〔保〕妇人童幼天癸未行之间，皆属少阴，天癸既行，皆属厥阴，天癸既绝，乃属
太阴经也。治胎产之病从厥阴者，是祖气生化之原也。厥阴与少阳相表里，故治法无犯
胃气及上二焦，为三禁，不可汗、不可下、不可利小便。若发汗者同伤寒下早之证，利大
便则脉数而已动于脾，利小便则内亡津液，胃中枯燥。制药之法，能不犯此三禁，则荣卫
自和，而寒热止矣。外则和于荣卫，则内调于清便，先将此法为初治，次后详而论之。见
证消息，同坏证伤寒，为之缓治。或小便不利，大便秘结，或积热于肠胃之间，或已成
痿，或散血气而为浮肿。盖产理多门，故曰同伤寒坏证。如发渴而用白虎，气弱而用黄
，血刺痛而用当归，腹痛而加芍药，以上例证，不犯三禁，谓产后之久病也。若产后
暴病，又不可拘也。如产后热入血室者，用桃仁承气、抵当汤等药，胃坚燥者，大承气
不可以泄药言之。产后世人多用乌金、四物汤，是不分四时之寒热，不分血气之虚实，盲
然一概用药，如此而愈加增剧，是误也。大抵产病，天行则增损柴胡，杂症则加减四物；
又春夏从柴胡，秋冬从四物。药性寒热，病证虚实，不可不察也。四物汤常宜服饵，今
立四时增损法于后。
〔养血〕
四物汤 益荣卫，滋气血。治月水不调，脐腹 痛；妇人经病，或前或后，或多或少，
疼痛不一，腰足腹中痛；或崩中漏下，或半产恶露过多，或停留不出；妊娠腹痛下血，胎
不安；产后血块不散，或亡血过多，恶露不止。四物汤加茱萸煎服。若入阳脏，少使茱
萸，阴脏多使茱萸。一方加香附。熟地黄（补血。如脐下痛非此不能除，乃通肾经之药也。）
川芎（治风，泄肝木。如血虚头痛，非此不能除，乃通肝经之药也）
芍药（和血理脾。如腹中虚痛，非此不能除，乃通脾经之药也。）
当归（和血。如血刺痛，刺如刀割，非此不能除，乃通心经之药也）
上为粗末，水煎服。
春倍川芎（一曰春，二曰脉弦，三曰头痛。）
夏倍芍药（一曰夏，二曰脉洪，三曰泄。）
秋倍地黄（一曰秋，二曰脉涩，三曰血虚。）
冬倍当归（一曰冬，二曰脉沉，三曰寒而不食。）
若春则防风四物，加防风倍川芎。若夏则黄芩四物，加黄芩倍芍药。若秋则门
冬四物，加天门冬倍地黄。若冬则桂枝四物，加桂枝倍当归。若血虚而腹痛，微汗
而恶风，四物加术、桂，谓之腹痛六合。若风眩运，加秦艽、羌活，谓之风六合。
若气虚弱，起则无力， 然而倒，加浓朴、陈皮，谓之气六合。（气不足而用泄气之药，可乎？当
以参、 易之。）若发热而烦，不能睡卧者，加黄连。栀子，谓之热六合。若虚寒脉微自
汗，气难布息，清便自调，加干姜、附子，谓之寒六合。若中湿，身沉重无力，身凉微
汗，加白术、茯苓，谓之湿六合。若妇人筋骨肢节疼，及头痛、脉弦、憎寒如疟，宜
治风六合。或伤损气血，乘虚而晕者，四物汤四两、羌活、防风各一两。若血气上冲
心腹，胁下满闷，宜治气六合∶四物汤四两、木香、槟榔各一两。若脐下虚冷，腹痛及腰脊间
闷痛，宜玄胡六合∶（小腹痛同用。）四物汤四两、玄胡、苦楝各一两，碎炒焦。若气冲经脉，
故月事频并，脐下多痛，宜芍药六合∶四物汤四两、芍药倍加、黄 一两。若经事欲行，脐腹
绞痛，临经痛者，血涩也，宜八物汤∶四物汤四两、玄胡、槟榔、苦楝碎、炒焦、木香各
一两。若妇人血虚，心腹 痛不可忍者，去地黄，加干姜，名四神汤。补下元，加干姜
半两，甘草七分。气筑小腹痛，加玄胡索煎服。若腹中刺痛，恶物不下，倍加当归、芍药。
若腹痛作声，经脉不快，加熟地黄一倍，添桂心半倍煎。经行腹痛，腰背痛，加芸苔、牛膝、
红花、吴茱萸、 、甘草、银器、灯心、热服。若经水涩少，宜四物汤内加葵花煎；又加红
花、血见愁。若经水少而色和者，四物汤加热地黄、当归各一两。若经水暴下，四物
汤内加黄芩。若腹痛加黄连。如夏月不去黄芩。若经水如黑豆汁者，加黄芩、黄连各
一两。若经水过多，别无余证，宜黄芩六合汤∶四物汤四两、黄芩、白术各一两。
经血淋漓不断，加干瑞莲房，炒、入药。阴阳交合，经脉行，加赤石脂、黄 、肉桂、
百草霜、藕节，败棕灰、肉豆蔻、当归、木香、龙骨、白术、茯苓、地榆。若经水适
来适断，或有寒热往来者，先服小柴胡汤去其寒热，后以四物汤和之。如寒热不退，勿
服四物，是谓变证，表邪犹在，不能效也。根据前论中变证，随证用药调治。若血崩者，加
生地黄、蒲黄。补血住崩，加百草霜，棕灰、首绵灰、蒲黄炒过、龙骨、白姜。血
成片，加地黄、藕节。黑血片，人参、白术。若血脏虚冷。崩中去血过多，加阿胶、艾。
月水不调，血崩，或多少。或前后，呕逆心膨，陈艾。黄 。若赤白带下，宜香桂六
合，四物汤四两，桂枝、香附各五钱。四物汤为细末，炼蜜丸梧子大，空心米饮下三
四十丸，治年高妇人白带良验。白淫浊，龙骨、地黄、当归。五色，研麝香、好酒。
鲜红，温酒、盐汤。带下，加肉桂、蒲黄、百草霜、甘草、黑豆、白术、玄胡索、白姜、龙
骨，空心盐酒下。白带，加白龙骨酒下。若妇人血积者，加广术、京三棱、桂、干漆，
炒烟尽，各一两。若经血凝滞，腹内血气作疼，加广术、官桂，等分用之。王石肤云∶
熟地黄滞血，安能止痛。不若以五灵脂代之。血滞不通，加桃仁、红花各二钱半。经闭，
加枳壳、大黄、荆芥、黄芩、青皮、滑石、木通、瞿麦、海金沙、山栀子、车前子。血
寒，加甘草、乌梅、柴胡、桃柳枝。月经久闭，加肉桂、甘草、黄 、姜钱、枣子、木
通、红花。月水不通，加野苎根、牛膝、红花、苏木、旧酒、水同煎。血气不调，加
吴茱萸一两、甘草半两。四物汤加甘草半两，为细末，炼蜜丸，每两作八丸，酒、醋
共半盏，煎汤同化调下，名当归煎。去败血，生好血。如人行五里，再进一服，无时。
若虚热病，四物汤与参苏饮相合，名补心汤主之。添柴胡名五神汤，大能补虚退虚热。
潮热加黄芩、地骨皮，柴胡。一方加柴胡、干葛、黄芩、人参。虚热口干，加麦门冬、
黄芩一两。虚渴，加人参、干葛、乌梅、栝蒌根。虚而多汗，加 牡蛎、麻黄根各半
两。虚寒潮热，加柴胡、地骨皮、白术、茯苓、甘草、秦艽、知母、黄芩、麦芽、贝母、
人参、乌梅、枣子。若四肢肿痛，不能举动，宜与苍术各半汤主之。若大便燥结，四
物汤与调胃承气汤各半，名玉烛散主之。若流湿润燥，宜四物理中各半汤。若气血
俱虚，四物与四君子汤各半，名八珍汤主之。加缩砂仁保胎气，令人有子。若热加黄芩。
若因热生风者，加川芎、柴胡、防风。一方无。血气劳，加荆芥、柴胡。血风两胁筑
痛，或盘肠成块，加大黄、荜茇、乳香。血弱生风，四肢痹疼，行步艰难，加人参，乳
