（又名夜叉胎。）
凡妇人气血充实，脏腑调和，秉心正真，则无鬼胎证矣。若营卫虚损，精神衰弱，邪思蓄注，冲任滞逆，
脉道壅瘀不行，状如怀娠，故曰鬼胎。然细究其理，鬼胎者，伪胎也。如人邪淫之念一起，则肝肾相火自
动，有梦与鬼交者，非实有鬼神交接成胎也。即经所谓思想无穷，所愿不遂。白淫、白浊流入子宫，结为
鬼胎，乃本妇自己血液淫精聚结成块。血随气结而不散，以致胸腹胀满，俨若胎孕耳，非伪
胎而何？故鬼胎之脉，沉细弦涩，或有时虚浮，有时沉紧，忽大、忽小，皆阳气不充之验。其腹虽渐大而
漫起重坠，终与好胎不同。当脐或脐下左旁虽微动，亦与真胎迥别。所以一见经候不调，就行调补，庶免
此患。若停经瘀滞而得，即血 症气瘕之类，则病已成，当调补元气为主，而继以去积之药乃可。然欲于补
中兼行，无如决津煎。欲去其滞而不猛峻，无如通瘀煎。若由阳气不足，或肝脾郁怒所伤，不能生发，致
阴血不化而经闭为患，肚腹渐大，以加味归脾汤、加味逍遥散，再加去白陈皮八分。如干嗽，用蜜制治之
自愈。此外，如狐魅异类之遇者，则实有所受，而又非鬼胎之谓，当于 瘕类求法下之。又常见妇人得
孕经止，尺脉或涩或微弱，而无他病，此子宫真气不全，精血虽凝，而阳虚阴不能化，终不成形，每致产
时而下血块、血胞，必大剂温补预调，而后方能成孕也。
决津煎 治妇人血虚经滞，不能流畅而痛极者。以水济水，若江河一决而积垢皆去，用此汤随
证加减主之，此用补为泻之神剂也。
当归（三五钱或一两） 泽泻（一钱五分） 牛膝（二钱） 肉桂（一、二、三钱） 熟地（二三钱或
五七钱，或不用亦
可） 乌药（一钱，如气虚者不用亦可）
水二钟，煎七八分，食前服。如呕恶，加焦姜一二钱。阴滞不行，非加附子不可。如气滞而痛胀，加香
附一二钱，或木香七八分。如血滞血涩，加酒炒红花一二钱。如小腹不暖而痛极者，加吴茱萸七八分。
如大便结涩，加肉苁蓉一、二、三钱，微者以山楂代之。如气虚，少用香、陈之类，甚者不用亦可。
通瘀煎 治妇人气滞血积，经脉不利，痛极拒按，及产后瘀血实痛，并男妇血逆、血厥等证。
归尾（三五钱） 山楂 香附（制） 红花（新者炒黄。各二钱） 乌药（一二钱） 青皮
泽泻（各一钱五分） 木香（七分）
水二钟，煎七分，加酒一二小钟，食前服。兼寒滞者，加肉桂一钱，或吴茱萸五分。火盛内热，血燥不行
者，加炒栀子一二钱。微热血虚者，加芍药二钱。血虚涩滞者，加牛膝。血瘀不行者，加桃仁二十粒，
去皮尖，或加苏木、元胡之类。
瘀极而大便结燥者，加大黄一二钱。
加味归脾汤（见本卷胞漏小产门，附归脾汤下。） 加味逍遥散（见本卷子悬门，附逍遥散下。）
凡是妇女气血充实，脏腑功能调和，心思端正纯正，就不会出现鬼胎的病症。如果营卫之气虚损，精神衰弱，邪念积聚灌注，导致冲脉和任脉气机阻滞逆乱，脉道壅塞瘀血运行不畅，身体状态如同怀孕一样，所以称为鬼胎。然而仔细推究其原理，所谓的鬼胎，其实是伪胎。就像人一旦产生邪淫的念头，肝肾中的相火就会自动发动，有的会在梦中与鬼神交接，这并不是真的有鬼神交合而成胎。正如医经所说：“思想无穷，所愿不遂。”白淫、白浊流入子宫，凝结成鬼胎，这实际上是妇女自己的血液和淫精聚结形成的块状物。血液随着气机凝结而不消散，导致胸腹部胀满，俨然像怀孕的样子，这难道不是伪胎吗？因此，鬼胎的脉象表现为沉细弦涩，或者有时虚浮，有时沉紧，忽大忽小，这都是阳气不充盛的验证。其腹部虽然逐渐增大且漫然有重坠感，终究与正常的胎儿不同。在肚脐或脐下左侧旁侧即使有轻微的胎动，也与真正的胎动截然不同。所以一旦见到月经周期不调，就应当立即进行调理补益，以免遭受这种祸患。如果是因停经瘀滞而导致的，属于血瘕、气瘕之类的疾病，那么病情已经形成，应当以调补元气为主，随后再用消除积块的药物才可以。然而想要在补益的同时兼行攻逐，没有比决津煎更好的方剂了。想要去除瘀滞而不使用猛烈峻烈的药物，没有比通瘀煎更好的方剂了。如果是由于阳气不足，或者因肝脾郁怒受损，不能生发，导致阴血无法化生而闭经患病，肚腹逐渐增大，可以使用加味归脾汤、加味逍遥散，再加去白陈皮八分。如果出现干咳，用蜜炙的方法治疗即可自愈。此外，如遇到狐魅异类之邪的情况，则是确实受到了外邪侵袭，但这不属于鬼胎的范畴，应当在癥瘕类的治法中寻求攻下的方法。又常见妇人受孕后月经停止，尺脉或涩或微弱，而没有其他疾病，这是子宫真气不全，精血虽然凝结，但阳虚导致阴不能化生，最终不能成形，往往导致分娩时排出血块、血胞，必须用大剂量的温补药物预先调理，之后才能成功受孕。
决津煎：治疗妇女血虚导致经血停滞，不能流畅运行而疼痛剧烈的情况。如同以水济水，若江河决堤则积垢全部去除，使用此汤随证加减主治，这是运用补益法达到泻实效果的神奇方剂。
当归（三五钱或一两） 泽泻（一钱五分） 牛膝（二钱） 肉桂（一、二、三钱） 熟地黄（二三钱或五七钱，或者不用也可以） 乌药（一钱，如果气虚者不用也可以）
用水两钟，煎煮至七八分，饭前服用。如果有呕吐恶心症状，加焦姜一二钱。如果是阴寒凝滞不行，非加附子不可。如果是气滞导致胀痛，加香附一二钱，或者木香七八分。如果是血滞血涩，加酒炒红花一二钱。如果小腹不温暖且疼痛剧烈，加吴茱萸七八分。如果大便干结涩滞，加肉苁蓉一、二、三钱，轻微者用山楂代替。如果气虚，少用香附、陈皮之类，严重者不用也可以。
通瘀煎：治疗妇女气滞血积，经脉不利，疼痛剧烈拒按，以及产后瘀血实证疼痛，还有男女血逆、血厥等病症。
当归尾（三五钱） 山楂 香附（制） 红花（新者炒黄。各二钱） 乌药（一二钱） 青皮 泽泻（各一钱五分） 木香（七分）
用水两钟，煎煮至七分，加入酒一二小钟，饭前服用。兼有寒滞的，加肉桂一钱，或者吴茱萸五分。火盛内热，血燥不行的，加炒栀子一二钱。微热血虚的，加芍药二钱。血虚涩滞的，加牛膝。血瘀不行的，加桃仁二十粒，去皮尖，或者加苏木、元胡之类。
瘀血极重而大便干结燥硬的，加大黄一二钱。
(Ghost Fetus, also known as Yaksha Fetus.)
Whenever a woman's Qi and Blood are abundant, her Zang-Fu organs are harmonious, and her mind is upright and pure, she will not suffer from the condition of Ghost Fetus. However, if Ying and Wei Qi are deficient and damaged, spirit and vitality are weak, evil thoughts accumulate and pour in, causing stagnation and reversal in the Chong and Ren meridians, and the pulse channels become congested with blood stasis that fails to flow, resulting in a physical state resembling pregnancy; thus it is called Ghost Fetus. Upon careful investigation of its principle, the so-called Ghost Fetus is actually a pseudo-fetus. Just as when a person harbors