妇人之病,胎产为先,阴阳交遘,精气寓焉。故冲任为系胞之原。又云∶命门乃藏精之所。
丹汞初扬,射入子宫,一茎两歧,婴儿兆始。一月如露,少阳胆养之,二月则厥阴肝养之,三
月则厥阴心包络养之,四月则少阴心养之,五月则阳明胃养之,六月则太阴脾养之,七月则阳
明大肠养之,八月则太阴肺养之,九月则太阳膀胱养之,十月则太阴肾养之。乃脏腑相传精血
而哺胎胚者也。以常论之,初孕多呕酸吐食,或嗜酸物,乃木气临胎之故也。夫人五脏,惟
肝气有余,且木性喜扬而恶抑,更受胎气之壅塞,而胸膈饱胀,恶食亦因性也。呕酸、嗜酸,
木味酸也,呕食、恶食,木克土也。渐致君相二火养胎,常见烦躁、发热等候,此因心主
血,血护胎原而不能灌溉血海也。脾胃养胎多见腹胀,或不嗜食而足胀者有之∶一交大肠、肺
月养之,脏躁多哭者有之。虽云∶怀胎者,冲任为主,而亦无不于肾。膀胱,寒水也,肾亦寒
水也。乃其养胎,肾气已泄,而婴儿脏腑皆备,故离经而娩焉。调摄之家,或预进药饵,使子
母皆宁,亦必按月日,察经络阴阳之宜而服之,次则下药可也。否则,恐药饵杂进,不得其
平。热则胎元有堕、有遗之概论,寒则孕妇有痛、有泄之隐忧。合则为病多端,姑言其概,
重则胎漏、胞碎,轻则恶食、头疼。子痫、子悬、子 皆为艰难之候,儿啼、儿晕、儿肿亦属
奇突之征。胎气不安,或劳或怒,带泻频来,应坠应虚。故安胎不若健脾,梁固而钟不坠;
肥胎不若养血,水深而鱼自安。致于漏胎,多缘血热,脉洪数者,亟宜清宜补,条芩、白术、
阿胶、续断,甚则升提之法亦可权宜,胞碎浆来,脉已离经而必堕,急宜紫时破血,使其自
下,如归尾、桃仁、红花、牛膝借势可也,硝、黄总可选用,勿致经坠,枯渴而不下,而
母必倾危。恶食者诊脉,胃脉之虚实。实则消导而兼理气和中,香砂、枳、术是其剂也∶虚
则温补,益脾清脾,归、芎、芍乃其宜乎?头痛者,脉浮,必主外感,脉数定主火升。浮则
轻剂疏散,桂枝、麻黄所在当禁;数则抑扬降火,承气、白虎不可误也。子痫者,孕妇如
痴而口吐涎沫,惟清热固胎而自已,冰射丹丸,概不可施,子悬状如抱瓮不能偃卧,惟破
气而相宜,子 不语,虽药饵非产后不能言。儿啼者,因母伸手板高,以致哺儿之乳出,
前辈已有案存。儿晕则母常昏晕,因母气不能荫胎,八珍、菖蒲方能胜任。虽儿肿悉属脾
虚,而兼乎小便不利,理脾行水,四物、地肤何疑,更有大方杂症,伤寒疟利之分,然必居
乎杂症,佐以安胎之品,如至病亟,或汗或下,勿以胎为拘,即 悍之剂亦可施之,则
《经》云“有故无殒”之意,愁常变,各从其病加减,常当神而明之。
催生方 当归(一钱) 枳壳(一钱二分) 葵子(一钱五分) 皮硝(一钱)
生芝麻(一撮) 葱白(二个)
煎服。胞破可服,未破不可用,恐终身不孕。胞衣不落,油菜子一撮研碎,水送下,效。
催生立应方 难产、横生、逆生俱效。
车前子(一两) 当归(八钱) 冬葵 白芷 枳壳 白芍(各三钱) 牛膝 腹皮(
二钱) 川芎(五钱)
煎服。
凡妇人有喜,如一月者,胎形一点精,如草上露珠凝,未入宫罗,在 外户,或散或
聚,恶心头晕,不思饮食,脉浮紧,服此药∶
