【歌】胎前众疾要须知，恶阻当从痰火推。胎上凑心胸胀闷，子悬芩术炒山栀。妊娠漏下名胎漏，血热
而成或气虚。胎动芎归及胶艾，安胎顺气勿教迟。子淋须觅安荣散，胎水还当用鲤鱼。肿满遍身如水气，但煎
防己自宽舒。足趺浮肿身无恙，皱脚安胎大腹皮。五月以来烦躁甚，子烦知母麦冬医。妊娠腹痛分虚实，寒热
温清可辨之。子痫急用羚羊角，儿晕芎归荆芥奇。泄泻砂苍入二白，热须芩术倍之宜。风寒感冒参苏饮，不解
黄龙汤勿疑。胸满本方加枳桔，热而无汗葛根驱。里热甚时罩胎散，热极谵言解毒施。脉迟四逆理中治，热泄
柴芩半夏除。汗吐下温须仔细，安胎为主勿差池。清脾疗疟须除半，四兽祛邪更补脾。痢疾香连汤有验，胃风
止痢补其虚。伤风咳嗽参苏饮，去半加芩杏白皮。便秘不通大腹散，小溲不利用冬葵。怔忡恍惚心惊悸，气闷
喧呼大圣祛。心痛火龙汤可定，腰疼通气更谁如。达生散可将胎束，欲服须当九月时。
【论】夫妇人妊娠，贵乎冲任之脉旺盛，元气充足，则饮食如常，身体壮健，色泽不衰，而无病患相侵。
故月水以时下，始能受孕，血气充实，则可保十月满足，分娩无虞，母子坚牢，何疾之有？若血气不充，冲任
之脉虚弱，则经水愆期，岂能受孕？纵然得孕，则胞门子户虚寒而受胎不实。或冲任之脉虚而协热，轻则胎动
而不安，重则三、五、七月而即堕。遇阳月份而堕者，火能消物也。更兼以外挟六淫之
邪；内因七情之气；或饮食太过，致伤中州；或淫欲无度，内损元气，如斯之类，鲜有不致疾者也。故凡胎
娠众疾，必先以安胎为主，驱疾次之，盖病去则胎自安，胎固则病自愈矣。
【脉】 阴搏于下，阳别于上，血气和调，有子之象。手之少阴，其脉动甚，尺按不绝，此为有孕。
少阴属心，心主血脉。肾为胞门，脉应于尺。或寸脉微，关滑尺数，往来流利，如雀之啄。或诊三部，浮沉一
止，或平而虚，当问月水。妇人有病，而无邪脉，此孕非病，所以不月。
男女之别，以左右取，左疾为男，右疾为女。沉实在左，浮大在右，右女左男，可以预剖。离经六至，沉
细而滑，阵痛连腰，胎实时脱。血瘕弦急而大者生；虚小弱者，即是死形。半产漏下，革脉主之，弱即血耗，
立见倾危。
怀妊六、七月，脉实大牢强弦急者生，若沉而细者死。
恶阻
妊娠二、三月以来，吐逆不食，心虚烦闷者，名曰恶阻，人参橘皮汤主之。丹溪云∶肥人恶阻因痰，二陈
汤加黄芩、白术、竹茹、贝母，去半夏。瘦人是火，前方再加黄连、山栀仁。
人参橘皮汤
治妊娠三月恶阻吐逆，不食烦闷。
赤茯苓（钱半） 橘皮（钱半） 白术（炒，一钱） 麦门冬（汤泡，去心，一钱） 浓朴（姜炒，一钱）
人参（一钱） 甘草（炙，八分） 竹茹（一钱二分）
上锉，一剂，水二盏，生姜五片，煎至八分，空心温服。
二陈汤（方见前经候条下。）
子肿
妊娠五、六月以来，浮肿如水气者，名曰子肿；俗呼为琉璃胎是也，防己汤主之。妊娠面目俱浮，身肿如
水，气急而虚者，白术散。
防己汤
治妊娠通身肿满如水气，喘促，小便不利。
防己（一钱五分） 桑白皮（一钱五分） 赤茯苓（去皮，一钱五分） 紫苏（一钱五分） 木香（九分）
姜三片，水二盏，煎服。
白术散
治妊娠面目俱浮，身肿如水，气急而虚者。
白术（一两） 生姜皮（五钱） 大腹皮（五钱） 陈皮（五钱）
上为细末，每服二钱，米饮调下。
子烦
妊娠五、六月，乃少阴君火以养精。六、七月，乃少阳相火以养气。平素有火人，内外之火相感，而作烦
躁闷乱不安者，名曰子烦，麦门冬汤或安神丸。
麦门冬汤
治妊娠五、六月烦闷不安，名曰子烦。
麦门冬（汤泡，去心，一钱） 防风（一钱） 茯苓（一钱） 黄芩（一钱，炒） 竹叶（一钱）
锉一剂，水二盏，煎服。
安神丸
安胎孕，除烦热。
黄连（一两五钱，去须，酒炒） 朱砂（水飞，一两） 生地黄（酒洗，五钱） 当归身（酒洗，五钱）
甘草（炙，五钱）
上为末，蒸饼糊如黍米大，朱砂为衣，每服五十丸。
漏胎
妊娠经血不时而来者，名曰漏胎。气虚者，四君子汤加黄芩、阿胶。血虚者，四物汤加黄芩、黄连、益母
草主之。
四君子汤
大补气虚胎漏。
白术（炒，一钱半） 人参（二钱） 白茯苓（一钱） 甘草（一钱，炙）
上锉，一剂，水二盏，煎八分，温服。加减见脾胃证内。
四物汤（方见前经候条下。）
皱脚
妇人妊娠七、八月以来，胎气渐粗，两足浮肿，头目不浮者，名曰皱脚，平胃散。怀孕五、六月，两足肿
上腿膝，或足指间出黄水，名曰水气，天仙藤散。
平胃散
除湿行气，消肿安胎。
苍术（一斤） 陈皮（十二两） 浓朴（十二两） 甘草（六两）
末之，每服二钱，入盐一捻，白汤调下，或用水煎服。
天仙藤散
治妊娠三月以后，两足浮肿，步履艰难。
天仙藤（洗，略炒，八两） 香附（醋炒，六两） 陈皮（六两） 乌药（五两） 甘草（四两）
末之，每服三钱，姜三片、木瓜三个、紫苏三叶煎服。
子悬
妊娠至四、五个月以来，君、相二火养胎。平素有热，故胎热气逆，胎上凑心不安，胸膈胀满，名曰子悬，
严氏紫苏饮加炒山栀、黄芩、香附之类。
严氏紫苏饮
治胎气不和，上凑心腹，胀满疼痛。
大腹皮（一两） 川芎（一两） 白芍药（一两） 陈皮（一两） 紫苏（一两） 当归（一两） 人参（半
两） 甘草（半两）
每服四钱，生姜三片、葱白一茎，水二盏，煎八分服。
子淋
妇人因酒色过度，内伤胞门，或饮食积热，水道秘涩，小便淋沥涩痛者，名曰子淋，安荣散。虚者六味丸
或参术饮。内热而淋者，五淋散。
安荣散
治妊娠小便涩少，名曰子淋。
麦门冬（三钱） 通草（三钱） 滑石（三钱） 当归（五钱） 灯心（五钱） 甘草（五钱） 人参（二钱）
细辛（二钱）
上为细末，每服二钱，白汤调下。
六味丸
治妊娠因虚，以致水道不通，淋沥涩痛。
山药（二两） 熟地黄（三两，酒蒸） 山茱萸（去核，二两） 白茯苓（二两） 丹皮（一两五钱） 肉桂
（五钱） 附子（炮，去皮、脐，五钱）
末之，炼蜜丸如桐子大，每服六十丸，空心盐汤下。
参术饮
治妊娠转胞
四物汤（六钱） 加 人参（一钱，去芦） 白术（一钱，炒） 半夏（制，八分） 陈皮（八分） 甘草（七分）
姜、水煎服。
五淋散
治妊娠小便不通，淋沥涩痛。
赤茯苓（两半） 赤芍药（两半） 山栀仁（两半） 生甘草（两半） 当归（五钱）
加黄芩（五钱）
每服五钱，空心，水煎服。
子疟
