先期者。血热。四物加芩连之类。
过期者。血虚。四物加参 白术陈皮之类。
经水紫黑色及有块者。血热。四物加黄芩黄连香附之类。
若见肾肝脉迟微。小腹冷痛者。属寒。四物加炒干姜之类。
将行而作疼者。血实气滞。四物加醋炒莪术玄胡索木香。挟热加黄连柴胡。或四物加桃仁红花香附之类。
行后而作疼者。气血俱虚。八物汤。
经行不止。四物加阿胶地榆荆芥穗之类。
胎痛。乃血少。四物加童便制香附。共为末。紫苏汤调下。有所激触而痛者。芎归汤探之。
胎动属火。四物加条芩之类。
胎动不安及下血。集验方秦艽汤。
胎动下血。或因房室不节。有所触动。四物加胶艾条芩白术之类。
妊娠恶阻。肥人有疾。瘦人有热。胃气不安。人参橘皮汤。保生汤。集验青竹茹汤。怀胎不问
几个月日。但觉胎气不安。腰腹微痛。饮食不美。用安胎饮。
妊娠七八个月。恐胎气展大难产。宜服束胎丸。妊娠八九个月。肥浓膏粱之人。胎气壅隘。
宜服枳壳散。间二三日一服。或达生散。救生散。临月用神寝丸。三合济生汤。
难产用催生丹。遇仙丹。如圣膏。猪肝蜜酒法。
胎衣不下。或血干或血冷凝涩。当用夺命丹。牛膝汤。或前方如圣膏。
一方用红花一两。酒煮浓汁服。
一法令产妇自 发尾在口。呕哕即下。
Menstruation arriving early is due to blood heat. Use Siwu Tang (Four Substance Decoction) with added Huangqin (Scutellariae Radix, 黄芩) and Lianzi (Coptidis Rhizoma, 黄连).
Menstruation arriving late is due to blood deficiency. Use Siwu Tang (Four Substance Decoction) with added Renshen (Ginseng Radix, 人参), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), and Chenpi (Citri Reticulatae Pericarpium, 陈皮).
Menstrual blood that is purple-black and contains clots is due to blood heat. Use Siwu Tang (Four Substance Decoction) with added Huangqin (Scutellariae Radix, 黄芩), Lianzi (Coptidis Rhizoma, 黄连), and Xiangfu (Cyperi Rhizoma, 香附).
If the Shenmai (Kidney Pulse) and Ganimai (Liver Pulse) are slow and faint, accompanied by cold pain in the lower abdomen, it belongs to cold syndrome. Use Siwu Tang (Four Substance Decoction) with added Chao Ganjiang (Stir-fried Zingiberis Rhizoma, 炒干姜).
Pain occurring just before menstruation indicates blood excess and qi stagnation. Use Siwu Tang (Four Substance Decoction) with added Cu Chao Ezhu (Vinegar-processed Curcumae Rhizoma, 醋炒莪术), Xuanshusu (Corydalis Rhizoma, 玄胡索), and Muxiang (Aucklandiae Radix, 木香). If accompanied by heat, add Lianzi (Coptidis Rhizoma, 黄连) and Chaihu (Bupleuri Radix, 柴胡). Alternatively, use Siwu Tang (Four Substance Decoction) with added Taoren (Persicae Semen, 桃仁), Honghua (Carthami Flos, 红花), and Xiangfu (Cyperi Rhizoma, 香附).
Pain occurring after menstruation indicates both qi and blood deficiency. Use Bawu Tang (Eight Substance Decoction).
Unceasing menstrual flow: Use Siwu Tang (Four Substance Decoction) with added Ejiao (Colla Corii Asini, 阿胶), Diyü (Sanguisorbae Radix, 地榆), and Jingjie Sui (Schizonepetae Spica, 荆芥穗).
Fetal pain is caused by blood deficiency. Use Siwu Tang (Four Substance Decoction) with Xiangfu (Cyperi Rhizoma, 香附) processed with Tongbian (Child's Urine, 童便). Grind into powder and take with Zisu Tang (Perillae Decoction). If pain results from external stimulation or shock, use Xionggui Tang (Ligusticum and Angelica Decoction) for exploration/treatment.
Fetal movement due to fire (heat): Use Siwu Tang (Four Substance Decoction) with Tiaohuangqin (Striped Scutellariae Radix, 条芩).
Fetal restlessness and bleeding: Use Qinjiao Tang (Gentianae Macrophyllae Radix Decoction) from *Jiyan Fang* (Collected Effective Prescriptions).
Fetal movement with bleeding, possibly due to immoderate sexual intercourse or physical shock: Use Siwu Tang (Four Substance Decoction) with Ejiao (Colla Corii Asini, 阿胶), Aye (Mume Semen Preparatum, 艾叶 - note: text says Ai Ye implicitly via context of Jiao Ai, usually refers to Folium Artemisiae Argyi), Tiaohuangqin (Striped Scutellariae Radix, 条芩), and Baizhu (Atractylodis Macrocephalae Rhizoma, 白术).
Morning sickness (Ezu): In obese individuals, it is due to disease obstruction; in thin individuals, due to internal heat, causing stomach qi instability. Use Ren Shen Ju Pi Tang (Ginseng and Tangerine Peel Decoction), Bao Sheng Tang (Life-Preserving Decoction), or Qing Zhuru Tang (Green Bamboo Sap Decoction) from *Jiyan Fang*. Regardless of the month of pregnancy, if there is a sensation of fetal unrest, slight waist and abdominal pain, and poor appetite, use Antai Yin (Fetus-Calming Infusion).
In the seventh or eighth month of pregnancy, fearing that the enlarging fetus may cause difficult labor, it is appropriate to take Shutai Wan (Fetus-Binding Pill). In the eighth or ninth month, for individuals who are obese and consume rich foods, where fetal qi is congested and narrow, it is appropriate to take Zhike San (Citrus Aurantium Powder), taken every two or three days; or Dashi Sang (Da Sheng Powder), Jiusheng San (Life-Saving Powder). Near term, use Shenqin Wan (Divine Rest Pill) and Sanhe Jisheng Tang (Three-Harmony Life-Nourishing Decoction).
For difficult labor, use Cuisheng Dan (Labor-Delivering Pill), Yuxian Dan (Encounter Immortal Pill), Rusheng Gao (Like-Sage Ointment), or the Pig Liver and Honey Wine method.
Retained placenta, whether due to dry blood or cold coagulated blood, should be treated with Duoming Dan (Life-Taking Pill), Niuxi Tang (Achyranthes Root Decoction), or the aforementioned Rusheng Gao (Like-Sage Ointment).
One prescription uses Honghua (Carthami Flos, 红花) one liang, boiled in wine to extract thick juice for consumption.
Another prescription instructs the parturient woman to hold her own hair in her mouth; vomiting will induce the expulsion of the placenta.