妊娠因甘肥过度，腐积成痰，或七情郁结，气盛为火，停蓄胃中，乍因寒热之感，邪正交争，阴阳
相混，故令心腹绞痛，吐利并作，挥霍变乱，谓之霍乱。如邪在上，则当心痛而吐多；邪在下，则当
脐痛而利多；邪在中脘，则腹中痛，吐利俱多。吐多伤气，利多伤血，血气受伤，不能护养其胎，邪气
鼓击胎元，子母未有不殒者。此危症，不可不亟治也，宜香苏散加藿香叶，或先服后探吐之。又加味四味紫
苏和胎饮，治心腹绞痛，上吐下泻亦效。
香苏散 此方治霍乱，平正之至。
香附（炒） 紫苏（各二钱） 陈皮（一钱） 藿香叶 缩砂 炙草（各五分）
水煎服。如转筋，加木瓜一钱；胎动不安，加土炒白术一钱半；夏月得之，加黄芩一钱五分，炒黄连
一钱，香薷二钱；如冬月得之。加人参、炒白术各一钱，炮姜五分。
加味四味紫苏和胎饮 治心腹绞痛，上吐下泻。
紫苏 黄芩 白术（土炒各一钱半） 炙草（以上四味和胎饮本方） 藿香叶 陈皮（各一钱）
砂仁（炒五分）
妊娠忽然心腹刺病，闷绝欲死者，谓之中恶，即俗谓 肠痧是也。盖因血气不和，精神衰弱，邪
毒之气得以中之。孕妇病此，亦致损胎。薛氏云∶此症当调补正气为善。用金银藤一味，煎汤饮之。
《济阴纲目》内用散滞汤治之，又煮艾方，治正中恶极妙。
妊娠盛暑时，中暑热之毒，其症发热而渴，自汗，精神昏愦，四肢倦怠，少气，清暑和胎饮主之。
妊娠中湿，或因早行，感雾露之气，或冒水，或久居下湿地，或大汗出浴冷水，其症发热，骨
节烦痛，身体重着，头痛鼻塞，黄芩白术汤主之。
妊娠中风，因体虚则中之，乃四时八方之气为风，自冲方来，中人即病。中其皮毛经络者，则
发寒热，头项身体皆痛，或肌肉顽痹；中其筋骨者，则拘挛强直；中其脏腑者，则卒倒昏闷，口眼
斜，手足 ，口噤不语。孕妇得此，不可用常治风之法，以补虚安胎为本，兼用搜风之剂，搜风
安胎饮治之。但胎前正中风者，少子痫之症实多，与中风见症无异。医者当审实是中风，方可用搜
风安胎，否则子痫症治也。
散滞汤 专治触恶胃气，伤胎肚痛，手不可近，不思饮食。
青皮（三钱） 黄芩 芍药（各二钱） 归尾（一钱半） 川芎（一钱） 木香（五分） 炙草（少许）
上分二帖，水三盏，先煮苎根二大片，至二盏，去苎根，入前药同煎至一盏，热服。
清暑和胎饮 黄 （炙） 人参 白术（土炒） 黄芩 黄连 知母 麦冬 炙草（各一钱）
五味（十二粒）
黄芩白术汤 黄芩 白术（土炒各五钱） 苏叶（二钱半姜五片）
水煎服。
搜风安胎饮 归身 黄 （蜜炙） 羌活 黄芩 秦艽 防风 炙草（各一钱）
姜、枣煎，服至以平为期。
妊娠期间，如果因过食甘甜肥腻之物，导致食物停滞腐败积聚成痰；或者因七情（喜、怒、忧、思、悲、恐、惊）郁结，气机旺盛化为火邪，停蓄在胃中。此时若突然感受寒热之邪，邪气与正气相互交争，阴阳之气混乱相混，从而导致心腹部剧烈绞痛，呕吐和腹泻同时发作，病情变化迅速且混乱，这被称为霍乱。
如果病邪位于上焦，则会出现心痛且呕吐较多；如果病邪位于下焦，则会出现肚脐周围疼痛且腹泻较多；如果病邪位于中脘（胃部），则会出现腹部疼痛，呕吐和腹泻都很多。
呕吐过多会损伤气，腹泻过多会损伤血。气血受损后，无法保护和滋养胎儿，邪气鼓动冲击胎元，母子没有不致流产或死亡的。这是危急重症，不可不紧急治疗。适宜使用香苏散加藿香叶，或者先服用药物后再探吐。另外，加味四味紫苏和胎饮，治疗心腹绞痛、上吐下泻也有效。
香苏散：此方治疗霍乱，药性平和端正至极。
配方：香附（炒制）、紫苏（各二钱）、陈皮（一钱）、藿香叶、缩砂仁、炙甘草（各五分）。
用法：水煎服。如果出现转筋（肌肉痉挛），加木瓜一钱；如果胎动不安，加土炒白术一钱半；如果是夏季患病，加黄芩一钱五分、炒黄连一钱、香薷二钱；如果是冬季患病，加人参、炒白术各一钱、炮姜五分。
加味四味紫苏和胎饮：治疗心腹绞痛，上吐下泻。
配方：紫苏、黄芩、白术（土炒各一钱半）、炙甘草（以上四味为和胎饮本方基础）、藿香叶、陈皮（各一钱）、砂仁（炒五分）。
妊娠期间忽然出现心腹刺痛，胸闷窒息欲死的情况，称为中恶，也就是俗称的肠痧。这是因为气血不和，精神衰弱，邪毒之气得以侵入人体所致。孕妇患上此症，也会导致损伤胎儿。薛氏说：此症应当以调补正气为好。使用金银藤一味药，煎汤饮用。《济阴纲目》中使用散滞汤治疗，还有煮艾方，治疗正中恶非常奇妙。
妊娠期间在盛暑之时，中暑热之毒，症状表现为发热且口渴，自汗出，精神昏沉困倦，四肢倦怠无力，气短少气，主方用清暑和胎饮。
妊娠期间中湿，可能是因为早起行走，感受雾露之气，或者涉水冒雨，或者久居潮湿低洼之地，或者大汗出后洗冷水澡，症状表现为发热，骨节烦痛，身体沉重，头痛鼻塞，主方用黄芩白术汤。
妊娠期间中风，是因为体质虚弱而受风邪侵袭，乃是四季八方之风气从冲方而来，中人即发病。风邪中于皮毛经络者，则发寒热，头项身体皆痛，或者肌肉麻木不仁；风邪中于筋骨者，则拘挛强直；风邪中于脏腑者，则突然昏倒昏迷，口眼歪斜，手足抽搐，牙关紧闭不能言语。孕妇得了此症，不可用常规治风的方法，应以补虚安胎为本，兼用搜风之剂，用搜风安胎饮治疗。但是，产前真正中风的较少，子痫的症状其实很多，与中风的见症无异。医生应当仔细审察确认是中风，才可使用搜风安胎饮，否则应按子痫症治疗。
散滞汤：专门治疗触冒恶气伤及胃气，损伤胎儿引起腹痛，手不可触碰，不思饮食。
