夫脬转者。是脬屈辟。小便不通。名为脬转。其病状脐下急痛。小便不通是也。此病或
由小
外
死
或脬落。并致于死矣。
治脬转。不得小便。鬼箭散方。
鬼箭羽(三两) 蘧麦(一两) 葵子(一两) 石苇(一两去毛) 滑石(三两) 木
通(一两
锉) 榆白皮(二两锉)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
又方。
川大黄(一两锉碎微炒) 琥珀(一两细研) 车前叶(二两)
上件药。捣粗罗为散。每服四钱。以水一中盏。入葱白三茎。煎至六分。去滓。不计时
候温服。
又方。
车前子(一两) 雀粪(半两微炒) 滑石(一两) 赤芍药(一两) 木通(一两锉)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
又方。
乱发(半两烧灰) 滑石(二两) 鲤鱼齿(一两)
上件药。捣细罗为散。不计时候。以温水调下二钱。
又方。
琥珀(一两细研) 葱白(五茎切)
上件药。以水二大盏。煎取一盏半。去葱。分为三服。不计时候服。
又方。
乱发(三两烧灰) 滑石(二两) 川芒硝(一两)
上件药。细研令匀。用桃白皮一斤。捣。以水绞取汁二升。不计时候。以汁一小盏。调
下二钱。
又方。
梁上尘(一钱) 蒲黄(一钱)
上件药。同研匀。都为一服。食前。以温水调下。
又方。
鸡子〔一枚敲破去(取)黄〕
上以温水调服之。不过三服。
又方。
浮萍草(曝干)
上捣细罗为散。不计时候。以冷水调下二钱。若小便不通利。流脓。服之亦佳。
治脬转。小便不得。经三四日困笃欲死方。
滑石(二两) 蒲黄(一两)
上捣细罗为散。不计时候。以温水调下二钱。
又方。
盐(半斤熬令热)
上以囊盛。熨小腹。须臾热彻便通。
又方。
车前草(一握锉)
上以水一大盏。煎至七分。去滓。分为二服。
脬转(膀胱扭转/移位),是指膀胱屈曲偏斜,导致小便不通畅,这种病症被称为脬转。其临床表现是脐下部位拘急疼痛,小便无法排出。此病若不及时治疗,或因小便闭塞致死,或因膀胱下垂脱出,均会导致死亡。
治疗脬转,小便不通的鬼箭散方:
鬼箭羽(三两) 蘧麦(一两) 葵子(一两) 石苇(一两,去毛) 滑石(三两) 木通(一两,锉碎) 榆白皮(二两,锉碎)
以上药物,捣碎并过筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣,不拘时候温服。
又一方:
川大黄(一两,锉碎,微炒) 琥珀(一两,细研) 车前叶(二两)
以上药物,捣碎并粗罗过筛制成散剂。每次服用四钱,用水一中盏,加入葱白三茎,煎煮至六分,滤去药渣,不拘时候温服。
又一方:
车前子(一两) 雀粪(半两,微炒) 滑石(一两) 赤芍药(一两) 木通(一两,锉碎)
以上药物,捣碎并粗罗过筛制成散剂。每次服用四钱,用水一中盏,煎煮至六分,滤去药渣,不拘时候温服。
又一方:
乱发(半两,烧成灰) 滑石(二两) 鲤鱼齿(一两)
以上药物,捣碎并细罗过筛制成散剂,不拘时候,用温水调服二钱。
又一方:
琥珀(一两,细研) 葱白(五茎,切碎)
以上药物,用水二大盏,煎取一盏半,去掉葱,分为三次服用,不拘时候服。
又一方:
乱发(三两,烧成灰) 滑石(二两) 川芒硝(一两)
以上药物,细研均匀,用桃白皮一斤,捣烂,加水绞取汁液二升,不拘时候,取一小盏汁液,调服二钱药散。
又一方:
梁上尘(一钱) 蒲黄(一钱)
以上药物,共同研匀,作为一次服用量。饭前,用温水调服。
又一方:
鸡蛋一枚(敲破,去黄留清)
以上用温水调服。不超过三次即可痊愈。
又一方:
浮萍草(晒干)
以上捣碎并细罗过筛制成散剂,不拘时候,用冷水调服二钱。如果小便不通利,流脓,服用此方也很好。
治疗脬转,小便不通,经过三四天病情危重欲死的方剂:
滑石(二两) 蒲黄(一两)
以上捣碎并细罗过筛制成散剂,不拘时候,用温水调服二钱。
又一方:
盐(半斤,熬热)
以上用布袋盛装,熨烫小腹,片刻后热气透入,小便即通。
又一方:
车前草(一握,锉碎)
以上用水一大盏,煎煮至七分,滤去药渣,分为两次服用。
Pao Zhuan (Bladder Displacement/Torsion) refers to the condition where the bladder is bent or displaced, resulting in urinary retention. This disease is named Pao Zhuan. Its clinical manifestations include urgent pain below the umbilicus and inability to urinate. If left untreated, this disease may lead to death due to urinary obstruction or bladder prolapse.
