桂枝汤（《金匮》） 妊娠胎前第一方。尤在泾云∶“脉无故而身有病，而又无寒热邪气，则无可施治，惟有桂
枝汤调和阴阳而已矣。”徐忠可云∶桂枝汤，外症得之为解肌和荣，内症得之为化气调阴阳也。今妊娠初得，上下本无病，
因子宫有凝气溢上下故，但以芍药一味，固其阴气，使不得上溢；以桂甘姜枣，扶上焦之阳，而和其胃气；但令上焦之
阳气充，能御相侵之阴气，足矣！未尝治病，正所以治病也。否则，以渴为邪热以解之，以不能食为脾不健而燥之，岂
不谬哉！
桂枝茯苓丸 治妇人宿有症病，成胎后三月而得漏下，又三月应期而下，而无前后参差，且动在脐上，不在脐
下，可以定其为胎。有胎而仍漏下者，以旧血未去，则新血不能入胞养胎，而下走不止。此方先下其症，即是安胎法。
桂枝 茯苓 丹皮 桃仁（去皮尖） 芍药（各等分）
上五味研末，炼蜜糊丸，如兔屎大，每日食前服一丸，不瘥，加至三丸。
歌曰∶症痼未除恐害胎，（胎动手脐下，为欲落；动于脐上，是每月凑集之血；症痼之气妨害之，而下漏也。）胎安
症去悟新栽，桂苓丹芍桃同等，气血阴阳本末该。
（次孙心兰禀）按∶桂枝、芍药，一阳一阴；茯苓、丹皮，一气一血；合之桃仁，逐旧而不伤新；为丸缓服，所以
为佳。
附子汤（方见《伤寒论》。）
胶艾汤 《金匮》云∶妇人有漏下者，有半产后因续下血不绝者，有妊娠下血者，假令妊娠腹中痛，为胞阻，
胶艾汤主之。
干地黄（六两） 川芎 阿胶 甘草（各二两） 艾叶 当归（各三两） 芍药（四两）
上七味，以水五升、清酒三升合煮；取三升，去滓，内胶令消尽，温服一升，日三服，不瘥更作。
歌曰∶妊娠腹痛阻胎胞，（名曰胞阻，以胞中之气血虚寒，而阻其化育也。）二两芎 草与胶，归艾各三芍四两，地
黄六两去枝梢。
（次男元犀）按∶芎、归、芍、地，补血之药也。然血不自生，生于阳明之水谷，故以甘草补之；阿胶滋血海，为
胎产百病之要药；艾叶暖子宫，为调经安胎之专品；合之为厥阴、少阴、阳明及冲、任兼治之神剂也。后人去甘草、阿
胶、艾叶，名为四物汤，则板实而不灵矣。此解与本论中所解互异，学人当与所以异处而悟其所以同，则知圣方如神龙
变化，不可方物也。
当归芍药散
当归 川芍（各三两） 芍药（一斤） 茯苓 白术（各四两） 泽泻（半斤）
上六味，杵为散，取方寸匕，酒和，日三服。
歌曰∶妊娠 痛势绵绵，（不若寒热之绞痛，血气之刺痛之。）三两芎归润且宣，芍药一斤泽减半，术苓四两妙盘旋。
（次男元犀）按∶怀妊腹痛，多属血虚，而血生于中气，中者，土也，土燥不生物，故以归、芎、芍滋之；土湿亦
不生物，故以苓、术、泽泻渗之；燥湿得宜，则中气治而血自生，其痛自止。
当归贝母苦参丸
当归 贝母 苦参（各四两）
上三味，末之，炼蜜为丸，如小豆大，饮服三丸，加至十丸。
歌曰∶饮食如常小水难，妊娠郁热液因干，苦参四两同归贝，饮服三丸至十丸。（男子加滑石五钱。）
（次男元犀）按∶苦参、当归，补心血而清心火；贝母开肺郁而泻肺火。然心火不降，则小便短涩；肺气不行于膀
胱，则水道不通；此方为下病上取之法也。况贝母主淋漓邪气，《神农本草》有明文哉！
当归散
当归 黄芩 芍药 川芎（各一斤） 白术（半斤）
上五味，杵为散，酒服方寸匕，日再服。妊娠常服即易产，胎无疾苦，产后百病悉主之。
歌曰∶万物原来自土生，（妊娠常服之剂，当以补脾阴为主。）土中涵湿遂生生，不穷。一斤芎芍归滋血，（血为湿化，
胎尤赖之。）八两术一斤芩（术本脾药，今作血药而入脾土，则土得湿气而生物，又有黄芩之苦寒，清脾以主之，肺气利
则血不滞，所以生物不息。）大化成。
白术散
白术 川芎 蜀椒（三分，去汗） 牡蛎
上四味，杵为散，酒服三钱匕，日三服，夜一服。
但苦痛，加芍药。心下毒痛，倍加芎 。心烦、吐、痛、不能饮食，加细辛一两，半夏大者二十枚，服之后，更以
醋浆水服之；若呕，以醋浆水服之；复不解者，小麦汁服之已；后渴者，大麦粥服之；病虽愈，服之勿置。
歌曰∶胎由土载木之功，血养相资妙有穷，（土以载之，血以养之。）阴气上凌椒摄下，（胎忌阴气上逆，蜀椒具纯阳
之性，阳以阴为家，故能使上焦之热而下降。）蛎潜龙性得真铨。（牡蛎水气所结，味咸性寒，寒以制热燎原，咸以导龙
入海。）此方旧本三物各三分，牡蛎阙之。徐灵胎云∶“原本无分两。”
加减歌曰∶苦痛芍药加最美；心下毒痛倚芎是；吐痛不食心又烦，加夏廿枚一细使，醋浆水须服后吞，若还不呕药
可止；不解（者以）小麦煮汁尝，以后渴者大麦（粥）喜；既愈常服勿轻抛，壶中阴阳大 理。
程云来云∶以大麦粥能调中补脾，故服之勿置，非指上药可常服也。此解亦超。方义已详歌中，不再释。
新定所以载丸 治胎气不安不长，妇人半产，或三月或五月按期不移者，必终身不能大产，惟此丸可以治之。
白术（一斤，去皮，放糯米上蒸半炷香久，勿泄气，晒干研为末） 人参（八两，焙为末） 桑寄生（六两，以自
收者为真，不见铜铁，为末） 云茯苓（六两，生研为末） 川杜仲（八两，炒去丝，为末）
以大枣一斤擘开，以长流水熬汁迭丸，如梧桐子大，晒干退火气，密贮勿令泄气。每早晚各三钱，以米汤送下。
按∶白术为补土之正药，土为万物之母而载万物，故本方取之为君。茯苓感苍松之气而生，苗不出土，独得土气之
全
而暗长；桑寄生感桑精之气而生，根不入土，自具土性之足而敷荣。一者伏于土中，俨若子居母腹；一者寄于枝上，居
然胎系母胞；二物夺天地造化之神功，故能资养气血于无形之处，而取效倍于他药也。杜仲补先天之水火，而其多丝尤
能系维而不坠。人参具（三才）之位育，而其多液尤能涵养以成功。今年甲子，四百一十四甲子矣。此方从读书颇多、
临症颇熟悟出。盖自唐宋以后，着女科书之前辈，不下数百人，未闻有一人道及于此，今特为补论，大为快事。