香、没药、麝香、甘草、五灵脂、羌独活、防
风、荆芥、地龙、南星、白附子、泽兰，为末，蜜丸。木瓜盐汤下。血风膨胀，加甘
草、木香、枳壳、马兜铃、葶苈、紫苏、藿香、地黄，空心服。脏腑秘，加大黄、桃
仁。滑泄，加官桂、附子。虚泻，加人参、川芎、白芷、蒲黄、炒阿胶、白术、茱
萸、续断、干姜、附子、肉桂、黄 、赤石脂、甘草，蜜丸。盐梅汤下。呕加白术、人
参。一方有生姜。呕吐不止，加藿香、白术半两，人参二钱半。呕逆饮食不入，加白
术、乳香、甘草、人参、缩砂、益智仁、胡椒。若咳嗽，加桑白皮、半夏、人参，生
姜、北五味子、甘草。感风劳嗽，加款冬花，知母、阿胶、半夏、麻黄、甘草、马兜
铃、黄芩、杏仁、柴胡、姜钱、诃子、乌梅。若发寒热，加干生姜、牡丹皮、柴胡。一方
加芍药。如寒热往来，加炮干姜、牡丹皮各一分。若平常些少虚眩，肢体瘦倦，月信不
通，只用生姜、薄荷。此是妇人常服之药，盖味寡而性缓，效迟而功深。若大渴，加知
母、石膏。若水停心下，微吐逆者，加猪苓、茯苓、防己。若心腹胀满，加枳壳、青
皮。虚汗，加麻黄根。汗多，加浮麦。大便下血。四肢寒，膨胀，肠胃有风，槐花、积
壳、漏芦、荆芥、木香、白鸡冠花、木通、红内消、紫草、石榴皮、陈皮、青皮、黄芩、甘
草、白茅根、槐角。肠风下血，加槐角、槐花、枳壳、荆芥、黄芩、大腹皮、红内消、地
榆、石楠叶、白鸡冠花、为散煎，一半为末，空心、盐汤、旧酒调下。鼻衄吐血，加竹
青、蒲黄、藕节、半夏、丁香、诃子、桂花、红枣、飞罗面、白茅根、蚌粉。若头昏项
强，加人参、黄芩。若虚寒似伤寒者，加人参、柴胡、防风。若虚烦不得睡，加竹叶、人
参。若诸痛有湿者，四物与白术相半，加天麻、茯苓、穿山甲，用酒煎服。治老人风
秘，加青皮等分，煎服。治疮疾，荆芥酒煎常服。奶痈，加连翘、茨菰子、红内消、
白芷、菰片、荆芥、牛膝，山蜈蚣、乳香、没药、漏芦、生地黄。赤眼头风疾，加薄荷、
清茶。赤眼生风，加防风、黄芩。风疮赤肿，加荆芥、牛蒡子、何首乌、甘草、防
风、羌活、地黄、盐、酒。脚肿，加大腹皮、赤小豆、茯苓皮、生姜皮。若妇人伤
寒，汗下后饮食减少，血虚者，宜八物汤，四物汤四两、黄 、白术、茯苓、甘草各一两。
若妊娠伤寒，中风表虚自汗，头痛项强，身热恶寒，脉浮而弱，太阳经病，宜表虚六合
汤∶四物汤四两、桂枝、地骨皮各七钱。若妊娠伤寒，头痛身热无汗，脉浮紧，太阳经
病，宜表实六合∶四物汤四两、麻黄、细辛各半两。若妊娠伤寒，中风湿之气，肢节
烦疼，脉浮而热，头痛，此太阳标病也，宜风湿六合汤∶四物汤四两、防风、苍术各七
钱。若妊娠伤寒，下后过经不愈，温毒发斑如锦纹，宜升麻六合∶四物汤四两、升麻、
连翘各七钱。若妊娠伤寒，胸胁满痛，脉弦，少阳头昏、项强，宜柴胡六合∶四物汤
四两、柴胡、黄芩各七钱。若妊娠伤寒，大便硬、小便赤，气满而脉沉数，阳明太阳本
病也，急下之，宜大黄六合∶四物汤四两。大黄半两。桃仁（十个，去皮尖，麸炒。）
若妊娠伤寒，汗下后咳嗽不止，宜人参六合汤∶四物汤四两、人参、五味子各半两。若
妊娠伤寒，汗下后虚痞胀满者，阳明本虚也，宜浓朴六合汤，亦治咳嗽喘满。四物汤四两、浓
朴、枳实麸炒，各半两。若妊娠伤寒，汗下后不得眠者，宜栀子六合汤∶四物汤四两、
栀子、黄芩各半两。若妊娠伤寒、身热大渴，蒸蒸而烦，脉长而大者，宜石膏六合∶四
物汤四两，石膏。知母各半两。若妊娠伤寒，小便不利，太阳本病，宜茯苓六合汤∶四
物汤四两、茯苓，泽泻各半两。若妊娠伤寒，太阳本病，小便赤如血状者，宜琥珀六
合汤，四物汤四两、琥珀、茯苓各半两。若妊娠伤寒，汗下后血漏不止，胎气损者，宜
胶艾六合汤∶四物汤四两、阿胶、艾各半两。一方加甘草，同上。一方加干姜、甘草、黄
。若妊娠伤寒，四肢拘急，身凉微汗，腹中痛，脉沉而迟，少阴病也，宜附子六合汤∶
四物汤四两、附子、炮去皮脐，桂各半两。若妊娠伤寒蓄血证，不宜堕胎药下之，宜四
物大黄汤∶四物汤四两，生地黄、大黄酒浸，各半两。四物与麻黄、桂枝、白虎、柴胡、
理中、四逆、茱萸、承气、凉膈等，皆可作各半汤，不能殚述，此易老用药大略也。
安胎及漏胎下血，加阿胶、大艾、甘草、蒲黄炒过。若胎动不安，下血不止，每服加
艾叶五七片，更加葱白、阿胶末、黄 ，减四味之半，当归只用小半。如疾势甚者，以
四味各半两，细锉，以水四盏，熟艾一块，如鸡子大，阿胶五七片，煎至二盏半，去滓，分
作四服，一日令尽。一方加粉草、干姜、黄 ，日二三服，至二腊。以一七日为一腊。
胎前产后，每日可一二服。亦治血痢不止，腹痛难忍，宜加阿胶。艾叶煎服，名六物汤。如
气虚血海不调不妨。一方∶四物加黄 、柏叶、阿胶、甘草、续断，平常经血淋沥不断，
或多或少，或赤或白，非时漏下，多服有效。
受胎小肠气痛，加木香、怀香；胎前嗽，加枳壳，甘草、款冬、知母、马兜铃、半夏、木
通、葶苈、人参、苦梗、麦门冬。胎气冲肝，腰脚痹，行步艰难，加枳壳、木通、连
翘、荆芥、地黄、羌、独、山栀、甘草、灯心、空心服。妊娠心烦，加竹茹一块。如有
败血，则用当归近上节，白芍药以赤易，熟地黄以生者。妊娠作恶，生寒面青，不思
饮食，惟悴，加陈皮、枳壳、白术、茯苓、甘草。损孕下血不止，头痛、寒热、耳鸣，气
血劳伤所致，加黄芩、荆芥、生地黄、赤芍药、生姜。临产小腹紧痛，加红花、滑石、
甘草、灯心、葵子。产后恶露，腹痛不止，加桃仁、苏木、牛膝。产后腹痛，血块攻
【保】妇女在童幼时期，天癸（指女子月经）尚未来潮时，病证多归属于少阴经；天癸已经行经后，病证多归属于厥阴经；天癸枯竭绝止后，病证则归属于太阴经。治疗胎产疾病若从厥阴经论治，是因为这是先天祖气生化之源。厥阴经与少阳经互为表里，因此治疗方法有三禁：不可损伤胃气，不可发汗，不可攻下，不可利小便。如果误用发汗法，就如同伤寒病过早使用下法的坏证；误用通利大便，会导致脉数且脾气受损；误用利小便，会导致体内津液亡失，胃中干燥。制药的原则，只要不触犯这三项禁忌，营卫之气自然调和，寒热症状就会停止。对外能调和营卫，对内能调理二便，先将此法作为初步治疗，之后再详细论述。见到症状需斟酌处理，如同伤寒坏证一样，采取缓和的治疗方法。或者出现小便不利、大便秘结，或积热在肠胃之间，或已形成痿证，或散乱血气导致浮肿。因为产后的病理变化多种多样，所以说它类似于伤寒的坏证。例如口渴而用白虎汤，气弱而用人参（原文缺字，据语境补），血刺痛而用当归，腹痛而加芍药，以上这些例子都不违反三禁，这指的是产后久病的治法。如果是产后暴发的急病，又不可以拘泥于此。如产后热入血室者，用桃仁承气汤、抵当汤等药物；胃中燥结坚硬者，用大承气汤，不能简单地将其视为泻下药而言。产后世人多用乌金汤、四物汤，是不分四季的寒热变化，不分气血的虚实状况，盲目地一概用药，这样反而使病情加重，这是错误的。大抵产后疾病，若是外感时行邪气则加减使用柴胡剂，若是杂病则加减使用四物汤；又春夏季节以柴胡剂为主，秋冬季节以四物汤为主。药物的寒热属性与病证的虚实情况，不可不仔细考察。四物汤适宜常服，现将四季增损的方法列于后面。
