川芎 当归 陈皮 吴茱萸 木香 香附 乌药 甘草 前胡 葱白 砂仁 紫苏
上锉一剂，生姜五片，煎服。
妊娠腰腹皆痛者，可服
加减通气散
当归身 葱白 阿胶 茴香 破故纸 杜仲 甘草 陈皮 川续断 山药 川芎 萆 独活 香附 橘核 白芍
上锉，水煎，空心服。如小腹痛，加艾、木香，乌药、紫苏，
去橘核、山药、茴香、续断、萆 、独活、破故纸。
妊娠心腹胀满者，可服
加减苍公下气汤
白芍 陈皮 茯苓 大腹皮 川芎 当归 香附 紫苏梗 前胡 浓朴 乌药 木香
上锉一剂，空心服。
妊娠数堕胎者，是气血不足。腰痛甚者喜堕胎，宜
加减安胎饮
黄 甘草 人参 白术 艾叶 当归 川芎 熟地 续断 茯苓 白芍 香附 陈皮 杜仲
上锉，水煎，空心服。
妊娠羸瘦或挟病，气血枯竭，既不能养胎，必不能安者，可下之。
加减牛膝汤
桂心 栝蒌 牛膝 瞿麦 川芎 归梢 枳壳 甘草 童便 麦 甘草
上锉，水煎，空心服。
妊娠日月未足，而痛如欲产者，因劳役怒气，调养不节，或房
室所伤，或负重闪肭，或因宿有冷气，故有此证。可用
加减安胎饮
知母 杜仲 木香 续断 香附 陈皮 乌药 紫苏 白芍 川芎 当归 白术 酒芩
见血加地榆、牡蛎 艾叶
妊娠咳嗽，因感风寒，伤于肺而成，谓之子嗽。可服
加减紫菀汤 止嗽安胎。
贝母 前胡 紫菀 白术 桑白皮 甘草 黄芩 紫苏 陈皮 五味子 知母 杏仁 赤苓 当归 麻黄
喘，加兜苓、腹皮、款冬花。
妊娠伤寒，头疼壮热，腰痛体重，甚至堕胎，可服
加减柴胡汤
柴胡 黄芩 川芎 干葛 当归 紫苏 葱白 陈皮
妊娠时疫，日久伤胎，可急服
加减秦艽散
秦艽 前胡 黄芩 枳壳 桔梗 山栀 柴胡 葛根 紫苏 葱白 陈皮
妊娠热病，必至损胎，可服
加减栀子五物汤 安胎清热。
葛根 柴胡 香薷 石膏 栀子 前胡 黄芩 葱白 麦冬 陈皮 知母 甘草
妊娠热病六七日后，脏腑极热，熏蒸其胎，致胎死腹中，则胎
冷不能自出，但服黑神散暖其胎，须臾即出，何以知其胎死？看产母舌青黑，及胎冷者是也。
加减黑神散
生地 赤芍 桂心 归梢 蒲黄 鹿角屑 红花 白芷 朴硝 黑豆 附米 益母草
又方 用巴豆三粒，蓖麻子、麝香贴脐中。
妊娠疟疾，热极则损胎，可服
驱邪散
香薷 青皮 柴胡 黄芩 川芎 前胡 砂仁 藿香 白术 乌梅 红枣 人参
妊娠霍乱，乃阴阳清浊相干，甚则伤胎。可服
加减白术散
香薷 陈皮 浓朴 苍术 乌药 砂仁 藿香 干葛 竹茹 木瓜 人参 白术 茯苓 甘草 猪苓 泽泻
如心胸烦闷，加炒黄连、升麻。
妊娠泄泻，冷热不同，乃饮食不节，暑热相乘。可服
人参白术散
四君 平胃 泽泻 猪苓 归身 砂仁 肉果 木香 香薷（夏月可用）
妊娠下痢赤白，可服
加减阿胶散
当归 川芎 白芍 阿胶 黄芩 黄连 香薷 陈皮 枳壳 甘草 白茯 泽泻
如血痢，加地榆，白痢，加艾叶、木香、久痢虚人，加参、术、黄 。
妊娠十月，形体成就。八月合进瘦胎易产之药，今医多用枳壳散。若胞气肥实可服之，况枳壳、大腹
皮瘦胎，胎气本怯，岂宜又瘦之。若进无忧散、达生散安胎益气，令子紧小无病。
保生无忧散 治滑胎。
当归 川芎 白芍 人参 白术 甘草 陈皮 神曲 麦芽 紫苏 诃子 枳壳
达生散 孕至八九个月，服数帖甚好。易产，腹少痛。
当归 白芍 白术（各一钱） 人参 陈皮 紫苏（各五分） 甘草（炙，三） 大腹皮（一钱，洗）
上锉一服，葱五根，煎服。
如胎肥气喘，加枳壳八分，黄杨脑七个（二味瘦胎要药） 夏加黄芩，春加川芎，冬加砂仁。气虚，
加参、术。气实，倍香附、陈皮。血虚，倍当归，加熟地，性急多怒，加柴胡。有热，
加黄芩。食少，加砂仁、神曲。渴，加麦门冬，食易饥，多
加黄杨脑。有痰，加半夏、黄芩。腹痛，加木香。
妊娠鬼胎，状如怀孕，腹内如包一瓮，如下血，或肠水物，可服
斩鬼丹
吴茱萸 川乌 秦艽 柴胡 白僵蚕
上为末，炼蜜为丸，如梧桐子大。酒送下打出恶物即愈。
Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Citri Reticulatae Pericarpium (Chenpi), Evodiae Fructus (Wuzhuyu), Aucklandiae Radix (Muxiang), Cyperi Rhizoma (Xiangfu), Linderae Cortex (Wuyao), Glycyrrhizae Radix et Rhizoma (Gancao), Peucedani Radix (Qianhu), Allii Fistulosi Bulbus (Congbai), Amomi Fructus (Sharen), Perillae Folium (Zisu).
