津血养胎，肺乏濡润，兼之郁火上炎，故嗽不止，法当润肺为主。
胃火冲肺。食生冷又食椒、姜，致伤胎气而咳嗽不止，五虎汤。（和七。）
脾肺气虚，伤于风寒。补中益气汤，加桑皮、杏仁、桔梗。（补六。）
肺虚不生水，水虚而火炎。宜清金滋水，又当以安胎为要。
阴火克肺。天冬汤。（寒十二。）
风寒客肺。宁肺饮。（寒十三。）
嗽血不止。清肺饮。（寒二十七。）
其母素有肝火，遇孕则水养胎元，肝血愈燥，寒热往来，是以不免似疟，实非疟也。或因气血虚损，风寒乘之。风
为阳邪，化气为热，寒为阴邪，化气为寒，阴阳并挟，寒热互见。宜大补气血，轻表外邪。若寒热不已，熏蒸其胎，胎
必伤矣。
肝枯发火。逍遥散。（和五。）
化源不足。六味丸。（补二。）
气虚寒热。六君子汤去半夏，加藿香。（补一。）
阴阳之气不和。宜和解，小柴胡汤。（和十。）
脏腑既虚，外触风寒，邪正相击，而并于气，随气上下。冲于心则心痛；攻于腹则腹痛；若至久不瘥，冲于胞胎则
胎下。
腹痛恶寒，少腹如扇。子宫受寒而不能合，故开而若扇。宜附子汤。（热一。）
血胀腹痛。此子宫久虚也，不速治则胎堕。杜仲丸。（补十。）
痛引两胁，小便数，大便滑。宜安胎和气饮。（和十一。）
微痛连腰，饮食无味。此胎气不安也。宜安胎饮。（补九。）
痛不可忍，胎动欲落。若初病而身体强健者，可用纹银数两，先煎，后加茅根二斤，煮汁饮之。
气胀刺痛，肠鸣呕逆。此岔怒忧思过度，饮食失节所致，宜木香散。若气郁生火，加清火之味。（散九。）
胞阻腹痛。血为胞所阻，不能流行。血滞则气亦滞，故腹中痛。宜四物加胶、艾、甘草。挟风则为浊痰。阿胶能去
风而澄浊，艾能导血归经。（补七。）
脾胃气虚，不能承载。安胎饮加升麻、白术，或补中益气汤。（补九、补六。）
忽然 痛。此妊娠至五六月有之。大枣十四枚，炒炭，食盐一钱，炒赤，共研，酒下。
顿仆胎动，腹痛下血。四物加胶、艾，不应，用八珍加胶、艾，或再加知母亦可。若抢心短气，腹满作痛，四物加
阿胶、砂仁、陈皮、黄芩。（补七、补五。）
风邪痰饮，交结于心之支络。宜四物合二陈，加藿香、紫苏，或阿胶散加旋复花，或当归芍药汤，择而用之。（补七、
和八、补六十三、补十一。）
腹痛连髋。宜五加皮散，或五加皮丸。（散十、散十一。）
皮肤疼痛，筋骨拘急，手足挛拳。此内食生冷，外受风寒，寒冷之气，内外相搏。而胎不安也，宜安胎和气饮。（和
十一。）
筋骨疼痛，四肢不安。因怪梦多惊，或喧呼忪悸，以致胎气不安，故两胁腹胀，连脐急痛，坐卧不宁，气促如喘。
速投大圣散。（补十二。）
腹痛时作，小腹重坠。血虚气陷也。用加味安胎饮。（补十三。）
宿寒搏血，血凝气滞。宜五灵脂、蒲黄并炒炭，醋调下；或用五君子汤。（补十四。）
遍身痛，冲心欲死，不能饮食。宜白术、芍药、黄芩。
心下满，气急切痛。赤茯苓、桑白皮、前胡、郁李仁、苏梗、五加皮。
血虚而热。生地二斤捣汁，和酒一升，煎半服。
胎气自痛。宜内补丸。（补十五。）
胞络虚而风寒搏之，少腹痛甚。紫苏饮加生姜。如气血两虚，八珍汤可加减用之。（散三、补五。）
气攻左右，小便不利。小柴胡汤加青皮、栀子。（和十。）
因怒而小腹疼痛，水道重坠。肝火炽盛所致。龙胆泻肝汤，后用四君加升、柴。（寒十一、补四。）
小腹痛连腰胁。此惊恼所致也，甚则下血不止。宜阿胶、当归、人参、茯苓，加香附、艾，并炒炭，煎服。
Jinye (Body Fluids) and Xue (Blood) nourish the fetus, leading to a lack of moistening in the Fei Zang (Lung Organ), compounded by stagnant Fire ascending. Consequently, coughing persists indefinitely. The treatment principle should primarily focus on moistening the lungs.
