论曰妊娠小肠挟热，热结胞内，使气道痞涩。故小便不通，令人腹胁胀满，脐下急痛，
是其证也。
治妊娠小便不通，及胞转脐下胀痛。木通丸方
木通（锉） 黄芩（去黑心） 冬葵子（微炒） 生干地黄（焙各一两）
上四味，捣罗为末，用面糊和丸，如梧桐子大，每服二十丸，灯心汤下，食前服。
治妊娠小便不通，心神闷乱，少腹急痛。榆白皮散方
榆白皮（锉） 王不留行 滑石（各一两）
上三味，捣研为细散，每服二钱匕，煎灯心汤调下。
治妊娠小便不通，脐下 痛。猪苓汤方
猪苓（去黑皮） 木通（锉） 桑根白皮（锉一两）
上三味，粗捣筛，每服三钱匕，水一盏，入灯心，同煎至七分，去滓食前温服。
治妊娠小便不通，小腹胀痛。冬葵子散方
冬葵子（微炒） 榆白皮（细锉） 滑石（研） 阿胶（炙令燥各一两）
上四味，捣罗为散，每服二钱匕，温水调服，不拘时。
治妊娠小便不通，脐下满痛。四味葵根汤方
冬葵根（一握洗去土冬即用子） 车前子 木通（细锉各三两） 阿胶（炙令燥二两）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
治妊娠子淋，小便不通。大黄汤方
大黄（锉炒） 地肤草 猪苓（去黑皮） 知母（微炒） 芍药 枳实（去瓤麸炒） 升
麻木
上一十味，粗捣筛，每服三钱匕，以水一盏，煎至七分。去滓温服，日再。
治妊娠子淋，小便不通。茯苓汤方
赤茯苓（去黑皮） 白术 郁李仁（汤浸去皮尖） 杏仁（去皮尖双仁炒） 旋覆花（各
一两）
上六味。粗捣筛，每服二钱匕，水一盏，煎至七分，去滓空心温服。
治妊娠子淋小便涩不通，小腹急，水道热痛。冬葵子汤方
冬葵子（三合） 黄芩（去黑心半两） 赤茯苓（去黑皮） 芍药 车前子（各一两）
上五味，粗捣筛，每服五钱匕，水一盏半，煎取八分，去滓空心温服。
治妊娠小便涩。车前子汤方
车前子（二合） 冬葵根（洗锉二两半）
上二味，粗捣筛，每服五钱匕，以水一盏半，煎至八分，去滓空心温服。
治妊娠小便不通快。茯苓散方
赤茯苓（去黑皮） 冬葵子（各一两）
上二味，捣罗为散，每服二钱匕，以温水调服。日三。
治妊娠小便不通利。榆白皮汤方
榆白皮（锉） 冬葵子（各一两）
上二味，粗捣筛，每服三钱匕，以水一盆，煎至七分。去滓空心食前温服，日三。
治妊娠小便涩不通利。蔓荆实散方
蔓荆实（二两）
上一味，捣罗为散，每服二钱匕。温水调服。空心午前各一。
治妊娠子淋，小便数少热痛，手足烦疼。地肤汤方
地肤草（锉二两）
上一味，粗捣筛，每服三钱匕，水一盏半，煎至八分，去滓食前温服。日三。
治妊娠患子淋。猪苓散方
猪苓（去黑皮三两）
上一味，捣罗为散，每服二钱匕，热汤调，不拘时服。
治妊娠患子淋，及小便不通。冬葵根汤方
葵根（一握锉用子一合研亦得）
上一味，以水三盏，煎取一盏半，去滓分温二服。
治妊娠小便不通。方
葵根（切一握） 榆皮（锉半两）
上二味，以水三盏半，煎至一盏半。分温三服。
又方
蔓荆子（五合）
上一味，捣罗为散，温水调服方寸匕。
治妊娠小便涩，滑石敷方
滑石（二两）
上一味细研，每次用半两。以新汲水调，稀稠得所，涂于脐下二寸，小便即利，未利更
涂之。
论述说：妊娠期间，小肠夹杂热邪，热邪结聚于胞宫内部，导致气机阻滞、水道涩滞。因此出现小便不通，使人腹部和胁部胀满，脐下拘急疼痛，这就是该病的证候表现。
治疗妊娠期间小便不通，以及胞转（膀胱扭转）引起的脐下胀痛。木通丸方
木通（锉碎） 黄芩（去除黑心部分） 冬葵子（微炒） 生干地黄（焙干，各一两）
以上四味药，捣碎过筛成粉末，用面糊调和制成丸剂，大小如梧桐子，每次服用二十丸，用灯心草煎汤送服，饭前服用。
治疗妊娠期间小便不通，心神烦闷混乱，少腹拘急疼痛。榆白皮散方
榆白皮（锉碎） 王不留行 滑石（各一两）
以上三味药，捣研成细粉，每次服用二钱匕，用灯心草煎汤调服。
治疗妊娠期间小便不通，脐下疼痛。猪苓汤方
猪苓（去除黑皮） 木通（锉碎） 桑根白皮（锉碎，一两）
以上三味药，粗捣后过筛，每次服用三钱匕，用水一盏，加入灯心草，共同煎煮至七分水量，去渣滓，饭前温服。
治疗妊娠期间小便不通，小腹胀痛。冬葵子散方