当归 白芍(各三钱) 枳壳(四钱) 川芎 紫苏(各二钱) 砂仁(一钱)
甘草(六分)
二月胎形如桃花,分枝叶在母北极之半,北极者,阴户二寸。胎入腹未有胞衣,
头晕目花,呕吐,不思饮食,服此药∶
桔梗 益智 木香 苍术 砂仁 黄芩(酒炒,各二钱) 浓朴 紫苏 甘草(各一钱)
枳壳(三钱) 青皮(一钱)
三月胎形如茧,渐渐如蚕、一头大,一头小,欲负未入宫罗,病虚弱,恶心呕吐,宜
安胎为主。看天气寒热,随症加减。三个月中有病服,胎前有病,宜安胎主方,一帖即愈。
四月胎入宫罗,衣裹膨至丹田,忌食兔、獐异物,蒜韭生冷,身体倦怠,气急发热,
饮食无味,贪睡头晕,四肢酸软,服此药∶
苏叶(一钱) 甘草 小茴香 枳壳(各五分) 浓朴 香附 砂仁 陈皮 苍术(各三钱)
煎七分,食远服。
五月胎分男女,令母前行唤之,左顾是男,右顾是女,男思酸味,女思淡食。入宫室
之内,其胎安稳,没有他病,前方加减治之。
六月胎形,生肌长发,男动左,女动右,在母腹中动如
浮鱼游水,如有别病,以安胎为主。
七月胎形长成,眼有光,鼻有气,耳有开,口知味,件件俱完,母病行动艰难。如有别病,安
胎为主,随症加减。
八月胎气,主心闷烦躁,饮食不知滋味,饭如糠秕,困弱,有伤脾胃,治宜平胃安胎。
九月胎形,在左右胁,大动忧烦气闷,饮食不快,宜服此药∶
益母草(三两) 当归 枳壳 白芍(各四钱) 益智(三钱) 砂仁(二钱) 陈皮(一钱)
甘草(六分)
水二钟,煎一钟时服。
十月胎形满足,四肢骨骼俱开,始得降生,必待其天然转胞,切勿欲速,致生他病,如腰
痛急、胞浆破,以家传妙方服之∶
当归 川芎 百草霜(各二钱) 陈皮 香附 紫苏(各七分) 大腹皮(五分) 滑石
三棱 莪术 砂仁(各一钱) 干姜 肉桂(各七分) 五灵脂(二钱) 玄胡索(三钱)
连进三次,胎自落而无患也。
凡胎前有病,安胎主方,如三个月有病,一帖即愈∶
陈皮 黄芩 大腹皮 枳壳 苏梗 芍药 当归 川芎 甘草 青皮 草果 茯苓
如呕吐加半夏(姜制)、藿香,发热加柴胡,渴加天花粉,中脘饱闷加木香、枳实,头痛
加羌活、白芷、细辛,骨节痛加荆芥、防风,脾胃不实加白术、苍术、浓朴、山药、
米仁,泻有积加木香、猪苓、泽泻。
胎前伤风咳嗽饱闷方∶
陈皮 桔梗 花粉 柴胡 紫苏 干葛 黄芩 前胡 大腹皮 桑白皮 甘草 枳壳
豆蔻 半夏 萝卜子 当归
川芎 砂仁
加灯芯、姜,久嗽加款冬花、杏仁、麦冬、五味子。伤风不省加麻黄,有痰加栝蒌仁、贝
母、茯苓,虚汗不止加芍药、酸枣仁,饱闷加青皮、木香。
凡胎前发热,不思饮食,用此方∶
黄芩(炒) 香附 陈皮 花粉 大柴胡 苏梗 归身 川芎 枳壳 干葛 青皮 甘草
熟地 芍药 茯苓 草果 羌活 山楂 腹皮 骨皮
面红加山栀(炒黑)、黄柏(炒)、知母(炒)。
胎前单寒不止,饮食少进∶
陈皮 黄芩 花粉 芍药 生地 小柴胡 黄 白术 人参 茯苓 苏梗 甘草 枳壳
腹皮 当归 川芎 砂仁 山楂 香附
头痛加羌活,鼻塞加葱头、防风,遍身疼痛加荆芥。
凡胎前四、五个月,身体困倦,气怠发热,饮食无味,好睡头晕,四肢酸软,此方治之即愈∶
