病源胞转者，由是胞屈辟，小便不通，名为胞转。其病状脐下急痛，小便不通是也。此
病或
外
饱
胞
肘后疗猝小便不通，及胞转方。
取鸡子中黄一枚服之，不过三服佳。（备急同）
又方
水上浮萍曝干末服之，小便不通利，水胀流肿佳。（千金翼同）
又方
炙桑螵蛸捣为末，水服之方寸匕，日服良效。
又疗小便忍久致胞转方
自取爪甲火烧服之。（备急）
又方
取梁上尘三指撮，以水服之神效。
又方
服蒲黄方寸匕，日三服良。
范汪疗胞转不得小便方。
用蒲席卷人倒立，令头至地，三反则通。（肘后同）
又方
雀矢（半合） 车前子 滑石（各四两） 通草 芍药（各二两）
上五味切，以水七升，煮取三升，服五合，日二，先食服立愈。
又疗胞转欲死及失溺方。
取豆酱清和灶突中黑如豆大，纳阴孔中，立愈。（并出第十五卷中）
备急疗猝小便不通及胞转方。
车前草一斤，水一斗，煮取四升，分四服。（短剧同出第六卷中）
古今录验疗胞转小便不通，乱发散方。
乱发（三斤洗去垢烧） 滑石（半斤） 鲤鱼齿（一两）
上三味捣筛为散，以饮服方寸匕，日三服良。
又疗胞转不得小便方。
真琥珀（一两）葱白（十四茎）
上二味，以水四升，煮取三升，去葱白，末琥珀细筛下汤中，温服一升，日三服佳。（
范汪同）
又张苗说，有容忍小便令胞转，大小便不得，四五日困笃欲死无脉，服此瘥方。
滑石（二两） 乱发（三两烧灰）
上二味捣下筛，取生桃白皮一斤熟舂，以水合绞，得汁二升，以汁服散方寸匕，日三服
，即愈，其但淋者，取乱发三两烧灰，滑石五两合捣为散，服方寸匕，日三服。
又说不得小便者，为胞转，或为寒热气所迫，胞屈辟不得充张，津液不入其中为尿，及
在胞中尿不出方。
当以葱叶除尖头，纳入茎孔中吹之，初渐渐以极大吹之，令气入胞中，津液入便愈也，
朱郁用此药疗郭虎将十五岁男。用∶
葵子（一升） 通草 甘草（各二两炙） 石苇（一两半去毛） 滑石（四两） 榆皮
（二
升）
上六味，以水一斗，煮取三升，令服。（范汪同并出第二十六卷中）
【背景信息】
书名：《外台秘要》 作者：王焘 朝代：唐·天宝十一年 章节：胞转方一十五首 类别：方剂
【原文翻译】
疾病源流中关于“胞转”的论述，是因为膀胱屈曲偏侧，导致小便不通畅，这种病称为“胞转”。其病症表现为脐下急迫疼痛，小便不通。此病有的……（此处原文有缺漏或排版断裂，仅翻译可见部分）……《肘后备急方》治疗猝然小便不通及胞转的方子。
取鸡蛋黄一枚服用，不超过三次即可见效。（与《备急千金要方》相同）
又一方：
取水面浮萍晒干研末服用，对于小便不通利、水胀浮肿者效果良好。（与《千金翼方》相同）
又一方：
将桑螵蛸炙烤后捣成粉末，用水送服一方寸匕，每日服用，疗效良好。
又治疗因忍尿过久导致胞转的方子：
自己取指甲烧成灰后服用。（出自《备急千金要方》）
又一方：
取房梁上的灰尘三指撮，用水送服，神效。
又一方：
服用蒲黄一方寸匕，每日三次，疗效良好。
范汪治疗胞转导致无法小便的方子：
用蒲席卷起人使其倒立，让头触地，反复三次则小便通畅。（与《肘后备急方》相同）
又一方：
雀屎（半合） 车前子 滑石（各四两） 通草 芍药（各二两）
以上五味药切碎，用水七升，煮取三升，每次服用五合，每日两次，饭前服用，立即痊愈。
又治疗胞转危重欲死及失禁的方子：
取豆酱清和灶膛里的黑灰如豆子大小，纳入阴孔中，立即痊愈。（均出自第十五卷中）
《备急千金要方》治疗猝然小便不通及胞转的方子：
车前草一斤，水一斗，煮取四升，分四次服用。（与《小品方》/短剧同，出自第六卷中）
《古今录验》治疗胞转小便不通、乱发散方：
乱发（三斤洗净去垢烧焦） 滑石（半斤） 鲤鱼齿（一两）
以上三味药捣碎过筛制成散剂，用饮液送服一方寸匕，每日三次，疗效良好。
又治疗胞转导致无法小便的方子：
真琥珀（一两） 葱白（十四茎）
以上两味药，用水四升，煮取三升，去掉葱白，将琥珀细筛后加入汤中，温服一升，每日三次，疗效良好。（与范汪方相同）
又张苗说，有人因强忍小便导致胞转，大小便都无法排出，四五日困顿危急欲死且无脉象，服用此方可愈：
滑石（二两） 乱发（三两烧成灰）
以上两味药捣碎过筛，取生桃树皮一斤煮熟捣烂，加水绞汁，得汁二升，用此汁送服散剂一方寸匕，每日三次，即愈。如果是单纯淋证者，取乱发三两烧成灰，滑石五两混合捣为散剂，服用一方寸匕，每日三次。
又说，小便不通者，有的是胞转，有的是因寒热之气逼迫，导致膀胱屈曲偏侧不能充盈扩张，津液不能进入其中化为尿液，以及尿液在膀胱中排不出的方子：
应当用葱叶除去尖头，纳入尿道口中吹气，起初逐渐加大用力吹，使气体进入膀胱中，津液进入后即可痊愈。
朱郁用此法治疗郭虎将十五岁的儿子。所用药物如下：
冬葵子（一升） 通草 甘草（各二两炙） 石韦（一两半去毛） 滑石（四两） 榆皮（二升）
以上六味药，用水一斗，煮取三升，令患者服用。（与范汪方相同，并出自第二十六卷中）
[Background Information]
Book: *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Formulas for Baozhuan (Bladder Displacement/Turning), 15 Formulas
Category: Formulas
[Translation]
Regarding the etiology of "Baozhuan" (Bladder Displacement/Turning) in disease sources, it is caused by the bladder being bent or displaced, resulting in urinary retention. This condition is named "Baozhuan." Its symptoms include urgent pain below the umbilicus and inability to urinate. This disease may... [text gap] ... *Zhouhou Beiji Fang* (Emergency Prescriptions from the Golden Cabinet) formulas for treating sudden urinary retention and Baozhuan.
