头发上逆者死。
汗出不流者死。
陷胸唇干目直视者死。
口气冷，掌冷者死。
身强头低者死。
便门肿起作坑者死。
鼻干黑燥者死。
肚大青筋，爪甲黑，舌出切牙，鱼口气急皆死。
啼不作声，或作鸦声，或忽然大叫作声，皆死证。
脉平而虚者乳子。
心脉洪大而滑，肺脉微而不浮；肝脉微横不绝皆妊。
阴搏阳别，谓之有子（搏者，逼近于下。别者，别出于上，气和血调，阳施阴化，谓之有子。）
少阴脉动甚者，妊子（少阴脉，心脉也。）
尺中按之不绝者，妊子。
三部浮沉正等，按之无绝者妊。
寸微关滑，尺数流利，往来如雀啄者妊。
妊娠初时，寸微小，呼吸五至；三月而尺数滑疾，重以手按之散者，是三月
也；重手按之不散，但实不滑者，五月也。
男女法
左沉 实 疾 大者为男，纵者主双。
右沉 实 疾 大者为女，纵者主双。
注云∶纵则横也。
离经
脉一呼三至，曰离经；沉细而滑曰离经；尺脉转急如切绳曰离经。
脉浮，腹痛引腰脊，为欲生。
妊三月而渴，脉反迟，欲为水分，复腹痛者堕。
妊五月、六月，脉数必坏，脉紧必胞漏，脉迟必腹满而喘，脉浮必水坏肿也。
妊六七月，脉弦发热恶寒，其胎逾腹，腹痛小腹如扇，子藏闭故也，当温之附子。
妊六七月，暴下水斗余，必倚而堕。
妊七月、八月，脉实大牢强，弦者生，沉细者死。
妊月足，身热脉乱者吉。
新产 脉沉小滑者生，实大弦急者死，焱疾不调者死；新产得热病，脉悬
小，四肢温者生，寒清者死；新产因伤寒中风，脉实大浮者生，小急者死。
脉微涩为无子；弦大为无子；皆血虚气弱故也。
漏血下赤白，日下数升，脉急实者死；紧大者死；迟者生；虚小者生。
寸关调如故，尺绝不至者，月水不利，引腰绞痛，气积聚，上抢胸胁也。
脉得浮紧当身痛，不痛腹鸣者，必阴吹。寸口浮而弱（浮为虚，浮短气弱有热而无
血，）趺阳浮而涩（浮气满，涩有寒，）少阴弱而微（微少血，弱生风，）胃气下泄，吹而正喧，
此谷气之实也，以发煎导之。
少阴滑而数，阴中必疮。
少阴脉弦，白肠必挺核。
少阴脉浮而紧，紧则疝瘕，腹中痛，半产而堕伤，浮则亡血，绝产恶寒。
少阴浮而动，浮为虚，动为痛，必脱下。
凡妇人脉，常欲濡弱于丈夫。
胎堕 因虚而热
四物汤 四君子汤 加阿胶 乌梅 桑寄生 黄芩 治胎常转动无时，下血疼痛。
枳壳（麸炒） 川芎（各一两） 熟地（二两） 糯米（二合） 姜枣金银同煎，治伤胎。
转胎 因血虚有痰。
其状胎满逼胞，致小便不利，尿出不知时。
胎满逼胞者，盖因痰，胎避而下。又因血气不足，不能升举，四物加活
石、贝母，有痰加二陈汤，甚者服药后探吐。
恶阻 因痰血相搏，二陈汤加减主之。
胎妇腹胀 因脾虚有热而气不利。
枳壳（炒） 白术 黄芩
治气急胎惊，两胁膨胀，腹满连脐，急痛，坐卧不宁，睡惊。
四君子汤 加茯苓 木香 川芎 川归 麦门冬
胎水 即肿满，俗名子肿。因冷湿。
川归 芍药 茯苓 白术 陈皮（每四钱） 用鲤鱼修理水煮熟，去鱼，以汁盏
半，姜入药同煎至七分，空心服。
胎妇寒热 小柴胡去半夏。
胎痛 因血少。
四物加香附、紫苏（能安胎）。
子悬 即胎凑上心腹，胀满而痛，因胎气不和也。
大腹皮 紫苏 陈皮 白芍 川芎 川归（酒洗各一两） 人参 甘草（各半两） 姜葱白 煎服。
又治临产惊恐气结，连日不下。
心痛 因宿寒搏血，血凝其气，气与血并。
玄胡（醋炒） 川归 陈皮 酒糊丸。
又方加桂、赤芍药、蒲黄、木香、乳香、没药。
又方 五灵脂 蒲黄（醋炒） 醋汤下即失笑散。有寒加桂，有热加栀子，气加