冬葵子（微炒） 榆白皮（细锉） 滑石（研碎） 阿胶（炙烤至干燥，各一两）
以上四味药，捣碎过筛成散剂，每次服用二钱匕，用温水调服，不拘泥于具体时间。
治疗妊娠期间小便不通，脐下胀满疼痛。四味葵根汤方
冬葵根（一握，洗净去土，若冬季则用种子代替） 车前子 木通（细锉，各三两） 阿胶（炙烤至干燥，二两）
以上四味药，粗捣后过筛，每次服用五钱匕，用水一盏半，煎煮至八分水量，去渣滓，饭前温服。
治疗妊娠期间子淋（妊娠期淋证），小便不通。大黄汤方
大黄（锉碎炒制） 地肤草 猪苓（去除黑皮） 知母（微炒） 芍药 枳实（去除瓤麸，炒制） 升麻
以上十味药，粗捣后过筛，每次服用三钱匕，用水一盏，煎煮至七分水量。去渣滓温服，每日两次。
治疗妊娠期间子淋，小便不通。茯苓汤方
赤茯苓（去除黑皮） 白术 郁李仁（热水浸泡去皮尖） 杏仁（去皮尖，双仁者炒制） 旋覆花（各一两）
以上六味药，粗捣后过筛，每次服用二钱匕，用水一盏，煎煮至七分水量，去渣滓，空腹温服。
治疗妊娠期间子淋，小便涩滞不通，小腹拘急，尿道热痛。冬葵子汤方
冬葵子（三合） 黄芩（去除黑心，半两） 赤茯苓（去除黑皮） 芍药 车前子（各一两）
以上五味药，粗捣后过筛，每次服用五钱匕，用水一盏半，煎取八分水量，去渣滓，空腹温服。
治疗妊娠期间小便涩滞。车前子汤方
车前子（二合） 冬葵根（洗净锉碎，二两半）
以上两味药，粗捣后过筛，每次服用五钱匕，用水一盏半，煎煮至八分水量，去渣滓，空腹温服。
治疗妊娠期间小便不通畅。茯苓散方
赤茯苓（去除黑皮） 冬葵子（各一两）
以上两味药，捣碎过筛成散剂，每次服用二钱匕，用温水调服。每日三次。
治疗妊娠期间小便不通利。榆白皮汤方
榆白皮（锉碎） 冬葵子（各一两）
以上两味药，粗捣后过筛，每次服用三钱匕，用水一盆，煎煮至七分水量。去渣滓，空腹及饭前温服，每日三次。
治疗妊娠期间小便涩滞不通利。蔓荆实散方
蔓荆实（二两）
以上一味药，捣碎过筛成散剂，每次服用二钱匕。用温水调服。空腹时及午前各服用一次。
治疗妊娠期间子淋，小便频数量少且热痛，手足烦疼。地肤汤方
地肤草（锉碎，二两）
以上一味药，粗捣后过筛，每次服用三钱匕，用水一盏半，煎煮至八分水量，去渣滓，饭前温服。每日三次。
治疗妊娠期间患子淋。猪苓散方
猪苓（去除黑皮，三两）
以上一味药，捣碎过筛成散剂，每次服用二钱匕，用热汤调服，不拘泥于具体时间。
治疗妊娠期间患子淋，以及小便不通。冬葵根汤方
葵根（一握锉碎，若用种子一合研碎亦可）
以上一味药，用水三盏，煎取一盏半水量，去渣滓，分两次温服。
治疗妊娠期间小便不通。方
葵根（切段，一握） 榆皮（锉碎，半两）
以上两味药，用水三盏半，煎煮至一盏半水量。分三次温服。
又一方
蔓荆子（五合）
以上一味药，捣碎过筛成散剂，用温水调服一方寸匕。
治疗妊娠期间小便涩滞，滑石外敷方
滑石（二两）
以上一味药，细细研磨，每次使用半两。用新汲水调匀，稀稠适度，涂抹于脐下二寸处，小便即可通利，若未通利可再次涂抹。
Commentary states: During pregnancy, the Small Intestine (Xiaochang) is affected by heat pathogens. The heat accumulates within the Bao Palace (uterus/bladder area), causing Qi stagnation and obstruction of the urinary pathway. Consequently, urination becomes obstructed, leading to abdominal and hypochondriac distension and fullness, as well as urgent pain below the umbilicus. This constitutes the clinical presentation of this condition.
