〔大〕治孕妇腹内钟鸣，用鼠窟前后土为细末，研麝香酒调下二钱，其产妇立愈。
《补遗》治孕妇腹中儿哭，用川黄连浓煎汁，令母常呷之。
〔薛〕按《产宝》云∶小儿在腹中哭，其治法亦用空房中鼠穴土或黄连煎浓汁饮之
即止，想即是证，又云∶脐带上疙瘩，儿含口中，因妊妇登高举臂，脱出儿口，以此作
声，令妊妇曲腰就地如拾物状，仍入儿口即止。然黄连性寒，麝香开窍，当酌量用之。
〔素〕黄帝问曰∶妇人重身，毒之何如？岐伯曰∶有故无殒，亦无殒也。帝曰∶愿闻
其故，何谓也？岐伯曰∶大积大聚，其可犯也，衰其大半而止，过者死。《至真要论》
〔丹〕血块如盘，有孕难服峻剂，此方主之。
香附子（醋煮，四两） 桃仁（去皮尖，一两） 海粉（醋煮，二两） 白术（一两）
上为末，面糊丸服。
治孕痈立效。
乌药（研，出洪软白香辣者良）
上用五钱，水一盏，牛皮胶一片，同煎至七分，温服。
《补遗》治孕中有痈。薏苡仁煮汁饮之。
〔薛〕按孕痈即是腹内患痈，如前法不应，宜用牡丹皮散或薏苡仁汤。（方见外科内痈）
〔大〕经云∶饮食自倍，肠胃乃伤。又云∶阴之所生，本在五味。阴之五宫，伤在
五味。若妊子饮食不节，生冷毒物，恣性食啖，致伤脾胃，故妊娠伤食，最难得药，唯
此二方最稳捷。（木香丸、白术散。）
〔薛〕东垣先生云∶脾胃之气壮，则过时而不饥，多食而不伤。盖胃主司纳，脾主
消化，五脏之本也。然食倍而伤者，乃脾气虚而不化也，若投以峻剂，则脾胃复伤而胎
亦损矣。当审其所因而调治之。若饮食停滞，或肚腹作痛，用平胃散。呕吐恶心，加枳壳、
砂仁。吞酸嗳腐，加黄连三分、吴茱萸二分。腹满泄泻，用六君子汤。停滞肉食，倍加山
楂。停滞面食，倍加麦 。停滞糯食，用白酒曲末一味。米食停滞，倍加谷 。鱼腥所
伤，倍加陈皮。伤辛热之物，加黄连。伤生冷之物，加砂仁、木香；如不应，更加肉豆
蔻、补骨脂；再不应，用四神丸。若脾气下陷，用补中益气汤。凡嗳觉药气，且戒药饵，
节饮食。经云∶损其脾者，调其饮食，适其寒温。大凡脾胃虚弱，饮食难化，以白术、陈
皮为末等分，陈曲糊丸，常服最善。枳术丸但可暂用，枳实峻厉，能耗真气，治者慎之。
一妊娠因停食，服枳术丸，胸腹不利，饮食益少，更服消导宽中之剂，其胎下坠。余
谓此脾气虚而不能承载也，用补中益气及六君子汤，中气渐健，其胎渐安。又用八珍汤
加柴胡、升麻，调理而痊。
木香丸 治妇人有孕伤食。
木香（二钱） 三棱 人参 白茯苓（各三钱）
上为细末，面糊丸如绿豆大。熟水吞三四十丸。
白术散 治妊娠气不调和，饮食易伤。
白术（炒） 干紫苏（各一两） 人参 白芷（炒，各七钱半） 川芎 诃子皮
青皮（各半两） 甘草（二钱半）
上为末，每服二钱，水一盏，姜三片，煎至七分，温服。
《局方》小七香丸、（杂伤饮食。）保气散（坐月。）二方，治伤食良效。
郑氏胜金散 治妊妇因食伤胎，传于脾
胃，气虚冷逼，小腹胀痛，或腰重大便秘。
吴茱萸（酒浸） 净陈皮 川芎 干姜（炮） 生姜（切、焙，各一钱半） 炙甘草 浓朴（姜制，各
三钱）
细末，每服三钱，陈米饮下，入盐煎尤妙。《济生》加砂仁。
【大】治疗孕妇腹内发出如钟鸣般的声响，用老鼠洞前后的泥土研成细末，加入麝香，用酒调服二钱，产妇立即痊愈。
《补遗》治疗孕妇腹中胎儿啼哭，用川黄连浓煎取汁，让孕妇经常小口饮用。
【薛】按《产宝》记载：小儿在腹中啼哭，其治疗方法也是用空房中的鼠穴土，或者将黄连煎成浓汁让孕妇服用，啼哭即可停止。我想这指的就是上述证候。书中又说：脐带上长有疙瘩，被胎儿含在口中，因为孕妇登高举臂，导致疙瘩脱出胎儿口中，因此发出声音。令孕妇弯腰贴近地面，做出捡拾物品的姿势，使疙瘩重新回到胎儿口中，啼哭就会停止。然而，黄连性寒，麝香具有开窍作用，应当酌情衡量使用。
