桂枝 茯苓 牡丹（去心） 桃仁（去皮、尖） 芍药各等分
右五味，末之，炼蜜和丸，如兔屎大，每日食前服一丸，不知加至三丸。
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妇人怀娠六、七月，脉弦，发热，其胎愈胀，腹痛恶寒者，少腹如扇，所以然者，子
藏开故也，当以附子汤温其藏。（方未见）
【注】
妇人怀娠六、七月，脉弦发热，似表证也；若其胎愈胀，腹痛恶寒，而无头痛身痛，
则非表证也。少腹如扇状，其恶寒如扇风之侵袭也。所以然者，因其人阳虚子藏开，
寒邪侵入，故用附子汤温子藏而逐寒。但方缺，文亦不纯，必有残缺。
【集注】
程林曰：胎胀腹痛，亦令人发热恶寒，少腹如扇者，阴寒胜也。妊娠阴阳调和，则胎
气安，今阳虚阴盛，不能约束胞胎，故子藏为之开也。附子汤用以温经。
李□曰：按子藏即子宫也。脐下三寸为关元，关元左二寸为胞门，右二寸为子户，命
门为女子系胞之处，非谓命门即子藏也。盖命门是穴名，在腰后两肾中，附脊骨之第
十四椎之两旁。今经文明说少腹如扇者，子藏开，则子藏在少腹明矣。岂有在少腹者
，而反谓其在脊后者乎？此误也。
尤怡曰：脉弦发热，有似表证，而乃身不痛而腹反痛，背不恶寒而腹反恶寒，甚至少
腹阵阵作冷，若或扇之者，其所以然者，子藏开不能阖，而风冷之气乘之也。夫藏开
风入，其阴内胜，则其脉弦为阴气，而发热且为格阳矣。胎胀者，热则消，寒则胀也
。附子汤方未见，然温里散寒之意概可推矣。
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师曰：妇人有漏下者，有半产后，因续下血都不绝者，有妊娠下血者，假令妊娠腹中
痛，为胞阻，胶艾汤主之。
【注】
五、六月堕胎者，谓之半产。妇人有漏下、下血之疾，至五、六月堕胎而下血不绝者
，此症痼之害也。若无症痼下血，惟腹中痛者，则为胞阻。胞阻者，胞中气血不和，
而阻其化育也，故用芎归胶艾汤温和其血，血和而胎育也。
【集注】
程林曰：漏下者，妊娠经来，脉经以阳不足谓之激经也。半产者，以四、五月堕胎，
堕胎必伤其血海，血因续下不绝也。若妊娠下血腹中痛，为胞阻，则用胶艾汤以治。
尤怡曰：妇人经水淋沥，及胎产前后下血不止者，皆冲任脉虚，而阴气不能守也，是
惟胶艾汤能补而固之。
Cinnamon Twig (Guizhi), Poria (Fuling), Moutan Cortex (Mudanpi, removed core), Peach Kernel (Taoren, removed skin and tip), and White Peony Root (Shaoyao) in equal parts.
The above five herbs are ground into fine powder, mixed with refined honey to form pills, sized like rabbit feces. Take one pill before meals daily; if ineffective, increase to three pills.
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When a woman is pregnant for six or seven months, presenting with a wiry pulse (Xian Mai), fever, increased abdominal distension of the fetus, abdominal pain, aversion to cold, and a sensation of cold in the lower abdomen as if fanned by wind, this occurs because the uterus (Zi Cang) is open. It should be treated with Fuzi Tang (Aconite Decoction) to warm the uterus. (Formula not found)
[Annotation]
When a woman is pregnant for six or seven months, presenting with a wiry pulse and fever, it resembles an exterior syndrome (Biao Zheng); however, if there is increased fetal distension, abdominal pain, and aversion to cold without headache or body ache, it is not an exterior syndrome. The sensation of the lower abdomen being fanned indicates aversion to cold similar to wind invasion. This happens because yang deficiency leads to the opening of the uterus, allowing cold pathogenic factors to invade; thus, Fuzi Tang is used to warm the uterus and dispel cold. However, the formula is missing, and the text is incomplete, indicating likely damage or loss.
[Collected Annotations]
Cheng Lin stated: Fetal distension and abdominal pain can also cause fever and aversion to cold. A sensation of the lower abdomen being fanned indicates excessive yin-cold. During pregnancy, when yin and yang are harmonious, fetal qi is stable. Now, due to yang deficiency and yin excess, the gestational sac cannot be constrained, causing the uterus to open. Fuzi Tang is used to warm the meridians.
Li [Name Missing] stated: According to records, Zi Cang refers to the uterus. Guan Yuan (CV4) is three cun below the umbilicus; Bao Men (extra point) is two cun to the left of Guan Yuan, and Zi Hu (extra point) is two cun to the right. Ming Men (GV4) is where the woman's uterus is tied, but Ming Men does not equate to Zi Cang. Ming Men is an acupoint located behind the waist between the two kidneys, flanking the 14th thoracic vertebra along the spine. Since the classic text explicitly states that the lower abdomen feeling fanned corresponds to the opening of the uterus, the uterus must be in the lower abdomen. How could something in the lower abdomen be said to be on the back? This is an error.
You Yi stated: A wiry pulse and fever resemble an exterior syndrome, yet the body does not hurt while the abdomen hurts, and the back is not cold while the abdomen is cold. Even worse, the lower abdomen feels intermittently cold, as if fanned. This occurs because the uterus opens and fails to close, allowing wind and cold qi to enter. With the uterus open and wind entering, yin prevails internally; thus, the wiry pulse reflects yin qi, and the fever represents floating yang (Ge Yang). Fetal distension occurs because heat causes reduction while cold causes expansion. Although the Fuzi Tang formula is not found, the intent to warm the interior and dispel cold can be inferred.
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The Master said: Women may suffer from metrorrhagia (Lou Xia), continuous bleeding after miscarriage (Ban Chan), or bleeding during pregnancy. If a pregnant woman experiences abdominal pain accompanied by bleeding, it is called Bao Zu (Uterine Obstruction), and Jiao Ai Tang (Collagen and Mugwort Decoction) should be administered.
[Annotation]
Miscarriage occurring at five or six months is called Ban Chan (half-birth). For women suffering from metrorrhagia or bleeding who miscarry at five or six months with continuous bleeding, this is caused by an existing pathological mass (Zheng Gu). If there is no such mass but only abdominal pain, it is called Bao Zu. Bao Zu refers to disharmony of qi and blood in the uterus, obstructing fetal development. Therefore, Xiong Gui Jiao Ai Tang is used to gently harmonize the blood; once the blood is harmonized, fetal development proceeds normally.
[Collected Annotations]
Cheng Lin stated: Lou Xia refers to menstruation during pregnancy, which the Mai Jing classifies as Ji Jing (stimulated menstruation) due to insufficient yang. Ban Chan refers to miscarriage at four or five months, which inevitably damages the Sea of Blood, leading to continuous bleeding. If pregnancy is accompanied by bleeding and abdominal pain, termed Bao Zu, Jiao Ai Tang should be used for treatment.
You Yi stated: Dripping menstrual flow and continuous bleeding before or after childbirth are all due to deficiency of the Chong and Ren meridians, where yin qi fails to retain blood. Only Jiao Ai Tang can tonify and secure these conditions.