〔丹〕转胞病，胎妇禀受弱者，忧闷多者，性躁急者，食味浓者，大率有之。古方皆用滑利疏导药，鲜有
应效。因思胞为胎所压，展在一边，胞系了戾不通耳。胎若举起，悬在中央，胞系得疏，水道自行。然胎之坠
下，必有其由。一日吴宅龙人患此，脉之两手似涩，重取则弦，左手稍和。予曰∶此得之忧患，涩为血少气多，
弦为有饮，血少则胞弱而不能自举，气多有饮，中焦不清而溢，则胞知所避而就下，故喜坠。遂以四物汤加参、
术、半夏、陈皮、生甘草、生姜，空心饮，随以指探喉中，吐出药汁，候少顷气定，又与一帖，次日亦然，如
是八帖而安。此法果为的确，恐偶中耳。后有数人，历历有效，未知果何如耶？仲景云∶妇人本肌盛头举身满，
今反羸瘦，头举中空减，胞系了戾，亦致胞转。其义未详，必有能知之者。
一妇人四十一岁，妊孕九个月，转胞，小便不出，三日矣。下急脚肿，不堪存活，来告急。予往视之，见
其形悴，脉之右涩而左稍和。此饱食而气伤，胎系弱不能自举，而下坠压着，膀胱偏在一边，气急为其所闭，
所以水窍不能出也。转胞之病，大率如此。予遂制一方，补血养气，血气既正，胎系自举，则不下坠，方有安
之理。遂作人参、当归、身尾、白芍药、白术、带白陈皮、炙甘草、半夏、生姜煎汤，浓与四帖，任其叫啖，
至次早天明，又与四帖，药渣作一帖，煎令顿饮之，探喉令吐，出此药汤，小便立通，皆黑水。后就此方，加大
腹皮、枳壳、青葱叶、缩砂仁，二十帖与之，以防产前后之虚，果得就蓐平安，产后亦健。
一妇人，妊娠七八个月，患小便不通，百医不能利，转加急胀。诊其脉细弱，予意其血气虚弱，不然，水
载其胎，故胎重坠下，压住膀胱下口，因此溺不得出。若服补药升扶，胎起则自下，药力未至，愈加急满。遂
令一老妇，用香油涂手自产门入，托起其胎，溺出如注，胀急顿解。一面却以人参、黄 、升麻，大剂煮服，或
少有急满，仍用手托放取溺，如此三日后，胎渐起，小便如故。
〔仲〕问曰∶妇人病饮食如故，烦热不得卧，而反倚息者，何也？师曰∶此名转胞，不得溺也。以胞系了
戾，故致此病，但利小便则愈，宜肾气丸主之。（即八味丸，方见治法，酒下十五丸至二十丸，日再服。）
〔《产》〕疗小便不通及胞转。桑螵蛸捣末，米饮服方寸匕，日三。
〔仲〕妊娠有水气，重身，小便不利，洒淅恶寒，起即头眩，葵子茯苓散主之。
葵子 茯苓（各三两）
上二味，杵为散，饮服方寸匕，日三服。小便利则愈。
妊娠小便难，饮食如故，归母苦参丸主之。
当归 贝母 苦参（各四两）
上三味末，炼蜜丸如小豆大。饮服三丸，加至十丸。（男子加滑石半两。）
〔《外》〕治妊娠患子淋。猪苓五两，一味为末，以白汤三合，服方寸匕，渐至二匕，日二夜一。
〔《大》〕治妊娠卒不得小便。杏仁一味，去皮尖捣丸，如大绿豆。灯心汤吞七粒，立利。
〔丹〕朱宅妇人三十余岁，四个月胎，大小便闭，因与通利，冬葵子等药已通，但气未顺。此由性急血耗
气乱，须和其气，滋其血乃安。
陈皮 青皮 芍药（一钱） 人参 归身尾 川芎 地黄 白术（半两） 茯苓 木通 甘草（二分）
〔《甲》〕小便难，水胀满，溺出少，胞转，不得溺，曲骨主之。胞转不得小便，小腹满，关元主之。
【朱丹溪】转胞病，多见于胎妇体质虚弱、忧愁闷郁较多、性情急躁、饮食口味浓重的人。古方多用滑利疏导的药物，但很少见效。我思考后认为，这是因为胞胎压迫膀胱，使其偏向一侧，导致膀胱系带扭曲不通。如果能把胎儿托起，悬在中央，膀胱系带得以舒展，水道自然通畅。然而，胎儿下坠必有其原因。有一天，吴宅的龙姓患者患此病，诊其两手脉象似涩，重按则弦，左手稍和缓。我说：这是因忧患所致，涩脉主血少气多，弦脉主有饮邪。血少则胞络虚弱而不能自行托举胎儿，气多有饮邪，中焦不清而水湿溢出，膀胱知道避让而下移，所以喜欢下坠。于是用四物汤加人参、白术、半夏、陈皮、生甘草、生姜，空腹服用，随即用手指探喉催吐，吐出药汁，等片刻气息平稳后，再服一剂，第二天也这样做，如此共服八剂而痊愈。此法确实确切，恐怕是偶然中的。后来又有几人，效果明显，不知究竟是何道理？张仲景说：妇人原本肌肉丰盛，头部抬起时身体满实，如今反而羸瘦，头部抬起时中空感减少，因胞系扭曲，也会导致转胞。其中的义理不详，必定有能知晓的人。
一位四十一岁的妇人，怀孕九个月，患转胞，小便不出，已有三天。小腹急迫，脚部浮肿，痛苦不堪，前来告急。我去诊治，见其形体憔悴，诊其右脉涩而左脉稍和。这是饱食后损伤了气机，胎系虚弱不能自行托举，而下坠压迫，膀胱偏在一边，气机急迫被其闭塞，所以尿窍不能排出。转胞之病，大抵如此。于是我配制一方，补血养气，血气既正，胎系自然托举，就不下坠压迫，方有安定的道理。于是用人参、当归（身尾）、白芍药、白术、带白陈皮、炙甘草、半夏、生姜煎汤，浓煎四帖，让她随意喝下，到次日天明，又给四帖，药渣再作一帖，煎好后顿服，并探喉令其呕吐，吐出药汤后，小便立即通畅，排出的都是黑水。后来在此方基础上，加大腹皮、枳壳、青葱叶、缩砂仁，共二十帖给她服用，以预防产前产后之虚证，果然临产平安，产后也很健康。
另一位妇人，妊娠七八个月，患小便不通，众多医生治疗无效，病情加重出现急胀。诊其脉细弱，我推测是血气虚弱，否则就是水液承载胎儿，故胎重下坠，压住膀胱下口，因此尿液不得排出。如果服用补药升提，胎儿起来则自然通畅，但若药力未到，反而会更加急满。于是让一位老妇人，用香油涂手，从产门伸入，托起胎儿，尿液如注而出，胀急顿时解除。同时让人用人参、黄芪、升麻，大剂量煮服。若稍有急满，仍用手托放取溺，如此三日后，胎儿逐渐升起，小便恢复正常。
