〔大〕妊娠小便淋者，乃肾与膀胱虚热不能制水。然妊妇胞系于肾，肾间虚热而成
斯证，甚者心烦闷乱，名曰子淋也。
〔薛〕前证若颈项筋挛，语涩痰甚，用羚羊角散。（身体痛。）若小便涩少淋沥，用安荣
散。若肝经湿热，用龙胆泻肝汤。（前阴诸疾。）若肝经虚热，用加味逍遥散。腿足转筋而小便
不利，急用八味丸，缓则不救。若服燥剂而小便频数或不利，用生地黄、茯苓、牛膝、黄
柏、知母、芎、归、甘草。若频数而色黄，用四物加黄柏、知母、五味、麦门、玄参。若
肺气虚而短少，用补中益气加山药、麦门。若阴挺痿痹而频数，用地黄丸。若热结膀胱而
不利，用五淋散。（淋。）若脾肺燥不能化生，宜黄芩清肺饮。（淋。）若膀胱阴虚，阳无所生，用
滋肾丸。（淋）。若膀胱阳虚，阴无所化，用肾气丸。一妇人每怒发热胁胀，小便淋涩，如遇经
行，旬余未已。受胎三月，因怒前证复作。朝用加味逍遥散，夕用安胎饮各二剂而安。五
月又怒，复下血如经行，四日未止，仍用前药而愈。一妊娠饮食后因恼怒，寒热呕吐，
头痛恶寒，胸腹胀痛，大便不实，其面青色，小便频数，时或有血，服安胎止血之剂益甚。
余曰∶寒热呕吐而腹胀，此肝木克脾土而元气伤也。大便不实而面青，此饮食伤脾，兼
肝侮土也。小便频数而有血，此肝热传胞而兼挺痿也。用六君子加枳壳、紫苏、山栀二
剂，脾胃顿醒。又用加味逍遥散加紫苏、枳壳二剂，小便顿清。后节饮食调理而安。
地肤大黄汤 （《外台》）疗妊娠子淋宜下。
川大黄 地肤草（各三两） 知母 黄芩 猪苓 赤芍药 通草 川升麻 枳实
甘草（各二两）
上 咀，每服四钱，水一盏，煎七分，去滓温服。
疗妊娠患淋，小便涩不利，小腹水道热痛。
冬葵子（一升） 芍药（二两） 黄芩 赤茯苓 车前子（各三两）
上 咀，以水七升，煎至二升，温分三服。
疗妊娠数月，小便淋沥、疼痛，心烦闷乱，不思饮食。
瞿麦穗 赤茯苓 桑白皮 木通 葵子（各一两） 黄芩 芍药 枳壳 车前子（各半两）
上为粗末，每服四钱，水一盏，煎至六分，温服。
安荣散 治妊娠小便涩少，遂成淋沥。
麦门冬（去心） 通草 滑石 人参 细辛（各二钱） 当归（去芦，酒浸） 灯草 甘草（各半钱）
上为细末，每服二钱，不拘时，麦门煎汤调服。
大腹皮散 治妊娠大小便赤涩。
大腹皮 枳壳（去白，麸炒） 甘草（炙，各一钱） 赤茯苓（去皮，三钱）
上为细末，每服二钱，不拘时，浓煎葱白汤调下。
《经心录》疗妊娠患子淋，小便数，出少或热疼痛，及子烦。
地肤子（三两）
上细切，水四升，煮取二升半，去滓分三服，日三服。
《补遗》治胎前诸般淋沥，小便不通。
槟榔 赤芍药（各等分）
上锉，每服五钱，水煎温服，甚效。
猪苓散 疗妊娠子淋，小便涩痛。（方见前大小便不通。）
【大】妊娠期间出现小便淋沥不畅的症状，是由于肾与膀胱的虚热无法制约水液所致。然而孕妇的胞宫系连于肾，肾间产生虚热而形成了这种证候，严重的会出现心烦意乱、胸闷不安，这种病症被称为“子淋”。
【薛】上述证候如果伴有颈项部筋脉拘挛、言语涩滞且痰多，应使用羚羊角散。（适用于身体疼痛的情况。）如果小便涩滞量少、淋沥不尽，应使用安荣散。如果是肝经湿热，应使用龙胆泻肝汤。（适用于前阴各种疾病。）如果是肝经虚热，应使用加味逍遥散。如果出现腿足转筋且小便不利，必须紧急使用八味丸，若拖延则无法救治。如果服用燥热性质的药物后导致小便频数或不通利，应使用生地黄、茯苓、牛膝、黄柏、知母、川芎、当归、甘草。如果小便频数且颜色发黄，应在四物汤基础上加入黄柏、知母、五味子、麦门冬、玄参。如果是肺气虚弱导致尿量短少，应使用补中益气汤并加入山药、麦门冬。