凡妊娠胎气不安者，证本非一，治亦不同。盖胎气不安，必有所因，或虚、或实、或寒、或热，皆能为胎
气之病。去其所病，便是安胎之法。故安胎之方，不可执，亦不可泥其月数，但当随证、随经，因其病而药
之，乃为至善。若谓白术、黄芩乃安胎之圣药，执而用之，鲜不误矣！
胎气有寒而不安者，其证或吞酸、吐酸，或呕恶胀满，或喜热畏凉，或下寒泄泻，或脉多沉细，或绝无火
证，而胎有不安者，皆属阳虚寒证。但温其中而胎自安矣。宜用温胃饮、理阴煎之类加减主之。亦当以平素
之脏气，察其何如，酌而用之。
温胃饮（见血虚经乱）
理阴煎（见血寒经迟）
胎气有热而不安者，其证必多烦热，或渴或躁，或上下不清，或漏血、溺赤，或六脉滑数等证，宜凉胎
饮、保阴煎之类主之。若但热无虚者，如枳壳汤、一母丸、黄芩散之类皆可择用。清其火而胎自安矣。
凉胎饮（见《新方八阵·因阵》）治胎气内热不安等证。
生地 芍药（各二钱） 黄芩 当归（各一、二钱） 甘草（生七分） 枳壳 石斛（各一钱） 茯苓（钱半）
水一钟半，煎七分，食远温服。如热甚者，加黄柏一二钱。
保阴煎（见血热经早）
枳壳汤（见《妇人规古方》）治胎漏下血，或因事下血，亦进食和中，并治恶阻。
枳壳（炒） 黄芩（炙各半两） 白术（炒一两）
上为末，每服一钱，白汤调下。前四证若因脾胃虚弱，宜用补中益气汤加五味。若因脾胃虚陷，宜用前汤
倍加升麻、柴胡。若因晡热内热，宜用逍遥散。
一母丸（见血热论外方）
黄芩散（即子芩散。见血热论外方）
胎气有虚而不安者，最费调停。然有先天虚者，有后天虚者，胎元攸系，尽在于此。先天虚者，由于禀
赋，当随其阴阳之偏，渐加培补，万毋欲速，以期保全。后天虚者，由于人事，凡色欲、劳倦、饮食、七情
之类，皆能伤及胎气，治此者，当察其所致之由，因病而调，仍加戒慎可也。然总不离于血气之虚，皆当以胎
元饮为主。若心脾气虚于上者，宜逍遥饮、归脾汤、寿脾煎之类主之。若肝肾不足于下者，宜左归饮、右归
饮、固阴煎主之。若气血俱虚者，宜五福饮、八珍汤、十全大补汤之类主之。若脾肾气虚而兼带浊者，宜秘元
煎、菟丝煎之类主之。若多呕恶者，当随前证、前方各加二陈汤之类以和之。凡治虚证，贵在随机应变，诚有
不可以凿执言者。
胎元饮（见《新方八阵·因阵》）治妇人冲任失守，胎元不安不固者，随证加减用之。或间日、或
二三日，常服一二剂。
人参（随宜） 当归 杜仲 芍药（各二钱） 熟地（二、三钱） 白术（钱半） 炙甘草（一钱） 陈皮（七分，
无滞者不必用。）
水二钟，煎七分，食远服。如下元不固而多遗浊者，加山药、补骨脂、五味之类。如气分虚甚者，倍白
术加黄 ，但 术气浮，能滞胃口，倘胸膈有饱闷不快者，须慎用之。如虚而兼寒多呕者，加炮姜七八分或一
二钱。如虚而兼热者，加黄芩一钱五分，或加生地二钱，去杜仲。如阴虚小腹作痛，加枸杞二钱。如多怒气逆
者，加香附无妨，或砂仁亦妙。如有所触而动血者，加川续断、阿胶各一二钱。如呕吐不止，加半夏一二钱，
生姜三五片。
逍遥饮（见肾虚经乱）
归脾汤（见经不调）
寿脾煎（见血虚经乱）
左归饮（见肾虚经乱）
右归饮（见肾虚经乱）
固阴煎（见肾虚经乱）
五福饮（见血热经早）
八珍汤（见经不调）
十全大补汤（见调经论外备用方）
秘元煎（见血虚经乱）
菟丝煎（见《新方八阵·固阵》）治心脾气弱。凡遇思虑劳倦即苦遗精者，宜此主之。
人参（二、三钱） 山药（炒二钱） 当归（钱半） 菟丝子（制炒四五钱） 枣仁（炒） 茯苓（各钱半） 炙
甘草（一钱或五分） 远志（制四分） 鹿角霜（为末、每服加入四五匙）
上用水一钟半，煎成，加鹿角霜末调服，食前。或加白术一二钱。
《局方》二陈汤（见《古方八阵·和阵》）治痰饮呕恶，风寒咳嗽，或头眩心悸，或中脘不快，
或因生冷，或饮酒过多，脾胃不和等证。
陈皮 半夏（制各三钱） 茯苓（二钱） 炙甘草（一钱）
水二钟，姜三五片，枣一枚，煎八分，食远服。
胎气有实滞气滞，凡为恶阻、为胀满而不安者，惟其素本不虚，而或多郁滞者乃有之，但察其所由，而开
之、导之，诸治实者，固无难也。呕吐不止者，二陈汤加枳壳、砂仁主之，或用人参橘皮汤亦妙。食滞胀满不
安者，小和中饮加减主之。肝气滞逆，胀满不安者，解肝煎主之。怒动肝气兼火者，化肝煎主之。脾肺气滞，
上攻作痛者，紫苏饮主之。气滞兼痰者，四七汤、二陈汤加当归主之。气滞兼火，为胀为烦者，枳壳汤、束胎
丸之类主之。
人参橘皮汤（见《妇人规古方》）治妊娠脾胃虚
弱，气滞恶阻，呕吐痰水，饮食少进，益胃和中。一名参橘散。
人参 陈皮 麦门冬 白术（各一钱） 浓朴（制） 白茯苓（各五分） 炙甘草（三分）
上加淡竹茹一块，姜水煎，温服。若因中脘停痰，宜用二陈、枳壳。若因饮食停滞，宜用六君加枳壳。若
因脾胃虚，宜用异功散。
小和中饮（见《新方八阵·和阵》）治胸膈胀闷，或妇人胎气滞满等证。
陈皮（一钱五分） 山楂（二钱） 茯苓（一钱半） 浓朴（一钱五分） 甘草（五分） 扁豆（炒二钱）
水一钟半，加生姜三五片煎服。如呕者，加半夏一二钱。如胀满气不顺者，加砂仁七八分。如火郁于上
者，加焦栀子一二钱。如妇人气逆血滞者，加紫苏梗、香附之属。如寒滞不行者，加干姜、肉桂之属。
解肝煎（见《新方八阵·和阵》）治暴怒伤肝，气逆胀满阴滞等证。如兼肝火者，宜用化肝煎。
陈皮 半夏 浓朴 茯苓（各一钱半） 苏叶 芍药（各一钱） 砂仁（七分）
水一钟半，加生姜三五片煎服。如胁肋胀痛，加白芥子一钱。如胸膈气滞，加枳壳、香附、藿香之属。
化肝煎（见崩淋经漏不止）
紫苏饮（见《妇人规古方》）治妊娠失调，胎气不安，上 作痛，名曰子悬。或临产气结不下等证。
大腹皮 川芎 白芍药 陈皮 苏叶 当归（各一两） 人参 甘草（各半两）
上每服一两，姜、葱水煎服。一方有香附无人参。若肝脾气血虚而有火不安，宜兼逍遥散。若脾气虚弱而
不安，宜用四君、芎、归。
《局方》四七汤（见《古方八阵·和阵》）治七情之气，结成痰涎，状如破絮，或如梅核，在咽喉
之间，咯不出，咽不下，此七情所为也。或中脘痞满，气不舒快，痰饮呕恶，皆治之。
半夏（汤泡钱半） 茯苓（一钱二分） 苏叶（六分） 浓朴（姜制九分）
水一钟半，生姜七片，红枣二枚，煎八分，不时服。
枳壳汤（见胎气有热而不安段）
束胎丸（见《妇人规古方》）怀胎七八个月，恐胎气展大难产，用此扶母气、束儿胎，易产。然
必胎气强盛者乃可服。
条黄芩（酒炒，勿太熟，冬月一两，夏月半两） 白术（三两） 陈皮（二两） 白茯苓（七钱半）
上为末，粥糊丸桐子大，每服五十丸，白汤下。
王节斋曰∶调理妊妇，在于清热养血，白术补脾为安胎君药，条实黄芩为安胎圣药，清热故也，
暑月宜加用之。此一说也。虽若有理，而实有大病（即很大的毛病，亦即很大的缺点），不可不辨也。夫孕
