《经》云∶肠覃者，寒气客于肠外，与卫气相搏，气不得荣，因有所系，瘕而内着，恶气乃起，息肉乃生。其始
生大如鸡卵，稍以益大，如怀子之状，按之则坚，推之不移，月事以时下，此其候也。此气病而血未病，故
月事不断，木香通气散，大辛热之剂主之（此结气大肠为气病）。
《折肱录》曰∶子媳申氏多郁怒，勿患不月，腹渐大，以为妊也。十余月勿产，诸证渐见，疑之，医者亦疑为蓄
血欲下，以体弱不胜，可暗消，久用行血调血药，竟至不起。后阅盛启东治东宫妃一案，大悔掉，永乐东宫妃
张氏，经不通者，已十越月，医以为胎也。胀愈甚，上命启东诊视，一一如见，其方皆破血之剂，下血数斗而疾平。
子媳病正与此合，当十月外既确知非妊，宜大胆下之，可得生矣。惜医者，无此胆识，不亦
伤乎！（此蓄血子门为血病）。
产前诸症，皆因胎气所致。夫胎动、胎漏皆下血，但胎动有腹痛，胎漏无腹痛，故胎动宜行气，胎漏宜清热也。恶
阻者，恶心而阻隔饮食也，肥者多因痰，瘦者多因热，宜二陈汤加减。子烦者，烦躁闷乱心神也。子痫者，痰涎潮搐，
目吊口噤也。子肿者，面目虚浮，肢体肿满也。子气者，两足浮肿也。子淋者，小便艰少也。转胞者，小便不通也。子
悬者，胎气不顺，凑心胀痛也。盖脾主运化水谷，妇人有胎则运化水谷不利而生湿，湿则生痰，痰生热，热生风也。子
肿、子气者，湿也。恶阻者，痰也。子烦、子淋者，热也。子痫者，风也。子悬者，气也。转胞者，虚也。湿则渗之，
痰则消之，热则清之，风则平之，气则散之，虚则补之，总以去邪保胎为要。保胎之法，三月以前宜养脾胃，四月以后
宜壮腰肾、补血顺气，佐以清热，此大法也。然尤宜以人阴阳盛衰、气血偏胜而调之。
《简便方》治频惯堕胎，或三、四月即堕者，于两月前，
以杜仲八两、糯米煎汤浸透，炒去丝，续断二两酒浸焙干为末，
山药五、六两为末，糊丸如梧子大，每服五十丸，空心米饮下。
怀妊受物，乃肝一脏之虚，其肝气止能生胎，无别用也，若血少不能荣其肝，则肝虚，故爱酸物。
产前安胎，白术、黄芩为妙药也。条芩安胎之圣药，俗人不知，以为寒而不敢用，反为温热之药可养胎，殊不知产
前宜清热，令血循经而不妄行，故能养胎。惟脉沉迟，脾胃虚弱者，非其所宜。
生产如抱船过坝一般，凡难产者，多由于气血虚也，有因九、十月之时不谨守者有之；有气血凝滞不转运者。故于
九个月内便须顺气调中，服达生散十数帖，临产自易也。
凡妊妇脉细匀者，是胎元已足，如果熟香飘之象也。易产。大浮缓者，是养胎而中气大虚，火气散也，难产。
故产前脉宜洪大，产后脉宜沉小。凡男女之别，以左右取，左疾为男，右疾为女。沉实在左，浮大在右，右女左男，
可以预剖。离经六至，沉细而滑，阵痛达腰，胎立时脱。半产漏下，革脉主之，弱即血耗，立见倾危。
一妇妊娠，久吐不已，诸药不受，张立后方，服之而愈。两寸俱洪大而数，右尤甚焉。金体本燥，今燥益甚矣。左
关洪弦，是肝主藏血，今无血受藏也。右关弦细而数，是久生谷气，肝家虚火来侮，因而弦数。其细者，胃气亏极之象
也。左尺细极若无，右尺洪大而疾，此皆津滋燥涸，少阴虚火上浮，厥阴郁火上达，少阳伏火上乘，燥涸之土为三火所
烁，焉能湿润化育乎。经曰诸呕吐酸皆属于热，此之谓也。具方于后，为救急治标之法。呕愈之后，仍当以六味加麦冬、
阿胶为丸，久服调理，以治其本。
条实芩（一钱二分） 麦门冬（去心三钱） 怀生地（三钱） 广桔红（盐汤泡七分） 白茯苓（一钱二分） 生
白芍药、肥白知母（各一钱二分） 甘草（二分） 白葛根（一钱，能提胃中真气，而清疏胃热故用之） 竹茹（二钱，
用鲜淡竹刮去青，取向里黄皮）
加灯心，水煎，温服即愈。
保胎神效丸方《锦囊秘传》
白茯苓（二两、色白坚重者用之） 真于术（一两，米泔浸一宿，去皮净切并晒干，
同黄土炒用） 条芩（酒拌炒，须拣实心细子） 香附子（童便浸二日，炒熟） 元
胡索（陈米醋拌炒） 红花（隔纸烘炒） 益母草（净叶。各一两） 真没药（三钱，
新瓦上隔火焙去油）
上各制度为末，蜜丸桐子大，每日空心白汤吞服七丸。
前药不可因其丸小加至七丸之外。凡孕妇胎不安者，一日可服四五次，安则照常。如遇腹痛腰酸，或作胀坠，宜即
服之。如受胎三五月常坠者，须先一月制服，能保足月。甚至见红将坠者，急服此丸，亦能保留。谨戒恼怒、劳力，忌
