产前当清热产血。产妇因火动胎，逆上作喘急者，急用条芩、香附之类为末调
下。条芩，水中取沉者为佳。堕胎，乃气虚、血虚、血热。黄芩，安胎，乃上中二焦药，能
降火下行。益母草，即茺蔚子，治产前产后诸病，能行血养血。难产可煎作膏，地黄膏、
膝膏，皆可用。怀妊爱物，乃一脏之虚。假如肝脏之虚，肝气止能生胎，无余用也。又云∶
不能荣其肝，肝虚故爱酸物。产前安胎，白术、黄芩为妙药也。条芩，安胎圣药也。俗人
知，以为害而不敢用，反谓温热之药可养胎。殊不知产前宜清热，令血循经而不妄行，故
养胎。胎热将临月，以三补丸加炒香附、炒白芍，蒸饼丸服。抑热，以三补丸，用地黄膏
。有孕八九个月，必顺气，须用枳壳、紫苏梗。凡妊妇脉细匀，易产；大浮缓，火气散，难
产。生产如抱舡过坝一般。
入方 固胎。
地黄（半钱） 归身 人参 白芍（各二钱） 白术（一钱半） 川芎（五分） 陈皮（一钱） 黄芩（半钱
甘草（三分） 黄连（少许） 黄柏（少许） 桑上羊儿藤（七叶圆者） 一本无芩
上 咀。每二钱，入糯米二十四粒，煎服。血虚不安
者，用阿胶；痛者，用砂仁止痛，安胎行气故也。
束胎丸 第八个月可服。
炒黄芩（夏一两，春秋七钱半，冬半两） 白术（一两，不见火） 茯苓（七钱半，不见火） 陈
皮（三两，忌火）
上为末，粥丸服。
达生散 又名束胎散。
大腹皮（三钱） 人参 陈皮（各半钱） 白术 芍药（各一钱） 紫苏（茎叶，半钱） 甘草（炙，二钱
归身尾（一钱）
上作一服，入青葱五叶，黄杨脑七个，此即黄杨树叶梢儿也。或加枳壳、砂仁，以水煎
，食后服。于八九个月，服十数帖，甚得力。夏月加黄芩，冬不必加，春加川芎。或有别证
，以意消息于后。
气虚，加参、术；气实，倍香附、陈皮；血虚，倍当归，加地黄；形实，倍紫苏；性急
加黄连；有热，加黄芩；湿痰，加滑石、半夏；食积，加山楂；食后易饥，倍黄杨脑；有痰
，加半夏；腹痛，加木香、桂。
又方 第九个月服。
黄芩（一两，酒炒，不宜凉药，怯弱者减半） 白术（一两） 枳壳（炒，七钱半）滑石（七钱半，
临月十日前小便多者减此一昧）
上为末，粥丸桐子大。每服三十丸，空心热汤下。多则恐损元气，气实人宜服。
又方 安胎
白术 黄芩 炒曲
上为末，粥丸服。一本云∶用条芩一二两为末，每一钱或半钱，浓煎白术汤调下。每次
用白术五七钱煎汤。
恶阻从痰治，多用二陈汤。
戴云∶恶阻者，谓妇人有孕恶心，阻其饮食者是也。肥者有痰，瘦者有热，须用二陈汤
入方
白术（不拘多少）
上为末，水丸。随所好，或汤或水下。
子肿，湿多。
戴云∶子肿者，谓妇人手足或头面通身浮肿者是也。
入方
山栀子（炒，用一合）
上为末。米饮吞下；或丸服。
《三因》鲤鱼汤 治妊娠腹大，胎间有水气。
白术（五两） 茯苓（四两） 当归 芍药（各三两）
上细锉，以鲤鱼一头，修事如食法，煮取汁，去鱼不用
。每服四钱，入鱼汁一盏半，姜七片，陈皮少许，煎至七分，去渣
胎漏，气虚、血虚、血热，可服固孕之药。
戴云∶胎漏者，谓妇人有胎而血漏下者。
参术饮 治妊娠转胞。
四物汤加人参 白术 半夏（制） 陈皮 甘草
上 咀。入生姜煎，空心服。
附方
治胎动不安，已有所见。
艾叶 阿胶 当归 川芎（各三两） 甘草（一两）
上每服五钱，水煎熟，下胶令烊，温服。
胶艾汤 损动胎，去血腹痛。
艾叶 阿胶
上二味，水煎服。
难产，气血虚故也。此盖九月十月之际，不谨守者有之，亦有气血凝滞而不能转运者。
临月时，服野天麻熬膏，白汤调下，油、蜜、小便和极匀，治难产。
入方
砂仁 香附（醋煮） 枳壳 甘草
上为末。汤调，又以香油、蜜、小便和匀各半盏，调益母草末。
催生
白芷（灰） 百草霜 滑石
上为末。用芎归煎汤调下，或姜汁服。
天麻丸 易产。
天麻（即益母草六月间连根采阴干）
上为末，不拘多少，炼蜜丸如圆眼大。临产时，温酒或白汤化一丸，能除产后百病。
附方
催生如圣散
黄葵花（不以多少，焙干）
上为末。热汤调下二钱，神妙。或有漏血，胎脏干涩，难产痛剧者，
并进三服。良久，腹中气宽胎滑，实时产下。如无花，只以蜀葵子烂研小半合
，以酒调，尤妙。亦治打扑伤损。如胎死不下，煎红花，温酒调下。经验方∶用子四十九
或三十粒。歌曰∶黄金内子三十粒，细研酒调能备急，命若悬丝在须臾，即令眷属不悲泣。
又方
蛇蜕（一条，全者） 蚕蜕纸（一张，一方无）
上入新瓮中，盐泥固济，烧存性为末。煎榆白皮调下一钱，三服，觉痛便产。
又方 治产难，兼治胞衣不下并死胎。
蓖麻子七粒去壳，研细成膏，涂脚心，胞衣即下，速洗去。不洗肠出，却用此膏涂顶上
，肠自缩入，如神之妙。
又方
月兔头（一枚，烧灰）
上为末。葱白汤调二钱，立生。
又方 治难产三日不下。
伏龙肝细研。每服一钱，酒调服之。又或吞鸡子黄三个，并少苦酒服之，立生。又或用
赤小豆二升，水九升，煮取一升汁，入炙了明黄胶一两，同煎少时，一服五合。又用槐子十四
又方∶当归为末，酒调方寸匕服。
胞衣不下
取皂屋黑尘，研为细末。酒调方寸匕。
During the prenatal period, one should clear heat to nourish fetal blood. If a parturient experiences asthma and urgency due to fire pathogen disturbing the fetus and causing rebellious Qi ascending, immediately use powder of Tiao Qin (a type of Scutellariae Radix) and Xiang Fu (Cyperi Rhizoma), mixed with water for administration. Tiao Qin is best when it sinks in water. Abortion