王孟英按∶凡大毒、大热及破血、开窍、重坠、利水之药，皆为妊娠所忌。《便产须知》歌曰∶ （ 青，
即青娘子）斑（蝥）水蛭与虻虫，乌头附子及天雄，野葛水银暨巴豆，牛膝薏苡并蜈蚣，（三）棱莪（术）
赭石芫花麝（香），大戟蛇蜕黄雌雄，砒石硝黄（硝兼火硝、芒硝、牙硝。黄是大黄）牡丹桂，槐花（子同此。
药凉血止血，何以孕妇禁服？盖能破子宫之精血也）牵牛皂角同，半夏（制过者，不忌）南星（胆制，陈久者
不忌）兼通草，瞿麦干姜桃（仁）木通，钢砂干漆蟹爪甲，地胆茅根与 虫。《本草纲目》续曰∶乌喙侧子羊
踯躅，藜芦茜（根）（浓）朴及薇衔， 根 茹葵花子，赤箭莽草刺 皮，鬼箭红
花苏方木，麦 常山蒺藜蝉，锡粉 砂红娘子（即葛上亭长，）硫黄石蚕并蜘蛛，蝼蛄衣鱼兼蜥蜴，桑蠹飞生
暨樗鸡，牛黄犬兔驴马肉， 虾蟆鳖共龟。余又补之曰∶甘遂没药破故纸，延胡商陆五灵脂，姜黄葶苈穿
山甲，归尾灵仙樟（脑）续随，王不留行龟鳖甲，麻黄（川）椒（神）曲伏龙肝，珍珠犀角车前子，赤芍丹
参蔚（茺蔚，即益母草）射干，泽泻泽兰紫草郁（金），土瓜（根）滑石（自犀角至此，虽非伤胎
之药，然系行血通窍之品，皆能滑胎。凡胎元不足，及月分尚少者，究宜审用。余性谨慎，故用药如是。
设有故无殒，不在此例）及紫葳（即凌霄花。）又《外科全生集》云∶娠妇患疮疡，虽膏药不宜擅贴，恐
内有毒药，能堕胎也。夫外治尚宜避忌，况内服乎！故妇人善饮火酒者，每无生育，以酒性热烈，能消胎也。
附及之以为种玉者告。
王孟英按语：凡是具有大毒性、大热性，以及具有破血、开窍、重镇坠逆、利水功效的药物，都是妊娠期所禁忌的。《便产须知》中的歌诀说道：斑蝥、水蛭和虻虫，乌头、附子及天雄，野葛、水银以及巴豆，牛膝、薏苡仁并蜈蚣，三棱、莪术、赭石、芫花、麝香，大戟、蛇蜕、黄雌雄（指黄狗和黄猫，或指某些动物药），砒石、硝石与大黄、牡丹皮、肉桂，槐花（槐子药性相同。药物性凉能凉血止血，为何孕妇禁服？是因为它能破坏子宫的精血）牵牛子、皂角同用，半夏（经过炮制的，不忌）、南星（胆制过的，陈久存放的不忌）兼通草，瞿麦、干姜、桃仁、木通，钢砂、干漆、蟹爪甲，地胆、茅根与蟅虫。《本草纲目》续篇又说：乌喙、侧子、羊踯躅，藜芦、茜草根、厚朴及薇衔，菝葜根、茹葵、葵花子，赤箭（天麻）、莽草、刺皮，鬼箭羽、红花、苏方木，麦冬、常山、蒺藜、蝉蜕，锡粉、硇砂、红娘子（即葛上亭长），硫磺、黄石蚕并蜘蛛，蝼蛄、衣鱼兼蜥蜴，桑蠹、飞生暨樗鸡，牛黄、犬肉、兔肉、驴马肉，蛤蟆、鳖共龟。我又补充道：甘遂、没药、破故纸（补骨脂），延胡索、商陆、五灵脂，姜黄、葶苈子、穿山甲，当归尾、威灵仙、樟脑、续随子，王不留行、龟鳖甲，麻黄、川椒、神曲、伏龙肝，珍珠、犀角、车前子，赤芍、丹参、茺蔚（即益母草）、射干，泽泻、泽兰、紫草、郁金，土瓜根、滑石（从犀角到此为止，虽然这些不是直接损伤胎儿的药物，但属于行血通窍之品，都能导致滑胎。凡是胎元不足，以及月份尚少的孕妇，终究应当审慎使用。我性格谨慎，所以用药如此。若有旧疾存在而无损于母体，则不在此例）以及紫葳（即凌霄花）。另外《外科全生集》说：妊娠妇女患有疮疡，即使是膏药也不宜擅自贴敷，恐怕其中含有毒药，能导致堕胎。外治法尚且需要避忌，何况内服药物呢！所以妇女喜欢饮用烈性酒的人，往往没有生育能力，因为酒性热烈，能消蚀胎儿。附带提及此点，以此告诫想要孕育子女的人。
Wang Mengying’s commentary: All medicines that are highly toxic, intensely hot in nature, or possess the functions of breaking blood stasis, opening orifices, heavy sedation (descending), and promoting urination are contraindicated during pregnancy. The song from *Bian Chan Xu Zhi* states: Banmao (Mylabris), Shizhi (Hirudo), and Mengchong (Tabanidae); Wutou (Aconiti Radix), Fuzi (Aconiti Lateralis Radix Praeparata), and Tianxiong (Aconiti Radix); Yege (Stramonii Fructus), Shuiyin (Hydrargyrum), and Badou (Crotonis Fructus); Niuxi (Achyranthis Bidentatae Radix), Yiyiren (Coicis Semen), and Wigong (Scolopendra); Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Zhesi (Haematitum), Yuanhua (Genkwa Flos), and Shexiang (Moschus); Daji (Euphorbiae Pekinensis Radix), Shetui (Bombyx Batryticatus), Huang Cixiong (referring to certain animal drugs), Pishi (Realgar), Xiaoshuang (Natrii Sulfas), Huang (Rhei Radix et Rhizoma), Mudanpi (Moutan Cortex), and Guizhi (Cinnamomi Ramulus); Huaihua (Sophorae Flos) [Huai Zi has similar properties; although cooling and hemostatic, it is prohibited because it can disrupt the essence and blood of the uterus]; Qianniu (Pharbitidis Semen), Zaojiao (Gleditsiae Sinensis Spina); Banxia (Pinelliae Rhizoma Praeparata) [processed forms are not contraindicated], Nanxing (Arisaematis Rhizoma) [gall-processed and aged forms are not contraindicated], Tongcao (Tetrapanacis Medulla); Qumai (Dianthi Herba), Ganjiang (Zingiberis Rhizoma), Taoren (Persicae Semen), Mutong (Akebiae Caulis); Gangsha (Arsenici Sulfidum), Ganqi (Lacini), Xiezhuajia (Calcar Carcinii); Dizhuan (Echinops Radix), Maogen (Imperatae Rhizoma), and Chong (referring to insect drugs). *Bencao