夫妇交合，阴户痛甚，地榆煮酒服。
阴户生疮，诸药不效，名小肠风。用木通、防风、 本、枳壳、贯众、白芷、甘松、荆
芥、薄荷等分，水煎二碗，加朴硝三钱，洗之大效。如日久变菌，痒极欲自死，亦用此方洗之。
若体弱人用此方洗，宜先服十全大补汤二、三帖。
阴户生菌，宜大补气血，人参、赤芍、白芷、归身，甘草减半，蜈蚣十条。连年作痛痒
不可忍，其病是虫。用鸡腿入阴户，或用猪肝煮熟纳入，亦用前方洗之。
女人乳肿痛，用鳖甲炙为末，酒下一钱五分。三服愈。
孕妇胎前，但宜行气，条芩、白术、甘草、紫苏、砂仁。有痰嗳气加陈皮；血虚加归身
；胁痛、腹中不和，肝火逆，加白芍或青皮；胎堕加川芎三分；恶心加白芷；腰痛加杜仲；见血
加续断、艾叶一二片，虚加人参，腹痛去条芩，加吴萸；大便不利，重加紫苏；小便不利加
泽泻，疟加柴胡；痢去白术，合黄芩芍药汤，加木香、川连；疟痢并作，去紫苏，加柴胡、
木香、黄连。临月滑胎，八珍汤去地黄，加紫苏、条芩、砂仁。胎大加黄杨脑三两茎。盖破
血破气，非所以用于滑胎也。
孕妇安胎，不可用四物汤。以四物治血之有余，不治血之不足也。孕妇恶心呕吐者，苏
梗、砂仁、白术加入黄芩芍药汤内。大小便不通，俱宜苏梗。至于外感伤寒疟、痢，宜照常医治
。盖妇人重身，有故则无损，毒药无碍也。大凡因胎而有病，安胎为主；因病而胎不安，宜
治病为急。所以重身可用毒药也。若脉无力，胎前表证，亦宜用人参，以胎之所赖以安者气
凡孕妇腹痛，烦躁有热，白术佐条芩，胸膈不宽加砂仁。以砂仁入脾安胃，其气清凉，
最能安胎也。倘服砂仁而仍不宽，加紫苏，使宗气开发，胸中自宽也。
孕妇病急，不得已用消痰泄气，宜急不宜缓；急则易散，缓则多滞，滞者气病，反伤胎
胎前胸膈不宽，腹痛，不思饮食。白术、黄芩、甘草、紫苏、陈皮、砂仁，水煎服。二
帖即愈。夹食去黄芩、胃脘痛去白术，加栀子。
胎前腰痛，杜仲、续断共末，鹿角胶丸，酒送下。
五种安胎，破故、续断、牛膝、川萆 各一钱，木瓜、杜仲各二钱，蜜丸，酒下五六十
丸。胎气不和胸膈胀，紫苏汤送下砂仁末钱许。
胎前疟疾，柴胡、半夏、黄芩、甘草、白术、首乌、青皮。疟加人参，吐加藿香。
胎前痢疾，黄芩、白芍，甘草、枳壳、茯苓。胸膈饱闷加紫苏、陈皮、砂仁；吐血加栀
子；
元眼肉；癫痫加远志、茯神、枣仁；吐泻四君子加姜汁、陈皮；头晕加四物汤。
初孕二月，胎气不和，肚腹膨胀，口吐清水。白术、黄芩、紫苏各一钱，香附、桂皮各
二分，甘草、藿香各一分，姜、水煎服。忌生冷。小便不利加赤芍、车前；呕甚加炮姜；脑痛加
川芎；潮热加柴胡、前胡。
五六月胎漏下血，小腹紧急。归身、白术、条芩各一钱，人参三分，藿香五分，熟地、
柴胡、紫苏各八分，艾叶二十片，姜、水煎，温服。
七八月肚腹刺痛，小便漏血。黄芩、白术栀子、甘草、柴胡各八分，人参三分，灯心、
七八月乳肿痛，名哺内吹。
孕妇呕吐不食，诸药不愈，用乌药为君，沉香次之，人参、甘草又次之，研为细末，生
姜切片约一分许，粘药入口咬烂，去姜渣，咽津液及至丹田。过一时又如前法，三次即愈。
孕妇蛤蟆温起，连泻一二日，午前冷汗出，午后寒生则热，不时头晕，腹鸣无奈。此痰
与火相攻也，用白术、黄芩、白芍、甘草、砂仁、泽泻。
孕妇手足肿，宜安胎调气，用归身、白术、木通、防风、苍术、赤苓、猪苓、桂皮、甘
验案
一妇远行而归，胎上冲心而痛，坐卧不安，诸医作死胎，用蓖麻、麝香欲下其胎。予诊
之，
问医何证？曰∶两尺脉绝，死胎也。予曰∶死胎有辨。如面赤舌青，子死母活；面青舌赤，
吐沫者，母死子活，唇口俱青，母子俱死。今面不赤，舌不青，则胎不死；冲心而痛，乃子
悬也。用川芎、白芍、归身，紫苏、陈皮各一钱，人参、甘草各五分，生姜三片，葱白七寸
，煎服，胎下而安。
夫妇性交时，阴道疼痛剧烈，用地榆煮酒服用。
阴道生疮，各种药物无效，称为小肠风。用木通、防风、藁本、枳壳、贯众、白芷、甘松、荆芥、薄荷各等分，加水煎煮成两碗，加入朴硝三钱，清洗患处，效果显著。如果日久变成息肉（菌），瘙痒极其严重，甚至让人想自杀，也用这个方子清洗。如果是身体虚弱的人使用此方清洗，应当先服用十全大补汤二至三帖。
