妇人身有疾而无邪脉者妊子也，脉滑疾而不月者亦妊子也，沉数胎热，浮数兼风，脉或涩弱胎恐难成。
胎动者按之，胎弱者养之，热壅气逆宜清热养血顺气健脾。胎或下堕急当升举，伤寒杂病均据经按法，切勿
伤犯胎气为主。
主以安胎饮，气逆加紫苏梗、黑枳壳，腹胀加大腹皮、黑枳壳，腹痛加木香、白芍，腰痛加生地、杜仲，胁
痛加柴胡、橘叶，心痛加白蔻、砂仁，身热紫苏汤，呕恶加半夏，泄泻加白术，痢下加香连，下血加连芍，伤寒
不解阳旦汤，伤温热陷黑膏汤，至寻常调理，安胎饮最当。
妊娠脾胃虚弱爽气而痰涎内滞，致恶心眩晕呕吐涎饮，恶食择食谓之恶阻。血弱不能配气而气逆呕吐亦为恶阻，
均当见于二三月时。
流湿化气以治其标，健脾和血以疗其本，寒宜温调，热当清降，气虚血虚补养滋培。
主以二陈汤，胸满加枳壳，脾虚加白术，气郁加香附，气虚加人参，气不顺加苏梗、乌药，腹中痛加木香、
砂仁，脾虚异功散，胃虚人参橘皮汤，脾胃两虚六君子汤，气血两虚半夏茯苓汤。
半夏茯苓汤
治妊娠恶阻脉软弦者。
半夏（一钱半，制） 熟地（三钱，砂仁末炒） 人参（八分） 白芍（一钱半，炒） 川芎（一钱）
陈皮（一钱半） 白术（钱半，炒） 茯苓（一钱半） 全福花（一钱半，绢包） 桔梗（三分）
水煎去渣温服，挟热加黄芩，挟寒加生姜。
妊娠二三月气血两亏，脾胃不运，挟痰饮而呕吐涎沫眩晕倦怠谓之恶阻。人参扶元补气，白术健脾生血，川
芎行血中之气，白芍敛脾胃之阴，熟地补阴滋血，茯苓渗湿温中，桔梗清咽利膈，陈皮利气和胃，半夏醒脾胃以
豁痰，旋复花理风气以涤饮，水煎温服，使脾胃调和则血气内充而痰涎自化，何恶阻不退妊娠不宁乎。挟热加黄
芩，挟寒加生姜，均是随证调治之法。
缩砂二陈汤
治妊娠恶阻脉弦滑者。
半夏（一钱半，制） 茯苓（一钱半） 陈皮（一钱半） 甘草（五分炙） 乌梅（三钱） 砂仁（八分，
炒黄） 生姜（二片） 红枣（四枚）
水煎去渣温服。
妊娠痰饮内滞扰动于中，故气逆呕吐，饮食少思，此恶阻之由于痰饮焉。半夏快脾胃以消痰，茯苓渗湿气以
涤饮，陈皮利气和胃，炙草益胃缓中，乌梅敛逆气以收津液，砂仁醒脾胃以安胎气，生姜、红枣温胃养心兼调营
卫，水煎温服，务使痰化饮消，则逆气顿平而脾胃调和，岂有饮食不进，恶阻不除乎。
参橘散（即人参橘皮汤）
治恶阻心烦腹闷脉软弦滞者。
人参（一两） 浓朴（一两制） 白术（二两炒） 茯苓（一两半） 麦冬（三两，去心） 陈皮（一两半）
甘草（五钱，炙） 生姜（五片） 竹茹（一两）
制为散，水煎三钱，去渣温服。热盛者加炒黑山栀。
妊娠脾肺两亏，不能运化湿热而呕吐心烦，腹中满闷，此恶阻之由于气亏湿热焉。人参补脾肺之虚，浓朴除
中州之满，白术趁脾运湿，麦冬润肺清心，炙草缓中益胃气，茯苓渗湿和脾气，陈皮利气和中，竹茹清热解郁，
生姜散豁痰涎也，为散水煎。热甚加炒山栀以清降之，务使湿热顿化则元气内充而运化有权，何患服满不退，心
烦呕吐不除乎。
Women whose bodies have disease but whose pulses show no signs of pathogenic factors are pregnant; those with slippery and rapid pulses who have missed their menstruation are also pregnant. A deep and rapid pulse indicates fetal heat, a floating and rapid pulse suggests the presence of wind, while a choppy or weak pulse implies that the fetus may fail to develop properly.
