共为末，米糊为丸，酒送下即愈。
第三十九血水崩
此症宜用十灰丸，若久崩乃虚，宜用鸡蛋汤。若小肠痛，宜用加味四物汤。初起时只用十灰丸。
十灰丸方四十二
阿胶（五钱） 侧柏叶 棕榈 艾叶 苎根 百草霜（各一钱） 绵绢（一团） 白茅根（一根） 丹
皮（一钱） 茜根（一钱）
各烧灰存性为细末，白滚汤送下。或用大小蓟各一钱，用藕煎汤送下甚妙。
鸡蛋汤方四十三
鸡脊肉的子，用葱三根，姜一两。
共捣为泥，用麻油锅内炒去渣，酒服要趁热吃。加味四物汤方见第八症内。
第四十经来吐蛔虫
此症经来寒热，四肢厥冷，大汗，吐虫，痰气紧满，百死无生。
第四十一胎前恶阻
此症胎前阻逆，不思饮食，腹中作痛，乃胎气不和，因而恶逆，宜用和气散加丁香、木香一剂而安。
和气散方四十四
陈皮 桔梗 浓朴 益智 小茴香 藿香（各八分） 甘草（三分） 砂仁（五分） 苍术（四分） 丁
香（三分） 木香（五分）
水煎半碗饱服。
第四十二胎前潮热气痛
此乃受热毒所致，宜服五苓散二三帖即安。
五苓散方四十五
赤茯苓 猪苓 泽泻 白术（各五分）
水煎温服。
第四十三胎前寒热
胎前疟疾，小腹作痛，口燥咽干，乃受热更多，又伤生冷，阴阳不和，服草果散即安。
草果散方四十六
草果（二钱） 青皮 柴胡 黄芩（各八分） 甘草（三分）
水煎空心服。
第四十四孩子顶心不知人事
乃过食椒、姜、鸡肉，热毒积在胸中，如五六月盖絮被受热，乱动母胎，俱不安也。先用调经
中和气散，后用胜红丸。子母皆安。
调经中和气散方四十七
大黄 石膏（各一钱） 槟榔 枳壳 知母（各八分） 黄连（六分） 柴胡（三分） 黄柏（五分）
水煎浓大半碗，空心服即愈。
胜红丸方四十八
江子（去壳油，十粒） 百草霜（二钱）
共为细末，米糊为丸，白滚水送七粒。
第四十五胎前气紧不得卧
此症过食生冷兼有风寒中胃肺经，生痰，宜用紫苏汤，又宜安胎散。
紫苏汤方四十九
苏叶 桔梗 枳实 大腹皮 贝母 知母 桑皮（各八分） 当归（八分） 五味子 石膏 甘草（各三分）
水煎温服。
安胎散方五十
人参 生地 当归 阿胶（炒） 茯苓（各一钱） 小茴香 八角（各八分） 川芎 甘草（各五分）
水煎，空心服即愈。
第四十六胎前咳嗽
此因每食生冷，又吃姜、椒，中伤胎热，胃气不胜，故此作疾，宜用五虎汤，嗽止人安。
五虎汤方五十一
杏仁 枳实 石膏（各一钱） 苏子 陈皮 知母 桔梗（各八分） 五味子 甘草（各三分） 麻黄（四分）
水煎温服。
第四十七胎前衄血常从口鼻中来
此是伤热，血热乱行，冲伤胎络，只用凉胎法，不用四物汤，用衄血立效散。
衄血立效散方五十二
丹皮 侧柏叶 黄芩（各八分） 蒲黄（一钱，炒）
共为末，米糊丸，白滚汤送下即愈。
第四十八胎前泻痢
此乃椒、姜、鸡肉热物入脾，大肠太热变成痢也。初起二日用甘莲汤立效，如泻久孕妇形瘦，
精神短少者，子母不能治也。
甘莲汤方五十三
甘草（五钱） 川莲（一钱，炒） 干姜（一钱）
水煎温服。
第四十九胎前血漏
有孕红来如行经应期一至，此是漏胎。宜小乌金丸。
小乌金丸方五十四
海金沙（三钱， ） 僵蚕 侧柏叶 小茴香 百草霜 川芎（各五钱） 防风 当归（各八钱） 浓朴（六
钱） 苍术（四钱）
用早米糊为丸，白滚汤送百粒。
第五十胎前带白
乃胎气虚弱，先用白扁豆花炒，酒服，后用闭日丸即愈。
闭日丸方五十五
龙骨 海螵蛸 牡蛎 赤石脂（各五钱）
米糊为丸，酒送百粒。
第五十一胎前赤带
漏红如猪血水，日夜不止。其妇精神短少，急用侧柏叶丸。
侧柏叶丸方五十六
侧柏叶 黄芩（各四两）
炼蜜为丸，白滚汤送百粒即愈。
第五十二胎前气紧咳嗽
凡气紧动红久嗽不止，其红每月应期而来，日午心热，气紧人皆作痨治不效，先用逍遥散退热，后用
紫菀汤。二方俱详第四症内。
第五十三胎前动血
此因饮食，跌伤，恶血破来如水不止，急用艾胶汤立止血，次用安胎散固胎体。壮者二三帖可愈，
瘦弱者不治。艾胶汤方详二十六症，安胎散方详二十五症。
第五十四胎前小便不通
此症名为转脬，急用车前八珍散，如八珍散不效，再用八味丸。
车前八珍散方五十七
白茯苓 白术（土炒） 当归 川芎（各二钱） 人参 白芍（各一钱五分） 车前 熟地（各一钱） 炙
甘草（八分）
水煎温服。
八味丸方五十八
萸肉 泽泻 丹皮（各八钱一分） 附子 甘草（各三钱） 熟地（一钱八分） 山药（一钱） 肉桂（五分）
汤丸俱可用。
第五十五胎前小产
怀孕三五月、七八月皆曰小产。若不调治恐再孕亦然，宜用益母丸治之。
益母丸方五十九
益母草（四两） 当归（四两）
炼蜜为丸，空心白滚汤送下。
