丹溪安胎饮
一、治孕成后胎气不安;或腹微痛;或腰间作痛;或饮食不美,孕至五六个月,并宜服
之。
白术(二钱) 当归(二钱) 条芩(八分) 川芎(八分) 人参(一钱) 陈皮(四分) 怀生
地(二钱,自蒸) 紫苏(四分) 甘草(四分) 砂仁(三分)
姜枣引,水煎。
二、孕妇元气不足倦怠,或胎动不安,或身微热减食,并服加味安胎饮,如腰疼腿痛,
必一日二三帖可安。
人参(二钱) 当归(三钱) 白术(二钱五分) 条芩(八分) 生地(二钱,自蒸) 陈皮(
四分) 紫苏(四分) 甘草(四分) 砂仁(三分)
烦渴加麦冬一钱,加枣二个。
三、孕成后二三月内,恶阻呕逆,或头眩晕倦怠,宜加味参橘饮。
人参(一钱) 橘红(二钱) 白术(二钱) 半夏(八分) 当归(二钱) 藿香(四分) 甘草
(四分) 砂仁(三分) 竹茹(一丸)
如肥人,加竹沥一酒杯,姜汁半匙,姜三片,加乌梅半个。
四、孕妇常多怒气,胸腹满闷,或服乌药、香附、砂仁等顺气耗药,反加满闷,宜服此
方。
人参(二钱) 白术(二钱) 当归(二钱) 川芎(八分) 陈皮(四分) 紫苏(四分) 甘草
(三分) 条芩(八分) 木香(三分)
五、孕妇腹中不时作痛,小腹下堕,多血虚气陷,间有兼寒者,服加味安胎饮。
(四分) 怀熟地(二钱)
如兼寒,加吴茱萸一钱;或干姜、砂仁各五分。姜引。
六、孕妇面目虚浮,四肢有水气,多因脾胃气虚;或久泻所致。宜健脾利水,服全生白术散。(此症名曰子肿)
白术(二钱) 人参(一钱) 川芎(八分) 当归(二钱) 甘草(三分) 紫苏(四分) 陈皮
(四分) 大腹皮(七分) 茯苓皮(一钱)
七、胎气上攻心腹,胀满作痛,宜服顺气安胎散。(此症名曰子悬。)
人参(二钱) 白术(二钱) 紫苏(四分) 甘草(四分) 陈皮(四分) 砂仁(四分) 当归
(二钱) 川芎(八分) 黄芩(八分)
如有气,加木香二分,(磨。)姜引。
八、受胎下血不止,或按月来血点滴,名曰胎漏。大多因劳,又因气血虚,有因喜食炙
爆热物过多。宜谨房事,服补中安胎饮。
白术(二钱) 当归(二钱) 人参(一钱) 甘草(三分) 熟地(一钱) 黄芩(四分) 紫苏
(四分) 白芷(四分)
又,苎麻根,治漏胎下血。
九、孕妇顿仆动胎,下血不止,宜先服安胎饮,一日二三帖,如不止,加阿胶艾
安胎饮。
人参(二钱) 条芩(一钱) 川芎(八分) 甘草(四分) 紫苏(四分) 陈皮(四分) 当归
(二钱) 怀熟(二钱) 陈胶(一钱,用蛤粉拌炒成珠,研)
姜枣引。
仲景《金匮》胶艾汤 治妊妇下血不止。
归 芎 芍 地 甘草 阿胶 艾叶(各等分)
用酒水煎服。
十、孕妇心惊胆怯,烦闷不安,名曰子悬,宜竹叶安胎饮。
当归(二钱) 白术(二钱) 人参(一钱) 川芎(七分) 甘草(四分) 陈皮(三分) 黄芩
(八分) 枣仁(一钱) 远志(八分) 麦冬(一钱) 竹叶(十片) 怀生地(一钱五分)
姜枣引。
若其人烦渴,加竹茹一丸。有痰,加竹沥七分酒盅,姜汁三匙。如虚人,加人参二三钱
。如脾胃常泻,减生地、枣仁。
十一、孕妇腿膝发肿,气促满怀不舒,或足指缝出水。盖脾主四肢,脾气虚弱,不能制
水而
发肿,肺肾少母气滋赖,而气促满闷。诸书名曰水气,治宜服天仙藤散。不效,服补
中健脾汤。(此症名曰子气。)
天仙藤(洗,略炒。) 香附(炒,八分) 陈皮(四分) 紫苏(四分) 甘草(三分) 乌药
(七分) 木瓜(一钱) 姜皮(三片)
如虚人,加人参一钱,白术二钱,当归二钱。若脾气虚弱人,宜服补中益气汤。
十二、孕妇口噤项强,手足挛缩,言语謇涩,痰涎壅盛,不省人事,可作中风治。治以
羚羊
角散。如无痰,言语如常,但见中风症,多因血燥类风,切不可概作中风类治,误人性命,
名曰子痫。
