娠妇劳伤经络，热乘于血，血得热则渗入于脬，故令尿血。胎漏自人门下血，尿血自尿门下血。妊娠尿
血属胞热者，多四物加山栀、发灰，或阿胶、熟地、麦冬、五味子之类。
孕妇小便涩少淋漓，名曰子淋。由气血聚养胎元，不及敷荣渗道，遂使膀胱郁热，宜归、芍调血；
人参补气；麦冬清肺以滋肾水之源；滑石通导利小便以清郁滞，名安荣散。古方内有滑石，
石乃镇重之剂，恐致堕胎，若临月极妙。如在七八月前，宜去此味，加石斛、山栀尤稳。若日久倦怠，右
脉微弱者，此气虚下陷，
而时坠下，然气弱肠虚而难流通，惟大服人参运之，其便自易。
胞转证候脐下急痛，小便不通。凡强忍小便，或风急疾走，或饱食忍尿，或忍尿入房，使水气上逆，
气逼于胞，故屈戾不得舒张所致，非小肠、膀胱受病而用药所能利也。法当落其气则愈，若
胞落即殂。凡病患禀受弱者，忧闷多郁、性躁急者，食味浓者，多有之。古方用滑利药鲜效。因思胞水自转，
为胎所压，胎若举起，胞系自疏，水道自通矣，宜补中益气汤。服后探吐，以提其气自
通。通后即用参、 大补，恐胎堕也。
丹溪曰∶有妇妊孕九月转胞，小便不出，下急脚肿不堪步，诊脉右涩左稍和，此饱食气伤，胎系弱不能自举，下坠
着膀胱，偏在一边，气急为其所闭，故水窍不能出，方用参、术、陈皮、炙草、归、芍、半夏、生姜，补血养气，气血
既旺，胎系自举，顿饮之，探喉令吐，如是四服，小便通下皆黑水，复重调补而愈。又妊娠七八月，小便不通，诊之脉
细弱，此由中气虚怯，不能举胎，胎压其膀胱下口，因不得溺，用补中汤，加升举之药。因药力未至，胀痛难忍，遂令
老妇用香油涂手，自产户托起其胎，溺出如注，胀急顿解，随以大剂参 补之。 至三日后，胎渐起，小便如故。《证治》
曰∶转胞之说，胞为所逼而侧，名胞者，即膀胱也。然子淋与转胞相类，但小便频数，点滴而痛地得，为子淋，膀胱小
肠虚热也。虚则不能制水，热则不能通利，故淋若频数，出少不痛者，为转胞，间有微痛，终与子淋不同。
《经》曰∶妇子胞气。又曰∶胞移热于膀胱。又曰∶冲脉任脉皆起于胞中。凡此胞字皆音包，以子宫为言也。《灵枢》
曰∶膀胱之胞薄以懦，音抛，以当溲脬而为言也。胞物有三，而字则相同，奈何后人不解其意，或忍膀胱与尿胞为二物，
又因《类纂》曰∶膀胱者，胞之室，反以子胞与膀胱为一物，其误甚矣。夫膀胱即脬，脬即膀胱也。为得复有一物，居
膀胱之内，者乎？其以子胞与膀胱为一物者，试不思转胞下压膀胱，以致小便不通者，则胞在上，更膀胱在下，则其部
位各别，而非一物更明矣。
孕妇因劳累损伤经络，热邪侵入血分，血液受热后渗入膀胱（储存尿液的器官），从而导致尿血。胎漏是指从阴道流出的血，而尿血则是从尿道流出的血。妊娠期间出现尿血且属于胞宫有热的情况，多使用四物汤加入山栀、发灰，或者阿胶、熟地、麦冬、五味子等药物。
孕妇小便涩滞量少、淋漓不尽，称为子淋（妊娠期小便淋沥涩痛）。这是由于气血聚集以滋养胎元，未能充分濡润和渗透水道，致使膀胱郁结热气所致。治疗宜用当归、白芍调和血液；人参补益元气；麦冬清润肺金以滋补肾水之源；滑石通利水道以清除郁滞，此方名为安荣散。古方中含有滑石，滑石性质沉重镇坠，担心会导致堕胎，若在临产前使用则非常适宜。如果在怀孕七八个月时，应当去掉滑石，加入石斛、山栀更为稳妥。如果病程日久导致倦怠乏力，右脉微弱，这是气虚下陷，伴有下坠感，然而气弱肠虚导致气机难以流通，只有大量服用人参来运化推动，小便自然通畅。
转胞病的证候表现为脐下急迫疼痛，小便不通畅。凡是强忍小便，或疾走奔跑，或饱食后忍尿，或忍尿行房事，导致水气上逆，气机逼迫膀胱，使其屈曲扭转而不能舒展张开所致。这并非小肠或膀胱本身受病，也不是单纯用药利尿所能解决的。治疗方法应当降泄其逆气即可痊愈，如果膀胱位置下垂严重甚至坏死脱落，胎儿就会死亡。凡是禀赋虚弱的患者，忧愁郁闷多郁结、性情急躁的人，饮食口味浓重的人，多有此病。古方中使用滑利药物的鲜有效果。因此思考，膀胱（此处指子宫）扭转，是因为被胎儿压迫，如果将胎儿托起，膀胱系带自然松弛，水道自然通畅，适宜使用补中益气汤。服药后通过探吐的方法，以提升气机，使小便自通。小便通畅后立即使用人参等大补药物，以防胎堕。
朱丹溪说：有一位怀孕九个月的妇女患转胞病，小便不出，小腹急迫，脚肿得无法行走，诊察脉象右手涩左手稍和缓，这是因为饱食伤气，胎系虚弱不能自行举起，下坠压迫膀胱，偏向一侧，气机急迫被闭塞，所以尿道口不能排尿，处方用人参、白术、陈皮、炙甘草、当归、白芍、半夏、生姜，补血养气，气血既已旺盛，胎系自然举起，一次性顿服，并探喉令其呕吐，如此服用四次，小便通下均为黑水，随后重新调理补益而痊愈。又有一例妊娠七八个月，小便不通，诊察脉象细弱，这是由中气虚怯，不能举托胎儿，胎儿压迫膀胱下口，因而无法排尿，使用补中益气汤，加入升提举托的药物。因为药力未到，胀痛难忍，于是让老妇人用香油涂手，从产户托起胎儿，尿液流出如注，胀急顿时缓解，随即用大剂量人参进行补益。到了第三天，胎儿逐渐升起，小便恢复正常。《证治准绳》说：转胞的说法，是膀胱受到逼迫而偏侧，所谓“胞”，即指膀胱。然而子淋与转胞相似，只是小便频数，点滴而出且疼痛的，称为子淋，这是膀胱和小肠虚热所致。虚则不能制约水液，热则不能通利，所以淋证若频数，排出少且不痛的，为转胞，间或有轻微疼痛，终究与子淋不同。《内经》说：女子胞的气。又说：胞移热于膀胱。又说：冲脉任脉都起于胞中。凡这些“胞”字都读作“包”音，指的是子宫。《灵枢》说：膀胱之胞薄而柔软，读作“抛”音，指的是负责排泄尿液的脬（膀胱）。胞类物体有三种，但字形相同，为何后人不懂其意，有的将膀胱与尿胞分为两物，又因《类纂》说：膀胱者，胞之室，反而将子胞与膀胱视为一物，错误很大了。夫膀胱就是脬，脬就是膀胱。难道在膀胱之内还有一物存在吗？那些认为子胞与膀胱是一物的人，试不想想转胞是下压膀胱以致小便不通的情况，那么胞在上，膀胱在下，部位各自不同，这就更明显不是一物了。