results from Qi deficiency, Blood deficiency, or Blood heat. Huang Qin (Scutellariae Radix) stabilizes the fetus; it acts on the Upper and Middle Jiao and can descend fire downward. Yi Mu Cao (Leonuri Herba), also known as Chong Wei Zi (Leonuri Fructus), treats various diseases before and after childbirth; it invigorates Blood and nourishes Blood. For dystocia, decoctions can be made into pastes; Di Huang Gao (Rehmanniae Paste) and Xi Gao are all usable. A pregnant woman's craving for specific foods indicates deficiency in a certain Zang organ. For instance, if the Liver is deficient, its Qi is only sufficient to nourish the fetus and has no surplus to nourish itself; thus, "it cannot moisten the Liver," and Liver deficiency leads to a craving for sour foods. For prenatal fetal stabilization, Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Huang Qin are excellent herbs. Tiao Qin is the sacred herb for stabilizing the fetus. Laypeople know this but fear its cold nature and dare not use it, instead believing that warm-hot herbs can nourish the fetus. They do not realize that clearing heat during pregnancy allows Blood to follow the meridians without reckless flow, thereby nourishing the fetus. When fetal heat approaches the month of delivery, use San Bu Wan (Three Tonics Pill) added with fried Xiang Fu and fried Bai Shao, made into pills with steamed dough. To suppress heat, use San Bu Wan with Di Huang Gao. In the eighth or ninth month of pregnancy, Qi must be smoothed using Zhi Ke (Aurantii Fructus) and Zi Su Geng (Perillae Caulis). Generally, if a pregnant woman's pulse is fine and even, childbirth will be easy; if the pulse is large, floating, and slow, it indicates scattered Fire Qi, leading to difficult childbirth. Childbirth is like carrying a boat over a dam.
Prescription: Gu Tai Fang (Fetus Stabilizing Decoction).
Di Huang (Rehmanniae Radix Preparata) (0.5 qian), Dang Gui Shen (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix et Rhizoma), Bai Shao (Paeoniae Radix Alba) (each 2 qian), Bai Zhu (1.5 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (0.5 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Huang Qin (0.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.3 qian), Huang Lian (Coptidis Rhizoma) (a little), Huang Bo (Phellodendri Cortex) (a little), Sang Shang Yang Er Teng (Mulberry Parasitic Stem) (seven-leaf round variety). Another version omits Huang Qin.