第五十六胎前怔忡
心常恍惚，遍身烦热，乃气血衰弱，受孕之故。宜用朱砂汤。
朱砂汤方六十
猪心一个，不下水，用水一碗煎汤，研朱砂一钱，调服。
第五十七胎前浮肿
此气血衰，切忌通利之药，恐伤胎也。用大腹皮汤为主。
大腹皮汤方六十一
大腹皮 五加皮 陈皮 青皮 姜皮（各一钱）
水煎空心服。
第五十八胎前遍身酸懒
此症面黄瘦，不思饮食，精神困倦，形容憔悴，因血少不胜，难养胎气。宜用四物汤。
四物汤方六十二
当归 川芎 熟地（各二钱） 芍药（八分）
水煎温服。
第五十九胎前阴户肿
乃胎不运动而致，宜顺血散治之。
诃子 水一钟，煎七分，温服。
第六十胎前下血动胎
若妇人壮盛者，三五日内急以安胎散救之，若形瘦者，有冷汗，面色如灰，四肢无力，乃积久之病，神
色已去，不必医治。安胎散详四十五症。
第六十一胎前脚痛
此症乃血气衰弱，下元又虚，亦兼风邪。宜用止血行气之剂。须乌药顺气散治之。乌药顺气散方。详
二十二症内。
第六十二胎前中风
牙关紧闭，痰气壅满不知人事，因食生冷，兼坐风中而致，用黄蜡膏搽上牙关，再进排风汤三帖。
黄蜡膏方六十三
黄蜡 枯矾 麻黄
以上各等分为末，共熔化擦牙上。
排风汤方六十四
防风 白术 白藓皮 甘草 川芎 当归 茯苓 独活（各八分） 麻黄（四分） 姜（三片） 枣（二枚）
水煎服。
第六十三胎前瘫痪
此症手足不能动，乃胃中有痰凝聚血气所致。宜用乌药顺气散方。详二十二症内。
第六十四胎前腰痛
此乃血荫胎，不能养肾，肾水不足，以致腰痛。宜用猪肾丸。
猪肾丸方六十五
猪腰子（二个） 青盐（四钱，入腰子内蒸，煨干为末）
蜜丸，空心酒服即愈。
第六十五胎前头痛
此乃寒邪入脑，阳气衰也。宜投芎芷汤，三服即安。
芎芷汤方六十六
川芎 白芍 白芷 菊花 本 茯苓（各八分） 甘草（九分） 姜（三片）
煎服。
如不止加细辛八分，原有头风病者不能即愈。
第六十六胎前泄泻
此症随四时治之，再宜临症斟酌。春宜平胃散；夏宜三和汤；秋宜藿香正气汤；冬宜理中汤。
平胃散方六十七
茯苓 炙甘草 山药 广皮（各等分）
三和汤、藿香正气汤、理中汤，其方未载。
第六十七胎前心痛不可忍
亦是胎气不顺，宜顺胎散治之。
顺胎散方六十八
草果（一个） 玄胡（八分） 五灵脂（一钱） 滑石（八分）
酒煎，半饥服。
第六十八胎前忽倒地
此乃血养儿胎，母欠精神，承胎不住，目花眼昏，一时倒地。不须服药，只饮食补之可也。
第六十九胎前大便虚急
此症脾土燥，大肠涩。只宜理脾通大肠，不可用硝黄，宜用枳实汤。
枳实汤方六十九
枳实（二两）
水二碗，煎七分，不拘时服。
第七十胎前遍身瘙痒出风脾
此症有风，不可服药，用樟脑酒调，擦之自愈。
第七十一胎前阴门痒甚
此症有孕，房事不节，阳精留蓄，因而作痒。宜川椒白芷汤并洗之。
川椒白芷汤方七十
川椒（一两） 白芷（一两五钱）
水煎服。渣煎洗之。
第七十二胎前乳肿
或两乳或一乳肿痛作冷作热，名为内吹。用皂角一条烧灰存性，酒送下立消，不复发矣。
第七十三胎前咽痛
此乃寒攻下咽，胃有痰涎，宜去寒化痰。用升麻桔梗汤二剂即安。
升麻桔梗汤方七十一
升麻 桔梗 甘草（各八分） 防风 元参（各一钱）
水煎服。
第七十四胎前消渴
此乃血少，三焦火炽而然。宜四物汤加生地、川柏，共六味丸自愈。四物汤方详五十八。
第七十五胎前耳鸣
此乃肾虚。宜猪肾丸，方详六十四。
第七十六胎前不降生
临产水干，孩子不下，用益母散生其水，水至胎下，若闭不生者死。
益母散方七十二
白芷 当归 滑石（各一钱） 益母（三分） 肉桂（八分） 麝香（一分）
水煎温服。
第七十七秘传速产
用高墙上蛇蜕一条，要头向下者佳。瓦上焙干为末一钱，加麝香三分，乳调为膏，贴脐上即产，速去，切不可久贴。
第七十八胎衣不下
此症多因身弱血少水干而胎衣不下，宜用川归汤。在胸膈者难治。若在小腹，用破灵丹。妇人面色青黄，
口舌黑，指甲青，此子死也。当用朝烂散打下死胎，急救其母。若面色青黄，指甲红色，其子久生不可轻用破灵丹。
川归汤方七十三
川芎（二钱） 当归（一钱） 益母草（二钱）
取汁和老酒煎服即下。
破灵丹方七十四
红花 苏木（各五分）
无灰酒煎服。
朝烂散方未载。
第七十九产后血气痛
此乃余血不尽腹中痛，遍身热，恶血在腹当去其血，则热自退。宜红花当归散方。详第六症。
第八十产后血尽作痛
此乃腹中虚痛，若有潮热，亦是虚潮。宜四物汤加乌药。四物汤方详五十八症内。
第八十一产后恶血发热
此乃内伤外感之症。其方未载。
第八十二产后咳嗽
此乃产后伤风变为咳嗽。宜小青龙丹。
