妊娠出疹，当以四物加减，而加条芩、艾叶，以安胎清热为主，则胎不动而麻疹自出矣。然热
毒蒸胎，胎多受伤，但胎虽伤，而母实无恙也。盖疹与痘不同，痘宜内实，以痘当从外解，故胎落，
毒瓦斯乘虚而内攻，其母亡；疹宜内虚，以疹当从内解，故胎落，热毒随胎而下，其母存。虽然与其
胎去而母存。孰若子母两全之为愈也。且古人徒知清热以安胎，不思疹未出而即以清热为事，则疹
虽出而内热愈深，是欲保胎，反足以伤胎也。宜轻扬表托，则疹出而热自清，继以滋阴清解，则于
疹于胎两不相碍，不安胎而胎自安矣。如疹出不快，宜白虎汤合用升麻葛根汤，倍加元参、牛蒡治
之。胎气上冲，急用苎根、艾叶煎汤，磨槟榔服之，再以四物汤进之。热甚则胎不安，服固胎饮数
剂。如又不愈，腹疼腰 ，即知胎有必坠之机，如胎坠，即以产法论治矣。
升麻葛根汤
葛根 升麻 白芍 甘草（各等分）
水一盏，煎七分，温服。
此解表发散之方也。表热壮盛，邪实于表。《经》曰∶轻可去实。故用升麻、葛根以疏表，所
以然者，升麻能解疫毒，升阳于至阴之下，以助发生之气；葛根能解热毒，兼疏荣卫，以导起发之
机。二味之外，又加甘草佐之，以和在表之气，芍药佐之，以和在里之荣。去其实邪，和其荣卫，
风寒自解，麻疹自出。
固胎饮 止痛安胎。
地黄 川芎 归身 人参 白芍 陈皮（各一钱） 白术
（土炒） 黄芩（各一钱半） 甘草（三分） 黄连 黄柏（各一分） 桑上羊儿藤（七叶圆者）
上细切，每服二、三钱，入糯米二十粒，水一盅，煎至七分，温服。痛加砂仁，血虚加阿胶。
催生万全汤
人参（三钱至五钱，大补元气以为君） 当归（三钱，大补荣血以为臣，去芦）
川芎（一钱，入肝以疏郁滞，少寓升提之性，则降下之药得力） 桃仁（十三粒，不去皮尖，捣碎，
取苦可去旧，甘能生新，滑能润下） 干姜（一钱，温能通行血分，炒黑黄色，焦则令其下降，而
遏其上升也） 炙草（六分，令其药性少缓，中宫得受补益，不使即为下坠也） 牛膝梢（二钱，既
能下行腹，走十二经络，令其经络无壅，则气血效力以为营运推出） 红花（三分，多则破血，少
则活血生新耳，酒炒） 肉桂（六分，冬天用八分，临煎方去皮切碎，借此引经，率领诸药直入血
分，且温可通行散瘀，则生产自易） 加胶枣（二枚）
水煎，食前温服。如产妇壮实及无力服人参者，去参用之，其催生之效，尚能倍于佛手散多
矣。论曰∶妇人临产，关系母子性命，实存亡顷刻之时。是以古人立方甚多。然产育乃大伤气血
者也，其难产又多由气血不足，产后诸疾，固属气血大亏。然产后诸虚，皆因产前所致，今立万
全汤，乃体达生生化二方之意，合成一方，务取万全，屡用甚验，故以万全名之。先以调补血气，
佐以散瘀、下降、温中，使气血得力，自能健用催生，此不催之催也。故用人参，当归为君，培
补气血，壮其主也；少加桃仁、川芎、黑姜、炙草、酒红花，温中而散其瘀也；牛膝梢、桂心，
温行导下，使无上逆冲心之患，不惟催生神效，产后更无瘀血凝滞，百病不生。补而兼温则不滞，
温而兼补则不崩。升少降多，则气得提而易下；降而兼升，则瘀自去而新自归。补多泻少，邪去而元气无伤；苦少甘多，
瘀逐而中和仍在，岂非万全催生者乎？
妊娠期间出现麻疹，应当以四物汤为基础进行加减，并加入黄芩（条芩）、艾叶，以安胎和清热为主要治疗原则，这样胎元稳固，麻疹自然能够透发。然而热毒熏蒸会影响胎儿，导致胎儿多受损伤，但即使胎儿受损，母亲通常依然平安。这是因为麻疹与痘疮不同，痘疮宜使体内正气充实，因为痘疮的邪气应当从体表解除，如果胎元坠落，毒邪便会乘虚内攻，导致母亲死亡；而麻疹宜使体内相对空虚，因为麻疹的邪气应当从内部化解，如果胎元坠落，热毒会随胎元一同排出，母亲得以存活。虽然如此，与其让胎元丧失而母亲存活，不如母子双全更为理想。况且古人只知道通过清热来安胎，却未考虑到在麻疹尚未透出时过早使用清热药物，会导致麻疹虽已发出但体内热邪反而更深，这本想保全胎元，反而足以伤害胎元。因此适宜采用轻扬升散、托毒外出的方法，这样麻疹透出后热邪自然清除，随后再用滋阴清解的方法，这样既有利于麻疹透发又有利于保护胎元，两不相碍，不需要刻意安胎而胎元自然安稳。如果麻疹出得不顺畅，适宜将白虎汤与升麻葛根汤合用，加倍重用玄参、牛蒡子来治疗。如果胎气上冲，急需使用苎麻根、艾叶煎汤，磨碎槟榔服用，然后再服用四物汤。如果热势严重导致胎元不安，服用固胎饮数剂。如果病情仍未好转，出现腹痛、腰痛，就知道胎元有必然坠落的征兆，如果胎元已经坠落，就按照产科方法进行治疗。
升麻葛根汤
药材：葛根、升麻、白芍、甘草（各等量）
用法：用水一盏，煎至七分，温服。
解析：这是解表发散的方剂。适用于表热炽盛，邪气实于体表的证候。《内经》说：“轻可去实。”所以使用升麻、葛根来疏解表邪。之所以这样用，是因为升麻能解疫毒，提升阳气于至阴之下，以助发生之气；葛根能解热毒，兼疏解营卫，以引导疹毒起发。在这两味药之外，又加甘草辅助，以调和在表之气，加白芍辅助，以调和在里的营血。去除实邪，调和营卫，风寒自然解散，麻疹自然透出。
固胎饮 功效：止痛安胎。