妊娠发疟，名曰子疟。热多寒少者，清脾饮去半夏。寒多热少者，人参养胃汤去半夏。虚者，四兽饮或胜
金丹截之。
清脾饮∶
治妊娠疟疾，去半夏。
柴胡（一钱二分） 半夏（一钱，去之） 黄芩（一钱） 白术（一钱，炒） 陈皮（一钱） 茯苓（八分）
浓朴（八分） 青皮（七分） 草果（六分） 甘草（四分）
姜三片，枣二枚，水煎热服。
人参养胃汤
治妊娠疟，寒多热少。
人参（一钱，去芦） 藿香叶（一钱） 浓朴（姜炒，一钱） 苍术（一钱，米泔浸，晒干，炒） 茯苓
（一钱二分） 陈皮（一钱五分） 草果（六分） 半夏（八分，去之） 甘草（五分，炙）
加乌梅一个，生姜三片，水二盏，煎服。
四兽饮
治孕妇虚疟，久不得愈，必用此药主之。
人参（一钱，去芦） 白术（土炒，一钱） 陈皮（一钱二分） 白茯苓（一钱二分，去皮） 甘草（五分，
炙） 草果（八分，去壳） 半夏（六分，去之） 枣子（三枚） 乌梅（三个） 生姜（三片）
水二大盏，煎八分，温服。
胜金丹
治妇人怀孕，疟疾久不已，以此截之。
川常山（酒蒸，四两） 鸡心槟榔（一两）
上为细末，醋糊丸如菀豆大，未发前三更时先吞三十丸，至五更时再吞十五丸，俱用好酒冷送下。
胎动
妇人胎动不安，已有所见者，芎归汤加阿胶、蕲艾。无所见者，安胎饮。元气虚者，加人参、白术，若气
不顺者，本方加砂仁、大腹皮、蕲艾、香附、枳壳。
芎归汤 一名芎 汤 一名佛手散。
川芎（二钱） 当归（一钱）
水二盏，煎八分，空心服。
安胎饮
治妇人胎不安，气不利。
紫苏（一钱） 当归身（一钱） 白术（炒，一钱） 条黄芩（略炒，一钱） 川芎（八分） 陈皮（五分）
香附（六分） 白芍药（七分，微炒） 甘草（五分） 大腹皮（六分） 砂仁（炒，六分）
水煎温服。
胎水
妇人胎孕至五、六个月，腹大异常，不分男女，胸腹胀满，气逆不安者，此胞中蓄水也，名曰胎水。若不
早治之，决然生子手足软短，形体生理残障，或生下即死，此证人多不识，鲤鱼汤治之，以泄其水。
鲤鱼汤
治妊娠腹大异常，若不早治，必致母子难保。
当归（酒浸，三钱） 白芍药（三钱） 白茯苓（四钱） 白术（五钱）
上锉，二剂，用鲤鱼一个，不拘大小，’破去鳞、肠，白水煮熟，去鱼，每帖用鱼汁盏半，生姜七片，陈
皮少许，同煎至一盏，空心煎服。如水未尽，再令服之。
子喑
妇人妊娠，三、五个月以来，忽然失音，不能言语者，名曰子喑。岐伯曰∶无治也，当十月复，乃胎气使
然，非药
可疗，直待分娩后，即能自言也。
儿晕
妇人妊娠七、八月以来，忽然卒倒僵仆不知人，倾刻即苏者，名曰儿晕，葛根汤。若气血两虚，因而卒倒
者，八珍汤加黄 。
葛根汤
治妇人妊娠二、三月以来，忽然卒倒僵仆。
葛根（三钱） 麻黄（连节，三钱） 桂枝（二钱） 芍药（二钱，酒炒） 甘草（炙，二钱）
姜三片，枣二枚，水煎服，覆取微汗。
八珍汤（见前经候条下。）
泄泻
妊娠泄泻不渴，小便清白者，三白散加砂仁、浓朴、苍术、甘草。若泄泻肠垢，小便赤涩，烦渴内热者，
黄芩汤加白术、木通、茯苓。腹痛加芍药、砂仁、黄连。（俱炒）。
三白散
治孕妇泄泻，益气健脾，和中养胃。
白术（炒，三钱） 芍药（酒炒，三钱） 白茯苓（去皮，三钱五分）
上锉，作一剂，水二钟，煎至一钟，空心温服。
黄芩汤（见崩漏条下。）
痢疾
妊娠痢疾，初起腹中痛，后重里急者，香连化滞汤。热甚，下迫窘痛，里急，黄芩芍药汤。日久不止，元
气渐虚者，胃风汤、香连丸。
香连化滞汤
治娠妇积滞不行，里急后重，频欲上圊。
青皮（炒，一钱） 陈皮（一钱二分） 浓朴（姜炒，一钱） 枳实（炒，一钱）
黄芩（略炒，一钱） 黄连（炒，一钱） 当归（酒洗，一钱） 白芍药（炒，一钱） 滑石（一钱二分）
槟榔（八分） 木香（五分） 甘草（四分，炙）
上锉，作一剂，用水二大盏，煎至八分，空心时温服。
黄芩芍药汤
治妊娠痢疾，腹痛口渴，后重里急之证。
白芍药（一钱） 当归（一钱二分） 黄芩（一钱二分） 黄连（去须，酒炒，一钱二分） 肉桂（四分）
槟榔（八分） 木香（六分） 甘草（四分，炙） 大黄（生用，量人虚实临时斟酌）
用水二盏，煎至一盏温服。
胃风汤
治孕妇久痢，元气虚耗，日夜频作无度之证。
人参（一钱二分） 白术（土炒，钱半） 当归（一钱，酒洗） 白茯苓（去皮，一钱） 川芎（一钱二分）
肉桂（四分） 白芍药（酒炒，一钱二分）
水煎温服。
香连丸
治妊娠痢疾，久而不已，此方主之，甚验。
黄连（一斤四两，锉碎，用吴茱萸十两同拌，以沸汤少许，倾入碗内，泡一时，取出同炒，去茱萸，用黄
连） 木香（四两半，不见火）
上，俱为末，用鸡子清少许，入醋糊丸，每用二钱。
二便不通
妊娠大、小便不通者，乃脏腑积热所致也，四物汤加枳实、浓朴、黄芩。若小水不通者，胞中有热故也，
冬葵子汤。
四物汤（方见经候条下。）
冬葵子汤
治妊娠小便不利，身重恶寒，起则头眩。
冬葵子（两半） 茯苓（二两）
末之，每服三钱，米汤调下。
腰痛
妊娠腰痛，最为紧要。盖女人胞胎系于腰，故腰痛酸急者，胞欲脱肾，必欲产也。若挫闪气不行腰痛者，
通气散。肾虚腰痛者，青娥不老丸，大抵要固胎为主。
通气散
治孕妇因挫闪或气滞腰内疼痛。
补骨脂（不拘多少，瓦上炒）
上末之，先嚼胡桃肉一个，空心温酒调下二钱。
青娥不老丸
治妊娠因肾虚腰痛，或风寒乘之。
杜仲（一斤，姜炒） 破故纸（半斤，炒） 胡桃肉（二十个）
[Song]
