儿胞下后膀胱脱出，名曰痂病。或由临盆用力太过，或由气血两虚。其色紫者，可治。白者，难治。急用狗
脊散煎汤先熏后洗，乘热轻轻托进。内服补中益气汤，去柴胡，加醋炒白芍敛而举之，或外用黄 煎汤熏洗亦妙。
狗脊汤
（金毛）狗脊 黄连 五倍子 水杨根 枯白矾（各一钱）
共为末，水煎汤熏洗，一二日愈。
补中益气汤
人参 黄 （蜜炙） 白术（蜜炙） 甘草（炙，各一钱五分） 当归（一钱） 陈皮（五分） 升麻（蜜炙）
柴胡（各三分）
上加姜三片，枣二枚，水煎服。
子宫脱出，痛不可忍，名曰 疾。此由临盆太早，努力太过而然。宜用蓖麻子去壳十四粒研烂，涂头顶心，
入即洗去。或用蛇床子五两、乌梅十四个煎水，日洗五六次，内服参姜汤。
参姜汤
人参（另炖冲药服） 白芍（酒炒） 淮山药（各一钱） 当归身（二钱） 干姜（炮，五分） 甘草（炙，五分）
水煎服。
临产损破脬胞，小便不禁，宜补脬饮。但服药时须敛气，不得作声，如作声则无效。
补脬饮
黄丝绢（天生黄者，三尺，用炭灰淋汁，煮烂，以青水漂极净） 黄蜡（五钱） 白蜜（一两）
马庇勃 茅草根（各二钱）
水二钟，煎一钟服。
产门不闭乃气血大虚不能收摄也。宜十全大补汤加五味子。或痛而觉热，宜加味逍遥散。或忧思伤脾而血
热者，宜加味归脾汤。若暴怒伤肝而动火者，宜龙胆泻肝汤。
十全大补汤
人参 白术（蜜炙） 茯苓 黄 （蜜炙） 当归 熟地黄 白芍 川芎（各一钱） 肉桂 炙甘草（各五分）
姜（三片） 枣（二枚）
水煎服。
加味逍遥散
当归 白芍 白术（蜜炙） 茯神 甘草 柴胡 丹皮 栀子（炒，各七分） 姜（三片）
水煎服。
加味归脾汤
人参 黄 白术（蜜炙） 茯苓 酸枣仁（各二钱） 远志（制） 当归 柴胡 栀子（炒，各一钱）
木香 炙甘草（各五分） 龙眼肉（七枚）
水二钟，煎七分，食远服。
龙胆泻肝汤
龙胆草（酒炒） 人参 天冬（去心） 麦冬（去心） 甘草 黄连（炒） 栀子（炒） 知母（各五分）
黄芩（七分） 柴胡（一钱） 五味子（三分）
水煎，温服。
After the delivery of the fetus, if the bladder prolapses out of the body, it is called "Jia Disease" (prolapse condition). This may be caused by excessive exertion during labor or by deficiency of both Qi and Blood. If the color of the prolapsed tissue is purplish, it is treatable; if it is pale white, it is difficult to treat. Immediately use Gouji San (Dogspine Powder) decoction to fumigate and then wash the affected area. While still warm, gently push it back inside. Internally administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), remove Chaihu (Bupleurum Root), and add Vinegar-processed Baishao (White Peony Root) to astringe and lift the organ. Alternatively, externally fumigating and washing with Huangbai (Phellodendron Bark) decoction is also effective.
Gouji Tang (Dogspine Decoction):
Gouji (Cibotii Rhizoma, specifically the variety with golden hairs), Huanglian (Coptidis Rhizoma), Wubeizi (Galla Chinensis), Shuiyanggen (Salicis Radix), Kubaijian (Alumen Exsiccatum) (each 1 qian / ~3g).
Grind all into powder. Decoct in water for fumigation and washing. It will heal in one to two days.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction):
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, honey-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted) (each 1.5 qian / ~4.5g), Danggui (Angelicae Sinensis Radix) (1 qian / ~3g), Chenpi (Citri Reticulatae Pericarpium) (0.5 qian / ~1.5g), Shengma (Cimicifugae Rhizoma, honey-fried), Chaihu (Bupleuri Radix) (each 0.3 qian / ~0.9g).
Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and two dates (Jujubae Fructus). Decoct in water and take orally.
