妊娠谵语，为脏腑热极之候，急宜童便时时灌之，不应，用生地黄黄连汤，清其血中之火，
庶胎得安。脉实者，加酒大黄下之，下迟则伤胎也。亦有伤胎，胎下而下血，心神无主谵语，虽用峻补，
亦难有效。其治法方药，俱载产后妄言妄见门。若孕妇症见舌青者，其子已死腹中，急当下之。
若双胎一生一死者，必腹中半边冷、半边热。如母患热症，脏腑热甚，蒸其胎，儿因致死，但服黑神
散，加生蒲黄以暖其胎，则胎即出矣。胎未死，井泥涂脐，以护胎气，多有保全者。
生地黄黄连汤 治失血后燥热、 、脉数盛者。
生地（二钱） 防风 川芎（各八分） 当归（一钱半） 黄连（七分） 黄芩（炒） 黑山栀
（各一钱） 赤芍（一钱）
血症黑神散 治吐血、衄血，屡发不止。
炮姜 肉桂（各一两） 熟地（四两） 当归 蒲黄（筛净，炒黑各三两） 白芍（酒制）
炙草（各二两）
上为散，每服四钱，用黑豆半合，微炒香，淋酒半盏，和水半盏，煎一半，入童便半杯和服。
气虚，加人参三两，炙 六两，以固卫气，庶无营脱之患。
凡妇人气血虚损，精神衰弱，邪思蓄注，冲任滞逆，脉道壅瘀不行，状如怀娠，故曰鬼胎。然细
究其理，鬼胎者，伪胎也。如人邪淫之念一起，则肝肾相火自动。有梦与鬼交者，非实有鬼神交
接成胎也，即《经》所谓“思想无穷，所愿不遂”，白淫、白浊流入子宫，结为鬼胎，乃本妇自己血
液淫精，聚结成块，血随气结而不散，以致胸腹胀满，俨若胎孕耳，非伪胎而何？故鬼胎之脉，沉细
弦涩，或有时虚浮，有时沉紧，忽大忽小，皆阳气不充之验。其腹虽渐大而漫起重坠，终与好胎不同，
当脐或脐下左傍虽微动，亦与正胎迥别。所以一见经候不调，就行调补，庶免此患。若停经瘀滞而得，
即血 气瘕之类，则病已成，当调补元气为主，而继以去积之药乃可。然欲于补中兼行，无如决津
煎，欲去其滞而不猛峻，无如通瘀煎。若由阳气不足，或肝脾郁怒所伤，不能生发，致阴血不化而经闭
为患，肚腹渐大，以加味归脾汤、加味逍遥散，再加去白陈皮八分。如干嗽，用蜜制治之自愈。此外
如狐魅显类之遇者，则实有所受，而又非鬼胎之谓，当于 瘕类求法下之。又常见妇人得孕经止，尺脉
或涩，或微弱而无他病，此子宫正气不全，精血虽凝，而阳虚阴不能化，终不成形，每至产时而下血
块、血胞，必大剂温补预调，而后方能成孕也。
决津煎 治妇人血虚经滞，不能流畅而痛极者，以水济水。若江河一决，而积垢皆去，用此
汤随症加减主之，此用补为泻之神剂。
当归（三、五钱或一两） 泽泻（一钱半） 牛膝（二钱） 肉桂（一、
二、三钱） 熟地（二、三钱或五、七钱或不用亦可） 乌药（一钱） 水（二盅）
煎七分服，须食前。如呕恶，加焦姜一、二钱；阴滞不行，非加附子不可；如气滞而痛胀，
加香附一、二钱，或木香七、八分；如血滞、血涩，加酒炒红花一、二钱。
通瘀煎 治妇人气滞血积，经脉不利，痛极拒按，及产后瘀血实痛，并男妇血逆、血厥等症。
归尾（三、五钱） 山楂 制香附 红花（新者炒黄各二钱） 乌药（一、二钱） 青皮
泽泻（各钱半） 木香（七分） 水（二盅）
煎七分，加酒一、二小盅，食前服。
妊娠期间出现谵语（神志不清，胡言乱语），是脏腑热邪极盛的表现，应当紧急且频繁地灌服童便（儿童尿液），如果无效，则使用生地黄黄连汤，以清除血分中的火热之邪，从而使胎元得以安宁。若脉象实大有力者，加入酒制大黄进行攻下治疗，若攻下不及时则会损伤胎元。也有因胎元受损，胎儿堕落后导致下血，心神失守而出现谵语的情况，此时即使使用峻猛的补益药物，也难以见效。其治疗方法及方药，均记载在“产后妄言妄见”章节中。如果孕妇症状表现为舌色青紫，说明腹中胎儿已经死亡，必须紧急攻下排出死胎。如果是双胎中一个存活一个死亡的情况，必然表现为腹部半边冷、半边热。如果母亲患有热证，脏腑热势炽盛，熏蒸胎元，导致胎儿致死，只需服用黑神散，加入生蒲黄以温暖胎元，则死胎即可排出。若胎元未死，可用井底泥涂抹于脐部，以保护胎气，多数情况下可以保全胎儿。
生地黄黄连汤：治疗失血后出现的燥热、口渴、脉象数而盛大等症状。
处方组成：生地黄（二钱）、防风、川芎（各八分）、当归（一钱半）、黄连（七分）、黄芩（炒制）、黑山栀（各一钱）、赤芍（一钱）。
血症黑神散：治疗吐血、鼻衄（鼻出血），反复发作不止的症状。
处方组成：炮姜、肉桂（各一两）、熟地黄（四两）、当归、蒲黄（筛净后炒黑，各三两）、白芍（酒制）、炙甘草（各二两）。
用法：将上述药物研为散剂，每次服用四钱，用黑豆半合，微炒至香，淋入黄酒半盏，加水半盏，煎煮至一半量，加入童便半杯混合服用。若属气虚，加入人参三两、炙黄芪六两，以固护卫气，从而避免营气脱失的祸患。
