孕妇元气不足，倦怠腹鸣胎动，或微热减食烦渴，宜服加味安胎饮。
人参（八分） 制白术（一钱，炒） 白当归（一钱五分炒） 砂仁（三分，炒研） 苏叶（四
分） 陈皮（四分，炒） 熟地（三钱，炒松） 淡子黄芩（八分） 炙草（二分） 麦冬（一钱）
孕妇或胃脘痛，肝胀小腹坠痛腰痛，皆名胎痛，治宜加味参橘饮。
人参（五分） 制白术（一钱） 当归（一钱五分） 制半夏（六分） 新会橘红（六分，盐水
炒
）藿梗（五分） 炙甘草（三分） 砂仁（三分） 白芍（一钱炒） 苏梗（六分） 生姜（二分）
孕妇多怒，胸腹满闷，宜服加减和气安胎饮。
人参（四分） 白术（七分，炒） 当归（钱半） 川芎（五分，盐水炒） 炙甘草（三分） 苏
叶（四分） 陈皮（五分） 青皮（四分，炒炭） 石决明（一钱五分， ）
孕妇面目虚浮，四肢有水气，多因脾胃气虚，或久泻所致，宜健脾利水，服全生白术散
。
人参（四分） 茯苓（二钱） 生白术（一钱五分） 淮山药（二钱，炒） 扁豆（二钱） 泽泻
（五分，炒） 大腹皮（七分） 陈皮（七分，炒） 苏叶（四分） 炙甘草（三分）
胎气上攻，心腹胀满，名曰子悬，宜服顺气安胎饮。
人参（五分） 白术（八分） 当归（一钱五分） 白芍（一钱二分炒） 条芩（八分炒） 苏叶
（四分） 陈皮（六分炒） 砂仁（三分研） 茯苓（一钱五分） 制香附（八分）
受胎后尚有经来数点，乃气血盛也，若不腰酸腹痛，不必服药。如下血不止，或按月下
血，名曰胎漏。多因劳伤气血，或喜饮炙 热物，或因房事，宜服补中安胎饮。
人参（一钱） 淡黄芩（一钱） 阿胶（一钱，蛤粉炒珠） 白术（一钱） 归身（一钱五分，
炒） 生地（二钱） 川断（一钱） 苏叶（四分） 白芍（一钱，炒） 炙甘草（三分）
孕妇跌仆伤胎，下血不止，宜服胶艾安胎饮。
阿胶（一钱，蛤粉炒） 艾叶（五分，醋炙） 人参（一钱） 白术（一钱） 川芎（六分） 熟
地（三钱，炒） 黄芩（一钱，酒炒） 当归（一钱五分） 陈皮（五分，炒） 苏叶（四分）
孕妇心惊胆怯，烦闷不安，名曰子烦，宜服竹叶安胎饮。
竹叶（十片） 人参（八分） 麦冬（一钱五分） 当归（一钱五分） 生地（二钱） 枣仁（一
钱五
分，炒） 黄芩（八分，炒） 远志肉（四分，甘草水炒焦） 川芎（四分） 炙甘草（二分） 陈
皮（四分，炒）
孕妇脾虚气弱，饮食停滞，呕吐腹胀泄泻，宜服加味人参平胃散。
人参（一钱） 茅苍术（七分，泔水浸炒炭） 浓朴（七分姜汁炒炭） 陈皮（四分） 炙甘草
（三分） 白术（八分炒） 山楂炭（七分）
孕妇成胎之后，两足浮肿，渐至腿膝行步艰难，气促喘闷，面浮不思饮食，甚至足指出
黄水。盖脾主四肢，脾气虚弱，不能制水，肺肾少气血滋养，名曰子气，宜服天仙藤散。
天仙藤（七分，微炒） 香附（六分，制） 陈皮（五分，炒） 苏叶（四分） 甘草（三分）
乌药（六分） 木瓜（八分，炒） 姜皮（三分） 人参（五分） 白术（一钱） 当归（一钱五分）
如元虚脾胃弱，间服补中益气汤。
孕妇口噤项强，手足挛缩，言语蹇涩，痰涎壅盛，人事不省，名曰子痫，不可作中风治
，宜羚羊角散。
羚羊角（一钱） 枣仁（一钱，炒） 薏苡仁（一钱） 当归（一钱五分） 独活（八分） 茯神
（一
钱五分） 生甘草（四分） 五加皮（五分，酒炒） 川芎（六分） 防风（五分） 木香（二分）
苦杏仁（十粒，去皮尖） 姜汁（一滴） 竹沥（一匙）
如体虚胃弱，加人参、白术。