羚羊角(一钱) 川芎(七分) 独活(八分) 枣仁(炒,一钱) 五味子(八分) 防风(五
分) 薏苡仁(一钱) 当归(一钱) 茯苓(八分) 杏仁(十粒) 木香(二分) 甘草(四分)
如虚人,加人参一钱。痰多,加竹沥七分酒盅,姜汁半匙。脾胃虚,加白术一钱五分。
姜引。
十三、孕妇小便涩,或成淋沥,名曰子淋。宜加味安荣饮。
人参(二钱) 白术(二钱) 当归(二钱) 麦冬(二钱) 茯苓皮(一钱) 通草(一钱) 甘
草(四分)
有痰宜清肺,加黄芩七分。若怒动肝火,宜加柴胡、灯心水煎。
十四、孕妇形体劳苦,或过食炒炙热物,小便带血,宜清膀胱之火,服加味逍遥散。
当归(二钱) 芍药(一钱) 白术(一钱五分) 茯苓(七分) 柴胡(四分) 丹皮(七分)
山栀(七分) 炙甘草(四分)
十五、孕妇腹脐作胀,或小便淋闭,此由脾胃气虚,胎压尿胞,宜服安胎饮。
白术(一钱五分) 陈皮(四分,去皮) 甘草(四分) 人参(一钱) 川芎(八分) 当
归(二钱) 生地(一钱五分) 柴胡(四分) 半夏(六分,姜制) 升麻(四分)
姜引,空心屡服。盐汤探吐,则气升尿下经行,亦一治法也。
十六、孕妇元气壮盛,受胎后尚有血来几次,不妨,乃血盛故也。若不腰腿酸痛,不须
服药。若过虑,可服安胎饮。
十七、孕妇胸腹满胀便闭,遍身浮肿,(名曰胎水不利。)宜服鲤鱼汤。
白术(五分) 当归(二钱) 芍药(二钱) 茯苓(四分)
用鲤鱼一尾,重一二斤,去鳞肠,水煎,加橘皮少许,生姜七片,用水四盏,取汁盏半
,加四味药煎七分,如水未尽,再制服。
十八、孕妇咳嗽,属风属寒,宜定肺止嗽饮。
天冬(二钱) 桔梗(四分) 紫苏(四分) 知母(一钱) 甘草(四分)
寒嗽,加杏仁十枚,桑白皮八分。有痰,加桔红四分,竹沥姜汁。热嗽,加黄芩八分。
虚嗽
,加紫菀一钱,冬花六分。发喘,夜多嗽,加麻黄八分。虚损咳嗽,栝蒌一钱,竹沥姜汁。
心胸不舒,贝母一钱,百合一钱。
又方,孕妇咳嗽不止,胎不安。
杏仁(十粒) 桔梗(五分) 紫菀(一钱) 甘草(四分) 天冬(二钱) 桑白皮(八分) 竹
茹(一丸)
水煎,入蜜温服。
十九、孕妇咳嗽吐血。
怀生地(三钱) 知母(一钱) 紫菀(一钱) 白术(一钱) 陈皮(四分) 甘草(四分) 麦
冬(一钱) 黄芩(八分) 天冬(二钱) 犀角(八分) 当归(二钱)
喘,加栝蒌仁(一钱)
二十、孕妇霍乱吐泻,心烦腹痛,先服六和汤。
半夏(七分) 陈皮(四分) 藿香(四分) 甘草(四分) 杏仁(十粒) 竹茹(一丸) 白扁
豆(二钱,炒) 木瓜(二钱) 人参(一钱) 砂仁(五分) 茯苓(八分)
姜枣引,水煎。如服之不安,次服安胎饮。
二十一 、孕妇疟疾,寒多热少,用安胎饮减陈皮,加∶
半夏(七分) 草果(三钱) 青皮(三钱) 人参(二钱) 白术(二钱) 当归(二钱) 乌梅
(二个) 紫苏(四分) 黄芩(一钱) 甘草(四分) 藿香(五分)
姜引。
二十二、孕妇口干不得卧,用安胎饮加麦冬干葛;或黄连为末,粥饮调下一钱,亦好。
二十三、孕妇壅热,心神烦躁,口干渴,宜参知散。
人参(一钱) 知母(一钱) 麦冬(一钱) 栀子仁(二钱,炒) 甘草(五分) 条芩(五分)
蒌仁(八分) 犀角(八分)
夏加竹沥姜汁,枣引。
二十四、孕妇热病,呕吐不食,胸中烦躁,宜葛根汤。
芦根(一钱五分) 葛根(一钱五分) 人参(一钱) 麦冬(一钱) 知母(一钱) 竹茹(一
丸) 栀子(一钱,炒) 葱白(三寸)
水煎。
二十五、孕妇热病,斑出赤黑色,小便如血,气急欲绝,胎落。
栀子(一钱) 黄芩(一钱) 升麻(一钱) 青黛(一钱) 豆豉(四十九粒) 生地(二钱)
杏仁(十粒) 石膏(一钱五分) 葱白(七寸)
二十六、孕妇患骨疼痛,不急治则胎落。宜升膏散。
葛根 石膏 升麻 柴胡 青黛
痰多加竹沥一盏,姜汁一匙。
