如外感重者，宜服十神汤，或五积散，轻者用养胃汤。
【十神汤】香附 紫苏 川芎 干姜 赤芍 升麻 甘草 橘红 麻黄 白芷
孕妇伤寒，但浓煎葱白汤，或加醋或加姜汁一滴，服之即愈。切不可轻与之表，盖有胎者如服表
药，不惟堕胎，抑且母命难存，慎之慎之。
胎前瘟疫与伤寒同，如前用葱白汤服之，盖葱白可以解邪，又可以安胎也。
胎前谵语，宜二四汤去熟地，加山楂、薄荷，水煎和姜汁灌之。
胎前中寒，与伤寒治法同。
胎前中暑，治法与无胎同。
妊娠或梳头、沐浴当风取凉，风寒客于皮肤，致头晕、目昏、头痛、憎寒发热、心胸烦闷者，此胎
前之证，二命所系，不可妄投药饵，盖伤风、伤寒不同。若初感，宜用参苏饮、芎术散、理中汤。
【参苏饮】人参 紫苏 枳壳 桔梗 葛根 前胡
胎前嗽有血者，宜服上清丸，或二陈汤作丸加黄柏、知母、山楂、白术；如气血俱虚者，用八物加
黄柏、知母，或用鸡苏散。
【上清丸】薄荷（一两六钱） 百药（煎八钱） 砂仁 桔梗 甘草 玄明粉 诃子 冰片 月石（各一钱）
蜜丸如黄豆大，含化一丸。
【鸡苏散】生地 黄 贝母 阿胶 茅根 桔梗 麦冬 蒲黄 鸡苏（即薄荷）
胎前气喘，乃胎不安也，或冒风，以连须葱头煎汤服之，自然愈矣。此物能通百窍，能发散，且安
胎也。若伤触而喘者，宜紫苏饮加童便、砂仁。
胎前泄泻，忌服理中、五个二方，因有干姜、肉桂故也；宜服香连术苓散，此为胎前泄泻之圣药。
【香连术苓散】木香 黄连 苍术 茯苓 浓朴 猪苓 泽泻 陈皮 肉桂 艾叶 甘草
凡胎前食泻，宜服养胃汤、五苓散，加消食药如山楂、神曲、麦芽、枳壳之类。
胎前寒泻，用胃苓汤加木香治之。
若胎前食生冷作泻，宜服养胃汤。
胎前暑泻，以胃苓汤加香薷、扁豆，煎汁冷服。
若胎前血泻，宜胃苓汤加砂仁、木香、黄连；或紫苏饮加泽泻、神曲、砂仁；如饮食少进，胸膈饱闷，
痰多者，去人参，加茯苓、制半夏、蓬莪术。
若胎前肠胃虚冷，水谷不化，泄泻日夜无度，状如豆汁，或下淤者，宜胃苓汤。
脐下冷痛，滑泻肠鸣，宜理中汤加肉果、砂仁，或用治中汤。
【治中汤】人参 白术 干姜 青皮 陈皮 甘草
因暑烦渴，恣意引饮，下如泻水，宜胃苓汤去桂。
伤湿腰脚冷痹，泄下黄黑，宜服金不换正气散。如赤白相杂者，加黄连；若白痢，加乌梅煎服，
不然，胃苓汤亦可。
【金不换正气散】藿香 浓朴 甘草 半夏 苍术 陈皮
若胎前气血虚陷泻痢，宜补中益气汤。
胎前痢疾，切不可用芍药等汤，宜用胃苓汤。此药多服，虽有食积，亦能自消，宜倍加白术、半夏、山楂。
若胎前红痢，以紫苏饮加神曲、茯苓、白术、泽泻治之。身不热者，加木香。此药治红白痢皆妙，然腹不痛者则可。
胎前痢疾，无分赤白，以养胃汤主之。始终以此方为主，胃苓汤亦可。如五个散服一、二剂亦无妨，
盖食生冷而痢者，非姜、桂不能除。
胎前赤白痢疾，宜服香连术苓汤。若赤多于白者，伤于血分，重也，宜连多于香；若白多于赤者，
伤气分，轻也，宜香多于连治之。此药水火相济，随其虚实用之。
妊娠下利赤白，谷道肿痛，宜香连丸治之，无他剂也。
【香连丸】木香（八钱） 黄连（一两） 肉果（五钱） 苍术（一两） 麦芽（五钱） 榴皮（四钱）
白芍 香附（各八钱） 浓朴 泽泻 茯苓 陈皮 猪苓 青皮 莱菔子（各一两） 神曲（一两二钱） 山楂（二两
三钱） 甘草（五钱） 粟壳（七钱） 乌药（八钱） 诃子（三钱） 白术（二两）
炼熟白蜜为丸。
妊娠临产下痢，以栀子烧炭存性为末，温汤送下即止。
妊娠挟热，下痢纯血，以黄连解毒汤治之。若下脓血不止，腹痛者，宜黄连阿胶丸治之；若纯血如
鱼脑者，以正气散加乌梅、陈皮；若赤白相杂者，亦以正气散加黄连；若噤口者，以败毒散加陈皮、砂仁治之。
【黄连阿胶丸】黄连 黄芩 阿胶 鸡子黄 白芍
【败毒散】人参 茯苓 枳壳 川芎 独活 前胡 羌活 柴胡 桔梗 薄荷 生姜 甘草
经曰∶胎前痢疾，产后不治，谓因利下胎故也。脉必沉细则生，洪大则死。
凡胎前霍乱，治法与平人同。
若四时霍乱吐泻，宜服藿香散。
【藿香散】藿香 浓朴 山楂 橘红 白芷 甘草 紫苏 半夏 茯苓 桔梗 大腹皮 生姜 大枣
转筋入腹，闷绝，宜服木瓜汤加苏叶、藿香治之。然而有夏月之别，若夏月转筋入腹，闷绝者，以
黄连香薷饮，或竹茹饮，或五苓散，或缩脾饮，或人参白术散，选而用之。
【木瓜汤】木瓜 吴茱萸 紫苏 茴香 盐 生姜
【黄连香薷饮】黄连 香薷 浓朴（姜汁炒）
【竹茹饮】竹茹 人参 麦冬 茯苓 半夏 小麦 甘草 生姜 大枣
【缩脾饮】草果 乌梅 甘草 生姜
水煎冷服。
若霍乱腰痛，吐逆不止，宜白术散。
【白术散】白术 枳壳 益智仁 橘红 良姜 生姜
胎前疟疾，宜养胃汤、草果饮、青皮饮。若停食感冷而发疟者，宜驱邪散治之。
【草果饮】草果 紫苏 川芎 良姜 青皮 甘草
【青皮饮】青皮 浓朴 白术 草果 柴胡 茯苓 黄芩 半夏 生姜 大枣
【驱邪散】白术 草果 良姜 陈皮 藿香 茯苓 甘草
凡胎前呕吐不定，有寒，有食，有痰，有血∶虚寒用理中汤，食用五积散，痰用旋覆花汤，血虚用八物汤。
胎前呃逆不已，此乃气不顺也，以紫苏饮加苏子、茯苓、半夏、姜汁治之。然亦有胎死腹中，冷气
侵蒸而作呃者，宜下其胎，则呃自愈矣。
胎前吞酸者，此乃火也，以四物加黄柏、知母之类，或旋覆花汤治之。
胎前停食感气，安胎饮治之，虚则加炒砂仁，或紫苏饮加神曲、山楂、木香治之；实则养胃汤加砂
仁、姜倍用之，或加味二陈汤，或平胃散、治中汤、
正气散，俱加苏叶、木香。
【加味二陈汤】半夏 陈皮 茯苓 甘草 山楂 砂仁 香附 木香 紫苏 川芎
妊娠小便涩少，遂成淋症，谓之子淋，宜服安荣散去滑石治之，临月加栀子。然尤恐损胎，不可轻
投。或用地肤子汤。若胎前小便频数，亦曰子淋，宜服内补汤。
【安荣散】人参 麦冬 通草 甘草 当归 川芎 细辛 灯心 滑石
【地肤子汤】地肤子 知母 黄芩 枳壳 赤茯苓 车前子 通草 升麻 甘草
