族女 产后嗽热，小水失禁，脉虚数无力。由真元不固，临产艰难，损伤胞脉所致。宜摄固真元，佐以
甘温退热。用潞参、茯神、杞子、黄 、白芍、五味子、川贝、石斛、牡蛎（ 研）、桑螵蛸（炙）、炙草。
五服嗽热减，加远志、熟地、菟丝饼，十服前症渐瘥。
族姑 衰年病后失调，遗溺不禁，两尺濡弱。症由膀胱血虚，溺孔不能约制水液。用归身、白芍、杞子、
沙苑子、覆盆子、杜仲（炒）、核桃肉、红枣、熟地（炒）。煎服效，后用补中益气汤而固。
水液自小肠泌入膀胱，胞受气化，变溺以出，胞盖居膀胱中，主藏溺泄溺者也。东垣曰∶膀胱虽为津液
之腑，至受盛津液，则又有胞居膀胱之中。故经曰∶胞移热于膀胱。若忍溺入房，或溺急疾走，水逆气迫，
则胞系屈戾，名曰转胞。其症脐下急痛，小水不通，与寻常溺闭自异。《直指》曰∶此症孕妇多有，或忍溺
入房，使小肠气逆而不通，大肠气与之俱滞，外水不得入膀胱，内水不得出膀胱，淋沥急数，大便亦里急频并，
因而腹胀。治用凉药疏利小肠，仍与通泄大肠，胞即归正，小水自流。丹溪曰∶妊妇转胞，疏通无效，因思胞
为胎压，展在一边，胞系了戾不通尔。胎若举起，悬在中央，胞系得舒，小水自行。宜升举其气，补中益气汤。
或再以渣煎服探吐，或令孕妇卧榻上，将榻倒竖起，则胎不压而溺自通。若临盆之际，胎压膀胱小便不通者，
以手指
托起其胎，小水自出。丹溪治一妇患此，诊之两手似涩，重取则弦。此得之忧患，涩为血少气多，弦为有饮，
以参术饮空心服。以指探吐，少顷又与一服，凡与八服而安，后历试皆验。或用参术汤。强忍房事，致胞转而
闭者，非沉香不治。老人转胞，困笃欲死，六味汤，倍泽泻。少年溺涩，蒲黄散、滑石散。惊忧暴怒，气乘膀
胱，致胞转溺闭，葱白汤。交肠症，由大小肠失于传送，致清浊混淆也。或因病后，因嗜酒，大便前出，小
便后出。丹溪治一妇嗜酒，常痛饮，忽糟粕出前窍，溲尿出后窍，六脉沉涩，用四物汤加海金沙、木香、槟榔、
桃仁、木通，服愈。《回春》曰∶一妇病愈后，前阴出屎，先服五苓散二剂，又用补中益气汤而愈。则此症
惟妇人有之耳。
族中女子，产后出现咳嗽发热，小便失禁，脉象虚数且无力。这是由于真元不固，加上分娩艰难，损伤了胞脉所致。治疗宜摄护并固守真元，辅以甘温之法退热。用药：潞参、茯神、枸杞子、黄芪、白芍、五味子、川贝母、石斛、牡蛎（研末）、桑螵蛸（炙）、炙甘草。服用五剂后，咳嗽发热减轻，加入远志、熟地黄、菟丝饼，再服十剂，之前的症状逐渐痊愈。
族中姑母，年老病后调养不当，遗尿不禁，两尺脉濡弱。病症由膀胱血虚，导致溺孔不能约束水液所致。用药：当归身、白芍、枸杞子、沙苑子、覆盆子、杜仲（炒）、核桃肉、红枣、熟地黄（炒）。煎服有效，之后改用补中益气汤巩固疗效。
水液从小肠分泌进入膀胱，胞宫受气化作用影响，将尿液排出。胞盖位于膀胱之中，是主管储存和排泄尿液的组织。李东垣说：膀胱虽然是津液之腑，但在接受和盛纳津液时，又有胞位于膀胱之中。所以医经说：胞的热邪转移至膀胱。如果强忍小便而行房事，或者在小便急迫时疾走，导致水气逆行、气机逼迫，那么胞系就会扭曲，称为“转胞”。其症状是脐下急痛，小便不通，这与寻常的小便闭阻有所不同。《直指方》说：此症孕妇多见，或因强忍小便行房，使小肠气逆而不通，大肠之气也随之停滞，外部的水液不得进入膀胱，内部的水液不得排出，淋沥急数，大便也里急后重频繁发作，因而导致腹胀。治疗用凉药疏通利导小肠，同时通泄大肠，胞宫即可回归正位，小便自然流通。朱丹溪说：孕妇转胞，若疏通无效，是因为胎儿压迫胞宫，使其偏向一侧，胞系扭曲不通。若能将胎举起，悬于中央，胞系得以舒展，小便自能通行。宜升举其气，使用补中益气汤。或者再用药渣煎服以探吐，或让孕妇卧床，将床倒竖起，则胎不压迫而小便自通。若在临产之际，胎儿压迫膀胱导致小便不通者，用手指托起胎儿，小便自出。丹溪曾治一妇人患此症，诊得两手脉似涩，重取则弦。这是因忧思所致，涩脉主血少气多，弦脉主有饮邪，让她空腹服用参术饮。用手指探吐，片刻后又给服一剂，共服八剂而安，后来多次尝试都验证有效。也可用参术汤。因强忍房事，导致胞扭转而闭塞者，非沉香不能治愈。老人转胞，病情危重欲死，用六味地黄汤，加倍泽泻。少年小便涩滞，用蒲黄散、滑石散。因惊恐忧虑暴怒，气乘膀胱，导致胞转溺闭，用葱白汤。交肠症，是由大小肠失去传导功能，导致清浊混淆。有的因病后，或因嗜酒，导致大便从前阴排出，小便从后阴排出。丹溪治一妇人嗜酒，常痛饮，忽然糟粕从前窍出，尿液从后窍出，六脉沉涩，用四物汤加海金沙、木香、槟榔、桃仁、木通，服药后痊愈。《回春》说：一妇人病愈后，前阴出屎，先服五苓散二剂，又用补中益气汤而愈。则此症只有妇女才有。
