诸淋不止,小便赤涩,疼痛转胞,用酸浆草嫩者,洗净绞汁一合,酒一合和,空心服之,甚妙。小便涩病,牛膝
五两,酒三升,煮半升去滓,作三服。亦兼治血结坚痛。血淋,竹茹一握,煎汤空心温服,立效。
过忍小便,致令转胞,滑石末,葱头汤调下二钱。一妇人年四十,怀妊九个月转胞,小便不出三日矣。下脚急
肿,不堪存活,其脉悴,右涩而左稍和,盖由鲍食,而气伤胎系,弱不能自举,而下遂压着膀胱,转在一偏,气急为其
所闭,所以窍不能出也。转胞之病,大率如此,予遂制一方补血养气,既正胎系自举而不坠,方有可安之理。用人参、
当归身尾、白芍药、白术、带白陈皮、炙甘草、半夏、生姜,浓煎汤,与四帖,至次早天明,以四帖药滓作一服煎,
强令顿饮之,探喉令吐此药汤,小便大通黑水后、遂以此方加大腹皮、枳壳、青葱叶、缩砂仁,作二十帖与之,以防产
前、产后之虚,果得就蓐平安,产后亦健。一妇人怀胎,
患转胞病,两脉似涩,重则弦,左稍和,此得之忧患,涩为血少气多,弦为饮。血少则胎弱,而不能自举,气多有饮,
中焦不清而隘,则胎知所避而就下,故喜坠。以四物汤加参、术、半夏、陈皮、生甘草、生姜煎,空心饮,随以指探
喉中出药汁,候少顷气定又与一帖,次早亦然,至八帖安。此法恐不中,后又治数人,亦效,未知果何如也。
各种淋证(以小便频数短涩、滴沥刺痛、欲出未尽、小腹拘急或痛引腰腹为特征的病证)久治不愈,小便颜色红赤且排尿涩滞疼痛,甚至出现转胞(妊娠期间因胎气下坠压迫膀胱导致的小便不通),可使用嫩酸浆草,洗净后绞取汁液一合,加入酒一合混合,空腹服用,效果极佳。
治疗小便涩痛的病症,取牛膝五两,用三升酒煎煮至半升,滤去药渣,分三次服用。此方也能兼治血结引起的坚硬疼痛。
对于血淋(尿中带血且伴有疼痛的淋证),取一把竹茹,煎汤后空腹温服,能立即见效。
因为强行忍耐小便,导致转胞病的发生。可用滑石末,用葱头汤调服二钱。
有一位四十岁的妇女,怀孕九个月时发生转胞,三天无法排出小便。下肢肿胀紧迫,痛苦不堪,生命垂危。诊察其脉象憔悴,右脉涩而左脉稍和缓。这大概是因为食用了鲍鱼等食物,损伤了气机,进而伤及维系胎儿的系带,导致系带虚弱不能自行提起,胎儿下坠压迫膀胱,使膀胱位置偏斜,气机被闭塞,所以尿道窍道无法通畅排尿。
转胞这种病,大抵都是这种情况。于是我制定了一个补血养气的方子,使胎系端正并自行提起而不致下坠,这样胎儿才有安定的道理。方用人参、当归身尾、白芍药、白术、带白皮的陈皮、炙甘草、半夏、生姜,浓煎成汤,给患者服用四帖。到了第二天早晨天亮时,将这四帖药的药渣合并再煎成一剂,强迫患者一次性饮下,并用手指探喉催吐此药汤。待小便大量通利,排出黑水之后,再用此方加大腹皮、枳壳、青葱叶、缩砂仁,共二十帖给予患者,以防备产前、产后的虚损,果然得以平安分娩,产后身体也健康。
另一位孕妇患转胞病,两手脉象都似涩脉,重按则呈弦脉,左脉稍和缓。这是因忧思恼怒所致。涩脉主血少气多,弦脉主痰饮。血少则胎儿虚弱,不能自行提起;气多有痰饮,中焦不清且狭窄,胎儿知道避让而向下走,所以喜欢下坠。用四物汤加人参、白术、半夏、陈皮、生甘草、生姜煎煮,空腹饮用,随即用手指探喉引出药汁,等待片刻气机平稳后再给一帖,第二天早晨也是如此,服至第八帖病情安定。这种方法恐怕不一定完全适用,后来我又治疗了几个人,也都有效,不知道究竟原因如何。
For various types of Lin syndrome (a disease characterized by frequent and urgent urination, scanty and turbid urine, painful dribbling, incomplete emptying, and discomfort in the lower abdomen or pain radiating to the waist) that do not cease, with red and astringent urine, painful urination, and even Zhuanbao (urinary retention during pregnancy caused by fetal pressure on the bladder), use tender *Physalis alkekengi* (Chinese lantern fruit). Wash it clean, squeeze out one he of juice, mix with one he of wine, and take it on an empty stomach. This is very effective.