The above herbs are coarsely crushed, one dose is taken, five slices of Zingiberis Rhizoma Recens (Shengjiang) are added, decocted in water, and taken orally.
For pregnancy with pain in both the waist and abdomen, Jiajian Tongqi San (Modified Ventilation-Regulating Powder) can be taken:
Angelicae Sinensis Radix (Dangguishen), Allii Fistulosi Bulbus (Congbai), Asini Corii Colla (Ejiao), Foeniculi Fructus (Huixiang), Psoraleae Fructus (Poguzhi), Eucommiae Cortex (Duzhong), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Dipsaci Radix (Chuanduan), Dioscoreae Rhizoma (Shanyao), Chuanxiong Rhizoma (Chuanxiong), Dioscoreae Hypoglaucae Rhizoma (Bixie), Angelicae Pubescentis Radix (Duhuo), Cyperi Rhizoma (Xiangfu), Citri Grandis Semen (Juhe), Paeoniae Radix Alba (Baishao).
The above herbs are crushed, decocted in water, and taken on an empty stomach. If there is pain in the lower abdomen, add Artemisiae Argyi Folium (Aiye), Aucklandiae Radix (Muxiang), Linderæ Cortex (Wuyao), Perillae Folium (Zisu); remove Citri Grandis Semen (Juhe), Dioscoreae Rhizoma (Shanyao), Foeniculi Fructus (Huixiang), Dipsaci Radix (Chuanduan), Dioscoreae Hypoglaucae Rhizoma (Bixie), Angelicae Pubescentis Radix (Duhuo), Psoraleae Fructus (Poguzhi).
For pregnancy with fullness and distension in the heart and abdomen, Jiajian Cangong Xiaqi Tang (Modified Master Cang's Qi-Descending Decoction) can be taken:
Paeoniae Radix Alba (Baishao), Citri Reticulatae Pericarpium (Chenpi), Poria (Fuling), Arecae Pericarpium (Dafupi), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Cyperi Rhizoma (Xiangfu), Perillae Caulis (Zisugeng), Peucedani Radix (Qianhu), Magnoliae Officinalis Cortex (Noupo), Linderæ Cortex (Wuyao), Aucklandiae Radix (Muxiang).
The above herbs are coarsely crushed, one dose is taken, and consumed on an empty stomach.