小青龙丹方七十五
甘草 干姜（各五分） 五味（三分） 杏仁（一钱五分） 半夏（一钱） 姜（三片）
水煎服。
第八十三产后子宫突出
用鲤鱼烧灰，调清油，搽之即愈。
第八十四产后瘕疸突出
先用连翘散，后用黄蜡膏立效。
连翘散方七十六
黄 （炙） 花粉 连翘 防风 栀子（各一钱） 甘草（三分）
水煎服。
黄蜡膏方。详六十二症内。
第八十五产后一月恶露重来如血水不止
昏迷倒地不知人事，此乃生产一月，夫妇交媾动摇骨节，以此血崩不止。急用金拘散方。详第七症内。
第八十六产后气急
或泄泻，气紧不止，烦热口渴，此乃内虚外热，必死之症。
第八十七产后舌黑如尘
口干绝无津液，此乃肾败，必死之症。
第八十八产后谵语又水泻
此乃恶血攻心，上盛下虚，必死之症。
第八十九产后吊阴产后浮肿
俱详调经门第一症内。
第九十难产方用活雄鼠肾一对
加麝香三分，捣烂，分作三丸，好朱砂为衣，白滚汤送下一丸。男左手，女右手握出，如死胎头顶也。
按此方屡经奇验，丸出急用清水洗净，尚可再用一次，收藏不可轻泄其气。
第九十一凡人难得受孕
未期之时先服此方。
白归身（二钱） 川芎（一钱五分） 覆盆子（一钱，炒研） 熟地（三钱） 白芍（酒炒，二钱） 川断（去
芦，二钱） 砂仁肉（一钱四分） 香附末（二钱） 杜仲（二钱，炒） 广皮（一钱） 丹参（二钱） 姜
（一片） 黑枣（二枚） 空心热服。
临期去黑枣、熟地、加红花一钱五分，苏木三钱（打碎），陈老酒一杯，服二帖。口忌净为要。
难产及子死腹中宜服龙虎散九二
败龟甲（一个，酥炙） 蛇蜕（两条，头尾俱全） 蝉蜕（四十八个，头尾俱全，以新瓦上焙干） 妇人
乱发（一团，皂角水洗净，去油，火 存性） 滑石（二钱，飞）
共为细末，瓷罐收贮，用黄蜡封口，每服二钱，老酒送下。不饮酒者，用益母草煎汤送下更佳，立产。
Grind the herbs into fine powder, form pills with rice paste, and take with wine for recovery.
39. Metrorrhagia (Profuse Vaginal Bleeding)
This condition is suitable for Shihui Wan (Ten Charred Pills). If metrorrhagia has persisted causing deficiency, Jidan Tang (Egg Soup) is suitable. If accompanied by lower abdominal pain, Jiawei Siwu Tang (Modified Four Substances Decoction) is suitable. At the onset, only use Shihui Wan.
Shihui Wan Prescription No. 42
Ejiao (Donkey-hide Gelatin, 5 qian), Cebaiye (Platycladi Cacumen, 1 qian), Zonglü (Cinnamomi Ramulus Carbonized, 1 qian), Aiyi (Artemisiae Argyi Folium, 1 qian), Zhugen (Bambusae Caulis in Taeniatus Radix, 1 qian), Baicaoshuang (Soot from Burning Straw, 1 qian), Mianjuan (Silk Gauze, one piece), Baimaogen (Imperatae Rhizoma, one root), Danpi (Moutan Cortex, 1 qian), Qigen (Rubiae Radix, 1 qian).
Char each herb until carbonized but retaining its nature, grind into fine powder, and take with plain boiled water. Alternatively, use Daji (Cirsii Japonici Herba) and Xiaoji (Cirsii Herba) each 1 qian, decocted with lotus root, taken as a soup; this is excellent.