如果是子宫下垂（阴挺）及痿痹且尿频，应使用地黄丸。如果是热邪结聚膀胱导致小便不利，应使用五淋散。（适用于淋证。）如果是脾肺燥热不能化生津液，适宜使用黄芩清肺饮。（适用于淋证。）如果是膀胱阴虚，阳气无所生化，应使用滋肾丸。（适用于淋证。）如果是膀胱阳虚，阴液无所化生，应使用肾气丸。有一位妇人每次发怒时就会发热、胁肋胀满、小便淋沥涩痛，每当月经来潮时，症状持续十几天不止。怀孕三个月时，因发怒导致前述症状复发。早晨服用加味逍遥散，晚上服用安胎饮，各两剂后病情安定。到了五月再次发怒，又出现阴道出血如月经般，持续四天未止，仍然使用前药而痊愈。还有一位孕妇在饮食后因恼怒，出现寒热交替、呕吐、头痛、恶寒、胸腹胀痛、大便不成形，面色发青，小便频数，偶尔带血，服用安胎止血的药物后病情反而加重。我说：寒热呕吐且腹胀，这是肝木克制脾土导致元气受损。大便不成形且面色发青，这是饮食损伤脾脏，兼有肝气侮犯脾土。小便频数且有血，这是肝热传变至胞宫且兼有阴挺痿痹。于是使用六君子汤加入枳壳、紫苏、山栀，两剂后脾胃功能顿时恢复清醒。接着使用加味逍遥散加入紫苏、枳壳，两剂后小便顿时清澈。后来通过节制饮食进行调理而安定。
地肤大黄汤（出自《外台秘要》）治疗妊娠期子淋，适宜采用通下法。
川大黄、地肤草（各三两）、知母、黄芩、猪苓、赤芍药、通草、川升麻、枳实、甘草（各二两）。
以上药材切碎，每次服用四钱，用水一盏，煎煮至七分，去渣温服。
治疗妊娠期患淋证，小便涩滞不利，小腹水道处热痛。
冬葵子（一升）、芍药（二两）、黄芩、赤茯苓、车前子（各三两）。
以上药材切碎，用水七升，煎煮至二升，分三次温服。
治疗妊娠数月，小便淋沥、疼痛，心烦意乱，不思饮食。
瞿麦穗、赤茯苓、桑白皮、木通、葵子（各一两）、黄芩、芍药、枳壳、车前子（各半两）。
以上药材制成粗末，每次服用四钱，用水一盏，煎煮至六分，温服。
安荣散 治疗妊娠小便涩滞量少，逐渐形成淋沥不尽。
麦门冬（去心）、通草、滑石、人参、细辛（各二钱）、当归（去芦头，酒浸）、灯草、甘草（各半钱）。
以上药材研为细末，每次服用二钱，不限时间，用麦门冬煎汤调服。
大腹皮散 治疗妊娠大小便赤涩。
大腹皮、枳壳（去白瓤，麸炒）、甘草（炙，各一钱）、赤茯苓（去皮，三钱）。
以上药材研为细末，每次服用二钱，不限时间，用浓煎的葱白汤送服。
《经心录》治疗妊娠期患子淋，小便频数，排出量少或有热痛感，以及子烦。
地肤子（三两）。
以上药材细切，用水四升，煮取二升半，去渣分三次服用，每日三次。
[Da] During pregnancy, if dysuria (dysuria) occurs, it is caused by deficiency-heat in the Kidney and Bladder failing to control water metabolism. However, since the uterus (uterus) is connected to the Kidney in pregnant women, deficiency-heat arising from the Kidney leads to this syndrome. In severe cases, it manifests as mental restlessness and chest oppression, a condition named Zi Lin (submarine strangury).
