（诸膏孕妇皆忌惟此膏不忌○妊娠通治芎归汤益母膏胎前以四物芩木为主药）
羌防芎 葱姜煎抹胸背自汗者去葱加白芍○妊娠伤寒用药例如发热恶寒芎芷香苏往来寒热柴
胡前胡大渴麦冬知母花粉燥结黄芩栝蒌满闷枳壳橘皮发斑紫草斑黑芩栀升柴胎不安芩术阿胶
）暑湿。（宜川芎当归黄芩白术加苍术浓朴陈皮甘草猪苓泽泻炒熨胸背○孕妇只可治胸背轻手
摩之若脐腹须防动胎勿轻试如研末敷却不妨）或妊娠之初。头目昏晕。肢体沉重。憎闻食气
。好食酸咸。恶心呕吐。（名恶阻宜川芎当归黄芩白术橘红半夏寒加藿香砂仁乌药香附浓朴
丁香乌梅之属热加黄连麦冬竹茹栀子枳壳白芍之属半夏犯胎须姜汁炒透用方不毒）或心烦躁
闷
。（名子烦宜黄连麦冬竹叶）或咳嗽。（名子嗽宜桔梗杏仁桑皮知母贝母橘红麦冬紫菀竹茹白
蜜）或痢（名子痢宜当归白芍白术黄芩泽泻枳壳木香黄连如白痢去芩连）或泻。（白术栀子寒用
术姜）或寒热往来。（名子疟寒宜浓朴草蔻仁干姜热渴者黄芩麦冬知母石膏通用柴前知贝芩术
芎归青皮久不止加草果）或胎中有水。面目身体脚膝肿胀。足指出水。（名子肿亦名子气宜苍
术
白术浓朴陈皮腹皮桑皮生姜皮条芩栀子泽泻防己之类亦有用天仙藤同紫苏香附陈皮乌药甘草
木瓜者虚人亦有用四物者亦有用羌活萝卜子者用鲤鱼赤豆者可参酌）或痰迷发搐。（名子痫亦
名儿晕轻者四物加丹皮葛根秦艽防风细辛竹沥之类重者加独活羚角）或胎气不和。逆上痛胀（
名子悬或临产惊惶气结难产宜芎归参芍紫苏陈皮大腹皮甘草葱姜或单用葱）或胎气壅塞。小
便淋痛。（宜川芎当归加麦冬木通竹茹枳壳泽泻桑皮○宝鉴方葱白切和盐炒热熨脐下）或肾虚
腰痛。（用黑豆酒炒布包作腰带）或带下腰酸。（湿热重也宜苍术白术当归香附白芍白芷黄芩
黄连樗根白皮之属）或胎漏。（气虚有热或犯房事○宜芎归地芍芩木续断枳壳艾叶醋煮黄 地
榆）或胎动下血。（胎漏无腹痛胎动有腹痛又胎动多在当脐若脐上动者瘕又胎动是人门下血尿
血是尿门下血○即用胎漏方腹痛者加香附木香砂仁紫苏陈皮葱白之类）热病护胎。（以井泥和
灶心土敷脐下至妙热甚去灶心土加青黛）孕妇转脬。或小便不通。（文中有方）大便不通。（栝
蒌导胆蜜导）一切闪挫。（葱熨最稳）○上贴心口。中贴脐眼。下贴丹田。或背心两腰○文中
有保小产二膏宜参用。
如治外感等贴胸背。杂病等贴当脐胎漏等贴脐下腰酸白带等贴两腰。护胎贴丹田。
如有恶阻等症。用注中加药。或煎水抹胸背。或炒热布包缚脐上。或研末葱汁调敷脐下
。或贴膏。或不必膏。看症斟酌。不可粗忽。
初所刻安胎膏药味未纯。今特改正。如有修合者。宜照此方。○又诸膏皆碍孕。施送者
必须
问明有孕无孕。并于膏上注明孕忌此膏。虽不忌。亦须谨慎。恐有欲堕之孕。而归咎于贴膏
也。
老母鸡一只缉死。勿经水拔尽毛。竹刀破去肠杂。入粳米糯米半碗。银针穿线缝好。麻
油四斤
熬听用。
生地（四两） 川芎（洒洗） 当归（酒洗） 杜仲（炒） 续断（炒） 白术 黄芩 制香附
淮山药（各二两） 党参 黄 熟地 酒白芍 麦冬 知母 苍术 陈皮 枳壳 半夏（
姜汁炒透则不碍胎） 羌活 防风 白芷 柴胡（炒） 苏子（或梗） 藿香 黑山栀 泽泻
甘草（生炙各半） 砂仁（各一两） 南薄荷 北细辛（各五钱） 葱白（一二斤） 益母草（干者
四两） 生姜 竹茹 忍冬藤 地骨皮 桑叶 菊花 柏叶 艾（各一两）○ 麻油八斤熬并
前油炒丹收入牛胶（四两酒蒸如清阳膏下法） 黄蜡（二两） 搅加槐柳桑枝各四两元参黄连黄
柏贝母花粉乌药醋延胡醋灵脂丹皮青皮黑地榆各一两黑蚕砂二两木香紫石英赤石脂各五钱○
调经对通经膏用
（所有的膏药孕妇都忌用，只有这个膏药不忌。○妊娠通治芎归汤益母膏：胎前以四物汤、黄芩、木香为主药。）
