论曰∶阴搏阳别，谓之有子。三部脉浮沉正等，无病者乃知有妊也。妊既受矣，多病恶阻。
恶阻者，即所谓恶食是也，此由妇人本虚，平居之时，喜怒不节，当风取冷，中脘宿有痰饮。受妊
经血既闭，饮食相搏，气不宣通，遂至心下愤闷，头晕眼花，四肢沉重，懈怠，闻食气即吐，
喜食酸物，多卧少起，甚则吐逆，自不胜持。治疗之法，顺气理血，豁痰导水，然后平安。
加味参橘散 治妊娠二、三月，恶阻吐逆不食，或烦闷等症。
人参（一钱） 橘红（四分） 白术（一钱） 麦冬（一钱） 浓朴（二钱） 川归（二钱）
甘草（三分） 砂仁（三分，炒） 藿香（二分） 竹茹（一丸） 姜（三片）
水煎服，或加干姜半分。
缩砂饮 治妊娠胃虚气逆，呕吐不食。
缩砂仁不拘多少，为末，每服二钱，生姜汤下。
凡妇人妊娠二、三月，胎动不安者，此是男女阴阳会通，血气调匀而成胎孕。设若血胀
腹痛，盖因子宫久虚，致令胎坠，其重甚于正产。若妊娠曾受此，可预先服大造丸（今即杜仲
丸）以养胎。
杜仲丸 杜仲（姜汁炒，去丝） 川续断（酒浸，各二两）
上二味等分，为末，枣肉煮，杵烂和丸，梧子大，每服五、六十丸，空心米饮送下。
凡妊娠胎动腹痛者，其理不一。盖因饮食冷物、动风毒物，或因再交，摇动骨节，伤犯胞
胎，其症多呕，气不调
和，服药太过，血气相干，急宜服顺气之药安胎，漏则难疗矣。
如圣散 鲤鱼皮 川归 淮熟地 阿胶（炒） 白芍 川芎 续断（酒浸） 甘草
上各等分，加苎麻根少许，生姜五片，水煎，空心服。
加味安胎饮 治妊娠元气不足，倦怠，以致胎动不安，或身微热，并服。如腰痛、腿痛，
必一日夜服两帖，方可安矣。
人参（二钱或三钱） 川归（二钱） 白术（二钱半，生用） 条芩（八分） 陈皮 紫苏（各四分）
淮熟地（二钱） 砂仁三分（炒） 甘草（三分）
如渴，加麦冬一钱，枣二枚，水煎。
予按∶固胎在调母，调母之法，宜各按月根据经，视其血气虚实而调之，固无坠胎之患，其或感
冒风寒，跌扑损伤，别生异症，又各按法而调之。《机要》曰∶胎产之病，当从厥阴经论之，毋犯胃
气及上二焦，谓之三禁，不可汗，不可下，不可利小便。若发汗煮，如伤寒早下之症；和大便者则
脉数已动于脾；利小便者则内亡津液，胃中枯燥。制方之法，能不犯三禁，则荣卫自和而寒热止矣，
皆医者之准绳也。
予曰∶安胎，桑寄生、阿胶、缩砂为要药也，如桂枝、半夏、桃仁、大黄，堕胎及燥热等剂，
不可用也。又曰∶月中经季不行，一身反病，日瘦，形似虚劳，却是有孕。二陈汤加缩砂、桂枝、
桔梗、姜、枣、乌梅同煎服。然半夏，胎中禁药，此又用者，理气清痰；砂仁，安胎顺气；桔梗开胸
膈，服之自然平安。《经》曰∶有故无损，亦无损也。
凡妊娠胎漏，经血妄行、此是妊娠成形，胎息未实，或
因房室惊触，劳役过度，伤动胎胞，或食毒物，致令子宫虚冷，经血淋漓。若不急治，败血凑心，子
母难保，日渐胎干，危之不久。
桑寄生散 治妊娠胎急不安，血下不止。
桑寄生 川归 川芎 续断（酒浸） 香附（制） 阿胶（炒） 人参 茯苓 白术等分（生）
甘草（少许） 姜（五片）
水煎温服。
主方∶治胎漏下血，属气虚主之。
白术（生） 条芩 阿胶 砂仁 香附 糯米
有热用四物汤，加阿胶。
丹溪曰∶凡妇人胎产诸疾，只须以四物汤为主治，看症加减调理。
主方∶治妊娠胎病不安，血虚主之。
川归（酒洗） 川芎（五分） 白芍（酒炒，八分） 淮熟地（看症加减，五钱） 人参（二钱）
黄（一钱五分） 甘草（五分） 香附（一钱，炒） 生地（一钱） 白术（生，一钱五分） 条芩（一
钱） 白茯苓（一钱） 桑寄生（一钱） 阿胶（一钱，炒珠） 黄杨树角
上 咀，姜一片，水煎服。
主方∶安胎。
川归 川芎 白芍 淮熟地 香附（制） 艾叶（炒，拣去条） 砂仁（连壳炒，研） 白术 条芩
（生） 甘草（炙） 黄 （无亦可） 糯米（一撮） 阿胶（炒，研末）
腰痛加杜仲，若下血加地榆，若触胎加金银同煎。上姜三片，水煎服。
凡妇人妊娠，面赤口干，舌苦心烦，腹胀，此乃盖为恣意饮酒，食水果、羊、鸡、面、鱼、膻腥毒
物，致令百节酸痛，大小便闭涩，可服归凉节命散。
归凉节命散 川芎 苎根 白芍 麦冬 川归 白术 甘草 糯米
如积食加砂仁、山楂、麦芽，上水煎温服。
大腹皮饮 治大小便赤涩。
枳壳（炒） 大腹皮 甘草 赤茯苓
上末每服二钱，浓煎葱白汤调下。
冬葵子散 治妊娠小便不利，身重恶寒，头晕眼花，水肿。
冬葵子（二钱） 赤茯苓（二钱）
上为末，每服三钱，米汤下，不拘时服，利则住。如不通，恐是转胞，加发灰少许，神效。如
杂温脾胃、宽气等药，以指探吐法，皆不效，转加腹满凑心，不能转通，秘用一指，深入阴户，
拔转立通，再服鲤鱼汤。子云∶脚肿、俗云皱脚汤，亦有遍身肿满，心胸急胀，皆妙。
鲤鱼汤 治胎前水肿，通利方消，产后亦妙。
川归（酒浸） 白术（五钱） 白茯苓（四钱） 白芍（三分）
上片，每服四钱，用鲤鱼二、三尾，不拘大小，破洗鳞肠，白水煮熟，去鱼，每服用鱼汤一盅半，生
姜七片，陈皮少许，煎，空心服而水自去矣。
凡妇人胎冷腹胀，两胁虚鸣，脐下冷痛，欲泄。小便频数，大便虚滑，此乃胎气既全，子成形质。
或食瓜果、甘甜生冷不时之物，或当风取凉，受不时之气，则令胎冷，子身不安，皮毛疼痛，筋骨拘急，
手足挛卷，致母有此危证，急宜安胎和气散。
安胎和气散 诃子（面包煨） 白术（各一两） 陈皮（去白，五钱） 良姜（二钱，炒）
木香（五钱） 白芍（五钱） 陈米（一合，炒） 甘草（炙，三钱）
上片，每服五钱，姜三斤，水煎服，忌生冷。
凡妇人妊娠，心神忪悸，睡梦多惊，两胁腹胀，过时连脐急痛，坐卧不宁，气促急迫胎惊，为何？
胎气既成，五脏安养，皆因气闷，或为喧呼，忪悸，闷乱，致令胎惊，筋骨伤痛，四肢不安。急用大圣
散保胎，则无损伤。
大圣散 川芎（二钱） 白茯苓（二钱） 麦冬（二钱） 黄 （二钱，炙） 川归（二钱）
木香（五分） 甘草（五分） 人参（五分）
上姜三片，水煎服。
紫苏饮 治妇人胎气不和，凑上心腹胀满，痛不可忍，谓之子悬。
大腹皮 川芎 白芍 陈皮 紫苏 川归（各等分） 人参 甘草（减半）
上姜五片，葱白五寸，水煎温服。
凡妇人妊娠，月数未满，半产者，此乃本因脏腑虚微，气衰力弱，病起相感，精血攻冲，侵损荣卫，有
伤胞胎，以致损落。故曰半产，急宜芎 补中汤补治，可保无虞。
芎 补中汤 养新血，去瘀血，补虚损。