Wei Huo (Stomach Fire) rebels upward affecting the lungs. Ingestion of cold/raw foods followed by spicy ingredients like Sichuan pepper (Huajiao) and ginger damages Tai Qi (Fetal Qi), causing persistent coughing. Use Wuhu Tang (Five Tiger Decoction). (Refer to "Harmony" Chapter, Formula 7.)
Pi Fei Qi Xu (Spleen and Lung Qi Deficiency) with invasion of Feng Han (Wind-Cold). Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), adding Sang Bai Pi (Morus Alba Root Bark), Xing Ren (Prunus Armeniaca Seed), and Jie Geng (Platycodon Root). (Refer to "Tonify" Chapter, Formula 6.)
Fei Xu (Lung Deficiency) fails to generate Shui (Kidney Water/Yin), leading to Kidney Yin deficiency and hyperactive Fire. One should clear the Metal (Lungs) and nourish the Water (Kidneys), while prioritizing An Tai (Calming the Fetus).
Yin Huo (Deficient Fire) suppresses the Lung Metal. Use Tiandong Tang (Asparagus Decoction). (Refer to "Cold" Chapter, Formula 12.)
Feng Han Ke Fei (Wind-Cold lodging in the Lungs). Use Ningfei Yin (Lung-Calming Infusion). (Refer to "Cold" Chapter, Formula 13.)
Persistent coughing with blood. Use Qingfei Yin (Lung-Clearing Infusion). (Refer to "Cold" Chapter, Formula 27.)
The patient has a pre-existing Gan Huo (Liver Fire). During pregnancy, Yin Blood congregates to nourish the Tai Yuan (Fetal Origin), causing Liver Blood to become increasingly dry. This results in alternating chills and fever, resembling malaria but not being true Nue Ji (Malaria). Alternatively, it may be due to Qi and Blood deficiency, allowing Wind-Cold to exploit the weakness. Wind is a Yang pathogen that transforms into Heat; Cold is a Yin pathogen that transforms into Cold. With both Yin and Yang pathogens involved, chills and fever appear alternately. The treatment should greatly tonify Qi and Blood and mildly release exterior pathogens. If chills and fever persist, the steaming heat will damage the fetus.
Gan Ku Fa Huo (Liver Dryness generating Fire). Use Xiaoyao San (Free and Easy Wanderer Powder). (Refer to "Harmony" Chapter, Formula 5.)
Insufficient Hua Yuan (Source of Transformation/Spleen-Stomach digestion). Use Liuwei Wan (Six-Ingredient Pill). (Refer to "Tonify" Chapter, Formula 2.)
Qi Xu Han Re (Qi Deficiency with Chills and Fever). Use Liujunzi Tang (Six Gentlemen Decoction), removing Banxia (Pinellia Tuber), and adding Huoxiang (Patchouli Herb). (Refer to "Tonify" Chapter, Formula 1.)
Bu He De Yin Yang Zhi Qi (Disorder of Yin-Yang Qi). Harmonization is indicated; use Xiao Chaihu Tang (Minor Bupleurum Decoction). (Refer to "Harmony" Chapter, Formula 10.)