羌活、防风、川芎。用葱、姜煎水涂抹胸背；自汗者去掉葱，加白芍。○妊娠伤寒用药举例：例如发热恶寒用川芎、白芷、香苏散；往来寒热用柴胡、前胡；大渴用麦冬、知母、天花粉；燥结用黄芩、瓜蒌；满闷用枳壳、橘皮；发斑用紫草；斑黑用黄芩、栀子、升麻、柴胡；胎不安用黄芩、白术、阿胶。
暑湿。（宜用川芎、当归、黄芩、白术，加苍术、厚朴、陈皮、甘草、猪苓、泽泻，炒热熨烫胸背。○孕妇只可治疗胸背部，轻手摩之；若脐腹部须防动胎气，不可轻易尝试；如研末敷贴却不妨碍。）
或妊娠之初，头目昏晕，肢体沉重，厌恶闻见食物气味，喜好酸咸口味，恶心呕吐。（名为恶阻，宜用川芎、当归、黄芩、白术、橘红、半夏；寒证加藿香、砂仁、乌药、香附、厚朴、丁香、乌梅之类；热证加黄连、麦冬、竹茹、栀子、枳壳、白芍之类。半夏犯胎须用姜汁炒透方可使用，方子才无毒。）
或咳嗽。（名为子嗽，宜用桔梗、杏仁、桑白皮、知母、贝母、橘红、麦冬、紫菀、竹茹、白蜜。）
或痢疾。（名为子痢，宜用当归、白芍、白术、黄芩、泽泻、枳壳、木香、黄连；如白痢去掉黄芩、黄连。）
或寒热往来。（名为子疟，寒证宜用厚朴、草豆蔻、干姜；热渴者用黄芩、麦冬、知母、石膏。通用方用柴胡、前胡、知母、贝母、黄芩、白术、川芎、当归、青皮；久不止加草果。）
或胎中有水，面目身体脚膝肿胀，足趾出水。（名为子肿，亦名子气。宜用苍术、白术、厚朴、陈皮、腹皮、桑白皮、生姜皮、条芩、栀子、泽泻、防己之类；也有用天仙藤同紫苏、香附、陈皮、乌药、甘草、木瓜的；虚人也有用四物汤的；也有用羌活、萝卜子的；用鲤鱼、赤小豆的可参酌选用。）
或痰迷发搐。（名为子痫，亦名儿晕。轻者用四物汤加丹皮、葛根、秦艽、防风、细辛、竹沥之类；重者加独活、羚羊角。）
或胎气不和，逆上痛胀。（名为子悬。或临产惊惶气结难产，宜用川芎、当归、人参、白芍、紫苏、陈皮、大腹皮、甘草、葱、姜；或单用葱。）
或胎气壅塞，小便淋痛。（宜用川芎、当归加麦冬、木通、竹茹、枳壳、泽泻、桑白皮。○《宝鉴》方：葱白切段和盐炒热熨脐下。）
或带下腰酸。（湿热重也。宜用苍术、白术、当归、香附、白芍、白芷、黄芩、黄连、樗根白皮之类。）
或胎漏。（气虚有热或犯房事。○宜用川芎、当归、地黄、白芍、黄芩、木香、续断、枳壳、艾叶、醋煮黄地榆。）
或胎动下血。（胎漏无腹痛，胎动有腹痛。又胎动多在当脐处，若脐上动者为瘕；又胎动是人门下血，尿血是尿门下血。○即用胎漏方；腹痛者加香附、木香、砂仁、紫苏、陈皮、葱白之类。）
热病护胎。（以井泥和灶心土敷脐下至妙；热甚去灶心土加青黛。）
孕妇转脬，或小便不通。（文中有方。）大便不通。（栝楼导胆蜜导。）一切闪挫。（葱熨最稳。）○以上贴心口，中贴脐眼，下贴丹田，或背心两腰。○文中还有保小产二膏宜参用。
如治外感等贴胸背，杂病等贴当脐，胎漏等贴脐下，腰酸白带等贴两腰，护胎贴丹田。
如有恶阻等症，用注中加药。或煎水抹胸背，或炒热布包缚脐上，或研末葱汁调敷脐下，或贴膏，或不必膏，看症斟酌，不可粗忽。
初所刻安胎膏药味未纯，今特改正。如有修合者，宜照此方。○又诸膏皆碍孕，施送者必须问明有孕无孕，并于膏上注明孕忌此膏。虽不忌，亦须谨慎，恐有欲堕之孕，而归咎于贴膏也。
老母鸡一只缉死，勿经水拔尽毛，竹刀破去肠杂，入粳米糯米半碗，银针穿线缝好，麻油四斤熬听用。
生地（四两） 川芎（洒洗） 当归（酒洗） 杜仲（炒） 续断（炒） 白术 黄芩 制香附 淮山药（各二两） 党参 黄芪 熟地 酒白芍 麦冬 知母 苍术 陈皮 枳壳 半夏（姜汁炒透则不碍胎） 羌活 防风 白芷 柴胡（炒） 苏子（或梗） 藿香 黑山栀 泽泻 甘草（生炙各半） 砂仁（各一两） 南薄荷 北细辛（各五钱） 葱白（一二斤） 益母草（干者四两） 生姜 竹茹 忍冬藤 地骨皮 桑叶 菊花 柏叶 艾（各一两）。○ 麻油八斤熬并前油炒丹收入牛胶（四两酒蒸如清阳膏下法） 黄蜡（二两） 搅加槐柳桑枝各四两元参黄连黄柏贝母花粉乌药醋延胡醋灵脂丹皮青皮黑地榆各一两黑蚕砂二两木香紫石英赤石脂各五钱。○ 调经对通经膏用。