二十七、孕妇患吐衄血,或因破伤失血,蓦患口噤,项强背直,类中风症,皆因失血之
故。宜安胎饮。加∶
人参(二、三钱) 当归(二钱) 白术(二钱) 熟地(二钱) 陈皮(四分) 甘草(四分)
条芩(八分) 天麻(一钱) 麦冬(一钱) 防风(一钱) 荆芥(一钱)
以上二十七症孕妇病,若与秘本对,根据此开方,万勿有失。
又《活人书》中,治孕妇热病发斑赤黑色者,栀子大青汤。
升麻 大青 栀子 杏仁 黄芩
葱白引。
Danxi An Tai Yin (Danxi's Fetus-Calming Decoction)
I. For treating restlessness of fetal qi after conception; or slight abdominal pain; or lower back pain; or poor appetite, suitable for administration during the fifth to sixth month of pregnancy.
Bai Zhu (Atractylodis Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Tiao Qin (Scutellariae Radix, 8 fen), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Huai Sheng Di (Rehmanniae Radix Praeparata with Shaoyao, self-steamed, 2 qian), Zi Su (Perillae Folium, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Sha Ren (Amomi Fructus Rotundus, 3 fen).
Use Sheng Jiang (Zingiberis Rhizoma Recens, Fresh Ginger) and Da Zao (Jujubae Fructus, Jujube) as guides, decoct in water.
II. For pregnant women with insufficient yuan qi feeling fatigued, or restless fetus, or slight fever with reduced appetite, administer Jiawei An Tai Yin (Modified Fetus-Calming Decoction); if accompanied by lower back and leg pain, two to three doses per day will likely calm the condition.
Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Bai Zhu (Atractylodis Rhizoma, 2.5 qian), Tiao Qin (Scutellariae Radix, 8 fen), Sheng Di (Rehmanniae Radix, self-steamed, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Zi Su (Perillae Folium, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Sha Ren (Amomi Fructus Rotundus, 3 fen).
