恶阻，谓呕吐恶心，头眩，恶食择食是也。
〔《素》〕帝曰∶何以知怀子之且生也？岐伯曰∶身体有病，而无邪脉也。（腹中论）
〔《大》〕妊娠禀受怯弱，便有阻病。其状颜色如故，脉息和顺，但觉肢体沉重，头目昏眩，择食，恶闻
食气，好食咸酸，甚者或作寒热，心中愤闷，呕吐痰水，恍惚不能支持，巢氏谓之恶阻，但症有轻重耳。
〔仲〕妇人得平脉，阴脉小弱，其人渴不能食，无寒热，名妊娠，桂枝汤主之。于法六十日当有此证，设
有医治逆者，却一月。加吐下者，则绝之。
上绝之者，谓绝止医治，候其自安也。子常治一二妇阻病吐，愈治愈逆，因思此仲景绝之之旨，遂停药，
月余自安，真大哉圣贤之言也。
〔丹〕恶阻即从痰治，多用二陈汤。
〔罗〕半夏茯苓汤 治妊娠恶阻，呕吐心烦，头目眩晕，恶闻食气，好食酸咸，多卧少起，百节烦疼，
羸瘦有痰，胎孕不牢。
半夏（洗，一两二钱半） 赤茯苓 熟地（各七钱半） 橘红 旋复花（《千金方》无旋复花，
有细辛、紫苏） 人参 芍药 川芎 桔梗 甘草（各半两）
上 咀，每服五钱，姜七片，水煎，空心，兼服茯苓丸。若有客热烦渴口疮，去橘红、细辛，加前胡、知
母七钱半。若腹冷下利，去地黄，加炒桂心半两。若胃中虚热，大便秘，小便赤涩，加大黄七钱半，去地黄，
加黄芩二钱五分。
茯苓丸 治妊娠阻病，心中烦闷，吐痰眩晕。先服半夏茯苓汤两剂，后服此药。
赤茯苓 人参 桂心 干姜 半夏（汤泡七次，炒黄） 橘皮（各一两） 白术 葛根 甘草 枳壳（各二两）
上为细末，炼蜜丸如桐子大。每服五十丸，米饮下，日三服。一方加麦门冬，《肘后》加五味子。
〔仲〕妊娠呕吐不止者，干姜人参半夏丸主之。
干姜 人参 半夏
上三味，末之，以生姜汁糊丸。如桐子大。饮服十丸，日三服。（《大全方》论半夏动胎而
不用，今仲景岂独不知此而用于此方乎？予治妊阻病累用半夏，未尝动胎也。经云∶有故无殒是也。）
〔《大》〕治恶阻，吐清水甚，害十余日粥浆不入者。
白术（一两） 人参（半两） 丁香（二钱半） 甘草（一钱）
上为细末，每服二钱，水一钟，姜五片，煎至七分，温服。
归原散 治妊娠恶阻，呕吐不止，头痛，全不入食，服诸药无效。
人参 甘草 川芎 当归 芍药 丁香（各半两） 白茯苓 白术 陈皮（各一两半） 桔梗（炒）
枳壳（炒。各二钱半） 半夏（洗，炒黄，一两）
上 咀，每服三钱，生姜五片，枣一枚，水同煎
人参橘皮汤 治阻病呕吐痰水。
人参 橘皮 白术 麦门冬（去心。各一两） 甘草（三钱） 浓朴（制） 白茯苓（各五钱）
上为粗末，每四钱加淡竹茹弹子大，生姜三片，水同煎。
治 妊娠恶阻，呕吐不下食。
青竹茹 橘皮（各二两） 生姜 茯苓（各四两） 半夏（五两）
上细切，以水六升，煮取二升半，去渣，分三服。
治 妊娠呕吐不食，兼吐痰水。
生芦根（七分） 橘红（四分） 生姜（六分） 槟榔（二分）
上切，以水二盏，煎七分，空心，热服。
治 妊娠恶食，心中烦愦热闷，呕吐。
青竹茹 麦门冬（各三两） 前胡（二两） 橘皮（一两） 芦根（一握）
上切细，以水一大升，煮半升，去渣，分两服，食前。
安胎饮 治妊娠恶阻，心中愦闷，头重目眩，呕逆不食，或胎动不安，腰腹疼痛。
甘草 茯苓 当归 熟地 川芎 地榆 白术 黄 白芍药 半夏（泡七次，炒） 阿胶（炒。
各等分）
上 咀，每服三钱，生姜四片，水同煎。
一妇人孕三月，吐痰水并饮食，每日寅卯作，作时觉少腹有气冲上，然后膈满而吐，面赤微躁，
头眩，卧不起床，四肢疼，微渴。此肝火挟冲脉之火冲上也。一日甚，一日轻，脉和，右寸洪大，
百药不效者将二月。予男病，偶用沉香磨水化抱龙丸，一服膈宽气不上冲，二三服吐止眩减，食进
而安。又应氏妇得胎七月，嘈杂吐食，脉壅，心下满塞，气攻背，两肘皆痛，要人不住手以热物摩
熨，得吐稍疏，脉洪大。
黄芩（二钱半，炒） 黄连（一钱，炒） 白术 半夏（各二钱） 甘草（炙） 缩砂（各五分）
陈皮 当归 山栀 枳壳（炒） 香附 人参 苍术（各一钱） 茯苓（一钱半） 生姜（七片）
服二帖后，嘈杂吐止，心满塞退，但于夜间背肘痛，用摩熨，遂与抱龙丸化服，其疾如失。
〔丹〕一妇人年近三十，怀孕两月，病呕吐头眩，自觉不可禁持，以人参、白术、川芎、陈皮、
茯苓等药服五七日，愈觉沉重。召予脉之，两手弦，左为甚而且弱。予曰∶此是恶阻，病必怒气
所激。问之果然。肝气既逆，又挟胎气，参、术之补，大非所宜。教以时用茯苓汤下抑青丸二十四粒，
五帖，自觉稍安。诊其脉略有数状，自言口干苦，稍食粥则口酸。予意其为膈间滞气未尽行，教全以
川芎、陈皮、山栀、茯苓、生姜煎汤，下抑青丸十五粒。十余帖，余证皆平。但食及常时之半，食后
觉口酸，不食觉易饥。予谓肝热未平，则以白汤下抑青丸二十粒，二十日而安。予又脉之，见其两手
脉虽和平，而左手弱甚，此胎必堕，此时肝气既平，参术可用矣。遂用始初参、术等药补之，预防堕
胎以后之虚。服之一月，胎自堕，却得平稳无事。抑青丸一味，黄连为丸是也。
Ezu (Morning Sickness) refers to symptoms of vomiting and nausea, dizziness, aversion to food, or selective eating.
[Suwen] The Yellow Emperor asked: How can one know that a pregnant woman is about to give birth? Qibo replied: The body may have pathological symptoms, but the pulse shows no signs of pathogenic factors. (From "Fuzhong Lun")
