论曰脾合土，候肌肉，土气和平，则能制水，水自传化，无有停积，若妊娠脾胃气虚，
经血壅闭，则水饮不化，湿气淫溢，外攻形体，内注胞胎，怀妊之始肿满者，必伤胎气，如
临月而脚微肿者，利其小便，则病可愈。
治妊娠经气壅滞，身体浮肿，喘促大便难，小便涩。泽泻汤方
泽泻 桑根白皮（锉） 木通（锉） 枳壳（去瓤麸炒） 赤茯苓（去黑皮） 槟榔（锉
各一两
上六味。粗捣筛，每服四钱匕，水一盏半，入生姜半分拍碎，煎至八分。去滓食前温服
，稍利为度。日再。
治妊娠通身浮肿，喘息促，小便涩。防己汤方
防己 大腹皮（锉各三分） 桑根白皮（锉） 紫苏茎叶 赤茯苓（去黑皮各一两） 木
香（
上六味，粗捣筛，每服四钱，水一盏，入生姜半分拍碎，煎至六分，去滓食前温服。
治妊娠身体浮肿，心腹胀满，小便不通。木通汤方
木通（锉） 香薷 桑根白皮（锉各一两） 木香 诃黎勒皮 黄芩（各三分） 枳壳
（去瓤
上九味，粗捣筛，每服四钱匕，水一盏。入生姜半分拍碎，煎至六分，去滓温服，食前
，日再。
治妊娠四肢肿满，小便不利，喘促。桑白皮汤方
桑根白皮（锉一两） 枳壳（去瓤麸炒） 商陆（各半两） 泽泻（三分） 冬葵根 赤
茯苓（
上七味，粗捣筛，每服四钱匕，水一盏半，入生姜半分拍碎，煎至八分，去滓食前温服
，以利为度。
治妊娠四肢浮肿，皮肉拘急，小便不利。商陆汤方
商陆 羌活（去芦头各半两） 桑根白皮（锉一两）
上三味，粗捣筛，每服四钱匕，水一盏半，入赤小豆一百粒，煎至八分，去滓食前温服
，日再。
治妊娠身体浮肿，心腹急满，小便赤涩。赤茯苓汤方
赤茯苓（去黑皮一两） 白术 旋覆花（各半两） 杏仁（汤浸去皮尖双仁麸炒） 木
通（锉）
上六味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，煎至六分，去滓食前温服。
治妊娠身体肿，有水气，心腹胀满，小便涩。茯苓丸方
赤茯苓（去黑皮一两） 槟榔（锉半两） 白术（炒三分） 郁李仁（汤浸去皮研半两）
枳壳
上六味，捣罗四味为末，入二味同研令细，炼蜜丸如梧桐子大，每服二十丸，煎桑白皮
汤下。
治妊娠水肿。茯苓汤方
赤茯苓（去黑皮） 白术 黄芩（去黑心） 杏仁（汤浸去皮尖双仁炒） 旋覆花（各
一两）
上六味，粗捣筛，每服四钱匕，水一盏半，煎至七分，去滓温服。
治妊娠胎间水气，子满体肿。茯苓饮方
赤茯苓（去黑皮） 白术（各二两） 杏仁（去皮尖双仁炒黄） 旋复花（各一两） 黄
芩（去
上五味，粗捣筛，每服五钱匕，水一盏半，煎七分，去滓温服，空心食前日二。
治妊娠四肢肿，皮肉拘急。桑白皮饮方
桑根白皮（锉炒一两） 商陆根（一两半） 赤小豆（三合） 羌活（去芦头半两）
上四味， 咀如小豆大拌匀，用水五盏，入生姜七片，同煮候豆熟，滤去滓，渴即饮
汁，并食豆。小便利，瘥。
治妊娠遍身虚肿。寄生饮方
桑寄生（一两） 桑根白皮（锉炒三分） 木香（半两） 紫苏茎叶（一两） 大腹（二
分半）
上五味，细锉如麻豆大，拌匀，每服三钱匕，水一盏，煎至七分，去滓温服。
[Discussion] The Spleen corresponds to Earth and governs the muscles. When Earth Qi is harmonious, it can control Water, allowing fluids to transmit and transform naturally without stagnation or accumulation. If during pregnancy the Qi of the Spleen and Stomach is deficient, causing the menstrual blood to become stagnant and blocked, water drinks will fail to transform, and dampness will overflow excessively. This pathogenic factor attacks the exterior body form and infiltrates the interior fetus. Swelling and fullness occurring at the beginning of pregnancy will inevitably injure fetal Qi; however, if slight swelling of the feet occurs near term, treating by promoting urination will cure the disease.
