上末之，蒜四两，捣烂，丸如桐子大，每三十丸，酒下。
腹痛
妊娠腹痛，须辨其寒热虚实。寒者脉迟，理中汤加砂仁、香附。热者脉数，黄芩芍药汤加白术、桂枝。虚
者，乃血滞不能养胎，脉无力，四君子汤加炒芍药、当归。实者脉有力，香壳汤，大便不通加浓朴、芍药、黄芩。
理中汤
治孕妇触冒寒气腹中 痛，必用此汤主之。
人参（一钱二分） 白术（炒，一钱半） 干姜（炮，一钱半） 甘草（炙，一钱）
上锉，一剂，生姜三片，水二大盏，煎至八分，空心服。
香壳汤
治妊娠气不清爽，心腹胀满或痛，为实也。
香附（五钱，炒） 枳壳（四钱，炒）
末之，每服二钱，白汤送下。
黄芩芍药汤（方见前痢疾条。）
四君子汤（方见前胎漏条内。）
心痛
妊娠心痛，非心痛也，乃胎气上升所致，名曰子悬，用顺气养血安胎饮。又有客热、客寒。若客热犯胃而
痛者，二陈汤加炒山栀、香附、白术、黄芩、苍术，去半夏。客寒犯胃而痛者，火龙汤、草豆蔻丸。
二陈汤（方见前恶阻条内。）
火龙汤
治妇人妊娠心痛，因客寒邪气犯胃而作。
艾叶（五钱，盐炒熟） 茴香（五钱，炒） 川楝肉（五钱，炒）
上锉，作二剂，水二大盏，煎至八分，空心时热服。
草豆蔻丸
治孕妇寒邪犯胃，心腹疼痛，必用此丸。
草豆蔻（一钱四分，面裹，煨熟，去心） 益智（八分，炒） 白僵蚕（八分） 陈皮（广者，八分） 人参
（去芦，八分） 黄 （蜜炙，八分） 吴茱萸（洗，去芦，八分） 甘草（生、炙各三分） 当归身（六分）
青皮（六分，去穣，炒） 神曲（炒，四分） 姜黄（四分） 柴胡（四分） 半夏（五分，姜制，宜去之） 泽
泻（六分，去毛） 麦芽（炒，六分） 桃仁（七个，去皮、尖）
上为末，蒸饼丸如梧子大，每服三十丸，白汤送下。
怔忡
妊娠怔忡，脉乱，惊悸不安，夜卧不宁，恍惚，气急促者，大圣散。血少神虚，心不宁者，益荣汤。火盛
者，安神丸。虚而心不宁，怔忡者，定志丸。
大圣散
治孕妇因惊而发，使心神不定，恍惚怔忡。
川芎（一两） 黄 （蜜炙，一两） 当归（酒浸，一两） 木香（一两） 人
参（去芦，一两） 甘草（炙，一两） 白茯苓（一两） 麦门冬（一两）
上锉，每用七钱，生姜三片，水二盏，煎八分，空心服。
益荣汤
治娠妇心神不宁，怔忡惊悸，恍惚悲忧。
当归（一钱二分） 黄 （蜜炙，一钱） 远志（去心，一钱） 酸枣仁（炒熟，一钱） 茯神（去木，一钱）
紫石英（八分） 木香（八分） 柏子仁（炒熟，一钱） 人参（去芦，一钱） 白芍药（炒，八分） 甘草（炙，三
分）
上锉，一剂，水二大盏，生姜三片，煎八分，空心温服。
安神丸
抑火宁心，安神定志，妊娠患此，必用此丸。
黄连（两半，酒炒） 朱砂（一两，水飞） 生地黄（一两） 当归身（一两，俱用酒洗） 甘草（炙，五钱）
末之，蒸饼丸如黍米大，朱砂为衣。
定志丸
治妇人妊娠心虚不足，恍惚多忘之证。
远志（一两，去心） 人参（一两，去芦） 蒲黄（二两） 白茯苓（三两，去皮）
上末之，蜜丸梧子大，辰砂为衣，每三十丸，米汤下。
咳嗽
妊娠咳嗽，因外感风寒者，参苏饮去半夏，加桑皮、杏仁。火乘肺金而咳嗽者，二陈汤去半夏，加黄芩、
黄连、枳壳、桔梗、贝母，有痰加栝蒌仁、前胡、桑白皮。
参苏饮
治娠妇外感风邪，咳嗽痰涎，鼻塞声重。
紫苏叶（一钱） 陈皮（去白，一钱） 前胡（七分） 白茯苓（去皮，七分） 枳壳（微炒，七分） 桔梗
（七分） 半夏（七分，去之） 干葛（七分） 人参（六分，去芦） 甘草（四分） 木香（三分）
姜三片，水煎服。
二陈汤（方见经候条下。）
中风
妊娠中风，头项强直，筋挛语涩，痰涎壅盛，人事不省者，名曰子痫，羚羊角散。中风筋挛，强直，不省
人事，昏闷，口牵者，举轻古拜散主之。
羚羊角散
治妊娠中风，头项强直，语言謇涩。
羚羊角（镑碎，五分） 川独活（五分） 酸枣仁（炒熟，五分） 五加皮（五分） 薏苡仁（五分） 防风
（去芦，五分） 当归（五分，酒洗） 川芎（五分） 茯神（五分） 杏仁（五分） 木香（二分半） 甘草（二分）
锉一剂，水二盏，煎八分，不拘时服。
举轻古拜散
治妇人胎前、产后中风俱用此汤。
荆芥穗（焙燥）
末之，每用二钱，豆淋汤调服。
伤风
妊娠伤风，头痛鼻塞，声重咳嗽，甚至发热者，参苏饮去半夏取微汗。如肺火旺盛，风热不清，壅热于肺，
亦有头痛身热，鼻塞声重，咳嗽音哑，流涕之候，双解散去大黄、朴硝、石膏。
双解散
治娠妇一切风热之证，又名防风通圣散。
防风（一钱五分） 当归（一钱二分） 川芎（八分） 白芍药（炒，八分） 薄荷（八分） 山栀（炒黑，
八分） 黄芩（炒，八分） 大黄（量虚实用，娠妇去之） 石膏（一钱，去之） 桔梗（八分） 白术（一钱
二分） 连翘仁（七分） 荆芥（七分） 滑石（七分） 麻黄（六分） 芒硝（五分，去之）
上锉，一剂，水二盏，葱白一茎，煎至八分，空心温服。
参苏饮（方见前咳嗽条内。）
伤暑
妊娠正当炎暑，忽冒暑气，烦渴，闷乱不安，香薷饮加黄连、白术、人参，或十味香薷饮。渴甚热极者
加麦门冬、五味子、石膏、黄芩、知母、天花粉。
香薷饮
治孕妇伤暑，渴闷不安，身热烦躁之证。
香薷（二钱） 白扁豆（一钱） 浓朴（炒，一钱） 甘草（五分）
上锉，一剂，水二盏，煎至八分，冷服。或加黄连一钱。
十味香薷饮
治妊娠中暑，益气和中，安胎保孕。
香薷（二钱） 扁豆（八分） 白术（八分） 茯苓（八分） 陈皮（八分） 浓朴（一钱） 甘草（五分）
木瓜（五分） 人参（六分） 黄 （七分）
水二钟，煎八分，冷服。
伤食