If a pregnant woman suffers from meridian and vessel injury due to overexertion, heat enters the blood. When blood is affected by heat, it seeps into the Paofang (bladder), causing hematuria. Fetal leakage refers to bleeding from the vagina, whereas hematuria refers to bleeding from the urethra. For hematuria during pregnancy caused by heat in the Chongbao (uterus/bladder area), Siwu Tang (Four Substances Decoction) with Gardeniae Fructus (Shanzhi) and Ash of Hair (Fahui) is commonly used, or alternatively, Eupolyphaga Secretio (Ejiao), Rehmanniae Radix Praeparata (Shudi), Ophiopogonis Radix (Maidong), and Schisandrae Fructus (Wuweizi).
When a pregnant woman experiences scanty, difficult, and dribbling urination, it is called Zilin (pregnancy dysuria). This occurs because Qi and Blood gather to nourish the fetal origin but fail to adequately moisten and permeate the water passages, leading to stagnant heat in the Bladder. Treatment should involve Danggui (Angelicae Sinensis Radix) and Baishao (Paeoniae Radix Alba) to harmonize the blood; Renshen (Ginseng Radix) to tonify Qi; Maidong (Ophiopogonis Radix) to clear Lung heat to nourish the source of Kidney Water; and Huashi (Talcum) to promote urination and clear stagnation. This formula is named Anrong San. Ancient formulas contain Huashi, which has a heavy and sedative nature, raising concerns about inducing abortion; however, it is excellent if used near term. If used before the seventh or eighth month, Huashi should be removed, and Shihu (Dendrobii Caulis) and Shanzhi (Gardeniae Fructus) added for greater safety. If the condition persists for a long time leading to fatigue and a weak pulse on the right side, this indicates Qi deficiency with sinking, accompanied by a sensation of bearing down. Due to weak Qi and empty intestines causing poor circulation, only large doses of Renshen (Ginseng Radix) can move the Qi, after which urination will naturally become easy.