胎前大便闭者，宜用枳壳归灵散。或大小便俱闭结，以四物汤加黄芩、枳壳、木通、赤茯苓治之，
或用大腹皮饮，或八正散。
【枳壳归灵散】枳壳 当归 川芎 白芍 熟地
【大腹皮饮】大腹皮 陈皮 甘草 桔梗 浓朴 紫苏 半夏 香附 藿香 白芷 茯苓
【八正散】车前子 滑石 栀子 蓄 瞿麦 木通 甘草梢 灯心
或小便闭者，以四物汤加木通、赤茯苓治之。
亦有伤者，血不能去，令尿梗痛，服童便木香酒，亦可治之，但过后即发，不若紫苏饮加木通，略
用栀子、童便。若非内伤发热，加黄芩治之。
胎前尿血者，热症也，以四物汤加凉药治之，或五苓散去桂，加阿胶、车前、茅根，或酒蒸黄连丸，
或导赤散，或八正散。
【导赤散】生地 茯苓 甘草梢 木通 黄芩
胎前大便去血者，宜四物汤加金墨汁服之，极妙。
若肠风脏毒者，用枳壳散、乌梅丸、败毒散治之。
【枳壳散】枳壳 甘草
【乌梅丸】乌梅 诃子 干姜 黄芩 黄连 白芍 神曲 香附 青皮 枳壳 浓朴 茯苓 阿胶
滑石 地榆 当归
胎前漏尿不知出者，亦属子淋，曰遗尿不禁，宜以桑螵蛸散治之。
【桑螵蛸散】桑螵蛸（炙） 益智仁 鸡毛灰
为末，酒调下，或米饮调服。
胎前不语者，谓哑胎。若痰气闭其心窍者，用二四汤倍加砂仁、苏子、姜汁治之。亦有哑胎，不须
服药，产后自愈。盖络贯肾系，舌本包络，怯故不能言。经曰九月喑，十月复矣。
胎前耳忽聋，目忽昏，或气血不足，或露怒火动，皆能生此症也，以安胎饮加生血药治之，以生血
为主。或用十全大补汤，或补中益气汤加菖蒲连柏饮引治。
胎前手足麻木者，此乃血少也，宜养血安胎为上，以八物汤为主。
胎前鼻衄者，产后多不吉。盖胎以血为养，岂可漏溢乎？不惟鼻衄，诸所见血同论，宜服紫苏饮加
黄芩（炒焦）。如吐衄，以必胜散治之。
【必胜散】人参 当归 熟地 川芎 小蓟 蒲黄（炒） 乌梅肉
上等份，为细末，水煎去滓，无时服。
胎前虚汗如雨，以麦煎散、当归六黄汤主之。若中风出汗者，治法与伤寒同。
【麦煎散】茯苓 地骨皮 柴胡 牡蛎 白芍 甘草 白术 麻黄根 黄 麦冬
【当归六黄汤】当归 生地 熟地 黄连 黄芩 黄 黄柏
胎前口中咯血者，以扁豆散治之。
【扁豆散】白扁豆 生姜 白术 半夏 人参 枇杷叶
妊娠鬼胎者，其脉乍有乍无，乍大乍小，浮沉不一也，虽有形而不动也，如抱瓮之状，按之冰冷，
此即邪气也，宜用补虚活血之药以治之。若果系是胎而不长养，以黄芩散调之。
【黄芩散】黄芩 川芎 甘草 人参 黄 白术 陈皮 麦冬 茯苓 前胡 生姜 大枣
妊娠儿在腹中叫哭，不须服药，产当愈也，或用黄连浓煎汤常服之。
凡妊娠数堕胎者，乃血气不足也。若腰腹痛甚而堕胎者，以四制香附丸与安胎饮治之。若赤白带淋
者，香附丸加艾叶四两。
【四制香附丸】香附（酒 醋 童便 姜汁四制） 当归 川芎 知母 红花 吴茱萸 木香
为末，醋和丸，每服三十丸。
妇人有胎即堕，其脉左大无力，重取则涩，乃血少也，浓煎白术汤调黄芩服之，或服固胎饮入糯米
煎服。若血虚者，加阿胶；胎气者，加砂仁，或加艾叶可也。
【固胎饮】熟地 川芎 白术 茯苓 当归 白芍 甘草 黄柏 黄连
怀胎月数未足，而腹痛胎动不安，如欲产者，宜杜仲丸、芎 补中汤加知母，酒调送下。
【杜仲丸】杜仲（姜汁炒） 川续断
为末，枣肉捣丸，如桐子大，每服三十丸，米饮送下。
若血气虚弱，不盈月数而胎堕者，名曰半产，宜用芎 补中汤治之，乃以养新去旧、扶危补虚之剂以调治之。
半产除跌仆损伤外，前次或三、四月堕，后期
必应，此乃其乘虚也，须养其血气，固其胎元，以八物汤加胶、艾、黄芩之类治之。俗以黄芩乃为冷物寒
凉之味，不敢用，不知胎孕宜清热养血，使血循经络而不妄行，然后胎能安也。
妊娠腹痛，与之安胎饮不效，与之消食通气亦不应，但腹近下处，肿胀浮满发光者，此曰孕痈，宜
服补剂，用十补托里散，其次则千金托里散，皆可服。如未溃者，宜服十补托里散，已溃者加黄 。盖
黄排脓，泄之则愈矣，或用乌梅、牛皮胶煎亦可。
【十补托里散】人参 黄 当归 川芎 肉桂 浓朴 白芷 防风 甘草 桔梗
胎不动，下堕，腹冷如冰，以佛手散治之。
妊娠因病热熏蒸，以致儿死腹中不出，但服黑神散暖之，其胎自下。欲验胎之死生者，看其母舌，青
色者，其胎是死。或五积散去苓、麻，加木香、杏仁治之，或用香桂散加艾、杏服之，须臾则下也。
【黑神散】黑豆 当归 白芍 肉桂 干姜 蒲黄 熟地
酒煎，入童便服。
验胎死宜去症，视其母舌色指甲青黑者，腹闷，口中作尿臭，此胎死矣，宜以胃苓汤加朴硝三
钱，酒、水煎服，其胎化水而下。若生胎用此法，不惟不效，反伤母命，慎之慎之！
妊娠忽然心腹刺痛，闷绝欲死者，名曰中恶，此乃邪恶毒瓦斯冲胎伤人也，宜服当归散。
【当归散】当归 川芎 丁香 青皮 吴茱萸
怀孕，苦于难产。若气实者，宜耗其气，以瘦胎饮服之。如气弱者，以紫苏饮去苓加术治之，即达生散也。
【瘦胎饮】治难产五六日不下者，及妇人交骨不开者，服此药约行里许立效。
川芎 当归（各一两） 败龟版（一个，酥炙） 多生妇人发（一握，烧存性）
每服三钱，水煎服。
妊娠临月欲瘦胎易生，世多用枳壳散。此方本能瘦胎易生者，然胎肥实则可，否则偾事，不若救生
散之妙，且能安胎，又能益气。或以紫苏饮加枳壳、香附治之亦通。
【救生散】人参 诃子 白术 神曲 麦芽 陈皮
上等份为末，每服三钱。
妊娠未产而乳汁先下者，名曰儿泣，生子多不育。
妊娠烦躁闷乱，口干脏热，宜知母散。
【知母散】黄芩 黄 麦冬 甘草 知母 赤苓
入桑皮煎，再入竹茹煎服。
妊娠未产而胎水先下者，应以无忧散治之。
【无忧散】艾叶 当归 川芎 乳香 枳壳 乱发 白芍
水煎服。
妊娠转胞不得小便，由中气虚怯不能举胎，胎压其胞，胞系了戾，小便不通，以补中益气加升举之
药，令下窍通则愈。
