活人书曰。娠妇伤寒。仲景无治法。用药宜有避忌。不可与寻常妇人一概论治也。
又曰。妇人妊娠伤寒。药性须凉。切不可行桂枝半夏桃仁等药。
小柴胡去半夏。名黄龙汤。盖为妊妇而去也。大抵产前先安胎。产后
先补血。次服伤寒药。若病稍退则止药。不可尽剂。此为大法。黄帝
问妇人重身。毒之何如。岐伯曰。有故无殒。亦无殒也。大积大聚。其
可犯也。衰其大半而止。过者死。
千金方治妊娠伤寒。头痛壮热。肢节烦疼。石膏前胡汤七味。
又治妊娠伤寒。头疼壮热。心烦呕吐。不可食。生芦根汤四味。
又治妊娠伤寒。服汤后。头疼壮热不歇。宜用竹叶石膏汤拭其身。
又治妊娠热病。葱白五两。豉一升。煮服取汗。
又曰。大热烦闷者。葛根汁二升。分三服。如人行五里。进一服。
活人书娠妇伤寒。安胎。宜阿胶散。又宜白术散。
庞氏曰。娠妇时气。欲令子不落。宜用护胎伏龙肝散。伏龙肝为末。水调敷脐中。干即易之。疾瘥乃止。
又曰。妊娠伤寒。内热极甚。令不伤胎。宜取鸡子。以绢袋贮。投
井底。浸令极冷。旋破吞六七枚佳。
又曰。妊娠伤寒。大热甚。胎不安者。宜用阿胶末一钱半。竹沥
调下。如无竹沥。用小麦竹叶煎汤调下。
又曰。妊娠伤寒。服汗下诸药。热已退。其间与此药安胎。宜服
人参黄 汤。
活人书曰。妊娠伤寒。憎寒发热。发其汗。宜葱白汤。（以葱白生
姜同煎连服取汗）
又曰。妊娠伤寒。头疼壮热。肢节痛疼。宜服前胡汤。（千金方）
又曰。妊娠伤寒。或时行。洒淅作寒。振 而悸。或加哕。宜苏木
汤。雍曰。苏木大破血。更宜参究避之。
又曰。妊娠伤寒。头疼。默默不欲饮食。胁下痛。呕逆。痰气。及
产后伤风。热入胞宫。寒热如疟。并经水适来适断。病后劳复。余热
不解。宜黄龙汤。
又曰。妊娠伤寒。头疼恶寒。身热躁闷。四肢疼痛。项背拘急。唇
口干燥。宜柴胡石膏汤。
又曰。妊妇伤寒。四日至六日以来。加心腹胀。上气。渴不止。饮
食不多。腰疼体重。宜三物枳实汤。
又曰。妊妇伤寒。头目疼。壮热心烦。宜旋覆花汤。
又曰。妊娠伤寒。壮热呕逆。头疼。不思饮食。胎气不安。宜麦冬
汤。
又曰。妊妇发斑。变为黑色。宜栀子大青汤。
庞氏曰。妊娠伤寒。腹胀大便不通。喘急。宜牵牛散。（卷十五）
活人书曰。妇人产后伤风。十数日不解。头微痛恶寒。时时有
热。心下坚。干呕汗出。宜阳旦汤。
又曰。妇人产后伤风。发热面赤。喘而头疼。竹叶防风汤。
又曰。妇人蓐中伤风。四肢苦烦热。头疼。与小柴胡汤。头不疼。但烦。与三物黄芩汤。
庞氏曰。妊娠热病。胎死腹中。用鹿角屑一两。水一碗。葱白五
茎。豉半合。煎六分。去滓。温作二服。又方。益母绞汁。饮半升。即出。
又曰。伤寒小产。恶露不行。腹胀。满闷欲死。宜大黄桃仁汤。
又曰。小产后。恶露被热蒸断不行。宜地黄饮。生地黄藕汁各一
碗。生姜汁一盏。和匀温服。分作三四次服。微有寒者。煎二十沸服。亦下死胎。
又曰。伤寒产后。血晕欲绝。宜红花散。
又曰。凡伤寒小产。夏月宜少用醋炭。多有烦闷晕死者。雍曰。寒月用炭多。
又曰。伤寒产后。恶血冲心。闷乱口干。生姜小便饮子。生地黄汁藕汁小便各一盏。和匀。煎二三沸。分三服。
又曰。伤寒产后。恶露为热搏不下。烦闷胀喘狂言者。抵当汤及桃仁承气汤主之。
又曰。伤寒小产。烦闷。大燥渴。石膏汤主之。
《活人书》说：孕妇患伤寒，张仲景没有制定具体的治疗方法。用药应当有所禁忌，不能像治疗普通妇人那样一概而论。
又说：妇女妊娠期间患伤寒，药性必须偏凉，切不可使用桂枝、半夏、桃仁等药物。