食煎炒、椒辣、发气、闭气、糟味、冷水冷物，切戒心劳。每药一料，可保数胎，但服此丸，无不收效。
茯苓丸
治妊娠恶阻停饮，忧闻食气。
赤茯苓 人参 肉桂 干姜（泡） 半夏（洗七次焙） 陈皮 白术 葛根 甘草（炙） 枳实（去白麸炒黄，各
一两）
为末，蜜丸如梧子大，每服五十丸，空心米饮下。
一法用黄芩为末，浓煎白术汤，调一钱服，一月余自安。
杜仲丸
治妊娠两、三月，胎动不安，防其欲堕，预宜服之。
杜仲（去皮， 姜汁炒去丝） 川续断（酒浸各二两）
为末，枣肉煮烂为丸，梧子大，每服三十丸，米饮下。
胶艾汤
治妊娠或因倒仆，胎动不安，腰腹疼痛。
熟地黄（洗） 艾叶（炒） 白芍药 川芎 阿胶（蛤粉炒成珠） 黄 当归（酒浸） 甘草（炙各等分）
用姜枣，水煎服。如虚者加人参。
益母丸
专治难产横逆，并安胎顺气。
益母草（五月五日采叶茎，阴干，忌铁器）
为末，蜜丸如弹子大，每服一丸。临产之时，以童便温酒化下。若气不顺，用木香人参汤。
桑寄生散
治胎漏经行淋漓；无病调理胎元。
当归（酒浸） 桑寄生 续断（酒浸） 川芎 白术 熟地 人参 香附（炒） 阿胶（蛤粉拌炒） 茯神（各一
钱） 甘草（炙五分）
水煎服。
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（各二两）
上细 以鲤鱼一个，修事如食法煮取汁，去鱼用药四钱入鱼汁一钟半；生姜七片、陈皮少许，煎至七分，空心服下。
一方
无故卒下血，用阿胶（二两，蛤粉炒成珠） 生地黄（八两，捣取汁） 以清酒三升，将二味搅匀温热，
分三服饮之。
竹茹汤
治妊娠呕吐，头疼，眩晕。
桔红（去白） 人参 麦门冬（去心） 白术（各一两） 浓朴（姜制） 茯苓（各五钱） 甘草（二钱五分）
每服五钱，水二钟、姜五片，入竹茹如弹子大一块，煎至八分服。
竹叶汤
治妊娠心惊胆怯，终日烦闷，证曰子烦。
白茯苓（四两） 防风 麦门冬（去心） 黄芩（各三两）
每服四钱，水一钟、竹叶五片，不拘何时，皆可服之。
全生白术散
治妊娠面目肢体浮肿如水气，名曰子气。
白术（一两） 姜皮 大腹皮 陈皮 白茯苓皮（各五钱）
为末，每服二钱，米饮调下。一方有桑白皮。
李氏天仙藤散
治妊娠三月之后，两足渐肿，行步艰难。
饮食不佳，状如水气，名曰子气。
天仙藤（洗略炒） 香附子（炒） 陈皮 甘草 乌药（各等分）
为末，每服三钱，姜三片、紫苏三叶、木瓜三片同煎，空心食前服之。日三次，肿消止药。
紫苏散
治胎气不和，凑上心腹，胀满疼痛，谓之子悬。
大腹皮 川芎 白芍 陈皮 当归（去芦酒浸） 紫苏叶（各一两） 人参 甘草（各五钱）
每服四钱，姜五片、葱白七寸，水煎，空心温服。
儿在腹中哭 用多年空屋鼠穴中土一块，令孕妇噙之。
百合散
治妊娠咳嗽，心胸不利，烦满不食，胎动不安。
川百合 紫苑 麦门冬 桔梗 桑白皮（各一两） 甘草（五钱） 竹茹（一团）
每服八钱，水煎去滓，入蜜半匙，再煎一、二沸，食后温服。
干姜黄连丸
治妊娠下痢赤白，谷道肿痛，冷热皆可服。
干姜（炒黑） 黄连（去须） 缩砂仁（炒） 川芎 阿胶（蛤粉炒） 白术（各一两） 乳香（三钱别研） 枳
壳（五钱炒）
为末，用盐梅肉三个入醋糊同杵丸桐子大，每服四十丸，白痢干姜汤、赤痢甘草汤下，赤白痢干姜甘草汤下。
胜金散
治妊娠脾胃气冷，小腹虚胀。
吴茱萸（酒浸炒） 陈皮 生姜 干姜（炮） 川芎 浓朴 缩砂仁（炒） 甘草（各等分）
为末，每服二钱，盐汤调服。
桑螵蛸散
治妊娠小便不禁。
桑螵蛸（二十个，炙为细末。）
每服二钱，空心米饮调下。
瘦胎枳壳散
治妊娠孕七、八月，常宜服滑胎易产。
甘草（一两五钱炙） 枳壳（五两麸炒赤）
一方加香附。
为末，每服一钱，空心白汤服。
按∶枳壳散性苦寒，单服恐有胎寒、胎痛之疾，以地黄当归汤蜜丸佐之。
束胎散
第八个月可服。
条芩（酒炒一两） 白术（二两，不见火） 陈皮（三两） 茯苓（七钱五分，不见火）
为末，粥丸梧子大，每服五六十丸，食远温水下。
达生散
大腹皮（三钱） 人参 陈皮（各五钱） 白术 芍药 归尾（各一钱） 甘草（炙二钱） 紫苏（茎叶五分）
加青葱五叶、黄杨脑七个（即黄杨树叶梢儿），或加枳壳、砂仁，水煎食后服。八、九月服十数帖，甚妙。夏月加
黄芩，冬不必加；春加川芎。
