妊娠子肿，与子气相类，但子气在下体，子肿在头面。若子满症，又名为胎水，则在五、六月以后，
比子气、子肿不同。盖胎大则腹满，遍身浮肿。凡子气、子肿、子满，由脏腑本弱，或因泄泻下利，耗
伤脾胃，或寒热疟疾，烦渴加饮，湿渍脾胃，使头面手足浮肿也。然水渍于胞，儿未成形，则胎多损坏，
故初妊即肿。急宜调治，水去胀消，仍用六君子调补。
所谓子肿者，妊娠面目虚浮，多因脾胃气虚，或久泻所致。宜健脾利水，全生白术散主之，或用健
脾利水汤。
所谓子气者，妊娠自三月成胎之后，两足面渐肿至腿膝，或腰以下肿，行步艰难，以致喘闷不宁，
饮食不美，似水气状，甚至脚指间有黄水出者。盖脾主四肢，脾气虚弱，不能制水而发肿，肺金少母气
滋养，而气促满闷，诸书名曰子气，即水气。治此病者，先服加味天仙藤散。如不效，则服茯苓汤；
再不效，服补中益气汤加茯苓。至孕妇八、九个月，胫腿俱肿，非水气比，不可以水气治之，反伤正
气。凡有此者，必易产。因胞脏中水血俱多，不致胎燥也。
所谓子满者，妊娠至五、六个月，胸腹急胀，腹大异常，或遍身浮肿，胸胁不分，气逆不安，小
便艰涩，名曰子满，又为胎水不利。若不早治，生子手足软短有疾，甚至胎死腹中。宜服《千金》鲤
鱼汤治其水。
《全生》白术散 治妊娠面目虚浮，如水肿胀。
白术（一两土炒） 生姜皮 大腹皮（豆汁制净） 茯苓 陈皮（各五钱）
为末，每服二钱，米饮调下。
加味天仙藤散 治孕妇腰脚肿，虚人多有此症。
天仙藤（即青木香藤，洗，略炒） 制香附 紫苏（各六分） 陈皮（四分） 乌药（五分）
木香（二分） 姜皮（三片）
虚人加人参一钱、土炒白术二钱、酒洗当归二钱，或兼服补中益气汤。
茯苓汤 治孕妇六、七个月以来，两足肿大，行步艰难，脚指间有黄水出，此名子气，人多
有之，生子之后，其肿自消，甚者，此汤主之。
白茯苓 白术（土炒） 陈皮 制香附 乌药（各一钱） 紫苏（连茎叶） 炙草（各五分）
木瓜（三片）
《千金》鲤鱼汤 治孕妇胸腹胀满，或遍身浮肿，小便艰涩，名曰子满。又为胎水不利，
或胞中积水，以致胞死腹中。
白术（五钱土炒） 白茯苓（四钱） 当归身（三钱酒洗） 白芍（二钱） 鲤鱼一尾（重二斤，
要活的）
将鱼去鳞、肠，加橘皮少许或五分，姜七片，用水扣汤煮，取汁一盏半，去鱼，入药四味鱼汁
内，煎七分，空心温服，渣再制如前。
妊娠期间出现“子肿”，与“子气”症状相似，但“子气”表现为下肢肿胀，“子肿”则表现为头面部肿胀。如果发生“子满”证，又被称为“胎水”，通常出现在怀孕五、六个月之后，这与“子气”、“子肿”有所不同。因为胎儿长大导致腹部胀满，全身浮肿。凡是“子气”、“子肿”、“子满”，都是由于脏腑本身体质虚弱，或者因为腹泻下利，耗伤了脾胃之气；或者是寒热疟疾，烦渴时大量饮水，湿气浸渍脾胃，从而导致头面手足浮肿。然而，如果水湿浸渍于胞宫，胎儿尚未成形，那么胎儿大多会受损，所以如果在怀孕初期就出现肿胀，必须紧急调理治疗。待水湿去除、肿胀消退后，仍需用六君子汤进行调补。
所谓“子肿”，是指妊娠期间面目虚浮，多因脾胃气虚，或长期腹泻所致。适宜采用健脾利水的方法，以全生白术散为主方，或者使用健脾利水汤。
所谓“子气”，是指妊娠在三个月成胎之后，两脚背逐渐肿胀直至腿膝，或者腰部以下肿胀，行走困难，以致气喘胸闷不安，饮食不佳，症状类似水气病，甚至脚趾间有黄水流出。这是因为脾主四肢，脾气虚弱，不能制约水湿而引发肿胀；肺金缺乏母气（脾土）的滋养，而导致气促胸闷。各医书称此病为“子气”，即水气病。治疗此病，先服用加味天仙藤散。如果无效，则服用茯苓汤；再无效，服用补中益气汤加茯苓。到了孕妇八、九个月时，小腿和腿部都肿胀，这不属于水气病，不能用治水的办法治疗，否则会反而损伤正气。凡是有这种情况的，必定容易分娩。因为胞脏中水和血都很多，不会导致胎儿干燥。
所谓“子满”，是指妊娠到五、六个月时，胸腹急迫胀满，腹部异常增大，或者全身浮肿，胸胁界限不清，气逆不安，小便艰涩，称为“子满”，也称为胎水不利。如果不尽早治疗，生下的孩子可能手足软弱短小且有残疾，甚至胎死腹中。适宜服用《千金》鲤鱼汤来治疗水湿。
《全生集》白术散：治疗妊娠面目虚浮，如同水肿胀满。
配方：白术（一两，用土炒）、生姜皮、大腹皮（用豆汁制净）、茯苓、陈皮（各五钱）。
将上述药材研为细末，每次服用二钱，用米汤送服。
加味天仙藤散：治疗孕妇腰脚肿胀，体质虚弱的人常有此症。
配方：天仙藤（即青木香藤，洗净，略炒）、制香附、紫苏（各六分）、陈皮（四分）、乌药（五分）、木香（二分）、姜皮（三片）。
体质虚弱者加人参一钱、土炒白术二钱、酒洗当归二钱，或者兼服补中益气汤。
