妊娠头痛，多因血虚有火，用四物汤加减。若宿有偏正头风，宜川芎茶调散。
若外感头痛，加味芎归汤。
妊娠心腹痛，或宿有冷痞痰饮结聚，或新触风寒，邪正相击并于气，随气上下，上冲于心则病心痛，
下击于腹则病腹痛，痛不已则胎动不安。如伤心真心痛，则旦发夕死，夕发旦死。如伤心支络，则乍安乍
作，《医通》用正气散加减。《尊生》治心痛，用定痛延胡散。《医通》又曰∶胸腹膨满，按之而痛，
乃饮食停滞，用人参养胃汤。按之不痛，乃脾胃受伤，以六君补之。腹中满痛叉心，不得饮食，千金芩
术芍药汤。如不时腹痛，名曰胎痛，有血虚、有气滞二因，然血虚居多，用熟地三钱，当归一钱，煎汤治
之。不应，加参、术、陈皮。丹溪用四物去川芎，倍加熟地。《医通》用四物加香附为末，紫苏汤下。
若气滞者，紫苏饮治之。若痛而重坠，因中气虚陷，用补中益气汤。
如胃口痛，多因脾虚存食不消，宜养胃消食，《纲目》用平胃散加枳壳、山
楂。予谓平胃散恐致损胎，非所宜也，宜养胃汤加减。
妊娠胁痛，有因哭泣，因内伤，因恼怒，不宜破气，宜用童便和酒服之，或紫
苏饮去参，用白芍、当归，加砂仁、童便。
妊娠脐下冷痛，腹胀虚疼，小便频数，大便虚滑，皆食生冷所致，小建中加炮
姜、木香。不应，更加茴香、良姜。
妊娠少腹痛，虚热紫苏饮，虚寒胶艾汤。若小腹近下处肿胀浮薄发光者，孕痈也，千金托里散或
薏苡仁煎汁饮。若心腹急痛，烦闷面青，冷汗气绝，血下不止，其胎上冲者，不可治也。
妊娠腰痛，有肾虚作痛，则脉大而痛不已，急服八珍加胶、艾、黄 ，或紫苏饮加减。有劳力任重，
致伤胞系欲脱，宜安胎饮加杜、续。有房事不节，致伤胞系，用熟地、当归、阿胶、砂仁、竹茹、炙草，
调男子 裆灰一钱服，禁房事百日要紧。有湿热脉缓，遇天阴或久坐而痛，多下白物，二妙散加柴胡、
防风、茯苓、半夏。有寒湿腰重，如带物而冷者，用紫苏饮加减，易健脾温燥药。有气血凝滞脉涩，
而日轻夜重不得卧，遍身拘急不舒而痛，眼生黑花，紫苏饮加枳壳、桔梗。有膀胱风邪，颈项强直，用
独活寄生汤。有闪挫脉实，胶艾芎归汤，或佛手散，或熬枯黑糖冲童便、酒调服。有因毒药者，宜阿胶散，
或快捷方式方，或三物解毒汤选用。有走注痛，败血入经之证，四乌汤加薄、桂、杜、续。有临产腰痛如脱
肾者，乃将产也，勿作寻常腰痛论，产下即平复矣，不必用药治也。
妊娠背脊痛，气滞也，紫苏饮治之。
妊娠腰腹及背痛，夫肾主腰，劳损经虚，风冷乘之则腰痛，乘虚入腹则腹痛，故腰腹相引而痛，痛不
止恐坠胎。又有劳伤腰腹背痛，补中益气加杜、续。然多有因病淋证而痛者，宜体察之，止用加味导赤汤
治淋，淋止痛除。如劳伤元气，八珍加杜仲、砂仁、胶、艾。如脾肾不足，再加白术、补骨脂。如伤外邪，
独活寄生汤。若气血郁滞，紫苏饮加枳、桔。如肝虚有火，小柴胡加白术、枳壳、山栀。如肝脾
郁结，归脾汤加柴胡、枳壳。
妊娠环跳穴痛，属肾虚，宜六味地黄汤加杜、续，或千金保孕丸。
妊娠目赤痛，咽喉痛，口鼻唇舌疮痛，俱用凉膈散加减。
妊娠负重跌仆，凝血作痛，欲服活血药，则恐伤胎，不服，则所伤之血留而不去，治之者，当先辨胎
之死生，如无别证，只用黑糖熬枯，入陈酒、童便调服，细嚼连皮胡桃过口，死者当下，生者其痛即止。若
因怒跌仆，或手足抽搐者，紫苏饮加钩藤钩。倘去血过多，八珍汤去茯苓加阿胶、艾叶、黄 。如跌仆余
伤未尽，痛未止，用四乌汤加延胡、木香。如伤去而胎气未安，紫苏饮加童便、砂仁。如伤重者，香壳散
加熟地、当归以护胎。若势剧者，下瘀血汤加芎归酒煎以去血，则胎自安。此药峻厉，必须详慎。若昏睡语
言如狂，此血迫心包，当归活血汤。如腹中重坠，按之冰冷，此胎气已伤，急用香桂散加酒大黄、生附子下
之。若口中觉秽气者，急用平胃散加芒硝下逐之。予谓下胎莫妙佛手散，即香桂散亦能下胎，又何用大黄、
附子以助之。然以上四乌、香壳、下瘀、当归活血、香桂、平胃等方，不可轻用，少可得已，只用熬枯黑
糖酒便调服为妥，或嚼连皮胡桃助之。诸方录后，以备参考可耳。慎勿轻视佛手、香桂，而妄用猛峻伤生。
妊娠遍身痛，或冲心欲死，不能饮食，缘胎有水致痛也，用白术五钱，黄芩二钱，白芍四钱，入活鲤
鱼约重半斤外一尾，煮汤代水煎服。此即胎水证，当入本门，因有遍身痛证，故移录于此，以备采取治痛也。
川芎茶调散 治久风化火头痛及偏正头风。
川芎 白芷 羌活 防风 荆芥 薄荷 炙草（各一两） 香附（二两，童便浸炒）
为散，食后茶清调服二钱，日三服。妇人产后，豆淋酒服，轻者三服，重者五七服效。
加味芎归汤 因虚外感头痛服此。
川芎 当归（各一钱五分） 条芩（酒炒） 白术（土炒。各一钱） 细芽茶（二钱）
水煎，食后服。
藿香正气散 治孕妇心腹痛，多寒多食，加减用之。
白术（土炒） 浓朴（去皮，姜汁制） 陈皮（去白） 藿香 紫苏 半夏（制） 茯苓
白芷 桔梗 炙草 大腹皮（古方无大腹皮，有苍术）
姜、枣引，水煎服。寒加木香、炮姜。食积发热加芩、连、炮姜。气加砂仁、
香附。痰加橘红、生姜。
尊生定痛延胡散
延胡（三钱，醋炒） 乳香（五分） 归身 炙草（各一钱）
水煎，加盐卤一滴。
人参养胃汤 治食滞痞满。
人参 苍术 （米泔水浸去皮，麻油拌炒黄色） 陈皮（去白） 藿香 半夏（制） 浓朴（
去皮，姜汁炒） 茯苓 草果 炙草
姜、枣、乌梅引，水煎服。
六君子汤 治胃虚少食，痰嗽呕泄。
人参 白术（土炒黄） 茯苓 橘皮 半夏（制） 炙草
生姜引，水煎服。
千金芩术芍药汤 治妊娠腹中满痛，叉手不得饮食。
白术（六钱，土炒） 黄芩（二钱） 白芍（四钱）
上三味，水煎，分三服，半日令尽。微下水则易产。日饮一剂为善。
补中益气汤 治烦劳内伤，脉洪大而虚，喘渴，阳虚自汗，懒言恶食，气虚不能摄
血，一切清阳下陷，中气不足之证。
人参（一钱） 黄 （一钱五分，蜜炙） 白术（土炒） 陈皮 当归（各五分） 升麻 柴胡
（各三分） 炙草（八分）
姜三片，枣二枚，水煎服。
