朱肱曰。妊娠伤寒。安胎。宜阿胶散、白术散。妊娠伤寒。憎寒发热。当发其汗。宜葱白汤。
妊娠伤寒。头痛。憎寒壮热。身痛项强。宜芎苏散。妊娠伤寒。头疼发热。遍身疼痛。宜紫苏散。
亦治胎气不和。凑上心腹。胀满疼痛。谓之子悬。能安活胎。亦下损胎。
王好古曰。若妊娠伤寒中风。表虚自汗。头疼项强。身热恶寒。脉浮而弱。太阳经病。宜表虚
六合汤。若妊娠伤寒。头痛身热。无汗。脉紧。太阳经病。宜表实六合汤。若妊娠伤寒中风温之气。
肢节烦疼。脉浮而热。头痛者。太阳标病也。宜风温六合汤。若妊娠伤寒下后。过经不愈。湿毒发
斑如锦纹。宜升麻六合汤。若妊娠伤寒。胸胁满痛而脉弦。少阳症。宜柴胡六合汤。若妊娠伤寒。
大便硬。小便赤。气满而脉沉数。太阳阳明本病也。急下之。宜大黄六合汤。若妊娠伤寒。汗下后。
咳嗽不止。宜人参六合汤。若妊娠伤寒后。虚痞胀满者。阳明本虚也。宜浓朴六合汤。若妊娠伤
寒汗下后。不得眠。宜栀子六合汤。若妊娠伤寒。蒸蒸而烦。脉长而大。宜石膏六合汤。若妊娠伤
寒。小便不利。太阳本病也。宜茯苓六合汤。若妊娠伤寒。太阳本病。小便赤如血者。宜琥珀六合
汤。若妊娠伤寒。汗下后。血漏不止。胎气损动者。宜胶艾六合汤。若妊娠伤寒。四肢拘急。身凉。
微汗。腹中痛。脉沉而迟。少阴病也。宜附子六合汤。若妊娠伤寒。蓄血症。不宜用坠胎药下之。
宜四物大黄汤下之。若妇人妊娠或蓄血。抵当桃仁勿妄施。要教子母俱无损。大黄四物对分之。此
乃歌诀也。
楼英曰。妇人有孕伤寒。脉浮头重。腹中切痛。宜桂枝芍药当归汤。妊娠伤寒。自利。腹中痛。
饮食不下。脉沉者。太阴经病也。宜芍药汤。妇人有孕。发斑变黑色。宜栀子大青汤。
吴绶曰。孕妇伤寒。六经治例皆同。但要安胎为主。凡药中有犯胎者。切不可用。如藿香正气
散、十味芎苏散、小柴胡汤之类。有半夏能犯胎。如用。须去之。若痰多呕逆。必欲用之。半夏麴
则可。凡川乌、附子、天雄、肉桂、干姜、大黄、芒硝、芫花、甘遂、大戟、蜀漆、虻虫、水蛭、
桃仁、丹皮、干漆、赭石、瞿麦、牛膝等类。皆动胎药。必不可犯。大抵妊娠伤寒。合用汤剂。必
加黄芩、白术二味。能安胎也。或以二味为末。白汤调下二三钱亦可。如孕妇素弱。加四物汤佐之。
且如用小柴胡。去半夏。加白术。合四物汤。可以保胎除热。其效如神。余皆仿此。
朱肱说：妊娠期间患伤寒，需要安胎，适宜使用阿胶散、白术散。妊娠期间患伤寒，出现怕冷发热症状，应当采用发汗法治疗，适宜使用葱白汤。
妊娠期间患伤寒，出现头痛、怕冷且高热、身体疼痛、项部僵硬的症状，适宜使用芎苏散。妊娠期间患伤寒，出现头痛发热、全身疼痛的症状，适宜使用紫苏散。
（紫苏散）也用于治疗胎气不和，气机上冲至心腹部，导致胀满疼痛的情况，这被称为“子悬”（胎气上逆）。该方能安定并保全胎儿，也能防止堕胎。
王好古说：如果是妊娠期间患伤寒中风，表现为表虚自汗、头痛项强、身热恶寒、脉象浮而弱，属于太阳经病，适宜使用表虚六合汤。如果妊娠期间患伤寒，出现头痛身热、无汗、脉象紧，属于太阳经病，适宜使用表实六合汤。如果妊娠期间感受伤寒及风温邪气，出现肢节烦痛、脉象浮而热、头痛，这是太阳经的标病，适宜使用风温六合汤。如果妊娠期间患伤寒，经过攻下治疗后，病邪传变超过一经仍未痊愈，湿毒外发出现如锦纹般的斑疹，适宜使用升麻六合汤。如果妊娠期间患伤寒，出现胸胁胀满疼痛且脉象弦，属于少阳证，适宜使用柴胡六合汤。如果妊娠期间患伤寒，出现大便干硬、小便色赤、腹部胀满且脉象沉数，这是太阳阳明本病，应当紧急攻下，适宜使用大黄六合汤。如果妊娠期间患伤寒，经过发汗和攻下治疗后，咳嗽不止，适宜使用人参六合汤。如果妊娠期间患伤寒后，出现虚性痞满胀气的症状，这是阳明本虚，适宜使用浓朴六合汤。如果妊娠期间患伤寒，经过发汗和攻下治疗后，无法入睡，适宜使用栀子六合汤。如果妊娠期间患伤寒，出现蒸蒸然烦热、脉象长而大，适宜使用石膏六合汤。如果妊娠期间患伤寒，出现小便不利，这是太阳本病，适宜使用茯苓六合汤。如果妊娠期间患伤寒，属于太阳本病，小便颜色红赤如血，适宜使用琥珀六合汤。如果妊娠期间患伤寒，经过发汗和攻下治疗后，阴道出血淋漓不止，胎气受损动摇，适宜使用胶艾六合汤。如果妊娠期间患伤寒，出现四肢拘挛急迫、身体发凉、微汗出、腹中疼痛、脉象沉而迟，这是少阴病，适宜使用附子六合汤。如果妊娠期间患伤寒，伴有蓄血症，不宜使用具有堕胎作用的药物进行攻下，适宜使用四物大黄汤进行攻下。有歌诀云：“妇人妊娠或蓄血，抵当桃仁勿妄施。要教子母俱无损，大黄四物对分之。”这就是那首歌诀的内容。
