吴氏曰∶凡妊娠伤寒，六经治例皆同，但要安胎为主，凡药中有犯胎者，则不可用也，
如藿香正气散、十味芎苏散、参苏饮、小柴胡汤之类，有半夏能犯胎，如用须去之，若痰多
呕逆必用之，以半夏曲则可，如无，沸汤泡七次，去皮脐，生姜自然汁拌晒干，乃可用也。凡
川乌、附子、天雄、侧子、肉桂、干姜、大黄、芒硝、芫花、甘遂、大戟、蜀漆、水蛭、虻虫、桃仁、
牡丹、干漆、代赭石、瞿麦、牛膝等类之物，皆动胎之药，凡用必须斟酌，仔细详之。大抵妊
娠伤寒，合用汤剂，必加黄芩、白术二味，能安胎也，或与此二味煎汤与之，或为细末，白汤
调下二三钱亦佳。如妊妇素禀弱者，药中四物汤佐之，不可缺也。且如用小柴胡汤，去半夏，
加白术，合四物汤用之，可以保胎除热也，其效如神。余皆仿此，用之则妙矣。
万密斋云∶妊娠伤寒，专以清热安胎为主，或汗或下，各宜随其五脏表里所见脉证主
治，勿犯胎气。故在表发汗，以香苏散为主；半表半里，则和解之，以黄龙汤为主；在里则下
之，以三黄解毒汤为主。此吾家传之秘，活人甚多。（汗下和三法，固成法也，而主以香苏、
黄龙、三黄解毒三方，则发前人所未发矣，妙甚）如古方六合汤，虽分治详明，犹不及此切
当。（古方六合汤，自表虚四物汤至四物大黄汤，共计十五方，详见第一卷调经门四物汤加减条下。）
白术散 治伤寒热病，先以此安胎，但觉头痛发热便可服。二三服即瘥。若四肢厥逆，
阴证也，不可用。
白术 黄芩（各等分，新瓦上炒）
上细切，每三钱加生姜三片，大枣一枚，水煎服。
安胎阿胶散 治妊娠伤寒时气，先服此以安胎，却以主药间服。（先服安胎，虽是大头
脑，然表证重者，须斟酌）
阿胶（炙） 白术（炒） 桑寄生 人参 白茯苓（各等分）
上为末，每服一钱，用糯米饮调下，日三服。
香苏散 凡妊妇伤寒，勿论日数，但见恶寒头疼此主之。
香附（炒黑） 紫苏（各二钱） 陈皮（一钱） 甘草（五分）
上锉，加生姜三片，葱五根煎服。头痛，加川芎、白芷各一钱，名芎芷香苏散。假令
得肝脉，其外证善洁、面青、善怒，其三部脉俱
浮而弦，恶寒里和，谓清便自调也，本方加羌活、防风各一钱，谓肝主风，是胆受病也假
令得心脉，其外证面赤、口干、善笑，其三部俱浮而洪，恶寒里和，本方加黄芩、石膏各一钱
半，谓心主热，是小肠受病也。假令得脾脉，面黄、善噫、善思，尺寸俱浮而缓，恶寒里和，
本方加白术、防己各一钱半，谓脾主湿，是阳明受病也。假令得肺脉，其外证面白、善嚏，
善悲不乐欲哭，其尺寸脉俱浮面涩，恶寒里和，本方加黄 、防风各一钱，谓肺主燥，是大
肠受病也。假令得肾脉，其外证面黑、善恐，其尺寸脉俱浮而濡，恶寒里和，本方加附子炮
一钱，谓肾主寒，是膀胱经受病也。（附子犯胎禁用，吴茱萸温之可也。）（附子虽云犯胎，然仲景附子
汤亦治胎寒，但须真寒，方可酌用）
羌活汤 河间云∶解利伤寒，不问何经所受。虽不能尽解，亦无坏证，尤益妊妇。
羌活（二钱） 白术（一钱半） 防风 川芎 白芷 黄芩 甘草（炙，各一钱） 细辛（三分）
上锉，水煎服，无时。如无汗，去白术，用苍术，加紫苏亦可。
黄龙汤 妊妇伤寒得之三五日后，有恶寒发热，内有烦渴引饮，小便赤涩之证，此邪
在半表半里也，宜此方主之。
柴胡（二钱） 黄芩（一钱半） 人参 甘草（各一钱）
上加姜、枣，水煎服。（黄龙汤即小柴胡减半夏，为少阳经药，而此专重在和解，故主之，
其加减法更妙）如寒热往来，无汗口干，加葛根二钱，去枣入葱白三根。如头疼不止，
加川芎、白芷各一钱，去枣加葱白三根。如发热有汗口渴，加白术、栝蒌根各一钱半。
如脉浮大有力，大热大渴，本方加人参白虎汤，去姜枣。如心烦不得卧，加白茯苓、麦冬
各一钱。如呕哕，加半夏制、白茯苓各一钱，去枣。如胸膈满痛，加枳壳炒、香附子炒黑、
川芎各一钱。如大便秘，初加大黄五分，得利则止，不利，加一钱，以利为度。
三黄解毒汤 妊娠伤寒五六日后，表邪悉罢，并无头疼恶寒之证，止烦躁发热大渴，
小便赤，大便秘，或利下赤水，六脉沉实，此病邪在里也，宜此方主之。
黄芩 黄连 黄柏 山栀 大黄（各等分）
上锉，水煎服，更随五脏脉证加减。假令得肝脉，其内证烦满、消渴、溲便难，尺寸脉
沉弦有力，是肝经本脏受病也，本方加当归一钱半，甘草五分，倍山栀。假令得心脉，其内
证烦躁、心痛、掌中热而哕，尺寸脉沉数有力，是心经本脏受病也，本方加麦门冬一钱，竹茹
一团，倍黄连。假令得脾脉，其内证腹胀满、谵妄，其脉沉紧有力，是脾经本脏受病也，本
方加枳实炒、浓朴姜汁炒各一钱半，倍大黄。假令得肺脉，其内证喘咳、胸满，尺寸脉沉
涩有力，是肺经本脏受病也，本方加葶苈炒一钱，桔梗五分，倍黄连。假令得肾脉，泄如下
重，足胫寒而逆，尺寸脉沉而石，是肾经本脏受病也，加干姜炮五分，（既寒逆矣，又主三
黄，虽加干姜，恐终未妥，酌之）熟地黄一钱半，倍黄柏。
黄 解肌汤 治妊娠伤风自汗。（伤风自汗，如头疼邪盛者，此方用当斟酌）
人参 黄 当归 川芎 甘草（炙，各半两） 芍药（六钱）
上 咀，每服八钱，水煎服，加苍术、生地亦可。
桂枝芍药当归汤 治妇人有孕，伤寒脉浮，头重，腹中切痛，宜此方。
桂枝（桂能堕胎，宜火焙用） 芍药 当归（各一两）
上锉细，每服一两，水煎服。
芍药汤 治妇人妊娠伤寒自利，腹中痛，食饮不下，脉沉者，太阴病也，宜此方。（里虚
者宜之）
芍药 白术 茯苓 甘草（各一两）
上锉，每服一两，水煎服。
加减当归六黄汤 治妊妇伤寒发汗后，
汗漏不止，胎气损者。
当归身 黄 （炙） 生地黄 黄芩 白芷 阿胶珠 炙甘草（各等分）
上用浮小麦一撮，煎汤去麦，下药五钱，煎至七分温服。（先煎法妙）