催生如圣散
黄葵花焙干。
为末，热汤调下二钱，神效。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，以黄蜀葵子为末，酒服二钱。如胎死不下，红花煎酒调下。经验方用子四十九粒，或三十粒。
催生佛手散
治妊娠因事触胎，子死腹中，疼痛口噤。用此探之，不损则痛止，子母俱安；损则立下。
当归（六钱） 川芎（四钱）
水二钟半，煎令泣欲干，入头酒一钟，煎沸温服，口噤灌之，如人行五里，再服不过三服便生。
催生丹
治产妇生理不顺，临蓐艰难。
十二月兔脑髓（三皮膜研） 乳香（研细一分） 麝香（研细一字） 母丁香末（一钱）
研匀用兔髓和丸，如鸡头大，阴干，油纸封贮，每一丸研破，温水服，实时产下，随男左女右握药出是验。
一方 治妇人难产，数日不出。桃仁一个劈开，朱砂写一片可字、一片出字，吞之即生。
救生散
横生逆产。
用桂心（一钱）为末，童便酒调服之，异常神效。
一方 治难产用腊月兔头一枚，烧灰为末，葱白汤调下二钱，立时即生。或用伏龙肝细研，每服一钱，酒调服
之亦效。
香桂散
下死胎。
麝香（五分另研） 官桂（二钱）
为末，和匀酒调服。须臾如手推下。
一方 死胎不出，产妇面青、指甲青、口臭。用朴硝为末，每服二钱，顺流水调下。甚者，温童便调服，胎下
母活。亦治胎衣不下。
黑龙丹
治临产难生，或胎衣不下，产后血晕，不省人事，血崩恶露，腹中刺痛，血滞浮肿，血入心经、语言颠倒，血风相
搏、身热头痛，或类疟疾，胎前产后诸疾垂死，无不救活者。
五灵脂 当归（酒浸） 生地黄 川芎 良姜（各二两）
上入砂锅内，纸 盐泥封固， 红候冷取出，研细入后药。
百草霜（三钱） 乳香 生硫黄 琥珀 花蕊石（各二钱）
上五味计一两一钱为末，同前药和匀，米醋煮，麦糊丸如弹子大，每临用炭火 药通红，投入生姜自然汁，浸碎之，
以无灰酒并合童便顿服，神效不可尽述。
新定催生保产万全汤
人参（三钱至五钱） 当归（去芦三钱） 川芎（一钱） 桃仁（十三粒，不去皮尖捣碎） 干姜（炒焦黄一钱
）甘草（炙六分） 牛膝梢（二钱） 红花（酒炒三分） 肉桂（去皮，六分，冬天八分） 加枣一枚，水煎温服。
The *Classic of Internal Medicine* states: Changqin (Intestinal Polyp/Tumor) is caused by cold pathogen invading and lodging outside the intestines, struggling with Wei Qi (Defensive Qi), preventing Qi from nourishing properly. Due to this obstruction, a mass forms and adheres internally, evil Qi arises, and polyps grow. Initially, it is as large as a chicken egg, gradually enlarging until it resembles pregnancy. It feels firm upon pressure and does not move when pushed, while menstruation continues on schedule; these are its signs. This indicates a disease in the Qi level but not yet in the Blood level, hence menstruation remains uninterrupted. It should be treated with Muxiang Tongqi San (Aucklandia Qi-Regulating Powder), a formula of great acridity and heat (this involves stagnation of Qi in the Large Intestine, constituting a Qi-level disorder).
