【歌】胀满心胸病子悬，紫苏余子古人传，自明停饮兼寒治，李氏胎升相火愆，下气汤同枳壳饮，瘦胎散
共紫苏煎，若还冲筑昏迷闷，葱白当归可保全。
【论】子悬者，胎气不和，上凑心腹，胀满疼痛也。由素有寒气，致令停饮，触寒发动与气相会，故心腹
胀满也。李氏曰∶四五月以来，君相二火养胎，以致胎热气逆凑心，心腹胀满疼痛，宜严氏紫苏饮加黄芩、山栀。
子悬火盛极一时，心气闷绝而死者，紫苏饮速进救之。
【脉】有两尺脉伏而绝者，若劳役胎上胀痛水安者，紫苏饮。若误服动胎药以致胎损者，芎归汤。脉浮滑，
葱白汤。
【方】
紫苏饮
紫苏 当归 川芎 白芍 陈皮 人参 大腹皮（洗净） 甘草 加姜 葱白 砂仁
一方有香附无人参。
当归汤
当归 人参 阿胶 甘草 葱白
水煎服。
下气汤
苏叶 陈皮 桑皮 茯苓 青皮 白芍 大腹皮 甘草
枳壳饮
枳壳（二两） 黄芩 白术（各一两）
每服五钱，水煎。
瘦胎饮
当归 白芍 枳壳 砂仁 香附 甘草 益智 母草
葱白汤
葱白连须十四根浓服，安生胎，落死胎。
【歌】胎水原来是总名，土虚水泛横流行，恶寒洒淅肌浮肿，喘息 嘘腹胀膨，逐水鲤鱼遵古法，实脾白术
敛全生，大都顺气调脾胃，利水和中疾自平。
【论】妊娠五六月，腹大异常，胸腹胀满，手足面目浮肿，气逆不安，此由胞中蓄水，俗呼琉璃胎。不治令
子手足软短有疾，宜鲤鱼汤或泽泻散，或苓术汤。张仲景曰∶妊胀有水气，身重小便不利，洒淅恶寒，起即头眩，
葵苓散。
【方】
鲤鱼汤
白术 生姜（五两） 茯苓（四两） 当归 白芍（三两） 鲤鱼（一尾二斤）
先煮鱼熟取汁澄清，再煎药五服。
白术散
白术 茯苓 泽泻 陈皮 姜皮 大腹皮 木香
为末砂仁汤下。
苓术汤
茯苓 白术（各四两） 黄芩 杏仁（各三两） 旋复花（一两） 桔红
葵苓散
葵子（半升炒） 茯苓（三两）
为末饮服方寸匕。
胎水总名也，其面目浮肿者，为子肿。胸腹胀满者，为子满。但脚肿者，为子气也。名既不同，轻重自见，
治法亦因而已。
【歌诀】心胸胀满是子悬病，紫苏和余子（紫苏梗）是古人传承的治法，自己明白需停饮兼散寒治疗；李氏认为胎升相火失常，用下气汤配合枳壳饮，瘦胎散共与紫苏煎煮。如果还有冲撞筑痛、昏迷闷乱的症状，葱白和当归可以保全生命。
【论述】所谓子悬，是指胎气不和，向上冲凑心腹，导致心胸腹胀满疼痛。这是由于素来有寒气，导致水饮停滞，触动寒气发作并与气相会合，所以出现心腹胀满。李氏说：从四五月开始，君火和相火用来养胎，导致胎热气逆冲凑心脏，引起心腹胀满疼痛，适宜使用严氏紫苏饮加入黄芩、山栀。子悬若火盛至极一时，导致心气闷绝而死亡的情况，应迅速服用紫苏饮急救。
【脉诊】如果两尺脉伏匿且断绝，若是因劳役导致胎上胀痛且胎水安定的，用紫苏饮。如果误服动胎药导致胎损的，用芎归汤。脉象浮滑的，用葱白汤。
【方剂】
紫苏饮
紫苏、当归、川芎、白芍、陈皮、人参、大腹皮（洗净）、甘草，加生姜、葱白、砂仁。
另一版本有香附无人参。
【歌诀】胎水原来是总称，土虚导致水泛横流，恶寒战栗且肌肤浮肿，喘息嘘气、腹胀膨隆。逐水用鲤鱼遵循古法，实脾白术敛护全生。大多顺气调脾胃，利水和中疾病自然平复。
【论述】妊娠五六月时，腹部异常增大，胸腹胀满，手足面目浮肿，气逆不安，这是由于胞中蓄水，俗称琉璃胎。若不治疗会导致胎儿手脚软短且有疾病，适宜用鲤鱼汤或泽泻散，或苓术汤。张仲景说：妊娠肿胀有水气，身体沉重、小便不利，洒淅恶寒，起身即头晕目眩，用葵苓散。
【方剂】
鲤鱼汤
白术、生姜（五两）、茯苓（四两）、当归、白芍（三两）、鲤鱼（一尾二斤）。
先煮鱼熟取汁澄清，再煎药，分五次服用。
白术散
白术、茯苓、泽泻、陈皮、姜皮、大腹皮、木香。
研为末，用砂仁汤送服。
苓术汤
茯苓、白术（各四两）、黄芩、杏仁（各三两）、旋复花（一两）、桔红。
葵苓散
葵子（半升炒）、茯苓（三两）。
研为末，每次服方寸匕，用水送服。
胎水是总称，其中面目浮肿的，称为子肿。胸腹胀满的，称为子满。只有脚肿的，称为子气。名称既然不同，轻重自然可见，治疗方法也因此而异。
[Verse]
Distension and fullness in the chest and heart constitute the disease of *Zixuan* (Fetal Suspension). *Zisu* (Perilla Leaf) and *Yuzi* (Perilla Stem) are treatments inherited from ancient times. One must understand that phlegm-fluid retention requires treatment with cold-dispelling methods. Mr. Li states that fetal ascent causing a deviation of Ministerial Fire occurs; use *Xiaqi Tang* (Qi-Descending Decoction) combined with *Zhike Yin* (Citrus Aurantium Decoction), or decoct *Shoutai San* (Fetal-Thinning Powder) together with *Zisu* (Perilla Leaf). If there is also pounding pain, coma, and stifling sensation, *Congbai* (Scallion White) and *Danggui* (Angelica Sinensis Root) can preserve life.
