（附论）
夫肾主水。入胞为小便。肾气和平乃能约制。溲出以时。若妊娠肾虚胞冷。不能约制。
故小便利下而多也。其证令人背项憎风。小腹急痛。治法当加以扶养胎气之剂。
方
熟干地黄丸 治妊娠小便不禁。脐腹疼痛。
熟地黄（焙） 巴戟天（去心） 肉苁蓉（酒浸一宿切焙） 五味子 山茱萸（醋浸一
宿炒） 蒺藜子（炒去角） 萆 蜀椒（去目及闭口者炒取红） 山芋 续断（各一两） 菟
丝子（酒浸别捣） 杜仲（去粗皮炙各一两） 沉香（一分） 上为细末。炼蜜和丸如梧子
大。每服十五丸。食前
椒菊丸 治妊娠小便日夜频数。
蜀椒（去目及合口炒取红二两） 甘菊花 肉苁蓉（酒浸一宿切焙） 菖蒲（各一两） 巴
戟
天（去心） 远志（去心） 黄 （锉） 附子（炮裂去皮脐各半两） 上为细末。酒煮面
和丸如桐
子
菟丝子丸 治妊娠小便利。日夜无度。
菟丝子（酒浸焙干别捣二两） 菖蒲 肉苁蓉（酒浸切焙各一两） 蛇床子（酒浸三日
河水淘焙干） 五味子（洗焙各半两） 防风（去叉） 远志（去心各一分） 上为末。炼
蜜和丸。捣三百杵。丸如桐子大。每服十丸。空心温酒下。
温气除寒补下丸 治妊娠小便利。
葫芦巴（酒浸焙） 龙骨（研） 菖蒲（各半两） 远志（去心一两半） 补骨脂（炒）
益智（去皮） 肉苁蓉（酒浸一宿切焙各一两） 上为细末。炼蜜和丸如桐子大。每服三十
丸。空心温酒下。
桑螵蛸汤 治妊娠小便滑数。
桑螵蛸（炒） 人参（各一两） 鹿茸（去毛酥炙） 黄 （锉各二两） 牡蛎粉（一
两半） 甘草（炙锉半两） 上为捣粗筛。每服三钱。水一盏生姜三片。大枣二枚擘。煎至
七分去滓。食前
鸡 散 治妊娠遗尿。
鸡 （十具炙干） 熟干地黄（焙） 当归（焙各半两） 牡蛎粉 黄 （锉各一两）
浓朴（去粗皮生姜汁炙三分） 上捣罗为散。每服二钱匕。食前温酒调下。
鹿茸丸 治妊娠下焦冷气。少腹疼痛。小便多。
鹿茸（一两） 白龙骨（三分） 桑螵蛸（半两） 牡蛎粉（二两） 上为末。酒煮面
糊和丸如梧子大。每服二十丸。空心食前。温酒下。
艾叶丸 治妊娠小便利。少腹痛。
艾叶（炙） 干姜（各一两） 浓朴 益智（各半两） 上为末。炼蜜和丸如桐子大。
每服三十丸。米饮汤下。以饭压之。
秦椒丸 治妊娠小便利。
秦椒（六两） 香子（炒一两） 黄蜡（四两） 上捣罗二味为末。熔蜡和丸如桐子
大。每服二十丸。空心用温酒下。
白薇散 治妊娠小便无度。尿不知出时。胎漏故也。
白薇 白芍药（各一两） 上捣罗为散。每服一钱匕。食前。温酒调下。日三。
鸡翎酒 疗妊娠尿不知出时。胎漏故也。
用鸡翎烧灰末。温酒调服方寸匕。
桑螵蛸散 治妊娠小便不禁。
用桑螵蛸十二个。炙为细末。每服三钱。空心食前。米饮调下。
治小便利。
烧遗尿人荐草灰。服之瘥。
治小便遗失。
阿胶（三钱） 牡蛎（四钱） 鹿茸（四钱） 上锉末。挑三分。水一盏半。煎至一盏。
空心细
（附论）
肾脏主管水液代谢。水液进入膀胱后形成小便。肾气平和协调，才能对小便进行约束和控制，使排尿有节制、按时机。如果妊娠期间肾虚且胞宫寒冷，无法约束控制，
就会导致小便频多而下泄。其症状表现为让人背部和项部怕风，小腹部拘急疼痛。治疗方法应当使用具有扶持养护胎气作用的方剂。
方剂
熟干地黄丸：治疗妊娠期间小便失禁，脐腹疼痛。
熟地黄（焙干）、巴戟天（去除心木）、肉苁蓉（酒浸一夜后切片焙干）、五味子、山茱萸（醋浸一夜后炒制）、蒺藜子（炒制后去除刺角）、萆薢、蜀椒（去除目及闭合不张开者，炒取红色部分）、山芋、续断（各一两）、菟丝子（酒浸后单独捣碎）、杜仲（去除粗皮，炙制，各一两）、沉香（一分）。以上药材研为细末，用炼蜜调和制成如梧桐子大小的丸药。每次服用十五丸，饭前服用。
椒菊丸：治疗妊娠期间小便日夜频繁。
蜀椒（去除目及闭合不张开者，炒取红色部分，二两）、甘菊花、肉苁蓉（酒浸一夜后切片焙干）、石菖蒲（各一两）、巴戟天（去除心木）、远志（去除心木）、黄芪（锉碎）、附子（炮裂后去皮去脐，各半两）。以上药材研为细末，用酒煮面糊调和制成如梧桐子大小的丸药。
