妊娠转胞不得小便，症不同论，有禀受弱者，有忧闷多者，有性躁急者，有食浓味者，有过忍小便
者，皆用利药，便可解得。因思胞不自转，为胎所压，转在一边，胞系了戾不通，立则尿，下蹲则不
能；胎若举起于中，胞系自疏，水道自利，故此胎逼小便不通，名曰转胞。若尿出不止者，名曰漏胎，治
各有方。若不得溺而腹胀者，名曰转胞，宜八味丸治之，或丹溪参术饮；服过，以指探之，吐出药汁，少
顷气定，又与之亦然。立则尿，蹲则不能者，宜五苓散治之。过忍小便至久不通者，以滑石末，葱汤调
服，或紫苏叶、葱白、良姜煎汤熏洗前阴亦可。
妊娠无故悲泣不止，象若神灵，谓之脏躁悲伤，宜用竹茹汤、甘麦大枣汤，或以红枣烧炭存性，米饮下。
【竹茹汤】竹茹 人参 麦冬 半夏 茯苓 甘草 生姜
【甘麦大枣汤】甘草 小麦 大枣
安胎与固胎不同∶血虚欲堕而补之者，谓之固胎；气不和而顺之者，谓之安胎。安胎以顺气凉血为
主，固胎以生血补气为主。
妊娠经水虽不多，或一月一至者，名曰漏胎。有气虚者，有血虚者，有热者，有风者，有因血盛
者，有因多气而动血者，又有因事而下血者，非至一端。
若气血虚者，以胶艾四物汤加乌梅，或四物汤加参、术、升麻。
若虚而挟热者，以紫苏饮加黄芩、白术、阿胶、砂仁治之。
若因事而下血者，以佛手散加枳壳、黄芩、白术。
若因气而动血者，因血盛而自至者，不须服药，而胎亦无恙。
妊娠期间出现胞宫移位导致小便不通的症状，其病因各不相同。有的因先天体质虚弱，有的因忧愁闷郁过多，有的因性情急躁，有的因饮食浓烈厚味，有的因强行憋忍小便所致。这些情况均使用通利药物即可解决。我思考后认为，胞宫本身不会自行移位，而是被胎儿压迫，偏向一侧，导致连接胞宫的系带扭曲不通。站立时尿液排出，下蹲时则不能排出；若胎儿位置居中抬起，胞宫系带自然疏通，水道自能通畅。因此，这是胎儿逼迫导致小便不通，称为“转胞”。如果尿液淋漓不止，称为“漏胎”，治疗各有方剂。若小便不通且伴有腹胀，称为“转胞”，适宜用八味丸治疗，或者用丹溪参术饮；服用后，用手指探喉催吐，吐出药汁，片刻后气息平稳，再给予服用，同样方法处理。对于站立时排尿、下蹲时不能排尿的情况，适宜用五苓散治疗。因强行憋忍小便过久导致不通者，可用滑石末，用葱汤调服，或者用紫苏叶、葱白、良姜煎汤熏洗前阴也可。
妊娠期间无故悲伤哭泣不止，神情恍惚如同神灵附体，称为“脏躁悲伤”，适宜使用竹茹汤、甘麦大枣汤，或者将红枣烧成炭保留药性，用米汤送服。
【竹茹汤】竹茹、人参、麦冬、半夏、茯苓、甘草、生姜
【甘麦大枣汤】甘草、小麦、大枣
安胎与固胎不同：因血虚欲流产而进行补益的，称为“固胎”；因气机不和而进行调理顺应的，称为“安胎”。安胎以顺气凉血为主，固胎以生血补气为主。
妊娠期间月经虽然量少，或一个月来一次，称为“漏胎”。有气虚的，有血虚的，有热盛的，有受风邪的，有因血盛导致的，有因多气扰动血液导致的，又有因事务劳累而下血的，原因并非单一。
若是气血虚弱者，用胶艾四物汤加乌梅，或者四物汤加人参、白术、升麻。
若是虚证兼夹热邪者，用紫苏饮加黄芩、白术、阿胶、砂仁治疗。
若是因事务劳累而下血者，用佛手散加枳壳、黄芩、白术。
若是因气机扰动血液，或因血盛而自然来潮的，不需要服药，胎儿也无恙。
During pregnancy, if the bladder is displaced causing inability to urinate, the symptoms vary by cause. Some are due to weak constitution, some to excessive worry and depression, some to irritable temperament, some to rich and strong dietary flavors, and some to holding urine for too long. All these conditions can be resolved using diuretic or promoting urination medications. Upon reflection, the bladder does not displace itself; it is compressed by the fetus, shifting to one side, causing the ligaments connecting the bladder to become twisted and obstructed. When standing, urine is excreted; when squatting, it cannot. If the fetus rises centrally, the bladder ligaments naturally loosen, and the water passage becomes unobstructed. Therefore, this condition where the fetus presses upon the urinary tract causing obstruction is named "Zhuanbao" (Displaced Bladder). If urine leaks continuously, it is named "Lou Tai" (Leaking Fetus), each having its own treatment formula. If unable to urinate accompanied by abdominal distension, it is named "Zhuanbao", suitable for treatment with Ba Wei Wan (Eight-Ingredient Pill) or Danxi Shen Zhu Yin (Danxi Ginseng and Atractylodes Decoction); after ingestion, induce vomiting by stimulating the throat with a finger, expel the medicinal juice, wait