妊娠若元气不实，发热倦怠，或胎动不安，用当归散；因气恼加枳壳；胸膈痞闷再加苏梗；
或作痛加柴胡。若饮食不甘或欲呕吐，用六君加紫苏、枳壳。若恶阻呕逆，头晕体倦，用参
橘散；未应，用六君子汤。若恶阻呕吐，不食烦闷，亦用参橘散之类。若顿仆胎动，腹痛下
血，用胶艾汤；未应，用八珍加胶艾。若顿仆毒药，腰痛短气，用阿胶散；未应，煎送知母
丸。若顿仆胎伤，下血腹痛，用佛手散；未应，用八珍送知母丸。若心惊胆怯，烦闷不安，
名子烦，用竹叶汤；未应，血虚佐以四物，气虚佐以四君。若下血不止，名胎漏，血虚用二
黄散，血去多，用八珍汤；未应，用补中益气汤。若因事而动下血，用枳壳汤加生熟地黄；
未应，或作痛，更加当归；血不止，八珍加胶艾。若不时作痛，若小腹重坠，名胎痛，用地
黄当归汤；未应，加参、术、陈皮；或因脾气虚，用四君加归地，中气虚，用补中益气汤。
若面目虚浮，肢体如水气，名子肿，用全生白术散；未应，用六君子汤；下部肿甚，用补中
益气倍加茯苓。或因饮食失宜，呕吐泄泻，此是脾胃亏损，用六君子汤。若足指发肿，渐至
腿膝，喘闷不安，或足指缝出水，名水气，用天仙藤散，脾胃虚弱，兼以四君子；未应，用
补中益气，兼以逍遥散。若胎气上攻，心腹胀满作痛，名子悬，用紫苏饮；饮食不甘，兼四
君子；内热晡热，兼逍遥散。若小便涩少，或成淋沥，名子淋，用安荣散；不应，兼八珍汤
；腿足转筋，而小便不利，急用八味丸，缓则不救。若项强筋挛，语涩痰盛，名子痫，用羚
羊角散；或饮食停滞，腹胀呕吐，此是脾胃虚弱，而不能消化，用六君子汤；不应，用平胃
散加参、苓。或胎作胀，或腹作痛，此是脾胃气虚，而不能承载，用安胎饮加升麻、白术；
不应，用补中益气汤。或脐腹作胀，或小便淋闭，此是脾胃气虚，胎压尿泡，四物加二陈、
参、术，空心服后探吐，药出气定，又服又吐，数次必安。或因劳役所伤，或食煎炒，小便
带血，此是血得热而流于脬中，宜清膀胱，用逍遥散。或遗尿不禁，或为频数，此是肝火血
热，用加味逍遥散。若胸满腹胀，小便不通，遍身浮肿，名胎水不利，用鲤鱼汤；脾胃虚，
佐以四君子。病名同而形症异，形症异而病名同，聊见本方。凡用见症之药，不应，当分月
经治之。
治验
一妊娠三月，其经若来三五次，但不多，饮食、精神如故，此血盛有余，儿大能饮，自不来
矣，果然。
一妊娠六月，每怒气便见血，甚至寒热头痛，胁胀腹痛，作呕少食。余谓寒热头痛，肝火上
冲也；胁胀腹痛，肝气不行也；作呕少食，肝侮脾胃也；小便见血，肝火血热也。用小柴胡
加芍药、炒黑山栀、茯苓、白术而愈。
一妊娠六月，体倦食少，劳役见血，用六君加当归、熟地、升麻、柴胡而愈。
一妊娠每三四月，胎便作痛，余用当归地黄汤治之，不日而愈。
一妊娠三月，饮食后因怒患疟，连吐三次，用藿香正气散二剂，随用安胎饮，一剂而愈。后
因怒，痰甚狂言，发热胸胀，手按少得，此肝脾气滞，用加味逍遥散加川芎，二剂顿退，四
剂而安。
一妇人每怒，发热胁胀，小便淋涩，每月经行，旬余未已，已受胎三月，因怒前症复作，朝
用加味逍遥散，夕用安胎饮，各二剂而安。五月又怒，复作，下血如经行，四日未止，仍用
前药而愈。
一妊娠将三月，呕吐恶食，体倦嗜卧，此恶阻之症，用人参橘皮汤，二剂渐愈，又用六君加
紫苏，二剂而安。
一妊娠吞酸恶心，欲作呕吐，此饮食停滞，用六君加曲 、炒黑子芩、枳壳、香附治之而愈
。
一妊娠饮食后恼怒，寒热呕吐，头痛恶寒，胸腹胀痛，大便不实而色青，小便频数而有血。
余曰∶当清肝健脾为主。不信，乃主安胎止血，益甚。问余曰∶何也?余曰∶大便不实而色
青，此是饮食既伤脾土而兼木侮；小便频数而有血，此是肝火血流于胞而兼挺痿也。用六君
子加枳壳、紫苏、山栀二剂，脾胃顿醒，又用加味逍遥加紫苏、枳壳二剂，小便顿清，更节
饮食，调理而安。
一妊娠每至五月，肢体倦怠，饮食无味，先两足肿，渐至遍身，后及头面，此是脾肺气虚，
朝用补中益气，夕用六君子加苏梗而愈。凡治妊娠，毋泥其月数，但见某经症，便用某药为
善。
一妊娠因怒吐血块，四日不止，两胁胀痛，小便淋涩，此怒而血蓄于上部，火炎而随出也，
胁胀腹痛，小便淋涩，肝经本病也，用小柴胡合四物，四剂而止，却用六君子、安胎饮，调
理而安。
一妊娠气喘痰甚，诸药不应，问治于余，询之云，素有带下，始于目下浮两月余，其面亦然
，此气虚有痰饮也，用六味丸料，数剂而愈。
凡妇人气血方盛，乳房作胀，或无儿饮，痛胀寒热，用麦芽二三两炒熟，水煎服，立消。其
耗散血气如此，何脾胃虚弱，饮食不消，方中多用之?一云麦芽，最消肾。若气血虚而乳汁
自出者，宜十全大补汤，其子多不育。
