脉∶妊孕初时，寸微五至，二部平匀，久按不晰。妊孕三月，阴搏于阳，气衰血旺，脉正相当；肝横肺弱，
心滑而洪；尺滑带散，久按益强；或关滑大，代止尤忙；洪且脉迟，其胎必伤。四月辨质，右女左男；或浮或
沉，疾大实兼；左右俱盛，胎有二三；更审经脉，阴阳可参。但疾不散，五月怀耽；太急太缓，肿漏为殃。六
七月来，胎喜实长；沉迟而涩。堕胎当防；脉弦寒热，当暖子房。八月弦实，沉细非良；少阴微紧，两胎一伤；
劳力惊怔，胎血难藏；冲心闷痛，色青必亡。足月脉乱，反是吉祥。
经脉不行已经三月者，尺脉不止，则是胎也。
验胎散 川芎为末，每服一钱，空心艾叶煎汤调下。觉腹内微动，则有胎也。若服后一日不动，非
胎，必是经闭。
艾醋汤（如凭月难明有无，如月数未足难明） 用好醋绞艾，服半盏后，腹中番大痛是有孕；不为痛
定无。
安胎者，养血健脾清热也。
素有热者宜
当归（二钱） 川芎（一钱半） 生地（一钱） 益母草（一钱） 白术（二钱） 条芩（一钱）
砂仁（八分） 香附米（童便炒，一钱） 苏梗（一钱） 黄连（炒，八分） 甘草（三分）
上锉一剂，生姜三片，水煎温服。
安胎丸（妊娠常宜服之）
当归 川芎 白芍 条芩（各一两） 白术（去芦，五钱）
上为末，酒糊丸，如梧桐子大。每服五十丸，茶汤任下，空心服，日进三服。此方，养血清热之药也。瘦
人血少有热、胎动不安、素惯半产者，皆宜服之，以清其源而后无患也。
素虚弱者宜
芎归补中汤 治妇人怀孕，血气虚弱，不能荣养，以致数月而堕，名半产。
黄 （蜜炙） 人参 白术 当归 川芎 白芍（酒炒） 干姜（煨炒） 阿胶（炒） 五味子 杜仲
（酒炒） 木香 甘草
上锉剂，水煎服。
千金保胎丸 凡女人受胎经二月而胎堕者，虽气血不足，乃中冲脉有伤。中冲脉，即阳明胃脉，供应
胎孕。至此时，必须节饮食、绝欲、戒怒，庶免小产之患，服此可以保全。
当归（酒洗，二两） 川芎（一两） 熟地（姜汁炒，四两） 阿胶（蛤粉炒，二两） 艾叶（醋煮）
砂仁（炒，五钱） 条芩（炒，二两） 益母草（二两） 杜
仲（去粗皮，姜汁、酒炒，四两） 白术（土炒，四两） 陈皮（一两） 续断（酒洗，一两） 香附米
（二两，酒、醋、盐水、童便各浸二日炒）
上为细末，煮枣肉为丸，如梧桐子大。每服百丸，空心，米汤下。
恶阻者，恶心阻其饮食也。当归 白芍（煨） 陈皮 香附（炒） 白术（去芦） 半夏（姜汤泡，
香油炒过，不伤胎气） 白茯苓（去皮） 藿香 神曲（炒） 砂仁（各等分） 甘草（减半） 上锉剂，生
姜三片、枣一枚，水煎温服。
子烦者，心神闷乱也。白茯苓（去皮，二两） 防风（一钱） 麦门冬（去心） 黄芩（各一钱半）
上锉一剂，竹叶五片，水煎服。
子痫者，目吊口噤也。当归 川芎 防风 独活 茯苓 五加皮 薏苡仁 杏仁 酸枣仁 木香 羚羊角
甘草 上锉一剂，生姜五片，水煎服。
子悬者，心胃胀痛也。（胎前诸病，总宜此方加减。）当归 川芎 白芍 人参 紫苏 陈皮 大腹皮
（水洗） 甘草 上锉一剂，生姜五片、葱白七寸，同煎服。腹痛加香附、木香；咳嗽加枳壳、桑白皮；热加
条芩；呕加砂仁；泻加白术、茯苓。
子肿者，面目虚浮也。当归 川芎 白芍 地黄 茯苓 泽泻 白术 条芩 栀子 麦门冬 浓朴 甘草
上锉剂，水煎温服。
子气者，两足浮肿也。天仙藤（即青木藤洗略炒） 紫苏 陈皮 香附 乌药 木香 甘草 上锉，生姜
煎服，加苍术尤良。
子淋者，小便涩少也。麦门冬 赤茯苓 木通 淡竹叶 上锉水煎，空心服。
转胞者，卒不得小便也。冬葵子（五钱） 山栀子（五钱） 木通（三钱） 滑石（五钱） 上锉一剂，
水煎温服，外用山栀子、冬葵子、滑石为末，田螺肉捣膏，或生葱汁调膏贴脐中，立通。
崩漏者，属血虚漏下也。
芎归汤 治胎漏下血不止，或心腹胀，一服立效。
当归尾 川芎（各五钱）
上锉一剂，酒煎，入童便一盏，同煎服。
胶艾四物汤（一名安胎饮，治胎漏下血腹痛。）
当归 川芎 白芍（酒炒） 熟地 阿胶（炒） 条芩 白术（去芦） 砂仁 香附（炒） 艾叶（少许）
上锉剂，糯米一撮，水煎，空心服。
胎动者，因有所伤也。
佛手散 治妊娠五七个月，因事筑磕着胎，或子死腹中，恶露下、痛不已、口噤欲绝。用此药探之，
若不损，则痛止，子母俱安；若胎损，即便遂下。
当归（六钱） 川芎（四钱） 益母草（五钱）
上锉一剂，水煎，入酒一盏，再煎一沸，温服；如人约行五里，再进一服。
胎逆喘急者，火动也。条芩 香附 上各等分为末，每服二钱，白汤调下。
妊娠伤寒护胎法 井底泥 青黛 伏龙肝 上为末搅匀，涂于孕妇脐中二寸许；如干，再涂上，以保
胎孕也。
一妊妇下血，服凉血之药，下血益甚，食少体倦，此脾气虚而不能摄血。余用补中益气汤而愈。后因怒而
寒热，其血仍下，此肝火旺而血沸腾。用加味逍遥散血止；用补中益气汤而安。
一妊妇下血，发热作渴、食少体倦，属脾气虚而肝火所侮。用四君加柴胡、山栀，血止。因怒复作，用六
君加柴胡、山栀、升麻而安。
一妊妇胎六月，体倦懒食、面黄晡热而胎不长，因劳欲
坠，此脾气不足也。用八珍汤倍加参、术、茯苓三十余剂，脾胃渐健，胎安而长矣。
一妊妇，堕胎昏溃、不时吐痰，自用养血化痰之剂，昏愦不省，自汗发搐，痰涎壅出。彼以为中风，欲用
祛风化痰。予曰∶此属脾气虚寒所致。遂用十全大补汤加炮姜，二十余剂，寻愈。
一妊妇，因怒吐血，两胁胀痛，小便淋涩，此怒而血蓄于上，随火出也。用小柴胡合四物，四剂血止；用
六君子、安胎饮调理而安。
一妇人，经闭八月，肚腹渐大，面色或青或黄，用胎症之药不应，余诊视之曰∶面青脉涩、寒热往来，肝
经血病也。此郁怒伤脾肝之症，非胎也。不信，仍用治胎散不验。余用加味归脾、逍遥二药各二十余剂，诸症
稍愈。彼欲速效，别服通经丸一服，下血、昏愦、自汗、恶寒、手足俱冷、呕吐不食。余用人参、炮姜二剂渐