加味黄芩汤 治妊妇伤寒下后，协热而利不止，胎气损者。
黄芩（二钱） 白芍药 白术 白茯苓 炙甘草 阿胶（各一钱）
上用水一盏半，后入阿胶再煎至八分服。
加味竹叶汤 妊妇汗下后，热不除者，虚也，此方主之。
人参 麦门冬 生地黄 阿胶 炙甘草（各一钱）
上加竹叶十二片，粳米一合，煎服。（此竹叶石膏汤变法也，以阿胶、生地易知母、石膏妙甚）
黄龙四物汤 治妊妇伤寒瘥后发热者，宜此方。
柴胡（二钱） 黄芩（一钱半） 人参 甘草 当归 川芎 芍药 地黄（各一钱）
上锉，水煎服。若因于食者，本方加枳实。
加减四物汤 治妊妇伤寒热极发斑，状如锦纹者。
当归 白芍药 生地黄 黄芩（各等分）
上锉，每服八钱，水煎服。
栀子大青汤 治妊妇伤寒，发斑变为黑色。
升麻 黄芩 栀子（各二两） 大青 杏仁（各半两）
上 咀，每服五钱，水一盏半，细切葱白三寸，煎服。
一方 治妊娠伤寒发斑忽黑，小便如血，胎欲落。
栀子 升麻（各四两） 青黛（二两） 生地黄（二十根） 石膏（半斤） 葱白（切，一升）
黄芩（三两）
上用水煎，分三服，忌热物。又以井中
泥涂心下，干则易。
护胎法 治伤寒热病护胎。
用白药子不拘多少为末，以鸡蛋清调，摊于纸上，如碗大，贴脐下胎存处，干则以水润之。
护胎法 治孕妇一切有热，内外诸证。（护胎法妙）
伏龙肝为末，以井底泥调敷心下，令胎不伤。
吴氏说：凡是孕妇患伤寒，六经的治疗原则都是一样的，但必须以安胎为主要目的。凡药物中有伤胎的，就不可使用。例如藿香正气散、十味芎苏散、参苏饮、小柴胡汤等方剂中，含有半夏，而半夏容易动胎气，如果使用必须去掉半夏。如果痰多且呕吐逆气，必须使用半夏，则应使用半夏曲；如果没有半夏曲，可用沸水浸泡七次，去皮和脐，再用生姜自然汁拌匀晒干，然后才能使用。凡是川乌、附子、天雄、侧子、肉桂、干姜、大黄、芒硝、芫花、甘遂、大戟、蜀漆、水蛭、虻虫、桃仁、牡丹皮、干漆、代赭石、瞿麦、牛膝等类药物，都是动胎气的药，使用时必须仔细斟酌考量。大概孕妇患伤寒，合用的汤剂中，必须加入黄芩、白术两味药，因为它们能安胎。或者用这两味药煎汤给孕妇服用，或者研成细末，用开水调服二三钱也很好。如果孕妇平时体质虚弱，药方中可配合四物汤辅助治疗，不可省略。比如使用小柴胡汤时，去掉半夏，加入白术，配合四物汤使用，可以保胎并清除热邪，效果神奇。其余情况都仿照此法，使用得当则疗效奇妙。
万密斋说：孕妇患伤寒，专门以清热安胎为主。或发汗或攻下，都应各自根据五脏表里所呈现的脉象和症状来主治，不要触犯胎气。所以在表证阶段发汗，以香苏散为主；在半表半里阶段，则和解少阳，以黄龙汤为主；在里证阶段则攻下，以三黄解毒汤为主。这是我家传的秘方，救活了很多病人。（发汗、攻下、和解这三种方法，确实是常规治法，但以香苏散、黄龙汤、三黄解毒汤三方为主，则是前人未曾阐发的，非常精妙。）至于古方的六合汤，虽然分治详细明确，仍不如这个恰当。（古方六合汤，从表虚四物汤到四物大黄汤，共计十五个方剂，详见第一卷调经门四物汤加减条下。）
白术散：治疗伤寒热病，先用此方安胎，只要觉得头痛发热就可以服用。服用二三剂即可痊愈。如果是四肢厥冷逆乱，属于阴证，则不可使用。
组成：白术、黄芩（各等分，在新瓦上炒制）。
制法与用法：切碎，每取三钱，加生姜三片、大枣一枚，水煎服。
安胎阿胶散：治疗妊娠期间患伤寒时行疫病，先服用此方以安胎，然后再服用主治疾病的其他药物。（先服安胎药虽是大方向，但如果表证严重，须斟酌考虑。）
组成：阿胶（炙）、白术（炒）、桑寄生、人参、白茯苓（各等分）。
制法与用法：研为细末，每次服用一钱，用糯米饮调服，每日三次。
香苏散：凡是孕妇患伤寒，不论患病天数，只要见到恶寒、头痛的症状，就用此方主治。
组成：香附（炒黑）、紫苏（各二钱）、陈皮（一钱）、甘草（五分）。
制法与用法：切碎，加生姜三片、葱五根煎服。如果头痛，加川芎、白芷各一钱，名为芎芷香苏散。假如诊得肝脉，其外部症状为爱清洁、面色青、易怒，三部脉均浮而弦，恶寒但里证调和（即大小便正常），本方加羌活、防风各一钱，这是因为肝主风，是胆受病所致。假如诊得心脉，其外部症状为面色红赤、口干、爱笑，三部脉均浮而洪大，恶寒但里证调和，本方加黄芩、石膏各一钱半，这是因为心主热，是小肠受病所致。假如诊得脾脉，面色黄、爱打嗝、爱思虑，尺寸部脉均浮而缓，恶寒但里证调和，本方加白术、防己各一钱半，这是因为脾主湿，是阳明经受病所致。假如诊得肺脉，其外部症状为面色白、爱打喷嚏、悲伤不乐想哭，尺寸部脉均浮而涩，恶寒但里证调和，本方加黄芪、防风各一钱，这是因为肺主燥，是大肠受病所致。假如诊得肾脉，其外部症状为面色黑、易恐惧，尺寸部脉均浮而濡软，恶寒但里证调和，本方加炮附子一钱，这是因为肾主寒，是膀胱经受病所致。（注：附子犯胎禁用，可用吴茱萸温之。）（注：附子虽云犯胎，但张仲景的附子汤也治疗胎寒，但必须是真寒证，方可斟酌使用。）
羌活汤：河间先生（刘完素）说：解利伤寒，不问是哪一经受邪。虽然不能全部解除，也不会有坏证，尤其对孕妇有益。
组成：羌活（二钱）、白术（一钱半）、防风、川芎、白芷、黄芩、甘草（炙，各一钱）、细辛（三分）。
制法与用法：切碎，水煎服，不拘时间。如无汗，去掉白术，改用苍术，加紫苏也可以。
黄龙汤：孕妇患伤寒得病三五天后，出现恶寒发热，内有烦渴引饮，小便赤涩等症状，这是邪气在半表半里之间，宜用此方主治。
组成：柴胡（二钱）、黄芩（一钱半）、人参、甘草（各一钱）。