橘红 苍术 苏叶(各二钱) 浓朴 香附(各三钱) 甘草(九分) 小茴香(一钱五分)
枳壳(五分)
分作三服,每日空心温服。
凡胎不安逆上,胀满疼痛,谓之子烦,服此方∶
当归 川芎 芍药 陈皮 人参 紫苏 腹皮 砂仁 枣子
如平素虚弱加生地,热加黄芩、地骨皮,气加香附,胸膈气闷加枳实、黄连,因气遍身疼痛
加乌药、木香,微泻加黄连(炒)、芍药、白术,如饱闷不用白术。
胎前不时作痛,不思饮食,用是方∶
陈皮 桔梗 乌药 归身 川芎 枳壳 黄芩 腹皮
芍药 青皮 槟榔 香附 楂肉 玄胡索(炒) 姜(一片) 茱萸(少许)
胎前五、六个月,脉困体弱,体重好睡,食不知味,膨胀,胎略动,此方∶
当归(二钱) 白芍 益母草 枳壳(各四钱) 砂仁 香附 益智 甘草(各一钱)
分作三服,每日空心温服。
胎前见红,胎欲动,腰痛∶
枳壳 黄芩 地榆 牡蛎 青皮 腹皮 艾 归身 川芎 熟地 芍药 苍术 浓朴 草果
白术 甘草 砂仁(一方用桔梗)
胎前脾胃不实∶
陈皮 桔梗 黄芩 腹皮 山楂 山药 白术 茯苓 薏米仁(珍重用之,胎前忌用)
苍术 浓朴 白芍 草果 甘草 香附
胎前痢疾后重白积腹痛∶
陈皮 桔梗 浓朴 木通 乌药 山楂 黄芩 玄胡索 山药 茯苓 姜(炒,用少) 米仁
猪苓 泽泻 草果 甘草 白术 茱萸 当归身 川芎
胎前腹中疼痛下痢∶
当归 川芎 白芍 茯苓 泽泻(各一两) 白术(一两半)
为末,每服三钱,空心白滚汤下。
胎前痢疾红积腹痛(胎前下痢,查汇集主方,以补中益气汤加味治之,予屡试获效,从钱生记。
再如痢止后小溲不通,本方加车前子三钱,立效)∶
陈皮 花粉 黄连(炒) 黄芩 腹皮 草果 白芍 苍术 浓朴 木通 米仁 山药 茯苓
猪苓 泽泻 木香
枳实(少许) 白术 山楂
胎前大小便不通,遍身浮肿∶
陈皮 桔梗 花粉 猪苓 泽泻 枳壳 青皮 升麻 腹皮 苏梗 草果 甘草 柴胡 香附
山楂 滑石 砂仁 黄芩 姜 车前子 茯苓皮
胎前七、八个月,胎气不和∶
归身 枳壳 川芎 黄芩 香附 陈皮 芍药 滑石 苏梗 熟地 大腹皮
胎前八、九个月服达生散,以扶正气、散滞气,孕妇少虚者尤佳∶
大腹皮 白术 芍药 当归(各一钱) 陈皮 人参 甘草 紫苏(各五分)
煎服。春加川芎、防风;夏加黄芩,或黄连、五味;秋加泽泻;冬加缩砂、枳壳。胎动加苎
根、金银 ∶上气加紫苏;性急加柴胡;多怒加黄芩;食少加缩砂、神曲∶渴加门冬、黄芩;能
食加黄杨头;有痰加半夏、黄芩。
胎前不时发晕∶
陈皮 桔梗 归身 川芎 茯神 远志 芍药 香附 甘草 黄芩 枳壳 苏梗 柴胡 草果
砂仁 腹皮
胎前疟痰方∶
紫苏 陈皮 枳壳 黄芩 青皮 草果 苍术 浓朴 柴胡 山楂 归身 川芎 白术
乌梅(一个) 姜(三片) 砂仁(一钱一方用桔梗)
胎前伤食感寒,发为疟疾∶
橘红 茯苓 草果 良姜 白术 藿香叶 缩砂 枣姜 甘草
胎前二、三个月,胎气凑上,寒热饱胀∶
陈皮 半夏 茯苓 白术 黄芩 枳壳 苏梗 香附 腹皮 归身 川芎 甘草 芍药
青皮 柴胡 姜(三片) 砂仁 萝卜子(各一钱)