Chop the above ingredients. Take 2 qian per dose, add 24 grains of glutinous rice, decoct, and take orally. For Blood deficiency with insecurity, use E Jiao (Colla Corii Asini); for pain, use Sha Ren (Amomi Fructus) to stop pain, as it stabilizes the fetus and moves Qi.
Shu Tai Wan (Fetus Binding Pill): Can be taken in the eighth month.
Chao Huang Qin (Fried Scutellariae Radix) (Summer: 1 liang, Spring/Autumn: 0.75 liang, Winter: 0.5 liang), Bai Zhu (1 liang, not stir-fried), Fu Ling (Poria) (0.75 liang, not stir-fried), Chen Pi (3 liang, avoid stir-frying).
Grind into powder, make pills with congee, and take orally.
Da Sheng San (Life-Reaching Powder): Also known as Shu Tai San.
Da Fu Pi (Arecae Pericarpium) (3 qian), Ren Shen, Chen Pi (each 0.5 qian), Bai Zhu, Shao Yao (Paeoniae Radix) (each 1 qian), Zi Su (Perillae Caulis and Folium) (0.5 qian), Gan Cao (Roasted) (2 qian), Dang Gui Shen Wei (Angelicae Sinensis Radix tip and tail) (1 qian).
Take as one dose, add five leaves of green onion and seven Huang Yang Nao (tips of Euonymi Japonici Ramulus), decoct in water, and take after meals. Taking ten-plus doses in the eighth or ninth month is very effective. Add Huang Qin in summer, do not add in winter, add Chuan Xiong in spring. For other syndromes, adjust according to the following principles:
For Qi deficiency, add Ren Shen and Bai Zhu; for Qi excess, double Xiang Fu and Chen Pi; for Blood deficiency, double Dang Gui and add Di Huang; for robust physique, double Zi Su; for irritable temperament, add Huang Lian; for heat, add Huang Qin; for damp-phlegm, add Hua Shi (Talcum) and Ban Xia (Pinelliae Rhizoma Preparatum); for food stagnation, add Shan Zha (Crataegi Fructus); for hunger after eating, double Huang Yang Nao; for phlegm, add Ban Xia; for abdominal pain, add Mu Xiang (Aucklandiae Radix) and Gui Zhi (Cinnamomi Ramulus).
Another Prescription: For the ninth month.
Huang Qin (1 liang, wine-fried; avoid cold herbs, halve for the weak), Bai Zhu (1 liang), Zhi Ke (Fried Aurantii Fructus) (0.75 liang), Hua Shi (0.75 liang; omit if frequent urination occurs ten days before delivery).
Grind into powder, make pills the size of tung tree seeds with congee. Take thirty pills per dose, orally with hot water on an empty stomach. Excessive dosage may damage Yuan Qi; suitable for those with Qi excess.
Another Prescription: Fetal Stabilization.
Bai Zhu, Huang Qin, Chao Qu (Fried Medicated Leaven).
Grind into powder, make pills with congee. Another version states: Use 1-2 liang of Tiao Qin ground into powder, take 1 qian or 0.5 qian per time, mixed with strong decoction of Bai Zhu. Use 5-7 qian of Bai Zhu per decoction.
E Zu (Nausea of Pregnancy) is treated from the perspective of Phlegm, mostly using Er Chen Tang (Two-Cured Decoction).
Dai Yuanli stated: E Zu refers to nausea in pregnant women that obstructs diet. Obese individuals have Phlegm, thin individuals have Heat; Er Chen Tang is required.
Prescription:
Bai Zhu (any amount).
Grind into powder, make water pills. Take with preferred liquid, either decoction or water.
Zi Zhong (Edema of Pregnancy) is caused by excessive Dampness.
Dai Yuanli stated: Zi Zhong refers to edema of the hands, feet, head, face, or whole body in pregnant women.
Prescription:
Shan Zhi Zi (Gardeniae Fructus, fried, 1 he).
Grind into powder. Swallow with rice drink or take as pills.
San Yin Fang Li Yu Tang (Carp Decoction from *Three Causes*): Treats enlarged abdomen in pregnancy due to fluid accumulation between the fetus and mother.
Bai Zhu (5 liang), Fu Ling (4 liang), Dang Gui, Shao Yao (each 3 liang).
Finely chop, process one carp as food, decoct to obtain juice, discard the fish. Take 4 qian per dose, add 1.5 zhan of fish juice, seven slices of ginger, and a little Chen Pi, decoct until three-tenths remain, strain, and take.