*Zhe Gong Lu* records: A daughter-in-law, Shen Shi, suffered from frequent depression and anger, leading to amenorrhea. Her abdomen gradually enlarged, and she was presumed pregnant. After more than ten months without delivery, various symptoms emerged, causing suspicion. The physician also suspected blood stasis requiring purgation, but due to her weak constitution, he opted for gradual dissolution using blood-moving and regulating herbs over a long period, which ultimately proved fatal. Later, reading Dr. Sheng Qidong’s case of treating the Crown Prince’s Consort, he deeply regretted his error. During the Yongle era, Consort Zhang of the Crown Prince had experienced amenorrhea for over ten months; physicians assumed it was pregnancy. As abdominal distension worsened, the Emperor ordered Dr. Qidong to examine her. His diagnosis matched the presentation exactly, and his prescription consisted of blood-breaking agents. After expelling several dou of blood, the illness subsided. The daughter-in-law’s condition perfectly matched this scenario. Had the physicians boldly employed purgative methods after confirming non-pregnancy beyond the tenth month, she could have been saved. Alas, lacking such courage and insight, how tragic! (This involves blood stasis in the uterus, constituting a Blood-level disorder).
All antenatal syndromes are caused by fetal Qi. Both Taidong (Fetal Movement) and Tailou (Fetal Leakage) involve vaginal bleeding, but Taidong is accompanied by abdominal pain, whereas Tailou is not. Therefore, Taidong requires Qi-regulation, while Tailou requires Heat-clearing. Ezu (Nausea and Vomiting of Pregnancy) refers to nausea obstructing food intake; obesity often stems from Phlegm, while emaciation often stems from Heat. Erchen Tang (Two-Cured Decoction) with modifications is suitable. Zifan (Fetal Irritability) refers to restlessness and mental confusion. Zixian (Fetal Convulsion/Eclampsia) refers to surging phlegm-saliva with convulsions, upward deviation of the eyes, and locked jaw. Zizhong (Fetal Edema) refers to puffy swelling of the face and limbs. Ziqi (Fetal Gas/Edema of Legs) refers to edema of both feet. Zilin (Fetal Strangury) refers to difficult and scanty urination. Zhuanbao (Displacement of the Bladder) refers to urinary retention. Zixuan (Fetal Suspension) refers to irregular fetal Qi rushing to the heart and chest, causing distension and pain. Generally, the Spleen governs the transformation and transportation of water and grain. When a woman is pregnant, the transformation of water and grain becomes inefficient, generating Dampness; Dampness generates Phlegm; Phlegm generates Heat; Heat generates Wind. Zizhong and Ziqi belong to Dampness; Ezu belongs to Phlegm; Zifan and Zilin belong to Heat; Zixian belongs to Wind; Zixuan belongs to Qi; Zhuanbao belongs to Deficiency. Dampness is treated by leaching/diuresis; Phlegm by resolving; Heat by clearing; Wind by calming; Qi by dispersing; Deficiency by tonifying. The primary goal is always to eliminate pathogens and preserve the fetus. The method for preserving the fetus is to nourish the Spleen and Stomach before the third month, and to strengthen the Waist and Kidneys, nourish Blood, and smooth Qi with Heat-clearing adjuncts after the fourth month; this is the general principle. However, regulation must further be based on the individual’s Yin-Yang excess or deficiency and Qi-Blood predominance.
*Jianbian Fang* treats habitual miscarriage, or miscarriage occurring at three or four months. Two months prior, use eight liang of Duzhong (Eucommia Bark), soaked through in rice decoction, stir-fried to remove silk fibers. Mix with two liang of Xuduan (Dipsacus Root), wine-soaked and baked dry, ground into powder. Add five to six liang of Shanyao (Chinese Yam), ground into powder. Make pills the size of wu zi (smartweed seeds) using paste. Take fifty pills each time with empty-stomach rice drink.
Conception relies on the deficiency of one organ, the Liver. Its Liver Qi can only generate the fetus, having no other function. If Blood is insufficient to nourish the Liver, the Liver becomes deficient, leading to a craving for sour foods.
For antenatal fetal preservation, Baizhu (Atractylodes Rhizome) and Huangqin (Scutellaria Root) are excellent herbs. Tiao Qin (Striped Scutellaria) is the sacred herb for preserving the fetus. Laypeople do not understand this, fearing its cold nature, and instead use warm-hot herbs to nourish the fetus. They fail to realize that antenatally, Heat should be cleared so that Blood follows the meridians without reckless movement, thereby nourishing the fetus. Only in cases of deep, slow pulse and Spleen-Stomach weakness is it unsuitable.
Childbirth is like carrying a boat over a dam. Difficult labor mostly results from Qi and Blood deficiency. Some occur due to lack of caution during the ninth and tenth months; others due to Qi and Blood stagnation failing to circulate. Therefore, within the ninth month, one must smooth Qi and regulate the Middle Jiao by taking Dasheng San (Life-Accomplishing Powder) for over ten doses, making labor easier at term.
If a pregnant woman’s pulse is fine and regular, the fetal origin is complete, resembling the fragrance of ripe fruit; delivery will be easy. If the pulse is large, floating, and moderate, it indicates severe deficiency of Middle Qi due to nurturing the fetus, with Fire Qi scattering; delivery will be difficult. Thus, the antenatal pulse should be full and large, while the postnatal pulse should be deep and small. To distinguish male from female, observe the left and right pulses: rapid left pulse indicates male, rapid right pulse indicates female. Deep and solid on the left, large and floating on the right indicates female then male, allowing for prediction. Pulse deviating from the norm with six beats per respiration, deep, fine, and slippery, with intermittent pain reaching the waist, indicates immediate expulsion of the fetus. Half-miscarriage with leakage is indicated by Ge Mai (Cord-like Pulse); weak pulse indicates Blood exhaustion and imminent danger.