For irritability and thirst, add Mai Dong (Ophiopogonis Radix, 1 qian) and two jujubes.
III. For nausea and vomiting (E Zu, morning sickness), dizziness, and fatigue within two to three months after conception, administer Jiawei Shen Ju Yin (Modified Ginseng and Tangerine Peel Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Ju Hong (Citri Reticulatae Pericarpium Rubrum, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Ban Xia (Pinelliae Rhizoma, 8 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian), Huo Xiang (Agastaches Herba, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Sha Ren (Amomi Fructus Rotundus, 3 fen), Zhu Ru (Bambusae Caulis in Taeniam, 1 pill).
For obese individuals, add Zhu Li (Bambusae Succus, Bamboo Sap, one wine cup), Jiang Zhi (Zingiberis Succus, Ginger Juice, half spoon), three slices of Sheng Jiang (Fresh Ginger), and half a Mei Zi (Prunus mume, Smoked Plum).
IV. For pregnant women who often get angry, experiencing chest and abdominal fullness and oppression, or whose symptoms worsen after taking Qi-regulating drugs that consume healthy qi such as Wu Yao (Linderae Radix), Xiang Fu (Cyperi Rhizoma), and Sha Ren (Amomi Fructus Rotundus), administer this formula.
Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Zi Su (Perillae Folium, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Tiao Qin (Scutellariae Radix, 8 fen), Mu Xiang (Aucklandiae Radix, 3 fen).
V. For intermittent abdominal pain and lower abdominal bearing-down sensation in pregnant women, mostly due to blood deficiency and qi sinking, occasionally combined with cold, administer Jiawei An Tai Yin (Modified Fetus-Calming Decoction).
Huai Shu Di (Rehmanniae Radix Praeparata, Prepared Rehmannia Root, 2 qian).
If combined with cold, add Wu Zhu Yu (Evodiae Fructus, 1 qian); or Gan Jiang (Zingiberis Rhizoma, Dried Ginger) and Sha Ren (Amomi Fructus Rotundus, each 5 fen). Use Sheng Jiang (Fresh Ginger) as a guide.
VI. For puffy face and eyes and edema in limbs of pregnant women, mostly due to spleen and stomach qi deficiency; or caused by chronic diarrhea. Benefit the spleen and promote urination, administer Quansheng Bai Zhu San (Quansheng Atractylodes Powder). (This syndrome is named Zi Zhong, fetal edema.)
Bai Zhu (Atractylodis Rhizoma, 2 qian), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Zi Su (Perillae Folium, 4 fen), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Da Fu Pi (Arecae Pericarpium, 7 fen), Fu Ling Pi (Poria Cocos with Bark, 1 qian).
VII. For fetal qi attacking the heart and abdomen causing distension and pain, administer Shunqi Antai San (Qi-Regulating Fetus-Calming Powder). (This syndrome is named Zi Xuan, floating fetus.)
Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Zi Su (Perillae Folium, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Sha Ren (Amomi Fructus Rotundus, 4 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Huang Qin (Scutellariae Radix, 8 fen).
If there is qi stagnation, add Mu Xiang (Aucklandiae Radix, 2 fen, ground), use Sheng Jiang (Fresh Ginger) as a guide.
VIII. For continuous bleeding after conception, or spotting bleeding monthly, named Tai Lou (fetal leakage). Mostly due to overwork and qi-blood deficiency, or excessive consumption of roasted and hot-natured foods. Abstinence from sexual intercourse is advised; administer Buzhong Antai Yin (Middle-Supplementing Fetus-Calming Decoction).
Bai Zhu (Atractylodis Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Shu Di (Rehmanniae Radix Praeparata, 1 qian), Huang Qin (Scutellariae Radix, 4 fen), Zi Su (Perillae Folium, 4 fen), Bai Zhi (Angelicae Dahuricae Radix, 4 fen).
Additionally, Zhu Ma Gen (Ramie Root Cortex), treats fetal leakage bleeding.
