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Breast swelling during pregnancy, accompanied by chills and fever, is called "Nei Chi Ru" (Internal Eating Breast). It is advisable to use one piece of *Gleditsiae Sinensis Fructus* (Liezha), remove the seed membrane, burn it to charcoal while retaining its properties, and take it mixed with wine.

Lower back pain during pregnancy is of utmost importance. This is because the Kidney connects to the uterus, and the lower back is the mansion of the Kidney; therefore, lower back pain and soreness/urgency are major taboos for pregnant women. Severe pain may lead to miscarriage, so prevention is essential. However, pain must have a cause, and treatment should carefully examine the source. If caused by fatigue damaging the meridians, *Duanju Tinggen Decoction* is suitable. If caused by sprain or strain leading to Qi stagnation, *Tongqi San* is suitable. If caused by deficiency and damage of Kidney Yuan, *Qing'e Wan* is suitable. If blood deficiency fails to nourish the fetus, thereby failing to nourish the Kidney resulting in Kidney deficiency lower back pain, *Zhushen Wan* is suitable. For general treatment of fetal movement-related lower back pain, *Qianjin Baoyun Wan* is suitable (formula see previous section on Zhibao for Pregnancy).

**Duanju Tinggen Decoction**
*Sheng Dihuang* (Rehmanniae Radix Preparata) and *Tinggen* (each 2 liang); *Danggui* (Angelicae Sinensis Radix), *Baishao* (Paeoniae Radix Alba), *Ejiao* (Asini Corii Colla, fried until pearl-like), *Gancao* (each 1 liang).
Add three zhong of water, decoct to two zhong, remove dregs, add Ejiao to dissolve. Take one zhong per dose.

**Tongqi San**
*Boguzhi* (Psoraleae Fructus, fried on tile, 1 liang).
Grind into powder. Chew one walnut kernel on an empty stomach first, then take with wine.

**Qing'e Wan**
*Boguzhi* (fried), *Duzhong* (Eucommiae Cortex, fried until fibers break, each 4 liang); *Hetaoren* (Juglandis Semen, 30 pieces, ground).
Make pills with honey, take with wine, 4 qian per dose.

**Zhushen Wan**
Pig kidney (one pair, split into two slices, remove oil membrane, insert ginger-processed Duzhong inside, close and tie with thread).
Steam over water until cooked, dry by baking, add 2 qian of Qingyan (Green Salt), grind together into powder, make pills with honey. Take on an empty stomach with light salt water.

Abdominal pain during pregnancy must be differentiated into cold, heat, deficiency, and excess. Cold pain presents with a slow pulse, treat with * Lizhong Tang*. Heat pain presents with a rapid pulse, treat with *Qinshao Tang*. Deficiency pain presents with a forceless pulse and a preference for pressure, indicating blood insufficiency failing to nourish the fetus, treat with *Sijun Guishao Tang*. Excess pain presents with a forceful pulse and aversion to pressure, treat with *Xiangke Wan*.

**Lizhong Tang**
*Renshen* (Ginseng Radix et Rhizoma), *Baizhu* (Atractylodis Macrocephalae Rhizoma, honey-fried), *Paojiang* (Zingiberis Rhizoma Preparatum), *Zhigancao* (Glycyrrhizae Radix et Rhizoma Preparata, each 1 qian).
Decoct in water, take before meals.
If Qi stagnation is present, add *Sharen* (Amomi Fructus) and *Xiangfu* (Cyperi Rhizoma), each 7 fen.

**Qinshao Tang**
*Huangqin* (Scutellariae Radix), *Baishao* (Paeoniae Radix Alba), *Baizhu* (Atractylodis Macrocephalae Rhizoma, honey-fried, each 1 qian); *Rougui* (Cinnamomi Cortex, 5 fen).
Decoct in water, take warm before meals.

**Sijun Guishao Tang**
*Renshen*, *Baizhu* (honey-fried), *Fuling* (Poria), *Zhigancao*, *Danggui*, *Baishao* (fried, each 1 qian); *Jiang* (Fresh Ginger, 3 slices), *Zao* (Jujubae Fructus, 2 pieces).
Decoct in water and take.

**Xiangke Tang** (Note: Original text title says Xiangke Wan, but description implies decoction usage)
*Xiangfu* (Cyperi Rhizoma, processed with child's urine), *Zhiqiao* (Aurantii Fructus, bran-fried, each 1 qian).
Decoct in water, take long after meals.