治思虑伤心（脾在志，为思也）。健忘怔忡，惊悸不寐，（悸者，心筑筑跳动也。）自汗
盗汗，
汗出也。）或劳倦伤脾，（应酬太烦，奔走太苦，饮食失节，皆能伤脾。）肢体酸疼，（脾主四
肢肌肉，故也。然久立伤骨，久行伤筋，则肝肾亦伤，所以亦有兼筋骨腰酸也。）嗜卧少食
，（脾伤则神亦倦，故嗜卧，又肾病则嗜卧，精竭者，神倦也。少食者，胃伤也。）或心脾虚
痛，（所谓胃脘，当心而痛是也。）大便不调，（脾主大便，虚则或滞或闭，是其本病也。）血
无主统，（心虚则不能生血，脾虚则不能统血。）错经妄行，（或上或下皆是。）或血虚发热晡
热，（申酉时，心脾血虚，皆发热晡热。）或经不准闭绝等症。（心脾受伤之故，亦有房劳伤
肾，恼怒伤肝，而损冲任二脉所致。）
人参（虚者多用） 黄 （蜜炙） 白术（米泔水浸半日，隔土蒸，晒干再用白蜜调人乳浸
，照
五钱） 远志（安神补心，以生神，五分，原方无） 当归（养血益肝，以生心，五分，原方无
）圆眼肉（甘先入脾，以脾喜甘也。十枚） 木香（香能快气，以脾喜通也。三五分） 他如
惊悸怔忡，加辰砂、麦冬。不寐多用枣仁、圆肉，加生地、麦冬、石斛、竹叶。如有痰者，
再加竹沥、天竺黄。自汗多用参、 。盗汗多用枣仁，加白芍、五味、生地、麦冬，而参、
、木、远四味，随症减去。肢体酸疼，加牛膝、续断、秦艽、二地。食少多用人参。胃脘
心痛，倍木香，加砂仁、橘红。大便泄泻，倍白术，加米仁、山药、莲肉。便血加生地、白
芍、麦冬、五味。血热甚者，加地榆。血虚发热晡热加地冬，而参、 、木香随症去留。如
因肝经血虚而寒热如疟者，则宜逍遥散加减。如肾中阴虚而发热者，则宜保阴六味之属。经
水先期者为血热，色紫黑者热之甚，加二地、白芍、五味、麦冬。热甚者，加龟甲、黄柏，
而参、 、木香，随症去留。后期者为血虚，色淡者为虚之甚，倍当归，加地芍、枸杞、麋
角、龟甲，兼服六味，左归。经水或前或后不一，其症气乱，患从虚治，仍照上法，再加四
制香附。（为气病之总司，女科之主帅，同艾浸，浸二宿，分作四分，一分盐水浸炒，一分
酒浸炒，一分童便浸炒，一分人乳浸炒。）经水闭绝，属心脾虚者，倍当归，加地、芍。若
因火盛阴虚血枯者，则宜参用六味、左归之属，加柏仁、泽兰、麦冬、白芍。如因气血郁滞
或肥人痰多壅闭等症，另消息治之。崩漏加地芍、麦冬、五味、萸肉、龟甲、血余。本方加
柴胡、山栀，是加味归脾汤也。
此方补气养血安神，乃心脾肝三经之药，宋·严用和所创。内经所谓二阳之病发心脾
，有不
及其子。劳倦本以伤脾，脏伤则病连于腑。故凡内而伤精，外而伤形，皆能病及于胃。此二
阳之病，所以发心脾也。不得隐曲，阳道病也。夫胃为水谷之海，主化营卫而润宗筋。如经
云∶前阴者，宗筋之所聚，太阳阳明之所合也。胃病则失生化精血之原，故为阳衰少精，其
在女子则为不月。又云∶其传为风消，其传为息贲者，死不治。胃家受病，久而传变，则肝
木胜土，风淫而肌体消削，胃病则肺失所养，故气息奔急，气竭于上，由精亏于下，败及五
脏，故死不治。所以病才见端，即为疗治。原方无远志、当归，薛氏加入以治血虚，又加丹
皮、山栀，以治血热，而阳生阴长之理乃奋。随手变化，通于各症，无不神应。赵氏谓凡治
血症，须按三经用药。心生血，脾统血，肝藏血。归脾汤一方，从肝补心，从心补脾，率所
藏所生，而从所统，所谓隔二之治，其意盖归血分药一边。后人不解，妄为加减，尽失其义
，即有稍知者，亦只谓治血从脾，杂入温中香燥劫阴之剂，而严薛二家之旨益晦。高鼓峰熟
于赵氏之论，独悟其微，谓木香一味，香先入脾，纵欲使血归于脾，此嘘血归经之法，然嫌
其香燥，反动肝火而干精液，故其用每去木香而加白芍，以追已散之阴。且心血衰少，火必
刑金，白术燥烈，恐增咳嗽，得芍药则太阴为养营之用。惟脾虚泄泻者，方留木香以醒脾，
脾挟虚寒者，方加桂附以补阳。而外此者，出入心肝脾三经，甘平清润之药。愚谓经期不准
，闭绝崩漏及便血等症，本方加减，多所相宜。若呕吐诸血，果属气虚不能统摄，必面色黄
白而无神，言语轻微而倦怠，脾胃虚薄而不调，六脉微弱而不数者，亦可用本方。然患气虚
失血者甚少，即思虑伤心，劳将成未成之界，未见肾阴虚诸症，而兼脾虚症候，或大便溏泄
者，则宜是方。若内热骨蒸已成虚劳，又宜壮水滋阴为要，纵食少便泄，非参、 、白术助
阳之品所宜矣。若劳役而兼劳心者，是心脾俱伤，具前列之症，未见肺肾阴虚诸病者，可用
本方加减。然劳倦伤脾，乃脾之阴分受伤者多。故经云∶阴虚生内热，因有所劳倦，形气衰
少，谷气不盛，上焦不行，上脘不通，胃气热，热气熏胸中，故内热，是宜补脾胃之阴。此
劳役太过，阳和之气，亢极化火，火旺则阴虚内热，但非色欲伤肾，真阴虚而生内热之难疗
。又云∶有所远行劳倦，逢大热而渴，渴则阳气内伐，内伐则热舍于肾。肾者，水藏也。今
水不胜火，则骨枯而髓虚。远行劳倦，骨必受伤，逢大热者，或逢天令之热，或阴不足而内
热，火旺水亏，故骨枯髓虚，而必肾虚诸症见矣。此平时色欲过度，以致不能劳役而然，急
当壮水滋阴为主，亦非本方之所宜也。
