妊娠伤寒，时值冬令，为寒所伤，其轻者淅淅恶寒，翕翕发热，微嗽鼻塞，数日即愈，不药亦
可。或用葱白（连须）三、五茎，生姜三片，煎服即解。如所感者重，以致头疼，先寒后热，久必
伤胎，药多避忌，务宜谨慎，不可与常妇概治，竟用发表，以致损胎，误其母子性命。但服葱白香豉汤自愈，故《千金》
治妊妇伤寒，用葱白、生姜，水煎热服，取汗即安。是以葱白香豉汤、香苏散可解表邪，又可安胎。况葱白不惟性能解
表，且善安生胎、下死胎。若感寒孕妇，胎伤未死，但用葱一把，水煮食之，汗出即安。如胎已死，须臾自
出，不应，加生姜、苏叶，不可轻用表药招尤。若妊娠邪在半表半里，择《纲目》内黄龙汤，即小柴
胡汤变体用法，其加减亦可采择而用。如表症已愈，但发热大渴，用香苏散，加金花汤。便结者，加
入大黄。或用三黄解毒汤，所以胎前疫症，与伤寒阳明腑症，内实便秘，须急通大便，方不损胎。若大
便自利，乃正气下泄，胎必难保。惟大小便如常，知里无热，则不伤胎气，至妊娠热症，亦须急治，恐
致落胎。《千金》用葱白香豉汤，取汁即愈。又有用柴葛安胎饮者，如呕吐烦躁，用生津葛根汤者，
甚则斑出黑色，用栀子葱豉汤者，密斋用加味化斑汤，此皆热入于里，阳明症之方药也。《医通》治
孕妇温热时行，及伤寒邪气内犯，热毒逼胎，并宜《千金》石膏大青汤急救，庶可保全，迟则不救。又
有石膏六合汤、升麻六合汤，立方甚稳，录后以备采用。凡胎孕药内，不得已而用大黄转药，须用酒制。
姜、桂、附子，用黄连、甘草制之，则无害矣。
葱白香豉汤 《千金》治时疫伤寒，三日以内，头痛如破，及温病初起寒热。
葱白（连须一握） 香豉（三合）
水煎，入童便一合，日三服。秋冬加生姜二两。
黄龙汤 治妊娠伤寒，得之三、五日后，有恶寒发热，内有烦渴引饮，小便赤涩之症。此邪在半
表半里，宜此方主之。
柴胡（二钱） 黄芩（一钱半） 人参 甘草（各一钱） 姜、枣为引。
水煎服。如寒热往来，无汗口干，加葛根二钱，去枣，入葱白三根，如头痛不止，加川芎、白
芷各一钱，去枣，加葱白三根；如发热，有汗口渴，加土炒白术一钱半，栝蒌根一钱半；如脉浮大
有力，大热大渴，人参白虎汤去姜、枣。
柴葛安胎饮 治孕妇热病，骨节疼痛，如不急治则落胎。
柴胡 葛根 青黛（各八分） 石膏（一钱半） 升麻（五分） 栀子（一钱） 知母（七
分） 葱白（三根）
生津葛根汤 治孕妇热病，呕吐不食，胸中烦躁。
人参 葛根 芦根 麦冬 知母（炒） 栀子（炒各一钱） 竹茹（一团） 葱白（三寸）
栀子葱豉汤 治孕妇热病，斑出赤黑色，小便如血，气急欲绝，胎落之症。
栀子（炒） 黄芩 升麻（各一钱） 生地（二钱） 青黛（八分） 豆豉（四十九粒）
杏仁（十二粒） 石膏（一钱半 ）
加味化斑汤 治孕妇伤寒，热病不解，遍身发斑，赤如锦文者。
人参 知母 生地 黄芩 栀仁 甘草（各一钱） 石膏（二钱） 淡竹叶（二十片） 豆豉（半合）
食远服。
《千金》石膏大青汤 治妊娠伤寒，头疼壮热，肢体烦痛。此方既可散邪，又能安胎，允为
孕妇伤寒温热时行神方也。
石膏（二钱） 大青 黄芩（各八分） 前胡 知母 栀仁（各一钱） 葱白（一茎）
水煎温服。
石膏六合汤 治妊娠伤寒，身热大渴而烦。
当归 川芎 白勺 生地（各一钱） 石膏 知母（各五分）
水一盅半，煎一盅，温服。
升麻六合汤 治妊娠伤寒下后，过经不愈，湿毒发斑如锦文者。
当归 川芎 白芍 生地（各一钱） 升麻 连翘（各七分）
水煎温服。
妊娠期间患伤寒，正值冬季，因受寒邪侵袭所致。病情较轻者，表现为微微恶寒、发热、轻微咳嗽和鼻塞，数日即可痊愈，甚至不服药也能自愈。此时可用带须葱白三至五根、生姜三片，煎汤服用即可缓解。如果感受的寒邪较重，导致头痛，先恶寒后发热，日久必伤及胎元。用药多有禁忌，务必谨慎，不可像治疗普通妇女那样一概使用发汗解表药，以免损伤胎气，危及母子性命。此时只需服用葱白香豉汤即可自愈，因此《千金方》治疗孕妇伤寒，用葱白、生姜水煎热服，取汗后便安稳。所以葱白香豉汤、香苏散既能解除表邪，又能安胎。况且葱白不仅性能解表，而且善于安固生胎、排出死胎。若是感寒的孕妇，胎已受伤但未死亡，仅用一把葱白水煮食用，出汗后即平安。如果胎已死亡，不久会自然排出；若未排出，可加生姜、紫苏叶，不可轻易使用发表药招致过错。若妊娠期间邪气在半表半里之间，可选择《本草纲目》中的黄龙汤，即小柴胡汤的变通用法，其加减法也可采纳使用。如果表证已愈，但出现大发热和大口渴，用香苏散加金花汤。大便干结者，加入大黄。或用三黄解毒汤，这是因为产前疫病与伤寒阳明腑实证，内实便秘，必须急通大便，才不会损伤胎元。如果大便自利（腹泻），这是正气下泄，胎元必定难以保全。只有大小便正常，知道体内无热，才不伤胎气。至于妊娠热症，也必须急治，恐怕导致流产。《千金方》用葱白香豉汤，取汁饮用即愈。又有用柴葛安胎饮的，如呕吐烦躁，用生津葛根汤的，严重时斑疹发出呈黑色，用栀子葱豉汤的，密斋用加味化斑汤，这些都是热邪入里，属于阳明证的方药。《医宗金鉴·妇科心法要诀》治疗孕妇温热时行病，以及伤寒邪气内犯，热毒逼迫胎元，都宜用《千金方》石膏大青汤急救，才可以保全，迟则无法救治。另有石膏六合汤、升麻六合汤，立方非常稳妥，记录在后面以备采用。凡胎孕用药中，不得已而用大黄通便，必须用酒制。姜、桂枝、附子，用黄连、甘草炮制，就无害了。
葱白香豉汤：《千金方》治疗时疫伤寒，三日以内，头痛剧烈如破，以及温病初起寒热往来。
配方：葱白（连须一握）、香豉（三合）。
用法：水煎，加入童便一合，每日三次服用。秋冬季节加生姜二两。
黄龙汤：治疗妊娠伤寒，得病三至五日后，有恶寒发热、内有烦渴引饮、小便赤涩的症状。此乃邪在半表半里，宜用此方主治。
配方：柴胡（二钱）、黄芩（一钱半）、人参、甘草（各一钱），以姜、枣为引。
用法：水煎服。如寒热往来、无汗口干，加葛根二钱，去枣，入葱白三根；如头痛不止，加川芎、白芷各一钱，去枣，加葱白三根；如发热、有汗口渴，加土炒白术一钱半、栝蒌根一钱半；如脉浮大有力、大热大渴，用人参白虎汤去姜、枣。
