女子之有娠也。构精于肾。受先天之气以成。资养于脾。根据后天之气以长。
则是肾与脾者。为始终生成之本也。而治之者。独不专重二经。必始于清
火而终于理气。则胎气得安而母气得健者。此何以故。殊不知天非此火。
不能生万物。人非此火。不能有生。盖男女构精。俱藉此命门之火。种于无
形之先。而精血聚合。结于有形之后。此虽肾阴为主。而冲任厥阴之脉。皆
资养于胞。而其火独上冲而逆。所以女子重身。呕恶阻味。月事不以下。盖
冲脉之血海衰。而胞络之火炽。任脉之宗气弱。而阳明亦不能独旺。素问
所谓诸逆冲上。皆属于火。又曰少火生气。壮火食气。故当百日之内。亟亟
补土而食反不下。往往清火平逆而反得安也。迨四五月来。饮食渐入。母
气日衰。母气既衰。则不能约束于胎而胎气寝大。必需白术健母之气。条
芩益子之阴。加以陈皮利其气。而胎始得安。又如子烦者。心火也。子嗽者。
肺火也。子悬者。肝火也。子肿者。脾火也。均宜麦冬条芩桑皮紫菀生地知
母之类。随症选用。未有不从内热所致。进而七八月。母气愈弱。母血亦亏。
又必须八珍兼补气血。及阿胶条芩陈皮香附缩砂之属。且固且利。则母
气健旺。而胎虽长。约束有制。盖母之气血有以运之。则不致胎气滋大。母
反不得展舒也。迄九十月矣。此时气血必欲补。而胎气又必欲利。盖气血
不补。无以为生育之藉。而胎气不利。未免有难产之虞。故丹溪谓八九个
月内。服达生散数贴甚好。盖达生散中。用大腹皮为君。使气疏达于母腹
之中。营运于胞胎之外。又以紫苏陈皮佐之。参术归芍。补而不滞。有热则
加黄芩。烦躁则入生地。滋养阴血。始终不为火所销铄。而分娩之时。犹有
虑其不易产者。吾未之闻。即或受胎以及弥月。间有外邪乘袭。七情所伤。
当分轻重缓急。以固胎为主。兼以解利。随症施治。内经所谓有故无殒。亦
无殒也。若无故而诛伐之。又岂有不殒者哉。
一妊娠恶食。客曰阻恶。经云女子重身。百日恶味。且妊娠一二月。足厥阴
少阳脉养之。厥阴少阳。属木。有火。善呕。妇人性又易怒。肝木有余者多
肝欲收。故喜食酸物。丹溪治一妇呕逆不止。服参术反甚。以抑青丸投
之。遂平。盖此意也。一方用藿香浓朴茯苓炙甘草广皮竹茹。有热加黄
芩山栀。血虚加当归芍药。气虚加人参白术。或均入半夏。俗谓碍胎。盖
千金方每用之。及汤泡油焙亦可。
一妊娠三四月。手少阴太阳脉养之。少阴太阳。属火。丹溪曰。火能消物。造
化自然。故有三四月而堕胎者。必于滋补中兼清火。有患子悬者。胎上
抢心。用条芩香附末各二钱调服即安。
一妊娠五六月。足太阴阳明脉养之。太阴阳明。属土。胎盗脾气以自养。则
土益虚。束胎丸为安胎圣药也。血虚加归芍。气虚加人参茯苓甘草。漏胎加阿胶。
一妊娠七八月。手太阴阳明脉养之。太阴阳明属金。主气。八珍汤加黄芩
阿胶杜仲之类。或入紫苏陈皮以利其气。
一妊娠九十月。足少阴太阳脉养之。此时受气将足。宜预服达生散及独
参汤。补助真气。胎自易产。人参补肺气。金生水而少阴益得力矣。
一妊娠子烦。用麦冬知母茯苓黄芩。子肿。用五皮饮加白术车前条芩枳
壳。随症加减。子嗽。用门冬紫菀桑皮知母桔梗竹茹。有血加阿胶。其外感嗽者。仍与解利。
一妊娠外感疟痢。呕吐泄泻。俱用常法。但不可峻利。及损胎气耳。
一妊娠七情所伤。及饥饱劳役。仍用补中归脾逍遥等汤加减施治。
一妊娠转胞小便不利。用升提兼补气血。如肝经郁热。小柴胡汤加山栀
生地木通。如子宫下脱。亦属肝火。兼升兼清。乃效。
一妇人素有虚寒。即怀娠不可寒凉者。仍须温补。或过服寒凉。恣啖生冷
而成病者。亦须以热药挽之。不得拘于常例也。
半夏汤 治妊娠阻恶不食。
半夏（一钱汤泡七次） 茯苓（一钱） 紫浓朴（五分姜制） 炙甘草（三分） 广皮（一钱）
（内热）条芩（一钱） （胃寒）藿香（一钱） （或加）人参（一钱）
竹茹一团。姜三片。熟砂仁末七分。水煎。
束胎丸
白术 条芩 广皮
各等分。为末。水发丸。虚者人参汤下。多怒者砂仁汤下。
知母汤 治子烦。
知母（一钱） 麦门冬（一钱） 竹茹（一团） 广皮（七分） 炙甘草（三分） 茯苓（一钱）
灯芯二十根。姜一片。水煎。
紫菀汤 治子嗽。
紫菀茸（一钱） 桑白皮（一钱） 桔梗（七分） 麦门冬（一钱） 前胡（六分） 茯苓（一钱） 广陈皮（七
分） 炙甘草（三分） 阿胶珠（一钱）
姜一片。水煎。
黄芩汤 治子悬。
黄芩 香附（便制）
各等分。为末。水调二钱服。
大腹皮汤 治子肿。
大腹皮（一钱五分） 桑白皮（蜜炒一钱） 生姜皮（五分） 茯苓皮（一钱半） 广陈皮（一钱）
白术（土炒一钱） 条芩（七分） 车前子（二钱焙研） 木瓜（七分）
大枣二枚。水煎。
八珍汤 六七八月。用此养胎。
人参（一钱） 白术（一钱土炒） 条芩（一钱） 阿胶（二钱蛤粉炒） 广皮（一钱） 当归（一钱） 杜仲（一
钱盐水炒） 白芍药（一钱酒炒） 茯苓（一钱） 炙甘草（三分） 抚芎（三分） 香附（一钱酒炒）
加砂仁末五分。姜一片。水煎。
达生散
大腹皮（三钱） 人参 陈皮（各半钱） 白术（土炒） 当归（各一钱） 白芍药（一钱酒炒） 炙甘草（三分） 紫苏（五分） 白术（土炒） 当归（各一钱）
上作一服。入青葱五叶。黄杨脑七个。或加枳壳砂仁。以水煎。食后服。于
八九个月内服十数帖。甚得力。夏月。加黄芩。春月。加川芎。气虚。加参术。
气实。倍香附陈皮。血虚。加当归熟地。形实。倍紫苏。性急。加黄芩。有热。加
生地。有痰。加半夏。食积。加山楂。别有他症。以意消息。
抑青丸
连黄（四两）
为末。蒸饼糊丸。服。