菟丝子丸：治疗妊娠期间小便频数，日夜无度。
菟丝子（酒浸后焙干，单独捣碎，二两）、石菖蒲、肉苁蓉（酒浸后切片焙干，各一两）、蛇床子（酒浸三天，河水淘洗后焙干）、五味子（洗净焙干，各半两）、防风（去除叉枝）、远志（去除心木，各一分）。以上药材研为末，用炼蜜调和丸药，捣击三百下。制成如梧桐子大小的丸药。每次服用十丸，空腹时温酒送服。
温气除寒补下丸：治疗妊娠期间小便频数。
葫芦巴（酒浸后焙干）、龙骨（研碎）、石菖蒲（各半两）、远志（去除心木，一两半）、补骨脂（炒制）、益智仁（去皮）、肉苁蓉（酒浸一夜后切片焙干，各一两）。以上药材研为细末，用炼蜜调和制成如梧桐子大小的丸药。每次服用三十丸，空腹时温酒送服。
桑螵蛸汤：治疗妊娠期间小便滑利频数。
桑螵蛸（炒制）、人参（各一两）、鹿茸（去除毛，用酥油炙制）、黄芪（锉碎，各二两）、牡蛎粉（一两半）、甘草（炙制锉碎，半两）。以上药材捣碎过粗筛。每次服用三钱，加水一盏，生姜三片，大枣二枚掰开，煎煮至七分，去渣滓，饭前服用。
鸡翎散：治疗妊娠遗尿。
鸡翎（十具，炙干）、熟干地黄（焙干）、当归（焙干，各半两）、牡蛎粉、黄芪（锉碎，各一两）、厚朴（去除粗皮，用生姜汁炙制，三分）。以上药材捣罗成散剂。每次服用二钱匕，饭前温酒调服。
鹿茸丸：治疗妊娠下焦冷气，少腹疼痛，小便多。
鹿茸（一两）、白龙骨（三分）、桑螵蛸（半两）、牡蛎粉（二两）。以上药材研为末，用酒煮面糊调和制成如梧桐子大小的丸药。每次服用二十丸，空腹或饭前，温酒送服。
艾叶丸：治疗妊娠小便频数，少腹痛。
艾叶（炙制）、干姜（各一两）、厚朴、益智仁（各半两）。以上药材研为末，用炼蜜调和制成如梧桐子大小的丸药。每次服用三十丸，米饮汤送服，服药后用饭压住胃脘。
秦椒丸：治疗妊娠小便频数。
秦椒（六两）、香子（炒制，一两）、黄蜡（四两）。以上将两味药材捣罗成末，熔化蜡液调和制成如梧桐子大小的丸药。每次服用二十丸，空腹时用温酒送服。
白薇散：治疗妊娠小便无度，尿液不知何时流出，这是胎漏的缘故。
白薇、白芍药（各一两）。以上药材捣罗成散剂。每次服用一钱匕，饭前，温酒调服，每日三次。
鸡翎酒：治疗妊娠尿液不知何时流出，这是胎漏的缘故。
用鸡翎烧成灰末，温酒调服一方寸匕。
桑螵蛸散：治疗妊娠小便失禁。
用桑螵蛸十二个，炙制后研为细末。每次服用三钱，空腹或饭前，米饮调服。
治疗小便频数。
烧制遗尿者的草席灰烬，服用后可痊愈。
治疗小便遗失。
阿胶（三钱）、牡蛎（四钱）、鹿茸（四钱）。以上药材锉成末，挑取三分，加水一盏半，煎煮至一盏，空腹细细服用。
(Attached Discussion)
The Kidney governs water metabolism. Water enters the Bladder to form urine. Only when Kidney Qi is harmonious and balanced can it constrain and control urination, ensuring it occurs in a timely and regulated manner. If during pregnancy there is Kidney deficiency and coldness in the uterus (Bao Gong), leading to an inability to constrain and control,
urine will flow freely and frequently. The symptoms present as aversion to wind on the back and nape of the neck, and urgency and pain in the lower abdomen. The treatment method should employ formulas that support and nourish fetal Qi.
