胎漏，血自人门出；尿血，血从尿门出。因心经有火，移于小肠，渗入膀胱，溺时而下，不溺则不下也。
形体劳而过食燔炙之物。加味逍遥散。（补二十一。）
赤带漏下，如猪肝汁。侧柏丸。（寒十六。）
胞即膀胱，以胎渐长大，下逼于胞，胞为胎逼而侧，故名转胞。有因胎陷而致转胞者，有因气不化水，水蓄胞中，
胎又从而逼之而致转胞者，其候烦闷汗出，气逆奔迫，水道不通，小腹急痛，宜速治之，急则令孕妇仰卧床上，竖起两
足，亦能稍瘥。转胞与子淋相类，但淋则痛而不胀，转胞则胀而不痛，即因胀极而痛，溺孔却不痛也。若淋症则小便点
滴，溺孔痛甚如割。
血气虚弱，胎不能举。补中益气汤加减用之，八珍汤加广皮、木香，亦治此症。（补五、补六。）
脾肺气虚，不能轮泄膀胱。异功散加猪苓、泽泻。（补二十二。）
热气郁结膀胱，以致津液不利。滋肾丸加丹皮、泽泻。（寒十七。）
金为火烁，脾土湿热，致溲便不利。清金利水汤加山栀、钗斛。（寒十八。）
忍尿饱食，房劳气逆，而水不能化，以致转胞。宜治其气，苏香丸。（散十七。）
胎动气逆，上逼心肺，以致气寒不转闷乱喘促，此调养失宜，气血不和也。子悬是胎气不和，此因气血不调，以致
胎动不安也。
胎气上逆。紫苏饮。（散三。）当归芍药汤。（补十。）
肝火内热。加味逍遥散。（补二十一。）
胃火上逆。四物汤去川芎，加山栀、黄芩、甘草。（补七。）
脾气不舒。加味归脾饮。（补三。）
饮食无味。六君子汤。（补一。）
脾胃虚寒。五君子汤。（补十四。）
风邪胜，喘不能卧。参苏饮。（和十三。）
火动其胎，逆上作喘。黄芩、香附，末，用砂仁煎汤下。
肾气不归元，上乘于肺而作喘。生脉散，都气饮，加阿胶。（补二十三、补二十四。）
胎气上逼，热痛下血，以致烦闷困笃。葱二十茎，浓煎饮之，胎死即下，未死即安。
胎漏，是指血液从阴道流出；尿血，是指血液随尿液从尿道排出。这是由于心经有火，火热之邪移热于小肠，渗入膀胱，导致排尿时血液随之而下，不排尿时血液则不下出。
若因形体劳累且过食煎炸烧烤之物所致，可用加味逍遥散治疗。（补二十一。）
赤色带下并伴有漏下，颜色如猪肝汁般，可用侧柏丸治疗。（寒十六。）
胞宫即指膀胱（此处原文语境中“胞”指受胎压迫的器官，通常指膀胱或子宫，结合后文“水道不通”，此处主要指膀胱受压），随着胎儿逐渐长大，向下压迫胞宫，使胞宫位置偏斜，因此称为“转胞”。有的因为胎位下陷而导致转胞，有的因为气机不能化水，水液蓄积在胞中，胎儿又进而压迫它而导致转胞。其症状表现为烦闷、出汗、气逆奔迫、水道不通、小腹急痛，应当迅速治疗。紧急情况下，让孕妇仰卧在床上，将双脚竖起，也能稍微缓解。转胞与子淋症状相似，但子淋是疼痛而不胀满，转胞则是胀满而不疼痛，即使是因为胀满至极而疼痛，尿道口也不疼痛。如果是淋症，则小便点滴而出，尿道口疼痛剧烈如同刀割。
若因气血虚弱，胎元不能上举，可用补中益气汤加减使用，八珍汤加入广皮、木香，也能治疗此症。（补五、补六。）
若因脾肺气虚，不能正常输布和排泄膀胱水液，可用异功散加入猪苓、泽泻。（补二十二。）
若因热气郁结于膀胱，导致津液运行不利，可用滋肾丸加入丹皮、泽泻。（寒十七。）
若因肺金被火邪灼伤，脾土湿热，导致大小便不利，可用清金利水汤加入山栀、钗斛。（寒十八。）
若因忍尿、饱食、房劳导致气机逆乱，水液不能气化，从而引起转胞，应当调理气机，可用苏香丸。（散十七。）
胎动导致气机逆乱，向上逼迫心肺，致使寒气凝滞、气机不畅、胸闷混乱、气喘急促，这是因为调养失宜，气血不和所致。“子悬”是胎气不和，“此症”是因气血不调，导致胎动不安。
针对胎气上逆，可用紫苏饮。（散三。）也可用当归芍药汤。（补十。）
若因胃火上逆，可用四物汤去掉川芎，加入山栀、黄芩、甘草。（补七。）
若因风邪偏胜，气喘不能平卧，可用参苏饮。（和十三。）
若因火邪扰动胎元，气逆上行导致气喘，可将黄芩、香附研为末，用砂仁煎汤送服。
Tai Lou (Fetal Leakage) refers to blood flowing from the vagina; Niao Xue (Hematuria) refers to blood flowing out from the urethra along with urine. This is caused by Fire in the Heart Meridian, which transfers heat to the Small Intestine, infiltrates the Bladder, and causes blood to flow down during urination, but not when urinating does not occur.