配方：青皮（三钱）、黄芩、芍药（各二钱）、当归尾（一钱半）、川芎（一钱）、木香（五分）、炙甘草（少许）。
用法：上方分为两帖，用水三盏，先煮苎麻根两大片，煮至二盏时，去掉苎麻根，加入前面的药物同煎至一盏，热服。
清暑和胎饮：
配方：黄芪（炙）、人参、白术（土炒）、黄芩、黄连、知母、麦冬、炙甘草（各一钱）、五味子（十二粒）。
黄芩白术汤：
配方：黄芩、白术（土炒各五钱）、苏叶（二钱半，生姜五片）。
用法：水煎服。
搜风安胎饮：
配方：当归身、黄芪（蜜炙）、羌活、黄芩、秦艽、防风、炙甘草（各一钱）。
用法：生姜、大枣煎汤送服，服药至病情平稳为止。
During pregnancy, if there is excessive consumption of sweet and fatty foods, leading to food stagnation, putrefaction, and accumulation into phlegm; or due to the constraint of the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright), causing Qi abundance transforming into Fire, which stagnates in the Stomach. If suddenly affected by Cold or Heat pathogens, with Evil and Righteous Qi contending and Yin and Yang mixing chaotically, it causes severe colic in the heart and abdomen, with simultaneous vomiting and diarrhea, rapid and chaotic changes, known as Huoluan (Cholera-like disease).
If the pathogen is in the Upper Jiao, there will be heart pain and profuse vomiting; if in the Lower Jiao, there will be periumbilical pain and profuse diarrhea; if in the Middle Jiao (Stomach region), there will be abdominal pain with both profuse vomiting and diarrhea.
Profuse vomiting damages Qi, while profuse diarrhea damages Blood. When Qi and Blood are injured, they cannot protect and nourish the fetus. The pathogenic factor agitates and strikes the fetal origin, resulting inevitably in miscarriage or death for both mother and child. This is a critical condition that must be treated urgently. It is suitable to use Xiangsu San (Fragrant Perilla Powder) added with Huoxiang Ye (Agastache Leaf), or to administer the medicine first followed by induced vomiting. Additionally, Jiawei Siwei Zisu Hetai Yin (Modified Four-Ingredient Perilla Fetus-Harmonizing Decoction) is effective for treating heart and abdominal colic with upper vomiting and lower diarrhea.
Xiangsu San: This formula treats Huoluan with extreme balance and propriety.
Ingredients: Xiangfu (Cyperi Rhizoma, stir-fried), Zisu (Perillae Folium) (each 2 qian), Chenpi (Citri Reticulatae Pericarpium) (1 qian), Huoxiang Ye (Agastaches Herba), Suosha (Amomi Fructus Rotundus), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 5 fen).
