【歌】将养失宜胎上逼，若然气促必倾危，当归葱白阿胶草，大腹砂仁功亦奇。
【论】将养合宜，气血调和，则胎得其所而产亦顺，否则胎气动逆上逼心肺，以致气塞不转，闷乱喘促而死
矣。薛立斋曰∶气逆胎上，紫苏饮。若饮食不甘，兼六君子。肝火内热，加味逍遥散。胃火，四君加栀、芩。脾
郁，加味归脾。
【方】
当归汤
当归 人参 阿胶 甘草 连须葱白
水煎服，或单用葱白二十一茎水煎服，未死即安，已死即下。
【歌】气血两虚胎不长，黄 白术共当归，鲤鱼煮汁频频服，久久功成胎自肥。
【论】《圣济总录》曰∶调理失宜，饮食减少，气血虚弱，不能行荣卫化精微，养冲任，故令胎内弱，子气
不足。若使脾胃和而能饮食，水谷化而运气血，何虑胎气之不长也。
【方】
黄 汤
黄 白术 茯苓 麦冬 人参 陈皮 甘草 姜 枣
白术丸
白术 当归 阿胶 地黄 川芎 牡蛎 川椒
蜜丸服三十丸。
集验方
鲤鱼长尺许，煮如食法，饮其汁则胎自长矣。
（附乳法）
【歌】妊娠腹内似钟鸣，或有婴儿哭泣声，鼠窟黄连虽主治，要知育后不长生。
【论】妊娠腹内钟鸣，用鼠窟中土为末，入麝香少许，酒调服二钱，立愈。或以黄连浓煎汁，令母时常呷之。
《产宝》曰∶腹中儿哭者，是脐带上疙瘩儿含口中，因妊娠登高举臂脱出儿口，因此作声。令妊妇曲腰，就地如拾
物状，仍入儿口即止。又曰，其治法亦用前二方。薛立斋曰∶黄连性寒，麝香开窍，当酌量用之。
一妇怀娠八月，因举手挂窗，遂致儿在腹中哭，众莫能治，一老稳婆教以大豆一升撒地，令孕妇拾之，果未
及一半而愈。
妊娠无故忽然两乳中滴出者，谓之乳。有此症者，儿多不育。
【歌诀】孕期调养不当导致胎气上逆逼压心肺，如果此时出现气短急促的症状，必定会有生命危险。使用当归、葱白、阿胶和甘草组成的方剂，配合大腹皮和砂仁，功效也非常奇妙。
【论述】如果孕期调养得当，气血调和，那么胎儿就能安居其位，分娩也会顺利；否则，胎气就会逆乱向上逼迫心肺，导致气机闭塞无法运转，患者因胸闷烦躁、气喘急促而死亡。薛立斋说：如果是气逆导致胎气上冲，可用紫苏饮。如果伴有食欲不振，可兼用六君子汤。如果是肝火内热，可用加味逍遥散。如果是胃火，可在四君子汤基础上加入栀子、黄芩。如果是脾郁，可用加味归脾汤。
【方剂】
当归汤
组成：当归、人参、阿胶、甘草、带须的葱白。
用法：水煎服用。或者单用二十一茎葱白水煎服用，如果胎儿未死则能安胎，如果胎儿已死则能促使排出。
【歌诀】气血两虚导致胎儿发育不良，使用黄芪、白术共同配伍当归，用鲤鱼煮汁频频服用，久而久之功效显现，胎儿自然会长得丰满健壮。
【论述】《圣济总录》说：如果调理失当，饮食减少，导致气血虚弱，不能运行营卫之气以化生精微物质来滋养冲任二脉，所以导致胎儿体内虚弱，子气不足。如果能使脾胃调和并能正常饮食，水谷精微转化为气血，又何必担心胎气不长呢？
【方剂】
黄芪汤
组成：黄芪、白术、茯苓、麦冬、人参、陈皮、甘草、生姜、大枣。
白术丸
组成：白术、当归、阿胶、地黄、川芎、牡蛎、川椒。
用法：制成蜜丸，每次服用三十丸。
集验方
取长约一尺的鲤鱼，按食用方法煮熟，饮用其汤汁，胎儿自然就会生长。
（附注：关于乳汁异常的方法）
【歌诀】妊娠期间腹部内声音像钟鸣一样，或者听到婴儿哭泣的声音，虽然鼠洞中的黄土（鼠窟土）是主治药物，但要明白这往往预示产后婴儿难以存活。
【论述】妊娠期间腹部内有钟鸣声，可用鼠洞中的泥土研成粉末，加入少许麝香，用酒调服二钱，立刻痊愈。或者用黄连浓煎汁液，让孕妇经常小口啜饮。《产宝》说：腹中胎儿哭泣的原因，是因为脐带上长有疙瘩，胎儿含在口中，由于妊娠期登高举臂，导致疙瘩脱出胎儿口中，因此发出声音。让孕妇弯腰，做出像在地上捡东西的姿势，使疙瘩重新进入胎儿口中，哭声就会停止。又说，治疗方法也可使用前文提到的两种方剂。薛立斋说：黄连性寒，麝香开窍，应当酌情使用。
有一位妇女怀孕八个月，因为举手挂窗户，导致胎儿在腹中哭泣，众人无法治疗，一位老稳婆教她撒一升大豆在地上，让孕妇弯腰去捡，果然还没捡完一半就好了。
妊娠期间无故突然从两乳头滴出乳汁的，称为“乳泣”。有此症状的，胎儿大多不能存活。
[Song] Improper nursing during pregnancy leads to fetal Qi rebelling upward and pressing against the heart and lungs; if accompanied by shortness of breath, it is critical. Dang Gui Tang (Angelica Decoction) with scallion white, E Jiao (Donkey-hide Gelatin), and Gan Cao (Licorice), combined with Da Fu Pi (Areca Peel) and Sha Ren (Amomum Fruit), yields miraculous effects.