until the qi stabilizes, then administer again in the same manner. For those who can urinate while standing but not while squatting, Wu Ling San (Five-Ingredient Powder with Poria) is suitable. For those whose urine retention results from holding it for too long, Talcum Powder (Hua Shi Mo) mixed with scallion decoction can be taken orally, or fumigation and washing of the external genitalia with a decoction of Perilla Leaf (Zi Su Ye), Scallion White (Cong Bai), and Galangal (Liang Jiang) is also effective.
During pregnancy, if there is inexplicable continuous weeping and sadness, resembling spirit possession, it is called "Zang Zao Shang Bei" (Visceral Dryness and Sorrow). It is suitable to use Zhu Ru Tang (Bamboo Shavings Decoction) or Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction), or to burn red jujubes to charcoal retaining their properties and swallow them with rice water.
[Zhu Ru Tang] Bamboo Shavings (Zhu Ru), Ginseng (Ren Shen), Ophiopogon Root (Mai Dong), Pinellia Tuber (Ban Xia), Poria (Fu Ling), Licorice Root (Gan Cao), Fresh Ginger (Sheng Jiang)
[Gan Mai Da Zao Tang] Licorice Root (Gan Cao), Wheat (Xiao Mai), Jujube (Da Zao)
An Tai (Calming the Fetus) and Gu Tai (Securing the Fetus) are different: Tonifying when blood deficiency leads to threatened miscarriage is called "Gu Tai"; regulating and smoothing when qi disharmony occurs is called "An Tai". An Tai focuses on smoothing qi and cooling blood, while Gu Tai focuses on generating blood and tonifying qi.
During pregnancy, although menstruation is scanty or occurs once a month, it is named "Lou Tai" (Leaking Fetus). Causes include qi deficiency, blood deficiency, heat, wind invasion, excessive blood volume, qi stirring blood, and bleeding due to physical exertion; the causes are not singular.
For those with qi and blood deficiency, Jiao Ai Si Wu Tang (Gelatin and Mugwort Four Substances Decoction) with added Chinese Plum (Wu Mei), or Si Wu Tang (Four Substances Decoction) with added Ginseng (Ren Shen), Atractylodes Macrocephala (Bai Zhu), and Cimicifuga Rhizome (Sheng Ma) should be used.
For deficiency complicated by heat, Zi Su Yin (Perilla Decoction) with added Scutellaria Root (Huang Qin), Atractylodes Macrocephala (Bai Zhu), Donkey-hide Gelatin (E Jiao), and Amomum Fruit (Sha Ren) should be used.
For bleeding due to physical exertion, Fo Shou San (Buddha's Hand Powder) with added Bitter Orange (Zhi Ke), Scutellaria Root (Huang Qin), and Atractylodes Macrocephala (Bai Zhu) should be used.
For bleeding stirred by qi or occurring naturally due to abundant blood, medication is unnecessary, and the fetus will remain safe.