孕妇小便涩少，或成淋沥，名曰子淋，宜服加味安荣汤。
人参（一钱） 当归（一钱五分） 白术（一钱） 麦冬（一钱五分） 茯苓（一钱五分） 通草
（五分） 生甘草（五分） 灯草（五分）
原方有北细辛不可用。
孕妇小便带血，宜清膀胱之火，治以加味逍遥散。
当归（一钱五分） 白芍（一钱，炒） 柴胡（四分） 白术（八分） 茯苓（一钱五分） 丹皮
（一钱） 黑山栀（七分） 生甘草（三分）
或加生地二钱，麦冬钱半，亦妥。
孕妇小便癃闭，少腹胀满欲死，徒利水无益也，当用加味葵子茯苓饮。
冬葵子（四钱） 茯苓（六钱） 归身（一钱五分） 橘皮（四分） 人参（一钱五分） 麦冬（
二钱） 大腹皮（七分）
孕妇脐腹胀痛，或小便淋闭，此脾胃气虚，胎压膀胱，宜服升提安胎饮。
人参（八分） 白术（一钱二分） 熟地（二钱） 当归（一钱五分） 川芎（六分） 制半夏（
四分） 炙甘草（三分） 陈皮（四分，去白） 柴胡（四分） 升麻（四分，蜜炙）
如小便自利者，升、柴宜轻，人参宜重，如无血热，宜加生黄地。
孕妇遍身浮肿，胸满腹胀，便闭，名曰胎水不利，宜服鲤鱼汤，合四君子汤。
白术（一钱） 茯苓（四钱） 当归（二钱） 白芍（一钱五分，炒）
用活鲤鱼一尾，约重二斤，去鳞肠加橘皮钱许，生姜三片，河水煮取鱼汤，加药煎服，
虚者加人参一钱，炙甘草四分。
孕妇感冒风寒咳嗽，宜服宁肺散。
麦冬（一钱） 知母（一钱） 桔梗（五分） 苏叶（五分） 生甘草（五分） 杏仁（一钱，去
皮尖） 橘红（四分） 桑皮（八分）
如寒嗽加姜汁一匙，竹沥一匙。热嗽加黄芩一钱。虚嗽加紫菀一钱，川贝一钱。
若嗽不止，胎动不安，加人参一钱，天冬一钱，百合一钱五分，归身一钱炒焦，白芍八
分炒焦。
孕妇咳嗽吐血，宜服凉血安胎饮。
生地（三钱） 天冬（一钱） 紫菀（一钱） 知母（八分）
白术（八分，蜜水炒） 麦冬（一钱） 归身（一钱） 陈皮（四分，炒） 甘草（四分） 黄芩
（四分）
孕妇霍乱吐泻，心烦腹痛，先服六和汤，继服安胎饮。
人参（一钱） 木瓜（八分，炒） 扁豆（三钱） 茯苓（一钱五分） 制半夏（五分） 砂仁（
三分
，研） 陈皮（六分，炒） 藿香（五分） 甘草（三分） 杏仁（钱半，去皮尖） 竹茹（六分）
生姜（一片） 大枣（二枚）
煎服。
安胎饮
蜜炙黄 （八分） 杜仲（二钱） 茯苓（一钱五分） 黄芩（一钱） 生白术（八分） 阿胶（
一钱） 川断（一钱五分） 炙甘草（三分） 苏叶（四分） 陈皮（六分）
加糯米百粒。
孕妇疟疾往来寒热，宜服六和安胎饮。
人参（五分） 白术（八分） 归身（一钱五分） 川芎（四分） 条芩（八分，炒） 制半夏（
五分） 藿香（六分） 苏叶（四分） 茯苓（一钱五分） 砂仁（二分）
重者，加柴胡三四分。
孕妇壅热，心神烦躁，口渴舌干，或舌苔黄黑，宜加减参麦散。
人参（五分） 广皮（四分） 归身（一钱，盐水炒） 知母（一钱） 条芩（八分，炒） 麦冬
（一钱五分） 石斛（二钱）
孕妇热病斑疹紫赤，小便短赤，气急欲绝，腹痛胎欲落之象，症虽危险，宜服栀葱豉汤
以救之。
黑山栀（一钱） 黄芩（一钱） 升麻（四分） 青黛（五分） 鲜生地（二钱） 淡豆豉（四
十九粒） 杏仁（十粒，去皮尖） 石膏（一钱五分） 葱白（七寸）
孕妇呕吐不食，胸中烦躁，宜生津葛根汤。
人参（五分） 麦冬（一钱） 栀子（八分，炒黑） 知母（八分） 葛根（七分，煨） 竹茹（
六分） 芦根（二钱） 葱白（二寸）