Various diseases during pregnancy must be carefully understood. Ezu (pregnancy nausea and vomiting) should be inferred from phlegm-fire. When fetal qi rushes to the chest and heart causing distension and oppression, Qin-Zhu Tang (Scutellaria and Atractylodes Decoction) combined with fried Gardenia Fruit is used. Vaginal bleeding during pregnancy is named Tainlou (fetal leakage), often caused by blood-heat or qi-deficiency. For Taidong (fetal movement discomfort), Ligusticum Chuanxiong Rhizome, Angelica Sinensis Radix, and Donkey-hide Gelatin with Mugwort are used; securing the fetus and regulating qi should not be delayed. Zilin (pregnancy dysuria) requires Anrong San (Anrong Powder). Taishui (pregnancy edema with ascites) should be treated with Carp Soup. Generalized edema resembling water accumulation can be relieved by boiling and taking Stephania Tetrandra Saponaria. Edema of the dorsum pedis without other systemic symptoms is treated with Areca Peel for Zhoujiao (wrinkled foot edema). Severe irritability after the fifth month is called Zifan (pregnancy irritability), treated with Anemarrhena Rhizome and Ophiopogon Tubers. Abdominal pain in pregnancy must be differentiated as deficiency or excess; cold patterns use warming methods, heat patterns use clearing methods. Zi Xian (pregnancy eclampsia/seizures) urgently requires Antelope Horn. Er Yun (pregnancy syncope) responds remarkably to Ligusticum Chuanxiong Rhizome, Angelica Sinensis Radix, and Schizonepeta Spike. Diarrhea uses Amomum Fructus and Atractylodes Macrocephala Rhizome added to Er Bai San; for heat-type diarrhea, Scutellaria Baicalensis Root and Atractylodes Macrocephala Rhizome should be doubled. Wind-cold common cold is treated with Ginseng and Perilla Decoction; if unresolved, Huanglong Tang should be used without hesitation. Chest fullness adds Immature Bitter Orange and Platycodon Root to the base formula; heat with no sweating is driven away by Kudzu Root. Severe interior heat uses Zaotai San; extreme heat with delirium requires detoxification. Slow pulse is treated with Four Reversal Decoction and Spleen-Tonifying Decoction; heat-type diarrhea is cleared by Bupleurum Root, Scutellaria Baicalensis Root, and Pinellia Tuber. Sweating, vomiting, purging, and warming therapies must be applied cautiously, prioritizing fetal security without error. Qingpi Yin (Clear the Spleen Drink) for malaria must exclude Pinellia Tuber; Six Beast Decoction expels pathogens while tonifying spleen qi. Dysentery is effectively treated with Coptis and Cinnamon Powder; Weifeng Tang stops dysentery and tonifies deficiency. Wind-cold cough uses Ginseng and Perilla Decoction, excluding Pinellia Tuber and adding Scutellaria Baicalensis Root, Apricot Kernel, and White Bark. Constipation is treated with Areca Peel Powder; difficult urination uses Okra Seed. Palpitations, trance-like states, heart fright, qi stagnation, and shouting are dispelled by Dasheng San. Heart pain is settled by Huolong Tang; lower back pain has no rival to Tongqi San. Dasheng San can bind the fetus, but should only be taken in the ninth month.