之胎气，必随母之脏气，大都阴虚者多热气，阳虚者多寒气。寒之则寒，热之则热者，是为平气。今以十人言
之，则寒者居其三，热者居其三，平者居其四，此大较（即大概）也。若谓受胎之后，必增内热，自与常人不
同，则何以治恶阻者必用二陈、六君、生姜、半夏之属而后效，其果增热者乎？故治热宜黄芩，寒则不宜也，
非惟寒者不宜，即平气者亦不宜。盖凡今之胎妇，气实者少，气虚者多。气虚则阳虚，而再用黄芩，有即受
其损而病者；有用时虽或未觉，而阴损胎元，暗残母气，以致产妇羸困，或儿多脾病者，多由乎此。奈今人
不能察理，但以“圣药”二字，以为胎家必用之药，无论人之阴阳强弱，凡属安胎，无不用之，其害盖不少
矣。至若白术虽善安胎，然或用不得善，则其性燥而气闭，故凡阴虚者非可独用，气滞者亦当权宜。是以用
药之难，当如盘珠（即灵活），有不可胶柱而鼓瑟也。
立斋曰∶“妊娠若元气不实，发热倦怠，或胎气不安，用当归散。因气恼，加枳壳；胸膈痞闷，再加
苏梗；或作痛，加柴胡。
当归散（见调经论外备用方）
“若饮食不甘，或欲呕吐，用六君加紫苏、枳壳。若恶阻呕逆，头眩体倦，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。
参橘散（又名人参橘皮汤。见前段）
六君子汤（见经期腹痛）
“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，再送知母丸。若顿仆胎伤，下血腹痛，用佛手散。未应，用八珍送知母丸。
良方胶艾汤（见《妇人规古方》）治妊娠顿仆，胎动不安，腰腹疼痛，或胎上抢，或去血腹痛。
阿胶（炒一两） 艾叶（数茎）
上二味，以水五升，煮取二升，分三服。
八珍汤（见经不调）
《良方》阿胶散（见《妇人规古方》）或顿仆、或因毒药，胎动不安，或胁痛腹痛，上抢短气。
阿胶 艾叶 当归 熟地 川芎 白芍 黄 炙 甘草（等分）
上每服四钱，姜、枣水煎。
知母丸（即一母丸。见血热论外方）
佛手散（又名芎归汤。见杀血心痛）
“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。
竹叶汤（见《妇人规古方》）治妊娠心惊胆怯，烦闷不安，名曰子烦。一方有当归、防风、栀子仁。
白茯苓 麦门冬 黄芩（各三两）
上每服四钱，竹叶五片，水煎服。若因血虚烦热，宜兼用四物；若因中气虚弱，宜兼用四君。
四物汤（见经不调）
四君子汤（见血虚经乱）
“若下血不止，名胎漏。血虚用二黄散，血去过多用八珍汤。未应，用补中益气汤。
二黄散（见血热论外方）
八珍汤（见经不调）
补中益气汤（见经不调）
“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，或小腹重坠，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。
枳壳汤（见胎气有热而不安段）
地黄当归汤（见《妇人规古方》）一名内补丸。治妊娠冲任脉虚。补血安胎。
熟地（二两） 当归（一两）
上每服五钱，水煎服。为丸法∶以当归炒为末，熟地捣膏和丸桐子大，每服百余丸，温酒或滚汤下。
许学士曰∶大率妊娠惟在抑阳助阴，然胎前药最恶阴阳杂乱，致生他病。惟枳壳汤所以抑阳，四
物汤所以助阴耳。然枳壳汤其味多寒，若单服恐致胎寒腹痛，更以内补丸佐之，则阳不致强，阴不致弱，阴阳
调和，有益胎嗣。此前人未尝论及也。
“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。若足趾发肿，渐至腿膝，喘闷不安。或足趾缝出
水，名水气。用天仙藤散。脾胃虚弱，兼用四君子汤。未应，用补中益气，兼以逍遥散。
全生白术散（见《妇人规古方》）治妊娠面目虚浮，四肢肿如水气，名曰胎肿。
白术（一两） 生姜皮 大腹皮 陈皮 白茯苓（各半两）
上为末，每服二钱，米饮下。如未应，佐以人参、甘草。
天仙藤散（见《妇人规古方》）治妊娠三月之后，足趾发肿，渐至腿膝，饮食不甘，状如水气，或脚
趾间出黄水，名曰子气。
天仙藤（洗略炒） 香附（炒） 陈皮 甘草 乌药（等分）
上每服三、五钱，加生姜、木瓜各三片，紫苏三叶，水煎，食前日进三服。若因脾胃虚弱，宜兼六君
子；中气下陷，须用补中益气汤。
逍遥散（见经期腹痛）
“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。
紫苏饮（见胎气有实滞气滞不安段）
“若小便涩少，或成淋沥，名子淋。用安营散。不
应，兼八珍汤。腿足转筋，而小便不利，急用八味丸，缓则不救。
安营散（见《妇人规古方》）治妊娠小便涩少，遂成淋沥，名曰子淋。甚妙。
麦门冬 通草 滑石 当归 灯心 甘草 人参 细辛（等分）
上，水煎服。一方∶人参、细辛加倍，为末，每服二钱，麦冬汤调服。若因肺经郁热，宜用黄芩清肺饮。
若因膏粱浓味，宜用清胃散。若因肝经湿热，宜用加味逍遥散。
八味丸（见经不调）
若项强筋挛，语涩痰盛，名子痫。用羚羊角散。
凡是妊娠期间胎气不稳定的，证候原因并不单一，治疗方法也各不相同。大概胎气不安，必定有其原因，或是虚证、或是实证、或是寒证、或是热证，这些都能导致胎气病变。去除引起胎气的病因，就是安胎的方法。所以安胎的方剂，不能固执拘泥，也不能死板地按照怀孕月份来用药，而应当根据证候、结合经络，针对疾病本身来用药，这才是最好的方法。如果说白术、黄芩是安胎的神圣药物，固执地使用它们，很少有不误事的！
胎气因寒而不安的，症状有的反酸、吐酸水，有的恶心呕吐、胸腹胀满，有的喜欢热恶怕凉，有的下部寒冷、腹泻，有的脉象多沉细，或者完全没有火热证候，但胎气却不安宁的，都属于阳虚寒证。只要温补中焦脾胃，胎气自然就会安定。适宜使用温胃饮、理阴煎等方剂加减主治。同时也应当根据患者平素脏腑之气的状况，观察其具体情况，斟酌后使用。
胎气因热而不安的，症状一定多有烦热，或者口渴或者烦躁，或者上下一派不清爽，或者漏下出血、小便赤红，或者六脉滑数等症状，适宜使用凉胎饮、保阴煎等方剂主治。如果只有热证而没有虚证，如枳壳汤、一母丸、黄芩散等方剂都可以酌情选用。清除了火热，胎气自然就会安定。
凉胎饮（见《新方八阵·因阵》）治疗胎气内热不安等证候。
生地 芍药（各二钱） 黄芩 当归（各一、二钱） 甘草（生用七分） 枳壳 石斛（各一钱） 茯苓（钱半）
用水一钟半，煎至七分，饭后稍远时温服。如果热势严重的，加黄柏一二钱。
枳壳汤（见《妇人规古方》）治疗胎漏下血，或因事引起的下血，也能进食和中，并治疗恶阻（妊娠呕吐）。
枳壳（炒） 黄芩（炙，各半两） 白术（炒一两）
