〔痰逆不食〕
恶阻谓呕吐恶心，头眩恶食择食是也。
〔千金〕凡妇人虚羸，血气不足，肾气又弱，或当风饮冷太过，心下有痰水者，欲
有胎而喜病阻，所谓欲有胎者，其人月水尚来，颜色肌肤如常，但苦沉重愦闷，不欲食
饮，又不知其患所在，脉理顺时平和，则是欲有娠也。如此经二月日后，便觉不通，则
结胎也。阻病者，患心中愦愦，头重眼眩，四肢沉重，懈惰不欲执作，恶闻食气，欲啖咸
酸果实，多卧少起，世谓恶食，其至三四月日以上，皆大剧吐逆，不能自胜举也。此由
经血既闭，水渍于脏，脏气不宣通，故心烦愦闷，气逆而呕吐也。血脉不通，经络痞涩，
则四肢沉重，挟风则头目眩也。觉如此候者，便宜服半夏茯苓汤数剂，后将茯苓丸痰水消
除，便欲食也。既得食力，体强气壮，力足养胎，母便健矣。
〔大全〕妊娠禀受怯弱，便有阻病，其状颜色如故，脉息和顺，但觉肢体沉重，头
目昏眩，择食，恶闻食气，好食咸酸，甚者或作寒热，心中愦闷，呕吐痰水，恍惚不能
支持，巢氏谓之恶阻，但证有轻重耳。轻者不服药亦不妨，重者须以药疗之《千金方》以
半夏茯苓汤、茯苓丸专治阻病，然此二药比来少有服者，以半夏有动胎之性，盖胎初结，
虑其易散，此不可不谨也。张仲景《伤寒论》有用黄龙汤者，小柴胡汤中去半夏是也。
此盖为妊娠而设焉。王子亨则有白术散，《局方》则人参丁香散，杨振则有人参橘皮汤，齐
士明则有醒脾饮，皆不用半夏，用之多效。李茂翁云∶若左脉弱而呕，服诸药不止者，当
服理血归原药则愈，经云∶无阴则呕是也。
〔薛〕前证若中脘停痰，用二陈汤加枳壳。若饮食停滞，用六君子加枳壳。
若脾胃虚弱，用异功散。若胃气不足，用人参橘皮汤，兼气恼加枳壳，胸胁痞闷，再加苏梗，胁
痛再加柴胡。若饮食少思，用六君子加紫苏、枳壳。头晕体倦，用六君子汤。若脾胃虚弱，
呕吐不食，用半夏茯苓汤。盖半夏乃健脾气化痰滞之主药也。脾胃虚弱而呕吐，或痰涎
壅滞，饮食少思，胎不安，必用茯苓半夏汤倍加白术。然半夏、白术。茯苓、陈皮、砂
仁，善能安胎气健脾胃，予尝用之验矣。痰逆不食证，因食停滞，用半夏茯苓汤加枳壳，
兼气恼更加柴胡。因痰壅滞，用半夏茯苓汤加白术。因风寒外伤，用参苏饮。饮食腹胀，
用香砂六君子汤，寒热呕吐，人参养胃汤。一妊娠呕吐恶食，体倦嗜卧，此胃气虚而恶
阻也，用人参橘皮汤，二剂渐愈；又用六君加紫苏，二剂而安。一妊娠吞酸恶心，时
欲作呕，此因脾胃虚而饮食停滞，用六君加枳壳、香附，治之而愈。一妊妇停食腹满，
呕吐吞酸，作泻不食，余以为饮食停滞，兼肝木伤脾土，用六君子汤以健脾胃，加苍术、
浓朴以消饮食，吴茱萸所制黄连以清肝火，诸证悉愈。又以六君加砂仁调理，而脾土乃安。
一妊妇呕吐胁胀，或寒热往来，面色青黄，此木旺而克脾土，用六君子加柴胡、桔梗、枳
壳而安。一妊妇呕吐酸水，胸满不食，此脾土虚而肝木所侮，用六君子加芍药而愈。
一妊妇胸腹膨胀，吐痰不食，此脾胃虚而饮食为痰，用半夏茯苓汤渐愈，又用六君子加
枳壳、苏梗、桔梗而饮食如常。后因恚怒，胁胀不食，吐痰恶心，用半夏茯苓汤加柴胡、山
栀而愈。
汪石山治一妇形质瘦小，面色近紫，产后年余，经水不通，首夏忽病呕吐，手指麻
痹，拳不能伸展，声音哑小，哕不出声，医皆视为风病危之。汪诊脉皆细微近滑、曰∶此
妊娠恶阻病也。众谓经水不通，安有妊理？汪曰∶天下之事，有常有变，此乃事之变也。脉
虽细微，似近于滑，又尺按不绝，乃妊娠也。遂以四君子加二陈治之，诸证俱减，尚畏粥
汤，惟食干糕香燥之物，而有生意。
给事游让溪夫人，病新愈月余，经事不行，呕哕眩晕，饮食艰进，医以为二阳之病
发心脾，女子不月，法在不治，江 诊之，尺脉虽小，按之滑而不绝，此妊而恶阻，非
凶候也。六君加砂仁，数服而安，后产一女。
〔金匮〕妇人得平脉，阴脉小弱，其人渴不能食，无寒热，名妊娠，桂枝汤主之。于
法六十日当有此证，设有医治逆者，却一月加吐下者，则绝之。娄全善曰∶绝之者，谓
绝止医治，候其自安也。予尝治一二妇阻病吐，愈治愈逆，因思仲景绝之之旨，遂停药
月余自安。真大哉！圣贤之言也。
《万全方》云∶凡妊娠恶食者，以所思食任意食之必愈。
仲景云∶妊娠呕吐不止，干姜人参半夏丸主之。
干姜人参半夏丸
干姜 人参（各一两） 半夏（汤洗去滑，二两）
上三味末之，以生姜汁糊为丸，如梧子大，饮服十丸，日三服。
半夏茯苓汤 治妊娠恶阻，呕吐心烦，头目眩晕，恶闻食气，好食酸咸，多卧少起，百
节烦疼，羸瘦有痰，胎孕不牢。
半夏（洗，一两二钱半） 赤茯苓 熟地黄（各七钱半） 橘红 旋复花（《千金方》无旋复，有细
辛、紫苏） 人参 芍药 川芎 桔梗 甘草（各半两）
上 咀，每服五钱，姜七片，水煎空心服，兼服茯苓丸。若有客热，烦渴口疮，去
橘红、细辛，加前胡、知母七钱半。若腹冷下痢，去地黄加炒桂心半两。若胃中虚热，大
便秘，小便赤涩，加大黄七钱半，去地黄，加黄芩二钱五分。
茯苓丸 治妊娠阻病，心中烦闷，吐痰眩晕，先服半夏茯苓汤两剂，后服此药。
赤茯苓 人参 桂心 干姜 半夏（汤泡七次，炒黄） 橘皮（各一两） 白术 葛根
甘草 枳壳（各二两）
上为细末，炼蜜丸如桐子大，每服五十丸，米饮下，日三服。一方加麦门冬。《肘
后》加五味子。
疗妊娠心胸支满，痰逆不思饮食。
赤茯苓 前胡 白术 紫苏叶（各一两） 半夏 麦门冬 人参 大腹皮（各半两）
上为粗末，每服四钱，水一盏，姜五片，煎至七分，去滓温服。一方无腹皮、人参、有
大腹子槟榔。
疗妊娠心膈气滞，呕吐不下，饮水，心神虚烦，四肢少力。
枇杷叶 半夏 麦门冬 人参 甘草（半两） 诃子肉 藿香（各一两） 赤茯苓 枳壳 陈皮（各七钱半）
上 咀，每服三钱，水一盏，姜三片，枣一枚，煎至七分，去滓温服。一方无诃子及枣。
《集验》疗妇人妊娠恶阻，呕吐不下食。
青竹茹 橘皮（各三两） 生姜 茯苓（各四两） 半夏（五两）
上细切，以水六升，煮取二升半，去滓分三服，不瘥频服。忌羊肉、饧、 等物。
旋复半夏汤 治妊娠恶阻，吐逆酸水，恶闻食气，多卧少起。
旋复花（去枝萼） 川芎 细辛（去土） 人参 甘草（炙，各七分） 当归（去芦）
半夏（汤泡） 赤茯苓（去皮） 干生姜 陈皮（去白，各一钱五分）
上作一服，水二盅，姜五片，煎至一盅，不拘时服。
旋复花汤 治妊娠六七个月，胎不安，呕吐。
旋复花（五分） 浓朴 白术 枳壳 黄芩 茯苓（各一钱五分） 半夏 芍药 生姜（各一钱）
上作一服，水二盅，煎至一盅，食前服。
上诸方并用半夏，盖取其辛以散结气，泻逆气，故呕恶自止，非专为痰设也。 娄全
善曰∶《大全》方论半夏动胎而不用，仲景方乃用之。予治妊娠阻病累用半夏，未尝动胎