[Dissertation]
For women during pregnancy, it is crucial that the Chong and Ren meridians are vigorous and yuan qi (original qi) is sufficient. This ensures normal appetite, robust health, un-diminished luster, and freedom from disease invasion. Thus, menstruation occurs on time, allowing conception. With abundant blood and qi, ten months can be completed safely, delivery proceeds without worry, and mother and child remain secure—what disease could there be? If blood and qi are insufficient, and the Chong and Ren meridians are weak, menstruation will be delayed, making conception impossible. Even if pregnancy occurs, the uterine gate and womb are deficient and cold, resulting in unstable conception. Or, if the Chong and Ren meridians are deficient and accompanied by heat, mild cases cause fetal movement and instability, while severe cases result in miscarriage at three, five, or seven months. Miscarriages occurring in yang months happen because fire consumes matter. Additionally, external invasion by the six climatic pathogens; internal causes from the seven emotions; excessive diet damaging the middle jiao (spleen and stomach); or excessive sexual activity damaging yuan qi internally—all such conditions rarely fail to cause disease. Therefore, for all pregnancy-related diseases, securing the fetus must come first, followed by treating the disease. Once the disease is eliminated, the fetus becomes secure; once the fetus is secured, the disease heals itself.
[Pulse Diagnosis]
Yin pulses beat vigorously below, while Yang pulses distinguish themselves above; harmonious blood and qi indicate pregnancy. The pulse of the Hand Shaoyin (Heart) meridian moves significantly; if the Chi position remains unbroken upon pressure, this indicates pregnancy.
Shaoyin belongs to the Heart, which governs blood vessels. The Kidney is the gate of the uterus, and its pulse corresponds to the Chi position. Alternatively, the Cun position may be faint, Guan slippery, and Chi rapid, flowing smoothly like a sparrow pecking. Or, examining the three positions, there may be an intermittent stop between floating and sinking, or the pulse may be level yet empty; one should inquire about menstruation. If a woman has illness but lacks pathogenic pulses, this is pregnancy rather than disease, hence the cessation of menstruation.