孕妇吐血衄血，忽然口噤项强背直，皆失血所致，非类中风也。宜加减安胎饮。
人参（一钱） 当归（一钱五分，炒） 白术（一钱） 大生地（二钱） 条芩（八分） 纯钩藤
钩（二钱） 荆芥（四分，炒黑） 陈皮（四分，炒） 甘草（三分） 麦冬（一钱，去心）
孕妇每三月殒胎，是肝虚血不能养胎也。宜人参阿胶汤，预先服之。
人参（一钱） 阿胶（一钱五分，蛤粉炒珠） 当归（一钱五分，水炒） 川芎（四分） 白芍
（一钱二分，炒） 桑寄生（一钱二分）
孕妇伤胎，胎死腹中，口噤昏沉，腹中胀痛，血上冲心，急宜服佛手散。
当归（六钱） 川芎（三钱）
水七分，酒三分，煎服数剂。
临产交骨不开，及横生倒产，宜急服加味芎归汤。
当归（一两） 川芎（四钱） 败龟板（一具，陈酒炙捶碎） 妇人头发（如鸡子大一团，洗
净瓦上炙灰存性）
如久而虚欲脱者，加人参、熟地、牛膝，酌量用之，开支河之法也。
二宝汤方
全白当归（一钱五分） 川芎（八分） 羌活（三分） 浓朴（五分，姜汁炒） 荆芥穗（七分）
菟
丝饼（一钱五分） 陈枳壳（五分，去穣麸炒） 生黄 （八分） 川贝（一钱，去心） 白芍（一
钱，酒炒） 甘草（四分） 蕲艾（五分，醋炒炭） 姜（一片）
一方，羌活、浓朴，换苏叶、藿香。
此方专治一切胎症未产，能安胎，临产能催生，怀孕五月后，腰痛腹痛，服之即愈。分
娩时
交骨不开，横生逆产，或子死腹中，服之能下。怀妊五月后，每月服二三剂，临盆容易，子
母俱全，故名二宝汤。异人传下，不可轻忽视之。
When a pregnant woman's primordial qi is insufficient, presenting with fatigue, abdominal borborygmus, and fetal restlessness, or accompanied by slight fever, reduced appetite, irritability, and thirst, Jiawei Antai Yin (Modified Fetus-Calming Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 8 fen), Zhi Baizhu (Processed Atractylodis Macrocephalae Rhizoma, 1 qian, stir-fried), Bai Danggui (Angelicae Sinensis Radix, 1.5 qian, stir-fried), Sharen (Amomi Fructus, 3 fen, stir-fried and crushed), Su Ye (Perillae Folium, 4 fen), Chenpi (Citri Reticulatae Pericarpium, 4 fen, stir-fried), Shu Di (Rehmanniae Radix Praeparata, 3 qian, stir-fried until loose), Dan Zi Huangqin (Scutellariae Radix, 8 fen), Zhi Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 2 fen), Mai Dong (Ophiopogonis Radix, 1 qian).