以上研为末，每次服用一钱，用白开水调下。前四种证候如果是由于脾胃虚弱引起的，适宜使用补中益气汤加五味子。如果是由于脾胃虚陷引起的，适宜使用前汤倍加升麻、柴胡。如果是由于傍晚发热、内热引起的，适宜使用逍遥散。
一母丸（见血热论外方章节）
黄芩散（即子芩散。见血热论外方章节）
胎气因虚而不安的，最费心思调理。然而有先天不足的，有后天亏损的，胎元的维系，全在于此。先天不足者，是由于禀赋原因，应当随着阴阳偏颇的情况，逐渐加以培补，千万不要求快，以期望保全胎儿。后天亏损者，是由于人事因素，凡房事过度、劳累倦怠、饮食不当、七情所伤之类，都能损伤胎气，治疗这种情况，应当考察其致病的原因，因病进行调理，同时加以戒慎小心即可。然而总离不开气血虚弱，都应当以胎元饮为主方。如果心脾气虚于上部的，适宜使用逍遥饮、归脾汤、寿脾煎等方剂主治。如果肝肾不足于下部的，适宜使用左归饮、右归饮、固阴煎主治。如果气血都虚弱的，适宜使用五福饮、八珍汤、十全大补汤等方剂主治。如果脾肾气虚且兼带下浑浊的，适宜使用秘元煎、菟丝煎等方剂主治。如果经常呕吐恶心的，应当根据前述证候和前文方剂，各加二陈汤等方剂来调和。凡是治疗虚证，贵在随机应变，确实有不可以固执僵化来说明的。
胎元饮（见《新方八阵·因阵》）治疗妇人冲任失守，胎元不安不稳固的，随证候加减使用。或者隔日、或者两三天，常服一二剂。
人参（随宜） 当归 杜仲 芍药（各二钱） 熟地（二、三钱） 白术（钱半） 炙甘草（一钱） 陈皮（七分，没有气滞者不必用。）
用水二钟，煎至七分，饭后稍远时服用。如果下元不固且多遗浊的，加山药、补骨脂、五味子之类。如果气分虚损严重的，倍加白术加黄芪，但是白术气浮，容易阻滞胃口，如果胸膈有饱闷不适的，须慎用。如果虚损兼寒且多呕吐的，加炮姜七八分或一二钱。如果虚损兼热的，加黄芩一钱五分，或者加生地二钱，去掉杜仲。如果阴虚小腹作痛的，加枸杞二钱。如果多怒气逆乱的，加香附无妨，或者砂仁也很好。如果有所触动而动血的，加川续断、阿胶各一二钱。如果呕吐不止，加半夏一二钱，生姜三五片。
逍遥饮（见肾虚经乱章节）
归脾汤（见经不调章节）
寿脾煎（见血虚经乱章节）
左归饮（见肾虚经乱章节）
右归饮（见肾虚经乱章节）
固阴煎（见肾虚经乱章节）
五福饮（见血热经早章节）
八珍汤（见经不调章节）
十全大补汤（见调经论外备用方章节）
秘元煎（见血虚经乱章节）
菟丝煎（见《新方八阵·固阵》）治疗心脾气弱。凡是遇到思虑劳倦就痛苦于遗精的，适宜用此方主治。
人参（二、三钱） 山药（炒二钱） 当归（钱半） 菟丝子（制炒四五钱） 枣仁（炒） 茯苓（各钱半） 炙甘草（一钱或五分） 远志（制四分） 鹿角霜（研为末，每次服用加入四五匙）
以上用水一钟半，煎成，加入鹿角霜末调服，饭前服用。或者加白术一二钱。
《局方》二陈汤（见《古方八阵·和阵》）治疗痰饮呕吐恶心，风寒咳嗽，或者头晕心悸，或者中脘不适，或者因为生冷，或者饮酒过多，脾胃不和等证候。
陈皮 半夏（制，各三钱） 茯苓（二钱） 炙甘草（一钱）
用水二钟，生姜三五片，大枣一枚，煎至八分，饭后稍远时服用。
胎气有实滞气滞，凡是出现恶阻、胀满而不安的，只有那些素体不虚，而多有郁滞的人才会发生，只要考察其成因，而开郁、导滞，各种治疗实证的治法，本来就没有什么困难的。呕吐不止的，二陈汤加枳壳、砂仁主治，或者用人参橘皮汤也很好。食积胀满不安的，小和中饮加减主治。肝气滞逆，胀满不安的，解肝煎主治。愤怒动肝气兼有火邪的，化肝煎主治。脾肺气滞，上攻作痛的，紫苏饮主治。气滞兼有痰的，四七汤、二陈汤加当归主治。气滞兼有火邪，出现胀满烦闷的，枳壳汤、束胎丸等方剂主治。
人参橘皮汤（见《妇人规古方》）治疗妊娠脾胃虚弱，气滞恶阻，呕吐痰水，饮食少进，益胃和中。又名参橘散。
人参 陈皮 麦门冬 白术（各一钱） 浓朴（制） 白茯苓（各五分） 炙甘草（三分）
以上加淡竹茹一块，姜水煎，温服。如果是由于中脘停痰，适宜使用二陈汤、枳壳汤。如果是由于饮食停滞，适宜使用六君子汤加枳壳。如果是由于脾胃虚弱，适宜使用异功散。
小和中饮（见《新方八阵·和阵》）治疗胸膈胀闷，或者妇人胎气滞满等证候。
陈皮（一钱五分） 山楂（二钱） 茯苓（一钱半） 浓朴（一钱五分） 甘草（五分） 扁豆（炒二钱）
用水一钟半，加生姜三五片煎服。如果呕吐的，加半夏一二钱。如果胀满气不顺的，加砂仁七八分。如果火郁于上部的，加焦栀子一二钱。如果妇人气逆血滞的，加紫苏梗、香附之类。如果寒滞不行的，加干姜、肉桂之类。
解肝煎（见《新方八阵·和阵》）治疗暴怒伤肝，气逆胀满阴滞等证候。如果兼有肝火的，适宜使用化肝煎。
陈皮 半夏 浓朴 茯苓（各一钱半） 苏叶 芍药（各一钱） 砂仁（七分）
用水一钟半，加生姜三五片煎服。如果胁肋胀痛，加白芥子一钱。如果胸膈气滞，加枳壳、香附、藿香之类。
紫苏饮（见《妇人规古方》）治疗妊娠失调，胎气不安，上攻作痛，名叫子悬。或者临产气结不下等证候。
大腹皮 川芎 白芍药 陈皮 苏叶 当归（各一两） 人参 甘草（各半两）
以上每次服用一两，姜、葱水煎服。另一版本有香附无人参。如果肝脾气血虚而有火不安的，适宜兼用逍遥散。如果脾气虚弱而不安的，适宜使用四君子汤、川芎、当归。
《局方》四七汤（见《古方八阵·和阵》）治疗七情之气，结成痰涎，状如破絮，或者如梅核，在咽喉之间，咯不出，咽不下，这是七情所致。或者中脘痞满，气不舒快，痰饮呕吐恶心，都治疗它。
半夏（汤泡钱半） 茯苓（一钱二分） 苏叶（六分） 浓朴（姜制九分）
用水一钟半，生姜七片，红枣二枚，煎至八分，不时服用。
束胎丸（见《妇人规古方》）怀孕七八个月，担心胎气长大难产，用此方扶助母气、束缚儿胎，易于生产。然而必须是胎气强盛者才可以服用。
条黄芩（酒炒，不要太熟，冬月一两，夏月半两） 白术（三两） 陈皮（二两） 白茯苓（七钱半）
以上研为末，粥糊丸桐子大小，每次服用五十丸，白开水送下。
王节斋说：调理妊妇，在于清热养血，白术补脾为安胎君药，条实黄芩为安胎圣药，是因为能清热，暑天适宜加用。这是一种说法。虽然似乎有理，但实际上有很大的毛病（即很大的缺点），不可不辨析。怀孕的胎气，必定跟随母亲的脏气，大多阴虚者多热气，阳虚者多寒气。寒则寒，热则热，这叫平气。现在以十个人来说，寒者占三个，热者占三个，平者占四个，这是大概情况。如果说受孕之后，必定增加内热，自然与常人不同，那么为什么治疗恶阻一定要用二陈汤、六君子汤、生姜、半夏之类才有效，那果真是增加热了吗？所以治疗热适宜用黄芩，寒则不适宜，不仅寒者不适宜，就是平气者也不适宜。大概现在的胎妇，气实的少，气虚的多。气虚则阳虚，如果再使用黄芩，有的立即受到损害而生病；有的使用时虽未察觉，但暗中损伤胎元，残害母气，以致产妇瘦弱困顿，或者孩子多患脾病，大多由此造成。无奈今人不能察理，只把“圣药”二字，当作胎家必用的药，无论人的阴阳强弱，凡是属于安胎，无不使用它，其危害大概不少了。至于白术虽然善于安胎，然而如果使用不得当，则其性燥而气闭，所以凡是阴虚者不可以单独使用，气滞者也应当权宜处理。所以用药之难，应当像盘珠一样灵活，有不可以胶柱鼓瑟（比喻拘泥成法，不知变通）的。