妊娠期间，如果元气不足，出现发热、倦怠，或者胎动不安，使用当归散；因气恼而加重者，加枳壳；胸膈痞闷者再加苏梗；若伴有疼痛，加柴胡。如果饮食无味或想要呕吐，使用六君子汤加紫苏、枳壳。如果恶阻（妊娠呕吐）呕逆，头晕身体疲倦，使用参橘散；无效时，使用六君子汤。如果恶阻呕吐，不进食且烦闷，也使用参橘散之类的方剂。如果跌倒导致胎动，腹痛下血，使用胶艾汤；无效时，使用八珍汤加胶艾。如果跌倒误服毒药，腰痛短气，使用阿胶散；无效时，煎服知母丸送下。如果跌倒伤胎，下血腹痛，使用佛手散；无效时，使用八珍汤送服知母丸。如果心惊胆怯，烦闷不安，名为子烦，使用竹叶汤；无效时，血虚者佐以四物汤，气虚者佐以四君子汤。如果下血不止，名为胎漏，血虚用二黄散，失血多者，用八珍汤；无效时，使用补中益气汤。如果因劳累而动血下血，使用枳壳汤加生地黄、熟地黄；无效时，若作痛，再加当归；血不止，用八珍汤加胶艾。如果不时作痛，小腹重坠，名为胎痛，使用地黄当归汤；无效时，加人参、白术、陈皮；或因脾气虚，用四君子汤加当归、地黄；中气虚，用补中益气汤。如果面目虚浮，肢体像有水气，名为子肿，使用全生白术散；无效时，使用六君子汤；下部肿胀严重，使用补中益气汤倍加茯苓。如果因饮食不当，呕吐泄泻，这是脾胃亏损，使用六君子汤。如果足趾发肿，渐至腿膝，喘闷不安，或足趾缝出水，名为水气，使用天仙藤散，脾胃虚弱者，兼用四君子汤；无效时，使用补中益气汤，兼用逍遥散。如果胎气上攻，心腹胀满作痛，名为子悬，使用紫苏饮；饮食无味，兼用四君子汤；内热午后发热，兼用逍遥散。如果小便涩少，或成淋沥状，名为子淋，使用安荣散；无效时，兼用八珍汤；腿足转筋，且小便不利，急用八味丸，缓则无法救治。如果项强筋挛，言语涩滞痰多，名为子痫，使用羚羊角散；或饮食停滞，腹胀呕吐，这是脾胃虚弱，不能消化，使用六君子汤；无效时，使用平胃散加人参、茯苓。或胎胀，或腹作痛，这是脾胃气虚，不能承载，使用安胎饮加升麻、白术；无效时，使用补中益气汤。或脐腹胀胀，或小便淋闭，这是脾胃气虚，胎压尿胞，用四物汤加二陈汤、人参、白术，空腹服用后探吐，药出气定，再服又吐，数次必安。或因劳役所伤，或吃煎炒食物，小便带血，这是血得热而流于膀胱，宜清膀胱，使用逍遥散。或遗尿不禁，或尿频，这是肝火血热，使用加味逍遥散。如果胸满腹胀，小便不通，遍身浮肿，名为胎水不利，使用鲤鱼汤；脾胃虚者，佐以四君子汤。病名相同而症状不同，症状不同而病名相同，简要见于本方。凡是见到症状用药，无效时，应当分月经治之。
治验案例：
有一位孕妇怀孕三个月，月经来了三五次，但量不多，饮食、精神如常，这是血盛有余，胎儿大了能吸收，自然就不来了，果然如此。
有一位孕妇怀孕六个月，每次生气就见血，甚至寒热头痛，胁胀腹痛，作呕少食。我说寒热头痛是肝火上冲；胁胀腹痛是肝气不行；作呕少食是肝木侮脾土；小便见血是肝火血热。用小柴胡汤加芍药、炒黑山栀、茯苓、白术而愈。
有一位孕妇怀孕六个月，体倦食少，劳累后见血，用六君子汤加当归、熟地、升麻、柴胡而愈。
有一位孕妇每到三四月，胎便作痛，我用当归地黄汤治疗她，不久痊愈。
有一位孕妇怀孕三个月，饮食后因怒患疟疾，连吐三次，用藿香正气散两剂，随后用安胎饮，一剂而愈。后来因怒，痰多狂言，发热胸胀，手按稍减，这是肝脾气滞，用加味逍遥散加川芎，两剂顿退，四剂而安。
一位妇人每次生气，发热胁胀，小便淋涩，每次月经来潮，十几天未停，已受孕三月，因怒前症复发，早晨用加味逍遥散，晚上用安胎饮，各两剂而安。五月又生气，复发，下血如月经，四天未止，仍用前药而愈。
一位孕妇将满三月，呕吐恶食，体倦嗜卧，这是恶阻的症状，用人参橘皮汤，两剂渐愈，又用六君子汤加紫苏，两剂而安。
一位孕妇吞酸恶心，欲作呕吐，这是饮食停滞，用六君子汤加神曲、炒黑黄芩、枳壳、香附治疗而愈。
一位孕妇饮食后恼怒，寒热呕吐，头痛恶寒，胸腹胀痛，大便不实而色青，小便频数而有血。我说：应当以清肝健脾为主。不信，反而主张安胎止血，病情更重。问我为什么？我说：大便不实而色青，这是饮食既伤脾土而兼木侮；小便频数而有血，这是肝火血流于胞宫而兼挺痿。用六君子汤加枳壳、紫苏、山栀两剂，脾胃顿醒，又用加味逍遥散加紫苏、枳壳两剂，小便顿清，更节饮食，调理而安。
一位孕妇每到五月，肢体倦怠，饮食无味，先两足肿，渐至遍身，后及头面，这是脾肺气虚，早晨用补中益气汤，晚上用六君子汤加苏梗而愈。凡治疗妊娠，不要拘泥于月份，只要见到某经症状，就用某药为好。
一位孕妇因怒吐血块，四天不止，两胁胀痛，小便淋涩，这是怒而血蓄于上部，火炎而随出也，胁胀腹痛，小便淋涩，是肝经本病，用小柴胡汤合四物汤，四剂而止，却用六君子汤、安胎饮，调理而安。
一位孕妇气喘痰多，诸药无效，向我求治，询问得知，素有带下，始于眼下浮肿两月余，其面亦然，这是气虚有痰饮，用六味地黄丸料，数剂而愈。
凡是妇女气血方盛，乳房作胀，或无儿饮，痛胀寒热，用麦芽二三两炒熟，水煎服，立消。其耗散血气如此，为何脾胃虚弱，饮食不消，方中多用之？一说麦芽最消肾。若气血虚而乳汁自出者，宜十全大补汤，其子多不育。