If a pregnant woman experiences epigastric pain, liver distension, lower abdominal dragging pain, and lumbar pain, these symptoms are collectively named "Taotong" (Fetal Pain). The treatment should employ Jiawei Shanju Yin (Modified Ginseng and Tangerine Peel Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Zhi Baizhu (Processed Atractylodis Macrocephalae Rhizoma, 1 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian), Zhi Banxia (Pinelliae Rhizoma Praeparatum, 6 fen), Xinhui Juhong (Exocarpium Citri Grandis, 6 fen, stir-fried with salt water), Huo Geng (Agastachis Caulis, 5 fen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 fen), Sharen (Amomi Fructus, 3 fen), Baishao (Paeoniae Radix Alba, 1 qian, stir-fried), Sugeng (Perillae Caulis, 6 fen), Shengjiang (Zingiberis Rhizoma Recens, 2 fen).
For pregnant women prone to anger, resulting in chest and abdominal fullness and oppression, Jiawei Heqi Antai Yin (Modified Harmony-Fostering Fetus-Calming Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 4 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 7 fen, stir-fried), Danggui (Angelicae Sinensis Radix, 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 fen, stir-fried with salt water), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 fen), Su Ye (Perillae Folium, 4 fen), Chenpi (Citri Reticulatae Pericarpium, 5 fen), Qingpi (Citri Reticulatae Pericarpium Viride, 4 fen, stir-fried to charcoal), Shijueming (Concha Haliotidis, 1.5 qian, calcined).
Facial puffiness and edema of the four limbs in pregnant women are often due to spleen and stomach qi deficiency or chronic diarrhea. The treatment should strengthen the spleen and promote diuresis using Quansheng Baizhu San (Quansheng Atractylodes Powder).
Ren Shen (Ginseng Radix et Rhizoma, 4 fen), Fuling (Poria, 2 qian), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 1.5 qian), Huai Shanyao (Dioscoreae Hypoglaucae Rhizoma, 2 qian, stir-fried), Bian Dou (Lablab Semen Album, 2 qian), Zexie (Alismatis Rhizoma, 5 fen, stir-fried), Dafupi (Arecae Pericarpium, 7 fen), Chenpi (Citri Reticulatae Pericarpium, 7 fen, stir-fried), Su Ye (Perillae Folium, 4 fen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 fen).
When fetal qi attacks upward, causing heart and abdominal fullness, it is named "Zixuan" (Fetal Suspension). Shunqi Antai Yin (Regulating Qi Fetus-Calming Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Danggui (Angelicae Sinensis Radix, 1.5 qian), Baishao (Paeoniae Radix Alba, 1.2 qian, stir-fried), Tiao Qin (Scutellariae Radix, 8 fen, stir-fried), Su Ye (Perillae Folium, 4 fen), Chenpi (Citri Reticulatae Pericarpium, 6 fen, stir-fried), Sharen (Amomi Fructus, 3 fen, crushed), Fuling (Poria, 1.5 qian), Zhi Xiangfu (Cyperi Rhizoma Praeparatum, 8 fen).
After conception, if slight vaginal bleeding occurs, it indicates abundant qi and blood. If there is no lower back soreness or abdominal pain, medication is unnecessary. However, if bleeding continues or occurs monthly, it is named "Tailou" (Fetal Leakage). This is often caused by labor damaging qi and blood, preference for roasted/hot foods, or sexual indiscretion. Buzhong Antai Yin (Tonifying Middle Fetus-Calming Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Dan Huangqin (Scutellariae Radix, 1 qian), Ejiao (Colla Corii Asini, 1 qian, stir-fried with clam powder into beads), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Guishen (Angelicae Sinensis Radix, 1.5 qian, stir-fried), Shengdi (Rehmanniae Radix, 2 qian), Chuanduan (Dipsaci Radix, 1 qian), Su Ye (Perillae Folium, 4 fen), Baishao (Paeoniae Radix Alba, 1 qian, stir-fried), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 fen).
If a pregnant woman falls and injures the fetus, resulting in continuous bleeding, Jiao'ai Antai Yin (Ejiao and Mugwort Fetus-Calming Decoction) is indicated.
Ejiao (Colla Corii Asini, 1 qian, stir-fried with clam powder), Aiye (Artemisiae Argyi Folium, 5 fen, vinegar-processed), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 6 fen), Shu Di (Rehmanniae Radix Praeparata, 3 qian, stir-fried), Huangqin (Scutellariae Radix, 1 qian, wine-processed), Danggui (Angelicae Sinensis Radix, 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 5 fen, stir-fried), Su Ye (Perillae Folium, 4 fen).