[Dazhuling] If a pregnant woman has weak constitution, she will develop Ezu disease. The presentation includes normal facial color, smooth and harmonious pulse, feeling of heaviness in limbs, dizziness and vertigo, selective eating, aversion to the smell of food, craving for salty and sour tastes. In severe cases, there may be alternating chills and fever, mental restlessness, vomiting of phlegm and water, mental confusion with inability to bear it. Chao Yuanfang called this Ezu, noting only differences in severity.
[Zhang Zhongjing] When a woman presents with a peaceful pulse, but the Yin pulse (radial artery at the cun position, typically reflecting kidney essence/fetal status) is small and weak, and she experiences thirst and inability to eat without chills or fever, it is named pregnancy. Guizhi Tang (Cinnamon Twig Decoction) is the primary treatment. According to standard practice, these symptoms should appear around the sixtieth day. If mismanaged by other treatments, the condition might be delayed by a month. If vomiting and diarrhea are added, one should "Jue" (stop/abandon) the treatment and wait for self-recovery.
The term "Jue Zhi" means to stop medical interventions and allow the body to recover naturally. I once treated one or two women with Ezu who worsened with continued treatment. Reflecting on Zhang Zhongjing's principle of "Jue," I stopped medication, and they recovered naturally after over a month. Truly, the words of the sages are great!
[Zhu Danxi] Ezu should be treated from the perspective of Phlegm, mostly using Erchen Tang (Two-Cured Decoction).
[Luo Tianyi] Banxia Fuling Tang (Pinellia and Poria Decoction) treats pregnancy Ezu, vomiting, mental restlessness, dizziness, aversion to food smells, craving for sour/salty tastes, preference for lying down, joint pain, emaciation with phlegm, and unstable pregnancy.
Banxia (Pinelliae Rhizoma, washed, 1 liang 2 qian 5 fen), Chi Fuling (Polyporus), Shudi (Rehmanniae Radix Preparata) (each 7 qian 5 fen), Juhong (Citri Reticulatae Pericarpium Rubrum), Xuanfuhua (Inulae Flos - absent in Qianjin Fang, which uses Xixin and Zisu instead), Renshen (Ginseng Radix et Rhizoma), Shaoyao (Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang).