凡是妇女气血虚损，精神衰弱，邪思蓄积灌注，导致冲任二脉滞逆，脉道壅塞瘀阻不通，症状表现如同怀孕，所以称为鬼胎。然而仔细探究其原理，鬼胎实际上是伪胎。如人产生邪淫的念头，肝肾相火就会自动发动。有梦中与鬼神交接者，并非真有鬼神交接而成胎，正如《内经》所说“思想无穷，所愿不遂”，白淫、白浊流入子宫，结聚成鬼胎，这是本妇自己的血液和精微物质，聚结成块，血随气结而不散，以致胸腹胀满，俨然像怀孕一样，这难道不是伪胎吗？因此鬼胎的脉象，沉细弦涩，有时虚浮，有时沉紧，忽大忽小，都是阳气不充盛的验证。其腹部虽然逐渐增大且沉重坠胀，终究与正常胎孕不同，肚脐或脐下左侧虽可能有轻微搏动，也与正胎截然不同。所以一旦见到月经不调，就立即进行调补，以免遭受此患。若是停经瘀滞所致，即属于血瘕、气瘕之类，则病已形成，应当以调补元气为主，随后继以消除积块的药物方可。然而想要在补益中兼行疏通，没有比决津煎更好的；想要去除瘀滞而不猛烈峻急，没有比通瘀煎更好的。若由阳气不足，或肝脾郁怒所伤，不能生发，导致阴血不化而闭经患病，肚腹逐渐增大，可使用加味归脾汤、加味逍遥散，再加去白陈皮八分。如果出现干咳，用蜜制药物治疗即可自愈。此外，如遇狐魅显灵类情况，则是确实有所感受，但这不属于鬼胎的范畴，应当在癥瘕类疾病中寻求方法并予以攻下。又常见妇人受孕后月经停止，尺脉或涩，或微弱而无其他病症，这是子宫正气不全，精血虽已凝结，但阳虚阴不能化，最终不能成形，每到产期时排出血块、血胞，必须预先使用大剂量温补药物调理，之后才能成功受孕。
决津煎：治疗妇人血虚经血滞涩，不能流畅运行而疼痛剧烈的情况，犹如以水济水。若江河决堤，则积垢皆去，使用此汤根据症状加减主治，这是以补为泻的神奇药剂。
处方组成：当归（三、五钱或一两）、泽泻（一钱半）、牛膝（二钱）、肉桂（一、二、三钱）、熟地黄（二、三钱或五、七钱或不用亦可）、乌药（一钱）。
用法：用水二盅，煎煮至七分，饭前服用。若有呕吐恶心，加入焦生姜一、二钱；若阴寒凝滞不行，非加附子不可；若气滞而痛胀，加入香附一、二钱，或木香七、八分；若血滞、血涩，加入酒炒红花一、二钱。
通瘀煎：治疗妇人气滞血积，经脉不利，疼痛剧烈拒按，以及产后瘀血实痛，还有男女血逆、血厥等病症。
处方组成：当归尾（三、五钱）、山楂、制香附、红花（新者炒黄各二钱）、乌药（一、二钱）、青皮、泽泻（各钱半）、木香（七分）。
用法：用水二盅，煎煮至七分，加入酒一、二小盅，饭前服用。
Delirium during pregnancy indicates an extreme heat condition of the Zang-Fu organs. It is urgent to frequently administer child's urine (Tongbian). If ineffective, use Shengdi Huang Huanglian Tang (Rehmannia and Coptis Decoction) to clear the fire in the blood, thereby stabilizing the fetus. If the pulse is excess (Shi), add Jiu Dahuang (Wine-processed Rhubarb) to purge; delay in purging will damage the fetus. There are cases where the fetus is damaged, leading to bleeding after miscarriage, causing the heart spirit to lose its master and resulting in delirium. Even with strong tonification, efficacy is difficult to achieve. The treatment methods and formulas for such cases are recorded in the section on "Postpartum Delirium and Hallucinations." If a pregnant woman presents with a cyanotic tongue, the fetus has died in the uterus, and immediate purgation is required. In cases of twin pregnancy where one is alive