妊娠小便淋漓涩少，由气血聚养胎元，不及敷荣渗道，遂使膀胱郁热。又云∶妊娠胞系于肾，肾间
虚热移于膀胱而成斯证，名曰子淋，加减安荣散主之。然古方安荣散内有滑石，但石乃镇重之剂，恐致堕胎，若
临月犹可，如在七八月之前，宜
去此味，加石斛、山栀为稳。若日久倦怠，右脉微弱者，此气虚下陷而时坠下，气弱肠虚而难流通，大
剂参麦饮补气滋化源，其便自易。亦有治小便涩少，用生料六味丸加麦冬、五味、车前为丸服之。又治孕
妇小便少、涩痛者，加味导赤汤，兼治溺血。《全书》云∶子淋证，用安荣散不应，兼服八珍汤。如
腿足转筋而小便不利，急用八味丸，缓则不救。
加减安荣散 治孕妇小便短涩，或成淋漓。
人参 当归（酒洗。各二钱） 麦冬（二钱或三钱，去心） 白术（一钱，土炒） 通草 茯苓
皮（各八分） 生草（五分）
灯心五分，水煎服。原方有细辛、滑石，无白术、茯苓皮。如有痰，或怒动肝火，加酒炒枯黄芩七分，
以清肺金。此方人参补气，当归调血，麦冬清肺以滋肾源，通草、灯心利便通郁滞。
参麦饮（见下卷晕厥门，附参麦五味饮下。） 六味丸（见本卷诸痛门，附六味地黄汤下。
药料俱生用，为之生料。） 加味导赤汤 八珍汤（俱见本卷诸痛门。） 八味丸（见本卷诸
痛门，附六味地黄汤下。予谓桂、附犯胎忌用，当是麦冬、车前之八味丸也。）
妊娠期间出现小便淋漓不尽、量少且排尿涩痛，是因为气血聚集以滋养胎元，导致无法充分濡润和渗灌水道，从而使膀胱产生郁热。另一种说法认为：妊娠时胞宫系连于肾，肾间的虚热转移至膀胱而形成此证，名为“子淋”，主治方剂为加减安荣散。然而古方中的安荣散含有滑石，但滑石属于性质沉重沉降的药物，恐怕会导致堕胎；若在临近分娩时尚可应用，若在怀孕七八个月之前，则应当去掉滑石这味药，加入石斛、山栀更为稳妥。如果病程日久出现倦怠乏力，右脉微弱者，这是气虚下陷导致时有坠胀感，气弱肠道空虚而导致排便困难，应使用大剂量的参麦饮来补气并滋生化之源，小便自然通畅。也有治疗小便涩少的情况，使用生料六味丸加入麦冬、五味子、车前子制成丸剂服用。另外治疗孕妇小便少、涩痛的情况，使用加味导赤汤，兼治尿血。《全书》记载：子淋证，若使用安荣散无效，可兼服八珍汤。如果出现腿足抽筋且小便不利，急用八味丸，若拖延不治则无法挽救。
加减安荣散 治疗孕妇小便短少涩滞，或形成淋漓不尽的症状。
人参、当归（酒洗，各二钱）、麦冬（二钱或三钱，去心）、白术（一钱，土炒）、通草、茯苓皮（各八分）、生甘草（五分）。
灯心草五分，水煎服。原方中有细辛、滑石，没有白术、茯苓皮。如果有痰湿，或因愤怒触动肝火，加入酒炒枯黄芩七分，以清肺金之气。此方中人参补气，当归调血，麦冬清肺以滋补肾源，通草、灯心草利小便以疏通郁滞。
参麦饮（见下卷晕厥门，附在参麦五味饮之下。） 六味丸（见本卷诸痛门，附在六味地黄汤之下。药料均生用，故称生料。） 加味导赤汤 八珍汤（均见本卷诸痛门。） 八味丸（见本卷诸痛门，附在六味地黄汤之下。我认为肉桂、附子犯胎忌用，这里指的应该是含有麦冬、车前的八味丸。）
During pregnancy, if there is dribbling, scanty volume, and dysuria (painful or difficult urination), it is because the Qi and Blood gather to nourish the fetal origin, failing to adequately moisten and permeate the water passages, thereby causing stagnant heat in the Bladder. Another view states: During pregnancy, the uterus is connected to the Kidney; deficient heat from the Kidney transfers to the Bladder, forming this syndrome, named *Zi Lin* (Dysuria of Pregnancy). The primary treatment formula is Jiajian Anrong San (Modified Anrong Powder). However, the ancient Anrong San contains Hua Shi (Talcum), which is a heavy and sinking agent that may induce abortion. It might be acceptable near term, but before the seventh or eighth month, it is safer to remove Hua Shi and add Shi Hu (Dendrobium) and Shan Zhi (Gardenia Fruit). If the condition persists for a long time accompanied by fatigue and a weak pulse on the right side, this indicates Qi deficiency with sinking, causing a sensation of bearing down, and weak Qi with empty intestines leading to difficulty in bowel movement. A large dose of Shenmai Yin (Ginseng and Ophiopogon Decoction) should be