桂枝 茯苓 牡丹（去心） 桃仁（去皮、尖） 芍药各等分
右五味，末之，炼蜜和丸，如兔屎大，每日食前服一丸，不知加至三丸。
@@@
妇人怀娠六、七月，脉弦，发热，其胎愈胀，腹痛恶寒者，少腹如扇，所以然者，子
藏开故也，当以附子汤温其藏。（方未见）
【注】
妇人怀娠六、七月，脉弦发热，似表证也；若其胎愈胀，腹痛恶寒，而无头痛身痛，
则非表证也。少腹如扇状，其恶寒如扇风之侵袭也。所以然者，因其人阳虚子藏开，
寒邪侵入，故用附子汤温子藏而逐寒。但方缺，文亦不纯，必有残缺。
【集注】
程林曰：胎胀腹痛，亦令人发热恶寒，少腹如扇者，阴寒胜也。妊娠阴阳调和，则胎
气安，今阳虚阴盛，不能约束胞胎，故子藏为之开也。附子汤用以温经。
李□曰：按子藏即子宫也。脐下三寸为关元，关元左二寸为胞门，右二寸为子户，命
门为女子系胞之处，非谓命门即子藏也。盖命门是穴名，在腰后两肾中，附脊骨之第
十四椎之两旁。今经文明说少腹如扇者，子藏开，则子藏在少腹明矣。岂有在少腹者
，而反谓其在脊后者乎？此误也。
尤怡曰：脉弦发热，有似表证，而乃身不痛而腹反痛，背不恶寒而腹反恶寒，甚至少
腹阵阵作冷，若或扇之者，其所以然者，子藏开不能阖，而风冷之气乘之也。夫藏开
风入，其阴内胜，则其脉弦为阴气，而发热且为格阳矣。胎胀者，热则消，寒则胀也
。附子汤方未见，然温里散寒之意概可推矣。
@@@
师曰：妇人有漏下者，有半产后，因续下血都不绝者，有妊娠下血者，假令妊娠腹中
痛，为胞阻，胶艾汤主之。
【注】
五、六月堕胎者，谓之半产。妇人有漏下、下血之疾，至五、六月堕胎而下血不绝者
，此症痼之害也。若无症痼下血，惟腹中痛者，则为胞阻。胞阻者，胞中气血不和，
而阻其化育也，故用芎归胶艾汤温和其血，血和而胎育也。
【集注】
程林曰：漏下者，妊娠经来，脉经以阳不足谓之激经也。半产者，以四、五月堕胎，
堕胎必伤其血海，血因续下不绝也。若妊娠下血腹中痛，为胞阻，则用胶艾汤以治。
尤怡曰：妇人经水淋沥，及胎产前后下血不止者，皆冲任脉虚，而阴气不能守也，是
惟胶艾汤能补而固之。
桂枝、茯苓、牡丹（去除心部）、桃仁（去除皮和尖端）、芍药，各取等份。
以上五味药，研成细末，用炼蜜调和制成丸药，大小如兔屎般，每日在饭前服用一丸，若无效则增加至三丸。
@@@
妇女怀孕六、七个月时，脉象弦，伴有发热，胎儿胀感加重，腹痛且怕冷，小腹部感觉像被扇子扇风一样寒冷。之所以这样，是因为子宫口张开所致，应当使用附子汤来温暖子宫。（方剂未见）
【注】
妇女怀孕六、七个月，脉象弦且发热，看似表证；但如果胎儿胀感加重，腹痛怕冷，而没有头痛身痛，那就不是表证。小腹部感觉像被扇子扇风，那种怕冷就像风吹侵袭一样。之所以这样，是因为此人阳虚导致子宫口张开，寒邪侵入，所以用附子汤温暖子宫并驱除寒邪。但方剂缺失，文字也不纯粹，必定有残缺。
【集注】
程林说：胎胀腹痛，也会让人发热怕冷，小腹部像被扇子扇的，这是阴寒胜过的表现。妊娠期间阴阳调和，则胎气安宁，现在阳虚阴盛，不能约束胞胎，所以子宫口为之张开。附子汤用来温经。
李□说：按子宫即子宫。脐下三寸为关元穴，关元左二寸为胞门穴，右二寸为子户穴，命门是女子系胞之处，并非谓命门就是子宫。盖命门是穴位名，位于腰后两肾中，依附脊柱第十四椎两旁。如今经文明确说小腹部像被扇子扇的是子宫口张开，那么子宫在小腹部是明显的了。哪里有在小腹部的，反而说它在脊背后的呢？这是错误的。
尤怡说：脉象弦且发热，看似表证，然而身体不痛而腹部反而痛，背部不怕冷而腹部反而怕冷，甚至小腹部阵阵发冷，好像有人扇风一样，之所以这样，是因为子宫口张开不能闭合，风寒之气乘虚而入。既然子宫口张开风气进入，阴气在内占优势，那么脉象弦即为阴气所致，而发热则是格阳（真寒假热）的表现。胎胀，是因为热则消减，寒则胀大。附子汤方剂未见，然而温里散寒的意思大概可以推测出来了。
@@@
老师说：妇女有漏下（非经期阴道持续少量出血）的，有半产后因续下血都不停止的，有妊娠期下血的，假如妊娠期腹部疼痛，称为胞阻，用胶艾汤主治。
【注】
五、六个月堕胎的，称为半产。妇女有漏下、下血的疾病，到了五、六个月堕胎而下血不止的，这是症痼（体内积块病）的危害。如果没有症痼下血，只有腹部疼痛的，则为胞阻。胞阻，是指胞中气血不和，阻碍了化育，所以用芎归胶艾汤温和其血，血和调则胎育正常。
【集注】
程林说：漏下，指妊娠期间月经来潮，《脉经》以阳气不足称为激经。半产，指四、五个月堕胎，堕胎必伤及其血海，血液因此连续下血不止。如果妊娠下血且腹部疼痛，称为胞阻，则用胶艾汤治疗。
尤怡说：妇女经水淋沥不尽，及胎产前后下血不止的，都是冲任脉虚，阴气不能固守所致，只有胶艾汤能补益并固摄之。
Cinnamon Twig (Guizhi), Poria (Fuling), Moutan Cortex (Mudanpi, removed core), Peach Kernel (Taoren, removed skin and tip), and White Peony Root (Shaoyao) in equal parts.