也。经云∶有故无殒是也。
白术散 治恶阻吐清水，甚者害十余日水浆不入。
白术（一两） 人参（半两） 丁香（二钱半） 甘草（一钱）
上为细末，每服二钱，水一盏，姜五片，煎至七分，温服。
人参丁香散 （二方。）治妊娠恶阻，胃寒呕逆，翻胃吐食，及心腹刺痛。
人参 丁香 藿香叶（各二钱半）
上为散，每服三钱，水一盏，煎七分，去滓温服，无时。
又方
人参 丁香 柿蒂（各二两） 甘草 良姜（各半两）
上为细末，每服二钱，热汤点下，无时。
醒脾饮子 治妊妇阻病，呕逆不食，甚者中满，口中无味，或作寒热。（此出王氏《博济方》。）
草豆蔻（以湿纸裹，灰火中煨令纸干，取出去皮用） 浓朴（姜制，各半两） 干姜（一两）
甘草（一两二钱半）
上为细末，每服二大钱，水一大盏，枣二枚，生姜三片，煎至八分，去滓呷服。
病轻者只一两服，便能食。旧有橘红二两，治寒热疟痢不食，后人去橘皮以干生姜代。干
姜治老人气虚，大便秘，少津液引饮有奇效。产科医官齐士明依旧用干姜去橘皮，亦名醒
脾饮子，治阻病极神验。
上诸方与前茯苓丸并用，丁香、干姜，惟中寒脉迟者宜之。
人参橘皮汤 治阻病呕吐痰水。
人参 橘皮 白术 麦门冬（去心，各一两） 甘草（三钱） 浓朴（制） 白茯苓（各五钱）
为粗末，每四钱加淡竹茹弹子大，姜三片，水同煎。
治妊娠呕吐不食，兼吐痰水。
生芦根（七分） 橘红（四分） 生姜（六分） 槟榔（二分） 枇杷叶（三分）
上切，水二盏，煎七分，空心热服。
治妊娠恶食，心中烦愦，热闷呕吐。
青竹茹 麦门冬（各三两） 前胡（二两） 橘皮（一两） 芦根（一握，如体热，四肢烦热者，
加地骨皮一握。）
上切细，以水一大升，煮半升，去渣，分两服，食前。
上诸方内用门冬、竹茹、芦根，皆气凉而性和，有热无寒者通用之平剂也。
治妊娠恶食《古今录验方》
人参（四两） 浓朴 生姜 枳壳 甘草（各二两）
水六升，煮取三升，分三服。
归原散 治妊娠恶阻，呕吐不止，头痛，全不入食，服诸药无效者，用此药理血归原
则愈。
人参 甘草 川芎 当归 芍药 丁香（各半两） 白茯苓 白术 陈皮（各一两五钱）
桔梗（炒） 枳壳（去瓤炒，各二钱半） 半夏（汤洗七次，切、炒黄、一两）
上 咀，每服三钱，生姜五片，枣一枚，水同煎。
安胎饮 治怀胎三月、四月至九个月，日呕吐痰水，心中愦闷，头重目眩，恶闻食气，
或胎动不安，腰腹疼痛，或时下血，及妊娠一切疾病，并皆治之。
甘草 茯苓 当归 熟地黄 川芎 白术 黄 白芍药 半夏（汤泡七次，切，炒）
阿胶（切，粉炒） 地榆（各等分）
上 咀，每服三钱，生姜四片，水煎温服，无时候。一方无半夏，地榆，有人参、桑
寄生，一方无 、术、半夏、地榆，有艾叶，只是胶艾汤加白茯苓。
小地黄丸 治妊娠恶心，呕吐清水，腹疼不食。
人参（去芦） 干姜（炮，各等分）
上为细末，以生地黄汁和为丸，如桐子大。每服五十丸，食前米饮送下。
上方并理血之剂。李茂翁所谓左脉弱而呕，服诸药不止者，服理血归原药则愈，即
此类是也。
保生汤 治妇人经候不行，身无病而似病，脉滑大而六脉俱匀，乃是孕妇之脉也。精
神如故，恶闻食臭，或但嗜一物，或大吐，或时吐清水，此名恶阻。切勿作寒病治之，宜
服此药。如觉恶心呕吐，加丁香、生姜煎服。（温隐居方）
人参 甘草（各二钱半） 白术 香附子 乌药 橘红（各半两）
上 咀，每服三大钱，水一盏半，姜五片，煎至七分，去滓温服，无时。或作末子
调服。
白术散 治妊娠胎气不和，饮食少进。
白术（炒） 紫苏（各一钱） 人参（二钱） 青皮（去白） 诃子肉 川芎（各八分） 甘草（炙，半钱）
上作一服，水二盅，姜三片，煎至一盅，不拘时服。
二香散 治妊娠胎动不安，气不升降，饮食不美，呕吐酸水，起坐觉重。
香附子（一两） 藿香叶 甘草（各三钱）
上为细末，每服二钱，不拘时，沸汤调下。
《补遗》予尝给妊妇恶阻，呕吐不食，头晕不敢行步，以苦柚皮浓煎汤，饮数盏而愈、
吐甚者，加姜汁。
又方 缩砂仁末，每二钱，姜汤调下，或米饮调。
上方并理气之剂。气虚者首二方为宜；气不顺者，第三方为宜。
〔娄〕一妇人孕三月，吐痰水并饮食，每日寅卯时作，作时觉少腹有气冲上，然后
膈满而吐，面赤微躁，头眩卧不起床，四肢疼，微渴，此肝火挟冲脉之火冲上也。一日
甚，一日轻，脉和右寸洪大，百药不效，将二月。予男病，偶用沉香磨水，化抱龙丸一
服，膈宽气不上冲，二三服吐止，眩减，食进而安。又应氏妇嘈杂吐食，脉壅，心下
满塞，气攻背，两肘皆痛，要人不住手以热物摩熨，得吐稍疏，脉洪大，处此方。
黄连（一钱） 黄芩（二钱半，各炒） 白术 半夏（各一钱） 甘草（炙） 缩砂（各五分）
陈皮 当归 山栀 枳壳（炒） 香附 人参 苍术（各一钱） 茯苓（一钱半） 生姜（七片）
服二帖后，嘈杂、吐止，心满塞退，但于夜间背肘痛，用摩熨，遂与抱龙丸化服，其
疾如失。
〔丹〕一妇人年近三十，怀孕两月，病呕吐头眩，自觉不可禁持。以人参、白术、川
芎、陈皮、茯苓等药，服五七日，愈觉沉重。召予脉之，两手弦，左为甚，而且弱。予曰∶
【痰气上逆导致食欲不振】
恶阻是指妊娠期间出现的呕吐、恶心、头晕、厌食及偏嗜食物等症状。
〔《千金方》〕凡是身体虚弱消瘦、气血不足、肾气虚弱的妇女，或者因迎风受寒、过食生冷，导致心下（胃脘部）有痰饮停聚的，在想要怀孕时容易患上恶阻病。所谓“想要怀孕”，是指该女子月经尚正常来潮，面色和肌肤状态如常，只是感到身体沉重烦闷，不想饮食，且不知病痛的具体所在。此时脉象平和顺适，这是即将受孕的表现。到了两个月后，若发现月经停止，则是已经结胎。患恶阻病的患者，心中烦闷不适，头重眼眩，四肢沉重，懈怠懒惰不愿劳作，厌恶闻见食物的气味，想吃咸酸的水果，喜欢多卧少起，世人称之为“恶食”。如果病情发展到三四个月以上，就会出现剧烈的呕吐，无法自控。这是由于经血闭止后，水湿浸渍脏腑，脏气不能宣通，所以心烦意乱、胸闷气逆而呕吐。血脉不通，经络阻滞涩滞，则四肢沉重；兼夹风邪则头目眩晕。出现这些症状时，应当立即服用半夏茯苓汤几剂，随后服用茯苓丸以消除痰饮，食欲就会恢复。一旦获得饮食滋养，体力增强，气血壮盛，足以滋养胎儿，母亲也就健康了。