人参 黄 甘草 杜仲 白术 赤芍 木香 干姜 川芎 阿胶 五味
上水煎，不拘时温服。
此症服补母益子大造丸，无此患也。
凡妇人妊娠，小便淋漓，此乃本因调摄失宜，子脏气虚。盖缘酒色过度，伤其血气，致令小便闭塞，
遂成淋沥，名曰子淋。宜服安荣散。
安荣散 治妊娠小便淋沥，或下焦有热，小便不通。
麦冬 通草 滑石（各一两） 川归 甘草（炙） 灯芯（各五钱） 人参（三钱） 北细辛（一钱）
上为末，麦冬汤送下。
桑螵蛸散 治妊娠小便不禁。
螵蛸（十二个，炙） 为末，每服二钱，空心米汤送下。
凡妇人妊娠，下痢赤白，此乃冷物伤脾，辛酸伤胃，冷热不调，胎气不安，气血凝滞，下痢频频，
时有时无，或白或赤，肠鸣后重，谷道疼痛。急服蒙姜黄连丸，不问冷热，并宜服之。
蒙姜黄连丸 干姜（炮） 黄连 砂仁 川芎 阿胶（炒） 白术（各一两） 乳香（三钱，另研）
枳壳（五钱，炒）
上为末，用盐梅三个，取肉，入醋少许，打糯米糊为丸，如梧桐子大，每服四十丸。白痢，姜汤下；
赤痢，甘草汤下；赤白，干姜甘草汤下。
当归芍药汤 治妊娠腹中疼痛，痢疾，心下急满。
白芍 白茯苓 川归 泽泻 川芎（各一两） 白术（五钱）
为末，每服三钱，温酒下，米饮亦可，忌生冷。
凡妇人妊娠，外感风寒，浑身壮热，眼花头晕如旋。此乃盖为风寒克于脾胃，伤于荣卫，或露背当风
取凉，致令头痛，憎寒发热，甚至心胸烦闷，大抵产前二命所系，不可轻易妄投汤剂。感冒之初，止宜进
芎苏散，表其邪气，其病自愈。
芎苏散 苏叶 川芎 白芍 白术 麦冬 陈皮 干姜（各一两） 甘草（五钱）
上每服五钱，姜五片，葱三根，水煎温服。
百合散 治妊娠风壅相攻，咳嗽吐痰，心胸满闷。
百合（蒸） 紫菀葺（洗） 贝母 白芍 前胡 赤茯苓 桔梗 甘草（炙，少许）
上姜五片，桑皮三寸，水煎热服。
凡妇人妊娠中风，头项强直，筋脉挛急，言语蹇涩，痰涎不清，或发搐搦，不省人事，名曰子痫。
急宜服羚羊角散。
羚羊角散 羚羊角（镑） 独活 防风 枣仁 五加皮（各一钱） 川归 杏仁（去皮尖，炒）
川芎 茯神 薏苡仁（各五分） 木香 甘草（炙，各二分）
上姜五片，葱五寸，水煎温服。
凡妇人妊娠病疟，此乃荣卫虚弱，脾胃不足，或感风寒，或伤生冷，传为疟疾。宜服驱邪散，莫待吐
逆见物不思，卒难医治。
驱邪散 良姜 白术 草果（少许） 橘红 藿香 砂仁 白茯苓 甘草（炙）
上姜三片，枣肉三枚，水煎温服。
凡妇人妊娠，遍身两胁刺痛胀满。此乃盖因五脏不利，气血虚羸，因食生冷，发热憎寒，唇白目青，
筋脉拘挛，骨节酸痛，皮毛干涩，气急上喘，大便不通，呕吐频频。宜服平安散。
平安散 浓朴 生姜 陈皮 川芎 木香 生地 甘草 煨盐（一撮）
上水煎，温服。亦宜服紫苏散。
凡妇人妊娠，头旋目晕，视物不见，腮项肿核。盖因胎气有伤，热毒上攻，太阳沉痛，呕吐，背项拘急，
致令眼晕生花。若加痰壅，危在片时。急服消风散。
消风散 石膏 甘菊 防风 荆芥 羌活 川芎 羚羊角 大豆黄卷（炒） 川归 白芷 甘草
上加细茶五分，水煎，食后服。
凡妇人妊娠将临月，两眼忽然不明，灯火不见，头痛目晕，腮下项肿满，不能转项，诸医治疗不愈，
转加危困，偶
得此方，对证合服，病减七分，获安。有人云∶只服四物汤加荆芥、防风，合天冬饮子，但以此二药，
间日服，日渐安。好大忌酒、面、炙 、烧鸡、鹅、鸭、羊、豆腐、辛辣，一切毒物，并房劳，及稍温药。
如其不然，眼不复明。此症为怀孕多居火 ，衣绵卧褥，伏热在内，或服补药及热物太过，致令胎热，
肝脏壅极，风热攻壅入脑所致。
天门冬饮子 天冬 知母 茺蔚子 防风 五味 茯苓 羌活 人参 川归 川芎 白芍 熟地 荆芥
上姜三片，水煎服。
凡妇人妊娠，小腹虚胀，因食硬物伤胎，胎既受病，传与脾胃，胃气虚冷，下逼小腹，若奔豚，或腰痛，
大便闭涩，两胁虚鸣。宜服胜金散，温中下气，病随安矣。
胜金散 陈皮 茱萸（炒） 干姜 军姜（炮） 川芎（各一两半） 浓朴（制） 砂仁（炒）
甘草（炙，各三钱）
上为末，每服二钱，盐汤下。
按∶验方于后。
散气消闷散 治孕妇常多气怒，胸腹满闷，或服顺气、乌药、砂仁、香附耗气药，反加满闷，宜
服此药。
人参（一钱半） 白术（二钱） 川芎（八分） 陈皮 紫苏（各四分） 甘草（二分） 条芩（八分）
木香（磨，三分）
上姜三片，水煎服。
加味安胎饮 治孕妇腹疼，不时作痛，小腹重坠，多血虚气陷，间有无寒者。
人参（一钱五分） 白术（二钱） 川芎（八分） 陈皮 紫苏 当归 甘草（各四分） 淮熟地（二钱）
上姜三片，水煎服。兼寒加茱萸一钱，或干姜、砂仁各五分，补药可以加内。
全生白术散 治妊娠面目虚浮，四肢有水气，多有脾胃气虚，或久泻所致，宜健脾利水。
白术（二钱） 人参（一钱） 川芎（八分） 川归（二钱） 甘草（三分） 紫苏（四分）
陈皮（四分） 大腹皮（八分） 茯苓皮（七分）
加姜皮，水煎服。
顺气安胎饮 治胎气上攻，心腹胀满作痛。
人参（一钱） 白术（二钱） 紫苏 甘草 陈皮 砂仁（各四分） 川归（二钱） 川芎（八分）
黄芩（八分）
上姜三片，水煎服。有气加木香三分（磨）。
补中安胎饮 治受胎下血不止，或常去血点滴，名曰胎漏。大率多因劳伤，血气虚弱，有因喜
食炙 热物过多所致。
白术 川归 人参 甘草 淮熟地 黄芩 紫苏 白芷
上姜三片，水煎服，忌房事。
论述说：阴脉搏动有力而与阳脉有别，这叫做怀孕。如果寸、关、尺三部脉象浮沉力度相等，没有疾病表现，这才知道是怀孕了。既然已经受孕，大多会出现恶阻（妊娠呕吐）的症状。
所谓恶阻，就是所说的厌恶食物，这是由于妇人原本体质虚弱，平时起居时喜怒不能节制，迎风受寒，中脘部位素有痰饮积聚。受孕后月经停止，饮食与体内痰气相互搏结，气机不能宣通，于是导致心下烦闷，头晕眼花，四肢沉重，倦怠无力，闻到食物气味就想呕吐，喜欢吃酸味食物，嗜睡少起，严重时出现呕吐逆乱，身体难以支撑。治疗的方法，在于顺气理血，豁痰利水，然后才能平安。
加味参橘散：治疗妊娠二、三个月，恶阻呕吐逆乱不想进食，或心烦胸闷等症状。
人参（一钱） 橘红（四分） 白术（一钱） 麦冬（一钱） 厚朴（二钱） 当归（二钱）
甘草（三分） 砂仁（三分，炒） 藿香（二分） 竹茹（一丸） 生姜（三片）
加水煎服，或者加干姜半分。
缩砂饮：治疗妊娠胃虚气逆，呕吐不想进食。
