羚羊角散（见《妇人规古方》）治妊娠虚风，颈项强直，筋脉挛急，语言蹇涩，痰涎不利，不省人
事，名曰子痫。
羚羊角（镑） 川独活 枣仁 五加皮 薏苡仁（炒） 防风 当归 川芎 茯神 杏仁（去皮尖各五分）
炙甘草 木香（各一分）
上，加姜五片，水煎服。若因肝经风热，或怒火所致，须用加味逍遥散。
“或饮食停滞，腹胀呕吐，此是脾胃虚弱，而不能消化。用六君子汤。不应，用平胃散加参、苓。或胎作
胀，或胀作痛，此是脾胃气虚，不能承载，用安胎饮加升麻、白术。不应，用补中益气汤。
东垣 平胃散（见《古方八阵·和阵》）治脾胃不和，不思饮食，心腹胁肋胀满刺痛，呕哕恶心，
吞酸噫气，体重节痛，自利霍乱，噫膈反胃等证。
浓朴（姜制炒） 陈皮（去白各五两） 苍术（去皮、米泔浸炒八两） 炙甘草（三两）
本方加人参、茯苓各二两，即名参苓平胃散。
上为末，每服二钱，水一钟，姜三片，枣二枚，煎七分，去渣温服。或去姜、枣，入盐一小捻，单以沸汤
点服亦可，如小便不利，加茯苓、泽泻。如饮食不化，加神曲、麦芽、枳实。如胃中气痛，加木香、枳实或枳
壳。如脾胃困倦，加人参、黄 。如有痰，加半夏。如便硬腹胀，加大黄、芒硝。如脉大内热，加黄连、黄芩。
安胎饮（见《妇人规古方》）治妊娠五七个月，用数服可保全产。
人参 白术 当归 熟地 川芎 白芍药 陈皮 甘草（炙） 紫苏 炙黄芩（各一钱）
上用姜水煎服。一方有砂仁。
“或脐腹作胀，或小便淋闭，此是脾胃气虚，胎压尿胞。用四物加二陈、参、术，空心服后，探吐。药出
气定，又服又吐，数次必安。
“或因劳役所伤，或食煎炒，小便带血，此是血得热而流于胞中，宜清膀胱，用逍遥散。或遗尿不禁，或
为频数，此是肝火血热，用加味逍遥散。若胸满腹胀，小便不通，遍身浮肿，名胎水不利，用鲤鱼汤。脾胃
虚，佐以四君子。
逍遥散（见经期腹痛）
加味逍遥散（见经不调）
《千金》鲤鱼汤（见《妇人规古方》） 治妊娠腹胀，胎中有水气，遍身浮肿，小便不利，或胎死腹
中，皆效。
当归 芍药（各一钱） 白术（一钱） 茯苓（一钱半） 橘红（五分） 鲤鱼（一尾，不拘大小）
上作一服，将鲤鱼去鳞脏，白水煮熟，去鱼，用汁钟半，入药加生姜五片，煎一钟，空心服。当见胎水
下。如水未尽，胎死腹中，胀闷未除，再制一服，水尽胀消乃已。
“病名同而形证异，形证异而病名同，聊见本方。凡用见证之药，不应，当分月、经治之。”
徐东皋曰∶胎有不安而腰疼、腹痛，甚则至于下坠者，未必不由气血虚，无所营养而使之然也。
夫胎之在腹，如果之在枝，枝枯则果落，固理之自然。妇人性偏恣欲，火动于中，亦能致胎不安而有堕者，大
抵不外乎属虚、属火二者之间。清热养血之治尽之矣。此外有二因动胎者，又不可不知也。有因母病动胎者，
但疗母病则胎自稳；有因触伤动胎者，当以安胎药二三
剂，而胎自安。
羚羊角散（见《妇人规古方》）治疗妊娠期间因虚风引起的颈项强直、筋脉挛急、言语蹇涩、痰涎不利、神志昏迷不省人事，此病名为子痫。
羚羊角（镑片） 川独活 枣仁 五加皮 薏苡仁（炒制） 防风 当归 川芎 茯神 杏仁（去皮尖，各五分） 炙甘草 木香（各一分）
以上药物，加入生姜五片，加水煎煮后服用。如果是由于肝经风热，或怒火所致，必须使用加味逍遥散。
“或者饮食停滞，导致腹胀呕吐，这是脾胃虚弱，不能消化食物。应使用六君子汤。如果无效，使用平胃散加人参、茯苓。或者是胎气作胀，或者是胀气引起疼痛，这是脾胃气虚，不能承载胎元，应使用安胎饮加升麻、白术。如果无效，使用补中益气汤。
李东垣的平胃散（见《古方八阵·和阵》）治疗脾胃不和，不思饮食，心腹胁肋胀满刺痛，呕吐呃逆恶心，吞酸嗳气，身体沉重关节疼痛，自发性腹泻霍乱，噎膈反胃等证候。
厚朴（姜制炒制） 陈皮（去白，各五两） 苍术（去皮，米泔水浸泡炒制，八两） 炙甘草（三两）
以上药物研为细末，每次服用二钱，用水一钟，生姜三片，大枣二枚，煎至七分，去渣温服。或者去掉姜、枣，加入一小撮盐，仅用沸水冲服也可以。如果小便不利，加茯苓、泽泻。如果饮食不化，加神曲、麦芽、枳实。如果胃中气痛，加木香、枳实或枳壳。如果脾胃困倦，加人参、黄芪。如果有痰，加半夏。如果大便干硬腹胀，加大黄、芒硝。如果脉大内热，加黄连、黄芩。
安胎饮（见《妇人规古方》）治疗妊娠五到七个月时，服用数剂可以保全胎儿生产。
人参 白术 当归 熟地黄 川芎 白芍药 陈皮 甘草（炙制） 紫苏 炙黄芩（各一钱）
以上用姜水煎煮服用。另一版本方中有砂仁。
“或者脐腹部作胀，或者小便淋沥闭塞，这是脾胃气虚，胎压迫膀胱。使用四物汤加二陈汤、人参、白术，空腹服用后，探吐催吐。药出后气息平稳，再服药再催吐，数次之后必然安定。
“或者因为劳累损伤，或者食用煎炒食物，导致小便带血，这是血液受热而流注于胞宫，宜清利膀胱，使用逍遥散。或者遗尿不禁，或者尿频，这是肝火血热，使用加味逍遥散。如果胸满腹胀，小便不通，遍身浮肿，名为胎水不利，使用鲤鱼汤。脾胃虚弱者，佐以四君子汤。
加味逍遥散（见经不调章节）
《千金方》中的鲤鱼汤（见《妇人规古方》）治疗妊娠腹胀，胎中有水气，遍身浮肿，小便不利，或者胎死腹中，均有效。
当归 芍药（各一钱） 白术（一钱） 茯苓（一钱半） 橘红（五分） 鲤鱼（一尾，不拘大小）
以上作为一剂服用，将鲤鱼去鳞脏，白水煮熟，去掉鱼，取汁一钟半，加入药物及生姜五片，煎至一钟，空腹服用。应当见到胎水下排。如果水未尽，胎死腹中，胀闷未除，再配制一剂，直到水尽胀消才停止。