阴道长出息肉，应当大补气血，用人参、赤芍、白芷、当归身，甘草减半用量，蜈蚣十条。如果连年疼痛瘙痒难以忍受，这是虫蚀所致。用鸡腿放入阴道内，或者将猪肝煮熟后纳入阴道，也配合前面的方子清洗。
女性乳房肿痛，用鳖甲炙烤后研成粉末，用酒送服一钱五分。服用三次即可痊愈。
孕妇在怀孕期间，只宜调理气机，用药如条芩（黄芩）、白术、甘草、紫苏、砂仁。如果有痰且嗳气，加陈皮；血虚加当归身；胁痛、腹部不适，因肝火逆乱，加白芍或青皮；有流产迹象加川芎三分；恶心加白芷；腰痛加杜仲；见红出血加续断、艾叶一二片，体虚加人参，腹痛去掉条芩，加吴茱萸；大便不通畅，加重紫苏用量；小便不通畅加泽泻；疟疾加柴胡；痢疾去掉白术，合用黄芩芍药汤，加木香、黄连；疟疾和痢疾同时发作，去掉紫苏，加柴胡、木香、黄连。临近分娩出现滑胎倾向，用八珍汤去掉地黄，加紫苏、条芩、砂仁。胎儿过大加黄杨脑三两茎。因为黄杨脑具有破血破气的功效，不适合用于预防滑胎。
孕妇安胎，不可使用四物汤。因为四物汤治疗的是血有余的实证，不治疗血不足的虚证。孕妇恶心呕吐者，用苏梗、砂仁、白术加入黄芩芍药汤内。大小便不通，都适宜用苏梗。至于外感伤寒、疟疾、痢疾，应按常规方法医治。因为妇人怀孕，若有病邪则无损于胎元，毒药也无妨碍。大凡是因为怀孕而生病，以安胎为主；因为疾病导致胎不安，应以治病为急务。所以怀孕期间可以使用毒药。如果脉象无力，怀孕初期有表证，也宜用人参，因为胎元赖以安定的根本在于气。
凡是孕妇腹痛，烦躁且有热象，用白术佐助条芩，胸膈不宽加砂仁。因为砂仁入脾安胃，其气清凉，最能安胎。如果服用砂仁后胸膈仍然不宽，加紫苏，使宗气开发，胸中自然宽舒。
孕妇病情紧急，不得已使用消痰泄气的药物，宜急不宜缓；急则药力易散，缓则药力多滞留，滞留则成为气病，反而伤胎。
怀孕早期胸膈不宽，腹痛，不思饮食。用白术、黄芩、甘草、紫苏、陈皮、砂仁，水煎服。服用两帖即愈。夹食积去黄芩，胃脘痛去白术，加栀子。
五种安胎方：破故纸、续断、牛膝、川萆薢各一钱，木瓜、杜仲各二钱，蜜丸，酒送下五六十丸。胎气不和导致胸膈胀满，用紫苏汤送服砂仁末约一钱。
怀孕期疟疾，用柴胡、半夏、黄芩、甘草、白术、首乌、青皮。疟疾重加人参，呕吐加藿香。
怀孕期痢疾，用黄芩、白芍、甘草、枳壳、茯苓。胸膈饱闷加紫苏、陈皮、砂仁；吐血加栀子、龙眼肉；癫痫加远志、茯神、枣仁；吐泻用四君子汤加姜汁、陈皮；头晕加四物汤。
初孕两个月，胎气不和，肚腹膨胀，口吐清水。用白术、黄芩、紫苏各一钱，香附、桂皮各二分，甘草、藿香各一分，加姜、水煎服。忌食生冷。小便不利加赤芍、车前子；呕吐严重加炮姜；头痛加川芎；潮热加柴胡、前胡。
五六月胎漏下血，小腹紧急。用当归身、白术、条芩各一钱，人参三分，藿香五分，熟地、柴胡、紫苏各八分，艾叶二十片，加姜、水煎，温服。
七八月肚腹刺痛，小便漏血。用黄芩、白术、栀子、甘草、柴胡各八分，人参三分，灯心草……（原文此处似有缺漏，依文意推测为灯心草相关剂量或配伍，但仅翻译可见部分）
七八月乳房肿痛，称为哺内吹。
孕妇呕吐不能进食，各种药物无效，用乌药为君药，沉香次之，人参、甘草又次之，研为细末，生姜切片约一分厚，粘药入口咬烂，去掉姜渣，咽下津液直至丹田。过一个时辰又如前法，三次即愈。
孕妇患蛤蟆瘟（一种温热病），连续腹泻一二日，午前出冷汗，午后恶寒发热，不时头晕，腹鸣无奈。这是痰与火相互攻冲所致，用白术、黄芩、白芍、甘草、砂仁、泽泻。
孕妇手足肿胀，宜安胎调气，用当归身、白术、木通、防风、苍术、赤茯苓、猪苓、桂皮、甘草……（原文此处似有缺漏，依文意推测为完整方剂描述，但仅翻译可见部分）
验案
一位妇女远行归来，胎气上冲心脏而疼痛，坐卧不安，各位医生诊断为死胎，想用蓖麻、麝香来堕胎。我诊察后，询问医生是什么证候？医生说：“两尺脉绝，是死胎。”我说：“死胎是有辨别标准的。如面赤舌青，是子死母活；面青舌赤，吐沫者是母死子活，唇口俱青，是母子俱死。现在面色不赤，舌色不青，则胎未死；冲心而痛，这是子悬证。”用川芎、白芍、当归身、紫苏、陈皮各一钱，人参、甘草各五分，生姜三片，葱白七寸，煎服，胎位下降而安。
When a couple engages in sexual intercourse, severe pain occurs in the vaginal orifice (Yinhu). Boil Diyu (Sanguisorbae Radix) in wine and take it orally.