茯苓汤：治疗孕妇自六、七个月以来，两脚肿大，行走困难，脚趾间有黄水流出，这名叫“子气”，很多人都有这种情况，生孩子之后，肿胀自然消退，严重者，以此汤主治。
配方：白茯苓、白术（土炒）、陈皮、制香附、乌药（各一钱）、紫苏（连茎叶）、炙甘草（各五分）、木瓜（三片）。
《千金》鲤鱼汤：治疗孕妇胸腹胀满，或者全身浮肿，小便艰涩，名叫“子满”。也是胎水不利，或者胞中积水，导致胞死腹中。
配方：白术（五钱，土炒）、白茯苓（四钱）、当归身（三钱，酒洗）、白芍（二钱）、鲤鱼一条（重二斤，要活的）。
将鱼去鳞、肠，加入少许橘皮或五分，姜七片，用水炖煮取汤，取汁一盏半，去掉鱼，将四种药物放入鱼汁中，煎至七分，空腹温服，药渣再按前法制作。
During pregnancy, "Zi Zhong" (fetal edema) is similar to "Zi Qi" (fetal qi stagnation with edema), but "Zi Qi" manifests as swelling in the lower body, whereas "Zi Zhong" manifests as swelling in the head and face. If the condition is "Zi Man" (fetal fullness), also known as "Tai Shui" (fetal water), it typically occurs after five or six months of gestation, which differs from "Zi Qi" and "Zi Zhong". This is because the enlarging fetus causes abdominal distension and generalized edema. All conditions of "Zi Qi", "Zi Zhong", and "Zi Man" arise from inherent weakness of the Zang-Fu organs, or from diarrhea and dysentery that damage the Spleen and Stomach Qi, or from alternating chills and fever with malaria, where excessive thirst leads to over-drinking, causing dampness to infiltrate the Spleen and Stomach, resulting in edema of the head, face, hands, and feet. However, if water-dampness infiltrates the Bao Organ (uterus) before the fetus has fully formed, the fetus is often damaged; thus, if swelling occurs immediately upon conception, urgent regulation and treatment are required. Once the water-dampness is eliminated and the swelling subsides, Liu Jun Zi Tang (Six Gentlemen Decoction) should still be used for tonification.
"Zi Zhong" refers to puffy swelling of the face and eyes during pregnancy, often caused by deficiency of Spleen-Stomach Qi or chronic diarrhea. The appropriate treatment is to invigorate the Spleen and promote urination to resolve dampness, primarily using Quan Sheng Bai Zhu San (All-Generating Atractylodes Macrocephala Powder), or alternatively Jian Pi Li Shui Tang (Spleen-Strengthening Water-Draining Decoction).