Jidan Tang Prescription No. 43
Meat from the chicken spine, three stalks of scallion, one liang of ginger.
Pound together into a paste, stir-fry in sesame oil to remove dregs, and take hot with wine. See Jiawei Siwu Tang in Symptom 8.
40. Vomiting Ascaris during Menstruation
This condition presents with alternating chills and fever during menstruation, cold limbs, profuse sweating, vomiting of parasites, tightness and fullness of phlegm-qi, indicating a critical condition with poor prognosis.
41. Morning Sickness (Early Pregnancy Reaction)
This condition involves obstruction and rebellion of fetal qi, loss of appetite, and abdominal pain, caused by disharmony of fetal qi leading to nausea and vomiting. Heqi San (Harmonizing Qi Powder) added with Dingxiang (Caryophylli Flos) and Muxiang (Vladimiriae Root) for one dose will bring relief.
Heqi San Prescription No. 44
Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Houpo (Magnoliae Officinalis Cortex), Yizhi (Alpiniae Oxyphyllae Fructus), Xiaohuixiang (Foeniculi Fructus), Huoxiang (Agastaches Herba) each 8 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 3 fen, Sharen (Amomi Fructus) 5 fen, Cangzhu (Atractylodis Rhizoma) 4 fen, Dingxiang (Caryophylli Flos) 3 fen, Muxiang (Vladimiriae Root) 5 fen.
Decoct with water to half a bowl, take after meals.
42. Feverish Heat Pain during Pregnancy
Caused by heat-toxin accumulation, taking Wuling San (Five-Ingredient Powder with Poria) for two or three doses will bring relief.
Wuling San Prescription No. 45
Chifuling (Poria with Red Hosta Root), Zhuling (Polypori Umbellati Sclerotium), Zexie (Alismatis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) each 5 fen.
Decoct with water and take warm.
43. Chills and Fever during Pregnancy
Malaria during pregnancy with lower abdominal pain, dry mouth and throat, caused by excessive heat combined with injury from cold/raw foods, leading to yin-yang disharmony. Caoguo San (Tsaoko Powder) will bring relief.
Caoguo San Prescription No. 46
Caoguo (Tsaoko Fructus, 2 qian), Qingpi (Citri Reticulatae Pericarpium Viride), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix) each 8 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 3 fen.
Decoct with water and take on an empty stomach.
44. Fetal Pressure Causing Maternal Unconsciousness
Caused by overconsumption of pungent/spicy foods like pepper, ginger, and chicken, leading to heat-toxin accumulation in the chest, similar to overheating under quilts in mid-year, disturbing the maternal womb and causing discomfort for both mother and fetus. First use Tiaojing Zhonghe Qi San (Regulating Menstruation and Harmonizing Qi Powder), then follow with Shenghong Wan (Victory Over Redness Pill) to ensure safety for both.
Tiaojing Zhonghe Qi San Prescription No. 47
Dahuang (Rhei Radix et Rhizoma), Shigao (Gypsum Fibrosum) each 1 qian, Binglang (Arecae Semen), Zhike (Aurantii Fructus Immaturus), Zhimu (Anemarrhenae Rhizoma) each 8 fen, Huanglian (Coptidis Rhizoma) 6 fen, Chaihu (Bupleuri Radix) 3 fen, Huangbai (Phellodendri Cortex) 5 fen.
Decoct with water to obtain more than half a bowl of concentrated liquid, take on an empty stomach for recovery.
Shenghong Wan Prescription No. 48
Jiangzi (Crotonis Fructus, desiccated kernel, 10 grains), Baicaoshuang (Soot from Burning Straw, 2 qian).
Grind into fine powder, form pills with rice paste, and take seven pills with plain boiled water.
45. Shortness of Breath and Inability to Lie Flat during Pregnancy
Caused by overconsumption of cold/raw foods combined with wind-cold invading the Stomach and Lung meridians, generating phlegm. Zisu Tang (Perilla Leaf Decoction) and Antai San (Fetus-Safeguarding Powder) are suitable.
Zisu Tang Prescription No. 49
Ziyeh (Perillae Folium), Jiegeng (Platycodonis Radix), Zhishi (Aurantii Fructus Immaturus), Dafupi (Arecae Pericarpium), Beimu (Fritillariae Bulbus), Zhimu (Anemarrhenae Rhizoma), Sangpiao (Morus Albae Cortex Radicis) each 8 fen, Danggui (Angelicae Sinensis Radix) 8 fen, Wuweizi (Schisandrae Chinensis Fructus), Shigao (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma) each 3 fen.
Decoct with water and take warm.
Antai San Prescription No. 50
Renshen (Ginseng Radix), Shengdi (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Ejiao (Donkey-hide Gelatin, fried), Fuling (Poria) each 1 qian, Xiaohuixiang (Foeniculi Fructus), Bajiao (Illicii Veri Fructus) each 8 fen, Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) each 5 fen.
Decoct with water and take on an empty stomach for recovery.
46. Cough during Pregnancy
Caused by consuming cold/raw foods and spicy items like ginger and pepper, injuring fetal heat and overwhelming Stomach qi. Wuhu Tang (Five-Tiger Decoction) is suitable; once cough stops, the patient recovers.