Tai Lou (Fetal Leakage) results from Qi deficiency, Blood deficiency, or Blood heat; drugs that secure the fetus can be taken.
Dai Yuanli stated: Tai Lou refers to vaginal bleeding while pregnant.
Shen Zhu Yin (Ginseng and Atractylodes Drink): Treats pregnancy with inverted bladder (Zhuan Bao).
Si Wu Tang (Four Substances Decoction) plus Ren Shen, Bai Zhu, Ban Xia (Prepared), Chen Pi, Gan Cao.
Chop, add fresh ginger, decoct, and take on an empty stomach.
Supplementary Prescriptions:
Treats fetal movement insecurity with spotting.
Ai Ye (Artemisiae Argyi Folium), E Jiao, Dang Gui, Chuan Xiong (each 3 liang), Gan Cao (1 liang).
Take 5 qian per dose, decoct in water until cooked, melt E Jiao into it, and take warm.
Jiao Ai Tang (Colla and Mugwort Decoction): Treats fetal injury, bleeding, and abdominal pain.
Ai Ye, E Jiao.
Decoct these two ingredients in water and take.
Nan Chan (Dystocia) is due to Qi and Blood deficiency. This often occurs in the ninth or tenth month due to lack of careful care, or due to Qi and Blood stagnation failing to transform and transport. At term, consume paste of Ye Tian Ma (Wild Gastrodiae Rhizoma), mixed with white water, oil, honey, and urine thoroughly blended, to treat dystocia.
Prescription:
Sha Ren, Xiang Fu (Vinegar-boiled), Zhi Ke, Gan Cao.
Grind into powder. Mix with decoction, then blend with half a zhan each of sesame oil, honey, and urine, adding Yi Mu Cao powder.
Cu Sheng (Labor Induction):
Bai Zhi (Burnt to ash), Bai Cao Shuang (Soot from kitchen chimney), Hua Shi.
Grind into powder. Mix with Chuan Xiong Dang Gui decoction or take with ginger juice.
Tian Ma Wan (Gastrodia Pill): Facilitates childbirth.
Tian Ma (Leonurus Herba harvested with roots in June and dried in shade).
Grind into powder, any amount, make honey pills the size of longan seeds. At labor, dissolve one pill in warm wine or white water; it cures hundred postpartum diseases.
Supplementary Prescription:
Cu Sheng Ru Sheng San (Labor-Inducing Like-Sage Powder):
Huang Kui Hua (Yellow Mallow Flower, any amount, baked dry).
Grind into powder. Mix with hot water, take 2 qian; miraculous effect. For bleeding, dry uterus, severe pain in dystocia, take three doses consecutively. After a while, abdominal Qi relaxes, fetus slides, and delivery occurs instantly. If flowers are unavailable, grind small amount of Shu Kui Zi (Malvae Semen) with wine; especially effective. Also treats trauma. For retained dead fetus, decoct Hong Hua (Carthami Flos), mix with warm wine. Empirical Formula: Use 49 or 30 seeds. Verse: Thirty golden seeds ground fine, mixed with wine for emergency; life hanging by a thread, relatives need not weep.
Another Prescription:
She Tui (Ophioglossi Cutis), Can Tui Zhi (Silkworm Molting Paper, another version omits this).
Place in a new jar, seal tightly with salt mud, burn to retain character, grind into powder. Decoct Yu Bai Pi (Ulmus Cortex) to mix with one qian of powder. Take three doses; delivery occurs upon feeling pain.
Another Prescription: Treats dystocia, also placenta retention and dead fetus.
Seven castor beans (Ricini Semen), shell removed, ground into paste, apply to soles of feet; placenta will descend, wash off immediately. If not washed, intestines may prolapse; apply paste to vertex, intestines retract miraculously.
Another Prescription:
Yue Tu Tou (Moon Rabbit Head, one, burnt to ash).
Grind into powder. Mix with scallion white decoction, take 2 qian; immediate delivery.
Another Prescription: Treats dystocia lasting three days.
Fu Long Gan (Dragon's House Earth), finely ground. Take 1 qian, mix with wine. Or swallow three egg yolks with a little vinegar; immediate delivery. Or use two sheng of Chi Xiao Dou (Vigna Semen), nine sheng of water, boil to one sheng juice, add one liang of roasted Ming Huang Jiao (Gelatinum Cornu Cervi), decoct briefly, take five he at once. Or use fourteen Huai Zi (Sophorae Tonkinensis Fructus).
Another prescription: Dang Gui powder, mix with wine, take one fang cun bi.
Placenta Retention:
Take black dust from soap house roof, grind to fine powder. Mix with wine, take one fang cun bi.