甘麦大枣汤
脏躁无故自悲伤，象若神灵大枣汤，甘草小麦与大枣，方出金匮效非常。
【注】孕妇无故，时时伤悲哀痛，象若神灵凭根据者，名曰脏躁。宜用《金匮》甘麦大
枣汤服之，其方即甘草、小麦、大枣三味，煎服，其效非常也。
邪思情感鬼胎生，腹大如同怀子形，岂缘鬼神能交接，自身血气结而成。
【注】鬼胎者，因其人思想不遂，情志相感，自身气血凝结而成，其腹渐大如怀子形
状。古云实有鬼神交接，其说似属无据。妇人石瘕、肠覃二证亦俱如怀孕之状，由气血
凝结而成，则可知其必无是理矣！
香棱丸
肠覃石瘕气血分，寒客肠外客子门，二症俱如怀子状，辨在经行经不行。石瘕吴萸汤最效，肠覃香
棱丸若神，丁木茴香川楝子，青皮莪术与三棱。
【注】经云∶寒气客于肠外，与卫气相搏，气不得荣，因有所系，瘕而内着，恶气乃起，
肉乃生。始如鸡卵，稍以益大如怀子状，按之则坚，推之则移，月事以时下。石瘕生于
胞中，寒气客于子门，子门闭塞，气不得通，恶血当下不下， 以留止，日以益大，状如怀
子，月事不以时下。皆生于女子，可导而下。由经文观之，二证虽皆如怀子状，肠覃气病
而血不病，故月事以时下；石瘕先气病而后血病，故月事不来也。石瘕宜吴萸汤。肠覃
宜香棱丸，即木香、丁香、茴香、川楝子、青皮、广术、三棱，醋煮面糊为丸也。
吴茱萸汤（方见首卷）
脏躁证表现为无缘无故地悲伤哭泣，症状表现如同神灵附体一般，此方由甘草、小麦和大枣组成，出自《金匮要略》，疗效非凡。
【注】孕妇若无缘无故，时常感到悲伤哀痛，神情恍惚仿佛有神灵凭依，这种病症称为脏躁（Zang Zao, Visceral Restlessness）。适宜服用《金匮要略》中的甘麦大枣汤，该方仅由甘草、小麦、大枣三味药组成，煎汤服用，其疗效非常显著。
邪思情感鬼胎生
因邪念情志所感而生成鬼胎，腹部增大形状如同怀孕，这并非因为鬼神能够与人交接，而是自身气血凝结而成。
【注】所谓鬼胎，是因为患者思想不遂，情志受到感应，导致自身气血凝结而形成，腹部逐渐增大如同怀孕的形状。古人说确实有鬼神与人交接的情况，这种说法似乎没有依据。妇女的“石瘕”（Shi Xia, Stone Lei）和“肠覃”（Chang Qun, Intestinal Polyp）两种病症也都呈现如怀孕的状态，都是由气血凝结而成，由此可知必然不存在鬼神交接的道理！
肠覃与石瘕在气血病机上有所区分，寒气客居在肠外或子门（子宫口），这两种病症都呈现如怀孕的状态，辨别的关键在于月经是否按时来潮。石瘕用吴茱萸汤效果最好，肠覃用香棱丸灵验如神，方中包含丁香、木香、茴香、川楝子、青皮、莪术和三棱。
【注】经云：寒气客居于肠外，与卫气相互搏结，气机不能正常荣养，因此有所羁绊，形成积块并内着于体内，恶气于是产生，肌肉组织因而增生。起初像鸡蛋大小，随后逐渐增大至如怀孕状态，按压时感觉坚硬，推动时可以移动，月经仍能按时来潮。石瘕生于胞宫（子宫）中，寒气客居于子门，子门闭塞，气机不能通畅，恶血应当下行却未能下行，停滞留止，每日逐渐增大，形状如同怀孕，但月经不能按时来潮。这两种病症都发生于女子，可以通过导引下行的方法治疗。从经文来看，这两种病症虽然都呈现如怀孕的状态，但肠覃是气分病变而血分无病，所以月经按时来潮；石瘕先是气分病变而后影响血分，所以月经不来。石瘕适宜使用吴茱萸汤。肠覃适宜使用香棱丸，即由木香、丁香、茴香、川楝子、青皮、广术（莪术）、三棱组成，用醋煮后以面糊为丸。
吴茱萸汤（方剂见首卷）
Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction)
Visceral Restlessness (Zang Zao) presents with spontaneous sorrow and weeping without cause, resembling possession by spirits. This formula consists of Gancao (Licorice Root), Xiaomai (Wheat), and Dazao (Jujube Fruit), originating from the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet), with extraordinary efficacy.