Differentiation of male and female fetuses is determined by left and right pulses: a rapid left pulse indicates a male, a rapid right pulse indicates a female. Deep and solid on the left, floating and large on the right—right female, left male—can be predicted in advance. A pulse deviating from the standard reaching six beats per breath cycle, deep, fine, and slippery, with paroxysmal pain connecting to the waist, indicates a viable fetus detaching. A blood mass with a string-tight and large pulse suggests life; a deficient, small, and weak pulse indicates death. Half-abortion with leakage is indicated by a Ge pulse; weakness implies blood depletion and imminent danger.
At six or seven months of pregnancy, a pulse that is substantial, large, firm, strong, wiry, and urgent indicates survival; if deep and fine, it indicates death.
Ezu (Pregnancy Nausea)
Since the second or third month of pregnancy, vomiting, inability to eat, emptiness in the heart, and irritability are named Ezu, primarily treated with Ginseng and Tangerine Peel Decoction. Danxi stated: In obese individuals, Ezu is due to phlegm; treat with Er Chen Tang plus Scutellaria Baicalensis Root, Atractylodes Macrocephala Rhizome, Bamboo Shavings, and Fritillaria Bulb, excluding Pinellia Tuber. In thin individuals, it is due to fire; add Coptis Rhizome and Gardenia Seed to the previous formula.
Ginseng and Tangerine Peel Decoction
Treats Ezu vomiting and inability to eat with irritability in the third month of pregnancy.
Red Poria (1.5 qian) Tangerine Peel (1.5 qian) Atractylodes Macrocephala Rhizome (fried, 1 qian) Ophiopogon Tubers (soaked in decoction, heart removed, 1 qian) Magnolia Bark (fried with ginger, 1 qian)
Ginseng (1 qian) Licorice Root (roasted, 0.8 qian) Bamboo Shavings (1.2 qian)
Crush into pieces, one dose, two cups of water, five slices of ginger, decoct to 0.8 cup, take warm on an empty stomach.
Er Chen Tang (Formula seen under previous Menstrual Regulation section.)
Zi Zhong (Fetal Swelling)
Since the fifth or sixth month of pregnancy, edema resembling water accumulation is named Zi Zhong; commonly known as Glazed Fetus, primarily treated with Stephania Tetrandra Saponaria Decoction. If the face and eyes are swollen, body edematous like water, with shortness of breath and deficiency, use Atractylodes Macrocephala Rhizome Powder.
Stephania Tetrandra Saponaria Decoction
Treats generalized swelling like water accumulation, panting, and difficult urination during pregnancy.
Stephania Tetrandra Saponaria (1.5 qian) Mulberry Root Bark (1.5 qian) Red Poria (peeled, 1.5 qian) Perilla Leaf (1.5 qian) Aucklandia Root (0.9 qian)
Three slices of ginger, two cups of water, decoct and take.
Atractylodes Macrocephala Rhizome Powder
Treats facial and eye swelling, body edema like water, shortness of breath, and deficiency during pregnancy.
Atractylodes Macrocephala Rhizome (1 liang) Ginger Skin (5 qian) Areca Peel (5 qian) Tangerine Peel (5 qian)
Grind into fine powder, take 2 qian each time, mixed with rice drink.
Zi Fan (Pregnancy Irritability)
In the fifth and sixth months of pregnancy, Shaoyin Jun Fire nourishes essence. In the sixth and seventh months, Shaoyang Xiang Fire nourishes qi. Individuals with pre-existing heat feel the interaction of internal and external fires, leading to irritability, restlessness, and anxiety, named Zi Fan, treated with Ophiopogon Decoction or Spirit-Calming Pill.
Ophiopogon Decoction
Treats irritability and restlessness in the fifth and sixth months of pregnancy, named Zi Fan.
Ophiopogon Tubers (soaked in decoction, heart removed, 1 qian) Saposhnikovia Root (1 qian) Poria (1 qian) Scutellaria Baicalensis Root (fried, 1 qian) Bamboo Leaf (1 qian)
Crush into pieces, one dose, two cups of water, decoct and take.
Spirit-Calming Pill
Secures pregnancy, removes irritability and heat.
Coptis Rhizome (1.5 liang, remove whiskers, wine-fried) Cinnabar (water-ground, 1 liang) Rehmannia Root (wine-washed, 5 qian) Angelica Sinensis Radix Body (wine-washed, 5 qian)
Licorice Root (roasted, 5 qian)
Grind into powder, make pills with steamed bread paste the size of millet seeds, coat with cinnabar, take 50 pills each time.
Lou Tai (Fetal Leakage)
Irregular vaginal bleeding during pregnancy is named Lou Tai. For qi-deficiency, use Four Gentlemen Decoction plus Scutellaria Baicalensis Root and Donkey-hide Gelatin. For blood-deficiency, use Four Substances Decoction plus Scutellaria Baicalensis Root, Coptis Rhizome, and Motherwort Herb.
Four Gentlemen Decoction
Greatly tonifies qi-deficiency fetal leakage.
Atractylodes Macrocephala Rhizome (fried, 1.5 qian) Ginseng (2 qian) White Poria (1 qian) Licorice Root (1 qian, roasted)
Crush into pieces, one dose, two cups of water, decoct to 0.8 cup, take warm. Additions/subtractions see Spleen-Stomach Syndrome section.