【张仲景】问：妇人患病，饮食正常，烦热不能卧，反而倚靠呼吸，这是什么原因？老师说：这名叫转胞，不能排尿。因为胞系扭曲，所以导致此病，只要通利小便就能痊愈，宜用肾气丸主治。（即八味丸，方见治法篇，酒送服十五丸至二十丸，每日两次。）
【《产宝》】治疗小便不通及胞转。桑螵蛸捣成末，米汤送服方寸匕，每日三次。
【张仲景】妊娠有水气，身重，小便不利，洒淅恶寒，起身即头眩，用葵子茯苓散主治。
冬葵子 茯苓（各三两）
以上两味，捣碎为散，饮送服方寸匕，每日三次。小便利则愈。
妊娠小便难，饮食正常，用归母苦参丸主治。
当归 贝母 苦参（各四两）
以上三味研末，炼蜜制成如小豆大的丸剂。每次饮服三丸，加量至十丸。（男子加滑石半两。）
【《外台秘要》】治疗妊娠患子淋。猪苓五两，一味药研末，用开水三合，送服方寸匕，逐渐增至二匕，每日二次，夜间一次。
【《备急千金要方》】治疗妊娠突然不得小便。杏仁一味，去皮尖捣丸，如大绿豆大小。灯心草汤吞服七粒，立即可通利。
【朱丹溪】朱宅妇人三十多岁，怀孕四个月，大小便闭结，给予通利药物，冬葵子等药已通，但气机未顺。这是由于性情急躁耗伤血液，气机紊乱，必须调和其气，滋养其血才能安宁。
陈皮 青皮 芍药（一钱） 人参 当归身尾 川芎 地黄 白术（半两） 茯苓 木通 甘草（二分）
[Zhu Danxi] The disease of "Zhuanbao" (displacement of the bladder/urinary retention due to pregnancy) generally occurs in pregnant women who have a weak constitution, are prone to worry and depression, have an irritable temperament, or consume rich and heavy-flavored foods. Ancient formulas mostly used slippery and draining medications, but rarely achieved efficacy. Upon reflection, I believe this is because the fetus presses against the bladder, displacing it to one side, causing the bladder ligaments to twist and become obstructed. If the fetus can be lifted and suspended in the center, the bladder ligaments will relax, and the water pathway will function naturally. However, the downward displacement of the fetus must have a cause. One day, a patient surnamed Long from the Wu residence suffered from this condition. His pulse on both hands seemed choppy (Se), becoming wiry (Xian) upon heavy pressure, while the left hand was slightly harmonious. I said: This resulted from worry and distress. A choppy pulse indicates blood deficiency with excess Qi, and a wiry pulse indicates the presence of fluid retention. Blood deficiency makes the bladder ligaments weak, unable to lift the fetus by themselves; excess Qi with fluid retention causes turbidity in the Middle Jiao and overflow, leading the bladder to avoid pressure and descend, hence the tendency to drop. Therefore, I prescribed Siwu Tang (Four Substances Decoction) supplemented with Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Banxia (Pinellia Tuber), Chenpi (Tangerine Peel), Sheng Gancao (Raw Licorice Root), and Shengjiang (Fresh Ginger). He took it on an empty stomach, and I immediately induced vomiting by probing his throat with my finger until the medicinal juice was expelled. After a short while, when his Qi stabilized, he took another