药材：地黄、川芎、当归身、人参、白芍、陈皮（各一钱），白术（土炒）、黄芩（各一钱半），甘草（三分），黄连、黄柏（各一分），桑上羊儿藤（取七片叶子且圆形的）。
用法：以上药材细切，每次服用二、三钱，加入糯米二十粒，水一盅，煎至七分，温服。疼痛明显者加砂仁，血虚者加阿胶。
催生万全汤
药材：人参（三钱至五钱，大补元气作为君药），当归（三钱，大补营血作为臣药，去芦头），川芎（一钱，入肝经以疏解郁滞，稍寓升提之性，则降下的药物才能得力），桃仁（十三粒，不去皮尖，捣碎，取其苦能去旧瘀，甘能生新血，滑能润下），干姜（一钱，温性能通行血分，炒成黑黄色，焦则使其下降，遏制其上升），炙甘草（六分，使药性稍缓，中焦脾胃得以受补益，不使药力立即下坠），牛膝梢（二钱，既能下行腹部，走十二经络，使经络无壅滞，则气血效力能营运推出），红花（三分，多用则破血，少用则活血生新，酒炒），肉桂（六分，冬天用八分，临煎时去皮切碎，借此引经，率领诸药直入血分，且温性能通行散瘀，则生产自然容易），加胶枣（二枚）。
用法：水煎，饭前温服。如果产妇体质壮实及无力服用人参者，去掉人参使用，其催生的效果，还能比佛手散多一倍以上。论述说：妇人临产，关系到母子性命，确实是生死存亡在顷刻之间的事。因此古人制定的方剂很多。然而生育是极大耗伤气血的过程，难产又多由气血不足引起，产后各种疾病，固然属于气血大亏。但是产后的各种虚损，都因产前所致。现在制定万全汤，是体会达生生化二方的意思，合成一方，务必求取万全，多次使用非常有效，所以命名为万全。先以调补血气为主，佐以散瘀、下降、温中，使气血得力，自然能发挥健用的催生作用，这是不刻意催生而自能催生的方法。所以用人参、当归为君药，培补气血，壮大主体；稍加桃仁、川芎、黑姜、炙草、酒红花，温中而散其瘀血；牛膝梢、桂心，温行导下，使没有上逆冲心的祸患，不仅催生神效，产后更无瘀血凝滞，百病不生。补而兼温则不滞涩，温而兼补则不崩漏。升少降多，则气得提举而易于下行；降而兼升，则瘀血自去而新血自归。补多泻少，邪气去除而元气不受损伤；苦少甘多，瘀血驱逐而中和之气仍在，这难道不是万全的催生方吗？
When a rash appears during pregnancy, the prescription should be based on Siwu Tang (Four Substances Decoction) with modifications, adding Huangqin (Scutellariae Radix, specifically "Tiao Qin") and Aye (Mugwort Leaf), focusing primarily on stabilizing the fetus and clearing heat. In this way, the fetus remains secure, and the measles will naturally erupt. However, heat-toxin steaming the uterus often injures the fetus; although the fetus may be damaged, the mother usually remains unharmed. This is because measles differ from smallpox. Smallpox requires internal fullness because its pathogenic factors should resolve from the exterior; if the fetus is expelled, the toxin attacks inward through the deficiency, leading to the mother's death. Measles, conversely, benefit from relative internal emptiness because their pathogenic factors should resolve from within; if the fetus is expelled, the heat-toxin descends with the fetus, allowing the mother to survive. Nevertheless, rather than losing the fetus while saving the mother, it is far superior for both mother and child to survive. Moreover, ancients only knew to clear heat to stabilize the fetus, failing to consider that clearing heat before the measles have erupted causes the internal