胎前漏胎,小腹不时作痛∶
黄芩 地榆 陈皮 花粉 续断 枳壳 青皮 香附 芍药 苍术 艾 牡蛎 甘草
归身 川芎 熟地 草果
胎前六、七个月,小腹绞痛,口吐清水,胎气不和∶
陈皮 黄芩 归身 茱萸 芍药 苏梗 腹皮 川芎 熟地 白芷 枳壳 甘草 半夏
山楂 香附
胎前胃虚气逆,呕吐不食,急服独胜散∶
砂仁一味为末,姜汤调服不拘。
胎九月须用滑胎散∶
陈皮 乌药 归身 川芎 白芍 益母草 枳壳 苏梗 黄芩 腹皮 花粉 桔梗 熟地
白术 滑石
十月满足,腹痛。
催生散 陈皮 乌药 枳壳 干姜 肉桂 木通 益母草 归尾 红花 三棱 莪术
五灵脂 牛膝 香附 白芷 百草霜
临产易生散(后易生药,用猪心血和汤下)∶
归尾 川芎 芍药 枳壳 乳香 木香 甘草 发灰
催经二月用∶
干姜 肉桂 枳壳 红花 木通 杜牛膝 牡丹皮 生地 陈皮 香附 三棱 莪术 白芷
桃仁 滑石
通经散 红花 鬼箭羽 牛膝 桂枝 干漆 刘寄奴 干姜 白芷 归身 苏木 三棱
三、四个月用堕胎散∶
刘寄奴 丹皮 赤芍 生地 干姜 肉桂 三棱 莪术
白芷梢(各一钱) 真寸香 甘草梢(各三分) 桃仁(二钱) 杜牛膝(一钱) 归尾 红花(各三钱)
好酒一碗,好醋一碗,煎八分,入好锻石五分,热服。
调理孕妇∶
香附 陈皮 黄芩 大腹皮 枳壳 归身 芍药 川芎 熟地 甘草 山楂 花粉 桔梗 茯苓
砂仁(一钱) 枣(一个)
妊妇伤寒,大发热∶
小柴胡 黄芩 枳壳 竹茹 陈皮 花粉 紫苏 干葛 甘草 归身 川芎 羌活 大腹皮 桔梗 香附
有痰加竹沥、姜汁,前发热饱闷加枳壳、草果,总加姜三片、砂仁一钱。
束胎丸(七、八个月恐胎气展大,以此扶助母气)。
白术 陈皮(忌火,各二两) 白茯苓(七钱五分) 条芩(酒洗,夏天用一两,秋冬七钱五分)
粥糊为丸,每服五、六十丸,空心白沸汤送下。
妇女的疾病,以胎产最为重要,阴阳交合,精气孕育其中。所以冲脉、任脉是维系子宫的根本。又说:命门是藏精的地方。
丹砂与水银初扬,射入子宫,一茎分为两歧,婴儿的征兆开始显现。怀孕一个月时胎儿如露水,由少阳胆经滋养;两个月则由厥阴肝经滋养;三个月由厥阴心包络滋养;四个月由少阴心经滋养;五个月由阳明胃经滋养;六个月由太阴脾经滋养;七个月由阳明大肠经滋养;八个月由太阴肺经滋养;九个月由太阳膀胱经滋养;十个月由太阴肾经滋养。这是脏腑依次传递精血来哺育胎胚的过程。按常理来说,刚怀孕时常有呕吐酸水、吐食或嗜吃酸物的现象,这是因为木气(肝)临护胎元的原因。人的五脏中,只有肝气有余,且木性喜欢舒展而厌恶压抑,再加上受到胎气的壅塞,导致胸膈饱胀,厌恶食物也是由于这种本性所致。呕吐酸水、嗜吃酸物,是因为木味属酸;呕吐食物、厌恶食物,是因为木克土。逐渐发展到君火、相二火养胎,常见烦躁、发热等症状,这是因为心主血,血液保护胎元而不能充分灌溉血海。脾胃养胎多见腹胀,或者不爱吃东西且脚肿的情况:一旦进入大肠、肺月滋养阶段,出现脏躁多哭的情况。虽然常说:怀孕以冲任二脉为主,但也无不关乎肾与膀胱,因为膀胱和肾都属寒水。