立斋说：“妊娠如果元气不实，发热倦怠，或者胎气不安，使用当归散。因为气恼，加枳壳；胸膈痞闷，再加苏梗；或者作痛，加柴胡。
“如果饮食不甘，或者想要呕吐，使用六君子汤加紫苏、枳壳。如果恶阻呕逆，头眩体倦，使用参橘散。没见效，使用六君子汤。如果恶阻呕吐，不食烦闷，也使用参橘散之类。
“如果跌倒胎动，腹痛下血，使用胶艾汤。没见效，使用八珍汤加胶艾。如果跌倒、毒药，腰痛短气，使用阿胶散。没见效，再送服知母丸。如果跌倒胎伤，下血腹痛，使用佛手散。没见效，使用八珍汤送服知母丸。
良方胶艾汤（见《妇人规古方》）治疗妊娠跌倒，胎动不安，腰腹疼痛，或者胎上抢心，或者去血腹痛。
阿胶（炒一两） 艾叶（数茎）
以上两味，用水五升，煮取二升，分三次服用。
八珍汤（见经不调章节）
《良方》阿胶散（见《妇人规古方》）或者跌倒、或者因为毒药，胎动不安，或者胁痛腹痛，上抢短气。
阿胶 艾叶 当归 熟地 川芎 白芍 黄芪 炙甘草（等分）
以上每次服用四钱，姜、枣水煎。
“如果心惊胆怯，烦闷不安，名叫子烦，使用竹叶汤。没见效，血虚佐以四物汤；气虚佐以四君子汤。
竹叶汤（见《妇人规古方》）治疗妊娠心惊胆怯，烦闷不安，名叫子烦。另一版本有当归、防风、栀子仁。
白茯苓 麦门冬 黄芩（各三两）
以上每次服用四钱，竹叶五片，水煎服。如果是由于血虚烦热，适宜兼用四物汤；如果是由于中气虚弱，适宜兼用四君子汤。
四物汤（见经不调章节）
“如果下血不止，名叫胎漏。血虚使用二黄散，血去过多使用八珍汤。没见效，使用补中益气汤。
八珍汤（见经不调章节）
补中益气汤（见经不调章节）
“如果因事而动而下血，使用枳壳汤加生地黄、熟地黄。没见效，或者作痛，更加当归。血不止，八珍汤加胶艾。如果不时作痛，或者小腹重坠，名叫胎痛，使用地黄当归汤。没见效，加人参、白术、陈皮。或者因为脾气虚，使用四君子汤加当归、熟地。中气虚，使用补中益气汤。
地黄当归汤（见《妇人规古方》）一名内补丸。治疗妊娠冲任脉虚。补血安胎。
熟地（二两） 当归（一两）
以上每次服用五钱，水煎服。为丸法：以当归炒为末，熟地捣膏和丸桐子大小，每次服用百余丸，温酒或滚汤送下。
许学士说：大概妊娠只在抑制阳气、帮助阴气，然而产前药最厌恶阴阳杂乱，导致产生其他疾病。只有枳壳汤所以抑制阳气，四物汤所以帮助阴气罢了。然而枳壳汤味道多寒，如果单服恐怕导致胎寒腹痛，更以内补丸辅助它，则阳不至于强，阴不至于弱，阴阳调和，有益胎嗣。这是前人未曾论及的。
“如果面目虚浮，肢体如水气，名叫子肿。使用全生白术散，没见效，使用六君子汤。下部肿甚，使用补中益气汤倍加茯苓。或者因为饮食失宜，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。或者足趾缝出水，名叫水气。使用天仙藤散。脾胃虚弱，兼用四君子汤。没见效，使用补中益气汤，兼以逍遥散。
全生白术散（见《妇人规古方》）治疗妊娠面目虚浮，四肢肿如水气，名叫胎肿。
白术（一两） 生姜皮 大腹皮 陈皮 白茯苓（各半两）
以上研为末，每次服用二钱，米饮送下。如果没见效，佐以人参、甘草。
天仙藤散（见《妇人规古方》）治疗妊娠三月之后，足趾发肿，渐至腿膝，饮食不甘，状如水气，或者脚趾间出黄水，名叫子气。
天仙藤（洗略炒） 香附（炒） 陈皮 甘草 乌药（等分）
以上每次服用三、五钱，加生姜、木瓜各三片，紫苏三叶，水煎，饭前每日进三服。如果是由于脾胃虚弱，适宜兼六君子汤；中气下陷，须用补中益气汤。
“如果胎气上攻，心腹胀满作痛，名叫子悬。使用紫苏饮。饮食不甘，兼四君子汤；内热傍晚发热，兼逍遥散。
“如果小便涩少，或者成为淋沥，名叫子淋。使用安营散。没见效，兼八珍汤。腿足转筋，而小便不利，急用八味丸，缓则不救。
安营散（见《妇人规古方》）治疗妊娠小便涩少，遂成淋沥，名叫子淋。很妙。
麦门冬 通草 滑石 当归 灯心 甘草 人参 细辛（等分）
以上，水煎服。另一版本：人参、细辛加倍，研为末，每次服用二钱，麦冬汤调服。如果是由于肺经郁热，适宜使用黄芩清肺饮。如果是由于膏粱浓味，适宜使用清胃散。如果是由于肝经湿热，适宜使用加味逍遥散。
八味丸（见经不调章节）
For any pregnancy where the fetal qi is unstable, the manifestations are not uniform, and the treatments differ. Generally, fetal instability must have a cause, whether it be deficiency (Xu), excess (Shi), cold (Han), or heat (Re), all of which can cause fetal pathology. Removing the pathogenic factor causing the fetal issue is the method for stabilizing the fetus. Therefore, formulas for stabilizing the fetus should not be applied rigidly, nor should one be bound by the number of months of gestation. Instead, treatment must follow the syndrome and the meridians, medicating according to the specific disease; this is the optimal approach. If one insists that Bai Zhu (Atractylodis Rhizoma) and Huang Qin (Scutellariae Radix) are the sacred medicines for stabilizing the fetus, sticking to their use will rarely avoid error!