(All plasters are contraindicated for pregnant women, except this one. ○ General treatment for pregnancy with Xiong Gui Tang and Yi Mu Gao: Before delivery, Si Wu Tang (Four Substances Decoction), Huang Qin (Scutellariae Radix), and Mu Xiang (Aucklandiae Radix) are the main herbs.)
Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Chuanxiong Rhizoma). Decoct with Cong Bai (Allii Fistulosi Bulbus) and Sheng Jiang (Zingiberis Rhizoma Recens) to apply on chest and back; for spontaneous sweating, remove Cong Bai and add Bai Shao (Paeoniae Radix Alba). ○ Examples of medication for colds during pregnancy: For example, fever and aversion to cold use Chuan Xiong, Bai Zhi (Angelicae Dahuricae Radix), and Xiang Su San (Fragrant Perilla Powder); alternating chills and fever use Chai Hu (Bupleuri Radix) and Qian Hu (Peucedani Radix); excessive thirst uses Mai Dong (Ophiopogonis Tuber), Zhi Mu (Anemarrhenae Rhizoma), and Hua Fen (Trichosanthis Radix); dryness and constipation use Huang Qin (Scutellariae Radix) and Gua Lou (Trichosanthis Fructus); fullness and oppression use Zhi Ke (Aurantii Fructus) and Ju Pi (Citri Reticulatae Pericarpium); macules use Zi Cao (Arnebiae Radix et Rhizoma); dark macules use Huang Qin, Zhi Zi (Gardeniae Fructus), Sheng Ma (Cimicifugae Rhizoma), and Chai Hu; unstable fetus use Huang Qin, Bai Zhu (Atractylodis Macrocephalae Rhizoma), and E Jiao (Colla Corii Asini).