If sores develop in the vaginal orifice and various medications are ineffective, it is named "Small Intestine Wind" (Xiaochang Feng). Use Tongcao (Akebiae Caulis), Fangfeng (Saposhnikoviae Radix), Gaoben (Ligustici Rhizoma et Radix), Zhike (Aurantii Fructus Immaturus), Guanzhong (Cyathulae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Gansong (Nardostachyos Radix et Rhizoma), Jingjie (Schizonepetae Herba), and Bohe (Menthae Haplocalycis Herba) in equal parts. Decoct with water to obtain two bowls of liquid, add Puxiao (Natrii Sulfas), and wash the affected area for significant efficacy. If the condition persists for a long time and transforms into polyps ("Jun"), causing extreme itching that makes one wish to die, use this same prescription for washing. For individuals with weak constitutions using this wash, it is advisable to first administer Shiquan Dabu Tang (Decoction for Ten-Absolutely Tonifying) for two to three doses.
If polyps grow in the vaginal orifice, it is appropriate to greatly tonify Qi and Blood. Use Renshen (Ginseng Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), Baizhi (Angelicae Dahuricae Radix), Dangguishen (Radix Angelicae Sinensis - Root Part), reduce the dosage of Gancao (Glycyrrhizae Radix et Rhizoma), and include ten centipedes (Wugong). If pain and itching persist for years and are unbearable, the pathology is due to parasites. Insert a chicken leg into the vagina, or insert cooked pork liver, and also wash with the aforementioned prescription.
For women suffering from breast swelling and pain, roast Biejia (Testudinis Carapax et Plastrum), grind it into powder, and take 1.5 qian with wine. Cure after three doses.
