一妇人，但有孕至三个月左右必堕，其脉左手大而无力，重则涩，知其血少也。以其妙年，只补中气，使血自
荣，时初夏，教以浓煎白术汤下黄芩末一钱，与数十帖得保全而生。因思之堕于内热而虚者，于理为多，日热日虚，当
分轻重，盖孕至三月，上属相火，所以易堕，不然何以黄芩、熟艾、阿胶等为安胎药邪？妇人经候三月验胎，法川芎生
末，空心浓汤调，下一匙，腹中微动是有胎。产前当清热养血，产妇胎前八九个月，因火动胎逆上作喘者，急可用条
芩、香附之类为末，调下。将条芩更于水中，取沉重者用。固胎∶地黄（半钱） 当归身尾 人参 白芍药 陈皮（以
上各一钱） 白术（一钱半） 黄芩 川芎（各半钱） 黄连 炒柏（各少许） 甘草（三分） 桑上羊儿藤（七叶
圆者，即金银藤） 糯米（十四粒），上 咀煎服。血虚不安者，用阿胶，痛者用缩砂。束胎丸，第八九个月服之∶
黄芩（夏一两，春秋七两，冬半两，酒炒） 陈皮（一两） 白术（二两忌火） 茯苓（七钱半，忌火） 上为末，粥
丸。束胎饮∶大腹皮（三钱） 人参（半钱） 陈皮（半钱） 白术（一两） 白芍药（一钱） 紫苏茎叶（一钱） 炙
甘草（三分） 当归身尾（一钱） 或加枳壳、缩砂，上作一帖，入青葱五叶，黄杨树叶梢七个，煎，食前服，于
第八九个月服十数帖，甚得力。或夏加黄连，冬不必加，春加川芎，或有别证以意消息之。第九个月服∶黄芩（一两宜
凉怯弱人不药减半用） 枳壳（炒七钱半） 白术（一两） 滑石（七钱半）临月十日前，小便少时，
加此一味，上为末，粥丸，桐子大，每服三十丸，空心热汤下，不可多服。恐损元气，中加炙甘草二分煎，食前服，亦
名束胎饮。达生散，九个月服起，亦不妨服三五十帖，腹不痛而易产∶黄芩、人参、白术、滑石、枳壳、黄杨头、香
附米、陈皮、甘草、大腹皮、紫苏、白芍药。春加川芎，气虚倍参、术，气实倍香附、陈皮，血虚倍当归、地黄，形实
倍紫苏，性急倍黄连，热多倍黄芩，湿痰倍滑石加半夏，食积倍加山楂，食后易饥倍黄杨头，有热加芩，夏亦加之，有
痰加半夏，腹痛加木香、官桂，监以黄芩，冬月不用芩。安胎丸，白术、黄芩、炒曲、用粥丸。黄芩安胎，乃上、中
二焦药，能降火下行也；缩砂安胎治痛行气故也。产前安胎，白术、黄芩、妙药也。茺蔚子活血行气，有补阴之妙，
故名曰益母草，胎前无滞，产后无虚，以其行气中有补也。妊娠四五月，忽腹绞痛，大枣十四个烧焦为末，童便调下。
胎动不安，或但腰痛，或胎转抢心，或下血不止，艾叶，鸡子大，酒四升，煮二升，分二服，大妙。胎动腹痛，子死
不知，服此药，活则安，死则下∶当归（四两） 川芎（九两） 酒（四升），煮三升服之。胎气不和上凑，心腹胀
满疼
痛，谓之子悬，又治临产惊恐气结，连日不下，一方，紫苏饮用∶紫苏 连茎（一两） 当归（七钱） 人参 川芎
白芍药 陈皮（各半两） 甘草（三钱） 大腹皮（半两） 姜（四片） 葱（七寸），煎，空心服。妊娠冲
动不安，缩砂不以多少，慢火炒熟，去皮为末，热酒调下，觉腹中胎动处极热，即胎安，神效。胎死腹中，其母气
绝，□□□□服之，又益母草汁服之立下。倒产子死腹中，当归末酒调服。子死腹中，母欲气绝，以伏能肝为
末，水调服。又方，朱砂一两，水煎数沸，为末，酒调服立效。日月未满欲产，捣菖蒲汁二升，灌喉中。妊娠从
脚连腹肿满，小便不利，微渴，猪苓五两为末，熟水服方寸匕，日三服。妊娠咳嗽，贝母炒为末，砂糖和末丸，夜
含化妙。妊娠伤食，难为用药，惟木香丸、白术散稳当，须忌口。经聚而孕成者，恐有胎气不安，或腹微痛，或腰
间作疼，或饮食不甘美，以安胎饮疗之∶白术（一钱） 人参（半钱） 当归（一钱） 白芍药（一钱） 熟地黄（
一钱） 川芎（五分） 陈皮（五分） 甘草（三分） 缩砂（二分） 紫苏（三分） 条芩（五分） 上作一帖，
姜一片，水煎，食前服。此药五七个月后常服数帖，可保全产妇始终，七八个月服此药或加大腹皮、黄杨头七枚，尤
妙。坐褥之月∶全身当归（一钱） 川芎（一钱） 白芷（五分） 条芩（一钱） 陈皮（一钱） 香附（一钱
）甘草（三分） 上煎汤，调益元散一钱，体虚人加人参一钱。子悬腹胀及肚痛胎痛，护胎紫苏饮。子肿湿
多，山栀炒一合，米汤吞下。《三因方》中有鲤鱼汤，治妊娠腹大，间有水气者∶白术（五两） 白芍药 当归（各三
两） 茯苓（四两） 上锉，以鲤鱼一尾，修事如食法，煮取汁，去鱼不用，每服四钱，入鱼汁一盏半，姜七片，
陈皮少许，煎服。初觉有娠，雄黄一两，缝绛囊带之转女为男；又方，始以弓弩 缚腰间，满二月解却，转女为男，
秘法不传。胎漏属气虚、血虚、血热。妊娠安胎，大麦 二两水一盏半，煎一盏温服，分三服，或用蜜调亦可。又方，
四物汤加牛膝、蓬术、炮官桂、红花等分，用水七分，煎至一半，空心服。又方，枣一个，入韶粉一指大，湿纸包煨
热，空心无灰酒嚼下，一日三四枚，亦下死胎。下死胎方，以佛手散煎加麝香、当门子三粒，大黄末一钱，重者加瓦
上焙虻虫、水蛭末服。子肿鲤鱼汤加参术五苓散。恶阻从痰治，多用二陈汤入白术末，水丸，随所好，汤水
下。又方，香附子二钱，砂仁、茯苓、甘草各一钱，喜辛加丁香，为末干服。怀孕
爱物，乃一脏之虚，假如肝脏虚，其肝止能养胎，无余用也。不能荣肝，肝虚故爱酸物。胎热将临月，以三补丸加
香附炒、白芍药，炊饼丸。又抑热，以三补丸用地黄膏为丸。有孕八九月，必须顺气，枳壳、紫苏茎。一妇人年
近三十，怀孕两月，病呕吐，头眩目晕，不可禁持，以参、术、芎、陈皮、茯苓之药，五七日愈沉重，脉弦，左为甚而
且弱，此是恶阻病。因怒气所激，肝气既逆，又挟胎气，参术之补，大非所宜。只以茯苓汤下抑青丸二十四粒，五帖稍
安，其脉略有数状，口干苦，稍食少粥则口酸，盖因膈间滞气未尽行，教以川芎、陈皮、山栀、生姜、茯苓，煎汤下抑
青丸五十粒，十余帖，余证皆平，食及常时之半，食后觉易饥，盖由肝热未平，则以白汤下抑青丸二十粒，至二十日而
安。脉之，两手虽平和而左弱甚，此胎必堕，此时肝气既平，参、术可用矣，遂以始之参、术等兼补之，预防堕胎以
后之虚，服之一日，其胎自堕，却得平稳无事。一妇人，形瘦性急，体本无热，怀孕三月，当盛夏，渴思水，因与四
物汤加黄芩、陈皮、生甘草、木通，数帖而安。其后得子，二岁顿有 疟，盖孕中药少，胎毒未消，若生疮疥，其病自
痊已而验。黄芩乃安胎之圣药也，俗人不知以为寒，而不敢用，谓温药可养胎，殊不知以为产前当清热，清热则血循
经不妄行，故能养胎。产前用四物汤，若血虚瘦弱之人，勿用芍药能伐肝故也，如壮盛者亦可用之。产难气血虚故
也。《格致余论》甚详，《大全良方》有药可选用之。产难之由，有八九个月内不谨者，亦有气滞而不能转运者。产
妇产毕须令有力，妇人坐于床上，令产妇靠定，坐三两时，待恶露尽，方可睡下，不然恶血入心即死矣。又灸法治妇
产难，于妇人右脚小指尖头上，用熟艾炷如小麦，灸五壮即
下。催生方，用白芷、百草霜、滑石为末，芎归汤下。亦治胞衣不下，姜汁或酒调，《妇人大全良方》别有药。易产
方，用益母草，六月带根晒干为末，蜜丸，弹子大，临产时熟水化下，或熬成膏服之亦妙。催生方，白芷、百草霜等
分为末，坐褥之际，白汤调服。或与益元散同服尤妙。又治横生逆产，以童便滴醋调下，更以滚汤浸之，止于一服。
顷刻活两人之命。又方，车前子为末，酒调服二钱。逆产子死腹中，当归末，酒调服。催生方，煎佛手散调益元