神验保生无忧散 妇人临产先服一、二剂，自然易生。或遇横生倒产，甚至连日不生，速服一、二剂，应手取
效，可救孕妇产难之灾，常保母子安全之吉。
当归（酒洗，一钱五分） 川贝母（一钱） 黄 荆芥穗（各八分） 浓朴（姜汁炒） 艾叶（各七分） 菟丝
子（一钱四分） 川芎（一钱三分） 羌活（五分） 枳壳（麸炒，六分） 甘草（六分） 白芍（酒洗，炒，一钱二
分，冬月用一钱。）
水二钟，姜三片，煎至八分，空腹温服。
普明子曰∶此方流传海内，用者无不附应，而制方之妙，人皆不得其解，是故疑信相半。余因解之，新孕妇人，胎
气完固，腹皮紧窄，气血裹其胞胎，最难转动。此方用撑法焉。当归、川芎、白芍、养血活血也；浓朴，去瘀血者也，
用之撑开血脉，俾恶露不致填塞；羌活、荆芥，疏通太阳，将背后一撑，太阳经脉最长，太阳治而诸经皆治；枳壳疏里
结气，将面前一撑，俾胎气血抑而无阻滞之虞；艾穗撑动子宫，则胞胎灵动；川贝、菟丝，最能运胎顺产，将胎气全体
一撑，大具天然活泼之趣矣！加黄 者，所以撑扶元气，元气旺则转动有力也；生姜通神明去秽恶，散寒止呕，所以撑
扶正气而安胃气；甘草协和诸药，俾其左宜右有，而全其撑法之神者也。此真无上良方，而今人不知所用，即用之而不
知制方之妙，则亦惘惘然矣！余故备言之以醒学人。
华佗顾生丹
朱砂（五钱，研细，水飞） 明乳香（一两，箬上炙干。）
上为末，端午日，猪心血为丸，如芡实大，每服一丸。用当归三钱、川芎二钱，煎汤送下（不经女人手）。
催生如神丹 治逆产横生，其功甚大。
百草霜 白芷（不见火，为末，各等分。）
上每服三钱，以童便、米醋和如膏，加沸汤调之；或用酒煎，加入童便少许，热服。书云∶“血见黑则止”。此药不
但顺生，大能固血，又免血枯之妙。
加味芎归汤
当归（五钱） 自败龟板（童便炙酥） 川芎（各三钱） 妇人头发（一握，烧灰存性）
水煎服。约人行五里许即生，设是死胎亦下。灼过龟板亦可用。
（次男元犀）按∶阴虚而交骨不开用此；阳虚而交骨不闭，用当归补血汤加桂、附，又以热童便一半调之；此一阴
一阳之对子也。何张石顽过诋之？
当归补血汤
当归（二钱） 黄 （一两）
（长孙心典禀）按∶胎犹舟也，血犹水也；水涨则舟浮，血干则胎滞，其彰明较着也。若浆水既行，行之过多而不
产，恐十全、八珍之功缓而不及，惟此汤黄 五倍于当归，借气药以生其血，气行迅速而血即相随，而胎遂得血而顺下
矣。然犹恐素体虚弱，必加附子之走而不守，以助药力，勿疑附子之过于辛热而少用也。高鼓峰谓∶“一切难产症，于补
血大剂之中，再加肉桂二、三钱，堪云神验。”
失笑散 治瘀血胀胞，并治儿枕痛，神效。
蒲黄（炒） 五灵脂（去土，炒，各等分）
共为末，醋糊丸，如桐子大，每服二、三钱，淡醋水下。
花蕊石散 治产后败血不尽，血迷血晕，胎衣不下，胀急不省人事，但心头温者。急用一服灌下，瘀血化水而
出，其人即苏，效验如神，医家不可缺此。
花蕊石（一斤） 土色硫黄（四两）
上为末，和匀，先用纸泥封固瓦罐一个，入二药；仍用纸泥封口，晒干，用炭 二炷香；次日取出研细，每服一钱，
童便和热酒调下，甚者用二、三钱。
牛膝散 治胎衣不下，腹中胀急，以此药腐化而下，缓则不救。
牛膝 川芎 蒲黄（炒） 丹皮（各二两） 桂心（四钱） 当归（一两五钱）
共为末，每服五钱，水煎服。
又妇人服药，勿犯三大忌∶一曰麦 ，一曰牛膝，一曰木耳，又头蚕子亦然。余于胎前谆谆嘱其勿犯，业医者当知
所戒矣。
【金匮方八首时方九首】
**桂枝汤**（出自《金匮要略》）是妊娠胎前的第一方。尤在泾说：“脉象看似无故异常而身体有病，却又没有寒热邪气，这就无法施治，只有用桂枝汤来调和阴阳罢了。”徐忠可说：桂枝汤，用于外症能解肌调和营卫，用于内症能化气调补阴阳。现在妊娠初期，上下本无疾病，因为子宫有凝滞之气溢于上下，所以只用芍药一味药，固护其阴气，使阴气不得上溢；用桂枝、甘草、生姜、大枣，扶助上焦的阳气，从而调和胃气；只要令上焦的阳气充足，能够抵御相侵的阴气，就足够了！这并非直接治病，这正是治病的方法。否则，把口渴当作邪热来清热，把不能进食当作脾不健运来燥湿，难道不是谬误吗！
**桂枝茯苓丸** 治疗妇人素有癥病，怀孕三个月后出现漏下（阴道少量出血），再过三个月应当来月经的时候却持续出血，且前后时间没有差错，并且胎动发生在脐上，不在脐下，可以确定这是胎动。有胎而仍然漏下的原因，是因为旧有的瘀血未去除，新血就不能进入胞宫滋养胎儿，从而向下流失不止。此方先消除癥块，就是安胎的方法。
药物组成：桂枝、茯苓、丹皮、桃仁（去皮尖）、芍药（各等分）。
制法用法：将以上五味药研成粉末，用炼蜜制成糊状丸剂，大小如兔屎，每天饭前服用一丸，如果不愈，增加到三丸。
歌诀曰：癥痼未除恐害胎，（胎动手在脐下，是欲流产；动在脐上，是每月积聚之血；癥痼之气妨害它，导致下漏也。）胎安症去悟新栽，桂苓丹芍桃同等，气血阴阳本末该。
（次孙心兰附注）按：桂枝、芍药，一阳一阴；茯苓、丹皮，一气一血；合用桃仁，驱逐旧瘀而不伤新血；制成丸剂缓服，所以为佳。
**附子汤**（方见《伤寒论》。）
**胶艾汤** 《金匮要略》说：妇人有漏下的，有半产后因续下血不绝的，有妊娠期下血的，假如妊娠期腹中痛，称为胞阻，用胶艾汤主治。
药物组成：干地黄（六两）、川芎、阿胶、甘草（各二两）、艾叶、当归（各三两）、芍药（四两）。
制法用法：以上七味药，用水五升、清酒三升混合煮取三升，去渣，加入阿胶使其完全溶化，温服一升，每天三次，如果不愈再煎服。
歌诀曰：妊娠腹痛阻胎胞，（名为胞阻，是因为胞中的气血虚寒，阻碍了化育功能。）二两芎草与胶，归艾各三芍四两，地黄六两去枝梢。