木香、枳壳，虚加川芎、川归（祖按上二方治心痛则可，有胎则忌，或可施之产后心痛者。）
子烦 病若烦闷，因二火为之。
麦门冬 黄芩 茯苓 竹叶 煎服。
一方加人参、防风。
胎漏 胶艾汤治胎动不安下血，或胎奔上刺心短气，及治顿仆，四物加胶艾。
无故下血，腹痛不甚，或下黄汁。
用野苎根（炒一两） 金银（各五钱） 水酒各一盏煎。
坠跌压触，胎动腹痛下血。
用缩砂炒透，末之酒下。
胞漏下血 用生地黄末，酒下。
一方加白术、地黄、枳壳、芩，汤下，治血虚有热胎漏。胎漏下血，用芎、归，
水酒煎服探之。若不损则痛止，或动已损则逐下。
宿有风冷，胎痿不长，动伤易致损坠
白术 川芎（一两） 川椒（去口炒七钱半） 牡蛎（ 五钱） 酒下。
腹痛加芍药。心下痛加川芎。
川归 川芎 芍药 干姜 酒下。
又方 治恶露不散，脐腹坚胀。
川归 川芎 牡丹皮（一两） 玄胡 桂 蜜丸。
阴脱 乃气血下溜。
四物 黄芩（一两） 皮（烧存性五钱） 牡蛎（ 二两） 升麻 饮下。
又 硫黄 乌贼骨（五钱） 五味子（一钱） 末掺患处。
又 蛇床子（炒） 热布裹熨之。
阴肿
桃仁 枯矾 五倍子 等分末敷上。
诸淋
白茅根（一两） 瞿麦穗 茯苓（五钱） 蒲黄 桃胶 活石 甘草（一钱） 子目（十
个烧） 葵子 人参（各二钱） 石首鱼脑骨（二十个烧）
上姜、灯心、木通汤下。
虚烦
人参 川归 熟地 麦门冬 桂 芍药
论凡产间临月 未诞者，凡有病，先以黄芩、白术安胎，然后方用治病药。
发热及肌热者，芩、连、参、 主之。
腹痛者，宜白芍药、甘草。
感冒者，根据解利治之。
凡产后诸病 忌用白芍药，宜黄芩、柴胡。
内恶物上冲胸胁者，宜大黄、桃仁。
血刺痛者，宜当归。
内伤发热者，宜黄连。
渴者宜茯苓，忌半夏。
喘嗽去参，腹胀去甘草。
产后身热血证，一同伤寒，若伤寒当有痛处，脉弦而迟宜解伤寒；血虚者无
痛，脉弱而涩，宜补其血。
酒煮当归丸 治一切虚证下脱，脉洪大无力，按之空虚不鼓，此中寒之证。
川归（一两） 茴香（炒五钱） 附（炮） 良姜（各七钱）
上四味锉，以酒一升半，煮至酒尽，焙干。
黄盐（炒） 丁香 苦楝 甘草（各五分） 蝉蜕（三钱） 柴胡（二钱） 升麻 木香
（一钱） 玄胡（四钱）
上九味，同前酒煮四味，俱末，酒煮面糊丸，空心醋汤下。
固真丸 治带久不止，脐腹冷痛，目中溜火，此皆寒湿乘其胞内，肝经伏火也。
白石脂（一钱烧赤水飞研） 白龙骨（二钱此二味枯涩） 干姜（炮泻寒水四钱） 黄柏
（五分引用） 柴胡（一钱本经） 芍药 虚加人参 黄
上末，面糊丸，空心下，血竭将枯加葵花、郁李仁。
红葵丸 治白脓带下，此肠胃有脓也，脓去尽自安。
葵根（一两） 白芷（五钱） 赤芍 枯矾（二钱半）
上蜡丸米饮下。
又 黄荆子（炒焦，米酒下，亦治白带白浊。）
头发向上竖起的是死证。
汗出而不流动的是死证。
胸陷、唇干、两眼直视的是死证。
口气冷、手掌冷的是死证。
身体僵硬、头低垂的是死证。
前阴部肿胀凹陷如坑的是死证。
鼻部干燥发黑的是死证。
腹部胀大、青筋暴露，爪甲发黑，舌伸出口外且牙齿咬切，鱼口（外阴）气息急促的，都是死证。
婴儿啼哭却不发声，或者发出乌鸦般的叫声，或者忽然大声尖叫的，都是死证。
脉象平和而虚弱的，是正在哺乳的母亲。
心脉洪大而滑利，肺脉微细且不浮；肝脉微横且不绝断的，都是怀孕。
阴脉搏动有力而与阳脉有别，称为有孕（搏，指脉气逼近于下；别，指脉气别出于上，气血调和，阴阳施化，称为有孕）。
