即本方。三味等分。捣罗为末。以地黄汁浸。蒸饼和丸。如梧桐子大。每服不计时候。以粥饮下十丸。
妊娠小便难。饮食如故。当归贝母苦参丸主之。
〔尤〕小便难。而饮食如故。则病不由中焦出。而又无腹满身重等证。则更非水气不行。知其血虚热
郁。而津液涩少也。本草。当归。补女子诸不足。苦参入阴利窍。除伏热。贝母能疗郁结。兼清水液之源也。
当归贝母苦参丸方（〔原注〕男子。加滑石半两。○诸注本。删此七字。唯魏本有。）
当归 贝母 苦参（各四两）
上三味。末之。炼蜜丸。如小豆大。饮服三丸。加至十丸。
张氏医通云。此小便难者。膀胱热郁。气结成燥。病在下焦。所以饮食如故。用当归以和血润燥。贝
母以清肺开郁。苦参以利窍逐水。并入膀胱。以除热结也。
案贝母。本经甄权并云。治产难。而外台子痫门。短剧葛根汤方后云。贝母令人易产。若未临月者。升麻
代之。此说虽不可信。然足见其亦有利窍之功。本方所用。盖取之于
利窍耳。金鉴云。方证不合。必有脱简。不释。殆不考药性也。
时氏产经。苦参丸主疗与原文同。
当归 贝母 苦参（各三两） 滑石（半两）
上为末。蜜丸如小豆大。以米饮下二十丸。
妊娠有水气。身重小便不利。洒淅恶寒。起即头眩。葵子茯苓散主之。
〔沈〕此胎压卫气不利致水也。
〔鉴〕妊娠外有水气。则浮肿。洒淅恶寒。水盛贮于肌肤。故身重。内有
水气。则小便不利。水盛阻遏。阳气上升。故起即头眩也。用葵子茯苓者。是专以通窍利水为主也。
妇人良方云。产宝论曰。夫妊娠肿满。由脏气本弱。因产重虚。土不克水。血散入四肢。遂致腹胀。手
足面目皆浮肿。小便秘涩。陈无择云。凡妇人宿有风寒冷湿。妊娠喜脚
肿。俗为皱脚。亦有通身肿满。心腹急胀。名曰胎水。（巢源名子满体肿。）
葵子茯苓散方
葵子（一斤） 茯苓（三两）
上二味。杵为散。饮服方寸匕。日三服。小便利则愈。
张氏医通云。膀胱者。主藏津液。气化出溺。外利经脉。上行至头。为诸阳之表。今膀胱气不化。
水溺不得出。外不
利经脉。所以身重洒洒恶寒。起即头眩。但利小便。则水去而经气行。表病自愈。用葵子。直入膀胱。以
利癃闭。佐茯苓以渗水道也。
千金。治妊娠小便不利方。（即本方。外台引千金翼。主疗亦同。千金注。引本经文同。）
妇人良方。葵子散。治妊娠小便不利。身重恶寒。起则眩晕。及水肿者。王子亨云。妊娠小便不通。特避寒药。（又
名茯苓汤。）
葵子（五两） 茯苓（三两）
上二味。为末。每服二钱。米饮调下。小便利则愈。
时氏产经云。如不通。恐是转胞。加发灰少许调服。极妙。（葵子。用黄葵子。）
圣惠方。葵子散。治妊娠身体浮肿。小便不利。洒淅恶寒。
即本方。加汉防己。凡三味。各二两。
妇人妊娠。宜常服当归散主之。（脉经。此下。有即易产无疾苦六字。）
〔尤〕妊娠之后。最虑湿热伤动胎气。故于芎归芍药养血之中。用白术除湿。黄芩除热。丹溪称黄芩
白术。为安胎之圣药。夫芩术非能安胎者。去其湿热。而胎自安耳。
〔鉴〕妊娠无病。不须服药。若其人瘦而
有热。恐耗血伤胎。宜常服此以安之。
当归散方
当归 黄芩 芍药 芎 （各一斤） 白术（半斤）
上五味。杵为散。酒饮服方寸匕。日再服。妊娠常服即易产。胎无苦疾。产后百病悉主之。（汪氏
医学原理有人参。）
方氏丹溪心法附余云。此方养血清热之剂也。瘦人血少有热。胎动不安。素曾半产者。皆宜服之。以
清其源而无患也。
王氏明医杂着云。调理妊娠。在于清热养血。条实黄芩为安胎圣药。清热故也。暑月宜加之。养胎全
在脾胃。譬犹悬钟于梁。梁软则钟下坠。折则堕矣。故白术补脾。为安胎君药。
