常见尿胞因收生者不谨，以致破损而得淋沥病，遂为废疾。一日有徐姓妇，壮年得此。因思肌肉破伤，在外者且可
补完，胞虽在腹，恐亦可治。遂诊其脉，虚甚。曰∶难产之由，多是气虚，难产之后血气尤虚，试与峻补，因以参、术
为君，芎、归为臣，桃仁、陈皮、黄 、茯苓为佐，而煎以猪羊胞中汤，极饥时饮之，但剂率用一两，至一月而安。盖
是气血骤长，其胞自完。恐稍迟缓，亦难成功。
转胞病，胎妇之禀受弱者，忧闷多者，性躁急者，食味浓者，大率有之。古方皆用滑利疏导药，鲜有应效。因思胞
为胎所堕，展在一边，胞系了戾不通者，胎若举起，悬在中央，胞系得疏，水道自行，然胎之坠下，必有其由。一日吴
宅宠人患此，脉之两手似涩，重取则弦，然左手稍和。余曰∶此得之忧患，涩为血少气多，弦为有饮，血少则胞弱而不
能自举，气多有饮，中焦不清而溢，则胞之所避而就下故坠。遂以四物汤加参、术、半夏、陈皮、生甘草、生姜，空心
饮，随以指探喉中，吐出药汁。俟少顷气定，又与一帖。次早亦然。如是与八帖而安。此法未为的确，恐偶中耳！后又
历用数人亦效。未知果如何耶？仲景云∶妇人本肥盛且举自满，全羸瘦且举空减，胞系了戾，亦致胞转。其义未详，必
有能知之者。
常见尿胞因接生者不谨慎，以致破损而引发淋沥病（小便淋漓不尽），从而成为废疾。有一天有一位姓徐的妇人，正值壮年得了此病。我想肌肉在外受伤尚且可以修补愈合，尿胞虽然在腹部内，恐怕也可以治疗。于是诊察她的脉象，非常虚弱。我说：难产的原因，多是气虚所致，难产之后血气更加虚弱，试着给予峻补，以人参、白术为君药，川芎、当归为臣药，桃仁、陈皮、黄芪、茯苓为佐药，并用猪羊尿胞煎煮成的汤剂，在极度饥饿时服用，每剂用量为一两，一个月后病情安定。这是因为气血迅速增长，尿胞自然修复。如果稍显迟缓，也难以成功。
转胞病（妊娠期间小便不通，脐下急痛），体弱禀赋不足的孕妇，忧愁郁闷多的，性情急躁的，饮食口味浓重的，大率多有此病。古方都用滑利疏导的药物，很少有见效的。我想尿胞被胎儿压迫，偏向一侧，胞系扭曲不通，如果将胎儿举起，悬在中央，胞系得以舒展，水道自然通畅。然而胎儿下坠，必有其原因。有一天吴宅的宠妾患此病，诊察两手脉象似乎涩滞，重按则弦，但左手脉稍和缓。我说：这是因忧患所致，涩脉主血少气多，弦脉主有饮邪，血少则尿胞虚弱而不能自行举起，气多且有饮邪，中焦不清而溢满，导致尿胞躲避而向下坠落。于是用四物汤加人参、白术、半夏、陈皮、生甘草、生姜，空腹服用，随即用手指探喉催吐，吐出药汁。等片刻气息平稳，再给一帖。第二天早晨也如此。像这样连续服用八帖后病情安定。这种方法未必确切，恐怕是偶然中的吧！后来陆续用于数人也都有效。不知道究竟如何呢？张仲景说：妇人原本肥胖且举之自觉胀满，完全消瘦且举之自觉空虚，胞系扭曲，也会导致转胞。其中的道理不详，一定有能知道的人。
It is common for the bladder to be damaged due to the carelessness of midwives, leading to a condition of dribbling urine (incomplete emptying of the bladder), which becomes a disability. One day, a middle-aged woman surnamed Xu suffered from this. I reasoned that if external muscle injuries can be repaired and healed, the bladder, although located within the abdomen, might also be treatable. Upon examining her pulse, it was found to be extremely deficient. I said, "The cause of difficult labor is mostly Qi deficiency; after difficult labor, both Blood and Qi are even more deficient. Let us try a vigorous tonification." The prescription used Ren Shen (Ginseng Radix) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) as Sovereign herbs, Xiong Gui (Ligusticum Chuanxiong Rhizome and Angelicae Sinensis Radix) as Minister herbs, Tao Ren (Persicae Semen), Chen Pi (Citri Reticulatae Pericarpium), Huang Qi (Astragali Radix), and Fu Ling (Poria) as Assistant herbs. It was decocted with broth made from pig or sheep bladders and administered when the patient was extremely hungry. Each dose was one liang. After one month, she recovered. This was because the sudden growth of Qi and Blood allowed the bladder to heal itself. If treatment were delayed slightly, success would be difficult to achieve.
Zhuan Bao disease (obstruction of urination during pregnancy with urgency and pain in the umbilical region) occurs frequently in pregnant women who have weak constitutions, those who are prone to worry and depression, those with irritable temperaments, and those who consume rich-flavored foods. Ancient prescriptions all used slippery and draining medications, but few were effective. I reasoned that the bladder is displaced by the fetus to one side, causing the bladder ligaments to twist and obstruct flow. If the fetus could be lifted and suspended centrally, the bladder ligaments would relax, and urinary flow would resume naturally. However, there must be a reason for the fetus descending. One day, a favored concubine in the Wu household suffered from this. Her pulses on both hands seemed choppy (Se); upon heavy pressure, they were wiry (Xian), though the left hand was slightly harmonious. I said, "This resulted from worry and distress. A choppy pulse indicates deficient Blood and excess Qi; a wiry pulse indicates fluid retention. Deficient Blood makes the bladder weak and unable to lift itself; excess Qi with fluid retention causes turbidity in the Middle Jiao and overflow, forcing the bladder downward." Therefore, Si Wu Tang (Four Substances Decoction) was modified with Ren Shen, Bai Zhu, Ban Xia (Pinelliae Tuber), Chen Pi, Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), and Sheng Jiang (Zingiberis Rhizoma Recens). It was taken on an empty stomach, followed immediately by inducing vomiting by probing the throat to expel the medicinal juice. After a short while, once the Qi settled, another dose was given. The next morning, the same procedure was repeated. After eight doses in this manner, she recovered. This method may not be definitive, perhaps merely a lucky hit! Later, it was successfully applied to several other cases. I wonder what the truth is? Zhang Zhongjing stated: "Women who are originally obese feel fullness when the abdomen is lifted; those who are emaciated feel emptiness when lifted. Twisting of the bladder ligaments also leads to Zhuan Bao." The meaning here is unclear; there must be someone who knows it.