柴葛安胎饮：治疗孕妇热病，骨节疼痛，如不紧急治疗则会导致流产。
配方：柴胡、葛根、青黛（各八分）、石膏（一钱半）、升麻（五分）、栀子（一钱）、知母（七分）、葱白（三根）。
生津葛根汤：治疗孕妇热病，呕吐不食，胸中烦躁。
配方：人参、葛根、芦根、麦冬、知母（炒）、栀子（炒，各一钱）、竹茹（一团）、葱白（三寸）。
栀子葱豉汤：治疗孕妇热病，斑疹发出呈赤黑色，小便如血，气急欲绝，胎落之症。
配方：栀子（炒）、黄芩、升麻（各一钱）、生地（二钱）、青黛（八分）、豆豉（四十九粒）、杏仁（十二粒）、石膏（一钱半）。
加味化斑汤：治疗孕妇伤寒，热病不解，遍身发斑，色赤如锦纹者。
配方：人参、知母、生地、黄芩、栀仁、甘草（各一钱）、石膏（二钱）、淡竹叶（二十片）、豆豉（半合）。
用法：饭后远时服用。
《千金方》石膏大青汤：治疗妊娠伤寒，头疼壮热，肢体烦痛。此方既可散邪，又能安胎，确为孕妇伤寒温热时行病的良方。
配方：石膏（二钱）、大青、黄芩（各八分）、前胡、知母、栀仁（各一钱）、葱白（一茎）。
用法：水煎温服。
石膏六合汤：治疗妊娠伤寒，身热大渴而烦。
配方：当归、川芎、白芍、生地（各一钱）、石膏、知母（各五分）。
用法：用水一盅半，煎至一盅，温服。
升麻六合汤：治疗妊娠伤寒下法治疗后，过经不愈，湿毒发斑如锦纹者。
配方：当归、川芎、白芍、生地（各一钱）、升麻、连翘（各七分）。
用法：水煎温服。
During pregnancy, contracting Taiyang Cold Damage (Shanghan) in winter due to cold pathogen invasion. For mild cases, symptoms include slight aversion to wind (Xixi Ehan), mild fever (Xixi Fare), slight cough, and nasal congestion; these resolve within a few days without medication. One may use three to five stalks of scallion white part (with roots), San slices of fresh ginger, decocted in water and taken orally to resolve the condition. If the contracted pathogen is severe, causing headache, initial aversion to cold followed by fever, it will eventually damage the fetus. Medication requires caution and avoidance of certain substances; one must not treat it generally as with non-pregnant women by indiscriminately using diaphoretic methods, which could harm the fetus and endanger both mother and child. Simply taking Congbai Xiangchi Tang (Scallion White and Fermented Soybean Decoction) allows for self-healing. Thus, *Qianjin Fang* treats pregnant women with Shanghan using scallion white and fresh ginger, decocted in water, taken hot to induce sweating, after which the patient becomes stable. Therefore, Congbai Xiangchi Tang and Xiangsu San can release exterior pathogens while also stabilizing the fetus. Moreover, scallion white not only releases the exterior but also effectively secures a living fetus and expels a dead fetus. For a pregnant woman affected by cold where the fetus is injured but not yet dead, boiling a handful of scallions in water and consuming them induces sweating and ensures safety. If the fetus has already died, it will naturally be expelled shortly; if not, add fresh ginger and Perilla Leaf (Ziye); do not lightly use exterior-releasing drugs to invite further complications. If the pathogen is in the Shaoyang stage (half-exterior, half-interior) during pregnancy, select Huanglong Tang from *Bencao Gangmu*, which