（次男元犀附注）按：川芎、当归、芍药、地黄，是补血药物。然而血不自生，生于阳明胃的水谷精微，所以用甘草补益脾胃；阿胶滋养血海，是胎产百病的要药；艾叶暖子宫，是调经安胎的专品；合起来是厥阴、少阴、阳明及冲脉、任脉兼治的神效方剂。后人去掉甘草、阿胶、艾叶，命名为四物汤，则变得板实而不灵活了。这种解释与本论中的解释互有不同，学习者应当在不同的地方领悟其相同之处，就知道圣人的方剂如同神龙变化，不可测度。
**当归芍药散**
药物组成：当归、川芎（各三两）、芍药（一斤）、茯苓、白术（各四两）、泽泻（半斤）。
制法用法：以上六味药捣碎为散，取一方寸匕，用酒调和，每天三次服用。
歌诀曰：妊娠腹痛痛势绵绵，（不像寒热之绞痛，血气之刺痛那样剧烈。）三两芎归润且宣，芍药一斤泽减半，术苓四两妙盘旋。
（次男元犀附注）按：怀孕腹痛，多属于血虚，而血生于中气，中即土，土燥不生万物，所以用当归、川芎、芍药滋润它；土湿也不生万物，所以用茯苓、白术、泽泻渗湿利水；燥湿得宜，则中气调理好而血自然生成，疼痛自然停止。
**当归贝母苦参丸**
药物组成：当归、贝母、苦参（各四两）。
制法用法：以上三味药研成粉末，用炼蜜制成丸剂，大小如小豆，每次饮水送服三丸，增加到十丸。
歌诀曰：饮食如常小水难，妊娠郁热液因干，苦参四两同归贝，饮服三丸至十丸。（男子加滑石五钱。）
（次男元犀附注）按：苦参、当归，补心血而清心火；贝母开肺郁而泻肺火。然而心火不降，则小便短涩；肺气不行于膀胱，则水道不通；此方是下病上取的方法。况且贝母主治淋漓邪气，《神农本草经》有明文记载啊！
**当归散**
药物组成：当归、黄芩、芍药、川芎（各一斤）、白术（半斤）。
制法用法：以上五味药捣碎为散，用酒送服一方寸匕，每天两次。孕妇常服即可容易生产，胎儿无疾苦，产后各种疾病都能主治。
歌诀曰：万物原来自土生，（妊娠常服之剂，当以补脾阴为主。）土中涵湿遂生生，不穷。一斤芎芍归滋血，（血为湿化，胎尤赖之。）八两术一斤芩（术本脾药，今作血药而入脾土，则土得湿气而生物，又有黄芩之苦寒，清脾以主之，肺气利则血不滞，所以生物不息。）大化成。
**白术散**
药物组成：白术、川芎、蜀椒（三分，去汗）、牡蛎。
制法用法：以上四味药捣碎为散，用酒送服三钱匕，每天三次，夜间一次服用。
如果只感到疼痛，加芍药。如果心下剧痛，加倍使用川芎。如果心烦、呕吐、疼痛、不能饮食，加细辛一两，半夏大者二十枚，服药之后，再用醋浆水送服；如果呕吐，用醋浆水送服；如果仍不缓解，用小麦汁送服已止；后来口渴的，喝大麦粥；病虽然好了，也不要停止服用。
歌诀曰：胎由土载木之功，血养相资妙有穷，（土以载之，血以养之。）阴气上凌椒摄下，（胎忌阴气上逆，蜀椒具纯阳之性，阳以阴为家，故能使上焦之热而下降。）蛎潜龙性得真铨。（牡蛎水气所结，味咸性寒，寒以制热燎原，咸以导龙入海。）此方旧本三物各三分，牡蛎阙之。徐灵胎云：“原本无分两。”
加减歌曰：苦痛芍药加最美；心下毒痛倚芎是；吐痛不食心又烦，加夏廿枚一细使，醋浆水须服后吞，若还不呕药可止；不解（者以）小麦煮汁尝，以后渴者大麦（粥）喜；既愈常服勿轻抛，壶中阴阳大理。
程云来说：因为大麦粥能调中补脾，所以服用后不要停止，并不是指上面的药可以常服。这种解释也很高超。方义已在歌诀中详细说明，不再解释。
**新定所以载丸** 治疗胎气不安不长，妇人半产，或三月或五月按期不移者，必终身不能大产，只有此丸可以治疗。
药物组成：白术（一斤，去皮，放在糯米上蒸半炷香久，不要泄气，晒干研为粉末）、人参（八两，焙干为粉末）、桑寄生（六两，以自收者为真，不见铜铁，研为粉末）、云茯苓（六两，生研为粉末）、川杜仲（八两，炒去丝，研为粉末）。
制法用法：用大枣一斤掰开，用长流水熬汁泛丸，大小如梧桐子，晒干退火气，密封贮存不要让气体泄漏。每早晚各服三钱，用米汤送下。
按：白术是补土的正品药物，土是万物的母亲而承载万物，所以本方取它为君药。茯苓感苍松之气而生，苗不出土，独得土气之全而暗中生长；桑寄生感桑精之气而生，根不入土，自具土性之足而繁茂。一种潜伏在土中，俨然像儿子住在母亲腹中；一种寄居在树枝上，居然像胎儿系在母亲胞宫；这两样东西夺取天地造化的神功，所以能在无形之处资助养育气血，而效果倍增于其他药物。杜仲补先天之水火，而其多丝尤其能维系而不坠落。人参具备（三才）之位育，而其多液尤其能涵养以成功。今年甲子，四百一十四甲子了。此方是从读书很多、临症很熟中悟出的。大概自唐宋以后，撰写女科书的前辈，不下数百人，没听说有一人提到过这个，今天特别补充论述，大为快事。
**神验保生无忧散** 妇人临产前先服用一、二剂，自然容易生产。如果遇到横生倒产，甚至连日不生，速服一、二剂，应手取效，可救孕妇产难之灾，常保母子安全之吉。
药物组成：当归（酒洗，一钱五分）、川贝母（一钱）、黄芪、荆芥穗（各八分）、浓朴（姜汁炒）、艾叶（各七分）、菟丝子（一钱四分）、川芎（一钱三分）、羌活（五分）、枳壳（麸炒，六分）、甘草（六分）、白芍（酒洗，炒，一钱二分，冬月用一钱。）
制法用法：水二钟，姜三片，煎至八分，空腹温服。
普明子说：此方流传海内，使用者无不附和应验，而制方的妙处，人们都不能理解，所以疑信相半。我因此解释它，新近怀孕的妇人，胎气完固，腹皮紧窄，气血包裹其胞胎，最难转动。此方用“撑”法。当归、川芎、白芍，养血活血；浓朴，去除瘀血，用它撑开血脉，使恶露不至于填塞；羌活、荆芥，疏通太阳经，从背后一撑，太阳经脉最长，太阳经治理好则诸经皆治；枳壳疏理里结气，从面前一撑，使胎气血抑制而无阻滞之虞；艾穗撑动子宫，则胞胎灵动；川贝、菟丝，最能运胎顺产，将胎气全体一撑，大具天然活泼之趣！加黄芪，是为了撑扶元气，元气旺则转动有力；生姜通神明去秽恶，散寒止呕，是为了撑扶正气而安胃气；甘草协和诸药，使其左宜右有，而保全撑法的神妙。这真是无上良方，而今人不知道如何使用，即使使用了也不知道制方的妙处，也就茫然无知了！所以我详细言说来唤醒学习者。