If there is fetal movement, palpate it (to assess deficiency or excess); if the fetal foundation is weak, nourish and protect it. If heat is congested and qi is rebellious, clear heat, nourish blood, regulate qi, and strengthen the spleen. If the fetus threatens to miscarry, urgently employ lifting and raising methods. Whether dealing with cold damage or miscellaneous diseases, follow the classic methods strictly, prioritizing not to injure the fetal qi.
The primary formula is An Tai Yin (Stabilize Fetus Decoction). For rebellious qi, add Zisu Geng (Perilla Stem) and Hei Zhike (Black Bitter Orange Peel); for abdominal distension, add Dafupi (Areca Peel) and Hei Zhike; for abdominal pain, add Muxiang (Aucklandia Root) and Baishao (White Peony Root); for lower back pain, add Shengdi (Rehmannia Root) and Duzhong (Eucommia Bark); for hypochondriac pain, add Chaihu (Bupleurum Root) and Jiuye (Tangerine Leaf); for heart pain, add Baiko (Cardamom Seed) and Sharen (Amomum Fruit); for body heat, use Zisu Tang (Perilla Decoction); for nausea and vomiting, add Banxia (Pinellia Tuber); for diarrhea, add Baizhu (Atractylodes Macrocephala Rhizome); for dysentery, add Xianglian Powder; for bleeding, add Lian Shao Decoction; for unresolved cold damage, use Yangdan Tang; for heat pathogens sinking inward, use Heigao Tang. For routine regulation, An Tai Yin is most appropriate.
During pregnancy, if the spleen and stomach are weak, clear qi fails to ascend while phlegm-fluids stagnate internally, causing nausea, dizziness, vomiting of saliva/phlegm, anorexia, or selective eating; this is called E Zu (Morning Sickness/Obstruction). If blood is weak and cannot control qi, leading to rebellious qi and vomiting, this is also termed E Zu. These symptoms typically appear in the second or third month of pregnancy.
A deep pulse indicates qi stagnation, a slippery pulse indicates phlegm obstruction, a tight pulse indicates cold invasion, and a rapid pulse indicates heat congestion. If the pulse is wiry and deficient, it signifies Liver Wood overacting on the Spleen.
To treat the branch, promote diuresis and transform qi; to treat the root, strengthen the spleen and harmonize blood. Cold patterns require warming regulation, heat patterns require clearing and descending, and qi or blood deficiency requires tonification and nourishment.
The primary formula is Er Chen Tang (Two-Cured Decoction). For chest fullness, add Zhike (Bitter Orange Peel); for spleen deficiency, add Baizhu; for qi depression, add Xiangfu (Cyperus Rhizome); for qi deficiency, add Renshen (Ginseng Root); for unsmooth qi, add Sugeng (Perilla Stem) and Wuyao (Lindera Root); for abdominal pain, add Muxiang and Sharen. For spleen deficiency, use Yigong San (Yi-Gong Powder); for stomach deficiency, use Renshen Jupi Tang (Ginseng and Tangerine Peel Decoction); for dual spleen-stomach deficiency, use Liu Junzi Tang (Six-Gentlemen Decoction); for dual qi-blood deficiency, use Banxia Fuling Tang (Pinellia and Poria Decoction).
[Banxia Fuling Tang]
Indicated for morning sickness with a soft and wiry pulse.
Banxia (Pinellia Tuber, processed), 1.5 qian; Shudi (Prepared Rehmannia Root), 3 qian, stir-fried with Amomum powder; Renshen (Ginseng Root), 8 fen; Baishao (White Peony Root), 1.5 qian, stir-fried; Chuanxiong (Sichuan Lovage Rhizome), 1 qian; Chenpi (Aged Tangerine Peel), 1.5 qian; Baizhu (Atractylodes Macrocephala Rhizome), 1.5 qian, stir-fried; Fuling (Poria), 1.5 qian; Quan Fuhua (Inula Flower, wrapped in silk), 1.5 qian; Jiegeng (Platycodon Root), 3 fen.
