〔大〕夫产后小便数者，乃气虚不能制故也。
〔薛〕前证若因稳婆不慎，以致胞损而小便淋沥者。用八珍汤以补气血。若因膀胱
气虚而小便频数，当补脾肺。若膀胱阴虚而小便淋沥，须补肺肾。一产妇小便频数，时
复寒战，乃属脾肺虚弱。用补中益气汤加山茱、山药为主，佐以桑螵蛸散而愈。后患发
热晡热，盗汗自汗，月水不调，用加味逍遥散而安。一产妇患前证，吐痰发热，日晡
作渴，此膀胱阴虚。用补中益气汤，以六味丸而愈。又患痢后小便频数，手足俱冷，属
阳气虚寒，用前汤及八味丸而瘳。
桑螵蛸散 （《千金》）治产后小便数及遗尿。
桑螵蛸（三十枚，煨） 鹿茸（酥炙） 黄 （各三两） 牡蛎（煨） 人参 浓朴
赤石脂（各二两）
上为末，空心粥饮调下二钱。（《外台》无浓朴、石脂，有甘草、生姜。）
栝蒌汤 （《集验》）疗产后小便数兼渴。
桑螵蛸 甘草（并炙） 黄连 生姜（各二两） 栝蒌根（三两） 人参（三两） 大枣（五十枚）
上细切，用水七升，煮二升半，分三服。忌猪肉、冷水。
《补遗》疗产后小便数，或遗尿。益智仁（为末，）米饮调服。
〔陈〕妇人产蓐产理不顺，致伤膀胱，遗尿无时。
〔丹〕尝见收生者不谨，损破产妇尿脬，致病淋沥，遂成废疾。一日有徐妇年壮难产
得此，因思肌肉破伤在外者，宜可补完，胞虽在腹，恐亦可治。遂诊其脉虚甚，予曰∶难
产之由，多是气虚，产后血气尤虚，试与峻补。因以参、 为君，芎、归为臣，桃仁、陈
皮、黄 、茯苓为佐，煎以猪、羊胞中汤，极饥时饮之。但剂小率用一两，至一月而安。盖
令气血骤长，其胞自完，恐稍缓亦难成功矣。
〔乔町〕妇人产后尿不禁，面微浮，略发热于午后，此膀胱为坐婆所伤。
黄 归身尾 芍药（各一钱半） 白术（一钱） 人参 陈皮（各五分） 甘草（炙，少许）
上水煎，热服之。
〔薛〕前证若脾肺阳虚，用补中益气汤。若肝肾阴虚，用六味地黄丸。若肝肾之气虚
寒，用八味地黄丸。一产妇小便不禁，二年不愈，面色或青赤、或黄白，此肝脾气虚
血热，用加味逍遥散为主，渐愈，佐以六味地黄丸而痊。后因怒，小便自遗，大便不实，
左目顿紧，面色顿赤，仍用前散，佐以六君子汤，以清肝火，生肝血，培脾土而痊。
《广济》疗产后小便不禁。
鸡尾毛烧存性，酒调下一匕，日三服。
《千金》治产后遗尿不知出。
白薇 芍药（各等分）
为末，酒服方寸匕，日三。
又方
桑螵蛸（半两，炒） 龙骨（一两）
上为末，食前粥饮调下二钱。
固脬散 治妇人临产时伤手脬破，小便不禁。
黄丝绢（自然黄者，染黄者不用。三尺，以炭灰汁煮极烂，以清水洗去灰，令净，
入黄蜡半两，蜜一两，白茅根二钱，马屁勃末二钱）
上用水二升，再煎至一盏，空心顿服。服时饮气服之，不得作声，如作声无效。
补遗补脬饮 治产后伤动脬破，终日不小便，但淋湿不干。
生丝绢（黄色者，一尺） 白牡丹根皮木 白芨（各一钱）
用水一碗，煎至绢烂如饧服之，勿作声，作声无效。
鸡内金散 治产后溺床失禁。
以鸡 一具，并肠，洗、烧为末，酒调服方寸匕。
[Da] Postpartum urinary frequency is caused by Qi deficiency failing to control and retain urine.
[Xue] If the aforementioned condition results from the midwife's negligence causing damage to the bladder (Baopao), leading to dribbling urine, use Bazhen Tang (Eight Treasure Decoction) to tonify Qi and Blood. If frequent urination is due to Bladder Qi deficiency, one should tonify the Spleen and Lung. If dribbling urine is due to Bladder Yin deficiency, one must tonify the Lung and Kidney. A postpartum patient presented with frequent urination and occasional chills, which belongs to Spleen and Lung Qi deficiency. The main treatment was Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Cornus officinalis (Shanzhuyu) and Dioscorea opposita (Shanyao), assisted by Sangpiaoxiao San (Mantis Egg-case Powder), resulting in a cure. Later, she suffered from fever, afternoon tidal fever, night sweats, and spontaneous sweating, along with irregular menstruation; Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) brought stability. Another postpartum patient suffered from the aforementioned condition, with vomiting of phlegm, fever, and thirst in the late afternoon, indicating Bladder Yin deficiency. She was cured using Buzhong Yiqi Tang combined with Liuwei Wan (Six-Ingredient Pill with Rehmannia). Another patient developed frequent urination after dysentery, with cold hands and feet, belonging to Yang Qi deficiency and cold; she recovered using the aforementioned decoction and Bawei Wan (Eight-Ingredient Pill with Cinnamon and Aconite).
Sangpiaoxiao San (from *Qianjin Fang*): Treats postpartum urinary frequency and enuresis.