During pregnancy, conception occurs when essence and spirit combine in the Kidney (Kidney), receiving congenital Qi (vital energy) to form the embryo; nourishment relies on the Spleen (Spleen), utilizing acquired Qi to grow and develop. Thus, the Kidney and Spleen are the fundamental roots of generation from beginning to end. However, in treatment, if one does not specifically emphasize these two meridians, but instead begins by clearing fire and ends by regulating Qi, thereby ensuring fetal Qi remains peaceful and maternal Qi remains robust, why is this? It is unknown that without this Fire (metabolic/physiological heat), Heaven cannot generate all things, and humans cannot sustain life. Conception between man and woman relies on the Fire of the Gate of Vitality (Mingmen), planting vitality before it becomes formless, and after the aggregation of essence and blood, it forms a physical body. Although this is primarily governed by Kidney Yin (Kidney Yin), the Chong Mai (Penetrating Vessel), Ren Mai (Conception Vessel), and Jueyin (Liver/Pericardium) meridians all nourish the uterus (Bao Gong), yet the Fire within them tends to rush upward and rebel. Therefore, upon pregnancy, women experience nausea, vomiting, aversion to tastes, and cessation of menstruation. This is because the Chong Mai, the Sea of Blood, declines, while the Fire in the uterine collaterals flares up; the Zong Qi (Gathering Qi) of the Ren Mai weakens, and the Yangming Stomach Qi cannot flourish alone. The *Suwen* states: "All rebellious upward rushing symptoms belong to Fire." It also says: "Shao Huo (Lesser Fire/Physiological Fire) generates Qi, Zhuang Huo (Excessive Fire/Pathological Fire) consumes Qi." Therefore, within the first hundred days, if urgent tonification of Earth (Spleen/Stomach) fails to allow food intake, often clearing fire and calming rebellion brings relief. By the fourth or fifth month, diet gradually improves, but maternal Qi declines daily. Once maternal Qi declines, it cannot constrain the fetus, causing fetal Qi to expand significantly. At this stage, Baizhu (Atractylodis Rhizoma) must be used to strengthen maternal Qi, Huangqin (Scutellariae Radix) to nourish fetal Yin, along with Chenpi (Citri Reticulatae Pericarpium) to promote Qi flow, so the fetus can stabilize. For example, "Zi