论曰妊娠脾气不和，痰饮留滞，则中焦生寒，寒则胃受水谷，不能消化，令人胃胀，胃
胀者，腹满也。
治妊娠腹满，饮食迟化，宽中匀气，建脾和胃。白豆蔻丸方
白豆蔻（去皮二两） 枳壳（用浆水煮令软去瓤焙干半斤） 陈橘皮（二两醋浆水煮令
软去
二两）
上六味，捣罗为末，将枣用浆水煮去皮核。烂研和药，丸如梧桐子大，每服二十丸，至
三十丸，切生姜入盐炒焦黑色，煎汤下，不计时候。
治妊娠腹满，两胁妨闷，不思饮食。人参汤方
人参 浓朴（去粗皮生姜汁炙） 诃黎勒（煨取皮） 阿胶（捣碎炒令燥） 赤茯苓（去
黑皮
上八味，粗捣筛，每服三钱匕，以水一盏，入生姜半分切，枣二枚擘，同煎取七分。去
滓不计时候温服。
治妊娠腹满胀急，不进饮食，利心胸，止干呕。丁香散方
丁香（一分） 白术 苍术（各一两） 前胡（去芦头） 胡椒 高良姜 干姜（炮） 葛
根
二两）
上一十三味，捣罗为散，每服二钱匕，沸汤点服，不计时候。
治妊娠腹满，气冲胸膈烦闷。诃黎勒饮方
诃黎勒（煨去核） 赤茯苓（去黑皮） 前胡（去芦头） 大腹皮（锉） 陈橘皮 桑
根白皮（
上九味。粗捣筛，每服三钱匕，以水一盏，入生姜半分切，枣二枚擘，同煎取七分，去
滓温服，不计时候。
治妊娠腹满，喘逆胀闷。阿魏丸方
阿魏（面裹煨熟细研） 丁香 木香 香子（微炒） 白芷 陈橘皮（汤洗去白焙） 槟
榔
上一十味，捣罗为末，炼蜜和捣三五百杵，丸如樱桃大，每服一丸烂嚼，煎萝卜汤下，
温酒或盐汤生姜汤下亦得，此药大能下气，疗心腹虚胀。
治妊娠腹胀，不欲饮食。浓朴煮散方
浓朴（去粗皮生姜汁炙一两半） 白术 芎 干姜（炮） 当归（切焙） 诃黎勒（煨
去核）
上一十味，粗捣筛，每服三钱匕，以水一盏，入大枣二枚擘，煎取七分去滓，不计时候
稍热服。
治妊娠腹满，不思饮食，匀气利膈。沉香散方
沉香锉 陈橘皮（汤浸去白焙） 人参（各半两） 木香 茯苓（去黑皮） 甘草（炙
各一两）
上七味为细散，每服二钱匕，入盐少许，以沸汤点，食前服。
治妊娠腹满，温胃气，化冷痰，利胸膈，思饮食。藿香丸方
藿香叶 木香（各一两） 肉豆蔻（去壳） 丁香（各半两） 半夏（二两生姜汁浸三
宿透切
上五味，捣罗为末，生姜汁煮面糊和丸，如梧桐子大，每服二十丸，食前生姜汤下。
治妊娠腹满，少食多胀，白术汤方
白术（三两） 陈橘皮（汤浸去白焙一两） 木香（半两） 甘草（炙一两半） 浓朴
（去粗皮
干）
上八味。粗捣罗筛，每服三钱匕，水二盏，入生姜五片，同煎至一盏去滓，不计时候温
服。
治妊娠腹满，不思饮食，呕逆不止。木香丸方
木香 莎草根（炒去毛） 蓬莪术（炮锉） 青橘皮（汤浸去白焙） 甘松（各一两） 甘
草
上六味，捣罗为末，水浸炊饼和丸，如弹子大，每服一丸，湿纸裹煨，生姜一块，如皂
子大，与药同嚼，温汤下，食前服。
Discussion states: During pregnancy, if the Spleen Qi is disharmonious and Phlegm-Fluids (Tan Yin) remain stagnant, Cold generates in the Middle Jiao. Due to Cold, the Stomach receives food and drink but fails to digest them, causing Stomach distension; Stomach distension manifests as abdominal fullness.