During pregnancy, treatment should focus on regulating Qi. Ingredients include Tiaoqin (Huangqin/Coptidis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Zisu (Perillae Folium), and Sharen (Amomi Fructus). If there is phlegm and belching, add Chenpi (Citri Reticulatae Pericarpium); if Blood deficiency, add Dangguishen; if hypochondriac pain and abdominal discomfort due to rebellious Liver Fire, add Baishao (Paeoniae Radix Alba) or Qingpi (Citri Reticulatae Pericarpium Viride); if there is threat of miscarriage, add Chuanxiong (Ligustici Chuanxiong Rhizoma); if nausea, add Baizhi; if lower back pain, add Duzhong (Eucommiae Cortex); if bleeding appears, add Xuduan (Dipsaci Radix) and Aye (Artemisiae Argyi Folium); if deficient, add Renshen; if abdominal pain, remove Tiaoqin and add Wuyu (Evodiae Fructus); if constipation, increase the dosage of Zisu; if dysuria, add Zexie (Alismatis Rhizoma); if malaria, add Chaihu (Bupleuri Radix); if dysentery, remove Baizhu and combine with Huangqin Shaoyao Tang (Decoction of Coptis and Peony), adding Muxiang (Aucklandiae Radix) and Chuanlian (Coptidis Rhizoma); if malaria and dysentery occur simultaneously, remove Zisu and add Chaihu, Muxiang, and Huanglian (Coptidis Rhizoma). Near term, if there is a tendency for premature delivery, use Bazhen Tang (Eight-Treasure Decoction) without Dihuang (Rehmanniae Radix Praeparata), adding Zisu, Tiaoqin, and Sharen. If the fetus is large, add San liang of Huanyangnao (Yangmuspermum Fructus). Note: Huanyangnao has blood-breaking and Qi-dispersing properties and is not suitable for preventing premature delivery.
To calm the fetus during pregnancy, Siwu Tang (Four-Substance Decoction) should not be used. Siwu Tang treats excess in Blood but does not treat deficiency in Blood. For pregnant women with nausea and vomiting, add Sugeng (Perillae Caulis), Sharen, and Baizhu to Huangqin Shaoyao Tang. For both constipation and dysuria, Sugeng is appropriate. For external contraction of Cold Damage, malaria, or dysentery, treat according to standard medical practices. Because a pregnant woman, if she has an existing pathogen, will not harm the fetus, and toxic drugs will not cause obstruction. Generally, if illness arises due to pregnancy, calming the fetus is primary; if the fetus is unsettled due to illness, treating the illness is urgent. Therefore, toxic drugs can be used during pregnancy. If the pulse is weak and there are exterior symptoms in early pregnancy, Renshen should also be used, as the fetus relies on Qi for stability.
Whenever a pregnant woman suffers from abdominal pain, irritability, and heat, use Baizhu to assist Tiaoqin. If the chest and diaphragm feel tight, add Sharen. Since Sharen enters the Spleen and calms the Stomach, and its nature is cool, it is most effective at calming the fetus. If the chest remains tight after taking Sharen, add Zisu to promote the development of Zong Qi (Gathering Qi), thereby widening the chest.
If a pregnant woman's condition is urgent and one must resort to resolving phlegm and draining Qi, urgency is preferred over slowness; urgency allows the medicine to disperse easily, while slowness leads to stagnation. Stagnation causes Qi disorders and may injure the fetus.
In early pregnancy, if the chest and diaphragm are tight, abdominal pain occurs, and appetite is lost, use Baizhu, Huangqin, Gancao, Zisu, Chenpi, and Sharen. Decoct with water and take. Cure after two doses. If there is food stagnation, remove Huangqin; if epigastric pain, remove Baizhu and add Zhizi (Gardeniae Fructus).
For lower back pain during pregnancy, grind Duzhong and Xuduan into powder, make pills with Lujiaojiao (Colla Cornus Deeri), and swallow with wine.
Five types of fetal-calming prescriptions: PoGu (Psoraleae Fructus), Xuduan, Niuxi (Achyranthis Bidentatae Radix), and Chuanbi (Dioscoreae Hypoglaucae Rhizoma) each 1 qian; Mugua (Chaenomelis Fructus) and Duzhong each 2 qian. Make honey pills, take 50-60 pills with wine. If fetal Qi disharmony causes chest distension, send down with Zisu Tang (Perilla Leaf Decoction) mixed with about 1 qian of Sharen powder.