Formulas
Shu Gan Di Huang Wan (Prepared Rehmannia Pill): Treats urinary incontinence during pregnancy, with pain in the umbilical and abdominal regions.
Prepared Rehmannia Root (Shu Di Huang, roasted), Morinda Officinalis Root (Ba Ji Tian, heart removed), Cistanche Stem (Rou Cong Rong, soaked in wine overnight, sliced and roasted), Schisandra Berry (Wu Wei Zi), Cornus Fruit (Shan Zhu Yu, soaked in vinegar overnight and stir-fried), Tribulus Fruit (Ji Li Zi, stir-fried and thorns removed), Dioscorea Hypoglauca Rhizome (Bi Xie), Zanthoxylum Fruit (Shu Jiao, eyes and closed ones removed, stir-fried for red color), Chinese Yam (Shan Yu), Dipsacus Root (Xu Duan, each 1 liang), Dodder Seed (Tu Si Zi, soaked in wine and separately pounded), Eucommia Bark (Du Zhong, coarse bark removed, processed with heat, each 1 liang), Agarwood (Chen Xiang, 1 fen). The above ingredients are ground into fine powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take 15 pills per dose, before meals.
Jiao Ju Wan (Zanthoxylum and Chrysanthemum Pill): Treats frequent urination day and night during pregnancy.
Zanthoxylum Fruit (Shu Jiao, eyes and closed ones removed, stir-fried for red color, 2 liang), Sweet Chrysanthemum Flower (Gan Ju Hua), Cistanche Stem (Rou Cong Rong, soaked in wine overnight, sliced and roasted), Acorus Tatarinowii Rhizome (Chang Pu, each 1 liang), Morinda Officinalis Root (Ba Ji Tian, heart removed), Polygala Root (Yuan Zhi, heart removed), Astragalus Root (Huang Qi, cut into pieces), Prepared Aconite Lateral Root (Fu Zi, cracked by processing, skin and umbilicus removed, each half liang). The above ingredients are ground into fine powder, mixed with flour paste boiled in wine, and formed into pills the size of wutong seeds.
Tu Si Zi Wan (Dodder Seed Pill): Treats frequent urination during pregnancy, without restraint day or night.
Dodder Seed (Tu Si Zi, soaked in wine, dried by roasting, separately pounded, 2 liang), Acorus Tatarinowii Rhizome (Chang Pu), Cistanche Stem (Rou Cong Rong, soaked in wine, sliced and roasted, each 1 liang), Cnidium Fruit (She Chuang Zi, soaked in wine for three days, washed in river water, dried by roasting), Schisandra Berry (Wu Wei Zi, washed and dried, each half liang), Saposhnikovia Root (Fang Feng, forked parts removed), Polygala Root (Yuan Zhi, heart removed, each 1 fen). The above ingredients are ground into powder, mixed with refined honey, beaten three hundred times, and formed into pills the size of wutong seeds. Take 10 pills per dose, with warm wine on an empty stomach.
Wen Qi Chu Han Bu Xia Wan (Warming Qi, Dispelling Cold, Tonifying Lower Pill): Treats frequent urination during pregnancy.
Trigonella Foenum-graecum Seed (Hu Lu Ba, soaked in wine and roasted), Dragon Bone (Long Gu, crushed), Acorus Tatarinowii Rhizome (Chang Pu, each half liang), Polygala Root (Yuan Zhi, heart removed, 1.5 liang), Psoralea Fruit (Bu Gu Zhi, stir-fried), Alpinia Oxyphylla Fruit (Yi Zhi Ren, peeled), Cistanche Stem (Rou Cong Rong, soaked in wine overnight, sliced and roasted, each 1 liang). The above ingredients are ground into fine powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take 30 pills per dose, with warm wine on an empty stomach.
Sang Piao Xiao Tang (Mantis Egg Case Decoction): Treats slippery and frequent urination during pregnancy.
Mantis Egg Case (Sang Piao Xiao, stir-fried), Ginseng Root (Ren Shen, each 1 liang), Deer Antler (Lu Rong, hair removed, roasted with butter), Astragalus Root (Huang Qi, cut into pieces, each 2 liang), Oyster Shell Powder (Mu Li Fen, 1.5 liang), Licorice Root (Gan Cao, processed with heat and cut, half liang). The above ingredients are coarsely crushed and sieved. Take 3 qian per dose, with one cup of water, three slices of fresh ginger, and two dates split open. Decoct until reduced to 70%, strain, and take before meals.
Ji Ling San (Chicken Feather Powder): Treats urinary enuresis during pregnancy.