少阴脉（即心脉）跳动明显的，是怀孕。
尺脉按之不绝断的，是怀孕。
寸、关、尺三部脉浮沉力度相当，按之不绝断的，是怀孕。
寸脉微、关脉滑、尺脉数且流利，往来像麻雀啄食一样的，是怀孕。
妊娠初期，寸脉微小，呼吸五至；到了三个月，尺脉数滑疾速，重手按压感觉散漫的，是三个月妊娠；重手按压不散漫，但坚实不滑利的，是五个月妊娠。
判断男女的方法：
左手脉沉、实、疾、大的是男胎，纵势主双胎。
右手脉沉、实、疾、大的是女胎，纵势主双胎。
注解说：纵就是横的意思。
离经脉：
一呼三至，称为离经；脉沉细而滑，称为离经；尺脉转急如切绳状，称为离经。
脉浮，腹痛牵引腰脊的，是即将分娩。
妊娠三个月口渴，脉象反而迟，想要形成水饮病，如果再出现腹痛，就会流产。
妊娠五个月、六个月，脉数必定导致坏胎，脉紧必定导致胞漏（阴道出血），脉迟必定导致腹满而喘，脉浮必定导致水湿泛滥浮肿。
妊娠六七月，脉弦、发热恶寒，胎儿超过腹部范围，腹痛小腹像扇子一样张开感，这是因为子宫闭阻，应当用附子温补。
妊娠六七月，突然大量泄下水液斗余，必然倚靠身体流产。
妊娠七个月、八个月，脉实大牢强，脉弦者能生，脉沉细者死。
足月临产，身体发热、脉象紊乱的，预后良好。
新产后，脉沉小滑的能生，脉实大弦急的死，脉急疾不调的死；新产后感冒热病，脉悬小，四肢温暖的能生，四肢寒冷的死；新产后感冒伤寒中风，脉实大浮的能生，脉小急的死。
脉微涩是无子；脉弦大是无子；这都是因为血虚气弱所致。
漏血，下赤白之物，每天下降数升，脉急实的死；脉紧大的死；脉迟的能生；脉虚小的能生。
寸关脉调如常，尺脉绝不至的，是月经不利，牵引腰部绞痛，气机积聚，向上冲撞胸胁。
脉得浮紧应当身体疼痛，如果不痛而腹鸣的，必定发生阴吹（阴道排气有声）。寸口脉浮而弱（浮为虚，浮短气弱有热而无血），趺阳脉浮而涩（浮为气满，涩为有寒），少阴脉弱而微（微为血少，弱为生风），胃气下泄，吹而正喧，这是谷气实盛的表现，用发煎导引治疗。
少阴脉滑而数，阴中必定生疮。
少阴脉弦，大肠必定脱出如核状。
少阴脉浮而紧，紧则疝瘕，腹中痛，半产而堕伤，浮则亡血，绝产恶寒。
少阴脉浮而动，浮为虚，动为痛，必定发生脱肛或子宫下垂。
凡是妇人的脉，通常希望比丈夫的脉濡弱。
胎堕 因虚而热
四物汤、四君子汤，加阿胶、乌梅、桑寄生、黄芩，治疗胎动不安无时，下血疼痛。
枳壳（麸炒）、川芎（各一两）、熟地黄（二两）、糯米（二合），生姜、大枣、金银花同煎，治疗伤胎。
转胎 因血虚有痰。
症状是胎满逼迫胞宫，导致小便不利，尿液不由自主流出。
胎满逼迫胞宫，是因为有痰，胎儿躲避而下。又因气血不足，不能升举，用四物汤加活石、贝母，有痰加二陈汤，严重的服药后探吐。
恶阻 因痰血相搏，用二陈汤加减主治。
胎妇腹胀 因脾虚有热而气机不利。
枳壳（炒）、白术、黄芩。
治疗气急胎惊，两胁膨胀，腹满连脐，急痛，坐卧不宁，睡中惊醒。
四君子汤，加茯苓、木香、川芎、当归、麦门冬。
胎水 即肿满，俗名子肿。因冷湿引起。
当归、芍药、茯苓、白术、陈皮（每味四钱），用鲤鱼处理干净煮熟，去掉鱼，取汁一盏半，加入生姜与药同煎至七分，空腹服用。
胎妇寒热 用小柴胡汤去半夏。
胎痛 因血少。
四物汤加香附、紫苏（能安胎）。
子悬 即胎气凑上心腹，胀满而痛，因胎气不和所致。
大腹皮、紫苏、陈皮、白芍、川芎、当归（酒洗各一两）、人参、甘草（各半两），生姜、葱白煎服。
又治疗临产惊恐气结，连续几天无法分娩。