To treat astringent urinary disorders, take five liang of Achyranthis Bidentatae Radix (Niuxi), boil in three sheng of wine until reduced to half a sheng, strain off the dregs, and divide into three doses. This formula also treats hard and painful blood stasis.
For Xuelin (hematuria accompanied by pain), take a handful of Bamboo Shavings (Zhuru), decoct in water, and take warm on an empty stomach for immediate effect.
Forced retention of urine can lead to Zhuanbao. Use powder of Talcum (Huashi), taken with Scallion White Decoction (Congtou Tang), two qian at a time.
A forty-year-old woman, nine months pregnant, suffered from Zhuanbao, unable to urinate for three days. Her lower limbs were swollen and tense, making life unbearable. Her pulse was exhausted; the right side was choppy (Se) while the left was slightly harmonious. This was likely due to consuming abalone, which injured Qi and damaged the ligaments supporting the fetus. The weakness prevented them from holding the fetus up, causing it to press down on the bladder, displacing it to one side. Qi was blocked by this compression, so the orifice could not open. Diseases of Zhuanbao are generally like this. Therefore, I formulated a prescription to nourish Blood and Qi, straightening the fetal ligaments so they lift themselves without dropping, allowing the fetus to settle safely. The prescription consists of Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui) including both body and tail, Paeoniae Radix Alba (Baishao), Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium (Chenpi) with white pith, Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gancao), Pinelliae Rhizoma (Banxia), and Zingiberis Rhizoma Recens (Shengjiang). Decoct strongly in water, administer four doses. By dawn the next day, combine the dregs of these four doses into one decoction, force the patient to drink it all at once, and induce vomiting by probing the throat. After profuse urination and the discharge of black fluid, add Arecae Semen (Dafupi), Aurantii Fructus (Zhiqiao), Allii Fistulosi Folium (Qingcong Ye), and Amomi Fructus Rotundus (Suaren) to the original formula, and give twenty doses to prevent deficiency before and after delivery. Indeed, she delivered safely and remained healthy postpartum.
Another pregnant woman suffered from Zhuanbao. Both pulses were choppy (Se); upon heavy pressure, they became wiry (Xian), while the left was slightly harmonious. This resulted from worry and anger. Choppy indicates deficient Blood and excess Qi; wiry indicates fluid retention. Deficient Blood makes the fetus weak and unable to lift itself; excess Qi with fluid retention causes unclear and narrow middle Jiao, leading the fetus to seek lower positions and descend. Thus, it tends to drop. Use Siwu Tang (Four Substances Decoction) added with Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Sheng Gancao), and Zingiberis Rhizoma Recens (Shengjiang). Decoct and take on an empty stomach, then immediately probe the throat to expel the medicinal juice. Wait until Qi stabilizes, then administer another dose. Do the same the next morning. By the eighth dose, the condition stabilized. This method may not be universally applicable, but subsequent cases treated similarly were also effective. The exact reason remains unknown.