A woman with prolonged vomiting during pregnancy, refusing all medicines, was cured by a prescription from Zhang Lihou. Both Cun (Inch) pulses were full, large, and rapid, especially on the right. Metal constitution is naturally dry, now even drier. Left Guan (Bar) pulse is full and wiry, indicating the Liver storing Blood is currently devoid of Blood to store. Right Guan pulse is wiry, fine, and rapid, indicating Grain Qi generated over time, with Liver Deficient Fire insulting, hence wiry and rapid. The fineness indicates extreme depletion of Stomach Qi. Left Chi (Cubit) pulse is extremely fine, almost absent; Right Chi pulse is full, large, and rapid. These indicate fluid nourishment exhausted and dried up, with Shaoyin Deficient Fire floating upward, Jueyin Depressed Fire reaching up, and Shaoyang Hidden Fire ascending. The dried earth is scorched by the Three Fires; how can it moisten and nurture? The Classic says all vomiting and acid regurgitation belong to Heat; this is what it means. The following prescription is for emergency symptomatic treatment. After vomiting ceases, continue with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) plus Maidong (Ophiopogon Tuber) and Ejiao (Donkey-Hide Gelatin) as pills for long-term conditioning to treat the root.
Tiao Shi Qin (Scutellaria Root, 1 qian 2 fen), Maidong (Ophiopogon Tuber, 3 qian, heart removed), Huai Shengdi (Rehmannia Root, 3 qian), Guang Juhong (Citrus Peel, 7 fen, soaked in salt water), Bai Fuling (Poria, 1 qian 2 fen), Sheng Baishao (White Peony Root, 1 qian 2 fen), Fei Baizhi Mu (Anemarrhena Rhizome, 1 qian 2 fen), Gancao (Licorice Root, 2 fen), Bai Gegen (Kudzu Root, 1 qian, raises true Qi of Stomach and clears/disperses Stomach Heat), Zhuru (Bamboo Shavings, 2 qian, from fresh bamboo scraped inner yellow skin).
Add Dengxin (Juncus Pith), decoct in water, take warm, and it will heal.
Baotai Shenxiao Wan Formula (Secret Transmission of Jin Nang)
Bai Fuling (Poria, 2 liang, choose white, hard, and heavy ones), Zhen Yuzhu (True Atractylodes Macrocephala Rhizome, 1 liang, soak in rice wash overnight, peel, cut clean, dry, stir-fry with yellow earth), Tiao Qin (Scutellaria Root, mixed with wine and stir-fried, select solid fine seeds), Xiangfu Zi (Cyperus Rhizome, soaked in child’s urine for two days, stir-fried cooked), Yuanhusuo (Corydalis Rhizome, mixed with aged rice vinegar and stir-fried), Honghua (Carthamus Flower, stir-fried between papers), Yimucao (Motherwort Herb, clean leaves, 1 liang each), Zhen Moyao (True Myrrh, 3 qian, bake off oil on new tile over fire).
Process each according to regulations, grind into powder, make pills the size of tung tree seeds with honey. Swallow seven pills daily with plain warm water on an empty stomach.
Do not increase the dose beyond seven pills just because they are small. For pregnant women with unstable fetus, take four to five times a day; once stable, resume normal frequency. If abdominal pain, lower back soreness, or distension/heaviness occurs, take immediately. If prone to miscarriage at three to five months, start taking it one month prior to ensure full-term pregnancy. Even if spotting occurs threatening miscarriage, urgent intake can preserve it. Strictly avoid anger and physical labor. Avoid fried, spicy, gas-producing, qi-blocking, fermented, cold water, and cold foods. Strictly avoid mental exertion. One course of medicine can protect several pregnancies; those who take this pill invariably achieve results.
Fuling Wan
Treats pregnancy nausea with fluid retention and aversion to food odors.
Chi Fuling (Red Poria), Renshen (Ginseng), Rougui (Cinnamon Bark), Ganjiang (Dried Ginger, soaked), Banxia (Pinellia Tuber, washed seven times and baked), Chenpi (Aged Tangerine Peel), Baizhu (Atractylodes Rhizome), Gegen (Kudzu Root), Gancao (Licorice Root, roasted), Zhishi (Immature Bitter Orange, white part removed, bran-roasted yellow, 1 liang each).
Grind into powder, make pills the size of wu zi with honey. Take fifty pills each time with empty-stomach rice drink.
Another method: Use Huangqin (Scutellaria Root) powder, mix with strong decoction of Baizhu (Atractylodes Rhizome) soup, take one qian. Self-heals after over a month.
Duzhong Wan
Treats fetal movement and instability at two to three months of pregnancy, preventing impending miscarriage; should be taken prophylactically.
