薛氏曰∶若脬中有热，宜用加味逍遥散；若脾肺气虚，宜用补中益气汤加益智；若肝肾
阴虚，宜用六味丸。
一妊妇遗尿内热，肝脉洪数，按之微弱，或两太阳作痛，胁肋作胀。余以为肝火血虚，
用加味逍遥散、六味地黄丸，寻愈。后又寒热，或发热或恚怒，前证仍作，用八珍散、逍遥散，
兼以清肝火、养肝血而痊。
白薇散 治妊娠尿出不知。
白薇 白芍药（各等分）
上为末，每服三钱，食前温酒调服。（本草谓芍药白补赤泻，盖金收而火散也，故子淋方
中多用赤，而遗尿方中则用白也）
桑螵蛸散 治妊娠小便不禁。
桑螵蛸（炙黄，二十枚）
上为末，每服二钱，空心米饮调下。
一方
白矾 牡蛎
上为末，每服二钱，酒调下。
一方益智为末，米饮下，亦效。
大全云∶妊妇劳伤经络，有热在内，热乘于血，血得热则流溢，渗入子脬，故令尿血也。
（按尿血之人，皆从劳心斫丧中来）
薛氏曰∶前证因怒动火者，宜小柴胡汤加山栀；因劳动火者，宜补中益气汤；因浓味积
热，宜清胃散（方见杂病齿门）加犀角、连翘、甘草；因肝经血热，宜加味逍遥散。
一妊妇因怒尿血，内热作渴，寒热往来，胸乳间作胀，饮食少用，肝脉弦弱，此肝经血
虚而热也，用加味逍遥散、六味地黄丸，兼服渐愈。又用八珍汤加柴胡、丹皮、山栀而痊。
续断汤 治妊娠下血及尿血。
当归 生地黄（各一两） 续断（半两） 赤芍药（二钱半）（分两差等可法）
上为末，每服二钱，空心葱白汤调下。
一方 治妊娠尿血。
阿胶（炒） 熟地黄（各等分）
上为细末，空心粥饮调下二钱。
姜蜜汤 治妊娠小便尿血。
生姜（七片） 蜜（半盏） 白茅根（一握）
上入水浓煎服。
加减五苓散
本方去桂加阿胶炒，同为粗末，每服四钱，用车前子、白茅根浓煎温服。
杂方（温凉滑利不同，在人自择）
用葵子一升，研细，水五升煮二升，分温三服。
一方用生艾一斤，酒五升，煮二升，分三服。
一方用生地黄一斤，酒四斤煮二升，分三服。
一方猪苓为末，白汤调下一匙，日三。
一方白茅根浓煮汤，吞酒蒸黄连丸。
一方 治无故尿血（止血之剂）
龙骨（一两） 蒲黄（半两）
上为末，每服二钱，酒调，日三服。
Xue said: If there is heat in the bladder (Pang Guang), Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) should be used; if there is deficiency of Qi in the Spleen and Lung, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Yi Zhi Ren (Alpinia oxyphylla Fructus) should be used; if there is Yin deficiency of the Liver and Kidney, Liuwei Wan (Six-Ingredient Pill with Rehmannia) should be used.
A pregnant woman presented with enuresis (involuntary urination) and internal heat. Her Liver pulse was surging and rapid but weak upon deep pressure. She occasionally experienced pain in both temporal regions and distension in the hypochondrium. I diagnosed this as Liver Fire with Blood deficiency. I administered Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Liuhuang Dihuang Wan (Six-Ingredient Rehmannia Pill). She recovered soon after. Later, she experienced alternating chills and fever, or recurrences of previous symptoms triggered by anger. I prescribed Bazhen San (Eight-Treasure Powder) and Xiaoyao San (Free and Easy Wanderer Powder), combined with methods to clear Liver Fire and nourish Liver Blood, leading to a complete cure.
Baiwei San (White Anemarrhena Powder): Treats urinary incontinence during pregnancy.
Ingredients: Bai Wei (Anemarrhenae Rhizoma), Bai Shao Yao (White Peony Root) (equal parts).
Preparation and Administration: Grind into powder. Take 3 qian per dose, mixed with warm wine before meals. (The Materia Medica states that white Peony Root has tonifying properties while red Peony Root has draining properties, because Metal nature is astringent and Fire nature is dispersing. Therefore, red Peony Root is often used in formulas for painful urinary dysfunction due to damp-heat [Zilin], whereas white Peony Root is used in formulas for enuresis.)
Sangpiaoxiao San (Mantis Egg-case Powder): Treats urinary incontinence during pregnancy.