【素】黄帝问道：妇女怀孕时，如果用药攻邪，会有什么影响？岐伯回答说：如果有病邪存在（故），就不会伤害母体，也不会伤害胎儿。黄帝说：希望听您讲讲其中的道理，这是什么意思呢？岐伯说：对于体内大的积聚病证，可以使用攻伐药物，但病情减轻大半时就应停止，如果过度攻伐会导致死亡。出自《至真要论》。
【丹】针对血块如盘大，且有妊娠难以服用峻猛药物的情况，此方主治。
香附子（醋煮，四两） 桃仁（去皮尖，一两） 海粉（醋煮，二两） 白术（一两）
以上药物研为细末，用面糊制成丸药服用。
治疗孕痈（妊娠期腹部痈肿）立竿见影。
乌药（研碎，以松软、白色、香辣者为佳）
取五钱，加水一盏，加入一片牛皮胶，共同煎煮至七分量，温服。
《补遗》治疗孕期患有痈肿。用薏苡仁煮汁饮用。
【薛】按：孕痈即是腹内患痈，如果上述方法无效，宜用牡丹皮散或薏苡仁汤。（方剂见外科内痈章节）
【大】经书云：饮食过量一倍，肠胃就会受伤。又说：阴精的生成，根本在于五味。五脏（阴之五宫）的伤害，也在于五味。如果孕妇饮食不节制，食用生冷毒物，放纵食欲，导致脾胃受伤，所以妊娠伤食最难用药，唯有这两个方子最为稳妥快捷。（木香丸、白术散。）
【薛】东垣先生说：脾胃之气强健，就能超过正常时间也不觉得饿，多吃也不会受伤。胃主受纳，脾主消化，这是五脏的根本。然而饮食过量导致损伤，是因为脾气虚弱不能运化。如果投用峻猛药物，则脾胃再次受伤，胎儿也会受损。应当审察病因进行调理治疗。如果是饮食停滞，或者肚腹疼痛，用平胃散。出现呕吐恶心，加枳壳、砂仁。吞酸嗳腐（打嗝有腐败气味），加黄连三分、吴茱萸二分。腹胀腹泻，用六君子汤。肉食停滞，加倍加山楂。面食停滞，加倍加麦芽。糯米食停滞，单用白酒曲末一味。米食停滞，加倍加谷芽。鱼腥所伤，加倍加陈皮。伤于辛热之物，加黄连。伤于生冷之物，加砂仁、木香；如果无效，再加肉豆蔻、补骨脂；再无效，用四神丸。如果是脾气下陷，用补中益气汤。凡是闻到药味就反感，且忌服药物的，只调节饮食，适应寒温变化。经书云：损伤脾脏的，要调节饮食，适应寒温。大凡脾胃虚弱，饮食难消化，用白术、陈皮研为细末等分，陈年曲糊制丸，常服效果最好。枳术丸只能暂时使用，枳实药性峻厉，会耗损真气，医者需谨慎。
有一位孕妇因停食，服用枳术丸后，胸腹不适，饮食更少，又服用消导宽中之剂，导致胎气下坠。我认为这是脾气虚弱不能承载胎元所致，用补中益气汤及六君子汤，中气逐渐强健，胎气逐渐安定。后又用八珍汤加柴胡、升麻，调理而痊愈。
木香丸 治疗妇女怀孕伤食。
木香（二钱） 三棱 人参 白茯苓（各三钱）
以上研为细末，用面糊制成绿豆大小的丸药。熟水送服三四十丸。
白术散 治疗妊娠气机不调和，饮食易受伤。
白术（炒） 干紫苏（各一两） 人参 白芷（炒，各七钱半） 川芎 诃子皮 青皮（各半两） 甘草（二钱半）
以上研为细末，每次服二钱，加水一盏，生姜三片，煎至七分，温服。
《局方》中的小七香丸（治杂伤饮食）、保气散（坐月子期间用），这两个方子治疗伤食疗效良好。
郑氏胜金散 治疗妊妇因饮食损伤胎气，传于脾胃，气虚冷逼，小腹胀痛，或腰重便秘。
吴茱萸（酒浸） 净陈皮 川芎 干姜（炮） 生姜（切、焙，各一钱半） 炙甘草 浓朴（姜制，各三钱）
研为细末，每次服三钱，用陈米饮送下，加盐煎煮尤其好。《济生》方加砂仁。
[Da] To treat a pregnant woman with bell-like rumbling sounds in the abdomen, use soil from the front and back of a mouse hole, grind it into fine powder, mix with musk (Moschus), and take two qian mixed with wine. The patient will be cured immediately.