If a pregnant woman feels frightened and timid, with irritability and unease, it is named "Zifan" (Fetal Irritability). Zhuye Antai Yin (Bamboo Leaf Fetus-Calming Decoction) is indicated.
Zhuye (Phyllostachys Folium, 10 leaves), Ren Shen (Ginseng Radix et Rhizoma, 8 fen), Mai Dong (Ophiopogonis Radix, 1.5 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian), Shengdi (Rehmanniae Radix, 2 qian), Zaoren (Ziziphi Spinosae Semen, 1.5 qian, stir-fried), Huangqin (Scutellariae Radix, 8 fen, stir-fried), Yuanzhi Rou (Polygalae Radix Cortex, 4 fen, stir-fried scorched with licorice water), Chuanxiong (Ligustici Chuanxiong Rhizoma, 4 fen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 2 fen), Chenpi (Citri Reticulatae Pericarpium, 4 fen, stir-fried).
For pregnant women with spleen deficiency and weak qi, food stagnation, vomiting, abdominal distension, and diarrhea, Jiawei Renshen Pingwei San (Modified Ginseng Pingwei Powder) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Mao Cangzhu (Atractylodis Lanceae Rhizoma, 7 fen, soaked in rice water and stir-fried to charcoal), Nongpo (Magnoliae Officinalis Cortex, 7 fen, stir-fried to charcoal with ginger juice), Chenpi (Citri Reticulatae Pericarpium, 4 fen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 8 fen, stir-fried), Shanzha Tan (Crataegi Fructus Carbonized, 7 fen).
After conception, if both feet swell, progressing to difficulty walking in legs and knees, shortness of breath, chest tightness, facial edema, loss of appetite, and even yellow fluid oozing from toes, it is named "Ziqi" (Fetal Qi). This is because the spleen governs the four limbs; spleen qi deficiency fails to control water, and lung and kidney lack qi and blood nourishment. Tianxianteng San (Tianxianteng Powder) is indicated.
Tianxianteng (Aristolochiae Manshuriensis Caulis, 7 fen, slightly stir-fried), Xiangfu (Cyperi Rhizoma, 6 fen, processed), Chenpi (Citri Reticulatae Pericarpium, 5 fen, stir-fried), Su Ye (Perillae Folium, 4 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen), Wuyao (Linderae Radix, 6 fen), Mugua (Chaenomelis Fructus, 8 fen, stir-fried), Jiangpi (Zingiberis Peridermis, 3 fen), Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian).
For those with primordial deficiency and weak spleen/stomach, Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) may be taken intermittently.
If a pregnant woman presents with trismus (lockjaw), neck stiffness, limb spasms, dysarthria, copious phlegm-saliva, and unconsciousness, it is named "Zixian" (Fetal Eclampsia). It should not be treated as wind-stroke. Lingyangjiao San (Antelope Horn Powder) is indicated.
Lingyangjiao (Saigae Tataricae Cornu, 1 qian), Zaoren (Ziziphi Spinosae Semen, 1 qian, stir-fried), Yiyiren (Coicis Semen, 1 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian), Duohuo (Angelicae Pubescentis Radix, 8 fen), Fushen (Poria with Hostwood, 1.5 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 4 fen), Wujia Pi (Acanthopanacis Cortex, 5 fen, wine-processed), Chuanxiong (Ligustici Chuanxiong Rhizoma, 6 fen), Fangfeng (Saposhnikoviae Radix, 5 fen), Muxiang (Aucklandiae Radix, 2 fen), Ku Xingren (Pruni Armeniacae Semen Amarum, 10 grains, peeled and core removed), Jiangzhi (Zingiberis Rhizoma Recens Juice, 1 drop), Zhuli (Bambusae Caulis in Taedia Succus, 1 spoon).
For those with weak constitution and stomach, add Ren Shen and Baizhu.
If a pregnant woman has scanty, difficult urination or strangury, it is named "Zilin" (Fetal Strangury). Jiawei Anrong Tang (Modified Nourishing Peace Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Mai Dong (Ophiopogonis Radix, 1.5 qian), Fuling (Poria, 1.5 qian), Tongcao (Tetrapanacis Medulla, 5 fen), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 5 fen), Dengcao (Junci Medulla, 5 fen).