When fetal instability is due to cold, symptoms may include acid regurgitation, vomiting of sour fluids, nausea, vomiting, abdominal distension and fullness, preference for warmth and aversion to cold, lower body coldness with diarrhea, a pulse that is mostly deep and fine, or the complete absence of fire/heat signs, yet the fetus remains unstable. These all belong to Yang deficiency and cold syndromes. By warming the Middle Jiao (Spleen and Stomach), the fetal qi will naturally stabilize. It is appropriate to use Wen Wei Yin (Stomach-Warming Decoction) or Li Yin Jian (Yin-Regulating Decoction) with modifications as the main treatment. One must also observe the patient's constitutional organ qi to determine the specific condition and prescribe accordingly.
Wen Wei Yin (See section on Blood Deficiency and Menstrual Disorder)
Li Yin Jian (See section on Blood Cold and Delayed Menses)
When fetal instability is due to heat, symptoms will likely include much irritability and fever, thirst or restlessness, turbidity in the upper and lower parts, threatened miscarriage bleeding, red urine, or a slippery and rapid pulse in all six positions. It is appropriate to use Liang Tai Yin (Fetal-Cooling Decoction) or Bao Yin Jian (Yin-Preserving Decoction) as the main treatment. If there is only heat without deficiency, such as Zhi Ke Tang (Immature Bitter Orange Decoction), Yi Mu Wan (Motherwort Pill), or Huang Qin San (Scutellaria Powder) can be selected. Clearing the fire will naturally stabilize the fetus.
Liang Tai Yin (See *New Formulas Eight Arrays · Cause Array*) treats conditions like internal heat of fetal qi causing instability.
Di Huang (Rehmanniae Radix) Shao Yao (Paeoniae Radix Alba) [each 2 qian] Huang Qin (Scutellariae Radix) Dang Gui (Angelicae Sinensis Radix) [each 1-2 qian] Gan Cao (Glycyrrhizae Radix et Rhizoma) [7 fen raw] Zhi Ke (Aurantii Fructus Immaturus) Shi Hu (Dendrobii Caulis) [each 1 qian] Fu Ling (Poria) [1.5 qian]
Use 1.5 zhong of water, decoct to 0.7 zhong, take warm long after meals. If heat is severe, add Huang Bo (Phellodendri Cortex) 1-2 qian.
Bao Yin Jian (See section on Heat in Blood and Early Menses)
Zhi Ke Tang (See *Ancient Formulas of Fumen Gui*) treats threatened miscarriage bleeding, or bleeding caused by activity, also aids digestion and harmonizes the middle, and treats morning sickness (E Zu).
Zhi Ke (Stir-fried) Huang Qin (Scutellariae Radix, honey-fried, each 0.5 liang) Bai Zhu (Atractylodis Rhizoma, stir-fried, 1 liang)
Grind into powder. Take 1 qian per dose, mixed with plain boiled water. If the previous four conditions are due to Spleen and Stomach weakness, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Wu Wei Zi (Schisandrae Fructus) is appropriate. If due to Spleen and Stomach sinking, increase Sheng Ma (Cimicifugae Rhizoma) and Chai Hu (Bupleuri Radix) in the aforementioned formula. If due to afternoon fever and internal heat, Xiao Yao San (Free and Easy Wanderer Powder) is appropriate.
Yi Mu Wan (See external formulas on Heat in Blood discussion)
Huang Qin San (i.e., Zi Qin San. See external formulas on Heat in Blood discussion)
When fetal instability is due to deficiency, it requires the most careful adjustment. However, there are congenital deficiencies and acquired deficiencies; the maintenance of the fetal origin depends entirely on these. Congenital deficiency stems from endowment; one should gradually tonify according to the bias of Yin and Yang, never seeking quick results, aiming for preservation. Acquired deficiency stems from lifestyle factors; excessive sexual activity, fatigue, improper diet, and emotional disturbances can all damage fetal qi. Treating this requires investigating the cause and adjusting based on the illness, while maintaining caution. Ultimately, it always relates to Qi and Blood deficiency, so Tai Yuan Yin (Fetal-Origin Decoction) should be the primary formula. If Heart and Spleen Qi deficiency is predominant above, Xiao Yao Yin (Free and Easy Wanderer Drink), Gui Pi Tang (Restore the Spleen Decoction), or Shou Pi Jian (Longevity Spleen Decoction) are appropriate. If Liver and Kidney insufficiency is predominant below, Zuo Gui Yin (Left Restoring Drink), You Gui Yin (Right Restoring Drink), or Gu Yin Jian (Solidify Yin Decoction) are appropriate. If both Qi and Blood are deficient, Wu Fu Yin (Five Blessings Drink), Ba Zhen Tang (Eight Treasures Decoction), or Shi Quan Da Bu Tang (Great Tonifying Decoction of Ten Ingredients) are appropriate. If Spleen and Kidney Qi deficiency is accompanied by turbid leukorrhea, Mi Yuan Jian (Secret Origin Decoction) or Tu Si Jian (Dodder Seed Decoction) are appropriate. If there is frequent nausea and vomiting, add Er Chen Tang (Two Aged Herbs Decoction) or similar formulas to harmonize, depending on the preceding syndromes and formulas. In treating deficiency syndromes, flexibility is key; one cannot speak of rigid adherence.
Tai Yuan Yin (See *New Formulas Eight Arrays · Cause Array*) treats women whose Chong and Ren vessels have lost control, resulting in unstable and insecure fetal origin; modify according to syndrome. Take 1-2 doses regularly every other day or every two to three days.
Ren Shen (Ginseng Radix et Rhizoma) [as needed] Dang Gui (Angelicae Sinensis Radix) Du Zhong (Eucommiae Cortex) Shao Yao (Paeoniae Radix Alba) [each 2 qian] Shu Di Huang (Rehmanniae Radix Preparata) [2-3 qian] Bai Zhu (Atractylodis Rhizoma) [1.5 qian] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [1 qian] Chen Pi (Citri Reticulatae Pericarpium) [7 fen, omit if no stagnation]
Use 2 zhong of water, decoct to 0.7 zhong, take long after meals. If the Lower Yuan is insecure with much turbid discharge, add Shan Yao (Dioscoreae Rhizoma), Gu Bu Zhi (Psoraleae Fructus), and Wu Wei Zi (Schisandrae Fructus). If Qi deficiency is severe, double Bai Zhu and add Huang Qi (Astragali Radix); however, Bai Zhu has floating Qi and can block the stomach appetite; if there is chest/diaphragm fullness and discomfort, use with caution. If deficiency is accompanied by cold and much vomiting, add Pao Jiang (Zingiberis Rhizoma Preparatum) 7-8 fen or 1-2 qian. If deficiency is accompanied by heat, add Huang Qin (Scutellariae Radix) 1.5 qian, or add Di Huang (Rehmanniae Radix) 2 qian, removing Du Zhong. If Yin deficiency causes lower abdominal pain, add Gou Qi Zi (Lycii Fructus) 2 qian. If there is much anger and rebellious Qi, adding Xiang Fu (Cyperi Rhizoma) is acceptable, or Sha Ren (Amomi Fructus) is also excellent. If movement triggers bleeding due to contact, add Xu Duan (Dipsaci Radix) and E Jiao (Colla Corii Asini) 1-2 qian each. If vomiting persists, add Ban Xia (Pinelliae Rhizoma) 1-2 qian and Sheng Jiang (Zingiberis Rhizoma Recens) 3-5 slices.
Xiao Yao Yin (See section on Kidney Deficiency and Menstrual Disorder)
Gui Pi Tang (See section on Irregular Menses)
Shou Pi Jian (See section on Blood Deficiency and Menstrual Disorder)
Zuo Gui Yin (See section on Kidney Deficiency and Menstrual Disorder)
You Gui Yin (See section on Kidney Deficiency and Menstrual Disorder)
Gu Yin Jian (See section on Kidney Deficiency and Menstrual Disorder)
Wu Fu Yin (See section on Heat in Blood and Early Menses)
Ba Zhen Tang (See section on Irregular Menses)
Shi Quan Da Bu Tang (See external formulas on Regulation of Menses discussion)
Mi Yuan Jian (See section on Blood Deficiency and Menstrual Disorder)
Tu Si Jian (See *New Formulas Eight Arrays · Solidify Array*) treats weak Heart and Spleen Qi. Suitable for those who suffer from spermatorrhea upon mental exertion or fatigue.