散，临时服，寸金散治产难，败免笔头一枚，烧灰研细，藕汁一盏调下，立产。如产妇虚弱，恐藕汁动风，即用银盏
盛，于火上顿热饮。又方，用油、蜜、小便，三味打匀，下产难。或调益母草末，尤妙。产难方，缩砂、醋煮香
附、枳壳、甘草、滑石，汤调服。脉细匀者，易产；浮大缓者，气散难产。生产如拖船过堰一般。又牛膝膏、地黄
膏治产难。临产下痢，栀子不以多少，烧灰细末，空心热水调一匕，甚者不过五服。当产寒月，脐下胀满，手不可
犯寒，入产门故也，服仲景羊肉汤二服愈。催生方，将产时吞下马槟榔，须臾儿生，两手各掌一粒而出。世之难产
者，往往见于郁闷、安逸、富贵奉养之人，贫贱者鲜有之。古方瘦胎饮一方恐非至论。予族妹，苦于难产，遇胎则触去
之，予甚悯焉。视其形肥，而动于女工，知其气虚久坐，气不运而愈弱。儿在胞胎，因母气虚，不能自运耳。当补其母
之气，则儿健易产。令其有孕至五六个月来告，遂于《大全良方》紫苏饮加补气药与之数十帖，因得男甚快。因以此方，
随母之性禀与时令加减，服者无不应，临蓐时不觉痛，产母亦无病，因名其方曰达生散云。
一位妇女，怀孕到三个月左右必然流产，她的脉象左手大而无力，重按则涩，这是血少的表现。因为她正值青春年少，只需补益中气，使血液自然充盈荣养，当时正值初夏，教导她用浓煎的白术汤送服一钱黄芩末，服用几十帖后得以保全并顺利生产。由此思考，因内热兼虚导致的流产在情理上居多，日积月累的热与虚，应当区分轻重。大概怀孕到三个月，经脉上属相火，所以容易流产，否则为什么黄芩、熟艾、阿胶等被用作安胎药呢？妇人月经停止三个月时验胎，用法是取川芎研成生末，空腹用浓米汤调服一匙，如果腹中有轻微动感就是有胎。产前应当清热养血，产妇在胎前八九个月，因火动导致胎气上逆作喘的，急可用条芩、香附等研为细末，调服。将条芩在水中浸泡，选取沉重的使用。固胎方：地黄（半钱）、当归身尾、人参、白芍药、陈皮（以上各一钱）、白术（一钱半）、黄芩、川芎（各半钱）、黄连、炒柏子仁（各少许）、甘草（三分）、桑上羊儿藤（七叶圆者，即金银藤）、糯米（十四粒），以上药材切碎煎服。血虚不安的，用阿胶；疼痛的，用缩砂仁。束胎丸，在第八九个月服用：黄芩（夏季一两，春秋七两，冬季半两，酒炒）、陈皮（一两）、白术（二两，忌火）、茯苓（七钱半，忌火），以上研为细末，用米粥制成丸剂。束胎饮：大腹皮（三钱）、人参（半钱）、陈皮（半钱）、白术（一两）、白芍药（一钱）、紫苏茎叶（一钱）、炙甘草（三分）、当归身尾（一钱），或者加枳壳、缩砂仁，以上为一帖的量，加入青葱五叶、黄杨树叶梢七个，煎煮，饭前服用，在第八九个月服用十几帖，非常得力。如果是夏季加黄连，冬季不必加，春季加川芎，如果有其他证候根据情况斟酌加减。第九个月服用：黄芩（一两，宜凉怯弱之人减半使用）、枳壳（炒七钱半）、白术（一两）、滑石（七钱半）。临产前十天，如果小便少时，加这一味药，以上研为细末，用米粥制成丸剂，如梧桐子大，每次服用三十丸，空腹用热汤送下，不可多服，恐怕损伤元气。中间加炙甘草二分煎煮，饭前服用，也叫束胎饮。达生散，从第九个月开始服用，不妨服用三五十帖，腹部不痛且容易生产：黄芩、人参、白术、滑石、枳壳、黄杨头、香附米、陈皮、甘草、大腹皮、紫苏、白芍药。春季加川芎，气虚加倍人参、白术，气实加倍香附、陈皮，血虚加倍当归、地黄，形体壮实加倍紫苏，性情急躁加倍黄连，热多加倍黄芩，湿痰加倍滑石加半夏，食积加倍加山楂，饭后易饥加倍黄杨头，有热加黄芩，夏季也加，有痰加半夏，腹痛加木香、官桂，以黄芩监制，冬季不用黄芩。安胎丸，由白术、黄芩、炒神曲组成，用米粥制丸。黄芩安胎，是上、中二焦的药，能降火下行；缩砂仁安胎治痛是因为它能行气。产前安胎，白术、黄芩是妙药。茺蔚子活血行气，有补阴的妙处，所以名叫益母草，胎前无瘀滞，产后无虚弱，因为它在行气中有补益作用。妊娠四五月，忽然腹部绞痛，大枣十四个烧焦研为细末，用童便调服。胎动不安，或者只是腰痛，或者胎转抢心，或者下血不止，用艾叶，如鸡蛋大小，酒四升，煮至二升，分两次服用，效果极好。胎动腹痛，胎儿已死不知，服用此药，活则安胎，死则下胎：当归（四两）、川芎（九两）、酒（四升），煮至三升服用。胎气不和上冲，心腹胀满疼痛，称为子悬，又治疗临产惊恐气结，连日不下，一方用紫苏饮：紫苏连茎（一两）、当归（七钱）、人参、川芎、白芍药、陈皮（各半两）、甘草（三钱）、大腹皮（半两）、姜（四片）、葱（七寸），煎煮，空腹服用。妊娠冲动不安，缩砂仁不论多少，慢火炒熟，去皮研为细末，热酒调服，感觉腹中胎动处极热，即胎安，神效。胎死腹中，母亲气绝，[原文缺字]服用，又服益母草汁，立刻生下。倒产且胎儿死于腹中，用当归末酒调服。胎儿死于腹中，母亲欲气绝，用伏龙肝研为细末，水调服。又一方，朱砂一两，水煎数沸，研为细末，酒调服立效。日月未满欲产，捣菖蒲汁二升，灌入喉中。妊娠从脚连腹肿满，小便不利，微渴，猪苓五两研为细末，用熟水服方寸匕，每日三次服用。妊娠咳嗽，贝母炒为细末，砂糖和末制丸，夜间含化效果妙。妊娠伤食，难以用药，只有木香丸、白术散稳妥，必须忌口。经血汇聚而孕成的，恐怕有胎气不安，或者腹部微痛，或者腰间作疼，或者饮食不甘美，用安胎饮治疗：白术（一钱）、人参（半钱）、当归（一钱）、白芍药（一钱）、熟地黄（一钱）、川芎（五分）、陈皮（五分）、甘草（三分）、缩砂仁（二分）、紫苏（三分）、条芩（五分），以上为一帖的量，加姜一片，水煎，饭前服用。此药在五七个月后常服几帖，可保全产妇始终，七八个月服用此药或加大腹皮、黄杨头七枚，尤其好。坐褥之月（坐月子）：全身当归（一钱）、川芎（一钱）、白芷（五分）、条芩（一钱）、陈皮（一钱）、香附（一钱）、甘草（三分），以上煎汤，调益元散一钱，体虚人加人参一钱。子悬腹胀及肚痛胎痛，用护胎紫苏饮。子肿湿多，山栀炒一合，米汤吞下。《三因方》中有鲤鱼汤，治疗妊娠腹大，间有水气者：白术（五两）、白芍药、当归（各三两）、茯苓（四两），以上切碎，用鲤鱼一尾，处理如食用方法，煮取汁，去鱼不用，每次服四钱，加入鱼汁一盏半，姜七片，陈皮少许，煎服。初觉有娠，雄黄一两，缝入红囊佩戴可转女为男；又一方，起初用弓弩绑在腰间，满二月解开，转女为男，秘法不传。胎漏属于气虚、血虚、血热。妊娠安胎，大麦二两水一盏半，煎至一盏温服，分三次服，或者用蜜调亦可。又一方，四物汤加牛膝、蓬术、炮官桂、红花等分，用水七分，煎至一半，空腹服用。又一方，枣一个，入韶粉一指大，湿纸包煨热，空腹无灰酒嚼下，一日三四枚，也可下死胎。下死胎方，以佛手散煎加麝香、当门子三粒，大黄末一钱，重者加瓦上焙干的虻虫、水蛭末服用。子肿鲤鱼汤加参术五苓散。恶阻从痰治，多用二陈汤入白术末，水丸，随所好，汤水送下。又一方，香附子二钱，砂仁、茯苓、甘草各一钱，喜辛加丁香，研为细末干服。怀孕爱物，乃一脏之虚，假如肝脏虚，其肝只能养胎，无余用也。不能荣养肝，肝虚故爱酸物。胎热将临月，以三补丸加香附炒、白芍药，炊饼制丸。又抑热，以三补丸用地黄膏为丸。有孕八九月，必须顺气，用枳壳、紫苏茎。一位妇女年近三十，怀孕两月，病呕吐，头眩目晕，不可禁持，用参、术、芎、陈皮、茯苓的药，五七日愈沉重，脉弦，左为甚而且弱，这是恶阻病。因怒气所激，肝气既逆，又挟胎气，参术之补，大非所宜。