心痛 因宿寒搏血，血凝其气，气与血并结。
玄胡索（醋炒）、当归、陈皮，酒糊丸。
又一方加肉桂、赤芍药、蒲黄、木香、乳香、没药。
又一方 五灵脂、蒲黄（醋炒），醋汤送下即失笑散。有寒加肉桂，有热加栀子，气滞加木香、枳壳，虚加川芎、当归（祖辈按语：以上两方治疗心痛可以，但有胎则禁忌，或许可用于产后心痛。）
子烦 病若烦闷，因二火（君火、相火）所致。
麦门冬、黄芩、茯苓、竹叶，煎服。
一方加人参、防风。
胎漏 胶艾汤治疗胎动不安下血，或胎气奔上刺心短气，以及治疗跌仆损伤，用四物汤加胶艾。
无故下血，腹痛不甚，或下黄汁。
用野苎根（炒一两）、金银花（各五钱），水酒各一盏煎服。
坠跌压触，胎动腹痛下血。
用缩砂仁炒透，研末，酒送下。
胞漏下血 用生地黄末，酒送下。
一方加白术、地黄、枳壳、黄芩，汤送下，治疗血虚有热胎漏。胎漏下血，用川芎、当归，水酒煎服试探。若不损则痛止，若已损则逐下排出。
宿有风冷，胎痿不长，动伤易致损坠。
白术、川芎（一两）、川椒（去口炒七钱半）、牡蛎（五钱），酒送下。
腹痛加芍药。心下痛加川芎。
当归、川芎、芍药、干姜，酒送下。
又一方 治疗恶露不散，脐腹坚胀。
当归、川芎、牡丹皮（一两）、玄胡索、肉桂，蜜丸。
阴脱 乃气血下溜。
四物汤、黄芩（一两）、皮（烧存性五钱）、牡蛎（二两）、升麻，饮送下。
又 硫黄、乌贼骨（五钱）、五味子（一钱），研末掺患处。
又 蛇床子（炒），热布包裹熨烫患处。
阴肿
桃仁、枯矾、五倍子，等分研末敷上。
诸淋
白茅根（一两）、瞿麦穗、茯苓（五钱）、蒲黄、桃胶、滑石、甘草（一钱）、车前子（十个烧）、葵子、人参（各二钱）、石首鱼脑骨（二十个烧）。
上方加生姜、灯心草、木通汤送下。
虚烦
人参、当归、熟地黄、麦门冬、肉桂、芍药。
论凡产间临月未诞者，凡有病，先以黄芩、白术安胎，然后方用治病药。
发热及肌热者，黄芩、黄连、人参、...主治。（原文此处似有缺字，依语境推测可能为人参等补气药，但严格按原文翻译）
腹痛者，宜白芍药、甘草。
感冒者，根据解利治之。
凡产后诸病 忌用白芍药，宜黄芩、柴胡。
内恶物上冲胸胁者，宜大黄、桃仁。
血刺痛者，宜当归。
内伤发热者，宜黄连。
渴者宜茯苓，忌半夏。
喘嗽去参，腹胀去甘草。
产后身热血证，一同伤寒治疗，若伤寒当有痛处，脉弦而迟宜解表散寒；血虚者无痛，脉弱而涩，宜补血。
酒煮当归丸 治疗一切虚证下脱，脉洪大无力，按之空虚不鼓，此为中寒之证。
当归（一两）、茴香（炒五钱）、附子（炮）、良姜（各七钱）。
以上四味锉碎，以酒一升半，煮至酒尽，焙干。
黄盐（炒）、丁香、苦楝、甘草（各五分）、蝉蜕（三钱）、柴胡（二钱）、升麻、木香（一钱）、玄胡索（四钱）。
以上九味，与前四味酒煮后的药末混合，用酒煮面糊丸，空腹醋汤送下。
固真丸 治疗带下日久不止，脐腹冷痛，目中溜火，这都是寒湿乘其胞内，肝经伏火所致。
白石脂（一钱烧赤水飞研）、白龙骨（二钱此二味枯涩）、干姜（炮泻寒水四钱）、黄柏（五分引用）、柴胡（一钱本经）、芍药，虚加人参、黄芪。
以上研末，面糊丸，空腹服用，血竭将枯加葵花、郁李仁。
红葵丸 治疗白脓带下，这是肠胃有脓，脓去尽自然安宁。
葵根（一两）、白芷（五钱）、赤芍、枯矾（二钱半）。
以上蜡丸，米饮送下。
又 黄荆子（炒焦，米酒送下，亦治白带白浊。）
Those whose hair stands upward are in a fatal condition.