illicit sexual desires, the Minister Fire (Xiang Huo) of the Liver and Kidney activates spontaneously; some may dream of intercourse with spirits or ghosts. This does not mean that actual spirits or ghosts have engaged in intercourse to form a fetus. As stated in the classics: "Thoughts are endless, wishes remain unfulfilled." White discharge (Bai Yin) and turbid urine (Bai Zhuo) flow into the uterus, condensing into a Ghost Fetus. This is essentially a mass formed by the aggregation of the woman's own blood and seminal fluids. The blood coagulates with Qi and does not disperse, leading to fullness and distension in the chest and abdomen, appearing exactly like pregnancy. Is this not a pseudo-fetus? Therefore, the pulse of Ghost Fetus presents as deep, fine, wiry, and choppy, or sometimes floating and empty, sometimes deep and tight, fluctuating between large and small. These are all signs of insufficient Yang Qi. Although the abdomen gradually enlarges and feels heavy and dragging, it ultimately differs from a normal fetus. Even if there is slight movement at or below the umbilicus on the left side, it is distinctly different from true fetal movement. Thus, once menstrual irregularities are observed, regulation and tonification should be initiated immediately to avoid such affliction. If caused by amenorrhea and blood stasis, it belongs to categories such as Blood Mass (Xue Jia) or Qi Mass (Qi Jia). In such cases, the pathology has already formed, and treatment should primarily focus on regulating and tonifying Yuan Qi, followed by the use of herbs that resolve accumulations. However, among formulas that combine tonification with purgation, none is superior to Juejin Decoction (Juejin Jian). To remove stagnation without using harsh and drastic drugs, none is better than Tongyu Decoction (Tongyu Jian). If caused by insufficiency of Yang Qi or injury due to Liver-Spleen depression and anger, preventing the generation and diffusion of Qi, leading to the failure of Yin Blood transformation and amenorrhea, with gradual abdominal enlargement, Jiawei Guipi Tang (Modified Spleen-Tonifying Decoction) and Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) can be used, plus eight fen of Chenpi (Citri Reticulatae Pericarpium, peeled). For dry cough, honey-processed treatment will lead to self-healing. Furthermore, encounters with fox-spirit or other supernatural entities involve actual external pathogenic reception, which does not fall under the category of Ghost Fetus; methods for treating masses (Zhen Jia) involving purgation should be sought. It is also commonly seen that after conception, menstruation stops, and the Chi pulse is either choppy or weak and faint, without other diseases. This indicates incomplete True Qi of the Uterus. Although Jing and Blood have condensed, Yang deficiency prevents Yin from transforming, so the fetus ultimately fails to take shape. This often results in the expulsion of blood clots and placental membranes during delivery. Large doses of warming and tonifying medicines must be used for pre-conditioning before successful pregnancy can be achieved.