Note: Beixixin (Asari Radix et Rhizoma) in the original formula should not be used.
For pregnant women with hematuria, clear bladder fire using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder).
Danggui (Angelicae Sinensis Radix, 1.5 qian), Baishao (Paeoniae Radix Alba, 1 qian, stir-fried), Chaihu (Bupleuri Radix, 4 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Fuling (Poria, 1.5 qian), Danpi (Moutan Cortex, 1 qian), Hei Shanzhi (Gardeniae Fructus Charred, 7 fen), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 3 fen).
Alternatively, add Shengdi (2 qian) and Maidong (1.5 qian).
For pregnant women with urinary retention and severe lower abdominal distension/pain, simple diuresis is ineffective. Use Jiawei Kuizi Fuling Yin (Modified Winter Melon Seed and Poria Decoction).
Dongkuizi (Abelmoschi Semen, 4 qian), Fuling (Poria, 6 qian), Guishen (Angelicae Sinensis Radix, 1.5 qian), Jupi (Citri Reticulatae Pericarpium, 4 fen), Ren Shen (Ginseng Radix et Rhizoma, 1.5 qian), Maidong (Ophiopogonis Radix, 2 qian), Dafupi (Arecae Pericarpium, 7 fen).
For pregnant women with umbilical/abdominal distension and pain, or urinary strangury/retention, this is due to spleen/stomach qi deficiency and fetal pressure on the bladder. Shengti Antai Yin (Lifting Fetus-Calming Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 8 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.2 qian), Shu Di (Rehmanniae Radix Praeparata, 2 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 6 fen), Zhi Banxia (Pinelliae Rhizoma Praeparatum, 4 fen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 fen), Chenpi (Citri Reticulatae Pericarpium, 4 fen, white pith removed), Chaihu (Bupleuri Radix, 4 fen), Shengma (Cimicifugae Rhizoma, 4 fen, honey-processed).
If urination is normal, reduce Shengma and Chaihu dosage, increase Ren Shen dosage. If no blood heat, add raw Shengdi.
For generalized edema, chest fullness, abdominal distension, and constipation in pregnant women, named "Taishui Buli" (Fetal Water Obstruction), use Likou Tang (Carp Decoction) combined with Sijunzi Tang (Four Gentlemen Decoction).
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Fuling (Poria, 4 qian), Danggui (Angelicae Sinensis Radix, 2 qian), Baishao (Paeoniae Radix Alba, 1.5 qian, stir-fried).
Take one live carp (approx. 2 jin), scale and gut, add a bit of Chenpi and 3 slices of Shengjiang. Boil in river water to extract fish soup, then decoct with herbs. For deficiency, add Ren Shen (1 qian) and Zhi Gancao (4 fen).
For pregnant women with cold wind cough, Ningfei San (Lung-Calming Powder) is indicated.
Mai Dong (Ophiopogonis Radix, 1 qian), Zhimu (Anemarrhenae Rhizoma, 1 qian), Jiegeng (Platycodonis Radix, 5 fen), Su Ye (Perillae Folium, 5 fen), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 5 fen), Xingren (Pruni Armeniacae Semen Amarum, 1 qian, peeled and core removed), Juhong (Citri Reticulatae Pericarpium, 4 fen), Sangpi (Mori Cortex, 8 fen).
For cold cough, add Jiangzhi (1 spoon) and Zhuli (1 spoon). For hot cough, add Huangqin (1 qian). For deficiency cough, add Ziwan (1 qian) and Chuanbei (1 qian).
If cough persists with fetal restlessness, add Ren Shen (1 qian), Tiandong (1 qian), Baihe (1.5 qian), Guishen (1 qian, stir-fried scorched), Baishao (8 fen, stir-fried scorched).
For pregnant women with cough and hemoptysis, Liangxue Antai Yin (Cooling Blood Fetus-Calming Decoction) is indicated.
Shengdi (Rehmanniae Radix, 3 qian), Tiandong (Asparagi Radix, 1 qian), Ziwan (Asternis Radix, 1 qian), Zhimu (Anemarrhenae Rhizoma, 8 fen).