Usage: Decoct in water and take orally. If muscle spasms (Zhuanjin) occur, add Mugua (Chaenomelis Fructus) 1 qian; if fetal movement is restless, add Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried) 1.5 qian; if contracted in summer, add Huangqin (Scutellariae Radix) 1.5 qian, Chao Huanglian (Coptidis Rhizoma, stir-fried) 1 qian, Xiangru (Moslae Herba) 2 qian; if contracted in winter, add Renshen (Ginseng Radix et Rhizoma) and Chao Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) each 1 qian, Paojiang (Zingiberis Rhizoma Preparatum) 5 fen.
Jiawei Siwei Zisu Hetai Yin: Treats heart and abdominal colic with upper vomiting and lower diarrhea.
Ingredients: Zisu (Perillae Folium), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried each 1.5 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (the above four constitute the base Hetai Yin); Huoxiang Ye (Agastaches Herba), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Sharen (Amomi Fructus, stir-fried) (5 fen).
Sudden stabbing pain in the heart and abdomen during pregnancy, with suffocation and near-death sensation, is called Zhong'e (Sudden Evil Invasion), also commonly known as Changsha (Intestinal Sha). This is due to disharmony of Qi and Blood, weakness of Spirit, allowing toxic pathogenic factors to invade. If pregnant women suffer from this, it also damages the fetus. Dr. Xue states: For this condition, it is best to tonify and regulate the Righteous Qi. Use Yinjinteng (Lonicerae Japonicae Caulis) alone, decocted in water and drunk. In *Jiyin Gangmu* (Outline and Compendium of Women's Diseases), Sanzhi Tang (Disperse Stagnation Decoction) is used for treatment, and the Bo'ai Fang (Moxa Boiling Formula) is extremely effective for treating direct Zhong'e.
During pregnancy in the height of summer, contracting the toxicity of Summerheat and Heat, symptoms include fever with thirst, spontaneous sweating, mental confusion and lethargy, fatigue of the four limbs, and shortness of breath. The main formula is Qingsu Hetai Yin (Clear Summerheat and Harmonize Fetus Decoction).
Contracting Dampness during pregnancy may result from walking early in the morning and being exposed to mist and dew, wading through water, living long-term in damp lowlands, or bathing in cold water after profuse sweating. Symptoms include fever, painful and vexatious bone joints, heavy body, headache, and nasal congestion. The main formula is Huangqin Baizhu Tang (Scutellaria and Atractylodes Decoction).
Wind-stroke during pregnancy occurs because of constitutional deficiency allowing Wind invasion. It is the Wind Qi from the eight directions of the four seasons coming from the Chong direction; once it enters the person, illness ensues. If Wind invades the skin, hair, and meridians, it causes chills and fever, pain in the head, neck, and body, or muscular numbness and paralysis. If it invades sinews and bones, it causes spasms and rigidity. If it invades the Zang-Fu organs, it causes sudden collapse and coma, deviation of the mouth and eyes, convulsions of the hands and feet, trismus, and inability to speak. Pregnant women suffering from this should not use conventional wind-treatment methods; instead, the root should be tonifying deficiency and calming the fetus, supplemented with formulas that search out Wind. Use Soufeng Antai Yin (Search-out Wind and Calm Fetus Decoction) for treatment. However, true wind-stroke before delivery is rare; Zi Xian (Subtle Epilepsy/Eclampsia) symptoms are actually common and indistinguishable from wind-stroke manifestations. Physicians must carefully examine and confirm it is wind-stroke before using Soufeng Antai Yin; otherwise, treat it as Zi Xian.
Sanzhi Tang: Specifically treats touching evil Qi damaging Stomach Qi, injuring the fetus causing abdominal pain that cannot bear pressure, and loss of appetite.
Ingredients: Qingpi (Citri Reticulatae Pericarpium Viride) (3 qian), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix Alba) (each 2 qian), Guiwei (Angelicae Sinensis Radix tail) (1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), Muxiang (Aucklandiae Radix) (5 fen), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (a small amount).
Usage: Divide the above into two doses. Use three zhan of water, first decocting Zhugen (Bletillae Rhizoma) two large slices until reduced to two zhan, remove Zhugen, add the previous herbs, decoct until one zhan remains, and take hot.
Qingsu Hetai Yin:
Ingredients: Huangqi (Astragali Radix, honey-fried), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Tuber), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 1 qian), Wuweizi (Schisandrae Chinensis Fructus) (12 grains).
Huangqin Baizhu Tang:
Ingredients: Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried each 5 qian), Zisu Ye (Perillae Folium) (2.5 qian, Jiang [Zingiberis Rhizoma Recens] 5 slices).
Usage: Decoct in water and take orally.
Soufeng Antai Yin:
Ingredients: Guishen (Angelicae Sinensis Radix), Huangqi (Astragali Radix, honey-fried), Qianghuo (Notopterygii Rhizoma et Radix), Huangqin (Scutellariae Radix), Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 1 qian).
Usage: Decoct with Jiang (Zingiberis Rhizoma Recens) and Zao (Jujubae Fructus), take until the condition stabilizes.