【养血】
四物汤：有益营卫、滋气血的功效。治疗月经不调，脐腹部疼痛；妇人经期疾病，月经或提前或推后，或量多或少，疼痛性质不一，腰足腹中疼痛；或崩漏不止，或小产恶露过多，或恶露停留排不出；妊娠期间腹痛下血，胎动不安；产后血块不散，或失血过多，恶露不止。四物汤加入茱萸煎服。若患者属于阳脏体质，少用茱萸；若属于阴脏体质，多用茱萸。另一配方加入香附。熟地黄（补血。如脐下疼痛非此药不能消除，它是通肾经的药物。）川芎（治风，疏泄肝木。如血虚头痛，非此药不能消除，它是通肝经的药物。）芍药（和血理脾。如腹中虚痛，非此药不能消除，它是通脾经的药物。）当归（和血。如血刺痛，痛如刀割，非此药不能消除，它是通心经的药物。）
以上药材研为粗末，用水煎服。
春季加倍川芎（一曰春，二曰脉弦，三曰头痛。）
夏季加倍芍药（一曰夏，二曰脉洪，三曰泄泻。）
秋季加倍地黄（一曰秋，二曰脉涩，三曰血虚。）
冬季加倍当归（一曰冬，二曰脉沉，三曰寒而不食。）
若春季，可用防风四物汤，加防风并倍用川芎。若夏季，可用黄芩四物汤，加黄芩并倍用芍药。若秋季，可用天门冬四物汤，加天门冬并倍用地黄。若冬季，可用桂枝四物汤，加桂枝并倍用当归。若血虚且腹痛，伴有微汗和恶风，四物汤加白术、桂枝，称为腹痛六合汤。若因风致眩晕，加秦艽、羌活，称为风六合汤。若气虚弱，起身无力，昏倒，加厚朴、陈皮，称为气六合汤。（气不足却用泄气的药，可以吗？应当用人参、茯苓替代。）若发热烦躁，不能睡眠，加黄连、栀子，称为热六合汤。若虚寒脉微自汗，气息难续，大小便正常，加干姜、附子，称为寒六合汤。若中湿，身体沉重无力，身凉微汗，加白术、茯苓，称为湿六合汤。若妇人筋骨肢节疼痛，以及头痛、脉弦、憎寒战栗如疟疾状，宜用治风六合汤。若伤损气血，乘虚而晕，用四物汤四两、羌活、防风各一两。若血气上冲心腹，胁下胀满闷痛，宜用治气六合汤：四物汤四两、木香、槟榔各一两。若脐下虚冷，腹痛及腰脊间闷痛，宜用玄胡六合汤：（小腹痛同用）四物汤四两、玄胡索、苦楝皮各一两，捣碎炒焦。若气冲经脉，导致月经频发，脐下多痛，宜用芍药六合汤：四物汤四两、芍药加倍、黄芩一两。若月经将行，脐腹绞痛，经前疼痛者，是血涩所致，宜用八物汤：四物汤四两、玄胡索、槟榔、苦楝皮捣碎炒焦、木香各一两。若妇人血虚，心腹疼痛不可忍受，去掉地黄，加干姜，名为四神汤。补下元，加干姜半两、甘草七分。气滞小腹痛，加玄胡索煎服。若腹中刺痛，恶物不下，加倍当归、芍药。若腹痛有声，经脉不畅，加一倍熟地黄，添半倍桂心煎服。经期腹痛，腰背痛，加芸苔、牛膝、红花、吴茱萸、生姜、甘草、银器、灯心草，热服。若经水涩少，宜在四物汤内加葵花煎；再加红花、血见愁。若经水少而颜色正常，四物汤加热地黄、当归各一两。若经血暴下，四物汤内加黄芩。若腹痛加黄连。如夏季不去黄芩。若经水如黑豆汁色，加黄芩、黄连各一两。若经水过多，别无其他症状，宜用黄芩六合汤：四物汤四两、黄芩、白术各一两。经血淋漓不断，加干莲房，炒后入药。阴阳交合，经脉行经时，加赤石脂、黄芪、肉桂、百草霜、藕节、败棕灰、肉豆蔻、当归、木香、龙骨、白术、茯苓、地榆。若经水适来适断，或有寒热往来者，先服小柴胡汤去除寒热，后用四物汤调和。如寒热不退，勿服四物汤，这叫变证，表邪仍在，服药无效。根据前述关于变证的理论，随证用药调治。若血崩者，加生地黄、蒲黄。补血止崩，加百草霜、棕灰、首绵灰、炒过的蒲黄、龙骨、白姜。血成片状，加地黄、藕节。黑血片，加人参、白术。若血脏虚冷，崩中去血过多，加阿胶、艾叶。月事不调，血崩，或量多量少，或先后不定，呕逆心膨，加陈艾、黄芪。若赤白带下，宜用香桂六合汤：四物汤四两，桂枝、香附各五钱。四物汤研为细末，炼蜜制成梧子大小的丸药，空腹米饮送下三四十丸，治疗老年妇人白带疗效显著。白淫浊，加龙骨、地黄、当归。五色带下，研麝香，用好酒送服。鲜红色，用温酒、盐汤送服。带下，加肉桂、蒲黄、百草霜、甘草、黑豆、白术、玄胡索、白姜、龙骨，空腹盐酒送服。白带，加白龙骨酒送服。若妇人血积者，加莪术、京三棱、桂枝、干漆（炒至烟尽），各一两。若经血凝滞，腹内血气作痛，加莪术、官桂，等分使用。王石肤说：熟地黄滞血，怎能止痛。不如用五灵脂代替。血滞不通，加桃仁、红花各二钱半。经闭，加枳壳、大黄、荆芥、黄芩、青皮、滑石、木通、瞿麦、海金沙、山栀子、车前子。血寒，加甘草、乌梅、柴胡、桃柳枝。月经久闭，加肉桂、甘草、黄芪、姜钱、枣子、木通、红花。月水不通，加野苎根、牛膝、红花、苏木、旧酒、水同煎。血气不调，加吴茱萸一两、甘草半两。四物汤加甘草半两，研为细末，炼蜜制丸，每两做成八丸，用酒、醋共半盏，煎汤同化调下，名为当归煎。去败血，生新血。如人行走五里的时间，再进一服，不拘时候。若虚热病，四物汤与参苏饮相合，名为补心汤主治。添柴胡名为五神汤，大能补虚退虚热。潮热加黄芩、地骨皮、柴胡。一方加柴胡、干葛、黄芩、人参。虚热口干，加麦门冬、黄芩一两。虚渴，加人参、干葛、乌梅、栝蒌根。虚而多汗，加煅牡蛎、麻黄根各半两。虚寒潮热，加柴胡、地骨皮、白术、茯苓、甘草、秦艽、知母、黄芩、麦芽、贝母、人参、乌梅、枣子。若四肢肿痛，不能举动，宜用苍术各半汤主治。若大便燥结，四物汤与调胃承气汤各半，名为玉烛散主治。若流湿润燥，宜用四物理中汤各半。若气血俱虚，四物汤与四君子汤各半，名为八珍汤主治。加缩砂仁可保胎气，令人有子。若热加黄芩。若因热生风者，加川芎、柴胡、防风。一方无此药。血气劳，加荆芥、柴胡。血风两胁胀痛，或盘肠成块，加大黄、荜茇、乳香。