Library

[Attached Discussion]
In winter, severe cold invades the body. The pathogenic cold hides in the muscles and bones, manifesting only at the Summer Solstice. This condition of high fever is called "Shu Bing" (Summerheat Disease), which is synonymous with "Re Bing" (Heat Disease). This occurs because accumulated cold qi becomes toxic upon eruption. If a pregnant woman encounters this, it often leads to miscarriage. Abnormal climatic factors injuring a pregnant woman allow heat-toxic qi to invade and damage the fetus sac, resulting in miscarriage and bleeding, thereby endangering both mother and child.

[Formulas]

**Cuisheng Tang (Labor-Inducing Decoction)**
Indicated for pregnancy complicated by heat disease lasting six to seven days, where extreme heat cooks the fetus. It treats cases where the fetus has died, the mother's body is cold, and the fetus cannot be expelled spontaneously. Warm-the-fetus herbs should be used. Although Heishen San can be used, Cuisheng Tang is superior.
Ingredients: Cangzhu (Atractylodis Rhizoma), Jiegeng (Platycodonis Radix), Juhong (Citri Reticulatae Pericarpium Rubrum), Baizhi (Angelicae Dahuricae Radix), Guixin (Cinnamomi Cortex), Fengan (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), Danggui (Angelicae Sinensis Radix), Ganjiang (Zingiberis Rhizoma), Zhipu (Magnoliae Officinalis Cortex Preparata), Shaoyao (Paeoniae Radix), Banxia (Pinelliae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus Immaturus). [Equal parts]

**Chaihu San (Bupleurum Powder)**
Indicated for pregnancy heat disease presenting with painful and vexed joints, headache, and high fever. If untreated, it damages the fetus.
Ingredients: Chaihu (Bupleuri Radix), Jiagen (Puerariae Radix), Zhimu (Anemarrhenae Rhizoma), Zhiziren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang), Shigao (Gypsum Fibrosum), Daqing (Isatidis Folium), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma) (each 3 liang). The herbs are cut into small pieces.

**Renshen San (Ginseng Powder)**
Indicated for pregnancy heat qi invading the Heart and Spleen, causing dryness and scarcity of fluids, vexation, heat obstruction, dry mouth, and thirst.
Ingredients: Renshen (Panacis Ginseng Radix), Maidong (Ophiopogonis Radix), Chi Fuling (Poria Cum Rosa), Digupi (Lygodii Radix), Jiagen (Puerariae Radix), Huangqin (Scutellariae Radix), Xijiaoxie (Rhinocerotis Cornu Trita) (each 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang). The herbs are cut into small pieces. Take 3 qian per dose, add 1 zhan of water, decoct until 6 fen remains, strain, and take warm.

**Renshen Huangqi San (Ginseng and Astragalus Powder)**
*Note: Original text says "Renshen Huang San", inferred as Huangqi based on formula context.*
Indicated for pregnancy with body heat, vexation, dry mouth, and poor appetite.
Ingredients: Renshen (Panacis Ginseng Radix), Huangqi (Astragali Radix), Jiagen (Puerariae Radix), Qinjiao (Gentianae Macrophyllae Radix), Maidong (Ophiopogonis Radix) (each 2 liang), Zhimu (Anemarrhenae Rhizoma) (2 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang), Chi Fuling (Poria Cum Rosa) (1 liang). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water, 3 slices of fresh ginger, 14 leaves of Danzhuyez (Lophatheri Herba), decoct until 6 fen remains, strain, and take warm.

**Dahuang Yinzi (Rhubarb Drink)**
Indicated for pregnancy heat disease lasting six to seven days, where heat enters the abdomen, causing constipation and difficult urination, along with vexation and heat.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Qianhu (Peucedani Radix), Chi Fuling (Poria Cum Rosa) (each 3 qian), Zhiziren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 7 liang). *Note: Dosage discrepancy in original text (liang vs qian) preserved as per source.* The herbs are cut into small pieces. Take 0.5 liang per dose, add 1 large zhan of water, 1 fen of Shengdihuang (Rehmanniae Radix), decoct until 6 fen remains, strain, and take warm at any time.