Decoct in water, strain, and take warm. Add Huangqin (Scutellaria Root) if accompanied by heat; add Shengjiang (Fresh Ginger) if accompanied by cold.
In the second or third month of pregnancy, qi and blood are deficient, and spleen-stomach transportation is impaired. Accompanied by phlegm-fluids, this causes vomiting of saliva/phlegm, dizziness, and fatigue, known as E Zu. Renshen supports primal qi and tonifies qi; Baizhu strengthens the spleen and generates blood; Chuanxiong moves qi within the blood; Baishao astringes spleen-stomach yin; Shudi tonifies yin and nourishes blood; Fuling leaches out dampness and warms the middle; Jiegeng clears the throat and benefits the diaphragm; Chenpi regulates qi and harmonizes the stomach; Banxia awakens the spleen-stomach to resolve phlegm; Xuanfuhua (Inula Flower) regulates wind-qi to eliminate fluid retention. Decoct in water and take warm. This harmonizes the spleen and stomach, filling the interior with qi and blood so that phlegm-fluids transform naturally. Why would E Zu not recede and pregnancy remain unsettled? Adding Huangqin for heat or Shengjiang for cold are methods of syndrome differentiation.
[Susha Erchen Tang]
Indicated for morning sickness with a wiry and slippery pulse.
Banxia (Pinellia Tuber, processed), 1.5 qian; Fuling (Poria), 1.5 qian; Chenpi (Aged Tangerine Peel), 1.5 qian; Gancao (Licorice Root, honey-fried), 5 fen; Wumei (Mume Fruit), 3 qian; Sharen (Amomum Fruit), 8 fen, stir-fried until yellow; Shengjiang (Fresh Ginger), 2 slices; Hongzao (Jujube), 4 pieces.
Decoct in water, strain, and take warm.
Phlegm-fluids stagnate internally and disturb the middle jiao during pregnancy, causing rebellious qi, vomiting, and poor appetite. This is the cause of E Zu due to phlegm-fluids. Banxia quickens the spleen-stomach to dissipate phlegm; Fuling leaches dampness to eliminate fluids; Chenpi regulates qi and harmonizes the stomach; Honey-fried Gancao benefits the stomach and moderates the middle; Wumei astringes rebellious qi to conserve fluids; Sharen awakens the spleen-stomach to calm fetal qi; Shengjiang and Hongzao warm the stomach, nourish the heart, and regulate Ying and Wei. Decoct in water and take warm. Ensure phlegm transforms and fluids dissipate, so rebellious qi calms and the spleen-stomach harmonizes. How could food intake remain poor and E Zu persist?
[Shanju San] (Also known as Renshen Jupi Tang)
Indicated for morning sickness with irritability, abdominal stuffiness, and a soft, wiry, stagnant pulse.
Renshen (Ginseng Root), 1 liang; Houpo (Magnolia Bark, processed), 1 liang; Baizhu (Atractylodes Macrocephala Rhizome, stir-fried), 2 liang; Fuling (Poria), 1.5 liang; Maidong (Ophiopogon Tuber, heart removed), 3 liang; Chenpi (Aged Tangerine Peel), 1.5 liang; Gancao (Licorice Root, honey-fried), 5 qian; Shengjiang (Fresh Ginger), 5 slices; Zhuru (Bamboo Shavings), 1 liang.
Process into a powder. Decoct 3 qian in water, strain, and take warm. Add Chao Hei Zhizi (Charred Gardenia Fruit) if heat is excessive.
Dual deficiency of the spleen and lungs during pregnancy impairs the transformation of damp-heat, causing vomiting, irritability, and abdominal fullness. This is E Zu due to qi deficiency and damp-heat. Renshen tonifies spleen-lung deficiency; Houpo removes fullness in the central region; Baizhu assists spleen transportation of dampness; Maidong moistens the lungs and clears the heart; Honey-fried Gancao moderates the middle and benefits stomach qi; Fuling leaches dampness and harmonizes spleen qi; Chenpi regulates qi and harmonizes the middle; Zhuru clears heat and resolves depression; Shengjiang disperses and resolves phlegm-fluids. Process into powder and decoct. If heat is severe, add Charred Zhizi to clear and descend. Ensure damp-heat dissipates instantly, filling the primal qi and restoring proper transportation. Why worry about persistent fullness, irritability, or vomiting after administration?