During pregnancy, if the primordial Qi (Yuan Qi) is insufficient, presenting with fever and fatigue, or restless fetus, use Danggui San (Angelica Powder); if aggravated by anger, add Zhike (Aurantii Fructus Immaturus); if chest and diaphragm feel stuffy, add Sugeng (Perillae Caulis); if accompanied by pain, add Chaihu (Bupleuri Radix). If there is loss of appetite or nausea, use Liujunzi Tang (Six Gentlemen Decoction) with Zisu (Perillae Folium) and Zhike. If morning sickness involves vomiting and retching, dizziness and body fatigue, use Shenju San (Ginseng and Tangerine Peel Powder); if ineffective, use Liujunzi Tang. If morning sickness involves vomiting, anorexia and irritability, also use Shenju San or similar formulas. If a fall causes fetal movement, abdominal pain and bleeding, use Jiao'ai Tang (Colla Corii Asini and Artemisia Decoction); if ineffective, use Bazhen Tang (Eight Treasures Decoction) with Jiao'ai. If a fall involves accidental ingestion of toxic substances, presenting with lower back pain and shortness of breath, use Ejiao San (Donkey-hide Gelatin Powder); if ineffective, administer Zhimu Wan (Anemarrhena Pill) with decoction. If a fall injures the fetus, causing bleeding and abdominal pain, use Foshou San (Buddha's Hand Powder); if ineffective, use Bazhen Tang to deliver Zhimu Wan. If there is fright, timidity, irritability and restlessness, named Zi Fan (Fetal Irritability), use Zhuye Tang (Bamboo Leaf Decoction); if ineffective, for Blood deficiency, assist with Siwu Tang (Four Substances Decoction); for Qi deficiency, assist with Sijunzi Tang (Four Gentlemen Decoction). If bleeding continues without stopping, named Tai Lou (Fetal Leakage), for Blood deficiency use Erhuang San; for excessive blood loss, use Bazhen Tang; if ineffective, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If exertion causes bleeding, use Zhike Tang with Sheng Dihuang (Rehmanniae Radix Recens) and Shu Dihuang (Rehmanniae Radix Praeparata); if ineffective and pain occurs, add Danggui; if bleeding persists, use Bazhen Tang with Jiao'ai. If intermittent pain occurs with a sensation of heaviness and bearing down in the lower abdomen, named Tai Tong (Fetal Pain), use Dihuang Danggui Tang; if ineffective, add Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) and Chenpi (Citri Reticulatae Pericarpium); if due to Spleen Qi deficiency, use Sijunzi Tang with Danggui and Dihuang; if due to Central Qi deficiency, use Buzhong Yiqi Tang. If facial puffiness and edema-like limbs occur, named Zi Zhong (Fetal Edema), use Quansheng Baizhu San; if ineffective, use Liujunzi Tang; if swelling in the lower part is severe, use Buzhong Yiqi Tang with increased Fuling (Poria). If improper diet causes vomiting and diarrhea, this is Spleen and Stomach damage, use Liujunzi Tang. If toes swell, spreading to legs and knees, with panting and distress, or fluid oozing from toe webs, named Shui Qi (Water Qi), use Tianxian Teng San; for weak Spleen and Stomach, combine with Sijunzi Tang; if ineffective, use Buzhong Yiqi Tang combined with Xiaoyao San. If fetal Qi attacks upward, causing heart and abdominal fullness and pain, named Zi Xuan (Fetal Suspension), use Zisu Yin; for loss of appetite, combine with Sijunzi Tang; for internal heat and afternoon fever, combine with Xiaoyao San. If urination is scanty or dribbling, named Zi Lin (Fetal Strangury), use Anrong San; if ineffective, combine with Bazhen Tang; if calf cramps occur with difficulty in urination, urgently use Bawei Wan (Eight Ingredients Pill), otherwise it cannot be saved. If neck stiffness, muscle spasms, slurred speech and profuse phlegm occur, named Zi Xian (Fetal Eclampsia), use Lingyangjiao San; if food stagnation causes abdominal distension and vomiting, this is weak Spleen and Stomach unable to digest, use Liujunzi Tang; if ineffective, use Pingwei San with Renshen and Fuling. If fetal distension or abdominal pain occurs, this is weak Spleen and Stomach Qi unable to support, use Antai Yin with Shengma (Cimicifugae Rhizoma) and Baizhu; if ineffective, use Buzhong Yiqi Tang. If umbilical and abdominal distension or urinary retention occurs, this is weak Spleen and Stomach Qi, fetal pressure on the bladder, use Siwu Tang combined with