一治妊娠伤寒护胎法。
井底泥 青黛 伏龙肝
上为末。调匀。涂于孕妇脐下二寸许。如干再涂上。以保胎孕。
一治妊娠伤寒伤风。勿轻服药。发热头疼。恶风身痛。
紫苏 陈皮 香附 川芎 白芷 甘草
上锉一剂。加生姜、葱煎服。
加味四物汤 专治妊娠伤寒诸症。
当归身 川芎 白芍 熟地黄（各等分）
上锉。每服五六钱。水煎。温服。如妊娠伤寒头痛。身热无汗。脉浮紧。加麻黄、细辛
如
妊娠伤寒中风。表虚自汗。头痛项强。身热恶寒。脉浮而弱。加黄 、地骨皮。如妊娠中风
湿之气。肢节烦疼。脉浮而热。头痛。加防风、苍术。如妊娠伤寒胸膈满痛。脉弦。加柴胡
、黄芩。如妊娠伤寒大便硬。小便赤。气满而脉沉数。加生大黄、桃仁去皮尖麸炒。如妊娠
伤寒小便不利。加茯苓、泽泻。如妊娠伤寒小便赤如血状者。加琥珀、茯苓。如妊娠伤寒四
肢拘急。身凉微汗。腹中痛。脉沉而迟。加附子去脐。桂少用。如妊娠伤寒蓄血症。加生地黄
、
大黄酒浸。如妊娠伤寒身热大渴蒸蒸发热。脉长而大者。加石膏、知母。如妊娠伤寒。下后
过解而不愈。温毒发斑如锦纹。加升麻、连翘。如妊娠伤寒。下后咳嗽不止者。加五味子、
人参。如妊娠伤寒。下后虚痞腹满。加浓朴姜、制、枳实麸炒。如妊娠伤寒不得眠者。加栀
子、黄芩。如妊娠伤寒。汗后血漏不止者。胎气渴者。加阿胶、炙甘草、黄 。如妊娠伤寒
脉浮头肿自利。腹中痛。去地黄。如妊娠伤寒。自利腹中痛。饮食不下。脉沉者。去地黄
、川芎。加白术、炙甘草、茯苓、黄芩。如妊娠伤寒。头痛项强。身热口干。胸胁疼。用生
地黄。加柴胡、前胡、人参、甘草。
1. Method for protecting the fetus in pregnant women with Shanghan (Cold Damage).
Take mud from the bottom of a well, Qingdai (Indigo Naturalis), and Fulonggan (Zao Xin Tu, Hearth Earth).
Grind the above ingredients into powder, mix evenly, and apply to the area approximately two cun below the umbilicus of the pregnant woman. Reapply if it dries out, to protect the pregnancy.
2. Treatment for Shanghan or Wind-Cold in pregnant women. Do not lightly administer medication. Symptoms include fever, headache, aversion to wind, and body pain.
Take Zisu (Perilla Leaf), Chenpi (Aged Tangerine Peel), Xiangfu (Cyperus Rhizome), Chuanxiong (Ligusticum Rhizome), Baizhi (Angelica Dahurica), and Gancao (Licorice Root).
Chop the above ingredients as one dose, add Shengjiang (Fresh Ginger) and Congbai (Scallion White), decoct, and take orally.
Jiawei Siwu Tang (Modified Four Substances Decoction): Specifically treats various syndromes of Shanghan during pregnancy.
Composition: Danggui Shen (Dong Quai Root Tip), Chuanxiong (Ligusticum Rhizome), Baishao (White Peony Root), Shudihuang (Prepared Rehmannia Root) (equal parts).
Chop the above ingredients. Take 5-6 qian per dose, decoct in water, and take warm.
If there is headache, fever without sweat, and a floating-tight pulse in pregnancy with Shanghan, add Mahuang (Ephedrae Herba) and Xixin (Asari Radix et Rhizoma).
If there is Wind-stroke in pregnancy with Shanghan, presenting with spontaneous sweating due to exterior deficiency, headache and stiffness of the neck, fever with aversion to cold, and a floating-weak pulse, add Huangqi (Astragali Radix) and Digupi (Lycii Cortex).
If damp-wind pathogens affect the pregnancy, causing painful joints, floating-heat pulse, and headache, add Fangfeng (Saposhnikoviae Radix) and Cangzhu (Atractylodis Rhizoma).
If there is fullness and pain in the chest and diaphragm with a wiry pulse in pregnancy with Shanghan, add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix).
If there is hard stool, red urine, abdominal distension, and a deep-rapid pulse in pregnancy with Shanghan, add Sheng Dahuang (Rhei Radix et Rhizoma) and Taoren (Pruni Semen) (peeled, pitted, and bran-fried).
If there is difficult urination in pregnancy with Shanghan, add Fuling (Poria) and Zexie (Alismatis Rhizoma).
If urine is red like blood in pregnancy with Shanghan, add Hupo (Fossilized Wood) and Fuling (Poria).
If there is limb rigidity, cool body with slight sweat, abdominal pain, and a deep-slow pulse in pregnancy with Shanghan, add Fuzi (Aconiti Lateralis Radix Praeparata) (umbilicus removed) and Guizhi (Cinnamomi Ramulus) (use sparingly).
If there is blood stasis syndrome in pregnancy with Shanghan, add Sheng Dihuang (Rehmanniae Radix) and Dahuang (Rhei Radix et Rhizoma) (soaked in wine).
If there is high fever, intense thirst, steaming heat sensation, and a long-large pulse in pregnancy with Shanghan, add Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma).
If after purgation in pregnancy with Shanghan, the pathogen is resolved but the disease persists, and warm-toxin causes macules resembling brocade patterns, add Shengma ( Cimicifugae Rhizoma) and Lianqiao (Forsythiae Fructus).
If coughing persists after purgation in pregnancy with Shanghan, add Wuweizi (Schisandrae Fructus) and Renshen (Ginseng Radix et Rhizoma).
If deficiency-type fullness and abdominal distension occur after purgation in pregnancy with Shanghan, add Houpo (Magnoliae Officinalis Cortex) (processed with ginger) and Zhishi (Aurantii Fructus Immaturus) (bran-fried).
If insomnia occurs in pregnancy with Shanghan, add Zhizi (Gardeniae Fructus) and Huangqin (Scutellariae Radix).
If bleeding continues after sweating, and the fetal qi feels thirsty in pregnancy with Shanghan, add Ejiao (Colla Corii Asini) and Zhigancao (Honey-fried Licorice Root) and Huangqi (Astragali Radix).
If the pulse is floating, head is swollen, spontaneous diarrhea occurs, and there is abdominal pain in pregnancy with Shanghan, remove Dihuang (Rehmanniae Radix).
If spontaneous diarrhea with abdominal pain, inability to eat, and a deep pulse occur in pregnancy with Shanghan, remove Dihuang (Rehmanniae Radix) and Chuanxiong (Ligusticum Rhizoma); add Baizhu (Atractylodis Macrocephalae Rhizoma), Zhigancao (Honey-fried Licorice Root), Fuling (Poria), and Huangqin (Scutellariae Radix).
If there is headache and neck stiffness, fever with dry mouth, and chest/hypochondriac pain in pregnancy with Shanghan, use Sheng Dihuang (Rehmanniae Radix) and add Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Renshen (Ginseng Radix et Rhizoma), and Gancao (Licorice Root).