妊娠胎前病恶阻，胞阻肿满气烦悬，痫嗽转胞与子淋，激经胎漏胎不安，小产死胎胎不长，子喑脏躁
鬼胎连，余病当参杂症治，须知刻刻顾胎原。
【注】此言妊娠胎前，有恶阻、胞阻、子肿、子满、子烦、子悬、子痫、子嗽、转胞、
子淋、激经、胎漏、胎动不安、小产堕胎、子死腹中、胎萎不长、子喑、脏燥、鬼胎等证，
皆当一一详辨熟记。其余胎前伤寒、伤食、疟痢、霍乱、泄泻，当于杂证门中参考治之。但
须时刻保护胎原，不致误犯为要也。
恶心呕吐名恶阻，择食任意过期安，重者须药主胃弱，更分胎逆痰热寒。
【注】妇人受孕月余之后，时时呕吐者，名曰恶阻。若无他病择食者，须随其意而与
之。轻者过期自然勿药而愈，重者须以药治之。当以胃弱为主，更审其或因胎气阻逆，或
痰饮阻逆，与夫兼热、兼寒而分治之。
保生汤
胎气阻逆惟呕吐，无他兼症保生汤，砂术香附乌陈草，量加参枳引生姜。
【注】恶阻，有因胎气阻逆者，乃受胎后胞门闭塞，脏气内阻，挟胎气上逆于胃，故
令恶心呕吐也。若平素胃虚所致，虽无痰饮，寒热相兼，而亦有恶阻证者，宜用保生汤，即
砂仁、白术、香附、乌药、陈皮、甘草也。引用生姜者，以止其呕也。若气弱者，量加人
参；气实者，量加枳壳。
加味六君汤
痰饮恶阻吐痰水，烦眩加味六君汤，枇杷藿香旋缩枳，热秘芩军寒桂姜。
【注】恶阻因于痰饮者，其吐必多痰水，且心烦头目眩晕，必其人平素胃虚，中停痰
饮也。宜用加味六君汤，于六君汤内加枇杷叶、藿香、旋复花、缩砂、枳壳。若胃热便
秘，加黄芩、大黄以利之；胃寒喜热，加肉桂、干姜以温之。
六君汤（方见首卷）
加味温胆汤
热阻恶食喜凉浆，心烦愦闷温胆汤，橘半茯甘与枳术。更加芩连芦麦姜。
【注】恶阻因于胃热者，必呕吐，心中热烦，愦闷喜饮凉浆也。宜用加味温胆汤，其
方即陈皮、半夏、茯苓、甘草、枳实、竹茹（名温胆汤），更加黄芩、黄连、芦根、麦门
冬，引生姜也。
妊娠期间胎前疾病中的恶阻，以及胞阻、肿胀胀满、气机烦闷、悬痛，还有子痫、咳嗽、转胞和子淋，激经、胎漏、胎动不安，小产、死胎、胎儿生长迟缓，子喑、脏躁、鬼胎等病症，其余的胎前疾病应当参考内科杂病进行治疗，但必须时刻注意顾护胎元根本。
【注】这里所说的妊娠胎前阶段，有恶阻、胞阻、子肿（妊娠期水肿）、子满（妊娠期腹大异常）、子烦（妊娠期心烦）、子悬（妊娠期胸胁胀满）、子痫（妊娠期抽搐）、子嗽（妊娠期咳嗽）、转胞（妊娠期小便不通）、子淋（妊娠期尿痛）、激经（妊娠后仍按月行经而无损于胎儿）、胎漏（妊娠期阴道少量出血）、胎动不安（妊娠期腰酸腹痛下坠感）、小产或堕胎、胎死腹中、胎萎不长（胎儿发育迟缓）、子喑（妊娠期失音）、脏躁、鬼胎（葡萄胎）等证候，都应当逐一详细辨别并熟记。其余如胎前患伤寒、伤食、疟疾痢疾、霍乱、泄泻等，应当在内科杂病章节中参考治疗。但是必须时刻保护胎元根本，不致误犯禁忌才是关键。
恶心呕吐称为恶阻，若只是择食且任意饮食，过一段时间即可安宁；病情重者必须用药，主要因胃气虚弱，还需进一步区分是胎气上逆、痰饮阻滞、兼热还是兼寒。
【注】妇女受孕一个多月之后，时常呕吐的，称为恶阻。如果没有其他疾病，只是单纯择食的，应当顺从其意愿给予食物。轻症过一段时间后自然会痊愈，无需服药；重症则必须用药治疗。治疗应以调理胃气虚弱为主，还要审察是否因胎气阻逆，或因痰饮阻逆，以及兼有热象或寒象而分别施治。
保生汤
胎气阻逆仅表现为呕吐，无其他兼症时选用保生汤，方中包含砂仁、白术、香附、乌药、陈皮、甘草，根据情况加入人参或枳壳，以生姜为引。
【注】恶阻中有因胎气阻逆引起的，这是受孕后胞门闭塞，脏腑之气内部阻滞，挟带胎气上逆至胃，所以导致恶心呕吐。如果平素胃虚所致，即使没有痰饮，寒热夹杂，也有出现恶阻证候的，适宜使用保生汤，即由砂仁、白术、香附、乌药、陈皮、甘草组成。引用生姜，是为了止呕。如果气虚者，酌情加入人参；气实者，酌情加入枳壳。
加味六君汤
痰饮引起的恶阻，呕吐物多为痰水，伴有心烦眩晕，选用加味六君汤，方中含枇杷叶、藿香、旋复花、缩砂、枳壳，若兼热秘加大黄和黄芩，兼寒加肉桂和干姜。
【注】恶阻因于痰饮的，其呕吐必然多痰水，且伴有心烦、头目眩晕，必定是此人平素胃虚，中焦停滞痰饮所致。适宜使用加味六君汤，即在六君子汤基础上加入枇杷叶、藿香、旋复花、缩砂、枳壳。如果胃热便秘，加入黄芩、大黄以通利之；如果胃寒喜热，加入肉桂、干姜以温中之。
六君子汤（方剂见首卷）
加味温胆汤