〔《妇人大全良方》〕妊娠期间禀赋怯弱的人，容易患上恶阻病。其症状表现为面色如故，脉息和顺，只感觉肢体沉重，头目昏眩，偏嗜食物，厌恶闻见食物气味，喜好咸酸口味。严重者可能出现寒热交替，心中烦闷，呕吐痰水，精神恍惚难以支撑。巢元方称之为恶阻，只是证候有轻重之分。轻者不服药也无妨，重者必须用药治疗。《千金方》用半夏茯苓汤、茯苓丸专门治疗恶阻病，但近来很少有人服用这两种药，因为半夏具有动胎气的性质，考虑到胎元初结，担心容易流产，这一点不可不谨慎。张仲景《伤寒论》中有使用黄龙汤的记载，其实是在小柴胡汤中去掉半夏而成。这大概是专门为妊娠期设立的方剂。王子亨则有白术散，《太平惠民和剂局方》有人参丁香散，杨振有人参橘皮汤，齐士明有醒脾饮，这些方子都不用半夏，使用大多有效。李茂翁说：如果左脉弱且呕吐，服用各种药物无效者，应当服用理血归原的药物即可痊愈，正如经文所说：“无阴则呕”。
〔薛己〕上述病症如果是中脘停痰，用二陈汤加枳壳。如果是饮食停滞，用六君子汤加枳壳。如果是脾胃虚弱，用异功散。如果是胃气不足，用人参橘皮汤，兼有气恼加枳壳，胸胁痞闷再加苏梗，胁痛再加柴胡。如果是饮食减少思虑，用六君子汤加紫苏、枳壳。头晕体倦，用六君子汤。如果是脾胃虚弱，呕吐不食，用半夏茯苓汤。因为半夏是健脾气、化痰滞的主要药物。脾胃虚弱而呕吐，或痰涎壅滞，饮食少思，胎不安稳，必须用茯苓半夏汤倍加白术。然而半夏、白术、茯苓、陈皮、砂仁，善于安胎气、健脾胃，我曾使用并验证有效。痰气上逆不食的证候，因饮食停滞，用半夏茯苓汤加枳壳，兼有气恼再加柴胡。因痰浊壅滞，用半夏茯苓汤加白术。因风寒外感，用参苏饮。饮食腹胀，用香砂六君子汤，寒热呕吐，用人参养胃汤。有一位孕妇呕吐厌食，体倦嗜卧，这是胃气虚导致的恶阻，用人参橘皮汤，服两剂逐渐痊愈；又用六君子汤加紫苏，两剂后安稳。有一位孕妇吞酸恶心，时常想吐，这是因脾胃虚弱导致饮食停滞，用六君子汤加枳壳、香附，治疗后痊愈。有一位孕妇停食腹满，呕吐吞酸，腹泻不食，我认为是饮食停滞，兼肝木克伐脾土，用六君子汤以健脾胃，加苍术、厚朴以消饮食，用吴茱萸制黄连以清肝火，诸证悉愈。后又用六君子汤加砂仁调理，脾土得以安宁。有一位孕妇呕吐胁胀，或寒热往来，面色青黄，这是肝木旺盛克伐脾土，用六君子汤加柴胡、桔梗、枳壳而安。有一位孕妇呕吐酸水，胸满不食，这是脾土虚弱被肝木侮逆，用六君子汤加芍药而愈。有一位孕妇胸腹膨胀，吐痰不食，这是脾胃虚弱导致饮食化为痰饮，用半夏茯苓汤逐渐痊愈，又用六君子汤加枳壳、苏梗、桔梗使饮食恢复正常。后来因愤怒，胁胀不食，吐痰恶心，用半夏茯苓汤加柴胡、山栀而愈。
汪石山治疗一位妇女形体瘦小，面色近紫，产后一年多，月经不通，初夏忽然患病呕吐，手指麻痹，拳头不能伸展，声音哑小，呃逆不出声，医生都视为风病，认为危重。汪石山诊脉皆细微近滑，说：这是妊娠恶阻病。众人说月经不通，哪有怀孕的道理？汪石山说：天下的事，有常有变，这是事之变。脉虽细微，似近于滑，且尺脉按之不绝，乃是妊娠。于是用四君子汤加二陈汤治疗，诸证俱减，但仍畏惧粥汤，只吃干糕香燥之物，从而有了生机。
给事游让溪夫人，病新愈月余，月经不行，呕哕眩晕，饮食难进，医生认为是二阳之病发于心脾，女子不月经，法在不治。江应宿诊之，尺脉虽小，按之滑而不绝，这是妊娠恶阻，并非凶兆。用六君子汤加砂仁，数服后安稳，后产一女。
〔《金匮要略》〕妇人得平脉，阴脉小弱，其人口渴不能食，无寒热，名为妊娠，桂枝汤主之。按照法度，六十日当有此证，假设有医治不当的，过一个月出现呕吐下利的，则停止治疗。娄全善说：绝之者，谓停止医治，等待其自安。我曾治疗一两位妇女恶阻呕吐，愈治愈逆，因此思考仲景“绝之”的宗旨，遂停药月余自安。真是伟大啊！圣贤之言。
干姜人参半夏丸
干姜 人参（各一两） 半夏（汤洗去滑，二两）
上三味研末，以生姜汁糊为丸，如梧桐子大，温水送服十丸，每日三次。
半夏茯苓汤 治疗妊娠恶阻，呕吐心烦，头目眩晕，恶闻食气，好食酸咸，多卧少起，百节烦疼，羸瘦有痰，胎孕不牢。
半夏（洗，一两二钱半） 赤茯苓 熟地黄（各七钱半） 橘红 旋复花（《千金方》无旋复，有细辛、紫苏） 人参 芍药 川芎 桔梗 甘草（各半两）
上切碎，每服五钱，姜七片，水煎空心服，兼服茯苓丸。若有客热，烦渴口疮，去橘红、细辛，加前胡、知母七钱半。若腹冷下痢，去地黄加炒桂心半两。若胃中虚热，大便秘，小便赤涩，加大黄七钱半，去地黄，加黄芩二钱五分。
茯苓丸 治疗妊娠阻病，心中烦闷，吐痰眩晕，先服半夏茯苓汤两剂，后服此药。
赤茯苓 人参 桂心 干姜 半夏（汤泡七次，炒黄） 橘皮（各一两） 白术 葛根 甘草 枳壳（各二两）
上为细末，炼蜜丸如桐子大，每服五十丸，米饮送下，每日三次。一方加麦门冬。《肘后方》加五味子。
治疗妊娠心胸支满，痰逆不思饮食。
赤茯苓 前胡 白术 紫苏叶（各一两） 半夏 麦门冬 人参 大腹皮（各半两）
上为粗末，每服四钱，水一盏，姜五片，煎至七分，去滓温服。一方无腹皮、人参，有大腹子槟榔。
治疗妊娠心膈气滞，呕吐不下，饮水，心神虚烦，四肢少力。
枇杷叶 半夏 麦门冬 人参 甘草（半两） 诃子肉 藿香（各一两） 赤茯苓 枳壳 陈皮（各七钱半）
上切碎，每服三钱，水一盏，姜三片，枣一枚，煎至七分，去滓温服。一方无诃子及枣。
《集验方》治疗妇人妊娠恶阻，呕吐不下食。
青竹茹 橘皮（各三两） 生姜 茯苓（各四两） 半夏（五两）
上细切，以水六升，煮取二升半，去滓分三服，不愈频服。忌羊肉、饧糖等物。
旋复半夏汤 治疗妊娠恶阻，吐逆酸水，恶闻食气，多卧少起。
旋复花（去枝萼） 川芎 细辛（去土） 人参 甘草（炙，各七分） 当归（去芦） 半夏（汤泡） 赤茯苓（去皮） 干生姜 陈皮（去白，各一钱五分）
上作一服，水二盅，姜五片，煎至一盅，不拘时服。
旋复花汤 治疗妊娠六七个月，胎不安，呕吐。
旋复花（五分） 浓朴 白术 枳壳 黄芩 茯苓（各一钱五分） 半夏 芍药 生姜（各一钱）
上作一服，水二盅，煎至一盅，食前服。
以上诸方并用半夏，大概取其辛以散结气，泻逆气，故呕恶自止，并非专为痰设也。娄全善说：《大全》方论半夏动胎而不用，仲景方乃用之。我治疗妊娠阻病屡用半夏，未尝动胎。经文说：“有故无殒”（有病则病受之，不会伤害胎儿）。
白术散 治疗恶阻吐清水，甚者害十余日水浆不入。
白术（一两） 人参（半两） 丁香（二钱半） 甘草（一钱）
上为细末，每服二钱，水一盏，姜五片，煎至七分，温服。
人参丁香散 （二方。）治疗妊娠恶阻，胃寒呕逆，翻胃吐食，及心腹刺痛。
人参 丁香 藿香叶（各二钱半）
上为散，每服三钱，水一盏，煎七分，去滓温服，无时。
又方
人参 丁香 柿蒂（各二两） 甘草 良姜（各半两）
上为细末，每服二钱，热汤点下，无时。
醒脾饮子 治疗妊妇阻病，呕逆不食，甚者中满，口中无味，或作寒热。（此出王氏《博济方》。）