Erchen Tang, Renshen and Baizhu, taken on an empty stomach followed by induced vomiting; after qi settles, take again and vomit; several times will bring relief. If injury from overwork or fried foods causes hematuria, this is Heat causing blood to flow into the Bladder, clear the Bladder using Xiaoyao San. If involuntary urination or frequency occurs, this is Liver Fire and Blood Heat, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If chest and abdominal fullness, urinary obstruction and generalized edema occur, named Taishui Buli (Fetal Water Difficulty), use Liyu Tang (Carp Decoction); for weak Spleen and Stomach, assist with Sijunzi Tang. Disease names may be the same while symptoms differ, and symptoms may differ while disease names are the same; briefly seen in the original formulas. When treating based on symptoms, if ineffective, treatment should be differentiated by month.
Case Records:
One pregnant woman at three months had menstruation come three or five times, but not heavily, with normal diet and spirit. This indicates abundant Blood that the growing fetus consumes, so it stops naturally. It proved true.
One pregnant woman at six months presented with bleeding upon anger, even chills, fever, headache, hypochondriac distension, abdominal pain, vomiting and poor appetite. I stated that chills, fever and headache indicate Liver Fire rushing up; hypochondriac distension and abdominal pain indicate stagnant Liver Qi; vomiting and poor appetite indicate Liver insulting Spleen and Stomach; hematuria indicates Liver Fire and Blood Heat. She was cured with Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Shaoyao (Paeoniae Radix), charred Zhizi (Gardeniae Fructus), Fuling and Baizhu.
One pregnant woman at six months presented with fatigue, poor appetite and bleeding after exertion. She was cured with Liujunzi Tang plus Danggui, Shudi (Rehmanniae Radix Praeparata), Shengma and Chaihu.
One pregnant woman experienced fetal pain every March and April. I treated her with Danggui Dihuang Tang, and she recovered in a few days.