缩砂仁不拘多少，研为细末，每次服用二钱，用生姜汤送服。
凡是妇人妊娠二、三个月，胎动不安的，这是因为男女阴阳交会贯通，血气调匀而形成胎孕。如果出现血胀腹痛，大概是因为子宫长久虚弱，导致胎元下坠，其严重程度甚至超过正常分娩。如果妊娠期间曾受过这种伤害，可以预先服用大造丸（即现在的杜仲丸）来养胎。
杜仲丸：杜仲（用姜汁炒，去丝），川续断（酒浸），各二两。
以上两味药等分，研为细末，用枣肉煮烂，捣碎混合做成丸药，如梧桐子大小，每次服用五、六十丸，空腹时用米汤送下。
凡是妊娠胎动腹痛的，其道理不一。大概是因为吃了冷物、动风毒物，或者再次行房事，摇动骨节，伤犯胞胎，症状多伴有呕吐，气机不调和，服药太过，血气相干扰，急宜服用顺气的药物安胎，如果漏下不止就难治疗了。
如圣散：鲤鱼皮 当归 熟地黄 阿胶（炒） 白芍 川芎 续断（酒浸） 甘草
以上各等分，加苎麻根少许，生姜五片，水煎，空腹服用。
加味安胎饮：治疗妊娠元气不足，倦怠，以致胎动不安，或者身体微热，均可服用。如果有腰痛、腿痛，必须一天一夜服用两剂，才可以安定。
人参（二钱或三钱） 当归（二钱） 白术（二钱半，生用） 黄芩（八分） 陈皮 紫苏（各四分）
熟地黄（二钱） 砂仁三分（炒） 甘草（三分）
如果口渴，加麦冬一钱，大枣二枚，水煎。
我按语：固护胎元在于调理母体，调理母体的方法，应当每个月根据经络，观察其血气虚实而进行调理，这样就没有堕胎的祸患。如果是感冒风寒，跌扑损伤，别生异症，又各自按照法则调理。《机要》说：胎产之病，应当从厥阴经来论述，不要损伤胃气及上二焦，称为“三禁”，不可发汗，不可攻下，不可利小便。如果发汗，就像伤寒过早攻下的病症；调和大便则脉数已动于脾；利小便则体内津液亡失，胃中枯燥。制方的方法，能不犯这三禁，那么营卫自然调和而寒热停止，这都是医者的准则。
我说：安胎，桑寄生、阿胶、缩砂是重要的药物。像桂枝、半夏、桃仁、大黄，堕胎及燥热等药剂，不可使用。又说：月经该来不来，全身反而生病，日渐消瘦，形体像虚劳，却是有孕。用二陈汤加缩砂、桂枝、桔梗、姜、枣、乌梅同煎服。然而半夏是胎中禁药，这里之所以使用，是为了理气清痰；砂仁，安胎顺气；桔梗开胸膈，服用之后自然平安。《内经》说：有故无殒，亦无殒也（有病则病受之，不会损伤胎儿）。
凡是妊娠胎漏，经血妄行，这是妊娠成形，胎息未实，或者因为房事惊恐触动，劳役过度，伤动胎胞，或者食入毒物，导致子宫虚冷，经血淋漓不断。如果不紧急治疗，败血凑心，母子都难以保全，日渐胎干，危险就在不久。
桑寄生散：治疗妊娠胎急不安，阴道出血不止。
桑寄生 当归 川芎 续断（酒浸） 香附（制） 阿胶（炒） 人参 茯苓 白术等分（生）
甘草（少许） 生姜（五片）
加水煎温服。
主方：治疗胎漏下血，属于气虚的适用此方。
白术（生） 黄芩 阿胶 砂仁 香附 糯米
有热的用四物汤，加阿胶。
丹溪说：凡是妇人胎产诸疾，只须以四物汤为主治，看症状加减调理。
主方：治疗妊娠胎病不安，属于血虚的适用此方。
当归（酒洗） 川芎（五分） 白芍（酒炒，八分） 熟地黄（看症加减，五钱） 人参（二钱）
黄芪（一钱五分） 甘草（五分） 香附（一钱，炒） 生地（一钱） 白术（生，一钱五分） 黄芩（一钱） 白茯苓（一钱） 桑寄生（一钱） 阿胶（一钱，炒珠） 黄杨树角
以上切碎，加生姜一片，水煎服。
主方：安胎。
当归 川芎 白芍 熟地黄 香附（制） 艾叶（炒，拣去条） 砂仁（连壳炒，研） 白术 黄芩（生） 甘草（炙） 黄芪（无亦可） 糯米（一撮） 阿胶（炒，研末）
腰痛加杜仲，如果下血加地榆，如果触胎加金银花同煎。加生姜三片，水煎服。
凡是妇人妊娠，面赤口干，舌苦心烦，腹胀，这大概是因为恣意饮酒，吃水果、羊肉、鸡肉、面食、鱼类、膻腥毒物，导致百节酸痛，大小便闭涩，可服用归凉节命散。
归凉节命散：川芎 苎根 白芍 麦冬 当归 白术 甘草 糯米
如果有积食加砂仁、山楂、麦芽，以上水煎温服。
大腹皮饮：治疗大小便赤涩。
枳壳（炒） 大腹皮 甘草 赤茯苓
以上研为末，每次服用二钱，浓煎葱白汤调下。
冬葵子散：治疗妊娠小便不利，身重恶寒，头晕眼花，水肿。
冬葵子（二钱） 赤茯苓（二钱）
以上研为末，每次服用三钱，米汤送下，不拘时候服用，通了就停。如果不通，恐怕是转胞，加发灰少许，神效。如果用杂温脾胃、宽气等药，以及用指探吐法，都不见效，反而加重腹满凑心，不能转通，秘法是用一指深入阴户，拔转立通，再服用鲤鱼汤。子云：脚肿，俗称皱脚汤，也有遍身肿满，心胸急胀，都很妙。
鲤鱼汤：治疗胎前水肿，通利方消，产后也妙。
当归（酒浸） 白术（五钱） 白茯苓（四钱） 白芍（三分）
以上切片，每次服用四钱，用鲤鱼二、三尾，不拘大小，破开洗净鳞肠，白水煮熟，去掉鱼，每次用鱼汤一盅半，生姜七片，陈皮少许，煎，空腹服用而水自去矣。
凡是妇人胎冷腹胀，两胁虚鸣，脐下冷痛，想泄泻。小便频数，大便虚滑，这是胎气既全，子成形质。或者吃瓜果、甘甜生冷不时之物，或者当风取凉，受不时之气，则令胎冷，子身不安，皮毛疼痛，筋骨拘急，手足挛卷，导致母亲有此危证，急宜安胎和气散。
安胎和气散：诃子（面包煨） 白术（各一两） 陈皮（去白，五钱） 良姜（二钱，炒）
木香（五钱） 白芍（五钱） 陈米（一合，炒） 甘草（炙，三钱）
以上切碎，每次服用五钱，生姜三斤，水煎服，忌生冷。
凡是妇人妊娠，心神忪悸，睡梦多惊，两胁腹胀，过时连脐急痛，坐卧不宁，气促急迫胎惊，为什么？胎气既成，五脏安养，皆因气闷，或者为喧呼，忪悸，闷乱，导致胎惊，筋骨伤痛，四肢不安。急用大圣散保胎，则无损伤。
大圣散：川芎（二钱） 白茯苓（二钱） 麦冬（二钱） 黄芪（二钱，炙） 当归（二钱）
木香（五分） 甘草（五分） 人参（五分）
以上加生姜三片，水煎服。
紫苏饮：治疗妇人胎气不和，凑上心腹胀满，痛不可忍，叫做子悬。
大腹皮 川芎 白芍 陈皮 紫苏 当归（各等分） 人参 甘草（减半）
以上加生姜五片，葱白五寸，水煎温服。
凡是妇人妊娠，月数未满，半产的，这乃是本因脏腑虚微，气衰力弱，病起相感，精血攻冲，侵损荣卫，有伤胞胎，以致损落。所以叫半产，急宜芎归补中汤补治，可保无虞。
芎归补中汤：养新血，去瘀血，补虚损。
人参 黄芪 甘草 杜仲 白术 赤芍 木香 干姜 川芎 阿胶 五味子
