论曰妇人怀子而淋者,谓之子淋,因肾虚膀胱经客邪热,令溲少而数,水道涩痛。痛引
于脐者,是其候也。
治妊娠子淋,日夜频数涩痛。石蟹散方
石蟹(碎一枚) 乳香(一分) 滑石(一两半)
上三味,研细为散,每服一钱匕,煎灯心汤调下。
治妊娠子淋。海蛤汤方
海蛤 木通(锉) 猪苓(去黑皮各半两) 滑石(碎) 冬葵子(微炒各一分)
上五味,粗捣筛,每服三钱匕,水一盏,入灯心十茎,同煎至六分,去滓食前温服。
治妊娠子淋。滑石汤方
滑石(二两研) 赤柳根(锉半两焙)
上二味,粗捣筛,每服五钱匕,水一盏半,煎至八分,食前去滓温服。
治妊娠子淋,小便频涩痛。白芷散方
白芷(三分) 郁金 阿胶(炙燥) 滑石(各一两)
上四味,捣罗为散,每服二钱匕,煎葱白汤调下。
治妊娠小便频数,涩少疼痛。石苇汤方
石苇(去毛) 榆白皮(锉各一两) 滑石(二两)
上三味,粗捣筛,每服三钱匕,水一盏,入葱白二寸。生姜二片,煎至六分,去滓食前
温服。
治妊娠子淋涩痛。木通汤方
木通(锉) 石苇(去毛各一两) 陈橘皮(汤浸去白炒) 赤茯苓(去黑皮) 芍药 桑
根白
上七味,粗捣筛,每服三钱匕,水一盏半,入生姜一枣大拍碎,煎至八分,去滓温服。
治妊娠子淋,涩痛烦闷。当归汤方
当归(切焙) 芍药 赤茯苓(去黑皮) 甘草(炙锉) 栀子仁(各半两)
上五味。粗捣筛,每服三钱匕,水一盏,煎至八分,去滓温服。
治妊娠子淋,小便涩少,疼痛、烦闷。赤芍药汤方
赤芍药(一两) 槟榔(一枚面裹煨熟去面)
上二味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓空心温服。
治妊娠子淋。人参散方
人参 木通(锉) 青盐(细研以汤一盏化浸前二味一宿焙干) 海金沙(别研各一分)
莎
上五味,将人参木通莎草根,捣罗为细散,同海金沙青盐一处再研匀,每服二钱匕,空
心酒或米饮调下。
论述说:妇女怀孕后出现小便淋沥不畅的,称为“子淋”,这是由于肾虚且膀胱经受邪热侵袭,导致尿量减少且次数频繁,水道涩滞疼痛。疼痛牵引至肚脐部位的,就是这种病的征候。
治疗妊娠期间子淋,日夜尿频、涩痛不止的石蟹散方:
石蟹(碎成一块)、乳香(一分)、滑石(一两半)。
以上三味药,研细制成散剂,每次服用一钱匕,用煎好的灯心草汤调服。
治疗妊娠子淋的海蛤汤方:
海蛤、木通(锉碎)、猪苓(去掉黑皮,各半两)、滑石(捣碎)、冬葵子(微炒,各一分)。
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,加入灯心草十茎,一同煎煮至六分,去渣后于饭前温服。
治疗妊娠子淋的滑石汤方:
滑石(二两,研细)、赤柳根(锉碎半两,焙干)。
以上二味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至八分,饭前去渣温服。
治疗妊娠子淋,小便频数涩痛的白芷散方:
白芷(三分)、郁金、阿胶(炙干)、滑石(各一两)。
以上四味药,捣碎过筛制成散剂,每次服用二钱匕,用煎好的葱白汤调服。
治疗妊娠小便频数,涩少疼痛的石苇汤方:
石苇(去毛)、榆白皮(锉碎,各一两)、滑石(二两)。
以上三味药,粗捣筛过,每次服用三钱匕,用水一盏,加入葱白二寸、生姜两片,煎煮至六分,去渣后于饭前温服。
治疗妊娠子淋涩痛的木通汤方:
木通(锉碎)、石苇(去毛,各一两)、陈橘皮(热水浸泡去白后炒制)、赤茯苓(去黑皮)、芍药、桑根白皮。
以上七味药,粗捣筛过,每次服用三钱匕,用水一盏半,加入拍碎如枣大的生姜一块,煎煮至八分,去渣温服。
治疗妊娠子淋,涩痛烦闷的当归汤方:
当归(切后焙干)、芍药、赤茯苓(去黑皮)、甘草(炙后锉碎)、栀子仁(各半两)。
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至八分,去渣温服。
治疗妊娠子淋,小便涩少,疼痛、烦闷的赤芍药汤方:
赤芍药(一两)、槟榔(一枚,用面裹煨熟后去掉面皮)。
以上二味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分,空腹去渣温服。
治疗妊娠子淋的人参散方:
人参、木通(锉碎)、青盐(细研,用一盏水化开浸泡前两味药一晚,然后焙干)、海金沙(另研,各一分)。
以上五味药,将人参、木通、莎草根捣碎过筛成细散,与海金沙、青盐一起再次研磨均匀,每次服用二钱匕,空腹时用酒或米饮调服。
Discourse states: When a pregnant woman experiences dribbling and incomplete emptying of urine, it is termed "Zi Lin" (Subling/Urinary Distress in Pregnancy). This condition arises from Kidney deficiency combined with pathogenic heat invading the Bladder meridian, resulting in reduced urine volume but frequent urination, along with astringency and pain in the urinary pathway. Pain radiating to the umbilicus is a characteristic sign of this disease.
Shixie San (Stone Crab Powder) for treating Zi Lin during pregnancy, characterized by frequent day-and-night urination with astringency and pain:
Shixie (Crushed, one piece), Ruxiang (Frankincense, 1 fen), Huashi (Talcum, 1 liang 5 qian).