楼英说：妇女怀孕后患伤寒，脉象浮、头重、腹中剧烈疼痛，适宜使用桂枝芍药当归汤。妊娠期间患伤寒，出现自发性腹泻、腹中疼痛、饮食难进、脉象沉，这是太阴经病，适宜使用芍药汤。妇女怀孕后，出现发斑且变为黑色，适宜使用栀子大青汤。
吴绶说：孕妇患伤寒，六经的治疗原则大体相同，但必须以安胎为主。凡是药物中有伤胎作用的，绝对不可使用。例如藿香正气散、十味芎苏散、小柴胡汤等方剂中含有半夏，半夏能伤胎，如果使用，必须去掉半夏。如果痰多呕吐严重，一定要用半夏，可以使用半夏曲。凡是川乌、附子、天雄、肉桂、干姜、大黄、芒硝、芫花、甘遂、大戟、蜀漆、虻虫、水蛭、桃仁、丹皮、干漆、赭石、瞿麦、牛膝等类药物，都是动胎药，绝对不能触犯。大抵妊娠期间患伤寒，在合用的汤剂中，必须加入黄芩、白术两味药，因为它们能安胎。或者将这两味药研成粉末，用白开水调服二三钱也可以。如果孕妇体质素来虚弱，可以加用四物汤辅助。例如在使用小柴胡汤时，去掉半夏，加入白术，配合四物汤，可以保胎除热，效果神奇。其余情况都仿照此法处理。
Zhu Gong stated: In cases of cold damage (Shanghan) during pregnancy, it is necessary to stabilize the fetus. It is appropriate to use Ejiao San (Donkey-Hide Gelatin Powder) and Baizhu San (Atractylodes Macrocephala Powder). In cases of cold damage during pregnancy presenting with aversion to cold and fever, diaphoresis (sweating method) should be employed; Congbai Tang (Scallin Decoction) is appropriate.
In cases of cold damage during pregnancy presenting with headache, severe aversion to cold and high fever, body pain, and neck stiffness, Xiong Su San (Ligusticum and Perilla Powder) is appropriate. In cases of cold damage during pregnancy presenting with headache, fever, and generalized body pain, Zisu San (Perilla Leaf Powder) is appropriate.
(Zisu San) also treats disharmony of fetal qi, where qi rushes upward to the heart and abdomen causing distension, fullness, and pain, a condition known as "Zixuan" (Fetal Suspension). It can stabilize and preserve the fetus, and prevent miscarriage.