妊娠伤饮食，胸满胁痛，脉右手寸口紧盛，枳术汤加山楂、麦 、神曲、黄连、浓朴。如伤冷物而胸膈
劣闷，欲吐，脉迟，本方加砂仁、木香、丁香，呕吐加生姜。
枳术汤
治孕妇饮食过度致伤胃气，胸膈膨胀。
枳壳（炒，八分） 白术（炒，三分） 紫苏叶（六分） 五灵脂（炒，一钱） 木香（六分） 陈皮（八
分） 槟榔（八分） 桔梗（七分） 肉桂（五分） 半夏（姜制，七分） 白茯苓（六分） 甘草（五分）
上锉，一剂，水二钟，姜三片，煎八分，空心服。
安胎
妇人内原有热，继而受孕，以致内火旺甚，胎气不安，
丹溪安胎丸。气血虚而不能营养，胎气不安者，紫苏饮加砂仁、枳壳、木香行其气。
安胎丸
妊娠四、五月，常堕不安，内热甚故也。
白术（二两，炒） 沉水黄芩（二两）
末之，粥丸，下五十丸。
紫苏饮（方见前子悬条内。）
束胎
妊娠七、八月以来，胎肥大者，宜束其胎，达生散。若奉养太过，安逸之人，膏粱身肥，胎又不运，必然
难产，须服瘦胎散。气不运动，枳壳散。
达生散
又名束胎散，至八个月服十数帖甚效。
大腹皮（三钱） 白术（一钱，炒） 白芍药（一钱） 紫苏茎叶（八分） 人参（去芦，半钱） 陈皮（半
钱） 甘草（半钱，炙） 当归身（酒洗，一钱二分）
上锉，一剂，加葱五茎，黄杨脑七个，水二钟，煎服。
春加川芎，夏加黄芩，秋、冬加砂仁、枳壳。
瘦胎散
奉养太过以致胎肥，预服此药可使易产。
血余（即发灰，钱半，用猪心血和） 当归（酒洗，一钱） 川芎（一钱） 白芍药（一钱） 木香（一钱）
甘草（一钱） 枳壳（炒，一钱） 乳香（另研，五分）
水二钟，煎八分，食前温服。
枳壳散
瘦胎抑气，易产。凡孕肥胖者，宜预服之。
枳壳（四两，麸炒） 甘草（二两，炙）
末之，汤调，食前服。
胎寒
妇人怀孕，不守禁忌，纵恣口腹，过食生冷瓜、桃、梨、果，及当风取凉，以致胎冷不安，胸腹胀满或
痛，肠中虚鸣，胎孕冷伏，四肢拘急，便泄欲死，安胎和气饮主之。
安胎和气饮
治娠妇过食生冷，当风取凉，胎寒之证。
诃子（面裹，煨） 白术（炒，各三钱） 陈皮（一钱五分） 良姜（炒，一钱五分） 木香（一钱五分）
白芍药（一钱） 陈粟（炒，一钱半） 甘草（炙，一钱五分）
锉一剂，水一大盏，煎至八分，加姜汁三匙，热服。
胎热
妊娠将及临月，两眼失明，不见灯火，头痛晕，腮颔肿，不能转项，此肝经热毒上攻，盖是姜、椒、热酒、
荤腥、炙爆热积于中也，消风散、天门冬饮、四物汤加荆芥、防风、黄芩、黄连。
消风散
治妇人妊娠多食辛辣浓味之物，此汤主之。
荆芥穗（一两） 甘草（炙，一两） 川芎（一两） 羌活（一两） 人参（一两，去芦） 茯苓（一两，去皮）
僵蚕（炒，一两） 防风（去芦，一两） 藿香叶（一两） 蝉蜕（炒，一两） 陈皮（一两） 浓朴（姜汁拌匀，
炒，一两）
上为末，每服二钱，荆芥汤或茶汤调下。
天门冬饮
治妊娠蕴热，忽然两目失明，内热烦躁。
天门冬（一钱二分） 知母（一钱二分） 益母草子（一钱二分） 五味子（一钱） 白茯苓（一钱） 羌活
（一钱） 人参（去芦，一钱） 防风（一钱，去芦）
水二盏，煎一盏，温服。
四物汤（方见前经候条下。）
伤胎
妇人因顿仆，腰腹疼，或胎上抢心，去血腹痛，阿胶蕲艾丸。妊娠从高坠下，或为重物所压，触动胎气，
腹痛下血，胃虚呕逆，缩砂仁二钱，炒为末，酒调下，或佛手散。
佛手散（即芎归汤，见前胎动条内。）
阿胶蕲艾丸
四物汤加阿胶（炒，一钱） 艾叶（炒，一钱） 甘草（炙，一钱）
作一剂，水二盏，酒半盏，煎一盏，空心热服。
死胎
妇人舌青黑及胎上冷者，子已死，或指甲青，胀闷甚者，口中作屎臭，先以平胃散，投朴硝半两，酒与水
各半钟，煎服，胎化血水下。鹿角散下死胎。
平胃散（方见前皱脚条内。）
鹿角散
治孕妇因伤寒、热病以致胎死腹中。
鹿角屑一两，入葱、豉煎服。
伤寒
妊娠外感寒邪，头痛身热无汗，轻则参苏饮去半夏，重则十神汤汗之。汗后热不解者，黄龙汤。若胸满呕
逆口苦或寒热往来，本方加枳壳、桔梗。发热无汗，不得汗，本方加干葛。烦渴，再加天花粉。胸满加枳实、
黄连。如自汗身热烦渴，唇焦舌燥，谵语，人参白虎汤。大热烦渴，错语呻吟，干呕，黄连解毒汤。热甚不退，
胎动不安者，罩胎散。如五、六日不解，大便不通，不恶寒，反恶热，或日晡潮热，微恶寒者，大柴胡汤去半
夏。服后不通，烦热盛甚，小承气汤。如六、七日汗下后不解，病传阴分，手足冷，脉细小者，理中汤加人参。
参苏饮（方见前咳嗽条内。）
十神汤
发散瘟疫及时感风寒。
川芎（一钱） 甘草（七分） 麻黄（去节，一钱） 干葛（一钱） 紫苏（一钱） 升麻（八分） 赤芍药
（八分） 白芷（一钱） 陈皮（八分） 香附（一钱）
上锉，一剂，生姜三片，葱白三个，水煎热服，取微汗。
黄龙汤
治妊娠及新产后伤寒，和解退热之药。
柴胡（二钱） 黄芩（一钱五分） 人参（一钱） 甘草（五分）
上锉，作一剂，生姜三片，水二盏，煎一盏，空心热服。
人参白虎汤
治娠妇伤寒，身热自汗，烦渴唇焦。
石膏（五钱） 知母（二钱） 人参（一钱） 甘草（一钱）
上锉，一剂，加粳米一撮，水二盏，煎八分，不拘时服。
黄连解毒汤
治伤寒大热烦渴，错语呻吟，干呕。
黄连（炒，二钱） 黄芩（炒，一钱半） 黄柏（炒，一钱半） 山栀子（炒，一钱半）
上锉，一剂，水二盏，煎八分，温服。
大柴胡汤
治孕妇伤寒，阳明六、七日，大便难，带表。
柴胡（二钱） 黄芩（一钱） 半夏（一钱） 白芍药（八分，炒） 大黄（钱半） 枳实（炒，一钱）
上锉，一剂，姜三片，枣二枚，水二盏，煎八分，温服。