A female relative of the clan, after childbirth, experienced coughing and fever, with incontinence of urine. Her pulse was deficient, rapid, and powerless. This resulted from the failure to secure the True Yuan (True Vital Energy), combined with difficult labor that damaged the Bao Mai (Uterine Vessels). Treatment should focus on securing and consolidating the True Yuan, assisted by sweet-warm herbs to reduce fever. Prescription: Radix Codonopsis (Lushen), Poria (Fushen), Fructus Lycii (Qizi), Radix Astragali (Huangqi), Radix Paeoniae Alba (Baishao), Fructus Schisandrae (Wuweizi), Rhizoma Belamcandae (Chuanbei), Radix Dendrobii (Shihu), Concha Ostreae (Muli, crushed), Sacculus Mantidis (Sangpiaoxiao, honey-fried), Radix Glycyrrhizae Preparata (Zhigancao). After five doses, the cough and fever subsided. Zhiyuan (Radix Polygalae), Shudi (Radix Rehmanniae Preparata), and Tusizi Bing (Cistanche Pill) were added. After ten more doses, previous symptoms gradually resolved.
An aunt of the clan, in her declining years, suffered from improper recovery after illness, leading to involuntary urination. Her radial pulses at both chi positions were soggy and weak. The syndrome originated from blood deficiency in the Bladder, causing the urethral orifice to fail in restraining urine. Prescription: Danggui Shen (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba), Qizi (Fructus Lycii), Shayuanzi (Seed of Astragalus Complanatus), Fupenzi (Fructus Rubi), Duzhong (Cortex Eucommiae, stir-fried), Hetao Rou (Kernel Juglandis), Hongzao (Fructus Jujubae), Shudi (Radix Rehmanniae Preparata, stir-fried). Decoction proved effective; subsequently, Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting Qi) was used to consolidate the effect.
