妊娠伤寒，时值冬令，为寒所伤，其轻者淅淅恶寒，翕翕发热，微嗽鼻塞，数日即愈，不药亦可。或
用葱白连须三五茎，生姜三片，煎服即解。如所感者重，以至头疼，先寒后热，久必伤胎，药多避忌，
务宜谨慎，不可与常妇概治，竟用发表以致损胎，误其母子性命，但服葱白香豉汤自愈。故《千金》治妊
妇伤寒，用葱白、生姜水煎热服，取汗即安。是以葱白香豉汤、香苏散，可解表邪，又可安胎。况葱
白不惟性能解表，且善安生胎，下死胎。若感寒孕妇胎伤未死，但用葱一把水煮食
之，汗出即安。如胎已死，须臾自出。不应，加生姜、苏叶，不可轻用表药招尤。若妊娠邪在半表半里，
择《纲目》内黄龙汤，即小柴胡汤变体用法，其加减亦可采择而用。如表证已愈，但发热大渴，用香苏
散加金花汤。便结者，加入大黄，或用三黄解毒汤。所以，凡胎前疫证，与伤寒阳明腑证，内实便秘，须
急通大便，方不损胎。若大便自利，乃正气下泄，胎必难保。惟大小便如常，知里无热，则不伤胎气。
故又有涂脐护胎之法。其或汗或下，各随表里脉证主治。至妊娠热证，亦须急治，恐致落胎。《千金》用
葱白香豉汤，取汗即愈。又有用柴葛安胎饮者。如呕吐烦躁，用生津葛根汤者。甚则斑出黑色，用栀子
葱豉汤者，密斋用加味化斑汤。此皆热入于里，阳明证之方药也。《医通》治孕妇温热时行，及伤寒邪气
内犯，热毒逼胎，并宜千金石膏大青汤急救，庶可保全，迟则不救。又有石膏六合汤、升麻六合汤，立
方甚稳，录后以备采用。凡胎孕药内，不得已而用大黄转药，须用酒制。姜、桂、附子，用黄连甘草制之，则无害矣。
葱白香豉汤 《千金》治时疫伤寒三日以内，头痛如破，及温病初起寒热。
葱白（连须一握） 香豉（三合）
上二味水煎，入童便一合，日三服。秋冬加生姜二两。此方药味虽轻，功效最着。凡虚人风热、
伏气发温及产后感冒，靡不随手获效，与产后、痢后用伏龙肝汤、丸不殊，既可探决死生，且免招
尤取谤，正危证解围良剂也。
尊生香苏散 治妊妇伤寒，勿论日数，但见恶寒头疼，此方主之。
香附（炒黑） 紫苏（各二钱） 陈皮（一钱） 甘草（五分）
引加生姜三片，葱白五寸，煎服。头疼，加川芎一钱，白芷一钱，羌活一钱，防风一钱。如表证愈，
但发热大渴，加金花汤。便结者，加制大黄一钱。
金花汤
黄连 黄芩 黄柏 栀子（各一钱）
水煎服。
济阴香苏散（与尊生方同，此则分五脏脉证加法，故重绿以备择用。）
香附（炒黑） 紫苏（各二钱） 陈皮（一钱） 甘草（五分）
生姜三片，葱白五寸，煎服。头痛，加川芎、白芷各一钱，名芎芷香苏饮。
如恶寒里和，外证见面青善怒，得肝脉浮弦，加羌活、防风各一钱。如恶寒里和，外证见面赤口干善笑，得
心脉浮洪，加黄芩、石膏各一钱五分。如恶寒里和，外证见面黄善噫，得脾脉浮缓，加白术、防己各一钱
五分。如恶寒里和，外证见面白善嚏悲，得肺脉浮涩，加黄 、防风各一钱。如恶寒里和，外证见面黑
善恐，得肾脉浮濡，加吴茱萸一钱。
黄龙汤 治妊娠伤寒，得之三五日后，有恶寒发热，内有烦渴引饮，小便赤涩之证。此邪在半表半
里，宜此方主之。
柴胡（二钱） 黄芩（一钱五分） 人参 甘草（各一钱）
姜枣为引，水煎服。如寒热往来，无汗口干，加葛根二钱，去枣，入葱白三根。如头疼不止，加川芎、
白芷各一钱，去枣，加葱白三根。如发热、有汗、口渴，加土炒白术一钱半，栝蒌根一钱半。如脉浮大有力，
大热大渴，人参白虎汤去姜、枣。如心烦不得卧，加白茯苓、去心麦冬各一钱。如呕哕，加制半夏、白茯苓各
一钱，去枣。如胸膈满痛，加炒枳壳、炒黑香附、川芎各一钱。如大便秘，初加制大黄五分，得利则止，
不利加一钱，以利为度。
三黄解毒汤 治妊娠伤寒五六日后，表邪悉罢，并无头痛恶寒之证，止烦躁发热大渴，小便赤，
大便秘，或利下赤水，六脉沉实，此病邪在里，此汤主之。
黄芩 黄连 黄柏 山栀 大黄（各等分）
煎服。
护胎法 治妊娠伤寒热病，护胎。
白药子（不拘多少）
为末，以鸡蛋清调摊于纸上如碗大，帖脐下胎存处，干则以湿水润之。
又法 治孕妇一切有热，内外诸证。
伏龙肝（不拘多少）
为末，用井底泥调敷心下，令胎不伤。
柴葛安胎饮 治孕妇热病，骨节疼痛，如不急治，则落胎。
柴胡 葛根 青黛（各八分） 石膏（一钱五分） 升麻（五分） 栀子（一钱） 知母（七分）
葱白（三根）
水煎服。有痰加竹沥一小杯，姜汁二匙。
生津葛根汤 治孕妇热病，呕吐不食，胸中烦躁。
人参 葛根 芦根 麦冬（去心） 知母（炒） 栀子（炒。各一钱） 竹茹（一团） 葱白（三寸）
水煎服。
栀子葱豉汤 治孕妇热病，斑出赤黑色，小便如血，气急欲绝，胎欲落之证。
栀子（炒） 黄芩 升麻（各一钱） 生地（二钱） 青黛（八分） 豆豉（四十九粒） 杏仁（十二
粒，去皮尖） 石膏（一钱五分， ）
葱白七寸为引，水煎服。
加味化斑汤 治孕妇伤寒热病不解，遍身发斑，赤如锦纹者。
人参 知母 生地 黄芩 栀仁 甘草（各一钱） 石膏（二钱） 淡竹叶（二十片） 豆豉（半合）
水煎，食远服。
千金石膏大青汤 治妊娠伤寒，头疼壮热，肢节烦痛。此方既可散邪，又能安胎，
允为孕妇伤寒温热时行神方也。
石膏（二钱） 大青 黄芩（各八分） 前胡 知母 栀仁（各一钱） 葱白（一茎）
水煎温服。
石膏六合汤 治妊娠伤寒，身热大渴而烦。
当归 川芎 白芍 生地（各一钱） 石膏（ ） 知母（各五分）
水钟半，煎一钟，温服。
升麻六合汤 治妊娠伤寒下后，过经不愈，湿毒发斑如锦纹者。
当归 川芎 白芍 生地（各一钱） 升麻 连翘（各七分）
水煎温服。