[Bu Yi] To treat fetal crying within the womb of a pregnant woman, decoct Rhizoma Coptidis (Chuan Huanglian) strongly to obtain the juice, and let the mother sip it frequently.
[Xue] According to *Baoyuan* (Treasures of Obstetrics): When a fetus cries in the womb, the treatment also involves using soil from a mouse hole in an empty room or drinking strong decoction of Rhizoma Coptidis (Chuan Huanglian). The crying stops. I believe this refers to the aforementioned condition. It is also stated: A nodule on the umbilical cord may be held in the infant's mouth. If the pregnant woman climbs high and raises her arms, the nodule may slip out of the infant's mouth, causing noise. Instruct the pregnant woman to bend her waist to the ground as if picking up an object; once the nodule re-enters the infant's mouth, the crying stops. However, since Rhizoma Coptidis (Chuan Huanglian) is cold in nature and Moschus opens the orifices, their use should be carefully considered.
[Su] The Yellow Emperor asked: What happens if toxic drugs are used on a pregnant woman? Qibo replied: If there is a pathological accumulation (Gu), neither the mother nor the fetus will be harmed. The Emperor said: I wish to hear the reason behind this; what does it mean? Qibo said: For large accumulations and masses, attacking agents may be used, but stop when more than half of the pathology has been reduced; exceeding this limit leads to death. From *Zhi Yao Yuan Lun*.
[Dan] For blood masses as large as a plate, where strong purgatives are difficult to administer during pregnancy, this formula is indicated.
Cyperi Rhizoma (Xiangfu Zi) (boiled in vinegar, 4 liang)
Persicae Semen (Taoren) (skin and tip removed, 1 liang)
Tapiocae Medulla (Haifen) (boiled in vinegar, 2 liang)
Atractylodis Macrocephalae Rhizoma (Baizhu) (1 liang)
Grind all into powder, form pills with wheat paste, and take orally.
This treats abdominal abscess during pregnancy (Yun Yong) with immediate effect.
Linderae Radix (Wuyao) (ground; soft, white, fragrant varieties are superior)
Take 5 qian, add one cup of water and a piece of Ox Hide Glue (Niujiaojiao), decoct together until reduced to 0.7 parts, and take warm.
[Bu Yi] To treat abscess during pregnancy. Decoct Coicis Semen (Yiyiren) and drink the juice.
[Xue] Note: Yun Yong refers to an abdominal abscess. If the above methods are ineffective, use Mudanpi San or Yiyiren Tang. (Formulas see Surgical Internal Abscess section).
[Da] The Classics state: If food intake doubles, the intestines and stomach are injured. It also states: The generation of Yin essence originates from the Five Flavors. The five Yin organs (palaces of Yin) are damaged by the Five Flavors. If a pregnant woman does not regulate her diet, consuming raw, cold, or toxic substances, and indulges in eating, it injures the Spleen and Stomach. Therefore, treating food stagnation in pregnancy is difficult regarding medication choice; only these two formulas are most stable and effective. (Muxiang Wan, Baizhu San.)