Zang Fu are already deficient; external contact with Wind-Cold causes Zheng Qi (Upright Qi) and Pathogenic factors to clash, moving up and down with Qi dynamics. If attacking the Xin (Heart), it causes Heart Pain; if attacking the Abdomen, it causes Abdominal Pain. If prolonged and untreated, attacking the Bao Tai (Fetus/Uterus) leads to miscarriage.
Abdominal pain with aversion to cold, lower abdomen feels like a fan opening (cold sensation). The Zi Gong (Uterus) is affected by Cold and cannot close, feeling open like a fan. Use Fuzi Tang (Aconite Decoction). (Refer to "Heat" Chapter, Formula 1.)
Xue Zhang Fu Tong (Blood Distension causing Abdominal Pain). This indicates long-term Zi Gong deficiency. Without prompt treatment, miscarriage occurs. Use Duzhong Wan (Eucommia Pill). (Refer to "Tonify" Chapter, Formula 10.)
Pain radiating to both hypochondria, frequent urination, loose stools. Use Antai Heqi Yin (Fetus-Calming and Qi-Harmonizing Infusion). (Refer to "Harmony" Chapter, Formula 11.)
Mild pain extending to the waist, loss of taste. This indicates Bu An Tai Qi (Unstable Fetal Qi). Use Antai Yin (Fetus-Calming Infusion). (Refer to "Tonify" Chapter, Formula 9.)
Intolerable pain, fetal movement threatening expulsion. For early-stage cases with robust constitution, boil several taels of fine silver first, then add Er Gen (Imperata Rhizome/Mao Gen) two jin, decoct the juice, and drink.
Qi distension causing stabbing pain, borborygmus, vomiting/reversal of Qi. Caused by excessive anger, worry, overthinking, and irregular diet. Use Muxiang San (Costus Powder). If Qi stagnation generates Fire, add herbs that clear Fire. (Refer to "Scatter" Chapter, Formula 9.)
Bao Zu Fu Tong (Womb Obstruction Abdominal Pain). Blood is obstructed by the Bao Gong (Womb) and cannot circulate freely. Blood stasis causes Qi stagnation, resulting in abdominal pain. Use Siwu Tang (Four Substances Decoction) plus Ejiao (Donkey-Hide Gelatin), Aye (Mugwort Leaf), and Gancao (Licorice Root). If complicated by Wind, turbid Phlegm forms. Ejiao dispels Wind and clarifies turbidity; Aye guides blood back to its vessels. (Refer to "Tonify" Chapter, Formula 7.)
Pi Wei Qi Xu (Spleen-Stomach Qi Deficiency) failing to support the fetus. Use Antai Yin plus Shengma (Cimicifuga Rhizome) and Baizhu (Atractylodes Macrocephala Rhizome), or Buzhong Yiqi Tang. (Refer to "Tonify" Chapter, Formula 9, 6.)
Sudden pain. Occurs in the fifth to sixth month of pregnancy. Roast fourteen large dates to charcoal, roast one qian of salt until red, grind together, and take with wine.
Trauma from falling causes fetal movement, abdominal pain, and bleeding. First try Siwu Tang plus Ejiao and Aye. If ineffective, use Bazhen Tang (Eight Treasures Decoction) plus Ejiao and Aye, or add Zhimu (Anemarrhena Rhizome). If palpitations, shortness of breath, abdominal fullness, and pain occur, use Siwu Tang plus Ejiao, Shanren (Amomum Fruit), Chenpi (Tangerine Peel), and Huangqin (Scutellaria Root). (Refer to "Tonify" Chapter, Formula 7, 5.)
Wind Pathogen and Tan Yin (Phlegm-Fluid) knotting in the collateral branches of the Heart. Choose one: Siwu Tang combined with Erchen Tang (Two Aged Ingredients Decoction) plus Huoxiang and Zisu (Perilla Leaf); or Ejiao San plus Xuanjinhua (Inula Flower); or Danggui Shaoyao San (Angelica and Peony Powder). (Refer to "Tonify" Chapter, Formula 7; "Harmony" Chapter, Formula 8; "Tonify" Chapter, Formula 63; "Tonify" Chapter, Formula 11.)