Cold damage during pregnancy occurs in winter, caused by cold pathogen invasion. In mild cases, symptoms include slight aversion to cold (Xixi Ehan), mild fever (Xixi Fare), slight cough, and nasal congestion; recovery occurs within a few days without medication. Alternatively, using three to five stalks of scallion white (with roots) and three slices of fresh ginger, decocted and taken orally, resolves the condition. If the cold pathogen is severe, leading to headache, initial aversion to cold followed by fever, prolonged illness will inevitably damage the fetus. Medication requires caution; one must not treat pregnant women indiscriminately as ordinary patients, nor use diaphoretic agents recklessly which could harm the fetus and endanger both mother and child. Simply taking Congbai Xiangchi Tang (Scallion White and Fermented Soybean Decoction) allows for self-healing. Thus, *Qianjin Fang* treats pregnant women with cold damage using scallion white and fresh ginger decocted in water, taken hot to induce sweating for relief. Therefore, Congbai Xiangchi Tang and Xiangsu San can resolve exterior pathogens while stabilizing the fetus. Moreover, scallion white not only resolves the exterior but also effectively secures a living fetus and expels a dead fetus. If a pregnant woman exposed to cold has a damaged but viable fetus, boiling and eating a handful of scallions induces sweating and safety. If the fetus is already dead, it will be expelled spontaneously shortly thereafter. If expulsion does not occur, add fresh ginger and Perilla Leaf (Ziye); do not lightly use exterior-releasing drugs to invite blame. If the pathogen is at the half-exterior half-interior level during pregnancy, select Huanglong Tang from *Bencao Gangmu*, which is a variation of Xiaochaihu Tang (Minor Bupleurum Decoction); its modifications may also be adopted. If exterior symptoms have resolved but fever and intense thirst persist, use Xiangsu San plus Jinhua Tang. For constipation, add Rhubarb (Dahuang), or use Sanhuang Jiedu Tang (Three Yellows Detoxification Decoction). Hence, for any epidemic conditions during pregnancy, similar to Yangming Fu syndrome in cold damage characterized by internal excess and constipation, urgent purgation of stool is necessary to avoid fetal injury. If spontaneous diarrhea occurs, it indicates leakage of righteous qi, making fetal preservation difficult. Only when urination and defecation are normal, indicating no interior heat, is the fetal qi unharmed. Thus, there is also the method of applying paste to the navel to protect the fetus. Treatment via sweating or purging follows the exterior-interior pulse and symptom patterns. Regarding febrile diseases in pregnancy, urgent treatment is required to prevent miscarriage. *Qianjin Fang* uses Congbai Xiangchi Tang to induce sweating for cure. Other formulas include Chaige Antai Yin (Bupleurum and Kudzu Fetus-Stabilizing