Chicken Feathers (Ji Ling, ten bundles, roasted dry), Prepared Rehmannia Root (Shu Gan Di Huang, roasted), Angelica Sinensis Root (Dang Gui, roasted, each half liang), Oyster Shell Powder (Mu Li Fen), Astragalus Root (Huang Qi, cut into pieces, each 1 liang), Magnolia Bark (Hou Po, coarse bark removed, processed with ginger juice, 3 fen). The above ingredients are pounded and sifted into powder. Take 2 qian bi per dose, mixed with warm wine before meals.
Lu Rong Wan (Deer Antler Pill): Treats cold qi in the lower jiao during pregnancy, with pain in the lower abdomen and frequent urination.
Deer Antler (Lu Rong, 1 liang), White Dragon Bone (Bai Long Gu, 3 fen), Mantis Egg Case (Sang Piao Xiao, half liang), Oyster Shell Powder (Mu Li Fen, 2 liang). The above ingredients are ground into powder, mixed with flour paste boiled in wine, and formed into pills the size of wutong seeds. Take 20 pills per dose, on an empty stomach or before meals, with warm wine.
Ai Ye Wan (Mugwort Leaf Pill): Treats frequent urination and lower abdominal pain during pregnancy.
Mugwort Leaf (Ai Ye, processed with heat), Dried Ginger (Gan Jiang, each 1 liang), Magnolia Bark (Hou Po), Alpinia Oxyphylla Fruit (Yi Zhi Ren, each half liang). The above ingredients are ground into powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take 30 pills per dose, with rice drink. Cover the stomach with food after taking.
Qin Jiao Wan (Qin Jiao Pill - Note: Text says Qin Jiao but ingredient is Qin Jiao/Pepper variant contextually likely Zanthoxylum or similar, sticking to text literal "Qin Jiao" usually refers to Saposhnikovia but here implies pepper type given context, however text explicitly says Qin Jiao (6 liang) which might be a typo for Qin Jiao (Pepper) or distinct herb. Given "Qin Jiao" usually means Saposhnikovia, but quantity 6 liang suggests a bulk herb like pepper. I will translate literally as Qin Jiao but note the ambiguity if necessary. Actually, looking at "Qin Jiao" in ancient texts often refers to *Zanthoxylum* or similar pungent herbs in this specific formula context, but standard WHO term for Qin Jiao is Saposhnikovia. However, 6 liang is huge for Saposhnikovia. Let's stick to literal translation of the name provided: Qin Jiao. Wait, checking historical context: "Qin Jiao" in some contexts refers to *Zanthoxylum bungeanum* or similar. But strictly, Qin Jiao is Saposhnikovia. I will use the pinyin/name provided.) -> Correction: In many ancient texts, "Qin Jiao" (秦椒) refers to *Zanthoxylum* species (Sichuan Pepper), distinct from "Qin Jiao" (秦艽 - Saposhnikovia). The text says "Qin Jiao" (秦椒 - Qin Pepper). I will translate as Qin Pepper/Zanthoxylum.
Qin Pepper (Qin Jiao, 6 liang), Xiang Zi (Xiang Zi, stir-fried, 1 liang), Beeswax (Huang La, 4 liang). The above two ingredients are pounded and sifted into powder, melted wax is used to mix and form pills the size of wutong seeds. Take 20 pills per dose, with warm wine on an empty stomach.
Bai Wei San (Cynanchum Atratum Powder): Treats uncontrolled urination during pregnancy, where urine flows out unknowingly, due to fetal leakage (Tai Lou).
Cynanchum Atratum Root (Bai Wei), White Peony Root (Bai Shao Yao, each 1 liang). The above ingredients are pounded and sifted into powder. Take 1 qian bi per dose, before meals, mixed with warm wine, three times daily.
Ji Ling Jiu (Chicken Feather Wine): Treats urine flowing out unknowingly during pregnancy, due to fetal leakage (Tai Lou).
Burn chicken feathers to ash, grind into powder, mix with warm wine and take one fang cun bi.
Sang Piao Xiao San (Mantis Egg Case Powder): Treats urinary incontinence during pregnancy.
Take twelve Mantis Egg Cases (Sang Piao Xiao), roast and grind into fine powder. Take 3 qian per dose, on an empty stomach or before meals, mixed with rice drink.
Treatment for frequent urination.
Burn the ashes of the straw mat used by someone suffering from urinary enuresis, and take it orally to achieve recovery.
Treatment for urinary loss.
Donkey-hide Gelatin (E Jiao, 3 qian), Oyster Shell (Mu Li, 4 qian), Deer Antler (Lu Rong, 4 qian). The above ingredients are cut into pieces and ground. Take 3 fen, add one and a half cups of water, decoct until one cup remains, and take finely on an empty stomach.