以上水煎，不拘时候温服。
凡是妇人妊娠，小便淋漓，这乃是本因调摄失宜，子脏气虚。大概因为酒色过度，伤其血气，导致小便闭塞，遂成淋沥，名叫子淋。宜服用安荣散。
安荣散：治疗妊娠小便淋沥，或者下焦有热，小便不通。
麦冬 通草 滑石（各一两） 当归 甘草（炙） 灯芯（各五钱） 人参（三钱） 北细辛（一钱）
以上研为末，麦冬汤送下。
桑螵蛸散：治疗妊娠小便不禁。
螵蛸（十二个，炙） 研为末，每次服用二钱，空腹米汤送下。
凡是妇人妊娠，下痢赤白，这乃是冷物伤脾，辛酸伤胃，冷热不调，胎气不安，气血凝滞，下痢频频，时有时无，或者白或者赤，肠鸣后重，肛门疼痛。急服蒙姜黄连丸，不问冷热，并宜服用。
蒙姜黄连丸：干姜（炮） 黄连 砂仁 川芎 阿胶（炒） 白术（各一两） 乳香（三钱，另研）
枳壳（五钱，炒）
以上研为末，用盐梅三个，取肉，入醋少许，打糯米糊为丸，如梧桐子大，每次服用四十丸。白痢，姜汤送下；赤痢，甘草汤送下；赤白痢，干姜甘草汤送下。
当归芍药汤：治疗妊娠腹中疼痛，痢疾，心下急满。
白芍 白茯苓 当归 泽泻 川芎（各一两） 白术（五钱）
研为末，每次服用三钱，温酒送下，米饮也可以，忌生冷。
凡是妇人妊娠，外感风寒，浑身壮热，眼花头晕如旋转。这大概是因为风寒克于脾胃，伤于荣卫，或者露背当风取凉，导致头痛，憎寒发热，甚至心胸烦闷，大抵产前两条性命所系，不可轻易妄投汤剂。感冒之初，只宜进芎苏散，表其邪气，其病自愈。
芎苏散：苏叶 川芎 白芍 白术 麦冬 陈皮 干姜（各一两） 甘草（五钱）
以上每次服用五钱，生姜五片，葱三根，水煎温服。
百合散：治疗妊娠风壅相攻，咳嗽吐痰，心胸满闷。
百合（蒸） 紫菀茸（洗） 贝母 白芍 前胡 赤茯苓 桔梗 甘草（炙，少许）
以上加生姜五片，桑皮三寸，水煎热服。
凡是妇人妊娠中风，头项强直，筋脉挛急，言语蹇涩，痰涎不清，或者发搐搦，不省人事，名叫子痫。急宜服用羚羊角散。
羚羊角散：羚羊角（镑） 独活 防风 枣仁 五加皮（各一钱） 当归 杏仁（去皮尖，炒）
川芎 茯神 薏苡仁（各五分） 木香 甘草（炙，各二分）
以上加生姜五片，葱五寸，水煎温服。
凡是妇人妊娠病疟，这乃是荣卫虚弱，脾胃不足，或者感风寒，或者伤生冷，传为疟疾。宜服用驱邪散，不要等到呕吐逆乱见物不思，卒难医治。
驱邪散：良姜 白术 草果（少许） 橘红 藿香 砂仁 白茯苓 甘草（炙）
以上加生姜三片，枣肉三枚，水煎温服。
凡是妇人妊娠，遍身两胁刺痛胀满。这大概因为五脏不利，气血虚羸，因为吃生冷，发热憎寒，唇白目青，筋脉拘挛，骨节酸痛，皮毛干涩，气急上喘，大便不通，呕吐频频。宜服用平安散。
平安散：厚朴 生姜 陈皮 川芎 木香 生地 甘草 煨盐（一撮）
以上水煎，温服。也宜服用紫苏散。
凡是妇人妊娠，头旋目晕，视物不见，腮项肿核。大概因为胎气有伤，热毒上攻，太阳沉痛，呕吐，背项拘急，导致眼晕生花。如果加痰壅，危在片刻。急服消风散。
消风散：石膏 甘菊 防风 荆芥 羌活 川芎 羚羊角 大豆黄卷（炒） 当归 白芷 甘草
以上加细茶五分，水煎，食后服。
凡是妇人妊娠将临月，两眼忽然不明，灯火不见，头痛目晕，腮下项肿满，不能转项，诸医治疗不愈，转加危困，偶然得到此方，对证合服，病减七分，获安。有人说：只服用四物汤加荆芥、防风，合天冬饮子，但以此二药，间日服，日渐安。好大忌酒、面、炙肉、烧鸡、鹅、鸭、羊、豆腐、辛辣，一切毒物，并房劳，及稍温药。如果不这样，眼睛不再明亮。此症为怀孕多居火室，衣绵卧褥，伏热在内，或者服用补药及热物太过，导致胎热，肝脏壅极，风热攻壅入脑所致。
天门冬饮子：天冬 知母 茺蔚子 防风 五味子 茯苓 羌活 人参 当归 川芎 白芍 熟地黄 荆芥
以上加生姜三片，水煎服。
凡是妇人妊娠，小腹虚胀，因为吃硬物伤胎，胎既受病，传给脾胃，胃气虚冷，下逼小腹，若奔豚，或者腰痛，大便闭涩，两胁虚鸣。宜服用胜金散，温中下气，病随安矣。
胜金散：陈皮 吴茱萸（炒） 干姜 军姜（炮） 川芎（各一两半） 厚朴（制） 砂仁（炒）
甘草（炙，各三钱）
以上研为末，每次服用二钱，盐汤送下。
按：验方于后。
散气消闷散：治疗孕妇常多气怒，胸腹满闷，或者服用顺气、乌药、砂仁、香附耗气药，反加满闷，宜服用此药。
人参（一钱半） 白术（二钱） 川芎（八分） 陈皮 紫苏（各四分） 甘草（二分） 黄芩（八分）
木香（磨，三分）
以上加生姜三片，水煎服。
加味安胎饮：治疗孕妇腹疼，不时作痛，小腹重坠，多血虚气陷，间有无寒者。
人参（一钱五分） 白术（二钱） 川芎（八分） 陈皮 紫苏 当归 甘草（各四分） 熟地黄（二钱）
以上加生姜三片，水煎服。兼寒加茱萸一钱，或者干姜、砂仁各五分，补药可以加内。
全生白术散：治疗妊娠面目虚浮，四肢有水气，多有脾胃气虚，或者久泻所致，宜健脾利水。
白术（二钱） 人参（一钱） 川芎（八分） 当归（二钱） 甘草（三分） 紫苏（四分）
陈皮（四分） 大腹皮（八分） 茯苓皮（七分）
加姜皮，水煎服。
顺气安胎饮：治疗胎气上攻，心腹胀满作痛。
人参（一钱） 白术（二钱） 紫苏 甘草 陈皮 砂仁（各四分） 当归（二钱） 川芎（八分）
黄芩（八分）
以上加生姜三片，水煎服。有气加木香三分（磨）。
补中安胎饮：治疗受胎下血不止，或者常去血点滴，名叫胎漏。大率多因劳伤，血气虚弱，有因喜食炙肉热物过多所致。
白术 当归 人参 甘草 熟地黄 黄芩 紫苏 白芷
以上加生姜三片，水煎服，忌房事。
It is said: When the Yin pulse beats vigorously and differs from the Yang pulse, it is called pregnancy. If the pulses at the three positions (Cun, Guan, Chi) are equal in floating and sinking depth without any signs of disease, one can know that there is a pregnancy. Once conception has occurred, many women suffer from "E Zu" (morning sickness).