Chop the herbs. Take 5 qian per dose, add 7 slices of fresh ginger, decoct in water. Take on an empty stomach, concurrently taking Fuling Wan (Poria Pill). If there is external heat causing restlessness, thirst, and mouth ulcers, remove Juhong and Xixin, add Qianhu (Peucedani Radix) and Zhimu (Anemarrhenae Rhizoma) 7 qian 5 fen. If there is abdominal cold with diarrhea, remove Dihuang, add fried Guixin (Cinnamomi Cortex) 0.5 liang. If there is deficiency-heat in the stomach with constipation and dark/scanty urine, add Dahuang (Rhei Radix et Rhizoma) 7 qian 5 fen, remove Dihuang, add Huangqin (Scutellariae Radix) 2 qian 5 fen.
Fuling Wan (Poria Pill) treats pregnancy Ezu, mental restlessness, vomiting phlegm, and dizziness. Take two doses of Banxia Fuling Tang first, then take this pill.
Chi Fuling (Polyporus), Renshen (Ginseng Radix et Rhizoma), Guixin (Cinnamomi Cortex), Ganjiang (Zingiberis Rhizoma), Banxia (Pinelliae Rhizoma, soaked in water seven times, fried yellow), Chenpi (Citri Reticulatae Pericarpium) (each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Gegen (Puerariae Lobatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus) (each 2 liang).
Grind into fine powder, make pills with honey the size of paulownia seeds. Take 50 pills per dose with rice broth, three times daily. Another version adds Maimendong (Ophiopogonis Radix); Zubou Jinfang adds Wuweizi (Schisandrae Fructus).
[Zhang Zhongjing] For persistent vomiting during pregnancy, Ganjiang Renshen Banxia Wan (Dried Ginger, Ginseng, and Pinellia Pill) is indicated.
Ganjiang (Dried Ginger), Renshen (Ginseng Radix et Rhizoma), Banxia (Pinelliae Rhizoma).
Grind the three ingredients into powder, bind with fresh ginger juice to form pills the size of paulownia seeds. Take 10 pills with warm water, three times daily. (Qianjin Fang argues against Banxia due to its potential to disturb the fetus, asking if Zhang Zhongjing was unaware. However, I have used Banxia frequently for pregnancy Ezu without disturbing the fetus. As the Classics state: "If there is a cause/pathology, there is no harm.")
[Dazhuling] Treatment for Ezu with severe vomiting of clear water, where even gruel cannot be retained for ten days.
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Renshen (Ginseng Radix et Rhizoma, 0.5 liang), Dingxiang (Caryophylli Flos, 2 qian 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Grind into fine powder. Take 2 qian per dose, add 1 zhong of water and 5 slices of ginger, decoct to 0.7 portion, take warm.
Guiyuan San (Return to Origin Powder) treats pregnancy Ezu, persistent vomiting, headache, complete inability to eat, and ineffectiveness of other medicines.
Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Dingxiang (Caryophylli Flos) (each 0.5 liang), Bai Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1.5 liang), Jiegeng (Platycodonis Radix, fried), Zhike (Aurantii Fructus Immaturus, fried) (each 2 qian 5 fen), Banxia (Pinelliae Rhizoma, washed, fried yellow, 1 liang).
Chop the herbs. Take 3 qian per dose, add 5 slices of fresh ginger and one jujube, decoct in water.
Renshen Jupi Tang (Ginseng and Tangerine Peel Decoction) treats Ezu with vomiting of phlegm and water.
Renshen (Ginseng Radix et Rhizoma), Jupi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Maimendong (Ophiopogonis Radix, heart removed) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian), Houpo (Magnoliae Officinalis Cortex, processed), Bai Fuling (Poria) (each 5 qian).
Make into coarse powder. Take 4 qian per dose, add a piece of Danzhuru (Bambusae Caulis in Taenia) the size of a bullet, and 3 slices of fresh ginger, decoct in water.
Treatment for pregnancy Ezu, vomiting and inability to keep food down.
Qingzhuru (Bambusae Caulis in Taenia), Jupi (Citri Reticulatae Pericarpium) (each 2 liang), Shengjiang (Fresh Ginger), Fuling (Poria) (each 4 liang), Banxia (Pinelliae Rhizoma, 5 liang).
Cut finely. Add 6 sheng of water, boil to obtain 2.5 sheng, strain, divide into three doses.
Treatment for pregnancy vomiting, inability to eat, accompanied by vomiting phlegm and water.
Sheng Lugen (Phragmitis Rhizoma, 7 fen), Juhong (Citri Reticulatae Pericarpium Rubrum, 4 fen), Shengjiang (Fresh Ginger, 6 fen), Binglang (Arecae Semen, 2 fen).