平胃散 治胃中宿食不化，藜藿之人宜之。
苍术（四两，米泔水浸，去皮，芝麻油拌，炒黄色） 浓朴（去皮，姜汁制） 陈皮（水泡去
白） 炙草（各三两）
上四味为散，每服四五钱，加生姜三片，水煎温服。
胶艾汤 治妇人漏下，或半产后下血不绝，或妊娠下血腹痛。亦治损伤冲任，月水过多，淋漓不断。
干地黄（二钱） 芍药（一钱五分） 阿胶（蒲黄炒成珠） 艾叶 当归（各一钱） 川芎 甘
草（各八分）
水煎服。
千金托里散 治气血虚寒，溃疡不收。
人参 黄 （炙） 川芎 当归 肉桂 白芷 防风 桔梗 白芍 天冬（去心） 连翘
（去心） 忍冬 炙草
生姜引，水煎服。
八珍汤 气血双补之药。
人参 白术（土炒） 茯苓 熟地 归身（酒洗） 川芎 白芍（炒） 炙草
水煎服。
二妙散 治身半以下湿热疼重而肿。
浓黄柏（姜汁制数次） 苍术（茅山者佳，去皮切片，麻油拌炒黄色）
等分为散，姜汁调，每日空心温酒送二钱。
独活寄生汤 治风痹腰脚疼重。并治产后腹痛，不得转动，及腰脚挛痛，不得屈伸痹弱者，
宜服此汤。去细辛，治产后足膝肿或痛。
人参 归身 白芍 川芎 熟地 桑寄生 杜仲（炒断丝） 牛膝（蒸） 细辛 秦艽 茯
苓桂心 防风（各六分） 独活（九分） 甘草（三分）
姜煎服。《古今录验》无寄生，有续断，因续断亦可代寄生。《肘后》无寄生、人参、甘草、当归，有附子。
胶艾芎归汤 治妊娠二三月上至八九月，顿仆跌伤，胎动不安，腰腹疼痛欲死，已有所下。
阿胶（蛤粉或蒲黄炒珠） 川芎 当归 干地黄 艾叶
水煎服。一方有甘草，无地黄。
佛手散（一名芎归汤，一名当归汤。） 治妊娠因事筑磕，胎动不安。或子死腹中，恶露不下，
疼痛不已，用此药探之。若不损则痛止，子母俱安；若胎损立下。此方催生甚妙。
当归（三钱或五钱，去芦，酒浸） 川芎（二钱）
先用酒一钟煎干，再入水一钟煎二三沸，温服。若用下胎，当为末，以酒调服。
丹溪治胎死不下并催生，用当归一两，川芎七钱，酒水煎服。
阿胶散 治妊娠或因倾仆，或因毒药，胎动不安，腰腹疼痛，或有所下。
阿胶（蛤粉炒成珠） 艾叶（炒） 归身（酒浸） 川芎 白芍 熟地 黄 （蜜炙） 炙草
生姜五片，枣三枚，水煎空心服。
快捷方式方（又名白扁豆散。） 治妊娠误服诸般毒药、毒物，及用毒药攻胎，药毒冲心，外证
牙关紧急，口不能言，两手强直握拳，头低自汗，身微热。外证与中风相似，但其脉浮而软，十死
一生，医多不识。若作中风治，必死无疑。
白扁豆（二两，生用去皮）
为细末，新汲水调下即效。或米饮调服，或浓煎服亦可。
三物解毒汤 治误服毒药动胎。
甘草 黑豆 淡竹叶（各等分）
用水煎浓服。
四乌汤 治血中气滞，小腹急痛。
熟地 当归（酒洗，各二钱） 川芎（八分） 白芍（一钱五分，酒炒） 乌药（六分） 香附（
七分，制） 炙草（五分）
水煎服。
加味导赤汤 治孕妇小便少，又涩痛者，谓之子淋。又治溺血。
人参 生地 条芩 木通 甘草梢 麦冬（去心） 赤芍（各一钱） 淡竹叶（十五片）
灯心四十九寸，水煎空心服。
小柴胡汤 治少阳受邪，往来寒热，脉弦、胁痛而呕。
柴胡（三钱） 黄芩 人参 炙草（各一钱） 半夏（二钱，制）
生姜五片，大枣四枚，水煎温服。
六味地黄汤（附六味地黄丸，八味地黄丸名金匮肾气丸，加味肾气丸，济生肾气丸）
熟地（四钱，九蒸九晒）
丹皮 茯苓（各一钱五分） 山萸（去核，取净肉） 山药（各二钱） 泽泻（一钱）
水煎服。如作丸用，熟地八两，丹皮、茯苓各三两，山萸、山药各四两，泽泻一两，古方用三
两，炼蜜丸梧子大。加肉桂一两，制附子五钱，名桂附八味地黄丸，又名金匮肾气丸。一方桂、附
有用各一两者。八味再加牛膝、车前各一两，名加味肾气丸。一方肉桂易桂枝。盖因阴气固结于中，
势必分解于外，则肾气得以流布周身之意耳。但仅存其方，而世人少有从而易之者。予按医方中，
又济生肾气丸，治肾气不化，小便涩数，并治产后脚肿，或肚肿，或成鼓肿，乃八味丸
本方，用茯苓三两，熟地四两，山药、山萸、丹皮、泽泻、肉桂各一两，附子五钱，加牛膝、车前各
一两。此本金匮肾气方中诸药，各减过半，惟桂、苓二味仍照原方，为宣布五阳、开发阴邪之专药；
更加牛膝、车前，为太阳、厥阴之向导。以肝为风木之脏，凡走是经之药，性皆上升，独牛膝通津利
窍下走至阴，车前虽行津液之腑，而不伤犯正气。既用牛膝引入至阴，又须桂、附蒸动三焦，不特决
渎有权，膀胱亦得以化，所以倍用肉桂，暗藏桂苓丸之妙用，愈于五苓十倍矣。但方中牛膝滑精，精
气不固者勿用。产后精气本自不固，用者审之。故杂证小便不通，济生肾气丸为善也。今世人所用肾
气丸分两多从此。再考后人不分八味、加味、济生分两悬殊，统以金匮肾气名之，殊觉混人，今特拈出。
东垣凉膈散 孕妇有病热，如目赤、口舌疮之类，各随其证，加减用之。
黄芩（酒炒） 黄连（酒炒） 山栀仁（酒炒） 连翘（去心） 桔梗 生草（各等分） 薄荷叶（少许）
目赤痛者，本方加当归、川芎、羌活、防风、菊花各一钱，竹叶引。咽喉痛者，
本方加牛蒡子一钱，炒、杵碎。口舌生疮者，只根据本方，姜引。
香壳散 治蓄血暴起，胸胁小腹作痛。
香附（姜汁制） 归尾（各三钱） 枳壳（二钱，麸炒） 青皮（炒） 陈皮 乌药 赤芍 蓬术（醋炒。各
一钱） 红花（五分） 生草（三分） 炙草（二分）
共为散，每服四钱，童便空心温服，以核桃黑糖酒助之。如不应，加延胡、穿山甲。有外感风寒，
加桂枝、羌活。
下瘀血汤 治妇人产后腹痛，有干血着脐下。
大黄（一两，酒浸） 桃仁（二十粒，去皮尖） 虫（二十枚，熬，去足）
为末，炼蜜为四丸。以酒一升煎一丸，取八合服之。血下如豚肝。
当归活血汤 治挟瘀如见祟状。
当归（三钱） 赤芍（酒洗） 生地（酒浸，别捣烂） 桂心（各一钱五分） 桃仁（二十粒，研） 茯