愈，又用十全大补汤五十余剂而安。（以上俱见补益。）
刘尚书宠夫人，有孕患恶阻，呕吐不止、饮食不下、心中烦躁、头目眩晕。诸医以和脾胃之药，二陈汤、
藿香正气散、保生汤之类，遍投罔效。余诊左脉微数、气口数，此血虚气盛有火也。若不养血则火不降，火不
降则呕不止。以茯苓补心汤加姜汁、炒黄连、竹茹，二服痊愈。
一妇人，每怀孕至三个月必堕，不肯服药。余以四五年老母鸡煮汤，入红谷、小黄米煮粥食之，不数次而
胎固，至月满而生男。
Pulse Diagnosis: At the beginning of pregnancy, the Cun (inch) pulse is faint and fine, with a rate of five beats per cycle (approx. 50-60 bpm), both hands show a balanced pulse, and prolonged pressing yields an indistinct sensation. By the third month of pregnancy, Yin pulses beat upon Yang positions; Qi declines while Blood flourishes, making the pulse appearance appropriate; Liver Qi becomes stagnant while Lung Qi weakens; the Heart pulse is slippery and surging; the Chi (cubit) pulse is slippery and slightly scattered, becoming stronger with prolonged pressing; alternatively, the Guan (bar) pulse may be large and slippery, with frequent intermittent pauses (Dai pulse); if the pulse is surging yet slow, the fetus is likely damaged. By the fourth month, fetal sex can be distinguished: right-sided pulses indicate a female, left-sided a male; pulses may be floating or deep, rapid, large, and solid; if both sides are vigorous, twins may be present; further examination of menstruation history helps confirm Yin-Yang balance. As long as the pulse is rapid but not scattered, pregnancy is confirmed by the fifth month; excessively tight or loose pulses indicate risks of edema or bleeding. In the sixth and seventh months, the fetus prefers a robust growth phase; a deep, slow, and choppy pulse warns of threatened miscarriage; a wiry pulse with chills and fever suggests the need to warm the uterus. By the eighth month, a wiry and solid pulse is normal, whereas a deep and thin pulse is unfavorable; a slightly tight pulse at the Shao Yin position indicates that in twins, one may be compromised; physical exertion or fright may cause fetal blood to become unstable; chest oppression and pain with cyanosis indicate fatal outcomes. A chaotic pulse at term is actually auspicious.
If menstruation has ceased for three months but the Chi pulse remains strong, it confirms pregnancy.
Yan Tai San (Fetal Verification Powder): Crush Chuanxiong Rhizome (Chuanxiong) into powder. Take one qian (approx. 3-5g) on an empty stomach, mixed with decoction of Artemisia argyi Leaves (Ai Ye). If slight movement is felt in the abdomen, pregnancy is confirmed. If no movement occurs after one day, it is amenorrhea, not pregnancy.