IX. For trauma-induced fetal disturbance with continuous bleeding, first administer An Tai Yin (Fetus-Calming Decoction), two to three doses daily. If bleeding persists, add E Jiao Ai Ye An Tai Yin (Donkey-Hide Gelatin and Mugwort Leaf Fetus-Calming Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Tiao Qin (Scutellariae Radix, 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Zi Su (Perillae Folium, 4 fen), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian), Huai Shu (Rehmanniae Radix Praeparata, 2 qian), Chen Jiao (Colla Corii Asini, Donkey-Hide Gelatin, 1 qian, stir-fried with蛤粉 [Arcae Testa Pulvis] until pearl-like, then ground).
Use Sheng Jiang (Fresh Ginger) and Da Zao (Jujube) as guides.
Jiao Ai Tang (Gelatin and Moxa Decoction) from Zhang Zhongjing's *Jin Gui Yao Lue* treats continuous bleeding in pregnant women.
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix Alba), Di Huang (Rehmanniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), E Jiao (Colla Corii Asini), Ai Ye (Artemisiae Argyi Folium) (equal parts).
Decoct in wine and water.
X. For pregnant women with fright, timidity, irritability, and restlessness, named Zi Xuan (floating fetus), administer Zhuye Antai Yin (Bamboo Leaf Fetus-Calming Decoction).
Dang Gui (Angelicae Sinensis Radix, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 7 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Chen Pi (Citri Reticulatae Pericarpium, 3 fen), Huang Qin (Scutellariae Radix, 8 fen), Zao Ren (Ziziphi Spinosae Semen, 1 qian), Yuan Zhi (Polygalae Radix, 8 fen), Mai Dong (Ophiopogonis Radix, 1 qian), Zhu Ye (Bambusae Folium, 10 leaves), Huai Sheng Di (Rehmanniae Radix, 1.5 qian).
Use Sheng Jiang (Fresh Ginger) and Da Zao (Jujube) as guides.
If irritable and thirsty, add Zhu Ru (Bambusae Caulis in Taeniam, 1 pill). If phlegm is present, add Zhu Li (Bamboo Sap, 7 fen wine cup) and Jiang Zhi (Ginger Juice, 3 spoons). For deficient persons, add Ren Shen (Ginseng Radix et Rhizoma, 2-3 qian). If spleen/stomach has chronic diarrhea, reduce Sheng Di (Rehmanniae Radix) and Zao Ren (Ziziphi Spinosae Semen).
XI. For swollen legs and knees, shortness of breath, chest fullness and discomfort, or oozing fluid between toes in pregnant women. The Spleen governs the four limbs; spleen qi deficiency fails to control water, causing swelling. Lung and Kidney lack maternal qi nourishment, leading to shortness of breath and fullness. Books name this Shui Qi (Water Qi); treat with Tian Xian Teng San (Tian Xian Teng Powder). If ineffective, administer Buzhong Jianpi Tang (Middle-Supplementing Spleen-Strengthening Decoction). (This syndrome is named Zi Qi, fetal qi disorder.)
Tian Xian Teng (Stemona Radix, washed, lightly stir-fried), Xiang Fu (Cyperi Rhizoma, stir-fried, 8 fen), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Zi Su (Perillae Folium, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Wu Yao (Linderae Radix, 7 fen), Mu Gua (Chaenomelis Fructus, 1 qian), Jiang Pi (Zingiberis Peridermis, 3 slices).
For deficient persons, add Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian). For those with weak spleen qi, Buzhong Yiqi Tang (Middle-Supplementing Qi-Boosting Decoction) is suitable.
XII. For pregnant women with locked jaw, stiff neck, limb spasms, slurred speech, copious phlegm-saliva, and unconsciousness, treat as Zhong Feng (Wind Stroke) using Ling Yang Jiao San (Antelope Horn Powder). If no phlegm and speech is normal but wind-stroke symptoms appear, it is mostly due to Blood Dryness resembling Wind; do not treat generally as Wind Stroke to avoid fatal errors. This syndrome is named Zi Xian (fetal eclampsia).