Headache during pregnancy is mostly caused by blood deficiency with internal heat; treat with Siwu Tang (Four Substances Decoction) with modifications. If there is a history of recurrent migraine or frontal headache, Chuanxiong Chatiao San (Ligusticum Chuanxiong Tea-Pinginating Powder) is suitable.
For headache due to external contraction, Jiawei Xiongui Tang (Modified Ligusticum and Angelica Decoction) should be used.
Heart and abdominal pain during pregnancy may arise from pre-existing cold stagnation or phlegm-fluid accumulation, or from recent exposure to wind-cold. Pathogenic factors clash with healthy qi, affecting the movement of qi, which moves up and down. When rushing upward to the heart, it causes heart pain; when striking downward into the abdomen, it causes abdominal pain. Unrelenting pain may disturb the fetus. If the true heart is damaged causing Zhenxintong (True Heart Pain), death occurs within the same day (morning onset leads to evening death, evening onset leads to morning death). If the collateral branches are damaged, pain comes and goes intermittently. *Yitong* recommends Zhengqi San (Regular Qi Powder) with modifications for this. *Zunsheng* uses Dingtong Yanhu San (Pain-Relieving Corydalis Powder) for heart pain. *Yitong* also states: Fullness and distension in the chest and abdomen with tenderness upon pressure indicate food stagnation; treat with Renshen Yangwei Tang (Ginseng Stomach-Nourishing Decoction). Non-tenderness upon pressure indicates spleen-stomach injury; tonify with Liujunzi Tang (Six Gentlemen Decoction). Abdominal fullness and pain radiating to the heart with inability to eat calls for Qianjin Qinshu Shaoyao Tang (Thousand Gold Scutellaria, Atractylodes, and Peony Decoction). Intermittent abdominal pain is called Taipain (Fetal Pain), caused by either blood deficiency or qi stagnation, though blood deficiency is more common. Use Shudi (Prepared Rehmannia Root) 3 qian, Danggui (Angelica Sinensis) 1 qian, decocted in water. If ineffective, add Renshen (Ginseng), Baizhu (Atractylodes Macrocephala), and Chenpi (Tangerine Peel). Danxi uses Siwu Tang removing Chuanxiong and doubling Shudi. *Yitong* uses Siwu Tang added with Xiangfu (Cyperus Rotundus) powdered, taken with Zisu Tang (Perilla Decoction). For qi stagnation, Zisu Yin (Perilla Infusion) treats it. If pain is accompanied by a heavy, bearing-down sensation due to sinking of middle qi, use Buzhong Yiqi Tang (Center-Building and Qi-Augmenting Decoction).