Cut. Add 2 zhan of water, decoct to 0.7 portion, take hot on an empty stomach.
Treatment for pregnancy food aversion, mental restlessness and heat sensation, vomiting.
Qingzhuru (Bambusae Caulis in Taenia), Maimendong (Ophiopogonis Radix) (each 3 liang), Qianhu (Peucedani Radix, 2 liang), Jupi (Citri Reticulatae Pericarpium, 1 liang), Lugen (Phragmitis Rhizoma, one handful).
Cut finely. Add 1 da sheng of water, boil to 0.5 sheng, strain, divide into two doses, take before meals.
Antai Yin (Fetus-Securing Decoction) treats pregnancy Ezu, mental restlessness, heavy head and dizziness, vomiting and inability to eat, or restless fetus with lower back and abdominal pain.
Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma), Diyu (Sanguisorbae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix), Baishaoyao (Paeoniae Radix Alba), Banxia (Pinelliae Rhizoma, soaked seven times, fried), Ejiao (Asini Corii Colla, fried) (equal parts).
Chop the herbs. Take 3 qian per dose, add 4 slices of fresh ginger, decoct in water.
A woman pregnant for three months vomited phlegm/water and food. Symptoms occurred daily during Yin-Mao hours (3-7 AM). She felt qi rushing up from the lower abdomen, followed by chest fullness and vomiting. Her face was red, slightly agitated, dizzy, unable to get out of bed, with limb pain and slight thirst. This was Liver Fire carrying Chong Mai (Penetrating Vessel) fire upward. Severity fluctuated daily. Pulse was harmonious but Right Cun was surging. Two months of various medicines failed. I treated her (note: text says "nan bing" male illness, likely a textual error or specific context, translating literally as treating a male illness case or typo for 'this illness') and accidentally used Chenxiang (Aquilariae Resina) ground in water to dissolve Baolong Wan (Dragon-Holding Pill). After one dose, chest widened and qi stopped rushing; after 2-3 doses, vomiting stopped, dizziness reduced, appetite returned, and she stabilized.
Another case: A woman surnamed Ying, pregnant seven months, had acid regurgitation and vomiting, obstructed pulse, epigastric fullness, qi attacking the back, pain in both elbows. She needed constant hot compresses/massage; vomiting provided slight relief. Pulse was surging.
Huangqin (Scutellariae Radix, fried, 2 qian 5 fen), Huanglian (Coptidis Rhizoma, fried, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Banxia (Pinelliae Rhizoma) (each 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Suosha (Amomi Fructus Rotundus) (each 5 fen), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Shanzhi (Gardeniae Fructus), Zhike (Aurantii Fructus Immaturus, fried), Xiangfu (Cyperi Rhizoma), Renshen (Ginseng Radix et Rhizoma), Cangzhu (Atractylodis Rhizoma) (each 1 qian), Fuling (Poria, 1 qian 5 fen), Shengjiang (Fresh Ginger, 7 slices).
After two doses, acid regurgitation and vomiting stopped, epigastric fullness receded. Nighttime back/elbow pain persisted, managed with massage. Then given Baolong Wan dissolved in water, and the disease vanished.
[Zhu Danxi] A woman near thirty, pregnant two months, suffered vomiting and dizziness, feeling unbearable. She took Renshen, Baizhu, Chuanxiong, Chenpi, Fuling etc. for 5-7 days, feeling heavier. I palpated her pulse: both hands were wiry, left side more so and weak. I said: This is Ezu, provoked by anger. It was confirmed. With Liver Qi rebellious and carrying fetal qi, tonics like Renshen and Baizhu were inappropriate. I advised using Fuling Tang to deliver Yiqing Wan (Suppress Blue Pill, 24 pills) five times. After five doses, she felt slightly better. Pulse showed slight rapidness; she reported dry/bitter mouth and sour taste after eating congee. I reasoned residual stagnation in the diaphragm remained. I prescribed a decoction of Chuanxiong, Chenpi, Shanzhi, Fuling, Shengjiang to deliver Yiqing Wan (15 pills). After ten-plus doses, other symptoms resolved. She ate half her usual amount, felt sour taste after eating, and hunger when not eating. I judged Liver Heat was not fully cleared, so instructed her to take Yiqing Wan (20 pills) with plain water. She stabilized after twenty days. I palpated again: pulses were harmonious but Left hand was very weak, indicating the fetus would likely miscarry. Now that Liver Qi was balanced, Renshen and Baizhu could be used. I prescribed initial tonics to prevent deficiency after miscarriage. After one month, the fetus miscarried smoothly. Yiqing Wan consists solely of Huanglian (Coptidis Rhizoma) pills.