制法与用法：加姜、枣，水煎服。（黄龙汤即小柴胡汤去掉半夏，属少阳经药物，而此方特别重在和解，故以此为主，其加减法更加精妙。）如寒热往来，无汗口干，加葛根二钱，去枣，入葱白三根。如头痛不止，加川芎、白芷各一钱，去枣，加葱白三根。如发热有汗口渴，加白术、栝蒌根各一钱半。如脉浮大有力，大热大渴，本方合用人参白虎汤，去姜、枣。如心烦不得卧，加白茯苓、麦冬各一钱。如呕吐呃逆，加制半夏、白茯苓各一钱，去枣。如胸膈满痛，加炒枳壳、炒黑香附子、川芎各一钱。如大便秘结，初加大黄五分，得利则停，不利再加一钱，以通利为度。
三黄解毒汤：妊娠患伤寒五六日后，表邪完全消除，并无头疼恶寒的症状，只有烦躁发热、大渴、小便赤、大便秘结，或拉出赤色稀水，六脉沉实，这是病邪在里，宜用此方主治。
组成：黄芩、黄连、黄柏、山栀、大黄（各等分）。
制法与用法：切碎，水煎服，更随五脏脉证进行加减。假如诊得肝脉，其内部症状为烦闷胀满、消渴、小便困难，尺寸脉沉弦有力，是肝经本脏受病，本方加当归一钱半、甘草五分，倍用山栀。假如诊得心脉，其内部症状为烦躁、心痛、手掌心热且呃逆，尺寸脉沉数有力，是心经本脏受病，本方加麦门冬一钱、竹茹一团，倍用黄连。假如诊得脾脉，其内部症状为腹胀满、谵语妄言，脉沉紧有力，是脾经本脏受病，本方加炒枳实、姜汁炒浓朴各一钱半，倍用大黄。假如诊得肺脉，其内部症状为喘咳、胸满，尺寸脉沉涩有力，是肺经本脏受病，本方加炒葶苈子一钱、桔梗五分，倍用黄连。假如诊得肾脉，泄泻伴有里急后重，足胫寒冷逆乱，尺寸脉沉而坚牢，是肾经本脏受病，加炮干姜五分、熟地黄一钱半，倍用黄柏。（注：既然已经寒逆，又主用三黄，即使加了干姜，恐怕终究不妥，需斟酌。）
黄芪解肌汤：治疗妊娠伤风自汗。（伤风自汗，如头痛邪盛者，此方使用当斟酌。）
组成：人参、黄芪、当归、川芎、甘草（炙，各半两）、芍药（六钱）。
制法与用法：切碎，每次服用八钱，水煎服，加苍术、生地也可以。
桂枝芍药当归汤：治疗妇女怀孕，患伤寒脉浮，头重，腹中剧烈疼痛，宜用此方。
组成：桂枝（桂枝能堕胎，宜火焙后用）、芍药、当归（各一两）。
制法与用法：切碎，每次服用一两，水煎服。
芍药汤：治疗妇人妊娠患伤寒自利（腹泻），腹中痛，饮食不下，脉沉者，属于太阴病，宜用此方。（里虚者适宜使用。）
组成：芍药、白术、茯苓、甘草（各一两）。
制法与用法：切碎，每次服用一两，水煎服。
加减当归六黄汤：治疗妊妇患伤寒发汗后，汗漏不止，损伤胎气者。
组成：当归身、黄芪（炙）、生地黄、黄芩、白芷、阿胶珠、炙甘草（各等分）。
制法与用法：用浮小麦一撮，煎汤去麦渣，下药五钱，煎至七分，温服。（先煎法很精妙。）
加味黄芩汤：治疗妊妇患伤寒攻下后，协热而利不止，损伤胎气者。
组成：黄芩（二钱）、白芍药、白术、白茯苓、炙甘草、阿胶（各一钱）。
制法与用法：用水一盏半，后放入阿胶再煎至八分，服。
加味竹叶汤：妊妇发汗攻下后，热邪不除者，属于虚证，此方主治。
组成：人参、麦门冬、生地黄、阿胶、炙甘草（各一钱）。
制法与用法：加竹叶十二片、粳米一合，煎服。（这是竹叶石膏汤的变法，用阿胶、生地代替知母、石膏，非常精妙。）
黄龙四物汤：治疗妊妇患伤寒病愈后发热者，宜用此方。
组成：柴胡（二钱）、黄芩（一钱半）、人参、甘草、当归、川芎、芍药、地黄（各一钱）。
制法与用法：切碎，水煎服。如果是因饮食积滞引起的，本方加枳实。
加减四物汤：治疗妊妇患伤寒热极发斑，状如锦纹者。
组成：当归、白芍药、生地黄、黄芩（各等分）。
制法与用法：切碎，每次服用八钱，水煎服。
栀子大青汤：治疗妊妇患伤寒，发斑变为黑色。
组成：升麻、黄芩、栀子（各二两）、大青、杏仁（各半两）。
制法与用法：切碎，每次服用五钱，用水一盏半，细切葱白三寸，煎服。
一方：治疗妊娠患伤寒发斑忽然变黑，小便如血，胎欲坠落。
组成：栀子、升麻（各四两）、青黛（二两）、生地黄（二十根）、石膏（半斤）、葱白（切，一升）、黄芩（三两）。
制法与用法：用水煎，分三次服，忌食热物。又用井底泥涂在心下，干了就更换。
护胎法：治疗伤寒热病保护胎元。
用法：用白药子不拘多少研为末，用鸡蛋清调匀，摊在纸上，如碗口大，贴于脐下胎存之处，干了则以水润湿。
Wu stated: In all cases of pregnant women suffering from Shanghan (Cold Damage), the treatment principles for the Six Meridians are identical, but the primary objective must be to stabilize the fetus. Any medication that harms the fetus should not be used. For instance, in formulas such as Huoxiang Zhengqi San (Agastache Powder to Regulate the Qi and Transform Dampness), Shimei Xiong Su San (Ten-Ingredient Ligusticum and Perilla Powder), Shen Su Yin (Ginseng and Perilla Drink), and Xiaochaihu Tang (Minor Bupleurum Decoction), which contain Banxia (Pinellia Rhizome), since Banxia can disturb the fetus, it must be removed if used. However, if there is excessive phlegm and vomiting with counterflow qi, Banxia is essential; in this case, Banxia Qu (Pinellia Fermented) should be used. If Banxia Qu is unavailable, soak the raw Banxia in boiling water seven times, remove the skin and umbilical scar, mix with fresh ginger juice, dry it, and then it can be used. Substances such as Chuanwu (Aconitum Carlevari Root), Fuzi (Prepared Aconite Lateralis Radix), Tianxiong (Aconitum Kusnezoffii Root), Cizi (Aconitum Carlevari Lateralis Radix Praeparata), Rougui (Cinnamon Bark), Ganjiang (Dried Ginger), Dahuang (Rhubarb Rhizome), Mangxiao (Mirabilite), Yuanhua (Kadua Flower), Gansui (Euphorbia Kansui Root), Daji (Euphorbia Pekinensis Root), Shuqi (Polygala Root), Shuizhi (Leech), Mengchong (Blue Bottle Fly Larva), Taoren (Peach Seed), Mudanpi (Tree Peony Bark), Ganqi (Dried Lacquer), Daizheshi (Haematitum), Qumai (Dianthus Herb), and Niuxi (Achyranthes Root) are all substances that disturb the fetus. Their use requires careful deliberation. Generally, for pregnant women with Shanghan, decoctions must include Huangqin (Scutellaria Root) and Baizhu (Atractylodes Macrocephala Rhizome), as these two herbs stabilize the fetus. One may decoct these two herbs and administer the liquid, or grind them into fine powder and take two or three qian mixed with warm water, which is also effective. If the pregnant woman has a constitutionally weak physique, Siwu Tang (Four Substance Decoction) should be added to assist, and it should not be omitted. For example, when using Xiaochaihu Tang, remove Banxia, add Baizhu, and combine with Siwu Tang; this can protect the fetus and clear heat, with miraculous efficacy. All other cases should follow this pattern; proper application yields excellent results.
Wan Mizhai stated: The treatment of Shanghan in pregnancy focuses specifically on clearing heat and stabilizing the fetus. Whether inducing sweating or purging, one must treat according to the pulse and symptoms indicating the involvement of the Zang-Fu organs and exterior-interior relationships, without violating fetal qi. Therefore, for exterior patterns, induce sweating primarily with Xiangsu San (Liquorice and Cyperus Powder); for