夫胞转者。是胞屈僻。小便不通。名为胞转。其病状。脐下急痛。小水不通是也。此病
或由
胀。
乃有
皆令
方
石苇汤（一名鬼箭散） 治胞转小便不通。
石苇（去毛一两） 榆白皮（锉一升） 鬼箭羽〔二（三）两〕 滑石（碎四两） 葵
子木通
（锉
温
服。
滑石汤 治胞转小便不通。
滑石（碎一两） 乱发（烧灰） 鲤鱼齿 雀粪〔各一两（分）〕 琥珀（半两） 芒
硝（一分）
上
滑石散 治胞为热所迫。或忍小便。俱令水气迫归胞。屈僻不得充胀。外水应入
不得入。
寒水石（二两） 白滑石（一两） 葵子（一合） 乱发灰 车前子 木通（去皮节各
一两）
上锉
琥珀汤 治胞转小便不利。烦闷。
琥珀 大黄（锉炒） 滑石（碎一两） 车前子 车前叶（各一两） 上粗捣筛。每服
二钱
匕。水
通草汤 治胞转不得小便。
雀粪（半合） 车前子 滑石（各四两） 通草（一作木通） 芍药（各二两） 上切
罗匀。以
水七
琥珀汤 治胞转脐下急满。或因霍乱而得。
琥珀（研一两） 阿胶（炙燥半两别捣） 葱白（切二七茎） 车前草（锉三两一方用
子） 上
先用
作三
治胞转不得小便。
川大黄（一两锉碎微炒） 琥珀（细研一两） 车前叶（二两） 上为末。每服四钱。
以水一
中盏
又方
乱发（烧灰三两） 滑石（二两） 川芒硝（一两） 上细研令匀。用桃白皮一斤捣。
以水绞
取汁
芍药汤 治胞转小便不利。
赤芍药 车前叶 木通（各一两） 上细锉。每服五钱匕。水一盏半。煎至一盏。去滓
温
服。
滑石汤 治胞转。小便不通八九日。丈夫妇人皆治。
滑石（碎一两半） 寒水石（碎一两一方用石膏） 冬葵子（半两） 上粗捣筛。每服
五钱
匕。水
葱白汤 治小便卒暴不通。小腹胀急。气上冲心。闷绝欲死。此由暴气乘膀胱。或
从惊忧。
陈皮（三两） 葵子（一两） 葱白（二茎） 上锉散。水五升。煮取二升。分三服。
洗方 治胞转小便不通。先用。
良姜 葱头 紫苏叶（各一握） 上煎汤。密室内熏洗小腹外肾肛门。留汤再添。蘸绵
洗。
以
蜀葵子（二钱半） 赤茯苓 赤芍药 白芍药（各半两） 上锉散。每服三钱。煎取清
汁。
乘热
蒲黄散 治胞转不得小便。经三四日困笃欲死。
蒲黄 滑石（各一两） 上捣罗为散。每服二钱匕。鸡子清调下。一方用温酒调服。一
方
用水
治胞转欲死及不溺方。
上取豆酱清和灶突中墨。如豆大。纳阴孔中立愈。
治胞转不得小便方。
吸芥真琥珀（一两） 葱白（十四茎） 上以水四升。煮取三升。去葱白。取琥珀末细
筛下
汤中
乱发散 治忍小便不时起便。胞转小便不得。四五日困笃欲死。无脉。服此瘥。
滑石（二两） 乱发（三两烧灰） 上二味捣筛。取生桃白皮一斤熟煮。以水合绞。得
汁二
升。
方寸
治胞转不得小便。
鸡子一枚。敲破取黄。以温水调服之。不过三服。
秦艽汤 治胞转不得小便。
秦艽（不拘多少去苗土） 上粗捣筛。每服五钱。水一盏半。煎至一盏。去滓。温服。
车前草饮 治胞转急卒不得小便。
车前草（一握去根洗净锉） 上以水三盏。煎至二盏。去滓。分三服。连并服。不拘时。
一方
治饱食后或忍小便。或走马忍小便。或大走及入房。皆致胞转。脐下急满不通。
用乱头发。急缠绞如拳大。烧为末。醋四合。搅令和二方寸匕。服之讫。即炒熟黑豆叶
蹲坐
治胞转小便不得。
用阿胶三两。水二升。煮七合。顿服。
又方
用豉五合。以水三升。煮数沸。顿服之。
又方
用连枷简烧灰。水服之。
又方
用笔头烧灰。水服之。
又方
烧死蜣螂二枚末。水服之。
又方
纳白鱼子茎孔中。
又方
用酒和猪脂鸡子大。顿服之。
又方
用麻子煮取汁。顿服之。
治胞转小便不能通。
用炒盐半斤。囊盛熨小腹。
治忍小便胞转。
用自己爪甲烧灰。水服之。
治小便久致胞转。
取梁上尘三指撮。以水服之。
治小便久致胞转。
以蒲黄裹腰肾。令头至地。三度通。一方取蒲黄服三四钱。早午晚日三服良。
治卒小便不通及胞转方
炙桑螵蛸。捣为末。米饮服之半盏许。早午晚日三服良。
治胞转不得小便方。
用蒲席卷人倒立。令头至地。三反则通。
Baozhuan (Bladder Retroversion) refers to the condition where the bladder is twisted or deviated, resulting in urinary retention. This disease is characterized by urgent pain below the umbilicus and complete inability to urinate. The etiology may involve abdominal distension or other factors, all leading to this pathological state.
Shiwei Tang (Stone Fern Decoction), also known as Guijian San (Ghost Arrow Powder): Treats Baozhuan with urinary retention.