Wuhu Tang Prescription No. 51
Xingren (Pruni Armeniaci Semen Amarum), Zhishi (Aurantii Fructus Immaturus), Shigao (Gypsum Fibrosum) each 1 qian, Suzi (Perillae Fructus), Chenpi (Citri Reticulatae Pericarpium), Zhimu (Anemarrhenae Rhizoma), Jiegeng (Platycodonis Radix) each 8 fen, Wuweizi (Schisandrae Chinensis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma) each 3 fen, Mahuang (Ephedrae Herba) 4 fen.
Decoct with water and take warm.
47. Epistaxis (Nosebleed) from Mouth and Nose during Pregnancy
Caused by heat injury leading to reckless movement of hot blood damaging fetal collaterals. Use cooling fetal methods only, do not use Siwu Tang. Use Nuxue Lixiao San (Epistaxis Immediate Relief Powder).
Nuxue Lixiao San Prescription No. 52
Danpi (Moutan Cortex), Cebaiye (Platycladi Cacumen), Huangqin (Scutellariae Radix) each 8 fen, Puhuang (Typhae Pollen, fried) 1 qian.
Grind into powder, form pills with rice paste, and take with plain boiled water for recovery.
48. Diarrhea and Dysentery during Pregnancy
Caused by spicy/hot foods like pepper, ginger, and chicken entering the Spleen, causing excessive heat in the Large Intestine leading to dysentery. In the first two days, Ganlian Tang (Licorice and Coptis Decoction) provides immediate effect. If diarrhea persists and the pregnant woman becomes emaciated with depleted spirit, mother and child cannot be saved.
Ganlian Tang Prescription No. 53
Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian), Chuanlian (Coptidis Rhizoma, fried, 1 qian), Ganjiang (Zingiberis Rhizoma, 1 qian).
Decoct with water and take warm.
49. Vaginal Bleeding (Leaking) during Pregnancy
If bleeding occurs like a period at the expected time once during pregnancy, it is called "leaking fetus." Use Xiaowujin Wan (Little Black Gold Pill).
Xiaowujin Wan Prescription No. 54
Haijinsha (Lygodii Spora, fried), Jiangcan (Bombyx Batryticatus), Cebaiye (Platycladi Cacumen), Xiaohuixiang (Foeniculi Fructus), Baicaoshuang (Soot from Burning Straw), Chuanxiong (Ligustici Chuanxiong Rhizoma) each 5 qian, Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix) each 8 qian, Houpo (Magnoliae Officinalis Cortex) 6 qian, Cangzhu (Atractylodis Rhizoma) 4 qian.
Form pills with early rice paste, take 100 pills with plain boiled water.
50. Leukorrhea (White Discharge) during Pregnancy
Caused by weak fetal qi. First, stir-fry Baibiandouhua (Lablab Flower), take with wine. Then use Bidu Wan (Close Day Pill) for recovery.
Bidu Wan Prescription No. 55
Longgu (Fossil Bones), Haipiaoxiao (Sepiae Endoconcha), Muli (Ostreae Concha), Chishizhi (Halloysit Rubrum) each 5 qian.
Form pills with rice paste, take 100 pills with wine.
51. Bloody Leukorrhea during Pregnancy
Red discharge like pig's blood water, day and night without stopping. The woman has depleted spirit. Use Cebaiye Wan (Platycladus Pill) urgently.
Cebaiye Wan Prescription No. 56
Cebaiye (Platycladi Cacumen), Huangqin (Scutellariae Radix) each 4 liang.
Form pills with refined honey, take 100 pills with plain boiled water for recovery.
52. Shortness of Breath and Cough during Pregnancy
For shortness of breath, bleeding, and persistent cough where bleeding occurs monthly, with afternoon heart heat, people often mistakenly treat it as consumption (TB) with no effect. First use Xiaoyao San (Free and Easy Wanderer Powder) to reduce fever, then use Ziwan Tang (Aster Decoction). Both prescriptions are detailed in Symptom 4.
53. Bleeding during Pregnancy
Caused by improper diet or trauma, leading to continuous flow of evil blood like water. Urgently use Aijiao Tang (Mugwort and Gelatin Decoction) to stop bleeding immediately, then use Antai San (Fetus-Safeguarding Powder) to secure the fetus. Those with strong constitutions recover in two to three doses; those who are thin and weak are incurable. See Aijiao Tang in Symptom 26 and Antai San in Symptom 25.
54. Urinary Retention during Pregnancy
This condition is called "Zhuan Pao" (Bladder Displacement). Urgently use Cheqian Bazhen San (Plantago Eight-Treasure Powder). If Bazhen San is ineffective, use Bawei Wan (Eight-Ingredient Pill).
Cheqian Bazhen San Prescription No. 57
Baifuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) each 2 qian, Renshen (Ginseng Radix), Baishao (Paeoniae Radix Alba) each 1.5 qian, Cheqianzi (Plantaginis Semen), Shudi (Rehmanniae Radix Preparata) each 1 qian, Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 8 fen.
Decoct with water and take warm.
Bawei Wan Prescription No. 58
Yurou (Corni Fructus), Zexie (Alismatis Rhizoma), Danpi (Moutan Cortex) each 8.1 qian, Fuzi (Aconiti Lateralis Radix Preparata), Gancao (Glycyrrhizae Radix et Rhizoma) each 3 qian, Shudi (Rehmanniae Radix Preparata) 1.8 qian, Shanyao (Dioscoreae Rhizoma) 1 qian, Rougui (Cinnamomi Cortex) 5 fen.