Summerheat-dampness. (Suitable to use Chuan Xiong, Dang Gui (Angelicae Sinensis Radix), Huang Qin, Bai Zhu, plus Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), stir-fried and applied as a hot compress on chest and back. ○ For pregnant women, only treat the chest and back with gentle massage; care must be taken not to disturb the fetus if treating the umbilical or abdominal area, so do not try lightly; however, applying powdered medicine is acceptable.)
Or at the beginning of pregnancy, dizziness of head and eyes, heaviness of limbs, aversion to food odors, craving for sour and salty tastes, nausea and vomiting. (Named E Zu (Morning Sickness), suitable to use Chuan Xiong, Dang Gui, Huang Qin, Bai Zhu, Ju Hong (Citri Reticulatae Pericarpium Rubrum), Ban Xia (Pinelliae Rhizoma); for cold syndrome add Huo Xiang (Agastaches Herba), Sha Ren (Amomi Fructus), Wu Yao (Linderae Radix), Xiang Fu (Cyperi Rhizoma), Hou Po, Ding Xiang (Caryophylli Flos), Wu Mei (Mume Fructus); for heat syndrome add Huang Lian (Coptidis Rhizoma), Mai Dong, Zhu Ru (Bambusae Caulis in Taenia), Zhi Zi, Zhi Ke, Bai Shao. Ban Xia may affect the fetus, so it must be stir-fried thoroughly with Jiang Zhi (Zingiberis Rhizoma Recens Juice) to be used safely without toxicity.)
Or irritability and restlessness. (Named Zi Fan (Restlessness During Pregnancy), suitable to use Huang Lian, Mai Dong, Zhu Ye (Bambusae Folium).)
Or cough. (Named Zi Sou (Cough During Pregnancy), suitable to use Jie Geng (Platycodonis Radix), Xing Ren (Armeniacae Semen Amarum), Sang Bai Pi (Mori Cortex), Zhi Mu, Bei Mu (Fritillariae Bulbus), Ju Hong, Mai Dong, Zi Wan (Asteris Radix), Zhu Ru, Bai Mi (Honey).)
Or dysentery. (Named Zi Li (Dysentery During Pregnancy), suitable to use Dang Gui, Bai Shao, Bai Zhu, Huang Qin, Ze Xie, Zhi Ke, Mu Xiang (Aucklandiae Radix), Huang Lian; for white dysentery remove Huang Qin and Huang Lian.)
Or diarrhea. (Use Bai Zhu, Zhi Zi; for cold syndrome use Shu Jiang (Zingiberis Rhizoma Praeparatum).)
Or alternating chills and fever. (Named Zi Nüe (Malaria During Pregnancy), for cold suitable to use Hou Po, Cao Dou Kou (Amomi Fructus Rotundus), Gan Jiang (Zingiberis Rhizoma); for heat and thirst use Huang Qin, Mai Dong, Zhi Mu, Shi Gao (Gypsum Fibrosum). General formula uses Chai Hu, Qian Hu, Zhi Mu, Bei Mu, Huang Qin, Bai Zhu, Chuan Xiong, Dang Gui, Qing Pi (Citri Reticulatae Pericarpium Viride); if persistent, add Cao Guo (Tsaoko Fructus).)
Or water retention in the fetus, swelling of face, body, feet, and knees, oozing from toes. (Named Zi Zhong (Edema During Pregnancy), also named Zi Qi. Suitable to use Cang Zhu, Bai Zhu, Hou Po, Chen Pi, Fu Pi (Arecae Pericarpium), Sang Bai Pi, Sheng Jiang Pi (Zingiberis Pericarpium), Tiao Qin (Scutellariae Radix), Zhi Zi, Ze Xie, Fang Ji (Stephaniae Tetrandrae Radix); some use Tian Xian Teng (Akebiae Caulis) with Zi Su (Perillae Folium), Xiang Fu, Chen Pi, Wu Yao, Gan Cao, Mu Gua (Chaenomelis Fructus); for deficient persons, Si Wu Tang is sometimes used; some use Qiang Huo and Luo Bo Zi (Brassicae Semens); using Li Yu (Carassius Auratus) and Chi Xiao Dou (Vigna Semen Adzuki) can be considered.)
