(又名转胞)
此症不比淋,淋乃频数,为子淋。不通则点点滴滴,甚至点滴不能下,症重于子淋矣。此胎坠于下胞系被压,
故名转胞。其祸最速,如不急治,即浊污上逆,上吐清水,如关格者,可不危乎。升举胎气,朱丹溪先生用补
中益气
汤,服下随探吐之,大有义理。吾师钟龄先生用茯苓升麻汤,每效如神。古方有用四物汤加黄芩、泽泻,此治
轻者而用也。又张仲景先生治转胞,方用八味汤。乃下焦偶感虚寒,胎气阴冷,密水断流,得暖则阳气宣通矣。
又有一症,为孤阳无阴,不能化气者,宜补其阴,古方滋肾丸是也。吾师用六味汤加车前、牛膝,亦多收功。斯
二症一阴一阳,水火之分,极宜深究,不可错误。当诊其脉之迟数,察其人喜冷喜热,合而辨之,庶不误人。
补中益气汤(见前)四物汤(见前)六味汤(见前)
茯苓升麻汤
白茯苓(五钱) 赤茯苓(五钱) 升麻(一钱五分) 当归(二钱) 川芎(一钱) 苎根(三钱)
急流水煎服。
八味汤(即六味汤加桂附)
熟地(三钱) 萸肉(一钱) 山药(一钱五分) 茯苓(一钱) 泽泻(八分) 麦冬(一钱,代丹皮)
肉桂(三分)
制附子(三分,此二味胎中慎用)
水煎凉服。
滋肾丸
黄柏(一两,炒) 知母(一两,蒸炒) 肉桂(一钱,去净皮研)
蜜丸,开水下五钱。
(Named "Zhuanbao" or Displaced Bladder)
This condition differs from Lin syndrome (strangury), which is characterized by frequent urination and is called Zilin (pregnancy strangury). In contrast, urinary retention presents as dripping drops of urine, or even complete inability to void, making the condition more severe than Zilin. This occurs because the fetus descends and compresses the bladder's mesentery, hence the name Zhuanbao. The danger arises rapidly; if not treated urgently, turbid pathogenic factors may reverse upward, causing vomiting of clear fluid, resembling Guange (obstruction syndrome), which is certainly critical. To elevate the fetal Qi, Mr. Zhu Danxi used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); after administration, inducing vomiting was employed, a method with profound rationale. My teacher, Mr. Zhong Ling, used Fuling Shengma Tang (Poria and Cimicifuga Decoction), achieving miraculous results every time. Ancient formulas include Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix) and Zexie (Alismatis Rhizoma), which is used for mild cases. Additionally, Mr. Zhang Zhongjing treated Zhuanbao using Bawei Tang (Eight-Ingredient Decoction). This addresses situations where the Lower Jiao (Lower Burner) occasionally contracts deficiency-cold, causing the fetal Qi to become Yin-cold, cutting off the flow of water; warmth allows Yang Qi to circulate freely. Another type of condition involves isolated Yang without Yin, failing to transform Qi; in such cases, one should nourish Yin, as done with Zishen Wan (Kidney-Nourishing Pill) from ancient texts. My teacher used Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia) added with Cheqianzi (Plantaginis Semen) and Niuxi (Achyranthis Bidentatae Radix), often achieving success. These two conditions represent Yin and Yang respectively, involving the distinction between Water and Fire, requiring deep investigation to avoid error. One must examine whether the pulse is slow or rapid, observe whether the patient prefers cold or heat, and combine these findings for differentiation to avoid misdiagnosis.
Buzhong Yiqi Tang (see previous section) Siwu Tang (see previous section) Liuwei Tang (see previous section)
Fuling Shengma Tang (Poria and Cimicifuga Decoction)
Baifuling (White Poria, 5 qian) Chifuling (Red Poria, 5 qian) Shengma (Cimicifugae Rhizoma, 1.5 qian) Danggui (Angelicae Sinensis Radix, 2 qian) Chuanxiong (Ligusticum Chuanxiong Rhizoma, 1 qian) Zhugen (Radix Boehmeriae Niveae, 3 qian)
Decoct with rapidly flowing water and take orally.
Bawei Tang (Eight-Ingredient Decoction, i.e., Liuwei Tang added with Rougui and Fuzi)
Shudi (Prepared Rehmanniae Radix, 3 qian) Rourou (Corni Fructus, 1 qian) Shanyao (Dioscoreae Rhizoma, 1.5 qian) Fuling (Poria, 1 qian) Zexie (Alismatis Rhizoma, 0.8 qian) Maidong (Ophiopogonis Radix, 1 qian, substituting Mudanpi)
Rougui (Cinnamomi Cortex, 0.3 qian)
Zhi Fuzi (Prepared Aconiti Lateralis Radix, 0.3 qian; use these two herbs with caution during pregnancy)
Decoct with water and take cool.
Zishen Wan (Kidney-Nourishing Pill)
Huangbai (Phellodendri Cortex, 1 liang, stir-fried) Zhimu (Anemarrhenae Rhizoma, 1 liang, steamed and stir-fried) Rougui (Cinnamomi Cortex, 1 qian, peeled and ground finely)
Form into honey pills, take 5 qian with boiled water.