草豆蔻（以湿纸裹，灰火中煨令纸干，取出去皮用） 浓朴（姜制，各半两） 干姜（一两） 甘草（一两二钱半）
上为细末，每服二大钱，水一大盏，枣二枚，生姜三片，煎至八分，去滓呷服。
病轻者只一两服，便能食。旧有橘红二两，治寒热疟痢不食，后人去橘皮以干生姜代。干姜治老人气虚，大便秘，少津液引饮有奇效。产科医官齐士明依旧用干姜去橘皮，亦名醒脾饮子，治阻病极神验。
人参橘皮汤 治疗阻病呕吐痰水。
人参 橘皮 白术 麦门冬（去心，各一两） 甘草（三钱） 浓朴（制） 白茯苓（各五钱）
为粗末，每四钱加淡竹茹弹子大，姜三片，水同煎。
治疗妊娠呕吐不食，兼吐痰水。
生芦根（七分） 橘红（四分） 生姜（六分） 槟榔（二分） 枇杷叶（三分）
上切，水二盏，煎七分，空心热服。
治疗妊娠恶食，心中烦愦，热闷呕吐。
青竹茹 麦门冬（各三两） 前胡（二两） 橘皮（一两） 芦根（一握，如体热，四肢烦热者，加地骨皮一握。）
上切细，以水一大升，煮半升，去渣，分两服，食前。
以上诸方内用门冬、竹茹、芦根，皆气凉而性和，有热无寒者通用之平剂也。
治疗妊娠恶食《古今录验方》
人参（四两） 浓朴 生姜 枳壳 甘草（各二两）
水六升，煮取三升，分三服。
归原散 治疗妊娠恶阻，呕吐不止，头痛，全不入食，服诸药无效者，用此药理血归原则愈。
人参 甘草 川芎 当归 芍药 丁香（各半两） 白茯苓 白术 陈皮（各一两五钱） 桔梗（炒） 枳壳（去瓤炒，各二钱半） 半夏（汤洗七次，切、炒黄、一两）
上切碎，每服三钱，生姜五片，枣一枚，水同煎。
安胎饮 治疗怀胎三月、四月至九个月，日呕吐痰水，心中愦闷，头重目眩，恶闻食气，或胎动不安，腰腹疼痛，或时下血，及妊娠一切疾病，并皆治之。
甘草 茯苓 当归 熟地黄 川芎 白术 黄芪 白芍药 半夏（汤泡七次，切，炒） 阿胶（切，粉炒） 地榆（各等分）
上切碎，每服三钱，生姜四片，水煎温服，无时候。一方无半夏，地榆，有人参、桑寄生，一方无黄芪、术、半夏、地榆，有艾叶，只是胶艾汤加白茯苓。
小地黄丸 治疗妊娠恶心，呕吐清水，腹疼不食。
人参（去芦） 干姜（炮，各等分）
上为细末，以生地黄汁和为丸，如桐子大。每服五十丸，食前米饮送下。
上方并理血之剂。李茂翁所谓左脉弱而呕，服诸药不止者，服理血归原药则愈，即此类是也。
保生汤 治疗妇人经候不行，身无病而似病，脉滑大而六脉俱匀，乃是孕妇之脉也。精神如故，恶闻食臭，或但嗜一物，或大吐，或时吐清水，此名恶阻。切勿作寒病治之，宜服此药。如觉恶心呕吐，加丁香、生姜煎服。（温隐居方）
人参 甘草（各二钱半） 白术 香附子 乌药 橘红（各半两）
上切碎，每服三大钱，水一盏半，姜五片，煎至七分，去滓温服，无时。或作末子调服。
白术散 治疗妊娠胎气不和，饮食少进。
白术（炒） 紫苏（各一钱） 人参（二钱） 青皮（去白） 诃子肉 川芎（各八分） 甘草（炙，半钱）
上作一服，水二盅，姜三片，煎至一盅，不拘时服。
二香散 治疗妊娠胎动不安，气不升降，饮食不美，呕吐酸水，起坐觉重。
香附子（一两） 藿香叶 甘草（各三钱）
上为细末，每服二钱，不拘时，沸汤调下。
《补遗》我曾治疗妊妇恶阻，呕吐不食，头晕不敢行步，以苦柚皮浓煎汤，饮数盏而愈、吐甚者，加姜汁。
又方 缩砂仁末，每二钱，姜汤调下，或米饮调。
上方并理气之剂。气虚者首二方为宜；气不顺者，第三方为宜。
〔娄全善〕一妇人孕三月，吐痰水并饮食，每日寅卯时作，作时觉少腹有气冲上，然后膈满而吐，面赤微躁，头眩卧不起床，四肢疼，微渴，此肝火挟冲脉之火冲上也。一日甚，一日轻，脉和右寸洪大，百药不效，将二月。予男病，偶用沉香磨水，化抱龙丸一服，膈宽气不上冲，二三服吐止，眩减，食进而安。又应氏妇嘈杂吐食，脉壅，心下满塞，气攻背，两肘皆痛，要人不住手以热物摩熨，得吐稍疏，脉洪大，处此方。
黄连（一钱） 黄芩（二钱半，各炒） 白术 半夏（各一钱） 甘草（炙） 缩砂（各五分） 陈皮 当归 山栀 枳壳（炒） 香附 人参 苍术（各一钱） 茯苓（一钱半） 生姜（七片）
服二帖后，嘈杂、吐止，心满塞退，但于夜间背肘痛，用摩熨，遂与抱龙丸化服，其疾如失。
〔丹波元简〕一妇人年近三十，怀孕两月，病呕吐头眩，自觉不可禁持。以人参、白术、川芎、陈皮、茯苓等药，服五七日，愈觉沉重。召予脉之，两手弦，左为甚，而且弱。予曰∶
[Phlegm-Rebellion with Anorexia]
Ezu (Morning Sickness) refers to vomiting, nausea, dizziness, aversion to food, and selective eating during pregnancy.
[From *Qianjin Fang*] Whenever a woman is physically weak and emaciated, deficient in Qi and Blood, and has weak Kidney Qi, or when she has been exposed to wind and consumed too much cold food or drink, leading to phlegm-fluid retention in the epigastrium, she is prone to Ezu when conceiving. The phrase "prone to conceiving" means that the woman's menstruation still comes regularly, her complexion and skin appear normal, but she suffers from heaviness and mental restlessness, lacks appetite, and does not know where the discomfort lies. At this time, if the pulse is smooth and harmonious, it indicates impending conception. After two months, if menstruation ceases, it confirms pregnancy. Patients suffering from Ezu experience mental