**华佗顾生丹**
药物组成：朱砂（五钱，研细，水飞）、明乳香（一两，箬上炙干）。
制法用法：以上为粉末，端午日，用猪心血制成丸剂，大小如芡实，每次服用一丸。用当归三钱、川芎二钱，煎汤送下（不经女人手）。
**催生如神丹** 治疗逆产横生，功效很大。
药物组成：百草霜、白芷（不见火，为粉末，各等分）。
制法用法：每次服用三钱，用童便、米醋和成膏状，加沸水调服；或用酒煎，加入少许童便，热服。书上说：“血见黑则止”。此药不但顺生，大能固血，又免血枯之妙。
**加味芎归汤**
药物组成：当归（五钱）、自败龟板（童便炙酥）、川芎（各三钱）、妇人头发（一握，烧灰存性）。
制法用法：水煎服。约人行走五里左右即生，如果是死胎也能下来。灼过的龟板也可以用。
（次男元犀附注）按：阴虚而交骨不开用此方；阳虚而交骨不闭，用当归补血汤加桂枝、附子，又以热童便一半调服；这是一阴一阳的对子。为什么张石顽过分诋毁它？
**当归补血汤**
药物组成：当归（二钱）、黄芪（一两）。
（长孙心典禀告）按：胎犹如舟，血犹如水；水涨则舟浮，血干则胎滞，这是显而易见的。如果浆水既行，行之过多而不产，恐怕十全大补汤、八珍汤的功效缓慢而不及，只有此汤黄芪五倍于当归，借气药以生其血，气行迅速而血即相随，而胎遂得血而顺下矣。然而还担心素体虚弱，必须加附子的走而不守，以助药力，不要怀疑附子过于辛热而少用。高鼓峰说：“一切难产症，于补血大剂之中，再加肉桂二、三钱，堪称神验。”
**失笑散** 治疗瘀血胀胞，并治疗儿枕痛，神效。
药物组成：蒲黄（炒）、五灵脂（去土，炒，各等分）。
制法用法：共为粉末，醋糊丸，如桐子大，每次服用二、三钱，淡醋水送下。
**花蕊石散** 治疗产后败血不尽，血迷血晕，胎衣不下，胀急不省人事，但心头温者。急用一服灌下，瘀血化水而出，其人即苏，效验如神，医家不可缺此。
药物组成：花蕊石（一斤）、土色硫黄（四两）。
制法用法：以上为粉末，和匀，先用纸泥封固瓦罐一个，放入二药；仍用纸泥封口，晒干，用炭火煅二炷香；次日取出研细，每次服用一钱，童便和热酒调下，严重者用二、三钱。
**牛膝散** 治疗胎衣不下，腹中胀急，以此药腐化而下，缓则不救。
药物组成：牛膝、川芎、蒲黄（炒）、丹皮（各二两）、桂心（四钱）、当归（一两五钱）。
制法用法：共为粉末，每次服用五钱，水煎服。
另外妇人服药，不要犯三大禁忌：一是麦蘖，二是牛膝，三是木耳，还有头蚕子也是如此。我在胎前谆谆嘱咐其不要触犯，业医者应当知道戒慎。
[Eight Formulas from the Golden Cabinet and Nine Contemporary Formulas]
**Guizhi Tang (Cinnamon Twig Decoction)** (from *Jin Gui Yao Lue*) is the primary formula for pregnancy. You Zaijing stated: "When the pulse appears abnormal without cause and the body is diseased, yet there are no signs of cold or heat pathogenic factors, treatment is difficult to apply; only Guizhi Tang can harmonize Yin and Yang." Xu Zhongke stated: Guizhi Tang, when applied to exterior syndromes, releases the muscle layer and harmonizes Ying (Nutritive) Qi; when applied to interior syndromes, it transforms Qi and regulates Yin and Yang. In early pregnancy, when there is no disease in the upper and lower parts, but stagnant Qi in the uterus overflows upwards and downwards, using only one herb, Shaoyao (White Peony Root), to consolidate Yin Qi prevents it from overflowing upwards; using Guizhi (Cinnamon Twig), Gancao (Licorice Root), Shengjiang (Fresh Ginger), and Dazao (Jujube) supports the Yang Qi of the Upper Jiao and harmonizes Stomach Qi. As long as the Yang Qi of the Upper Jiao is sufficient to resist the invading Yin Qi, that is enough! This does not directly treat the disease, which is precisely how the disease is treated. Otherwise, treating thirst as pathogenic Heat by clearing it, or treating anorexia as Spleen deficiency by drying dampness, would indeed be erroneous!