[Xue] For the aforementioned syndrome, if accompanied by spasms of the neck tendons, slurred speech, and excessive phlegm, Lingyang Jiao San (Antelope Horn Decoction) should be used. (Applicable for body pain.) If urine is scanty,涩滞 (astringent/stagnant), and dribbling, An Rong San (Anrong Powder) should be used. If it is damp-heat in the Liver channel, Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction) should be used. (Applicable for various diseases of the external genitalia.) If it is deficiency-heat in the Liver channel, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) should be used. If there are muscle cramps in the legs and feet accompanied by difficult urination, Ba Wei Wan (Eight-Ingredient Pill) must be administered urgently; otherwise, it will be incurable. If dryness-inducing agents were taken leading to frequent or difficult urination, Sheng Di Huang (Rehmanniae Radix), Fu Ling (Poria), Niu Xi (Achyranthis Bidentatae Radix), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Gan Cao (Glycyrrhizae Radix et Rhizoma) should be used. If urination is frequent with yellow color, Si Wu Tang (Four Substances Decoction) with added Huang Bo, Zhi Mu, Wu Wei Zi (Schisandrae Chinensis Fructus), Mai Men Dong (Ophiopogonis Tuber), and Xuan Shen (Scrophulariae Radix) should be used. If Qi deficiency of the Lung leads to shortness of urine volume, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with added Shan Yao (Dioscoreae Rhizoma) and Mai Men Dong should be used. If uterine prolapse (Yin Ting) and flaccid paralysis accompany frequent urination, Di Huang Wan (Rehmannia Pill) should be used. If heat accumulation in the Bladder causes difficult urination, Wu Lin San (Five Stranguries Powder) should be used. (Applicable for strangury.) If dryness of the Spleen and Lung prevents transformation and generation, Huang Qin Qing Fei Yin (Scutellaria Lung-Clearing Decoction) is suitable. (Applicable for strangury.) If Bladder Yin deficiency results in Yang having no source for generation, Zi Shen Wan (Nourish Kidney Pill) should be used. (Applicable for strangury.) If Bladder Yang deficiency results in Yin having no source for transformation, Shen Qi Wan (Kidney Qi Pill) should be used. One woman experienced fever and flank distension upon every anger, with dribbling and astringent urination. When menstruation occurred, symptoms persisted for over ten days. At three months of pregnancy, due to anger, previous symptoms recurred. She took Jia Wei Xiao Yao San in the morning and An Tai Yin (Fetus-Calming Decoction) in the evening, two doses each, which stabilized the condition. In the fifth month, anger again triggered vaginal bleeding resembling menstruation, lasting four days. The same medicines were used again, resulting in recovery. Another pregnant woman, after eating and becoming angry, experienced alternating chills and fever, vomiting, headache, aversion to cold, chest and abdominal distension and pain, loose stools, and a bluish complexion. Urination was frequent, occasionally bloody. Medicines for calming the fetus and stopping bleeding worsened the condition. I said: Chills, fever, vomiting, and abdominal distension indicate Liver Wood overacting on Spleen Earth, damaging Yuan Qi (Original Qi). Loose stools and bluish complexion indicate dietary injury to the Spleen, compounded by Liver Qi insulting Spleen Earth. Frequent urination with blood indicates Liver Heat transmitting to the Uterus, accompanied by Yin Ting and flaccid paralysis. Six Jun Zi Tang (Six Gentlemen Decoction) with Zhi Ke (Aurantii Fructus), Zi Su (Perillae Folium), and Shan Zhi (Gardeniae Fructus) was used for two doses, restoring Spleen and Stomach function. Then, Jia Wei Xiao Yao San with Zi Su and Zhi Ke was used for two doses, clearing the urine immediately. Later, regulation of diet led to stability.