“病名相同而形证不同，形证不同而病名相同，简要见于本方。凡是使用对症之药，如果无效，应当分月份、按经络进行治疗。”
徐东皋说：胎儿不安而出现腰疼、腹痛，甚至下坠的，未必不是由于气血虚弱，无法营养胎儿而导致的。
胎儿在腹中，就像果实挂在树枝上，树枝枯萎则果实落下，这固然是自然的道理。妇女如果性情放纵欲望，火热动于体内，也能导致胎不安而有堕胎的情况，大体上不外乎属于虚证、属火证二者之间。清热养血的治疗方法足以涵盖这些情况。此外还有两种原因导致动胎，又不可不知道。有因为母亲生病而动胎的，只要治疗母亲的疾病，胎儿自然安稳；有因为触伤而动胎的，应当使用安胎药二三剂，胎儿自然安定。
Lingyang Jiao San (Antelope Horn Decoction, see *Ancient Formulas of Furen Gui*) treats deficiency wind during pregnancy, characterized by stiffness and rigidity of the neck and nape, spasms of tendons and vessels, slurred speech, difficulty in expectorating phlegm and saliva, and loss of consciousness. This condition is named Zi Xian (Eclampsia of Pregnancy).
Antelope Horn (sliced) Chuan Duhuo (Notopterygii Rhizoma et Radix) Zao Ren (Ziziphi Spinosae Semen) Wujia Pi (Acanthopanacis Cortex) Yiyi Ren (Coix Seed, stir-fried) Fangfeng (Saposhnikoviae Radix) Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Fushen (Poria with Hostwood) Xingren (Prunus Armeniaca Seed, skin and tip removed, each 5 fen) Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Muxiang (Aucklandiae Radix, each 1 fen)
Add five slices of fresh ginger to the above herbs, decoct with water, and take orally. If caused by wind-heat in the Liver channel or anger/fire, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) must be used.
"If food stagnation occurs, leading to abdominal distension and vomiting, this indicates Spleen and Stomach deficiency with inability to digest food. Use Liujunzi Tang (Six Gentlemen Decoction). If ineffective, use Pingwei San (Stomach-Pacifying Powder) added with Renshen (Ginseng Radix) and Fuling (Poria). Or if fetal qi causes distension, or distension causes pain, this indicates Spleen and Stomach Qi deficiency unable to support the fetus. Use Antai Yin (Fetus-Securing Drink) added with Shengma (Cimicifugae Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma). If ineffective, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Li Dongyuan's Pingwei San (see *Gu Fang Ba Zhen · He Zhen*) treats disharmony of the Spleen and Stomach, lack of appetite, fullness, distension, stabbing pain in the heart, abdomen, hypochondrium, and ribs, vomiting, hiccups, nausea, acid regurgitation, belching, heavy body, joint pain, spontaneous diarrhea, cholera, dysphagia, and regurgitation.
