1.妊娠胎前病恶阻, 胞阻肿满气烦悬, 痫嗽转胞与子淋, 激经胎漏
胎不安. 小产死胎胎不长, 子瘖脏燥鬼胎连, 余病当参杂证治, 须知
刻刻顾胎原.
【注】此言妊娠胎前, 有恶阻, 胞阻, 子肿, 子满, 子烦, 子悬, 子
痫,子嗽, 转胞, 子淋, 激经, 胎漏, 胎动不安, 小产堕胎, 子死腹
中,胎萎不长, 子瘖, 脏燥, 鬼胎等证, 皆当一一详辨熟记. 其余胎
前伤寒, 伤食, 疟痢, 霍乱, 泄泻, 当于杂证门中参考治之. 但须时
刻保护胎原, 不致误犯为要也.
2.恶心呕吐名恶阻, 择食任意过期安, 重者须药主胃弱, 更分胎逆
痰热寒.
【注】妇人受孕月余之后, 时时呕吐者, 名曰恶阻. 若无他病择食者
,须随其意而与之. 轻者过期自然勿药而愈, 重者须以药治之. 当以
胃弱为主, 更审其或因胎气阻逆, 或痰饮阻逆, 与夫兼热, 兼寒, 而
分治之.
保生汤
3.胎气阻逆惟呕吐, 无他兼证保生汤, 砂术香附乌陈草, 量加参枳
引生姜.
【注】恶阻, 有因胎气阻逆者, 乃受胎后胞门闭塞, 脏气内阻, 挟胎
气上逆于胃, 故令恶心呕吐也. 若平素胃虚所致, 虽无痰饮, 寒热相
兼而亦有恶阻证者, 宜用保生汤, 即砂仁, 白术, 香附, 乌药, 陈皮
,甘草也. 引用生姜者, 以止其呕也. 若气弱者, 量加人参; 气实者
,量加枳壳.
加味六君汤
4.痰饮恶阻吐痰水, 烦眩加味六君汤, 枇杷藿香旋缩枳, 热秘芩军
寒桂姜.
【注】恶阻因于痰饮者, 其吐必多痰水, 且心烦头目眩晕, 必其人平
素胃虚, 中停痰饮也. 宜用加味六君汤, 于六君汤内, 加枇杷叶, 藿
香,旋覆花, 缩砂, 枳壳. 若胃热便秘, 加黄芩, 大黄以利之; 胃寒
喜热, 加肉桂, 干姜以温之.
六君汤方见首卷
加味温胆汤
5.热阻恶食喜凉浆, 心烦愦闷温胆汤, 橘半茯甘与枳竹, 更加芩连
芦麦姜.
【注】恶阻因于胃热者, 必呕吐, 心中热烦, 愦闷喜饮凉浆也. 宜用
加味温胆汤, 其方即陈皮, 半夏, 茯苓, 甘草, 枳实, 竹茹, 名温胆
汤.更加黄芩, 黄连, 芦根, 麦门冬, 引生姜也.