"E Zu" refers to aversion to food. This arises because the woman's constitution was originally deficient. In daily life, if emotions such as joy and anger are not regulated, or if she exposes herself to wind and cold, phlegm-fluid retention may accumulate in the Middle Jiao (epigastrium). After conception, menstrual blood stops. Food intake clashes with internal phlegm-qi, causing the Qi mechanism to fail to circulate freely. Consequently, one experiences oppression and stuffiness below the heart, dizziness, blurred vision, heaviness in the four limbs, lassitude, vomiting upon smelling food, craving for sour foods, excessive sleeping with little rising, and in severe cases, violent vomiting and retching, making the body unable to endure. The treatment method involves regulating Qi and nourishing Blood, resolving phlegm and promoting urination, after which peace will be restored.
Jiawei Shanju San (Modified Ginseng and Tangerina Peel Powder): Treats morning sickness, vomiting, retching, anorexia, or irritability and chest stuffiness during the second or third month of pregnancy.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Ju Hong (Pericarpium Citri Reticulatae, 4 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Mai Dong (Ophiopogonis Radix, 1 qian), Hou Po (Magnoliae Officinalis Cortex, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Sha Ren (Amomi Fructus, 3 fen, stir-fried), Huo Xiang (Pogostemonis Herba, 2 fen), Zhu Ru (Bambusae Caulis in Taenia, 1 pill), Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices).
Decoct in water and take orally. Alternatively, add Gan Jiang (Zingiberis Rhizoma, 0.5 fen).
Suosha Yin (Amomum Decoction): Treats pregnancy complicated by Spleen-Stomach deficiency with rebellious Qi, vomiting, and anorexia.
Sha Ren (Amomi Fructus) in any quantity, ground into powder. Take 2 qian each time, washed down with Ginger Decoction.
In general, when a pregnant woman experiences restless fetus and abdominal pain in the second or third month, this is due to the harmonious union of Yin and Yang between man and woman, resulting in balanced Blood and Qi forming the fetus. If there is abdominal distension and pain due to Blood stasis, it is likely caused by long-term uterine deficiency leading to fetal descent, which is more severe than normal delivery. If a pregnancy has suffered this previously, one can preemptively take Dazao Wan (now known as Eucommia Pill) to nourish the fetus.
Duzhong Wan (Eucommia Pill): Du Zhong (Eucommiae Cortex, stir-fried with Ginger Juice until silk threads are removed), Chuan Xu Duan (Dipsaci Radix, soaked in Wine), each 2 liang.
Grind the above two ingredients into powder. Boil with Date Flesh, pound until smooth, and mix to form pills the size of Sophora seeds. Take 50-60 pills each time, washed down with Rice Water on an empty stomach.
The reasons for restless fetus and abdominal pain during pregnancy vary. It may be due to consuming cold foods or wind-toxic substances, or engaging in intercourse again, shaking the bones and joints, injuring the Bao Tai (uterus/fetus). Symptoms often include vomiting and disharmonious Qi. Over-medication can cause interference between Blood and Qi. One should urgently administer Qi-regulating herbs to calm the fetus; otherwise, bleeding will be difficult to treat.
Rusheng San (Like-Sage Powder): Li Yu Pi (Carassius Auratus Skin), Dang Gui (Angelicae Sinensis Radix), Huai Shu Di (Rehmanniae Radix Preparata), E Jiao (Colla Corii Asini, stir-fried), Bai Shao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xu Duan (Dipsaci Radix, soaked in wine), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Take equal parts of the above. Add a small amount of Zhu Ma Gen (Ramie Root) and 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct in water and take on an empty stomach.
Jiwei Antai Yin (Modified Fetus-Calming Decoction): Treats pregnancy complicated by Yuan Qi deficiency, fatigue, leading to restless fetus, or slight fever. Can also be used for lower back pain or leg pain. For these symptoms, two doses must be taken within one day and night to ensure stability.
Ren Shen (Ginseng Radix et Rhizoma, 2-3 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2.5 qian, raw), Tiao Qin (Scutellariae Radix, 8 fen), Chen Pi (Citri Reticulatae Pericarpium), Zi Su (Perillae Folium, 4 fen each), Huai Shu Di (Rehmanniae Radix Preparata, 2 qian), Sha Ren (Amomi Fructus, 3 fen, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen).
If thirsty, add Mai Dong (Ophiopogonis Radix, 1 qian) and 2 Zao (Jujubae Fructus). Decoct in water.
My commentary: Securing the fetus depends on regulating the mother. The method of regulating the mother should follow the meridians according to each month, observing the deficiency or excess of Blood and Qi to adjust accordingly. Thus, there will be no risk of miscarriage. However, if contracted Wind-Cold or suffering from falls/trauma leading to other symptoms, they must be treated according to their specific methods. *Jiyao* states: Diseases related to pregnancy and childbirth should be discussed from the perspective of the Jueyin Meridian. Do not injure Stomach Qi and the Upper and Middle Jiao; this is called the "Three Prohibitions": do not induce sweating, do not purge downwards, and do not promote diuresis. Inducing sweat resembles early purging in Cold Damage disorders; harmonizing stool moves the Pulse-Shu (heat) in the Spleen; promoting diuresis depletes internal Body Fluids, causing dryness in the Stomach. The principle of formula preparation is to avoid these three prohibitions, so that Ying and Wei will naturally harmonize and chills/fever will cease. These are the standards for physicians.