Decoction). For vomiting and irritability, Shengjin Gegen Tang (Fluid-Generating Kudzu Decoction) is used. In severe cases with blackish macules, Zhizi Congchi Tang (Gardenia and Scallion-Soybean Decoction) is applied; Muzhai uses Jiawei Huaban Tang (Modified Macule-Resolving Decoction). These are all formulas for heat entering the interior, belonging to Yangming syndrome. *Yitong* treats pregnant women with warm-heat epidemics and cold damage pathogens invading internally, where heat toxicity threatens the fetus; Qianjin Shigao Daqing Tang (Thousand Gold Gypsum and Lithospermum Decoction) should be used urgently for rescue to ensure survival; delay renders it incurable. Also listed are Shigao Liuhe Tang (Gypsum Six-Harmony Decoction) and Shengma Liuhe Tang (Cimicifuga Six-Harmony Decoction), which are stable prescriptions, recorded below for reference. Within pregnancy medications, if Rhubarb (Dahuang) must be used for purgation, it should be wine-processed. Ginger, Cinnamon Twig (Guizhi), and Aconite Root (Fuzi) processed with Coptis Rhizome (Huanglian) and Licorice Root (Gancao) become harmless.
Congbai Xiangchi Tang: From *Qianjin Fang*, treating epidemic cold damage within three days, severe headache, and early-stage warm disease with chills and fever.
Scallion White (one handful with roots), Fermented Soybean (Sanhe).
Decoct these two ingredients in water, add one he of infant urine, take three times daily. Add two taels of fresh ginger in autumn and winter. Although this formula contains light herbs, its efficacy is remarkable. It is effective for deficient individuals with wind-heat, latent qi transforming into warmth, and postpartum colds, comparable to the efficacy of Fulonggan Tang/Pills after childbirth or dysentery. It aids in determining prognosis and avoids controversy, serving as an excellent remedy for critical conditions.
Zunsheng Xiangsu San: Treats pregnant women with cold damage, regardless of duration, indicated by aversion to cold and headache.
Cyperi Rhizoma (Xiangfu, stir-fried until black), Perilla Leaf (Zisu, 2 qian each), Tangerine Peel (Chenpi, 1 qian), Licorice Root (Gancao, 5 fen).
Add three slices of fresh ginger and five cun of scallion white as guides; decoct and take. For headache, add Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 qian), Angelica Dahurica Root (Baizhi, 1 qian), Notopterygium Root (Qianghuo, 1 qian), and Saposhnikovia Root (Fangfeng, 1 qian). If exterior symptoms resolve but fever and thirst persist, add Jinhua Tang. For constipation, add processed Rhubarb (Zhi Dahuang, 1 qian).
