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，胞系自疏，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，恐胎堕也。如药力未至，胀
痛难忍，令老妪用香油涂手，自产户托起其胎，溺自出而胀急解，须以大剂参 补之。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。）
二陈升提饮 治孕妇脐腹作痛，小便淋闭不通，或微痛，与淋有别，由气虚胎压尿胞。
人参（一钱） 白术（土炒） 生地（各一钱五分） 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，水煎服。或空心饮盐汤，探吐以升其气，则下自行，亦一法也。（予谓探吐，只可救
急偶用，还须通后服提补之药。）
补中益气汤（见本卷诸痛门。）
妊娠转胞，是指脐下急迫疼痛，小便不通畅。凡是强忍小便，或者在小便急迫时疾走，或者饱食后忍尿，或者在忍尿的情况下行房事，导致水气上逆，气机逼迫膀胱，致使膀胱屈曲不能舒展张开所致，这并不是小肠或膀胱本身受病，也不是利水药物所能治疗的，治疗方法应当调理气机即可痊愈。凡是妇人先天禀赋虚弱，忧愁闷郁多，性情急躁，饮食浓厚滋腻的，常常会出现这种情况。因为膀胱不能正常转动，被胎儿压迫，如果将胎儿托起，膀胱系带自然松弛，水道自然通畅了，使用二陈升提饮。又有用补中益气汤服用后探吐以提举气机，气机自然通畅，通畅后立即用人参等大补元气，恐怕胎元坠落。如果药力未到，胀痛难以忍受，让老妪用香油涂抹手部，从产户托起其胎儿，尿液自然流出而胀急解除，必须用大剂量人参等补气药来补益。但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，是膀胱和小肠虚热所致。虚则不能制约水液，热则不能通利，所以发生淋证。若频数而出量少且不痛的，为转胞，间或有轻微疼痛，终究与子淋的点滴刺痛不同。（论中的急痛是指急切想要排尿而痛，排出后停止。间有微痛，与子淋的点滴刺痛不同。）
二陈升提饮 治疗孕妇脐腹部疼痛，小便淋闭不通，或轻微疼痛，与淋证有别，由气虚和胎压迫膀胱所致。
人参（一钱） 白术（土炒） 生地（各一钱五分） 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，水煎服。或者空腹饮用盐汤，探吐以升举气机，则小便自行通畅，也是一种方法。（我认为探吐只可急救偶用，之后还需服用提补的药物。）
补中益气汤（见本卷诸痛门。）
Pregnancy-related "Zhuanbao" (bladder displacement) refers to urgent pain below the umbilicus and difficulty in urination. This condition arises from forcibly holding urine, walking hastily when the urge to urinate is strong, holding urine after a full meal, or engaging in sexual intercourse while holding urine. These actions cause water qi to rebel upwards, compressing the bladder, causing it to become twisted and unable to expand. It is not a disease of the small intestine or bladder itself, nor can it be treated with diuretic drugs; the treatment method should focus on regulating qi, which will lead to recovery. This condition frequently occurs in women who have weak constitutions, are prone to worry and depression, have irritable temperaments, or consume rich and heavy foods. Because the bladder cannot rotate normally and is compressed by the fetus, if the fetus is lifted up, the bladder's ligaments will naturally relax, and the urinary pathway will clear. Use Erchen Shengti Yin (Two-Olds Lifting Decoction). Another method involves administering Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), followed by inducing vomiting to lift the qi; once the qi flows freely, immediate supplementation with Ren Shen (Ginseng Radix et Rhizoma) and other tonics is necessary to prevent miscarriage. If the medicinal effect has not yet arrived and the distending pain is unbearable, an elderly woman should apply sesame oil to her hands and manually lift the fetus through the vaginal opening; the urine will flow out naturally, relieving the distension and urgency, but this must be followed by large doses of Ren Shen (Ginseng Radix et Rhizoma) and other tonics. However, Zilin (pregnancy strangury) is similar to Zhuanbao. Frequent, scanty, and painful urination is called Zilin, caused by deficiency-heat in the bladder and small intestine. Deficiency prevents control over water, and heat prevents free flow, resulting in strangury. If urination is frequent and scanty but painless, it is Zhuanbao; although there may be slight pain, it is ultimately different from the stinging pain of Zilin. (The "urgent pain" mentioned in the discussion refers to pain felt when urgently needing to urinate, which stops after voiding. Slight pain differs from the stinging pain of Zilin.)
Erchen Shengti Yin (Two-Olds Lifting Decoction): Treats abdominal pain in pregnant women, strangury and retention of urine, or slight pain, distinct from strangury, caused by qi deficiency and fetal pressure on the bladder.
Ren Shen (Ginseng Radix et Rhizoma) (1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil) (1.5 qian each), Sheng Di Huang (Rehmanniae Radix) (1.5 qian each), Dang Gui (Angelicae Sinensis Radix) (2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (0.8 fen), Ban Xia (Pinelliae Tuber, processed or stir-fried with sesame oil) (0.6 fen), Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata) (0.4 fen each).
Add one slice of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take orally. Alternatively, drink salt water on an empty stomach to induce vomiting, thereby lifting the qi, allowing urine to pass spontaneously; this is another method. (I believe inducing vomiting is only for emergency use; afterwards, lifting and tonifying medicines must be taken.)
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See the section on Various Pains in this volume.)