Four Substances Decoction (Formula seen under previous Menstrual Regulation section.)
Zhou Jiao (Wrinkled Foot Edema)
Since the seventh or eighth month of pregnancy, as fetal qi thickens, edema of both feet without swelling of head and eyes is named Zhou Jiao, treated with Pingwei San. At five or six months of pregnancy, if edema of both feet extends up to the knees, or yellow fluid oozes from between toes, it is named Water Qi, treated with Tianxian Teng San.
Pingwei San
Expels dampness, moves qi, reduces swelling, and secures fetus.
Atractylodes Lancea Rhizome (1 jin) Tangerine Peel (12 liang) Magnolia Bark (12 liang) Licorice Root (6 liang)
Grind into powder, take 2 qian each time, with a pinch of salt, mixed with white boiled water, or decoct with water.
Tianxian Teng San
Treats edema of both feet and difficulty walking after the third month of pregnancy.
Akebia Stem (washed, slightly fried, 8 liang) Cyperus Rhizome (vinegar-fried, 6 liang) Tangerine Peel (6 liang) Lindera Root (5 liang) Licorice Root (4 liang)
Grind into powder, take 3 qian each time, decoct with three slices of ginger, three fruits of Chaenomelis Fructus, and three leaves of Perilla.
Zi Xuan (Fetal Suspension)
Since the fourth or fifth month of pregnancy, Jun and Xiang fires nourish the fetus. Individuals with pre-existing heat experience fetal qi heat reversing upward, causing fetal pressure on the heart, restlessness, and chest/diaphragm fullness, named Zi Xuan, treated with Yan Shi's Perilla Decoction plus fried Gardenia Fruit, Scutellaria Baicalensis Root, and Cyperus Rhizome.
Yan Shi's Perilla Decoction
Treats disharmony of fetal qi rushing to heart and abdomen, causing fullness and pain.
Areca Peel (1 liang) Ligusticum Chuanxiong Rhizome (1 liang) White Peony Root (1 liang) Tangerine Peel (1 liang) Perilla Leaf (1 liang) Angelica Sinensis Radix (1 liang) Ginseng (0.5 liang) Licorice Root (0.5 liang)
Take 4 qian each time, with three slices of ginger and one stalk of scallion white, two cups of water, decoct to 0.8 cup and take.
Zi Lin (Pregnancy Dysuria)
Due to excessive alcohol and sexual activity injuring the uterine gate internally, or dietary accumulation of heat causing urinary obstruction, resulting in dribbling and painful urination, named Zi Lin, treated with Anrong San. For deficiency, use Liuwei Wan or Shen-Zhu Yin. For internal heat with dysuria, use Wulin San.
Anrong San
Treats scanty and astringent urination during pregnancy, named Zi Lin.
Ophiopogon Tubers (3 qian) Talcum (3 qian) Slippage Grass (3 qian) Angelica Sinensis Radix (5 qian) Juncus Effusus (5 qian) Licorice Root (5 qian) Ginseng (2 qian)
Asarum (2 qian)
Grind into fine powder, take 2 qian each time, mixed with white boiled water.
Liuwei Wan
Treats urinary obstruction, dribbling, and painful urination during pregnancy due to deficiency.
Dioscorea Rhizome (2 liang) Prepared Rehmannia Root (3 liang, wine-steamed) Cornus Officinalis Fruit (pitted, 2 liang) White Poria (2 liang) Moutan Cortex (1.5 liang) Cinnamon Bark (5 qian) Aconite Root (processed, skin and navel removed, 5 qian)
Grind into powder, make pills with refined honey the size of paulownia seeds, take 60 pills each time, with salt water on an empty stomach.
Shen-Zhu Yin
Treats pregnancy bladder prolapse (Zhuan Bao)
Four Substances Decoction (6 qian) Add Ginseng (1 qian, remove rhizome) Atractylodes Macrocephala Rhizome (1 qian, fried) Pinellia Tuber (processed, 0.8 qian) Tangerine Peel (0.8 qian) Licorice Root (0.7 qian)
Decoct with ginger and water.
Wulin San
Treats urinary obstruction, dribbling, and painful urination during pregnancy.
Red Poria (1.5 liang) Red Peony Root (1.5 liang) Gardenia Seed (1.5 liang) Raw Licorice Root (1.5 liang) Angelica Sinensis Radix (5 qian)
Add Scutellaria Baicalensis Root (5 qian)
Take 5 qian each time, on an empty stomach, decoct with water.
Zi Nue (Pregnancy Malaria)
Malaria occurring during pregnancy is named Zi Nue. For more heat than chills, Qingpi Yin excluding Pinellia Tuber. For more chills than heat, Renshen Yangwei Tang excluding Pinellia Tuber. For deficiency, use Six Beast Decoction or Shengjin Dan to intercept attacks.
Qingpi Yin:
Treats pregnancy malaria, excluding Pinellia Tuber.
Bupleurum Root (1.2 qian) Pinellia Tuber (1 qian, remove) Scutellaria Baicalensis Root (1 qian) Atractylodes Macrocephala Rhizome (fried, 1 qian) Tangerine Peel (1 qian) Poria (0.8 qian)
Magnolia Bark (0.8 qian) Green Citrus Peel (0.7 qian) Tsaoko Cardamom Fruit (0.6 qian) Licorice Root (0.4 qian)
Three slices of ginger, two dates, decoct with water and take hot.