小承气汤
六、七日不大便，腹胀满，潮热，不恶寒。
大黄（三钱） 浓朴（炒，二钱） 枳实（炒，二钱）
上锉，一剂，水二盏，煎一盏，热服。
Before administration, process the powder into pills. Use four liang of garlic, mashed, to form pills the size of *Tongzi* (Cibotium barometz seeds). Take thirty pills per dose, administered with wine.
Abdominal Pain
Abdominal pain during pregnancy must be differentiated by cold, heat, deficiency, and excess patterns. For cold patterns, characterized by a slow pulse (*Chi Mai*), use Lizhong Tang (Regulate the Middle Decoction) added with Amomum fruit (*Sharen*) and Cyperus rhizome (*Xiangfu*). For heat patterns, characterized by a rapid pulse (*Shuo Mai*), use Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) added with Atractylodes macrocephala (*Baizhu*) and Cinnamon twig (*Guizhi*). For deficiency patterns, caused by blood stasis failing to nourish the fetus, characterized by a weak pulse, use Sijunzi Tang (Four Gentlemen Decoction) added with stir-fried White Peony Root (*Shaoyao*) and Angelica sinensis (*Danggui*). For excess patterns, characterized by a forceful pulse, use Xiangke Tang (Aurantium and Cyperus Decoction); if accompanied by constipation, add Magnolia bark (*Noupu*), Peony root (*Shaoyao*), and Scutellaria root (*Huangqin*).
Lizhong Tang (Regulate the Middle Decoction)
Indicated for pregnant women suffering from abdominal pain due to exposure to cold pathogenic factors. This decoction is essential.
Ginseng Radix et Rhizoma (Renshen, 1.2 qian), Stir-fried Atractylodes Macrocephala Rhizome (Baizhu, 1.5 qian), Prepared Ginger Rhizome (Ganjiang, 1.5 qian), Honey-fried Licorice Root (Gancao, 1 qian).
Decoct one dose with three slices of fresh ginger in two large bowls of water until reduced to 80%. Take on an empty stomach.
Xiangke Tang (Aurantium and Cyperus Decoction)
Indicated for pregnancy complicated by stagnant qi causing chest and abdominal fullness or pain, classified as an excess pattern.
Stir-fried Cyperus Rhizome (Xiangfu, 5 qian), Stir-fried Aurantium Fruit (Zhiqiao, 4 qian).
Grind into powder. Take 2 qian per dose, washed down with warm water.
Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) (See formula under Dysentery section previously.)
Sijunzi Tang (Four Gentlemen Decoction) (See formula under Fetal Bleeding section previously.)