Zexie Tang (Alisma Decoction) for treating placental Qi stagnation, bodily edema, panting, difficult defecation, and astringent urination:
Alismatis Rhizoma (Zexie), Morus Cortex (Sangbaipai, crushed), Akebiae Caulis (Mutong, crushed), Aurantii Fructus (Zhike, pulp removed, stir-fried with bran), Poria Cocos (Chifuling, black skin removed), Arecae Semen (Binglang, crushed), each 1 liang.
Crush the above six herbs and sift them. Take 4 qianbi per dose, add 1.5 zhan of water and half a qianbi of smashed fresh ginger, decoct until 0.8 zhan remains. Strain and take warm before meals, stopping when mild diuresis is achieved. Twice daily.
Fangji Tang (Stephania Decoction) for treating generalized edema, panting, and astringent urination during pregnancy:
Stephaniae Tetrandrae Radix (Fangji), Arecae Pericarpium (Dafupi, crushed, each 3 fen), Morus Cortex (Sangbaipai, crushed), Perillae Caulis et Folium (Zisu Jingye), Poria Cocos (Chifuling, black skin removed, each 1 liang), Aucklandiae Radix (Muxiang).
Crush the above six herbs and sift them. Take 4 qian per dose, add 1 zhan of water and half a qianbi of smashed fresh ginger, decoct until 0.6 zhan remains. Strain and take warm before meals.
Mutong Tang (Akebia Decoction) for treating bodily edema, abdominal distension and fullness, and urinary obstruction during pregnancy:
Akebiae Caulis (Mutong, crushed), Elsholtziae Herba (Xiangru), Morus Cortex (Sangbaipai, crushed, each 1 liang), Aucklandiae Radix (Muxiang), Terminalia Chebulae Pericarpium (Helilepi), Scutellariae Radix (Huangqin, each 3 fen), Aurantii Fructus (Zhike, pulp removed).
Crush the above nine herbs and sift them. Take 4 qianbi per dose, add 1 zhan of water and half a qianbi of smashed fresh ginger, decoct until 0.6 zhan remains. Strain and take warm before meals, twice daily.
Sangbaipi Tang (Morus Bark Decoction) for treating swelling and fullness of the four limbs, difficult urination, and panting during pregnancy:
Morus Cortex (Sangbaipai, crushed, 1 liang), Aurantii Fructus (Zhike, pulp removed, stir-fried with bran), Phytolaccae Radix (Shanglu, each 0.5 liang), Alismatis Rhizoma (Zexie, 3 fen), Abutili Radix (Dongkuigen), Poria Cocos (Chifuling).
Crush the above seven herbs and sift them. Take 4 qianbi per dose, add 1.5 zhan of water and half a qianbi of smashed fresh ginger, decoct until 0.8 zhan remains. Strain and take warm before meals, stopping when diuresis is achieved.
Shanglu Tang (Phytolacca Decoction) for treating edema of the four limbs, muscle tension, and difficult urination during pregnancy:
Phytolaccae Radix (Shanglu), Notopterygii Rhizoma et Radix (Qianghuo, rhizome removed, each 0.5 liang), Morus Cortex (Sangbaipai, crushed, 1 liang).
