津血养胎，肺乏濡润，兼之郁火上炎，故嗽不止，法当润肺为主。
胃火冲肺。食生冷又食椒、姜，致伤胎气而咳嗽不止，五虎汤。（和七。）
脾肺气虚，伤于风寒。补中益气汤，加桑皮、杏仁、桔梗。（补六。）
肺虚不生水，水虚而火炎。宜清金滋水，又当以安胎为要。
阴火克肺。天冬汤。（寒十二。）
风寒客肺。宁肺饮。（寒十三。）
嗽血不止。清肺饮。（寒二十七。）
其母素有肝火，遇孕则水养胎元，肝血愈燥，寒热往来，是以不免似疟，实非疟也。或因气血虚损，风寒乘之。风
为阳邪，化气为热，寒为阴邪，化气为寒，阴阳并挟，寒热互见。宜大补气血，轻表外邪。若寒热不已，熏蒸其胎，胎
必伤矣。
肝枯发火。逍遥散。（和五。）
化源不足。六味丸。（补二。）
气虚寒热。六君子汤去半夏，加藿香。（补一。）
阴阳之气不和。宜和解，小柴胡汤。（和十。）
脏腑既虚，外触风寒，邪正相击，而并于气，随气上下。冲于心则心痛；攻于腹则腹痛；若至久不瘥，冲于胞胎则
胎下。
腹痛恶寒，少腹如扇。子宫受寒而不能合，故开而若扇。宜附子汤。（热一。）
血胀腹痛。此子宫久虚也，不速治则胎堕。杜仲丸。（补十。）
痛引两胁，小便数，大便滑。宜安胎和气饮。（和十一。）
微痛连腰，饮食无味。此胎气不安也。宜安胎饮。（补九。）
痛不可忍，胎动欲落。若初病而身体强健者，可用纹银数两，先煎，后加茅根二斤，煮汁饮之。
气胀刺痛，肠鸣呕逆。此岔怒忧思过度，饮食失节所致，宜木香散。若气郁生火，加清火之味。（散九。）
胞阻腹痛。血为胞所阻，不能流行。血滞则气亦滞，故腹中痛。宜四物加胶、艾、甘草。挟风则为浊痰。阿胶能去
风而澄浊，艾能导血归经。（补七。）
脾胃气虚，不能承载。安胎饮加升麻、白术，或补中益气汤。（补九、补六。）
忽然 痛。此妊娠至五六月有之。大枣十四枚，炒炭，食盐一钱，炒赤，共研，酒下。
顿仆胎动，腹痛下血。四物加胶、艾，不应，用八珍加胶、艾，或再加知母亦可。若抢心短气，腹满作痛，四物加
阿胶、砂仁、陈皮、黄芩。（补七、补五。）
风邪痰饮，交结于心之支络。宜四物合二陈，加藿香、紫苏，或阿胶散加旋复花，或当归芍药汤，择而用之。（补七、
和八、补六十三、补十一。）
腹痛连髋。宜五加皮散，或五加皮丸。（散十、散十一。）
皮肤疼痛，筋骨拘急，手足挛拳。此内食生冷，外受风寒，寒冷之气，内外相搏。而胎不安也，宜安胎和气饮。（和
十一。）
筋骨疼痛，四肢不安。因怪梦多惊，或喧呼忪悸，以致胎气不安，故两胁腹胀，连脐急痛，坐卧不宁，气促如喘。
速投大圣散。（补十二。）
腹痛时作，小腹重坠。血虚气陷也。用加味安胎饮。（补十三。）
宿寒搏血，血凝气滞。宜五灵脂、蒲黄并炒炭，醋调下；或用五君子汤。（补十四。）
遍身痛，冲心欲死，不能饮食。宜白术、芍药、黄芩。
心下满，气急切痛。赤茯苓、桑白皮、前胡、郁李仁、苏梗、五加皮。
血虚而热。生地二斤捣汁，和酒一升，煎半服。
胎气自痛。宜内补丸。（补十五。）
胞络虚而风寒搏之，少腹痛甚。紫苏饮加生姜。如气血两虚，八珍汤可加减用之。（散三、补五。）
气攻左右，小便不利。小柴胡汤加青皮、栀子。（和十。）
因怒而小腹疼痛，水道重坠。肝火炽盛所致。龙胆泻肝汤，后用四君加升、柴。（寒十一、补四。）
小腹痛连腰胁。此惊恼所致也，甚则下血不止。宜阿胶、当归、人参、茯苓，加香附、艾，并炒炭，煎服。
津液与血液滋养胎儿，导致肺脏缺乏濡润，加之郁结之火向上熏蒸，因此咳嗽不止。治疗法则应当以润肺为主。
胃火冲逆犯肺。若进食生冷食物后又食用花椒、生姜，致使胎气受损而咳嗽不止，可用五虎汤。（参考“和”篇第七方）
脾脏与肺脏气虚，受到风寒侵袭。可用补中益气汤，加入桑白皮、杏仁、桔梗。（参考“补”篇第六方）
肺虚不能生水，肾水亏虚导致虚火上炎。应当清肃肺气、滋补肾水，同时更应以安胎为要务。
咳嗽带血不止。可用清肺饮。（参考“寒”篇第二十七方）
孕妇的母亲（或指孕妇本人，语境多指孕妇素体）素有肝火，怀孕后阴血聚以养胎元，导致肝血更加燥热，出现寒热往来的症状，因此看似疟疾，实则并非疟疾。也可能是因为气血虚损，风寒之邪乘虚而入。风为阳邪，化气生热；寒为阴邪，化气生寒。阴阳二邪夹杂，寒热症状交替出现。应当大补气血，轻微发散外邪。如果寒热症状不愈，火热熏蒸胎儿，必然损伤胎儿。
化源不足（脾胃生化之源匮乏）。可用六味丸。（参考“补”篇第二方）
气虚导致的寒热往来。可用六君子汤去掉半夏，加入藿香。（参考“补”篇第一方）