For pregnancy with frequent miscarriages, this is due to insufficiency of Qi and Blood. Severe backache accompanied by a tendency to miscarry should be treated with Jiajian Antai Yin (Modified Fetus-Stabilizing Decoction):
Astragali Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Artemisiae Argyi Folium (Aiye), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix Praeparata (Shudi), Dipsaci Radix (Chuanduan), Poria (Fuling), Paeoniae Radix Alba (Baishao), Cyperi Rhizoma (Xiangfu), Citri Reticulatae Pericarpium (Chenpi), Eucommiae Cortex (Duzhong).
The above herbs are crushed, decocted in water, and taken on an empty stomach.
In pregnancy where the body is emaciated or complicated by disease, leading to exhaustion of Qi and Blood, since it cannot nourish the fetus, it certainly cannot stabilize it; in such cases, purgative methods may be used.
Jiajian Niuxi Tang (Modified Achyranthes Bidentatae Root Decoction):
Cinnamomi Cortex (Guixin), Trichosanthis Fructus (Gualou), Achyranthis Bidentatae Radix (Niuxi), Dianthi Herba (Qumai), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix Caudex (Guishaohao), Aurantii Fructus Immaturus (Zhike), Glycyrrhizae Radix et Rhizoma (Gancao), Puerariae Radix (Tongbian - *Note: Text says Tongbian, likely implies Child's Urine or typo for another herb, literal translation kept*), Ophiopogonis Radix (Maidong), Glycyrrhizae Radix et Rhizoma (Gancao).
The above herbs are crushed, decocted in water, and taken on an empty stomach.
When pregnancy months are not yet full, but pain resembles labor, this is caused by overwork, anger, irregular lifestyle, injury from sexual activity, strain from carrying heavy loads, or pre-existing cold qi in the body. In such cases, Jiajian Antai Yin (Modified Fetus-Stabilizing Decoction) can be used:
Anemarrhenae Rhizoma (Zhimu), Eucommiae Cortex (Duzhong), Aucklandiae Radix (Muxiang), Dipsaci Radix (Chuanduan), Cyperi Rhizoma (Xiangfu), Citri Reticulatae Pericarpium (Chenpi), Linderæ Cortex (Wuyao), Perillae Folium (Zisu), Paeoniae Radix Alba (Baishao), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Atractylodis Macrocephalae Rhizoma (Baizhu), Scutellariae Radix (Huangqin, wine-processed).
If bleeding occurs, add Sanguisorbae Radix (Diyu), Ostreae Concha (Muli), Artemisiae Argyi Folium (Aiye).
Pregnancy cough, caused by contracting wind-cold and injuring the Lung, is called "Zisu" (Fetal Cough). Jiajian Ziwan Tang (Modified Aster Tataricus Decoction) can be taken to stop cough and stabilize the fetus:
Fritilliriae Thunbergii Bulbus (Beimu), Peucedani Radix (Qianhu), Asteris Tatarici Radix et Rhizoma (Ziwan), Atractylodis Macrocephalae Rhizoma (Baizhu), Morus Albae Cortex Radicis (Sangbaipi), Glycyrrhizae Radix et Rhizoma (Gancao), Scutellariae Radix (Huangqin), Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Chenpi), Schisandrae Fructus (Wuweizi), Anemarrhenae Rhizoma (Zhimu), Armeniacae Semen Amarum (Xingren), Poria Rubra (Chiling), Angelicae Sinensis Radix (Danggui), Ephedrae Herba (Mahuang).
If wheezing occurs, add Datura Seed (Douling - *likely Kuandonghua or similar*, text says Douling), Arecae Pericarpium (Fupi), Dendranthemi Indici Flos (Kuandonghua).
Pregnancy complicated by Cold Damage (Shanghan), with headache, high fever, backache, and heaviness of the body, even leading to miscarriage, can be treated with Jiajian Chaihu Tang (Modified Bupleurum Decoction):
Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Chuanxiong Rhizoma (Chuanxiong), Puerariae Radix (Gange), Angelicae Sinensis Radix (Danggui), Perillae Folium (Zisu), Allii Fistulosi Bulbus (Congbai), Citri Reticulatae Pericarpium (Chenpi).
Pregnancy complicated by epidemic diseases, damaging the fetus over time, requires urgent administration of Jiajian Qinjiao San (Modified Gentian Powder):
Gentianae Macrophyllae Radix (Qinjiao), Peucedani Radix (Qianhu), Scutellariae Radix (Huangqin), Aurantii Fructus Immaturus (Zhike), Platycodonis Radix (Jiegeng), Gardeniae Fructus (Shanzhi), Bupleuri Radix (Chaihu), Puerariae Radix (Gegen), Perillae Folium (Zisu), Allii Fistulosi Bulbus (Congbai), Citri Reticulatae Pericarpium (Chenpi).