血弱生风，四肢痹疼，行步艰难，加人参、乳香、没药、麝香、甘草、五灵脂、羌活、独活、防风、荆芥、地龙、南星、白附子、泽兰，研为末，蜜丸。木瓜盐汤送服。血风膨胀，加甘草、木香、枳壳、马兜铃、葶苈子、紫苏、藿香、地黄，空腹服。脏腑秘结，加大黄、桃仁。滑泄，加官桂、附子。虚泻，加人参、川芎、白芷、蒲黄、炒阿胶、白术、茱萸、续断、干姜、附子、肉桂、黄芪、赤石脂、甘草，蜜丸。盐梅汤送服。呕吐加白术、人参。一方有生姜。呕吐不止，加藿香、白术半两、人参二钱半。呕逆饮食不入，加白术、乳香、甘草、人参、缩砂、益智仁、胡椒。若咳嗽，加桑白皮、半夏、人参、生姜、北五味子、甘草。感风劳嗽，加款冬花、知母、阿胶、半夏、麻黄、甘草、马兜铃、黄芩、杏仁、柴胡、姜钱、诃子、乌梅。若发寒热，加干生姜、牡丹皮、柴胡。一方加芍药。如寒热往来，加炮干姜、牡丹皮各一分。若平常有些许虚眩，肢体瘦倦，月经不通，只用生姜、薄荷。这是妇人常服的药，大概味道寡淡而药性缓和，见效慢但功效深远。若大渴，加知母、石膏。若水停心下，轻微呕吐逆气者，加猪苓、茯苓、防己。若心腹胀满，加枳壳、青皮。虚汗，加麻黄根。汗多，加浮小麦。大便下血，四肢寒，膨胀，肠胃有风，用槐花、枳壳、漏芦、荆芥、木香、白鸡冠花、木通、红内消、紫草、石榴皮、陈皮、青皮、黄芩、甘草、白茅根、槐角。肠风下血，加槐角、槐花、枳壳、荆芥、黄芩、大腹皮、红内消、地榆、石楠叶、白鸡冠花，研为散煎服，一半为末，空腹、盐汤、旧酒调下。鼻衄吐血，加竹青、蒲黄、藕节、半夏、丁香、诃子、桂花、红枣、飞罗面、白茅根、蚌粉。若头昏项强，加人参、黄芩。若虚寒似伤寒者，加人参、柴胡、防风。若虚烦不得睡，加竹叶、人参。若诸痛有湿者，四物汤与白术相半，加天麻、茯苓、穿山甲，用酒煎服。治老人风秘，加青皮等分，煎服。治疮疾，荆芥酒煎常服。奶痈，加连翘、茨菰子、红内消、白芷、菰片、荆芥、牛膝、山蜈蚣、乳香、没药、漏芦、生地黄。赤眼头风疾，加薄荷、清茶。赤眼生风，加防风、黄芩。风疮赤肿，加荆芥、牛蒡子、何首乌、甘草、防风、羌活、地黄、盐、酒。脚肿，加大腹皮、赤小豆、茯苓皮、生姜皮。若妇人伤寒，汗下后饮食减少，血虚者，宜用八物汤：四物汤四两、黄芪、白术、茯苓、甘草各一两。若妊娠伤寒，中风表虚自汗，头痛项强，身热恶寒，脉浮而弱，太阳经病，宜用表虚六合汤：四物汤四两、桂枝、地骨皮各七钱。若妊娠伤寒，头痛身热无汗，脉浮紧，太阳经病，宜用表实六合汤：四物汤四两、麻黄、细辛各半两。若妊娠伤寒，中风湿之气，肢节烦疼，脉浮而热，头痛，这是太阳标病，宜用风湿六合汤：四物汤四两、防风、苍术各七钱。若妊娠伤寒，下后过经不愈，温毒发斑如锦纹，宜用升麻六合汤：四物汤四两、升麻、连翘各七钱。若妊娠伤寒，胸胁满痛，脉弦，少阳头昏、项强，宜用柴胡六合汤：四物汤四两、柴胡、黄芩各七钱。若妊娠伤寒，大便硬、小便赤，气满而脉沉数，阳明太阳本病也，急下之，宜用大黄六合汤：四物汤四两、大黄半两、桃仁十个（去皮尖，麸炒）。若妊娠伤寒，汗下后咳嗽不止，宜用人参六合汤：四物汤四两、人参、五味子各半两。若妊娠伤寒，汗下后虚痞胀满者，阳明本虚也，宜用浓朴六合汤，亦治咳嗽喘满。四物汤四两、浓朴、枳实麸炒，各半两。若妊娠伤寒，汗下后不得眠者，宜用栀子六合汤：四物汤四两、栀子、黄芩各半两。若妊娠伤寒、身热大渴，蒸蒸而烦，脉长而大者，宜用石膏六合汤：四物汤四两、石膏、知母各半两。若妊娠伤寒，小便不利，太阳本病，宜用茯苓六合汤：四物汤四两、茯苓、泽泻各半两。若妊娠伤寒，太阳本病，小便赤如血状者，宜用琥珀六合汤：四物汤四两、琥珀、茯苓各半两。若妊娠伤寒，汗下后血漏不止，胎气损者，宜用胶艾六合汤：四物汤四两、阿胶、艾各半两。一方加甘草，同上。一方加干姜、甘草、黄芪。若妊娠伤寒，四肢拘急，身凉微汗，腹中痛，脉沉而迟，少阴病也，宜用附子六合汤：四物汤四两、附子（炮去皮脐）、桂枝各半两。若妊娠伤寒蓄血证，不宜用堕胎药下之，宜用四物大黄汤：四物汤四两、生地黄、大黄酒浸，各半两。四物汤与麻黄、桂枝、白虎、柴胡、理中、四逆、茱萸、承气、凉膈等方，皆可作各半汤，不能详尽叙述，这是易老（张元素）用药的大略。
安胎及漏胎下血，加阿胶、大艾、甘草、炒过的蒲黄。若胎动不安，下血不止，每服加艾叶五七片，更加葱白、阿胶末、黄芪，减去四味药的一半，当归只用小半。如病情严重者，以四味药各半两，细锉，用水四盏，熟艾一块如鸡蛋大，阿胶五七片，煎至二盏半，去渣，分作四服，一日令尽。一方加粉草、干姜、黄芪，日二三服，至两个“腊”（以一七日为一腊）。胎前产后，每日可一二服。也治血痢不止，腹痛难忍，宜加阿胶、艾叶煎服，名为六物汤。如气虚血海不调不妨。一方：四物汤加黄芪、柏叶、阿胶、甘草、续断，平常经血淋沥不断，或多或少，或赤或白，非时漏下，多服有效。
受胎小肠气痛，加木香、怀香；胎前咳嗽，加枳壳、甘草、款冬、知母、马兜铃、半夏、木通、葶苈子、人参、苦梗、麦门冬。胎气冲肝，腰脚痹痛，行步艰难，加枳壳、木通、连翘、荆芥、地黄、羌活、独活、山栀、甘草、灯心草，空腹服。妊娠心烦，加竹茹一块。如有败血，则用当归近上节，白芍药以赤芍药代替，熟地黄以生地黄代替。妊娠作恶，生寒面青，不思饮食，憔悴，加陈皮、枳壳、白术、茯苓、甘草。损孕下血不止，头痛、寒热、耳鸣，气血劳伤所致，加黄芩、荆芥、生地黄、赤芍药、生姜。临产小腹紧痛，加红花、滑石、甘草、灯心草、葵子。产后恶露，腹痛不止，加桃仁、苏木、牛膝。产后腹痛，血块攻