Ren Shen (Ginseng Radix et Rhizoma) [2-3 qian] Shan Yao (Dioscoreae Rhizoma, stir-fried, 2 qian) Dang Gui (Angelicae Sinensis Radix) [1.5 qian] Tu Si Zi (Cuscutae Semen, processed and stir-fried) [4-5 qian] Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried) Fu Ling (Poria) [each 1.5 qian] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [1 qian or 5 fen] Yuan Zhi (Polygalae Radix, processed) [4 fen] Lu Jiao Shuang (Cornu Cervi Pantotrichum Preparatum, ground into powder, add 4-5 spoons per dose)
Use 1.5 zhong of water, decoct, add Lu Jiao Shuang powder and mix. Take before meals. Can add Bai Zhu (Atractylodis Rhizoma) 1-2 qian.
*Ju Fang* Er Chen Tang (See *Ancient Formulas Eight Arrays · Harmonize Array*) treats phlegm-fluid retention with nausea/vomiting, wind-cold cough, dizziness/palpitations, epigastric discomfort, or spleen/stomach disharmony due to raw/cold food or excessive alcohol.
Chen Pi (Citri Reticulatae Pericarpium) Ban Xia (Pinelliae Rhizoma, processed) [each 3 qian] Fu Ling (Poria) [2 qian] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [1 qian]
Use 2 zhong of water, 3-5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), 1 date, decoct to 0.8 zhong, take long after meals.
When fetal qi has excess stagnation of Qi, manifesting as morning sickness, distension/fullness, and instability, this occurs only in those whose constitution is not deficient but has much depression/stagnation. Investigate the cause and open/guide the stagnation; treating excess patterns is not difficult. For persistent vomiting, Er Chen Tang (Two Aged Herbs Decoction) plus Zhi Ke (Aurantii Fructus Immaturus) and Sha Ren (Amomi Fructus) is the main treatment, or Ren Shen Ju Pi Tang (Ginseng and Tangerina Peel Decoction) is also excellent. For food stagnation causing distension/fullness and instability, Xiao He Zhong Yin (Small Harmonizing Middle Drink) with modifications is the main treatment. For Liver Qi stagnation and rebellion causing distension/fullness and instability, Jie Gan Jian (Resolve Liver Decoction) is the main treatment. For anger stirring Liver Qi with accompanying fire, Hua Gan Jian (Transform Liver Decoction) is the main treatment. for Spleen/Lung Qi stagnation attacking upward causing pain, Zi Su Yin (Perilla Leaf Drink) is the main treatment. For Qi stagnation with phlegm, Si Qi Tang (Four Seven Decoction) or Er Chen Tang (Two Aged Herbs Decoction) plus Dang Gui (Angelicae Sinensis Radix) is the main treatment. For Qi stagnation with fire causing distension and irritability, Zhi Ke Tang (Immature Bitter Orange Decoction) or Shu Tai Wan (Bind Fetus Pill) are the main treatments.
Ren Shen Ju Pi Tang (See *Ancient Formulas of Fumen Gui*) treats pregnancy with Spleen/Stomach weakness, Qi stagnation morning sickness, vomiting of phlegm/water, poor appetite, benefiting the Stomach and harmonizing the Middle. Also known as Shen Ju San.
Ren Shen (Ginseng Radix et Rhizoma) Chen Pi (Citri Reticulatae Pericarpium) Mai Men Dong (Ophiopogonis Tuber) Bai Zhu (Atractylodis Rhizoma) [each 1 qian] Hou Po (Magnoliae Officinalis Cortex, processed) Bai Fu Ling (Poria) [each 5 fen] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [3 fen]
Add a piece of Dan Zhu Ru (Bambusae Folium), decoct with ginger water, take warm. If due to phlegm retention in the Epigastrium, use Er Chen Tang (Two Aged Herbs Decoction) and Zhi Ke Tang (Immature Bitter Orange Decoction). If due to food stagnation, use Liu Jun Zi Tang (Six Gentlemen Decoction) plus Zhi Ke (Aurantii Fructus Immaturus). If due to Spleen/Stomach weakness, use Yi Gong San (Extraordinary Skill Powder).
Xiao He Zhong Yin (See *New Formulas Eight Arrays · Harmonize Array*) treats chest/diaphragm distension/stuffiness, or fetal qi stagnation/fullness in women.
Chen Pi (Citri Reticulatae Pericarpium) [1.5 qian] Shan Zha (Crataegi Fructus) [2 qian] Fu Ling (Poria) [1.5 qian] Hou Po (Magnoliae Officinalis Cortex) [1.5 qian] Gan Cao (Glycyrrhizae Radix et Rhizoma) [5 fen] Bian Dou (Dolichoris Semen, stir-fried) [2 qian]
Use 1.5 zhong of water, add 3-5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct and take. If vomiting, add Ban Xia (Pinelliae Rhizoma) 1-2 qian. If distension/fullness with unsmooth Qi, add Sha Ren (Amomi Fructus) 7-8 fen. If fire is depressed above, add Jiao Zhi Zi (Gardeniae Fructus, charred) 1-2 qian. If female Qi rebellion and Blood stagnation, add Zi Su Geng (Perillae Caulis) and Xiang Fu (Cyperi Rhizoma). If cold stagnation fails to move, add Gan Jiang (Zingiberis Rhizoma) and Rou Gui (Cinnamomi Cortex).
Jie Gan Jian (See *New Formulas Eight Arrays · Harmonize Array*) treats sudden anger injuring the Liver, rebellious Qi, distension/fullness, and Yin stagnation. If accompanied by Liver fire, use Hua Gan Jian (Transform Liver Decoction).
Chen Pi (Citri Reticulatae Pericarpium) Ban Xia (Pinelliae Rhizoma) Hou Po (Magnoliae Officinalis Cortex) Fu Ling (Poria) [each 1.5 qian] Zi Ye (Perillae Folium) Shao Yao (Paeoniae Radix Alba) [each 1 qian] Sha Ren (Amomi Fructus) [7 fen]
Use 1.5 zhong of water, add 3-5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct and take. If hypochondriac distension/pain, add Bai Jie Zi (Sinapis Semen) 1 qian. If chest/diaphragm Qi stagnation, add Zhi Ke (Aurantii Fructus Immaturus), Xiang Fu (Cyperi Rhizoma), and Huo Xiang (Agastaches Herba).
Hua Gan Jian (See section on Metrorrhagia and Intermittent Bleeding)
Zi Su Yin (See *Ancient Formulas of Fumen Gui*) treats pregnancy imbalance, fetal qi instability, attacking upward causing pain, named Zi Xuan (Fetal Suspension). Or Qi knotting at delivery preventing expulsion.
Da Fu Pi (Arecae Pericarpium) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Bai Shao Yao (Paeoniae Radix Alba) Chen Pi (Citri Reticulatae Pericarpium) Zi Ye (Perillae Folium) Dang Gui (Angelicae Sinensis Radix) [each 1 liang] Ren Shen (Ginseng Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma) [each 0.5 liang]
Take 1 liang per dose, decoct with ginger and scallion water. Another version has Xiang Fu (Cyperi Rhizoma) instead of Ren Shen (Ginseng Radix et Rhizoma). If Liver/Spleen Qi/Blood deficiency with fire causing instability, combine with Xiao Yao San (Free and Easy Wanderer Powder). If Spleen Qi weakness causing instability, use Si Jun Zi Tang (Four Gentlemen Decoction), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Dang Gui (Angelicae Sinensis Radix).