If the external contraction is severe, it is appropriate to take Shishen Tang (Ten Deities Decoction) or Wuji San (Five Accumulations Powder); for mild cases, Yangwei Tang (Stomach-Nourishing Decoction) should be used.
[Shishen Tang (Ten Deities Decoction)] Xiangfu (Cyperi Rhizoma), Zisu (Perillae Folium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Ganjiang (Zingiberis Rhizoma), Chishao (Paeoniae Radix Rubra), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Juhong (Citri Reticulatae Pericarpium), Mahuang (Ephedrae Herba), Baizhi (Angelicae Dahuricae Radix).
For pregnant women suffering from Shanghan (Cold Damage), one only needs to decoct Congbai Tang (Scallion White Decoction) strongly, or add vinegar or a drop of Jiangzhi (Ginger Juice); taking it will result in immediate recovery. One must not lightly administer Biaoyao (Exterior-releasing medicines), because if a pregnant woman takes such medicines, not only will it cause an abortion, but the mother's life may also be at risk. Be extremely cautious.
Plague during pregnancy is treated the same as Shanghan (Cold Damage). As mentioned before, use Congbai Tang (Scallion White Decoction), because Congbai (Scallion White) can resolve pathogenic factors and also calm the fetus.
Delirium during pregnancy should be treated with Er Si Tang (Two-Four Decoction), removing Shudi (Rehmanniae Radix Preparata), adding Shan Zha (Crataegi Fructus) and Bohe (Menthae Haplocalycis Herba), decocted in water and mixed with Ginger Juice for administration.
Cold invasion during pregnancy is treated the same as Shanghan (Cold Damage).
Heatstroke during pregnancy is treated the same as in non-pregnant individuals.
If during pregnancy, combing hair or bathing exposes one to wind to seek coolness, causing Wind-Cold pathogens to lodge in the skin, resulting in dizziness, blurred vision, headache, aversion to cold with fever, and chest discomfort, this is a condition specific to pregnancy, involving two lives. Do not arbitrarily administer medicines, as Fengshan (Wind-Cold) differs from Shanghan (Cold Damage). If it is an initial contraction, Shen Su Yin (Ginseng and Perilla Decoction), Xiongshu San (Ligusticum and Atractylodes Powder), or Lizhong Tang (Regulate the Middle Decoction) are appropriate.
[Shen Su Yin (Ginseng and Perilla Decoction)] Renshen (Ginseng Radix et Rhizoma), Zisu (Perillae Folium), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Gegen (Puerariae Lobatae Radix), Qianhu (Peucedani Radix).