is a variation of Xiaochaihu Tang; its modifications can also be adopted. If exterior symptoms have resolved but high fever and intense thirst persist, use Xiangsu San plus Jinhua Tang. For constipation, add Rhubarb (Dahuang). Alternatively, use Sanhuang Jiedu Tang. This is because pre-natal epidemic diseases and Yangming Fu syndrome in Shanghan involve internal excess and constipation; urgent purgation is required to prevent fetal damage. If spontaneous diarrhea occurs, it indicates leakage of healthy Qi, making the fetus difficult to preserve. Only when urination and defecation are normal, indicating no heat in the interior, is the fetal Qi unharmed. Regarding febrile diseases in pregnancy, urgent treatment is necessary to avoid miscarriage. *Qianjin Fang* uses Congbai Xiangchi Tang, taking the juice, which leads to recovery. Other formulas include Chaige Antai Yin for stabilizing the fetus in febrile diseases; Shengjin Gegen Tang for vomiting and irritability; Zhizi Congchi Tang for blackish macules; and Jiawei Huaban Tang used by Mi Zhai. These are all formulas for Heat entering the interior, corresponding to Yangming syndrome. *Yitong* recommends emergency treatment with *Qianjin Fang* Shigao Daqing Tang for pregnant women with warm-heat epidemics or Shanghan pathogens invading internally, where heat toxins threaten the fetus, to ensure preservation; delay renders it incurable. Also recorded are Shigao Liuhe Tang and Shengma Liuhe Tang, which are very stable prescriptions, listed below for reference. In pregnancy medications, if Dahuang must be used for purgation, it should be wine-processed. Ginger, Cinnamon Twig (Guizhi), and Aconite Root (Fuzi) processed with Scutellaria Root (Huanglian) and Licorice Root (Gancao) become harmless.
Congbai Xiangchi Tang: From *Qianjin Fang*, treating epidemic Shanghan within three days, severe headache, and early-stage warm disease with alternating chills and fever.
Ingredients: Scallion White (with roots, one handful), Fermented Soybean (Xiangchi, three he).
Usage: Decoct in water, add one he of human urine (Tongbian), take three times daily. Add two liang of fresh ginger in autumn and winter.
Huanglong Tang: Treats pregnancy Shanghan, occurring three to five days after onset, with symptoms of aversion to cold, fever, internal irritability, thirst with desire to drink, and scanty dark painful urination. This indicates pathogen at the half-exterior, half-interior level; this formula is indicated.