For malaria during pregnancy, use Chaihu, Banxia (Pinelliae Rhizoma), Huangqin, Gancao, Baizhu, Shouwu (Polygoni Multiflori Radix), and Qingpi. If malaria is severe, add Renshen; if vomiting, add Huoxiang (Agastaches Herba).
For dysentery during pregnancy, use Huangqin, Baishao, Gancao, Zhike, and Fuling (Poria). If chest fullness and oppression occur, add Zisu, Chenpi, and Sharen; if hematemesis, add Zhizi and Yuanyanrou (Longan Arillus); if epilepsy, add Yuanzhi (Polygalae Radix), Fushen (Poria cum Radix), and Zaoren (Ziziphi Spinosae Semen); if vomiting and diarrhea, use Sijunzi Tang (Four-Gentlemen Decoction) with Jiangzhi (Zingiberis Juice) and Chenpi; if dizziness, add Siwu Tang.
At two months of initial pregnancy, if fetal Qi disharmony causes abdominal distension and spitting of clear fluid, use Baizhu, Huangqin, and Zisu each 1 qian; Xiangfu (Cyperi Rhizoma) and Guipi (Cinnamomi Cortex) each 2 fen; Gancao and Huoxiang each 1 fen. Decoct with ginger and water. Avoid raw and cold foods. If dysuria, add Chishao and Cheqian (Plantaginis Semen); if severe vomiting, add Paojiang (Zingiberis Rhizoma Preparatum); if headache, add Chuanxiong; if tidal fever, add Chaihu and Qianhu (Peucedani Radix).
At five to six months, if uterine leakage with bleeding occurs and the lower abdomen feels tense, use Dangguishen, Baizhu, and Tiaoqin each 1 qian; Renshen 3 fen; Huoxiang 5 fen; Shudi (Rehmanniae Radix Preparata), Chaihu, and Zisu each 8 fen; Aye 20 leaves. Decoct with ginger and water, take warm.
At seven to eight months, if stabbing pain in the abdomen and leaking blood in urine occur, use Huangqin, Baizhu, Zhizi, Gancao, and Chaihu each 8 fen; Renshen 3 fen; Dengxin (Junci Medullia)... [Text incomplete].
At seven to eight months, breast swelling and pain is named "Ru Nei Chui" (Internal Blowing of Nursing).
For pregnant women with vomiting and inability to eat, where various medicines fail, use Weiyao (Litseae Fructus) as the sovereign herb, Chenxiang (Aquilariae Lignum Resinatum) as the deputy, followed by Renshen and Gancao. Grind into fine powder. Take with fresh ginger slices (about 1 fen thick), stick the medicine to the ginger, chew in the mouth until soft, discard the ginger residue, and swallow the saliva down to the Dantian. After one hour, repeat the method. Cure after three times.
If a pregnant woman contracts "Hamawen" (a type of warm disease), with continuous diarrhea for one to two days, cold sweats in the morning, alternating chills and heat in the afternoon, frequent dizziness, and helpless abdominal borborygmi, this is due to the attack between Phlegm and Fire. Use Baizhu, Huangqin, Baishao, Gancao, Sharen, and Zexie.
For pregnant women with swollen hands and feet, it is appropriate to calm the fetus and regulate Qi. Use Dangguishen, Baizhu, Tongcao, Fangfeng, Cangzhu (Atractylodis Rhizoma), Chiling (Poria cum Rubro), Zhuling (Polyporus), Guipi, Gancao... [Text incomplete].
Case Record
A woman returned from a long journey, experiencing fetal Qi rushing to the heart causing pain, restlessness in sitting and lying. Various physicians diagnosed it as a dead fetus and intended to induce abortion using Bamaziren (Ricini Semen) and Shexiang (Moschus). I examined her and asked the physician what syndrome he identified. He said, "The pulses at both Chi positions are absent; it is a dead fetus." I said, "There is a distinction for dead fetuses. If the face is red and the tongue is cyan, the child is dead but the mother lives; if the face is cyan and the tongue is red with foaming at the mouth, the mother is dead but the child lives; if lips and mouth are both cyan, both mother and child are dead. Now, her face is not red and her tongue is not cyan, so the fetus is not dead. The pain rushing to the heart is 'Zixuan' (Fetal Suspension)." Prescribed Chuanxiong, Baishao, Dangguishen, Zisu, and Chenpi each 1 qian; Renshen and Gancao each 5 fen; Shengjiang (Fresh Ginger) 3 slices; Congbai (Allii Fistulosi Bulbus) 7 cun. Decoct and take. The fetus descended and became stable.