Ling Yang Jiao (Saiga Tataricae Cornu, 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 7 fen), Du Huo (Angelicae Pubescentis Radix, 8 fen), Zao Ren (Ziziphi Spinosae Semen, stir-fried, 1 qian), Wu Wei Zi (Schisandrae Chinensis Fructus, 8 fen), Fang Feng (Saposhnikoviae Radix, 5 fen), Yi Yi Ren (Coicis Semen, 1 qian), Dang Gui (Angelicae Sinensis Radix, 1 qian), Fu Ling (Poria Cocos, 8 fen), Xing Ren (Armeniacae Semen Amarum, 10 grains), Mu Xiang (Aucklandiae Radix, 2 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen).
For deficient persons, add Ren Shen (Ginseng Radix et Rhizoma, 1 qian). For copious phlegm, add Zhu Li (Bamboo Sap, 7 fen wine cup) and Jiang Zhi (Ginger Juice, half spoon). For spleen/stomach deficiency, add Bai Zhu (Atractylodis Rhizoma, 1.5 qian). Use Sheng Jiang (Fresh Ginger) as a guide.
XIII. For painful or dribbling urination in pregnant women, named Zi Lin (fetal strangury). Administer Jiawei An Rong Yin (Modified Nourishing Fetus Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Mai Dong (Ophiopogonis Radix, 2 qian), Fu Ling Pi (Poria Cocos with Bark, 1 qian), Tong Cao (Tetrapanacis Medulla, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen).
If phlegm is present, clear the Lungs by adding Huang Qin (Scutellariae Radix, 7 fen). If Liver Fire is stirred by anger, add Chai Hu (Bupleuri Radix) and Deng Xin Cao (Junci Medulla), decoct in water.
XIV. For pregnant women suffering physical labor or excessive intake of fried/hot foods, resulting in hematuria, clear Bladder Fire, administer Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder).
Dang Gui (Angelicae Sinensis Radix, 2 qian), Shao Yao (Paeoniae Radix Alba, 1 qian), Bai Zhu (Atractylodis Rhizoma, 1.5 qian), Fu Ling (Poria Cocos, 7 fen), Chai Hu (Bupleuri Radix, 4 fen), Dan Pi (Moutan Cortex, 7 fen), Shan Zhi (Gardeniae Fructus, 7 fen), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 4 fen).
XV. For abdominal and umbilical distension or urinary retention in pregnant women, caused by Spleen/Stomach qi deficiency and fetal pressure on the bladder, administer An Tai Yin (Fetus-Calming Decoction).
Bai Zhu (Atractylodis Rhizoma, 1.5 qian), Chen Pi (Citri Reticulatae Pericarpium, peeled, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian), Sheng Di (Rehmanniae Radix, 1.5 qian), Chai Hu (Bupleuri Radix, 4 fen), Ban Xia (Pinelliae Rhizoma, ginger-processed, 6 fen), Sheng Ma (Cimicifugae Rhizoma, 4 fen).
Use Sheng Jiang (Fresh Ginger) as a guide, take frequently on an empty stomach. Induce vomiting with salt water to raise qi and promote urination/menstruation; this is another treatment method.
XVI. For pregnant women with strong yuan qi who experience occasional bleeding after conception, it is harmless due to abundant blood. If there is no lower back/leg soreness, no medication is needed. If overly worried, An Tai Yin (Fetus-Calming Decoction) can be taken.
XVII. For chest/abdominal fullness, constipation, and generalized edema in pregnant women (named Tai Shui Bu Li, unfavorable fetal water), administer Li Yu Tang (Carp Decoction).
Bai Zhu (Atractylodis Rhizoma, 5 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian), Shao Yao (Paeoniae Radix Alba, 2 qian), Fu Ling (Poria Cocos, 4 fen).
Use one carp (1-2 jin), scale and gut, decoct in water. Add a little Ju Pi (Tangerine Peel) and seven slices of Sheng Jiang (Fresh Ginger). Use four cups of water, reduce to one and a half cups. Add the four herbs above, decoct to七分 (70%). If liquid remains, take again.