小柴胡汤去掉半夏，名为黄龙汤，这是专门为孕妇去除半夏而设立的方剂。大抵产前应先安胎，产后应先补血，然后再服用治疗伤寒的药物。如果病情稍有好转就停药，不要服完整个疗程，这是基本原则。黄帝问妇人怀孕时，用毒药攻治会怎样？岐伯回答说：有病邪存在就不会损伤母体，也不会损伤胎儿。对于大的积聚病证，可以攻伐，但病势衰退大半时就应停止，过度攻伐会导致死亡。
《千金方》治疗妊娠伤寒，头痛高热，肢体关节烦痛，用石膏前胡汤（七味药）。
又治疗妊娠伤寒，头痛高热，心烦呕吐，不能进食，用生芦根汤（四味药）。
又治疗妊娠伤寒，服药后，头痛高热不退，宜用竹叶石膏汤擦拭身体。
又说：大热烦闷者，用葛根汁二升，分三次服用，如人行走五里的时间，进服一次。
庞氏说：孕妇感受时气，希望胎儿不坠落，宜用护胎伏龙肝散。将伏龙肝研为末，用水调匀敷在脐中，干了就更换，疾病痊愈才停止。
又说：妊娠伤寒，内热极盛，为了不伤及胎儿，宜取鸡蛋，用绢袋装好，投入井底，浸透使其极冷，随即打破吞服六七枚较好。
又说：妊娠伤寒，大热严重，胎动不安的，宜用阿胶末一钱半，用竹沥调服。如果没有竹沥，用小麦、竹叶煎汤调服。
又说：妊娠伤寒，服用发汗、攻下等各种药物后，热已退，在此期间给予此药安胎，宜服人参黄芪汤。
《活人书》说：妊娠伤寒，怕冷发热，发其汗，宜用葱白汤。（以葱白、生姜同煎，连续服用取汗）
又说：妊娠伤寒，头痛高热，肢体关节疼痛，宜服前胡汤。（出自《千金方》）
又说：妊娠伤寒，或时行感冒，洒淅恶寒，振栗心悸，或加上呃逆，宜用苏木汤。郭雍说：苏木破血力量很大，更应仔细研究并避开使用。
又说：妊娠伤寒，头痛，沉默不想饮食，胁下疼痛，呕逆，痰气，以及产后伤风，热入胞宫，寒热如疟疾，以及月经刚来或刚断，病后劳复，余热不解，宜用黄龙汤。
又说：妊娠伤寒，头痛恶寒，身热躁闷，四肢疼痛，项背拘急，唇口干燥，宜用柴胡石膏汤。
又说：孕妇伤寒，第四天到第六天以来，出现心腹胀满，上气，口渴不止，饮食不多，腰疼体重，宜用三物枳实汤。
又说：妊娠伤寒，壮热呕逆，头痛，不思饮食，胎气不安，宜用麦冬汤。
庞氏说：妊娠伤寒，腹胀大便不通，喘急，宜用牵牛散。（卷十五）
《活人书》说：妇人产后伤风，十几天不好，头微痛恶寒，时不时有热，心下坚硬，干呕出汗，宜用阳旦汤。
又说：妇人在产褥期伤风，四肢苦于烦热，头疼，给小柴胡汤；头不疼，只是烦闷，给三物黄芩汤。
庞氏说：妊娠热病，胎死腹中，用鹿角屑一两，水一碗，葱白五茎，豆豉半合，煎至六分，去渣，温服分两次。又一方，益母草绞汁，饮半升，即排出。
又说：伤寒导致小产，恶露不行，腹胀，满闷欲死，宜用大黄桃仁汤。
又说：小产后，恶露被热蒸迫中断不行，宜用地黄饮。生地黄、藕汁各一碗，生姜汁一盏，和匀温服，分作三四次服。若有轻微寒战，煎二十沸后服。也能下死胎。
又说：凡是伤寒小产，夏季宜少用醋炭，多有烦闷晕死的。郭雍说：寒冷月份用炭多。
又说：伤寒产后，恶血冲心，闷乱口干，用生姜小便饮子。生地黄汁、藕汁、小便各一盏，和匀，煎二三沸，分三次服。
The *Huoren Shu* (Book of Vitality) states: For pregnant women suffering from Shanghan (Cold Damage), Zhang Zhongjing did not provide specific treatment methods. Medication requires caution and avoidance, and it cannot be treated in the same manner as for ordinary women.