The above five herbs are ground into fine powder, mixed with refined honey to form pills, sized like rabbit feces. Take one pill before meals daily; if ineffective, increase to three pills.
@@@
When a woman is pregnant for six or seven months, presenting with a wiry pulse (Xian Mai), fever, increased abdominal distension of the fetus, abdominal pain, aversion to cold, and a sensation of cold in the lower abdomen as if fanned by wind, this occurs because the uterus (Zi Cang) is open. It should be treated with Fuzi Tang (Aconite Decoction) to warm the uterus. (Formula not found)
[Annotation]
When a woman is pregnant for six or seven months, presenting with a wiry pulse and fever, it resembles an exterior syndrome (Biao Zheng); however, if there is increased fetal distension, abdominal pain, and aversion to cold without headache or body ache, it is not an exterior syndrome. The sensation of the lower abdomen being fanned indicates aversion to cold similar to wind invasion. This happens because yang deficiency leads to the opening of the uterus, allowing cold pathogenic factors to invade; thus, Fuzi Tang is used to warm the uterus and dispel cold. However, the formula is missing, and the text is incomplete, indicating likely damage or loss.
[Collected Annotations]
Cheng Lin stated: Fetal distension and abdominal pain can also cause fever and aversion to cold. A sensation of the lower abdomen being fanned indicates excessive yin-cold. During pregnancy, when yin and yang are harmonious, fetal qi is stable. Now, due to yang deficiency and yin excess, the gestational sac cannot be constrained, causing the uterus to open. Fuzi Tang is used to warm the meridians.
Li [Name Missing] stated: According to records, Zi Cang refers to the uterus. Guan Yuan (CV4) is three cun below the umbilicus; Bao Men (extra point) is two cun to the left of Guan Yuan, and Zi Hu (extra point) is two cun to the right. Ming Men (GV4) is where the woman's uterus is tied, but Ming Men does not equate to Zi Cang. Ming Men is an acupoint located behind the waist between the two kidneys, flanking the 14th thoracic vertebra along the spine. Since the classic text explicitly states that the lower abdomen feeling fanned corresponds to the opening of the uterus, the uterus must be in the lower abdomen. How could something in the lower abdomen be said to be on the back? This is an error.
You Yi stated: A wiry pulse and fever resemble an exterior syndrome, yet the body does not hurt while the abdomen hurts, and the back is not cold while the abdomen is cold. Even worse, the lower abdomen feels intermittently cold, as if fanned. This occurs because the uterus opens and fails to close, allowing wind and cold qi to enter. With the uterus open and wind entering, yin prevails internally; thus, the wiry pulse reflects yin qi, and the fever represents floating yang (Ge Yang). Fetal distension occurs because heat causes reduction while cold causes expansion. Although the Fuzi Tang formula is not found, the intent to warm the interior and dispel cold can be inferred.
@@@
The Master said: Women may suffer from metrorrhagia (Lou Xia), continuous bleeding after miscarriage (Ban Chan), or bleeding during pregnancy. If a pregnant woman experiences abdominal pain accompanied by bleeding, it is called Bao Zu (Uterine Obstruction), and Jiao Ai Tang (Collagen and Mugwort Decoction) should be administered.
[Annotation]
Miscarriage occurring at five or six months is called Ban Chan (half-birth). For women suffering from metrorrhagia or bleeding who miscarry at five or six months with continuous bleeding, this is caused by an existing pathological mass (Zheng Gu). If there is no such mass but only abdominal pain, it is called Bao Zu. Bao Zu refers to disharmony of qi and blood in the uterus, obstructing fetal development. Therefore, Xiong Gui Jiao Ai Tang is used to gently harmonize the blood; once the blood is harmonized, fetal development proceeds normally.
[Collected Annotations]
Cheng Lin stated: Lou Xia refers to menstruation during pregnancy, which the Mai Jing classifies as Ji Jing (stimulated menstruation) due to insufficient yang. Ban Chan refers to miscarriage at four or five months, which inevitably damages the Sea of Blood, leading to continuous bleeding. If pregnancy is accompanied by bleeding and abdominal pain, termed Bao Zu, Jiao Ai Tang should be used for treatment.
You Yi stated: Dripping menstrual flow and continuous bleeding before or after childbirth are all due to deficiency of the Chong and Ren meridians, where yin qi fails to retain blood. Only Jiao Ai Tang can tonify and secure these conditions.