热邪阻滞导致的恶阻厌食，喜欢喝凉浆，伴有心烦郁闷，选用加味温胆汤，方中含有橘皮、半夏、茯苓、甘草与枳实、白术。再加黄芩、黄连、芦根、麦门冬，以生姜为引。
【注】恶阻因于胃热的，必然呕吐，心中烦热，胸闷不适，喜欢饮用凉性饮料。适宜使用加味温胆汤，其方即陈皮、半夏、茯苓、甘草、枳实、竹茹（名为温胆汤），再加黄芩、黄连、芦根、麦门冬，以生姜为引。
During pregnancy, before delivery, diseases such as morning sickness (Ezu), placental obstruction (Baoku), swelling and fullness, Qi stagnation with vexation, hanging pain, eclampsia (Zixian), cough (Zisou), urinary retention due to bladder displacement (Zhuanbao), and dysuria during pregnancy (Zilin), regular menstruation continuing during pregnancy without harm to the fetus (Jijing), threatened abortion with vaginal bleeding (Tailou), restless fetus with lower abdominal pain and bearing-down sensation (Taidong Bu'an), spontaneous abortion (Xiaochan), intrauterine fetal death (Sitai), fetal growth retardation (Tai Bu Zhang), loss of voice during pregnancy (Ziyin), visceral irritability syndrome (Zangzao), and hydatidiform mole (Guotai) are mentioned. Other pre-delivery conditions should be treated by referring to miscellaneous internal medicine diseases, but one must constantly protect the root of the fetus.
[Note] This refers to the pre-delivery stage of pregnancy, including conditions such as Ezu, Baoku, Zizhong (pregnancy edema), Ziman (abdominal distension in pregnancy), Zifan (pregnancy vexation), Zixuan (chest and hypochondriac fullness in pregnancy), Zixian, Zisou, Zhuanbao, Zilin, Jijing, Tailou, Taidong Bu'an, Xiaochan or Duotai, Sitai Fuzhong, Taiwei Buzhang, Ziyin, Zangzao, Guotai, etc. These syndromes must be distinguished in detail and memorized. Other conditions such as cold damage (Shanghan), food stagnation, malaria and dysentery, cholera, and diarrhea occurring during pregnancy should be referred to the miscellaneous disease section for treatment. However, it is crucial to constantly protect the fetal root and avoid violating contraindications.