但在养胎过程中,肾气已经泄出,而婴儿的脏腑都已具备,所以离开经络而分娩。善于调养的人,或许会预先用药饵,使母子安宁,也必定按月日,观察经络阴阳的适宜情况而服用,其次才考虑下药。否则,恐怕药饵混杂进用,不能达到平衡。热则会导致胎元堕落、遗留的概论;寒则让孕妇有疼痛、腹泻的隐忧。综合起来病症繁多,姑且说其大概,重的如胎漏、胞衣破碎,轻的如厌恶食物、头痛。子痫、子悬、子不语都是艰难的证候,儿啼、儿晕、儿肿也属于奇特的征象。胎气不安,或因劳累或因发怒,带下腹泻频繁,应当坠落或虚弱。所以安胎不如健脾,梁柱坚固钟就不会坠落;肥胎不如养血,水深鱼儿自然安稳。至于漏胎,多因血热,脉象洪数的,急需清热兼补,条芩、白术、阿胶、续断,甚至升提的方法也可以权宜使用,如果是胞衣破碎羊水流出,脉象已离经且必然堕胎,急需紫草等破血药,使其自行排出,如当归尾、桃仁、红花、牛膝借势而行也可以,硝石、大黄总可以选择使用,不要导致经脉枯竭口渴而下不来,那样母亲必定危险。厌恶食物的要诊察胃脉的虚实。实证则消导兼理气和中,香砂、枳实、白术是其方剂;虚证则温补,益脾清脾,当归、川芎、白芍是其适宜的药物。头痛者,脉浮,必主外感,脉数定主火升。浮则用轻剂疏散,桂枝、麻黄所在应当禁止;数则抑扬降火,承气汤、白虎汤不可误用。子痫者,孕妇像痴呆一样口吐涎沫,只有清热固胎才能自愈,冰硼散等丸药一概不可施用。子悬状如抱瓮不能仰卧,只有破气才适宜。子不语,虽然药饵非产后不能言语。儿啼者,因为母亲伸手板太高,以致哺乳时乳汁流出,前辈已有案例存留。儿晕则母亲经常昏晕,因为母气不能荫蔽胎元,八珍汤、石菖蒲方能胜任。虽然儿肿全属脾虚,但兼有小便不利,理脾行水,四物汤、地肤子有何怀疑?更有大方杂症,伤寒疟疾痢疾的分别,然而必须居于杂症之中,佐以安胎的药物,如果病急,或汗法或下法,不要因为怀胎而拘泥,即使是峻悍的药物也可以施用,这就是《内经》所说的“有故无殒”的意思,忧愁于常规变化,各自根据病情加减,常常应当神妙地明白它。
催生方:当归(一钱)、枳壳(一钱二分)、葵子(一钱五分)、皮硝(一钱)、生芝麻(一撮)、葱白(二个)。煎服。胞衣破裂可服,未破裂不可用,恐怕终身不孕。胞衣不落,油菜子一撮研碎,用水送下,有效。
催生立应方:难产、横生、逆生都有效。车前子(一两)、当归(八钱)、冬葵子、白芷、枳壳、白芍(各三钱)、牛膝、腹皮(二钱)、川芎(五钱)。煎服。
凡是妇人怀孕,如一个月的,胎形像一点精华,如草上露珠凝结,未进入宫罗,在户门外,或散或聚,恶心头晕,不思饮食,脉浮紧,服用此药:当归、白芍(各三钱)、枳壳(四钱)、川芎、紫苏(各二钱)、砂仁(一钱)、甘草(六分)。
二月胎形如桃花,分枝叶在母北极之半,北极者,指阴户二寸处。胎入腹未有胞衣,头晕眼花,呕吐,不思饮食,服用此药:桔梗、益智、木香、苍术、砂仁、黄芩(酒炒,各二钱)、浓朴、紫苏、甘草(各一钱)、枳壳(三钱)、青皮(一钱)。
三月胎形如茧,渐渐如蚕,一头大一头小,欲负未入宫罗,病虚弱,恶心呕吐,宜以安胎为主。看天气寒热,随症加减。三个月中有病服用,胎前有病的,宜以安胎主方,一帖即愈。