外台古今录验。术汤。疗妊娠卒得心痛欲死。千金治妊娠腹中满痛。叉心不得饮食。
即本方。去芎 当归。上三味切。以水六升。煮取二升半。分三服。半日全尽。微下水。令易生。
易简方。治经三四月不行。或一月再至。
即本方。加山茱萸。
妊娠养胎。白术散主之。
〔尤〕妊娠伤胎。有因湿热者。亦有因湿寒者。随人脏气之阴阳。而各异也。当归散。正治湿热之剂。
白术散。白术牡蛎燥湿。川芎温血。蜀椒去寒。则正治湿寒之剂也。仲景并列于此。其所以诏示后人者深矣。
白术散方（〔原注〕见外台。○外台引古今录验云。裴伏张仲景方。）
白术 芎 蜀椒（三分去汗） 牡蛎（外台白术芎 各四分牡蛎二分）
上四味。杵为散。酒服一钱匕。日三服。夜一服。但苦痛。加芍药。心下毒痛。倍加芎 。心烦吐痛。不
能食饮。加细辛一两。半夏大者二十枚。服之后。更以醋浆水服之。若呕。以醋浆水服之。复不解者。小麦汁
服之。已后渴者。大麦粥服之。病虽愈服之勿置。（苦痛。徐云。脱一腹字。沈本作苦腹痛。
吐痛。外台。作吐唾。为是。）
〔程〕白术主安胎为君。芎 主养胎为臣。蜀椒主温胎为佐。牡蛎主固胎为使。按瘦而多火者。宜用
当归散。肥而有寒者。宜用白术散。不可混施也。芍药能缓中。故苦痛者
加之。芎 能温中。故毒痛者倍之。痰饮在心膈故令心烦吐痛。不能食饮。加细辛破痰下水。半夏消痰去水。
更服浆水以调中。若呕者。复用浆水。服药以止呕。呕不止。再易小麦汁以和胃。呕止而胃无津液作渴者。食
大麦粥。以生津液。病愈服之勿置者。以大麦粥。能调中补脾。故可常服。非指上药可常服也。
徐云。予治迪可弟妇。未孕即痰嗽见血。既孕而不减人
瘦。予以此方治之。因其腹痛。加芍药两大剂。而痰少嗽止。人爽胎安。
和剂局方白术散。调补冲任。扶养胎气。治妊娠宿有风
冷。胎痿不长。或失于将理。动伤胎气。多致损堕怀孕。常服壮气益血。保护胎藏。（即本方。三因同。）
妇人良方。白术丸。（主疗同前局方白术散。）
即本方。加阿胶地黄当归。上为末。蜜为丸。如梧子。米饮吞三四十丸。酒醋汤亦可。
妇人伤胎怀身。腹满不得小便。从腰以下。重如有水气状。怀身七月。太阴当养不养。此心气实。当刺
泻劳宫及关元。小便微利则愈。（〔原注〕见玉函。○玉函。伤胎。作伤寒。关元。作小肠之募。无微利之微字。）
〔程〕七月手太阴肺经养胎。金为火乘。则肺金受伤。而胎失所养。又不能通调水道。故有腹满不得小
便。从腰以下有如水气状也。劳宫穴。在手心厥阴心主穴也。泻之则火不乘金矣。关元穴在脐下。为小肠之
募。泻之则小便通利矣。此穴不可妄用。刺之能落胎。
案金鉴云。文义未详。此穴刺之落胎。必是错简。不释。此说固是。然根据玉函。伤胎。作伤寒。
乃义稍通。徐子才逐月养胎方云。妊娠七月。手太阴脉养。不可针灸其经。
That is the previous formula. Divide the three herbs in equal parts, pound and sieve into powder. Soak with juice of *Rehmanniae Radix* (Dihuang, 地黄), mix with steamed bread dough to make pills, size of *Cotini Fructus* (Wutongzi, 梧桐子). Take ten pills at any time, washed down with rice gruel.
