凡妊娠腿膝浮肿，脚面足指甚至出水，气促满闷，此由脾虚不能制水，血化成水所致。
名曰子满，又名子气。宜加味天仙藤散。如脾气弱甚，宜补中益气汤兼服，或用卷九子满束
胎饮。
加味天仙藤散∶天仙藤（洗，略炒）六分，木瓜一钱，香附六分，紫苏、陈皮各四分，
乌
补中益气汤∶人参、炙 各钱半，炙草五分，白术、归身各一钱，陈皮七分，柴胡、升
麻各三分，水煎服。
按∶妊娠七八个月，两足浮肿，乃胞浆水湿下流之故。其微肿者名曰皱脚，得之易产。
其肿甚或出黄水者始服前方。
凡妊娠胎气不和，上凑心腹，满痛难忍，谓之子悬，以紫苏散治之。
紫苏散∶紫苏、陈皮、白术、腹皮、当归、川芎各等分，人参、甘草各减半，姜五片，
葱白五寸，水煎，空心服。一方以莲房烧灰，酒送下，愈。
安胎顺气饮∶即前方去腹皮，加砂仁三粒，木香三分磨汁，加姜煎。
按∶受孕至四五个月，斯时相火养胎，火盛胎热，则气凑心，多有此症。
又，子烦。凡妊娠心惊胆怯，烦闷不安，名曰子烦，宜服竹叶安胎饮。竹叶安胎饮∶人
参三分，白术、条芩、当归各二钱，枣仁、远志各八分，陈皮三分，川芎七分，生甘草四分
，生地钱半，麦冬一钱，竹叶十片，姜、枣引，有痰加竹沥、姜汁，虚甚加人参倍用，泻加
芡实减生地。
按∶此症亦多在四、五月之时，相火用事。或因夏令君火盛行，俱能乘肺以致烦躁。汤
建中云∶因相火者加知母，因君火者加川连。
Whenever during pregnancy there is edema of the legs and knees, with fluid oozing from the instep and toes, accompanied by shortness of breath and chest fullness/stuffiness, this is caused by Spleen deficiency failing to control water metabolism, leading to blood transforming into water-dampness.
This condition is named Zi Man (Submersion of the Fetus / Hydrops gravidarum), also known as Zi Qi (Fetal Gas). It is suitable to use Jia Wei Tian Xian Teng San (Modified天仙藤 Decoction). If the Spleen Qi is extremely weak, it is suitable to take Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) concurrently, or use Zi Man Shu Tai Yin (Decoction for Submersion of the Fetus to Bind the Fetus) from Volume Nine.
Jia Wei Tian Xian Teng San (Modified天仙藤 Decoction): Tian Xian Teng (Dangshen's Vine Stem, washed, slightly stir-fried) 6 fen, Mu Gua (Chaenomeles Fruit) 1 qian, Xiang Fu (Cyperus Rhizome) 6 fen, Zi Su (Perilla Leaf) and Chen Pi (Aged Tangerine Peel) each 4 fen.
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction): Ren Shen (Ginseng Root) and Zhi [Missing Herb] (Prepared [Herb]) each 1.5 qian, Zhi Gan Cao (Honey-fried Licorice Root) 5 fen, Bai Zhu (Atractylodes Macrocephala Rhizome) and Dang Gui Shen (Angelica Sinensis Root Body) each 1 qian, Chen Pi (Aged Tangerine Peel) 7 fen, Chai Hu (Bupleurum Root) and Sheng Ma (Cimicifuga Rhizome) each 3 fen; decoct in water and take orally.
Note: During the seventh or eighth month of pregnancy, edema of both feet is due to the downward flow of amniotic fluid dampness. Mild swelling is called Zhou Jiao (Wrinkled Feet), which facilitates easy delivery. Only when swelling is severe or yellow fluid oozes out should the aforementioned formula be taken.
Whenever during pregnancy the fetal Qi is disharmonious, rushing upward to the heart and abdomen, causing unbearable distension and pain, it is called Zi Xuan (Suspended Fetus), treated with Zi Su San (Perilla Powder).
Zi Su San (Perilla Powder): Zi Su (Perilla Leaf), Chen Pi (Aged Tangerine Peel), Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Pi (Areca Peel), Dang Gui (Angelica Sinensis Whole Root), and Chuan Xiong (Ligusticum Rhizome) in equal parts; Ren Shen (Ginseng Root) and Gan Cao (Licorice Root) at half the amount; add five slices of Sheng Jiang (Fresh Ginger) and five cun of Cong Bai (Scallion White); decoct in water and take on an empty stomach. Another method is to burn Lian Fang (Lotus Sepal) to ash and swallow with wine, which leads to recovery.
An Tai Shun Qi Yin (Fetus-Anchoring and Qi-Smoothening Decoction): This is the aforementioned formula without Fu Pi (Areca Peel), adding three grains of Sha Ren (Amomum Fruit) and 3 fen of Mu Xiang (Saussurea Root) ground into juice, added with Sheng Jiang (Fresh Ginger) for decoction.
Note: From conception to the fourth or fifth month, at this time, Minister Fire nourishes the fetus. Excessive fire causes fetal heat, making Qi rush to the heart, often resulting in this symptom.
Furthermore, there is Zi Fan (Fetal Restlessness). Whenever during pregnancy there is a startled heart, timidity, restlessness, and unease, it is named Zi Fan, suitable for taking Zhu Ye An Tai Yin (Bamboo Leaf Fetus-Anchoring Decoction).
Zhu Ye An Tai Yin (Bamboo Leaf Fetus-Anchoring Decoction): Ren Shen (Ginseng Root) 3 fen, Bai Zhu (Atractylodes Macrocephala Rhizome), Huang Qin (Scutellaria Root), and Dang Gui (Angelica Sinensis Whole Root) each 2 qian, Suan Zao Ren (Ziziphus Seed) and Yuan Zhi (Polygala Root) each 8 fen, Chen Pi (Aged Tangerine Peel) 3 fen, Chuan Xiong (Ligusticum Rhizome) 7 fen, Sheng Gan Cao (Raw Licorice Root) 4 fen, Sheng Di Huang (Rehmannia Root) 1.5 qian, Mai Dong (Ophiopogon Tuber) 1 qian, Zhu Ye (Bamboo Leaf) 10 pieces; use Sheng Jiang (Fresh Ginger) and Da Zao (Jujube) as guides. If there is Phlegm, add Zhu Li (Bamboo Juice) and Jiang Zhi (Ginger Juice); if deficiency is severe, double the dose of Ren Shen (Ginseng Root); if diarrhea occurs, add Qian Shi (Euryale Seed) and reduce the dose of Sheng Di Huang (Rehmannia Root).
Note: This symptom also mostly occurs during the fourth and fifth months, when Minister Fire is in charge. Or because Sovereign Fire prevails in summer, both can invade the Lung Metal leading to irritability. Tang Jianzhong stated: Add Zhi Mu (Anemarrhena Rhizome) if caused by Minister Fire; add Chuan Lian (Coptis Rhizome) if caused by Sovereign Fire.