Pain at the stomach opening is often due to spleen deficiency with retained undigested food; nourish the stomach and digest food. *Gangmu* suggests Pingwei San (Stomach-Calming Powder) added with Zhike (Bitter Orange) and Shanzha (Hawthorn Fruit). I believe Pingwei San might damage the fetus and is not suitable; instead, use Yangwei Tang with modifications.
Hypochondriac pain during pregnancy can result from crying, internal injury, or anger. Do not use qi-breaking herbs. It is suitable to take Tongbian (Child's Urine) mixed with wine, or use Zisu Yin removing Renshen, adding Baishao (White Peony Root), Danggui, Shenren (Amomum Villosum), and Tongbian.
Cold pain below the umbilicus, abdominal distension with empty pain, frequent urination, and loose stools are all caused by consuming raw and cold foods. Treat with Xiaojianzhong Tang (Minor Construct the Middle Decoction) added with Paojiang (Roasted Ginger) and Muxiang (Aucklandia Root). If ineffective, add Huixiang (Fennel Seed) and Liangjiang (Galangal Rhizome).
Lower abdominal pain during pregnancy: for deficiency-heat, use Zisu Yin; for deficiency-cold, use Jiaoai Tang (Ejiao and Mugwort Decoction). If swelling appears near the lower abdomen with thin, shiny skin, this is a gestational carbuncle (Yunyong); use Qianjin Tuoli San (Thousand Gold Supporting Interior Powder) or drink decoction of Yiyiren (Coix Seed). If there is acute heart-abdominal pain, restlessness, cyanotic face, cold sweat, collapse, continuous bleeding, and fetal rising, it is incurable.
Lower back pain during pregnancy: if caused by kidney deficiency, the pulse is large and pain persists; urgently administer Bazhen Tang (Eight Treasures Decoction) added with Ejiao (Donkey-Hide Gelatin), Aiye (Mugwort Leaf), and Huangqi (Astragalus Root), or modify Zisu Yin. If caused by overexertion and heavy lifting damaging the uterine ligaments threatening prolapse, use Antai Yin (Fetus-Securing Infusion) added with Duzhong (Eucommia Bark) and Xuduan (Dipsacus Root). If caused by excessive sexual activity damaging the uterine ligaments, use Shudi, Danggui, Ejiao, Shenren, Zhuru (Bamboo Shavings), and Zhigancao (Honey-fried Licorice Root), mixed with 1 qian of ash from male scrotum skin; strict abstinence from sex for 100 days is crucial. For damp-heat with a slow pulse, pain worsening on cloudy days or after prolonged sitting, with discharge of white matter, use Ermiao San (Two Marvels Powder) added with Chaihu (Bupleurum Root), Fangfeng (Saposhnikovia Root), Fuling (Poria), and Banxia (Pinellia Tuber). For cold-damp causing heavy, cold sensation in the waist like wearing a weight, modify Zisu Yin with spleen-fortifying and warming-drying herbs. For qi-blood stasis with a choppy pulse, pain worse at night preventing sleep, general stiffness and discomfort, and visual floaters, use Zisu Yin added with Zhike and Jiegeng (Platycodon Root). For wind-pathogen in the bladder causing neck stiffness, use Duohuo Jisheng Tang (Angelica Pubescens and Taxillus Decoction). For sprain/trauma with a solid pulse, use Jiaoai Xiongui Tang or Foshou San (Buddha's Hand Powder), or take charred brown sugar dissolved in child's urine and wine. For toxicity-induced issues, select Ejiao San, Kuaiejifang (Quick Method Formula), or Sanwu Jiedu Tang (Three-Item Detoxifying Decoction). For wandering pain indicating stagnant blood entering meridians, use Siwu Tang added with Bohe (Mint), Rougui (Cinnamon Bark), Duzhong, and Xuduan. For severe lower back pain resembling kidney dislocation at term, this indicates impending labor; do not treat as ordinary back pain, it will resolve after delivery without medication.
Back pain during pregnancy is due to qi stagnation; treat with Zisu Yin.
Pain involving the lower back, abdomen, and back during pregnancy: The kidney governs the lower back; exhaustion and channel deficiency allow wind-cold to invade, causing back pain. Entering the abdomen via deficiency causes abdominal pain, leading to mutual牵引 (traction) pain between waist and abdomen. Unrelenting pain risks miscarriage. For trauma-induced back/abdominal pain, use Buzhong Yiqi Tang added with Duzhong and Xuduan. However, many cases involve pain due to strangury (Lin syndrome); examine carefully. Treat strangury with Jiawei Daochi Tang (Modified Guiding Out Red Decoction); once strangury resolves, pain ceases. For yuanqi injury, use Bazhen Tang added with Duzhong, Shenren, Ejiao, and Aiye. For spleen-kidney insufficiency, add Baizhu and Buguzhi (Psoralea Fruit). For external pathogen invasion, use Duohuo Jisheng Tang. For qi-blood depression/stagnation, use Zisu Yin added with Zhike and Jiegeng. For liver deficiency with fire, use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Baizhu, Zhike, and Shanzhi (Gardenia Fruit). For liver-spleen depression/stagnation, use Guipi Tang (Restore the Spleen Decoction) added with Chaihu and Zhike.