Fluids are secreted from the Small Intestine into the Bladder. The Bao (Uterus/Bladder covering) undergoes qi transformation, converting fluids into urine for excretion. The Bao Gai (cover of the Bao) resides within the Bladder and is responsible for storing and discharging urine. Li Dongyuan stated: Although the Bladder is the fu-organ of fluids, when receiving and holding fluids, the Bao resides within the Bladder. Thus, the classics state: "Heat from the Bao transfers to the Bladder." If one holds urine while engaging in intercourse, or runs hastily when the urge to urinate is urgent, water qi reverses and pressure builds, causing the Bao system (ligaments/mesentery) to twist. This is called Zhuanbao (Displaced Bao). Symptoms include acute pain below the umbilicus and inability to urinate, distinct from ordinary urinary retention. *Zhizhi Fang* states: This syndrome is common in pregnant women. Holding urine during intercourse causes Small Intestine qi to reverse and block, stagnating Large Intestine qi as well. External water cannot enter the Bladder, internal water cannot exit, leading to dribbling urgency, frequent bowel movements with tenesmus, and abdominal distension. Treatment involves cooling herbs to unblock and drain the Small Intestine, along with purgatives for the Large Intestine. Once the Bao returns to its correct position, urine flows freely. Zhu Danxi said: For pregnant women with Zhuanbao, if unblocking fails, it is because the fetus presses on the Bao, displacing it to one side, twisting the Bao system. If the fetus is lifted to the center, the Bao system relaxes, and urine flows naturally. One should raise the qi using Buzhong Yiqi Tang. Alternatively, decoct the dregs and induce vomiting, or have the pregnant woman lie on a bed and tilt the bed vertically so the fetus does not press down, allowing urine to flow. During delivery, if the fetus compresses the bladder causing retention, lifting the fetus with fingers allows urine to pass. Danxi treated a woman with this condition; her pulses felt choppy but became wiry upon heavy pressure. This resulted from worry; choppy indicates blood deficiency and excess qi, wiry indicates fluid retention. She took Shenzhu Yin (Decoction of Ginseng and Atractylodes) on an empty stomach. Induced vomiting, then administered another dose shortly after. After eight doses, she recovered; subsequent trials confirmed efficacy. Shenzhu Tang may also be used. For cases where forced intercourse caused the Bao to twist and close, only Chenxiang (Aquilaria Lignum) can treat it. For elderly patients with Zhuanbao, critically ill and near death, Liuwei Wan (Six-Ingredient Pill with Rehmannia) with doubled Ze Xie (Rhizoma Alismatis) is used. For young men with sluggish urination, Pul Huang San (Polygonum orientale Powder) or Huashi San (Talcum Powder) are prescribed. Sudden fright, worry, or rage causing qi to invade the Bladder and twist the Bao leads to urinary retention; Congbai Tang (Scallion Decoction) is used. Jiaochang Syndrome (Cross-intestine syndrome) results from the loss of transmission function in the Large and Small Intestines, causing confusion of clear and turbid substances. It may occur after illness or due to alcohol abuse, resulting in feces exiting from the anterior orifice (urethra/vagina) and urine from the posterior orifice (anus). Danxi treated a woman who drank heavily; suddenly, waste exited the front orifice and urine the back. Her six pulses were deep and choppy. He prescribed Siwu Tang (Four Substances Decoction) plus Jinshayin (Lygodium Spore), Muxiang (Aucklandiae Radix), Binglang (Areca Seed), Taoren (Prunus Persica Seed), and Mutong (Akebia Caulis). She recovered after taking it. *Huichun* records: A woman, after recovering from illness, had feces exit the anterior orifice. She first took Wuling San (Five-Ingredient Powder with Poria) for two doses, then Buzhong Yiqi Tang, and was cured. Thus, this syndrome occurs only in women.