**Guizhi Fuling Wan (Cinnamon Twig and Poria Pill)** treats women who have a chronic mass (Zheng disease). After three months of pregnancy, spotting occurs; after another three months, bleeding continues at the expected menstrual time without deviation. If fetal movement occurs above the navel rather than below, it confirms pregnancy. The reason for continued spotting during pregnancy is that old blood has not been expelled, preventing new blood from entering the Uterus to nourish the fetus, causing it to flow downward continuously. This formula first eliminates the mass, which is the method to calm the fetus.
Ingredients: Guizhi (Cinnamon Twig), Fuling (Poria), Mudanpi (Tree Peony Bark), Taoren (Peach Seed, skin and tip removed), Shaoyao (White Peony Root) (equal parts).
Preparation and Administration: Grind the five herbs into powder, mix with refined honey to form pills the size of rabbit droppings. Take one pill before meals daily. If ineffective, increase to three pills.
Song says: When the stubborn mass is not removed, it may harm the fetus; (Fetal movement below the navel indicates threatened miscarriage; movement above the navel indicates monthly accumulated blood; the Qi of the mass obstructs it, causing leakage.) Once the fetus is calm and the mass gone, understand the concept of new growth. Cinnamon Twig, Poria, Tree Peony Bark, White Peony, and Peach Seed are equal; they encompass the roots and branches of Qi, Blood, Yin, and Yang.
(Notes by Grandson Xinlan): Guizhi and Shaoyao represent one Yang and one Yin; Fuling and Mudanpi represent one Qi and one Blood; combined with Taoren, they expel old stasis without injuring new blood. Forming pills for slow administration is optimal.
**Fuzi Tang (Aconite Decoction)** (Formula seen in *Shang Han Lun*.)
**Jiao'ai Tang (Donkey-hide Gelatin and Moxa Decoction)** *Jin Gui Yao Lue* states: Women may suffer from spotting, continuous bleeding after a miscarriage, or bleeding during pregnancy. If abdominal pain occurs during pregnancy, it is called Baozu (Uterine Obstruction), treated with Jiao'ai Tang.