Fan" (Fetal Agitation/Restlessness) is caused by Heart Fire; "Zi Sou" (Fetal Cough) by Lung Fire; "Zi Xuan" (Fetal Suspension/Chest Distension) by Liver Fire; "Zi Zhong" (Fetal Edema) by Spleen Fire. These should be treated with herbs such as Maidong (Ophiopogonis Radix), Huangqin, Sangbaipi (Mori Cortex), Ziwan (Asteri Radix), Shengdi (Rehmanniae Radix), and Zhimu (Anemarrhenae Rhizoma), selected according to symptoms, as they are invariably caused by internal heat. By the seventh or eighth month, maternal Qi is even weaker, and maternal Blood is deficient. One must use Bazhen Tang (Eight Treasure Decoction) to tonify Qi and Blood, along with Ejiao (Asini Corii Colla), Huangqin, Chenpi, Xiangfu (Cyperi Rhizoma), and Sharen (Amomi Fructus), both securing and unblocking, making maternal Qi robust. Although the fetus grows, it is constrained properly. Because maternal Qi and Blood can transport it, fetal Qi will not over-expand, preventing discomfort for the mother. By the ninth or tenth month, Qi and Blood must be tonified, while fetal Qi must be unblocked. If Qi and Blood are not tonified, there is no foundation for childbirth; if fetal Qi is not unblocked, there is a risk of difficult labor. Thus, Danxi stated that taking Daseng San (Deliverance Decoction) several doses within the eighth and ninth months is very beneficial. Daseng San uses Dafupi (Arecae Pericarpium) as the sovereign herb to diffuse Qi through the maternal abdomen and circulate around the fetus; assisted by Zisu (Perillae Folium) and Chenpi, and tonified by Renshen (Ginseng Radix), Baizhu, Danggui (Angelicae Sinensis Radix), and Shaoyao (Paeoniae Radix) without stagnation. If there is heat, add Huangqin; if irritability, add Shengdi to nourish Yin and Blood, ensuring throughout that Fire does not consume them. I have never heard of difficulty in delivery at birth due to this. Even from conception to full term, occasionally external pathogens invade or Seven Emotions cause injury. One must distinguish severity and urgency, prioritizing fetal security while simultaneously resolving pathogens, treating according to symptoms. The *Neijing* states: "If there is pathology, there is no injury; nor is there injury [to the fetus]." If one attacks without pathology, how could there be no injury?