heat to deepen even after the rash appears. Thus, intending to protect the fetus inadvertently harms it. Therefore, one should employ light, ascending methods to vent and push out toxins; once the measles erupt, the heat clears naturally. Subsequently, using nourishing yin and clearing/resolving methods ensures neither the measles nor the fetus are hindered. The fetus stabilizes without explicit stabilization efforts. If the eruption is slow, combine Baihu Tang (White Tiger Decoction) with Shengma Gegen Tang (Cimicifugae and Puerariae Decoction), doubling the dosage of Xuanshen (Scrophulariae Radix) and Niubangzi (Arctii Fructus). If fetal qi rushes upward, urgently decoct Zhumagen (Bamboo Shoot Root) and Aye (Mugwort Leaf), grind Binglang (Areca Seed) into the soup, take it, then administer Siwu Tang. If heat is severe causing fetal instability, administer Gutai Yin (Fetus-Stabilizing Drink) for several doses. If there is no improvement, and abdominal pain and lower back pain occur, it indicates an inevitable miscarriage; if the fetus is expelled, treat according to obstetric protocols.
Shengma Gegen Tang (Cimicifugae and Puerariae Decoction)
Ingredients: Gegen (Puerariae Radix), Shengma (Cimicifugae Rhizoma), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Preparation: Decoct one cup of water until reduced to 70%, take warm.
Analysis: This is a formula for resolving the exterior and inducing sweating. It applies to cases where exterior heat is vigorous and pathogens are excess at the exterior. The Classic states: "Light substances can remove excess." Therefore, Shengma and Gegen are used to disperse the exterior. The rationale is that Shengma resolves epidemic toxins and raises yang qi from beneath extreme yin, assisting the generating qi; Gegen resolves heat toxins and simultaneously disperses Ying and Wei, guiding the mechanism of eruption. Besides these two, Gancao is added to harmonize exterior qi, and Baishao is added to harmonize interior Ying blood. By removing excess pathogens and harmonizing Ying and Wei, wind-cold resolves naturally, and measles erupt spontaneously.