[Xue] Mr. Dongyuan said: When the Qi of the Spleen and Stomach is robust, one does not feel hungry past normal times, and excessive eating does not cause injury. The Stomach governs reception, and the Spleen governs digestion; they are the root of the five Zang organs. However, injury from excessive food intake is due to Spleen Qi deficiency failing to transform. If strong agents are administered, the Spleen and Stomach will be further injured, and the Fetus will also be damaged. One must examine the cause and treat accordingly. If there is food stagnation or abdominal pain, use Pingwei San. For vomiting and nausea, add Fructus Aurantii (Zhike) and Amomi Fructus (Sharen). For acid regurgitation and belching with rotten smell, add Rhizoma Coptidis (Huanglian) 3 fen and Evodiae Fructus (Wuzhuyu) 2 fen. For abdominal fullness and diarrhea, use Liujunzi Tang. For meat stagnation, double the amount of Crataegi Fructus (Shanzha). For flour stagnation, double the amount of Hordeum Germ (Maiya). For glutinous rice stagnation, use only Baijiuqu Mo (Baijiu Qu powder). For rice stagnation, double the amount of Oryza Germ (Guya). For damage from fishy odors, double the amount of Citri Reticulatae Pericarpium (Chenpi). For damage from pungent and hot substances, add Rhizoma Coptidis (Huanglian). For damage from raw and cold substances, add Amomi Fructus (Sharen) and Aucklandiae Radix (Muxiang); if ineffective, add Myristicae Semen (Roudoukou) and Psoraleae Fructus (Buguzhi); if still ineffective, use Sishen Wan. If Spleen Qi sinks, use Buzhong Yiqi Tang. Whenever one feels aversion to the smell of medicine and refuses medication, regulate diet and adapt to temperature changes. The Classics state: For Spleen injury, regulate diet and adapt to cold and heat. Generally, for Spleen and Stomach weakness and difficulty digesting food, equal parts of Atractylodis Macrocephalae Rhizoma (Baizhu) and Citri Reticulatae Pericarpium (Chenpi) ground into powder, formed into pills with aged Qu paste, taken regularly yields the best results. Zhizhu Wan should only be used temporarily; Zhi Shi is harsh and consumes True Qi; physicians must be cautious.
A pregnant woman suffered from food stagnation and took Zhizhu Wan, resulting in chest and abdominal discomfort and decreased appetite. She then took digestive and middle-journey widening agents, causing the fetus to descend. I reasoned this was due to Spleen Qi deficiency failing to support the fetus. I used Buzhong Yiqi Tang and Liujunzi Tang; as Middle Qi gradually strengthened, the fetus stabilized. Subsequently, Shenzhen Tang was used with Chai Hu and Sheng Ma for regulation, leading to recovery.
Muxiang Wan Treats food stagnation in pregnant women.
Aucklandiae Radix (Muxiang) (2 qian)
Sparganii Rhizoma (Sanleng)
Ginseng Radix et Rhizoma (Renshen)
Poria (Fuling) (each 3 qian)
Grind into fine powder, form pills the size of mung beans with wheat paste. Swallow 30-40 pills with cooked water.
Baizhu San Treats disharmony of Qi in pregnancy and susceptibility to food injury.
Atractylodis Macrocephalae Rhizoma (Baizhu) (stir-fried)
Perillae Folium (Gan Zisu) (each 1 liang)
Ginseng Radix et Rhizoma (Renshen)
Angelicae Dahuricae Radix (Baizhi) (stir-fried, each 7.5 qian)
Chuanxiong Rhizoma (Chuanxiong)
Terminalia Chebulae Fructus (Hezipi)
Citri Reticulatae Pericarpium Viride (Qingpi) (each 0.5 liang)
Glycyrrhizae Radix et Rhizoma (Gancao) (2.5 qian)
Grind into powder. Take 2 qian per dose, add one cup of water and 3 slices of Zingiberis Rhizoma Recens (Jiang), decoct to 0.7 parts, and take warm.
Xiao Qixiang Wan from *Ju Fang* (treats miscellaneous food injuries) and Baoqi San (used during confinement) are both highly effective for treating food stagnation.
Zhengshi Shengjin San Treats pregnant women whose fetus is injured by food, transmitting to the Spleen and Stomach, causing Qi deficiency and cold compression, resulting in lower abdominal distension and pain, heavy sensation in the waist, or constipation.
Evodiae Fructus (Wuzhuyu) (soaked in wine)
Prepared Citri Reticulatae Pericarpium (Jing Chenpi)
Chuanxiong Rhizoma (Chuanxiong)
Zingiberis Rhizoma (Ganjiang) (roasted)
Zingiberis Rhizoma Recens (Shengjiang) (sliced and roasted, each 1.5 qian)
Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Gancao)
Magnoliae Officinalis Cortex (N Houpu) (processed with ginger juice, each 3 qian)
Grind into fine powder. Take 3 qian per dose, swallow with old rice water; adding salt during decoction is particularly good. *Jisheng* formula adds Amomi Fructus (Sharen).