Duzhong (Eucommia Bark, peel, stir-fry with ginger juice to remove silk), Chuan Xuduan (Dipsacus Root, wine-soaked, 2 liang each).
Grind into powder, make pills with date flesh boiled soft, size of wu zi. Take thirty pills each time with rice drink.
Jiao’ai Tang
Treats fetal movement and instability, lower back and abdominal pain due to falls or trauma during pregnancy.
Shu Dihuang (Prepared Rehmannia Root, washed), Aiye (Mugwort Leaf, stir-fried), Baishao (White Peony Root), Chuanxiong (Szechwan Lovage Rhizome), Ejiao (Donkey-Hide Gelatin, stir-fried with clam powder into beads), Huang [missing character, likely Dangshen or similar], Danggui (Angelica Sinensis, wine-soaked), Gancao (Licorice Root, roasted, equal parts).
Decoct with Jiang (Ginger) and Zao (Jujube) in water. Add Renshen (Ginseng) if deficient.
Yimu Wan
Specifically treats difficult labor with malpresentation, and preserves fetus while smoothing Qi.
Yimucao (Motherwort Herb, harvest leaves and stems on May 5th, shade-dry, avoid iron vessels).
Grind into powder, make pills the size of bullet seeds with honey. Take one pill each time. At onset of labor, dissolve in warm child’s urine and wine. If Qi is not smooth, use Muxiang Renshen Tang (Aucklandia and Ginseng Decoction).
Sangjisheng San
Treats fetal leakage with dripping menstrual flow; regulates fetal origin in healthy pregnancies.
Danggui (Angelica Sinensis, wine-soaked), Sangjisheng (Taxillus Branch), Xuduan (Dipsacus Root, wine-soaked), Chuanxiong (Szechwan Lovage Rhizome), Baizhu (Atractylodes Rhizome), Shudi (Prepared Rehmannia Root), Renshen (Ginseng), Xiangfu (Cyperus Rhizome, stir-fried), Ejiao (Donkey-Hide Gelatin, stir-fried with clam powder), Fushen (Poria with Hostwood, 1 qian each), Gancao (Licorice Root, roasted, 5 fen).
Decoct in water and take.
Sanyin Liyu Tang
Treats large abdomen in pregnancy due to water Qi between the fetus.
Baizhu (Atractylodes Rhizome, 5 liang), Fuling (Poria, 4 liang), Danggui (Angelica Sinensis), Shaoyao (Peony Root, 2 liang each).
Finely chop. Cook one carp as food to extract juice. Remove fish. Add 4 qian of herbs to 1.5 zhong of fish juice. Add 7 slices of Shengjiang (Fresh Ginger) and a little Chenpi (Aged Tangerine Peel). Decoct to 0.7 portion. Take on empty stomach.
Another Prescription
For sudden unexplained vaginal bleeding: Use Ejiao (Donkey-Hide Gelatin, 2 liang, stir-fried with clam powder into beads) and Sheng Dihuang (Raw Rehmannia Root, 8 liang, crushed to extract juice). Mix with 3 sheng of clear wine, warm evenly, divide into three doses to drink.
Zhuru Tang
Treats pregnancy vomiting, headache, and vertigo.
Juhong (Citrus Peel, white part removed), Renshen (Ginseng), Maidong (Ophiopogon Tuber, heart removed), Baizhu (Atractylodes Rhizome, 1 liang each), Houpo (Magnolia Bark, ginger-processed), Fuling (Poria, 5 qian each), Gancao (Licorice Root, 2 qian 5 fen).
Take 5 qian each time. Add 2 zhong of water, 5 slices of Ginger, and one ball-sized piece of Zhuru (Bamboo Shavings). Decoct to 0.8 portion and take.
Zhuye Tang
Treats pregnancy fright and timidity, constant mental oppression, syndrome called Zifan (Fetal Irritability).
Bai Fuling (Poria, 4 liang), Fangfeng (Saposhnikovia Root), Maidong (Ophiopogon Tuber, heart removed), Huangqin (Scutellaria Root, 3 liang each).
Take 4 qian each time. Add 1 zhong of water and 5 leaves of Zhuye (Bamboo Leaf). Take anytime.
Quansheng Baizhu San
Treats pregnancy edema of face and limbs resembling water Qi, named Ziqi (Fetal Gas).
Baizhu (Atractylodes Rhizome, 1 liang), Jiangpi (Ginger Peel), Dafupi (Areca Peel), Chenpi (Aged Tangerine Peel), Bai Fulingpi (Poria Skin, 5 qian each).
Grind into powder. Take 2 qian each time, mixed with rice drink. Another version includes Sangbaipi (Mulberry Root Bark).
Li Shi Tianxianteng San
Treats progressive edema of both feet after three months of pregnancy, making walking difficult.
Poor appetite, resembling water Qi, named Ziqi (Fetal Gas).
Tianxianteng (Stephania Vine), Xiangfu Zi (Cyperus Rhizome, stir-fried), Chenpi (Aged Tangerine Peel), Gancao (Licorice Root), Wuyao (Lindera Root, equal parts).