治疗因思虑过度损伤心脾（脾在情志上对应思）。症状包括健忘、怔忡、惊悸失眠，（悸，指心脏剧烈跳动。）自汗或盗汗。（汗出。）或因劳累疲倦损伤脾脏，（应酬繁杂、奔波劳苦、饮食不节，都能损伤脾脏。）肢体酸痛，（脾主四肢肌肉，所以如此。然而久站伤骨，久行伤筋，则肝肾也会受损，因此也有兼见筋骨腰酸的情况。）嗜睡且食欲不振，（脾受伤则精神倦怠，所以嗜睡；肾病也会导致嗜睡，精气枯竭者精神也倦怠。食欲不振是因为胃受伤了。）或者心脾虚痛，（所谓胃脘部当心而痛即是。）大便不调，（脾主运化大便，虚弱时或滞涩或闭结，这是其本病。）血液失去统摄，（心虚则不能生血，脾虚则不能统血。）月经错乱妄行，（或上行或下行皆是。）或者血虚发热、午后潮热，（申酉时，心脾血虚，都会出现午后潮热。）或者月经不准、闭经等症状。（这是心脾受伤的缘故，也有因房劳伤肾、恼怒伤肝，从而损伤冲任二脉所导致的。）
人参（虚证多用） 黄芪（蜜炙） 白术（米泔水浸泡半天，隔土蒸，晒干后再用白蜜调人乳浸泡，照此法处理五钱） 远志（安神补心，以生神气，五分，原方没有） 当归（养血益肝，以生心血，五分，原方没有） 龙眼肉（甘味先入脾，因为脾喜甘，十枚） 木香（香气能行气，因为脾喜通畅，三至五分） 其他如惊悸怔忡，加辰砂、麦冬。失眠多用酸枣仁、龙眼肉，加生地、麦冬、石斛、竹叶。如有痰者，再加竹沥、天竺黄。自汗多用参、芪。盗汗多用酸枣仁，加白芍、五味子、生地、麦冬，而参、芪、木香、远志四味，随症减去。肢体酸痛，加牛膝、续断、秦艽、二地（生地、熟地）。食少多用人参。胃脘心痛，倍用木香，加砂仁、橘红。大便泄泻，倍用白术，加薏苡仁、山药、莲肉。便血加生地、白芍、麦冬、五味子。血热甚者，加地榆。血虚发热午后潮热加地冬（生地、麦冬），而参、芪、木香随症去留。如因肝经血虚而寒热往来如疟疾者，则宜逍遥散加减。如肾中阴虚而发热者，则宜保阴煎或六味地黄丸之类。月经先期者为血热，颜色紫黑者为热甚，加二地、白芍、五味子、麦冬。热甚者，加龟甲、黄柏，而参、芪、木香，随症去留。后期者为血虚，颜色淡者为虚甚，倍用当归，加地芍（生地、白芍）、枸杞、麋角、龟甲，兼服六味地黄丸、左归丸。月经或前或后不一，其症为气乱，患病从虚治，仍照上述方法，再加四制香附。（为气病之总司，女科之主帅，同艾叶浸，浸两夜，分作四分，一分盐水浸炒，一分酒浸炒，一分童便浸炒，一分人乳浸炒。）月经闭绝，属心脾虚者，倍用当归，加地、芍。若因火盛阴虚血枯者，则宜参用六味地黄丸、左归丸之类，加柏子仁、泽兰、麦冬、白芍。如因气血郁滞或肥胖之人痰多壅闭等症，另斟酌治疗。崩漏加地芍、麦冬、五味子、山茱萸、龟甲、血余炭。本方加柴胡、山栀，是加味归脾汤也。
此方补气养血安神，乃心脾肝三经之药，由宋·严用和所创。《内经》所谓“二阳之病发心脾”，有不得隐曲（指难以启齿的隐情或性功能问题），阳道病也。夫胃为水谷之海，主化营卫而润宗筋。如经文云：“前阴者，宗筋之所聚，太阳阳明之所合也。”胃病则失生化精血之原，故为阳衰少精，其在女子则为不月（闭经）。又云：“其传为风消，其传为息贲者，死不治。”胃家受病，久而传变，则肝木胜土，风淫而肌体消削，胃病则肺失所养，故气息奔急，气竭于上，由精亏于下，败及五脏，故死不治。所以病才见端，即为疗治。原方无远志、当归，薛氏加入以治血虚，又加丹皮、山栀，以治血热，而阳生阴长之理乃奋。随手变化，通于各症，无不神应。赵氏谓凡治血症，须按三经用药。心生血，脾统血，肝藏血。归脾汤一方，从肝补心，从心补脾，率其所藏所生，而从所统，所谓隔二之治，其意盖归血分药一边。后人不解，妄为加减，尽失其义，即有稍知者，亦只谓治血从脾，杂入温中香燥劫阴之剂，而严薛二家之旨益晦。高鼓峰熟于赵氏之论，独悟其微，谓木香一味，香先入脾，纵欲使血归于脾，此嘘血归经之法，然嫌其香燥，反动肝火而干精液，故其用每去木香而加白芍，以追已散之阴。且心血衰少，火必刑金，白术燥烈，恐增咳嗽，得芍药则太阴为养营之用。惟脾虚泄泻者，方留木香以醒脾，脾挟虚寒者，方加桂附以补阳。而外此者，出入心肝脾三经，甘平清润之药。愚谓经期不准，闭绝崩漏及便血等症，本方加减，多所相宜。若呕吐诸血，果属气虚不能统摄，必面色黄白而无神，言语轻微而倦怠，脾胃虚薄而不调，六脉微弱而不数者，亦可用本方。然患气虚失血者甚少，即思虑伤心，劳将成未成之界，未见肾阴虚诸症，而兼脾虚症候，或大便溏泄者，则宜是方。若内热骨蒸已成虚劳，又宜壮水滋阴为要，纵食少便泄，非参、芪、白术助阳之品所宜矣。若劳役而兼劳心者，是心脾俱伤，具前列之症，未见肺肾阴虚诸病者，可用本方加减。然劳倦伤脾，乃脾之阴分受伤者多。故经云：“阴虚生内热，因有所劳倦，形气衰少，谷气不盛，上焦不行，上脘不通，胃气热，热气熏胸中，故内热”，是宜补脾胃之阴。此劳役太过，阳和之气，亢极化火，火旺则阴虚内热，但非色欲伤肾，真阴虚而生内热之难疗。又云：“有所远行劳倦，逢大热而渴，渴则阳气内伐，内伐则热舍于肾。肾者，水藏也。今水不胜火，则骨枯而髓虚。”远行劳倦，骨必受伤，逢大热者，或逢天令之热，或阴不足而内热，火旺水亏，故骨枯髓虚，而必肾虚诸症见矣。此平时色欲过度，以致不能劳役而然，急当壮水滋阴为主，亦非本方之所宜也。