Cough with hemoptysis during pregnancy should be treated with Shangqing Wan (Upper Clarity Pill), or Er Chen Tang (Two-Aged Decoction) made into pills with Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Shan Zha (Crataegi Fructus), and Baizhu (Atractylodis Macrocephalae Rhizoma); if both Qi and Blood are deficient, Bayi Tang (Eight-Ingredient Decoction) with Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma) should be used, or Jisu San (Chicken Mint Powder).
[Shangqing Wan (Upper Clarity Pill)] Bohe (Menthae Haplocalycis Herba) (1 liang 6 qian), Baiyao Jian (Decoction of Various Medicines) (8 qian), Sharen (Amomi Fructus), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Xuanmingfen (Mirabilite), Hezi (Terminalia Chebulae Fructus), Bingpian (Borneolum Syntheticum), Yushi (Natrii Sulfas) (each 1 qian). Made into pills the size of soybeans with honey, dissolve one pill in the mouth.
[Jisu San (Chicken Mint Powder)] Shengdi (Rehmanniae Radix), Beimu (Fritillariae Bulbus), Ejiao (Colla Corii Asini), Maogen (Imperatae Rhizoma), Jiegeng (Platycodonis Radix), Maidong (Ophiopogonis Tuber), Puhuang (Typhae Pollen), Jisu (Mint/Bohe).
Panting during pregnancy indicates fetal unrest, possibly due to exposure to wind. Decocting scallions with roots and drinking the soup will naturally lead to recovery. This substance can open orifices, disperse pathogens, and calm the fetus. If panting is caused by trauma, Zisu Yin (Perilla Decoction) with Tongbian (Child's Urine) and Sharen (Amomi Fructus) is appropriate.
Diarrhea during pregnancy contraindicates Lizhong Tang (Regulate the Middle Decoction) and Wuge Er Fang (Five Two Formulas) because they contain Ganjiang (Zingiberis Rhizoma) and Rougui (Cinnamomi Cortex). Xianglian Shuling San (Aucklandia, Coptis, Atractylodes, and Poria Powder) is appropriate; this is the sacred medicine for diarrhea during pregnancy.
[Xianglian Shuling San] Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), Cangzhu (Atractylodis Rhizoma), Fuling (Poria), Houpo (Magnoliae Officinalis Cortex), Zhuling (Polypori), Zexie (Alismatis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Rougui (Cinnamomi Cortex), Aiye (Artemisiae Argyi Folium), Gancao (Glycyrrhizae Radix et Rhizoma).
For diarrhea caused by food stagnation during pregnancy, Yangwei Tang (Stomach-Nourishing Decoction) and Wuling San (Five-Poria Powder) with digestive aids like Shan Zha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), and Zhike (Aurantii Fructus) are appropriate.
Cold-type diarrhea during pregnancy is treated with Weiling Tang (Stomach and Five-Poria Decoction) added with Muxiang (Aucklandiae Radix).
If diarrhea is caused by consuming raw/cold foods during pregnancy, Yangwei Tang (Stomach-Nourishing Decoction) is appropriate.
Summerheat-type diarrhea during pregnancy is treated with Weiling Tang (Stomach and Five-Poria Decoction) added with Xiangru (Elsholtziae Herba) and Bian Dou (Dolichoris Semen), decocted and taken cold.
If bloody diarrhea occurs during pregnancy, Weiling Tang (Stomach and Five-Poria Decoction) added with Sharen (Amomi Fructus), Muxiang (Aucklandiae Radix), and Huanglian (Coptidis Rhizoma) is appropriate; or Zisu Yin (Perilla Decoction) added with Zexie (Alismatis Rhizoma), Shenqu (Massa Medicata Fermentata), and Sharen (Amomi Fructus); if food intake is low, chest fullness exists, and there is much phlegm, remove Renshen (Ginseng Radix et Rhizoma) and add Fuling (Poria), Zhi Banxia (Prepared Pinelliae Tuber), and Peng'e Zhu (Curcumae Longae Rhizoma).
If intestinal and stomach deficiency-cold leads to undigested food and water, unceasing day-and-night diarrhea resembling bean curd juice, or passage of blood stasis, Weiling Tang (Stomach and Five-Poria Decoction) is appropriate.
Cold pain below the umbilicus, slippery diarrhea with borborygmus, is treated with Lizhong Tang (Regulate the Middle Decoction) added with Roudoukou (Myristicae Semen) and Sharen (Amomi Fructus), or Zhizhong Tang (Regulate the Middle Decoction).
[Zyizhong Tang] Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma).
Restlessness and thirst due to summerheat, excessive drinking, and watery diarrhea are treated with Weiling Tang (Stomach and Five-Poria Decoction) without Rougui (Cinnamomi Cortex).
Cold-dampness causing cold bi syndrome in the waist and legs, with yellow-black diarrhea, is treated with Jin Buhuan Zhengqi San (Golden Unchanging Upright Qi Powder). If red and white stools are mixed, add Huanglian (Coptidis Rhizoma); if white dysentery, add Wumei (Mume Fructus) and decoct; otherwise, Weiling Tang (Stomach and Five-Poria Decoction) is also acceptable.
[Jin Buhuan Zhengqi San] Huoxiang (Agastaches Herba), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia (Pinelliae Tuber), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium).
Qi and Blood deficiency sinking leading to diarrhea and dysentery during pregnancy is treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Dysentery during pregnancy must not be treated with Shaoyao (Paeoniae Radix) formulas; Weiling Tang (Stomach and Five-Poria Decoction) is appropriate. Taking this medicine for a long time can resolve food stagnation on its own; increase Baizhu (Atractylodis Macrocephalae Rhizoma), Banxia (Pinelliae Tuber), and Shan Zha (Crataegi Fructus).
Red dysentery during pregnancy is treated with Zisu Yin (Perilla Decoction) added with Shenqu (Massa Medicata Fermentata), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), and Zexie (Alismatis Rhizoma). If there is no fever, add Muxiang (Aucklandiae Radix). This formula is excellent for both red and white dysentery, provided there is no abdominal pain.
Dysentery during pregnancy, regardless of color, is primarily treated with Yangwei Tang (Stomach-Nourishing Decoction). Stick to this formula; Weiling Tang (Stomach and Five-Poria Decoction) is also acceptable. Taking Wuge San (Five Powders) for one or two doses is also fine, as dysentery caused by raw/cold foods requires Ginger and Cinnamon to eliminate.