Those whose sweat does not flow are in a fatal condition.
Those with sunken chest, dry lips, and fixed staring eyes are in a fatal condition.
Those with cold breath and cold palms are in a fatal condition.
Those with stiff body and drooping head are in a fatal condition.
Those with swelling and depression of the external genitalia like a pit are in a fatal condition.
Those with dry, black, and parched nose are in a fatal condition.
Those with large abdomen and exposed blue veins, black nail beds, tongue protruding with teeth gnashing, and rapid breathing from the fish-mouth (external genitalia) are all in a fatal condition.
Infants who cry without sound, or make crow-like sounds, or suddenly scream loudly are all in a fatal condition.
Pulse is peaceful but weak indicates a nursing mother.
Heart pulse is surging, large, and slippery; Lung pulse is faint and not floating; Liver pulse is slightly horizontal and unceasing, all indicate pregnancy.
Yin pulse beats strongly and differs from Yang pulse, this is called having a child (Bo means approaching downwards; Bie means distinguishing upwards; Qi and blood are harmonious, Yang acts and Yin transforms, this is called having a child).
Shaoyin pulse (Heart pulse) beating noticeably indicates pregnancy.
Chi pulse unceasing upon pressing indicates pregnancy.
Cun, Guan, Chi pulses are equal in floating and sinking depth, unceasing upon pressing, indicates pregnancy.
Cun pulse is faint, Guan pulse is slippery, Chi pulse is rapid and fluent, coming and going like a sparrow pecking, indicates pregnancy.
At the beginning of pregnancy, Cun pulse is small and faint, respiration is five beats per cycle; at three months, Chi pulse is rapid, slippery, and swift, scattered upon heavy pressing indicates three months; firm but not slippery upon heavy pressing indicates five months.
Methods for determining gender:
Left pulse sinking, solid, rapid, and large indicates male fetus, longitudinal indicates twins.
Right pulse sinking, solid, rapid, and large indicates female fetus, longitudinal indicates twins.
Note says: Longitudinal means transverse.
Li Jing Pulse:
Three beats per exhalation is called Li Jing; sinking, fine, and slippery is called Li Jing; Chi pulse turning urgent like cutting a rope is called Li Jing.
Floating pulse, abdominal pain radiating to waist and spine, indicates imminent birth.
Pregnant at three months with thirst, pulse reversely slow, intending to form fluid retention, if accompanied by abdominal pain, leads to miscarriage.
Pregnant at five or six months, rapid pulse must lead to fetal damage, tight pulse must lead to uterine bleeding, slow pulse must lead to abdominal fullness and wheezing, floating pulse must lead to water swelling.
Pregnant at six or seven months, string-taut pulse, fever, aversion to cold, fetus exceeding abdomen size, abdominal pain with lower abdomen feeling like a fan, due to uterine closure, should be warmed with Fuzi (Aconite Root).
Pregnant at six or seven months, sudden discharge of over a dou of water, must lean on support to miscarry.
Pregnant at seven or eight months, pulse solid, large, firm, and strong, string-taut pulse allows birth, sinking and fine pulse indicates death.
Full term delivery, body heat and chaotic pulse are auspicious.
Postpartum, sinking, small, and slippery pulse allows survival, solid, large, string-taut, and urgent pulse indicates death, rapid and irregular pulse indicates death; postpartum contracting heat disease, hanging and small pulse, warm limbs allow survival, cold limbs indicate death; postpartum contracting wind-cold, solid, large, and floating pulse allows survival, small and urgent pulse indicates death.
Faint and choppy pulse indicates no offspring; string-taut and large pulse indicates no offspring; both are due to blood deficiency and Qi weakness.
Leaking blood, discharging red and white matter, descending several sheng daily, urgent and solid pulse indicates death; tight and large pulse indicates death; slow pulse allows survival; deficient and small pulse allows survival.
Cun and Guan pulses regular as usual, Chi pulse absent, menstrual flow difficult, pulling waist and severe pain, Qi accumulation, rushing up to chest and hypochondrium.