四月胎入宫罗,衣裹膨至丹田,忌食兔、獐异物,蒜韭生冷,身体倦怠,气急发热,饮食无味,贪睡头晕,四肢酸软,服用此药:苏叶(一钱)、甘草、小茴香、枳壳(各五分)、浓朴、香附、砂仁、陈皮、苍术(各三钱)。煎七分,食远服。
五月胎分男女,令母亲前行呼唤它,左顾是男,右顾是女,男思酸味,女思淡食。进入宫室之内,其胎安稳,没有他病,前方加减治之。
六月胎形,生肌长发,男动左,女动右,在母腹中动如浮鱼游水,如有别病,以安胎为主。
七月胎形长成,眼有光,鼻有气,耳有开,口知味,件件俱完,母病行动艰难。如有别病,安胎为主,随症加减。
八月胎气,主心闷烦躁,饮食不知滋味,饭如糠秕,困弱,有伤脾胃,治宜平胃安胎。
九月胎形,在左右胁,大动忧烦气闷,饮食不快,宜服用此药:益母草(三两)、当归、枳壳、白芍(各四钱)、益智(三钱)、砂仁(二钱)、陈皮(一钱)、甘草(六分)。水二钟,煎一钟时服。
十月胎形满足,四肢骨骼俱开,始得降生,必待其天然转胞,切勿欲速,致生他病,如腰痛急、胞浆破,以家传妙方服之:当归、川芎、百草霜(各二钱)、陈皮、香附、紫苏(各七分)、大腹皮(五分)、滑石、三棱、莪术、砂仁(各一钱)、干姜、肉桂(各七分)、五灵脂(二钱)、玄胡索(三钱)。连进三次,胎自落而无患也。
凡胎前有病的,安胎主方,如三个月有病,一帖即愈:陈皮、黄芩、大腹皮、枳壳、苏梗、芍药、当归、川芎、甘草、青皮、草果、茯苓。如呕吐加半夏(姜制)、藿香,发热加柴胡,渴加天花粉,中脘饱闷加木香、枳实,头痛加羌活、白芷、细辛,骨节痛加荆芥、防风,脾胃不实加白术、苍术、浓朴、山药、米仁,泻有积加木香、猪苓、泽泻。
胎前伤风咳嗽饱闷方:陈皮、桔梗、花粉、柴胡、紫苏、干葛、黄芩、前胡、大腹皮、桑白皮、甘草、枳壳、豆蔻、半夏、萝卜子、当归、川芎、砂仁。加灯芯、姜,久嗽加款冬花、杏仁、麦冬、五味子。伤风不省加麻黄,有痰加栝蒌仁、贝母、茯苓,虚汗不止加芍药、酸枣仁,饱闷加青皮、木香。
凡胎前发热,不思饮食,用此方:黄芩(炒)、香附、陈皮、花粉、大柴胡、苏梗、归身、川芎、枳壳、干葛、青皮、甘草、熟地、芍药、茯苓、草果、羌活、山楂、腹皮、骨皮。面红加山栀(炒黑)、黄柏(炒)、知母(炒)。
胎前单寒不止,饮食少进:陈皮、黄芩、花粉、芍药、生地、小柴胡、黄芪、白术、人参、茯苓、苏梗、甘草、枳壳、腹皮、当归、川芎、砂仁、山楂、香附。头痛加羌活,鼻塞加葱头、防风,遍身疼痛加荆芥。
凡胎前四、五个月,身体困倦,气怠发热,饮食无味,好睡头晕,四肢酸软,此方治之即愈:橘红、苍术、苏叶(各二钱)、浓朴、香附(各三钱)、甘草(九分)、小茴香(一钱五分)、枳壳(五分)。分作三服,每日空心温服。
凡胎不安逆上,胀满疼痛,谓之子烦,服用此方:当归、川芎、芍药、陈皮、人参、紫苏、腹皮、砂仁、枣子。如平素虚弱加生地,热加黄芩、地骨皮,气加香附,胸膈气闷加枳实、黄连,因气遍身疼痛加乌药、木香,微泻加黄连(炒)、芍药、白术,如饱闷不用白术。