**Heishen San (Black Divine Powder)**
*(Also known as Wu Jin San or Rougui San)*
Indicated for fetal death in utero due to heat disease. When the mother suffers from heat disease for six to seven days, extreme internal heat cooks the fetus, causing death. The dead fetus becomes cold and cannot expel itself. Taking Heishen San warms the uterus, allowing the fetus to be expelled shortly thereafter. Diagnosis of fetal death is indicated by a cyan tongue in the mother. It also treats retained blood not dispersing, alternating chills and fever.
Ingredients: Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Sheng Ganhudiyang (Rehmanniae Radix Preparata) (each 1 liang), Heidou (Soybean Seed) (stir-baked, skin removed, 2 liang), Fuzi (Aconiti Lateralis Radix Preparata) (0.5 liang). Grind into fine powder. Take 2 qian per dose, mix with warm wine on an empty stomach. Another version excludes Fuzi and uses Puhuang (Typhae Pollen).
Commentary: Pregnancy is called "Zhong Shen" (Double Life), as two lives depend on it. Improper management can damage the fetus, not only due to heat cooking but also due to falls, fright, trauma, or existing masses (Zheng Jia). Observing a cyan tongue indicates fetal death. *Yang Tai Lun* states: Cyan face and red tongue mean mother dies while fetus lives; cyan lips and salivation mean both die. Twin pregnancies may have one dead and one alive, which is hard to diagnose without careful examination near term. However, Heishen San warms the fetus by restoring the mother's righteous Qi, preventing deficiency pathogens, allowing natural expulsion. Cuisheng Tang is far superior to Heishen San.

**Gegen San (Kudzu Root Powder)**
Indicated for pregnancy of several months with chest and diaphragm vexation, dry lips and mouth, high fever in limbs, and poor appetite.
Ingredients: Gegen (Puerariae Lobatae Radix), Huangqin (Scutellariae Radix), Renshen (Panacis Ginseng Radix), Weirui (Polygonati Odorati Rhizoma), Huangqi (Astragali Radix), Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water and a piece of Zhuru (Bambusae Caulis in Taenia) the size of a coin, decoct until 7 fen remains, strain, and take warm at any time.

**Zhimu San (Anemarrhena Powder)**
Indicated for pregnancy with vexation, restlessness, dry mouth, and heat in the fetus organ.
Ingredients: Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang), Huangqin (Scutellariae Radix), Chi Fuling (Poria Cum Rosa) (each 3 fen). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water, decoct until 7 fen remains, strain, add 1 he of Zhuli (Bambusae Sap), boil twice more, and take warm. Another version uses Zhuru instead of Zhuli.

**Renshen Yinzi (Ginseng Drink)**
Indicated for pregnancy heat disease with high fever, headache, incessant vomiting, anorexia, and chest/mind vexation. Classics state: Heat disease resembles Summerheat, but Heat disease presents with a full pulse, whereas Summerheat presents with a deficient pulse.
Ingredients: Renshen (Panacis Ginseng Radix), Zhuru (Bambusae Caulis in Taenia), Jiagen (Puerariae Radix) (each 1 liang), Lugeng (Phragmitis Rhizoma) (2 liang), Maidong (Ophiopogonis Radix) (1.5 liang), Zhimu (Anemarrhenae Rhizoma) (3 fen). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water and 3 cun of Congbai (Allii Fistulosi Bulbus) with roots, decoct until 7 fen remains, strain, and take warm.

**Zhiziren Yinzi (Gardenia Seed Drink)**
Indicated for pregnancy heat disease presenting with black macules, urine like blood, shortness of breath nearing collapse, and threatened abortion.
Ingredients: Zhiziren (Gardeniae Semen), Shengma (Cimicifugae Rhizoma), Shigao (Gypsum Fibrosum), Sheng Ganhudiyang (Rehmanniae Radix Preparata) (each 2 liang), Huangqin (Scutellariae Radix), Daqing (Isatidis Folium) (each 1 liang). The herbs are cut into small pieces. Take 0.5 liang per dose, add 7 cun of Congbai (Allii Fistulosi Bulbus), 49 grains of Chidou (Sojae Semen Preparatum), 1 zhan of water, decoct until 5 fen remains, strain, and take warm at any time. For emergency, add Xingren (Armeniacae Semen Amarum); if Shengdihuang/Shigao unavailable, add Qingdai (Indigo Naturalis); if Daqing unavailable, use Chenpi (Citri Reticulatae Pericarpium) the size of a chicken egg, decoct in wine to save critical pregnancy cases.

**Treatment for Pregnancy Heat Disease, 6-7 days, heat entering abdomen, constipation, difficult urination, vexation.**
Apply Niufen Shui (Cow Dung Water) mixed to paste on the abdomen. Do not let it dry.

**Suopi Yin (Spleet-Restraining Drink)**
Resolves latent heat, relieves vexation and thirst, clears summerheat toxicity, stops vomiting and dysentery. Indicated after cholera when excessive hot medicines cause vexation.
Ingredients: Caoguoren (Tsaoko Fructus) (4 liang), Wumei Rou (Mume Fructus Pulpa) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2.5 liang). The herbs are cut into small pieces. Take 0.5 liang per dose, add 1 bowl of water, 10 slices of fresh ginger, decoct... [text cuts off].