只以茯苓汤下抑青丸二十四粒，五帖稍安，其脉略有数状，口干苦，稍食少粥则口酸，盖因膈间滞气未尽行，教以川芎、陈皮、山栀、生姜、茯苓，煎汤下抑青丸五十粒，十余帖，余证皆平，食及常时之半，食后觉易饥，盖由肝热未平，则以白汤下抑青丸二十粒，至二十日而安。诊脉，两手虽平和而左弱甚，此胎必堕，此时肝气既平，参、术可用矣，遂以始之参、术等兼补之，预防堕胎以后之虚，服之一日，其胎自堕，却得平稳无事。一位妇女，形瘦性急，体本无热，怀孕三月，当盛夏，渴思水，因与四物汤加黄芩、陈皮、生甘草、木通，数帖而安。其后得子，二岁顿有疟疾，盖孕中药少，胎毒未消，若生疮疥，其病自痊已而验。黄芩乃安胎之圣药也，俗人不知以为寒，而不敢用，谓温药可养胎，殊不知以为产前当清热，清热则血循经不妄行，故能养胎。产前用四物汤，若血虚瘦弱之人，勿用芍药能伐肝故也，如壮盛者亦可用之。产难气血虚故也。《格致余论》甚详，《大全良方》有药可选用之。产难之由，有八九个月内不谨者，亦有气滞而不能转运者。产妇产毕须令有力，妇人坐于床上，令产妇靠定，坐三两时，待恶露尽，方可睡下，不然恶血入心即死矣。又灸法治妇产难，于妇人右脚小指尖头上，用熟艾炷如小麦，灸五壮即下。催生方，用白芷、百草霜、滑石为末，芎归汤下。亦治胞衣不下，姜汁或酒调，《妇人大全良方》别有药。易产方，用益母草，六月带根晒干为末，蜜丸，弹子大，临产时熟水化下，或熬成膏服之亦妙。催生方，白芷、百草霜等分为末，坐褥之际，白汤调服。或与益元散同服尤妙。又治横生逆产，以童便滴醋调下，更以滚汤浸之，止于一服。顷刻活两人之命。又方，车前子为末，酒调服二钱。逆产子死腹中，当归末，酒调服。催生方，煎佛手散调益元散，临时服，寸金散治产难，败免笔头一枚，烧灰研细，藕汁一盏调下，立产。如产妇虚弱，恐藕汁动风，即用银盏盛，于火上顿热饮。又方，用油、蜜、小便，三味打匀，下产难。或调益母草末，尤妙。产难方，缩砂、醋煮香附、枳壳、甘草、滑石，汤调服。脉细匀者，易产；浮大缓者，气散难产。生产如拖船过堰一般。又牛膝膏、地黄膏治产难。临产下痢，栀子不以多少，烧灰细末，空心热水调一匕，甚者不过五服。当产寒月，脐下胀满，手不可犯寒，入产门故也，服仲景羊肉汤二服愈。催生方，将产时吞下马槟榔，须臾儿生，两手各掌一粒而出。世之难产者，往往见于郁闷、安逸、富贵奉养之人，贫贱者鲜有之。古方瘦胎饮一方恐非至论。予族妹，苦于难产，遇胎则触去之，予甚悯焉。视其形肥，而动于女工，知其气虚久坐，气不运而愈弱。儿在胞胎，因母气虚，不能自运耳。当补其母之气，则儿健易产。令其有孕至五六个月来告，遂于《大全良方》紫苏饮加补气药与之数十帖，因得男甚快。因以此方，随母之性禀与时令加减，服者无不应，临蓐时不觉痛，产母亦无病，因名其方曰达生散云。
A woman, whenever she became pregnant, would inevitably miscarry around the third month. Her pulse was large and powerless on the left hand, and rough (Se) when pressed heavily, indicating a deficiency of blood. Since she was in the prime of her youth, only the middle Qi (Middle Jiao energy) needed to be tonified, allowing the blood to naturally flourish and nourish. At that time, it was early summer, so she was instructed to take one qian of Huangqin powder with thickly decocted Baizhu Tang. After taking dozens of doses, the pregnancy was preserved and she gave birth successfully. Reflecting on this, miscarriages due to internal heat combined with deficiency are more common in principle. The daily accumulation of heat and deficiency should be distinguished by severity. Generally, upon reaching three months of pregnancy, the meridians correspond to Ministerial Fire (Shang Huo), which is why miscarriage is prone to occur; otherwise, why are Huangqin, Shu Ai, and E'jiao used as fetal-anchoring medicines? For women, pregnancy is verified at three months after menstruation ceases. The method involves taking raw Chuanxiong powder, mixed with thick rice soup on an empty stomach, one spoonful; slight movement in the abdomen indicates pregnancy. Before delivery, one should clear heat and nourish blood. For parturients in the eighth or ninth month of pregnancy who experience panting due to fetal qi reversing upward caused by fire, quickly administer powdered Tiaoqin (Coptis chinensis) and Xiangfu, mixed with liquid. Select the heavy pieces of Tiaoqin soaked in water. To secure the fetus: Dihuang (half qian), Danggui shenwei (Danggui root and tail), Renshen, Baishaoyao, Chenpi (each one qian), Baizhu (one and a half qian), Huangqin, Chuanxiong (each half qian), Huanglian, Chao Bai (Chao Baiziren/Fried Biota Seed, each a small amount), Gancao (three fen), Sangshang Yang'er Teng (Seven-leaf round type, i.e., Jin