Treats damage to the Heart and Spleen caused by excessive overthinking (The Spleen corresponds to the emotion of Thought). Symptoms include forgetfulness, palpitations, fright, insomnia, (Palpitation refers to the violent beating of the heart.) spontaneous sweating or night sweats. (Sweating.) Or damage to the Spleen due to fatigue and overexertion, (Complex social engagements, arduous travel, and irregular diet can all damage the Spleen.) soreness and pain in the limbs, (The Spleen governs the four limbs and muscles, hence this. However, prolonged standing damages bones, and prolonged walking damages sinews, thereby also injuring the Liver and Kidneys, so there may also be accompanying soreness and weakness in the bones, sinews, waist, and back.) lethargy and poor appetite, (When the Spleen is injured, the Spirit becomes fatigued, hence lethargy; Kidney disease also causes lethargy, and those with exhausted Essence are spiritually fatigued. Poor appetite is due to Stomach injury.) or deficiency-pain of the Heart and Spleen, (This refers to epigastric pain located behind the heart.) irregular bowel movements, (The Spleen governs defecation; when deficient, it may present as stagnation or constipation, which is its primary pathology.) blood losing its controlling function, (Heart deficiency fails to generate Blood, Spleen deficiency fails to control Blood.) erratic menstrual bleeding, (Bleeding may occur upwards or downwards.) or heat sensation due to Blood deficiency and afternoon tidal fever, (During the Shen and You hours, Heart and Spleen Blood deficiency both cause afternoon tidal fever.) or irregular menstruation, amenorrhea, and other symptoms. (These are caused by injury to the Heart and Spleen, but may also result from sexual exhaustion damaging the Kidneys, or anger damaging the Liver, thereby injuring the Chong and Ren vessels.)