dose. The next day, the same procedure was repeated. After eight doses, he recovered. This method proved accurate, though perhaps coincidental. Later, several other patients showed clear effectiveness, though the exact reason remains unknown. Zhang Zhongjing stated: Women originally possess abundant flesh and fullness when lifting their heads/bodies; if they become emaciated and lose that fullness sensation upon lifting, due to twisted bladder ligaments, it also leads to Zhuanbao. The underlying principle is unclear, and there must be someone who understands it.
A forty-one-year-old woman, nine months pregnant, suffered from Zhuanbao with urinary retention for three days. Her lower abdomen felt urgent, her feet were swollen, and she was unbearable in her suffering, coming for emergency help. I examined her and saw her form was haggard; her right pulse was choppy and the left was slightly harmonious. This was caused by overeating damaging the Qi, making the fetal ligaments weak and unable to support the fetus, which then descended and pressed down, displacing the bladder to one side. The urgent Qi was blocked by this pressure, so the urinary aperture could not open. Diseases of Zhuanbao are generally like this. I therefore formulated a prescription to nourish blood and tonify Qi. Once blood and Qi are rectified, the fetal ligaments will naturally lift, preventing descent and pressure, thus ensuring safety. I prepared a decoction of Renshen (Ginseng), Danggui (Angelica Sinensis Root, body and tail), Baishaoyao (White Peony Root), Baizhu (Atractylodes Macrocephala Rhizome), Daibai Chenpi (Tangerine Peel with white pith), Zhigancao (Honey-fried Licorice Root), Banxia (Pinellia Tuber), and Shengjiang (Fresh Ginger). I brewed four strong doses, allowing her to drink freely. By dawn the next day, I gave another four doses. The dregs were combined into one dose, boiled, and taken in one gulp. I induced vomiting to expel the medicinal soup, after which urination immediately resumed, discharging dark water. Later, based on this formula, I added Fudupi (Bitter Orange Fruit), Zhiqiao (Aurantium Fructus), Qingcongye (Green Onion Leaf), and Suosharen (Amomum Fruit), giving her twenty doses in total to prevent deficiency before and after delivery. She indeed delivered safely and remained healthy postpartum.
Another woman, seven or eight months pregnant, suffered from urinary obstruction. Many doctors failed to promote urination, and her urgency and distension worsened. Her pulse was fine and weak. I surmised it was due to blood and Qi deficiency; otherwise, it might be that water carrying the fetus made it heavy and pressing down on the lower opening of the bladder, preventing urine output. If tonic herbs were used to lift, the fetus would rise and relief would follow, but if the medicinal power had not yet arrived, the urgency and fullness would increase. I instructed an old woman to apply sesame oil to her hands, insert them into the vaginal opening, and manually lift the fetus. Urine gushed out, and the distension and urgency instantly resolved. Simultaneously, I had Ren Shen (Ginseng), Huangqi (Astragalus Root), and Shengma (Cimicifuga Rhizome) decocted in large doses for oral administration. If any slight urgency occurred, manual lifting was still performed to facilitate urination. After three days, the fetus gradually rose, and urination returned to normal.
[Zhang Zhongjing] Question: A woman suffers from illness where her diet remains normal, yet she experiences irritability, heat, inability to lie flat, and instead leans forward to breathe. What is the cause? Master said: This is named Zhuanbao, characterized by the inability to urinate. It is caused by twisted bladder ligaments. To cure this, simply promote urination. Use Shenqi Wan (Kidney Qi Pill) as the primary treatment. (This is the Eight-Ingredient Pill, see Treatment Methods section; take 15-20 pills with wine, twice daily.)
[Chanbao] Treats urinary obstruction and bladder displacement. Sandiaoxiao (Mantis Egg Case) is ground into powder and taken with rice water, one cun-bi per dose, three times daily.
[Zhang Zhongjing] In pregnancy with water qi accumulation, heaviness of the body, urinary difficulty, chills, and dizziness upon rising, use Kuizi Fuling San (Abelmoschus Seed and Poria Powder) as the primary treatment.
Kuizi (Abelmoschus Seed) and Fuling (Poria) (each 3 liang).
Grind these two ingredients into a powder. Take one cun-bi with water, three times daily. Relief comes when urination becomes smooth.
For difficult urination during pregnancy with normal diet, use Guimu Kushen Wan (Danggui, Fritillaria, and Sophora Pill).
Danggui (Angelica Sinensis Root), Beimu (Fritillaria Bulb), Kushen (Sophora Root) (each 4 liang).
Grind these three ingredients into powder, mix with refined honey, and make pills the size of small beans. Take three pills with water, increasing up to ten pills. (For men, add Banliang of Huashi [Talc]).
[Waibu] Treats sublin (painful dribbling urination) during pregnancy. Zhu Ling (Polyporus) 5 liang, ground alone into powder. Take one cun-bi with warm water, gradually increasing to two cun-bi, twice daily and once at night.
[Daqianjin] Treats sudden inability to urinate during pregnancy. Xingren (Apricot Seed), peeled and de-seeded, ground into pills the size of large green mung beans. Swallow seven pills with Dengxin Tang (Juncus Decoction); urination will resume immediately.
[Zhu Danxi] A woman from the Zhu residence, over thirty years old, four months pregnant, suffered from constipation of both stool and urine. After using promoting and draining drugs, including Dongkuizi (Abelmoschus Seed), the blockage was relieved, but her Qi was not yet smooth. This was due to an irritable nature consuming blood and disrupting Qi. It is necessary to harmonize the Qi and nourish the blood to achieve peace.
Chenpi (Tangerine Peel), Qingpi (Green Tangerine Peel), Shaoyao (Peony Root) (1 qian); Renshen (Ginseng), Danggui Shenywei (Angelica Sinensis Root, body and tail), Chuanxiong (Ligusticum Rhizome), Dihuang (Rehmannia Root), Baizhu (Atractylodes Macrocephala Rhizome) (0.5 liang); Fuling (Poria), Mutong (Akebia Stem), Gancao (Licorice Root) (2 fen).
[Jiayi Jing] For difficult urination, abdominal distension and fullness, scanty urine, bladder displacement, and inability to urinate, Qugu (CV2) is indicated. For bladder displacement with inability to urinate and lower abdominal fullness, Guanyuan (CV4) is indicated.