During pregnancy, if there is difficulty in urination but diet remains normal, *Danggui Beimu Kushen Wan* (Angelica, Fritillaria and Sophora Pill) is indicated.
[You] Difficulty in urination with normal diet indicates that the pathogen does not originate from the Middle Jiao. Furthermore, without symptoms such as abdominal fullness and heaviness, it is certainly not due to failure of water metabolism. It can be known that this is blood deficiency with heat stagnation, leading to scanty and astringent body fluids. Materia Medica states: *Radix Angelicae Sinensis* (Danggui, 当归) tonifies various deficiencies in women; *Radix Sophorae Flavescentis* (Kushen, 苦参) enters the Yin to benefit orifices and removes latent heat; *Bulbus Fritillariae Cirrhosae* (Beimu, 贝母) treats stagnation and clears the source of fluids.
**Danggui Beimu Kushen Wan Formula** ([Original Note]: For men, add *Talcum* (Huashi, 滑石) half liang. ○ Most annotated versions delete these seven characters; only the Wei version retains them.)
*Radix Angelicae Sinensis* (Danggui, 当归), *Bulbus Fritillariae Cirrhosae* (Beimu, 贝母), *Radix Sophorae Flavescentis* (Kushen, 苦参) (each four liang).
Pound the above three herbs into powder, refine honey to make pills, size of *Phaseoli Semen* (Xiaodou, 小豆). Take three pills with water, gradually increasing to ten pills.
*Zhangshi Yitong* states: In cases of difficult urination, it is due to heat stagnation in the Bladder, where qi condenses into dryness. The disease is in the Lower Jiao, hence diet is normal. Use *Radix Angelicae Sinensis* (Danggui, 当归) to harmonize blood and moisten dryness; *Bulbus Fritillariae Cirrhosae* (Beimu, 贝母) to clear Lung and open stagnation; *Radix Sophorae Flavescentis* (Kushen, 苦参) to benefit orifices and drive out water, entering the Bladder to remove heat accumulation.
Note: *Bulbus Fritillariae Cirrhosae* (Beimu, 贝母), according to *Shennong Bencao Jing* and Zhen Quan, treats difficult labor. *Waitai Miyao* under the Epilepsy section, after the Ge Gen Tang formula, states: "Beimu facilitates easy delivery." If not near term, substitute with *Rhizoma Cimicifugae* (Shengma, 升麻). Although this claim is unreliable, it shows its efficacy in benefiting orifices. The use of this herb in the present formula likely aims at this property. *Yizong Jinjian* states: The formula and syndrome do not match; there must be missing text. No explanation is given, likely due to lack of investigation into herb properties.
*Shishi Chanjing* lists the indications for Kushen Wan identical to the original text.
*Radix Angelicae Sinensis* (Danggui, 当归), *Bulbus Fritillariae Cirrhosae* (Beimu, 贝母), *Radix Sophorae Flavescentis* (Kushen, 苦参) (each three liang); *Talcum* (Huashi, 滑石) (half liang).
Pound into powder, make honey pills size of *Phaseoli Semen*. Take twenty pills with rice drink.
During pregnancy, if there is water retention, body heaviness, difficulty in urination, aversion to cold like wind blowing, and dizziness upon rising, *Kuizi Fuling San* (Abelmoschus and Poria Powder) is indicated.
[Shen] This is caused by the fetus compressing the Wei Qi, leading to impaired water metabolism.
[*Yizong Jinjian*] External water retention causes edema and aversion to cold like wind blowing; excess water stored in skin and muscles causes body heaviness. Internal water retention causes difficulty in urination; excess water obstructs the ascent of Yang Qi, causing dizziness upon rising. Using *Fructus Abelmoschi Esculenti* (Kuizi, 葵子) and *Poria* (Fuling, 茯苓) focuses primarily on benefiting orifices and promoting diuresis.
