甘麦大枣汤
脏躁无故自悲伤，象若神灵大枣汤，甘草小麦与大枣，方出金匮效非常。
【注】孕妇无故，时时伤悲哀痛，象若神灵凭根据者，名曰脏躁。宜用《金匮》甘麦大
枣汤服之，其方即甘草、小麦、大枣三味，煎服，其效非常也。
邪思情感鬼胎生，腹大如同怀子形，岂缘鬼神能交接，自身血气结而成。
【注】鬼胎者，因其人思想不遂，情志相感，自身气血凝结而成，其腹渐大如怀子形
状。古云实有鬼神交接，其说似属无据。妇人石瘕、肠覃二证亦俱如怀孕之状，由气血
凝结而成，则可知其必无是理矣！
香棱丸
肠覃石瘕气血分，寒客肠外客子门，二症俱如怀子状，辨在经行经不行。石瘕吴萸汤最效，肠覃香
棱丸若神，丁木茴香川楝子，青皮莪术与三棱。
【注】经云∶寒气客于肠外，与卫气相搏，气不得荣，因有所系，瘕而内着，恶气乃起，
肉乃生。始如鸡卵，稍以益大如怀子状，按之则坚，推之则移，月事以时下。石瘕生于
胞中，寒气客于子门，子门闭塞，气不得通，恶血当下不下， 以留止，日以益大，状如怀
子，月事不以时下。皆生于女子，可导而下。由经文观之，二证虽皆如怀子状，肠覃气病
而血不病，故月事以时下；石瘕先气病而后血病，故月事不来也。石瘕宜吴萸汤。肠覃
宜香棱丸，即木香、丁香、茴香、川楝子、青皮、广术、三棱，醋煮面糊为丸也。
吴茱萸汤（方见首卷）
Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction)
Visceral Restlessness (Zang Zao) presents with spontaneous sorrow and weeping without cause, resembling possession by spirits. This formula consists of Gancao (Licorice Root), Xiaomai (Wheat), and Dazao (Jujube Fruit), originating from the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet), with extraordinary efficacy.
[Note] When a pregnant woman experiences frequent sorrow and grief without apparent reason, appearing as if possessed by spirits, this condition is named Visceral Restlessness (Zang Zao). It is appropriate to administer Ganmai Dazao Tang from the *Jin Gui Yao Lue*. The formula comprises only three ingredients: Gancao (Licorice Root), Xiaomai (Wheat), and Dazao (Jujube Fruit), decocted in water for oral administration, demonstrating remarkable efficacy.
Evil Thoughts and Emotional Stagnation Generate Ghost Fetus
Ghost Fetus arises from pathological thoughts and emotional influences; the abdomen enlarges resembling pregnancy. This is not due to supernatural intercourse but results from the coagulation of Qi and Blood within the body.
[Note] "Ghost Fetus" refers to a condition caused by unfulfilled desires and emotional resonance, leading to the stagnation and coagulation of Qi and Blood, causing the abdomen to gradually enlarge like that of a pregnant woman. Ancient texts claim actual supernatural intercourse occurs, but such assertions appear baseless. The conditions of Shi Xia (Stone Lei) and Chang Qun (Intestinal Polyp) in women also present with abdominal enlargement resembling pregnancy, both resulting from Qi and Blood coagulation; thus, it can be deduced that supernatural intercourse is impossible.
Xiang Leng Wan (Fragrant Triangular Pill)
Chang Qun and Shi Xia are differentiated by their involvement of Qi and Blood. Cold pathogens lodge outside the intestines or at the Zi Men (Cervical Os). Both conditions present with abdominal enlargement resembling pregnancy; differentiation lies in whether menstruation occurs regularly. Wu Zhu Yu Tang (Evodia Decoction) is most effective for Shi Xia, while Xiang Leng Wan is miraculous for Chang Qun. The latter contains Dingxiang (Clove), Muxiang (Costus Root), Huixiang (Fennel Seed), Chuanlianzi (Szechwan Chinaberry Fruit), Qingpi (Green Tangerine Peel), Ezhu (Curcuma Rhizome), and Sanleng (Sparganium Rhizome).
[Note] The classics state: Cold pathogens lodge outside the intestines, struggling with Wei Qi (Defensive Qi), preventing normal nourishment. Due to adhesion, masses form internally, evil Qi arises, and flesh proliferates. Initially the size of a chicken egg, it gradually enlarges to resemble pregnancy; it is firm upon pressure but movable upon pushing, while menstruation proceeds on schedule. Shi Xia originates in the Bao Zhong (Uterus); cold pathogens lodge at the Zi Men, causing obstruction where Qi cannot flow freely. Evil blood should descend but fails to do so, remaining stagnant and enlarging daily, resembling pregnancy, yet menstruation does not occur on schedule. Both conditions affect women and can be treated by guiding the pathogenic factors downward. From the classic text, although both conditions resemble pregnancy, Chang Qun involves Qi pathology without Blood pathology, hence menstruation is regular; Shi Xia involves initial Qi pathology followed by Blood pathology, hence menstruation ceases. Shi Xia is suitable for Wu Zhu Yu Tang. Chang Qun is suitable for Xiang Leng Wan, composed of Muxiang, Dingxiang, Huixiang, Chuanlianzi, Qingpi, Guangzhu (Ezhu), and Sanleng, prepared into pills using vinegar-boiled wheat paste.
Wu Zhu Yu Tang (Formula see Volume 1)