形体劳苦。或过食炒炙等物。小便中带血。宜清膀胱。
(〔吴按〕小水带血。频数而痛。为血淋。小水清长。带血不痛。为虚火。)
当归(二钱) 白芍 柴胡(各一钱) 茯苓 丹皮 山栀(各七分) 白术(一钱五分) 炙草(
四分)
孕妇遗尿。有虚与热之分。医者当审其因。如系脬中有热。用加味逍遥散。系脾肺气虚。用
补中益气汤。加益智。系肝肾阴虚。宜六味丸。
如孕遗尿。
白薇 白芍(等分) 为末。米饮送下。空心服。
遗尿不知而出。
桑螵蛸(七个) 炒黄。研为细末。空心米饮下二钱。
孕妇六个月以后。觉胎坠。一边小水不通。其症有因火。有气虚。有痰滞。有血虚。
两寸脉弦急。或两尺弦急有力。兼口干心烦等火症者。属热。宜用冬葵子。滑石。栀子。木
通。条芩。白术。以清之。外以冬葵子。滑石。栀子为末。以田螺研成膏。或生葱捣膏贴脐
上。立通。
(〔吴按〕譬如水壶。若贮水太满。则倾之不出。去其上盖。其嘴即通。亦此理也。)
右三部微弱无力。或气口虚大。兼倦怠不食者。属气虚。以补中益气汤。服下探吐。以提其
气。
左脉不足。或涩而数。兼夜热心烦。或大肠闭者属血虚。宜四物汤。加黄芩。知母。黄柏。
调益元散服。
肉桂（一两五钱）、黄柏（三两）、知母（二两），共同研磨成粉末，制成丸剂。
身体过度劳累辛苦，或者过量食用炒制、炙烤等燥热食物，导致小便中带血，应当清利膀胱湿热。
（〔吴谦按〕：小便中带血，且尿频、尿急、尿痛，称为血淋；若小便清澈量多，带血但不疼痛，属于虚火。）
当归（二钱）、白芍、柴胡（各一钱）、茯苓、丹皮、山栀（各七分）、白术（一钱五分）、炙甘草（四分）。
孕妇出现遗尿症状，有虚证与热证的区别，医生应当仔细审察病因。如果是胞宫（膀胱）中有热，使用加味逍遥散；如果是脾肺之气虚弱，使用补中益气汤，并加入益智仁；如果是肝肾阴虚，适宜服用六味地黄丸。
如孕妇遗尿，
白薇、白芍（等量），研为粉末，用米汤送服，空腹服用。
遗尿时不知觉而流出，
桑螵蛸（七个），炒至黄色，研磨成细末，空腹时用米汤送服二钱。
孕妇怀孕六个月以后，感觉胎气下坠，一侧小便不通畅，其病症原因可能有因火邪、气虚、痰湿阻滞、血虚几种情况。如果两手寸脉弦紧急促，或两手尺脉弦紧有力，兼有口干、心烦等火热症状的，属于热证，适宜使用冬葵子、滑石、栀子、木通、条芩（黄芩）、白术，以清热利湿；外用冬葵子、滑石、栀子研为粉末，用田螺捣烂成膏，或用生葱捣烂成膏，贴敷于脐上，小便立即通畅。
（〔吴谦按〕：这就好比水壶，如果装水太满，则倒不出来；去掉上面的盖子，壶嘴的水就流出来了，也是这个道理。）
如果右手关脉、左手关脉及尺脉微弱无力，或者人迎脉（气口）虚大，兼有疲倦乏力、食欲不振的症状，属于气虚，使用补中益气汤，服药后通过探吐的方法，以提升下陷之气。
如果左脉不足，或者脉象涩而数，兼有夜间发热、心烦，或者大便闭结的，属于血虚，适宜使用四物汤，加入黄芩、知母、黄柏，调和益元散服用。
Cinnamon Twig (Rougui, 1.5 liang), Phellodendri Cortex (Huangbai, 3 liang), Anemarrhenae Rhizoma (Zhimu, 2 liang). Grind together into powder and make into pills.
Physical overexertion or excessive consumption of fried and roasted foods may cause blood in the urine. The Bladder should be cleared [of heat].
([Wu's Note]: Blood in the urine accompanied by frequency, urgency, and pain is termed Bloody Lin Syndrome (Xuelin). Clear urine with blood but no pain indicates Deficient Fire.)
Angelicae Sinensis Radix (Danggui, 2 qian), White Peony Root (Baishao), Bupleuri Radix (Chaihu, each 1 qian), Poria (Fuling), Moutan Cortex (Danpi), Gardeniae Fructus (Shanzhi, each 7 fen), Atractylodis Macrocephalae Rhizoma (Baizhu, 1.5 qian), Prepared Licorice Root (Zhigancao, 4 fen).
Enuresis during pregnancy can be distinguished as either Deficiency or Heat patterns. Physicians must examine the etiology. If there is heat in the Paohuang (Bladder/Uterus), use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If it is Spleen and Lung Qi Deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Yi Zhi Ren (Alpinia Oxyphylla Fruit). If it is Liver and Kidney Yin Deficiency, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is appropriate.
For enuresis during pregnancy:
Baiwei (Cynanchum Atratum Root), Baishao (White Peony Root) in equal parts. Grind into powder and take with rice water on an empty stomach.
For enuresis occurring without awareness:
Sangpiaoxiao (Mantis Egg Case, 7 pieces). Stir-fry until yellow, grind into fine powder. Take 2 qian with rice water on an empty stomach.
After the sixth month of pregnancy, if the woman feels a sensation of fetal descent and experiences unilateral urinary retention, the causes may include Fire, Qi Deficiency, Phlegm Stagnation, or Blood Deficiency. If both Cun pulses are wiry and rapid, or both Chi pulses are wiry and forceful, accompanied by dry mouth and irritability (Heat symptoms), it belongs to the Heat pattern. Use Dongkuizi (Abelmoschus Manihot Seed), Huashi (Talcum), Zhizi (Gardeniae Fructus), Mutong (Akebiae Caulis), Tiaoqin (Scutellariae Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) to clear the heat. Externally, grind Dongkuizi, Huashi, and Zhizi into powder, mix with paste made from fresh snails or raw green onion, and apply to the umbilicus for immediate relief.
([Wu's Note]: This is like a teapot; if filled too full, pouring is difficult. Removing the lid allows flow, illustrating this principle.)
If the three positions (Cun, Guan, Chi) are weak and powerless, or the Qi Kou pulse is large and deficient, accompanied by fatigue and poor appetite, it belongs to Qi Deficiency. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) followed by induced vomiting to lift the sinking Qi.
If the Left pulse is insufficient, or choppy and rapid, accompanied by night fever, irritability, or constipation, it belongs to Blood Deficiency. Use Siwu Tang (Four Substance Decoction) with Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), and Huangbai (Phellodendri Cortex), taken with Heyuan San (Benefit the Origin Powder).