Grind into powder. Take 3 qian each time, decoct with 3 slices of Ginger, 3 leaves of Zisu (Perilla Leaf), and 3 slices of Mugua (Chaenomeles Fruit). Take before meals on empty stomach. Three times daily; stop when edema resolves.
Zisu San
Treats disharmonious fetal Qi rushing to heart and abdomen, causing distension and pain, called Zixuan (Fetal Suspension).
Dafupi (Areca Peel), Chuanxiong (Szechwan Lovage Rhizome), Baishao (White Peony Root), Chenpi (Aged Tangerine Peel), Danggui (Angelica Sinensis, radix removed, wine-soaked), Zisu Ye (Perilla Leaf, 1 liang each), Renshen (Ginseng), Gancao (Licorice Root, 5 qian each).
Take 4 qian each time. Add 5 slices of Ginger and 7 cun of Congbai (Green Onion White). Decoct in water, take warm on empty stomach.
Fetus Crying in Womb: Use a piece of earth from a rat hole in an old empty house for the pregnant woman to hold in her mouth.
Baihe San
Treats pregnancy cough, chest discomfort, irritability, fullness, loss of appetite, and fetal movement instability.
Chuan Baihe (Lily Bulb), Ziwan (Aster Root), Maidong (Ophiopogon Tuber), Jiegeng (Platycodon Root), Sangbaipi (Mulberry Root Bark, 1 liang each), Gancao (Licorice Root, 5 qian), Zhuru (Bamboo Shavings, one ball).
Take 8 qian each time. Decoct in water, strain, add half spoon of Honey, boil one or two boils, take warm after meals.
Ganjiang Huanglian Wan
Treats pregnancy dysentery with red and white discharge, anal swelling and pain. Suitable for both cold and heat patterns.
Ganjiang (Dried Ginger, stir-fried black), Huanglian (Coptis Rhizome, remove roots), Suosharen (Amomum Fruit, stir-fried), Chuanxiong (Szechwan Lovage Rhizome), Ejiao (Donkey-Hide Gelatin, stir-fried with clam powder), Baizhu (Atractylodes Rhizome, 1 liang each), Rushiang (Frankincense, 3 qian, separately ground), Zhiqiao (Bitter Orange, 5 qian, stir-fried).
Grind into powder. Mix with three Salt Plum meats and vinegar paste to make pills the size of tung seeds. Take forty pills each time. For white dysentery, take with Ganjiang Tang (Dried Ginger Decoction); for red dysentery, with Gancao Tang (Licorice Decoction); for mixed red and white, with Ganjiang Gancao Tang (Dried Ginger and Licorice Decoction).
Shengjin San
Treats pregnancy cold Qi in Spleen and Stomach, false distension of lower abdomen.
Wuzhuyu (Evodia Fruit, wine-soaked and stir-fried), Chenpi (Aged Tangerine Peel), Shengjiang (Fresh Ginger), Ganjiang (Dried Ginger, processed), Chuanxiong (Szechwan Lovage Rhizome), Houpo (Magnolia Bark), Suosharen (Amomum Fruit, stir-fried), Gancao (Licorice Root, equal parts).
Grind into powder. Take 2 qian each time, mixed with salt water.
Sangpiaoxiao San
Treats pregnancy urinary incontinence.
Sangpiaoxiao (Mantis Egg Case, twenty pieces, roasted and finely ground).
Take 2 qian each time, mixed with empty-stomach rice drink.
Shoutai Zhike San
Treats pregnancy at seven to eight months; regularly take to facilitate easy delivery.
Gancao (Licorice Root, roasted, 1 liang 5 qian), Zhike (Bitter Orange, bran-roasted red, 5 liang).
Another version adds Xiangfu (Cyperus Rhizome).
Grind into powder. Take 1 qian each time with empty-stomach plain water.
Note: Zhike San is bitter and cold; single use may cause fetal cold or pain. Supplement with Dihuang Danggui Tang (Rehmannia and Angelica Decoction) made into honey pills.
Shutai San
Can be taken in the eighth month.
Tiao Qin (Scutellaria Root, wine-stir-fried, 1 liang), Baizhu (Atractylodes Rhizome, 2 liang, avoid fire), Chenpi (Aged Tangerine Peel, 3 liang), Fuling (Poria, 7 qian 5 fen, avoid fire).
Grind into powder, make pills the size of wu zi with porridge. Take fifty to sixty pills each time with warm water far from meals.
Dasheng San
Dafupi (Areca Peel, 3 qian), Renshen (Ginseng), Chenpi (Aged Tangerine Peel, 5 qian each), Baizhu (Atractylodes Rhizome), Shaoyao (Peony Root), Guiwei (Angelica Sinensis Tail, 1 qian each), Gancao (Licorice Root, roasted, 2 qian), Zisu (Perilla Stem/Leaf, 5 fen).
