【歌】脾肾虽分先后天，阴阳气血总相兼，瘦人过动宜清理，自汗滋阴合自然，怒气伤肝常呕逆，胎元不运
懒多眠，惟宜开郁安胎气，养血和中疾自痊。
【论】脾为后天之长，肾为先天之原。有孕则碍脾，以致运化迟而生湿，湿生热，故用白术以健脾燥湿，黄
芩以清热安胎，此形瘦血热，营行过疾，胎常上逼，过动不安，食少面黄，倦怠无力者宜之。若火旺口干，发热
自汗，烦躁腹痛者，又宜生地、归、芍以养血也。若性急多怒，形实气盛，面黑胸满，呕逆腹痛，胎常不运者，又
宜砂仁、香附以开之。肾为冲任之根，男子以藏精，女子以系胞，若肾虚腰软，脚膝无力，又宜六味丸去丹皮加
杜仲、续断。故健脾、养血、开郁、补肾，治虽不同，然五行相生，循环无端，一以贯之。总之使其气血和平，
无过不及而已。
【方】
安胎饮
陈皮 茯苓 藿香 砂仁 当归 紫苏 甘草 白术 黄芩 大腹皮 姜（三片）
水煎服。恶阻倍藿香、陈皮加半夏。胸膈不宽加枳壳去白术。恶寒倍苏叶，生姜，去黄芩。虚烦加麦冬、
知母去白术。子肿加山栀、木通倍腹皮。咳嗽加桑皮、麦冬去白术。子淋加木通、淡竹叶、茯苓。头痛加川芎、
羌活、防风。腰痛加杜仲、续断、补骨脂。痢疾加黄连、木香、木通。胸腹痛加香附、白芍、延胡。泄泻加泽泻、
白术、茯苓。伤寒无汗加羌、防，去苓、术。寒热往来加柴胡、苏、姜。伤食加枳壳、砂仁，去苓、术。误服毒
药加知母、白扁豆。胎动不安倍当归、砂仁。胎不长加参、 、归、术。下血加阿胶、艾叶、芎、归。胎太盛加
黄杨脑、陈皮。胎气上逼加砂仁、苏梗。不眠加茯神、枣仁、竹叶。胎气下坠加川芎、续断。血虚加白芍，熟地。
疟疾加柴胡、知母。胎欲坠加续断、杜仲、芎、归。临产加川芎、当归。
【歌诀】脾脏与肾脏虽然分别归属于后天与先天，但阴阳与气血总是相互兼融的。形体消瘦之人若血热妄动，适宜采用清润调理之法；若有自汗症状，滋阴调和便合乎自然规律。怒气损伤肝脏，常导致呕吐逆气，胎元运行不畅，患者嗜睡懒言，此时只宜疏解郁结、安定胎气，通过养血和中使疾病自然痊愈。
【论述】脾脏是后天之本的主管，肾脏是先天的根源。怀孕后会妨碍脾脏功能，导致运化迟缓而生湿，湿气久蕴生热，因此使用白术来健脾燥湿，黄芩来清热安胎。这适用于形体瘦弱、血热、营血运行过快、胎气上冲逼迫、胎动不安、食欲减退、面色萎黄、倦怠无力的情况。如果火旺口干、发热自汗、烦躁腹痛，则适宜用地黄、当归、芍药来养血。如果性格急躁易怒、形体壮实、气机旺盛、面色发黑、胸膈满闷、呕吐逆气、腹痛且胎气运行不畅，则适宜用砂仁、香附来开郁行气。肾脏是冲脉和任脉的根本，男子靠它藏精，女子靠它系胞（维系子宫）。如果肾虚导致腰膝酸软无力，又适宜服用六味地黄丸去掉牡丹皮，加入杜仲、续断。所以，健脾、养血、开郁、补肾，治疗方法虽不同，但遵循五行相生、循环无尽的原理，是一以贯之的。总之，目的是使气血平和，没有太过也没有不及。
【方剂】
安胎饮
陈皮、茯苓、藿香、砂仁、当归、紫苏、甘草、白术、黄芩、大腹皮、生姜（三片）
用水煎煮后服用。出现恶阻（妊娠呕吐）时，加倍使用藿香、陈皮，并加入半夏。胸膈不宽畅时，加入枳壳，去掉白术。怕冷时，加倍使用苏叶、生姜，去掉黄芩。虚烦时，加入麦冬、知母，去掉白术。子肿（妊娠水肿）时，加入山栀、木通，加倍使用大腹皮。咳嗽时，加入桑白皮、麦冬，去掉白术。子淋（妊娠小便淋痛）时，加入木通、淡竹叶、茯苓。头痛时，加入川芎、羌活、防风。腰痛时，加入杜仲、续断、补骨脂。痢疾时，加入黄连、木香、木通。胸腹痛时，加入香附、白芍、延胡索。泄泻时，加入泽泻、白术、茯苓。伤寒无汗时，加入羌活、防风，去掉茯苓、白术。寒热往来时，加入柴胡、紫苏、生姜。伤食时，加入枳壳、砂仁，去掉茯苓、白术。误服毒药时，加入知母、白扁豆。胎动不安时，加倍使用当归、砂仁。胎儿生长不良时，加入人参、[原文缺字，推测为黄芪或类似补气药]、当归、白术。下血时，加入阿胶、艾叶、川芎、当归。胎气太盛时，加入黄杨脑、陈皮。胎气上冲逼迫时，加入砂仁、紫苏梗。失眠时，加入茯神、枣仁、竹叶。胎气下坠时，加入川芎、续断。血虚时，加入白芍、熟地黄。疟疾时，加入柴胡、知母。胎欲坠落时，加入续断、杜仲、川芎、当归。临产时，加入川芎、当归。
[Verse] Although the Spleen and Kidney are distinguished as the Post-Heaven (acquired) and Pre-Heaven (innate) foundations respectively, Yin and Yang, Qi and Blood are always interdependent. For thin individuals with excessive internal heat, clearing and purifying methods are appropriate; for those with spontaneous sweating, nourishing Yin harmonizes naturally. Anger injures the Liver, often causing vomiting and regurgitation, poor movement of the fetal origin, lethargy, and hypersomnia. In such cases, one should only resolve depression/stagnation to calm the fetal Qi, nourish Blood, and harmonize the Middle Jiao, so that the disease heals spontaneously.