Ingredients: Shiwei (Pyrrosiae Folium, 1 liang, remove hairs), Yubai Pi (Ulmus Alba Cortex, 1 sheng, sliced), Guijian Yu (Eucommiae Ramulus cum Folio, 2-3 liang), Huashi (Talcum, 4 liang, crushed), Kuizizi (Malvae Semen, amount unspecified), Mutong (Akebiae Caulis, sliced).
Administration: Coarsely grind the ingredients into powder. Take 5 qian bi per dose, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm.
Huashi Tang (Talcum Decoction): Treats Baozhuan with urinary retention.
Ingredients: Huashi (Talcum, 1 liang, crushed), Luankui (Human Hair Ash, burnt), Liyu Chi (Cyprinus Carpio Teeth), Quefen (Sturnidae Excrement, each 1 liang or 1 fen), Hupo (Amber, 0.5 liang), Mangxiao (Natrii Sulfas, 1 fen).
Administration: Grind into fine powder. Take 2 qian bi per dose, mix with warm water for administration.
Huashi San (Talcum Powder): Treats cases where heat pathogen forces the bladder, or urine holding causes water qi to compress and gather in the bladder, leading to deviation and inability to expand, preventing external fluids from entering.
Ingredients: Hanshui Shi (Calcitum, 2 liang), Baihuashi (White Talcum, 1 liang), Kuizizi (Malvae Semen, 1 he), Luankui Hui (Human Hair Ash), Cheqianzi (Plantaginis Semen), Mutong (Akebiae Caulis, remove nodes, each 1 liang).
Administration: Slice and sieve coarsely. Take 3 qian bi per dose, decoct with 1 zhan of water until reduced to 60%, strain, and take warm.
Hupo Tang (Amber Decoction): Treats Baozhuan with difficult urination accompanied by irritability and oppression.
Ingredients: Hupo (Amber), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Huashi (Talcum, 1 liang, crushed), Cheqianzi (Plantaginis Semen), Cheqianyie (Plantaginis Folium, each 1 liang).
Administration: Coarsely crush and sieve. Take 2 qian bi per dose, decoct with 1 zhan of water until reduced to 60%, strain, and take warm.
Tongcao Tang (Tetrapanacis Medulla Decoction): Treats Baozhuan with inability to urinate.
Ingredients: Quefen (Sturnidae Excrement, 0.5 he), Cheqianzi (Plantaginis Semen), Huashi (Talcum, each 4 liang), Tongcao (Tetrapanacis Medulla, alternatively Mutong), Shaoyao (Paeoniae Radix, each 2 liang).