阴阳之气不和。应当和解少阳，用小柴胡汤。（参考“和”篇第十方）
脏腑已经虚弱，外部接触风寒，邪气与正气相互搏击，并随气机上下运行。冲击心脏则心痛；攻冲腹部则腹痛；如果日久不愈，冲击胞胎则会导致流产。
腹痛且恶寒，小腹部感觉像扇子一样张开（寒冷感）。子宫受寒而不能闭合，所以感觉开张如扇。可用附子汤。（参考“热”篇第一方）
血胀引起的腹痛。这是子宫长期虚损所致，如果不迅速治疗则会导致堕胎。可用杜仲丸。（参考“补”篇第十方）
疼痛牵引两胁，小便频数，大便滑泄。可用安胎和气饮。（参考“和”篇第十一方）
轻微疼痛连及腰部，饮食无味。这是胎气不安的表现。可用安胎饮。（参考“补”篇第九方）
疼痛剧烈难以忍受，胎动欲坠。如果是初病且身体强健者，可用纹银数两，先煎煮，然后加入茅根二斤，煮汁饮用。
气胀引起的刺痛，肠鸣音亢进，呕吐逆气。这是由于大怒、忧思过度，以及饮食失节所致，可用木香散。如果气郁化火，加入清热泻火的药物。（参考“散”篇第九方）
胞阻腹痛。血液被胞宫阻滞，不能正常运行。血滞则气亦滞，所以腹部疼痛。可用四物汤加入阿胶、艾叶、甘草。如果挟有风邪则化为浊痰。阿胶能祛风并澄清浊邪，艾叶能引导血液回归经脉。（参考“补”篇第七方）
脾胃气虚，不能承载胎元。可用安胎饮加入升麻、白术，或者使用补中益气汤。（参考“补”篇第九方、第六方）
突然发生的疼痛。这多见于妊娠五至六个月时。用大枣十四枚，炒成炭，食盐一钱，炒至赤色，共同研末，用酒送服。
跌倒导致胎动，腹痛下血。先用四物汤加入阿胶、艾叶，若无效果，用八珍汤加入阿胶、艾叶，或者再加知母也可以。如果出现心慌短气，腹部胀满作痛，可用四物汤加入阿胶、砂仁、陈皮、黄芩。（参考“补”篇第七方、第五方）
风邪与痰饮，交结于心之支络。可用四物汤合二陈汤，加入藿香、紫苏，或者用阿胶散加入旋覆花，或者用当归芍药汤，选择其中一种使用。（参考“补”篇第七方、“和”篇第八方、“补”篇第六十三方、“补”篇第十一方）
腹痛连及髋部。可用五加皮散，或者五加皮丸。（参考“散”篇第十方、第十一方）
皮肤疼痛，筋骨拘挛紧急，手足蜷曲。这是因为内部食用生冷，外部遭受风寒，寒冷之气内外相搏，导致胎气不安。可用安胎和气饮。（参考“和”篇第十一方）
筋骨疼痛，四肢不安稳。因多怪梦、受惊，或者喧哗呼叫、心神悸动，以致胎气不安，所以两胁腹胀，连及脐部急痛，坐卧不宁，呼吸急促如同喘证。应迅速投用大圣散。（参考“补”篇第十二方）
腹痛阵发性发作，小腹沉重下坠。这是血虚气陷所致。用加味安胎饮。（参考“补”篇第十三方）
宿寒与血相搏，血液凝滞，气机阻滞。可用五灵脂、蒲黄共同炒成炭，用醋调服；或者使用五君子汤。（参考“补”篇第十四方）
全身疼痛，冲击心脏似要死亡，不能饮食。可用白术、芍药、黄芩。
心下部胀满，气息急切疼痛。可用赤茯苓、桑白皮、前胡、郁李仁、苏梗、五加皮。
血虚而有热。用生地二斤捣取汁液，混合酒一升，煎煮至一半量服用。
胞络虚弱而风寒搏击，小腹部疼痛剧烈。可用紫苏饮加入生姜。如果气血两虚，八珍汤可加减使用。（参考“散”篇第三方的“补”篇第五方）
气攻冲左右两侧，小便不利。可用小柴胡汤加入青皮、栀子。（参考“和”篇第十方）
因愤怒而导致小腹部疼痛，尿道有重坠感。这是肝火炽盛所致。可用龙胆泻肝汤，之后用四君子汤加入升麻、柴胡。（参考“寒”篇第十一方、“补”篇第四方）
小腹部疼痛连及腰胁。这是由惊吓恼怒所致，严重时会导致下血不止。可用阿胶、当归、人参、茯苓，加入香附、艾叶，并炒成炭，煎服。
Jinye (Body Fluids) and Xue (Blood) nourish the fetus, leading to a lack of moistening in the Fei Zang (Lung Organ), compounded by stagnant Fire ascending. Consequently, coughing persists indefinitely. The treatment principle should primarily focus on moistening the lungs.