XVIII. For cough in pregnant women due to Wind or Cold, administer Ding Fei Zhi Sou Yin (Lung-Calm Cough-Stop Decoction).
Tian Dong (Asparagi Radix, 2 qian), Jie Geng (Platycodonis Radix, 4 fen), Zi Su (Perillae Folium, 4 fen), Zhi Mu (Anemarrhenae Rhizoma, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen).
For cold cough, add Xing Ren (Armeniacae Semen Amarum, 10 pieces) and Sang Bai Pi (Mori Cortex, 8 fen). For phlegm, add Ju Hong (Tangerine Peel Red) 4 fen, Zhu Li (Bamboo Sap), and Jiang Zhi (Ginger Juice). For hot cough, add Huang Qin (Scutellariae Radix, 8 fen). For deficiency cough, add Zi Wan (Asteris Radix, 1 qian) and Dong Hua (Farfarae Flos, 6 fen). For wheezing/night cough, add Ma Huang (Ephedrae Herba, 8 fen). For deficiency damage cough, add Gua Lou (Trichosanthis Fructus, 1 qian), Zhu Li (Bamboo Sap), and Jiang Zhi (Ginger Juice). For chest discomfort, add Bei Mu (Fritillariae Bulbus, 1 qian) and Bai He (Lilii Bulbus, 1 qian).
Another prescription for persistent cough with fetal unrest:
Xing Ren (Armeniacae Semen Amarum, 10 grains), Jie Geng (Platycodonis Radix, 5 fen), Zi Wan (Asteris Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Tian Dong (Asparagi Radix, 2 qian), Sang Bai Pi (Mori Cortex, 8 fen), Zhu Ru (Bambusae Caulis in Taeniam, 1 pill).
Decoct in water, take warm with honey.
XIX. For coughing up blood in pregnant women.
Huai Sheng Di (Rehmanniae Radix, 3 qian), Zhi Mu (Anemarrhenae Rhizoma, 1 qian), Zi Wan (Asteris Radix, 1 qian), Bai Zhu (Atractylodis Rhizoma, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Mai Dong (Ophiopogonis Radix, 1 qian), Huang Qin (Scutellariae Radix, 8 fen), Tian Dong (Asparagi Radix, 2 qian), Xi Jiao (Rhinocerotis Cornu, 8 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian).
For wheezing, add Gua Lou Ren (Trichosanthis Semen, 1 qian).
XX. For cholera-like vomiting and diarrhea with irritability and abdominal pain in pregnant women, first administer Liu He Tang (Six-Harmony Decoction).
Ban Xia (Pinelliae Rhizoma, 7 fen), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Huo Xiang (Agastaches Herba, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Xing Ren (Armeniacae Semen Amarum, 10 grains), Zhu Ru (Bambusae Caulis in Taeniam, 1 pill), Bai Bian Dou (Phaseoli Multiflori Semen, stir-fried, 2 qian), Mu Gua (Chaenomelis Fructus, 2 qian), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Sha Ren (Amomi Fructus Rotundus, 5 fen), Fu Ling (Poria Cocos, 8 fen).
Use Sheng Jiang (Fresh Ginger) and Da Zao (Jujube) as guides, decoct in water. If uneasy after taking, follow with An Tai Yin (Fetus-Calming Decoction).
XXI. For malaria in pregnant women with more chills than fever, use An Tai Yin (Fetus-Calming Decoction) minus Chen Pi (Citri Reticulatae Pericarpium), plus:
Ban Xia (Pinelliae Rhizoma, 7 fen), Cao Guo (Tsao-ko Fructus, 3 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 3 qian), Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Wu Mei (Mume Fructus, 2 pieces), Zi Su (Perillae Folium, 4 fen), Huang Qin (Scutellariae Radix, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Huo Xiang (Agastaches Herba, 5 fen).
Use Sheng Jiang (Fresh Ginger) as a guide.