Both decoction and pill forms are usable.
55. Threatened Miscarriage
Pregnancy loss between three to five months or seven to eight months is called threatened miscarriage. If not treated, future pregnancies may also fail. Use Yimu Wan (Motherwort Pill) for treatment.
Yimu Wan Prescription No. 59
Yimucao (Leonuri Herba, 4 liang), Danggui (Angelicae Sinensis Radix, 4 liang).
Form pills with refined honey, take on an empty stomach with plain boiled water.
56. Palpitations during Pregnancy
Constant mental agitation and whole-body irritability/heat, caused by qi and blood deficiency due to pregnancy. Use Zhusha Tang (Cinnabar Decoction).
Zhusha Tang Prescription No. 60
One pig heart, do not wash with water, decoct with one bowl of water to make soup. Grind Zhusha (Cinnabar) 1 qian, mix and take.
57. Edema during Pregnancy
Caused by qi and blood deficiency. Avoid diuretic/drainage drugs to prevent harming the fetus. Use Dafupi Tang (Areca Peel Decoction) as the main formula.
Dafupi Tang Prescription No. 61
Dafupi (Arecae Pericarpium), Wujiaopi (Acanthopanacis Cortex), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Jiangpi (Zingiberis Pericarpium) each 1 qian.
Decoct with water and take on an empty stomach.
58. General Body Ache and Lethargy during Pregnancy
Yellowish face, emaciation, loss of appetite, mental fatigue, and haggard appearance due to insufficient blood to nourish fetal qi. Use Siwu Tang (Four Substances Decoction).
Siwu Tang Prescription No. 62
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shudi (Rehmanniae Radix Preparata) each 2 qian, Shaoyao (Paeoniae Radix) 8 fen.
Decoct with water and take warm.
59. Vulvar Swelling during Pregnancy
Caused by lack of fetal movement. Use Shunxue San (Blood-Harmonizing Powder) for treatment.
Hepizi (Terminalia Chebulae Fructus) one piece, decoct with one cup of water to seven-tenths, take warm.
60. Vaginal Bleeding Agitating the Fetus during Pregnancy
If the woman is robust, save her urgently with Antai San (Fetus-Safeguarding Powder) within three to five days. If she is emaciated, has cold sweat, grayish complexion, and weak limbs, it is a chronic disease with lost spirit; no need for treatment. See Antai San in Symptom 45.
61. Leg Pain during Pregnancy
Caused by qi and blood deficiency, weakness of the lower origin, combined with wind pathogen. Use hemostatic and qi-moving agents. Use Wuyao Shunqi San (Litsea Smooth-Qi Powder). See Wuyao Shunqi San in Symptom 22.
62. Stroke during Pregnancy
Jaw locked, phlegm-qi congestion causing unconsciousness, caused by eating cold foods and sitting in the wind. Apply Huanglagao (Beeswax Ointment) to the jaw, then administer Paifeng Tang (Wind-Expelling Decoction) for three doses.
Huanglagao Prescription No. 63
Huangla (Beeswax), Kufan (Alumen Exsiccatum), Mahuang (Ephedrae Herba).
Grind equal parts into powder, melt together and apply to teeth/jaw.
Paifeng Tang Prescription No. 64
Fangfeng (Saposhnikoviae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baixianpi (Dictamni Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Duhuo (Angelicae Pubescentis Radix) each 8 fen, Mahuang (Ephedrae Herba) 4 fen, Jiang (Zingiberis Rhizoma Recens, 3 slices), Zao (Jujubae Fructus, 2 pieces).
Decoct with water and take.
63. Paralysis during Pregnancy
Inability to move hands and feet, caused by phlegm condensing qi and blood in the Stomach. Use Wuyao Shunqi San (Litsea Smooth-Qi Powder). See Symptom 22.
64. Lower Back Pain during Pregnancy
Caused by blood nourishing the fetus, failing to nourish the Kidney, leading to Kidney water deficiency and lower back pain. Use Zhushen Wan (Pig Kidney Pill).
Zhushen Wan Prescription No. 65
Zhuyaozi (Porci Ren, 2 pieces), Qingyan (Halotrichon, 4 qian, steamed inside kidney, dried and powdered).
Form pills with honey, take on an empty stomach with wine for recovery.
65. Headache during Pregnancy
Caused by cold pathogen entering the brain and decline of Yang qi. Use Xiongzi Tang (Ligusticum and Angelica Decoction); three doses bring relief.
Xiongzi Tang Prescription No. 66
Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Baizhi (Angelicae Dahuricae Radix), Juhua (Chrysanthemi Flos), Ben (Ligustici Wallichii Rhizoma), Fuling (Poria) each 8 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 9 fen, Jiang (Zingiberis Rhizoma Recens, 3 slices).
Decoct and take.
If symptoms persist, add Xixin (Asari Radix et Rhizoma) 8 fen. Those with existing headache disorders may not recover immediately.