**Chaihu Shigao Tang (Bupleurum and Gypsum Decoction)**
Indicated for pregnancy complicated by summerheat injury, headache, aversion to cold with body heat, restlessness, limb pain, stiffness of neck and back, and dry mouth/tongue.
Ingredients: Chaihu (Bupleuri Radix) (4 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang), Shigao (Gypsum Fibrosum) (8 liang). The herbs are cut into small pieces. Take 2 qian per dose, add 1 zhan of water, 5 slices of ginger, decoct until 6 fen remains, strain, and take warm. If Qi deficiency and cold body, add Renshen (Panacis Ginseng Radix) 4 liang.

**Treatment for Pregnancy Heat Disease.**
Congbai (Allii Fistulosi Bulbus) (5 liang), Chidou (Sojae Semen Preparatum) (1 sheng). Boil in 6 sheng of water until 2 sheng remains. Divide into two doses to induce sweating.

**Kuizi Tang (Abutilon Seed Decoction)**
Treats pregnancy illness lasting over six to seven days, heat entering the zang organs, difficult urination and defecation. Calms the fetus and clears heat.
Ingredients: Kuizi Ren (Abutilonis Semen) (2 sheng), Huashi (Talcum) (4 liang). Boil in 5 sheng of water until 1 sheng remains, strain, and take. Defecation should occur shortly after, curing the condition.

**Congchi Tang (Scallion and Soybean Decoction)**
Treats pregnancy heat disease with vexation, dry mouth, and dark, scanty urination.

**Another Formula for Pregnancy Heat Disease.**
Take Che Xia Zhi (Vehicle Axle Grease) with wine. Another method: take half a spoonful mixed with water.

**Another Method.**
Apply water from washing clean sheep feces to the abdomen. Do not let it dry.

**Another Method.**
Take Fulonggan (Dragon's House Earth) the size of a chicken egg, mixed with water orally. Alternatively, make a paste and apply to below the umbilicus.

**For Severe Heat and Vexation.**
Use Gegen Zhi (Kudzu Juice) 2 sheng, divided into three doses. Administer one dose every five li walking distance. Another method: decoct Gegen root in water. Do not use Ye Gegen (Wild Kudzu) as it harms the fetus.

**Another Method.**
Burn seven large dates, grind to powder, mix with wine and take.

**Another Method** (from *Qianjin Fang*)
Burn Huai Shi (Sophorae Fructus) to ash, take 1 fang cun bi (square inch scoop), mix with wine and take.

**Treatment for Pregnancy Heat Disease with Fetal Death in Utero, to expel.**
Use one black hen, remove feathers, chop finely. Boil in 3 sheng of water until 2 sheng remains. Remove chicken meat. Dip cloth in the broth and massage below the umbilicus with hand; the fetus will expel naturally.

**Lujiao Tang (Deer Horn Decoction)**
Treats pregnancy heat disease with fetal death in utero.
Use Lujiao Xie (Cervi Cornu Depradatum Tritum) 1 liang, 1 bowl of water, 5 stalks of Congbai (Allii Fistulosi Bulbus), 0.5 he of Chidou (Sojae Semen Preparatum). Decoct together until 6 fen remains, strain, divide into two warm doses. Effective. Also known as Lujiao San.

**For Pregnancy Illness Requiring Decoctions.**
First, pound 1 sheng of Xiaodou (Adzuki Bean), sift finely, mix with Ji Zi Huang (Gallic Albumen) to form cakes the size of a goose egg. Roast thoroughly. Have the patient eat them completely. After a short while, administer other medicines.

**Treatment for Pregnancy Heat Disease.**
Apply Shuidi Ni (Water Bottom Mud) to the area 3 cun below the heart. Cures immediately.

**For Pregnancy in 3rd-4th Month with Daily Dryness, Sudden Vexation, Confusion, Clearing Intestinal Heat.**
Then take this formula:
Gouteng (Uncariae Ramulus cum Uncis), Jiegeng (Platycodonis Radix), Sangjisheng (Taxilli Herba), Maidong (Ophiopogonis Radix), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), Fangfeng (Saposhnikoviae Radix) (equal parts). Grind finely and sieve. Take 5 qian per dose, add 1 bowl of water, decoct until 8 fen remains. Take after meals, strained. Drinking a whole cup continuously is acceptable if intestinal heat persists.