Pain at the Huantiao point (GB30) during pregnancy belongs to kidney deficiency; use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill Decoction) added with Duzhong and Xuduan, or Qianjin Baoyun Wan (Thousand Gold Pregnancy-Preserving Pill).
Red, painful eyes, sore throat, and sores/pain in mouth, nose, lips, and tongue during pregnancy are all treated with Liangge San (Cooling the Diaphragm Powder) with modifications.
Trauma from carrying heavy loads causing blood stasis pain: Using blood-invigorating herbs fears fetal damage; not using them leaves injured blood unresolved. Treatment must first distinguish fetal life or death. Without other symptoms, use charred brown sugar mixed with aged wine and child's urine, chewed with whole walnuts. If the fetus is dead, blood passes; if alive, pain stops immediately. For trauma induced by anger or convulsions, use Zisu Yin added with Gouteng (Uncaria Rhynchophylla). For excessive blood loss, use Bazhen Tang removing Fuling, adding Ejiao, Aiye, and Huangqi. For residual trauma pain, use Siwu Tang added with Yanhusuo (Corydalis Rhizome) and Muxiang. If external injury is healed but fetal qi is unsettled, use Zisu Yin added with Tongbian and Shenren. For severe injuries, use Xiangke San (Costus and Bitter Orange Powder) added with Shudi and Danggui to protect the fetus. For critical conditions, use Xiayuxue Tang (Eliminate Stasis Blood Decoction) with Chuanxiong and Danggui decocted in wine to remove blood, thereby securing the fetus. This formula is harsh; use with extreme caution. For lethargy and delirious speech indicating blood forcing into the pericardium, use Danggui Huoxue Tang (Angelica Invigorating Blood Decoction). For heavy bearing-down sensation in abdomen with coldness on pressure, fetal qi is damaged; urgently use Xiangui San (Costus and Cinnamon Powder) added with Jiuhuanglian (Wine-processed Rhubarb) and Shengfuzi (Raw Aconite Root) to purge. If foul breath is detected, urgently use Pingwei San added with Mangxiao (Mirabilite) to purge. I believe Foshou San is best for expelling the fetus; even Xiangui San can expel it, so why use Rhubarb and Aconite? However, formulas like Siwu Tang, Xiangke San, Xiayuxue Tang, Danggui Huoxue Tang, Xiangui San, and Pingwei San should not be used lightly. It is better to abstain and simply use charred brown sugar with wine and urine, or chew walnuts. These formulas are recorded below for reference. Do not slight Foshou San or Xiangui San, nor recklessly use harsh life-damaging drugs.
Generalized body pain during pregnancy, potentially reaching the heart causing death-like distress, and inability to eat, is caused by fetal fluid retention. Use Baizhu (Atractylodes Macrocephala) 5 qian, Huangqin (Scutellaria Root) 2 qian, Baishao (White Peony Root) 4 qian, boiled with one live carp (approx. half jin) replacing water for decoction. This is the Fetal Fluid Syndrome, usually categorized separately, but included here due to generalized pain.
Chuanxiong Chatiao San (Ligusticum Chuanxiong Tea-Pinginating Powder): Treats headache from long-standing wind transforming into fire, and migraines/frontal headaches.
Ingredients: Chuanxiong, Baizhu (Angelica Dahurica), Qianghuo (Notopterygium Root), Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta Spike), Bohe (Mint), Zhigancao (Honey-fried Licorice Root) (each 1 liang), Xiangfu (Cyperus Rotundus) (2 liang, stir-fried with child's urine).
Powder form. Take 2 qian with clear tea after meals, three times daily. For postpartum women, take with Doulinjiu (Black Soybean Wine). Mild cases: 3 doses; severe cases: 5-7 doses for effect.
Jiawei Xiongui Tang (Modified Ligusticum and Angelica Decoction): For headache due to deficiency with external contraction.
Ingredients: Chuanxiong, Danggui (Angelica Sinensis) (each 1.5 qian), Tiaoqin (Scutellaria Root, wine-fried), Baizhu (Soil-fried) (each 1 qian), Xiaye Cha (Fine Bud Tea) (2 qian).
Decoct in water, take after meals.
Huoxiang Zhengqi San (Patchouli Regular Qi Powder): Treats pregnant women's heart/abdominal pain with excess cold and food retention. Modify as needed.
Ingredients: Baizhu (Soil-fried), Houpo (Magnolia Bark, peeled, ginger juice processed), Chenpi (Tangerine Peel, pith removed), Huoxiang (Patchouli), Zisu (Perilla Leaf), Banxia (Pinellia Tuber, processed), Fuling (Poria), Baizhu (Angelica Dahurica), Jiegeng (Platycodon Root), Zhigancao (Honey-fried Licorice Root), Dafupi (Areca Peel) (Ancient formulas had Cangzhu instead of Dafupi).
Ginger and Jujube as guides. Decoct in water. Add Muxiang and Paojiang for cold; add Huangqin, Lianhua (Coptis), Paojiang for food stagnation fever; add Shenren and Xiangfu for qi stagnation; add Juhong (Tangerine Peel Red) and Shengjiang for phlegm.
Zunsheng Dingtong Yanhu San (Respect Life Pain-Relieving Corydalis Powder):
Ingredients: Yanhu (Corydalis Rhizome, vinegar-fried) (3 qian), Ruxiang (Olibanum) (0.5 qian), Guishen (Angelica Sinensis Body), Zhigancao (Honey-fried Licorice Root) (each 1 qian).