Prescription of Guijian San for treating Pao Zhuan with urinary retention:
Gui Jian Yu (Spathodea Venosa Twig), 3 liang; Ju Mai (Buckwheat Fruit), 1 liang; Kui Zi (Abutilon Seed), 1 liang; Shi Wei (Pyrrosia Leaf), 1 liang (deprived of hairs); Hua Shi (Talcum), 3 liang; Mu Tong (Akebia Stem), 1 liang (sliced); Yu Bai Pi (Ulmus Bark), 2 liang (sliced).
Crush and sieve the above ingredients into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to six parts. Strain and take warm at any time.
Another prescription:
Chuan Da Huang (Rheum Palmatum Root), 1 liang (sliced and slightly stir-fried); Hu Po (Amber), 1 liang (finely ground); Che Qian Ye (Plantago Leaf), 2 liang.
Crush and sieve the above ingredients into a coarse powder. Take 4 qian per dose. Decoct with one zhong of water and three stems of Cong Bai (Scallion White) until reduced to six parts. Strain and take warm at any time.
Another prescription:
Che Qian Zi (Plantago Seed), 1 liang; Que Fen (Sparrow Excrement), 0.5 liang (slightly stir-fried); Hua Shi (Talcum), 1 liang; Chi Shao Yao (Red Peony Root), 1 liang; Mu Tong (Akebia Stem), 1 liang (sliced).
Crush and sieve the above ingredients into a coarse powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to six parts. Strain and take warm at any time.
Another prescription:
Luan Fa (Human Hair Tangle), 0.5 liang (burned to ash); Hua Shi (Talcum), 2 liang; Li Yu Chi (Carp Tooth), 1 liang.
Crush and sieve the above ingredients into a fine powder. Take 2 qian per dose mixed with warm water at any time.
Another prescription:
Hu Po (Amber), 1 liang (finely ground); Cong Bai (Scallion White), five stems (sliced).
Decoct the above ingredients with two da zhong of water until reduced to one and a half zhong. Remove the scallions and divide into three doses. Take at any time.
Another prescription:
Luan Fa (Human Hair Tangle), 3 liang (burned to ash); Hua Shi (Talcum), 2 liang; Chuan Mang Xiao (Mirabilite), 1 liang.
Grind the above ingredients finely and mix evenly. Take one jin of Tao Bai Pi (Peach Bark), crush it, add water, and squeeze out two sheng of juice. Take 2 qian of the powder mixed with one zhong of the juice at any time.
Another prescription:
Liang Shang Chen (Dust from Roof Beams), 1 qian; Pu Huang (Typha Pollen), 1 qian.
Grind the above ingredients together until uniform. This constitutes one dose. Take before meals mixed with warm water.
Another prescription:
Ji Zi (Chicken Egg), one egg (crack open and remove yolk, keep white).
Take mixed with warm water. It will not exceed three doses for recovery.
Another prescription:
Fu Ping Cao (Spirodela Polyrrhiza), dried.
Crush and sieve the above ingredients into a fine powder. Take 2 qian mixed with cold water at any time. If urinary retention is accompanied by purulent discharge, this prescription is also effective.
Prescription for treating Pao Zhuan with urinary retention, where the patient becomes critically ill and near death after three or four days:
Hua Shi (Talcum), 2 liang; Pu Huang (Typha Pollen), 1 liang.
Crush and sieve the above ingredients into a fine powder. Take 2 qian mixed with warm water at any time.
Another prescription:
Yan (Salt), 0.5 jin (heated).
Place in a cloth bag and apply as a hot compress to the lower abdomen. Urination will resume once the heat penetrates.
Another prescription:
Che Qian Cao (Plantago Herb), one handful (sliced).
Decoct with one da zhong of water until reduced to seven parts. Strain and divide into two doses.