Wei Huo (Stomach Fire) rebels upward affecting the lungs. Ingestion of cold/raw foods followed by spicy ingredients like Sichuan pepper (Huajiao) and ginger damages Tai Qi (Fetal Qi), causing persistent coughing. Use Wuhu Tang (Five Tiger Decoction). (Refer to "Harmony" Chapter, Formula 7.)
Pi Fei Qi Xu (Spleen and Lung Qi Deficiency) with invasion of Feng Han (Wind-Cold). Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), adding Sang Bai Pi (Morus Alba Root Bark), Xing Ren (Prunus Armeniaca Seed), and Jie Geng (Platycodon Root). (Refer to "Tonify" Chapter, Formula 6.)
Fei Xu (Lung Deficiency) fails to generate Shui (Kidney Water/Yin), leading to Kidney Yin deficiency and hyperactive Fire. One should clear the Metal (Lungs) and nourish the Water (Kidneys), while prioritizing An Tai (Calming the Fetus).
Yin Huo (Deficient Fire) suppresses the Lung Metal. Use Tiandong Tang (Asparagus Decoction). (Refer to "Cold" Chapter, Formula 12.)
Feng Han Ke Fei (Wind-Cold lodging in the Lungs). Use Ningfei Yin (Lung-Calming Infusion). (Refer to "Cold" Chapter, Formula 13.)
Persistent coughing with blood. Use Qingfei Yin (Lung-Clearing Infusion). (Refer to "Cold" Chapter, Formula 27.)
The patient has a pre-existing Gan Huo (Liver Fire). During pregnancy, Yin Blood congregates to nourish the Tai Yuan (Fetal Origin), causing Liver Blood to become increasingly dry. This results in alternating chills and fever, resembling malaria but not being true Nue Ji (Malaria). Alternatively, it may be due to Qi and Blood deficiency, allowing Wind-Cold to exploit the weakness. Wind is a Yang pathogen that transforms into Heat; Cold is a Yin pathogen that transforms into Cold. With both Yin and Yang pathogens involved, chills and fever appear alternately. The treatment should greatly tonify Qi and Blood and mildly release exterior pathogens. If chills and fever persist, the steaming heat will damage the fetus.