Decoct in water, add one drop of salt brine.
Renshen Yangwei Tang (Ginseng Stomach-Nourishing Decoction): Treats food stagnation and fullness.
Ingredients: Renshen (Ginseng), Cangzhu (Atractylodes Lancea, rice-water soaked, peeled, sesame oil stir-fried), Chenpi (Tangerine Peel, pith removed), Huoxiang (Patchouli), Banxia (Pinellia Tuber, processed), Houpo (Magnolia Bark, peeled, ginger juice stir-fried), Fuling (Poria), Caoguo (Black Cardamom), Zhigancao (Honey-fried Licorice Root).
Ginger, Jujube, and Wumei (Mume Fruit) as guides. Decoct in water.
Liujunzi Tang (Six Gentlemen Decoction): Treats stomach deficiency with poor appetite, phlegm-cough, vomiting, and diarrhea.
Ingredients: Renshen (Ginseng), Baizhu (Soil-fried yellow), Fuling (Poria), Jupi (Tangerine Peel), Banxia (Pinellia Tuber, processed), Zhigancao (Honey-fried Licorice Root).
Ginger as guide. Decoct in water.
Qianjin Qinshu Shaoyao Tang (Thousand Gold Scutellaria, Atractylodes, and Peony Decoction): Treats abdominal fullness and pain during pregnancy, guarding the heart with hands, unable to eat.
Ingredients: Baizhu (6 qian, soil-fried), Huangqin (Scutellaria Root) (2 qian), Baishao (White Peony Root) (4 qian).
Decoct the three ingredients in water, divide into three doses, finish within half a day. Mild diarrhea facilitates delivery. One dose per day is good.
Buzhong Yiqi Tang (Center-Building and Qi-Augmenting Decoction): Treats fatigue-induced internal injury, large and empty pulse, panting/thirst, yang deficiency with spontaneous sweating, reluctance to speak, aversion to food, qi deficiency failing to control blood, sinking of clear yang, and insufficient middle qi.
Ingredients: Renshen (Ginseng) (1 qian), Huangqi (Astragalus Root, honey-fried) (1.5 qian), Baizhu (Soil-fried), Chenpi (Tangerine Peel), Danggui (Angelica Sinensis) (each 0.5 qian), Shengma (Cimicifuga Rhizome), Chaihu (Bupleurum Root) (each 0.3 qian), Zhigancao (Honey-fried Licorice Root) (0.8 qian).
Three slices of ginger, two jujubes. Decoct in water.
Pingwei San (Stomach-Calming Powder): Treats retained undigested food in the stomach, suitable for those eating coarse food.
Ingredients: Cangzhu (Atractylodes Lancea) (4 liang, rice-water soaked, peeled, sesame oil mixed, fried yellow), Houpo (Magnolia Bark, peeled, ginger juice processed), Chenpi (Tangerine Peel, water-soaked, pith removed), Zhigancao (Honey-fried Licorice Root) (each 3 liang).
Powder form. Take 4-5 qian per dose, add three slices of ginger, decoct in water, take warm.
Jiaoai Tang (Ejiao and Mugwort Decoction): Treats uterine bleeding, continuous bleeding after miscarriage, or bleeding with abdominal pain during pregnancy. Also treats damage to Chong and Ren vessels, menorrhagia, and dripping bleeding.
Ingredients: Gan Dihuang (Rehmannia Root) (2 qian), Shaoyao (Peony Root) (1.5 qian), Ejiao (Donkey-Hide Gelatin, fried with Polygonatum or Coix seed powder into pearls), Aiye (Mugwort Leaf), Danggui (Angelica Sinensis) (each 1 qian), Chuanxiong (Ligusticum Chuanxiong), Gancao (Licorice Root) (each 0.8 qian).
Decoct in water.
Qianjin Tuoli San (Thousand Gold Supporting Interior Powder): Treats qi-blood deficiency and cold, non-healing ulcers.
Ingredients: Renshen (Ginseng), Huangqi (Astragalus Root, fried), Chuanxiong, Danggui, Rougui (Cinnamon Bark), Baizhu (Angelica Dahurica), Fangfeng (Saposhnikovia Root), Jiegeng (Platycodon Root), Baishao (White Peony Root), Tiandong (Asparagus Tuber, heart removed), Lianqiao (Forsythia Fruit, heart removed), Rendong (Honeysuckle), Zhigancao (Honey-fried Licorice Root).
Ginger as guide. Decoct in water.
Bazhen Tang (Eight Treasures Decoction): Tonifies both qi and blood.
Ingredients: Renshen (Ginseng), Baizhu (Soil-fried), Fuling (Poria), Shudi (Prepared Rehmannia Root), Guishen (Angelica Sinensis Body, wine-rinsed), Chuanxiong, Baishao (White Peony Root, fried), Zhigancao (Honey-fried Licorice Root).
Decoct in water.
Ermiao San (Two Marvels Powder): Treats damp-heat pain, heaviness, and swelling in the lower half of the body.
Ingredients: Nong Huangbai (Phellodendron Bark, ginger juice processed multiple times), Cangzhu (Atractylodes Lancea, best from Maoshan, peeled, sliced, sesame oil stir-fried yellow).
Equal parts powder. Mix with ginger juice, take 2 qian with warm wine on an empty stomach daily.
Duohuo Jisheng Tang (Angelica Pubescens and Taxillus Decoction): Treats wind-bi pain and heaviness in lower back and legs. Also treats postpartum abdominal pain with immobility, leg cramps, inability to flex/extend, and weakness. Remove Xixin (Asarum) for postpartum foot/knee swelling or pain.
