（歌解见长沙方歌括。） 治蛔厥者。其人当吐蛔。今病者静而复时烦。此为脏寒。蛔
上入膈。故烦。须臾复止。得食而呕。又烦者。蛔闻食臭出。其人当自吐蛔。蛔厥者此丸主
之。
乌梅 细辛 干姜 黄连 当归 川椒 附子 桂枝 人参 黄柏
徐忠可云。黄连之苦可以安蛔。则前甘草与蜜。何以亦能安蛔也。不知上条之蛔。因燥
而上
而上
蛔。
（歌见长沙方歌括。） 治妇人得平脉。阴脉小弱。其人渴不能食。无寒热。名妊娠。
此主之。于法六十日。当有此证。设有医治逆者。却一月。加吐下。则绝之。
桂枝 芍药 甘草 生姜 大枣
徐忠可云。桂枝汤表证得之为解肌和营卫。内证得之为化气调阴阳。时医以姜、桂碍胎
戒用
续之
治妇人宿有症病。经断未及三月。而得漏下不止。胎动在脐上者。此为症痼害。妊娠六
月动者。前三月经水利时胎也。下血者。后断三月 也。所以血不止者。其症不去故也。常
下其症。宜此方主之。
桂枝 茯苓 丹皮 桃仁（去皮尖。熬。） 芍药（各等分。）
上五味末之。炼蜜丸如兔屎大。每日食前服一丸。不知。加至三丸。
歌曰 症痼未除恐害胎。（胎动于脐下为欲落。动于脐上是每月凑集之血因症痼之气妨
害之
受业林礼丰按。师云。妇人宿有症病者。谓未受胎之前。本停瘀而有症病也。经断者。
谓经
痼妨
在脐
水利
其
症不去。必害其胎。去其症。即所以安其胎。故曰当下其症。主以桂苓丸者。取桂枝通肝阳
。芍药滋肝阴。茯苓补心气。丹皮运心血。妙在桃仁监督其间。领诸药直抵于症痼而攻之。
使瘀结去而新血无伤。瘀既去。则新血自能养胎。虽不专事于安胎而正所以安胎也。
（歌诀及解说参见《长沙方歌括》。）治疗蛔厥证。患者应当吐出蛔虫。现在病人安静时却时常感到心烦。这是因为内脏有寒。蛔虫向上进入膈部，所以心烦。过了一会儿又停止。进食后出现呕吐，并且再次心烦，是因为蛔虫闻到食物的气味而出来。患者应当自行吐出蛔虫。蛔厥证用本丸剂主治。
乌梅、细辛、干姜、黄连、当归、川椒、附子、桂枝、人参、黄柏。
徐忠可说：黄连的苦味可以安定蛔虫，那么前文提到的甘草和蜂蜜，为什么也能安定蛔虫呢？不知道上一条所述的蛔虫，是因为燥热而上行导致蛔虫上窜。
（歌诀参见《长沙方歌括》。）治疗妇人取得平和的脉象，阴脉小且弱。患者口渴但不能进食，没有恶寒发热的症状，诊断为妊娠。此方主治。按照法度，怀孕六十天左右，应当出现这些证候。如果有医生治疗失误，到了一个月时，反而加重了呕吐和下利，则断绝其病根（或指病情危重，预后不良）。
徐忠可说：桂枝汤对于表证而言，是解肌调和营卫；对于内证而言，是化气调理阴阳。当时的医生认为生姜、桂枝碍胎，戒除不用，从而延续（病情/误治）。
治疗妇人素有癥病（腹部积块），月经停止不到三个月，却出现漏下不止。胎动在脐上方的，这是癥病为害。如果是正常妊娠六个月动者，前三个月月经通畅时受孕。下血者，是月经停止三个月后出现的。之所以出血不止，是因为癥病未去的原因。应当攻下其癥病，宜用本方主治。
以上五味药研成末，炼蜜制成如兔屎大小的丸剂。每日饭前服用一丸，若无效，加至三丸。
歌诀曰：癥痼未除恐害胎。（胎动于脐下为欲落，动于脐上是每月凑集之血因癥痼之气妨碍之）
受业林礼丰按：老师说，妇人素有癥病，是指未受孕之前，原本就有瘀血停滞而形成癥病。经断，是指月经停止。……癥痼不除，必然伤害胎儿。去除癥病，就是安胎的方法。所以说要攻下其癥病，主以桂苓丸，取桂枝通达肝阳，芍药滋养肝阴，茯苓补益心气，丹皮运行心血。妙在桃仁在其中监督统领，带领诸药直抵癥痼之处而攻伐它。使瘀结去除而新血不受损伤。瘀血既去，则新血自然能滋养胎儿。虽然不专门从事安胎，但这正是安胎的方法啊。
(For the song and explanation, see *Changsha Fang Ge Ku*.) It treats **Hui Jue** (Ascaris syncope). The patient should vomit ascarids. Now, the patient is quiet but occasionally experiences vexation. This is due to cold in the zang organs. The ascarids move upward into the diaphragm, causing vexation. After a moment, it stops again. Upon eating, vomiting occurs, and vexation returns because the ascarids emerge upon smelling the food odor. The patient should spontaneously vomit ascarids. **Hui Jue** is primarily treated with this pill.