restlessness, heavy head and dizzy eyes, heavy limbs, lethargy and unwillingness to work, aversion to the smell of food, craving for salty and sour fruits, preferring to lie down rather than get up. This is commonly called "aversion to food." If the condition persists into the third or fourth month, severe vomiting occurs, which the patient cannot control. This is caused by the closure of menstrual blood, allowing water-dampness to soak the Zang organs, preventing their Qi from circulating freely. Thus, there is mental restlessness, chest fullness, rebellious Qi, and vomiting. When blood vessels are blocked and meridians are obstructed, limbs become heavy; if accompanied by Wind, the head and eyes become dizzy. Upon noticing these signs, one should immediately administer Banxia Fuling Tang (Pinellia and Poria Decoction) for several doses, followed by Fuling Wan (Poria Pill) to eliminate phlegm-fluids, after which appetite will return. Once nourished by food, physical strength increases, Qi and Blood become robust enough to nourish the fetus, and the mother becomes healthy.
[From *Daquan Yifang*] Women with weak constitution during pregnancy are prone to Ezu. Their appearance remains unchanged, pulses are smooth and harmonious, but they feel heavy limbs, dizzy head and eyes, selective eating, aversion to food smells, and preference for salty and sour tastes. In severe cases, there may be alternating chills and fever, mental restlessness, vomiting of phlegm-fluids, and mental confusion making them unable to endure. Chao Yuanfang calls this Ezu, noting only differences in severity. Mild cases do not require medication; severe cases must be treated. *Qianjin Fang* uses Banxia Fuling Tang and Fuling Wan specifically for Ezu. However, these two prescriptions are rarely used nowadays because Banxia (Pinellia Rhizome) has properties that may disturb the fetus. Since the fetus is newly formed, there is concern about miscarriage, so caution is necessary. Zhang Zhongjing's *Shanghan Lun* mentions using Huanglong Tang, which is essentially Xiaochaihu Tang without Banxia. This seems designed specifically for pregnancy. Wang Ziheng proposed Baizhu San (Atractylodes Macrocephala Powder), *Ju Fang* offers Ren Shen Ding Xiang San (Ginseng and Clove Powder), Yang Zhen offers Ren Shen Ju Pi Tang (Ginseng and Tangerine Peel Decoction), and Qi Shiming offers Xingpi Yin (Spleen-Awakening Decoction). None of these use Banxia, and they are generally effective. Li Maoweng stated: "If the left pulse is weak and vomiting persists despite various medications, one should take medicines that regulate Blood and restore origin, as the classic says: 'Absence of Yin leads to vomiting.'"