Baizhu (Atractylodis Macrocephalae Rhizoma, 8 fen, honey-water stir-fried), Maidong (Ophiopogonis Radix, 1 qian), Guishen (Angelicae Sinensis Radix, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 4 fen, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen), Huangqin (Scutellariae Radix, 4 fen).
For pregnant women with cholera-like vomiting and diarrhea, irritability, and abdominal pain, first take Liuhe Tang (Six Harmonies Decoction), followed by Antai Yin.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Mugua (Chaenomelis Fructus, 8 fen, stir-fried), Bian Dou (Lablab Semen Album, 3 qian), Fuling (Poria, 1.5 qian), Zhi Banxia (Pinelliae Rhizoma Praeparatum, 5 fen), Sharen (Amomi Fructus, 3 fen, crushed), Chenpi (Citri Reticulatae Pericarpium, 6 fen, stir-fried), Huoxiang (Pogostemonis Herba, 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen), Xingren (Pruni Armeniacae Semen Amarum, 1.5 qian, peeled and core removed), Zhuru (Bambusae Caulis in Taedia, 6 fen), Shengjiang (Zingiberis Rhizoma Recens, 1 slice), Dazao (Ziziphi Jujubae Fructus, 2 pieces).
Decoct and take.
Antai Yin (Fetus-Calming Decoction):
Mi Zhi Huangqi (Honey-processed Astragali Radix, 8 fen), Duzhong (Eucommiae Cortex, 2 qian), Fuling (Poria, 1.5 qian), Huangqin (Scutellariae Radix, 1 qian), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 8 fen), Ejiao (Colla Corii Asini, 1 qian), Chuanduan (Dipsaci Radix, 1.5 qian), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 3 fen), Su Ye (Perillae Folium, 4 fen), Chenpi (Citri Reticulatae Pericarpium, 6 fen).
Add 100 grains of Nuomi (Oryza Sativa Glutinosa Semen).
For pregnant women with malaria alternating chills and fever, Liuhe Antai Yin (Six Harmonies Fetus-Calming Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Guishen (Angelicae Sinensis Radix, 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 4 fen), Tiao Qin (Scutellariae Radix, 8 fen, stir-fried), Zhi Banxia (Pinelliae Rhizoma Praeparatum, 5 fen), Huoxiang (Pogostemonis Herba, 6 fen), Su Ye (Perillae Folium, 4 fen), Fuling (Poria, 1.5 qian), Sharen (Amomi Fructus, 2 fen).
For severe cases, add Chaihu (3-4 fen).
For pregnant women with internal heat accumulation, mental irritability, thirst, dry tongue, or yellow/black tongue coating, Jiawei Shenmai San (Modified Ginseng-Ophiopogon Powder) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Guangpi (Citri Reticulatae Pericarpium, 4 fen), Guishen (Angelicae Sinensis Radix, 1 qian, salt-water stir-fried), Zhimu (Anemarrhenae Rhizoma, 1 qian), Tiao Qin (Scutellariae Radix, 8 fen, stir-fried), Maidong (Ophiopogonis Radix, 1.5 qian), Shihu (Dendrobii Caulis, 2 qian).
For pregnant women with heat disease presenting purple-red macules/rashes, scanty dark urine, extreme shortness of breath, abdominal pain indicating threatened miscarriage, despite the dangerous condition, Zhicongchi Tang (Gardenia-Scallion-Soybean Fermented Decoction) is indicated to rescue.
Hei Shanzhi (Gardeniae Fructus Charred, 1 qian), Huangqin (Scutellariae Radix, 1 qian), Shengma (Cimicifugae Rhizoma, 4 fen), Qingdai (Indigo Naturalis, 5 fen), Xian Shengdi (Fresh Rehmanniae Radix, 2 qian), Dan Douchi (Sojae Semnis Preparatum, 49 grains), Xingren (Pruni Armeniacae Semen Amarum, 10 grains, peeled and core removed), Shigao (Gypsum Fibrosum, 1.5 qian), Congbai (Allii Fistulosi Bulbus, 7 cun).