half-exterior half-interior patterns, harmonize primarily with Huanglong Tang (Yellow Dragon Decoction); for interior patterns, purge primarily with Sanhuang Jiedu Tang (Three Yellows Detoxification Decoction). This is a secret transmission in my family, having saved many lives. (The methods of sweating, purging, and harmonizing are indeed established protocols, but prioritizing Xiangsu San, Huanglong Tang, and Sanhuang Jiedu Tang represents an innovation not previously expounded, which is ingenious.) Regarding the ancient formula Liuhe Tang (Six-Harmony Decoction), although its differential treatment is detailed and clear, it is still not as appropriate as this approach. (The ancient Liuhe Tang comprises fifteen formulas ranging from Biaoxu Siwu Tang to Siwu Dahuang Tang, detailed under the modifications of Siwu Tang in the Tiaojing [Regulating Menses] section of Volume I.)
Baizhu San (Atractylodes Powder): Treats Shanghan and febrile diseases. Use this first to stabilize the fetus; it can be taken as soon as headache and fever are felt. Two or three doses will result in recovery. If there is cold extremities and counterflow, indicating a Yin pattern, do not use it.
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome), Huangqin (Scutellaria Root) (equal parts, stir-fried on a new tile).
Preparation and Administration: Cut finely. Take 3 qian per dose, add 3 slices of fresh ginger and 1 jujube, decoct in water, and drink.
Ante-Natal Ejiao San (Donkey-Hide Gelatin Powder): Treats pregnant women suffering from Shanghan or seasonal epidemics. Take this first to stabilize the fetus, then alternate with the main therapeutic agents. (Taking ante-natal stabilizers first is a major principle, but if exterior symptoms are severe, caution is required.)
Ingredients: Ejiao (Donkey-Hide Gelatin, prepared), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried), Sangjisheng (Taxillus Branch), Renshen (Ginseng Root), Baifuling (Poria, equal parts).
Preparation and Administration: Grind into powder. Take 1 qian per dose, mix with rice gruel, and swallow. Take three times daily.
Xiangsu San (Liquorice and Cyperus Powder): For any pregnant woman with Shanghan, regardless of the number of days ill, if chills and headache are present, this formula is indicated.