Ingredients: Bupleurum Root (Chaihu, two qian), Scutellaria Root (Huangqin, one and a half qian), Ginseng Root (Renshen), Licorice Root (Gancao, each one qian), with Fresh Ginger and Jujube as guides.
Usage: Decoct in water and take orally. For alternating chills and fever, anhidrosis, and dry mouth, add Kudzu Root (Gegen, two qian), remove Jujube, add three stalks of Scallion White. For persistent headache, add Ligusticum Chuanxiong Rhizome (Chuanxiong) and Angelica Dahurica Root (Baizhi, each one qian), remove Jujube, add three stalks of Scallion White. For fever, sweating, and thirst, add Atractylodes Macrocephala Rhizome (Baizhu, earth-fried, one and a half qian) and Trichosanthes Root (Gualougen, one and a half qian). For floating, large, forceful pulse with high fever and intense thirst, use Renshen Baihu Tang removing Fresh Ginger and Jujube.
Chaige Antai Yin: Treats pregnant women with febrile diseases, joint pain; if not treated urgently, miscarriage may occur.
Ingredients: Bupleurum Root (Chaihu), Kudzu Root (Gegen), Indigo Naturalis (Qingdai, each eight fen), Gypsum (Shigao, one and a half qian), Cimicifuga Rhizome (Shengma, five fen), Gardenia Fruit (Zhizi, one qian), Anemarrhena Rhizome (Zhimu, seven fen), Scallion White (three stalks).
Shengjin Gegen Tang: Treats pregnant women with febrile diseases, vomiting, loss of appetite, and chest irritability.
Ingredients: Ginseng Root (Renshen), Kudzu Root (Gegen), Reed Rhizome (Lugen), Ophiopogon Tuber (Maidong), Anemarrhena Rhizome (Zhimu, fried), Gardenia Fruit (Zhizi, fried, each one qian), Bamboo Shavings (Zhuru, one ball), Scallion White (three cun).
Zhizi Congchi Tang: Treats pregnant women with febrile diseases, red-black macules, hematuria, gasping approaching death, and signs of miscarriage.
Ingredients: Gardenia Fruit (Zhizi, fried), Scutellaria Root (Huangqin), Cimicifuga Rhizome (Shengma, each one qian), Rehmannia Root (Shengdi, two qian), Indigo Naturalis (Qingdai, eight fen), Fermented Soybean (Douchi, forty-nine grains), Apricot Kernel (Xingren, twelve grains), Gypsum (Shigao, one and a half qian).
Jiawei Huaban Tang: Treats pregnant women with Shanghan, unresolved febrile disease, generalized macules red like brocade patterns.
Ingredients: Ginseng Root (Renshen), Anemarrhena Rhizome (Zhimu), Rehmannia Root (Shengdi), Scutellaria Root (Huangqin), Gardenia Seed (Zhiren), Licorice Root (Gancao, each one qian), Gypsum (Shigao, two qian), Light Bamboo Leaves (Danzhuye, twenty leaves), Fermented Soybean (Douchi, half he).
Usage: Take long after meals.
*Qianjin Fang* Shigao Daqing Tang: Treats pregnancy Shanghan, severe headache, high fever, and limb pain. This formula disperses pathogens and stabilizes the fetus, truly a divine prescription for pregnant women with Shanghan, warm-heat, and epidemics.
Ingredients: Gypsum (Shigao, two qian), Qingdai, Scutellaria Root (Huangqin, each eight fen), Peucedanum Radix (Qianhu), Anemarrhena Rhizome (Zhimu), Gardenia Seed (Zhiren, each one qian), Scallion White (one stalk).
Usage: Decoct in water and take warm.
Shigao Liuhe Tang: Treats pregnancy Shanghan, body heat, intense thirst, and irritability.
Ingredients: Angelica Sinensis Root (Danggui), Ligusticum Chuanxiong Rhizome (Chuanxiong), White Peony Root (Baishao), Rehmannia Root (Shengdi, each one qian), Gypsum (Shigao), Anemarrhena Rhizome (Zhimu, each five fen).
Usage: Decoct one and a half cups of water to one cup, take warm.
Shengma Liuhe Tang: Treats pregnancy Shanghan after purgation, passing through stages without resolution, damp-toxin causing macules like brocade patterns.
Ingredients: Angelica Sinensis Root (Danggui), Ligusticum Chuanxiong Rhizome (Chuanxiong), White Peony Root (Baishao), Rehmannia Root (Shengdi, each one qian), Cimicifuga Rhizome (Shengma), Forsythia Fruit (Lianqiao, each seven fen).
Usage: Decoct in water and take warm.