论曰妊娠脏腑虚弱，冒寒湿之气，邪气与正气相击，故令腹痛，病不已，则伤胞络，令
胎不安，治法宜祛散寒湿，安和胎气，则痛自愈。
治妊娠腹痛，和气思食，治中满，姜术汤方
姜黄 蓬莪术（煨） 藿香叶（各一两） 甘草（炙半两）
上四味，粗捣筛，每服二钱匕，水一盏，煎至六分，去滓温服，不拘时。
治妊娠腹内 痛，如刀所刺。人参汤方
人参（四两） 大腹（三枚） 槟榔（三枚） 枳壳（去瓤麸炒） 芍药（各四两） 柴
胡（去苗
上七味，锉如麻豆，每服三钱匕，水一盏半，生姜三片，煎至八分去滓，空心食前温服
治妊娠腹痛胀闷。芎 散方
芎 当归（切焙） 陈橘皮（汤浸去白焙各一两） 干姜（炮半两）
上四味，捣罗为散，每服二钱匕，用糯米饮调下，不拘时。
治妊娠内挟寒冷，腹中 痛，安和胎气。黑神散方
杉木节（半斤烧留性） 干姜（一两烧留性）
上二味，捣罗为散，温酒调下一大钱匕，不拘时。
治妊娠腹痛不可忍，安胎止痛。芎 散方
芎 当归（切焙各一两）
上二味，捣罗为散，温酒调下二钱匕，不拘时。
治妊娠腹痛，一切气疾。枳壳丸方
枳壳（二两浆水浸一日去瓤煮令烂研作糊） 木香（炒一两）
上二味，将木香捣罗为末，入枳壳糊内和丸，如梧桐子大，每服二十丸，温酒下。不拘
时。
治妊娠腹痛 刺，安胎。白术汤方
白术（锉麸炒四两） 桂（去粗皮二两） 陈橘皮（汤浸去白焙二两半） 浓朴（去粗
皮生姜
上七味，粗捣筛，每服二钱匕，水一盏，生姜三片，枣一枚擘破，煎至六分，去滓食前
热服。
治妊娠腹痛，不思饮食。真白汤方
木香 沉香 丁香（各一分） 芎 蓬莪术（煨） 当归（切焙） 芍药（锉） 楝
实（炒去
焙各半两）
上一十二味，粗捣筛，每服二钱匕，水一盏，枣一枚擘破，煎至六分，去滓食前温服。
治妊娠两胁胀闷，腹中疼痛，呕逆不思食。妙姜丸方
干姜（炮） 桂（去粗皮） 木香 沉香 当归（切焙） 甘草（炙） 白豆蔻（去皮）
白茯苓
两）
上一十二味，捣罗为末，汤浸蒸饼为丸，如小弹子大，每服一丸细嚼，温酒下，食前服
治妊娠腹中冷痛。丁香散方
丁香（三分） 当归（切焙） 蓬莪术（煨） 益智（去皮） 甘草（炙） 芎 木
香（各一分）
上八味，捣罗为细末，每服二钱匕，沸汤调下，食前服。
治妊娠内积冷气，腹中切痛。沉香散方
沉香（锉半两） 蜀椒（去闭口及目炒出汗一分） 甘草（炙） 乌药（锉） 当归（切
焙） 芎
上六味，捣罗为末，每服二钱匕，温酒调下，热汤亦得，不拘时。
治妊娠羸瘦，腰冷腹痛，不欲食，安胎。泽兰丸方
泽兰 当归（切焙） 桂（去粗皮各二两） 干姜（炮一两半） 芎 阿胶（炙令沸
燥） 芜
苗叶） 甘草（炙
上一十五味，捣罗为末，炼蜜和丸如梧桐子大，每服十五丸，温酒下，日再服。
It is discussed that during pregnancy, the zang-fu organs are weak, and the body is exposed to cold-dampness. The pathogenic factor clashes with the healthy qi, causing abdominal pain. If the condition persists, it will damage the Bao Luo (uterine collaterals), leading to fetal instability. The treatment method should dispel and scatter cold-dampness, harmonize and calm the fetal qi, so that the pain will heal naturally.
Jiangshu Tang Decoction for treating abdominal pain during pregnancy, harmonizing qi, promoting appetite, and treating middle jiao fullness:
Curcuma Longae Rhizoma (Jianghuang), Curcumae Phaeocaulis Rhizoma (Peng'ezhu, roasted), Agastaches Herba (Huoxiangye) (each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried) (0.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 2 qianbi, decocted in 1 sheng of water until reduced to 6 fen. Strain and take warm, without restriction on time.
Renshen Tang Decoction for treating stabbing pain in the abdomen during pregnancy, as if pierced by a knife:
Ginseng Radix (Renshen) (4 liang), Arecae Pericarpium (Dafu), Areca Seed (Binglang), Aurantii Fructus (Zhike, de-albido, stir-baked with bran), Paeoniae Radix Alba (Shaoyao) (each 4 liang), Bupleuri Radix (Chaihu, remove seedlings).
The above seven herbs are cut into sizes similar to hemp seeds. Each dose consists of 3 qianbi, decocted in 1.5 sheng of water with 3 slices of Zingiberis Rhizoma Recens (Shengjiang) until reduced to 8 fen. Strain and take warm before empty stomach or before meals.
Xiongqiong Powder for treating abdominal pain and distension during pregnancy:
Ligustici Chuanxiong Rhizoma (Xiongqiong), Angelicae Sinensis Radix (Danggui, cut and dried), Citri Reticulatae Pericarpium (Chenju pi, soaked in water, de-albido, dried) (each 1 liang), Zingiberis Rhizoma (Ganjiang, processed).