Treatment for urinary obstruction during pregnancy, as well as for "Bao Zhuan" (bladder torsion) presenting with pain and distension below the umbilicus. Mutong Wan Formula:
Mutong (Caulis Akebiae, sliced) Huangqin (Radix Scutellariae, cleaned of black heart) Dongkuizi (Semen Malvae, lightly stir-fried) Sheng Gan Dihuang (Radix Rehmanniae Preparata, baked). Each in an amount of one tael.
The above four herbs are crushed, sifted into powder, mixed with flour paste to form pills the size of Sophora japonica seeds. Take twenty pills per dose, administered with a decoction of Jixin (Herba Dictamni) before meals.
Treatment for urinary obstruction during pregnancy, accompanied by mental restlessness and distress, and urgent pain in the lower abdomen. Yubai Pi San Formula:
Yubai Pi (Cortex Ulmi, sliced) Wangbuliuxing (Semen Viscum, not less than walking) Huashi (Talcum). Each in an amount of one tael.
The above three herbs are crushed and ground into a fine powder. Take two qianbi (a traditional measuring spoon) per dose, mixed and taken with a decoction of Jixin (Herba Dictamni).
Treatment for urinary obstruction during pregnancy, with pain below the umbilicus. Zhuling Tang Formula:
Zhuling (Polyporus) Mutong (Caulis Akebiae, sliced) Sanggen Baipi (Cortex Morus Radicis, sliced, one tael).
The above three herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water, adding Jixin (Herba Dictamni). Decoct together until the volume reduces to seven-tenths. Strain and take warm before meals.
Treatment for urinary obstruction during pregnancy, with distension and pain in the lower abdomen. Dongkuizi San Formula:
Dongkuizi (Semen Malvae, lightly stir-fried) Yubai Pi (Cortex Ulmi, finely sliced) Huashi (Talcum, ground) Ejiao (Colla Corii Asini, roasted until dry). Each in an amount of one tael.
The above four herbs are crushed, sifted into powder. Take two qianbi per dose, mixed with warm water. Take at any time.
Treatment for urinary obstruction during pregnancy, with fullness and pain below the umbilicus. Siwei Kuigen Tang Formula:
Dongkuigen (Radix Malvae, one handful, washed and free of soil; use seeds in winter) Cheqianzi (Semen Plantaginis) Mutong (Caulis Akebiae, finely sliced). Each in an amount of three taels. Ejiao (Colla Corii Asini, roasted until dry, two taels).
The above four herbs are coarsely crushed and sifted. Take five qianbi per dose, with one and a half cups of water. Decoct until the volume reduces to eight-tenths. Strain and take warm before meals.
Treatment for "Zilin" (pregnancy-related strangury) with urinary obstruction during pregnancy. Dahuang Tang Formula:
Dahuang (Radix et Rhizoma Rhei, sliced and stir-fried) Difucacao (Herba Kochiae) Zhuling (Polyporus) Zhimu (Rhizoma Anemarrhenae, lightly stir-fried) Shaoyao (Radix Paeoniae Alba or Rubra) Zhishi (Fructus Aurantii Immaturus, pith removed, bran removed, stir-fried) Shengma (Rhizoma Cimicifugae).
The above ten herbs are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water. Decoct until the volume reduces to seven-tenths. Strain and take warm. Take twice daily.