It further states: For women with pregnancy complicated by Shanghan, the properties of medicines must be cooling. One must absolutely avoid using herbs such as Guizhi (Cinnamon Twig), Banxia (Pinellia Rhizome), and Taoren (Peach Seed).
Xiao Chaihu Tang (Minor Bupleurum Decoction) with Banxia removed is named Huanglong Tang (Yellow Dragon Decoction); this modification was made specifically for pregnant women to remove Banxia. Generally, before delivery, one should first stabilize the fetus; after delivery, one should first nourish the blood, and then administer medications for Shanghan. If the illness subsides slightly, stop the medication; do not complete the full dosage. This is a general principle. The Yellow Emperor asked about treating pregnant women with toxic drugs. Qibo replied: "If there is an existing pathogen, there will be no destruction [of the mother or fetus]." For large accumulations and masses, they may be attacked, but stop when the pathogenic factor has diminished by more than half. Excessive treatment leads to death.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats pregnancy complicated by Shanghan with headache and high fever, and painful limbs/joints, using Shigao Qianhu Tang (Gypsum and Peucedanum Decoction) consisting of seven ingredients.
It also treats pregnancy complicated by Shanghan with headache, high fever, mental restlessness, vomiting, and inability to eat, using Sheng Lugen Tang (Fresh Reed Rhizome Decoction) consisting of four ingredients.
It also treats pregnancy complicated by Shanghan where, after taking decoctions, headache and high fever persist; one should use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) to wipe the body.
It also treats heat diseases during pregnancy: Congbai (Scallion White) five liang, Chi (Fermented Soybean) one sheng, boiled and taken to induce sweating.
It further states: For severe heat and mental restlessness, use Gegen Juice (Kudzu Root Juice) two sheng, divided into three doses. Administer one dose every time the patient walks approximately five li.
The *Huoren Shu* suggests that for stabilizing the fetus in pregnancy complicated by Shanghan, Ejiao San (Donkey-hide Gelatin Powder) is suitable. Baizhu San (Atractylodes Macrocephala Powder) is also suitable.
Pang Shi says: For pregnant women affected by seasonal pathogens, to prevent miscarriage, use Hutai Fulonggan San (Fetus-Protecting Dragon's House Earth Powder). Grind Fulonggan (Dragon's House Earth) into powder, mix with water, and apply to the umbilicus. Change when dry. Stop when the disease resolves.
He further states: In pregnancy complicated by Shanghan with extreme internal heat, to avoid harming the fetus, take chicken eggs, store them in a silk bag, submerge them at the bottom of a well until extremely cold, then break and swallow six or seven eggs.
He further states: In pregnancy complicated by Shanghan with severe high fever and fetal unrest, use 1.5 qian of Ejiao (Donkey-hide Gelatin) powder, mixed with Zhuli (Bamboo Sap) and taken orally. If Zhuli is unavailable, use a decoction of Xiaomai (Wheat) and Zhuye (Bamboo Leaf) mixed with the powder.
He further states: After pregnancy complicated by Shanghan has been treated with diaphoretic and purgative drugs and the heat has subsided, to stabilize the fetus during this period, use Renshen Huangqi Tang (Ginseng and Astragalus Decoction).
The *Huoren Shu* states: For pregnancy complicated by Shanghan with aversion to cold and fever, induce sweating with Congbai Tang (Scallion White Decoction). (Boil Congbai and Shengjiang [Fresh Ginger] together and take continuously to induce sweat.)
It further states: For pregnancy complicated by Shanghan with headache, high fever, and limb/joint pain, use Qianhu Tang (Peucedanum Decoction). (From *Qianjin Fang*).
It further states: For pregnancy complicated by Shanghan or epidemic cold, with chills, trembling palpitations, or hiccups, use Sumu Tang (Sappan Wood Decoction). Guo Yong comments: Sumu (Sappan Wood) strongly invigorates blood and breaks stasis; it should be carefully studied and avoided.