Red and white dysentery during pregnancy is treated with Xianglian Shuling Tang (Aucklandia, Coptis, Atractylodes, and Poria Decoction). If red exceeds white, the Blood level is injured (severe); use more Huanglian (Coptidis Rhizoma) than Xiangmu (Aucklandiae Radix). If white exceeds red, the Qi level is injured (mild); use more Xiangmu (Aucklandiae Radix) than Huanglian (Coptidis Rhizoma). This formula harmonizes Water and Fire, used according to deficiency and excess.
Passing red and white stool with anal swelling and pain during pregnancy is treated with Xianglian Wan (Aucklandia and Coptis Pill); there is no better alternative.
[Xianglian Wan] Muxiang (Aucklandiae Radix) (8 qian), Huanglian (Coptidis Rhizoma) (1 liang), Roudoukou (Myristicae Semen) (5 qian), Cangzhu (Atractylodis Rhizoma) (1 liang), Maiya (Hordei Fructus Germinatus) (5 qian), Liupi (Punicae Granati Pericarpium) (4 qian), Baishao (Paeoniae Radix Alba), Xiangfu (Cyperi Rhizoma) (each 8 qian), Houpo (Magnoliae Officinalis Cortex), Zexie (Alismatis Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Zhuling (Polypori), Qingpi (Citri Reticulatae Pericarpium Viride), Laifuzi (Raphani Semen) (each 1 liang), Shenqu (Massa Medicata Fermentata) (1 liang 2 qian), Shan Zha (Crataegi Fructus) (2 liang 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (5 qian), Sukewu (Papaveris Capsicum) (7 qian), Wuyao (Linderae Radix) (8 qian), Hezi (Terminalia Chebulae Fructus) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang). Made into pills with refined honey.
Dysentery at the time of delivery in pregnancy: Burn Zhizi (Gardeniae Fructus) to charcoal, preserve nature, powder it, and take with warm water to stop immediately.
Heat-clinging with pure blood in dysentery during pregnancy is treated with Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity). If pus and blood continue to pass with abdominal pain, Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill) is appropriate; if pure blood resembles fish brain, use Zhengqi San (Upright Qi Powder) added with Wumei (Mume Fructus) and Chenpi (Citri Reticulatae Pericarpium); if red and white are mixed, use Zhengqi San (Upright Qi Powder) added with Huanglian (Coptidis Rhizoma); if unable to eat (Jinkou Dysentery), use Baidu San (Resist Toxin Powder) added with Chenpi (Citri Reticulatae Pericarpium) and Sharen (Amomi Fructus).
[Huanglian Ejiao Wan] Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Ejiao (Colla Corii Asini), Jizihuang (Yolk of Chicken Egg), Baishao (Paeoniae Radix Alba).
[Baidu San (Resist Toxin Powder)] Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Zhike (Aurantii Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), Bohe (Menthae Haplocalycis Herba), Shengjiang (Zingiberis Rhizoma Recens), Gancao (Glycyrrhizae Radix et Rhizoma).
The Classics state: Dysentery before delivery is not treated after delivery, meaning the diarrhea causes the miscarriage. The pulse must be deep and thin for survival; surging and large indicates death.
Huoluan (Cholera-like disorder) during pregnancy is treated the same as in ordinary people.
For Huoluan vomiting and diarrhea occurring in all seasons, Huoxiang San (Agastache Powder) is appropriate.
[Huoxiang San] Huoxiang (Agastaches Herba), Houpo (Magnoliae Officinalis Cortex), Shan Zha (Crataegi Fructus), Juhong (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zisu (Perillae Folium), Banxia (Pinelliae Tuber), Fuling (Poria), Jiegeng (Platycodonis Radix), Dafupi (Arecae Pericarpium), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
Muscle spasms entering the abdomen with suffocation are treated with Mugua Tang (Papaya Decoction) added with Zisu Ye (Perillae Folium) and Huoxiang (Agastaches Herba). However, there is a distinction for summer months. For summer muscle spasms entering the abdomen with suffocation, use Huanglian Xiangru Yin (Coptis and Elsholtzia Decoction), or Zhuru Yin (Bamboo Shavings Decoction), or Wuling San (Five-Poria Powder), or Suopi Yin (Spleth-Restraining Decoction), or Renshen Baizhu San (Ginseng and Atractylodes Powder), choosing one to use.
[Mugua Tang] Mugua (Chaenomelis Fructus), Wuzhuyu (Evodiae Fructus), Zisu (Perillae Folium), Huixiang (Foeniculi Fructus), Yan (Salt), Shengjiang (Zingiberis Rhizoma Recens).
[Huanglian Xiangru Yin] Huanglian (Coptidis Rhizoma), Xiangru (Elsholtziae Herba), Houpo (Magnoliae Officinalis Cortex) (stir-fried with Ginger Juice).
[Zhuru Yin] Zhuru (Bambusae Caulis in Taeniam), Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Tuber), Fuling (Poria), Banxia (Pinelliae Tuber), Xiaomai (Tritici Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
[Suopi Yin] Caoguo (Tsaoko Fructus), Wumei (Mume Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens). Decoct and take cold.
Huoluan with lower back pain and incessant vomiting is treated with Baizhu San (Atractylodes Powder).
[Baizhu San] Baizhu (Atractylodis Macrocephalae Rhizoma), Zhike (Aurantii Fructus), Yizhiren (Alpiniae Oxyphyllae Fructus), Juhong (Citri Reticulatae Pericarpium), Liangjiang (Galangal Rhizome), Shengjiang (Zingiberis Rhizoma Recens).
Malaria during pregnancy is treated with Yangwei Tang (Stomach-Nourishing Decoction), Caoguo Yin (Tsaoko Decoction), or Qingpi Yin (Green Peel Decoction). If malaria is triggered by food stagnation and cold exposure, Quxie San (Expel Evil Powder) is appropriate.
[Caoguo Yin] Caoguo (Tsaoko Fructus), Zisu (Perillae Folium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Liangjiang (Galangal Rhizome), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Glycyrrhizae Radix et Rhizoma).
