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The *Daquan* states: Frequent urination after childbirth is caused by Qi deficiency failing to control and retain urine.

Mr. Xue stated: If the aforementioned symptoms are due to an obstetrician's negligence causing bladder damage, resulting in dribbling urine, use Bazhen Tang (Eight Treasure Decoction) to tonify Qi and Blood; if it is due to Bladder Qi deficiency with frequent urination, one should tonify the Spleen and Lung; if it is due to Bladder Yin deficiency with dribbling urine, one must tonify the Spleen and Kidney.

A postpartum woman experienced frequent urination and sudden chills, which belonged to Spleen and Lung Qi deficiency. She was treated primarily with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Cornus officinalis Fruit (Shanzhuyu) and Dioscorea Rhizome (Shanyao), assisted by Sangpiaoxiao San (Mantis Egg-case Powder), and recovered. Later, she suffered from fever, afternoon fever, night sweats, spontaneous sweating, and irregular menstruation, which were resolved using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder).

Another postpartum woman suffered from the aforementioned condition, with expectoration of phlegm, fever, and thirst in the late afternoon, indicating Bladder Yin deficiency. She was cured using Buzhong Yiqi Tang and Liuwei Wan (Six-Ingredient Pill with Rehmannia). Subsequently, she suffered from frequent urination after dysentery, with cold hands and feet, belonging to Yang Qi deficiency and cold. She was treated with the aforementioned decoction and Bawei Wan (Eight-Ingredient Pill) and recovered.

Sangpiaoxiao San treats postpartum Yang Qi weakness, frequent urination, and enuresis. (Treats frequency and enuresis due to Qi deficiency.)
Sangpiaoxiao (Mantis Egg-case) (30 pieces, stir-fried), Lurong (Deer Antler without Horn, prepared with butter), Huangqi (Astragalus Root) (each 3 liang);
Muli (Oyster Shell, calcined), Renshen (Ginseng Root), Houpo (Magnolia Bark), Chishizhi (Red Halloysite) (each 2 liang).
Grind all into powder. Take 2 qian per dose, mixed with millet porridge drink on an empty stomach.
The formula in *Waitai Miyao* lacks Houpo and Chishizhi, but includes Gancao (Licorice Root) and Shengjiang (Fresh Ginger).

Gualou Tang treats postpartum frequent urination accompanied by thirst. (This treats deficient heat.)
Gualougen (Trichosanthes Root), Renshen (Ginseng Root) (each 3 liang); Huanglian (Coptis Rhizome), Sangpiaoxiao (Mantis Egg-case), Gancao (Licorice Root, honey-fried), Shengjiang (Fresh Ginger) (each 2 liang); Dazao (Jujube Fruit) (50 pieces).
Cut finely. Boil in 7 sheng of water until reduced to 2.5 sheng. Divide into three doses. Avoid pork, cold water, and cold foods.

Supplementary Formula treats postpartum frequent urination and enuresis. (This is a Mingmen [Gate of Life] herb, specifically for reducing urination, suitable for deficiency-cold.)
Yizhiren (Bitter Apricot Seed) ground into powder, taken with millet drink.

Mr. Chen stated: During the puerperium, if delivery management is improper, leading to bladder injury, enuresis occurs at any time.

Danxi stated: I have seen midwives being careless, damaging the parturient's urinary bladder, causing dribbling urine and becoming disabled. One day, a Mrs. Xu, young but suffering from difficult labor, contracted this disease. I reasoned that although muscle tears can be repaired externally, the bladder, though inside the abdomen, might also be treatable. Upon examining her pulse, which was extremely weak, I said: The cause of difficult labor is mostly Qi deficiency; postpartum Qi and Blood are especially deficient. Let us try vigorous tonification. Therefore, we used Renshen (Ginseng Root) and Huangqi (Astragalus Root) as Sovereign herbs, Chuanxiong (Szechwan Lovage Rhizome) and Danggui (Angelica Sinensis Root) as Ministers, and Taoren (Peach Kernel), Chenpi (Tangerine Peel), Huangqi (Astragalus Root), Fuling (Poria) as Assistants (the brilliance lies in including blood-breaking herbs). It was decocted in pig or sheep bladder soup and drunk when extremely hungry. Although the dosage was small, typically 1 liang, she recovered within a month. This allowed Qi and Blood to grow rapidly, so the bladder naturally healed; perhaps delaying would have made success difficult.