*Funren Liangfang* states: *Chanbaolun* says: Pregnancy edema results from weak organ qi, exacerbated by pregnancy-induced deficiency. Earth fails to control Water, blood scatters into limbs, causing abdominal distension, edema of hands, feet, and face, and scanty, difficult urination. Chen Wuze states: Women with pre-existing wind-cold-dampness often experience foot swelling during pregnancy, commonly called "wrinkled feet." Some have whole-body edema and urgent abdominal distension, named "fetal water" (*Chaoyuanfang* calls it "Ziman Tizhong").
**Kuizi Fuling San Formula**
*Fructus Abelmoschi Esculenti* (Kuizi, 葵子) (one jin); *Poria* (Fuling, 茯苓) (three liang).
Pound the above two herbs into powder. Take one cun bi with water, three times daily. Recovery occurs when urination becomes smooth.
*Zhangshi Yitong* states: The Bladder stores body fluids and excretes urine through Qi transformation. It extends outward to meridians and upward to the head, serving as the exterior of all Yang meridians. Now, Bladder Qi fails to transform, urine cannot exit, and meridians are not benefited externally. Hence, body heaviness, aversion to cold like wind blowing, and dizziness upon rising. Only by promoting diuresis can water be removed, meridian Qi circulate, and exterior symptoms resolve. *Fructus Abelmoschi Esculenti* (Kuizi, 葵子) enters the Bladder directly to treat urinary retention, assisted by *Poria* (Fuling, 茯苓) to seep water pathways.
*Qianjin Fang*: Formula for treating difficulty in urination during pregnancy. (This is the same formula; *Waitai Miyao* cites *Qianjin Yi Fang*, indications are also identical. *Qianjin Fang* commentary cites the original text.)
*Funren Liangfang*: Kuizi San, treats difficulty in urination during pregnancy, body heaviness, aversion to cold, dizziness upon rising, and edema. Wang Ziheng states: For urinary retention during pregnancy, avoid cold herbs specifically. (Also named Fuling Tang.)
*Fructus Abelmoschi Esculenti* (Kuizi, 葵子) (five liang); *Poria* (Fuling, 茯苓) (three liang).
Pound into powder. Take two qian each time, mixed with rice drink. Recovery occurs when urination becomes smooth.
*Shishi Chanjing* states: If not relieved, suspect "Zhuanbao" (displacement of the bladder), add a small amount of burnt hair, mixed and taken. Very effective. (Use yellow *Fructus Abelmoschi Esculenti*).
*Shenghui Fang*: Kuizi San, treats body edema during pregnancy, difficulty in urination, aversion to cold like wind blowing.
This is the same formula, adding *Radix Stephaniae Tetrandrae* (Han Fangji, 汉防己). Total three herbs, each two liang.
For pregnant women, *Danggui San* (Angelica Powder) should be taken regularly. (*Maijing* has six additional characters here: "leads to easy delivery and freedom from illness.")
[You] After pregnancy, damp-heat damaging fetal Qi is most feared. Therefore, within the blood-nourishing formula of Chuanxiong, Danggui, and Shaoyao, Baizhu is used to remove dampness, and Huangqin to clear heat. Danxi calls Huangqin and Baizhu the sacred herbs for calming the fetus. However, Huangqin and Baizhu do not directly calm the fetus; they remove damp-heat, and the fetus naturally stabilizes.
[*Yizong Jinjian*] If there is no disease during pregnancy, medication is unnecessary. If the person is thin and has heat, fearing consumption of blood and damage to the fetus, this formula should be taken regularly to stabilize the fetus.
**Danggui San Formula**
*Radix Angelicae Sinensis* (Danggui, 当归), *Radix Scutellariae* (Huangqin, 黄芩), *Radix Paeoniae Alba* (Shaoyao, 芍药), *Rhizoma Chuanxiong* (Chuanxiong, 川芎) (each one jin); *Rhizoma Atractylodis Macrocephalae* (Baizhu, 白术) (half jin).