Wang Haogu stated: If it is wind-stroke accompanying cold damage during pregnancy, manifesting as exterior deficiency with spontaneous sweating, headache, neck stiffness, fever, aversion to cold, and a floating and weak pulse, it is a Taiyang meridian disease. It is appropriate to use Biaoxu Liuhe Tang (Exterior Deficiency Six-Harmony Decoction). If cold damage during pregnancy presents with headache, fever, anhidrosis (absence of sweat), and a tight pulse, it is a Taiyang meridian disease. It is appropriate to use Biaoshi Liuhe Tang (Exterior Excess Six-Harmony Decoction). If cold damage during pregnancy involves wind-warmth pathogens, presenting with painful joints, floating and hot pulse, and headache, this is a Biao (Branch/Manifestation) disease of the Taiyang meridian. It is appropriate to use Fengwen Liuhe Tang (Wind-Warmth Six-Harmony Decoction). If after purgation for cold damage during pregnancy, the pathogen has passed beyond one meridian without resolution, and damp-toxin erupts as mottled rash resembling brocade patterns, Shengma Liuhe Tang (Cimicifuga Six-Harmony Decoction) is appropriate. If cold damage during pregnancy presents with chest and hypochondriac fullness/pain and a wiry pulse, it is a Shaoyang syndrome. It is appropriate to use Chaihu Liuhe Tang (Bupleurum Six-Harmony Decoction). If cold damage during pregnancy presents with hard stool, red urine, abdominal fullness, and a deep and rapid pulse, this is a Ben (Root/Etiology) disease of Taiyang and Yangming. Urgent purgation is required; Dahuang Liuhe Tang (Rhubarb Six-Harmony Decoction) is appropriate. If after sweating and purgation for cold damage during pregnancy, cough persists, Renshen Liuhe Tang (Ginseng Six-Harmony Decoction) is appropriate. If after cold damage during pregnancy, deficiency-type epigastric fullness and distension occur, this is Yangming root deficiency. Nongpo Liuhe Tang (Magnolia Bark Six-Harmony Decoction) is appropriate. If after sweating and purgation for cold damage during pregnancy, insomnia occurs, Zhizi Liuhe Tang (Gardenia Six-Harmony Decoction) is appropriate. If cold damage during pregnancy presents with steaming heat and irritability, and a long and large pulse, Shigao Liuhe Tang (Gypsum Six-Harmony Decoction) is appropriate. If cold damage during pregnancy presents with difficult urination, this is a Taiyang root disease. Fuling Liuhe Tang (Poria Six-Harmony Decoction) is appropriate. If cold damage during pregnancy, being a Taiyang root disease, presents with urine red as blood, Hupo Liuhe Tang (Amber Six-Harmony Decoction) is appropriate. If after sweating and purgation for cold damage during pregnancy, vaginal bleeding continues incessantly and fetal qi is damaged and unsettled, Jiao'ai Liuhe Tang (Colla Corii Asini and Mugwort Six-Harmony Decoction) is appropriate. If cold damage during pregnancy presents with limb spasms and rigidity, cool body, slight sweating, abdominal pain, and a deep and slow pulse, this is a Shaoyin disease. Fuzi Liuhe Tang (Aconite Six-Harmony Decoction) is appropriate. In cases of cold damage during pregnancy with blood stasis syndrome, drugs that cause miscarriage should not be used for purgation. Sili Dahuang Tang (Four Substances and Rhubarb Decoction) is appropriate for purgation. There is a verse: "For pregnant women or those with blood stasis, do not recklessly apply Didang Tang or Tao Ren. To ensure no harm to mother and child, divide Da Huang and Si Wu Tang equally." This is the content of that verse.
Lou Ying stated: When a woman with pregnancy contracts cold damage, presenting with a floating pulse, heavy head, and cutting pain in the abdomen, Guizhi Shaoyao Danggui Tang (Cinnamon Twig, Peony, and Angelica Decoction) is appropriate. In cases of cold damage during pregnancy presenting with spontaneous diarrhea, abdominal pain, inability to eat, and a deep pulse, this is a Taiyin meridian disease. Shaoyao Tang (Peony Decoction) is appropriate. When a woman with pregnancy develops macules that turn black, Zhizi Daqing Tang (Gardenia and Isatis Decoction) is appropriate.
Wu Shou stated: For pregnant women with cold damage, the treatment principles for the six meridians are generally the same, but stabilizing the fetus must be the primary goal. Any medication that harms the fetus must absolutely not be used. For example, Huoxiang Zhengqi San, Shiwei Xiongsu San, and Xiaochaihu Tang contain Banxia (Pinellia Tuber), which can harm the fetus; if used, Banxia must be removed. If there is excessive phlegm and vomiting necessitating the use of Banxia, Banxia Qu (Fermented Pinellia) may be used. All herbs such as Chuanwu (Chuanwu Rhizome), Fuzi (Prepared Aconite Root Lateralis), Tianxiong (Tianxiong Radix), Rougui (Cinnamon Bark), Ganjiang (Dried Ginger), Dahuang (Rhubarb Root and Rhizome), Mangxiao (Mirabilite), Yuanhua (Kadua Flower), Gansui (Euphorbia Kansui Root), Daji (Euphorbia Pekinensis Root), Shuqi (Phytolacca Root), Mengchong (Male Leech), Shuizhi (Leech), Taoren (Peach Seed), Danpi (Moutan Cortex), Ganqi (Dried Lacquer), Zhesi (Hematitum), Qumai (Dianthus Herb), Niuxi (Achyranthes Root), etc., are all fetotoxic drugs and must absolutely not be used. Generally, in decoctions for cold damage during pregnancy, Huangqin (Scutellaria Root) and Baizhu (Atractylodes Macrocephala Rhizome) must be added, as they stabilize the fetus. Alternatively, these two herbs can be powdered and taken with warm water, 2-3 qian. If the pregnant woman is constitutionally weak, Siwu Tang (Four Substances Decoction) can be added as an adjunct. For instance, when using Xiaochaihu Tang, remove Banxia, add Baizhu, and combine with Siwu Tang to stabilize the fetus and clear heat; the effect is miraculous. Other cases should follow this pattern.