Ren Shen (Ginseng Radix et Rhizoma) (used more frequently for deficiency); Huang Qi (Astragali Radix) (honey-fried); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (soaked in rice washing water for half a day, steamed over soil, dried, then soaked in white honey mixed with human milk, processed to five qian); Yuan Zhi (Polygalae Radix) (calms the Spirit and tonifies the Heart to generate Spirit, five fen, not in the original formula); Dang Gui (Angelicae Sinensis Radix) (nourishes Blood and benefits the Liver to generate Heart Blood, five fen, not in the original formula); Long Yan Rou (Longan Aril) (sweet flavor enters the Spleen first, as the Spleen delights in sweetness, ten pieces); Mu Xiang (Aucklandiae Radix) (aroma promotes Qi movement, as the Spleen delights in free flow, three to five fen). For other conditions such as palpitations and tremors, add Chen Sha (Cinnabaris) and Mai Dong (Ophiopogonis Radix). For insomnia, use more Suan Zao Ren (Ziziphi Spinosae Semen) and Long Yan Rou, adding Sheng Di Huang (Rehmanniae Radix), Mai Dong, Shi Hu (Dendrobii Caulis), and Zhu Ye (Bambusae Folium). If phlegm is present, additionally add Zhu Li (Bambusae Sap) and Tian Zhu Huang (Calami Tuber). For spontaneous sweating, use more Ren Shen and Huang Qi. For night sweats, use more Suan Zao Ren, adding Bai Shao (Paeoniae Radix Alba), Wu Wei Zi (Schisandrae Fructus), Sheng Di Huang, and Mai Dong, while reducing or removing Ren Shen, Huang Qi, Mu Xiang, and Yuan Zhi according to symptoms. For limb soreness, add Niu Xi (Achyranthis Bidentatae Radix), Xu Duan (Dipsaci Radix), Qin Jiao (Gentianae Macrophyllae Radix), and Er Di (Sheng Di Huang and Shu Di Huang). For poor appetite, use more Ren Shen. For epigastric pain, double the dose of Mu Xiang, adding Sha Ren (Amomi Fructus Rotundus) and Ju Hong (Citri Reticulatae Pericarpium Rubrum). For diarrhea, double the dose of Bai Zhu, adding Yi Yi Ren (Coicis Semen), Shan Yao (Dioscoreae Rhizoma), and Lian Rou (Nelumbinis Semen). For hematochezia, add Sheng Di Huang, Bai Shao, Mai Dong, and Wu Wei Zi. For severe blood heat, add Di Yu (Sanguisorbae Radix). For blood deficiency heat and afternoon tidal fever, add Di Dong (Sheng Di Huang and Mai Dong), while retaining or removing Ren Shen, Huang Qi, and Mu Xiang based on