Yin Teng/Honeysuckle Stem), Nuomi (Fourteen grains). The above herbs are chopped and decocted for administration. For blood deficiency causing unrest, use E'jiao; for pain, use Suosha (Amomum villosum). Shuntai Wan (Fetal-Binding Pill) is taken in the eighth and ninth months: Huangqin (one liang in summer, seven liang in spring/autumn, half liang in winter, fried with wine), Chenpi (one liang), Baizhu (two liang, avoid fire), Fuling (seven and a half qian, avoid fire). The above are ground into powder and formed into pills using congee. Shuntai Yin (Fetal-Binding Decoction): Dafupi (Three qian), Renshen (half qian), Chenpi (half qian), Baizhu (one liang), Baishaoyao (one qian), Zisu jingye (Perilla stem and leaf, one qian), Zhigancao (Roasted Licorice Root, three fen), Danggui shenwei (one qian). Alternatively, add Zhike and Suosha. Prepare as one dose, adding five leaves of green onion and seven tips of Yangyang tree leaves. Decoct and take before meals. Take over ten doses in the eighth and ninth months for great efficacy. Add Huanglian in summer, not in winter; add Chuanxiong in spring. Adjust according to other syndromes. For the ninth month: Huangqin (one liang, reduce dosage for those with cold constitution or weakness), Zhike (Stir-fried seven and a half qian), Baizhu (one liang), Huashi (Talcum, seven and a half qian). Ten days before term, if urine output is low, add this herb. Grind the above into powder, form pills with congee, size of Sophora seeds. Take thirty pills per dose with hot soup on an empty stomach. Do not overdose to avoid damaging Yuan Qi. Add two fen of Zhigancao, decoct, and take before meals; also called Shuntai Yin. Dasheng San (Life-Reaching Powder) is taken starting from the ninth month; taking thirty to fifty doses is acceptable, resulting in no abdominal pain and easy delivery: Huangqin, Renshen, Baizhu, Huashi, Zhike, Huangyangtou, Xiangfumii, Chenpi, Gancao, Dafupi, Zisu, Baishaoyao. Add Chuanxiong in spring; double Renshen and Baizhu for Qi deficiency; double Xiangfu and Chenpi for Qi excess; double Danggui and Dihuang for Blood deficiency; double Zisu for robust physique; double Huanglian for irritability; double Huangqin for excessive heat; double Huashi and add Banxia for damp-phlegm; double Shanzha for food stagnation; double Huangyangtou for postprandial hunger; add Huangqin for heat (also in summer); add Banxia for phlegm; add Muxiang and Guigui for abdominal pain, monitored by Huangqin; do not use Huangqin in winter. Antatai Wan (Fetal-Anchoring Pill): Baizhu, Huangqin, Chao Qu (Fried Medicated Leaven), formed into pills with congee. Huangqin anchors the fetus; it acts on the Upper and Middle Jiao, descending fire. Suosha anchors the fetus and treats pain because it moves Qi. For prenatal fetal anchoring, Baizhu and Huangqin are excellent herbs. Chongweizi (Leonurus japonicus seed) invigorates blood and moves Qi, possessing the subtle effect of nourishing Yin, hence named Yimucao (Motherwort). It removes stagnation before birth