I say: For calming the fetus, Sang Ji Sheng (Taxilli Herba), E Jiao (Colla Corii Asini), and Suo Sha (Amomi Fructus) are essential herbs. Herbs like Gui Zhi (Cinnamomi Ramulus), Ban Xia (Pinelliae Rhizoma), Tao Ren (Persicae Semen), and Da Huang (Rhei Radix et Rhizoma), which cause miscarriage or are drying/hot, must not be used. Furthermore, if menstruation is delayed but the whole body becomes ill, wasting away resembling consumptive disease, it may actually be pregnancy. Use Er Chen Tang (Two-Aged Decoction) added with Suo Sha (Amomi Fructus), Gui Zhi (Cinnamomi Ramulus), Jie Geng (Platycodonis Radix), Sheng Jiang (Zingiberis Rhizoma Recens), Zao (Jujubae Fructus), and Wu Mei (Mume Fructus). Although Ban Xia (Pinelliae Rhizoma) is contraindicated in pregnancy, it is used here to regulate Qi and clear phlegm; Sha Ren (Amomi Fructus) calms the fetus and regulates Qi; Jie Geng (Platycodonis Radix) opens the chest and diaphragm. Taking this will naturally bring peace. The *Classic* says: "If there is a cause [of disease], there is no damage [to the healthy qi]; thus, no damage occurs."
Regarding "Tai Lou" (fetal leakage) where menstrual blood flows irregularly, this occurs when the fetus has formed but its respiration/vitality is not yet solid. Causes include sexual activity, shock, overexertion injuring the Bao Tai (uterus/fetus), or ingesting toxic foods leading to uterine coldness and dripping blood. If not treated urgently,敗血 (rotten blood) will gather at the Heart, endangering both mother and child. The fetus will gradually dry up, posing imminent danger.
Sang Jisheng San (Taxillus Powder): Treats pregnancy with restless fetus and continuous vaginal bleeding.
Sang Ji Sheng (Taxilli Herba), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xu Duan (Dipsaci Radix, soaked in wine), Xiang Fu (Cyperi Rhizoma, processed), E Jiao (Colla Corii Asini, stir-fried), Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma) in equal parts (raw), Gan Cao (Glycyrrhizae Radix et Rhizoma, a little), Sheng Jiang (Zingiberis Rhizoma Recens, 5 slices).
Decoct in water and take warm.
Main Formula: Treats fetal leakage with bleeding, indicated for Qi deficiency.
Bai Zhu (Atractylodis Macrocephalae Rhizoma, raw), Tiao Qin (Scutellariae Radix), E Jiao (Colla Corii Asini), Sha Ren (Amomi Fructus), Xiang Fu (Cyperi Rhizoma), Nu Mi (Glutinosis Oryzae Semen).
If there is heat, use Siwu Tang (Four Substances Decoction) added with E Jiao (Colla Corii Asini).
Danxi said: For all diseases related to pregnancy and childbirth in women, Siwu Tang (Four Substances Decoction) should be the main treatment, modified according to symptoms.
Main Formula: Treats pregnancy complications with restless fetus, indicated for Blood deficiency.
Dang Gui (Angelicae Sinensis Radix, wine-washed), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 5 fen), Bai Shao (Paeoniae Radix Alba, wine-stir-fried, 8 fen), Huai Shu Di (Rehmanniae Radix Preparata, adjust dose based on symptoms, 5 qian), Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Huang Qi (Astragali Radix, 1.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Xiang Fu (Cyperi Rhizoma, 1 qian, stir-fried), Sheng Di (Rehmanniae Radix, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, raw, 1.5 qian), Tiao Qin (Scutellariae Radix, 1 qian), Bai Fu Ling (Poria, 1 qian), Sang Ji Sheng (Taxilli Herba, 1 qian), E Jiao (Colla Corii Asini, 1 qian, stir-fried to pearls), Huang Yang Shu Jiao (Ilex Cornuta Horn).
Cut into pieces, add 1 slice of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take.
Main Formula: Calms the fetus.
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Huai Shu Di (Rehmanniae Radix Preparata), Xiang Fu (Cyperi Rhizoma, processed), Ai Ye (Artemisiae Argyi Folium, stir-fried, stems removed), Sha Ren (Amomi Fructus, stir-fried with shell, ground), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tiao Qin (Scutellariae Radix, raw), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huang Qi (Astragali Radix, optional), Nu Mi (Glutinosis Oryzae Semen, a pinch), E Jiao (Colla Corii Asini, stir-fried, ground).
For lower back pain, add Du Zhong (Eucommiae Cortex). For bleeding, add Di Yu (Sanguisorbae Radix). For traumatic injury to the fetus, add Jin Yin Hua (Lonicerae Japonicae Flos) and decoct together. Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take.
When a pregnant woman presents with red face, dry mouth, bitter taste, irritability, and abdominal distension, it is likely due to excessive alcohol consumption, eating fruits, mutton, chicken, noodles, fish, or pungent/toxic foods. This causes soreness and pain in all joints, constipation of urine and feces. One can take Guiliang Jieming San (Blood-Cooling Life-Preserving Powder).
Guiliang Jieming San: Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zhu Gen (Phragmitis Rhizoma), Bai Shao (Paeoniae Radix Alba), Mai Dong (Ophiopogonis Radix), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Nu Mi (Glutinosis Oryzae Semen).
If there is food stagnation, add Sha Ren (Amomi Fructus), Shan Zha (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus). Decoct in water and take warm.
Dafupi Yin (Areca Peel Decoction): Treats dark and scanty urine and difficult defecation.
Zhi Ke (Aurantii Fructus, stir-fried), Dafupi (Arecae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chi Fu Ling (Poria with Red Host, i.e., Poria Cocos with Porium Rubrum).
Grind into powder. Take 2 qian each time, mixed with strong Scallion White Decoction.
Dongkuizi San (Malva Seed Powder): Treats pregnancy with difficult urination, heavy body, aversion to cold, dizziness, blurred vision, and edema.
Dong Ku Zi (Malvae Semen, 2 qian), Chi Fu Ling (Poria with Red Host, i.e., Poria Cocos with Porium Rubrum, 2 qian).
Grind into powder. Take 3 qian each time, washed down with Rice Water at any time. Stop when urination flows freely. If it does not flow, it may be "Zhuan Bao" (retained urine due to uterine pressure). Add a little Fa Hui (Ash of Hair) for miraculous effect. If warming Spleen/Stomach or Qi-moving medicines, or inducing vomiting by finger stimulation, fail and worsen abdominal fullness pressing on the heart, preventing passage, a secret method is to insert one finger deeply into the vagina to rotate and release the obstruction immediately, then take Liyu Tang (Carp Decoction). Zi Yun says: For swollen feet, commonly called "Zhoujiao Tang", or generalized edema with chest tightness, these are also excellent.
Liyu Tang (Carp Decoction): Treats antenatal edema, promoting fluid metabolism. Also effective postpartum.
Dang Gui (Angelicae Sinensis Radix, soaked in wine), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Bai Fu Ling (Poria, 4 qian), Bai Shao (Paeoniae Radix Alba, 3 fen).
Slice the herbs. Take 4 qian each time. Use 2-3 carps (any size), clean scales and entrails, boil in plain water until cooked. Remove the fish. Take 1.5 bowls of the fish broth each time, add 7 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and a little Chen Pi (Citri Reticulatae Pericarpium). Decoct and take on an empty stomach; fluids will pass naturally.
When a woman has cold womb causing abdominal distension, empty ringing in the hypochondrium, cold pain below the umbilicus, and desire to defecate. Frequent urination, loose stools. This indicates the fetus is fully formed. Eating fruits, sweets, or cold/raw foods at improper times, or exposing oneself to wind/cold, leads to fetal coldness. The fetus becomes unstable, causing skin/hair pain, muscle/tendon stiffness, limb curling, creating a critical condition for the mother. Urgently use Antai Heqi San (Fetus-Calming and Qi-Harmonizing Powder).
Antai Heqi San: He Zi (Terminalia Chebulae Fructus, baked in flour), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang each), Chen Pi (Citri Reticulatae Pericarpium, peeled, 5 qian), Liang Jiang (Alpiniae Officinarum Rhizoma, 2 qian, stir-fried), Mu Xiang (Aucklandiae Radix, 5 qian), Bai Shao (Paeoniae Radix Alba, 5 qian), Chen Mi (Old Rice, 1 he, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 qian).