[Bao] For women in their childhood, before the onset of Tian Gui (menstrual fluid), diseases generally belong to the Shaoyin channel. After Tian Gui has begun to flow, diseases generally belong to the Jueyin channel. When Tian Gui is exhausted and ceases, diseases then belong to the Taiyin channel. Treating pregnancy and postpartum diseases from the perspective of the Jueyin channel is because it is the source of the generation and transformation of ancestral Qi. The Jueyin channel and the Shaoyang channel are exteriorly-interiorly related; therefore, treatment methods must not violate Stomach Qi and the Upper and Middle Jiao. These constitute the "Three Prohibitions": no sweating, no purgation, and no promoting urination. If sweating is induced, it resembles the adverse condition of premature purgation in Cold Damage syndrome. Promoting bowel movements causes rapid pulse and disturbs the Spleen. Promoting urination leads to the loss of body fluids and dryness in the Stomach. The principle of preparing medicine is that if these three prohibitions are not violated, Ying and Wei will naturally harmonize, and chills and fever will cease. Externally harmonizing Ying and Wei internally regulates clear turbidity and bowel/bladder functions. This method should be used as initial treatment, followed by detailed discussion. Observing symptoms requires careful consideration, treating them similarly to adverse conditions of Cold Damage with a缓 (gentle/moderate) approach. Symptoms may include difficulty urinating, constipation, accumulated heat between the intestines and stomach, development of flaccidity syndromes, or edema caused by scattered blood and Qi. Since obstetric pathology is diverse, it is said to resemble adverse conditions of Cold Damage. For example, use Baihu Tang for thirst, Renshen (Ginseng) for Qi deficiency, Danggui (Angelica Sinensis) for stabbing blood pain, and Shaoyao (Peony) for abdominal pain. These examples do not violate the three prohibitions and refer to chronic postpartum diseases. However, acute postpartum illnesses should not be constrained by this rule. For instance, in cases of Heat entering the Blood Chamber after childbirth, use Taoren Chengqi Tang or Didang Tang. In cases of hard and dry Stomach, Dachenqi Tang is used; it cannot simply be discussed as a purgative. Postpartum patients often use Wuji Tang or Siwu Tang without distinguishing the cold-heat of the four seasons or the deficiency-excess of blood and Qi, blindly administering medication uniformly, which exacerbates the condition—this is an error. Generally, for postpartum diseases involving epidemic pathogens, modify Chaihu formulas; for miscellaneous diseases, modify Siwu Tang. Spring and summer favor Chaihu formulas, while autumn and winter favor Siwu Tang. The cold-heat nature of drugs and the deficiency-excess of symptoms must be carefully examined. Siwu Tang is suitable for regular consumption. The following are methods for seasonal modification.