and prevents deficiency after birth, as it contains tonification within its moving action. In the fourth or fifth month of pregnancy, if sudden severe abdominal cramping occurs, burn fourteen Jujubes to char, grind into powder, and take with children's urine. For restless fetus, or merely lower back pain, or fetus turning upwards pressing on the heart, or continuous bleeding, use Aiyè (Mugwort Leaf), size of a chicken egg, with four sheng of wine, boiled down to two sheng, divided into two doses; highly effective. For fetal movement with abdominal pain where the fetus has died without knowledge, taking this medicine will anchor the fetus if alive, or expel it if dead: Danggui (four liang), Chuanxiong (nine liang), wine (four sheng), boiled down to three sheng for administration. When fetal qi is disordered and rushes upward causing epigastric and abdominal fullness and pain, it is called Zixuan (Fetal Suspension). This formula also treats panic and qi knotting during labor leading to prolonged delivery. One formula uses Zisu Yin: Zisu lianjing (Perilla with stem, one liang), Danggui (seven qian), Renshen, Chuanxiong, Baishaoyao, Chenpi (each half liang), Gancao (three qian), Dafupi (half liang), Jiang (Ginger, four slices), Cong (Scallion, seven cun). Decoct and take on an empty stomach. For restless pregnancy due to Chong Mai disturbance, take any amount of Suosha, stir-fry slowly until cooked, remove skin, grind into powder, and take with hot wine. Feeling extreme heat at the site of fetal movement in the abdomen indicates the fetus is secured; miraculous effect. If the fetus dies in the uterus and the mother's Qi fails, [text missing] take it, and also take juice of Yimucacao to deliver immediately. For breech presentation with fetal death in utero, take Danggui powder mixed with wine. If the fetus dies in the uterus and the mother is about to lose Qi, take Fulonggan (Dragon's House Soil) ground into powder, mixed with water. Another formula: ZhuSha (Cinnabar, one liang), decoct in water for several boils, grind into powder, take with wine for immediate effect. For preterm labor desire before term, crush Changpu juice (two sheng) and pour into the throat. For pregnancy edema spreading from feet to abdomen, difficulty urinating, and slight thirst, take Zhuling powder (five liang), one fangcun bi with warm water, three times daily. For pregnancy cough, fry Beimu (Fritillaria) into powder, mix with sugar paste to form pills, suck slowly at night for best results. For pregnancy food stagnation, medication is difficult; only Muxiang Wan and Baizhu San are safe; dietary restriction is necessary. When conception occurs after menstrual blood gathers, there may be unstable fetal qi, slight abdominal pain, waist pain, or loss of appetite. Treat with Antai Yin: Baizhu (one qian), Renshen (half qian), Danggui (one qian), Baishaoyao (one qian), Shudihuang (one qian), Chuanxiong (five fen), Chenpi (five fen), Gancao (three fen), Suosha (two fen), Zisu (three fen), Tiaoqin (five fen). Prepare