Nausea and vomiting are named Ezu. If it is merely selective eating and any diet leads to relief after a while, no treatment is needed initially. For severe cases, medication is required, primarily addressing weak Stomach Qi, and further distinguishing between rebellious fetal Qi, phlegm-fluid obstruction, heat, or cold.
[Note] After a woman conceives for more than a month, frequent vomiting is called Ezu. If there are no other diseases and it is merely selective eating, one should follow her desires and provide appropriate food. Mild cases resolve naturally after some time without medication; severe cases require medicinal treatment. Treatment should focus on strengthening the weak Stomach Qi, while also examining whether it is caused by rebellious fetal Qi, obstruction by phlegm-fluids, or accompanied by heat or cold, treating accordingly.
Baosheng Tang (Protect Life Decoction)
For rebellious fetal Qi causing only vomiting without other accompanying symptoms, use Baosheng Tang. It contains Amomi Fructus (Sharen), Atractylodis Macrocephalae Rhizoma (Baizhu), Cyperi Rhizoma (Xiangfu), Linderae Radix (Wuyao), Citri Reticulatae Pericarpium (Chenpi), and Glycyrrhizae Radix et Rhizoma (Gancao). Add Ginseng Radix et Rhizoma (Renshen) or Aurantii Fructus Immaturus (Zhike) according to condition, using Zingiberis Rhizoma Recens (Shengjiang) as a guide.
[Note] Ezu caused by rebellious fetal Qi occurs when the uterine opening closes after conception, obstructing the internal Qi of the viscera, which carries the fetal Qi upward to the Stomach, causing nausea and vomiting. If caused by chronic Stomach deficiency, even without phlegm-fluids and with mixed cold and heat, Ezu may still occur. In such cases, Baosheng Tang is suitable, composed of Sharen, Baizhu, Xiangfu, Wuyao, Chenpi, and Gancao. Shengjiang is used as a guide to stop vomiting. If Qi is deficient, add Renshen appropriately; if Qi is excess, add Zhike appropriately.
Jiawei Liujun Tang (Modified Six Gentlemen Decoction)
For Ezu caused by phlegm-fluids, characterized by vomiting much phlegm-water, accompanied by mental restlessness and dizziness, use Jiawei Liujun Tang. It includes Eriobotryae Folium (Pipaye), Agastaches Herba (Huoxiang), Inulae Flos (Xuanjinhua), Amomi Fructus (Suosha), and Aurantii Fructus Immaturus (Zhike). If accompanied by heat and constipation, add Scutellariae Radix (Huangqin) and Rheum Radix et Rhizoma (Dahuang) to promote purgation; if accompanied by cold and preference for warmth, add Cinnamomi Cortex (Rougui) and Zingiberis Rhizoma (Ganjiang) to warm.
[Note] Ezu caused by phlegm-fluids involves vomiting copious phlegm-water, along with mental restlessness and dizziness of the head and eyes. This indicates chronic Stomach deficiency with stagnation of phlegm-fluids in the middle Jiao. Jiawei Liujun Tang is suitable, which is Liujun Tang added with Pipaye, Huoxiang, Xuanjinhua, Suosha, and Zhike. If Stomach heat causes constipation, add Huangqin and Dahuang to clear and purge; if Stomach cold causes preference for warmth, add Rougui and Ganjiang to warm.
Liujun Tang (See formula in first volume)
Jiawei Wendan Tang (Modified Warm Gallbladder Decoction)
For Ezu caused by heat obstruction leading to anorexia and preference for cool drinks, accompanied by mental restlessness and oppression, use Jiawei Wendan Tang. It contains Citri Reticulatae Pericarpium (Chenpi), Pinelliae Rhizoma (Banxia), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Aurantii Fructus Immaturus (Zhishi), and Atractylodis Macrocephalae Rhizoma (Baizhu). Add Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Phragmitis Rhizoma (Lugen), and Ophiopogonis Radix (Maimendong), using Zingiberis Rhizoma Recens (Shengjiang) as a guide.
[Note] Ezu caused by Stomach heat involves vomiting, mental heat and restlessness, chest oppression, and a desire to drink cool liquids. Jiawei Wendan Tang is suitable. The formula consists of Chenpi, Banxia, Fuling, Gancao, Zhishi, and Zhu Ru (named Wendan Tang), plus Huangqin, Huanglian, Lugen, and Maimendong, with Shengjiang as a guide.