The syndrome of Baozhuan (displaced bladder/uterus) presents with urgent pain below the umbilicus and inability to urinate. This is caused by holding urine forcibly, running rapidly, holding urine after a full meal, or engaging in intercourse while holding urine. These actions cause water-Qi to rebel upward, forcing the Bao (bladder/uterus) to twist and preventing it from expanding. This is not a disease of the Small Intestine or Bladder itself, nor can it be resolved merely by using diuretic drugs. The method is to lower the rebellious Qi, after which the patient will recover. If the Bao descends excessively and necroses, the fetus will die. This condition often affects those with weak constitutions, those who are prone to worry and depression, those with irritable temperaments, and those who consume rich flavors. Ancient formulas using slippery/diuretic drugs have rarely been effective. It is reasoned that the Bao twists because it is compressed by the fetus; if the fetus is lifted, the Bao's ligaments will relax, and the water passage will open. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate. After taking the medicine, inducing vomiting can lift the Qi, allowing urination to resume spontaneously. Immediately after urination resumes, large doses of Renshen (Ginseng Radix) and other tonics should be used to prevent miscarriage.
Danxi stated: A woman nine months pregnant suffered from Baozhuan, unable to urinate, with severe lower abdominal urgency and leg swelling so bad she could not walk. Her pulse was choppy on the right and slightly harmonious on the left. This was due to qi injury from overeating, with weak uterine ligaments unable to support the fetus, causing it to drop and press against the bladder, blocking the Qi flow and preventing urination. The prescription used Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Prepared Licorice Root), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Banxia (Pinelliae Tuber), and Shengjiang (Zingiberis Rhizoma Recens) to nourish blood and tonify Qi. Once Qi and Blood were robust, the uterine ligaments would lift the fetus. She drank it all at once, and induced vomiting. After four doses, dark water flowed out upon urination. She recovered after subsequent regulation and tonification. In another case of a woman in her seventh or eighth month of pregnancy unable to urinate, the pulse was fine and weak, indicating deficient and timid Middle Qi unable to lift the fetus. The fetus pressed on the lower opening of the bladder, preventing voiding. Buzhong Tang (Middle-Tonifying Decoction) with lifting herbs was used. Due to insufficient medicinal power, distension and pain were unbearable. An elderly woman applied sesame oil to her hand and manually lifted the fetus through the birth canal. Urine gushed out, and the distension and urgency instantly resolved. Large doses of Renshen (Ginseng Radix) were then administered. By the third day, the fetus had risen, and urination returned to normal. *Zhengzhi Zhunsheng* states: The concept of Baozhuan refers to the Bao being forced to the side. Here, "Bao" refers to the Bladder. However, Zilin resembles Baozhuan. Zilin is characterized by frequent, painful, dribbling urination, caused by deficiency-heat in the Bladder and Small Intestine. Deficiency fails to control water, and heat fails to promote free flow. Thus, if there is frequency with little output and no pain, it is Baozhuan, which may have slight pain but differs fundamentally from Zilin. The *Classic* states: "Qi of the Zi Bao." It also says: "Heat transfers from the Bao to the Bladder." And: "Chong Mai and Ren Mai both originate from the Bao." In these instances, "Bao" is pronounced "Bao" and refers to the Uterus. The *Lingshu* states: "The Bao of the Bladder is thin and soft," pronounced "Pao," referring to the organ responsible for storing urine (the urinary bladder). There are three types of "Bao," yet they share the same character. Why do later generations misunderstand? Some separate the Bladder from the Urinary Bladder (Paofang). Others, citing *Leizuan*, say "The Bladder is the chamber of the Bao," mistakenly equating the Zi Bao (Uterus) with the Bladder. This is a significant error. The Bladder is the Paofang, and the Paofang is the Bladder. Is there another object inside the Bladder? Those who equate Zi Bao and Bladder should consider: in Baozhuan, the uterus presses down on the bladder, causing urinary retention. Here, the Bao (uterus) is above, and the Bladder is below. Their locations are distinct, clearly proving they are not the same object.