妇人怀子在身，痰多吐涎，偶遇鬼神祟恶，忽然腹中疼痛，胎向上顶。人疑为子悬之病也，谁知是中恶而胎不
安乎！大凡不正之气，最易伤胎，故有孕之妇，断不宜入庙烧香，与避静阴寒之地。如古洞幽岩，皆不可登。盖神
祟多在神宇，潜踪幽阴岩洞，亦其往来游戏之所，触之最易相犯，不可不深戒也。况孕妇又多痰涎，眼目易眩。目
一眩，如有妄见，此招祟之因痰而起也。人云怪病每起于痰，其信然与。治法似宜以治痰为主。然治痰必至耗气，
气虚而痰难消化，胎必动摇。必须补气以生血，补血以活痰，再加以清痰之品，则气血不亏，痰亦易化矣。
方用消恶安胎汤。
当归（一两，酒洗） 白芍（一两，酒炒） 白术（五钱，土炒） 茯苓（五钱） 人参（三钱） 甘草（一钱）
陈皮（五分） 花粉（三钱） 苏叶（一钱） 沉香（一钱，研末）
此方大补气血，辅正邪自除之义也。
眉批∶辅正逐邪，方极平正，如此可知用金石之药以化痰者，皆矜奇立异，欲速取效，不知暗耗人之真气，
戒之！
歌括∶妊娠中恶是因何，痰多遇祟起病 。
古洞幽岩休进步，阴寒庙宇亦招魔。
消恶安胎用归芍，白术茯苓人参草。
陈皮花粉苏叶沉，大补气血功效高。
妇人有怀妊之后，未至成形，或已成形，其胎必堕，人皆曰气血衰微，不能固胎也，谁知是性急怒多，肝火大
动而不静乎！夫肝本藏血。肝怒则不藏，不藏则血难固。盖肝虽属木，而木中实寄龙雷之火，所谓相火是也，相火
宜静不宜动∶静则安，动则炽。况木中之火，又易动而难静。人生无日无动之时，既无日非动火之时，大怒则火益
动矣，火动而不可止遏，则火势飞扬，不能生气养胎，而反食气伤精矣；精伤则胎无所养，势必下坠而不已。经所
谓“少火生气，壮火食气”，正此义也。治法宜平其肝中之火，利其腰脐之气，使气生夫血而血清其火，则庶几
矣。
方用利气泄火汤。
人参（三钱） 白术（一两，土炒） 甘草（一钱） 熟地（五钱，九蒸） 当归（三钱，酒洗） 白芍（五钱，
酒炒） 芡实（三钱，炒） 黄芩（二钱，酒炒）
水煎服。六十剂而胎不坠矣。此方名虽利气而实补气也。然补气而不加以泄火之品，则气旺而火不能平，必反
害其气也。故加黄芩于补气之中以泄火；又有熟地、归、芍以滋肝而壮水之主，则血不燥而气得和，怒气息而火自
平，不必利气而气无不利，即无往而不利矣。
眉批∶性急怒多而不用舒肝药者，以其有胎娠故也。经云∶胎病则母病，胎安则母病自愈。所以妊娠一门总
以补气、养血、安胎为主，则万病自除矣。
歌括∶妊妇堕胎是因何，只缘性急怒气多。
治宜平肝利腰气。气顺火清胎自和。
利气泄火参术芍，熟地当归生甘草。
芡实黄芩均须炒，多服怒气可平消。
【妊娠中恶】
孕妇体内痰多、吐涎，偶然遇到鬼神作祟等邪气侵扰，突然腹中疼痛，胎气上冲顶住。人们误以为是子悬病（胎儿上迫心胸之病），哪里知道这是中了恶邪导致胎不安稳呢！大凡不正之气，最容易伤害胎元，所以怀孕的妇女，绝对不应该进入庙宇烧香，也不应去避静阴寒的地方。像古洞幽岩这些地方，都不可登临。因为神祟多在神宇，潜踪于幽暗阴冷的岩洞，也是它们往来游戏的地方，触碰到这些最容易受到侵犯，不能不深深警戒。况且孕妇又多痰涎，眼睛容易眩晕。眼睛一眩晕，就会产生幻觉妄见，这就是招致邪祟的原因是由痰引起的。人们说怪病多起于痰，确实是这样啊。治疗方法似乎应该以治痰为主。然而治痰必然会耗伤正气，气虚则痰难以消化，胎元必然动摇。必须补气以生血，补血以活化痰浊，再加以清化痰浊的药物，那么气血就不会亏损，痰也容易化解了。
方用消恶安胎汤。
当归（一两，酒洗） 白芍（一两，酒炒） 白术（五钱，土炒） 茯苓（五钱） 人参（三钱） 甘草（一钱）
陈皮（五分） 天花粉（三钱） 苏叶（一钱） 沉香（一钱，研末）
此方大补气血，体现了扶助正气则邪气自然消除的道理。
眉批：扶助正气驱逐邪气，方剂极为平正，由此可知使用金石类药物来化痰的人，都是标新立异，想要快速见效，不知道这会暗中耗损人的真气，务必戒除！
歌括：妊娠中恶是因何，痰多遇祟起病魔。
古洞幽岩休进步，阴寒庙宇亦招魔。
消恶安胎用归芍，白术茯苓人参草。
陈皮花粉苏叶沉，大补气血功效高。
【妊娠多怒堕胎】
妇女怀孕之后，在胎儿尚未成形时，或已经成形时，胎元必然坠落，人们都说这是因为气血衰微，不能固摄胎元，哪里知道这是因为性情急躁、愤怒过多，导致肝火大动而不宁静呢！肝本主藏血。肝怒则不藏血，不藏血则血液难以固摄。虽然肝属木，但木中实际寄寓着龙雷之火，也就是所谓的相火，相火宜静不宜动：静则安宁，动则炽盛。况且木中的火，又容易发动而难以静止。人生没有一天不是动的时刻，既然没有一天不是动火的时候，大怒则火更加动荡，火动而不可遏制，则火势飞扬，不能生气养胎，反而消耗气、损伤精；精伤则胎无所养，势必下坠不止。经书所说的“少火生气，壮火食气”，正是这个意思。治疗方法应当平息肝中之火，疏通腰脐之气，使气能生血而血能清火，这样就差不多了。
方用利气泄火汤。
人参（三钱） 白术（一两，土炒） 甘草（一钱） 熟地黄（五钱，九蒸） 当归（三钱，酒洗） 白芍（五钱，酒炒） 芡实（三钱，炒） 黄芩（二钱，酒炒）
水煎服。服用六十剂后胎元不再坠落。此方名义上是利气，实际上是补气。然而补气如果不加上泄火的药物，则气旺而火不能平息，必定反而伤害其气。所以在补气之中加入黄芩以泄火；又有熟地、当归、白芍来滋养肝脏并壮大肾水之主（滋水涵木），则血不燥而气得和，怒气平息而火自然平和，不必刻意利气而气无不利，即无处而不顺遂了。
眉批：性情急躁愤怒多却不使用疏肝药的原因，是因为有胎娠的缘故。经书说：胎病则母病，胎安则母病自愈。所以妊娠一门总以补气、养血、安胎为主，则万病自然消除了。
歌括：妊妇堕胎是因何，只缘性急怒气多。
治宜平肝利腰气。气顺火清胎自和。
利气泄火参术芍，熟地当归生甘草。