Pulse getting floating and tight should cause body pain, if no pain but abdominal borborygmus, must have Yin Chui (vaginal flatulence). Cun Kou pulse floating and weak (floating is deficiency, short floating Qi weak with heat but no blood), Zu Yang pulse floating and choppy (floating is Qi fullness, choppy is cold), Shaoyin pulse weak and faint (faint is little blood, weak generates wind), Stomach Qi leaking downward, blowing and noisy, this is excess of Grain Qi, treat with Fa Jian (Hair Decoction) to guide it out.
Shaoyin pulse slippery and rapid, vagina must have sores.
Shaoyin pulse string-taut, large intestine must prolapse like a kernel.
Shaoyin pulse floating and tight, tight means hernia and mass, abdominal pain, half-birth and miscarriage injury, floating means loss of blood, sterile and aversion to cold.
Shaoyin pulse floating and moving, floating is deficiency, moving is pain, must have prolapse.
Generally, women's pulse should be softer and weaker than men's.
Miscarriage due to deficiency and heat.
Si Wu Tang (Four Substances Decoction), Si Jun Zi Tang (Four Gentlemen Decoction), add Ejiao (Donkey-hide Gelatin), Wumei (Mume Fruit), Sangjisheng (Taxillus), Huangqin (Scutellaria Root), treats restless fetal movement anytime, bleeding and pain.
Zhike (Bitter Orange Peel, bran-fried), Chuanxiong (Ligusticum Rhizome) (each one liang), Shudi (Prepared Rehmannia Root) (two liang), Nuomi (Glutinous Rice) (two he), decoct together with Shengjiang (Fresh Ginger), Dazao (Jujube), Jinyinhua (Honeysuckle), treats injured fetus.
Turning Fetus due to blood deficiency with phlegm.
Symptoms: fetal fullness pressing on uterus, causing urinary difficulty, urine leaking unknowingly.
Fetal fullness pressing on uterus is due to phlegm, fetus avoids and descends. Also due to insufficient Qi and blood, unable to lift, Si Wu Tang plus Huoshi (Living Stone), Beimu (Fritillaria Bulb), if phlegm add Er Chen Tang (Two Aged Decoction), severe cases induce vomiting after medication.
Morning Sickness due to phlegm and blood struggling, treated with modified Er Chen Tang (Two Aged Decoction).
Abdominal Distension in Pregnant Women due to Spleen deficiency with heat and unfavorable Qi.
Zhike (Bitter Orange Peel, fried), Baizhu (Atractylodes Rhizome), Huangqin (Scutellaria Root).
Treats Qi urgency and fetal fright, distension of two hypochondria, abdominal fullness connecting to umbilicus, acute pain, restlessness sitting and lying, sleep fright.
Si Jun Zi Tang (Four Gentlemen Decoction), add Fuling (Poria), Muxiang (Aucklandia Root), Chuanxiong (Ligusticum Rhizome), Chuangui (Angelica Sinensis), Maidong (Ophiopogon Tuber).
Tai Shui (Fetal Water) is edema, commonly known as Zi Zhong (Subfetal Swelling). Due to cold-dampness.
Chuangui (Angelica Sinensis), Shaoyao (Peony Root), Fuling (Poria), Baizhu (Atractylodes Rhizome), Chenpi (Citrus Peel) (four qian each), use carp cleaned and boiled well, remove fish, take juice one and a half zhan, add ginger and medicine decoct to seven fen, take on empty stomach.
Chills and Fever in Pregnant Women: Xiao Chai Hu Tang (Minor Bupleurum Decoction) minus Banxia (Pinellia Tuber).
Fetal Pain due to blood deficiency.
Si Wu Tang (Four Substances Decoction) add Xiangfu (Cyperus Rhizome), Zisu (Perilla Leaf) (can calm fetus).
Zi Xuan (Fetal Suspension) is fetal Qi rushing to heart and abdomen, distension and pain, due to disharmony of fetal Qi.
Dafupi (Areca Peel), Zisu (Perilla Leaf), Chenpi (Citrus Peel), Baishao (White Peony Root), Chuanxiong (Ligusticum Rhizome), Chuangui (Angelica Sinensis, wine-washed each one liang), Renshen (Ginseng Root), Gancao (Licorice Root) (each half liang), Shengjiang (Fresh Ginger), Congbai (Scallion White) decoct and take.
Also treats fright and Qi stagnation during labor, inability to deliver for days.