[Discussion] If nursing is appropriate, Qi and Blood are harmonious, the fetus resides in its proper place, and delivery proceeds smoothly. Otherwise, fetal Qi rebels upward, pressing against the heart and lungs, causing Qi stagnation and inability to circulate, leading to death from chest oppression, restlessness, and panting. Xue Lizhai stated: For rebellious Qi causing fetal upward pressure, use Zi Su Yin (Perilla Decoction). If accompanied by poor appetite, combine with Liu Jun Zi Tang (Six Gentlemen Decoction). For internal heat due to Liver Fire, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). For Stomach Fire, add Zhi Zi (Gardenia Fruit) and Huang Qin (Scutellaria Root) to Si Jun Zi Tang (Four Gentlemen Decoction). For Spleen Depression, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction).
[Formula]
Dang Gui Tang (Angelica Decoction)
Ingredients: Dang Gui (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix), E Jiao (Colla Corii Asini), Gan Cao (Glycyrrhizae Radix et Rhizoma), Lian Xu Cong Bai (Scallion White with roots).
Usage: Decoct in water and take orally. Alternatively, decoct twenty-one stalks of Scallion White alone in water. If the fetus is alive, it will be stabilized; if dead, it will be expelled.
[Song] Deficiency of both Qi and Blood leads to poor fetal growth. Huang Qi (Astragalus Root), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Dang Gui (Angelicae Sinensis Radix) are used together. Frequently drinking broth boiled from Carp (Cyprinus carpio) will eventually result in a plump and healthy fetus.
[Discussion] The Sheng Ji Zong Lu states: Improper regulation leads to reduced food intake and deficiency of Qi and Blood, which fail to circulate Ying and Wei (Nutritive and Defensive Qi) to transform fine essences and nourish the Chong and Ren vessels. Thus, the fetus becomes weak internally, lacking sufficient fetal Qi. If the Spleen and Stomach are harmonious and capable of digestion, transforming food and fluids into Qi and Blood, why worry about the lack of fetal growth?
[Formula]
Huang Qi Tang (Astragalus Decoction)
Ingredients: Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Mai Dong (Ophiopogonis Radix), Ren Shen (Ginseng Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus).
Bai Zhu Wan (Atractylodes Pill)
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), E Jiao (Colla Corii Asini), Di Huang (Rehmanniae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Li (Concha Ostreae), Chuan Jiao (Zanthoxyli Pericarpium).
Usage: Make honey pills, take thirty pills each time.
Ji Yan Fang (Verified Formula)
Take a carp about one chi long, cook it as food, and drink the broth; the fetus will naturally grow.
(Attachment: Method for Abnormal Lactation)
[Song] During pregnancy, sounds like bell ringing may be heard inside the abdomen, or even the sound of an infant crying. Although Tu Chu Qiong (Soil from Mouse Hole) containing Huang Lian (Coptidis Rhizoma) is the primary treatment, one must know that this often indicates the child will not survive after birth.
[Discussion] For bell-like sounds in the abdomen during pregnancy, powder the soil from a mouse hole, mix with a small amount of She Xiang (Moschus), and take two qian mixed with wine; it cures immediately. Alternatively, decoct Huang Lian (Coptidis Rhizoma) strongly and let the mother sip it frequently. The Chan Bao states: The reason for the fetus crying in the abdomen is that a nodule on the umbilical cord was held in the mouth. Due to climbing high and raising arms during pregnancy, the nodule slipped out of the mouth, causing the sound. Instruct the pregnant woman to bend her waist and act as if picking up something from the ground; once the nodule re-enters the mouth, the crying stops. It also states that the treatment can use the aforementioned two formulas. Xue Lizhai said: Huang Lian (Coptidis Rhizoma) is cold in nature, and She Xiang (Moschus) opens orifices; they should be used with discretion.
A woman at eight months of pregnancy raised her arm to hang a window, causing the fetus to cry in the abdomen. No one could treat it until an old midwife taught her to scatter one sheng of soybeans on the ground and have the pregnant woman pick them up. The crying stopped before she had picked up half.
If milk suddenly drips from both breasts without cause during pregnancy, it is called "Ru Qi" (Lactation Before Delivery). Those with this symptom often do not deliver viable children.