Regarding anorexia during pregnancy, some call it "Zu E" (Obstruction Nausea). The classics state that pregnant women dislike tastes within a hundred days. In the first one or two months of pregnancy, the Foot Jueyin (Liver) and Foot Shaoyang (Gallbladder) meridians nourish the fetus. Jueyin and Shaoyang belong to Wood, containing Fire, prone to vomiting. Women are easily angered; those with excess Liver Wood tend to desire astringency, hence preferring sour foods. Danxi treated a woman with incessant vomiting who worsened after taking Renshen and Baizhu. He prescribed Yiqing Wan (Suppress Green Pill), which resolved it. This illustrates the principle. Another formula uses Huoxiang (Agastaches Herba), Houpo (Magnoliae Officinalis Cortex), Fuling (Poria), Zhigancao (Prepared Licorice Root), Guangpi (Tangerine Peel), and Zhuru (Bambusa Caulis in Taenia). Add Huangqin and Zhizi (Gardeniae Fructus) for heat; Danggui and Shaoyao for Blood deficiency; Renshen and Baizhu for Qi deficiency. Banxia (Pinelliae Rhizoma) may be added despite folk beliefs that it harms the fetus. The *Qianjin Fang* frequently uses it, and processing via decoction soaking, oil frying, or roasting mitigates risks.
In the third or fourth month of pregnancy, the Hand Shaoyin (Heart) and Hand Taiyang (Small Intestine) meridians nourish the fetus. Shaoyin and Taiyang belong to Fire. Danxi said: "Fire consumes matter; this is natural transformation." Hence, miscarriages occur at three or four months. Tonification must include clearing Fire. For "Zi Xuan" where the fetus presses on the heart, take equal parts Huangqin and Xiangfu powder (2 qian each) mixed with water for relief.
In the fifth or sixth month, the Foot Taiyin (Spleen) and Foot Yangming (Stomach) meridians nourish the fetus. Taiyin and Yangming belong to Earth. The fetus steals Spleen Qi for self-nourishment, further depleting Earth. Shutai Wan (Fetus-Binding Pill) is a sacred medicine for stabilizing the fetus. Add Danggui and Shaoyao for Blood deficiency; Renshen, Fuling, and Gancao for Qi deficiency; Ejiao for threatened abortion.
In the seventh or eighth month, the Hand Taiyin (Lung) and Hand Yangming (Large Intestine) meridians nourish the fetus. Taiyin and Yangming belong to Metal, governing Qi. Use Bazhen Tang plus Huangqin, Ejiao, and Duzhong (Eucommiae Cortex). Or add Zisu and Chenpi to promote Qi flow.
In the ninth or tenth month, the Foot Shaoyin (Kidney) and Foot Taiyang (Bladder) meridians nourish the fetus. Qi accumulation is nearly complete. Pre-administer Daseng San and Dushen Tang (Single Ginseng Decoction) to supplement True Qi, facilitating easy delivery. Renshen tonifies Lung Qi; Metal generates Water, strengthening the Shaoyin Kidney.
For "Zi Fan," use Maidong, Zhimu, Fuling, and Huangqin. For "Zi Zhong," use Wupi Yin (Five Peel Decoction) plus Baizhu, Cheqianzi (Plantaginis Semen), Huangqin, and Zhike (Aurantii Fructus). Adjust per symptoms. For "Zi Sou," use Maidong, Ziwan, Sangbaipi, Zhimu, Jiegeng (Platycodon Radix), and Zhuru. Add Ejiao if there is bleeding. For external pathogen coughs, use exterior-resolving methods.
For malaria, dysentery, vomiting, or diarrhea during pregnancy, use standard methods but avoid harsh purgatives that damage fetal Qi.
For injuries from Seven Emotions or overwork/dietary irregularities, use modified Buzhong Yiqi Tang, Guipi Tang, or Xiaoyao San.
For "Zhuan Bao" (reversed bladder causing urinary difficulty), use lifting and Qi/Blood tonification. If Liver Meridian depression-heat exists, use Xiaochaihu Tang plus Zhizi, Shengdi, and Mutong (Akebiae Caulis). If uterine prolapse occurs, also attributed to Liver Fire, use simultaneous lifting and clearing for efficacy.
Women with constitutional deficiency-cold must not use cold-cooling medicines during pregnancy; warm-tonification is required. If illness results from excessive cold medicine or raw/cold food consumption, hot medicines must be used to reverse it, disregarding standard prohibitions.
