论曰肾主水。入胞为小便,肾气和平,乃能约制,溲出以时,若妊娠肾虚胞冷,不能约
制,故小便利下而多也,其证令人背项憎风。少腹急痛,治法当加以扶养胎气之剂。
治妊娠小便滑数。桑螵蛸汤方
桑螵蛸(炒) 人参(各一两) 鹿茸(去毛酥炙) 黄 (锉各二两) 牡蛎粉(一
两半) 甘草
上六味,粗捣筛,每服三钱匕,水一盏,生姜一枣大切,枣二枚擘,煎至七分,去滓食
前温服。
治妊娠下焦冷气,少腹疼痛,小便利多。鹿茸丸方
鹿茸(去毛酥炙一两) 白龙骨(烧过三分) 桑螵蛸(炒半两) 牡蛎粉(二两)
上四味,捣罗为末,酒煮面糊和丸。如梧桐子大。每服二十丸,空心食前温汤下。
治妊娠遗尿,鸡 散方
鸡 (十具炙干) 熟干地黄(焙) 当归(焙各半两) 牡蛎粉 黄 (锉各一两)
浓朴
上六味,捣罗为散,每服二钱匕,食前温酒调下。
治妊娠小便无度。白薇散方
白薇 白芍药(各一两)
上二味,捣罗为散,每服一钱匕,食前温酒调下。日三。
治妊娠小便利,日夜无度。菟丝子丸方
菟丝子(酒浸焙干别捣二两) 菖蒲 肉苁蓉(酒浸切焙各一两) 蛇床子(酒浸三日
河水
上七味,捣罗为末,炼蜜和捣三百杵。丸如梧桐子大,每服十丸,空心温酒下。
治妊娠小便利,温气除寒。补下丸方
葫芦巴(酒浸焙) 龙骨(研) 菖蒲(各半两) 远志(去心一两半) 补骨脂(炒)
益智(
上七味,捣罗为细末,炼蜜和丸,如梧桐子大,每服三十丸,空心温酒下。
治妊娠小便利。秦椒丸方
秦椒(去目及闭口炒出汗六两) 香子(炒一两) 黄蜡(四两熬化入地黄汁少许搅
匀)
上三味,捣罗二味为末,熔蜡和丸,如梧桐子大。每服二十丸。空心温酒下。
治妊娠小便利,少腹急痛。艾叶丸方
艾叶(炙) 干姜(生各一两) 浓朴(去粗皮生姜汁炙) 益智(去皮各半两)
上四味捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,米饮下,以饭压之。
治妊娠小便日夜频数。椒菊丸方
蜀椒(去目及合口炒取红二两) 甘菊花 肉苁蓉(酒浸一宿切焙) 菖蒲(各一两) 巴
戟
上八味为细末,酒煮面糊和丸,如梧桐子大,每服二十丸,空心食前温酒下。
治妊娠小便不禁,脐腹疼痛。熟干地黄丸方
熟干地黄(焙) 巴戟天(去心) 肉苁蓉(酒浸一宿切焙) 五味子 山茱萸(醋浸
一宿炒)
菟丝子(酒
上一十三味为细末,炼蜜和丸,如梧桐子大,每服十五丸,食前温酒下。
论述说:肾主司水液代谢。水液进入膀胱成为小便,肾气平和协调,才能制约尿液的排泄,使排尿有节制、按时而出。如果妊娠期间肾虚且胞宫寒冷,不能制约尿液,所以小便频多而下泄,其症状表现为背部和项部怕风,少腹部拘急疼痛。治疗法则应当加入扶养胎气的方剂。
治疗妊娠期间小便滑脱失禁、次数频繁。桑螵蛸汤方:
桑螵蛸(炒制)、人参(各一两);鹿茸(去毛,用酥油炙烤);黄芪(锉碎,各二两);牡蛎粉(一两半);甘草。
以上六味药,粗捣筛过,每次服用三钱匕,用水一盏,生姜一大块切得极薄,大枣两枚掰开,煎煮至七分满,滤去药渣,饭前温服。
治疗妊娠期间下焦冷气侵袭,少腹疼痛,小便频多。鹿茸丸方:
鹿茸(去毛,用酥油炙烤,一两);白龙骨(烧制过,三分);桑螵蛸(炒制,半两);牡蛎粉(二两)。
以上四味药,捣碎过罗成粉末,用酒煮面糊调和做成丸药。大小如梧桐子。每次服用二十丸,空腹、饭前用温水送服。
治疗妊娠遗尿。鸡内金散方:
鸡内金(十具,炙干);熟干地黄(焙干);当归(焙干,各半两);牡蛎粉;黄芪(锉碎,各一两);厚朴。
以上六味药,捣碎过罗成散剂,每次服用二钱匕,饭前用温酒调服。
治疗妊娠小便无节制。白薇散方:
白薇;白芍药(各一两)。
以上两味药,捣碎过罗成散剂,每次服用一钱匕,饭前用温酒调服。每日三次。
治疗妊娠小便频多,日夜无度。菟丝子丸方:
菟丝子(酒浸后焙干,另捣,二两);石菖蒲;肉苁蓉(酒浸切片焙干,各一两);蛇床子(酒浸三日,河水……[原文此处似有缺漏,依常规补全语境])。
以上七味药,捣碎过罗成粉末,炼蜜调和并捣击三百下。制成如梧桐子大小的丸药,每次服用十丸,空腹用温酒送服。
治疗妊娠小便频多,温阳除寒。补下丸方:
葫芦巴(酒浸焙干);龙骨(研细);石菖蒲(各半两);远志(去心,一两半);补骨脂(炒制);益智仁([原文此处似有缺漏])。
以上七味药,捣碎过罗成细末,炼蜜调和做成丸药,大小如梧桐子,每次服用三十丸,空腹用温酒送服。
治疗妊娠小便频多。秦椒丸方:
秦椒(去掉目及闭口者,炒制出油,六两);香子(炒制,一两);黄蜡(四两,熬化后加入少许地黄汁搅匀)。
以上三味药,将前两味捣碎过罗成粉末,熔化蜡液调和做成丸药,大小如梧桐子。每次服用二十丸。空腹用温酒送服。
治疗妊娠小便频多,少腹拘急疼痛。艾叶丸方:
艾叶(炙烤);干姜(生用,各一两);厚朴(去掉粗皮,用生姜汁炙烤);益智仁(去皮,各半两)。
以上四味药捣碎过罗成粉末,炼蜜调和做成丸药,大小如梧桐子,每次服用三十丸,用米饮送服,服药后吃饭以压住药力。
治疗妊娠小便日夜频繁。椒菊丸方:
蜀椒(去掉目及合口者,炒制取红色部分,二两);甘菊花;肉苁蓉(酒浸一夜切片焙干);石菖蒲(各一两);巴戟天([原文此处似有缺漏])。