**Wumei** (Mume Fructus), **Xixin** (Asarum Herba), **Ganjiang** (Zingiberis Rhizoma), **Huanglian** (Coptidis Rhizoma), **Danggui** (Angelicae Sinensis Radix), **Chuanjiao** (Sichuan Pepper), **Fuzi** (Aconiti Lateralis Radix Praeparata), **Guizhi** (Cinnamomi Ramulus), **Renshen** (Ginseng Radix), **Huangbai** (Phellodendri Cortex).
Xu Zhongke said: The bitterness of **Huanglian** can calm the ascarids. Then why can the previously mentioned **Gancao** (Licorice Root) and honey also calm the ascarids? One does not realize that in the previous clause, the ascarids moved upward due to dryness, leading to the migration of ascarids.
(The song is found in *Changsha Fang Ge Ku*.) It treats women who present with a peaceful pulse, where the yin pulse is small and weak. The patient feels thirsty but cannot eat, without aversion to cold or fever. This is named pregnancy. This formula is indicated. According to the method, around sixty days of pregnancy, these symptoms should appear. If there are erroneous treatments, and by one month later, vomiting and diarrhea worsen, then the condition becomes critical/severed.
**Guizhi** (Cinnamomi Ramulus), **Shaoyao** (Paeoniae Radix Alba), **Gancao** (Licorice Root), **Shengjiang** (Zingiberis Rhizoma Recens), **Dazao** (Jujubae Fructus).
Xu Zhongke said: For exterior syndromes, **Guizhi Tang** (Cinnamon Twig Decoction) resolves the muscle layer and harmonizes **Ying** (Nutrient Qi) and **Wei** (Defensive Qi). For interior syndromes, it transforms qi and regulates **Yin** and **Yang**. Contemporary physicians forbid its use because they believe **Shengjiang** and **Guizhi** harm the fetus, thereby perpetuating the error.
It treats women who have had chronic **Zheng Bing** (mass disease) prior to conception. Menstruation has stopped for less than three months, yet there is continuous spotting. Fetal movement felt above the umbilicus indicates that the **Zheng Bing** is harmful. If fetal movement occurs at six months of pregnancy, it implies conception occurred when menstruation was regular during the first three months. Bleeding after stopping menstruation for three months suggests the bleeding is pathological. The reason the bleeding does not stop is that the **Zheng Bing** remains. One should eliminate the **Zheng Bing**, and this formula is indicated.
**Guizhi** (Cinnamomi Ramulus), **Fuling** (Poria), **Danpi** (Moutan Cortex), **Taoren** (Persicae Semen [skin and tips removed, roasted]), **Shaoyao** (Paeoniae Radix Alba) [equal parts].
The above five herbs are powdered. Honey is refined to make pills the size of rabbit droppings. Take one pill before meals daily. If ineffective, increase to three pills.
The song states: "If the mass is not removed, it may harm the fetus." (Fetal movement below the umbilicus suggests impending miscarriage; movement above the umbilicus is caused by monthly accumulated blood being obstructed by the qi of the mass.)
Disciple Lin Lifeng notes: The Master said, "Women having chronic **Zheng Bing**" refers to the presence of stagnant blood and mass formation prior to conception. "Menstruation stopped" refers to the cessation of menses... If the mass is not removed, it will inevitably harm the fetus. Removing the mass is the way to secure the fetus. Therefore, it is stated that one must purge the mass. Using **Guiling Wan** (Cinnamon Pilla Pill) takes advantage of **Guizhi** to unblock Liver Yang, **Shaoyao** to nourish Liver Yin, **Fuling** to tonify Heart Qi, and **Danpi** to circulate Heart Blood. The brilliance lies in **Taoren** supervising between them, leading the various herbs directly to the mass to attack it. This allows the stasis to be removed while new blood remains undamaged. Once the stasis is gone, new blood can naturally nourish the fetus. Although it does not specifically focus on securing the fetus, this is precisely how the fetus is secured.