*Ju Fang* Si Qi Tang (See *Ancient Formulas Eight Arrays · Harmonize Array*) treats Qi of the Seven Emotions forming phlegm-saliva, resembling broken cotton or a plum pit, stuck in the throat, unable to spit out or swallow, caused by the Seven Emotions. Also treats epigastric stuffiness, unsmooth Qi, phlegm-fluid retention with nausea/vomiting.
Ban Xia (Pinelliae Rhizoma, soaked in water, 1.5 qian) Fu Ling (Poria) [1.2 qian] Zi Ye (Perillae Folium) [6 fen] Hou Po (Magnoliae Officinalis Cortex, ginger-processed) [9 fen]
Use 1.5 zhong of water, 7 slices of Sheng Jiang (Zingiberis Rhizoma Recens), 2 red dates, decoct to 0.8 zhong, take irregularly.
Zhi Ke Tang (See section on Heat in Fetal Qi Causing Instability)
Shu Tai Wan (See *Ancient Formulas of Fumen Gui*) At 7-8 months of pregnancy, fearing the fetus is too large for easy delivery, use this to support maternal Qi and bind the fetal shape for easier birth. However, it can only be taken if fetal Qi is strong.
Tiao Huang Qin (Scutellariae Radix, wine-fried, not too cooked, 1 liang in winter, 0.5 liang in summer) Bai Zhu (Atractylodis Rhizoma) [3 liang] Chen Pi (Citri Reticulatae Pericarpium) [2 liang] Bai Fu Ling (Poria) [7.5 qian]
Grind into powder, make pills with rice paste the size of tung seeds. Take 50 pills per dose, with plain boiled water.
Wang Jiezhai said: Regulating pregnant women lies in clearing heat and nourishing blood. Bai Zhu (Atractylodis Rhizoma) tonifies the Spleen and is the Sovereign herb for stabilizing the fetus; Tiao Shi Huang Qin (Scutellariae Radix) is the sacred herb for stabilizing the fetus because it clears heat, making it suitable for addition in summer. This is one viewpoint. Although it seems reasonable, it actually has a major flaw, which must be辨析 (analyzed). The fetal qi of pregnancy follows the mother's organ qi. Generally, those with Yin deficiency have much heat; those with Yang deficiency have much cold. Cold becomes cold, heat becomes heat; this is called balanced Qi. Speaking of ten people, three have cold, three have heat, and four are balanced; this is the general rule. If one claims that conception inevitably increases internal heat, differing from normal people, then why is it that treating morning sickness requires Er Chen Tang (Two Aged Herbs Decoction), Liu Jun Zi Tang (Six Gentlemen Decoction), Sheng Jiang (Zingiberis Rhizoma Recens), and Ban Xia (Pinelliae Rhizoma) to be effective? Is it truly increasing heat? Therefore, treating heat suits Huang Qin (Scutellariae Radix), but it does not suit cold. Not only does it not suit cold, it does not suit balanced Qi either. Generally, among modern pregnant women, those with Excess Qi are few; those with Deficient Qi are many. Deficient Qi implies Yang deficiency; using Huang Qin (Scutellariae Radix) further damages them, causing immediate illness. Even if no immediate harm is felt, it secretly damages the fetal origin and depletes maternal Qi, leading to maternal emaciation/fatigue or children with many Spleen diseases, largely due to this. Unfortunately, modern people fail to understand the principle, regarding "Sacred Medicine" as a mandatory drug for all pregnancies, regardless of Yin/Yang strength. Using it for all stabilization cases causes considerable harm. As for Bai Zhu (Atractylodis Rhizoma), although good at stabilizing the fetus, if used improperly, its nature is drying and its Qi is closing. Thus, it cannot be used alone for Yin deficiency, and for Qi stagnation, it must be handled flexibly. Hence, the difficulty of medication lies in being flexible like pearls on a tray; one cannot play the zither with fixed bridges (be rigid).
Lizhai said: "If pregnancy involves insufficient Yuan Qi, fever, fatigue, or fetal instability, use Dang Gui San (Angelica Powder). Due to anger, add Zhi Ke (Aurantii Fructus Immaturus); for chest/diaphragm stuffiness, add Zi Geng (Perillae Caulis); if pain occurs, add Chai Hu (Bupleuri Radix).
Dang Gui San (See external formulas on Regulation of Menses discussion)
"If appetite is poor or nausea is desired, use Liu Jun Zi Tang (Six Gentlemen Decoction) plus Zi Su (Perillae Folium/Caulis) and Zhi Ke (Aurantii Fructus Immaturus). For morning sickness with vomiting/reversal, dizziness, and body fatigue, use Shen Ju San (Ginseng and Tangerina Peel Powder). If ineffective, use Liu Jun Zi Tang (Six Gentlemen Decoction). For morning sickness with vomiting, anorexia, and irritability, also use Shen Ju San (Ginseng and Tangerina Peel Powder) or similar.
Shen Ju San (Also known as Ren Shen Ju Pi Tang. See previous section)
Liu Jun Zi Tang (See section on Menstrual Abdominal Pain)
"If a fall causes fetal movement, abdominal pain, and bleeding, use Jiao Ai Tang (Donkey-Hide Gelatin and Mugwort Decoction). If ineffective, use Ba Zhen Tang (Eight Treasures Decoction) plus Jiao Ai (Colla Corii Asini). If a fall or poison causes lower back pain and shortness of breath, use E Jiao San (Donkey-Hide Gelatin Powder). If ineffective, follow with Zhi Mu Wan (Anemarrhenae Pill). If a fall injures the fetus causing bleeding and abdominal pain, use Fo Shou San (Buddha's Hand Powder). If ineffective, use Ba Zhen Tang (Eight Treasures Decoction) to deliver Zhi Mu Wan (Anemarrhenae Pill).
Liang Fang Jiao Ai Tang (See *Ancient Formulas of Fumen Gui*) treats pregnancy falls causing fetal instability, lower back/abdominal pain, fetal rising sensation, or bleeding with abdominal pain.
E Jiao (Colla Corii Asini, fried, 1 liang) Ai Ye (Artemisiae Argyi Folium) [several sprigs]
These two ingredients, use 5 sheng of water, boil to obtain 2 sheng, divide into three doses.
Ba Zhen Tang (See section on Irregular Menses)
*Liang Fang* E Jiao San (See *Ancient Formulas of Fumen Gui*) Treats fetal instability due to falls or poisons, or hypochondriac/abdominal pain, rising sensation, and shortness of breath.
E Jiao (Colla Corii Asini) Ai Ye (Artemisiae Argyi Folium) Dang Gui (Angelicae Sinensis Radix) Shu Di Huang (Rehmanniae Radix Preparata) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Bai Shao (Paeoniae Radix Alba) Huang Qi (Astragali Radix) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [equal parts]
Take 4 qian per dose, decoct with ginger and dates.
Zhi Mu Wan (i.e., Yi Mu Wan. See external formulas on Heat in Blood discussion)
Fo Shou San (Also known as Xiong Gui Tang. See section on Blood-Killing Heartache)
"If heart frights and gallbladder timidity occur with irritability and instability, named Zi Fan (Fetal Irritability), use Zhu Ye Tang (Bamboo Leaf Decoction). If ineffective, for Blood deficiency assist with Si Wu Tang (Four Substances Decoction); for Qi deficiency assist with Si Jun Zi Tang (Four Gentlemen Decoction).
Zhu Ye Tang (See *Ancient Formulas of Fumen Gui*) treats pregnancy heart fright/gallbladder timidity, irritability, and instability, named Zi Fan (Fetal Irritability). Another version has Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix), and Zhi Zi Ren (Gardeniae Semen).
Bai Fu Ling (Poria) Mai Men Dong (Ophiopogonis Tuber) Huang Qin (Scutellariae Radix) [each 3 liang]
Take 4 qian per dose, with 5 bamboo leaves, decoct in water. If due to Blood deficiency heat, combine with Si Wu Tang (Four Substances Decoction); if due to Middle Qi weakness, combine with Si Jun Zi Tang (Four Gentlemen Decoction).