"Zi Qi" refers to the gradual swelling of the dorsum of both feet extending to the knees and thighs, or swelling below the waist, occurring after three months of gestation when the fetus is formed. It may cause difficulty walking, panting, chest oppression, restlessness, poor appetite, and symptoms resembling water-gas disease; in severe cases, yellow fluid may exude from between the toes. This is because the Spleen governs the four limbs; when Spleen Qi is weak, it fails to control water metabolism, leading to edema. Additionally, Lung Metal lacks nourishment from its mother element (Earth/Spleen), resulting in shortness of breath and chest fullness. Various medical texts call this condition "Zi Qi," which is equivalent to water-gas disease. To treat this, first administer Jia Wei Tian Xian Teng San (Modified Aristolochia Vine Powder). If ineffective, then use Fu Ling Tang (Poria Cocos Decoction); if still ineffective, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Fu Ling (Poria Cocos). When a pregnant woman reaches eight or nine months and her calves and legs swell, this is not comparable to water-gas disease and should not be treated as such, as doing so would damage healthy Qi. Those with this condition will likely have easier childbirth because there is abundant water and blood in the Bao Organ, preventing fetal dryness.
"Zi Man" refers to urgent abdominal distension and abnormal abdominal enlargement, or generalized edema with indistinct boundaries between the chest and hypochondrium, accompanied by rebellious Qi and restlessness, and difficult urination, occurring at five or six months of pregnancy. It is called "Zi Man" or unfavorable fetal water. If not treated early, the newborn may suffer from soft, short, and deformed limbs, or even intrauterine fetal death. The appropriate treatment is to use Qian Jin Li Yu Tang (Thousand Gold Carp Decoction) from *Qian Jin Fang* to treat the water-dampness.
Quan Sheng Bai Zhu San: Treats puffy swelling of the face and eyes during pregnancy, resembling edematous distension.
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang, stir-fried with soil), Sheng Jiang Pi (Zingiberis Officinalis Pericarpium), Da Fu Pi (Arecae Pericarpium, processed with bean juice until clean), Fu Ling (Poria Cocos), Chen Pi (Citri Reticulatae Pericarpium) (each 5 qian).
Grind into powder. Take 2 qian each time, mixed with rice water.
Jia Wei Tian Xian Teng San: Treats swelling of the waist and feet in pregnant women; this condition is common in individuals with deficient constitutions.
Ingredients: Tian Xian Teng (Aristolochiae Manshuriensis Caulis, i.e., Qing Mu Xiang Teng, washed and slightly stir-fried), Zhi Xiang Fu (Cyperi Rhizoma preparatum), Zi Su (Perillae Fructus) (each 6 fen), Chen Pi (4 fen), Wu Yao (Linderae Radix) (5 fen), Mu Xiang (Aucklandiae Radix) (2 fen), Jiang Pi (3 slices).
For deficient constitutions, add Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Tu Chao Bai Zhu (2 qian), and Jiu Xi Dang Gui (Angelicae Sinensis Radix, wine-washed, 2 qian), or concurrently take Bu Zhong Yi Qi Tang.
Fu Ling Tang: Treats swollen feet and difficulty walking starting from the sixth or seventh month of pregnancy, with yellow fluid exuding from between the toes. This is named "Zi Qi" and is common among many people. The swelling usually resolves spontaneously after delivery. For severe cases, this decoction is indicated.
Ingredients: Bai Fu Ling (Poria Cocos), Tu Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Chen Pi, Zhi Xiang Fu, Wu Yao (each 1 qian), Zi Su (Perillae Fructus, including stems and leaves), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma preparatum) (each 5 fen), Mu Gua (Chaenomelis Fructus) (3 slices).
Qian Jin Li Yu Tang: Treats chest and abdominal distension or generalized edema with difficult urination during pregnancy, named "Zi Man." It addresses unfavorable fetal water or accumulation of water in the Bao Organ, which can lead to fetal death in utero.
Ingredients: Bai Zhu (5 qian, stir-fried with soil), Bai Fu Ling (Poria Cocos, 4 qian), Dang Gui Shen (Angelicae Sinensis Radix, wine-washed, 3 qian), Bai Shao (Paeoniae Radix Alba, 2 qian), one live carp weighing 2 jin.
Remove scales and entrails from the carp. Add a small amount of Ju Pi (Citri Reticulatae Pericarpium) or 5 fen, and 7 slices of Sheng Jiang. Simmer in water to obtain 1.5 zhan of broth. Remove the fish. Add the four medicinal ingredients to the fish broth and decoct until reduced to 0.7 zhan. Take warm on an empty stomach. Prepare the dregs again as previously described.