The above three ingredients are finely ground into a powder. Each dose consists of 1 qianbi (approx. 3-5g), taken orally mixed with a decoction of Dengxincao (Juncus effusus/Stem of Juncus).
Hai Ge Tang (Clam Shell Decoction) for treating Zi Lin during pregnancy:
Haige (Tridacna shell/Meretrix meretrix shell), Mutong (Akebiae Caulis/Caulis Akebiae), Zhuling (Polyporus, black skin removed, each 0.5 liang), Huashi (Talcum, crushed), Dongkuizi (Malvae Semen/Fried Malva seed, each 1 fen).
The above five ingredients are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled in one sheng (approx. 200ml) of water with ten stems of Dengxincao (Juncus effusus/Stem of Juncus) until reduced to 60%. Strain and take warm before meals.
Huashi Tang (Talcum Decoction) for treating Zi Lin during pregnancy:
Huashi (Talcum, 2 liang, ground), Cheliugen (Radix Salicis Rubrae/Cut Red Willow Root, 0.5 liang, dried/baked).
The above two ingredients are coarsely crushed and sieved. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water until reduced to 80%. Strain and take warm before meals.
Baizhi San (Angelica Dahurica Powder) for treating Zi Lin during pregnancy with frequent, astringent, and painful urination:
Baizhi (Angelicae Dahuricae Radix, 3 fen), Yujin (Curcumae Radix), Ejiao (Donkey-hide Gelatin, roasted/dried), Huashi (Talcum, each 1 liang).
The above four ingredients are crushed, sifted, and made into a powder. Each dose consists of 2 qianbi, taken orally mixed with a decoction of Congbai (Allii Fistulosi Bulbus/White part of Scallion).
Shiwei Tang (Pyrosia Leaf Decoction) for treating frequent urination with astringency and pain during pregnancy:
Shiwei (Pyrrosiae Folium/Hairy Fern Leaf, hairs removed), Yubaipi (Cortex Ulmi Alatae/Bark of Elm, cut, each 1 liang), Huashi (Talcum, 2 liang).
The above three ingredients are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled in one sheng of water with two cun of Congbai (Allii Fistulosi Bulbus/White part of Scallion) and two slices of Shengjiang (Zingiberis Rhizoma Fresh/Fresh Ginger) until reduced to 60%. Strain and take warm before meals.
Mutong Tang (Akebia Decoction) for treating astringency and pain in Zi Lin during pregnancy:
Mutong (Akebiae Caulis/Caulis Akebiae, cut), Shiwei (Pyrrosiae Folium/Hairy Fern Leaf, hairs removed, each 1 liang), Chenjupi (Citri Reticulatae Pericarpium/Vanilla Citrus Peel, soaked in hot water, white pith removed, stir-fried), Chi Fuling (Poria with Red Core/Poria Cocos with red wood, black skin removed), Shaoyao (Paeoniae Radix/Radix Paeoniae Rubra or Alba depending on context, usually Red here implied by Chi Fuling pairing but listed as just Shaoyao), Sanggenbaipi (Mori Cortex/Radix Morus Alba Bark).
The above seven ingredients are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled in 1.5 sheng of water with a piece of Shengjiang (Zingiberis Rhizoma Fresh/Fresh Ginger) the size of a date (crushed) until reduced to 80%. Strain and take warm.
Danggui Tang (Angelica Sinensis Decoction) for treating Zi Lin during pregnancy with astringency, pain, and restlessness:
Danggui (Angelicae Sinensis Radix/Cut and baked), Shaoyao (Paeoniae Radix/Radix Paeoniae), Chi Fuling (Poria with Red Core/Poria Cocos with red wood, black skin removed), Gancao (Glycyrrhizae Radix et Rhizoma/Roasted and cut), Zhiziren (Gardeniae Semen/Core of Gardenia fruit, each 0.5 liang).
The above five ingredients are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled in one sheng of water until reduced to 80%. Strain and take warm.
Chishaoyao Tang (Red Peony Root Decoction) for treating Zi Lin during pregnancy with scanty, astringent urination, pain, and restlessness:
Chishaoyao (Paeoniae Radix Rubra/Radix Paeoniae Rubra, 1 liang), Binglang (Arecae Semen/Areca nut wrapped in flour, roasted thoroughly, flour removed).
The above two ingredients are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled in one sheng of water until reduced to 70%. Strain and take warm on an empty stomach.
Renshen San (Ginseng Powder) for treating Zi Lin during pregnancy:
Renshen (Ginseng Radix et Rhizoma/Ginseng root), Mutong (Akebiae Caulis/Caulis Akebiae, cut), Qingyan (Halitum/Salt, finely ground and dissolved in one sheng of water to soak the first two ingredients overnight, then dried/baked), Haijinsha (Lygodii Spora/Lygodium spores, separately ground, each 1 fen).
The above five ingredients: Crush and sieve Renshen (Ginseng Radix et Rhizoma/Ginseng root), Mutong (Akebiae Caulis/Caulis Akebiae), and Suogen (Cyperi Rhizoma/Cyperus rotundus rhizome - inferred from 'Suocaogen' typo in source likely referring to Cyperi Rhizoma or similar aromatic root often paired, though text says 'Suocaogen', standard texts often use Cyperi Rhizoma or similar; sticking to literal 'Suocaogen' implies a specific root, likely Cyperi Rhizoma/Cyperus Rotundus Rhizome in this context of Qi regulation) into a fine powder. Mix thoroughly with Haijinsha (Lygodii Spora/Lygodium spores) and Qingyan (Halitum/Salt). Each dose consists of 2 qianbi, taken orally on an empty stomach mixed with wine or rice drink.