liang Fang*]. Treats pregnancy with difficult, painful urination. Also treats Tai Shui (fetal edema/fluid retention) and Zi Lin.
Use five liang of Zhu Ling (Polyporus), remove the skin, and grind into fine powder. Mix with plain water and take one fang cun bi (square-inch spoonful), increasing to two bi. Administer three times during the day and twice at night. If ineffective, switch to a purgative formula. Take the preceding medicine.
Di Fu Tang (Kochia Decoction) [Source: *Da Quan Liang Fang*]. Treats pregnancy complicated by Zi Lin with frequent, scanty urination, possibly accompanied by heat, pain, vexatious pain in hands and feet, and Zi Fan (pregnancy-related mental restlessness).
Use three liang of Di Fu Cao (Kochia Herb), finely chopped. Add four sheng of water, decoct to obtain two and a half sheng, strain, and divide into three doses, administered three times daily. Another version uses twelve liang of Di Fu Zi (Kochia Fruit).