For pregnant women with vomiting, anorexia, and chest irritability, Shengjin Gegen Tang (Generate Fluids Kudzu Root Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Maidong (Ophiopogonis Radix, 1 qian), Zhizi (Gardeniae Fructus, 8 fen, charred black), Zhimu (Anemarrhenae Rhizoma, 8 fen), Gegen (Puerariae Lobatae Radix, 7 fen, baked), Zhuru (Bambusae Caulis in Taedia, 6 fen), Lugeng (Phragmitis Rhizoma, 2 qian), Congbai (Allii Fistulosi Bulbus, 2 cun).
For pregnant women with hematemesis and epistaxis, sudden trismus, neck stiffness, and back rigidity, all caused by blood loss rather than wind-stroke, Jiawei Antai Yin (Modified Fetus-Calming Decoction) is indicated.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Da Shengdi (Large Raw Rehmanniae Radix, 2 qian), Tiao Qin (Scutellariae Radix, 8 fen), Chun Goutenggou (Uncariae Ramulus Cum Uncis, 2 qian), Jingjie (Schizonepetae Spica, 4 fen, charred black), Chenpi (Citri Reticulatae Pericarpium, 4 fen, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen), Maidong (Ophiopogonis Radix, 1 qian, heart removed).
If a pregnant woman miscarries every three months, it is due to liver deficiency and blood failing to nourish the fetus. Ren Shen Ejiao Tang (Ginseng-Ejiao Decoction) should be taken prophylactically.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Ejiao (Colla Corii Asini, 1.5 qian, stir-fried with clam powder into beads), Danggui (Angelicae Sinensis Radix, 1.5 qian, water-processed), Chuanxiong (Ligustici Chuanxiong Rhizoma, 4 fen), Baishao (Paeoniae Radix Alba, 1.2 qian, stir-fried), Sangjisheng (Taxilli Herba, 1.2 qian).
If trauma causes fetal death in utero, presenting with trismus, coma, abdominal distension/pain, and blood rushing to the heart, Fo Shou San (Buddha's Hand Powder) should be taken urgently.
Danggui (Angelicae Sinensis Radix, 6 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 3 qian).
Decoct with 7 parts water and 3 parts wine. Take several doses.
For difficult labor due to non-opening of the crossing bones (pubic symphysis), or breech/transverse presentation, Jiawei Xiong Gui Tang (Modified Ligusticum-Angelica Decoction) should be taken urgently.
Danggui (Angelicae Sinensis Radix, 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 4 qian), Baiguiban (Testudinis Carapax et Plastrum, one piece, aged wine-processed and crushed), Funv Toufa (Human Hair, egg-sized ball, washed and burned to ash on tile preserving nature).
For prolonged weakness and impending collapse, add Ren Shen, Shu Di, and Niuxi, dosed appropriately. This is the method of opening side channels.
Er Bao Tang Formula (Two Treasures Decoction):
Quan Bai Danggui (Whole White Angelicae Sinensis Radix, 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 8 fen), Qianghuo (Notopterygii Rhizoma et Radix, 3 fen), Nongpo (Magnoliae Officinalis Cortex, 5 fen, ginger juice stir-fried), Jingjie Sui (Schizonepetae Spica, 7 fen), Tusibing (Cuscutae Semen Tortum, 1.5 qian), Chen Zhike (Aurantii Fructus Perrepatatus, 5 fen, bran-stir-fried with pulp removed), Sheng Huangqi (Raw Astragali Radix, 8 fen), Chuanbei (Fritillariae Thunbergii Bulbus, 1 qian, heart removed), Baishao (Paeoniae Radix Alba, 1 qian, wine-processed), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen), Qi Ai (Artemisiae Argyi Folium, 5 fen, vinegar-charred), Jiang (Zingiberis Rhizoma Recens, 1 slice).
Alternative prescription: Replace Qianghuo and Nongpo with Su Ye and Huoxiang.
This formula specifically treats all prenatal conditions before delivery, capable of calming the fetus and inducing labor. For lower back/abdominal pain after five months of pregnancy, it provides immediate relief. For difficult labor, transverse/breech presentation, or fetal death in utero, it promotes expulsion. Taken monthly after five months of pregnancy, it facilitates easy delivery ensuring mother and child safety, hence named Er Bao Tang. Passed down by extraordinary persons, do not neglect it lightly.