If caused by physical exertion and excessive consumption of fried or roasted foods, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) can be used. (Bu 21.)
Chi Dai (Red Leukorrhea) accompanied by leakage, resembling pig liver juice, can be treated with Ce Bai Wan (Cacumen Platycladi Pill). (Han 16.)
Bao (Womb/Bladder) refers to the Bladder. As the fetus gradually grows larger, it presses downward on the Bao, causing the Bao to tilt due to the pressure, hence the name Zhuan Bao (Displaced Womb/Bladder). Some cases of Zhuan Bao are caused by the fetus sinking, while others are caused by Qi failing to transform water, leading to water accumulation in the Bao, with the fetus further pressing on it. The symptoms include restlessness, sweating, rebellious Qi rushing, obstruction of the urinary pathway, and acute pain in the lower abdomen. It should be treated promptly. In emergencies, have the pregnant woman lie supine on a bed with her legs raised vertically, which may provide slight relief. Zhuan Bao is similar to Zi Lin (Fetal Strangury), but Zi Lin involves pain without distension, whereas Zhuan Bao involves distension without pain. Even if extreme distension causes pain, the urethral orifice itself does not hurt. If it is a Lin syndrome, urine flows drop by drop, and the urethral orifice hurts severely as if cut by a knife.
If caused by deficiency of Blood and Qi, where the Fetus cannot be supported upward, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) can be used with modifications. Ba Zhen Tang (Eight Treasures Decoction) added with Guang Pi (Tangerine Peel) and Mu Xiang (Aucklandia Root) can also treat this condition. (Bu 5, Bu 6.)
If caused by deficiency of Spleen and Lung Qi, which fails to distribute and excrete bladder fluids, Yi Gong San (Master Yi's Powder) added with Zhu Ling (Polyporus) and Ze Xie (Alisma Rhizome) can be used. (Bu 22.)
If caused by Heat Qi stagnating in the Bladder, leading to unfavorable fluid metabolism, Zi Shen Wan (Nourish the Kidney Pill) added with Dan Pi (Moutan Cortex) and Ze Xie (Alisma Rhizome) can be used. (Han 17.)
If the Metal (Lung) is scorched by Fire, and the Spleen Earth has Damp-Heat, resulting in difficulty in urination and defecation, Qing Jin Li Shui Tang (Clear Metal and Promote Water Flowing Decoction) added with Shan Zhi (Gardenia Fruit) and Cha Hu (Dendrobium Stem) can be used. (Han 18.)
If holding urine, overeating, and sexual fatigue cause Qi rebellion and failure of water transformation, leading to Zhuan Bao, the Qi should be regulated using Su Xiang Wan (Su Xiang Pill). (San 17.)
Fetal movement causes Qi rebellion, pressing upward on the Heart and Lungs, leading to Cold Qi stagnation, obstructed Qi mechanism, chest stuffiness, confusion, and panting. This is due to improper nursing care and disharmony of Blood and Qi. "Zi Xuan" (Fetal Suspension) refers to disharmony of fetal Qi; this condition is due to disharmony of Blood and Qi, leading to restless fetus and insecurity.
For rebellious Fetal Qi, Zi Su Yin (Perilla Infusion) can be used. (San 3.) Dang Gui Shao Yao Tang (Angelica Sinensis and Paeonia Lactiflora Decoction) can also be used. (Bu 10.)
For internal Heat of Liver Fire, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) can be used. (Bu 21.)
For rebellious Stomach Fire, Si Wu Tang (Four Substances Decoction) with Chuan Xiong removed, and Shan Zhi (Gardenia Fruit), Huang Qin (Scutellaria Root), and Gan Cao (Licorice Root) added, can be used. (Bu 7.)
For stagnant Spleen Qi, Jia Wei Gui Pi Yin (Modified Restore the Spleen Infusion) can be used. (Bu 3.)
For loss of taste in food, Liu Jun Zi Tang (Six Gentlemen Decoction) can be used. (Bu 1.)
For deficiency-cold of the Spleen and Stomach, Wu Jun Zi Tang (Five Gentlemen Decoction) can be used. (Bu 14.)
For excess Wind Pathogen causing panting that prevents lying down, Shen Su Yin (Ginseng and Perilla Infusion) can be used. (He 13.)
If Fire agitates the Fetus, causing rebellious Qi and panting, Huang Qin (Scutellaria Root) and Xiang Fu (Cyperus Rhizome) can be powdered and taken with a decoction of Sha Ren (Amomum Fruit).
If Kidney Qi fails to return to its origin and floats up to the Lungs causing panting, Sheng Mai San (Generate the Pulse Powder) or Du Qi Yin (Retain Qi Infusion) added with E Jiao (Donkey-Hide Gelatin) can be used. (Bu 23, Bu 24.)
If Fetal Qi presses upward, causing painful heat and lower bleeding, leading to severe restlessness and distress, boil twenty stalks of Cong Bai (Allii Fistulosum Bulbus) strongly and drink the decoction. If the fetus is dead, it will be expelled immediately; if alive, it will become safe.