Ingredients: Xiangfu (Cyperus Rhizome, stir-fried until black), Zisu (Perilla Leaf) (2 qian each), Chenpi (Citrus Reticulata Peel, 1 qian), Gancao (Liquorice Root, 5 fen).
Preparation and Administration: Coarsely crush, add 3 slices of fresh ginger and 5 stalks of scallion white, decoct in water, and drink. For headache, add Chuanxiong (Ligusticum Rhizome) and Baizhi (Angelica Dahurica Root) 1 qian each; this variant is named Xiongzi Xiangsu San.
If the Liver pulse is obtained, external signs include cleanliness obsession, greenish complexion, and irritability; the pulses at all three positions are floating and wiry, with chills but harmonious interior (normal urination and defecation). Add Qianghuo (Notopterygium Rhizome) and Fangfeng (Saposhnikovia Root) 1 qian each to the base formula. This is because the Liver governs wind, indicating the Gallbladder is affected.
If the Heart pulse is obtained, external signs include red complexion, dry mouth, and excessive laughter; the pulses at all three positions are floating and surging, with chills but harmonious interior. Add Huangqin (Scutellaria Root) and Shigao (Gypsum Fibrosum) 1.5 qian each to the base formula. This is because the Heart governs heat, indicating the Small Intestine is affected.
If the Spleen pulse is obtained, signs include yellow complexion, frequent belching, and overthinking; the Chi and Cun pulses are floating and moderate, with chills but harmonious interior. Add Baizhu (Atractylodes Macrocephala Rhizome) and Fangji (Stephania Tetrandra Root) 1.5 qian each to the base formula. This is because the Spleen governs dampness, indicating the Yangming channel is affected.
If the Lung pulse is obtained, external signs include pale complexion, frequent sneezing, sadness, and desire to cry; the Chi and Cun pulses are floating and choppy, with chills but harmonious interior. Add Huangqi (Astragalus Root) and Fangfeng (Saposhnikovia Root) 1 qian each to the base formula. This is because the Lung governs dryness, indicating the Large Intestine is affected.
If the Kidney pulse is obtained, external signs include black complexion and fearfulness; the Chi and Cun pulses are floating and soft, with chills but harmonious interior. Add Pao Fuzi (Prepared Aconite Lateralis Radix) 1 qian to the base formula. This is because the Kidney governs cold, indicating the Bladder channel is affected. (Note: Fuzi is contraindicated as it harms the fetus; Wuzhuyu (Evodia Fruit) can be used for warming instead.) (Note: Although Fuzi is said to harm the fetus, Zhang Zhongjing's Fuzi Tang also treats fetal cold, but only in cases of true cold, so use with discretion.)
Qianghuo Tang (Notopterygium Decoction): Hejian (Liu Wansu) stated: To resolve and benefit from Shanghan, regardless of which meridian is affected. Although it may not completely resolve all pathogens, it prevents adverse transformations and is particularly beneficial for pregnant women.
Ingredients: Qianghuo (Notopterygium Rhizome, 2 qian), Baizhu (Atractylodes Macrocephala Rhizome, 1.5 qian), Fangfeng (Saposhnikovia Root), Chuanxiong (Ligusticum Rhizome), Baizhi (Angelica Dahurica Root), Huangqin (Scutellaria Root), Gancao (Liquorice Root, prepared, 1 qian each), Xixin (Asarum Root, 3 fen).
Preparation and Administration: Coarsely crush, decoct in water, and drink at any time. If there is no sweat, remove Baizhu and use Cangzhu (Atractylodes Lancea Rhizome) instead; adding Zisu (Perilla Leaf) is also acceptable.
Huanglong Tang (Yellow Dragon Decoction): When a pregnant woman suffers from Shanghan for three to five days, presenting with chills and fever, internal restlessness and thirst with desire to drink, and scanty dark urine, this indicates pathogenic factors in the half-exterior half-interior region. This formula is indicated.
Ingredients: Chaihu (Bupleurum Root, 2 qian), Huangqin (Scutellaria Root, 1.5 qian), Renshen (Ginseng Root), Gancao (Liquorice Root, 1 qian each).
Preparation and Administration: Add ginger and jujube, decoct in water, and drink. (Huanglong Tang is essentially Xiaochaihu Tang without Banxia, belonging to the Shaoyang channel medications, but this formula emphasizes harmonization, hence its indication. Its modification methods are even more ingenious.)
If there are alternating chills and fever, no sweat, and dry mouth, add Gegen (Pueraria Root) 2 qian, remove jujube, and add 3 stalks of scallion white.
If headache persists, add Chuanxiong (Ligusticum Rhizome) and Baizhi (Angelica Dahurica Root) 1 qian each, remove jujube, and add 3 stalks of scallion white.
If there is fever with sweat and thirst, add Baizhu (Atractylodes Macrocephala Rhizome) and Gualougen (Trichosanthes Root) 1.5 qian each.
If the pulse is floating, large, and forceful, with high fever and extreme thirst, combine the base formula with Ren Shen Baihu Tang (Ginseng White Tiger Decoction), removing ginger and jujube.
If there is mental restlessness and inability to lie down, add Baifuling (Poria) and Maidong (Ophiopogon Tuber) 1 qian each.