[Qingpi Yin] Qingpi (Citri Reticulatae Pericarpium Viride), Houpo (Magnoliae Officinalis Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Caoguo (Tsaoko Fructus), Chaihu (Bupleuri Radix), Fuling (Poria), Huangqin (Scutellariae Radix), Banxia (Pinelliae Tuber), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
[Quxie San] Baizhu (Atractylodis Macrocephalae Rhizoma), Caoguo (Tsaoko Fructus), Liangjiang (Galangal Rhizome), Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastaches Herba), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma).
Unpredictable vomiting during pregnancy can be due to Cold, Food, Phlegm, or Blood Deficiency: Use Lizhong Tang (Regulate the Middle Decoction) for Deficient-Cold; Wuji San (Five Accumulations Powder) for Food Stagnation; Xuanfuhua Tang (Inula Flower Decoction) for Phlegm; and Bayi Tang (Eight-Ingredient Decoction) for Blood Deficiency.
Persistent hiccups during pregnancy indicate Qi disharmony, treated with Zisu Yin (Perilla Decoction) added with Suzi (Perillae Fructus), Fuling (Poria), Banxia (Pinelliae Tuber), and Jiangzhi (Ginger Juice). However, hiccups can also be caused by a dead fetus in the uterus where Cold Qi invades and steams; in this case, expelling the fetus will cure the hiccups.
Acidity regurgitation during pregnancy is a Fire pattern, treated with Siwu Tang (Four-Substance Decoction) added with Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma), or Xuanfuhua Tang (Inula Flower Decoction).
Food stagnation and Qi constraint during pregnancy are treated with Antai Yin (Calming the Fetus Decoction); for deficiency, add Chao Sharen (Fried Amomi Fructus); or Zisu Yin (Perilla Decoction) added with Shenqu (Massa Medicata Fermentata), Shan Zha (Crataegi Fructus), and Muxiang (Aucklandiae Radix); for excess, use Yangwei Tang (Stomach-Nourishing Decoction) with Sharen (Amomi Fructus) and double the amount of Ginger; or Jiawei Erchen Tang (Modified Two-Aged Decoction), Pingwei San (Peace the Middle Powder), Zhizhong Tang (Regulate the Middle Decoction), or Zhengqi San (Upright Qi Powder), all added with Zisu Ye (Perillae Folium) and Muxiang (Aucklandiae Radix).
[Jiawei Erchen Tang] Banxia (Pinelliae Tuber), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Shan Zha (Crataegi Fructus), Sharen (Amomi Fructus), Xiangfu (Cyperi Rhizoma), Muxiang (Aucklandiae Radix), Zisu (Perillae Folium), Chuanxiong (Ligustici Chuanxiong Rhizoma).
Scanty, difficult urination progressing to Lin Syndrome (Strangury) during pregnancy is called Zilin (Fetal Strangury), treated with Anrong San (Nourishing Peace Powder) removing Huashi (Talcum); add Zhizi (Gardeniae Fructus) near term. However, caution is needed as it may damage the fetus; do not administer lightly. Alternatively, use Difuzi Tang (Kochia Decoction). Frequent urination during pregnancy is also called Zilin (Fetal Strangury), treated with Neibu Tang (Internal Nourishing Decoction).
[Anrong San] Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Tuber), Tongcao (Tetrapanacis Medulla), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), Dengxin (Junci Medulla), Huashi (Talcum).
[Difuzi Tang] Difuzi (Kochiae Fructus), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Zhike (Aurantii Fructus), Chi Fuling (Poria with Red Heart), Cheqianzi (Plantaginis Semen), Tongcao (Tetrapanacis Medulla), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Constipation during pregnancy is treated with Zhike Guiling San (Aurantii Fructus and Gui Ling Powder). If both urine and stool are blocked, use Siwu Tang (Four-Substance Decoction) added with Huangqin (Scutellariae Radix), Zhike (Aurantii Fructus), Mutong (Akebiae Caulis), and Chi Fuling (Poria with Red Heart); or Dadupi Yin (Areca Peel Decoction), or Bazheng San (Eight-Righteousness Powder).
[Zhike Guiling San] Zhike (Aurantii Fructus), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Preparata).
[Dadupi Yin] Dadupi (Arecae Pericarpium), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Houpo (Magnoliae Officinalis Cortex), Zisu (Perillae Folium), Banxia (Pinelliae Tuber), Xiangfu (Cyperi Rhizoma), Huoxiang (Agastaches Herba), Baizhi (Angelicae Dahuricae Radix), Fuling (Poria).
[Bazheng San] Cheqianzi (Plantaginis Semen), Huashi (Talcum), Zhizi (Gardeniae Fructus), Pianxu (Setariae Viridis Herba), Qumai (Dianthi Herba), Mutong (Akebiae Caulis), Gancao Shao (Glycyrrhizae Radix et Rhizoma tip), Dengxin (Junci Medulla).
For urinary retention alone, use Siwu Tang (Four-Substance Decoction) added with Mutong (Akebiae Caulis) and Chi Fuling (Poria with Red Heart).
Trauma causing blood stasis that cannot be expelled, leading to painful urinary obstruction, can be treated with Tongbian (Child's Urine) and Muxiang Wine, though recurrence is likely. It is better to use Zisu Yin (Perilla Decoction) added with Mutong (Akebiae Caulis), slightly using Zhizi (Gardeniae Fructus) and Tongbian (Child's Urine). If not internal injury with fever, add Huangqin (Scutellariae Radix).
Hematuria during pregnancy is a Heat pattern, treated with Siwu Tang (Four-Substance Decoction) added with Cooling medicines; or Wuling San (Five-Poria Powder) removing Rougui (Cinnamomi Cortex), adding Ejiao (Colla Corii Asini), Cheqianzi (Plantaginis Semen), and Maogen (Imperatae Rhizoma); or Jiu Zheng Huanglian Wan (Wine-Steamed Coptis Pill), or Daochi San (Guide Out Redness Powder), or Bazheng San (Eight-Righteousness Powder).
[Daochi San] Shengdi (Rehmanniae Radix), Fuling (Poria), Gancao Shao (Glycyrrhizae Radix et Rhizoma tip), Mutong (Akebiae Caulis), Huangqin (Scutellariae Radix).
Rectal bleeding during pregnancy is excellently treated with Siwu Tang (Four-Substance Decoction) added with Jinmo (Gold Ink).