Or phlegm confusion with convulsions. (Named Zi Xian (Eclampsia During Pregnancy), also named Er Yun. For mild cases, use Si Wu Tang plus Dan Pi (Moutan Cortex), Ge Gen (Puerariae Lobatae Radix), Qin Jiao (Gentianae Macrophyllae Radix), Fang Feng, Xi Xin (Asari Radix et Rhizoma), Zhu Li (Bambusae Succus); for severe cases, add Du Huo (Angelicae Pubescentis Radix) and Ling Yang Jiao (Saigae Tataricae Cornu).)
Or disharmony of fetal qi, rebellious upward movement with pain and distension. (Named Zi Xuan (Distension During Pregnancy). Or panic and qi stagnation leading to difficult labor at term, suitable to use Chuan Xiong, Dang Gui, Ren Shen (Ginseng Radix), Bai Shao, Zi Su, Chen Pi, Da Fu Pi (Arecae Pericarpium), Gan Cao, Cong Bai, Sheng Jiang; or use Cong Bai alone.)
Or congestion of fetal qi, painful and difficult urination. (Suitable to use Chuan Xiong, Dang Gui plus Mai Dong, Mu Tong (Akebiae Caulis), Zhu Ru, Zhi Ke, Ze Xie, Sang Bai Pi. ○ Bao Jian Formula: Cut Cong Bai, mix with salt, stir-fry hot, and apply as a compress to the lower umbilicus.)
Or kidney deficiency with lower back pain. (Use Hei Dou (Sojae Semen Nigrum) stir-fried with wine, wrapped in cloth as a waist belt.)
Or leukorrhea with lower back soreness. (Indicates heavy damp-heat. Suitable to use Cang Zhu, Bai Zhu, Dang Gui, Xiang Fu, Bai Shao, Bai Zhi, Huang Qin, Huang Lian, Chu Gen Bai Pi (Toosendan Cortex).)
Or fetal leakage. (Qi deficiency with heat or sexual intercourse. ○ Suitable to use Chuan Xiong, Dang Gui, Di Huang (Rehmanniae Radix), Bai Shao, Huang Qin, Mu Xiang, Xu Duan (Dipsaci Radix), Zhi Ke, Ai Ye (Artemisiae Argyi Folium), Cu Zhu Huang Di Yu (Acetum-boiled Sanguisorbae Radix).)
Or fetal movement with bleeding. (Fetal leakage has no abdominal pain, fetal movement has abdominal pain. Also, fetal movement is usually at the umbilicus; if moving above the umbilicus, it is a mass (Jia); fetal movement refers to bleeding from the vagina, while hematuria is bleeding from the urethra. ○ Use the same formula as for fetal leakage; for abdominal pain, add Xiang Fu, Mu Xiang, Sha Ren, Zi Su, Chen Pi, Cong Bai.)
Protecting the fetus during febrile diseases. (Apply well mud mixed with Zao Xin Tu (Caoline) to the lower umbilicus, which is excellent; if heat is severe, remove Zao Xin Tu and add Qing Dai (Indicum).)
Pregnant women with bladder torsion, or inability to urinate. (Formulas are in the text.) Inability to defecate. (Gua Lou suppository with bile or honey suppository.) All sprains and strains. (Cong Bai hot compress is safest.) ○ Above apply to Xin Kou (Concha Sternum), middle to Qi Yan (Umbilicus), below to Dan Tian (Lower Abdomen), or on the back and both loins. ○ The text also mentions two plasters for preventing miscarriage, which should be used in conjunction.
For treating external infections, apply to chest and back; for miscellaneous diseases, apply to the umbilicus; for fetal leakage, apply below the umbilicus; for lower back soreness and leukorrhea, apply to both loins; for protecting the fetus, apply to Dan Tian.