Gan Ku Fa Huo (Liver Dryness generating Fire). Use Xiaoyao San (Free and Easy Wanderer Powder). (Refer to "Harmony" Chapter, Formula 5.)
Insufficient Hua Yuan (Source of Transformation/Spleen-Stomach digestion). Use Liuwei Wan (Six-Ingredient Pill). (Refer to "Tonify" Chapter, Formula 2.)
Qi Xu Han Re (Qi Deficiency with Chills and Fever). Use Liujunzi Tang (Six Gentlemen Decoction), removing Banxia (Pinellia Tuber), and adding Huoxiang (Patchouli Herb). (Refer to "Tonify" Chapter, Formula 1.)
Bu He De Yin Yang Zhi Qi (Disorder of Yin-Yang Qi). Harmonization is indicated; use Xiao Chaihu Tang (Minor Bupleurum Decoction). (Refer to "Harmony" Chapter, Formula 10.)
Zang Fu are already deficient; external contact with Wind-Cold causes Zheng Qi (Upright Qi) and Pathogenic factors to clash, moving up and down with Qi dynamics. If attacking the Xin (Heart), it causes Heart Pain; if attacking the Abdomen, it causes Abdominal Pain. If prolonged and untreated, attacking the Bao Tai (Fetus/Uterus) leads to miscarriage.
Abdominal pain with aversion to cold, lower abdomen feels like a fan opening (cold sensation). The Zi Gong (Uterus) is affected by Cold and cannot close, feeling open like a fan. Use Fuzi Tang (Aconite Decoction). (Refer to "Heat" Chapter, Formula 1.)
Xue Zhang Fu Tong (Blood Distension causing Abdominal Pain). This indicates long-term Zi Gong deficiency. Without prompt treatment, miscarriage occurs. Use Duzhong Wan (Eucommia Pill). (Refer to "Tonify" Chapter, Formula 10.)
Pain radiating to both hypochondria, frequent urination, loose stools. Use Antai Heqi Yin (Fetus-Calming and Qi-Harmonizing Infusion). (Refer to "Harmony" Chapter, Formula 11.)
Mild pain extending to the waist, loss of taste. This indicates Bu An Tai Qi (Unstable Fetal Qi). Use Antai Yin (Fetus-Calming Infusion). (Refer to "Tonify" Chapter, Formula 9.)
Intolerable pain, fetal movement threatening expulsion. For early-stage cases with robust constitution, boil several taels of fine silver first, then add Er Gen (Imperata Rhizome/Mao Gen) two jin, decoct the juice, and drink.
Qi distension causing stabbing pain, borborygmus, vomiting/reversal of Qi. Caused by excessive anger, worry, overthinking, and irregular diet. Use Muxiang San (Costus Powder). If Qi stagnation generates Fire, add herbs that clear Fire. (Refer to "Scatter" Chapter, Formula 9.)
Bao Zu Fu Tong (Womb Obstruction Abdominal Pain). Blood is obstructed by the Bao Gong (Womb) and cannot circulate freely. Blood stasis causes Qi stagnation, resulting in abdominal pain. Use Siwu Tang (Four Substances Decoction) plus Ejiao (Donkey-Hide Gelatin), Aye (Mugwort Leaf), and Gancao (Licorice Root). If complicated by Wind, turbid Phlegm forms. Ejiao dispels Wind and clarifies turbidity; Aye guides blood back to its vessels. (Refer to "Tonify" Chapter, Formula 7.)
Pi Wei Qi Xu (Spleen-Stomach Qi Deficiency) failing to support the fetus. Use Antai Yin plus Shengma (Cimicifuga Rhizome) and Baizhu (Atractylodes Macrocephala Rhizome), or Buzhong Yiqi Tang. (Refer to "Tonify" Chapter, Formula 9, 6.)
Sudden pain. Occurs in the fifth to sixth month of pregnancy. Roast fourteen large dates to charcoal, roast one qian of salt until red, grind together, and take with wine.
Trauma from falling causes fetal movement, abdominal pain, and bleeding. First try Siwu Tang plus Ejiao and Aye. If ineffective, use Bazhen Tang (Eight Treasures Decoction) plus Ejiao and Aye, or add Zhimu (Anemarrhena Rhizome). If palpitations, shortness of breath, abdominal fullness, and pain occur, use Siwu Tang plus Ejiao, Shanren (Amomum Fruit), Chenpi (Tangerine Peel), and Huangqin (Scutellaria Root). (Refer to "Tonify" Chapter, Formula 7, 5.)