Intestinal Wind and Organ Toxin are treated with Zhike San (Aurantii Fructus Powder), Wumei Wan (Mume Pill), or Baidu San (Resist Toxin Powder).
[Zhike San] Zhike (Aurantii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma).
[Wumei Wan] Wumei (Mume Fructus), Hezi (Terminalia Chebulae Fructus), Ganjiang (Zingiberis Rhizoma), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Baishao (Paeoniae Radix Alba), Shenqu (Massa Medicata Fermentata), Xiangfu (Cyperi Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Zhike (Aurantii Fructus), Houpo (Magnoliae Officinalis Cortex), Fuling (Poria), Ejiao (Colla Corii Asini), Huashi (Talcum), Diyu (Sanguisorbae Radix), Danggui (Angelicae Sinensis Radix).
Urinary incontinence during pregnancy is also considered Zilin (Fetal Strangury), called Yi Bu Bu Jin (Involuntary Urination), treated with Sangpiaoxiao San (Mantis Egg Case Powder).
[Sangpiaoxiao San] Sangpiaoxiao (Mantis Ootheca) (roasted), Yizhiren (Alpiniae Oxyphyllae Fructus), Jimao Hui (Chicken Feather Ash). Powdered, taken with wine or rice water.
Mutism during pregnancy is called Yat Tai (Mute Fetus). If Phlegm-Qi blocks the Heart Orifices, use Er Si Tang (Two-Four Decoction) with doubled Sharen (Amomi Fructus), Suzi (Perillae Fructus), and Jiangzhi (Ginger Juice). Some cases of Mute Fetus require no medicine and resolve spontaneously after birth. This is because meridians connect to the Kidney system, and the tongue root connects to the Pericardium; weakness prevents speech. The Classics state: muteness in the ninth month resolves in the tenth.
Sudden deafness or blurred vision during pregnancy is caused by Qi and Blood deficiency or Liver Fire agitation. Treat with Antai Yin (Calming the Fetus Decoction) added with Blood-generating medicines, focusing on generating Blood. Or use Shiquan Dabu Tang (Complete Great Tonifying Decoction), or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Changpu Lianbai Yin (Acorus, Coptis, and Phellodendron Decoction) as a guide.
Numbness of hands and feet during pregnancy is due to Blood deficiency; nourishing Blood and calming the fetus is superior, using Bayi Tang (Eight-Ingredient Decoction) as the main formula.
Epistaxis (nosebleed) during pregnancy often indicates an unfavorable outcome postpartum. Since the fetus is nourished by Blood, leakage is detrimental. All forms of bleeding are discussed similarly; treat with Zisu Yin (Perilla Decoction) added with Huangqin (Scutellariae Radix) (charred). For hematemesis and epistaxis, use Bisheng San (Certain Victory Powder).
[Bisheng San] Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiaoji (Herba Centandae), Puhuang (Typhae Pollen) (fried), Wumei Rou (Mume Fructus Flesh). Equal parts, powdered, decocted in water, strained, and taken as needed.
Profuse sweating like rain during pregnancy is treated with Maijian San (Wheat Decoction Powder) or Danggui Liu Huang Tang (Angelica Six-Yellow Decoction). Sweating due to Wind-Stroke is treated the same as Shanghan (Cold Damage).
[Maijian San] Fuling (Poria), Digupi (Lygodii Radix), Chaihu (Bupleuri Radix), Muli (Concha Ostreae), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Mahuang Gen (Ephedrae Radix et Rhizoma), Huangqi (Astragali Radix), Maidong (Ophiopogonis Tuber).
[Danggui Liu Huang Tang] Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangqi (Astragali Radix), Huangbai (Phellodendri Cortex).
Hemoptysis from the mouth during pregnancy is treated with Bidou San (Lablab Powder).
[Bidou San] Bai Biandou (Dolichoris Semen), Shengjiang (Zingiberis Rhizoma Recens), Baizhu (Atractylodis Macrocephalae Rhizoma), Banxia (Pinelliae Tuber), Renshen (Ginseng Radix et Rhizoma), Pipaye (Loquat Leaf).
Ghost Fetus in pregnancy presents with a pulse that is intermittent, varying in size, floating and sunken inconsistently. Although there is a shape, it does not move, resembling holding a urn, and feels ice-cold to touch; this is Evil Qi. Treat with tonifying deficiency and activating Blood medicines. If it is indeed a fetus failing to develop, regulate with Huangqin San (Scutellaria Powder).
[Huangqin San] Huangqin (Scutellariae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Maidong (Ophiopogonis Tuber), Fuling (Poria), Qianhu (Peucedani Radix), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
Fetal crying in the womb during pregnancy requires no medicine; it will resolve at birth. Alternatively, regularly take strongly decocted Huanglian (Coptidis Rhizoma) tea.
Repeated miscarriages are due to Qi and Blood deficiency. Miscarriage with severe lower back and abdominal pain is treated with Sizhi Xiangfu Wan (Four-Processed Cyperi Pill) and Antai Yin (Calming the Fetus Decoction). For leukorrhea with strangury, add 4 liang of Aiye (Artemisiae Argyi Folium) to Xiangfu Wan.
[Sizhi Xiangfu Wan] Xiangfu (Cyperi Rhizoma) (processed with Wine, Vinegar, Child's Urine, Ginger Juice), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhimu (Anemarrhenae Rhizoma), Honghua (Carthami Flos), Wuzhuyu (Evodiae Fructus), Muxiang (Aucklandiae Radix). Powdered, formed into pills with vinegar, take 30 pills per dose.
Miscarriage immediately upon conception, with a left pulse that is large but weak, and choppy on heavy pressure, indicates Blood deficiency. Take strongly decocted Baizhu (Atractylodis Macrocephalae Rhizoma) Tea to mix with Huangqin (Scutellariae Radix), or take Gutai Yin (Secure Fetus Decoction) with glutinous rice. For Blood deficiency, add Ejiao (Colla Corii Asini); for restless fetus, add Sharen (Amomi Fructus) or Aiye (Artemisiae Argyi Folium).
[Gutai Yin] Shudi (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma).
Abdominal pain and fetal restlessness threatening premature labor before full term is treated with Duzhong Wan (Eucommia Pill) or Xiong Bu Zhong Tang (Ligusticum Tonify Middle Decoction) added with Zhimu (Anemarrhenae Rhizoma), taken with wine.
[Duzhong Wan] Duzhong (Eucommiae Cortex) (stir-fried with Ginger Juice), Chuanxuduan (Dipsaci Radix). Powdered, mixed with date paste into pills the size of paulownia seeds, take 30 pills with rice water.
Miscarriage due to Qi and Blood deficiency before full term is called Ban Chan (Half-birth), treated with Xiong Bu Zhong Tang (Ligusticum Tonify Middle Decoction), a formula to nourish the new, eliminate the old, support critical conditions, and tonify deficiency.
Except for trauma, previous miscarriages at three or four months predict future occurrences due to deficiency. Nourish Qi and Blood, secure the fetal origin, using Bayi Tang (Eight-Ingredient Decoction) added with Jiao (Gelatin), Ai (Mugwort), and Huangqin (Scutellariae Radix). Laypeople fear Huangqin (Scutellariae Radix) is cold and cooling, but pregnancy requires clearing heat and nourishing Blood so Blood follows the meridians without reckless flow, thereby securing the fetus.
Abdominal pain during pregnancy unresponsive to Antai Yin (Calming the Fetus Decoction) or digestive/Qi-moving medicines, presenting with swelling, distension, and shining skin near the lower abdomen, is called Yun Yong (Pregnancy Abscess). Take tonics, specifically Shibuo Tuoli San (Ten-Ingredient Supporting Interior Powder), or Qianjin Tuoli San (Thousand-Gold Supporting Interior Powder). For un-ulcerated cases, use Shibuo Tuoli San (Ten-Ingredient Supporting Interior Powder); for ulcerated cases, add Huangqi (Astragali Radix) to drain pus and heal. Alternatively, decoct Wumei (Mume Fructus) and Niupijiao (Cowhide Gelatin).
[Shibuo Tuoli San] Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Rougui (Cinnamomi Cortex), Houpo (Magnoliae Officinalis Cortex), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix).
Fetal immobility, downward expulsion, and ice-cold abdomen are treated with Foshou San (Buddha's Hand Powder).
Fetal death in utero due to pathological heat steaming is resolved by taking Heishen San (Black Divine Powder) to warm the body, causing the fetus to pass. To verify fetal death, examine the mother's tongue; cyan color indicates death. Alternatively, Wuji San (Five Accumulations Powder) removing Fuling (Poria) and Mahuang (Ephedrae Herba), added with Muxiang (Aucklandiae Radix) and Xingren (Pruni Semen); or Xianggui San (Cinnamon Powder) added with Ai (Mugwort) and Xingren (Pruni Semen), causing passage shortly.
[Heishen San] Heidou (Sojae Semen Nigrum), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Rougui (Cinnamomi Cortex), Ganjiang (Zingiberis Rhizoma), Puhuang (Typhae Pollen), Shudi (Rehmanniae Radix Preparata). Decoct in wine, add Child's Urine.
To verify fetal death, look for symptoms: cyan tongue and nails, abdominal oppression, urine-like odor in the mouth. Use Weiling Tang (Stomach and Five-Poria Decoction) added with 3 qian of Pomiao (Mirabilite), decocted in wine and water; the fetus turns to water and passes. Using this method on a living fetus is ineffective and dangerous to the mother; be extremely cautious!
Sudden stabbing heart and abdominal pain with suffocation approaching death during pregnancy is called Zhong E (Smitten by Evil), caused by evil toxic vapors attacking the fetus and person. Take Danggui San (Angelica Powder).
[Danggui San] Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dingxiang (Caryophylli Flos), Qingpi (Citri Reticulatae Pericarpium Viride), Wuzhuyu (Evodiae Fructus).
Difficulty in childbirth due to pregnancy: For Excess Qi, consume Qi using Shoutai Yin (Thin Fetus Decoction). For Weak Qi, use Zisu Yin (Perilla Decoction) removing Fuling (Poria) and adding Baizhu (Atractylodis Macrocephalae Rhizoma), which is Dasheng San (Achieve Life Powder).
[Shoutai Yin] Treats prolonged difficult labor (5-6 days) and unclosed pelvic bones. Effective after walking about a li. Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 liang), Baiguiban (Testudo Carapax et Plastrum) (one, fried with butter), Duosheng Furen Fa (Hair of Multiparous Women) (a handful, burned to preserve nature). Take 3 qian, decocted in water.
To facilitate easy delivery near term, people often use Zhike San (Aurantii Fructus Powder). While this thins the fetus for easier delivery, it is only suitable for fat/excess fetuses; otherwise, it causes disaster. Shengji San (Life-Saving Powder) is superior as it calms the fetus and augments Qi. Alternatively, Zisu Yin (Perilla Decoction) added with Zhike (Aurantii Fructus) and Xiangfu (Cyperi Rhizoma) is also effective.
[Shengji San] Renshen (Ginseng Radix et Rhizoma), Hezi (Terminalia Chebulae Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Chenpi (Citri Reticulatae Pericarpium). Equal parts, powdered, take 3 qian.
Premature lactation before delivery is called Er Qi (Infant Crying); offspring often fail to survive.
Restlessness, mental confusion, dry mouth, and internal heat during pregnancy are treated with Zhimu San (Anemarrhena Powder).
[Zhimu San] Huangqin (Scutellariae Radix), Huangqi (Astragali Radix), Maidong (Ophiopogonis Tuber), Gancao (Glycyrrhizae Radix et Rhizoma), Zhimu (Anemarrhenae Rhizoma), Chi Fuling (Poria with Red Heart). Decoct with Sangpi (Mulberry Bark), then add Zhuru (Bamboo Shavings) and decoct.
Premature rupture of membranes (amniotic fluid) before delivery is treated with Wuyou San (Carefree Powder).
[Wuyou San] Aiye (Artemisiae Argyi Folium), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Ruxiang (Olibanum), Zhike (Aurantii Fructus), Luankunfa (Tangled Hair), Baishao (Paeoniae Radix Alba). Decoct in water.
Retained placenta preventing urination due to middle Qi deficiency failing to lift the fetus, causing pressure on the bladder and twisting of the urethra, is treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with lifting medicines to open the lower orifice and restore function.