〔薛〕若脬中有热，宜用加味逍遥散。若脾肺气虚，宜用补中益气汤加益智。若肝
肾阴虚，宜用六味丸。一妊妇遗尿内热，肝脉洪数，按之微弱，或两太阳作痛，胁肋作
胀。余以为肝火血虚，用加味逍遥散、六味地黄丸寻愈。后又寒热，或发热，或恚怒，前
证仍作。用八珍散、逍遥散兼服，以清肝火、养肝血而痊。
白薇散 疗妊娠胎满，不知小便出时。（见前三卷遗尿。）
桑螵蛸散 治妊娠小便不禁。
桑螵蛸（二十枚，炙黄）
上为细末，每服二钱，空心米饮调下。
又方 益智仁为末，米饮下，亦效。
〔大〕妊妇劳伤经络，有热在内，热乘于血，血得热则流溢渗入脬，故令尿血也。
〔薛〕前证因怒动火者，宜小柴胡汤加山栀。因劳动火者，宜用补中益气汤。若因
浓味积热，宜用清胃散（杂病齿。）加犀角、连翘、甘草。若因肝经血热，宜用加味逍遥散。若
因脾气下陷，宜用补中益气汤。若因脾虚血热，宜用加味逍遥散。一妊妇因怒尿血，内
热作渴，寒热往来，胸乳间作胀，饮食少思，肝脉弦弱，此肝经血虚而热也。用加味逍遥
散、六味地黄丸兼服渐愈。又用八珍汤加柴胡、丹皮、山栀而痊。
《千金》疗妊娠卒下血及子淋方。
葵子（一升，研）
上以水五升，煮取二升，分温三服。
又方 生艾叶（一斤，研。冬用干者亦得）
上以酒五升，煮取二升，分三服。
又方 生地黄（一升，切）
上以酒四升，煮取二升，分温三服。亦疗落身后血。
续断汤 治妊娠下血及尿血。
当归 生地黄（各一两） 续断（半两） 赤芍药（二钱半）
上为末，空心葱白煎汤调下二钱。
疗妊娠尿血方。
阿胶 熟地黄（各等分）
上为细末，空心粥饮调下二钱。
补遗姜蜜汤 治妊娠小便尿血。
生姜（七片） 蜜（半盏） 白茅根（一握）
上入水，浓煎服。
五苓散去桂加阿胶。（炒）同为粗末，每服四钱，用车前子、白茅根浓煎温服。
又方 白茅根浓煎汤，吞酒蒸黄连丸。
【薛己】如果膀胱中有热，适宜使用加味逍遥散。如果是脾肺之气虚弱，适宜使用补中益气汤加入益智仁。如果是肝肾阴虚，适宜使用六味丸（即六味地黄丸）。有一位孕妇出现遗尿且伴有内热，肝脉表现为洪大而数，重按则微弱，有时两侧太阳穴疼痛，胁肋部胀满。我认为这是肝火旺盛兼有血虚，于是使用加味逍遥散和六味地黄丸，病情很快痊愈。后来患者又出现寒热往来或发热，或因愤怒导致前症复发。我让她同时服用八珍散和逍遥散，以清泻肝火、滋养肝血，最终治愈。
白薇散：治疗妊娠期间胎气胀满，不知何时小便流出。（见前三卷遗尿章节。）
桑螵蛸散：治疗妊娠期间小便失禁。
桑螵蛸（二十枚，炙至黄色）
将上述药材研成细末，每次服用二钱，空腹时用米汤调服。
另一方：将益智仁研成粉末，用米汤送服，也有效。
【张大晋】孕妇因劳累损伤经络，体内有热，热气侵袭血液，血液受热则流动溢出渗入膀胱，从而导致尿血。
【薛己】上述症状若因愤怒引动肝火所致，适宜使用小柴胡汤加入山栀。若因劳累引动虚火所致，适宜使用补中益气汤。若因食用浓味厚腻食物积滞生热所致，适宜使用清胃散（参见杂病齿科部分）加入犀角、连翘、甘草。若因肝经血热所致，适宜使用加味逍遥散。若因脾气下陷所致，适宜使用补中益气汤。若因脾虚兼血热所致，适宜使用加味逍遥散。有一位孕妇因愤怒导致尿血，伴有内热口渴、寒热往来、胸乳间胀满、饮食减少思食，肝脉弦而弱，这是肝经血虚而有热的表现。我让她兼服加味逍遥散和六味地黄丸，病情逐渐好转。后来又使用八珍汤加入柴胡、丹皮、山栀，最终痊愈。
《千金方》治疗妊娠突然下血及子淋（妊娠小便淋痛）的方剂。
葵子（一升，研磨）
用水五升，煮取二升药液，分三次温服。
另一方：生艾叶（一斤，研磨。冬季使用干艾叶也可以）
用酒五升，煮取二升药液，分三次服用。
另一方：生地黄（一升，切片）
用酒四升，煮取二升药液，分三次温服。此方也治疗产后恶露不尽之出血。
续断汤：治疗妊娠下血及尿血。
当归 生地黄（各一两） 续断（半两） 赤芍药（二钱半）
将上述药材研成粉末，空腹时用葱白煎汤调服二钱。
治疗妊娠尿血的方剂。
阿胶 熟地黄（各等分）
将上述药材研成细末，空腹时用粥饮调服二钱。
补遗姜蜜汤：治疗妊娠小便尿血。
生姜（七片） 蜂蜜（半盏） 白茅根（一把）
加入水，浓煎后服用。
[Xue] If there is heat in the bladder (Pang Guang), Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is appropriate. If there is deficiency of Qi in the Spleen and Lung, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Yi Zhi Ren (Alpinia oxyphylla Fructus) should be used. If there is Yin deficiency of the Liver and Kidney, Liuwei Wan (Six-Ingredient Pill with Rehmannia) is appropriate. A pregnant woman presented with enuresis and internal heat; her Liver pulse was surging and rapid but weak upon deep pressure, accompanied by pain in both temporal regions and distension in the hypochondrium. I diagnosed this as Liver Fire with Blood deficiency, and prescribed Jiawei Xiaoyao San and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), leading to a quick recovery. Later, she experienced alternating chills and fever or fever alone, and the previous symptoms recurred due to anger. I had her take Bazhen San (Eight-Treasure Powder) and Xiaoyao San concurrently to clear Liver Fire and nourish Liver Blood, resulting in a cure.