Ai Cu Tang (Mugwort Vinegar Decoction): Use good vinegar to extract juice from fresh Mugwort (Ai Ye). Drink half a cup. Severe abdominal pain indicates pregnancy; absence of pain indicates no pregnancy.
The principle of An Tai (calming the fetus) involves nourishing Blood, strengthening the Spleen, and clearing Heat.
For those with pre-existing Heat:
Angelica Sinensis Radix (Danggui, 2 qian), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 1.5 qian), Rehmanniae Radix Preparata (Shengdi, 1 qian), Leonuri Herba (Yimucao, 1 qian), Atractylodis Macrocephalae Rhizoma (Baizhu, 2 qian), Scutellariae Baicalensis Radix (Tiaoqin/Huangqin, 1 qian), Amomi Fructus Rotundus (Sharen, 8 fen), Cyperi Rhizoma (Xiangfu, stir-fried with child's urine, 1 qian), Perillae Caulis (Sugeng, 1 qian), Coptidis Rhizoma (Huanglian, stir-fried, 8 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 3 fen).
Decoct these ingredients as one dose with three slices of Zingiberis Recens Rhizoma (Shengjiang), and take warm.
An Tai Wan (Calming Fetus Pills): Suitable for regular use during pregnancy.
Angelica Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Scutellariae Baicalensis Radix (Tiaoqin/Huangqin) (each 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, de-rhizome, 5 qian).
Grind into powder, bind with wine paste into pills the size of Sophora japonica seeds. Take 50 pills per dose with tea or water, on an empty stomach, three times daily. This formula nourishes Blood and clears Heat. It is suitable for thin individuals with Blood deficiency and Heat, restless fetus, or habitual miscarriage, to clear the root cause and prevent disaster.
For those with constitutional weakness:
Xiong Gui Bu Zhong Tang (Ligusticum and Angelica Tonifying Middle Decoction): Treats pregnant women with weak Qi and Blood, unable to nourish the fetus, leading to miscarriage around the fifth or sixth month, termed "half-miscarriage".
Astragali Membranacei Radix (Huangqi, honey-fried), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelica Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao, wine-fried), Zingiberis Rhizoma (Ganjiang, baked), Colla Corii Asini (Ejiao, fried), Schisandrae Chinensis Fructus (Wuweizi), Eucommiae Cortex (Duzhong, wine-fried), Aucklandiae Radix (Muxiang), Glycyrrhizae Radix et Rhizoma (Gancao).
Decoct as one dose in water and take.