Cut into pieces. Take 5 qian each time, with 3 jin of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water. Avoid cold/raw foods.
When a pregnant woman experiences palpitations, frequent nightmares, abdominal distension in the hypochondrium, cramping pain connecting to the umbilicus, restlessness, rapid breathing, and fetal fright. Why? Once fetal Qi is formed and the Five Zang organs are nourished, if there is Qi stagnation or noise/shouting causing palpitations and confusion, it startles the fetus, causing pain in muscles/bones and restlessness in the four limbs. Urgently use Dasheng San (Great Sage Powder) to protect the fetus to prevent injury.
Dasheng San: Chuan Xiong (Ligustici Chuanxiong Rhizoma, 2 qian), Bai Fu Ling (Poria, 2 qian), Mai Dong (Ophiopogonis Radix, 2 qian), Huang Qi (Astragali Radix, 2 qian, honey-fried), Dang Gui (Angelicae Sinensis Radix, 2 qian), Mu Xiang (Aucklandiae Radix, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Ren Shen (Ginseng Radix et Rhizoma, 5 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take.
Zisu Yin (Perilla Decoction): Treats pregnant women with disharmonious fetal Qi, rushing upward causing chest/abdominal fullness and unbearable pain, called "Zi Xuan" (Fetal Suspension).
Da Fu Pi (Arecae Pericarpium), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Chen Pi (Citri Reticulatae Pericarpium), Zi Su (Perillae Folium), Dang Gui (Angelicae Sinensis Radix) in equal parts. Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, half dose).
Add 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 5 cun of Cong Bai (Allii Fistulosi Bulbus). Decoct in water and take warm.
When a pregnant woman suffers spontaneous abortion before term, it is due to inherent deficiency of the Zang-Fu organs, weak Qi and strength. Pathogenic factors interact, attacking Essence and Blood, damaging Ying and Wei, injuring the Bao Tai (uterus/fetus), leading to loss. This is called "Ban Chan" (partial delivery/miscarriage). Urgently use Xiong Gui Buzhong Tang (Cyathula and Angelica Center-Nourishing Decoction) to tonify and treat, ensuring safety.
Xiong Gui Buzhong Tang: Nourishes new Blood, removes stagnant Blood, tonifies deficiency.
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Du Zhong (Eucommiae Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chi Shao (Paeoniae Radix Rubra), Mu Xiang (Aucklandiae Radix), Gan Jiang (Zingiberis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), E Jiao (Colla Corii Asini), Wu Wei Zi (Schisandrae Chinensis Fructus).
Decoct in water and take warm at any time.
Taking Bumu Yizi Dazao Wan (Mother-Nourishing Child-Benefiting Great Creation Pill) for this condition prevents such issues.
When a pregnant woman has dribbling urination, it is due to improper care and deficiency of Zi Zang (uterine) Qi. Likely caused by excessive alcohol and sex, injuring Blood and Qi, leading to urinary obstruction and subsequent dribbling, named "Zi Lin" (Fetal Strangury). Take Anrong San (Nourishing Peace Powder).
Anrong San: Treats pregnancy with dribbling urination or lower Jiao heat causing urinary retention.
Mai Dong (Ophiopogonis Radix), Tong Cao (Tetrapanacis Medulla), Hua Shi (Talcum) each 1 liang. Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Deng Xin Cao (Junci Medulla) each 5 qian. Ren Shen (Ginseng Radix et Rhizoma, 3 qian), Bei Xi Xin (Asari Radix et Rhizoma, 1 qian).
Grind into powder. Wash down with Mai Dong (Ophiopogonis Radix) Decoction.
Sang Piaoxiao San (Mantis Egg Case Powder): Treats pregnancy with urinary incontinence.
Sang Piaoxiao (Mantidis Oötheca, 12 pieces, roasted). Grind into powder. Take 2 qian each time, washed down with Rice Water on an empty stomach.
When a pregnant woman has dysentery with red and white discharge, it is due to cold foods injuring the Spleen, pungent/sour foods injuring the Stomach, imbalance of cold and heat, unsettling fetal Qi, stagnation of Blood and Qi, frequent dysentery varying in color (white or red), borborygmus, tenesmus, and anal pain. Urgently take Meng Jiang Huanglian Wan (Meng Jiang Coptis Pill), suitable for both cold and heat types.
Meng Jiang Huanglian Wan: Gan Jiang (Zingiberis Rhizoma, roasted), Huang Lian (Coptidis Rhizoma), Sha Ren (Amomi Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), E Jiao (Colla Corii Asini, stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 1 liang. Ru Xiang (Olibanum, 3 qian, separately ground), Zhi Ke (Aurantii Fructus, 5 qian, stir-fried).
Grind into powder. Take flesh from 3 Salt Plums, add a little vinegar, mix with Glutinous Rice Paste to form pills the size of Sophora seeds. Take 40 pills each time. For white dysentery, wash down with Ginger Decoction; for red dysentery, with Licorice Decoction; for mixed red/white, with Gan Jiang-Gan Cao Decoction.
Danggui Shaoyao Tang (Angelica and Peony Decoction): Treats pregnancy with abdominal pain, dysentery, and epigastric urgency/fullness.
Bai Shao (Paeoniae Radix Alba), Bai Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Ze Xie (Alismatis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma) each 1 liang. Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 qian).
Grind into powder. Take 3 qian each time, washed down with warm wine or Rice Water. Avoid cold/raw foods.
When a pregnant woman contracts external Wind-Cold, presenting with high fever, dizziness, and spinning sensation. This is due to Wind-Cold overcoming the Spleen-Stomach and damaging Ying and Wei, or exposing the back to wind/cold, causing headache, aversion to cold and fever, even irritability and chest stuffiness. Generally, prenatal conditions involve two lives, so one must not casually prescribe decoctions. At the onset of a cold, only use Xiong Su San (Cyathula and Perilla Powder) to release the exterior pathogen, and the illness will heal itself.
Xiong Su San: Su Ye (Perillae Folium), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mai Dong (Ophiopogonis Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Jiang (Zingiberis Rhizoma) each 1 liang. Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 qian).
Take 5 qian each time, with 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 3 stalks of Cong Bai (Allii Fistulosi Bulbus). Decoct in water and take warm.
Baihe San (Lily Powder): Treats pregnancy with Wind-Phlegm congestion, coughing with sputum, and chest/epigastric fullness.
Bai He (Lilii Bulbus, steamed), Zi Wan Rong (Asteris Radix, washed), Bei Mu (Fritillariae Cirrhosae Bulbus), Bai Shao (Paeoniae Radix Alba), Qian Hu (Peucedani Radix), Chi Fu Ling (Poria with Red Host, i.e., Poria Cocos with Porium Rubrum), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, a little).
Add 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 3 cun of Sang Bai Pi (Mori Cortex). Decoct in water and take hot.
When a pregnant woman suffers from Wind-Stroke, presenting with stiff neck/head, tendon spasms, slurred speech, unclear saliva/phlegm, convulsions, and unconsciousness, it is named "Zi Xian" (Fetal Eclampsia). Urgently take Lingyang Jiao San (Antelope Horn Powder).
Lingyang Jiao San: Ling Yang Jiao (Saiga Tataricae Cornu, shaved), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Zao Ren (Ziziphi Spinosae Semen), Wu Jia Pi (Acanthopanacis Cortex) each 1 qian. Dang Gui (Angelicae Sinensis Radix), Xing Ren (Armeniacae Semen Amarum, peeled and core removed, stir-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fu Shen (Poria with Pine Root), Yi Yi Ren (Coicis Semen) each 5 fen. Mu Xiang (Aucklandiae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) each 2 fen.
