凡妊娠病热，呕吐不食，胸中烦躁，宜安胎凉膈散。如热甚，发赤黑斑，小便如血，胎渐落，将危者，急以
栀子石膏汤救之，迟则堕矣。如火热壅极，心烦口渴者，宜清心润肺汤。
安胎凉隔饮
知母 麦冬 人参 芦根 葛根 黑栀 竹茹 葱白（各等钱）
水煎服。
栀子石膏汤
栀子 黄芩 生地（各二钱） 石膏（四钱） 青黛（一钱） 升麻（四分） 豆豉（一钱） 葱白（三寸）
水煎服。
按∶本方治发斑，可加元参、连翘各二钱，或去石膏加犀角一钱，恐石膏重坠不化。
清心润肺汤
黄芩 栀子 麦冬（各二钱） 知母 花粉 人参（各一钱） 甘草（五分） 犀角（三分）
姜枣引。
按∶方内用人参，恐火得补而益炽，治热之方，去之为得。
凡妊娠因多怒气，胸膈满闷，或服顺气、耗气药太过，以致满闷益增者，宜散气消闷散治之。乌药、香附、
枳壳、砂仁等，故须少用。
散气消闷散
人参（一钱） 白术（二钱） 川芎（三分） 木香（磨汁，三分） 苏叶 条芩 甘草（各三分） 姜（三片）
水煎服。
凡妊娠腹痛时作，小腹重坠，此缘气虚下陷，间有兼寒者，宜加味安胎饮治之。
加味安胎饮
白术 熟地 当归（各二钱） 陈皮 苏梗 川芎 甘草（各四分） 砂仁（五分）
兼寒者，加吴萸五分，干姜五分，水煎服。或去干姜，加醋炒良姜七分，生绵 一钱五分，母丁香四分。
In cases of heat syndromes during pregnancy, accompanied by vomiting, inability to eat, and restlessness in the chest, An Tai Liang Ge San (Fetus-Calming and Chest-Cooling Powder) is indicated. If the heat is severe, manifesting as red or black macules on the skin, hematuria (blood in urine), gradual fetal expulsion, and critical condition, Zhi Zi Shi Gao Tang (Gardenia and Gypsum Decoction) should be administered urgently to rescue the situation; delay will result in miscarriage. In cases where fire-heat is extremely congested, causing mental烦躁 (restlessness) and thirst, Qing Xin Run Fei Tang (Heart-Clearing and Lung-Moistening Decoction) is appropriate.
An Tai Liang Ge Yin (Fetus-Calming and Chest-Cooling Drink)
* *Zhi Mu* (Anemarrhenae Rhizoma), *Mai Dong* (Ophiopogonis Radix), *Ren Shen* (Ginseng Radix et Rhizoma), *Lu Gen* (Phragmitis Rhizoma), *Ge Gen* (Puerariae Lobatae Radix), *Hei Zhi* (Stir-fried Gardeniae Fructus), *Zhu Ru* (Bambusae Caulis in Taeniam), *Cong Bai* (Allii Fistulosi Bulbus) — equal parts.
Decoct in water and take orally.
Zhi Zi Shi Gao Tang (Gardenia and Gypsum Decoction)
* *Zhi Zi* (Gardeniae Fructus), *Huang Qin* (Scutellariae Radix), *Sheng Di* (Rehmanniae Radix) — each 2 qian; *Shi Gao* (Gypsum Fibrosum) — 4 qian; *Qing Dai* (Indigo Naturalis) — 1 qian; *Sheng Ma* (Cimicifugae Rhizoma) — 4 fen; *Dou Chi* (Sojae Semen Praeparatum) — 1 qian; *Cong Bai* (Allii Fistulosi Bulbus) — 3 cun.
Decoct in water and take orally.
Note: This formula treats macules; one may add *Yuan Shen* (Scrophulariae Radix) and *Lian Qiao* (Forsythiae Fructus), each 2 qian, or remove *Shi Gao* and add *Xi Jiao* (Rhinocerotis Cornu). This is because *Shi Gao* is heavy and difficult to transform.
Qing Xin Run Fei Tang (Heart-Clearing and Lung-Moistening Decoction)
* *Huang Qin* (Scutellariae Radix), *Zhi Zi* (Gardeniae Fructus), *Mai Dong* (Ophiopogonis Radix) — each 2 qian; *Zhi Mu* (Anemarrhenae Rhizoma), *Hua Fen* (Trichosanthis Radix), *Ren Shen* (Ginseng Radix et Rhizoma) — each 1 qian; *Gan Cao* (Glycyrrhizae Radix et Rhizoma) — 5 fen; *Xi Jiao* (Rhinocerotis Cornu) — 3 fen.
Use *Jiang* (Zingiberis Rhizoma Recens) and *Zao* (Jujubae Fructus) as guides.
Note: The use of *Ren Shen* in this formula is concerning, as tonification may exacerbate the fire pathogen. For heat-clearing formulas, removing *Ren Shen* is more appropriate.
In cases of pregnancy complicated by frequent anger, leading to fullness and oppression in the chest and diaphragm, or when excessive use of Qi-regulating or Qi-depleting herbs worsens the fullness and oppression, San Qi Xiao Men San (Qi-Dispersing and Oppression-Relieving Powder) is indicated. Herbs such as *Wu Yao* (Linderae Radix), *Xiang Fu* (Cyperi Rhizoma), *Zhi Ke* (Aurantii Fructus Immaturus), and *Sha Ren* (Amomi Fructus) should be used sparingly.
San Qi Xiao Men San (Qi-Dispersing and Oppression-Relieving Powder)
* *Ren Shen* (Ginseng Radix et Rhizoma) — 1 qian; *Bai Zhu* (Atractylodis Macrocephalae Rhizoma) — 2 qian; *Chuan Xiong* (Chuanxiong Rhizoma) — 3 fen; *Mu Xiang* (Aucklandiae Radix, ground into juice) — 3 fen; *Su Ye* (Perillae Folium), *Tiao Qin* (Scutellariae Radix), *Gan Cao* (Glycyrrhizae Radix et Rhizoma) — each 3 fen; *Jiang* (Zingiberis Rhizoma Recens) — 3 slices.
Decoct in water and take orally.
In cases of pregnancy with intermittent abdominal pain and a sensation of heaviness and bearing-down in the lower abdomen, this is due to Qi deficiency with sinking, occasionally combined with cold. Jia Wei An Tai Yin (Modified Fetus-Calming Decoction) is indicated.
Jia Wei An Tai Yin (Modified Fetus-Calming Decoction)
* *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Shu Di* (Rehmanniae Radix Preparata), *Dang Gui* (Angelicae Sinensis Radix) — each 2 qian; *Chen Pi* (Citri Reticulatae Pericarpium), *Su Geng* (Perillae Caulis), *Chuan Xiong* (Chuanxiong Rhizoma), *Gan Cao* (Glycyrrhizae Radix et Rhizoma) — each 4 fen; *Sha Ren* (Amomi Fructus) — 5 fen.
If combined with cold, add *Wu Yu* (Evodiae Fructus) 5 fen and *Gan Jiang* (Zingiberis Rhizoma) 5 fen, decoct in water and take. Alternatively, remove *Gan Jiang*, add *Liang Jiang* (Alpiniae Officinarum Rhizoma) stir-fried with vinegar 7 fen, *Sheng Mian* (Astragali Radix) 1.5 qian, and *Mu Ding Xiang* (Caryophylli Flos) 4 fen.