If there are symptoms like morning sickness, add medicines as noted in the annotations. Or decoct water to wipe chest and back, or stir-fry hot and wrap in cloth to bind around the umbilicus, or grind into powder, mix with Cong Zhi (Allii Fistulosi Juice) and apply below the umbilicus, or apply plaster, or no plaster needed. Adjust according to symptoms, do not be negligent.
The initially printed An Tai Gao had impure ingredients, now specifically corrected. Those who prepare it should follow this formula. ○ Again, all plasters hinder pregnancy, so those administering must ask clearly whether pregnant or not, and note on the plaster "Contraindicated for Pregnancy." Even if not contraindicated, caution is required, lest a pregnancy intended to be aborted blame the plaster application.
One old hen, killed by strangulation, feathers removed without water, entrails removed with bamboo knife, half bowl of Jing Mi (Oryza Sativa Japonica Group) and Nuo Mi (Oryza Sativa Var. Glutinosa) inserted, sewn with silver needle and thread, simmered in Ma You (Sesami Oleum) four jin for later use.
Sheng Di Huang (Rehmanniae Radix) (4 liang), Chuan Xiong (sprinkled with water and washed), Dang Gui (washed with wine), Du Zhong (Eucommiae Cortex) (stir-fried), Xu Duan (Dipsaci Radix) (stir-fried), Bai Zhu, Huang Qin, Zhi Xiang Fu (Cyperi Rhizoma processed), Huai Shan Yao (Dioscoreae Hypoglaucae Rhizoma) (2 liang each), Dang Shen (Codonopsis Radix), Huang Qi (Astragali Radix), Shu Di Huang (Prepared Rehmanniae Radix), Jiu Bai Shao (Paeoniae Radix Alba washed with wine), Mai Dong, Zhi Mu, Cang Zhu, Chen Pi, Zhi Ke, Ban Xia (Pinelliae Rhizoma) (stir-fried with ginger juice so as not to hinder the fetus), Qiang Huo, Fang Feng, Bai Zhi, Chai Hu (Bupleuri Radix) (stir-fried), Su Zi (Perillae Fructus) (or Su Geng Perillae Caulis), Huo Xiang, Hei Shan Zhi (Gardeniae Fructus carbonized), Ze Xie, Gan Cao (Licorice Radix) (raw and roasted half each), Sha Ren (Amomi Fructus) (1 liang each), Nan Bo He (Menthae Haplocalycis Herba), Bei Xi Xin (Asari Radix et Rhizoma) (5 qian each), Cong Bai (Allii Fistulosi Bulbus) (1-2 jin), Yi Mu Cao (Leonuri Herba) (dried 4 liang), Sheng Jiang, Zhu Ru, Ren Dong Teng (Lonicerae Japonicae Caulis), Di Gu Pi (Lycii Cortex), Sang Ye (Mori Folium), Ju Hua (Chrysanthemi Flos), Bai Ye (Platycladi Cacumen), Ai Ye (Artemisiae Argyi Folium) (1 liang each). ○ Simmer Ma You (Sesami Oleum) eight jin, combine with previous oil, fry Dan (lead oxide), add Niu Jiao (Colla Corii Asini) (4 liang steamed with wine as in Qing Yang Gao method), Huang La (Beeswax) (2 liang). Stir and add Huai Liu Sang Zhi (Branches of Sophora, Salix, and Morus) (4 liang each), Yuan Shen (Scrophulariae Radix), Huang Lian, Huang Bo (Phellodendri Cortex), Bei Mu, Hua Fen, Wu Yao, Cu Yan Hu Suo (Corydalis Rhizoma vinegar-processed), Cu Ling Zhi (Ligustici Chuanxiong Rhizoma vinegar-processed), Dan Pi, Qing Pi, Hei Di Yu (Sanguisorbae Radix carbonized) (1 liang each), Hei Can Sha (Bombyx Batryticatus) (2 liang), Mu Xiang, Zi Shi Ying (Fluorite), Chi Shi Zhi (Kaolinite) (5 qian each). ○ Used for regulating menstruation against Tong Jing Gao.