Heart Pain
"Heart pain" during pregnancy is not true heart pain but results from fetal qi ascending; it is named "Zixuan" (Fetal Suspension). Use Shunqi Yangxue Antai Yin (Qi-Regulating and Blood-Nourishing Fetus-Calming Decoction). There are also external heat and external cold patterns. If external heat invades the stomach causing pain, use Erchen Tang (Two-Cured Decoction) added with stir-fried Gardenia fruit (*Zhizi*), Cyperus rhizome (*Xiangfu*), Atractylodes macrocephala (*Baizhu*), Scutellaria root (*Huangqin*), and Atractylodes lancea (*Cangzhu*), removing Pinellia tuber (*Banxia*). If external cold invades the stomach causing pain, use Huolong Tang (Fire Dragon Decoction) or Caodoukou Wan (Cardamom Pill).
Erchen Tang (Two-Cured Decoction) (See formula under Morning Sickness section previously.)
Huolong Tang (Fire Dragon Decoction)
Indicated for pregnant women suffering from heart pain due to external cold pathogenic factors invading the stomach.
Salt-stir-fried Mugwort Leaf (Aiye, 5 qian), Stir-fried Fennel Fruit (Huixiang, 5 qian), Stir-fried Toosendan Fruit Flesh (Chuanliannrou, 5 qian).
Decoct one dose divided into two portions with two large bowls of water until reduced to 80%. Take hot on an empty stomach.
Caodoukou Wan (Cardamom Pill)
Indicated for pregnant women suffering from heart and abdominal pain due to cold pathogenic factors invading the stomach.
Flour-wrapped Cardamom Seed (Caodoukou, 1.4 qian, roasted until cooked, remove core), Stir-fried Alpinia Oxyphylla Fruit (Yizhi, 0.8 qian), White Stiff Silkworm (Baijiangcan, 0.8 qian), Broad-leaved Tangerine Peel (Chenpi, 0.8 qian), Ginseng Radix et Rhizoma (Renshen, 0.8 qian, remove rhizome), Honey-fried Astragalus Root (Huangqi, 0.8 qian), Washed Evodia Fruit (Wuzhuyu, 0.8 qian, remove rhizome), Raw and Honey-fried Licorice Root (Gancao, 0.3 qian each), Angelica Sinensis Radix (Dangguishen, 0.6 qian), Stir-fried Green Tangerine Peel (Qingpi, 0.6 qian, remove pith), Stir-fried Medicated Leaven (Shenqu, 0.4 qian), Turmeric Rhizome (Jianghuang, 0.4 qian), Bupleurum Root (Chaihu, 0.4 qian), Ginger-prepared Pinellia Tuber (Banxia, 0.5 qian, preferably removed), Prepared Alisma Rhizome (Zexie, 0.6 qian, remove hairs), Stir-fried Barley Sprout (Maiya, 0.6 qian), Seven Peach Kernels (Taoren, remove skin and tip).
Grind into powder, make pills with steamed bread paste the size of *Wuzi* (Chinese Quince seeds). Take thirty pills per dose, washed down with warm water.
Palpitations
Pregnancy complicated by palpitations, chaotic pulse, fright and anxiety, restless sleep at night, mental confusion, and rapid breathing: use Dasheng San (Great Sage Powder). Due to blood deficiency and spirit emptiness causing restless mind: use Yirong Tang (Nourish Prosperity Decoction). Due to excessive fire: use Anshen Wan (Spirit-Calming Pill). Due to deficiency with restless mind and palpitations: use Dingzhi Wan (Will-Firming Pill).
Dasheng San (Great Sage Powder)
Indicated for pregnant women developing unsettled mind, mental confusion, and palpitations due to fright.
Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 liang), Honey-fried Astragalus Root (Huangqi, 1 liang), Wine-soaked Angelica Sinensis Radix (Danggui, 1 liang), Aucklandia Root (Muxiang), Ginseng Radix et Rhizoma (Renshen, 1 liang, remove rhizome), Honey-fried Licorice Root (Gancao, 1 liang), Poria Cocos (Baifuling, 1 liang), Ophiopogon Tuber (Mendong, 1 liang).
Decoct 7 qian per dose with three slices of fresh ginger in two bowls of water until reduced to 80%. Take on an empty stomach.
Yirong Tang (Nourish Prosperity Decoction)
Indicated for pregnant women with restless mind, palpitations, fright, mental confusion, sadness, and worry.
Angelica Sinensis Radix (Danggui, 1.2 qian), Honey-fried Astragalus Root (Huangqi, 1 qian), Polygala Tuber (Yuanzhi, 1 qian, remove core), Stir-fried Sour Jujube Kernel (Suanzaoren, 1 qian), Poria Cum Ramus (Fushen, 1 qian, remove wood), Purple Quartz (Zhisuqing, 0.8 qian), Aucklandia Root (Muxiang, 0.8 qian), Stir-fried Biota Seed (Baiziren, 1 qian), Ginseng Radix et Rhizoma (Renshen, 1 qian, remove rhizome), Stir-fried White Peony Root (Shaoyao, 0.8 qian), Honey-fried Licorice Root (Gancao, 0.3 qian).
Decoct one dose with three slices of fresh ginger in two large bowls of water until reduced to 80%. Take warm on an empty stomach.
Anshen Wan (Spirit-Calming Pill)
Suppresses fire to calm the heart and spirit, stabilizes willpower. Essential for this condition during pregnancy.
Wine-fried Coptis Rhizome (Huanglian, 0.5 liang), Water-triturated Cinnabar (Zhusha, 1 liang), Raw Rehmannia Root (Shengdihuang, 1 liang), Wine-washed Angelica Sinensis Radix (Dangguishen, 1 liang), Honey-fried Licorice Root (Gancao, 5 qian).
Grind into powder, make pills with steamed bread paste the size of millet grains, coat with cinnabar.
Dingzhi Wan (Will-Firming Pill)
Indicated for pregnant women with heart deficiency, mental confusion, and forgetfulness.