Ingredients: Shengdihuang (Rehmannia Root, six liang), Chuanxiong (Szechwan Lovage Rhizome), Ejiao (Donkey-hide Gelatin), Gancao (Licorice Root) (two liang each), Aiyè (Moxa Leaf), Danggui (Angelica Sinensis) (three liang each), Shaoyao (White Peony Root) (four liang).
Preparation and Administration: Boil the seven herbs in five sheng of water and three sheng of clear wine to reduce to three sheng. Strain, add Ejiao until dissolved, and take one sheng warm, three times daily. Repeat if necessary.
Song says: Abdominal pain during pregnancy obstructs the fetal sac; (Named Baozu because deficiency-cold of Qi and Blood in the Uterus obstructs gestation.) Two liang of Chuanxiong, Licorice, and Gelatin; Three liang each of Angelica and Moxa; Four liang of White Peony; Six liang of Rehmannia, removing branches and tips.
(Notes by Second Son Yuanxi): Chuanxiong, Danggui, Shaoyao, and Shengdihuang are blood-nourishing herbs. However, Blood does not generate itself; it arises from the grain and water of the Yangming Stomach, so Gancao tonifies it; Ejiao nourishes the Sea of Blood and is a key herb for all diseases of pregnancy and childbirth; Aiyè warms the Uterus and is a specific herb for regulating menstruation and calming the fetus. Combined, this is a divine formula treating Jueyin, Shaoyin, Yangming, and the Chong and Ren vessels simultaneously. Later generations removed Gancao, Ejiao, and Aiyè, naming it Siwu Tang (Four Substances Decoction), making it rigid and inflexible. This interpretation differs from the main text; students should comprehend the underlying unity amidst these differences to realize that sage formulas change like divine dragons, unfathomable.
**Danggui Shaoyao San (Angelica and White Peony Powder)**
Ingredients: Danggui (Angelica Sinensis), Chuanxiong (three liang each), Shaoyao (White Peony Root) (one jin), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome) (four liang each), Zexie (Alisma Rhizome) (half a jin).
Preparation and Administration: Pound the six herbs into a powder. Take one cun-bi (measure) mixed with wine, three times daily.
Song says: Pregnancy abdominal pain is lingering and mild; (Unlike the cramping pain of Cold-Heat or stabbing pain of Qi-Blood stagnation.) Three liang each of Chuanxiong and Angelica moisten and diffuse; One jin of White Peony and half that amount of Alisma; Four liang each of Atractylodes and Poria work wonders.
(Notes by Second Son Yuanxi): Abdominal pain during pregnancy often belongs to Blood deficiency. Blood is generated by Middle Qi (Earth). If Earth is too dry, it cannot generate things, so Danggui, Chuanxiong, and Shaoyao nourish it; if Earth is too damp, it cannot generate things, so Fuling, Baizhu, and Zexie drain dampness. When dryness and dampness are balanced, Middle Qi is regulated, Blood generates naturally, and pain stops.
**Danggui Beimu Kushen Wan (Angelica, Coix Seed, and Sophora Pill)**
Ingredients: Danggui (Angelica Sinensis), Beimu (Fritillaria Bulb), Kushen (Sophora Root) (four liang each).
Preparation and Administration: Grind the three herbs into powder, make pills with refined honey the size of small beans. Take three pills with water, increasing to ten pills.
Song says: Diet remains normal but urination is difficult;郁 Heat in pregnancy dries fluids. Four liang each of Sophora, Angelica, and Fritillaria; Take three to ten pills with water. (For men, add Wutonghua/Slippery Elm five qian.)
(Notes by Second Son Yuanxi): Kushen and Danggui tonify Heart Blood and clear Heart Fire; Beimu opens Lung depression and drains Lung Fire. If Heart Fire does not descend, urine becomes scanty and涩 (obstructed); if Lung Qi does not move to the Bladder, water pathways are blocked. This formula treats lower pathology by addressing the upper source. Moreover, Beimu treats dripping pathogenic factors, as explicitly stated in the *Shennong Ben Cao Jing*!
**Danggui San (Angelica Powder)**
Ingredients: Danggui (Angelica Sinensis), Huangqin (Scutellaria Root), Shaoyao (White Peony Root), Chuanxiong (Szechwan Lovage Rhizome) (one jin each), Baizhu (Atractylodes Macrocephala Rhizome) (half a jin).
Preparation and Administration: Pound the five herbs into a powder. Take one cun-bi with wine, twice daily. Pregnant women taking this regularly will deliver easily, the fetus will remain healthy, and it treats various postpartum diseases.
Song says: All things originate from Earth; (This regular pregnancy formula primarily tonifies Spleen Yin.) Earth containing moisture allows continuous generation. One jin each of Chuanxiong, White Peony, and Angelica nourishes Blood; (Blood is transformed by moisture, and the fetus relies on it especially.) Eight liang of Atractylodes and one jin of Scutellaria; (Atractylodes is a Spleen herb, now used as a Blood herb entering Spleen Earth; Earth gains moisture to generate life, and the bitter-cold Scutellaria clears the Spleen to govern it. When Lung Qi is unobstructed, Blood does not stagnate, thus life generation never ceases.) Great transformation completes.
**Baizhu San (Atractylodes Powder)**
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome), Chuanxiong (Szechwan Lovage Rhizome), Shujiao (Sichuan Pepper, three fen, sweat removed), Muli (Oyster Shell).
Preparation and Administration: Pound the four herbs into a powder. Take three qian-bi with wine, three times daily, and once at night.