Qianjin Bao Tai Wan (Thousand Gold Fetal Preservation Pills): For women who miscarry after two months of conception. Although Qi and Blood are deficient, the injury lies in the Chong and Ren vessels. The Chong vessel connects to the Stomach Meridian of Foot-Yangming, which supplies the fetus. At this stage, one must regulate diet, abstain from sexual desire, and avoid anger to prevent miscarriage. Taking this pill can preserve the fetus.
Angelica Sinensis Radix (Danggui, wine-washed, 2 liang), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 1 liang), Rehmanniae Radix Preparata (Shudi, ginger-juice fried, 4 liang), Colla Corii Asini (Ejiao, cockle-shell powder fried, 2 liang), Artemisiae Argyi Folium (Aiye, vinegar-boiled), Amomi Fructus Rotundus (Sharen, fried, 5 qian), Scutellariae Baicalensis Radix (Tiaoqin/Huangqin, fried, 2 liang), Leonuri Herba (Yimucao, 2 liang), Eucommiae Cortex (Duzhong, bark removed, ginger-juice and wine fried, 4 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, earth-fried, 4 liang), Citri Reticulatae Pericarpium (Chenpi, 1 liang), Dipsaci Radix (Xuduan, wine-washed, 1 liang), Cyperi Rhizoma (Xiangfu, 2 liang, soaked in wine, vinegar, salt water, and child's urine for two days each, then fried).
Grind into fine powder, bind with boiled jujube flesh into pills the size of Sophora japonica seeds. Take 100 pills per dose on an empty stomach with rice gruel.
E Zu (Nausea Obstruction): Nausea obstructing food intake. Angelica Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao, baked), Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu, fried), Atractylodis Macrocephalae Rhizoma (Baizhu, de-rhizome), Pinelliae Tuber (Banxia, ginger-water soaked, sesame oil fried to not harm the fetus), Poria (Baifuling, peeled), Agastaches Herba (Huoxiang), Massae Fermentatae Medicinalis (Shenqu, fried), Amomi Fructus Rotundus (Sharen) (all equal parts), Glycyrrhizae Radix et Rhizoma (Gancao, halved). Decoct as one dose with three slices of Zingiberis Recens Rhizoma (Shengjiang) and one jujube, take warm.
Zi Fan (Fetal Restlessness): Mental restlessness and confusion. Poria (Baifuling, peeled, 2 liang), Saposhnikoviae Radix (Fangfeng, 1 qian), Ophiopogonis Tuber (Maidong, de-heart), Scutellariae Baicalensis Radix (Huangqin, 1.5 qian). Decoct as one dose with five bamboo leaves, take.
Zi Xian (Fetal Eclampsia): Eyes rolling back, jaw locked. Angelica Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Saposhnikoviae Radix (Fangfeng), Angelicae Pubescentis Radix (Duohuo), Poria (Fuling), Acanthopanacis Cortex (Wujiapi), Coicis Semen (Yiyiren), Armeniacae Semen Amarum (Xingren), Ziziphi Spinosae Semen (Suanzaoren), Aucklandiae Radix (Muxiang), Saigae Tataricae Cornu (Lingyangjiao), Glycyrrhizae Radix et Rhizoma (Gancao). Decoct as one dose with five slices of Zingiberis Recens Rhizoma (Shengjiang), take.
Zi Xuan (Fetal Suspension): Epigastric and cardiac distension and pain. (This formula serves as a base for various antenatal conditions.) Angelica Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Ginseng Radix (Renshen), Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Chenpi), Arecae Pericarpium (Dafupi, washed), Glycyrrhizae Radix et Rhizoma (Gancao). Decoct as one dose with five slices of Zingiberis Recens Rhizoma (Shengjiang) and seven cun of Allii Fistulosi Bulbus (Congbai), take together. Add Cyperi Rhizoma (Xiangfu) and Aucklandiae Radix (Muxiang) for abdominal pain; add Bupleuri Radix (Zhike) and Morus Alba Cortex (Sangbaipi) for cough; add Scutellariae Baicalensis Radix (Tiaoqin) for heat; add Amomi Fructus Rotundus (Sharen) for vomiting; add Atractylodis Macrocephalae Rhizoma (Baizhu) and Poria (Fuling) for diarrhea.