Add 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 5 cun of Cong Bai (Allii Fistulosi Bulbus). Decoct in water and take warm.
When a pregnant woman suffers from Malaria, it is due to weakness of Ying and Wei, insufficiency of Spleen-Stomach, contracting Wind-Cold or injuring cold/raw foods, transmitting into Malaria. Take Quxie San (Evil-Expelling Powder). Do not wait until vomiting and anorexia occur, making treatment difficult.
Quxie San: Liang Jiang (Alpiniae Officinarum Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Cao Guo (Tsao-ko Fructus, a little), Ju Hong (Pericarpium Citri Reticulatae), Huo Xiang (Pogostemonis Herba), Sha Ren (Amomi Fructus), Bai Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 3 pieces of Zao Rou (Date Flesh). Decoct in water and take warm.
When a pregnant woman has stabbing pain and distension throughout the body and hypochondrium. This is due to dysfunction of the Five Zang organs, emaciation of Blood and Qi, eating cold/raw foods, fever with aversion to cold, pale lips, blue eyes, tendon spasms, bone/joint pain, dry skin, rapid breathing/wheezing, constipation, and frequent vomiting. Take Ping'an San (Peace Powder).
Ping'an San: Hou Po (Magnoliae Officinalis Cortex), Sheng Jiang (Zingiberis Rhizoma Recens), Chen Pi (Citri Reticulatae Pericarpium), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Xiang (Aucklandiae Radix), Sheng Di (Rehmanniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Wei Yan (Roasted Salt, a pinch).
Decoct in water and take warm. Also suitable to take Zisu San (Perilla Powder).
When a pregnant woman has dizziness, blurred vision, inability to see, and swelling/lumps in cheeks/neck. This is likely due to injured fetal Qi, Heat-Toxin attacking upward, deep pain in the Taiyang region, vomiting, stiffness in back/neck, causing visual disturbances. If accompanied by Phlegm congestion, danger is imminent. Urgently take Xiaofeng San (Wind-Dispersing Powder).
Xiaofeng San: Shi Gao (Gypsum Fibrosum), Gan Ju (Chrysanthemi Flos), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ling Yang Jiao (Saiga Tataricae Cornu), Da Dou Huang Juan (Sojae Semen Praeparatum, stir-fried), Dang Gui (Angelicae Sinensis Radix), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Add 5 fen of Xi Cha (Fine Tea). Decoct in water and take after meals.
When a pregnant woman near term suddenly loses vision, cannot see by candlelight, has headache and dizziness, swelling under cheeks and neck, inability to turn head. Physicians' treatments fail, condition worsens. Accidentally obtained this formula, taking it对症 (symptomatically) reduces illness by 70%, bringing peace. Some say: Only take Siwu Tang (Four Substances Decoction) added with Jing Jie (Schizonepetae Spica) and Fang Feng (Saposhnikoviae Radix), combined with Tiandong Yinzi (Asparagus Decoction). Take these two remedies every other day, improving gradually. Strictly avoid alcohol, noodles, roasted meat, roast chicken/goose/duck/mutton, tofu, spicy foods, all toxic substances, sexual activity, and slightly warm medicines. Otherwise, vision will not recover. This condition arises because pregnant women often stay in warm rooms, wear thick cotton, lie on warm bedding, trapping Heat inside. Or taking too many tonifying/hot medicines causes Fetal Heat, Liver congestion extreme, Wind-Heat attacking the Brain.
Tiandong Yinzi (Asparagus Decoction): Tian Dong (Asparagi Radix), Zhi Mu (Anemarrhenae Rhizoma), Chong Wei Zi (Leonuri Fructus), Fang Feng (Saposhnikoviae Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Fu Ling (Poria), Qiang Huo (Notopterygii Rhizoma et Radix), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Shu Di (Rehmanniae Radix Preparata), Jing Jie (Schizonepetae Spica).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take.
When a pregnant woman has empty distension in the lower abdomen due to eating hard foods injuring the fetus. Once the fetus is diseased, it transmits to Spleen-Stomach. Stomach Qi becomes cold, pressing downward into the lower abdomen like Ben Tun (Running Piglet), or causing lower back pain, constipation, empty ringing in hypochondrium. Take Shengjin San (Golden-Victory Powder) to warm the middle and descend Qi; the illness will settle.
Shengjin San: Chen Pi (Citri Reticulatae Pericarpium), Zhu Yu (Evodiae Fructus, stir-fried), Gan Jiang (Zingiberis Rhizoma), Jun Jiang (Zingiberis Rhizoma, roasted), Chuan Xiong (Ligustici Chuanxiong Rhizoma) each 1.5 liang. Hou Po (Magnoliae Officinalis Cortex, processed), Sha Ren (Amomi Fructus, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) each 3 qian.
Grind into powder. Take 2 qian each time, washed down with Salt Water.
Note: Verified formulas follow.
Sanqi Xiaomen San (Qi-Scattering and Oppression-Eliminating Powder): Treats pregnant women who often get angry, causing chest/abdominal fullness. If Qi-regulating, Wu Yao, Sha Ren, Xiang Fu (Qi-consuming herbs) make fullness worse, take this medicine.
Ren Shen (Ginseng Radix et Rhizoma, 1.5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Chen Pi (Citri Reticulatae Pericarpium), Zi Su (Perillae Folium) each 4 fen. Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 fen), Tiao Qin (Scutellariae Radix, 8 fen), Mu Xiang (Aucklandiae Radix, ground, 3 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take.
Jiwei Antai Yin (Modified Fetus-Calming Decoction): Treats pregnant women with intermittent abdominal pain, heavy bearing sensation in lower abdomen, mostly due to Blood deficiency and Qi sinking, occasionally without cold.
Ren Shen (Ginseng Radix et Rhizoma, 1.5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Chen Pi (Citri Reticulatae Pericarpium), Zi Su (Perillae Folium), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) each 4 fen. Huai Shu Di (Rehmanniae Radix Preparata, 2 qian).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take. If cold is present, add Zhu Yu (Evodiae Fructus, 1 qian) or Gan Jiang (Zingiberis Rhizoma) and Sha Ren (Amomi Fructus) each 5 fen. Tonifying medicines can be added.
Quansheng Baizhu San (Complete-Life Atractylodes Powder): Treats pregnancy with puffy face/eyes and edema in four limbs, mostly due to Spleen-Stomach Qi deficiency or chronic diarrhea. Suitable for strengthening Spleen and promoting urination.
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian), Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Dang Gui (Angelicae Sinensis Radix, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Zi Su (Perillae Folium, 4 fen), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Da Fu Pi (Arecae Pericarpium, 8 fen), Fu Ling Pi (Poria Cum Cortice, 7 fen).
Add Jiang Pi (Zingiberis Pericarpium), decoct in water and take.
Shunqi Antai Yin (Qi-Regulating Fetus-Calming Decoction): Treats fetal Qi attacking upward, causing chest/abdominal fullness and pain.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian), Zi Su (Perillae Folium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Sha Ren (Amomi Fructus) each 4 fen. Dang Gui (Angelicae Sinensis Radix, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Huang Qin (Scutellariae Radix, 8 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take. If Qi stagnation is present, add Mu Xiang (Aucklandiae Radix, 3 fen, ground).
Buzhong Antai Yin (Center-Tonifying Fetus-Calming Decoction): Treats continuous bleeding after conception or constant spotting, named "Tai Lou" (Fetal Leakage). Mostly due to labor injury, weak Blood and Qi, or excessive consumption of roasted/hot foods.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huai Shu Di (Rehmanniae Radix Preparata), Huang Qin (Scutellariae Radix), Zi Su (Perillae Folium), Bai Zhi (Angelicae Dahuricae Radix).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water and take. Avoid sexual activity.