symptoms. If chills and fever resembling malaria occur due to Liver channel Blood deficiency, Xiao Yao San (Free and Easy Wanderer Powder) with modifications is appropriate. If fever occurs due to Kidney Yin deficiency, Bao Yin Jian (Preserve the Yin Decoction) or Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) are suitable. Menstruation arriving early indicates blood heat; if the color is purple-black, heat is severe, add Er Di, Bai Shao, Wu Wei Zi, and Mai Dong. For severe heat, add Gui Jia (Testudinis Carapax et Plastrum) and Huang Bo (Phellodendri Cortex), while retaining or removing Ren Shen, Huang Qi, and Mu Xiang based on symptoms. Menstruation arriving late indicates blood deficiency; if the color is pale, deficiency is severe, double the dose of Dang Gui, add Di Shao (Sheng Di Huang and Bai Shao), Gou Qi (Lycii Fructus), Mi Jiao (Cervi Cornu Pantotrichum), and Gui Jia, and concurrently take Liu Wei Di Huang Wan and Zuo Gui Wan (Left Restoring Pill). Irregular menstruation indicates chaotic Qi; treat the deficiency according to the above methods, adding Si Zhi Xiang Fu (Four-Processed Cyperi Rhizoma). (Xiang Fu is the commander of Qi disorders and the general of gynecology. Soak with Ai Ye (Artemisiae Argyi Folium) for two nights, divide into four parts: one part stir-fried after salt water soak, one part wine-fried after wine soak, one part child's urine-fried, one part human milk-fried.) For amenorrhea due to Heart-Spleen deficiency, double Dang Gui, add Di and Shao. If due to excess fire, Yin deficiency, and blood depletion, combine Liu Wei Di Huang Wan and Zuo Gui Wan, adding Bai Ren (Bai Zi Ren), Ze Lan (Lycopus Herba), Mai Dong, and Bai Shao. For conditions due to Qi and Blood stagnation or phlegm obstruction in obese individuals, treat separately after careful consideration. For metrorrhagia and metrostaxis, add Di Shao, Mai Dong, Wu Wei Zi, Yu Rou (Shan Zhu Yu), Gui Jia, and Xue Yu Tan (Hominis Calcinatus). Adding Chai Hu (Bupleuri Radix) and Shan Zhi (Gardeniae Fructus) to this formula creates Jia Wei Gui Pi Tang (Modified Gui Pi Decoction).