as one dose, add one slice of ginger, decoct in water, take before meals. Taking this medicine for several doses after the fifth or seventh month can preserve the mother throughout pregnancy and childbirth. Taking it in the seventh or eighth month, or adding Dafupi and seven Huangyangtou, is especially good. Postpartum month (Zuoru): Danggui whole (one qian), Chuanxiong (one qian), Baizhi (five fen), Tiaoqin (one qian), Chenpi (one qian), Xiangfu (one qian), Gancao (three fen). Decoct in water, mix with one qian of YiYuan San. Add one qian of Renshen for weak constitutions. For Zixuan with abdominal distension and pain, use Hutai Zisu Yin. For Zizhong (fetal edema) with excessive dampness, stir-fry Zhizi (Gardenia) one he, swallow with rice soup. "San Yin Fang" contains Liyu Tang (Carp Decoction) for treating pregnancy with large abdomen and intermittent fluid retention: Baizhu (five liang), Baishaoyao, Danggui (each three liang), Fuling (four liang). Chop the above, use one carp, prepare as for eating, boil to extract juice, discard fish. Take four qian per dose, add one and a half zhan of fish juice, seven slices of ginger, and a little Chenpi, decoct and take. Upon first feeling pregnant, wear one liang of Xionghuang sewn in a red pouch to change female fetus to male; another method: bind a bow and arrow to the waist initially, remove after two months, changing female to male; secret method not transmitted. Taileu (Fetal Leakage) belongs to Qi deficiency, Blood deficiency, or Blood heat. For pregnancy fetal anchoring, boil two liang of Damai (Barley) in one and a half zhan of water, decoct to one zhan, take warm, divided into three doses; or mix with honey. Another formula: Siwu Tang plus Niuxi, Pengzhu, Paoguigui (Prepared Cinnamon Twig), Honghua (Safflower) in equal parts. Use seven parts water, decoct to half, take on empty stomach. Another formula: One Jujube, insert one finger-width of Shaofen (White Lead Powder), wrap in wet paper and roast until hot, chew and swallow with unfermented wine on empty stomach, three to four dates daily, can also expel dead fetus. Formula to expel dead fetus: Decoct Foshou San, add Shexiang (Musk), Dangmenzi (Musk stone) three grains, and one qian of Dahuang powder. For severe cases, add Bichong (Blister Beetle) baked on tile and Shuizhi (Leech) powder. For Zizhong, combine Liyu Tang with Renshen, Baizhu, and Wuling San. Ezu (Morning Sickness) treated from Phlegm, mostly using Erchen Tang with Baizhu powder, water pills, taken with preferred liquid. Another formula: Xiangfu Zi (Cyperi Rhizome) two qian, Renchen, Fuling, Gancao (one qian each). Add Dingxiang (Clove) if preferring pungent taste, grind into powder and take dry. Pregnancy cravings are due to deficiency of one organ. For example, if Liver is deficient, it can only nourish the fetus and has no surplus function. Unable to nourish the Liver, Liver deficiency causes craving for sour foods. For fetal heat near term, use Sanbu Wan plus stir-fried Xiangfu and Baishaoyao, formed