疗妊娠心痛。
青竹茹（一升） 羊脂（八两） 白蜜（三两）
上三味合煎，每服枣核大三枚。食前顿服，日三服。
又方∶青竹茹（一升）、酒（二升），煮取一升半，去滓，分温顿服。
又方∶破鸡子一枚，调酒服之。
又方∶大麻子三升，研，水八升，煮取五升，分为五服。
又方∶橘皮（三两） 豆豉（二两）
上为细末，炼蜜丸如梧桐子大。温水下二、七丸，无时候。（四方出《外台秘要》。）
夫妊娠心腹痛者，或由宿有冷疹；或新触风寒，皆由脏虚而致发动也。邪正相击，而
并于气，随气上下冲于心，则心痛；下攻于腹则腹痛，故令心腹痛也。妊娠而痛者，邪正二
气交攻于内，若不时差者，其痛冲击胞络，必致动胎，甚则伤堕也。又云∶妊娠心腹疼痛，
多是风寒湿冷、痰饮与脏气相击，故令腹痛。攻伤不已，则致胎动也。
治妊娠腹中绞痛，心下急痛，及疗产后血晕，内虚、气乏，崩中，久痢。常服通畅血脉，
不生痈疖，消痰养胃，明目益津。
白芍药（半斤） 当归 茯苓 白术（各二两） 泽泻 川芎（各四两。一方川芎只两
半）
上为细末，每服二钱，食前温酒调服。
《元和纪用经》云∶本六气经纬，元能祛风补劳，养真阳，退邪热，缓中，安和神志，
润泽容色，散邪寒、瘟瘴时气。安期先生赐李少君久饵之药，后仲景增减为妇人怀妊腹痛方
。本方用芍药四两，泽泻、茯苓、川芎各一两，当归、白术各二两。亦可以蜜丸服。（出《
三因方》）
治妊娠心腹痛，不可忍方。
盐一斤，烧令赤。
上以两指取一撮，酒调服。
疗妊娠先患冷气，忽中心腹痛如刀刺。
川芎 人参 茯苓 吴茱萸 苦梗 当归（各三两） 浓朴（制） 芍药（各二两）
上 咀，以水九升，煎取三升，分三服，气下即安。
疗妊娠患腹痛，并胎动不安。
葱白（切，一升） 人参 浓朴 阿胶 川芎（各二两） 当归（三两）
上 咀，以水七升，煎取三升，分作三服。一方有甘草，无浓朴、川芎。
To treat heart pain during pregnancy.
Qingzhuru (Bamboo Shavings, *Phyllostachys nigra var. henonis* internode) (1 sheng), Yangzhi (Mutton Fat) (8 liang), Baimi (White Honey) (3 liang).
Combine the above three ingredients and decoct. Take an amount equivalent to three jujube pits per dose. Administer in one go before meals, three times a day.
Another prescription: Qingzhuru (Bamboo Shavings) (1 sheng), Jiu (Wine) (2 sheng). Boil until 1.5 sheng remains, remove the dregs, and take warm in divided doses.
Another prescription: Break one chicken egg (*Galli domestici ovum*), mix with wine, and take.
Another prescription: Damaizi (Hemp Seed, *Cannabis Fructus*) (3 sheng), grind, add 8 sheng of water, boil until 5 sheng remains, divide into five doses.
Another prescription: Juapi (Tangerine Peel, *Citri Reticulatae Pericarpium*) (3 liang), Douchi (Fermented Soybean, *Sojae Semen Preparatum*) (2 liang).
Grind the above into fine powder, refine honey to make pills the size of *Koelreuteriae Fructus* (Chinese Maple Seed). Take 7–14 pills with warm water, at any time. (These four prescriptions are from *Waitai Miyao*).
Regarding heart and abdominal pain during pregnancy, it may be due to pre-existing cold accumulation; or it may result from recent exposure to wind-cold. All arise from deficiency of the zang organs leading to onset. When pathogenic factors and healthy qi clash and move upward and downward with the qi mechanism, striking the heart, it causes heart pain; if attacking downward to the abdomen, it causes abdominal pain, thus resulting in heart and abdominal pain. During pregnancy, pain is caused by the mutual attack of pathogenic and healthy qi within. If not treated promptly, the pain impacts the Bao Luo (uterine collaterals), inevitably disturbing the fetus, and in severe cases, causing miscarriage. It is also said that heart and abdominal pain during pregnancy is mostly due to wind-cold-damp-cold, phlegm-fluids clashing with zang qi, thus causing abdominal pain. Continuous pathological impact leads to fetal movement.
To treat colicky pain in the abdomen during pregnancy, urgent pain in the epigastrium, as well as postpartum blood fainting, internal deficiency, qi exhaustion, metrorrhagia, and chronic dysentery. Regular consumption can unblock the vessels and collaterals, prevent carbuncles and sores, resolve phlegm and nourish the stomach, brighten the eyes, and benefit body fluids.
Baishao Yao (White Peony Root, *Paeoniae Radix Alba*) (0.5 jin), Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), Fuling (Poria, *Polyporus Umbellatus*), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*) (each 2 liang), Zexie (Alisma Rhizome, *Alismatis Rhizoma*), Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*) (each 4 liang. In another version, Chuanxiong is only 1.5 liang).
Grind the above into fine powder. Take 2 qian per dose, mixed with warm wine before meals.
*He Yuan Ji Yong Jing* states: This formula is based on the longitude and latitude of the six qi. It can dispel wind and tonify fatigue, nourish true yang, retreat pathogenic heat, soothe the middle, stabilize and harmonize the spirit, moisten and luster the complexion, and disperse pathogenic cold, plague miasma, and seasonal epidemic qi. Anqi Xiansheng (Master Anqi) bestowed this long-term medicinal herb on Li Shaojun. Later, Zhang Zhongjing modified it to become a prescription for abdominal pain in pregnant women. This formula uses 4 liang of Shaoyao, 1 liang each of Zexie, Fuling, and Chuanxiong, and 2 liang each of Danggui and Baizhu. It can also be taken as honey pills. (From *Sanyin Fang*)
Prescription to treat unbearable heart and abdominal pain during pregnancy.
Yan (Salt) (1 jin), burn until red-hot.
Take a pinch with two fingers, mix with wine, and take.
To treat pregnancy complicated by pre-existing cold qi, suddenly causing heart and abdominal pain like knife stabbing.
Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), Ren Shen (Ginseng Root, *Ginseng Radix*), Fuling (Poria, *Polyporus Umbellatus*), Wuzhuyu (Evodia Fruit, *Evodiae Fructus*), Kujie (Platycodon Root, *Platycodi Radix*), Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (each 3 liang), Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex*) (processed), Shaoyao (Peony Root, *Paeoniae Radix*) (each 2 liang).
Cut into pieces, add 9 sheng of water, decoct until 3 sheng remains, divide into three doses. Pain subsides when qi descends.
To treat abdominal pain during pregnancy and restless fetus.
Congbai (Scallion White, *Allii Fistulosi Bulbus*) (cut, 1 sheng), Ren Shen (Ginseng Root, *Ginseng Radix*), Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex*), Ejiao (Donkey-hide Gelatin, *Asini Corii Colla*), Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*) (each 2 liang), Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (3 liang).
Cut into pieces, add 7 sheng of water, decoct until 3 sheng remains, divide into three doses. Another version contains Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) but lacks Houpo and Chuanxiong.