[Dissertation]
*Zixuan* refers to disharmony of fetal qi, which rushes upward to the heart and abdomen, causing distension, fullness, and pain. This arises from pre-existing cold pathogenic factors leading to fluid retention; when triggered by cold and meeting with qi, it causes abdominal and cardiac distension. Mr. Li said: From the fourth or fifth month onwards, the Ministerial Fire nourishes the fetus, causing fetal heat and rebellious qi to rush to the heart, resulting in cardiac and abdominal distension, fullness, and pain. It is appropriate to use Yan's *Zisu Yin* (Perilla Leaf Decoction) added with *Huangqin* (Scutellaria Root) and *Shanzhi* (Gardeniae Fructus). In cases where *Zixuan* involves extreme fire excess, leading to sudden death due to stifled heart qi, *Zisu Yin* should be administered rapidly for rescue.
[Pulse Diagnosis]
If the pulses at both Chi positions are deep and imperceptible, but labor has caused fetal upward distension and pain while fetal fluids are stable, use *Zisu Yin*. If fetal damage resulted from mistakenly taking abortifacient drugs, use *Xiongguo Tang* (Ligusticum and Angelica Decoction). If the pulse is floating and slippery, use *Congbai Tang* (Scallion White Decoction).
[Formulas]
**Zisu Yin (Perilla Leaf Decoction)**
*Zisu* (Perilla Leaf), *Danggui* (Angelica Sinensis Root), *Chuanxiong* (Sichuan Lovage Rhizome), *Baishao* (White Peony Root), *Chenpi* (Aged Tangerine Peel), *Renshen* (Ginseng Root), *Dafupi* (Areca Peel - washed), *Gancao* (Licorice Root), add *Shengjiang* (Fresh Ginger), *Congbai* (Scallion White), *Sharen* (Amomum Fruit).
Another prescription includes *Xiangfu* (Cyperus Rhizome) instead of *Renshen*.
**Danggui Tang (Angelica Sinensis Decoction)**
*Danggui* (Angelica Sinensis Root), *Renshen* (Ginseng Root), *Ejiao* (Donkey-Hide Gelatin), *Gancao* (Licorice Root), *Congbai* (Scallion White).
Decoct in water and take orally.
