妊娠遗尿不觉，胎满故也，用白薇散主之。若脬中有热，加味逍遥散。脾肺气虚，补中益气汤加
益智仁。肝肾阴虚，六味丸。《尊生》云∶遗尿证，虚人有此，立加减六味汤治之甚效。有妇人孕后
水从阴户出不止者，千金鲤鱼汤加肉桂、人参治之。
白薇散 治妊娠尿出不知。
白薇 白芍药（各等分）
为末，每服三钱，食前温酒调服。考《本草》谓芍药白补赤泻。盖金收而火散，
故子淋方中宜用赤，而遗尿方中则宜用白也。
加减六味汤 治遗尿，虚人多有此证。
熟地（四钱） 丹皮（一钱五分） 山萸（去核） 淮山药（炒。各二钱） 白薇 白芍药 益智仁（各一钱）
不用引，水煎服。
加味逍遥散（见本卷子悬门，附逍遥散下。） 补中益气汤（见本卷诸痛门。） 六味地黄丸（
见本卷诸痛门，附六味地黄汤下。） 千金鲤鱼汤（见本卷子肿门。）
妊娠咳嗽属风寒，盖肺脏内主气，外司皮毛，皮毛不密，寒邪乘之则咳嗽，嗽久亦恐堕胎，宁肺止嗽
散加减用之。亦有用苏桔汤散寒理肺。甚有久嗽不愈，多因脾土虚而不能生肺气，以致腠理不密，外邪复感。或
因肺虚不能生水，以致阴火上炎。治法当用补中益气汤，以培土金，六味丸加五味以生肾水为善。
宁肺止嗽散 治孕妇风寒咳嗽。
麦冬（二钱，去心） 知母（一钱） 桔梗 紫苏（各五分） 杏仁（十粒，去皮尖） 桑白皮（
六分） 甘草（四分）
水煎服。有痰，加橘红四分，竹沥、姜汁。火嗽，加黄芩八分。虚嗽，加紫菀一钱，款冬花六分。
寒甚，加麻黄。虚损，加栝蒌一钱，竹沥、姜汁。嗽而心胸不舒，加去心贝母、百合各一钱，紫菀八分。
若嗽不止，胎不安，宜服人参一钱，甘草五分，去皮尖杏仁十四粒，桑皮一钱，紫菀一钱二分，去心天
门冬一钱二分，桔梗八分，乌梅一个。水煎服。
苏桔汤 治孕妇风寒咳嗽。
天冬（六分，去心） 桔梗（一钱五分） 紫苏 黄芩 贝母（去心。各八分） 杏仁（十粒，去皮
尖） 陈皮 知母 甘草（各四分）
水煎服。火动作喘，桔梗宜减。
补中益气汤（见本卷诸痛门。） 六味地黄丸（见本卷诸痛门，附六味地黄汤下）。
妊娠期间出现遗尿而不自知，是因为胎儿增大压迫所致，主要使用白薇散治疗。如果膀胱中有热邪，则使用加味逍遥散。若是脾肺之气虚弱，使用补中益气汤并加入益智仁。若是肝肾之阴不足，使用六味丸（即六味地黄丸）。《尊生》一书中记载：遗尿这一证候，多见于体质虚弱之人，使用加减六味汤治疗效果显著。曾有妇女怀孕后，尿液从阴道口流出不止，用千金鲤鱼汤加入肉桂、人参进行治疗。
白薇散：治疗妊娠期间小便失禁不知觉。
药材组成：白薇、白芍药（各取等量）。
制法与用法：将上述药材研为细末，每次服用三钱，饭前用温酒调服。考证《本草》记载，认为芍药白色者具有补益作用，红色者具有泻下作用。这是因为白色对应金气主收敛，红色对应火气主发散，所以在治疗子淋（妊娠期小便涩痛）的方剂中适宜用赤芍，而在治疗遗尿的方剂中则适宜用白芍。
加减六味汤：治疗遗尿，体虚之人多有此证。
药材组成：熟地黄（四钱）、牡丹皮（一钱五分）、山茱萸（去核）、淮山药（炒制，以上各二钱）、白薇、白芍药、益智仁（以上各一钱）。
制法与用法：不加药引，用水煎煮后服用。
加味逍遥散（见本卷悬门部分，附在逍遥散下方）。
补中益气汤（见本卷诸痛门部分）。
六味地黄丸（见本卷诸痛门部分，附在六味地黄汤下方）。
千金鲤鱼汤（见本卷子肿门部分）。
妊娠咳嗽属于风寒侵袭所致。因为肺脏在内主管气机，在外主管皮毛。若皮毛腠理不致密，寒邪便会乘虚而入导致咳嗽。咳嗽日久也可能导致堕胎，因此宜用宁肺止嗽散进行加减治疗。也有使用苏桔汤来散寒理肺的情况。更有久咳不愈者，多因脾土虚弱不能滋生肺气，导致腠理不密，外邪再次感受。或者因为肺虚不能生水，导致阴火上炎。治疗方法应当使用补中益气汤，以培补脾土和肺金；或者使用六味丸加入五味子以滋生肾水，这样更为妥善。
宁肺止嗽散：治疗孕妇因风寒引起的咳嗽。
药材组成：麦冬（二钱，去心）、知母（一钱）、桔梗、紫苏（以上各五分）、杏仁（十粒，去皮尖）、桑白皮（六分）、甘草（四分）。
制法与用法：用水煎煮后服用。若有痰，加入橘红四分、竹沥、姜汁。若是火咳（热咳），加入黄芩八分。若是虚咳，加入紫菀一钱、款冬花六分。若寒邪甚重，加入麻黄。若是虚损严重，加入栝蒌一钱、竹沥、姜汁。若咳嗽伴心胸不畅，加入去心的川贝母、百合各一钱，紫菀八分。
如果咳嗽不止，胎动不安，适宜服用人参一钱、甘草五分、去皮尖杏仁十四粒、桑白皮一钱、紫菀一钱二分、去心天门冬一钱二分、桔梗八分、乌梅一个。用水煎煮后服用。
苏桔汤：治疗孕妇因风寒引起的咳嗽。
药材组成：天冬（六分，去心）、桔梗（一钱五分）、紫苏、黄芩、贝母（去心，以上各八分）、杏仁（十粒，去皮尖）、陈皮、知母、甘草（以上各四分）。
制法与用法：用水煎煮后服用。若火热动作喘，桔梗用量应减少。