If there is vomiting or hiccups, add Zhi Banxia (Prepared Pinellia Rhizome) and Baifuling (Poria) 1 qian each, remove jujube.
If there is fullness and pain in the chest and diaphragm, add Chao Zhike (Stir-fried Aurantium Fructus), Chao Xiangfu (Stir-fried Cyperus Rhizome), and Chuanxiong (Ligusticum Rhizome) 1 qian each.
If there is constipation, initially add Dahuang (Rhubarb Rhizome) 5 fen; stop once bowel movement occurs. If ineffective, add 1 qian, stopping when bowel movement is achieved.
Sanhuang Jiedu Tang (Three Yellows Detoxification Decoction): Five to six days after a pregnant woman contracts Shanghan, if exterior pathogens have completely resolved and there are no headaches or chills, but only irritability, fever, extreme thirst, dark urine, constipation, or passage of bloody watery stool, and the six pulses are sunken and solid, this indicates the pathogen is in the interior. This formula is indicated.
Ingredients: Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Shanzhi (Gardenia Fruit), Dahuang (Rhubarb Rhizome) (equal parts).
Preparation and Administration: Coarsely crush, decoct in water, and modify according to the pulse and symptoms of the five Zang organs.
If the Liver pulse is obtained, internal signs include irritability and fullness, wasting-thirst, and difficult urination/defecation; the Chi and Cun pulses are sunken, wiry, and forceful, indicating the Liver organ itself is affected. Add Danggui (Angelica Sinensis Root) 1.5 qian, Gancao (Liquorice Root) 5 fen, and double the amount of Shanzhi (Gardenia Fruit).
If the Heart pulse is obtained, internal signs include irritability, heart pain, hot palms, and hiccups; the Chi and Cun pulses are sunken, rapid, and forceful, indicating the Heart organ itself is affected. Add Maidong (Ophiopogon Tuber) 1 qian, Zhuru (Bamboo Sap) one ball, and double the amount of Huanglian (Coptis Rhizome).
If the Spleen pulse is obtained, internal signs include abdominal distension and fullness, delirium; the pulse is sunken, tight, and forceful, indicating the Spleen organ itself is affected. Add Chao Zhishi (Stir-fried Aurantium Fructus Immaturus) and Jiangzhi Chunpi (Magnolia Bark stir-fried with ginger juice) 1.5 qian each, and double the amount of Dahuang (Rhubarb Rhizome).
If the Lung pulse is obtained, internal signs include wheezing, cough, and chest fullness; the Chi and Cun pulses are sunken, choppy, and forceful, indicating the Lung organ itself is affected. Add Chao Tingli (Descurainia Seed) 1 qian, Jiegeng (Platycodon Root) 5 fen, and double the amount of Huanglian (Coptis Rhizome).
If the Kidney pulse is obtained, signs include diarrhea with tenesmus, cold and counterflow in the lower legs; the Chi and Cun pulses are sunken and stone-like, indicating the Kidney organ itself is affected. Add Paoganjiang (Prepared Dried Ginger) 5 fen, Shudihuang (Rehmannia Root Preparata) 1.5 qian, and double the amount of Huangbai (Phellodendron Bark). (Note: Since there is already cold counterflow, and the main formula uses Three Yellows, even with added Ganjiang, it may ultimately be inappropriate; use with discretion.)
Huangqi Jiemi Tang (Astragalus Muscle-Releasing Decoction): Treats pregnant women with Shanghan wind-strike and spontaneous sweating. (For wind-strike with spontaneous sweating, if headache and pathogenic evil are strong, use this formula with caution.)
Ingredients: Renshen (Ginseng Root), Huangqi (Astragalus Root), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Rhizome), Gancao (Liquorice Root, prepared) (0.5 liang each), Shaoyao (Peony Root) (6 qian).
Preparation and Administration: Coarsely crush. Take 8 qian per dose, decoct in water, and drink. Adding Cangzhu (Atractylodes Lancea Rhizome) and Shengdihuang (Rehmannia Root) is also acceptable.
Guizhi Shaoyao Danggui Tang (Cinnamon Twig, Peony, and Angelica Decoction): Treats pregnant women with Shanghan presenting with floating pulse, heavy head, and cutting pain in the abdomen. This formula is indicated.
Ingredients: Guizhi (Cinnamon Twig, note: Cinnamon can cause abortion, so use fire-roasted), Shaoyao (Peony Root), Danggui (Angelica Sinensis Root) (1 liang each).
Preparation and Administration: Cut finely. Take 1 liang per dose, decoct in water, and drink.
Shaoyao Tang (Peony Decoction): Treats pregnant women with Shanghan presenting with spontaneous diarrhea, abdominal pain, inability to eat or drink, and sunken pulse, indicating a Taiyin disease. This formula is indicated. (Suitable for interior deficiency.)
Ingredients: Shaoyao (Peony Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Gancao (Liquorice Root) (1 liang each).
Preparation and Administration: Coarsely crush. Take 1 liang per dose, decoct in water, and drink.