Mr. Xue stated: If the aforementioned symptoms are due to Spleen and Lung Yang deficiency, use Buzhong Yiqi Tang added with Yizhiren (Bitter Apricot Seed); if due to Liver and Kidney Yin deficiency, use Liuwadihuang Wan (Six-Ingredient Pill with Rehmannia); if due to Liver and Kidney Qi deficiency and cold, use Baweidihuang Wan (Eight-Ingredient Pill with Rehmannia).

A postpartum woman suffered from urinary incontinence for two years without cure. Her complexion was sometimes blue-red, sometimes yellow-white, indicating Liver and Spleen Qi deficiency with Blood heat. She was treated primarily with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder), gradually recovering, and assisted by Liuwadihuang Wan (Six-Ingredient Pill with Rehmannia) for full recovery. Later, due to anger, she experienced spontaneous urinary leakage, loose stools, sudden tightness in the left eye, and flushed complexion. She was still treated with the previous powder, assisted by Liujunzi Tang (Six Gentlemen Decoction), to clear Liver fire, generate Liver Blood, and fortify Spleen Earth, resulting in recovery.

Qianjin Fang treats postpartum urinary incontinence. (The following seven formulas contain profound principles; verifying them with Materia Medica reveals they are not established in vain, and their collection is orderly. Those who awaken their minds and comprehend the meaning will understand naturally.)
Baiwei (Cynanchum Atratum Root), Shaoyao (Peony Root) (equal parts).
Grind into powder. Mix with warm wine and take one fangcun bi (square-inch spoonful). Take three times daily.

Another formula treats postpartum urinary incontinence.
Sangpiaoxiao (Mantis Egg-case, half liang, roasted), Longgu (Fossilized Bones, 1 liang).
Grind into powder. Take 2 qian per dose, mixed with porridge drink.

Jineijin San treats postpartum bedwetting and incontinence.
Use one male chicken along with its intestines, wash clean, roast into powder. Mix with warm wine and take one fangcun bi.

Guangji Fang treats postpartum urinary incontinence.
Roast chicken tail feathers to ash but preserve their nature. Mix with wine and take one qian bi. Take three times daily.

Huangqi Danggui Tang treats postpartum urinary incontinence in women, with slight facial edema and slight fever in the afternoon, indicating the bladder was injured by the midwife.
Huangqi (Astragalus Root), Dangguiwe (Angelica Sinensis Root tip, which breaks blood stasis), Shaoyao (Peony Root) (each 1.5 qian); Baizhu (Atractylodes Macrocephala Rhizome, 1 qian); Renshen (Ginseng Root), Chenpi (Tangerine Peel) (each 0.5 qian); Gancao (Licorice Root, honey-fried, a little).
Decoct in water and take hot.

Guopao San treats urinary incontinence in women when the bladder is ruptured during delivery due to manual intervention.
Huang sijuan (Yellow silk fabric, natural yellow only, not dyed; take 3 chi, boil thoroughly in charcoal ash juice, wash with silk water to remove ash completely), Huangla (Yellow Beeswax, half liang), Mi (Honey, 1 liang); Baimaogen (Imperata Rhizome), Mapibo (Bleeding Mushroom) (ground into powder, each 2 qian) (Boiled yellow silk consolidates the bladder; beeswax protects membranes and generates flesh; Imperata root breaks blood and stops bleeding; Bleeding mushroom fills void leaks).
Decoct in 2 sheng of water until reduced to 2 zhan. Take in one dose on an empty stomach.

Bupao Yin treats postpartum bladder rupture, where there is no urination for the whole day, but only continuous dribbling.
Shengshu sijuan (Yellow silk fabric, 1 chi); Baimudan Genpi (White Tree Peony Root Bark), Baiji (Bletilla Rhizome) (each 2 qian) (Moutan bark breaks blood; Bletilla tonifies and astringes).
Decoct in one bowl of water until the silk dissolves like syrup. Take orally.