If only pain is present, add Shaoyao (White Peony Root). If severe pain in the epigastrium, double the Chuanxiong. If irritability, vomiting, pain, and inability to eat occur, add Yixin (Asarum) one liang and Banxia (Pinellia Tuber) twenty large pieces. After taking the medicine, swallow with vinegar-water. If vomiting persists, use vinegar-water. If still unresolved, drink wheat juice to stop it. If thirst develops later, drink barley porridge. Even if cured, do not discontinue use.
Song says: The fetus is carried by the merit of Earth supporting Wood; Blood nourishes mutually, wonder is endless. (Earth carries it, Blood nourishes it.) When Yin Qi attacks upward, Sichuan Pepper controls it downward; (The fetus fears upward reversal of Yin Qi; Sichuan Pepper has pure Yang nature; Yang takes Yin as home, thus descending Upper Jiao Heat.) Oyster shell subdues Dragon nature, obtaining true balance. (Oyster shell forms from water vapor, salty and cold; cold controls raging heat, salt guides the Dragon into the sea.) This ancient version had three ingredients at three fen each, omitting Oyster Shell. Xu Lingtai said: "Original text lacked dosage."
Modification Song: For pain, adding White Peony is best; For severe epigastric pain, rely on Chuanxiong; For vomiting, pain, anorexia, and irritability, add twenty Pinellia and one Asarum; Swallow with vinegar-water afterwards; If vomiting stops, cease medicine; If unresolved, taste boiled wheat juice; If thirsty later, prefer barley porridge; Once healed, continue taking it lightly, for the Great Reason of Yin and Yang in the pot.
Cheng Yunlai stated: Barley porridge regulates the Middle and tonifies the Spleen, hence do not stop taking it; this does not mean the above medicines can be taken constantly. This explanation is also profound. The formula's meaning is detailed in the song, so no further explanation is given.
**Xin Ding Suoyi Zai Wan (Newly Revised So-Carried Pill)** Treats unstable fetal Qi failing to grow, habitual abortion, or bleeding at three or five months without moving, ensuring lifelong inability to deliver full-term. Only this pill can treat it.
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome, one jin, peeled, steamed over rice for half an incense stick duration, avoid venting gas, dried and powdered), Renshen (Ginseng Radix, eight liang, baked and powdered), Sangjisheng (Taxillus Branch, six liang, authentic if self-collected, free of copper/iron, powdered), Yunfuling (Poria, six liang, raw and powdered), Chuduzhong (Eucommia Bark, eight liang, stir-fried to remove silk fibers, powdered).
Preparation and Administration: Use one jin of Jujubes split open, boil in running water to make a paste for pills the size of paulownia seeds. Dry to remove fire energy, store tightly sealed to prevent gas loss. Take three qian morning and evening with rice soup.
Note: Baizhu is the correct herb for tonifying Earth. Earth is the mother of all things and carries them, so this formula uses it as the Sovereign herb. Fuling grows sensing the Qi of pine trees, its shoots do not emerge from soil, uniquely possessing the fullness of Earth's Qi growing secretly; Sangjisheng grows sensing the essence of mulberry trees, its roots do not enter soil, naturally possessing sufficient Earth nature to flourish. One hides in the earth, like a child in the mother's womb; one resides on branches, like a fetus tied to the mother's uterus. These two substances seize the miraculous power of Heaven and Earth creation, thus nourishing Qi and Blood invisibly, achieving effects double that of other herbs. Duzhong tonifies先天 (Pre-heaven) Water and Fire, and its many fibers particularly maintain suspension without falling. Renshen possesses the position and nurturing of (Heaven, Earth, Human), and its abundant fluid particularly achieves success through nourishment. This year is Jiazi, the 414th cycle since the beginning. This formula was realized through extensive reading and clinical experience. Since Tang and Song dynasties, hundreds have written gynecological books, yet none mentioned this. Today, I specially supplement this discussion, bringing great joy.
**Shenyan Baosheng Wuyou San (Divine Efficacy Protect Life and Carefree Powder)** Women should take one or two doses before delivery for natural ease. In cases of transverse or breech presentation, or prolonged labor, taking one or two doses quickly yields results, saving the pregnant woman from dystocia disaster and ensuring maternal and infant safety.
Ingredients: Danggui (Angelica Sinensis, wine-washed, one qian five fen), Chuanbeimu (Fritillaria Cirrhosa Bulb, one qian), Huangqi (Astragalus Root), Jingjie Sui (Schizonepeta Spike, eight fen each), Houpo (Magnolia Bark, ginger juice fried), Aiyè (Moxa Leaf), Tusizi (Cuscuta Seed, one qian four fen), Chuanxiong (Szechwan Lovage Rhizome, one qian three fen), Qianghuo (Notopterygium Rhizome, five fen), Zhiqiao (Bitter Orange Fruit, bran-fried, six fen), Gancao (Licorice Root, six fen), Baishao (White Peony Root, wine-washed, fried, one qian two fen, one qian in winter).
Preparation and Administration: Two zhong of water, three slices of ginger, decoct to eight fen. Take warm on an empty stomach.
Pumingzi said: This formula circulates widely, users agree it works, but few understand its formulation subtlety, leading to half doubt, half belief. I explain it: In newly pregnant women, fetal Qi is solid, abdominal skin tight, Qi and Blood wrap the fetus, making it hardest to move. This formula uses a "prop/support" method. Danggui, Chuanxiong, Baishao nourish and invigorate Blood; Houpu removes stasis, using it to prop open blood vessels so lochia does not block; Qianghuo, Jingjie unblock the Taiyang channel, providing support from behind; Taiyang channel is longest, governing Taiyang governs all channels; Zhiqiao disperses interior knotting Qi, providing support from front, preventing obstruction of fetal Qi and Blood; Aiyè props the Uterus, making the fetus agile; Chuanbeimu, Tusizi best transport the fetus for smooth delivery, propelling the whole fetal Qi, embodying natural vitality! Adding Huangqi props and supports Yuan Qi (Source Qi); strong Source Qi means strong movement ability; Shengjiang connects spirit, removes filth, disperses Cold, stops vomiting, thus supporting Righteous Qi and calming Stomach Qi; Gancao harmonizes all herbs, allowing left-right appropriateness, completing the divine prop method. This is truly a supreme good formula, yet modern people do not know how to use it, or if used, do not know its subtlety, remaining confused! I state this fully to awaken students.