Abdominal pain radiating to the hips. Use Wujiapi San (Eleutherococcus Powder) or Wujiapi Wan (Eleutherococcus Pill). (Refer to "Scatter" Chapter, Formula 10, 11.)
Skin pain, tendon/bone stiffness and spasm, curled hands and feet. Caused by internal consumption of cold/raw foods and external exposure to Wind-Cold. Cold Qi clashes internally and externally, disturbing the fetus. Use Antai Heqi Yin. (Refer to "Harmony" Chapter, Formula 11.)
Bone/tendon pain, limb restlessness. Due to strange dreams, fright, noise, shouting, or palpitations, disturbing Fetal Qi. This causes distension in the hypochondria, urgent pain connecting to the umbilicus, restlessness in sitting/lying, and rapid breathing resembling asthma. Quickly administer Dasheng San (Great Sage Powder). (Refer to "Tonify" Chapter, Formula 12.)
Intermittent abdominal pain with heavy bearing-down sensation in the lower abdomen. Indicates Xue Xu Qi Xian (Blood Deficiency with Qi Sinking). Use Jiawei Antai Yin (Modified Fetus-Calming Infusion). (Refer to "Tonify" Chapter, Formula 13.)
Old Cold clashing with Blood, causing Blood coagulation and Qi stagnation. Use Wulingzhi (Trogopterus Dung) and Puhuang (Lygodium Spore), both roasted to charcoal, mixed with vinegar and taken. Or use Wujunzi Tang (Five Gentlemen Decoction). (Refer to "Tonify" Chapter, Formula 14.)
Whole-body pain, pain rushing to the heart feeling fatal, inability to eat. Use Baizhu (Atractylodes Rhizome), Shaoyao (Peony Root), and Huangqin (Scutellaria Root).
Fullness below the heart, urgent Qi and painful sensation. Use Chifuling (Red Poria), Sangbaipi (Mulberry Root Bark), Qianhu (Peucedanum Root), Yuliren (Apricot Kernel), Sugeng (Perilla Stem), and Wujiapi (Eleutherococcus Bark).
Blood Deficiency with Heat. Crush two jin of Shengdi (Rehmannia Root) for juice, mix with one sheng of wine, decoct to half volume, and take.
Tai Qi Zitong (Fetal Qi Self-Pain). Use Neibu Wan (Internal Tonification Pill). (Refer to "Tonify" Chapter, Formula 15.)
Bao Luo (Fetal Collaterals) deficiency with Wind-Cold attack, severe lower abdominal pain. Use Zisu Yin plus Shengjiang (Fresh Ginger). If Qi and Blood are both deficient, Bazhen Tang can be modified. (Refer to "Scatter" Chapter, Formula 3; "Tonify" Chapter, Formula 5.)
Qi attacking left and right sides, difficult urination. Use Xiao Chaihu Tang plus Qingpi (Green Tangerine Peel) and Zhizi (Gardenia Fruit). (Refer to "Harmony" Chapter, Formula 10.)
Lower abdominal pain caused by anger, with heavy bearing-down in the urinary tract. Caused by blazing Gan Huo (Liver Fire). Use Longdan Xiegan Tang (Gentian Liver-Draining Decoction), followed by Sijunzi Tang (Four Gentlemen Decoction) plus Shengma and Chaihu (Bupleurum Root). (Refer to "Cold" Chapter, Formula 11; "Tonify" Chapter, Formula 4.)
Lower abdominal pain radiating to waist and hypochondria. Caused by fright and annoyance, potentially leading to continuous bleeding. Use Ejiao, Danggui (Angelica Sinensis), Renshen (Ginseng), Fuling (Poria), plus Xiangfu (Cyperus Rhizome) and Ai Ye (Mugwort Leaf), all roasted to charcoal and decocted.