Polygala Tuber (Yuanzhi, 1 liang, remove core), Ginseng Radix et Rhizoma (Renshen, 1 liang, remove rhizome), Pollen Typhae (Puhuang, 2 liang), Peeled Poria Cocos (Baifuling, 3 liang).
Grind into powder, make honey pills the size of *Wuzi*. Coat with cinnabar. Take thirty pills per dose, washed down with rice soup.
Cough
Pregnancy cough due to external wind-cold: use Shenru Yin (Ginseng and Perilla Decoction) removing Pinellia tuber, adding Mulberry Bark (Sangpi) and Apricot Kernel (Xingren). Cough due to fire attacking Lung metal: use Erchen Tang (Two-Cured Decoction) removing Pinellia tuber, adding Scutellaria root (Huangqin), Coptis rhizome (Huanglian), Aurantium fruit (Zhiqiao), Platycodon root (Jiegeng), and Fritillaria bulb (Beimu); if phlegm is present, add Trichosanthes seed (Gualouren), Peucedanum root (Qianhu), and Mulberry Bark (Sangbaipi).
Shenru Yin (Ginseng and Perilla Decoction)
Indicated for pregnant women with external wind pathogen, cough with phlegm, nasal congestion, and heavy voice.
Perilla Leaf (Zisuye, 1 qian), Tangerine Peel without white pith (Chenpi, 1 qian), Peucedanum Root (Qianhu, 0.7 qian), Peeled Poria Cocos (Baifuling, 0.7 qian), Lightly stir-fried Aurantium Fruit (Zhiqiao, 0.7 qian), Platycodon Root (Jiegeng, 0.7 qian), Pinellia Tuber (Banxia, 0.7 qian, remove), Kudzu Root (Gange, 0.7 qian), Ginseng Radix et Rhizoma (Renshen, 0.6 qian, remove rhizome), Licorice Root (Gancao, 0.4 qian), Aucklandia Root (Muxiang, 0.3 qian).
Add three slices of fresh ginger, decoct in water.
Erchen Tang (Two-Cured Decoction) (See formula under Menstrual Disorders section below.)
Wind Stroke
Pregnancy complicated by wind stroke, stiff neck and head, muscle spasms, slurred speech, copious phlegm, and loss of consciousness is named "Zixian" (Fetal Eclampsia). Use Lingyangjiao San (Antelope Horn Powder). Wind stroke with muscle spasms, stiffness, loss of consciousness, dizziness, and mouth deviation: use Juqing Gubai San (Juqing Gubai Powder).
Lingyangjiao San (Antelope Horn Powder)
Indicated for pregnancy complicated by wind stroke, stiff neck and head, and slurred speech.
Powdered Antelope Horn (Lingyangjiao, 0.5 qian), Sichuan Active Root (Chuanduhuo, 0.5 qian), Stir-fried Sour Jujube Kernel (Suanzaoren, 0.5 qian), Fiveleaf Acanthopanax Bark (Wujiapi, 0.5 qian), Coix Seed (Yiyiren, 0.5 qian), Saposhnikovia Root (Fangfeng, 0.5 qian, remove rhizome), Wine-washed Angelica Sinensis Radix (Danggui, 0.5 qian), Ligusticum Chuanxiong Rhizome (Chuanxiong, 0.5 qian), Poria Cum Ramus (Fushen, 0.5 qian), Apricot Kernel (Xingren, 0.5 qian), Aucklandia Root (Muxiang, 0.25 qian), Licorice Root (Gancao, 0.2 qian).
Decoct one dose in two bowls of water until reduced to 80%. Take at any time.
Juqing Gubai San (Juqing Gubai Powder)
Indicated for wind stroke before and after delivery in women.
Roasted and dried Schizonepeta Spike (Jingjisui).
Grind into powder. Take 2 qian per dose, mixed with Doulin Tang (Bean Dripping Decoction).
Wind Injury
Pregnancy complicated by wind injury, headache, nasal congestion, heavy voice, cough, even fever: use Shenru Yin (Ginseng and Perilla Decoction) removing Pinellia tuber to induce slight sweating. If lung fire is vigorous, wind-heat is unclear, and heat obstructs the lungs, presenting with headache, body heat, nasal congestion, heavy voice, hoarse cough, and runny nose: use Shuangjie San (Double Release Powder) removing Rheum palmatum (Dahuang), Mirabilite (Puxiao), and Gypsum (Shigao).
Shuangjie San (Double Release Decoction)
Also known as Fangfeng Tongsheng San (Saposhnikovia and Maximizing Strength Decoction). Indicated for all wind-heat conditions in pregnant women.
Saposhnikovia Root (Fangfeng, 1.5 qian), Angelica Sinensis Radix (Danggui, 1.2 qian), Ligusticum Chuanxiong Rhizome (Chuanxiong, 0.8 qian), Stir-fried White Peony Root (Shaoyao, 0.8 qian), Mint (Bohe, 0.8 qian), Stir-fried Black Gardenia Fruit (Zhizi, 0.8 qian), Stir-fried Scutellaria Root (Huangqin, 0.8 qian), Rheum Palmatum Root and Rhizome (Dahuang, dose based on deficiency/excess, remove for pregnancy), Gypsum (Shigao, 1 qian, remove), Platycodon Root (Jiegeng, 0.8 qian), Atractylodes Macrocephala Rhizome (Baizhu, 1.2 qian), Forsythia Fruit (Lianqiaoren, 0.7 qian), Schizonepeta Spike (Jingjie, 0.7 qian), Talcum (Huashi, 0.7 qian), Ephedra Herb (Mahuang, 0.6 qian), Mirabilite (Mangxiao, 0.5 qian, remove).
Decoct one dose with one stalk of green onion white in two bowls of water until reduced to 80%. Take warm on an empty stomach.
Shenru Yin (Ginseng and Perilla Decoction) (See formula under Cough section previously.)