To treat abdominal fullness during pregnancy with delayed digestion of food, the method is to broaden the Middle Jiao, regulate Qi, establish the Spleen, and harmonize the Stomach. Bai Dou Kou Wan Formula:
Bai Dou Kou (Cardamomi Fructus Rotundus, peeled, 2 liang) Zhi Ke (Aurantii Fructus Immaturus, boiled in sour rice water until soft, pith removed, dried, 8 liang) Chen Pi (Citri Reticulatae Pericarpium, 2 liang, boiled in vinegar-rice water until soft, pith removed, dried, 2 liang)
The above six herbs are pounded and sieved into powder. Dates are boiled in sour rice water, peeled, and pitted, then mashed and mixed with the powder to form pills the size of Sophora seeds. Take 20 to 30 pills per dose. Stir-fry sliced fresh ginger with salt until charred black, decoct in water, and take orally at any time.
To treat abdominal fullness during pregnancy, oppression and stuffiness in both hypochondria, and loss of appetite. Ren Shen Tang Formula:
Ren Shen (Ginseng Radix et Rhizoma) Hou Po (Magnoliae Officinalis Cortex, coarse skin removed, stir-baked with fresh ginger juice) He Le Li (Terminalia Chebulae Fructus, baked, peel taken) E Jiao (Colla Corii Asini, crushed and stir-fried until dry) Chi Fu Ling (Poria Cocos with Red Skin, black skin removed)
The above eight herbs are coarsely pounded and sieved. Take 3 qian bi per dose. Add one cup of water, half a qian bi of sliced fresh ginger, and two dates split open. Decoct together until three-tenths remains. Strain and take warm at any time.
To treat abdominal fullness and urgency during pregnancy, anorexia, benefiting the chest and heart, and stopping dry retching. Ding Xiang San Formula:
Ding Xiang (Caryophylli Flos, 1 fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Cang Zhu (Atractylodis Rhizoma, each 1 liang) Qian Hu (Peucedani Radix, radicle removed) Hu Jiao (Piperis Longi Fructus) Gao Liang Jiang (Alpiniae Officinarum Rhizoma) Gan Jiang (Zingiberis Rhizoma, processed) Ge Gen (Puerariae Lobatae Radix, 2 liang)
The above thirteen herbs are pounded and sieved into powder. Take 2 qian bi per dose, mix with boiling water, and take orally at any time.
To treat abdominal fullness during pregnancy with Qi rushing to the chest and diaphragm causing irritability. He Le Li Yin Formula:
He Le Li (Terminalia Chebulae Fructus, baked and pitted) Chi Fu Ling (Poria Cocos with Red Skin, black skin removed) Qian Hu (Peucedani Radix, radicle removed) Da Fu Pi (Arecae Pericarpium, chopped) Chen Pi (Citri Reticulatae Pericarpium) Sang Bai Pi (Mori Cortex, ...text missing)
The above nine herbs are coarsely pounded and sieved. Take 3 qian bi per dose. Add one cup of water, half a qian bi of sliced fresh ginger, and two dates split open. Decoct together until three-tenths remains. Strain and take warm at any time.
To treat abdominal fullness during pregnancy with panting, counterflow, and distending stuffiness. A Wei Wan Formula:
A Wei (Asafoetida, wrapped in dough and baked until cooked, finely ground) Ding Xiang (Caryophylli Flos) Mu Xiang (Aucklandiae Radix) Xiang Zi (Bunias Erucoidis Semen, lightly stir-fried) Bai Zhi (Angelicae Dahuricae Radix) Chen Pi (Citri Reticulatae Pericarpium, washed with water to remove white pith, dried) Bing Lang (Arecae Semen, ...text missing)
The above ten herbs are pounded and sieved into powder. Mix with refined honey and pound for 300-500 strokes to form pills the size of cherries. Take one pill per dose, chew thoroughly, and swallow with Radish decoction. Taking with warm wine or salt water/ginger water is also acceptable. This medicine effectively directs Qi downward and treats deficiency-type abdominal distension.