[Discussion] The Spleen is the head of the Post-Heaven foundation, and the Kidney is the root of the Pre-Heaven foundation. During pregnancy, the Spleen is impeded, leading to slow transformation and transportation, resulting in Dampness. Dampness generates Heat. Therefore, Bai Zhu (Atractylodis Macrocephalae Rhizoma) is used to strengthen the Spleen and dry Dampness, and Huang Qin (Scutellariae Radix) is used to clear Heat and calm the fetus. This formula is suitable for those who are thin, have blood heat, rapid Ying (Nutritive) circulation, upward pressing of the fetus causing restlessness, poor appetite, sallow complexion, and fatigue/weakness. If there is fire hyperactivity, dry mouth, fever, spontaneous sweating, irritability, and abdominal pain, it is better to use Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), and Bai Shao (Paeoniae Radix Alba) to nourish Blood. If the person is irritable, prone to anger, has a solid physique, abundant Qi, dark complexion, chest fullness, vomiting/regurgitation, abdominal pain, and stagnant fetal movement, Sha Ren (Amomi Fructus) and Xiang Fu (Cyperi Rhizoma) should be used to resolve stagnation. The Kidney is the root of the Chong (Penetrating) and Ren (Conception) vessels. In men, it stores Essence; in women, it anchors the Bao (Uterus). If Kidney deficiency causes softness of the waist and weakness in the legs and knees, Liu Wei Wan (Six-Ingredient Pill with Rehmannia) with Dan Pi (Moutan Cortex) removed, plus Du Zhong (Eucommiae Cortex) and Xu Duan (Dipsaci Radix), is appropriate. Thus, strengthening the Spleen, nourishing Blood, resolving stagnation, and tonifying the Kidney are different treatments, yet they follow the principle of mutual generation among the Five Elements, cycling endlessly, and are consistent throughout. Ultimately, the goal is to make Qi and Blood peaceful, without excess or deficiency.