Crush the above three herbs and sift them. Take 4 qianbi per dose, add 1.5 zhan of water and 100 grains of Phaseoli Semen Rubrum (Chixiaodou), decoct until 0.8 zhan remains. Strain and take warm before meals, twice daily.
Chifuling Tang (Red Poria Decoction) for treating bodily edema, urgent abdominal fullness, and red, astringent urination during pregnancy:
Poria Cocos (Chifuling, black skin removed, 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu), Inulae Flos (Xuanjufhua, each 0.5 liang), Armeniacae Semen Amarum (Xingren, soaked in hot water, skin and tip removed, double kernel, stir-fried with bran), Akebiae Caulis (Mutong, crushed).
Crush the above six herbs and sift them. Take 3 qianbi per dose, add 1 zhan of water and half a qianbi of smashed fresh ginger, decoct until 0.6 zhan remains. Strain and take warm before meals.
Fuling Wan (Poria Pill) for treating bodily swelling, water retention, abdominal distension and fullness, and astringent urination during pregnancy:
Poria Cocos (Chifuling, black skin removed, 1 liang), Arecae Semen (Binglang, crushed, 0.5 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried, 3 fen), Pruni Semen (Yuliren, soaked in hot water, skin removed, pounded, 0.5 liang), Aurantii Fructus (Zhike).
Pound four of the above six herbs into powder, mix with the other two and grind finely. Form pills using refined honey, sized like paulownia seeds. Take 20 pills per dose, washed down with Sangbaipi Tang (Morus Bark Decoction).
Fuling Tang (Poria Decoction) for treating pregnancy edema:
Poria Cocos (Chifuling, black skin removed), Atractylodis Macrocephalae Rhizoma (Baizhu), Scutellariae Radix (Huangqin, heart removed), Armeniacae Semen Amarum (Xingren, soaked in hot water, skin and tip removed, double kernel, stir-fried), Inulae Flos (Xuanjufhua), each 1 liang.
Crush the above six herbs and sift them. Take 4 qianbi per dose, add 1.5 zhan of water, decoct until 0.7 zhan remains. Strain and take warm.
Fuling Yin (Poria Drink) for treating water qi between the fetus, Zi Man (hydrops fetalis), and bodily swelling:
Poria Cocos (Chifuling, black skin removed), Atractylodis Macrocephalae Rhizoma (Baizhu), each 2 liang; Armeniacae Semen Amarum (Xingren, skin and tip removed, double kernel, stir-fried yellow), Inulae Flos (Xuanjufhua), each 1 liang; Scutellariae Radix (Huangqin, heart removed).
Crush the above five herbs and sift them. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.7 zhan remains. Strain and take warm on an empty stomach and before meals, twice daily.
Sangbaipi Yin (Morus Bark Drink) for treating swelling of the four limbs and muscle tension during pregnancy:
Morus Cortex (Sangbaipai, crushed and stir-fried, 1 liang), Phytolaccae Radix (Shanglugen, 1.5 liang), Phaseoli Semen Rubrum (Chixiaodou, 3 he), Notopterygii Rhizoma et Radix (Qianghuo, rhizome removed, 0.5 liang).
Cut the above four herbs into pieces the size of small beans, mix well. Add 5 zhan of water and 7 slices of fresh ginger, boil together until the beans are cooked. Strain and discard the dregs. Drink the juice when thirsty, and eat the beans. When urination becomes smooth, the disease will heal.
Jisheng Yin (Taxillus Drink) for treating generalized flaccid edema during pregnancy:
Taxilli Caulis (Sangjisheng, 1 liang), Morus Cortex (Sangbaipai, crushed and stir-fried, 3 fen), Aucklandiae Radix (Muxiang, 0.5 liang), Perillae Caulis et Folium (Zisu Jingye, 1 liang), Arecae Pericarpium (Dafu, 2.5 fen).
Finely cut the above five herbs into pieces the size of hemp seeds, mix well. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains. Strain and take warm.