Treatment for "Zilin" (pregnancy-related strangury) with urinary obstruction during pregnancy. Fuling Tang Formula:
Chifuling (Poria cum Radio, cleaned of black skin) Baizhu (Rhizoma Atractylodis Macrocephalae) Yuliren (Semen Pruni, soaked in hot water, skin and tip removed) Xingren (Semen Armeniacae, skin and tip removed, double-kernel ones stir-fried) Xuanfuhua (Capitulum Inulae). Each in an amount of one tael.
The above six herbs are coarsely crushed and sifted. Take two qianbi per dose, with one cup of water. Decoct until the volume reduces to seven-tenths. Strain and take warm on an empty stomach.
Treatment for "Zilin" (pregnancy-related strangury) with astringent and obstructed urination, urgent lower abdominal pain, and hot pain in the urinary tract. Dongkuizi Tang Formula:
Dongkuizi (Semen Malvae, three he) Huangqin (Radix Scutellariae, cleaned of black heart, half tael) Chifuling (Poria cum Radio, cleaned of black skin) Shaoyao (Radix Paeoniae Alba or Rubra) Cheqianzi (Semen Plantaginis). Each in an amount of one tael.
The above five herbs are coarsely crushed and sifted. Take five qianbi per dose, with one and a half cups of water. Decoct until the volume reduces to eight-tenths. Strain and take warm on an empty stomach.
Treatment for astringent urination during pregnancy. Cheqianzi Tang Formula:
Cheqianzi (Semen Plantaginis, two he) Dongkuigen (Radix Malvae, washed and sliced, two taels and a half).
The above two herbs are coarsely crushed and sifted. Take five qianbi per dose, with one and a half cups of water. Decoct until the volume reduces to eight-tenths. Strain and take warm on an empty stomach.
Treatment for unsmooth urination during pregnancy. Fuling San Formula:
Chifuling (Poria cum Radio, cleaned of black skin) Dongkuizi (Semen Malvae). Each in an amount of one tael.
The above two herbs are crushed, sifted into powder. Take two qianbi per dose, mixed with warm water. Take three times daily.
Treatment for unbeneficial urination during pregnancy. Yubai Pi Tang Formula:
Yubai Pi (Cortex Ulmi, sliced) Dongkuizi (Semen Malvae). Each in an amount of one tael.
The above two herbs are coarsely crushed and sifted. Take three qianbi per dose, with one basin of water. Decoct until the volume reduces to seven-tenths. Strain and take warm on an empty stomach and before meals. Take three times daily.
Treatment for astringent and unbeneficial urination during pregnancy. Manjingshi San Formula:
Manjingshi (Fructus Viticis, two taels).
The above single herb is crushed, sifted into powder. Take two qianbi per dose. Mixed with warm water. Take once on an empty stomach and once before noon.
Treatment for "Zilin" (pregnancy-related strangury) with frequent, scanty, hot, and painful urination, and vexing pain in the hands and feet. Difu Tang Formula:
Difucacao (Herba Kochiae, sliced, two taels).
The above single herb is coarsely crushed and sifted. Take three qianbi per dose, with one and a half cups of water. Decoct until the volume reduces to eight-tenths. Strain and take warm before meals. Take three times daily.
Treatment for "Zilin" (pregnancy-related strangury) during pregnancy. Zhuling San Formula:
Zhuling (Polyporus, cleaned of black skin, three taels).
The above single herb is crushed, sifted into powder. Take two qianbi per dose, mixed with hot water. Take at any time.
Treatment for "Zilin" (pregnancy-related strangury) and urinary obstruction during pregnancy. Dongkuigen Tang Formula:
Kuigen (Radix Malvae, one handful sliced; using one he of seeds ground is also acceptable).
The above single herb is decocted with three cups of water until one and a half cups remain. Strain and divide into two warm doses.
Treatment for urinary obstruction during pregnancy. Formula:
Kuigen (Radix Malvae, cut, one handful) Yupi (Cortex Ulmi, sliced, half tael).
The above two herbs are decocted with three and a half cups of water until one and a half cups remain. Divide into three warm doses.
Another Formula:
Manjingzi (Fructus Viticis, five he).
The above single herb is crushed, sifted into powder. Take one fangcunbi (a square-inch spoonful) mixed with warm water.
Treatment for astringent urination during pregnancy, external application of Huashi:
Huashi (Talcum, two taels).
The above single herb is finely ground. Use half a tael each time. Mix with fresh drawn water to achieve appropriate consistency. Apply to the area two cun below the umbilicus. Urination will become smooth. If not, reapply.