Zi Zhong (Fetal Edema): Flaccid swelling of face and eyes. Angelica Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Rehmanniae Radix (Dihuang), Poria (Fuling), Alismatis Rhizoma (Zexie), Atractylodis Macrocephalae Rhizoma (Baizhu), Scutellariae Baicalensis Radix (Tiaoqin), Gardeniae Fructus (Zhizi), Ophiopogonis Tuber (Maidong), Magnoliae Officinalis Cortex (Noupu), Glycyrrhizae Radix et Rhizoma (Gancao). Decoct as one dose, take warm.
Zi Qi (Fetal Gas/Edema of Limbs): Swelling of both feet. Tussilaginis Flos (Tianxianteng/Qingmuteng, washed and lightly fried), Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu), Linderae Radix (Wuyao), Aucklandiae Radix (Muxiang), Glycyrrhizae Radix et Rhizoma (Gancao). Decoct with Zingiberis Recens Rhizoma (Shengjiang). Adding Atractylodis Rhizoma (Cangzhu) is especially effective.
Zi Lin (Fetal Strangury): Scanty and difficult urination. Ophiopogonis Tuber (Maidong), Polyporus (Chifuling), Akebiae Caulis (Mutong), Lophatheri Herba (Danzhuye). Decoct in water, take on an empty stomach.
Zhuan Bao (Displaced Bladder): Sudden inability to urinate. Abutilonis Semen (Dongkuizi), Gardeniae Fructus (Shanzhizi, 5 qian each), Akebiae Caulis (Mutong, 3 qian), Talcum (Huashi, 5 qian). Decoct as one dose, take warm. Externally, grind Gardeniae Fructus (Shanzhizi), Abutilonis Semen (Dongkuizi), and Talcum (Huashi) into powder, mix with flesh of Apple Snail (Tianluorou) pounded into paste, or raw scallion juice, and apply to the umbilicus for immediate relief.
Beng Lou (Metrorrhagia and Metrorrhexis): Belongs to Blood deficiency causing leakage.
Xiong Gui Tang (Ligusticum and Angelica Decoction): Treats persistent vaginal bleeding during pregnancy or epigastric/abdominal distension; effective after one dose.
Angelicae Sinensis Radix Caudex (Dangguiwei), Ligusticum Chuanxiong Rhizoma (Chuanxiong) (each 5 qian). Decoct in wine, add one cup of Child's Urine (Tongbian), decoct together, and take.
Jiao Ai Si Wu Tang (Colla Corii Asini and Four Substances Decoction, also known as An Tai Yin): Treats vaginal bleeding and abdominal pain due to threatened miscarriage.
Angelica Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao, wine-fried), Rehmanniae Radix Preparata (Shudi), Colla Corii Asini (Ejiao, fried), Scutellariae Baicalensis Radix (Tiaoqin), Atractylodis Macrocephalae Rhizoma (Baizhu, de-rhizome), Amomi Fructus Rotundus (Sharen), Cyperi Rhizoma (Xiangfu, fried), Artemisiae Argyi Folium (Aiye, small amount). Decoct as one dose with a pinch of Glumis Oryzae Fructus (Nuomi), take on an empty stomach.
Tai Dong (Fetal Movement): Caused by trauma.
Fo Shou San (Buddha's Hand Powder): Treats pregnancy at five to seven months where physical impact injures the fetus, or fetal death in utero, with lochia discharge, unceasing pain, and jaw locking approaching collapse. Use this medicine to test: if the fetus is undamaged, pain stops and mother and child are safe; if the fetus is damaged, it will be expelled immediately.
Angelica Sinensis Radix (Danggui, 6 qian), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 4 qian), Leonuri Herba (Yimucao, 5 qian). Decoct as one dose in water, add one cup of wine, boil once more, and take warm. After walking approximately five li, take another dose.
Ni Chuan (Rebellious Fetal Breathing): Caused by Fire agitation. Scutellariae Baicalensis Radix (Tiaoqin), Cyperi Rhizoma (Xiangfu). Grind equal parts into powder, take 2 qian per dose with plain water.
Shen Han Tan Hu Tai Fa (Protection Method for Pregnancy Complicated by Cold Damage): Mud from well bottoms, Indigo Naturalis (Qingdai), Longgu (Fulonggan). Mix powders evenly, apply to the pregnant woman's umbilicus area (approx. 2 cun); reapply when dry to protect the fetus.