Renshen Yangwei Tang
Treats pregnancy malaria, more chills than heat.
Ginseng (1 qian, remove rhizome) Agastache Leaf (1 qian) Magnolia Bark (fried with ginger, 1 qian) Atractylodes Lancea Rhizome (soaked in rice wash, dried, fried, 1 qian) Poria (1.2 qian) Tangerine Peel (1.5 qian) Tsaoko Cardamom Fruit (0.6 qian) Pinellia Tuber (0.8 qian, remove) Licorice Root (0.5 qian, roasted)
Add one Chinese Plum, three slices of ginger, two cups of water, decoct and take.
Six Beast Decoction
Treats deficiency malaria in pregnant women, long-lasting and unhealed, must use this medicine.
Ginseng (1 qian, remove rhizome) Atractylodes Macrocephala Rhizome (earth-fried, 1 qian) Tangerine Peel (1.2 qian) White Poria (1.2 qian, peeled) Licorice Root (0.5 qian, roasted) Tsaoko Cardamom Fruit (0.8 qian, shell removed) Pinellia Tuber (0.6 qian, remove) Dates (three) Chinese Plums (three) Ginger (three slices)
Two large cups of water, decoct to 0.8 cup, take warm.
Shengjin Dan
Intercepts persistent malaria in pregnant women.
Changshan (wine-steamed, 4 liang) Betel Nut (1 liang)
Grind into fine powder, make pills with vinegar paste the size of broad beans. Take 30 pills half an hour before onset (third watch), then 15 pills at dawn (fifth watch), all washed down with good cold wine.
Taidong (Fetal Movement Discomfort)
For fetal movement discomfort with visible bleeding, use Xiong Gui Tang plus Donkey-hide Gelatin and Qiai (Ai Ye). Without visible bleeding, use Antai Yin. For yuan qi deficiency, add Ginseng and Atractylodes Macrocephala Rhizome; for qi stagnation, add Amomum Fructus, Areca Peel, Qiai, Cyperus Rhizome, and Aurantium Fructum Immaturum to the base formula.
Xiong Gui Tang Also known as Xiong Tang or Fo Shou San.
Ligusticum Chuanxiong Rhizome (2 qian) Angelica Sinensis Radix (1 qian)
Two cups of water, decoct to 0.8 cup, take on an empty stomach.
Antai Yin
Treats fetal insecurity and qi stagnation.
Perilla Leaf (1 qian) Angelica Sinensis Radix Body (1 qian) Atractylodes Macrocephala Rhizome (fried, 1 qian) Scutellaria Baicalensis Root (slightly fried, 1 qian) Ligusticum Chuanxiong Rhizome (0.8 qian) Tangerine Peel (0.5 qian)
Cyperus Rhizome (0.6 qian) White Peony Root (0.7 qian, lightly fried) Licorice Root (0.5 qian) Areca Peel (0.6 qian) Amomum Fructus (fried, 0.6 qian)
Decoct with water and take warm.
Taishui (Fetal Water)
At five or six months of pregnancy, abnormal abdominal enlargement regardless of sex, with chest/abdominal fullness and rebellious qi causing unrest, is due to water accumulation in the uterus, named Taishui. If not treated early, the newborn will have soft/short limbs, physical defects, or die immediately. Most people do not recognize this condition; treat with Carp Soup to drain the water.
Carp Soup
Treats abnormal abdominal enlargement in pregnancy; if not treated early, mother and child safety cannot be guaranteed.
Angelica Sinensis Radix (wine-soaked, 3 qian) White Peony Root (3 qian) White Poria (4 qian) Atractylodes Macrocephala Rhizome (5 qian)
Crush into pieces, two doses. Use one carp of any size, scale and gut, boil in plain water until cooked, remove fish. Use 1.5 cups of fish broth per dose, with seven slices of ginger and a little tangerine peel, decoct together to one cup, take warm on an empty stomach. If water is not fully drained, administer again.
Zi Yin (Pregnancy Aphonia)
Sudden loss of voice and inability to speak between the third and fifth months of pregnancy is named Zi Yin. Qibo said: No treatment is needed; it will recover after ten months. This is due to fetal qi, not treatable by medicine; speech returns naturally after delivery.
Er Yun (Fregnancy Syncope)
Sudden collapse, stiffness, unconsciousness, recovering quickly between the seventh and eighth months of pregnancy is named Er Yun, treated with Kudzu Decoction. If collapse is due to dual deficiency of qi and blood, use Bazhen Tang plus Astragalus Root.
Kudzu Decoction
Treats sudden collapse and stiffness in the second or third month of pregnancy.
Kudzu Root (3 qian) Ephedra Stem (with joints, 3 qian) Cinnamon Twig (2 qian) Peony Root (2 qian, wine-fried) Licorice Root (roasted, 2 qian)
Three slices of ginger, two dates, decoct with water, cover to induce slight sweating.
Bazhen Tang (See previous Menstrual Regulation section.)