Ingredients: Renshen (Ginseng), Guishen (Angelica Sinensis Body), Baishao (White Peony Root), Chuanxiong, Shudi (Prepared Rehmannia Root), Sangjisheng (Taxillus Branch), Duzhong (Eucommia Bark, fried until fibers break), Niuxi (Achyranthes Root, steamed), Xixin (Asarum), Qinjiao (Gentiana Macrophylla Root), Fuling (Poria), Guixin (Cinnamon Heart), Fangfeng (Saposhnikovia Root) (each 0.6 qian), Duohuo (Notopterygium Root) (0.9 qian), Gancao (Licorice Root) (0.3 qian).
Decoct with ginger. *Gujin Luyan* lacks Sangjisheng but has Xuduan (Dipsacus Root), as Xuduan can substitute. *Zhouhou* lacks Sangjisheng, Renshen, Gancao, Danggui, but has Fuzi (Aconite Root).
Jiaoai Xiongui Tang (Ejiao, Ligusticum, and Angelica Decoction): Treats sudden falls/injuries from early to late pregnancy causing fetal disturbance, severe lower back/abdominal pain, and bleeding.
Ingredients: Ejiao (Donkey-Hide Gelatin, fried with蛤粉 or Polygonatum powder), Chuanxiong, Danggui, Gan Dihuang (Rehmannia Root), Aiye (Mugwort Leaf).
Decoct in water. One version has Gancao, no Dihuang.
Foshou San (Buddha's Hand Powder) (Also known as Xiongui Tang or Danggui Tang): Treats fetal disturbance from trauma/collision during pregnancy. Or for dead fetus in uterus, lochia retention, unrelenting pain. Use this to test. If intact, pain stops, mother and fetus safe; if fetus dead, it expels immediately. Excellent for inducing labor.
Ingredients: Danggui (Angelica Sinensis) (3 or 5 qian, remove radicle, soak in wine), Chuanxiong (Ligusticum Chuanxiong) (2 qian).
First, boil one cup of wine until dry, then add one cup of water, boil 2-3 times, take warm. To expel fetus, powder the herbs, mix with wine.
Danxi treats retained dead fetus and induces labor using Danggui 1 liang, Chuanxiong 7 qian, decocted in wine/water.
Ejiao San (Ejiao Powder): Treats fetal disturbance, lower back/abdominal pain, or bleeding due to falls or toxins during pregnancy.
Ingredients: Ejiao (Donkey-Hide Gelatin, fried with蛤粉 into pearls), Aiye (Mugwort Leaf, fried), Guishen (Angelica Sinensis Body, wine-soaked), Chuanxiong, Baishao (White Peony Root), Shudi (Prepared Rehmannia Root), Huangqi (Astragalus Root, honey-fried), Zhigancao (Honey-fried Licorice Root).
Five slices of ginger, three jujubes. Decoct in water, take on empty stomach.
Kuaiejifang (Quick Method Formula) (Also known as Bai Biandou San / White Hyacinth Bean Powder): Treats accidental ingestion of various poisons/toxins during pregnancy, or toxic abortion attempts causing toxin rushing to heart. External signs: locked jaw, inability to speak, rigid clenched fists, head drooping with spontaneous sweat, slight fever. Resembles wind-stroke but pulse is floating and soft; prognosis is poor (1 in 10 survival), often misdiagnosed. Misdiagnosis as wind-stroke is fatal.
Ingredients: Bai Biandou (Hyacinth Bean) (2 liang, raw, peeled).
Grind to fine powder. Mix with fresh water for immediate effect. Or mix with rice drink, or decoct strongly and take.
Sanwu Jiedu Tang (Three-Item Detoxifying Decoction): Treats fetal disturbance from accidental poison ingestion.
Ingredients: Gancao (Licorice Root), Heidou (Black Soybean), Danzhuye (Lophatherum Leaf) (equal parts).
Decoct strongly in water and take.
Siwu Tang (Four Substances Decoction - Note: Context implies a specific variation named Siwu Tang here, distinct from standard Siwu Tang, containing Wu Yao): Treats qi stagnation in blood, acute lower abdominal pain.
Ingredients: Shudi (Prepared Rehmannia Root), Danggui (Angelica Sinensis, wine-rinsed) (each 2 qian), Chuanxiong (Ligusticum Chuanxiong) (0.8 qian), Baishao (White Peony Root, wine-fried) (1.5 qian), Wuyao (Lindera Root) (0.6 qian), Xiangfu (Cyperus Rotundus, processed) (0.7 qian), Zhigancao (Honey-fried Licorice Root) (0.5 qian).
Decoct in water.
Jiawei Daochi Tang (Modified Guiding Out Red Decoction): Treats pregnant women with scanty, painful/difficult urination (Zilin/Fetal Strangury). Also treats hematuria.
Ingredients: Renshen (Ginseng), Shengdi (Rehmannia Root), Tiaoqin (Scutellaria Root), Mutong (Akebia Stem), Gancao Shao (Licorice Root Tip), Maidong (Ophiopogon Tuber, heart removed), Chishao (Red Peony Root) (each 1 qian), Danzhuye (Lophatherum Leaf) (15 leaves).
49 cun of Dengxin (Juncus Medulla). Decoct in water, take on empty stomach.
Xiao Chaihu Tang (Minor Bupleurum Decoction): Treats Shaoyang syndrome with alternating chills and fever, wiry pulse, hypochondriac pain, and vomiting.
Ingredients: Chaihu (Bupleurum Root) (3 qian), Huangqin (Scutellaria Root), Renshen (Ginseng), Zhigancao (Honey-fried Licorice Root) (each 1 qian), Banxia (Pinellia Tuber, processed) (2 qian).
Five slices of ginger, four jujubes. Decoct in water, take warm.
Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill Decoction) (Includes Liuwei Dihuang Wan, Bawei Dihuang Wan named Jin Gui Shen Qi Wan, Jiawei Shen Qi Wan, Jisheng Shen Qi Wan):
Shudi (Prepared Rehmannia Root) (4 qian, nine-steamed nine-dried).