To treat abdominal distension during pregnancy with loss of appetite. Hou Po Zhu San Formula:
Hou Po (Magnoliae Officinalis Cortex, coarse skin removed, stir-baked with fresh ginger juice, 1.5 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Xiong (Chuanxiong Rhizoma) Gan Jiang (Zingiberis Rhizoma, processed) Dang Gui (Angelicae Sinensis Radix, sliced and dried) He Le Li (Terminalia Chebulae Fructus, baked and pitted, ...text missing)
The above ten herbs are coarsely pounded and sieved. Take 3 qian bi per dose. Add one cup of water and two dates split open. Decoct until three-tenths remains. Strain and take slightly warm at any time.
To treat abdominal fullness during pregnancy with loss of appetite, regulating Qi and benefiting the diaphragm. Chen Xiang San Formula:
Chen Xiang (Aquilariae Lignum Resinatum, chopped) Chen Pi (Citri Reticulatae Pericarpium, soaked in water to remove white pith, dried) Ren Shen (Ginseng Radix et Rhizoma, each 0.5 liang) Mu Xiang (Aucklandiae Radix) Fu Ling (Poria Cocos, black skin removed) Gan Cao (Glycyrrhizae Radix et Rhizoma, stir-baked, each 1 liang)
The above seven herbs are made into fine powder. Take 2 qian bi per dose, add a little salt, mix with boiling water, and take before meals.
To treat abdominal fullness during pregnancy, warming Stomach Qi, transforming Cold-Phlegm, benefiting the chest and diaphragm, and stimulating appetite. Huo Xiang Wan Formula:
Huo Xiang Ye (Agastaches Herba) Mu Xiang (Aucklandiae Radix, each 1 liang) Rou Dou Kou (Myristicae Semen, shell removed) Ding Xiang (Caryophylli Flos, each 0.5 liang) Ban Xia (Pinelliae Rhizoma, 2 liang, soaked in fresh ginger juice for three nights, sliced through)
The above five herbs are pounded and sieved into powder. Mix with flour paste boiled in fresh ginger juice to form pills the size of Sophora seeds. Take 20 pills per dose before meals, swallowing with fresh ginger water.
To treat abdominal fullness during pregnancy with small intake and frequent distension, Bai Zhu Tang Formula:
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 liang) Chen Pi (Citri Reticulatae Pericarpium, soaked in water to remove white pith, dried, 1 liang) Mu Xiang (Aucklandiae Radix, 0.5 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, stir-baked, 1.5 liang) Hou Po (Magnoliae Officinalis Cortex, coarse skin removed, ...text missing)
The above eight herbs are coarsely pounded and sieved. Take 3 qian bi per dose. Add two cups of water and five slices of fresh ginger. Decoct until one cup remains. Strain and take warm at any time.
To treat abdominal fullness during pregnancy with loss of appetite and incessant vomiting and counterflow. Mu Xiang Wan Formula:
Mu Xiang (Aucklandiae Radix) Sha Cao Gen (Cyperi Rotundi Rhizoma, stir-fried and hair removed) Peng E Zhu (Curcumae Phaeocaulis Rhizoma, processed and chopped) Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in water to remove white pith, dried) Gan Song (Nardostachyos Radix et Rhizoma, each 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, ...text missing)
The above six herbs are pounded and sieved into powder. Mix with steamed wheat cake soaked in water to form pills the size of marbles. Take one pill per dose, wrap in wet paper and bake warm. Chew one piece of fresh ginger the size of a soap bean together with the pill, and swallow with warm water. Take before meals.