Banxia Tang treats pregnancy obstruction nausea and anorexia.
Banxia (1 qian, soaked in decoction 7 times), Fuling (1 qian), Zhi Houpo (0.5 qian, ginger-processed), Zhigancao (0.3 qian), Guangpi (1 qian). Add Huangqin (1 qian) for internal heat; Huoxiang (1 qian) for stomach cold; Renshen (1 qian) optionally.
Add Zhuru (one ball), 3 slices of ginger, 0.7 qian of roasted Sharen powder. Decoct in water.
Shutai Wan
Baizhu, Huangqin, Guangpi.
Equal parts. Powdered, pillized with water. Take with Renshen decoction for deficiency; Sharen decoction for irritability.
Zhimu Tang treats Zi Fan.
Zhimu (1 qian), Maidong (1 qian), Zhuru (one ball), Guangpi (0.7 qian), Zhigancao (0.3 qian), Fuling (1 qian).
Decoct with 20 strands of Dengxin (Junci Medulla) and 1 slice of ginger in water.
Ziwan Tang treats Zi Sou.
Ziwan Rong (1 qian), Sangbaipi (1 qian), Jiegeng (0.7 qian), Maidong (1 qian), Qianhu (Peucedani Radix, 0.6 qian), Fuling (1 qian), Guang Chenpi (0.7 qian), Zhigancao (0.3 qian), Ejiao Zhu (1 qian).
Decoct with 1 slice of ginger in water.
Huangqin Tang treats Zi Xuan.
Huangqin, Xiangfu (urine-processed).
Equal parts. Powdered, taken with water (2 qian per dose).
Dafupi Tang treats Zi Zhong.
Dafupi (1.5 qian), Sangbaipi (1 qian, honey-fried), Shengjiang Pi (Ginger Skin, 0.5 qian), Fuling Pi (Poria Skin, 1.5 qian), Guangpi (1 qian).
Baizhu (1 qian, earth-fried), Huangqin (0.7 qian), Cheqianzi (2 qian, roasted and ground), Mugua (Chaenomelis Fructus, 0.7 qian).
Decoct with 2 dates in water.
Bazhen Tang used for fetal nourishment in the 6th, 7th, and 8th months.
Renshen (1 qian), Baizhu (1 qian, earth-fried), Huangqin (1 qian), Ejiao (2 qian, stir-fried with clam shell powder), Guangpi (1 qian), Danggui (1 qian), Duzhong (1 qian, salt-water fried), Shaoyao (1 qian, wine-fried), Fuling (1 qian), Zhigancao (0.3 qian), Xiong (Ligusticum Chuanxiong Rhizoma, 0.3 qian), Xiangfu (1 qian, wine-fried).
Add 0.5 qian Sharen powder and 1 slice of ginger. Decoct in water.
Daseng San
Dafupi (3 qian), Renshen, Chenpi (0.5 qian each), Baizhu (earth-fried), Danggui (1 qian each), Shaoyao (1 qian, wine-fried), Zhigancao (0.3 qian), Zisu (0.5 qian).
(Note: Text repeats Baizhu/Danggui quantities, likely copyist error, interpreted as combined ingredients).
Take as one dose. Add 5 leaves of green onion and 7 Huangyang Nao (Buxus Sinica seeds). Optionally add Zhike and Sharen. Decoct in water. Take after meals. Take ten doses within the 8th-9th months for great effect. In summer, add Huangqin. In spring, add Chuanxiong. For Qi deficiency, add Renshen and Baizhu. For Qi excess, double Xiangfu and Chenpi. For Blood deficiency, add Danggui and Shudi (Rehmanniae Radix Preparata). For Excess constitution, double Zisu. For impatient temperament, add Huangqin. For Heat, add Shengdi. For Phlegm, add Banxia. For Food stagnation, add Shanzha (Crataegi Fructus). For other symptoms, adjust accordingly.
Yiqing Wan
Huanglian (Coptidis Rhizoma, 4 liang).
Powdered, pillized with steamed bread paste. Take orally.