Jinhua Tang:
Coptis Rhizome (Huanglian), Scutellaria Root (Huangqin), Phellodendron Bark (Huangbai), Gardenia Fruit (Zhizi, 1 qian each).
Decoct in water and take.
Jiyin Xiangsu San: Same as Zunsheng formula, but with additions based on five zang organ pulse/symptoms, re-recorded for selection.
Cyperi Rhizoma (Xiangfu, stir-fried until black), Perilla Leaf (Zisu, 2 qian each), Tangerine Peel (Chenpi, 1 qian), Licorice Root (Gancao, 5 fen).
Add three slices of fresh ginger and five cun of scallion white; decoct and take. For headache, add Ligusticum Chuanxiong Rhizome (Chuanxiong) and Angelica Dahurica Root (Baizhi, 1 qian each), named Xiongzi Xiangsu Yin.
If aversion to cold with harmonious interior presents with blue complexion, anger, and floating-wiry liver pulse, add Notopterygium Root (Qianghuo) and Saposhnikovia Root (Fangfeng, 1 qian each). If aversion to cold with harmonious interior presents with red complexion, dry mouth, laughter, and floating-hyperactive heart pulse, add Scutellaria Root (Huangqin) and Gypsum (Shigao, 1.5 qian each). If aversion to cold with harmonious interior presents with yellow complexion, belching, and floating-spleen pulse, add Atractylodes Macrocephala Rhizome (Baizhu) and Stephania Tetrandra Stem (Fangji, 1.5 qian each). If aversion to cold with harmonious interior presents with white complexion, sneezing/sorrow, and floating-rough lung pulse, add Scutellaria Root (Huangqin) and Saposhnikovia Root (Fangfeng, 1 qian each). If aversion to cold with harmonious interior presents with black complexion, fear, and floating-soft kidney pulse, add Evodia Fruit (Wuzhuyu, 1 qian).
Huanglong Tang: Treats pregnancy cold damage occurring 3-5 days later, presenting with chills and fever, internal irritability/thirst, and dark/scanty urination. This indicates pathogen at half-exterior half-interior.
Bupleurum Root (Chaihu, 2 qian), Scutellaria Root (Huangqin, 1.5 qian), Ginseng Root (Renshen), Licorice Root (Gancao, 1 qian each).
Use fresh ginger and jujube as guides; decoct and take. For alternating chills/fever, no sweat, dry mouth, add Kudzu Root (Gegen, 2 qian), remove jujube, add three scallion whites. For persistent headache, add Ligusticum Chuanxiong Rhizome (Chuanxiong) and Angelica Dahurica Root (Baizhi, 1 qian each), remove jujube, add three scallion whites. For fever, sweating, thirst, add earth-fried Atractylodes Macrocephala Rhizome (Baizhu, 1.5 qian) and Trichosanthes Root (Gualougen, 1.5 qian). For floating-large-forceful pulse, high fever, intense thirst, use Renshen Baihu Tang removing ginger and jujube. For irritability and inability to sleep, add Poria (Fuling) and Ophiopogon Tuber (Maidong, heart removed, 1 qian each). For vomiting/hiccups, add processed Pinellia Tuber (Zhi Banxia) and Poria (Fuling, 1 qian each), remove jujube. For chest/diaphragm fullness/pain, add stir-fried Aurantium Fructus (Zhike), stir-fried Cyperi Rhizoma (Xiangfu), and Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 qian each). For constipation, initially add processed Rhubarb (Zhi Dahuang, 5 fen); stop once bowel movement occurs; if not, increase to 1 qian, stopping when bowel movement is achieved.
Sanhuang Jiedu Tang: Treats pregnancy cold damage after 5-6 days, exterior pathogens resolved, no headache/aversion to cold, only irritability, fever, intense thirst, dark urine, constipation, or bloody diarrhea, with deep-solid pulses. Pathogen is in the interior.
Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), Phellodendron Bark (Huangbai), Gardenia Fruit (Shanzhi), Rhubarb (Dahuang, equal parts).
Decoct and take.
Hubai Method: Protects fetus in pregnancy cold damage/febrile disease.
Arisaema Cum Bile (Baiaoyzi, amount unspecified).