Add five leaves of Qingcong (Green Onion) and seven Huangyangnao (Yellow Boxwood Leaf Tips), or add Zhike (Bitter Orange) and Sharen (Amomum Fruit). Decoct in water, take after meals. Taking ten-plus doses in the eighth and ninth months is excellent. Add Huangqin (Scutellaria Root) in summer, not in winter; add Chuanxiong (Szechwan Lovage Rhizome) in spring.
Cuisheng Rusheng San
Hui Kui Hua (Yellow Hibiscus Flower), baked dry.
Grind into powder. Mix with hot water, take 2 qian. Miraculous effect. For those with leakage, dry uterine cavity, severe difficult labor pain, take three doses together. After a while, abdominal Qi relaxes, fetus slides out easily. If no flowers available, use Huang Shukui Zi (Yellow Hibiscus Seed) powder, take 2 qian with wine. If dead fetus retained, use Honghua (Carthamus Flower) decocted in wine. Empirical formula uses forty-nine or thirty seeds.
Cuisheng Foshou San
Treats pregnancy where external factors disturb the fetus, fetus dies in womb, pain, and locked jaw. Use this to probe: if intact, pain stops, mother and child safe; if damaged, expelled immediately.
Danggui (Angelica Sinensis, 6 qian), Chuanxiong (Szechwan Lovage Rhizome, 4 qian).
Decoct 2.5 zhong of water until nearly dry. Add 1 zhong of first-run wine, boil, take warm. If locked jaw, force-feed. After walking five li, take again. No more than three doses needed for birth.
Cuisheng Dan
Treats abnormal labor physiology, difficult childbirth.
December Rabbit Brain Marrow (grind with three skin membranes), Rushiang (Frankincense, finely ground, 1 fen), Shexiang (Musk, finely ground, 1 zi), Mudingxiang (Female Clove Bud, 1 qian).
Grind uniformly, mix with rabbit marrow to make pills the size of chicken head. Dry in shade, seal in oiled paper. Break one pill, take with warm water, deliver immediately. Verification: hold medicine in left hand for boy, right hand for girl.
Another Prescription: Treats difficult labor lasting several days. Split one Tao Ren (Peach Kernel), write "Ke" (Possible) on one half and "Chu" (Exit) with Cinnabar on the other. Swallow to induce birth.
Jiusheng San
Treats transverse or breech presentation.
Use Guixin (Cinnamon Heart, 1 qian), grind into powder, mix with child’s urine and wine, take. Extraordinarily effective.
Another Prescription: Treats difficult labor using one December Rabbit Head, burn to ash, grind, mix with Green Onion White soup, take 2 qian, deliver immediately. Or use Fulonggan (Dragon’s House Earth) finely ground, take 1 qian mixed with wine, also effective.
Xianggui San
Expels dead fetus.
Shexiang (Musk, 5 fen, separately ground), Guanyi (Official Cinnamon, 2 qian).
Grind into powder, mix uniformly, take with wine. Soon expelled as if pushed by hand.
Another Prescription: Dead fetus retained, mother’s face and nails blue, foul breath. Use Xiaoshi (Mirabilite) powder, take 2 qian mixed with flowing water. Severe cases, mix with warm child’s urine; fetus expelled, mother lives. Also treats retained placenta.
Heilong Dan
Treats difficult labor at term, retained placenta, postpartum blood syncope with unconsciousness, metrorrhagia with lochia, stabbing abdominal pain, blood stasis edema, blood entering Heart Meridian with confused speech, Blood-Wind struggle with fever and headache, or malaria-like symptoms. Saves dying cases of antenatal and postnatal disorders.
Wulingzhi (Trogopterus Dung), Danggui (Angelica Sinensis, wine-soaked), Sheng Dihuang (Raw Rehmannia Root), Chuanxiong (Szechwan Lovage Rhizome), Liangjiang (Galangal Root, 2 liang each).
Place in clay pot, seal with paper and salt mud. Roast until red, cool, remove, grind fine. Add subsequent herbs.
Baicaoshuang (Burnt Hair Ash), Rushiang (Frankincense), Sheng Liuhuang (Native Sulfur), Hupo (Amber), Huaruishi (Flower Corallinite, 2 qian each).
These five herbs total 1 liang 1 qian. Grind into powder, mix with previous herbs. Boil in rice vinegar, make pills the size of bullet seeds with wheat paste. Before use, heat pill over charcoal until red, drop into fresh Ginger juice, crush. Take immediately with unfiltered wine and child’s urine combined. Effects are indescribable.
Xin Ding Cuisheng Baochan Wanquan Tang
Renshen (Ginseng, 3 to 5 qian), Danggui (Angelica Sinensis, radix removed, 3 qian), Chuanxiong (Szechwan Lovage Rhizome, 1 qian), Taoren (Peach Kernel, thirteen grains, keep skin and tip, crush), Ganjiang (Dried Ginger, stir-fried to dark yellow, 1 qian), Gancao (Licorice Root, roasted, 6 fen), Niuxi Shao (Achyranthes Root Tip, 2 qian), Honghua (Carthamus Flower, wine-stir-fried, 3 fen), Rougui (Cinnamon Bark, peeled, 6 fen, 8 fen in winter). Add one Jujube. Decoct in water, take warm.