[Note] When a pregnant woman experiences frequent sorrow and grief without apparent reason, appearing as if possessed by spirits, this condition is named Visceral Restlessness (Zang Zao). It is appropriate to administer Ganmai Dazao Tang from the *Jin Gui Yao Lue*. The formula comprises only three ingredients: Gancao (Licorice Root), Xiaomai (Wheat), and Dazao (Jujube Fruit), decocted in water for oral administration, demonstrating remarkable efficacy.
Evil Thoughts and Emotional Stagnation Generate Ghost Fetus
Ghost Fetus arises from pathological thoughts and emotional influences; the abdomen enlarges resembling pregnancy. This is not due to supernatural intercourse but results from the coagulation of Qi and Blood within the body.
[Note] "Ghost Fetus" refers to a condition caused by unfulfilled desires and emotional resonance, leading to the stagnation and coagulation of Qi and Blood, causing the abdomen to gradually enlarge like that of a pregnant woman. Ancient texts claim actual supernatural intercourse occurs, but such assertions appear baseless. The conditions of Shi Xia (Stone Lei) and Chang Qun (Intestinal Polyp) in women also present with abdominal enlargement resembling pregnancy, both resulting from Qi and Blood coagulation; thus, it can be deduced that supernatural intercourse is impossible.
Xiang Leng Wan (Fragrant Triangular Pill)
Chang Qun and Shi Xia are differentiated by their involvement of Qi and Blood. Cold pathogens lodge outside the intestines or at the Zi Men (Cervical Os). Both conditions present with abdominal enlargement resembling pregnancy; differentiation lies in whether menstruation occurs regularly. Wu Zhu Yu Tang (Evodia Decoction) is most effective for Shi Xia, while Xiang Leng Wan is miraculous for Chang Qun. The latter contains Dingxiang (Clove), Muxiang (Costus Root), Huixiang (Fennel Seed), Chuanlianzi (Szechwan Chinaberry Fruit), Qingpi (Green Tangerine Peel), Ezhu (Curcuma Rhizome), and Sanleng (Sparganium Rhizome).
[Note] The classics state: Cold pathogens lodge outside the intestines, struggling with Wei Qi (Defensive Qi), preventing normal nourishment. Due to adhesion, masses form internally, evil Qi arises, and flesh proliferates. Initially the size of a chicken egg, it gradually enlarges to resemble pregnancy; it is firm upon pressure but movable upon pushing, while menstruation proceeds on schedule. Shi Xia originates in the Bao Zhong (Uterus); cold pathogens lodge at the Zi Men, causing obstruction where Qi cannot flow freely. Evil blood should descend but fails to do so, remaining stagnant and enlarging daily, resembling pregnancy, yet menstruation does not occur on schedule. Both conditions affect women and can be treated by guiding the pathogenic factors downward. From the classic text, although both conditions resemble pregnancy, Chang Qun involves Qi pathology without Blood pathology, hence menstruation is regular; Shi Xia involves initial Qi pathology followed by Blood pathology, hence menstruation ceases. Shi Xia is suitable for Wu Zhu Yu Tang. Chang Qun is suitable for Xiang Leng Wan, composed of Muxiang, Dingxiang, Huixiang, Chuanlianzi, Qingpi, Guangzhu (Ezhu), and Sanleng, prepared into pills using vinegar-boiled wheat paste.
Wu Zhu Yu Tang (Formula see Volume 1)