1. 妊娠期间胎前疾病包括恶阻、胞阻、肿胀满闷、气机烦乱、悬痛、痫证、咳嗽、转胞以及子淋，还有激经和胎漏导致胎元不安。此外还有小产、死胎、胎儿生长迟缓，子瘖、脏燥、鬼胎等病症。其余疾病应当参考杂病证治的方法，但必须时刻顾护胎元根本。
【注】这里所说的妊娠胎前，有恶阻、胞阻、子肿、子满、子烦、子悬、子痫、子嗽、转胞、子淋、激经、胎漏、胎动不安、小产堕胎、子死腹中、胎萎不长、子瘖、脏燥、鬼胎等证候，都应当一一详细辨别并熟记。其余胎前伤寒、伤食、疟疾痢疾、霍乱、泄泻等，应当在杂证门类中参考治疗。但是须要时刻保护胎元根本，不致使误犯为关键要点。
2. 恶心呕吐称为恶阻，若只是择食且任意饮食，过期后自然安适；病情重者必须用药，主要因胃气虚弱，更需分辨是胎气逆乱、痰饮阻滞、兼热还是兼寒。
【注】妇女受孕月余之后，时时呕吐的，名叫恶阻。如果没有其他疾病，只是择食的，必须顺随其意愿给予食物。轻者过了期限自然不用药而痊愈，重者必须用药治疗。当以胃气虚弱为主因，再审察是因为胎气阻逆，还是痰饮阻逆，以及是否兼有热象或寒象，从而分别治疗。
保生汤
3. 因胎气阻逆导致的仅有呕吐，无其他兼证，用保生汤治疗，方含砂仁、白术、香附、乌药、陈皮、甘草，酌情加入人参、枳壳，以生姜为引。
【注】恶阻，有因胎气阻逆引起的，这是受孕后胞门闭塞，脏气内部受阻，挟带胎气上逆于胃，所以导致恶心呕吐。如果平素胃虚所致，即使没有痰饮，寒热相兼也有出现恶阻证的，适宜用保生汤，即砂仁、白术、香附、乌药、陈皮、甘草组成。引用生姜，是为了止呕。如果气虚者，酌情加入人参；气实者，酌情加入枳壳。
加味六君汤
4. 因痰饮导致的恶阻，呕吐痰水，心烦眩晕，用加味六君汤治疗，方含枇杷叶、藿香、旋覆花、缩砂、枳壳，若热秘加黄芩、大黄，寒证加肉桂、干姜。
【注】恶阻因痰饮引起的，其呕吐必定多痰水，且伴有心烦、头目眩晕，必定是此人平素胃虚，中焦停聚痰饮。适宜用加味六君汤，即在六君子汤基础上，加入枇杷叶、藿香、旋覆花、缩砂、枳壳。如果胃热便秘，加入黄芩、大黄以通利之；胃寒喜热，加入肉桂、干姜以温中之。
六君子汤方见首卷
加味温胆汤
5. 因热邪导致的恶阻，厌恶进食，喜欢凉浆，心烦郁闷，用温胆汤治疗，方含陈皮、半夏、茯苓、甘草、枳实、竹茹，再加黄芩、黄连、芦根、麦门冬，以生姜为引。
【注】恶阻因胃热引起的，必定呕吐，心中热烦，郁闷喜欢饮用凉浆。适宜用加味温胆汤，其方即陈皮、半夏、茯苓、甘草、枳实、竹茹，名为温胆汤。再加黄芩、黄连、芦根、麦门冬，以生姜为引。
1. Diseases during pregnancy include morning sickness (Ezu, nausea and vomiting), uterine obstruction (Baoku), swelling and fullness, Qi stagnation with vexation, hanging pain (Zixuan), eclampsia (Zixian), cough (Zisou), urinary retention due to bladder displacement (Zhuanbao), and painful urination during pregnancy (Zilin). There is also abnormal menstruation during pregnancy (Jijing) and fetal leakage (Tailou) leading to fetal insecurity. Additionally, there are spontaneous abortion (Xiaochan), retained dead fetus (Sitaizisi), fetal growth retardation (Taiwei buchang), aphonia during pregnancy (Ziyin), visceral dryness (Zangzao), and phantom pregnancy (Guotai). Other diseases should be treated by referring to the treatment of miscellaneous diseases, but one must constantly protect the root of the fetus.
[Note] This refers to conditions during pregnancy, including Ezu, Baoku, Zishen (swelling), Ziman (fullness), Zifan (vexation), Zixuan, Zixian, Zisou, Zhuanbao, Zilin, Jijing, Tailou, Tai dong bu an (fetal movement insecurity), Xiaochan/Duotai (spontaneous/induced abortion), Zisi fuzhong (dead fetus in uterus), Taiwei buchang, Ziyin, Zangzao, Guotai, etc. All these syndromes should be carefully differentiated and memorized. For other pre-natal conditions such as Cold Damage (Shanghan), food stagnation, malaria-dysentery, cholera-like disease (Huoluan), and diarrhea, treatment should be referenced from the section on miscellaneous diseases. However, it is essential to constantly protect the fetal root to avoid erroneous interventions.
2. Nausea and vomiting are called Ezu. If it is merely selective eating and the condition resolves after a certain period, no treatment is needed. In severe cases, medication is required, primarily addressing weak Stomach Qi, while distinguishing between rebellious Fetal Qi, phlegm-fluid retention, heat, or cold.