[Formula]
Ante-natal Calming Decoction (An Tai Yin)
Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Huo Xiang (Agastaches Herba), Sha Ren (Amomi Fructus), Dang Gui (Angelicae Sinensis Radix), Zi Su (Perillae Folium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qin (Scutellariae Radix), Da Fu Pi (Arecae Pericarpium), Jiang Sheng (Zingiberis Rhizoma Recens - 3 slices).
Decoct in water and take orally.
For Morning Sickness (E Zu), double the dosage of Huo Xiang and Chen Pi, and add Ban Xia (Pinelliae Rhizoma).
For chest and diaphragm tightness, add Zhi Ke (Aurantii Fructus), remove Bai Zhu.
For aversion to cold, double Zi Su Ye (Perillae Folium) and Jiang Sheng, remove Huang Qin.
For deficiency-related vexation, add Mai Dong (Ophiopogonis Tuber) and Zhi Mu (Anemarrhenae Rhizoma), remove Bai Zhu.
For Fetal Edema (Zi Zhong), add Shan Zhi (Gardeniae Fructus) and Mu Tong (Akebiae Caulis), double Da Fu Pi.
For cough, add Sang Bai Pi (Mori Cortex) and Mai Dong, remove Bai Zhu.
For Dysuria during Pregnancy (Zi Lin), add Mu Tong, Dan Zhu Ye (Lophatheri Herba), and Fu Ling.
For headache, add Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), and Fang Feng (Saposhnikoviae Radix).
For lower back pain, add Du Zhong, Xu Duan, and Bu Gu Zhi (Psoraleae Fructus).
For dysentery, add Huang Lian (Coptidis Rhizoma), Mu Xiang (Aucklandiae Radix), and Mu Tong.
For chest and abdominal pain, add Xiang Fu, Bai Shao, and Yan Hu (Corydalis Rhizoma).
For diarrhea, add Ze Xie (Alismatis Rhizoma), Bai Zhu, and Fu Ling.
For Cold Damage (Shang Han) with no sweat, add Qiang Huo and Fang Feng, remove Fu Ling and Bai Zhu.
For alternating chills and fever, add Chai Hu (Bupleuri Radix), Zi Su, and Jiang Sheng.
For food stagnation, add Zhi Ke and Sha Ren, remove Fu Ling and Bai Zhu.
For accidental poisoning, add Zhi Mu and Bai Bian Dou (Dolichos Lablab Semen Album).
For restless fetus, double Dang Gui and Sha Ren.
For poor fetal growth, add Ren Shen (Ginseng Radix), [missing character], Dang Gui, and Bai Zhu.
For vaginal bleeding, add E Jiao (Colla Corii Asini), Ai Ye (Artemisiae Argyi Folium), Chuan Xiong, and Dang Gui.
For excessive fetal vigor, add Huang Yang Nao (Huangyangzhi) and Chen Pi.
For fetal Qi pressing upward, add Sha Ren and Zi Su Geng (Perillae Caulis).
For insomnia, add Fu Shen (Poria Cum Radix), Suan Zao Ren (Ziziphi Spinosae Semen), and Zhu Ye.
For sinking fetal Qi, add Chuan Xiong and Xu Duan.
For Blood deficiency, add Bai Shao and Shu Di Huang (Rehmanniae Radix Preparata).
For malaria, add Chai Hu and Zhi Mu.
For threatened miscarriage/sinking fetus, add Xu Duan, Du Zhong, Chuan Xiong, and Dang Gui.
For labor onset, add Chuan Xiong and Dang Gui.