Pregnancy complicated by febrile diseases will inevitably damage the fetus; Jiajian Zhizi Wuwu Tang (Modified Gardenia Five-Substance Decoction) can be taken to stabilize the fetus and clear heat:
Puerariae Radix (Gegen), Bupleuri Radix (Chaihu), Elsholtziae Herba (Xiangru), Gypsum Fibrosum (Shigao), Gardeniae Fructus (Zhizi), Peucedani Radix (Qianhu), Scutellariae Radix (Huangqin), Allii Fistulosi Bulbus (Congbai), Ophiopogonis Radix (Maidong), Citri Reticulatae Pericarpium (Chenpi), Anemarrhenae Rhizoma (Zhimu), Glycyrrhizae Radix et Rhizoma (Gancao).
Six or seven days after pregnancy complicated by febrile disease, if the zang-fu organs become extremely hot, steaming the fetus, causing fetal death in utero, the fetus becomes cold and cannot expel itself naturally. Simply administer Heishen San (Black Divine Powder) to warm the fetus; it will be expelled shortly. How to know the fetus is dead? Observe if the mother's tongue is cyanotic and black, and if the fetus feels cold.
Jiajian Heishen San (Modified Black Divine Powder):
Rehmanniae Radix (Shengdi), Paeoniae Radix Rubra (Chishao), Cinnamomi Cortex (Guixin), Angelicae Sinensis Radix Caudex (Guishaohao), Polygoni Multiflori Caulis (Puhuang - *Text says Puhuang, usually Polygoni Multiflori Caulis is Puhuang, but here likely refers to Lygodii Spora or others, sticking to text*), Cornus Cervi Cornu Truncatum (Lujiaoxie), Carthami Flos (Honghua), Angelicae Dahuricae Radix (Baizhi), Natrii Sulfas (Pu Xiao), Sojae Semen Nigrum (Heidou), Attelabidae Larva (Fumi - *Likely typo for Fuzi Rou/Attelabid root or similar, text says Fu Mi*), Leonuri Herba (Yimucao).
Another prescription: Use three seeds of Crotonis Fructus (Badou), Ricini Semens (Bimazi), and Moschus (Shexiang) applied to the umbilicus.
Pregnancy complicated by malaria, where extreme heat damages the fetus, can be treated with Xuexie San (Evil-Expelling Powder):
Elsholtziae Herba (Xiangru), Citri Exocarpium Viride (Qingpi), Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Chuanxiong Rhizoma (Chuanxiong), Peucedani Radix (Qianhu), Amomi Fructus (Sharen), Agastachis Herba (Huoxiang), Atractylodis Macrocephalae Rhizoma (Baizhu), Mume Fructus (Wumei), Jujubae Fructus (Hongzao), Ginseng Radix (Renshen).
Pregnancy complicated by cholera-like disorder, caused by interference between yin-yang and clear-turbid qi, which severely damages the fetus, can be treated with Jiajian Baizhu San (Modified Atractylodes Powder):
Elsholtziae Herba (Xiangru), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex (Noupo), Atractylodis Rhizoma (Cangzhu), Linderæ Cortex (Wuyao), Amomi Fructus (Sharen), Agastachis Herba (Huoxiang), Puerariae Radix (Gange), Bambusae Caulis Succus (Zhuru), Chaenomelis Fructus (Mu Gua), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Polyporus (Zhuling), Alismatis Rhizoma (Zexie).
If there is chest and heart restlessness, add stir-fried Coptidis Rhizoma (Huanglian) and Cimicifugae Rhizoma (Shengma).
Pregnancy complicated by diarrhea, varying in cold and heat, is caused by irregular diet and summer-heat invasion. Canren Baizhu San (Ginseng and Atractylodes Powder) can be taken:
Sijunzi Tang (Four Gentlemen Decoction), Pingwei San (Peaceful Stomach Powder), Alismatis Rhizoma (Zexie), Polyporus (Zhuling), Angelicae Sinensis Radix (Guishen), Amomi Fructus (Sharen), Myristicae Semen (Rouguo), Aucklandiae Radix (Muxiang), Elsholtziae Herba (Xiangru - usable in summer).