Mudanpi (Moutan Cortex), Fuling (Poria) (each 1.5 qian), Shanyuzhi (Cornus Fruit, pitted, pure flesh), Shanyao (Dioscorea Rhizome) (each 2 qian), Zexie (Alisma Rhizome) (1 qian).
Decoct in water. For pills: Shudi 8 liang, Mudanpi/Fuling 3 liang each, Shanyuzhi/Shanyao 4 liang each, Zexie 1 liang (ancient formula used 3 liang Zexie). Honey-pill size of wutong seeds. Add Rougui (Cinnamon Bark) 1 liang, Zhi Fuzi (Processed Aconite Root) 5 qian, named Guifu Bawei Dihuang Wan or Jin Gui Shen Qi Wan. One version uses 1 liang each of Gui and Fu. Adding Niuxi (Achyranthes Root) and Cheqiancao (Plantago Leaf) 1 liang each to the eight ingredients is named Jiawei Shen Qi Wan. One version substitutes Rougui with Guizhi (Cinnamon Twig). This addresses yin consolidation internally requiring dispersion externally to circulate kidney qi throughout the body. Only the formula remains, rarely modified by others. I note Jisheng Shen Qi Wan in medical texts treats kidney qi failure, difficult/frequent urination, postpartum leg/abdominal swelling, or drum-like bloating. It is based on the eight-ingredient formula: Fuling 3 liang, Shudi 4 liang, Shanyao, Shanyuzhi, Mudanpi, Zexie, Rougui 1 liang each, Fuzi 5 qian, plus Niuxi and Cheqian 1 liang each. Most herbs in Jin Gui Shen Qi formula are halved, except Gui and Ling remain original, acting specifically to disseminate five yangs and dispel yin evil. Niuxi and Cheqian act as guides for Taiyang and Jueyin. Liver is wind-wood organ; herbs traversing its channels rise, but Niuxi directs fluids downwards to the lowest yin, while Cheqian drains fluids without harming righteous qi. With Niuxi guiding to lowest yin, Gui and Fu vaporize/sanitize the Triple Burner, empowering water passages and bladder transformation. Thus, double Rougui hides the subtle utility of Guiling Wan, ten times superior to Wuling San. However, Niuxi causes seminal emission; avoid in those with unstable essence/qi. Postpartum essence is naturally unstable; users must be cautious. Therefore, for miscellaneous disorders with urinary obstruction, Jisheng Shen Qi Wan is best. Modern dosages of Shen Qi Wan largely follow this. Later generations confused the distinct weights of Bawei, Jiawei, and Jisheng,统称 (collectively naming) them Jin Gui Shen Qi, which is confusing. I highlight this distinction now.
Dongyuan Liangge San (Dongyuan Cooling the Diaphragm Powder): For pregnant women with heat diseases, such as red eyes or mouth/tongue sores, modify according to symptoms.
Ingredients: Huangqin (Scutellaria Root, wine-fried), Huanglian (Coptis Rhizome, wine-fried), Shanzhiren (Gardenia Seed, wine-fried), Lianqiao (Forsythia Fruit, heart removed), Jiegeng (Platycodon Root), Shengcao (Raw Licorice Root) (equal parts), Boheye (Mint Leaf) (small amount).
For red/painful eyes: Add Danggui, Chuanxiong, Qianghuo, Fangfeng, Juhua (Chrysanthemum Flower) 1 qian each, guide with Zhuye (Bamboo Leaf).
For sore throat: Add Niubangzi (Arctium Seed) 1 qian, stir-fried and crushed.
For mouth/tongue sores: Follow base formula, guide with Shengjiang (Fresh Ginger).
Xiangke San (Costus and Bitter Orange Powder): Treats sudden blood stasis causing chest, hypochondrium, and lower abdominal pain.
Ingredients: Xiangfu (Cyperus Rotundus, ginger juice processed), Dangguiwei (Angelica Sinensis Tail) (each 3 qian), Zhike (Bitter Orange, bran-fried) (2 qian), Qingpi (Green Tangerine Peel, fried), Chenpi (Tangerine Peel), Wuyao (Lindera Root), Chishao (Red Peony Root), Pengze (Curcuma Zedoaria, vinegar-fried) (each 1 qian), Honghua (Safflower) (0.5 qian), Shengcao (Raw Licorice Root) (0.3 qian), Zhigancao (Honey-fried Licorice Root) (0.2 qian).
Powder form. Take 4 qian, warm with Tongbian (Child's Urine) on empty stomach, assist with walnut, brown sugar, and wine. If ineffective, add Yanhusuo (Corydalis Rhizome) and Chuanshanjia (Pangolin Scale). For external wind-cold, add Guizhi (Cinnamon Twig) and Qianghuo (Notopterygium Root).
Xiayuxue Tang (Eliminate Stasis Blood Decoction): Treats postpartum abdominal pain with dry blood adhering below the umbilicus.
Ingredients: Dahuang (Rhubarb Root, wine-soaked) (1 liang), Taoren (Peach Kernel, peeled and stemmed) (20 grains), Mengchong (Blister Beetle, roasted, feet removed) (20 pieces).
Powder form. Make four pills with refined honey. Decoct one pill in one sheng of wine, take 0.8 he. Blood passes like pig liver.
Danggui Huoxue Tang (Angelica Invigorating Blood Decoction): Treats blood stasis presenting as hallucinations/spirit possession.
Ingredients: Danggui (Angelica Sinensis) (3 qian), Chishao (Red Peony Root, wine-rinsed), Shengdi (Rehmannia Root, wine-soaked, pounded separately), Guixin (Cinnamon Heart) (each 1.5 qian), Taoren (Peach Kernel, 20 grains, ground), Fu...