Summerheat Injury
Pregnancy during intense summer heat, sudden exposure to summerheat, causing thirst, irritability, and restlessness: use Xiangru Yin (Elsholtzia Decoction) added with Coptis rhizome (Huanglian), Atractylodes macrocephala (Baizhu), and Ginseng radix (Renshen), or Shiwei Xiangru Yin (Ten-Ingredient Elsholtzia Decoction). If thirst is severe and heat extreme, add Ophiopogon tuber (Mendong), Schisandra fruit (Wuweizi), Gypsum (Shigao), Scutellaria root (Huangqin), Anemarrhena rhizome (Zhimu), and Trichosanthes root (Tianhuafen).
Xiangru Yin (Elsholtzia Decoction)
Indicated for pregnant women with summerheat injury, thirst, irritability, body heat, and restlessness.
Elsholtzia Herb (Xiangru, 2 qian), White Hyacinth Bean (Baibiandou, 1 qian), Stir-fried Magnolia Bark (Noupu, 1 qian), Licorice Root (Gancao, 0.5 qian).
Decoct one dose in two bowls of water until reduced to 80%. Take cold. Or add Coptis rhizome (Huanglian) 1 qian.
Shiwei Xiangru Yin (Ten-Ingredient Elsholtzia Decoction)
Indicated for pregnancy complicated by midsummer heat, tonifies qi, harmonizes middle, calms fetus, and protects pregnancy.
Elsholtzia Herb (Xiangru, 2 qian), Hyacinth Bean (Biandou, 0.8 qian), Atractylodes Macrocephala Rhizome (Baizhu, 0.8 qian), Poria Cocos (Fuling, 0.8 qian), Tangerine Peel (Chenpi, 0.8 qian), Magnolia Bark (Noupu, 1 qian), Licorice Root (Gancao, 0.5 qian), Papaya (Mugua, 0.5 qian), Ginseng Radix et Rhizoma (Renshen, 0.6 qian), Astragalus Root (Huangqi, 0.7 qian).
Decoct in two cups of water until reduced to 80%. Take cold.
Food Injury
Pregnancy complicated by dietary injury, chest and hypochondriac fullness/pain, tight and full pulse at right Cun position: use Zhizhu Tang (Aurantium and Atractylodes Decoction) added with Hawthorn fruit (Shanzha), Malt (Maiya), Medicated Leaven (Shenqu), Coptis rhizome (Huanglian), and Magnolia bark (Noupu). If injured by cold foods causing chest oppression, desire to vomit, and slow pulse: add Amomum fruit (Sharen), Aucklandia root (Muxiang), and Evodia fruit (Dingxiang) to the base formula; if vomiting occurs, add Fresh Ginger (Shengjiang).
Zhizhu Tang (Aurantium and Atractylodes Decoction)
Indicated for pregnant women whose excessive food intake injures stomach qi, causing chest and diaphragmatic distension.
Stir-fried Aurantium Fruit (Zhiqiao, 0.8 qian), Stir-fried Atractylodes Macrocephala Rhizome (Baizhu, 0.3 qian), Perilla Leaf (Zisuye, 0.6 qian), Stir-fried Trogopterus Dung (Wulingzhi, 1 qian), Aucklandia Root (Muxiang, 0.6 qian), Tangerine Peel (Chenpi, 0.8 qian), Areca Seed (Binglang, 0.8 qian), Platycodon Root (Jiegeng, 0.7 qian), Cinnamon Bark (Rougui, 0.5 qian), Ginger-prepared Pinellia Tuber (Banxia, 0.7 qian), Poria Cocos (Baifuling, 0.6 qian), Licorice Root (Gancao, 0.5 qian).
Decoct one dose with three slices of fresh ginger in two cups of water until reduced to 80%. Take on an empty stomach.
Fetus Calming
If a woman originally has internal heat and then conceives, leading to excessive internal fire and unstable fetus: use Danxi Antai Wan (Danxi's Fetus-Calming Pill). If qi and blood are deficient and unable to nourish the fetus, causing instability: use Zisu Yin (Perilla Decoction) added with Amomum fruit (Sharen), Aurantium fruit (Zhiqiao), and Aucklandia root (Muxiang) to move qi.
Antai Wan (Fetus-Calming Pill)
Indicated for frequent miscarriage or instability between the fourth and fifth months of pregnancy due to severe internal heat.
Stir-fried Atractylodes Macrocephala Rhizome (Baizhu, 2 liang), Submerged Scutellaria Root (Chenshui Huangqin, 2 liang).
Grind into powder, make pills with congee. Take fifty pills per dose.
Zisu Yin (Perilla Decoction) (See formula under Zixuan section previously.)
Fetus Binding
From the seventh and eighth months of pregnancy, if the fetus is large, it is appropriate to bind the fetus using Dasheng San (Reaching Life Decoction). If over-nourished and sedentary, leading to obesity and unrotating fetus, inevitably causing difficult labor: take Shoutai San (Fetus-Thinning Powder). If qi does not move: use Zhiqiao San (Aurantium Powder).
Dasheng San (Reaching Life Decoction)
Also known as Shutai San (Fetus-Binding Powder). Very effective when taken up to the eighth month for several doses.
Greater Citron Fruit Skin (Dafupi, 3 qian), Stir-fried Atractylodes Macrocephala Rhizome (Baizhu, 1 qian), White Peony Root (Shaoyao, 1 qian), Perilla Stem and Leaf (Zisujingye, 0.8 qian), Ginseng Radix et Rhizoma (Renshen, 0.5 qian, remove rhizome), Tangerine Peel (Chenpi, 0.5 qian), Honey-fried Licorice Root (Gancao, 0.5 qian), Wine-washed Angelica Sinensis Radix (Dangguishen, 1.2 qian).
Decoct one dose with five stalks of green onion and seven Huangyang Brain (Huangyangnao) in two cups of water.
Add Ligusticum Chuanxiong Rhizome (Chuanxiong) in spring, Scutellaria Root (Huangqin) in summer, Amomum Fruit (Sharen) and Aurantium Fruit (Zhiqiao) in autumn and winter.