Administration: Cut and sieve evenly. Decoct with 7 zhan of water until reduced to 3 zhan, divide into three doses, and take warm.
Hupo Tang (Amber Decoction): Treats Baozhuan with urgent fullness below the umbilicus, possibly caused by Huoluan (Cholera-like syndrome).
Ingredients: Hupo (Amber, finely ground, 1 liang), Ejiao (Colla Corii Asini, roasted dry and separately pounded, 0.5 liang), Congbai (Allii Fistulosi Bulbus, cut, 14 stems), Cheqiancao (Plantaginis Herba, sliced, 3 liang; alternative uses seeds).
Administration: First decoct Congbai and Cheqiancao, remove dregs, dissolve Hupo and Ejiao, divide into three doses, and take warm.
Formula for treating Baozhuan with urinary retention:
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly stir-fried), Hupo (Amber, finely ground, 1 liang), Cheqianyie (Plantaginis Folium, 2 liang).
Administration: Grind into powder. Take 4 qian per dose, decoct with 1 zhong zhan of water until reduced to 0.5 zhan, strain, and take warm.
Another Formula:
Ingredients: Luankui (Human Hair Ash, 3 liang, burnt), Huashi (Talcum, 2 liang), Chuan Mangxiao (Natrii Sulfas, 1 liang).
Administration: Finely grind and mix evenly. Pound 1 jin of Taobai Pi (Prunus Persica Cortex) with water, squeeze out juice, and mix with the powder for administration.
Shaoyao Tang (Paeonia Decoction): Treats Baozhuan with difficult urination.
Ingredients: Chishao Yao (Radix Paeoniae Rubra), Cheqianyie (Plantaginis Folium), Mutong (Akebiae Caulis, each 1 liang).
Administration: Finely slice. Take 5 qian bi per dose, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm.
Huashi Tang (Talcum Decoction): Treats Baozhuan with urinary retention persisting for 8-9 days, applicable to both men and women.
Ingredients: Huashi (Talcum, 1.5 liang, crushed), Hanshui Shi (Calcitum, 1 liang, crushed; alternative uses Shigao/Gypsum Fibrosum), Dongkuizizi (Malvae Semen, 0.5 liang).
Administration: Coarsely crush and sieve. Take 5 qian bi per dose, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm.
Congbai Tang (Scallion Decoction): Treats sudden acute urinary retention, lower abdominal distension and urgency, Qi rushing to the heart, suffocation and near-death sensation. Caused by violent Qi attacking the Bladder or due to fright and worry.
Ingredients: Chenpi (Citri Reticulatae Pericarpium, 3 liang), Kuizizi (Malvae Semen, 1 liang), Congbai (Allii Fistulosi Bulbus, 2 stems).
Administration: Slice into pieces. Decoct with 5 sheng of water until reduced to 2 sheng, divide into three doses.
Wash Formula: For use prior to treating Baozhuan with urinary retention.
Ingredients: Liangjiang (Zingiberis Rhizoma, 1 handful), Congtou (Allii Fistulosi Bulbus, 1 handful), Zisuye (Perillae Folium, 1 handful).
Administration: Decoct in water. Fumigate and wash the lower abdomen, external genitalia, and anus in a sealed room. Retain the liquid for repeated washing using cotton.
Shukui Zi Formula:
Ingredients: Shukui Zi (Althaeae Semen, 2.5 qian), Chi Fuling (Poria Cocos with Red Skin, 0.5 liang), Chishao Yao (Radix Paeoniae Rubra, 0.5 liang), Baishao Yao (Radix Paeoniae Alba, 0.5 liang).
Administration: Slice into pieces. Take 3 qian per dose, decoct to obtain clear liquid, and take while hot.
Puhuang San (Lygodii Spora Powder): Treats Baozhuan with urinary retention, critical condition after 3-4 days.
Ingredients: Puhuang (Lygodii Spora, 1 liang), Huashi (Talcum, 1 liang).
Administration: Grind and sieve into powder. Take 2 qian bi per dose, mix with egg white for administration. Alternative methods include mixing with warm wine or water.