One pregnant woman at three months contracted malaria after anger following meals, vomiting three times consecutively. Two doses of Huoxiang Zhengqi San (Patchouli Correcting Qi Powder) were given, followed by one dose of Antai Yin, resulting in recovery. Later, due to anger, she had excessive phlegm, delirious speech, fever and chest distension, slightly relieved by pressure. This indicated Liver and Spleen Qi stagnation. Jiawei Xiaoyao San plus Chuanxiong (Ligustici Chuanxiong Rhizoma) was used; symptoms retreated significantly after two doses and resolved after four doses.
A woman experienced fever, hypochondriac distension and dysuria upon anger. Her menses lasted over ten days. After conceiving for three months, anger caused recurrence. Morning administration of Jiawei Xiaoyao San and evening administration of Antai Yin, two doses each, brought peace. In the fifth month, anger caused recurrence with heavy bleeding lasting four days. The previous medicines cured her.
One pregnant woman nearing three months presented with vomiting, aversion to food, fatigue and lethargy, signs of morning sickness. Ren Shen Ju Pi Tang (Ginseng and Tangerine Peel Decoction) was used; symptoms improved after two doses. Liujunzi Tang plus Zisu was then used for two doses, bringing stability.
One pregnant woman presented with acid regurgitation, nausea and desire to vomit, indicating food stagnation. She was cured with Liujunzi Tang plus Shenqu (Massa Medicata Fermentata), charred Huangqin (Scutellariae Radix), Zhike and Xiangfu (Cyperi Rhizoma).
One pregnant woman presented with chills, fever, vomiting, headache, aversion to cold, chest and abdominal distension, loose green stools and frequent hematuria after anger following meals. I advised clearing Liver and strengthening Spleen as the main principle. Disbelieving, she sought only fetal calming and hemostasis, worsening the condition. Upon inquiry, I explained: loose green stools indicate Spleen Earth damaged by diet and insulted by Wood; frequent hematuria indicates Liver Fire blood flowing into the uterus. Six Junzi Tang plus Zhike, Zisu and Zhizi was used for two doses, awakening the Spleen and Stomach. Jiawei Xiaoyao San plus Zisu and Zhike was used for two doses, clearing urine. Dietary regulation led to recovery.
One pregnant woman at five months presented with limb fatigue, tasteless diet, starting with bilateral foot edema spreading to the whole body and face. This indicated Lung and Spleen Qi deficiency. Morning Buzhong Yiqi Tang and evening Liujunzi Tang plus Sugeng cured her. Generally, treat pregnancy without rigid adherence to months; simply treat the meridian symptoms observed.
One pregnant woman presented with clotted hematemesis for four days, hypochondriac distension and pain, and dysuria. Anger caused blood accumulation in the upper jiao, with Fire flaring out. Hypochondriac distension, abdominal pain and dysuria are primary Liver Meridian diseases. Xiao Chaihu Tang combined with Siwu Tang stopped bleeding after four doses. Then Liujunzi Tang and Antai Yin were used for conditioning and peace.
One pregnant woman presented with asthma and profuse phlegm, unresponsive to various medicines. Inquiry revealed chronic leukorrhea and periorbital edema for over two months. This indicated Qi deficiency with Phlegm-Fluids. Liuwei Dihuang Wan ingredients were used for several doses, resulting in recovery.
For women with abundant Qi and Blood, breast distension, lack of nursing, painful distension with chills and fever, stir-fried Maiya (Hordei Fructus Germinatus) 2-3 liang decocted in water cures immediately. Its ability to dissipate Qi and Blood is thus significant. Why is it often used in formulas for weak Spleen and Stomach and indigestion? Some say Maiya best dissipates Kidney essence. For those with deficient Qi and Blood and spontaneous lactation, Shiquan Dabu Tang (Ten Great Tonics Decoction) is suitable; their offspring are often infertile.