妊娠小便淋漓涩少，由气血聚养胎元，不及敷荣渗道，遂使膀胱郁热。又云∶妊娠胞系于肾。肾间
虚热，移于膀胱而成斯症，名曰子淋，加减安荣散主之。然古方安荣散内有滑石，但石乃镇重之剂，恐
致坠胎。若临月犹可，如在七、八月之前，宜去此味，加石斛、山栀为稳。《全书》云∶子淋症，用安
荣散不应，兼服八珍汤。如腿足转筋而小便不利，急用八味丸，缓则不救。予谓∶桂、附犯胎，忌用。
当是麦冬、车前之八味丸也。
加减安荣散 治孕妇小便短涩，或成淋漓。
人参 当归（酒洗各二钱） 麦冬（二钱或三钱） 白术（一钱土炒） 通草 茯苓皮（各八分）
生草（五分） 灯心（五分）
妊娠转胞，乃脐下急痛，小便不通。凡强忍小便，或尿
急疾走，或饱食忍尿，或忍尿入房，使水气上逆，气逼于胞，故屈戾不得舒张所致，非小肠、膀胱受
病，而利药所能利也。法当治其气则愈。凡妇人禀受弱，忧闷多，性躁急，食浓味者，恒有之。因胞
不自转，为胎所压，胎若举起，胞系自流，水道自通矣。用二陈升提饮。又有用补中益气汤，服后探
吐，以提其气自通。通后即用参、 大补，恐坠胎也。但子淋与转胞相类，小便频数，点滴而痛者，
为子淋。膀胱、小肠虚热也，虚则不能制水。热则不能通利，故淋。若频数出少不痛者，为转胞，间
有微痛，终与子淋不同耳。论中急痛，乃急欲便而痛，得便则止，间有微痛，与子淋点滴痛不同。
二陈升提散 治孕妇脐腹作痛，小便淋闭不通，或微痛，与淋有别。由气虚、胎压水胞。
人参（一钱） 白术（土炒） 生地（各一钱半） 当归（二钱） 川芎（八分） 半夏（六分制或
油炒） 柴胡 升麻 陈皮 炙草（各四分） 姜（一片）
煎服。予谓，探吐法莫若通后服提补之药。
妊娠期间出现小便淋漓不尽、量少且排尿涩痛，是因为气血聚集以滋养胎元，无法充分布散并滋润水道，从而导致膀胱郁积热邪。又有说法认为：妊娠时胞宫系连于肾。肾间虚热转移至膀胱而形成此症，名为子淋（妊娠期小便淋沥涩痛），主方用加减安荣散治疗。然而古方中的安荣散含有滑石，但滑石属于质地沉重之药，恐怕会导致堕胎。若临近预产期尚可应用，若在怀孕七、八月之前，应当去掉滑石这味药，加入石斛、山栀更为稳妥。《全书》记载：治疗子淋症，若使用安荣散无效，可兼服八珍汤。如果出现腿足抽筋且小便不利的情况，需紧急使用八味丸，若拖延则难以救治。我认为：肉桂、附子具有犯胎风险，应当忌用。这里所说的应该是含有麦冬、车前子的八味丸。
加减安荣散 治疗孕妇小便短少涩滞，或形成淋漓不尽的症状。
人参、当归（酒洗，各二钱）、麦冬（二钱或三钱）、白术（一钱，土炒）、通草、茯苓皮（各八分）、生甘草（五分）、灯心草（五分）。
妊娠转胞，表现为脐下急迫疼痛，小便完全不通。凡是强忍小便，或在尿急时疾走，或饱食后忍尿，或忍尿时行房事，导致水气上逆，气流逼迫胞宫，致使胞宫屈曲不能舒展张开所致。这并非小肠、膀胱受病，也不是利尿药物所能解决的治法。治疗方法应当调理气机即可痊愈。凡是妇人先天禀赋虚弱，忧愁郁闷多，性情急躁，食用浓味食物者，常有此病。因为胞宫不能正常转动，被胎儿压迫，若将胎儿举起，胞系自然流通，水道也就通畅了。可用二陈升提饮治疗。也有使用补中益气汤，服药后通过探吐的方法，以提举气机使小便自通。小便通畅后立即用人参等大补之药，恐怕会导致堕胎。但是子淋与转胞症状相似，小便频数，点滴而出且疼痛的，称为子淋。这是膀胱、小肠虚热所致，虚则不能制约水液，热则不能通利，故成淋证。若频数排出量少但不疼痛的，称为转胞，间或有轻微疼痛，终究与子淋的点滴刺痛不同。论中提到的急痛，是指急于排便时的疼痛，解便后疼痛停止，间有微痛，这与子淋的点滴刺痛是不同的。
二陈升提散 治疗孕妇脐腹部疼痛，小便淋闭不通，或微痛，与淋证有别。这是由于气虚、胎压导致水胞受阻。
人参（一钱）、白术（土炒）、生地（各一钱半）、当归（二钱）、川芎（八分）、半夏（六分，制或油炒）、柴胡、升麻、陈皮、炙甘草（各四分）、生姜（一片）。
煎服。我认为，探吐法不如在小便通畅后服用提补类药物更为适宜。
During pregnancy, if there is dribbling, scanty volume, and dysuria (painful urination), it is because Qi and Blood gather to nourish the fetal origin but fail to adequately distribute and moisten the water passages, leading to stagnant heat in the Bladder. Another view states: During pregnancy, the Bao (uterus) is connected to the Kidney. Deficient heat within the Kidneys transfers to the Bladder, causing this syndrome, named Zi Lin (Dribbling Urine during Pregnancy). The primary formula is Jiajian Anrong San (Modified Anrong Powder). However, the ancient formula Anrong San contains Hua Shi (Talcum), which is a heavy-settling agent; it may cause miscarriage. It can be used near term, but before the seventh or eighth month, this ingredient should be removed, and Shi Hu (Dendrobium) and Shan Zhi (Gardeniae Fructus) added for greater safety. *Quan Shu* records: For Zi Lin, if Anrong San is ineffective, Bazhen Tang (Eight-Treasure Decoction) can be taken concurrently. If leg cramps occur with difficulty in urination, Bawei Wan (Eight-Ingredient Pill) must be used urgently; otherwise, it may be incurable. I argue that Rou Gui (Cinnamon Bark) and Fu Zi (Aconite Root) are contraindicated due to their potential to harm the fetus. This likely refers to a version of Bawei Wan containing Mai Dong (Ophiopogon Tuber) and Che Qian Zi (Plantago Seed).
Jiajian Anrong San treats pregnant women with short, scanty, and obstructed urine, or dribbling symptoms.
Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix) [washed in wine, each 2 qian], Mai Dong (Ophiopogonis Tuber) [2 or 3 qian], Bai Zhu (Atractylodis Macrocephalae Rhizoma) [1 qian, stir-fried with soil], Tong Cao (Tetrapanacis Medulla), Fu Ling Pi (Poria Cocos Sclerotium Exocarpium) [each 8 fen], Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma) [5 fen], Deng Xin Cao (Junci Medulla) [5 fen].
Zhuan Bao (Twisted Uterus/Retention of Urine) during pregnancy presents as urgent pain below the umbilicus and complete inability to urinate. This occurs when one forcibly holds urine, walks rapidly when the urge is strong, holds urine after a full meal, or engages in intercourse while holding urine. These actions cause Water Qi to reverse upward, compressing the Bao, causing it to twist and preventing expansion. This is not a disease of the Small Intestine or Bladder, nor can it be treated simply with diuretic drugs. The method should focus on regulating Qi, after which recovery occurs. Women with weak congenital constitution, prone to worry and depression, irritable temperaments, or those consuming rich flavors often suffer from this. Because the Bao cannot rotate normally and is compressed by the fetus, lifting the fetus allows the Bao’s connections to flow freely, restoring urinary patency. Erchen Shengti Yin (Erchen Decoction for Lifting and Raising) can be used. Alternatively, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) may be used, followed by inducing vomiting to lift the Qi and restore flow. Immediately after flow is restored, using large tonics like Ren Shen may risk miscarriage. However, Zi Lin and Zhuan Bao are similar syndromes. Frequent urination with scanty drops and pain is Zi Lin, caused by deficient heat in the Bladder and Small Intestine. Deficiency fails to control water, and heat fails to promote free flow, resulting in dribbling. Frequent urination with scanty output but no pain is Zhuan Bao; occasional mild pain differs fundamentally from the stinging pain of Zi Lin. The "urgent pain" mentioned in discussions refers to pain felt when urgently needing to void, which stops upon urination. Occasional mild pain is distinct from the continuous stinging pain of Zi Lin.
Erchen Shengti San (Erchen Powder for Lifting and Raising) treats pregnant women with abdominal pain and obstructed, dribbling, or absent urination, or mild pain, distinguishing it from Lin syndrome. It is caused by Qi deficiency and fetal pressure on the water Bao.
Ren Shen (Ginseng Radix) [1 qian], Bai Zhu (Atractylodis Macrocephalae Rhizoma) [soil-fried], Sheng Di Huang (Rehmanniae Radix) [each 1.5 qian], Dang Gui (Angelicae Sinensis Radix) [2 qian], Chuan Xiong (Ligustici Chuanxiong Rhizoma) [8 fen], Ban Xia (Pinelliae Tuber) [6 fen, processed or oil-fried], Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) [each 4 fen], Sheng Jiang (Zingiberis Rhizoma Recens) [1 slice].
Decoct and take orally. I believe that instead of inducing vomiting, it is better to administer lifting and tonifying herbs after urination has been restored.