If the uterus prolapses and the pain is unbearable, it is called "Han Disease" (here referring to severe uterine prolapse/Yinting). This results from premature labor and excessive straining. Apply fourteen kernels of Birenzi (Ricini Semen) peeled and ground into a paste to the center of the crown of the head. Wash it off immediately after the uterus retracts. Alternatively, decoct five liang (~150g) of Shechuangzi (Cnidii Fructus) and fourteen Wu Mei (Mume Fructus) in water, wash the area five to six times daily, and internally administer Shenjiang Tang (Ginseng and Ginger Decoction).
Shenjiang Tang (Ginseng and Ginger Decoction):
Renshen (Ginseng Radix et Rhizoma, stewed separately, juice added to other herbs), Baishao (Paeoniae Radix Alba, wine-processed), Huaishanyao (Dioscoreae Hypoglaucae Rhizoma) (each 1 qian / ~3g), Dangguishen (Angelicae Sinensis Radix, root portion) (2 qian / ~6g), Ganjiang (Zingiberis Rhizoma, processed) (0.5 qian / ~1.5g), Gancao (Glycyrrhizae Radix et Rhizoma, roasted) (0.5 qian / ~1.5g).
Decoct in water and take orally.
If the perineum is torn and the amniotic sac ruptured during childbirth, leading to urinary incontinence, use Bubao Yin (Bladder-Reinforcing Drink). However, while taking this medicine, one must restrain breath and remain silent; making noise renders it ineffective.
Bubao Yin (Bladder-Reinforcing Drink):
Huang sijuan (Yellow silk fabric, naturally yellow, three chi long, boiled in lye from charcoal ash until soft, then rinsed extremely clean with clear water), Huangla (Beeswax) (5 qian / ~15g), Bai mi (White Honey) (1 liang / ~30g), Mabo (Fomes Officinalis), Maocaogen (Imperatae Rhizoma) (each 2 qian / ~6g).
Add two bowls of water, decoct to one bowl, and take orally.
Failure of the vaginal opening to close is due to severe deficiency of Qi and Blood, resulting in an inability to hold and retain. Use Shiquan Dabu Tang (Ten Complete Tonifying Decoction) with added Wuweizi (Schisandrae Chinensis Fructus). If accompanied by pain and sensation of heat, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If worry and overthinking injure the Spleen causing Blood Heat, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction). If sudden anger injures the Liver causing Fire to flare up, use Longdan Xiegan Tang (Gentian Decoction to Drain the Liver).
Shiquan Dabu Tang (Ten Complete Tonifying Decoction):
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fuling (Poria), Huangqi (Astragali Radix, honey-fried), Danggui (Angelicae Sinensis Radix), Shudihuang (Rehmanniae Radix Praeparata), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian / ~3g), Rougui (Cinnamomi Cortex), Zhigancao (Glycyrrhizae Radix et Rhizoma, roasted) (each 0.5 qian / ~1.5g), Shengjiang (Zingiberis Rhizoma Recens) (three slices), Zao (Jujubae Fructus) (two pieces).
Decoct in water and take orally.
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder):
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fushen (Poria with Hostwood), Gancao (Glycyrrhizae Radix et Rhizoma), Chaihu (Bupleuri Radix), Danpi (Moutan Cortex), Zhizi (Gardeniae Fructus, stir-fried) (each 0.7 qian / ~2.1g), Shengjiang (Zingiberis Rhizoma Recens) (three slices).
Decoct in water and take orally.
Jiawei Guipi Tang (Modified Restore the Spleen Decoction):
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fuling (Poria), Suanzaoren (Ziziphi Spinosae Semen) (each 2 qian / ~6g), Yuanzhi (Polygalae Radix, processed), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus, stir-fried) (each 1 qian / ~3g), Muxiang (Aucklandiae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma, roasted) (each 0.5 qian / ~1.5g), Longyanrou (Longan Arillus) (seven pieces).
Add two bowls of water, decoct to seven-tenths volume, and take well after meals.
Longdan Xiegan Tang (Gentian Decoction to Drain the Liver):
Longdancao (Gentianae Scabrae Radix et Rhizoma, wine-processed), Renshen (Ginseng Radix et Rhizoma), Tiandong (Asparagi Radix, heart removed), Maidong (Ophiopogonis Radix, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma), Huanglian (Coptidis Rhizoma, stir-fried), Zhizi (Gardeniae Fructus, stir-fried), Zhimu (Anemarrhenae Rhizoma) (each 0.5 qian / ~1.5g), Huangqin (Scutellariae Radix) (0.7 qian / ~2.1g), Chaihu (Bupleuri Radix) (1 qian / ~3g), Wuweizi (Schisandrae Chinensis Fructus) (0.3 qian / ~0.9g).
Decoct in water, take warm.