XXII. For dry mouth and inability to lie down in pregnant women, use An Tai Yin (Fetus-Calming Decoction) plus Mai Dong (Ophiopogonis Radix) and Ge Gen (Puerariae Lobatae Radix); or Huang Lian (Coptidis Rhizoma) powder mixed with rice gruel, 1 qian, also effective.
XXIII. For heat congestion, mental restlessness, dry mouth, and thirst in pregnant women, administer Shen Zhi San (Ginseng and Anemarrhena Powder).
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Zhi Mu (Anemarrhenae Rhizoma, 1 qian), Mai Dong (Ophiopogonis Radix, 1 qian), Zhi Zi Ren (Gardeniae Fructus, stir-fried, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Tiao Qin (Scutellariae Radix, 5 fen), Lou Ren (Trichosanthis Semen, 8 fen), Xi Jiao (Rhinocerotis Cornu, 8 fen).
In summer, add Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice), use Da Zao (Jujube) as a guide.
XXIV. For febrile disease with vomiting, anorexia, and chest irritability in pregnant women, administer Ge Gen Tang (Kudzu Decoction).
Lu Gen (Phragmitis Rhizoma, 1.5 qian), Ge Gen (Puerariae Lobatae Radix, 1.5 qian), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Mai Dong (Ophiopogonis Radix, 1 qian), Zhi Mu (Anemarrhenae Rhizoma, 1 qian), Zhu Ru (Bambusae Caulis in Taeniam, 1 pill), Zhi Zi (Gardeniae Fructus, stir-fried, 1 qian), Cong Bai (Allii Fistulosi Bulbus, 3 cun).
Decoct in water.
XXV. For febrile disease with red-black macules, hematuria, extreme shortness of breath, and fetal expulsion in pregnant women.
Zhi Zi (Gardeniae Fructus, 1 qian), Huang Qin (Scutellariae Radix, 1 qian), Sheng Ma (Cimicifugae Rhizoma, 1 qian), Qing Dai (Azurite, 1 qian), Chi Dou Chi (Sojae Semen Praeparatum, 49 grains), Sheng Di (Rehmanniae Radix, 2 qian), Xing Ren (Armeniacae Semen Amarum, 10 grains), Shi Gao (Gypsum Fibrosum, 1.5 qian), Cong Bai (Allii Fistulosi Bulbus, 7 cun).
XXVI. For bone/joint pain in pregnant women, which leads to fetal expulsion if not treated urgently. Administer Sheng Gao San (Sheng Gao Powder).
Ge Gen (Puerariae Lobatae Radix), Shi Gao (Gypsum Fibrosum), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix), Qing Dai (Azurite).
For copious phlegm, add Zhu Li (Bamboo Sap, one cup) and Jiang Zhi (Ginger Juice, one spoon).
XXVII. For epistaxis or hematemesis in pregnant women, or sudden locked jaw, stiff neck, and straight back resembling Wind Stroke due to blood loss from injury. All are due to blood loss. Administer An Tai Yin (Fetus-Calming Decoction) plus:
Ren Shen (Ginseng Radix et Rhizoma, 2-3 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Bai Zhu (Atractylodis Rhizoma, 2 qian), Shu Di (Rehmanniae Radix Praeparata, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Tiao Qin (Scutellariae Radix, 8 fen), Tian Ma (Gastrodiae Rhizoma, 1 qian), Mai Dong (Ophiopogonis Radix, 1 qian), Fang Feng (Saposhnikoviae Radix, 1 qian), Jing Jie (Schizonepetae Spica, 1 qian).
Regarding the above twenty-seven pregnant woman syndromes, if compared with secret texts, prescribe according to this; do not err.
Also, in *Huo Ren Shu*, for pregnant women with febrile disease presenting red-black macules, use Zhi Zi Da Qing Tang (Gardenia and Isatis Decoction).
Sheng Ma (Cimicifugae Rhizoma), Da Qing (Isatidis Folium), Zhi Zi (Gardeniae Fructus), Xing Ren (Armeniacae Semen Amarum), Huang Qin (Scutellariae Radix).
Use Cong Bai (Green Onion White) as a guide.