Si Wu Tang (See section on Irregular Menses)
Si Jun Zi Tang (See section on Blood Deficiency and Menstrual Disorder)
"If bleeding continues, named Tai Lou (Fetal Leakage). For Blood deficiency, use Er Huang San (Two Yellows Powder); for excessive blood loss, use Ba Zhen Tang (Eight Treasures Decoction). If ineffective, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Er Huang San (See external formulas on Heat in Blood discussion)
Ba Zhen Tang (See section on Irregular Menses)
Bu Zhong Yi Qi Tang (See section on Irregular Menses)
"If activity triggers bleeding, use Zhi Ke Tang (Immature Bitter Orange Decoction) plus Sheng Di Huang (Rehmanniae Radix) and Shu Di Huang (Rehmanniae Radix Preparata). If ineffective or pain occurs, add more Dang Gui (Angelicae Sinensis Radix). If bleeding persists, use Ba Zhen Tang (Eight Treasures Decoction) plus Jiao Ai (Colla Corii Asini). If intermittent pain or lower abdominal heaviness/heaviness occurs, named Tai Tong (Fetal Pain), use Di Huang Dang Gui Tang (Rehmannia and Angelica Decoction). If ineffective, add Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Rhizoma), and Chen Pi (Citri Reticulatae Pericarpium). If due to Spleen Qi deficiency, use Si Jun Zi Tang (Four Gentlemen Decoction) plus Dang Gui (Angelicae Sinensis Radix) and Di Huang (Rehmanniae Radix). If Middle Qi deficiency, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Zhi Ke Tang (See section on Heat in Fetal Qi Causing Instability)
Di Huang Dang Gui Tang (See *Ancient Formulas of Fumen Gui*) Also named Nei Bu Wan (Internal Nourishing Pill). Treats pregnancy Chong/Ren vessel deficiency. Nourishes Blood and stabilizes the fetus.
Shu Di Huang (Rehmanniae Radix Preparata) [2 liang] Dang Gui (Angelicae Sinensis Radix) [1 liang]
Take 5 qian per dose, decoct in water. For pill method: grind Dang Gui (Angelicae Sinensis Radix) into powder after stir-frying, mash Shu Di Huang (Rehmanniae Radix Preparata) into paste, mix and make pills size of tung seeds. Take over 100 pills per dose, with warm wine or boiling water.
Xu Xueshi said: Generally, pregnancy relies on suppressing Yang and assisting Yin. However, pre-natal medicines abhor mixing Yin and Yang, which leads to other diseases. Only Zhi Ke Tang (Immature Bitter Orange Decoction) suppresses Yang, and Si Wu Tang (Four Substances Decoction) assists Yin. However, Zhi Ke Tang (Immature Bitter Orange Decoction) is mostly cold in flavor; taking it alone may cause fetal cold and abdominal pain. More importantly, assist with Nei Bu Wan (Internal Nourishing Pill), so Yang does not become too strong, Yin does not become too weak, Yin and Yang harmonize, benefiting offspring. This was not discussed by predecessors.
"If face and eyes are puffy, limbs resemble edema, named Zi Zhong (Fetal Swelling). Use Quan Sheng Bai Zhu San (Complete Life Bai Zhu Powder). If ineffective, use Liu Jun Zi Tang (Six Gentlemen Decoction). If lower body swelling is severe, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) doubling Fu Ling (Poria). If due to improper diet causing vomiting/diarrhea, this is Spleen/Stomach damage; use Liu Jun Zi Tang (Six Gentlemen Decoction). If toe swelling spreads to legs/knees with panting/chest oppression, or fluid oozes from toe webs, named Shui Qi (Water Qi). Use Tian Xian Teng San (Heavenly Vine Powder). For Spleen/Stomach weakness, combine with Si Jun Zi Tang (Four Gentlemen Decoction). If ineffective, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Xiao Yao San (Free and Easy Wanderer Powder).
Quan Sheng Bai Zhu San (See *Ancient Formulas of Fumen Gui*) treats pregnancy facial puffiness and limb edema resembling water qi, named Tai Zhong (Fetal Swelling).
Bai Zhu (Atractylodis Rhizoma) [1 liang] Sheng Jiang Pi (Zingiberis Rhizoma Recens Pericarpium) Da Fu Pi (Arecae Pericarpium) Chen Pi (Citri Reticulatae Pericarpium) Bai Fu Ling (Poria) [each 0.5 liang]
Grind into powder. Take 2 qian per dose, with rice drink. If ineffective, assist with Ren Shen (Ginseng Radix et Rhizoma) and Gan Cao (Glycyrrhizae Radix et Rhizoma).
Tian Xian Teng San (See *Ancient Formulas of Fumen Gui*) Treats pregnancy after three months, toe swelling spreading to legs/knees, poor appetite, resembling water qi, or yellow fluid oozing from toe webs, named Zi Qi (Fetal Qi).
Tian Xian Teng (Akebiae Caulis, washed and lightly stir-fried) Xiang Fu (Cyperi Rhizoma, stir-fried) Chen Pi (Citri Reticulatae Pericarpium) Gan Cao (Glycyrrhizae Radix et Rhizoma) Wu Yao (Linderae Radix) [equal parts]
Take 3-5 qian per dose, add 3 slices each of Sheng Jiang (Zingiberis Rhizoma Recens) and Mu Gua (Chaenomelis Fructus), 3 leaves of Zi Su (Perillae Folium), decoct in water. Take before meals, three doses daily. If due to Spleen/Stomach weakness, combine with Liu Jun Zi Tang (Six Gentlemen Decoction); if Middle Qi sinks, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Xiao Yao San (See section on Menstrual Abdominal Pain)
"If fetal qi attacks upward causing heart/epigastric distension/pain, named Zi Xuan (Fetal Suspension). Use Zi Su Yin (Perilla Leaf Drink). For poor appetite, combine with Si Jun Zi Tang (Four Gentlemen Decoction); for internal heat/afternoon fever, combine with Xiao Yao San (Free and Easy Wanderer Powder).
Zi Su Yin (See section on Excess Qi Stagnation Causing Fetal Instability)
"If urination is scanty/astringent, or becomes strangury, named Zi Lin (Fetal Strangury). Use An Ying San (Secure Camp Powder). If ineffective, combine with Ba Zhen Tang (Eight Treasures Decoction). If calf cramping with dysuria, urgently use Ba Wei Wan (Eight Flavor Pill); delay means untreatable.
An Ying San (See *Ancient Formulas of Fumen Gui*) Treats pregnancy urinary astringency/scarcity becoming strangury, named Zi Lin (Fetal Strangury). Very effective.
Mai Men Dong (Ophiopogonis Tuber) Tong Cao (Tetrapanacis Medulla) Hua Shi (Talcum) Dang Gui (Angelicae Sinensis Radix) Deng Xin Cao (Junci Medulla) Gan Cao (Glycyrrhizae Radix et Rhizoma) Ren Shen (Ginseng Radix et Rhizoma) Xi Xin (Asari Radix et Rhizoma) [equal parts]
Decoct in water and take. Another version: Double Ren Shen (Ginseng Radix et Rhizoma) and Xi Xin (Asari Radix et Rhizoma), grind into powder, take 2 qian per dose with Mai Dong (Ophiopogonis) soup. If due to Lung Meridian depression-heat, use Huang Qin Qing Fei Yin (Scutellaria Lung-Clearing Drink). If due to rich/greasy diet, use Qing Wei San (Clear Stomach Powder). If due to Liver Meridian damp-heat, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder).
Ba Wei Wan (See section on Irregular Menses)
If neck stiffness, muscle spasms, slurred speech, and profuse phlegm occur, named Zi Xian (Fetal Eclampsia). Use Ling Yang Jiao San (Antelope Horn Powder).