以上八味药为细末,用酒煮面糊调和做成丸药,大小如梧桐子,每次服用二十丸,空腹、饭前用温酒送服。
治疗妊娠小便不禁,脐腹疼痛。熟干地黄丸方:
熟干地黄(焙干);巴戟天(去心);肉苁蓉(酒浸一夜切片焙干);五味子;山茱萸(醋浸一夜炒制);菟丝子(酒[原文此处似有缺漏])。
以上十三味药为细末,炼蜜调和做成丸药,大小如梧桐子,每次服用十五丸,饭前用温酒送服。
Commentary states: The Kidney governs water metabolism. Water enters the Bladder to become urine. When Kidney Qi is harmonious and balanced, it can constrain urinary excretion, allowing urination to occur in a regulated manner and at appropriate times. If during pregnancy there is Kidney deficiency and coldness in the uterus (Bao Gong), leading to an inability to constrain urine, then frequent and excessive urination occurs. The manifestations include aversion to wind in the back and neck, and urgency and pain in the lower abdomen. The treatment principle should involve administering formulas that nourish and support fetal Qi.
For treating frequent and slippery urination during pregnancy: Sangpiaoxiao Tang (Mantispore Decoction) Formula
Sangpiaoxiao (Mantis Egg Case) (stir-fried), Renshen (Ginseng Root) (each 1 liang); Lurong (Deer Antler without Hair) (roasted with butter); Huangqi (Astragalus Root) (cut into small pieces, each 2 liang); Moli Fen (Oyster Shell Powder) (1.5 liang); Gancao (Licorice Root).
The above six herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi (approx. 9-10g), decocted with 1 zhan (approx. 200ml) of water, one large piece of fresh ginger sliced very thinly, and two jujubes (Ziziphus Jujuba) split open. Decoct until reduced to 70% volume, strain, and take warm before meals.
For treating cold qi in the lower jiao causing lower abdominal pain and frequent urination during pregnancy: Lurong Wan (Deer Antler Pill) Formula
Lurong (Deer Antler without Hair) (roasted with butter, 1 liang); Bailonggu (White Dragon Bone/Fossilized Bones) (calcined, 3 fen); Sangpiaoxiao (Mantis Egg Case) (stir-fried, 0.5 liang); Moli Fen (Oyster Shell Powder) (2 liang).
The above four herbs are crushed, sifted into powder, and mixed with a paste made from flour boiled in wine to form pills the size of Sophora seeds (Wutongzi). Each dose is 20 pills, taken warm with water on an empty stomach before meals.
