大全云∶夫妊娠忽然心腹刺痛，（俗谓绞肠痧即此）闷绝欲死者，谓之中恶。盖邪恶之
气，中于胎而伤人也，所以然者，血气自养，而为精神之主，若血气不和，则精神衰弱，故邪
毒之气，得以中之。妊娠病此，亦致损胎也。
薛氏曰∶前证当调补正气为善，用金银藤
一味，煎汤饮之。
当归散 治妊娠中恶，心腹绞痛。（温行恶气）
当归 丁香 川芎（各三两） 青橘皮 吴茱萸（半两，去梗汤泡三次，炒黑）
上为细末，温酒调下一钱，无时。
又方
生干地黄（一两） 枳壳 木香（各七钱半）
上为细末，每服一钱，酒调下。
又方
苦梗（一两。细锉略炒） 生姜（半两）
水煎服。
散滞汤 治触恶冒气伤胎，肚痛，手不可近，不思饮食。
青皮（三钱） 黄芩 芍药（各二钱） 归尾（一钱半） 川芎（一钱） 木香（五分） 甘草（炙，少许）
上分二帖，水三盏，先煮苎根两大片，至二盏，去苎根，入前药同煎至一盏，热服。
补遗方 治妊娠中恶，心腹绞急切痛，如鬼击之状，不可按摩，或吐衄血者。
用熟艾如拳大，煮汁频服。（此真中恶也，煮艾方极妙）
一方 用盐一盏，水二盏，调和服，以冷水 之，吐出即安。
一方 用灶心土为末，每服二钱，井水调服，白汤亦可。
《医宗必读》中说：孕妇忽然出现心腹剧烈刺痛，（民间称为绞肠痧，指的就是这种情况），胸闷气绝、濒临死亡的症状，称为“中恶”。这是因为邪恶之气侵入胎元并伤害母体所致。之所以会这样，是因为胎儿依靠母体的血气来滋养，而血气是精神的主宰；如果血气不和，就会导致精神衰弱，因此邪毒之气得以乘虚而入。孕妇患上此病，也会损伤胎元。
薛己说：上述症状应当以调补正气为善策，可以使用金银藤一味药，煎汤服用。
当归散：治疗妊娠中恶，心腹绞痛。（能温通运行恶气）
配方：当归、丁香、川芎（各三两）、青橘皮、吴茱萸（半两，去除梗后用水浸泡三次，炒至黑色）。
制法与用法：将上述药物研成细末，每次取一钱，用温酒调服，不限时间。
又一方：
生干地黄（一两）、枳壳、木香（各七钱半）。
制法与用法：将上述药物研成细末，每次取一钱，用酒调服。
又一方：
桔梗（一两，切碎略炒）、生姜（半两）。
制法与用法：加水煎煮后服用。
散滞汤：治疗因触犯恶气、冒犯秽气而伤及胎元，导致腹痛剧烈、手不可触碰、不思饮食的情况。
配方：青皮（三钱）、黄芩、芍药（各二钱）、当归尾（一钱半）、川芎（一钱）、木香（五分）、甘草（炙过，少许）。
制法与用法：将药物分为两份，加水三盏，先煮苎麻根两大片，煮至剩二盏时，去掉苎麻根，再加入前述药物同煎至一盏，热服。
补遗方：治疗妊娠中恶，心腹绞急切痛，如同被鬼击打一般，不能按摩，或者出现吐血、鼻出血的症状。
用法：取如拳头大小的熟艾叶，煮汁频服。（这是真正的中恶证，煮艾叶的方法非常妙）
另一方：
取盐一茶盏，水二茶盏，调和后服用，并用冷水喷洒其身，吐出后即可安宁。
另一方：
取灶心土研成细末，每次取二钱，用井水调服，白开水也可以。
The *Yizong Bidu* states: If a pregnant woman suddenly experiences severe stabbing pain in the heart and abdomen (commonly known as "intestine-collapsing colic" or *Jiaochangsha*), accompanied by chest oppression, syncope, and a sensation of impending death, this condition is termed "Zhong'e" (Sudden Invasion by Evil Qi). This occurs because evil qi invades the fetus and harms the mother. The reason for this is that the fetus relies on maternal blood and qi for nourishment, and blood and qi are the masters of spirit; if blood and qi are disharmonious, spiritual vitality weakens, allowing pathogenic toxic qi to invade. When a pregnant woman suffers from this disease, it also damages the fetus.
Xue Ji stated: For the aforementioned symptoms, it is advisable to regulate and tonify healthy qi. One may use a single herb, *Lonicerae Japonicae Caulis* (Jinyin Teng), decocted in water for oral administration.
*Danggui San* (Angelica Powder): Treats Zhong'e during pregnancy, characterized by severe cramping pain in the heart and abdomen. (It warms and circulates evil qi.)
Ingredients: *Dangshen Radix* (Danggui), *Syzygium Aromaticum Fructus* (Dingxiang), *Chuanxiong Rhizoma* (Chuanyao) (each 3 liang); *Citrus Reticulata Pericarpium Viride* (Qingjupi); *Evodiae Fructus* (Wuzhuyu) (0.5 liang, remove stems, soak in water three times, stir-fry until black).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian each time, mixed with warm wine, at any time.
Another prescription:
*Dried Rehmanniae Radix* (Sheng Gan Dihuang) (1 liang); *Aurantii Fructus* (Zhiqiao); *Costi Rhizoma* (Muxiang) (each 7.5 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian each time, mixed with wine.
Another prescription:
*Platycodonis Radix* (Kujie) (1 liang, finely chopped and slightly stir-fried); *Zingiberis Rhizoma Recens* (Shengjiang) (0.5 liang).
Preparation and Administration: Decoct in water and take orally.
*Sanzhi Tang* (Stagnation-Dispersing Decoction): Treats damage to the fetus caused by exposure to foul or turbid qi, resulting in severe abdominal pain where the area cannot be touched, and loss of appetite.
Ingredients: *Citrus Reticulata Pericarpium* (Qingpi) (3 qian); *Scutellariae Radix* (Huangqin); *Paeoniae Radix Alba* (Shaoyao) (each 2 qian); *Angelicae Sinensis Radix Caudex* (Guiwei) (1.5 qian); *Chuanxiong Rhizoma* (Chuanyao) (1 qian); *Costi Rhizoma* (Muxiang) (5 fen); *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle* (Gancao, honey-fried) (a small amount).
Preparation and Administration: Divide the herbs into two doses. Add 3 zhen of water, first decoct two large pieces of *Bambusae Caulis Internodus* (Zhugen) until reduced to 2 zhen, remove the bamboo nodes, then add the remaining herbs and decoct until reduced to 1 zhen. Take hot.
Supplementary Prescription: Treats Zhong'e during pregnancy, characterized by severe, cutting pain in the heart and abdomen, resembling a ghost strike, where massage is intolerable, or accompanied by hematemesis or epistaxis.
Administration: Use cooked *Artemisiae Argyi Folium* (Shuai Ai) equivalent to the size of a fist, decoct in water, and take frequently. (This is true Zhong'e; the method of decocting mugwort is excellent.)
Another prescription:
Take one cup of salt and two cups of water, mix well, and take orally. Spray the patient with cold water; relief will follow once vomiting occurs.
Another prescription:
Grind *Caulis Trapaes* (Zaoxin Tu, fireplace earth) into a fine powder. Take 2 qian each time, mixed with well water. Plain boiled water is also acceptable.