Jiajian Danggui Liuhuang Tang (Modified Angelica and Six Yellows Decoction): Treats pregnant women whose sweating continues excessively after induction of sweating for Shanghan, damaging fetal qi.
Ingredients: Dangguishen (Body of Angelica Sinensis Root), Huangqi (Astragalus Root, prepared), Shengdihuang (Rehmannia Root), Huangqin (Scutellaria Root), Baizhi (Angelica Dahurica Root), Ejiaozhu (Fried Donkey-Hide Gelatin), Zhigancao (Prepared Liquorice Root) (equal parts).
Preparation and Administration: Use a pinch of Xiaomai (Floating Wheat), decoct in water, remove the wheat, add 5 qian of the herbal mixture, decoct until 70% remains, and take warm. (The method of pre-decoction is ingenious.)
Jiawei Huangqin Tang (Modified Scutellaria Decoction): Treats pregnant women who suffer from persistent diarrhea with accompanying heat after purging for Shanghan, damaging fetal qi.
Ingredients: Huangqin (Scutellaria Root, 2 qian), Baishaoyao (White Peony Root), Baizhu (Atractylodes Macrocephala Rhizome), Baifuling (Poria), Zhigancao (Prepared Liquorice Root), Ejiao (Donkey-Hide Gelatin) (1 qian each).
Preparation and Administration: Use 1.5 cups of water, add Ejiao later, decoct until 80% remains, and drink.
Jiawei Zhuye Tang (Modified Bamboo Leaf Decoction): Treats pregnant women whose heat persists after sweating and purging, indicating deficiency. This formula is indicated.
Ingredients: Renshen (Ginseng Root), Maidong (Ophiopogon Tuber), Shengdihuang (Rehmannia Root), Ejiao (Donkey-Hide Gelatin), Zhigancao (Prepared Liquorice Root) (1 qian each).
Preparation and Administration: Add 12 leaves of Zhuye (Bamboo Leaf) and 1 he of Jingmi (Rice Grain), decoct, and drink. (This is a variation of Zhuye Shigao Tang, replacing Zhimu (Anemarrhena Rhizome) and Shigao (Gypsum Fibrosum) with Ejiao and Shengdihuang, which is very ingenious.)
Huanglong Siwu Tang (Yellow Dragon Four-Substance Decoction): Treats pregnant women who experience fever after recovering from Shanghan. This formula is indicated.
Ingredients: Chaihu (Bupleurum Root, 2 qian), Huangqin (Scutellaria Root, 1.5 qian), Renshen (Ginseng Root), Gancao (Liquorice Root), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Rhizome), Shaoyao (Peony Root), Dihuang (Rehmannia Root) (1 qian each).
Preparation and Administration: Coarsely crush, decoct in water, and drink. If caused by food stagnation, add Zhishi (Aurantium Fructus Immaturus) to the base formula.
Jiajian Siwu Tang (Modified Four-Substance Decoction): Treats pregnant women with Shanghan where extreme heat causes macules resembling brocade patterns.
Ingredients: Danggui (Angelica Sinensis Root), Baishaoyao (White Peony Root), Shengdihuang (Rehmannia Root), Huangqin (Scutellaria Root) (equal parts).
Preparation and Administration: Coarsely crush. Take 8 qian per dose, decoct in water, and drink.
Zhizi Daqing Tang (Gardenia and Qing Dai Decoction): Treats pregnant women with Shanghan where macules turn black.
Ingredients: Shengma (Cimicifuga Rhizome), Huangqin (Scutellaria Root), Zhizi (Gardenia Fruit) (2 liang each), Daqing (Indigo Naturalis), Xingren (Apricot Seed) (0.5 liang each).
Preparation and Administration: Coarsely crush. Take 5 qian per dose, use 1.5 cups of water, add 3 cun of finely chopped scallion white, decoct, and drink.
Another Formula: Treats pregnant women with Shanghan where macules suddenly turn black, urine resembles blood, and the fetus is about to fall.
Ingredients: Zhizi (Gardenia Fruit), Shengma (Cimicifuga Rhizome) (4 liang each), Qingdai (Indigo Naturalis, 2 liang), Shengdihuang (Rehmannia Root, 20 roots), Shigao (Gypsum Fibrosum, 0.5 jin), Congbai (Scallion White, chopped, 1 sheng), Huangqin (Scutellaria Root, 3 liang).
Preparation and Administration: Decoct in water, divide into three doses. Avoid hot foods. Also, apply mud from the bottom of a well to the epigastrium; replace when dry.
Hu Tai Fa (Method to Protect the Fetus): Treats protection of the fetus during Shanghan and febrile diseases.
Usage: Use Bailiaozi (Stemonae Rhizoma) in any quantity, grind into powder, mix with egg white, spread on paper like the size of a bowl, and apply to the area below the navel where the fetus resides. Moisten with water when dry.
Hu Tai Fa (Method to Protect the Fetus): Treats all heat conditions in pregnant women, both internal and external manifestations. (This method is ingenious.)
Usage: Grind Fulonggan (Dragon's House Earth) into powder, mix with mud from the bottom of a well, apply to the epigastrium, to prevent injury to the fetus.