The above four herbs are pounded and sifted into powder. Each dose consists of 2 qianbi, taken with rice gruel, without restriction on time.
Heishen San Powder for treating internal cold mixed with pregnancy, abdominal pain, and harmonizing fetal qi:
Cupressi Cacumen (Shanjie, half jin, burned to retain carbonized nature), Zingiberis Rhizoma (Ganjiang, 1 liang, burned to retain carbonized nature).
The above two herbs are pounded and sifted into powder. Take one large qianbi mixed with warm wine, without restriction on time.
Xiongqiong Powder for treating unbearable abdominal pain during pregnancy, calming the fetus and relieving pain:
Ligustici Chuanxiong Rhizoma (Xiongqiong), Angelicae Sinensis Radix (Danggui, cut and dried) (each 1 liang).
The above two herbs are pounded and sifted into powder. Take 2 qianbi mixed with warm wine, without restriction on time.
Zhike Wan Pills for treating abdominal pain during pregnancy and all qi disorders:
Aurantii Fructus (Zhike) (2 liang, soaked in sour grain water for one day, de-albido, boiled until soft, mashed into paste), Aquilariae Lignum Resinatum (Muxiang, stir-baked) (1 liang).
The above two herbs: Muxiang is pounded into fine powder and mixed with Zhike paste to form pills the size of Sophora japonica seeds. Take 20 pills each time with warm wine, without restriction on time.
Baizhu Tang Decoction for treating stabbing abdominal pain during pregnancy and calming the fetus:
Atractylodis Macrocephalae Rhizoma (Baizhu, cut, stir-baked with bran) (4 liang), Cinnamomi Ramulus (Gui, remove bark) (2 liang), Citri Reticulatae Pericarpium (Chenju pi, soaked in water, de-albido, dried) (2.5 liang), Magnoliae Officinalis Cortex (Houpo, remove bark, ginger-processed)... [Text implies 7 herbs total].
Coarsely crush and sieve. Each dose consists of 2 qianbi, decocted in 1 sheng of water with 3 slices of Zingiberis Rhizoma Recens (Shengjiang) and 1 fractured Jujubae Fructus (Zao) until reduced to 6 fen. Strain and take hot before meals.
Zhenbai Tang Decoction for treating abdominal pain during pregnancy and loss of appetite:
Aquilariae Lignum Resinatum (Muxiang), Aquilariae Lignum Resinatum (Chenxiang), Syzygdii Flos (Dingxiang) (each 1 fen), Ligustici Chuanxiong Rhizoma (Xiongqiong), Curcumae Phaeocaulis Rhizoma (Peng'ezhu, roasted), Angelicae Sinensis Radix (Danggui, cut and dried), Paeoniae Radix Alba (Shaoyao, cut), Meliae Fructus (Lianshi, stir-baked, de-seeded, dried) (each 0.5 liang).
The above twelve herbs are coarsely crushed and sieved. Each dose consists of 2 qianbi, decocted in 1 sheng of water with 1 fractured Jujubae Fructus (Zao) until reduced to 6 fen. Strain and take warm before meals.
Miaojiang Wan Pills for treating distension in both hypochondria, abdominal pain, vomiting, nausea, and loss of appetite during pregnancy:
Zingiberis Rhizoma (Ganjiang, processed), Cinnamomi Ramulus (Gui, remove bark), Aquilariae Lignum Resinatum (Muxiang), Aquilariae Lignum Resinatum (Chenxiang), Angelicae Sinensis Radix (Danggui, cut and dried), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Amomi Fructus Rotundus (Baidoukou, de-husk), Poria (Baifuling)... [Text implies 12 herbs total].
The above twelve herbs are pounded into fine powder. Mix with steamed bread dough soaked in water to form pills the size of small marbles. Chew one pill finely each time, take with warm wine, before meals.
Dingxiang San Powder for treating cold pain in the abdomen during pregnancy:
Syzygdii Flos (Dingxiang) (3 fen), Angelicae Sinensis Radix (Danggui, cut and dried), Curcumae Phaeocaulis Rhizoma (Peng'ezhu, roasted), Alpiniae Oxyphyllae Fructus (Yizhi, de-husk), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Ligustici Chuanxiong Rhizoma (Xiongqiong), Aquilariae Lignum Resinatum (Muxiang) (each 1 fen).
The above eight herbs are pounded into fine powder. Take 2 qianbi each time mixed with boiling water, before meals.
Chenxiang San Powder for treating accumulation of cold qi in the interior and severe abdominal pain during pregnancy:
Aquilariae Lignum Resinatum (Chenxiang, cut) (0.5 liang), Zanthoxyli Fructus (Shujiao, remove closed-mouth and eyes, stir-baked until sweat appears) (1 fen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Linderae Radix (Wuyao, cut), Angelicae Sinensis Radix (Danggui, cut and dried), Ligustici Chuanxiong Rhizoma (Xiongqiong).
The above six herbs are pounded into powder. Take 2 qianbi each time mixed with warm wine; hot water is also acceptable, without restriction on time.
Zelan Wan Pills for treating emaciation, cold waist and abdominal pain, loss of appetite, and calming the fetus during pregnancy:
Lycii Cortex Radicis (Zelan), Angelicae Sinensis Radix (Danggui, cut and dried), Cinnamomi Ramulus (Gui, remove bark) (each 2 liang), Zingiberis Rhizoma (Ganjiang, processed) (1.5 liang), Ligustici Chuanxiong Rhizoma (Xiongqiong), Asini Corii Colla (Ejiao, honey-fried until dry), Leonuri Herba (Yimucao/Miaoye)... Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried)... [Text implies 15 herbs total].
The above fifteen herbs are pounded into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 15 pills each time with warm wine, twice a day.