into pills with steamed bread. To suppress heat further, use Sanbu Wan made with Dihuang paste. In the eighth and ninth months of pregnancy, must regulate Qi using Zhike and Zisu stems. A woman near thirty years old, pregnant for two months, suffered from vomiting, dizziness, and vertigo, unbearable. Medicines containing Renshen, Baizhu, Xiong, Chenpi, Fuling made her condition worse over five to seven days. Pulse was wiry, stronger and weaker on the left. This is Ezu disease. Provoked by anger, Liver Qi reversed and carried fetal Qi. Tonifying with Renshen and Baizhu was highly inappropriate. Only administer twenty-four Yiqing Pills with Fuling Tang. After five doses, slightly relieved. Pulse showed slight rapidity, dry mouth and bitter taste, sour mouth after eating little porridge. Due to lingering stagnant Qi in the diaphragm not yet cleared, instruct to take fifty Yiqing Pills with decoction of Chuanxiong, Chenpi, Zhizi, Shengjiang, Fuling. After ten-plus doses, remaining symptoms subsided, food intake reached half of normal, felt hungry easily after eating due to uncalmed Liver heat. Then take twenty Yiqing Pills with plain water. Peaceful after twenty days. Palpating pulse, both hands were peaceful but left was very weak; this fetus must miscarry. Now that Liver Qi is calm, Renshen and Baizhu can be used. Thus, use initial Renshen, Baizhu etc. to tonify, preventing deficiency after miscarriage. After one day of taking, the fetus miscarried naturally, yet smoothly without incident. A woman, thin and irritable, originally without heat, pregnant for three months in midsummer, thirsty for water. Given Siwu Tang plus Huangqin, Chenpi, Sheng Gancao, Mutong. After several doses, she was stable. Later gave birth, at two years old suddenly developed malaria. Likely due to insufficient medicine during pregnancy, fetal toxin not eliminated. If sores or scabies appeared, the illness would heal itself, verifying this. Huangqin is the sacred medicine for fetal anchoring. Laypeople do not know this, considering it cold, and dare not use it, claiming warm medicines can nourish the fetus. They do not realize that before delivery, one must clear heat. Clearing heat allows blood to follow meridians without reckless flow, thus nourishing the fetus. Using Siwu Tang before delivery: for those with Blood deficiency and emaciation, do not use Baishaoyao as it damages the Liver. For robust individuals, it can be used. Difficult labor is due to Qi and Blood deficiency. "Gezhi Yulun" details this extensively. "Daquan Liangfang" has medicines to choose from. Causes of difficult labor include lack of caution in the eighth and ninth months, or Qi stagnation preventing transport. After delivery, the mother must have strength. Let a woman sit on a bed, have the parturient lean against her, sit for two or three hours. Wait for lochia to finish before lying down; otherwise, evil blood entering the heart leads to death. Also, moxibustion treats difficult labor. On the tip of the woman's right little