[Xue Ji] For the above symptoms, if there is phlegm retention in the Middle Jiao (Epigastrium), use Erchen Tang (Two-Cured Decoction) with Zhike (Aurantium Fruit). If there is food stagnation, use Liujunzi Tang (Six-Gentlemen Decoction) with Zhike. If Spleen and Stomach are weak, use Yigong San (Extraordinary Aid Powder). If Stomach Qi is insufficient, use Ren Shen Ju Pi Tang; add Zhike if accompanied by emotional distress, Su Geng (Perilla Stem) for chest/hypochondriac fullness, and Chaihu (Bupleurum Root) for hypochondriac pain. If appetite is low, use Liujunzi Tang with Zi Su (Perilla Leaf) and Zhike. For dizziness and fatigue, use Liujunzi Tang. For Spleen-Stomach weakness with vomiting and anorexia, use Banxia Fuling Tang. Banxia is the primary herb for strengthening Spleen Qi and transforming phlegm-stagnation. For Spleen-Stomach weakness with vomiting, phlegm-fluid obstruction, poor appetite, and unstable fetus, Banxia Fuling Tang with increased Baizhu (Atractylodes Macrocephala Rhizome) is essential. Banxia, Baizhu, Fuling (Poria), Chenpi (Tangerine Peel), and Sharen (Amomum Fruit) effectively calm the fetus and strengthen the Spleen-Stomach; I have verified their efficacy. For phlegm-rebellion anorexia due to food stagnation, use Banxia Fuling Tang with Zhike, adding Chaihu if emotional. For phlegm obstruction, use Banxia Fuling Tang with Baizhu. For external Wind-Cold, use Rensu Yin (Ginseng and Perilla Decoction). For food-related abdominal distension, use Xiangsha Liujunzi Tang (Fragrant Amomum Six-Gentlemen Decoction); for chills/fever with vomiting, use Rensyang Wei Tang (Ginseng-Nourishing-Stomach Decoction).
Case 1: A pregnant woman vomited, disliked food, felt fatigued and sleepy due to deficient Stomach Qi causing Ezu. Treated with Ren Shen Ju Pi Tang for two doses with gradual improvement; then Liujunzi Tang plus Zi Su for two doses resulted in stability.
Case 2: A pregnant woman had acid regurgitation and nausea, wanting to vomit frequently due to Spleen-Stomach deficiency and food stagnation. Treated with Liujunzi Tang plus Zhike and Xiangfu (Cyperus Rhizome), resulting in cure.
Case 3: A pregnant woman had food retention, abdominal fullness, vomiting, acid regurgitation, diarrhea, and anorexia. Diagnosed as food stagnation with Liver Wood attacking Spleen Earth. Treated with Liujunzi Tang to strengthen Spleen, Cangzhu (Atractylodes Lancea Rhizome) and Houpo (Magnolia Bark) to digest food, and Coptis prepared with Evodia to clear Liver Fire. All symptoms resolved. Regulated with Liujunzi Tang plus Sharen to stabilize Spleen Earth.
Case 4: A pregnant woman vomited with hypochondriac distension, alternating chills/fever, and green-yellow complexion due to hyperactive Liver Wood attacking Spleen Earth. Treated with Liujunzi Tang plus Chaihu, Jiegeng (Platycodon Root), and Zhike, resulting in stability.
Case 5: A pregnant woman vomited acid water, had chest fullness and anorexia due to deficient Spleen Earth being bullied by Liver Wood. Treated with Liujunzi Tang plus Shaoyao (Peony Root), resulting in cure.
Case 6: A pregnant woman had chest/abdominal distension, vomiting phlegm, and anorexia due to Spleen-Stomach deficiency turning food into phlegm. Treated with Banxia Fuling Tang until improved, then Liujunzi Tang plus Zhike, Su Geng, and Jiegeng restored normal diet. Later, anger caused hypochondriac distension, anorexia, phlegm vomiting, and nausea. Treated with Banxia Fuling Tang plus Chaihu and Zhizi (Gardenia Fruit), resulting in cure.
Wang Shishan treated a thin woman with purplish complexion who, over a year postpartum, had amenorrhea. In early summer, she suddenly developed vomiting, finger numbness, inability to extend fists, hoarse voice, and silent hiccups. Physicians considered it critical Wind disease. Wang diagnosed fine, slightly slippery pulses, identifying it as Pregnancy Ezu. Others questioned how pregnancy could occur with amenorrhea. Wang replied: "There are constants and variations in nature; this is a variation." Although pulses were fine and nearly slippery, the Chi (Cun) pulse at the wrist was unceasing upon pressure, confirming pregnancy. He treated with Sijunzi Tang (Four-Gentlemen Decoction) plus Erchen Tang. Symptoms decreased, though she feared porridge, preferring dry, fragrant, dry foods, showing signs of life.
Madam You Rangxi, wife of a Censor, recovered from illness a month prior, missed her period, suffered from hiccups, dizziness, and difficulty eating. Physicians attributed it to Two-Yang diseases affecting Heart and Spleen, deeming amenorrhea incurable. Jiang Yingsu diagnosed small but slippery and unceasing Chi pulses, identifying it as Pregnancy Ezu, not a ominous sign. Treated with Liujunzi Tang plus Sharen; stabilized after several doses, later delivering a daughter.
[From *Jin Gui Yao Lue*] If a woman has a normal pulse, with slight weakness in the Yin position, thirst, inability to eat, no chills/fever, it is named Pregnancy. Guizhi Tang (Cinnamon Twig Decoction) is indicated. According to method, this symptom appears around the 60th day. If improper treatment causes vomiting/diarrhea after a month, stop treatment. Lou Quanshan explained: "Stop treatment" means cease medical intervention and wait for self-healing. I once treated women with Ezu vomiting who worsened with medicine. Reflecting on Zhongjing's principle, I stopped medication for over a month, and they healed naturally. Truly profound words of sages!
*Wan Quan Fang* states: For pregnant women with food aversion, allowing them to eat whatever they crave will cure them.
Zhongjing stated: For persistent vomiting in pregnancy, Ganjiang Renshen Banxia Wan (Dried Ginger, Ginseng, and Pinellia Pill) is indicated.
**Ganjiang Renshen Banxia Wan**
Ganjiang (Dried Ginger), Renshen (Ginseng Root) (each 1 liang); Banxia (Pinellia Rhizome, washed in hot water to remove slipperiness) (2 liang).
Grind the three ingredients into powder, mix with fresh ginger juice to form pills the size of wutong seeds. Take 10 pills with warm water, three times daily.
**Banxia Fuling Tang**
Indicated for Pregnancy Ezu, vomiting with mental restlessness, dizziness, aversion to food smells, craving for sour/salty, preferring to lie down, joint pain, emaciation with phlegm, and unstable pregnancy.
Banxia (washed) (1.25 qian); Chifuling (Red Poria), Shudihuang (Prepared Rehmannia Root) (each 0.75 qian); Juhong (Tangerine Red Peel), Xuanfuhua (Inula Flower - note: *Qianjin Fang* omits Xuanfuhua, adds Xixin (Asarum Root) and Zisu (Perilla Leaf)); Renshen, Shaoyao (Peony Root), Chuanxiong (Ligusticum Rhizome), Jiegeng (Platycodon Root), Gancao (Licorice Root) (each 0.5 liang).
Chop ingredients. Take 5 qian per dose, with 7 slices of ginger, decoct in water, take on an empty stomach. Also take Fuling Wan.