芡实黄芩均须炒，多服怒气可平消。
[Pregnancy: Sudden Evil Invasion]
When a woman is pregnant, if she has excessive phlegm and salivation, and accidentally encounters evil influences such as spirit possession, she may suddenly suffer from abdominal pain with the fetus pressing upward. People often mistake this for Zi Xuan disease (a condition where the fetus presses against the chest and heart), but who would know that it is actually due to sudden evil invasion causing fetal instability? Generally, abnormal qi is most likely to damage the fetal source; therefore, pregnant women should absolutely avoid entering temples to burn incense or going to secluded, yin-cold places. Locations such as ancient caves and dark cliffs must not be climbed. This is because spirits and evil entities are mostly found in shrines, hiding in dark, yin-cold rock caves, which are also their places of roaming and play. Contact with these places makes one easily susceptible to infringement, so one must take deep precautions. Moreover, pregnant women often have excessive phlegm and saliva, making their eyes prone to dizziness. Once the eyes become dizzy, hallucinations may occur; this is the reason why attracting evil stems from phlegm. It is said that strange diseases often arise from phlegm, which is indeed true. The treatment method seems appropriate to focus on resolving phlegm. However, treating phlegm inevitably consumes healthy qi; if qi is deficient, phlegm is difficult to transform, and the fetal source will surely shake. One must tonify qi to generate blood, nourish blood to activate and resolve phlegm, and then add herbs that clear phlegm. In this way, qi and blood will not be depleted, and phlegm will be easily transformed.
Prescribe Xiao E An Tai Tang (Eliminate Evil and Calm Fetus Decoction).
Dang Gui (Radix Angelicae Sinensis) (1 liang, washed with wine), Bai Shao (Radix Paeoniae Alba) (1 liang, stir-fried with wine), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (5 qian, stir-fried with earth), Fu Ling (Poria) (5 qian), Ren Shen (Radix Ginseng) (3 qian), Gan Cao (Radix Glycyrrhizae) (1 qian), Chen Pi (Pericarpium Citri Reticulatae) (5 fen), Hua Fen (Radix Platycodi / Radix Bletillae - here referring to Tian Hua Fen, Radix Trichosanthis) (3 qian), Su Ye (Folium Perillae) (1 qian), Chen Xiang (Lignum Aquilariae Resinatum) (1 qian, ground into powder).