Wind Pathogen and Tan Yin (Phlegm-Fluid) knotting in the collateral branches of the Heart. Choose one: Siwu Tang combined with Erchen Tang (Two Aged Ingredients Decoction) plus Huoxiang and Zisu (Perilla Leaf); or Ejiao San plus Xuanjinhua (Inula Flower); or Danggui Shaoyao San (Angelica and Peony Powder). (Refer to "Tonify" Chapter, Formula 7; "Harmony" Chapter, Formula 8; "Tonify" Chapter, Formula 63; "Tonify" Chapter, Formula 11.)
Abdominal pain radiating to the hips. Use Wujiapi San (Eleutherococcus Powder) or Wujiapi Wan (Eleutherococcus Pill). (Refer to "Scatter" Chapter, Formula 10, 11.)
Skin pain, tendon/bone stiffness and spasm, curled hands and feet. Caused by internal consumption of cold/raw foods and external exposure to Wind-Cold. Cold Qi clashes internally and externally, disturbing the fetus. Use Antai Heqi Yin. (Refer to "Harmony" Chapter, Formula 11.)
Bone/tendon pain, limb restlessness. Due to strange dreams, fright, noise, shouting, or palpitations, disturbing Fetal Qi. This causes distension in the hypochondria, urgent pain connecting to the umbilicus, restlessness in sitting/lying, and rapid breathing resembling asthma. Quickly administer Dasheng San (Great Sage Powder). (Refer to "Tonify" Chapter, Formula 12.)
Intermittent abdominal pain with heavy bearing-down sensation in the lower abdomen. Indicates Xue Xu Qi Xian (Blood Deficiency with Qi Sinking). Use Jiawei Antai Yin (Modified Fetus-Calming Infusion). (Refer to "Tonify" Chapter, Formula 13.)
Old Cold clashing with Blood, causing Blood coagulation and Qi stagnation. Use Wulingzhi (Trogopterus Dung) and Puhuang (Lygodium Spore), both roasted to charcoal, mixed with vinegar and taken. Or use Wujunzi Tang (Five Gentlemen Decoction). (Refer to "Tonify" Chapter, Formula 14.)
Whole-body pain, pain rushing to the heart feeling fatal, inability to eat. Use Baizhu (Atractylodes Rhizome), Shaoyao (Peony Root), and Huangqin (Scutellaria Root).
Fullness below the heart, urgent Qi and painful sensation. Use Chifuling (Red Poria), Sangbaipi (Mulberry Root Bark), Qianhu (Peucedanum Root), Yuliren (Apricot Kernel), Sugeng (Perilla Stem), and Wujiapi (Eleutherococcus Bark).
Blood Deficiency with Heat. Crush two jin of Shengdi (Rehmannia Root) for juice, mix with one sheng of wine, decoct to half volume, and take.
Tai Qi Zitong (Fetal Qi Self-Pain). Use Neibu Wan (Internal Tonification Pill). (Refer to "Tonify" Chapter, Formula 15.)
Bao Luo (Fetal Collaterals) deficiency with Wind-Cold attack, severe lower abdominal pain. Use Zisu Yin plus Shengjiang (Fresh Ginger). If Qi and Blood are both deficient, Bazhen Tang can be modified. (Refer to "Scatter" Chapter, Formula 3; "Tonify" Chapter, Formula 5.)
Qi attacking left and right sides, difficult urination. Use Xiao Chaihu Tang plus Qingpi (Green Tangerine Peel) and Zhizi (Gardenia Fruit). (Refer to "Harmony" Chapter, Formula 10.)
Lower abdominal pain caused by anger, with heavy bearing-down in the urinary tract. Caused by blazing Gan Huo (Liver Fire). Use Longdan Xiegan Tang (Gentian Liver-Draining Decoction), followed by Sijunzi Tang (Four Gentlemen Decoction) plus Shengma and Chaihu (Bupleurum Root). (Refer to "Cold" Chapter, Formula 11; "Tonify" Chapter, Formula 4.)
Lower abdominal pain radiating to waist and hypochondria. Caused by fright and annoyance, potentially leading to continuous bleeding. Use Ejiao, Danggui (Angelica Sinensis), Renshen (Ginseng), Fuling (Poria), plus Xiangfu (Cyperus Rhizome) and Ai Ye (Mugwort Leaf), all roasted to charcoal and decocted.