Pound the above five herbs into powder. Take one cun bi with wine, twice daily. Regular intake during pregnancy leads to easy delivery and fetal health. It also treats various postpartum diseases. (Wang's *Yixue Yuanli* includes *Ginseng Radix* (Renshen, 人参)).
Fang's *Danxi Xinfa Fuyu* states: This is a formula for nourishing blood and clearing heat. Thin individuals with blood deficiency and heat, restless fetus, or history of miscarriage, should take it to clear the source and prevent complications.
Wang's *Mingyi Zazhuo* states: Regulating pregnancy lies in clearing heat and nourishing blood. High-quality *Radix Scutellariae* (Huangqin, 黄芩) is the sacred herb for calming the fetus because it clears heat. It is suitable to add in summer months. Nourishing the fetus relies entirely on the Spleen and Stomach, like a bell hanging from a beam; if the beam is soft, the bell falls; if broken, it drops. Thus, *Rhizoma Atractylodis Macrocephalae* (Baizhu, 白术) tonifies the Spleen and serves as the sovereign herb for calming the fetus.
*Waitai Miyao* cites *Gujin Luyian*: Shu Tang, treats sudden heart pain wanting death during pregnancy. *Qianjin Fang* treats abdominal fullness and pain during pregnancy, crossing hands over the heart, unable to eat.
This is the same formula, removing *Rhizoma Chuanxiong* (Chuanxiong, 川芎) and *Radix Angelicae Sinensis* (Danggui, 当归). Chop the above three herbs, boil in six sheng of water to obtain two and a half sheng. Divide into three doses. Finish within half a day. Mild diarrhea allows for easier birth.
*Yijian Fang*: Treats amenorrhea for three or four months, or menstruation occurring twice a month.
This is the same formula, adding *Fructus Corni* (Shanzhuyu, 山茱萸).
For nourishing the fetus during pregnancy, *Baizhu San* (Atractylodes Powder) is indicated.
[You] Fetal damage during pregnancy can be due to damp-heat or damp-cold, varying according to the Yin-Yang of individual organ qi. *Danggui San* is the correct formula for damp-heat. *Baizhu San* uses *Rhizoma Atractylodis Macrocephalae* (Baizhu, 白术) and *Concha Ostreae* (Muli, 牡蛎) to dry dampness, *Rhizoma Chuanxiong* (Chuanxiong, 川芎) to warm blood, and *Semen Zanthoxyli* (Shujiao, 蜀椒) to remove cold; thus, it is the correct formula for damp-cold. Zhang Zhongjing lists them together here, deeply instructing future generations.
**Baizhu San Formula** ([Original Note]: See *Waitai*. ○ *Waitai* cites *Gujin Luyian*: Pei Fu's Zhang Zhongjing formula.)
*Rhizoma Atractylodis Macrocephalae* (Baizhu, 白术), *Rhizoma Chuanxiong* (Chuanxiong, 川芎), *Semen Zanthoxyli* (Shujiao, 蜀椒) (three fen, remove sweat/sweat content), *Concha Ostreae* (Muli, 牡蛎) (*Waitai*: Baizhu and Chuanxiong each four fen, Muli two fen).
Pound the above four herbs into powder. Take one qian bi with wine, three times daily, once at night. If only pain is present, add *Radix Paeoniae Alba* (Shaoyao, 芍药). If severe pain in the epigastrium, double *Rhizoma Chuanxiong* (Chuanxiong, 川芎). If irritability, vomiting, pain, and inability to eat/drink occur, add *Radix Asari* (Xixin, 细辛) one liang, and twenty large *Rhizoma Pinelliae* (Banxia, 半夏). After taking, administer vinegar grain water. If vomiting occurs, administer vinegar grain water. If still not relieved, take wheat juice. If thirsty later, take barley porridge. Continue taking even after recovery, do not stop. ("Kutong": Xu notes a missing character "Fu" (abdomen). Shen version reads "Kutong Fu". "Tutong": *Waitai* reads "Tu Tuo" (vomiting saliva), considered correct.)