**Huato Gusheng Dan (Huato's Nurturing Birth Pill)**
Ingredients: Zhusha (Cinnabar, five qian, finely ground, water levigated), Ming Ruxiang (Frankincense, one liang, roasted dry on bamboo leaf).
Preparation and Administration: Grind into powder. On Dragon Boat Festival day, make pills with pig heart blood the size of euryale seed. Take one pill per dose. Send down with decoction of Danggui (three qian) and Chuanxiong (two qian) (prepared without female hands).
**Cuisheng Rushen Dan (Delivery Like Divine Pill)** Treats malpresentation and transverse birth, with great efficacy.
Ingredients: Baicaoshuang (Burnt Grass Ash), Baizhi (Angelica Dahurica Root, avoid fire, powder, equal parts).
Preparation and Administration: Take three qian per dose. Mix with neonatal urine and rice vinegar into a paste, adjust with boiling water; or decoct with wine, add a little neonatal urine, take hot. Books say: "Blood stops when seeing black." This drug not only facilitates smooth birth but strongly consolidates Blood, avoiding the wonder of blood exhaustion.
**Jiawei Xionggui Tang (Modified Chuanxiong and Angelica Decoction)**
Ingredients: Danggui (Angelica Sinensis, five qian), Zibei Guiban (Self-dead Turtle Plastron, calcined in neonatal urine until crisp), Chuanxiong (Szechwan Lovage Rhizome, three qian each), Furen Toufa (Woman's Hair, one handful, burned to ash retaining nature).
Preparation and Administration: Decoct in water. Birth occurs after walking about five li. Even if dead fetus, it will pass. Calcined turtle plastron is also usable.
(Notes by Second Son Yuanxi): Use this for Yin deficiency with unclosed pubic symphysis; for Yang deficiency with unclosed pubic symphysis, use Danggui Buxue Tang plus Guizhi (Cinnamon Twig) and Fuzi (Aconite Root), mixed with half hot neonatal urine; this is a pair of Yin and Yang. Why did Zhang Shiwan excessively criticize it?
**Danggui Buxue Tang (Angelica Tonifying Blood Decoction)**
Ingredients: Danggui (Angelica Sinensis, two qian), Huangqi (Astragalus Root, one liang).
(Notes by Grandson Xindian): The fetus is like a boat, Blood is like water; when water rises, the boat floats; when Blood dries, the fetus stagnates, this is obvious. If amniotic fluid flows excessively without delivery, fearing that Shiquan Dabu Tang (Ten Complete Tonification Decoction) or Bazhen Tang (Eight Treasures Decoction) acts too slowly, only this formula with Huangqi five times the amount of Danggui borrows Qi herbs to generate Blood. Qi moves rapidly, Blood follows, and the fetus descends smoothly with Blood. However, fearing inherent weakness, one must add Fuzi (Aconite Root) which moves without staying, to assist medicinal power. Do not doubt Fuzi's excessive pungent-hot nature and use sparingly. Gao Gugeng said: "For all dystocia syndromes, adding two to three qian of Rougui (Cinnamon Bark) to large Blood-tonifying doses is truly divine."
**Shixiao San (Laughing Off Powder)** Treats Uterine distension due to Blood stasis, and Erzhen Tong (Afterbirth Pain), with divine efficacy.
Ingredients: Puhuang (Lygodium Spore, stir-fried), Wulingzhi (Trogopterus Dung, cleaned of earth, stir-fried, equal parts).
Preparation and Administration: Grind into powder, make pills with vinegar paste the size of sesame seeds. Take two to three qian per dose with light vinegar water.
**Huaruishi San (Flower Porphyry Stone Powder)** Treats incomplete expulsion of postpartum foul blood, Blood confusion and fainting, retained placenta, abdominal distension and urgency leading to unconsciousness, provided the heart area remains warm. Immediately administer one dose; stasis turns to water and exits, the person revives instantly. Efficacy is divine; physicians must not lack this.
Ingredients: Huaruishi (Flower Porphyry Stone, one jin), Tuseliuhuang (Earthen Sulfur, four liang).
Preparation and Administration: Grind into powder, mix evenly. Seal a clay jar with paper mud, put in drugs; seal mouth with paper mud, dry. Roast with charcoal for two incense sticks. Next day, take out and grind fine. Take one qian per dose, mixed with hot wine and neonatal urine. Severe cases use two to three qian.
**Niuxi San (Achyranthes Powder)** Treats retained placenta, abdominal distension and urgency. This drug corrodes and expels it; delay means no rescue.
Ingredients: Niuxi (Achyranthes Root), Chuanxiong (Szechwan Lovage Rhizome), Puhuang (Lygodium Spore, stir-fried), Mudanpi (Tree Peony Bark) (two liang each), Guixin (Cinnamon Bark, four qian), Danggui (Angelica Sinensis, one qian five wen).
Preparation and Administration: Grind into powder. Take five qian per dose, decoct in water.
Additionally, women taking medicine must observe three major taboos: one is Maiya (Barley Sprout), two is Niuxi (Achyranthes Root), three is Mu'er (Wood Ear Mushroom), and also Toucanzi (First Silkworm Cocoon). I earnestly advise against these during pregnancy; medical practitioners should beware.