[Nourishing Blood]
Siwu Tang: Benefits Ying and Wei, nourishes blood and Qi. Treats irregular menstruation, umbilical and abdominal pain; menstrual disorders where periods come early or late, vary in quantity, with varying pain, and pain in the waist, feet, and abdomen; metrorrhagia and metrorrhesis, excessive lochia after miscarriage, or retained lochia; abdominal pain and bleeding during pregnancy with fetal unrest; postpartum blood stasis clumps not dispersing, excessive blood loss, or continuous lochia. Decoct Siwu Tang with Zhuyu (Cornus). For Yang constitutions, use less Zhuyu; for Yin constitutions, use more Zhuyu. Another formula adds Xiangfu (Cyperus). Shudihuang (Prepared Rehmannia Root): Nourishes blood. Essential for eliminating pain below the umbilicus; it enters the Kidney channel. Chuanxiong (Ligusticum Chuanxiong Rhizome): Treats wind, drains Liver Wood. Essential for eliminating headache due to blood deficiency; it enters the Liver channel. Shaoyao (Peony Root): Harmonizes blood and regulates Spleen. Essential for eliminating empty pain in the abdomen; it enters the Spleen channel. Danggui (Angelica Sinensis Radix): Harmonizes blood. Essential for eliminating stabbing blood pain, sharp as knife-cutting; it enters the Heart channel.
Grind the above into coarse powder, decoct with water, and take orally.
In Spring, double Chuanxiong (1. Spring, 2. Wiry pulse, 3. Headache).
In Summer, double Shaoyao (1. Summer, 2. Surging pulse, 3. Diarrhea).
In Autumn, double Dihuang (1. Autumn, 2. Choppy pulse, 3. Blood deficiency).
In Winter, double Danggui (1. Winter, 2. Deep pulse, 3. Cold and poor appetite).
If Spring, use Fangfeng Siwu Tang, adding Fangfeng and doubling Chuanxiong. If Summer, use Huangqin Siwu Tang, adding Huangqin and doubling Shaoyao. If Autumn, use Tiamendong Siwu Tang, adding Tianmendong and doubling Dihuang. If Winter, use Guizhi Siwu Tang, adding Guizhi and doubling Danggui. If blood deficiency with abdominal pain, slight sweating, and aversion to wind, add Baizhu and Guizhi to Siwu Tang, called Abdominal Pain Liuhe Tang. If wind-induced dizziness, add Qinjiao and Qianghuo, called Wind Liuhe Tang. If Qi deficiency with weakness upon rising and fainting, add Houpo and Chenpi, called Qi Liuhe Tang. (Is it appropriate to use Qi-draining herbs for Qi insufficiency? One should use Renshen and Fuling instead.) If fever with irritability and insomnia, add Huanglian and Zhizi, called Heat Liuhe Tang. If deficiency-cold with micro-pulse, spontaneous sweating, difficult breathing, but normal bowel and bladder function, add Ganjiang and Fuzi, called Cold Liuhe Tang. If dampness invasion with heavy body, weakness, cool skin, and slight sweating, add Baizhu and Fuling, called Dampness Liuhe Tang. If women suffer from bone, tendon, limb, and joint pain, headache, wiry pulse, and aversion to cold resembling malaria, treat with Wind Liuhe Tang. If blood and Qi injury causing fainting due to emptiness, use Siwu Tang 4 liang, Qianghuo and Fangfeng 1 liang each. If blood and Qi rush to the heart and abdomen with fullness and oppression in the hypochondrium, treat with Qi Liuhe Tang: Siwu Tang 4 liang, Muxiang and Binglang 1 liang each. If deficiency-cold below the umbilicus with abdominal pain and oppressive pain in the lower back and spine, use Xuanhu Liuhe Tang: (Same for lower abdominal pain) Siwu Tang 4 liang, Xuanhusu and Kulian 1 liang each, crushed and stir-fried until scorched. If Qi rushes through meridians causing frequent menstruation and much pain below the umbilicus, use Shaoyao Liuhe Tang: Siwu Tang 4 liang, double Shaoyao, Huangqin 1 liang. If menstruation is about to start with colicky pain below the umbilicus and pre-menstrual pain, indicating stagnant blood, use Bawu Tang: Siwu Tang 4 liang, Xuanhusu, Binglang, Kulian (crushed and stir-fried scorched), Muxiang 1 liang each. If women have blood deficiency with unbearable heart and abdominal pain, remove Dihuang, add Ganjiang, named Sishen Tang. To tonify the Lower Yuan, add Ganjiang half liang, Gancao 7 fen. For Qi building lower abdominal pain, add Xuanhusu and decoct. If stabbing pain in the abdomen with failure to pass foul matter, double Danggui and Shaoyao. If abdominal pain makes sounds and meridians are unsmooth, add double Shudihuang and half-guise Guixin. For menstrual cramps with lower back pain, add Yuntai, Niuxi, Honghua, Wuzhuyu, Shengjiang, Gancao, Silver ware, Dengxin, taken hot. If menstrual flow is scanty and sluggish, add Sunflower to Siwu Tang; also add Honghua and Xuejianchou. If menstrual flow is scanty but color is normal, add Re Dihuang and Danggui 1 liang each to Siwu Tang. If sudden heavy bleeding, add Huangqin to Siwu Tang. If abdominal pain, add Huanglian. Do not remove Huangqin in summer. If menstrual blood looks like black bean juice, add Huangqin and Huanglian 1 liang each. If menstrual flow is excessive with no other symptoms, use Huangqin Liuhe Tang: Siwu Tang 4 liang, Huangqin and Baizhu 1 liang each. For dripping menstrual blood that does not stop, add dried Lotus Pod (Gan Ruilian), stir-fried and added to the decoction. During intercourse or menstruation, add Chishizhi, Huangqi, Rougui, Baicaoshuang, Oujie, Bai Zonghui, Roudoukou, Danggui, Muxiang, Longgu, Baizhu, Fuling, Diyü. If menstruation stops abruptly or comes and goes with alternating chills and fever, first administer Xiaochaihu Tang to resolve chills and fever, then harmonize with Siwu Tang. If chills and fever do not subside, do not take Siwu Tang; this is a changed syndrome, the exterior pathogen remains, and efficacy will not be achieved. According to the previous discussion on changed syndromes, treat according to symptoms. For uterine bleeding, add Shengdihuang and Puhuang. To tonify blood and stop bleeding, add Baicaoshuang, Zonghui, Shumianhui, fried Puhuang, Longgu, Baijiang. For blood clots, add Dihuang and