Ingredients: Sang Piao Xiao (Mantis Egg-case) (stir-fried until yellow, 20 pieces).
Preparation and Administration: Grind into powder. Take 2 qian per dose, taken with rice water on an empty stomach.
Another prescription:
Ingredients: Bai Fan (Alumen), Mu Li (Ostreae Concha).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with wine.
Another prescription: Grind Yi Zhi Ren (Alpinia oxyphylla Fructus) into powder and take with rice water; also effective.
Daquan states: Pregnant women may suffer from meridian damage due to overexertion, with heat residing internally. Heat affects the Blood; when Blood is heated, it flows and overflows, seeping into the Zi Paog (uterine bladder), causing hematuria. (Note: Those who present with hematuria generally come from cases of mental overwork and depletion of essence.)
Xue said: For the aforementioned condition caused by anger stirring up Fire, Xiao Chaihu Tang (Minor Bupleurum Decoction) with Shan Zhi (Gardeniae Fructus) should be used; for that caused by labor stirring up Fire, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) should be used; for that caused by accumulation of heat from rich and greasy foods, Qingwei San (Clear the Stomach Powder) (see Miscellaneous Diseases, Dental Section) with Xi Jiao (Rhinocerotis Cornu), Lian Qiao (Forsythiae Fructus), and Gan Cao (Licorice Root) should be used; for that caused by Blood heat in the Liver Meridian, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) should be used.
A pregnant woman presented with hematuria due to anger, accompanied by internal heat, thirst, alternating chills and fever, distension in the chest and breasts, and poor appetite. Her Liver pulse was wiry and weak. This indicated Liver Blood deficiency with heat. I administered Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Liuhuang Dihuang Wan (Six-Ingredient Rehmannia Pill). She gradually improved with concurrent use. Subsequently, she was treated with Bazhen Tang (Eight-Treasure Decoction) added with Chai Hu (Bupleuri Radix), Dan Pi (Moutan Cortex), and Shan Zhi (Gardeniae Fructus), resulting in a cure.
Xuduan Tang (Dipsacus Decoction): Treats lower bleeding and hematuria during pregnancy.
Ingredients: Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix) (each 1 liang); Xu Duan (Dipsaci Radix) (0.5 liang); Chi Shao Yao (Red Peony Root) (2.5 qian). (The variation in dosage serves as a reference.)
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with decoction of green onion whites on an empty stomach.
Another prescription: Treats hematuria during pregnancy.
Ingredients: E jiao (Donkey-hide Gelatin) (stir-fried), Shu Di Huang (Prepared Rehmanniae Radix) (equal parts).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose with porridge water on an empty stomach.
Jiang Mi Tang (Ginger and Honey Decoction): Treats hematuria in urine during pregnancy.
Ingredients: Sheng Jiang (Fresh Ginger Rhizome) (7 slices); Mi (Honey) (0.5 zhan); Bai Mao Gen (Imperatae Rhizoma) (one handful).
Preparation and Administration: Add water and decoct strongly; then drink.
Jiajian Wuling San (Modified Five-Ingredient Powder with Poria)
Remove Gui Zhi (Cinnamomi Ramulus) from the original formula, add stir-fried E jiao (Donkey-hide Gelatin), grind together into coarse powder. Take 4 qian per dose, decocted strongly with Che Qian Zi (Plantaginis Semen) and Bai Mao Gen (Imperatae Rhizoma), and take warm.
Miscellaneous Prescriptions (Properties vary among warming, cooling, slippery, and purgative; selection depends on individual preference)
One prescription: Use Kui Zi (Abutilonis Semen) 1 sheng, grind finely, boil in 5 sheng of water until reduced to 2 sheng. Divide into three warm doses.
Another prescription: Use fresh Ai Ye (Artemisiae Argyi Folium) 1 jin, boil in 5 sheng of wine until reduced to 2 sheng. Divide into three doses.
Another prescription: Use Sheng Di Huang (Rehmanniae Radix) 1 jin, boil in 4 jin of wine until reduced to 2 sheng. Divide into three doses.
Another prescription: Grind Zhu Ling (Polyporus) into powder, mix with hot water to take one qi spoonful, three times daily.
Another prescription: Decoct Bai Mao Gen (Imperatae Rhizoma) strongly to make a soup, swallow Jiu Zheng Huang Lian Wan (Wine-steamed Coptis Pills).
Another prescription: Treats spontaneous hematuria (Hemostatic agent)
Ingredients: Long Gu (Fossilia Ossis Mastodi et Scapulae) (1 liang); Pu Huang (Typhae Pollen) (0.5 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with wine, three times daily.