Gangmu* continues: Wuwei (Aconiti Radix lateralis cum radice), Cizi (Aconiti Radix lateralis), Yangzhizhu (Daphnes Odorae Cortex), Lilu (Veratrum Nigrum), Qiancao (Rubiae Cordifoliae Radix), Houpo (Magnoliae Officinalis Cortex), and Weixian (Asari Folium et Rhizoma); Babao (Smilacis Glabrae Rhizoma), Ruku (possibly a typo for specific herb), Kuihuazi (Helianthi Annui Semen), Chijian (Astragali Complanati Radix), Mangcao (Artemisiae Annuae Herba), Ci Pi (Thorns); Guijian (Euodi Fructus), Honghua (Carthami Flos), Sufangmu (Sappan Lignum); Maidong (Ophiopogonis Tuber), Changshan (Dichroae Radix), Jili (Tribuli Fructus), Chan (Cryptotympanae Pangma); Xifen (Stanni Pulvis), Naosha (Natrii Chloridi Impurus), Hongniangzi (Lytta); Liuhuang (Sulfur), Shihican (possibly specific mineral/insect), and Zhizhu (Aranea); Lougu (Mole Cricket), Yi Yu (Silverfish), and Xi Yi (Gecko); Sangdu (Silkworm in mulberry wood), Feisheng, and Chuji (Pheretima); Niuhuang (Calculus Bovis), Gou Rou (Canis Meat), Tu Rou (Leporis Meat), Lv Ma Rou (Equine Meat); Ha Ma (Bufo), Die (Testudo Shell), and Gui (Chinemys Reevesii). I further supplement: Gansui (Kansui Radix), Moyao (Myrrha), Pozhuzi (Psoraleae Fructus), Yanhusuo (Corydalis Rhizoma), Shanglu (Phytolaccae Radix), Wulingzhi (Trogopteri Dungus); Jianghuang (Curcumae Longae Rhizoma), Tingli (Semen Lepidii et Descurainiae), Chanshanjia (Manis Squama); Guiwei (Radix Angelicae Sinensis caulis), Lingxian (Atractylodis Macrocephalae Rhizoma? No, usually Lingxian is Acanthopanacis Cortex), Zhangnao (Camphora), Xuisui (Euphorbiae Lathyridis Semen), Wangbuxing (Vaccariae Semen), Guibiejia (Testudinis Carapax et Plastrum); Mahuang (Ephedrae Herba), Chuanjiao (Zanthoxylli Pericarpium), Shenqu (Massa Medicata Fermentata), Fulonggan (Caulis Bambusae in Taenia); Zhenzhu (Margarita), Xijiao (Rhinocerotis Cornu - note: modern substitutes used), Cheqianzi (Plantaginis Semen), Chishao (Paeoniae Radix Rubra), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Chongwei (Leonuri Herba), Shegan (Belamcandae Rhizoma); Zexie (Alismatis Rhizoma), Zelan (Agastachis Herba), Zicao (Arnebiae Radix seu Lithospermi Radix), Yujin (Curcumae Longae Radix); Tugua (Trichosanthis Radix), Huashi (Talcum) [From Xijiao to here, although not directly damaging to the fetus, they are blood-invigorating and orifice-opening agents that can induce miscarriage. For those with insufficient fetal foundation or early gestation, caution is required. My cautious nature dictates such usage. However, "if there is an existing pathology, no harm will be done" applies as an exception]; Ziwei (Campsis Radix). Furthermore, *Waike Quansheng Ji* states: For pregnant women suffering from sores and ulcers, even external plasters should not be applied arbitrarily, fearing internal toxic ingredients may cause abortion. If external treatment requires avoidance, how much more so internal medication! Therefore, women who habitually drink strong liquor often lack fertility, as the intense heat of alcohol can dissipate the fetus. This is added to warn those seeking conception.