In pregnancy, involuntary urination without awareness occurs due to the pressure of the full fetus; Baiwei San (White Anemone Decoction) is the primary prescription. If there is heat in the bladder (Paopang), Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) should be used. For deficiency of Spleen and Lung Qi, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Yi Zhi Ren (Alpinia Oxyphylla Fruit) is indicated. For Yin deficiency of Liver and Kidney, Liuwei Wan (Six-Ingredient Pill with Rehmannia) is prescribed. *Zunsheng* states: "The syndrome of urinary incontinence often occurs in individuals with constitutional weakness; Ji Jian Liuwei Tang (Modified Six-Ingredient Decoction) is highly effective." There was a case of a pregnant woman whose urine flowed continuously from the vaginal orifice; Qianjin Liyu Tang (Thousand-Gold Carp Decoction) added with Rougui (Cinnamon Bark) and Renshen (Ginseng) was used for treatment.
Baiwei San: Treats urinary incontinence during pregnancy where the patient is unaware.
Ingredients: Baiwei (Anemones Radix et Rhizoma), Baishao Yao (White Peony Root) (equal parts).
Preparation and Administration: Grind into powder. Take 3 qian per dose, mixed with warm wine before meals. According to *Bencao*, white Peony has tonifying properties while red Peony has purgative properties. This is because white corresponds to Metal which gathers/contracts, and red corresponds to Fire which disperses. Therefore, Red Peony is suitable in formulas for Zilin (Dysuria in Pregnancy), whereas White Peony is suitable in formulas for urinary incontinence.
Ji Jian Liuwei Tang (Modified Six-Ingredient Decoction): Treats urinary incontinence, a common syndrome in weak constitutions.
Ingredients: Shudi (Prepared Rehmannia Root, 4 qian), Danpi (Moutan Cortex, 1.5 qian), Shanyu (Cornus Officinalis Fruit, pitted), Huaishanyao (Chinese Yam, stir-fried, each 2 qian), Baiwei (Anemones Radix et Rhizoma), Baishao Yao (White Peony Root), Yizhiren (Alpinia Oxyphylla Fruit, each 1 qian).