Heart Pain due to old cold clashing with blood, blood coagulates Qi, Qi and blood merge.
Yanhusuo (Corydalis Rhizome, vinegar-fried), Chuangui (Angelica Sinensis), Chenpi (Citrus Peel), wine paste pills.
Another formula adds Rougui (Cinnamon Bark), Chishao (Red Peony Root), Puhuang (Pollen Typhae), Muxiang (Aucklandia Root), Rushi (Frankincense), Moyao (Myrrh).
Another formula: Wulingzhi (Trogopterus Dung), Puhuang (Pollen Typhae, vinegar-fried), taken with vinegar soup is Shixiao San (Laughing Off Powder). Add Rougui (Cinnamon Bark) for cold, Zhizi (Gardenia Fruit) for heat, Muxiang (Aucklandia Root) and Zhike (Bitter Orange Peel) for Qi, Chuanxiong (Ligusticum Rhizome) and Chuangui (Angelica Sinensis) for deficiency. (Ancestor's note: The above two formulas treat heart pain well, but contraindicated during pregnancy, perhaps applicable to postpartum heart pain.)
Zi Fan (Fetal Restlessness) illness like vexation, due to Two Fires (Ministerial Fire and Sovereign Fire).
Maidong (Ophiopogon Tuber), Huangqin (Scutellaria Root), Fuling (Poria), Zhuye (Bamboo Leaf) decoct and take.
One formula adds Renshen (Ginseng Root), Fangfeng (Saposhnikovia Root).
Tai Lou (Fetal Leakage): Jiao Ai Tang (Gelatin and Mugwort Decoction) treats restless fetus with bleeding, or fetal Qi rushing up piercing heart and shortness of breath, and treats falls, Si Wu Tang (Four Substances Decoction) plus Jiao Ai (Gelatin and Mugwort).
Spontaneous bleeding, mild abdominal pain, or discharging yellow juice.
Use Yezhu Gen (Wild Ramie Root, fried one liang), Jinyinhua (Honeysuckle) (each five qian), decoct with water and wine each one zhan.
Falls, pressure, touching, fetal movement, abdominal pain, bleeding.
Use Suosha (Amomum Fruit, thoroughly fried), powder, taken with wine.
Bao Lou (Uterine Leakage) bleeding: Use Sheng Dihuang (Rehmannia Root powder), taken with wine.
One formula adds Baizhu (Atractylodes Rhizome), Dihuang (Rehmannia Root), Zhike (Bitter Orange Peel), Qin (Scutellaria), taken with soup, treats blood deficiency with heat fetal leakage. For fetal leakage bleeding, use Xiong (Ligusticum) and Gui (Angelica), decoct with water and wine to test. If not damaged, pain stops; if already damaged, expel downwards.
Old wind-cold, fetus withers and fails to grow, movement injury easily causes damage and falling.
Baizhu (Atractylodes Rhizome), Chuanxiong (Ligusticum Rhizome) (one liang), Chuanjiao (Sichuan Pepper, de-stemmed and fried seven qian half), Mumu (Oyster Shell) (five qian), taken with wine.
Add Shaoyao (Peony Root) for abdominal pain. Add Chuanxiong (Ligusticum Rhizome) for epigastric pain.
Chuangui (Angelica Sinensis), Chuanxiong (Ligusticum Rhizome), Shaoyao (Peony Root), Ganjiang (Dried Ginger), taken with wine.
Another formula: Treats lochia not dispersing, firm and distended navel and abdomen.
Chuangui (Angelica Sinensis), Chuanxiong (Ligusticum Rhizome), Mudanpi (Tree Peony Bark) (one liang), Yanhusuo (Corydalis Rhizome), Rougui (Cinnamon Bark), honey pills.
Yin Tuo (Vaginal Prolapse) is Qi and blood sinking downward.
Si Wu Tang (Four Substances Decoction), Huangqin (Scutellaria Root) (one liang), Pi (Bark, burnt to retain nature five qian), Mumu (Oyster Shell) (two liang), Shengma (Cimicifuga Rhizome), taken with drink.
Another: Liu Huang (Sulfur), Ou Gu (Cuttlefish Bone) (five qian), Wuweizi (Schisandra Berry) (one qian), powder applied to affected area.
Another: Shechuangzi (Cnidium Fruit, fried), wrapped in hot cloth and ironed.
Yin Zhong (Vulvar Swelling)
Taoren (Peach Seed), Kufan (Alum), Wubeizi (Galla Chinensis), equal parts powder applied.