Formula for critical Baozhuan and anuria:
Administration: Mix Qingdou Jiangqing (Clear Juice of Fermented Soybean Paste) with Mocong Zhutu (Soot from Chimney Flue) in bean-sized amounts, insert into the urethral opening, and cure immediately.
Formula for treating Baozhuan with urinary retention:
Ingredients: Xi Jie Zhen Hupo (True Amber, 1 liang), Congbai (Allii Fistulosi Bulbus, 14 stems).
Administration: Decoct with 4 sheng of water until reduced to 3 sheng, remove Congbai, sift Hupo powder finely, add to the decoction, and take in divided doses.
Luansan San (Human Hair Powder): Treats conditions arising from holding urine, leading to Baozhuan and anuria, critical after 4-5 days with absent pulse.
Ingredients: Huashi (Talcum, 2 liang), Luankui (Human Hair Ash, 3 liang, burnt).
Administration: Grind and sieve the two ingredients. Boil 1 jin of fresh Taobai Pi (Prunus Persica Cortex), squeeze juice with water, mix with powder, take 1 fang cun bi per dose.
Formula for treating Baozhuan with urinary retention:
Administration: Crack one chicken egg, take the yolk, mix with warm water, and swallow. Repeat up to three times.
Qinjiao Tang (Gentian Decoction): Treats Baozhuan with urinary retention.
Ingredients: Qin Jiao (Gentianae Macrophyllae Radix, appropriate amount, remove roots and soil).
Administration: Coarsely crush and sieve. Take 5 qian per dose, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm.
Cheqian Cao Yin (Plantago Herbal Drink): Treats acute Baozhuan with sudden urinary retention.
Ingredients: Cheqian Cao (Plantaginis Herba, 1 handful, remove roots, wash clean, slice).
Administration: Decoct with 3 zhan of water until reduced to 2 zhan, strain, divide into three doses, take consecutively, time not restricted.
Treatment for Baozhuan caused by overeating, holding urine, riding horses while holding urine, vigorous running, or sexual intercourse, resulting in urgent lower abdominal fullness and obstruction:
Administration: Tie loose hair tightly into a ball size, burn to ash, mix with 4 he of vinegar, take 2 fang cun bi. After ingestion, sit on fried black soybean leaves.
Formula for treating Baozhuan with urinary retention:
Administration: Use 3 liang of Ejiao (Colla Corii Asini), decoct with 2 sheng of water until reduced to 0.7 sheng, take in one dose.
Another Formula:
Administration: Use 5 he of Chi Dou (Sojaes Semen Preparatum), decoct with 3 sheng of water for a few boils, take in one dose.
Another Formula:
Administration: Burn Lianjia Jian (Loom Reed) to ash, take with water.
Another Formula:
Administration: Burn pen tip to ash, take with water.
Another Formula:
Administration: Burn two dead Dung Beetles (Scarabaeus) to ash, take with water.
Another Formula:
Administration: Insert White Fish Roe into the urethral opening.
Another Formula:
Administration: Mix Pig Fat (Su Zhi) with wine, size of a chicken egg, take in one dose.
Another Formula:
Administration: Decoct Hemp Seeds (Mazi) to extract juice, take in one dose.
Treatment for Baozhuan with inability to pass urine:
Administration: Use 0.5 jin of stir-fried salt, place in a bag, and apply hot compress to the lower abdomen.
Treatment for Baozhuan caused by holding urine:
Administration: Burn own fingernails/claws to ash, take with water.
Treatment for chronic urinary retention leading to Baozhuan:
Administration: Take three finger-pinches of dust from roof beams, take with water.
Treatment for chronic urinary retention leading to Baozhuan:
Administration: Wrap Puhuang (Lygodii Spora) around the waist/kidneys, bend head down to the ground, repeat three times until通畅 (patency achieved). Alternative: Take 3-4 qian of Puhuang, three times daily (morning, noon, evening).
Formula for sudden urinary retention and Baozhuan:
Administration: Roast Sangpiaoxiao (Mantidis Oötheca), grind to powder, take half a zhan with rice water, three times daily.
Formula for treating Baozhuan with urinary retention:
Administration: Roll person in reed mat, invert upside down with head to the ground, reverse position three times until通畅 (patency achieved).