Baiwei San: Treats abdominal fullness during pregnancy with involuntary urination. (See Enuresis in the first three volumes.)
Sangpiaoxiao San: Treats urinary incontinence during pregnancy.
Sang Piao Xiao (Mantis Egg Case, 20 pieces, stir-fried until yellow).
Grind into fine powder. Take 2 qian per dose, mixed with rice water on an empty stomach.
Another prescription: Grind Yi Zhi Ren (Alpinia oxyphylla Fructus) into powder and take with rice water; also effective.
[Zhang] In pregnant women, labor damages the meridians, causing heat within. The heat affects the Blood; when Blood is heated, it flows excessively and seeps into the bladder, causing hematuria.
[Xue] For the above condition caused by anger stirring up Fire, Xiaochaihu Tang (Minor Bupleurum Decoction) with Shan Zhi (Gardeniae Fructus) is appropriate. For that caused by labor stirring up deficient Fire, Buzhong Yiqi Tang is appropriate. For heat accumulation from rich flavors, Qingwei San (Clear the Stomach Powder) with Xi Jiao (Rhinoceros Horn - *note: usually substituted with Niuhuang or other herbs in modern practice*), Lian Qiao (Forsythiae Fructus), and Gan Cao (Licorice Root) is appropriate. For Heat in the Liver Meridian Blood, Jiawei Xiaoyao San is appropriate. For sinking of Spleen Qi, Buzhong Yiqi Tang is appropriate. For Spleen deficiency with Blood Heat, Jiawei Xiaoyao San is appropriate. A pregnant woman presented with hematuria due to anger, accompanied by internal heat, thirst, alternating chills and fever, distension in the chest and breasts, and poor appetite. Her Liver pulse was wiry and weak, indicating Liver Blood deficiency with Heat. I prescribed Jiawei Xiaoyao San and Liuwei Dihuang Wan concurrently, leading to gradual improvement. Subsequently, she took Bazhen Tang (Eight-Treasure Decoction) with Chai Hu (Bupleuri Radix), Dan Pi (Moutan Cortex), and Shan Zhi, resulting in a cure.
Qianjin Fang treats sudden bleeding and Zi Lin (painful urinary frequency during pregnancy) in pregnancy.
Kui Zi (Malvae Semen, 1 sheng, ground).
Boil in 5 sheng of water to obtain 2 sheng of decoction. Divide into three warm doses.
Another prescription: Sheng Ai Ye (Artemisiae Argyi Folium, fresh, 1 jin, ground. Dried leaves may be used in winter).
Boil in 5 sheng of wine to obtain 2 sheng. Divide into three doses.
Another prescription: Sheng Di Huang (Rehmanniae Radix Recens, 1 sheng, sliced).
Boil in 4 sheng of wine to obtain 2 sheng. Divide into three warm doses. This also treats postpartum lochia retention with bleeding.
Xuduan Tang: Treats lower bleeding and hematuria during pregnancy.
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix Recens) (each 1 liang); Xuduan (Dipsaci Radix) (0.5 liang); Chi Shao Yao (Paeoniae Radix Rubra) (2.5 qian).
Grind into powder. Take 2 qian per dose, mixed with decoction of Cong Bai (Allii Fistulosi Bulbus) on an empty stomach.
Prescription for treating hematuria during pregnancy.
E Jiao (Colla Corii Asini), Shu Di Huang (Rehmanniae Radix Preparata) (equal parts).
Grind into fine powder. Take 2 qian per dose, mixed with gruel water on an empty stomach.
Supplementary Jiang Mi Tang: Treats hematuria in urine during pregnancy.
Sheng Jiang (Zingiberis Rhizoma Recens) (7 slices); Mi (Honey) (0.5 zhan); Bai Mao Gen (Imperatae Rhizoma) (one handful).
Add water, boil strongly, and take.
Wuling San (Five-Ingredient Powder with Poria) minus Gui Zhi (Cinnamomi Ramulus) plus E Jiao (stir-fried). Grind together into coarse powder. Take 4 qian per dose, taken warm after strong decoction of Che Qian Zi (Plantaginis Semen) and Bai Mao Gen.
Another prescription: Strong decoction of Bai Mao Gen, swallowing Jiu Zheng Huang Lian Wan (Alcohol-steamed Coptidis Pill).