Modifications: If external heat, thirst, mouth ulcers, remove Juhong and Xixin, add Qianhu (Peucedanum Root) and Zhimu (Anemarrhena Rhizome) (0.75 qian each). If cold abdomen with diarrhea, remove Dihuang, add fried Guixin (Cinnamon Twig) (0.5 liang). If deficient heat in Stomach, constipation, red/scanty urine, add Dahuang (Rhubarb Root) (0.75 qian), remove Dihuang, add Huangqin (Scutellaria Root) (0.25 qian).
**Fuling Wan**
Indicated for Pregnancy Ezu, mental restlessness, vomiting phlegm, dizziness. Take Banxia Fuling Tang for two doses first, then this pill.
Chifuling, Renshen, Guixin (Cinnamon Twig), Ganjiang (Dried Ginger), Banxia (soaked in hot water seven times, stir-fried yellow), Jupi (Tangerine Peel) (each 1 liang); Baizhu, Gegen (Kudzu Root), Gancao, Zhike (Aurantium Fruit) (each 2 liang).
Grind into fine powder, mix with refined honey to form pills the size of tung seeds. Take 50 pills with rice water, three times daily. One formula adds Maimendong (Ophiopogon Tuber). *Zhouhou Fang* adds Wuweizi (Schisandra Berry).
**For Pregnancy Chest/Epigastric Fullness, Phlegm-Rebellion, Anorexia**
Chifuling, Qianhu, Baizhu, Zisuye (Perilla Leaf) (each 1 liang); Banxia, Maimendong, Renshen, Dafupi (Areca Peel) (each 0.5 liang).
Grind into coarse powder. Take 4 qian per dose, with 1 cup water, 5 slices ginger, decoct to 0.7 cup, strain, take warm. One formula omits Dafupi and Renshen, adds Dafuzi (Areca Nut).
**For Pregnancy Diaphragm Qi Stagnation, Vomiting, Thirst, Mental Restlessness, Limb Weakness**
Pipaye (Loquat Leaf), Banxia, Maimendong, Renshen, Gancao (0.5 liang); Hemei (Chebula Fruit), Huoxiang (Patchouli Leaf) (each 1 liang); Chifuling, Zhike, Chenpi (each 0.75 qian).
Chop. Take 3 qian per dose, with 1 cup water, 3 slices ginger, 1 jujube, decoct to 0.7 cup, strain, take warm. One formula omits Hemei and jujube.
*[Ji Yan Fang]* **For Pregnancy Ezu, Vomiting, Anorexia**
Qingzhuru (Green Bamboo Shavings), Jupi (Tangerine Peel) (each 3 liang); Shengjiang (Fresh Ginger), Fuling (Poria) (each 4 liang); Banxia (5 liang).
Cut finely. Boil in 6 sheng water to obtain 2.5 sheng. Strain, divide into three doses. Repeat if ineffective. Avoid mutton, malt sugar, etc.
**Xuanfu Banxia Tang**
Indicated for Pregnancy Ezu, vomiting acid water, aversion to food smells, preferring to lie down.
Xuanfuhua (remove stems/sepals), Chuanxiong, Xixin (clean soil), Renshen, Gancao (stir-fried, each 0.07 liang); Danggui (remove radix tip), Banxia (hot water soaked), Chifuling (remove peel), Ganjiang Shengjiang (Dried Fresh Ginger), Chenpi (remove white pith, each 0.15 qian).
One dose. Boil in 2 zhong water with 5 slices ginger to 1 zhong. Take anytime.
**Xuanfu Hua Tang**
Indicated for Pregnancy 6-7 months, unstable fetus, vomiting.
Xuanfuhua (0.05 liang); Nongpo (Magnolia Bark), Baizhu, Zhike, Huangqin, Fuling (each 0.15 qian); Banxia, Shaoyao, Shengjiang (each 0.1 qian).
One dose. Boil in 2 zhong water to 1 zhong. Take before meals.
All the above formulas use Banxia, likely for its acridity to disperse knot-Qi and direct rebellious Qi downward, stopping vomiting. It is not solely for phlegm. Lou Quanshan noted: *Daquan* avoids Banxia fearing fetal disturbance, while Zhongjing uses it. I have used Banxia repeatedly for Pregnancy Ezu without disturbing the fetus. As the Classic says: "When there is pathology, there is no injury" (the pathogen bears the brunt, sparing the fetus).
**Baizhu San**
Indicated for Ezu vomiting clear fluid, severe cases unable to take fluids for over ten days.
Baizhu (1 liang), Renshen (0.5 liang), Dingxiang (Cloves) (0.25 qian), Gancao (Licorice Root) (0.1 qian).
Grind into fine powder. Take 2 qian per dose, with 1 cup water, 5 slices ginger, decoct to 0.7 cup, take warm.
**Ren Shen Ding Xiang San** (Two Formulas)
Indicated for Pregnancy Ezu, Cold-Stomach vomiting, reverse flow of food, heart/abdominal stabbing pain.
Formula 1: Renshen, Dingxiang, Huoxiangye (Patchouli Leaf) (each 0.25 qian). Grind to powder. Take 3 qian, decoct in 1 cup water to 0.7 cup, strain, take warm anytime.
Formula 2: Renshen, Dingxiang, Shidi (Persimmon Calyx) (each 2 liang), Gancao, Liangjiang (Galangal Rhizome) (each 0.5 liang). Grind to powder. Take 2 qian with hot water anytime.
**Xingpi Yinzi**
Indicated for Pregnant Woman Ezu, vomiting/anorexia, severe epigastric fullness, tasteless mouth, or chills/fever. (From Wang Shi's *Boji Fang*).
Caodoukou (Cardamom Seed, baked in wet paper/ashes until dry, peeled), Nongpo (ginger-processed) (each 0.5 liang); Ganjiang (1 liang), Gancao (1.25 qian).
Grind to powder. Take 2 large qian per dose, with 1 large cup water, 2 jujubes, 3 slices ginger, decoct to 0.8 cup, strain, sip warm.
Mild cases heal after 1-2 doses. Old formula included 2 liang Juhong for chills/fever/malaria/dysentery anorexia; later removed Juhong, replacing with Ganjiang. Ganjiang is excellent for elderly Qi deficiency, constipation, and dry mouth/thirst. Obstetrician Qi Shiming retained Ganjiang, removing Juhong, also named Xingpi Yinzi, highly effective for Ezu.
The above formulas combined with Fuling Wan, Dingxiang and Ganjiang are suitable only for Cold-Interior with slow pulse.
**Ren Shen Ju Pi Tang**
Indicated for Ezu vomiting phlegm-fluids.
Renshen, Jupi, Baizhu, Maimendong (heart removed, each 1 liang), Gancao (3 qian), Nongpo (processed), Baifuling (Poria) (each 5 qian).
Coarse powder. Take 4 qian per dose, add Danzhuru (Light Bamboo Shavings) size of a bullet, 3 slices ginger, decoct together.
**For Pregnancy Vomiting/Anorexia with Phlegm-Fluid Vomiting**
Shenglugen (Fresh Reed Rhizome) (0.07 liang), Juhong (0.04 liang), Shengjiang (0.06 liang), Binglang (Betel Nut) (0.02 liang), Pipaye (0.03 liang).