and one is dead, there must be coldness on one half of the abdomen and heat on the other. If the mother suffers from a heat syndrome with excessive internal heat steaming the fetus, causing fetal death, administering Heishen San (Black Divine Powder) with fresh Puhuang (Polygoni Typhonii Pollen) can warm the fetus, facilitating its expulsion. If the fetus is not yet dead, applying well mud to the umbilicus can protect the fetal Qi, often preserving the pregnancy.
Shengdi Huang Huanglian Tang (Rehmannia and Coptis Decoction): Treats dryness-heat, thirst, and rapid, full pulse following blood loss.
Ingredients: Sheng Di Huang (Rehmanniae Radix, 2 qian), Fang Feng (Saposhnikoviae Radix, 0.8 qian), Chuan Xiong (Ligusticii Chuanxiong Rhizoma, 0.8 qian), Dang Gui (Angelicae Sinensis Radix, 1.5 qian), Huang Lian (Coptidis Rhizoma, 0.7 qian), Huang Qin (Scutellariae Radix, stir-fried, 1 qian), Hei Shan Zhi (Gardeniae Fructus charred, 1 qian), Chi Shao (Paeoniae Radix Rubra, 1 qian).
Xuezheng Heishen San (Blood Disorder Black Divine Powder): Treats persistent hematemesis (vomiting blood) and epistaxis (nosebleed).
Ingredients: Pao Jiang (Zingiberis Rhizoma Preparatum, 1 liang), Rou Gui (Cinnamomi Cortex, 1 liang), Shu Di Huang (Rehmanniae Radix Preparata, 4 liang), Dang Gui (Angelicae Sinensis Radix, 3 liang), Pu Huang (Polygonii Typhonii Pollen, sifted and charred, 3 liang), Bai Shao (Paeoniae Radix Alba, wine-processed, 2 liang), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma preparata, 2 liang).
Usage: Grind into powder. Take 4 qian per dose. Stir-fry half he of Hei Dou (Glycines Soja Seed) until fragrant, pour half zhan of wine over it, add half zhan of water, decoct until half remains, mix with half cup of Tongbian (child's urine) and take. For Qi deficiency, add Renshen (Ginseng Radix, 3 liang) and Zhi Huangqi (Astragali Radix preparata, 6 liang) to secure Wei Qi and prevent Ying Qi collapse.