Pregnancy complicated by dysentery with red and white stool, Jiajian Ejiao San (Modified Donkey-Hide Gelatin Powder) can be taken:
Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Asini Corii Colla (Ejiao), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Elsholtziae Herba (Xiangru), Citri Reticulatae Pericarpium (Chenpi), Aurantii Fructus Immaturus (Zhike), Glycyrrhizae Radix et Rhizoma (Gancao), Poria Alba (Baifu), Alismatis Rhizoma (Zexie).
If bloody dysentery, add Sanguisorbae Radix (Diyu); if white dysentery, add Artemisiae Argyi Folium (Aiye) and Aucklandiae Radix (Muxiang); for chronic dysentery in deficient persons, add Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Radix (Huangqi).
At ten months of pregnancy, the fetal form is complete. At eight months, medicines for thinning the fetus to facilitate birth should be administered. Currently, doctors often use Zhike San (Aurantii Fructus Immaturus Powder). If the uterine qi is robust, it can be taken. However, Zhike and Dafupi thin the fetus; since fetal qi is inherently timid, why should it be thinned further? Instead, Wuyou San (Worry-Free Powder) and Dasheng San (Achieve-Life Powder) should be administered to stabilize the fetus and tonify qi, making the fetus compact and healthy.
Baosheng Wuyou San (Life-Preserving Worry-Free Powder) treats habitual abortion (slippery fetus):
Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Massae Fermentatae Medicinalis (Shenqu), Hordei Fructus Germinatus (Maiya), Perillae Folium (Zisu), Terminalia Chebulae Fructus (Hezi), Aurantii Fructus Immaturus (Zhike).
Dasheng San (Achieve-Life Powder) is very good when taken for several doses at eight or nine months of pregnancy. It facilitates birth and reduces abdominal pain.
Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Atractylodis Macrocephalae Rhizoma (Baizhu, each 1 qian), Ginseng Radix (Renshen), Citri Reticulatae Pericarpium (Chenpi), Perillae Folium (Zisu, each 5 fen), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, 3 qian), Arecae Pericarpium (Dafupi, 1 qian, washed).
The above herbs are crushed for one dose, with five stalks of Allii Fistulosi Bulbus (Congbai), decocted in water, and taken orally.
If the fetus is fat and causes wheezing, add Aurantii Fructus Immaturus (Zhike, 8 fen) and Yangnao (Huangyang Brain, 7 pieces) (these two are key herbs for thinning the fetus); add Scutellariae Radix (Huangqin) in summer, Chuanxiong Rhizoma (Chuanxiong) in spring, Amomi Fructus (Sharen) in winter. For qi deficiency, add Ginseng Radix (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu). For qi excess, double Cyperi Rhizoma (Xiangfu) and Citri Reticulatae Pericarpium (Chenpi). For blood deficiency, double Angelicae Sinensis Radix (Danggui) and add Rehmanniae Radix Praeparata (Shudi); for irritability and anger, add Bupleuri Radix (Chaihu). For heat, add Scutellariae Radix (Huangqin). For poor appetite, add Amomi Fructus (Sharen) and Massae Fermentatae Medicinalis (Shenqu). For thirst, add Ophiopogonis Radix (Maidong); for polyphagia, add more Huangyang Brain. For phlegm, add Pinelliae Rhizoma (Banxia) and Scutellariae Radix (Huangqin). For abdominal pain, add Aucklandiae Radix (Muxiang).
Pregnancy complicated by "Ghost Fetus" (hydatidiform mole), appearing like pregnancy, with the abdomen feeling like a wrapped urn, accompanied by vaginal bleeding or discharge of intestinal fluid, can be treated with Zhanggui Dan (Ghost-Slaying Pill):
Evodiae Fructus (Wuzhuyu), Aconiti Lateralis Radix Praeparata (Chuanwu), Gentianae Macrophyllae Radix (Qinjiao), Bupleuri Radix (Chaihu), Bombyx Batryticatus (Baijiangcan).
The above herbs are powdered, mixed with refined honey to make pills the size of Sophorae Japonicae Fructus (Wutongzi). Take with wine; expulsion of evil substances leads to recovery.