66. Diarrhea during Pregnancy
Treat according to the four seasons and adjust based on specific symptoms. Spring: Pingwei San (Peaceful Stomach Powder); Summer: Sanhe Tang (Three-Harmony Decoction); Autumn: Huoxiang Zhengqi Tang (Patchouli Corrective Qi Decoction); Winter: Lizhong Tang (Regulate the Middle Decoction).
Pingwei San Prescription No. 67
Fuling (Poria), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Shanyao (Dioscoreae Rhizoma), Guangpi (Citri Reticulatae Pericarpium) equal parts.
Sanhe Tang, Huoxiang Zhengqi Tang, and Lizhong Tang formulas are not recorded here.
67. Severe Heart Pain during Pregnancy
Also caused by irregular fetal qi. Use Shuntai San (Fetus-Guiding Powder) for treatment.
Shuntai San Prescription No. 68
Caoguo (Tsaoko Fructus, 1 piece), Xuanhu (Corydalis Rhizoma) 8 fen, Wulingzhi (Trogopterori Faeces) 1 qian, Huashi (Kaolinite) 8 fen.
Decoct with wine, take when half-hungry.
68. Sudden Collapse during Pregnancy
Caused by blood nourishing the fetus, leaving the mother lacking spirit, unable to sustain the pregnancy, resulting in blurred vision and sudden collapse. No medicine needed; only dietary supplementation is required.
69. Urgency and Deficiency in Bowel Movements during Pregnancy
Dryness of Spleen earth and constipation of the Large Intestine. Only regulate the Spleen and unblock the Large Intestine; do not use Mangxiao (Mirabilitum) or Dahuang (Rhei Radix et Rhizoma). Use Zhishi Tang (Immature Orange Decoction).
Zhishi Tang Prescription No. 69
Zhishi (Aurantii Fructus Immaturus, 2 liang).
Decoct with two bowls of water to seven-tenths, take at any time.
70. Generalized Itching with Wind Spleen during Pregnancy
Wind pathogen present; do not take internal medicine. Mix Zhangnao (Camphora) with wine and apply externally for self-healing.
71. Severe Vulvar Itching during Pregnancy
During pregnancy, irregular sexual activity causes retention of yang essence, leading to itching. Use Chuanjiao Baizhi Tang (Sichuan Pepper and Angelica Decoction) for drinking and washing.
Chuanjiao Baizhi Tang Prescription No. 70
Chuanjiao (Zanthoxyli Pericarpium, 1 liang), Baizhi (Angelicae Dahuricae Radix, 1.5 liang).
Decoct with water to drink. Wash with the dregs.
72. Breast Swelling during Pregnancy
Swelling, pain, cold, and heat in one or both breasts, named "Nei Chui" (Internal Blowing). Burn one strip of Zaorjiao (Gleditsiae Sinensis Spina) until charred, take with wine for immediate resolution and no recurrence.
73. Sore Throat during Pregnancy
Cold attacking the throat with phlegm-drool in the Stomach. Remove cold and resolve phlegm. Use Shengma Jiegeng Tang (Cimicifugae and Platycodon Decoction) for two doses for relief.
Shengma Jiegeng Tang Prescription No. 71
Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) each 8 fen, Fangfeng (Saposhnikoviae Radix), Yuan Shen (Scrophulariae Radix) each 1 qian.
Decoct with water and take.
74. Polydipsia during Pregnancy
Caused by blood deficiency and blazing fire in the Triple Burner. Use Siwu Tang (Four Substances Decoction) added with Shengdi (Rehmanniae Radix) and Chuanbai (Phellodendri Cortex), forming a six-ingredient pill for self-recovery. See Siwu Tang in Symptom 58.
75. Tinnitus during Pregnancy
Caused by Kidney deficiency. Use Zhushen Wan (Pig Kidney Pill). See Prescription 64.
76. Failure to Deliver during Pregnancy
At term, if amniotic fluid is exhausted and the child does not descend, use Yimu San (Motherwort Powder) to generate fluids. When fluids arrive, the fetus descends. If blocked and not delivered, death ensues.
Yimu San Prescription No. 72
Baizhi (Angelicae Dahuricae Radix), Danggui (Angelicae Sinensis Radix), Huashi (Kaolinite) each 1 qian, Yimucao (Leonuri Herba) 3 fen, Rougui (Cinnamomi Cortex) 8 fen, Shexiang (Moschus) 1 fen.
Decoct with water and take warm.
77. Secret Formula for Rapid Delivery
Use one snake slough from a high wall, preferably head-down. Dry on a tile, grind to powder (1 qian), add Shexiang (Moschus) 3 fen, mix with milk to form a paste, apply to the navel for rapid delivery. Remove immediately; do not leave on long.
78. Retained Placenta
Often caused by weak body, low blood, and dry fluids preventing placental expulsion. Use Chuangui Tang (Sichuan Angelica Decoction). If retained in the chest/diaphragm, it is difficult to treat. If in the lower abdomen, use Poling Dan (Break Spirit Elixir). If the woman has a green-yellow complexion, black tongue/lips, and blue nails, the child is dead. Use Chaolan San (Morning Rot Powder) to expel the dead fetus and save the mother urgently. If complexion is green-yellow but nails are red, the child has been dead for a long time; do not lightly use Poling Dan.
Chuangui Tang Prescription No. 73
Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 qian), Danggui (Angelicae Sinensis Radix, 1 qian), Yimucao (Leonuri Herba, 2 qian).