Preparation and Administration: No specific vehicle (Yin) is required; decoct in water and take orally.
Jia Wei Xiao Yao San (See Suspended Gate section in this volume, attached below Xiaoyao San).
Buzhong Yiqi Tang (See Various Pain Section in this volume).
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) (See Various Pain Section in this volume, attached below Liuwei Dihuang Tang).
Qianjin Liyu Tang (Thousand-Gold Carp Decoction) (See Fetal Edema Section in this volume).
Pregnancy cough belongs to Wind-Cold invasion. The Lung governs Qi internally and controls the skin and hair externally. If the skin and pores are not dense, Cold pathogenic factors invade, causing cough. Prolonged coughing may also risk miscarriage; therefore, Ningfei Zhisou San (Calming the Lung and Stopping Cough Powder) should be used with modifications. Suju Tang (Perilla and Platycodon Decoction) is sometimes used to dispel cold and regulate the Lung. In cases of chronic cough that does not heal, it is often due to Spleen Earth deficiency failing to generate Lung Metal, leading to loose pores and repeated external pathogen invasion. Or, due to Lung deficiency failing to generate Water, leading to flaming up of Deficient Fire. The treatment method should employ Buzhong Yiqi Tang to cultivate Spleen Earth and Lung Metal, or Liuwei Wan added with Wuweizi (Schisandra Berry) to generate Kidney Water, which is preferable.
Ningfei Zhisou San: Treats Wind-Cold cough in pregnant women.
Ingredients: Maidong (Ophiopogon Tuber, 2 qian, heart removed), Zhimu (Anemarrhena Rhizome, 1 qian), Jiegeng (Platycodon Root), Zisu (Perilla Leaf) (each 0.5 fen), Xingren (Apricot Seed, 10 grains, skin and tip removed), Sangbaipi (Mulberry Root Bark, 0.6 fen), Gancao (Licorice Root, 0.4 fen).
Preparation and Administration: Decoct in water and take orally. If there is phlegm, add Juhong (Aged Tangerine Peel, 0.4 fen), Zhuli (Bamboo Sap), and Jiangzhi (Ginger Juice). For Fire Cough (Heat Cough), add Huangqin (Scutellaria Root, 0.8 fen). For Deficiency Cough, add Ziwan (Asarum Root, 1 qian) and Kuandonghua (Fritillaria Flower, 0.6 fen). If Cold is severe, add Mahuang (Ephedra Stem). For Deficiency Damage, add Gualou (Trichosanthes Fruit, 1 qian), Zhuli (Bamboo Sap), and Jiangzhi (Ginger Juice). If cough is accompanied by chest discomfort, add Chuanbeimu (Fritillaria Bulb, heart removed) and Baihe (Lily Bulb, each 1 qian), and Ziwan (Asarum Root, 0.8 fen).
If cough persists and the fetus is unsettled, it is appropriate to take Renshen (Ginseng, 1 qian), Gancao (Licorice Root, 0.5 fen), Xingren (Apricot Seed, 14 grains, skin and tip removed), Sangpi (Mulberry Root Bark, 1 qian), Ziwan (Asarum Root, 1.2 qian), Tianmendong (Asparagus Tuber, heart removed, 1.2 qian), Jiegeng (Platycodon Root, 0.8 fen), and Wumei (Mume Fruit, 1 piece). Decoct in water and take orally.
Suju Tang: Treats Wind-Cold cough in pregnant women.
Ingredients: Tiandong (Asparagus Tuber, 0.6 fen, heart removed), Jiegeng (Platycodon Root, 1.5 fen), Zisu (Perilla Leaf), Huangqin (Scutellaria Root), Beimu (Fritillaria Bulb, heart removed, each 0.8 fen), Xingren (Apricot Seed, 10 grains, skin and tip removed), Chenpi (Aged Tangerine Peel), Zhimu (Anemarrhena Rhizome), Gancao (Licorice Root, each 0.4 fen).
Preparation and Administration: Decoct in water and take orally. If Heat causes panting, reduce the dosage of Jiegeng.
Buzhong Yiqi Tang (See Various Pain Section in this volume).
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) (See Various Pain Section in this volume, attached below Liuwei Dihuang Tang).