Juejin Decoction (Juejin Jian): Treats women with Blood deficiency causing menstrual stagnation, where flow is obstructed and pain is severe. It acts like water replenishing water; just as a river breach clears all accumulated silt, this decoction is used with modifications based on syndrome differentiation. It is a miraculous agent that uses tonification to achieve purgation.
Danggui (Angelicae Sinensis Radix) (3-5 qian or 1 liang), Zexie (Alismatis Rhizoma) (1.5 qian), Niuxi (Achyranthis Bidentatae Radix) (2 qian), Rougui (Cinnamomi Cortex) (1, 2, or 3 qian), Shudi (Rehmanniae Radix Praeparata) (2-3 qian or 5-7 qian, or may be omitted), Wuyao (Linderae Radix) (1 qian, may be omitted if Qi is deficient).
Decoct 2 zhong of water until reduced to 70-80%, take before meals. If vomiting and nausea occur, add Jiaojiang (Scorched Zingiberis Rhizoma) 1-2 qian. If Yin stagnation fails to move, Fuzi (Aconiti Lateralis Radix Praeparata) must be added. If Qi stagnation causes distension and pain, add Xiangfu (Cyperii Rhizoma) 1-2 qian, or Muxiang (Aucklandiae Radix) 0.7-0.8 qian. If Blood stagnation and涩 (astringency/stasis) occur, add Honghua (Carthami Flos) wine-fried 1-2 qian. If the lower abdomen is cold and pain is severe, add Wuzhuyu (Evodiae Fructus) 0.7-0.8 qian. If stool is constipated and dry, add Rongzhuong (Cistanches Herba) 1-3 qian; for mild cases, Shanzha (Crataegi Fructus) can substitute. If Qi is deficient, use less Xiangfu and Chenpi; for severe cases, they may be omitted.
Tongyu Decoction (Tongyu Jian): Treats women with Qi stagnation and Blood accumulation, unsmooth meridians, severe pain with refusal to press, postpartum real pain due to blood stasis, as well as Blood rebellion and Blood syncope in both men and women.
Guiwei (Angelicae Sinensis Radix Cauda) (3-5 qian), Shanzha (Crataegi Fructus), Xiangfu (Cyperii Rhizoma, processed), Honghua (Carthami Flos, fresh stir-fried until yellow, each 2 qian), Wuyao (Linderae Radix) (1-2 qian), Qingpi (Citri Reticulatae Pericarpium Viride), Zexie (Alismatis Rhizoma) (each 1.5 qian), Muxiang (Aucklandiae Radix) (0.7 qian).
Decoct 2 zhong of water until reduced to 70%, add 1-2 small zhong of wine, take before meals. For combined Cold stagnation, add Rougui (Cinnamomi Cortex) 1 qian or Wuzhuyu (Evodiae Fructus) 0.5 qian. For excess Fire and internal heat with dry Blood failing to flow, add Zhizi (Gardeniae Fructus) stir-fried 1-2 qian. For mild Heat with Blood deficiency, add Shaoyao (Paeoniae Radix Alba) 2 qian. For Blood deficiency with astringent stagnation, add Niuxi (Achyranthis Bidentatae Radix). For Blood stasis failing to move, add Taoren (Persicae Semen) 20 grains, peeled and de-pitted, or add Sumu (Sappan Lignum) or Yuanyan (Cyathulae Radix).
For extreme stasis with dry and constipated stool, add Dahuang (Rhei Radix et Rhizoma) 1-2 qian.
Jiawei Guipi Tang (See Volume [X], Section on Metrorrhagia and Spontaneous Abortion, attached under Guipi Tang.) Jiawei Xiaoyao San (See Volume [X], Section on Subcostal Distension, attached under Xiaoyao San.)