Take one egg yolk and ingest it. It is best if taken no more than three times. (Same as *Beiji Qianjin Yaofang*)
Another formula:
Dry floating duckweed on water, grind into powder, and take orally. It is effective for urinary difficulty, water distension, and edema. (Same as *Qianjin Yifang*)
Another formula:
Roast mantis egg cases (Sangpiaoxiao), grind into powder, and take with water using a measure of one cun bi (square-inch spoon). Daily administration yields good results.
Another formula for treating Baozhuan caused by holding urine for too long:
Burn your own fingernails/claws into ash and ingest them. (From *Beiji Qianjin Yaofang*)
Another formula:
Take three finger-pinches of dust from the roof beam, mix with water, and ingest. Miraculous effect.
Another formula:
Ingest Polygoni Catapadi Semen (Puhuang) using a measure of one cun bi. Take three times daily for good results.
Fan Wang's formula for treating Baozhuan with inability to urinate:
Roll the patient in a rush mat and place them upside down, letting their head touch the ground. Repeat this inversion three times, then urination will flow freely. (Same as *Zhouhou Beiji Fang*)
Another formula:
Passeris Excrement (Banhe - half he)
Plantaginis Semen (Cheqianzi)
Talcum (Huashi) (each 4 liang)
Tetrapanacis Medulla (Tongcao)
Paeoniae Radix Alba (Shaoyao) (each 2 liang)
Cut the above five herbs, boil in 7 sheng of water, reduce to 3 sheng. Take 5 he per dose, twice daily. Administer before meals; immediate cure.
Another formula for treating critical Baozhuan nearing death and urinary incontinence:
Take clear liquid from fermented bean paste (Doujiang Qing) and soot from the kitchen chimney (Zaotu Hei) in an amount the size of a bean. Insert into the genital opening. Immediate cure. (Both from Volume 15)
*Beiji Qianjin Yaofang* formula for treating sudden urinary retention and Baozhuan:
Plantaginis Herba (Cheqiancao) 1 jin, Water 1 dou. Boil to obtain 4 sheng. Divide into four doses. (Same as *Duanju*, from Volume 6)
*Gujin Luyan* formula for treating Baozhuan with urinary retention, Hair Powder:
Human Hair (Luancha) (3 jin, washed clean of dirt and burnt)
Talcum (Huashi) (0.5 jin)
Cyprini Carassii Dens (Liyu Chi) (1 liang)
Grind and sieve the above three ingredients into a powder. Take one cun bi with drink, three times daily for good results.
Another formula for treating Baozhuan with inability to urinate:
Amber (Hupo) (1 liang)
Scallion White (Congbai) (14 stems)
Boil the above two ingredients in 4 sheng of water, reduce to 3 sheng. Remove the scallions. Sieve the Amber finely and add to the decoction. Take 1 sheng warm, three times daily for good results. (Same as Fan Wang)
Zhang Miao stated that someone who forcibly held urine developed Baozhuan, unable to pass both large and small amounts of urine. After four or five days, they were critically ill, near death, and pulseless. Taking this formula cured them:
Talcum (Huashi) (2 liang)
Human Hair (Luancha) (3 liang, burnt to ash)
Grind and sieve the above two ingredients. Take 1 jin of fresh peach bark (Taobai Pi), cook until soft, pound thoroughly, mix with water, and squeeze out juice to obtain 2 sheng. Use this juice to take the powder, one cun bi per dose, three times daily. The patient will recover. For those with only strangury (Lin syndrome), take 3 liang of human hair burnt to ash and 5 liang of Talcum, grind together into a powder. Take one cun bi, three times daily.
It is also said that inability to urinate is due to Baozhuan, or compression by cold-heat pathogens causing the bladder to bend and fail to expand, preventing fluids from entering to form urine, and urine remaining in the bladder. Formula for this:
Use the leaf of a scallion (Congye), remove the tip, insert it into the urethral meatus, and blow air. Initially blow gently, gradually increasing force, allowing air to enter the bladder. Once fluids enter, recovery occurs.
Zhu Yu used this method to treat the 15-year-old son of General Guo Hu. The herbs used were:
Abutilonis Semen (Kuizi) (1 sheng)
Tetrapanacis Medulla (Tongcao)
Glycyrrhizae Radix et Rhizoma (Gancao) (each 2 liang, honey-fried)
Pyri Folium (Shiwei) (1.5 liang, hairs removed)
Talcum (Huashi) (4 liang)
Ulmus Cortex (Yupi) (2 sheng)
Boil the above six herbs in 1 dou of water, reduce to 3 sheng. Let the patient drink. (Same as Fan Wang, from Volume 26)