This formula greatly tonifies qi and blood, embodying the principle that supporting righteous qi causes evil qi to eliminate itself.
Commentary: Supporting righteous qi to expel evil, the formula is extremely balanced. From this, we can see that those who use mineral drugs to resolve phlegm are merely seeking novelty and quick results, unaware that they secretly consume the body's true qi. Beware!
Verse: Why does sudden evil invade during pregnancy? Excessive phlegm meets evil spirits, causing demonic illness.
Do not step into ancient caves and dark cliffs; cold temples also attract demons.
To eliminate evil and calm the fetus, use Dang Gui and Bai Shao;
Bai Zhu, Fu Ling, Ren Shen, and Gan Cao.
Chen Pi, Hua Fen, Su Ye, and Chen Xiang;
Greatly tonifying qi and blood, its efficacy is high.
[Multiple Pregnancies Lost Due to Anger]
After a woman becomes pregnant, whether before the fetus takes shape or after it has formed, the fetus may inevitably miscarry. People all say this is due to deficiency of qi and blood, unable to secure the fetus. Who would know that it is actually due to an impatient temperament and excessive anger, causing Liver Fire to move violently and fail to remain still? The Liver stores blood. When the Liver is angry, it fails to store blood; when it fails to store blood, the blood is difficult to secure. Although the Liver belongs to Wood, within Wood resides the Dragon-Thunder Fire, also known as Ministerial Fire (Xiang Huo). Ministerial Fire should be quiet rather than active: when quiet, it is peaceful; when active, it blazes. Moreover, the fire within Wood is easy to activate and difficult to calm. There is no day in life without movement; since there is no day without moving fire, great anger causes the fire to move even more. If the fire moves and cannot be restrained, the fire energy flies wildly, failing to generate qi and nourish the fetus, but instead consuming qi and damaging essence. When essence is damaged, the fetus has nothing to nourish upon, and inevitably descends continuously. As stated in the classics: "Mild fire generates qi, vigorous fire consumes qi," which is exactly this meaning. The treatment method should calm the fire in the Liver and benefit the qi of the waist and umbilicus, allowing qi to generate blood and blood to clear fire, thus achieving balance.
Prescribe Li Qi Xie Huo Tang (Benefit Qi and Drain Fire Decoction).
Ren Shen (Radix Ginseng) (3 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (1 liang, stir-fried with earth), Gan Cao (Radix Glycyrrhizae) (1 qian), Shu Di Huang (Radix Rehmanniae Preparata) (5 qian, steamed nine times), Dang Gui (Radix Angelicae Sinensis) (3 qian, washed with wine), Bai Shao (Radix Paeoniae Alba) (5 qian, stir-fried with wine), Qian Shi (Semen Nelumbinis) (3 qian, stir-fried), Huang Qin (Scutellariae Radix) (2 qian, stir-fried with wine).
Decoct in water and take orally. After taking sixty doses, the fetus will no longer miscarry. Although this formula is named for benefiting qi, it essentially tonifies qi. However, if tonifying qi is not combined with herbs that drain fire, the abundant qi will cause fire to rise uncontrollably, inevitably harming the qi. Therefore, Huang Qin is added among the qi-tonifying herbs to drain fire; along with Shu Di, Dang Gui, and Bai Shao to nourish the Liver and strengthen the master of Water (Kidney Yin/Water), the blood will not become dry and the qi will harmonize. With anger subsiding and fire naturally calming, there is no need to deliberately benefit qi, yet qi will flow freely everywhere, ensuring success in all endeavors.
Commentary: The reason for not using Liver-soothing herbs for those with impatience and excessive anger is due to the presence of pregnancy. The classics state: "If the fetus is diseased, the mother is diseased; if the fetus is secure, the mother's disease heals itself." Therefore, in the field of pregnancy, the primary approach is always to tonify qi, nourish blood, and calm the fetus, so that all diseases will naturally eliminate themselves.
Verse: Why do pregnant women miscarry? It is solely due to impatience and excessive anger.
Treatment should calm the Liver and benefit the waist qi.
With smooth qi and cleared fire, the fetus naturally harmonizes.
Li Qi Xie Huo uses Ren Shen, Bai Zhu, and Bai Shao;
Shu Di, Dang Gui, and raw Gan Cao.
Qian Shi and Huang Qin must both be stir-fried;
Taking them frequently can calm and dissipate anger.