used to tonify Qi and nourish the source of transformation, after which urination will naturally become smooth. There are also cases treated for scanty and obstructed urination using Shengliao Liuwei Wan (Raw Material Six-Ingredient Pill) added with Mai Dong (Ophiopogon Tuber), Wu Wei Zi (Schisandra Berry), and Che Qian Zi (Plantago Seed), made into pills. Additionally, Jiawei Daochi Tang (Modified Guide Out the Red Decoction) is used to treat pregnant women with scanty, obstructed, and painful urination, and also treats hematuria. *Quan Shu* records: For *Zi Lin*, if Anrong San is ineffective, Bazhen Tang (Eight-Treasure Decoction) can be taken concurrently. If leg and foot cramps occur with urinary obstruction, Bawei Wan (Eight-Ingredient Pill) must be used urgently; otherwise, delay will make rescue impossible.
Jiajian Anrong San (Modified Anrong Powder): Treats pregnant women with short, obstructed urine or dribbling.
Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix) (washed with wine, each 2 qian), Mai Dong (Ophiopogonis Tuber) (2 or 3 qian, heart removed), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 qian, stir-fried with soil), Tong Cao (Tetrapanacis Medulla), Fu Ling Pi (Poria Cocos Sclerotium Rind) (each 8 fen), Sheng Gan Cao (Licorice Root) (5 fen).
Deng Xin Cao (Junci Medulla) 5 fen, decocted in water and taken orally. The original formula contains Xi Xin (Asari Radix et Rhizoma) and Hua Shi (Talcum), but lacks Bai Zhu and Fu Ling Pi. If there is phlegm or liver fire stirred by anger, add Jiu Chao Ku Huang Qin (Scutellariae Radix stir-fried with wine) 7 fen to clear Lung Metal. In this formula, Ren Shen tonifies Qi, Dang Gui regulates Blood, Mai Dong clears the Lung to nourish the Kidney source, and Tong Cao and Deng Xin Cao promote urination to resolve stagnation.
Shenmai Yin (see Volume Lower, Syncope Section, attached under Shenmai Wuwei Yin.) Liuwei Wan (see this Volume, Various Pains Section, attached under Liuwei Dihuang Tang. Ingredients are all used raw, hence called Shengliao [Raw Material].) Jiawei Daochi Tang Bazhen Tang (all see this Volume, Various Pains Section.) Bawei Wan (see this Volume, Various Pains Section, attached under Liuwei Dihuang Tang. I believe Gui (Cinnamomi Cortex) and Fu Zi (Aconiti Lateralis Radix Praeparata) are contraindicated during pregnancy; this likely refers to an Eight-Ingredient Pill containing Mai Dong and Che Qian.)