Oujie. For dark blood clots, add Renshen and Baizhu. If the Blood Viscera are deficient and cold with excessive bleeding from metrorrhagia, add Ejiao and Aye. For irregular menstruation, metrorrhagia, varying amounts, timing, vomiting, and epigastric distension, add Chen Ai and Huangqi. For red and white leukorrhea, use Xianggui Liuhe Tang: Siwu Tang 4 liang, Guizhi and Xiangfu 5 qian each. Powder Siwu Tang, make pills with refined honey the size of wutong seeds, take 30-40 pills with rice drink on an empty stomach; effective for leukorrhea in elderly women. For white turbid discharge, add Longgu, Dihuang, Danggui. For five-colored discharge, grind Mosxiang and take with good wine. For bright red discharge, take with warm wine or salt water. For leukorrhea, add Rougui, Puhuang, Baicaoshuang, Gancao, Heidou, Baizhu, Xuanhusu, Baijiang, Longgu, taken with salt wine on an empty stomach. For white leukorrhea, add Bailonggu taken with wine. For blood accumulation in women, add Guangzhu, Jingsanleng, Guizhi, Ganqi (stir-fried until smoke disappears), 1 liang each. For stagnant menstrual blood and painful Qi/blood in the abdomen, add Guangzhu and Guanguui in equal parts. Wang Shifu said: Shudihuang stagnates blood and cannot relieve pain. It is better to replace it with Wulingzhi. For blood stasis obstruction, add Taoren and Honghua 2.5 qian each. For amenorrhea, add Zhike, Dahuang, Jingjie, Huangqin, Qingpi, Huashi, Mutong, Qumai, Haijinsha, Shanzhizi, Cheqianzi. For blood cold, add Gancao, Wumei, Chaihu, Tao Liu Zhi. For long-term amenorrhea, add Rougui, Gancao, Huangqi, Jiangqian, Zaozi, Mutong, Honghua. For blocked menstruation, add Ye Zhu Gen, Niuxi, Honghua, Sumu, old wine, and water, decoct together. For disharmonious blood and Qi, add Wuzhuyu 1 liang, Gancao half liang. Siwu Tang with half liang Gancao, powdered, pilled with honey, 8 pills per liang, dissolve in half cup of wine/vinegar decoction, named Danggui Jian. Removes bad blood, generates good blood. Take another dose after walking for five li, at any time. For deficiency-heat disease, combine Siwu Tang with Shen Su Yin, named Buxin Tang. Add Chaihu to name Wushen Tang, greatly tonifying deficiency and retreating deficiency-heat. For tidal fever, add Huangqin, Digupi, Chaihu. Another formula adds Chaihu, Gange, Huangqin, Renshen. For deficiency-heat with dry mouth, add Maidong and Huangqin 1 liang. For deficiency-thirst, add Renshen, Gange, Wumei, Gualougen. For deficiency with excessive sweating, add Du Mu Li and Mahuanggen half liang each. For deficiency-chills and fever, add Chaihu, Digupi, Baizhu, Fuling, Gancao, Qinjiao, Zhimu, Huangqin, Maiya, Beimu, Renshen, Wumei, Zaozi. For swollen and painful limbs unable to move, use Cangzhu Ge Ban Tang. For dry stool, combine Siwu Tang and Tiaowei Chengqi Tang equally, named Yuzhu San. For moistening dryness, use Siliwuli Zhong Ge Ban Tang. For combined blood and Qi deficiency, combine Siwu Tang and Sijunzi Tang equally, named Bazhen Tang. Add Suasharen to protect fetal Qi and enable conception. If heat, add Huangqin. If wind generated by heat, add Chuanxiong, Chaihu, Fangfeng. One formula lacks this herb. For blood-Qi labor, add Jingjie, Chaihu. For blood-wind stabbing pain in both hypochondria or coiled intestine forming masses, add Dahuang, Biba, Rushi. For wind generated by weak blood, bi-pain in limbs, difficulty walking, add Renshen, Rushi, Moyao, Mosxiang, Gancao, Wulingzhi, Qianghuo, Duhuo, Fangfeng, Jingjie, Dilong, Nanxing, Baifuzi, Zelan, powder, pill with honey. Take with Papaya salt water. For blood-wind distension, add Gancao, Muxiang, Zhike, Madouling, Tingli, Zisu, Huoxiang, Dihuang, take on empty stomach. For organ constipation, add Dahuang, Taoren. For slippery diarrhea, add Guanguui, Fuzi. For deficiency diarrhea, add Renshen, Chuanxiong, Baizhi, Puhuang, fried Ejiao, Baizhu, Zhuyu, Xuduan, Ganjiang, Fuzi, Rougui, Huangqi, Chishizhi, Gancao, pill with honey. Take with Salt Plum water. For vomiting, add Baizhu, Renshen. One formula has Shengjiang. For persistent vomiting, add Huoxiang, Baizhu half liang, Renshen 2.5 qian. For retching with inability to eat, add Baizhu, Rushi, Gancao, Renshen, Suosha, Yizhiren, Hujiao. For cough, add Sangbaipi, Banxia, Renshen, Shengjiang, Beiwuzi, Gancao. For wind-labor cough, add Kuandonghua, Zhimu, Ejiao, Banxia, Mahuang, Gancao, Madouling, Huangqin, Xingren, Chaihu, Jiangqian, Hezi, Wumei. For chills and fever, add Gan Shengjiang, Mudanpi, Chaihu. One formula adds Shaoyao. For alternating chills and fever, add Pao Ganjiang and Mudanpi 1 fen each. For mild chronic deficiency-dizziness, emaciation, fatigue, and amenorrhea, use only Shengjiang and Bohe. This is a common medicine for women, with mild flavor and gentle nature, slow effect but deep merit. For extreme thirst, add Zhimu, Shigao. For water retention under the heart with slight vomiting, add Zhuling, Fuling, Fangji. For heart and abdominal fullness, add Zhike, Qingpi. For deficiency sweating, add Mahuanggen. For excessive sweating, add Fu Mai. For hematochezia, cold limbs, distension, wind in intestines/stomach, use Huaihua, Zhike, Lulu, Jingjie, Muxiang, Bai Jiguanhua, Mutong, Hongneixiao, Zicao, Shiliupi, Chenpi, Qingpi, Huangqin, Gancao, Baimaogen, Huaijiao. For intestinal wind hematochezia, add Huaijiao, Huaihua, Zhike, Jingjie, Huangqin, Dafupi, Hongneixiao, Diyü, Shinanye, Bai Jiguanhua, powder/decoct, half powder, take on empty stomach with salt water/old wine. For epistaxis and hematemesis, add Zhuqing, Puhuang, Oujie, Banxia, Dingxiang, Hezi, Guihua, Hongzao, Feiluomian, Baimaogen, Bangfen. For dizziness and stiff neck, add Renshen, Huangqin. For deficiency-cold resembling Cold Damage, add Renshen, Chaihu, Fangfeng. For deficiency-irritability and insomnia, add Zhuye, Renshen. For pains with dampness, combine Siwu Tang and Baizhu equally, add Tianma, Fuling, Chuanshanjia, decoct