Extract juice, mix with aged wine, decoct and take for expulsion.
Poling Dan Prescription No. 74
Honghua (Carthami Flos), Sumu (Sappan Lignum) each 5 fen.
Decoct with pure wine and take.
Chaolan San formula is not recorded.
79. Blood and Qi Pain after Childbirth
Pain in the abdomen due to residual blood, whole-body heat, and evil blood in the abdomen. Expel the blood, and heat will subside. Use Honghua Danggui San (Safflower and Angelica Powder). See Symptom 6.
80. Pain after Blood Exhaustion Postpartum
Deficiency pain in the abdomen. If tidal fever is present, it is also deficiency-type tidal fever. Use Siwu Tang (Four Substances Decoction) added with Wuyao (Litseae Fructus). See Siwu Tang in Symptom 58.
81. Fever from Evil Blood after Childbirth
Caused by internal injury and external contraction. Formula not recorded.
82. Cough after Childbirth
Wind-cold invasion after childbirth turning into cough. Use Xiaoqinglong Dan (Minor Blue Dragon Pill).
Xiaoqinglong Dan Prescription No. 75
Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma) each 5 fen, Wuweizi (Schisandrae Chinensis Fructus) 3 fen, Xingren (Pruni Armeniaci Semen Amarum) 1.5 qian, Banxia (Pinelliae Rhizoma Preparatum) 1 qian, Jiang (Zingiberis Rhizoma Recens, 3 slices).
Decoct with water and take.
83. Uterine Prolapse after Childbirth
Burn carp to ash, mix with clear oil, and apply externally for recovery.
84. Mass Prolapse after Childbirth
First use Lianqiao San (Forsythia Powder), then Huanglagao (Beeswax Ointment) for immediate effect.
Lianqiao San Prescription No. 76
Huangqi (Astragali Radix, roasted), Huafen (Trichosanthis Radix), Lianqiao (Forsythiae Fructus), Fangfeng (Saposhnikoviae Radix), Zhizi (Gardeniae Fructus) each 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 3 fen.
Decoct with water and take.
See Huanglagao in Symptom 62.
85. Lochia Resembling Blood Water Continuing for One Month Postpartum
Unconsciousness and collapse. This results from intercourse one month after birth disturbing the bones, causing unstoppable metrorrhagia. Urgently use Jinju San (Golden Constraint Powder). See Symptom 7.
86. Shortness of Breath after Childbirth
Diarrhea, persistent shortness of breath, irritability, heat, and thirst. This is internal deficiency with external heat, a fatal condition.
87. Black Tongue like Dust after Childbirth
Dry mouth with absolutely no saliva. This is Kidney failure, a fatal condition.
88. Delirium and Watery Diarrhea after Childbirth
Evil blood attacking the Heart, excess above and deficiency below. This is a fatal condition.
89. Yin Pulling and Edema after Childbirth
See Symptom 1 in the Regulating Menstruation section.
90. Difficult Labor Formula Using Live Male Rat Kidneys
One pair of live male rat kidneys, add Shexiang (Moschus) 3 fen, pound into paste, divide into three pills, coat with good Zhusha (Cinnabar), take one pill with plain boiled water. Hold in left hand for male fetus, right hand for female fetus, resembling the top of a dead fetus head.
Note: This formula has proven miraculous repeatedly. After expulsion, rinse quickly with clean water; it can be used once more. Store carefully to prevent loss of qi.
91. Difficulty in Conceiving for Ordinary People
Take this formula before the expected conception time.
Bai Guishen (Angelicae Sinensis Radix, 2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1.5 qian), Fupenzi (Rubi Fructus, fried and ground, 1 qian), Shudi (Rehmanniae Radix Preparata, 3 qian), Baishao (Paeoniae Radix Alba, wine-fried, 2 qian), Chuanduan (Dipsaci Radix, de-rhizome, 2 qian), Sharenrou (Amomi Fructus flesh, 1.4 qian), Xiangfu (Cyperi Rhizoma powder, 2 qian), Duzhong (Eucommiae Cortex, fried, 2 qian), Guangpi (Citri Reticulatae Pericarpium, 1 qian), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian), Jiang (Zingiberis Rhizoma Recens, 1 slice), Heizao (Black Jujube, 2 pieces). Take hot on an empty stomach.
Near the time, remove Heizao and Shudi, add Honghua (Carthami Flos) 1.5 qian, Sumu (Sappan Lignum, crushed) 3 qian, and one cup of aged wine. Take two doses. Strict dietary restrictions are essential.
For Difficult Labor and Dead Fetus in Utero, use Longhu San (Dragon and Tiger Powder) No. 92.
Baiguijia (Testudinis Carapax et Plastrum, prepared with butter), Shetui (Ophiopogonis Slough, two strips, complete head and tail), Chantui (Cicadae Periostracum, 48 pieces, complete head and tail, dried on new tile), Funren Luankou (Woman's loose hair, one ball, washed with Zaorjiao water, de-oiled, calcined until charred), Huashi (Kaolinite, 2 qian, purified).
Grind into fine powder, store in porcelain jar, seal with beeswax. Take 2 qian with aged wine. For non-drinkers, decoct Yimucao (Leonuri Herba) in water instead; this is better and ensures immediate delivery.