[Cheng] *Rhizoma Atractylodis Macrocephalae* (Baizhu, 白术) calms the fetus as Sovereign. *Rhizoma Chuanxiong* (Chuanxiong, 川芎) nourishes the fetus as Minister. *Semen Zanthoxyli* (Shujiao, 蜀椒) warms the fetus as Assistant. *Concha Ostreae* (Muli, 牡蛎) secures the fetus as Envoy. Note: Thin individuals with fire should use *Danggui San*. Obese individuals with cold should use *Baizhu San*; do not mix them. *Radix Paeoniae Alba* (Shaoyao, 芍药) relaxes the interior, so add it for painful conditions. *Rhizoma Chuanxiong* (Chuanxiong, 川芎) warms the interior, so double it for severe pain. Phlegm-fluid in the chest/diaphragm causes irritability, vomiting, pain, and inability to eat/drink. Add *Radix Asari* (Xixin, 细辛) to break phlegm and drain water; *Rhizoma Pinelliae* (Banxia, 半夏) to eliminate phlegm and drain water. Administer grain water to regulate the middle. If vomiting, reuse grain water to stop vomiting. If vomiting persists, switch to wheat juice to harmonize the Stomach. If vomiting stops but thirst occurs due to lack of stomach fluids, eat barley porridge to generate fluids. Continuing to take it after recovery is because barley porridge regulates the middle and tonifies the Spleen, making it suitable for regular use; it does not mean the above herbs can be taken regularly.
Xu notes: I treated my brother-in-law's wife who had phlegm-cough and hemoptysis before conception, and remained thin during pregnancy. I treated her with this formula. Due to abdominal pain, I added two large doses of *Radix Paeoniae Alba* (Shaoyao, 芍药). Phlegm decreased, cough stopped, she felt refreshed, and the fetus was stabilized.
*Heji Jufang* Baizhu San: Regulates and tonifies Chong and Ren meridians, nurtures fetal Qi. Treats pre-existing wind-cold during pregnancy, fetal atrophy, or mishandling damaging fetal Qi, often leading to miscarriage. Regular intake strengthens Qi and benefits blood, protecting the fetal store. (This is the same formula; *San Yin Fang* is identical.)
*Funren Liangfang*: Baizhu Wan. (Indications same as *Jufang* Baizhu San.)
This is the same formula, adding *Corium Corii Asini* (Ejiao, 阿胶), *Radix Rehmanniae Preparata* (Dihuang, 地黄), and *Radix Angelicae Sinensis* (Danggui, 当归). Pound into powder, make honey pills size of *Cotini Fructus*. Swallow thirty to forty pills with rice drink; wine or vinegar soup is also acceptable.
If a woman suffers fetal injury during pregnancy, experiencing abdominal fullness and inability to urinate, heaviness from the waist down resembling water retention. At seven months of pregnancy, the Taiyin should nourish but fails to do so; this is excess Heart Qi. One should puncture and drain Laogong and Guanyuan points. Mild relief of urination indicates recovery. ([Original Note]: See *Yukan*. ○ *Yukan*: "Shangtai" reads "Shanghan"; "Guanyuan" reads "Mu point of Small Intestine"; lacks the character "Wei" (slight/mild) in "Weili".)
[Cheng] At seven months, the Hand-Taiyin Lung Meridian nourishes the fetus. Metal is attacked by Fire, injuring Lung Metal, causing loss of fetal nourishment and failure to regulate water passages. Hence, abdominal fullness, inability to urinate, and water-retention-like sensation below the waist. Laogong point is on the palm, the Master Point of the Pericardium (Hand-Jueyin). Draining it prevents Fire from attacking Metal. Guanyuan point is below the navel, the Mu point of the Small Intestine. Draining it promotes smooth urination. This point must not be used recklessly; puncturing it can cause abortion.
Note: *Yizong Jinjian* states: The text meaning is unclear; puncturing this point causes abortion, surely due to misplaced text. No explanation is given. While this view has merit, according to *Yukan*, reading "Shangtai" as "Shanghan" makes the meaning slightly coherent. Xu Zicai's *Zhu Yue Yangtai Fang* states: During the seventh month of pregnancy, the Hand-Taiyin Meridian nourishes; one must not acupuncture or moxibustion this meridian.