Shoutai San (Fetus-Thinning Powder)
Indicated for fetus hypertrophy due to over-nourishment. Pre-administration facilitates easy delivery.
Hair Ash (Xueyu, i.e., hair ash, 1.5 qian, mixed with Pig Heart Blood), Wine-washed Angelica Sinensis Radix (Danggui, 1 qian), Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 qian), White Peony Root (Shaoyao, 1 qian), Aucklandia Root (Muxiang, 1 qian), Licorice Root (Gancao, 1 qian), Stir-fried Aurantium Fruit (Zhiqiao, 1 qian), Frankincense Resin (Ruxiang, 0.5 qian, separately ground).
Decoct in two cups of water until reduced to 80%. Take warm before meals.
Zhiqiao San (Aurantium Powder)
Thins the fetus and suppresses qi for easier delivery. Suitable for obese pregnant women for pre-administration.
Bran-stir-fried Aurantium Fruit (Zhiqiao, 4 liang), Honey-fried Licorice Root (Gancao, 2 liang).
Grind into powder, mix with water, take before meals.
Fetal Cold
If a pregnant woman violates taboos, indulges in eating raw and cold fruits like melons, peaches, and pears, and exposes herself to wind for cooling, resulting in cold fetus, chest/abdominal fullness or pain, intestinal rumbling, latent fetal cold, limb stiffness, severe diarrhea, use Antai Heqi Yin (Fetus-Calming and Qi-Harmonizing Decoction).
Antai Heqi Yin (Fetus-Calming and Qi-Harmonizing Decoction)
Indicated for pregnant women suffering from fetal cold due to excessive consumption of raw/cold foods and exposure to wind.
Flour-wrapped Chebula Fruit (Hezi, roasted), Stir-fried Atractylodes Macrocephala Rhizome (Baizhu, 3 qian each), Tangerine Peel (Chenpi, 1.5 qian), Stir-fried Galangal Rhizome (Liangjiang, 1.5 qian), Aucklandia Root (Muxiang, 1.5 qian), White Peony Root (Shaoyao, 1 qian), Stir-fried Old Millet (Chensu, 1.5 qian), Honey-fried Licorice Root (Gancao, 1.5 qian).
Decoct one dose in one large bowl of water until reduced to 80%. Add three spoons of ginger juice, take hot.
Fetal Heat
Near term, pregnancy complicated by blindness, inability to see light, headache, dizziness, swelling of cheeks/jaw, inability to turn neck: this is liver meridian heat toxin attacking upward, likely due to accumulation of ginger, pepper, hot wine, meat, and fried foods in the middle jiao. Use Xiaofeng San (Eliminate Wind Powder), Tiandongmen Yin (Asparagus Decoction), Siwu Tang (Four Substance Decoction) added with Schizonepeta spike (Jingjie), Saposhnikovia root (Fangfeng), Scutellaria root (Huangqin), and Coptis rhizome (Huanglian).
Xiaofeng San (Eliminate Wind Powder)
Indicated for pregnant women who consume excessive spicy and strong-flavored foods.
Schizonepeta Spike (Jingjisui, 1 liang), Honey-fried Licorice Root (Gancao, 1 liang), Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 liang), Notopterygium Rhizome (Qianghuo, 1 liang), Ginseng Radix et Rhizoma (Renshen, 1 liang, remove rhizome), Peeled Poria Cocos (Fuling, 1 liang), Stir-fried White Stiff Silkworm (Jiangcan, 1 liang), Saposhnikovia Root (Fangfeng, 1 liang, remove rhizome), Agastache Leaf (Huoxiangye, 1 liang), Stir-fried Cicada Slough (Chantui, 1 liang), Tangerine Peel (Chenpi, 1 liang), Magnolia Bark (Noupu, 1 liang, mixed with ginger juice and stir-fried).
Grind into powder. Take 2 qian per dose, mixed with Jingjie tea or regular tea.
Tiandongmen Yin (Asparagus Decoction)
Indicated for pregnancy complicated by accumulated heat, sudden blindness, internal heat, and restlessness.
Asparagus Root (Tiandongmen, 1.2 qian), Anemarrhena Rhizome (Zhimu, 1.2 qian), Motherwort Seed (Yimucaozhong, 1.2 qian), Schisandra Fruit (Wuweizi, 1 qian), Poria Cocos (Baifuling, 1 qian), Notopterygium Rhizome (Qianghuo, 1 qian), Ginseng Radix et Rhizoma (Renshen, 1 qian, remove rhizome), Saposhnikovia Root (Fangfeng, 1 qian, remove rhizome).
Decoct in two bowls of water until reduced to one bowl. Take warm.
Siwu Tang (Four Substance Decoction) (See formula under Menstrual Disorders section previously.)
Fetus Injury
Due to falling or stumbling, causing lower back/abdominal pain, or fetal qi rushing to the heart, bleeding with abdominal pain: use Ejiao Qiai Wan (Donkey-hide Gel and Mugwort Pill). Falling from height or being crushed by heavy objects, disturbing fetal qi, causing abdominal pain and bleeding, stomach deficiency with vomiting: use 2 qian of Amomum fruit (Suosharen), stir-fried to powder, mixed with wine. Or use Foshou San (Buddha's Hand Powder).
Foshou San (Buddha's Hand Powder) (i.e., Xiongui Tang, see Fetal Movement section previously.)
Ejiao Qiai Wan (Donkey-hide Gel and Mugwort Pill)
Siwu Tang (Four Substance Decoction) added with Donkey-hide Gel (Ejiao, 1 qian, stir-fried), Stir-fried Mugwort Leaf (Aiye, 1 qian), Honey-fried Licorice Root (Gancao, 1 qian).
Decoct one dose with two bowls of water and half a bowl of wine until reduced to one bowl. Take hot on an empty stomach.