**Xiaqi Tang (Qi-Descending Decoction)**
*Suye* (Perilla Leaf), *Chenpi* (Aged Tangerine Peel), *Sangpi* (Mulberry Bark), *Fuling* (Poria), *Qingpi* (Green Tangerine Peel), *Baishao* (White Peony Root), *Dafupi* (Areca Peel), *Gancao* (Licorice Root).
**Zhike Yin (Citrus Aurantium Decoction)**
*Zhike* (Bitter Orange Fruit) (2 liang), *Huangqin* (Scutellaria Root), *Baizhu* (Atractylodes Macrocephala Rhizome) (each 1 liang).
Take 5 qian per dose, decoct in water.
**Shoutai Yin (Fetal-Thinning Decoction)**
*Danggui* (Angelica Sinensis Root), *Baishao* (White Peony Root), *Zhike* (Bitter Orange Fruit), *Sharen* (Amomum Fruit), *Xiangfu* (Cyperus Rhizome), *Gancao* (Licorice Root), *Yizhi* (Alpinia Oxyphylla Fruit), *Mucao* (Motherwort Herb).
**Congbai Tang (Scallion White Decoction)**
14 scallion whites with roots, decoct strongly and take. It calms living fetuses and expels dead fetuses.
[Verse]
*Taishui* (Fetal Water) is originally a general term. Spleen deficiency leads to water overflowing and flowing horizontally, accompanied by aversion to cold, shivering, and edema of the skin and muscles, panting, sighing, abdominal distension, and bloating. To drain water, follow the ancient method using *Li Yu* (Carp); to strengthen the spleen and preserve life, use *Baizhu* (Atractylodes Macrocephala Rhizome). Generally, regulating qi and harmonizing the spleen and stomach allows the disease to subside through promoting urination and harmonizing the middle jiao.
[Dissertation]
During the fifth or sixth month of pregnancy, the abdomen becomes abnormally large, with chest and abdominal distension, edema of the hands, feet, face, and eyes, rebellious qi, and restlessness. This is due to water accumulation in the uterus, commonly known as *Liuli Tai* (Glaze Fetus). If untreated, it may cause the fetus to have soft and short limbs and diseases. It is appropriate to use *Li Yu Tang* (Carp Decoction), *Zexie San* (Alisma Powder), or *Lingzhu Tang* (Poria and Atractylodes Decoction). Zhang Zhongjing stated: For pregnancy swelling with water qi, heavy body, difficult urination, shivering aversion to cold, and dizziness upon rising, use *Kuiling San* (Abelmoschus and Poria Powder).
[Formulas]
**Li Yu Tang (Carp Decoction)**
*Baizhu* (Atractylodes Macrocephala Rhizome), *Shengjiang* (Fresh Ginger) (5 liang), *Fuling* (Poria) (4 liang), *Danggui* (Angelica Sinensis Root), *Baishao* (White Peony Root) (3 liang), *Li Yu* (Carp) (one fish, 2 jin).
First boil the fish until cooked, strain the clear juice, then decoct the herbs. Take five doses.
**Baizhu San (Atractylodes Powder)**
*Baizhu* (Atractylodes Macrocephala Rhizome), *Fuling* (Poria), *Zexie* (Alisma Rhizome), *Chenpi* (Aged Tangerine Peel), *Jiangpi* (Ginger Peel), *Dafupi* (Areca Peel), *Muxiang* (Saussurea Root).
Grind into powder and take with *Sharen* (Amomum Fruit) decoction.
**Lingzhu Tang (Poria and Atractylodes Decoction)**
*Fuling* (Poria), *Baizhu* (Atractylodes Macrocephala Rhizome) (each 4 liang), *Huangqin* (Scutellaria Root), *Xingren* (Apricot Seed) (each 3 liang), *Xuanjinhua* (Inula Flower) (1 liang), *Juhong* (Tangerine Red Peel).
**Kuiling San (Abelmoschus and Poria Powder)**
*Kuizi* (Abelmoschus Seeds) (half sheng, stir-fried), *Fuling* (Poria) (3 liang).
Grind into powder and take one cun bi (measure) with water.
*Taishui* is the general term. When there is edema of the face and eyes, it is called *Zizhong* (Fetal Edema). When there is chest and abdominal distension, it is called *Ziman* (Fetal Fullness). When only the feet are swollen, it is called *Ziqi* (Fetal Qi). Since the names differ, the severity varies accordingly, and the treatment methods differ based on this distinction.