with wine. For elderly wind-constipation, add Qingpi in equal parts, decoct. For sores, decoct Jingjie in wine for regular use. For breast abscess, add Lianqiao, Cigu Zi, Hongneixiao, Baizhi, Gupian, Jingjie, Niuxi, Shan Wugong, Rushi, Moyao, Lulu, Shengdihuang. For red eyes and head wind disease, add Bohe, Qingcha. For red eyes with wind, add Fangfeng, Huangqin. For wind sores with red swelling, add Jingjie, Niubangzi, Heshouwu, Gancao, Fangfeng, Qianghuo, Dihuang, salt, wine. For foot swelling, add Dafupi, Chixiaodou, Fulingpi, Shengjiangpi. For women with Cold Damage, reduced diet after sweating/purgation, blood deficiency, use Bawu Tang: Siwu Tang 4 liang, Huangqi, Baizhu, Fuling, Gancao 1 liang each. For pregnant women with Cold Damage, wind-strike exterior deficiency with spontaneous sweating, headache, stiff neck, fever, aversion to cold, floating weak pulse, Taiyang channel disease, use Biaoxu Liuhe Tang: Siwu Tang 4 liang, Guizhi, Digupi 7 qian each. For pregnant women with Cold Damage, headache, fever, no sweat, floating tight pulse, Taiyang channel disease, use Biaoshi Liuhe Tang: Siwu Tang 4 liang, Mahuang, Xixin half liang each. For pregnant women with Cold Damage, wind-damp invasion, limb pain, floating hot pulse, headache, this is Taiyang marked disease, use Fengshi Liuhe Tang: Siwu Tang 4 liang, Fangfeng, Cangzhu 7 qian each. For pregnant women with Cold Damage, failure to heal after passing stages following purgation, warm toxin causing rash like brocade, use Shengma Liuhe Tang: Siwu Tang 4 liang, Shengma, Lianqiao 7 qian each. For pregnant women with Cold Damage, chest/hypochondriac fullness/pain, wiry pulse, Shaoyang dizziness/stiff neck, use Chaihu Liuhe Tang: Siwu Tang 4 liang, Chaihu, Huangqin 7 qian each. For pregnant women with Cold Damage, hard stool, red urine, fullness, deep rapid pulse, Yangming/Taiyang root disease, purge urgently, use Dahuang Liuhe Tang: Siwu Tang 4 liang, Dahuang half liang, Taoren 10 (skin/kernel removed, bran-fried). For pregnant women with Cold Damage, persistent cough after sweating/purgation, use Renshen Liuhe Tang: Siwu Tang 4 liang, Renshen, Wuzi half liang each. For pregnant women with Cold Damage, deficiency-fullness after sweating/purgation, Yangming root deficiency, use Houpo Liuhe Tang, also treats cough/wheeze/fullness. Siwu Tang 4 liang, Houpo, Zhishi (bran-fried) half liang each. For pregnant women with Cold Damage, insomnia after sweating/purgation, use Zhizi Liuhe Tang: Siwu Tang 4 liang, Zhizi, Huangqin half liang each. For pregnant women with Cold Damage, high fever, extreme thirst, steaming irritability, long large pulse, use Shigao Liuhe Tang: Siwu Tang 4 liang, Shigao, Zhimu half liang each. For pregnant women with Cold Damage, difficulty urinating, Taiyang root disease, use Fuling Liuhe Tang: Siwu Tang 4 liang, Fuling, Zexie half liang each. For pregnant women with Cold Damage, Taiyang root disease, urine red like blood, use Hupo Liuhe Tang: Siwu Tang 4 liang, Hupo, Fuling half liang each. For pregnant women with Cold Damage, continuous bleeding after sweating/purgation, damaged fetal Qi, use Jiaoai Liuhe Tang: Siwu Tang 4 liang, Ejiao, Aye half liang each. One formula adds Gancao, same as above. One formula adds Ganjiang, Gancao, Huangqi. For pregnant women with Cold Damage, limb spasms, cool skin slight sweat, abdominal pain, deep slow pulse, Shaoyin disease, use Fuzi Liuhe Tang: Siwu Tang 4 liang, Fuzi (pao, skin/root removed), Guizhi half liang each. For pregnant women with Cold Damage blood accumulation syndrome, do not use abortifacients, use Siwu Dahuang Tang: Siwu Tang 4 liang, Shengdihuang, Dahuang (wine-soaked) half liang each. Siwu Tang can be combined equally with Mahuang, Guizhi, Baihu, Chaihu, Lizhong, Sini, Zhuyu, Chengqi, Liangge etc., cannot list all; this is the general principle of Yi Lao's medication.
For stabilizing fetus and stopping leakage bleeding, add Ejiao, Da Ai, Gancao, fried Puhuang. For restless fetus with continuous bleeding, add 5-7 leaves of Aye per dose, plus Congbai, Ejiao powder, Huangqi, reduce the four main ingredients by half, use only small amount of Danggui. For severe cases, use half liang of each of the four ingredients, finely cut, with 4 cups water, one piece of cooked Aye egg-sized, 5-7 pieces Ejiao, decoct to 2.5 cups, strain, divide into 4 doses, finish in one day. One formula adds Fencacao, Ganjiang, Huangqi, 2-3 times daily, up to two "La" (one La = 7 days). Once or twice daily before/during pregnancy. Also treats persistent bloody dysentery with unbearable abdominal pain, add Ejiao, Aye decoct, named Liwu Tang. Safe even if Qi deficiency and Blood Sea are disharmonious. One formula: Siwu Tang plus Huangqi, Boye, Ejiao, Gancao, Xuduan; effective for prolonged dripping menstruation, varying amounts/colors, non-time bleeding.
For conception-related Small Intestine Qi pain, add Muxiang, Huaixiang; for prenatal cough, add Zhike, Gancao, Kuandong, Zhimu, Madouling, Banxia, Mutong, Tingli, Renshen, Kugen, Maidong. For fetal Qi rushing to Liver with numb legs/feet and difficulty walking, add Zhike, Mutong, Lianqiao, Jingjie, Dihuang, Qianghuo, Duhuo, Shanzhi, Gancao, Dengxin, take on empty stomach. For pregnancy irritability, add Zhuru one piece. If there is bad blood, use upper section of Danggui, replace Baishaoyao with Chishaoyao, replace Shudihuang with Shengdihuang. For pregnancy nausea, chills, blue face, anorexia, exhaustion, add Chenpi, Zhike, Baizhu, Fuling, Gancao. For threatened abortion with continuous bleeding, headache, chills/fever, tinnitus due to blood/Qi labor injury, add Huangqin, Jingjie, Shengdihuang, Chishaoyao, Shengjiang. For labor prep with tight lower abdominal pain, add Honghua, Huashi, Gancao, Dengxin, Kuizi. For postpartum lochia with persistent abdominal pain, add Taoren, Sumu, Niuxi. For postpartum abdominal pain, attacking blood clumps