This formula tonifies Qi, nourishes Blood, and calms the Spirit; it acts on the Heart, Spleen, and Liver channels, and was created by Yan Yonghe of the Song Dynasty. The *Neijing* states that "diseases of the Two Yangs originate in the Heart and Spleen," involving difficulties in expressing hidden emotions (referring to unspoken distress or sexual dysfunction), which are disorders of the Yang pathway. The Stomach is the sea of water and grain, responsible for transforming Ying and Wei and moistening the Zong Jin (converging sinews). As the classics state: "The anterior yin is where the Zong Jin gather, the confluence of the Taiyang and Yangming." When the Stomach is diseased, it loses the source for generating Jing and Blood, leading to Yang decline and scanty Jing; in women, this manifests as amenorrhea. It is also stated: "If it transmits as Wind Consumption, or if it transmits as Breath Accumulation, death is inevitable." When the Stomach is diseased and the condition persists, it transmits and changes; Wood overacts on Earth, wind pathogen causes emaciation, and Stomach disease leads to Lung malnourishment, causing rapid breathing. Qi exhausts at the upper body due to Jing depletion below, failing the Five Zang organs, hence death is inevitable. Therefore, treatment should begin as soon as the disease shows signs. The original formula lacked Yuan Zhi and Dang Gui; Xue added them to treat Blood deficiency, and further added Dan Pi (Moutan Cortex) and Shan Zhi to treat blood heat, thereby activating the principle of Yang generating Yin. With flexible application, it addresses various symptoms with miraculous efficacy. Zhao stated that treating blood disorders requires medication according to the Three Channels: the Heart generates Blood, the Spleen controls Blood, and the Liver stores Blood. Gui Pi Tang treats the Liver to tonify the Heart, and the Heart to tonify the Spleen, following what is stored and generated to adhere to what is controlled. This is known as "treating the second organ away," with the intent focusing on blood-level herbs. Later practitioners did not understand this, making arbitrary modifications and losing its true meaning. Even those with slight knowledge only believed it treated blood via the Spleen, mixing in warming, aromatic, dry, and Yin-consuming agents, obscuring the intentions of Yan and Xue. Gao Gugeng, familiar with Zhao's arguments, uniquely grasped the subtleties, stating that Mu Xiang's aroma enters the Spleen first; even if intended to return Blood to the Spleen, this method of exhaling Blood to its vessel is flawed because its aromatic dryness moves Liver Fire and dries Essence and Fluids. Thus, he often removed Mu Xiang and added Bai Shao to retrieve dispersed Yin. Moreover, when Heart Blood is deficient, Fire attacks Metal; Bai Zhu is drying and harsh, potentially increasing coughing; with Shao Yao, the Taiyin serves to nourish Ying. Only in cases of Spleen deficiency diarrhea is Mu Xiang retained to awaken the Spleen; in cases of Spleen deficiency-cold, Gui and Fu are added to tonify Yang. Otherwise, the herbs entering the Heart, Liver, and Spleen channels are sweet, neutral, clear, and moistening. I believe that for irregular menstruation, amenorrhea, metrorrhagia, and hematochezia, modifications of this formula are mostly suitable. For vomiting blood, if indeed due to Qi deficiency failing to control, presenting with sallow-white complexion lacking spirit, faint speech and fatigue, thin and irregular Spleen-Stomach, and weak non-rapid six pulses, this formula can also be used. However, few suffer from Qi deficiency bleeding. That is, when overthinking damages the Heart, at the threshold of labor becoming consumptive, without visible Kidney Yin deficiency symptoms but with Spleen deficiency signs or loose stools, this formula is appropriate. If internal heat and bone-steaming have become consumptive disease, strengthening Water and nourishing Yin is essential; even with poor appetite and loose stools, Ren Shen, Huang Qi, and Bai Zhu, being Yang-assisting, are not suitable. If physical labor is combined with mental exertion, both Heart and Spleen are injured, presenting with the aforementioned symptoms but without Lung-Kidney Yin deficiency diseases, this formula with modifications can be used. However, fatigue damaging the Spleen mostly injures the Yin aspect of the Spleen. Thus, the classics state: "Yin deficiency generates internal heat; due to fatigue, form and Qi decline, Grain Qi is not abundant, Upper Jiao does not move, Upper Wan is blocked, Stomach Qi becomes hot, hot Qi steams the chest, hence internal heat." In such cases, tonifying Spleen-Stomach Yin is appropriate. This excessive labor causes the harmonious Yang Qi to hyperactivate and transform into fire; fire prosperity leads to Yin deficiency internal heat, but this is not the difficult-to-treat internal heat generated by true Yin deficiency due to sexual exhaustion. It is also stated: "Due to long journeys and fatigue, encountering great heat and thirst, thirst causes Yang Qi to invade internally; invasion causes heat to reside in the Kidney. The Kidney is a Water organ. Now Water cannot overcome Fire, so bones wither and Marrow empties." Long journeys and fatigue inevitably damage bones; encountering great heat, whether from weather or internal heat due to insufficient Yin, fire prosperity and Water deficit lead to withered bones and empty Marrow, and Kidney deficiency symptoms will appear. This results from excessive sexual desire normally, rendering the body unable to withstand labor; urgently, strengthening Water and nourishing Yin is primary, and this is also not suitable for this formula.