Di Fu Da Huang Tang (Kochia and Rhubarb Decoction) [from Waitai Mi Yao] treats pregnancy Zi Lin, suitable for purgation.
Chuan Da Huang (Rhei Radix et Rhizoma), Di Fu Cao (Kochiae Herba) (each 3 liang), Zhi Mu, Huang Qin (Scutellariae Radix), Zhu Ling, Chi Shao Yao (Paeoniae Radix Rubra), Tong Cao (Tetrapanacis Medulla), Chuan Sheng Ma (Bupleuri Radix), Zhi Shi (Aurantii Fructus Immaturus), Gan Cao (2 liang each).
All ingredients are cut into pieces. Take 4 qian per dose, add 1 sheng of water, decoct to 0.7 sheng, remove dregs, and take warm.
Treats pregnancy strangury with astringent and difficult urination, and hot pain in the lower abdomen urinary tract.
Dong Kui Zi (Abutilonis Semen), Shao Yao (2 liang), Huang Qin, Chi Fu Ling (Poria cum Rosa), Che Qian Zi (Plantaginis Semen) (each 3 liang).
All ingredients are cut into pieces. Add 7 sheng of water, decoct to 2 sheng, divide into three warm doses.
Treats pregnancy for several months with dribbling, painful urination, mental restlessness, and loss of appetite.
Qu Mai (Dianthi Herba), Chi Fu Ling, Sang Bai Pi (Mori Cortex), Mu Tong (Akebiae Caulis), Kui Zi (Abutilonis Semen) (each 1 liang), Huang Qin, Shao Yao, Zhi Ke, Che Qian Zi (each 0.5 liang).
All ingredients are made into coarse powder. Take 4 qian per dose, add 1 sheng of water, decoct to 0.6 sheng, take warm.
An Rong San (Anrong Powder) Treats pregnancy with astringent and scanty urination, gradually forming dribbling.
Mai Men Dong (Ophiopogonis Tuber, heart removed), Tong Cao, Hua Shi (Talcum), Ren Shen (Ginseng Radix et Rhizoma), Xi Xin (Asari Radix et Rhizoma) (each 2 qian), Dang Gui (Angelicae Sinensis Radix, radix removed, wine-soaked), Deng Cao (Junci Medulla), Gan Cao (each 0.5 qian).
All ingredients are ground into fine powder. Take 2 qian per dose at any time, mixed with Mai Men Dong decoction.
Da Fu Pi San (Arecae Pericarpium Powder) Treats pregnancy with red and astringent urination and defecation.
Da Fu Pi (Arecae Pericarpium), Zhi Ke (Aurantii Fructus, white pith removed, bran-fried), Gan Cao (roasted, each 1 qian), Chi Fu Ling (Poria, peel removed, 3 qian).
All ingredients are ground into fine powder. Take 2 qian per dose at any time, taken with strong Scallion White Decoction.
Jing Xin Lu treats pregnancy Zi Lin with frequent urination, small amount or hot/painful discharge, and Zi Fan (pregnancy irritability).
Di Fu Zi (Kochiae Fructus) (3 liang).
All ingredients are finely cut. Add 4 sheng of water, boil to obtain 2.5 sheng, remove dregs, divide into three doses, taken three times daily.
Bu Yi treats various types of dribbling before delivery and urinary obstruction.
Bing Lang (Arecae Semen), Chi Shao Yao (each equal parts).
All ingredients are chopped. Take 5 qian per dose, decoct in water and take warm, very effective.
Zhu Ling San (Polyporus Powder) Treats pregnancy Zi Lin with astringent and painful urination. (Formula see previous section on urinary and fecal obstruction.)