Various Lin Syndrome (Strangury)
Baimaogen (Imperata Rhizome) (one liang), Qumai (Dianthus Herb), Fuling (Poria) (five qian), Puhuang (Pollen Typhae), Tao Jiao (Peach Gum), Huashi (Talcum), Gancao (Licorice Root) (one qian), Cheqianzi (Plantago Seed, ten roasted), Kuizi (Malva Seed), Renshen (Ginseng Root) (each two qian), Shishouyu Naogu (Croaker Fish Brain Bone, twenty roasted).
Above taken with Jiang (Ginger), Dengxin Cao (Juncus Effusus), Mutong (Akebia Stem) soup.
Xu Fan (Deficiency Vexation)
Renshen (Ginseng Root), Chuangui (Angelica Sinensis), Shudi (Prepared Rehmannia Root), Maidong (Ophiopogon Tuber), Rougui (Cinnamon Bark), Shaoyao (Peony Root).
Discussion: Generally, near term before delivery, if any illness occurs, first use Huangqin (Scutellaria Root) and Baizhu (Atractylodes Rhizome) to calm fetus, then use medicine to treat illness.
For fever and muscle heat, Huangqin (Scutellaria Root), Lian (Coptis Rhizome), Shen (Ginseng)... treat it.
For abdominal pain, suitable Baishao (White Peony Root), Gancao (Licorice Root).
For cold, treat according to resolution methods.
Generally for postpartum illnesses, avoid Baishao (White Peony Root), suitable Huangqin (Scutellaria Root), Chaihu (Bupleurum Root).
For internal foul matter rushing up to chest and hypochondrium, suitable Dahuang (Rhubarb Root), Taoren (Peach Seed).
For stabbing blood pain, suitable Danggui (Angelica Sinensis).
For internal injury fever, suitable Huanglian (Coptis Rhizome).
For thirst, suitable Fuling (Poria), avoid Banxia (Pinellia Tuber).
For wheezing cough remove Renshen (Ginseng), for abdominal distension remove Gancao (Licorice Root).
Postpartum body heat and blood syndrome, treat same as Shang Han (Cold Damage); if Shang Han should have painful sites, string-taut and slow pulse should resolve Shang Han; blood deficiency has no pain, weak and choppy pulse should tonify blood.
Jiu Zhu Dang Gui Wan (Wine-Boiled Angelica Pill) treats all deficiency syndromes with downward collapse, surging and large pulse but powerless, empty and non-resilient upon pressing, this is middle-jiao cold syndrome.
Danggui (Angelica Sinensis) (one liang), Huixiang (Fennel Fruit, fried five qian), Fu (Aconite Root, processed), Liangjiang (Galangal Rhizome) (each seven qian).
The above four ingredients chopped, boil with one and a half sheng of wine until wine is exhausted, dry roast.
Huangyan (Yellow Salt, fried), Dingxiang (Clove), Kulian (Toosendan Fruit), Gancao (Licorice Root) (each five fen), Chantui (Cicada Slough) (three qian), Chaihu (Bupleurum Root) (two qian), Shengma (Cimicifuga Rhizome), Muxiang (Aucklandia Root) (one qian), Yanhusuo (Corydalis Rhizome) (four qian).
The above nine ingredients, mixed with the previous four wine-boiled ingredients into powder, wine-boiled wheat paste pills, taken on empty stomach with vinegar soup.
Gu Zhen Wan (Solidify True Pill) treats leukorrhea lasting long, cold pain in navel and abdomen, fire sliding in eyes, all due to cold-damp invading uterus, latent fire in Liver meridian.
Baishi Zhi (Kaolin), Bailonggu (Dragon Bone) (these two are dry and astringent), Ganjiang (Dried Ginger, processed to drain cold-water four qian), Huangbai (Phellodendron Bark) (five fen for guidance), Chaihu (Bupleurum Root) (one qen original classic), Shaoyao (Peony Root), deficiency add Renshen (Ginseng Root), Huangqi (Astragalus Root).
Above powder, wheat paste pills, taken on empty stomach, if blood essence about to dry add Sunflower and Yuli Ren (Prunus Semen).
Hong Kui Wan (Red Hibiscus Pill) treats white purulent leukorrhea, this is pus in intestines and stomach, when pus is gone, naturally safe.
Kugen (Hibiscus Root), Baizhi (Angelica Dahurica Root) (five qian), Chishao (Red Peony Root), Kufan (Alum) (two qian half).
Above wax pills, taken with rice drink.
Another: Huangjingzi (Vitex Fruit, fried scorched, taken with rice wine), also treats white leukorrhea and turbidity.