Grind to powder, mix with egg white, spread on paper bowl-sized, apply to lower abdomen over fetus location; moisten with water if dry.
Another Method: Treats all heat conditions in pregnant women, internal/external symptoms.
Dragon's Liver Earth (Fulonggan, amount unspecified).
Grind to powder, mix with mud from well bottom, apply to epigastrium to protect fetus.
Chaige Antai Yin: Treats pregnant women with febrile disease, joint pain; urgent treatment prevents miscarriage.
Bupleurum Root (Chaihu), Kudzu Root (Gegen), Indigo Naturalis (Qingdai, 8 fen each), Gypsum (Shigao, 1.5 qian), Cimicifuga Rhizome (Shengma, 5 fen), Gardenia Fruit (Zhizi, 1 qian), Anemarrhena Rhizome (Zhimu, 7 fen).
Scallion White (three stalks).
Decoct in water. For phlegm, add Bamboo Juice (Zhuli, small cup) and Ginger Juice (Jiangzhi, two spoons).
Shengjin Gegen Tang: Treats pregnant women with febrile disease, vomiting, anorexia, chest irritability.
Ginseng Root (Renshen), Kudzu Root (Gegen), Reed Rhizome (Lugen), Ophiopogon Tuber (Maidong, heart removed), Anemarrhena Rhizome (Zhimu, stir-fried), Gardenia Fruit (Zhizi, stir-fried, 1 qian each), Bamboo Shavings (Zhuru, one ball), Scallion White (three cun).
Decoct in water and take.
Zhizi Congchi Tang: Treats pregnant women with febrile disease, red/black macules, blood-like urine, gasping near death, threatened miscarriage.
Gardenia Fruit (Zhizi, stir-fried), Scutellaria Root (Huangqin), Cimicifuga Rhizome (Shengma, 1 qian each), Rehmannia Root (Shengdi, 2 qian), Indigo Naturalis (Qingdai, 8 fen), Fermented Soybean (Douchi, 49 grains), Apricot Seed (Xingren, 12 grains, skin/kernel removed), Gypsum (Shigao, 1.5 qian).
Use seven cun of scallion white as guide; decoct in water and take.
Jiawei Huaban Tang: Treats pregnant women with unresolved cold damage/febrile disease, generalized macules red like brocade.
Ginseng Root (Renshen), Anemarrhena Rhizome (Zhimu), Rehmannia Root (Shengdi), Scutellaria Root (Huangqin), Gardenia Kernel (Zhiren), Licorice Root (Gancao, 1 qian each), Gypsum (Shigao, 2 qian), Light Bamboo Leaves (Danzhuye, 20 leaves), Fermented Soybean (Douchi, half he).
Decoct in water, take far from meals.
Qianjin Shigao Daqing Tang: Treats pregnancy cold damage, severe headache, high fever, limb/joint pain. This formula disperses pathogens and stabilizes the fetus, considered a divine prescription for pregnancy cold/warm-heat epidemics.
Gypsum (Shigao, 2 qian), Lithospermum Radix et Rhizoma (Daqing), Scutellaria Root (Huangqin, 8 fen each), Peucedanum Root (Qianhu), Anemarrhena Rhizome (Zhimu), Gardenia Kernel (Zhiren, 1 qian each), Scallion White (one stalk).
Decoct in water, take warm.
Shigao Liuhe Tang: Treats pregnancy cold damage, body heat, intense thirst, irritability.
Angelica Sinensis Root (Danggui), Ligusticum Chuanxiong Rhizome (Chuanxiong), White Peony Root (Baishao), Rehmannia Root (Shengdi, 1 qian each), Gypsum (Shigao), Anemarrhena Rhizome (Zhimu, 5 fen each).
Decoct half water bell into one bell, take warm.
Shengma Liuhe Tang: Treats pregnancy cold damage after purgation, passing meridians without resolution, damp-toxin causing macules like brocade.
Angelica Sinensis Root (Danggui), Ligusticum Chuanxiong Rhizome (Chuanxiong), White Peony Root (Baishao), Rehmannia Root (Shengdi, 1 qian each), Cimicifuga Rhizome (Shengma), Forsythia Fruit (Lianqiao, 7 fen each).
Decoct in water, take warm.