Cut. Boil in 2 cups water to 0.7 cup, take hot on empty stomach.
**For Pregnancy Food Aversion, Mental Restlessness, Heat/Stuffiness Vomiting**
Qingzhuru, Maimendong (each 3 liang), Qianhu (2 liang), Jupi (1 liang), Lugen (Reed Rhizome, a handful; if body heat/four-limb heat, add Gudupi (Groundcherry Root Bark), a handful).
Cut finely. Boil in 1 sheng water to 0.5 sheng, strain, divide into two doses, take before meals.
Formulas using Maimendong, Zhuru, and Lugen are cool in nature and neutral in effect, serving as balanced remedies for heat patterns without cold.
**For Pregnancy Food Aversion [Gujin Lu Yan Fang]**
Renshen (4 liang), Nongpo, Shengjiang, Zhike, Gancao (each 2 liang).
Boil in 6 sheng water to 3 sheng, divide into three doses.
**Guiyuan San**
Indicated for Pregnancy Ezu, persistent vomiting, headache, total anorexia, unresponsive to other meds. Regulates Blood and restores origin.
Renshen, Gancao, Chuanxiong, Danggui, Shaoyao, Dingxiang (each 0.5 liang); Baifuling, Baizhu, Chenpi (each 1.5 liang); Jiegeng (stir-fried), Zhike (core removed, stir-fried, each 0.25 qian); Banxia (washed 7 times, cut, stir-fried yellow, 1 liang).
Chop. Take 3 qian per dose, with 5 slices ginger, 1 jujube, decoct together.
**Ante-Fetal Drink (Antai Yin)**
Indicated for months 3-9 of pregnancy: daily vomiting of phlegm-fluids, mental restlessness, heavy head/dizzy eyes, aversion to food smells, unstable fetus, waist/abdominal pain, occasional bleeding, and all pregnancy diseases.
Gancao, Fuling, Danggui, Shudihuang, Chuanxiong, Baizhu, Huangqi (Astragalus Root), Shaoyao, Banxia (soaked 7 times, cut, stir-fried), Ejiao (Donkey-hide Gelatin, cut, stir-fried with powder), Diyü (Sanguisorba Root) (equal parts).
Chop. Take 3 qian per dose, with 4 slices ginger, decoct in water, take warm anytime. Variations: One omits Banxia/Diyü, adds Renshen/Sangjisheng (Mulberry Mistletoe Stem); another omits Huangqi/Baizhu/Banxia/Diyü, adds Aiye (Mugwort Leaf); this is simply Jiao'ai Tang plus Baifuling.
**Xiao Dihuang Wan**
Indicated for Pregnancy Nausea, vomiting clear fluid, abdominal pain/anorexia.
Renshen (remove radix tip), Ganjiang (stir-fried/pao, equal parts).
Grind to fine powder, mix with fresh Dihuangjuice (Rehmannia Juice) to form pills size of tung seeds. Take 50 pills before meals with rice water.
The above formulas all regulate Blood. Li Maoweng's statement about weak left pulse/vomiting unresponsive to meds healing with "Blood-Regulating Origin-Restoring" drugs refers to such categories.
**Baosheng Tang**
Indicated for women with absent menstruation, seemingly ill but healthy, slippery/large/equal six pulses (pregnancy pulse). Spirit normal, aversion to food smells, or craving specific foods, severe vomiting, or occasional clear fluid vomiting. Named Ezu. Do not treat as Cold disease. Take this medicine. If nausea/vomiting occurs, add Dingxiang and Shengjiang. (Wu Yinju Formula)
Renshen, Gancao (each 0.25 qian), Baizhu, Xiangfuzi (Cyperus Rhizome), Wuyao (Lindera Root), Juhong (each 0.5 liang).
Chop. Take 3 large qian per dose, with 1.5 cups water, 5 slices ginger, decoct to 0.7 cup, strain, take warm anytime. Or grind to powder and mix.
**Baizhu San**
Indicated for Pregnancy Fetal Qi Disharmony, reduced intake.
Baizhu (stir-fried), Zisu (Perilla Leaf) (each 1 qian); Renshen (2 qian), Qingpi (Green Tangerine Peel, remove white pith), Hemei (Chebula Fruit), Chuanxiong (each 0.08 liang); Gancao (stir-fried, 0.05 liang).
One dose. Boil in 2 zhong water with 3 slices ginger to 1 zhong. Take anytime.
**Erxiang San**
Indicated for Pregnancy Unstable Fetus, Qi non-ascent/descent, poor appetite, vomiting acid water, heaviness upon rising/sitting.
Xiangfuzi (1 liang), Huoxiangye, Gancao (each 3 qian).
Grind to powder. Take 2 qian anytime, mixed with boiling water.
*[Supplement]* I once treated a pregnant woman with Ezu, vomiting/anorexia, dizziness unable to walk. Decocted bitter pomelo peel thickly, drank several cups, cured. For severe vomiting, add ginger juice.
Another Formula: Sha ren (Amomum) powder, 2 qian per dose, mixed with ginger water or rice water.
The above formulas all regulate Qi. For Qi Deficiency, the first two are suitable; for Qi Stagnation, the third is suitable.
[Lou Quanshan] A woman, 3 months pregnant, vomited phlegm-fluids and food, occurring daily at Yin/Mao hours (5-9 AM). During attacks, she felt Qi rushing up from lower abdomen, then chest fullness and vomiting, red face, slight agitation, dizziness unable to rise, limb pain, slight thirst. This is Liver Fire carrying Chong Mai (Penetrating Vessel) Fire upward. Severity alternated daily. Pulses harmonous except Right Cun was flooding. Hundred herbs failed. Approaching 2 months. My son was ill; I accidentally used Chenxiang (Agarwood) ground in water to dissolve Baolong Wan (Bear Dragon Pill) for him. His chest widened, Qi stopped rushing up. After 2-3 doses, vomiting stopped, dizziness reduced, appetite returned, stabilized.
Another case: Mrs. Ying had heartburn/vomiting, congested pulses, epigastric fullness/blockage, Qi attacking back, both elbows painful, requiring constant hot rubbing. Vomiting provided slight relief. Pulses flooding. Prescribed:
Huanglian (Coptis Rhizome) (0.1 liang), Huangqin (Scutellaria Root) (0.25 liang, stir-fried), Baizhu, Banxia (each 0.1 liang), Gancao (stir-fried), Suosha (Amomum) (each 0.05 liang); Chenpi, Danggui, Shanzhi (Gardenia Fruit), Zhike (stir-fried), Xiangfu, Renshen, Cangzhu (each 0.1 liang), Fuling (0.15 liang), Shengjiang (7 slices).
After 2 doses, heartburn/vomiting stopped, epigastric blockage receded. Nighttime back/elbow pain remained, treated with rubbing, then dissolved Baolong Wan. Disease vanished.
[Danbo Yuanjian] A woman near 30, 2 months pregnant, suffered vomiting/dizziness, feeling unbearable. Took Renshen, Baizhu, Chuanxiong, Chenpi, Fuling etc. for 5-7 days, felt heavier. Called me to pulse. Both hands wiry, Left worse, and weak. I said: