（见妊娠中）
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妇人腹中痛，小建中汤主之。
【注】
若因木盛土衰，中虚急痛者，用此补虚缓中定痛可也。
（见虚劳中）
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问曰：妇人病。饮食如故，烦热不得卧，而反倚息不得卧者，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。
【注】
病不在胃，故饮食如故也，病在于胞，故不得溺也，阳气不化，故烦热也。水不得下
行，故倚息不得卧也，名曰转胞，以胞系乘戾不爽也，故致此病，但当利小便则愈。
主之肾气丸，以温行下焦阳气，阳气化则溺出，诸病自解矣。胞者乃谓尿胞，非血胞
也。
【集注】
赵良曰：此方在虚劳中，治腰痛小便不利，小便拘急，此亦用之何也？盖因肾虚用之
也，用此补肾则气化，气化则水行而愈矣。然转胞之病，岂尽由下焦肾虚气不化所致
耶？或中焦脾虚，不能散精归于胞，及上焦肺虚，不能下输布于胞，或胎重压其胞，
或忍溺入房，皆足成此病，必求其所因以治之也。
干地黄八两 薯蓣四两 山茱萸四两 泽泻三两 茯苓三两 牡丹皮三两 桂枝 附
子（炮）各一两
右八味，末之，炼蜜和丸，梧子大，酒下十五丸，加至二十五丸，日再服。
【集解】
李□曰：方名肾气丸者，气属阳，补肾中真阳之气也。内具六味丸，壮肾水以滋小便
之源，附、桂益命门火、以化膀胱之气，则薰蒸津液，水道以通，而小便自利。此所
以不用五苓散，而用肾气丸也。
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妇人阴寒，温中坐药，蛇 子散主之。
【注】
阴寒，前阴寒也，治以温中坐药。蛇 子，性温热能壮阳，故纳之以助阳驱阴也。
【集注】
沈明宗曰：此治阴掣痛，少腹恶寒之方也。胞门阳虚受寒，现证不一，非惟少腹恶寒
之一证也。但寒从阴户所受，不从表出，当温其受邪之处，则病得愈，故以蛇 子一
味，大热温助其阳，纳入阴中，俾子宫得暖，邪去而病自愈矣。
（此条文见于妊娠病篇）
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妇女腹部疼痛，用小建中汤主治。
【注】
如果是由于肝木过盛导致脾土虚弱，中焦虚寒引起的急迫性腹痛，使用此方可以补益虚损、缓和拘急并止痛。
（此条文见于虚劳病篇）
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问：妇女患病，饮食正常，但感到烦热无法躺卧，反而需要倚靠呼吸、无法平卧，这是什么原因？老师说：这称为“转胞”，表现为小便不通。这是因为膀胱系膜扭转不顺，所以导致这种疾病，只要通利小便就能痊愈，适宜用肾气丸主治。
【注】
病位不在胃，所以饮食如常；病位在膀胱，所以小便不通；阳气不能气化，所以出现烦热；水液不能下行，所以身体倚靠、喘息而无法平卧。这种病名叫转胞，是因为膀胱系膜扭转不畅所致，因此导致此病，只要通利小便就能痊愈。主治用肾气丸，是为了温通下焦的阳气，阳气得以气化则小便排出，各种症状自然解除。这里的“胞”指的是膀胱（尿胞），而不是子宫（血胞）。
【集注】
赵良说：这个方剂在虚劳篇中，用于治疗腰痛、小便不利、小便拘急，这里也用它治疗转胞，为什么呢？这是因为因肾虚而使用它，用此方补肾则气化功能恢复，气化正常则水液运行而病愈。然而，转胞这一疾病，难道全都是由下焦肾虚、气不化水导致的吗？或者是中焦脾虚，不能将精微物质散布归于膀胱，以及上焦肺虚，不能向下输布津液至膀胱，或者是胎儿过重压迫膀胱，或者憋尿后行房事，这些都足以造成此病，必须探究其病因进行治疗。
干地黄八两，薯蓣四两，山茱萸四两，泽泻三两，茯苓三两，牡丹皮三两，桂枝一两，附子（炮制）一两。
以上八味药，研成细末，用炼蜜调和制成丸药，大小如梧桐子，每次用酒送服十五丸，逐渐增加至二十五丸，每天服用两次。
【集解】
李□说：方名肾气丸，是因为气属于阳，旨在补益肾脏中的真阳之气。方中包含六味地黄丸的成分，以壮补肾水来滋生源头的津液，附子、桂枝补助命门之火，以气化膀胱之气，从而熏蒸津液，使水道通畅，小便自然通利。这就是为什么不用五苓散，而用肾气丸的原因。
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妇女外阴寒冷，采用温中坐药治疗，蛇床子散主治。
【注】
阴寒，指前阴寒冷，用温中坐药治疗。蛇床子，性质温热能壮阳，所以将其纳入阴道以助阳驱除阴寒。
【集注】
沈明宗说：这是治疗阴部牵引疼痛、少腹恶寒的方剂。胞门（子宫口）阳虚受寒，表现出的证候不止一种，不仅仅是少腹恶寒这一症状。但寒气从阴户侵入，不从体表发散，应当温暖受邪的部位，病才能痊愈，所以只用蛇床子一味药，大热之性温助阳气，纳入阴中，使子宫得到温暖，邪气去除而病自愈。
(See in the section on Pregnancy Diseases)
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If a woman suffers from abdominal pain, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is the primary treatment.
[Annotation]
If the acute and urgent abdominal pain is caused by excessive Liver Wood leading to Spleen Earth deficiency, with middle Jiao deficiency and cold, this formula can be used to tonify deficiency, relieve tension, and stop pain.
(See in the section on Deficiency and Emaciation Diseases)
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Question: A woman is ill; her diet remains normal, but she experiences vexation and heat, cannot lie down, and instead must lean forward to breathe, unable to lie flat. What is the cause? The Master said: This condition is called "Zhuan Bao" (Displaced Bladder), characterized by urinary retention. It occurs because the ligaments of the bladder are twisted and obstructed, causing this disease. If urination is promoted, the disease will heal. Shen Qi Wan (Kidney Qi Pill) is indicated for treatment.
[Annotation]
The pathology is not in the Stomach, hence diet remains normal. The pathology is in the Bladder, hence urinary retention. Yang Qi fails to transform, resulting in vexation and heat. Water fluids fail to descend, causing the patient to lean forward and pant, unable to lie flat. This disease is named Zhuan Bao because the bladder ligaments are twisted and unsmooth, leading to this condition. Therefore, promoting urination leads to recovery. The primary treatment uses Shen Qi Wan (Kidney Qi Pill) to warm and move the Yang Qi of the Lower Jiao. Once Yang Qi transforms, urine is excreted, and all symptoms resolve naturally. Here, "Bao" (Bladder/Uterus) refers to the urinary bladder, not the blood uterus (womb).
[Collected Annotations]
Zhao Liang said: This formula appears in the Deficiency and Emaciation section to treat lower back pain, difficult urination, and urgency of urination. Why is it used here as well? It is used due to Kidney deficiency. Tonifying the Kidney restores Qi transformation; once Qi transforms, water flows, and the disease heals. However, is Zhuan Bao always caused by Lower Jiao Kidney deficiency and failure of Qi transformation? It could also be due to Middle Jiao Spleen deficiency failing to distribute essence to the bladder, or Upper Jiao Lung deficiency failing to transmit fluids downward to the bladder. Or it may result from the weight of the fetus pressing on the bladder, or holding urine while engaging in sexual intercourse. All these factors can cause this disease; one must seek the underlying cause to treat it.
Eight liang of Gan Di Huang (Rehmanniae Radix Preparata), four liang of Shu Yu (Dioscoreae Rhizoma), four liang of Shan Zhu Yu (Corni Fructus), three liang of Ze Xie (Alismatis Rhizoma), three liang of Fu Ling (Poria), three liang of Mu Dan Pi (Moutan Cortex), one liang of Gui Zhi (Cinnamomi Ramulus), and one liang of Fu Zi (Aconiti Lateralis Radix Praeparata, processed).
These eight ingredients are powdered, mixed with refined honey to form pills the size of wutong seeds. Take fifteen pills with wine initially, increasing gradually to twenty-five pills, taken twice daily.
[Collected Explanations]
Li [Name obscured] said: The formula is named Shen Qi Wan (Kidney Qi Pill) because Qi belongs to Yang, aiming to tonify the true Yang Qi of the Kidney. It contains the components of Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) to strengthen Kidney Water and nourish the source of urine. Fu Zi (Aconite) and Gui Zhi (Cinnamon Twig) supplement the Fire of the Gate of Vitality (Ming Men) to transform Bladder Qi. This steams and vaporizes body fluids, unblocking the water passages so that urination becomes smooth. This is why Wu Ling San (Five-Ingredient Powder with Poria) is not used, but Shen Qi Wan (Kidney Qi Pill) is chosen.
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For women suffering from coldness in the external genitalia, warm internal sitz medicines should be used. She Chuang Zi San (Cnidium Seed Powder) is the primary treatment.
[Annotation]
Yin Han (Yin Cold) refers to coldness in the anterior yin (external genitalia), treated with warm internal sitz medicines. She Chuang Zi (Cnidii Fructus) has a warm nature and can strengthen Yang; therefore, it is inserted into the vagina to assist Yang and dispel Yin cold.
[Collected Annotations]
Shen Mingzong said: This is a formula for treating pulling pain in the yin region and aversion to cold in the lower abdomen. When the Bao Men (gate of the uterus) suffers from Yang deficiency and cold invasion, the manifestations vary and are not limited to just lower abdominal aversion to cold. However, since the cold enters through the vaginal opening and does not exit from the exterior, the site of pathogenic invasion must be warmed for the disease to heal. Therefore, only She Chuang Zi (Cnidii Fructus), a herb with strong heat properties to warm and assist Yang, is used. It is inserted into the yin to warm the uterus, allowing the pathogen to leave and the disease to heal spontaneously.