滑石(六钱) 生甘草(一钱) 共为末。加入前药服。
(〔吴按〕此系六一散。而益元散尚有朱砂也。)
肥盛妇人。右寸脉沉滑。症兼恶心心胀。小水不利。属痰滞。以二陈汤。加青皮。升麻。柴
胡。煎服探吐。使药汁与痰同出。然后用参 大补之。
大抵有孕小水不利。月分浅者当清之。兼保胎。月分多而虚者当补之。兼升提。治分两途。
禀赋弱者。忧闷多食浓味者。庸有之。法用四物。二陈。四君子
汤。去茯苓。煎服探吐。上窍通。下窍自利。(此症汇载甚详。须当合看。)
陆氏谓转胞系脾气下陷。塞住胞户。以致小水不利。非热闭之故。宜用二陈汤。加芎。归。
参．术。煎服探吐。如不通。再服再探吐。以小水已利为度。然后用上药。加升麻十余帖。如
倦
。六味丸宜日服三次。每见治此症。服利小便或通大便药。以致胎堕而殒妇命者。岂不惜哉
(〔吴按〕升麻可暂用以升提。不可多服而受害。)
单氏云。转胞由脾胃气虚。以致胎压尿胞。
白术 生地(各一钱五分) 陈皮(去白) 甘草 柴胡 升麻(各四分) 人参 半夏(各一钱)
川芎(八分) 当归(二钱) 姜(一片)
一方 白萝卜子(炒香) 白汤吞下立通。
一法 空心屡饮盐汤探吐。则气上升。使下通行。亦一治法。
滑石（六钱）与生甘草（一钱），共同研磨成粉末。加入之前的药物中服用。
（〔吴氏按语〕这属于六一散。而益元散中还含有朱砂。）
身体肥胖的妇女，右寸脉象沉滑，症状兼有恶心、心腹胀满，小便不通利，属于痰湿停滞。使用二陈汤，加入青皮、升麻、柴胡，煎煮后服用并探吐，使药汁与痰涎一同吐出。然后用人参等大补之剂进行补益。
大抵怀孕后小便不利，妊娠月份浅的应当清热，同时保护胎元；妊娠月份多且体质虚弱的应当补益，同时提升气机。治疗方法分为两条途径。
先天禀赋虚弱，或忧闷、多食肥厚浓味食物的人，常有此症。治法使用四物汤、二陈汤、四君子汤，去掉茯苓，煎煮后服用并探吐。上窍通畅，下窍自然通利。（此症在医书中记载甚详，应当合参阅读。）
陆氏认为转胞是由于脾气下陷，堵塞胞户，导致小便不利，并非热邪闭塞所致。适宜使用二陈汤，加入川芎、当归、人参、白术，煎煮后服用并探吐。如果仍不通，再服药再探吐，直到小便通利为止。然后用上述药物，加入升麻，连续服用十余帖。如果感到疲倦，六味丸宜每日服用三次。每见治疗此症，服用利尿或通便药物，导致胎堕而危及妇人性命者，难道不可惜吗？
（〔吴氏按语〕升麻可暂时用以升提气机，不可多服以免受害。）
白术、生地（各一钱五分）、陈皮（去白）、甘草、柴胡、升麻（各四分）、人参、半夏（各一钱）、川芎（八分）、当归（二钱）、生姜（一片）。
另一方：白萝卜子（炒香），用白开水吞服，立即通利。
一法：空腹多次饮用盐汤以探吐，则气机上逆，使下部气机通行，这也是一种治疗方法。
Hua Shi (Talcum, 6 qian) and Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian) are ground together into powder. Add to the previously mentioned medicine for administration.
([Wu's Note] This is Liu Yi San (Six-to-One Powder). However, Yi Yuan San also contains Zhu Sha (Cinnabar).)
In obese women, with a deep and slippery pulse at the right Cun position, accompanied by symptoms of nausea, epigastric fullness, and difficult urination, this belongs to Phlegm stagnation. Use Er Chen Tang (Two-Cured Decoction), added with Qing Pi (Aurantii Fructus Pericarpium), Sheng Ma (Cimicifugae Rhizoma), and Chai Hu (Bupleuri Radix), decocted and administered, followed by inducing vomiting to expel both the medicinal juice and phlegm. Subsequently, tonify using Ren Shen (Ginseng Radix et Rhizoma) and other strongly tonifying herbs.
Generally, for difficult urination during pregnancy: if the gestational period is short, clear heat while protecting the fetus; if the gestational period is long and the constitution is deficient, tonify while lifting Qi. The treatment approaches differ in these two aspects.
Those with weak congenital endowment, or those who are prone to depression and consume rich, heavy foods, often suffer from this condition. The method involves Si Wu Tang (Four-Substance Decoction), Er Chen Tang (Two-Cured Decoction), and Si Jun Zi Tang (Four-Gentlemen Decoction), removing Fu Ling (Poria), decocting and administering, followed by inducing vomiting. Once the upper orifices are unblocked, the lower orifices will naturally flow freely. (This condition is recorded in detail in medical compilations; they should be read together.)
Lu Shi stated that Zhuan Bao (Displacement of the Bladder/Uterus causing urinary retention) is caused by Spleen Qi sinking, blocking the bladder opening, leading to difficult urination, not due to Heat closure. It is suitable to use Er Chen Tang (Two-Cured Decoction), added with Xiong Gui (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix et Rhizoma), and Bai Zhu (Atractylodis Macrocephalae Rhizoma), decocted and administered, followed by inducing vomiting. If still obstructed, administer again and induce vomiting again until urination becomes free. Then use the aforementioned medicine, adding Sheng Ma (Cimicifugae Rhizoma), for more than ten doses. If fatigue occurs, Liu Wei Wan (Six-Ingredient Pill with Rehmannia) should be taken three times daily. I have often seen cases where treating this condition with diuretic or laxative medicines resulted in miscarriage and endangered the woman's life; is this not regrettable?
([Wu's Note] Sheng Ma (Cimicifugae Rhizoma) can be used temporarily to lift Qi, but should not be taken in large amounts to avoid harm.)
Dan Shi said that Zhuan Bao (Displacement of the Bladder/Uterus causing urinary retention) is caused by deficiency of Spleen and Stomach Qi, leading to the pressure of the fetus on the bladder.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Sheng Di Huang (Rehmanniae Radix, each 1.5 qian); Chen Pi (Pericarpium Citri Reticulatae, peeled); Gan Cao (Glycyrrhizae Radix et Rhizoma); Chai Hu (Bupleuri Radix); Sheng Ma (Cimicifugae Rhizoma, each 0.4 qian); Ren Shen (Ginseng Radix et Rhizoma); Ban Xia (Pinelliae Rhizoma, each 1 qian); Chuan Xiong (Ligustici Chuanxiong Rhizoma, 0.8 qian); Dang Gui (Angelicae Sinensis Radix, 2 qian); Sheng Jiang (Zingiberis Rhizoma Recens, one slice).
Another prescription: Bai Luo Bo Zi (Brassicae Semipae White Radicis Semen, stir-fried until fragrant), swallowed with plain warm water for immediate relief.
Another method: Drink salt water repeatedly on an empty stomach to induce vomiting, causing Qi to rise and facilitating the passage of Qi below. This is also a treatment method.