Gutai Yin (Fetus-Stabilizing Drink)
Function: Relieves pain and stabilizes the fetus.
Ingredients: Dihuang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guishen (Angelicae Sinensis Radix - body part), Renshen (Ginseng Radix), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium) each 1 qian; Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Huangqin (Scutellariae Radix) each 1.5 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 3 fen; Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex) each 1 fen; Sangshangyangerteng (Celastrus Ramulus growing on mulberry, selecting those with seven round leaves).
Preparation: Finely cut all ingredients. Take 2-3 qian per dose, add 20 grains of glutinous rice, one cup of water, decoct to 70%, take warm. Add Renchen (Amomi Fructus) if pain is prominent; add Ejiao (Colla Corii Asini) if blood deficiency exists.
Cuisheng Wanquan Tang (Labor-Inducing Ultimate Safety Decoction)
Ingredients: Renshen (Ginseng Radix) 3-5 qian (greatly tonifies primal qi as Sovereign herb); Danggui (Angelicae Sinensis Radix) 3 qian (greatly tonifies Ying blood as Minister herb, remove root tip); Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 qian (enters Liver channel to disperse stagnation, providing slight ascending nature so descending drugs gain efficacy); Taoren (Persicae Semen) 13 kernels (do not remove skin or tips, crush; bitterness removes old stasis, sweetness generates new blood, slipperiness promotes downward movement); Ganjiang (Zingiberis Rhizoma) 1 qian (warmth circulates blood fraction; stir-fry to black-yellow color so charred nature directs downward and suppresses upward movement); Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma) 6 fen (slows drug action, allows Middle Jiao to receive tonification, prevents immediate downward collapse); Niuxi Shao (Achyranthis Bidentatae Radix - tip) 2 qian (descends to abdomen, traverses twelve channels, unblocks meridians so Qi and Blood efficacy can operate and push out); Honghua (Carthami Flos) 3 fen (large dose breaks blood, small dose invigorates blood and generates new; wine-fried); Rougui (Cinnamomi Cortex) 6 fen (8 fen in winter; peel and chop before decoction; acts as guide drug to lead herbs directly into blood fraction; warmth circulates and dissipates stasis, making labor easier); Jiaozao (Jujubae Fructus processed with glue) 2 pieces.
Preparation: Decoct in water, take warm before meals. If the parturient is robust or unable to tolerate Renshen, omit Renshen; the labor-inducing effect remains more than double that of Foshou San. Commentary: Women at labor face the life and death of mother and child in an instant. Hence, many formulas were created by ancients. Childbirth greatly damages Qi and Blood; difficult labor often stems from Qi and Blood deficiency. Postpartum diseases belong to severe Qi and Blood depletion. However, postpartum deficiencies originate from prenatal conditions. Now, establishing Wanquan Tang embodies the intent of Dasheng and Shenghua formulas, combining them into one to ensure ultimate safety. It has been frequently used with great efficacy, hence named "Ultimate Safety." First, regulate and tonify Qi and Blood; assist with dispersing stasis, descending, and warming the middle. When Qi and Blood are strong, they naturally facilitate labor induction—this is inducing labor without explicitly inducing it. Thus, Renshen and Danggui are Sovereigns to tonify Qi and Blood and strengthen the main force; slightly add Taoren, Chuanxiong, Heijiang (Charred Ginger), Zhigancao, and Jiuhonghua (Wine-fried Safflower) to warm the middle and dissipate stasis; Niuxi Shao and Guixin (Cinnamon Heart) warm and guide downward, preventing upward rushing to the heart. Not only does it induce labor divinely, but postpartum also avoids blood stasis stagnation, preventing hundred diseases. Tonifying with warmth prevents stagnation; warming with tonification prevents flooding. Less ascending, more descending allows Qi to be lifted and easily descend; descending with ascending allows stasis to go and new blood to return. More tonifying, less purging removes pathogens without injuring Yuan Qi; less bitter, more sweet drives away stasis while maintaining harmony. Is this not the ultimate labor-inducing formula?