Xiexie (Diarrhea)
For pregnancy diarrhea without thirst and clear urine, use Sanbai San plus Amomum Fructus, Magnolia Bark, Atractylodes Lancea Rhizome, and Licorice Root. For diarrhea with intestinal mucus, red/astringent urine, irritability, thirst, and internal heat, use Huangqin Tang plus Atractylodes Macrocephala Rhizome, Wood Turpentine, and Poria. For abdominal pain, add White Peony Root, Amomum Fructus, and Coptis Rhizome (all fried).
Sanbai San
Treats pregnancy diarrhea, tonifies qi, strengthens spleen, harmonizes middle, and nourishes stomach.
Atractylodes Macrocephala Rhizome (fried, 3 qian) Peony Root (wine-fried, 3 qian) White Poria (peeled, 3.5 qian)
Crush into pieces, one dose, two zhong of water, decoct to one zhong, take warm on an empty stomach.
Huangqin Tang (See Banglou section.)
Liji (Dysentery)
For early-stage pregnancy dysentery with abdominal pain, tenesmus, and urgency, use Xianglian Huazhi Tang. For severe heat with pressing pain and tenesmus, use Huangqin Shaoyao Tang. For prolonged cases with gradual yuan qi deficiency, use Weifeng Tang or Xianglian Wan.
Xianglian Huazhi Tang
Treats stagnant food in pregnant women, tenesmus, urgency, and frequent desire to defecate.
Green Citrus Peel (fried, 1 qian) Tangerine Peel (1.2 qian) Magnolia Bark (fried with ginger, 1 qian) Immature Bitter Orange (fried, 1 qian)
Scutellaria Baicalensis Root (lightly fried, 1 qian) Coptis Rhizome (fried, 1 qian) Angelica Sinensis Radix (wine-washed, 1 qian) White Peony Root (fried, 1 qian) Talcum (1.2 qian)
Betel Nut (0.8 qian) Aucklandia Root (0.5 qian) Licorice Root (0.4 qian, roasted)
Crush into pieces, one dose, two large cups of water, decoct to 0.8 cup, take warm on an empty stomach.
Huangqin Shaoyao Tang
Treats pregnancy dysentery with abdominal pain, thirst, tenesmus, and urgency.
White Peony Root (1 qian) Angelica Sinensis Radix (1.2 qian) Scutellaria Baicalensis Root (1.2 qian) Coptis Rhizome (remove whiskers, wine-fried, 1.2 qian) Cinnamon Bark (0.4 qian)
Betel Nut (0.8 qian) Aucklandia Root (0.6 qian) Licorice Root (0.4 qian, roasted) Rhubarb (raw, adjust based on patient's deficiency/excess)
Two cups of water, decoct to one cup, take warm.
Weifeng Tang
Treats chronic dysentery in pregnant women with depleted yuan qi, frequent day and night episodes.
Ginseng (1.2 qian) Atractylodes Macrocephala Rhizome (earth-fried, 1.5 qian) Angelica Sinensis Radix (1 qian, wine-washed) White Poria (peeled, 1 qian) Ligusticum Chuanxiong Rhizome (1.2 qian)
Cinnamon Bark (0.4 qian) White Peony Root (wine-fried, 1.2 qian)
Decoct with water and take warm.
Xianglian Wan
Treats persistent pregnancy dysentery; this formula is very effective.
Coptis Rhizome (1 jin 4 liang, crushed, mixed with 10 liang Evodia Fruit, pour a little boiling water into a bowl, soak for one hour, take out and stir-fry together, remove Evodia, use Coptis) Aucklandia Root (4.5 liang, avoid fire)
Grind both into powder, use a little egg white and vinegar paste to make pills, take 2 qian each time.
Er Bian Butong (Obstruction of Urine and Stool)
Obstruction of large and small intestines during pregnancy is caused by accumulated heat in the zang-fu organs; treat with Four Substances Decoction plus Immature Bitter Orange, Magnolia Bark, and Scutellaria Baicalensis Root. If only urination is obstructed, it is due to heat in the bladder; treat with Dongkui Zi Tang.
Four Substances Decoction (Formula seen under Menstrual Regulation section.)
Dongkui Zi Tang
Treats difficult urination, heavy body, aversion to cold, and dizziness upon rising during pregnancy.
Okra Seed (1.5 liang) Poria (2 liang)
Grind into powder, take 3 qian each time, mixed with rice soup.
Yaotong (Lower Back Pain)
Pregnancy lower back pain is most critical. Since the uterus is tied to the waist, sore and urgent lower back pain indicates the uterus is descending and labor is imminent. For lower back pain due to trauma or qi stagnation, use Tongqi San. For kidney-deficiency lower back pain, use Qing'e Bulao Wan; generally, securing the fetus is paramount.
Tongqi San
Treats lower back pain in pregnant women due to trauma or qi stagnation.
Psoralea Fruit (any amount, fried on tile)
Grind into powder, chew one walnut meat first, take 2 qian mixed with warm wine on an empty stomach.
Qing'e Bulao Wan
Treats pregnancy lower back pain due to kidney deficiency or wind-cold invasion.
Eucommia Bark (1 jin, fried with ginger) Psoralea Fruit (0.5 jin, fried) Walnut Meat (20 pieces)