It further states: For pregnancy complicated by Shanghan with headache, silence, loss of appetite, hypochondriac pain, vomiting/reversal, phlegm-q stagnation, as well as postpartum wind-strike, heat entering the Bao Palace (Uterus), alternating chills and fever resembling malaria, menstruation just starting or stopping, relapse due to overexertion after illness, and lingering residual heat, use Huanglong Tang (Yellow Dragon Decoction).
It further states: For pregnancy complicated by Shanghan with headache, aversion to cold, body heat, restlessness, limb pain, stiffness of the neck and back, and dry lips/mouth, use Chaihu Shigao Tang (Bupleurum and Gypsum Decoction).
It further states: For pregnant women with Shanghan, from the fourth to sixth day, presenting with abdominal distension/fullness, rising qi, unquenchable thirst, poor appetite, lower back pain, and heavy body, use Sanwu Zhishi Tang (Three-Ingredient Immature Bitter Orange Decoction).
It further states: For pregnant women with Shanghan with head/eye pain, high fever, and mental restlessness, use Xuanfuhua Tang (Inula Flower Decoction).
It further states: For pregnancy complicated by Shanghan with high fever, vomiting/reversal, headache, loss of appetite, and fetal unrest, use Maidong Tang (Ophiopogon Decoction).
It further states: For pregnant women developing macules that turn black, use Zhizi Daqing Tang (Gardenia and Isatis Decoction).
Pang Shi states: For pregnancy complicated by Shanghan with abdominal distension, constipation, and wheezing/urgency, use Qianniu San (Morning Glory Seed Powder). (Volume 15)
The *Huoren Shu* states: For women with postpartum wind-strike lasting ten-plus days without resolution, presenting with slight headache, aversion to cold, intermittent fever, hardness below the heart, dry retching, and sweating, use Yangdan Tang (Yang Dawn Decoction).
It further states: For postpartum wind-strike with fever, red face, wheezing, and headache, use Zhuye Fangfeng Tang (Bamboo Leaf and Saposhnikovia Decoction).
It further states: For women with wind-strike during confinement, with limbs suffering from vexatious heat and headache, administer Xiao Chaihu Tang (Minor Bupleurum Decoction). If there is no headache but only vexation, administer Sanwu Huangqin Tang (Three-Ingredient Scutellaria Decoction).
Pang Shi states: For heat diseases in pregnancy with a dead fetus in the womb, use 1 liang of Lujiaoxie (Deer Horn Chips), one bowl of water, five stems of Congbai (Scallion White), and half he of Chi (Fermented Soybean). Decoct to one-sixth volume, strain, and take warm in two doses. Another prescription: Squeeze juice from Yimucao (Motherwort), drink half sheng, and the fetus will be expelled.
It further states: For miscarriage caused by Shanghan with failure of lochia discharge, abdominal distension, and suffocating fullness, use Dahuang Taoren Tang (Rhubarb and Peach Seed Decoction).
It further states: After miscarriage, if lochia stops due to steaming by heat, use Dihuang Yin (Rehmannia Infusion). Use one bowl each of Shengdihuang (Fresh Rehmannia Root) juice and Ouji (Lotus Root Juice), and one ladle of Shengjiang汁 (Fresh Ginger Juice). Mix evenly, take warm, divided into three or four doses. If there is slight chills, boil for twenty cycles and then take. It can also expel a dead fetus.
It further states: For post-Shanghan postpartum blood fainting approaching death, use Honghua San (Carthamus Powder).
It further states: Regarding all miscarriages due to Shanghan, in summer, vinegar-charcoal should be used sparingly, as many suffer from vexation, fainting, and death. Guo Yong comments: In cold months, charcoal is used more frequently.
It further states: For post-Shanghan postpartum evil blood rushing to the heart, causing confusion and dry mouth, use Shengjiang Xiaobian Yinzi (Fresh Ginger and Urine Drink). Mix one ladle each of Shengdihuang汁 (Fresh Rehmannia Juice), Ouji (Lotus Root Juice), and Xiaobian (Urine). Boil for two or three cycles, divide into three doses.
It further states: For post-Shanghan postpartum cases where lochia is bound by heat and fails to descend, presenting with vexation, distension, wheezing, and delirium, Dishang Tang (Tussuck Decoction) and Taoren Chengqi Tang (Peach Kernel and Magnolia Bark Decoction) are indicated.
It further states: For miscarriage due to Shanghan with vexation and extreme dryness/thirst, Shigao Tang (Gypsum Decoction) is indicated.