Houpo (Magnolia Bark, processed with ginger and stir-fried) Chenpi (Tangerine Peel, white pith removed, each 5 liang) Cangzhu (Atractylodis Rhizoma, skin removed, soaked in rice wash water and stir-fried, 8 liang) Zhigancao (Licorice Root, honey-fried, 3 liang)
Adding Renshen (Ginseng Radix) and Fuling (Poria), each 2 liang, to this formula creates Shenling Pingwei San (Ginseng and Poria Stomach-Pacifying Powder).
Grind the above into powder. Take 2 qian per dose, with one zhong of water, three slices of ginger, and two jujubes. Decoct until seven parts remain, strain, and take warm. Alternatively, remove ginger and jujube, add a small pinch of salt, and take with boiling water alone. If urination is difficult, add Fuling (Poria) and Zexie (Alisma Rhizoma). If food is not digested, add Shenqu (Medicated Leaven), Maiya (Hordei Fructus Germinatus), and Zhishi (Immature Bitter Orange). If there is Qi pain in the stomach, add Muxiang (Aucklandiae Radix), Zhishi (Immature Bitter Orange), or Zhike (Ripe Bitter Orange). If Spleen and Stomach are fatigued, add Renshen (Ginseng Radix) and Huangqi (Astragali Radix). If there is phlegm, add Banxia (Pinelliae Tuber). If stool is hard and abdomen is distended, add Dahuang (Rhubarb Root) and Mangxiao (Mirabilite). If pulse is large with internal heat, add Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix).
Antai Yin (Fetus-Securing Drink, see *Ancient Formulas of Furen Gui*) treats pregnancy at five to seven months; taking several doses can ensure safe delivery.
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Danggui (Angelicae Sinensis Radix) Shudi (Rehmanniae Radix Preparata) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Chenpi (Tangerine Peel) Gancao (Licorice Root, honey-fried) Zisu (Perillae Folium) Zhi Huangqin (Scutellariae Radix, honey-fried, each 1 qian)
Decoct with ginger water and take orally. Another version includes Shaoren (Amomi Fructus).
"If there is distension in the umbilical and abdominal area, or dribbling obstruction of urine, this indicates Spleen and Stomach Qi deficiency with fetal pressure on the bladder. Use Siwu Tang (Four Substances Decoction) added with Erchen Tang (Two Aged Things Decoction), Renshen (Ginseng Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma). Take on an empty stomach, then induce vomiting. After the medicine is expelled and breath stabilizes, administer medicine again and induce vomiting again. After several times, it will surely stabilize.
"If injured by labor or overwork, or after eating fried foods, blood appears in the urine. This indicates blood flowing into the uterus due to heat. Clear the Bladder using Xiaoyao San (Free and Easy Wanderer Powder). If there is involuntary urination or frequent urination, this indicates Liver fire and Blood heat. Use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If there is chest fullness and abdominal distension, urinary retention, and generalized edema, named Taishui Buli (Difficulty in Discharging Fetal Water), use Liyu Tang (Carp Decoction). For Spleen and Stomach deficiency, assist with Sijunzi Tang (Four Gentlemen Decoction).
Xiaoyao San (Free and Easy Wanderer Powder, see Menstrual Pain Chapter)
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder, see Irregular Menstruation Chapter)
*Qianjin Fang*'s Liyu Tang (Carp Decoction, see *Ancient Formulas of Furen Gui*) treats abdominal distension in pregnancy, fluid accumulation in the fetus, generalized edema, difficulty in urination, or fetal death in utero; all are effective.
Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix, each 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian) Fuling (Poria, 1.5 qian) Juhong (Citri Reticulatae Pericarpium Rubrum, 5 fen) Carp (one tail, any size)
Prepare as one dose. Scale and clean the carp, boil in plain water until cooked, remove the fish, and retain 1.5 zhong of the broth. Add the herbs and five slices of ginger, decoct until one zhong remains, and take on an empty stomach. Fetal water should be discharged. If the water is not fully discharged and fetal death persists with unresolved distension and oppression, prepare another dose until the water is gone and distension subsides.
"The disease name may be the same while symptoms differ, and symptoms may differ while the disease name is the same. This is briefly illustrated by the original formulas. When using symptomatic medicines, if they are ineffective, treatment should be differentiated by month and meridian."
Xu Donggao said: When the fetus is unstable accompanied by lower back pain, abdominal pain, and even a sensation of bearing down, it is not necessarily due to Qi and Blood deficiency failing to nourish the fetus.
The fetus in the womb is like fruit on a branch; if the branch withers, the fruit falls, which is naturally logical. If women indulge in desires, causing fire to move internally, it can also lead to fetal instability and miscarriage. Generally, this falls within the categories of deficiency or fire. Treatments that clear heat and nourish blood cover these aspects. Furthermore, there are two other causes for disturbing the fetus that must be known. One is when the mother's illness disturbs the fetus; treating the mother's illness will stabilize the fetus. The other is when physical trauma disturbs the fetus; administering two or three doses of Fetus-Securing Medicines will stabilize the fetus.