Ingredients: Sangpiaoxiao (Mantis Egg-case, 30 pieces, roasted), Lurong (Deer Antler, prepared with butter), Huangqi (Astragalus Root, each 3 liang), Muli (Oyster Shell, roasted), Renshen (Ginseng), Houpo (Magnolia Bark), Chishizhi (Red Halloysite, each 2 liang).
Preparation and Administration: Grind into powder, take 2 qian with millet porridge drink on an empty stomach. (Note: *Waitai Miyao* excludes Houpo and Chishizhi, adding Gancao and Shengjiang.)
Gualou Tang (from *Jiyan Fang*): Treats postpartum urinary frequency accompanied by thirst.
Ingredients: Sangpiaoxiao (Mantis Egg-case), Gancao (Licorice Root, both roasted), Huanglian (Coptis Rhizome), Shengjiang (Fresh Ginger, each 2 liang), Gualougen (Trichosanthes Root, 3 liang), Renshen (Ginseng, 3 liang), Dazao (Jujube, 50 pieces).
Preparation and Administration: Finely chop, boil in 7 sheng of water until reduced to 2.5 sheng, divide into three doses. Avoid pork and cold water.
*Buyi*: Treats postpartum urinary frequency or enuresis. Yizhiren (Alpinia Oxyphylla Fruit) ground into powder, taken with millet drink.
[Chen] Women during the puerperium may suffer from improper labor mechanics, injuring the bladder, leading to involuntary urination at any time.
[Dan] I have seen cases where careless delivery attendants damaged the postpartum woman's bladder (Niaopao), causing dribbling urine that became a chronic disability. One day, a Mrs. Xu, young but suffering from difficult labor, contracted this disease. I reasoned that external muscle tears can be repaired; although the bladder is internal, it might also be treatable. Her pulse was extremely deficient. I stated, "Difficult labor is often due to Qi deficiency, and postpartum Qi and Blood are even more deficient; let us try vigorous tonification." Thus, Renshen (Ginseng) and Huangqi (Astragalus) were used as Sovereign herbs, Chuanxiong (Szechwan Lovage Rhizome) and Danggui (Angelica Sinensis) as Ministers, Taoren (Peach Kernel), Chenpi (Tangerine Peel), Huangqi (Astragalus), and Fuling (Poria) as Assistants. The decoction was prepared using broth from pig or sheep bladders, administered when extremely hungry. Although the dose was small, typically only 1 liang, she stabilized after one month. This allowed Qi and Blood to grow rapidly, allowing the bladder to heal naturally; slower progress would likely fail.
[Qiaoting] Postpartum urinary incontinence with slight facial edema and mild afternoon fever indicates bladder injury by the midwife.
Prescription: Huangqi (Astragalus), Danggui weishi (Angelica Sinensis root and tail), Shaoyao (Peony Root, each 1.5 qian), Baizhu (Atractylodes Macrocephala Rhizome, 1 qian), Renshen (Ginseng), Chenpi (Tangerine Peel, each 0.5 qian), Gancao (Licorice Root, roasted, a little).
Preparation and Administration: Decoct in water, take hot.
[Xue] If the aforementioned condition is due to Spleen and Lung Yang deficiency, use Buzhong Yiqi Tang. 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 Baweidi huang Wan (Eight-Ingredient Pill with Cinnamon and Aconite). A postpartum patient had urinary incontinence for two years without cure, with complexion alternating between cyanotic-red and yellow-white, indicating Liver and Spleen Qi deficiency with Blood heat. She improved gradually using Jiawei Xiaoyao San as the main formula, assisted by Liuwadihuang Wan, achieving recovery. Later, due to anger, she experienced spontaneous urinary leakage, loose stools, sudden tightness in the left eye, and flushed complexion. She again used the former formula, assisted by Liujunzi Tang (Six Gentlemen Decoction), to clear Liver fire, generate Liver Blood, and fortify Spleen Earth, resulting in a cure.
*Guangji Fang*: Treats postpartum urinary incontinence.
Chicken tail feathers carbonized to preserve efficacy, taken with wine, one bi per dose, three times daily.
*Qianjin Fang*: Treats postpartum enuresis with unawareness of urination.
Baiwei (Cynanchum Atratum Root), Shaoyao (Peony Root, equal parts).
Preparation and Administration: Grind into powder, take with wine, one fangcun bi per dose, three times daily.
Another Formula:
Sangpiaoxiao (Mantis Egg-case, half liang, stir-fried), Longgu (Fossilized Bones, 1 liang).
Preparation and Administration: Grind into powder, take 2 qian with millet porridge drink before meals.
Guopao San: Treats women who injure their bladder during childbirth, causing rupture and urinary incontinence.
Ingredients: Yellow silk fabric (natural yellow, not dyed; 3 chi, boiled thoroughly in charcoal ash lye, washed clean with clear water, then mixed with Banliang Huangla (Yellow Beeswax), 1 liang Honey, 2 qian Baimaogen (Imperata Rhizome), 2 qian Mapibo powder).
Preparation and Administration: Boil in 2 sheng of water until reduced to 1 zhen, take all at once on an empty stomach. While taking, hold breath and do not make sound; if sound is made, it is ineffective.
Buyi Bupao Yin: Treats postpartum bladder injury and rupture, inability to urinate for a whole day, only wetting without voiding.
Ingredients: Raw silk fabric (yellow, 1 chi), Bai Mudan Genpimu (Tree Peony Root Bark), Baiji (Bletilla Rhizome, each 1 qian).
Preparation and Administration: Boil in 1 bowl of water until the silk dissolves like syrup, take while warm. Do not make sound; if sound is made, it is ineffective.
Jineijin San: Treats postpartum bed-wetting and incontinence.
Take one chicken gizzard (Jineijin), including the intestine, wash, roast into powder, take with wine, one fangcun bi per dose.