夫妇人脬转之病者，由脬转为热所迫。或忍小便，俱令水气迫于脬，屈辟不得充张，外
水应入不得入，内溲应出不得出，内外壅滞，胀满不通，故为脬转。其状少腹急痛，不得小
便。甚者至死，不可治也。
《局方》有八味丸，治妇人脬转不得小便。
治妇人、丈夫脬转，小便数日不通。（《千金翼》）
滑石（一两） 寒水石（二两） 葵子（一合）
上为末，以水准斗，煮取五升。时时服，一升即利。
又方∶乱发（烧灰） 葵子 车前子
上等分为细末，每服二钱，茶汤调下。
治妇人脬转、小便不通。亦可治男子。
裹茶 叶（烧灰，一两） 滑石（研细，半两）
上研停，沸汤调二钱服。
治脬转，小便不通。（出《指迷方》。前同）
石韦（去毛） 车前子
上等分为粗末，每服五钱。水二盏，煎至一盏，去滓服。
治妇人忍小便，不得根据时而起，致令脬转。经四、五日，困笃欲死方。
滑石（二两） 乱发灰（一两）
上研停，取桃白皮一斤熟捣，以水三盏绞取汁。无时温半盏，调二钱服。
又方∶以滑石末，葱汤调下二钱服。
《千金翼》方治妇人不得小便。
杏仁（七粒，去皮尖）
上一味，麸炒黄为细末，水调服，立通。
又方∶紫草为末，井华水调取三指撮，立通。又云∶紫菀皆可用。
若卒暴不通，小腹膨急，气上冲心，闷绝欲死。此由暴气乘并膀胱，或从忧惊，气无所
伸，郁闭而不流，气冲脬系不正。诊其脉，右手涩小，左手急大，宜葱白汤方。
妇女患脬转（膀胱扭转或痉挛导致排尿困难）这一病症，是由于热邪逼迫膀胱所致。或者因为强忍小便，都会导致水气压迫膀胱，使膀胱屈曲收缩而不能充盈扩张，外部的水液应入而不能入，内部的尿液应出而不能出，内外壅滞，胀满不通，所以称为脬转。其症状表现为小腹部急迫疼痛，无法排出小便。严重的甚至会导致死亡，无法救治。
《太平惠民和剂局方》中有八味丸，用于治疗妇女脬转导致的小便不通。
治疗妇女、男子脬转，小便数日不通。（出自《千金翼方》）
滑石（一两） 寒水石（二两） 冬葵子（一合）
以上药物研为细末，用水一斗，煎煮至五升。时时服用，服下一升后即可通利。
又一方：乱发（烧成灰） 冬葵子 车前子
以上药物等分为细末，每次服用二钱，用茶汤调服。
治疗妇女脬转、小便不通。也可以治疗男子。
裹茶叶（烧成灰，一两） 滑石（研细，半两）
以上药物研匀，用沸水调服二钱。
治疗脬转，小便不通。（出自《指迷方》，前文所述病证相同）
石韦（去毛） 车前子
以上药物等分为粗末，每次服用五钱。用水两盏，煎煮至一盏，去渣服用。
治疗妇女强忍小便，不能按时起立排尿，致使膀胱扭转。经过四五天，病情危重欲死的情况。
滑石（二两） 乱发灰（一两）
以上药物研匀，取桃白皮一斤煮熟捣烂，用水三盏绞取汁液。随时温服半盏，调服二钱药末。
《千金翼方》治疗妇女小便不通。
杏仁（七粒，去皮尖）
以上一味药，用麦麸炒黄研为细末，用水调服，立即通畅。
又一方：紫草研为末，用清晨第一次打的井水调取三指撮的量，立即通畅。又说：紫菀也可以使用。
如果突然完全不通，小腹胀满急迫，气向上冲撞心脏，胸闷窒息欲死。这是由于暴烈之气乘袭并聚于膀胱，或者由于忧愁惊恐，气机无处舒展，郁闭而不流动，气冲击膀胱系带使其不正。诊察其脉象，右手脉涩而小，左手脉急而大，适宜使用葱白汤方。
The disease of "Paozhuan" (bladder torsion/spasm leading to urinary retention) in women is caused by heat pathogen forcing the bladder. Or, holding urine forcibly, both lead to water qi pressing upon the bladder, causing it to curl and shrink without being able to fill and expand. External fluids should enter but cannot; internal urine should exit but cannot. Internal and external stagnation causes distension and blockage, hence termed "Paozhuan". Its presentation includes acute pain in the lower abdomen and inability to urinate. Severe cases may lead to death and are incurable.
The *Tai Ping Hui Min He Ji Ju Fang* contains Bawei Wan (Eight-Ingredient Pill with Rehmannia Root), which treats female Paozhuan with urinary retention.
To treat Paozhuan in women and men, where urination has been blocked for several days. (*Qianjin Yi Fang*)
Hua Shi (Talcum, 1 liang) Hanshui Shi (Calcitum, 2 liang) Kuizi (Abelmoschi Fructus, 1 he)
Grind the above into powder. Use one dou of water, decoct until five sheng remain. Take frequently; after consuming one sheng, urination will likely become unobstructed.
Another prescription: Luafa (Calamistrum, burnt to ash) Kuizi (Abelmoschi Fructus) Cheqianzi (Plantaginis Semen)
Grind the above equally into fine powder. Take 2 qian each time, mixed with tea water.
To treat female Paozhuan and urinary obstruction. Also applicable to men.
Guocha Ye (Burnt Tea Leaf, 1 liang) Hua Shi (Talcum, ground fine, 0.5 liang)
Grind uniformly, mix with boiling water, and take 2 qian.
To treat Paozhuan and urinary obstruction. (From *Zhi Mi Fang*. The preceding condition is the same.)
Shiwei (Dewleaf Leycesteria Leaf, de-haired) Cheqianzi (Plantaginis Semen)
Grind equally into coarse powder. Take 5 qian each time. Decoct with two zhan of water until one zhan remains, strain, and take.
To treat women who hold urine forcibly, unable to rise at appropriate times, resulting in bladder torsion. After four or five days, when the condition becomes critical and life-threatening.
Hua Shi (Talcum, 2 liang) Luafa Hui (Calamistrum Ash, 1 liang)
Grind uniformly. Take 1 jin of Taobaipi (Pericarpium Persicae, inner bark), cook thoroughly, pound well, squeeze juice with three zhan of water. Warm half a zhan at any time, mix with 2 qian of powder, and take.
Another prescription: Use Hua Shi powder, taken with scallion soup, 2 qian per dose.
*Qianjin Yi Fang* treats female urinary obstruction.
Xingren (Prunus Armeniaca Seed, 7 grains, skin and tip removed)
Take this single ingredient, stir-fry with bran until yellow, grind into fine powder, mix with water and take; urination will immediately flow freely.
Another prescription: Zicao (Arnebiae Radix seu Rhizoma) ground into powder, taken with Jinghua Shui (first drawn well water), three finger-pinches amount; urination will immediately flow freely. It is also said that Ziwan (Asteris Radix) can be used.
If sudden total obstruction occurs, with lower abdominal distension and urgency, Qi rushing up to strike the heart, causing suffocation and near-death sensation. This is due to violent Qi attacking and accumulating in the Bladder, or arising from sorrow and fright, where Qi has no outlet, becoming depressed and closed without flowing, striking the Paolian (bladder ligament/attachment) causing misalignment. Pulse diagnosis reveals the right hand pulse is choppy and small, while the left hand pulse is rapid and large. Congbai Tang (Scallion Decoction) is indicated.