toe, use moxa cone size of wheat grain, moxa five zhuans, then delivery. Cuisheng Fang (Labor-Inducing Formula): Baizhi, Baicaoshuang (Burnt Grass Ash), Huashi ground into powder, taken with Xiong Gui Tang. Also treats retained placenta, mixed with Ginger Juice or Wine. "Funu Daquan Liangfang" has other medicines. Yichan Fang (Easy Delivery Formula): Use Yimucacao, harvested with roots in June, dried and ground into powder, honey pills size of bullet. Dissolve in warm water at onset of labor, or take as paste; also excellent. Cuisheng Fang: Baizhi, Baicaoshuang equal parts, ground into powder. At time of delivery, take with white soup. Mixing with YiYuan San is especially good. Also treats transverse or breech presentation. Mix with child's urine and vinegar, soak in boiling water. One dose suffices. Instantly saves two lives. Another formula: Cheqianzi ground into powder, take two qian with wine. Breech presentation with fetal death in utero: Danggui powder with wine. Cuisheng Fang: Decoct Foshou San, mix with YiYuan San, take temporarily. Cunjinsan treats difficult labor: Burn one worn pen tip to ash, grind fine, mix with one zhan of Lotus Root Juice for immediate delivery. If parturient is weak, fearing Lotus Root Juice induces wind, hold in silver cup, heat over fire and drink. Another formula: Mix Oil, Honey, Urine evenly to treat difficult labor. Or mix with Yimucacao powder, especially good. Difficult labor formula: Suosha, Vinegar-boiled Xiangfu, Zhike, Gancao, Huashi, taken with soup. Fine and even pulse indicates easy delivery; floating, large, and slow pulse indicates Qi scattering and difficult labor. Childbirth is like dragging a boat over a weir. Niuxi Gao and Dihuang Gao also treat difficult labor. Diarrhea at onset of labor: Zhizi (Gardenia) any amount, burnt to ash, fine powder, mix one bi with hot water on empty stomach. Severe cases, no more than five doses. In cold month of delivery, fullness below navel, hands cannot touch cold, enters birth canal. Take Zhang Zhongjing's Lamb Soup, two doses cure. Cuisheng Fang: Swallow Ma Binglang (Areca Nut) just before delivery, baby born shortly after, held out in palms. Difficult labor often seen in depressed, comfortable, wealthy people fed luxuriously; rare among poor. Ancient formula Shoutai Yin may not be the ultimate theory. My clan sister suffered from difficult labor, inducing abortion every time. I pitied her greatly. Seeing her fat body but doing needlework, knowing Qi deficiency from long sitting, Qi not moving becoming weaker. The fetus in sac, due to mother's Qi deficiency, cannot move itself. Must tonify mother's Qi, then fetus strong and easy to deliver. Instructed her to come when pregnant five to six months. Added Qi-tonifying medicines to Zisu Yin from "Daquan Liangfang", gave dozens of doses. Successfully had a son quickly. Based on this formula, adjusted according to mother's constitution and season. All who took it responded well. No pain at delivery, mother also healthy. Named this formula Dasheng San.