For treating urinary incontinence during pregnancy: Ji Nei Jin San (Chicken Gizzard Lining Powder) Formula
Ji Nei Jin (Chicken Gizzard Lining) (ten units, roasted dry); Shu Dihuang (Prepared Rehmannia Root) (baked); Danggui (Angelica Sinensis Root) (baked, each 0.5 liang); Moli Fen (Oyster Shell Powder); Huangqi (Astragalus Root) (cut into small pieces, each 1 liang); Houpo (Magnolia Bark).
The above six herbs are crushed, sifted into powder. Each dose is 2 qianbi (approx. 6-7g), taken warm with wine before meals.
For treating uncontrolled urination during pregnancy: Baiwei San (Cynanchum Atratum Powder) Formula
Baiwei (Cynanchum Atratum Root); Baishaoyao (White Peony Root) (each 1 liang).
The above two herbs are crushed, sifted into powder. Each dose is 1 qianbi (approx. 3-4g), taken warm with wine before meals. Three times daily.
For treating frequent urination day and night during pregnancy: Tusizi Wan (Dodder Seed Pill) Formula
Tusizi (Dodder Seed) (soaked in wine, baked dry, separately pounded, 2 liang); Changpu (Acorus Tatarinowii Rhizome); Rongshong (Cistanche Stem) (soaked in wine, sliced, baked, each 1 liang); Chuangzi (Cnidium Fruit) (soaked in wine for three days... [text incomplete]); ... (Total seven herbs implied by context or missing text).
The above seven herbs are crushed, sifted into powder, mixed with refined honey, and pounded three hundred times. Form pills the size of Sophora seeds. Each dose is 10 pills, taken warm with wine on an empty stomach.
For treating frequent urination during pregnancy, warming qi and dispelling cold: Buxia Wan (Tonify Lower Pill) Formula
Huluba (Fenugreek Seed) (soaked in wine, baked dry); Longgu (Dragon Bone/Fossilized Bones) (pounded fine); Changpu (Acorus Tatarinowii Rhizome) (each 0.5 liang); Yuanzhi (Polygala Root) (heart removed, 1.5 liang); Buguzhi (Psoralea Fruit) (stir-fried); Yizhi (Alpinia Oxyphylla Fruit) [text incomplete].
The above seven herbs are crushed, sifted into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose is 30 pills, taken warm with wine on an empty stomach.
For treating frequent urination during pregnancy: Qinjiao Wan (Zanthoxylum Bungeanum Pill) Formula
Qinjiao (Zanthoxylum Bungeanum Pericarp) (remove eyes and closed-mouth ones, stir-fry until oil appears, 6 liang); Xiangzi (Nigella Sativa Seed/Anise-like seed) (stir-fried, 1 liang); Huangla (Yellow Beeswax) (4 liang, melted and mixed with a little juice of Dihuang to stir evenly).
The above three ingredients: crush the first two into powder, melt the wax, and mix to form pills the size of Sophora seeds. Each dose is 20 pills, taken warm with wine on an empty stomach.
For treating frequent urination during pregnancy with urgency and pain in the lower abdomen: Aiye Wan (Mugwort Leaf Pill) Formula
Aiye (Mugwort Leaf) (roasted); Jiangjiang (Dried Ginger) (raw, each 1 liang); Houpo (Magnolia Bark) (remove coarse bark, roast with ginger juice); Yizhi (Alpinia Oxyphylla Fruit) (peeled, each 0.5 liang).
The above four herbs are crushed, sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose is 30 pills, taken with rice drink (Mi Yin), followed by eating rice to settle the medicine.
For treating frequent urination day and night during pregnancy: Jiaoju Wan (Sichuan Pepper and Chrysanthemum Pill) Formula
Shujiao (Sichuan Pepper) (remove eyes and closed-mouth ones, stir-fry to obtain red color, 2 liang); Ganjuhua (Chrysanthemum Morifolium Flower); Rongshong (Cistanche Stem) (soaked in wine overnight, sliced, baked); Changpu (Acorus Tatarinowii Rhizome) (each 1 liang); Bajitian (Morinda Officinalis Root) [text incomplete].
The above eight herbs are made into fine powder, mixed with a paste made from flour boiled in wine to form pills the size of Sophora seeds. Each dose is 20 pills, taken warm with wine on an empty stomach before meals.
For treating urinary incontinence during pregnancy with umbilical and abdominal pain: Shu Dihuang Wan (Prepared Rehmannia Pill) Formula
Shu Dihuang (Prepared Rehmannia Root) (baked); Bajitian (Morinda Officinalis Root) (heart removed); Rongshong (Cistanche Stem) (soaked in wine overnight, sliced, baked); Wweizi (Schisandra Berry); Shanzhuyu (Cornus Officinalis Fruit) (soaked in vinegar overnight, stir-fried); Tusizi (Dodder Seed) (wine-soaked [text incomplete]).
The above thirteen herbs are made into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose is 15 pills, taken warm with wine before meals.