Case 1: A pregnant woman had vaginal bleeding. After taking cooling-blood medicines, bleeding worsened, accompanied by poor appetite and fatigue. This was Spleen Qi deficiency failing to control blood. I used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment Qi Decoction) and she recovered. Later, due to anger, she experienced chills and fever with continued bleeding, indicating Liver Fire flaring up boiling the blood. I used Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) to stop bleeding, and Bu Zhong Yi Qi Tang to stabilize the fetus.
Case 2: A pregnant woman had vaginal bleeding, fever, thirst, poor appetite, and fatigue. This belonged to Spleen Qi deficiency overacted by Liver Fire. I used Si Jun Zi Tang (Four Gentlemen Decoction) plus Chai Hu (Bupleuri Radix) and Shan Zhi (Gardeniae Fructus); bleeding stopped. Upon recurrence due to anger, I used Liu Jun Zi Tang (Six Gentlemen Decoction) plus Chai Hu, Shan Zhi, and Sheng Ma (Cimicifugae Rhizoma), and she stabilized.
Case 3: A pregnant woman at six months presented with fatigue, reluctance to eat, sallow complexion, afternoon fever, and poor fetal growth due to overwork and excessive desire. This was insufficient Spleen Qi. I used Ba Zhen Tang (Eight Treasures Decoction) with doubled doses of Renshen (Ginseng), Baizhu (Atractylodes), and Fuling (Poria) for over thirty doses. Her Spleen and Stomach strengthened, and the fetus became stable and grew.
Case 4: A pregnant woman suffered miscarriage, followed by unconsciousness and frequent phlegm expectoration. She self-medicated with Blood-nourishing and Phlegm-resolving agents, leading to stupor, spontaneous sweating, convulsions, and copious phlegm. Others diagnosed Stroke Wind and wanted to use wind-dispelling and phlegm-resolving drugs. I stated this was caused by Spleen Qi deficiency and Cold. I prescribed Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) plus Pao Jiang (Prepared Ginger) for over twenty doses, and she recovered soon.
Case 5: A pregnant woman vomited blood due to anger, with distending pain in the hypochondrium and scanty painful urination. Anger caused Blood to accumulate above and exit with Fire. I used Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Si Wu Tang (Four Substances Decoction) for four doses to stop bleeding; then regulated with Liu Jun Zi Tang (Six Gentlemen Decoction) and An Tai Yin (Calming Fetus Drink) for stabilization.
Case 6: A woman had amenorrhea for eight months with gradual abdominal enlargement, sallow or bluish complexion. Medicines for pregnancy symptoms failed. On diagnosis, I noted: bluish face, choppy pulse, alternating chills and fever—indicating Liver Meridian Blood disease. This was a syndrome of Spleen and Liver injury due to depression and anger, not pregnancy. Disbelieving, she continued using pregnancy verification powders without effect. I used Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) and Xiao Yao San (Free and Easy Wanderer Powder) for over twenty doses each; symptoms improved slightly. Desiring quick results, she took Tong Jing Wan (Menstruation-Promoting Pills) once, resulting in bleeding, stupor, spontaneous sweating, aversion to cold, cold limbs, vomiting, and anorexia. I used Renshen (Ginseng) and Pao Jiang (Prepared Ginger) for two doses to gradually improve, then Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) for over fifty doses to stabilize her. (All above cases relate to tonification.)
Case 7: Madam Chong, wife of Minister Liu, suffered severe morning sickness during pregnancy: incessant vomiting, inability to eat, mental irritability, dizziness, and vertigo. Various physicians tried harmonizing Spleen and Stomach formulas like Er Chen Tang (Two-Chen Decoction), Huo Xiang Zheng Qi San (Agastache Regulating Qi Powder), and Bao Sheng Tang (Protect Life Decoction) without success. I diagnosed a slightly rapid Left pulse and rapid Qi Kou pulse, indicating Blood deficiency with excess Qi and Fire. Without nourishing Blood, Fire would not descend; without descending Fire, vomiting would not cease. I used Fu Ling Bu Xin Tang (Poria Nourishing Heart Decoction) plus Jiang Zhi (Ginger Juice), Chao Huang Lian (Stir-fried Coptis), and Zhu Ru (Bambusa Textilis Caulis in Mucilage) for two doses, resulting in complete recovery.
Case 8: A woman always miscarried at three months of pregnancy but refused medication. I advised her to cook soup with a four-to-five-year-old hen, add red millet and yellow millet, make porridge, and eat it. After a few times, the fetus stabilized, and she delivered a healthy boy at full term.