When women suffer from Qi and Blood deficiency, spiritual weakness, and accumulation of evil thoughts, causing stagnation and reversal in the Chong and Ren meridians, with obstructed and stagnant pulses, symptoms may resemble pregnancy; thus it is called "Ghost Fetus" (Guotai). However, upon detailed examination, Guotai is a pseudo-fetus. When illicit sexual thoughts arise, the Ministerial Fire of the Liver and Kidney activates. Dreams of intercourse with spirits do not imply actual conception by spirits. As stated in the Classics, "thoughts endless, desires unfulfilled," lead to Baiyin (white discharge) and Baizhuo (turbid discharge) flowing into the uterus, condensing into Guotai. This is actually the woman's own blood and essence gathering into a mass, where blood knots with Qi and does not disperse, causing chest and abdominal distension resembling pregnancy. Hence, it is a pseudo-fetus. The pulse of Guotai is deep, fine, wiry, and choppy, or sometimes floating, sometimes tight, fluctuating in size, indicating insufficient Yang Qi. Although the abdomen gradually enlarges with a heavy bearing sensation, it differs fundamentally from a normal pregnancy. Slight movement below or to the left of the umbilicus also differs distinctly from a true fetus. Therefore, upon detecting irregular menstruation, immediate regulation and tonification should be applied to avoid this condition. If caused by amenorrhea and stasis, belonging to Xuzha (blood mass) or Qizha (Qi mass), the disease is established. Treatment should primarily tonify Yuan Qi, followed by drugs to resolve accumulations. To combine tonification with unblocking, Juejin Jian (Juejin Decoction) is superior; to remove stasis without being too harsh, Tongyu Jian (Tongyu Decoction) is best. If caused by Yang Qi deficiency or Liver-Spleen depression anger damaging the ability to generate, leading to Yin Blood non-transformation and amenorrhea with abdominal enlargement, use Jiawei Guipi Tang (Modified Guipi Decoction) or Jiawei Xiaoyao San (Modified Xiaoyao Powder) plus Chenpi (Citri Reticulatae Pericarpium, peeled, 0.8 fen). For dry cough, honey-processed treatment leads to self-healing. Cases involving supernatural encounters are real infections but not Guotai; treat as Zhengjia (masses) and purge. Often, women conceive with stopped menses, but the Chi pulse is choppy or weak without other diseases. This indicates incomplete Uterus Zheng Qi. Although Jing and Blood congeal, Yang deficiency prevents Yin transformation, so the fetus does not form properly. At term, blood clots and placental membranes are discharged. Large doses of warming and tonifying herbs must be used for pre-conditioning to ensure successful conception.
Juejin Jian (Juejin Decoction): Treats female Blood deficiency with menstrual stasis, causing severe pain due to lack of flow. It acts like water supplementing water; when a river breaks its banks, accumulated dirt is washed away. This is a miraculous formula using tonification as purgation.
Ingredients: Dang Gui (Angelicae Sinensis Radix, 3-5 qian or 1 liang), Ze Xie (Alismatis Rhizoma, 1.5 qian), Niu Xi (Achyranthis Bidentatae Radix, 2 qian), Rou Gui (Cinnamomi Cortex, 1-3 qian), Shu Di Huang (Rehmanniae Radix Preparata, 2-3 qian or 5-7 qian, or omit), Wu Yao (Linderae Radix, 1 qian).
Usage: Decoct 2 zhong of water to 0.7 portion. Take before meals. For nausea/vomiting, add Jiao Jiang (Charred Ginger, 1-2 qian); for Yin stagnation, Aconitum (Fuzi) is essential; for Qi stagnation with pain/distension, add Xiang Fu (Cyperi Rhizoma, 1-2 qian) or Mu Xiang (Aucklandiae Radix, 0.8 fen); for Blood stasis/astringency, add Hong Hua (Carthami Flos, wine-fried, 1-2 qian).
Tongyu Jian (Tongyu Decoction): Treats female Qi stagnation and Blood accumulation, meridian obstruction, severe pain with refusal to press, postpartum Blood stasis solid pain, and male/female Blood rebellion or Blood syncope.
Ingredients: Dang Gui Wei (Angelicae Sinensis Radix caulis, 3-5 qian), Shan Zha (Crataegi Fructus), Zhi Xiang Fu (Cyperi Rhizoma processed), Hong Hua (Carthami Flos, new ones fried yellow, 2 qian each), Wu Yao (Linderae Radix, 1-2 qian), Qing Pi (Citri Reticulatae Pericarpium viride), Ze Xie (Alismatis Rhizoma, 1.5 qian each), Mu Xiang (Aucklandiae Radix, 0.7 fen).
Usage: Decoct 2 zhong of water to 0.7 portion, add 1-2 small zhong of wine, take before meals.