[Note] After a woman has been pregnant for over a month, frequent vomiting is named Ezu. If there are no other illnesses and she is merely selective in food, her preferences should be accommodated. Mild cases resolve spontaneously without medication after a period of time; severe cases require medicinal treatment. The primary cause is considered weak Stomach Qi. One must further examine whether it is caused by rebellious Fetal Qi, phlegm-fluid retention, or accompanied by heat or cold, and treat accordingly.
Baosheng Tang (Preserve Life Decoction)
3. When Ezu is caused solely by rebellious Fetal Qi with vomiting and no other accompanying symptoms, use Baosheng Tang. It contains Amomi Fructus (Sharen), Atractodis Rhizoma (Baizhu), Cyperi Rhizoma (Xiangfu), Linderae Radix (Wuyao), Citri Reticulatae Pericarpium (Chenpi), and Glycyrrhizae Radix et Rhizoma (Gancao). Add Ginseng Radix et Rhizoma (Renshen) or Aurantii Fructus (Zhike) as appropriate, using Zingiberis Rhizoma Recens (Shengjiang) as a guide.
[Note] Ezu caused by rebellious Fetal Qi occurs when, after conception, the uterine opening closes, internal organ Qi is obstructed, and this Qi rebels upward along with the Fetal Qi into the Stomach, causing nausea and vomiting. If caused by chronic Stomach deficiency, even without phlegm-fluids, mixed cold and heat may present as Ezu; Baosheng Tang is suitable. This formula consists of Sharen, Baizhu, Xiangfu, Wuyao, Chenpi, and Gancao. Zingiberis Rhizoma Recens (Shengjiang) is used as a guide to stop vomiting. If Qi is deficient, add Ginseng Radix et Rhizoma (Renshen) appropriately; if Qi is excess, add Aurantii Fructus (Zhike) appropriately.
Jiawei Liujun Tang (Modified Six Gentlemen Decoction)
4. Ezu caused by phlegm-fluids presents with vomiting of phlegm and water, vexation, and dizziness; use Jiawei Liujun Tang. It includes Eriobotryae Folium (Pipaye), Agastaches Herba (Huoxiang), Inulae Flos (Xuanfuhua), Amomi Fructus (Suosha), and Aurantii Fructus (Zhike). If there is heat with constipation, add Scutellariae Radix (Huangqin) and Rheum Radix et Rhizoma (Dahuang); if cold, add Cinnamomi Cortex (Rougui) and Zingiberis Rhizoma (Ganjiang).
[Note] Ezu caused by phlegm-fluids involves vomiting copious phlegm and water, accompanied by mental vexation and dizziness. This indicates chronic Stomach deficiency with accumulation of phlegm-fluids in the middle jiao. Jiawei Liujun Tang is indicated, which is Liujun Tang added with Eriobotryae Folium (Pipaye), Agastaches Herba (Huoxiang), Inulae Flos (Xuanfuhua), Amomi Fructus (Suosha), and Aurantii Fructus (Zhike). If Stomach heat causes constipation, add Scutellariae Radix (Huangqin) and Rheum Radix et Rhizoma (Dahuang) to promote purgation; if Stomach cold with preference for warmth, add Cinnamomi Cortex (Rougui) and Zingiberis Rhizoma (Ganjiang) to warm.
Liujun Tang formula is seen in the first volume.
Jiawei Wendan Tang (Modified Warm the Gallbladder Decoction)
5. Ezu caused by heat involves aversion to food, desire for cool drinks, mental vexation, and oppression; use Wendan Tang. It contains Citri Reticulatae Pericarpium (Chenpi), Pinelliae Rhizoma (Banxia), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Aurantii Fructus (Zhishi), and Bamboo Shavings (Zhuru). Add Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Phragmitis Rhizoma (Lugen), and Ophiopogonis Tuber (Maidong), using Zingiberis Rhizoma Recens (Shengjiang) as a guide.
[Note] Ezu caused by Stomach heat involves vomiting, mental heat and vexation, oppression, and a desire to drink cool fluids. Jiawei Wendan Tang is indicated. The base formula is Chenpi, Banxia, Fuling, Gancao, Zhishi, and Zhuru, known as Wendan Tang. Added are Huangqin, Huanglian, Lugen, and Maidong, with Zingiberis Rhizoma Recens (Shengjiang) as a guide.