Dead Fetus
If the woman's tongue is cyan/black and the fetus feels cold, the child is dead. Or if fingernails are cyan, severe bloating/stuffiness, and breath smells like feces: first use Pingwei San (Peace the Stomach Powder), add 0.5 liang of Mirabilite (Puxiao), decoct with half a cup of wine and half a cup of water. The fetus will dissolve and pass as bloody fluid. Lujiao San (Deer Horn Powder) can expel dead fetus.
Pingwei San (Peace the Stomach Powder) (See formula under Edema section previously.)
Lujiao San (Deer Horn Powder)
Indicated for dead fetus in the womb due to Shanghan (Cold Damage) or febrile disease.
One liang of Deer Horn Shavings, decoct with green onion and fermented soybean.
Shanghan (Cold Damage)
Pregnancy complicated by external cold pathogen, headache, body heat, no sweat: mild cases use Shenru Yin (Ginseng and Perilla Decoction) removing Pinellia tuber; severe cases use Shishen Tang (Ten Gods Decoction) to induce sweating. If heat persists after sweating: use Hulong Tang (Yellow Dragon Decoction). If chest fullness, vomiting, bitter taste, or alternating chills and fever: add Aurantium fruit (Zhiqiao) and Platycodon root (Jiegeng) to the base formula. If fever with no sweat: add Kudzu root (Gange). If irritability and thirst: add Trichosanthes root (Tianhuafen). If chest fullness: add Aurantium fruit (Zhishi) and Coptis rhizome (Huanglian). If spontaneous sweating, body heat, irritability/thirst, dry lips/tongue, delirium: use Renshen Baihu Tang (Ginseng White Tiger Decoction). If high fever, irritability/thirst, confused speech, groaning, dry retching: use Huanglian Jiedu Tang (Coptis Detoxification Decoction). If heat persists, fetal movement unrest: use Zao Tai San (Cover Fetus Powder). If unresolved after 5-6 days, constipation, aversion to heat rather than cold, or afternoon tidal fever with slight aversion to cold: use Da Chaihu Tang (Major Bupleurum Decoction) removing Pinellia tuber. If still blocked after taking, severe irritability/heat: use Xiao Chengqi Tang (Minor Order the Qi Decoction). If unresolved after sweating/purging on day 6-7, disease transmitted to yin level, cold limbs, fine/small pulse: use Lizhong Tang (Regulate the Middle Decoction) added with Ginseng radix (Renshen).
Shenru Yin (Ginseng and Perilla Decoction) (See formula under Cough section previously.)
Shishen Tang (Ten Gods Decoction)
Disperses plague and seasonal wind-cold.
Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 qian), Licorice Root (Gancao, 0.7 qian), Ephedra Herb without nodes (Mahuang, 1 qian), Kudzu Root (Gange, 1 qian), Perilla Leaf (Zisu, 1 qian), Cimicifuga Rhizome (Shengma, 0.8 qian), Red Peony Root (Chishaoyao, 0.8 qian), Angelica Dahurica Root (Baizhi, 1 qian), Tangerine Peel (Chenpi, 0.8 qian), Cyperus Rhizome (Xiangfu, 1 qian).
Decoct one dose with three slices of fresh ginger and three green onion whites in water, take hot to induce slight sweating.
Hulong Tang (Yellow Dragon Decoction)
Indicated for Shanghan in pregnancy and postpartum, harmonizes and reduces fever.
Bupleurum Root (Chaihu, 2 qian), Scutellaria Root (Huangqin, 1.5 qian), Ginseng Radix et Rhizoma (Renshen, 1 qian), Licorice Root (Gancao, 0.5 qian).
Decoct one dose with three slices of fresh ginger in two bowls of water until reduced to one bowl. Take hot on an empty stomach.
Renshen Baihu Tang (Ginseng White Tiger Decoction)
Indicated for pregnant women with Shanghan, body heat, spontaneous sweating, irritability/thirst, dry lips.
Gypsum (Shigao, 5 qian), Anemarrhena Rhizome (Zhimu, 2 qian), Ginseng Radix et Rhizoma (Renshen, 1 qian), Licorice Root (Gancao, 1 qian).
Decoct one dose with a pinch of Rice (Jingmi) in two bowls of water until reduced to 80%. Take at any time.
Huanglian Jiedu Tang (Coptis Detoxification Decoction)
Indicated for Shanghan with high fever, irritability/thirst, confused speech, groaning, dry retching.
Stir-fried Coptis Rhizome (Huanglian, 2 qian), Stir-fried Scutellaria Root (Huangqin, 1.5 qian), Stir-fried Phellodendron Bark (Huangbai, 1.5 qian), Stir-fried Gardenia Fruit (Zhizi, 1.5 qian).
Decoct one dose in two bowls of water until reduced to 80%. Take warm.
Da Chaihu Tang (Major Bupleurum Decoction)
Indicated for pregnant women with Shanghan, Yangming stage day 6-7, difficulty defecating, with exterior syndrome.
Bupleurum Root (Chaihu, 2 qian), Scutellaria Root (Huangqin, 1 qian), Pinellia Tuber (Banxia, 1 qian), Stir-fried White Peony Root (Shaoyao, 0.8 qian), Rheum Palmatum Root and Rhizome (Dahuang, 1.5 qian), Stir-fried Aurantium Fruit (Zhishi, 1 qian).
Decoct one dose with three slices of fresh ginger and two dates in two bowls of water until reduced to 80%. Take warm.
Xiao Chengqi Tang (Minor Order the Qi Decoction)
Constipation for 6-7 days, abdominal fullness, tidal fever, no aversion to cold.
Rheum Palmatum Root and Rhizome (Dahuang, 3 qian), Stir-fried Magnolia Bark (Noupu, 2 qian), Stir-fried Aurantium Fruit (Zhishi, 2 qian).
Decoct one dose in two bowls of water until reduced to one bowl. Take hot.