胎前不时作痛,不思饮食,用是方:陈皮、桔梗、乌药、归身、川芎、枳壳、黄芩、腹皮、芍药、青皮、槟榔、香附、楂肉、玄胡索(炒)、姜(一片)、茱萸(少许)。
胎前五、六个月,脉困体弱,体重好睡,食不知味,膨胀,胎略动,此方:当归(二钱)、白芍、益母草、枳壳(各四钱)、砂仁、香附、益智、甘草(各一钱)。分作三服,每日空心温服。
胎前见红,胎欲动,腰痛:枳壳、黄芩、地榆、牡蛎、青皮、腹皮、艾叶、归身、川芎、熟地、芍药、苍术、浓朴、草果、白术、甘草、砂仁(一方用桔梗)。
胎前脾胃不实:陈皮、桔梗、黄芩、腹皮、山楂、山药、白术、茯苓、薏米仁(珍重用之,胎前忌用)、苍术、浓朴、白芍、草果、甘草、香附。
胎前痢疾后重白积腹痛:陈皮、桔梗、浓朴、木通、乌药、山楂、黄芩、玄胡索、山药、茯苓、姜(炒,用少)、米仁、猪苓、泽泻、草果、甘草、白术、茱萸、当归身、川芎。
胎前腹中疼痛下痢:当归、川芎、白芍、茯苓、泽泻(各一两)、白术(一两半)。为末,每服三钱,空心白滚汤下。
胎前痢疾红积腹痛(胎前下痢,查汇集主方,以补中益气汤加味治之,予屡试获效,从钱生记。再如痢止后小溲不通,本方加车前子三钱,立效):陈皮、花粉、黄连(炒)、黄芩、腹皮、草果、白芍、苍术、浓朴、木通、米仁、山药、茯苓、猪苓、泽泻、木香、枳实(少许)、白术、山楂。
胎前大小便不通,遍身浮肿:陈皮、桔梗、花粉、猪苓、泽泻、枳壳、青皮、升麻、腹皮、苏梗、草果、甘草、柴胡、香附、山楂、滑石、砂仁、黄芩、姜、车前子、茯苓皮。
胎前七、八个月,胎气不和:归身、枳壳、川芎、黄芩、香附、陈皮、芍药、滑石、苏梗、熟地、大腹皮。
胎前八、九个月服达生散,以扶正气、散滞气,孕妇少虚者尤佳:大腹皮、白术、芍药、当归(各一钱)、陈皮、人参、甘草、紫苏(各五分)。煎服。春加川芎、防风;夏加黄芩,或黄连、五味;秋加泽泻;冬加缩砂、枳壳。胎动加苎根、金银花;上气加紫苏;性急加柴胡;多怒加黄芩;食少加缩砂、神曲;渴加门冬、黄芩;能食加黄杨头;有痰加半夏、黄芩。
胎前不时发晕:陈皮、桔梗、归身、川芎、茯神、远志、芍药、香附、甘草、黄芩、枳壳、苏梗、柴胡、草果、砂仁、腹皮。
胎前疟痰方:紫苏、陈皮、枳壳、黄芩、青皮、草果、苍术、浓朴、柴胡、山楂、归身、川芎、白术、乌梅(一个)、姜(三片)、砂仁(一钱一方用桔梗)。
胎前伤食感寒,发为疟疾:橘红、茯苓、草果、良姜、白术、藿香叶、缩砂、枣姜、甘草。
胎前二、三个月,胎气凑上,寒热饱胀:陈皮、半夏、茯苓、白术、黄芩、枳壳、苏梗、香附、腹皮、归身、川芎、甘草、芍药、青皮、柴胡、姜(三片)、砂仁、萝卜子(各一钱)。
胎前漏胎,小腹不时作痛:黄芩、地榆、陈皮、花粉、续断、枳壳、青皮、香附、芍药、苍术、艾叶、牡蛎、甘草、归身、川芎、熟地、草果。
胎前六、七个月,小腹绞痛,口吐清水,胎气不和:陈皮、黄芩、归身、茱萸、芍药、苏梗、腹皮、川芎、熟地、白芷、枳壳、甘草、半夏、山楂、香附。
胎前胃虚气逆,呕吐不食,急服独胜散:砂仁一味为末,姜汤调服不拘。
胎九月须用滑胎散:陈皮、乌药、归身、川芎、白芍、益母草、枳壳、苏梗、黄芩、腹皮、花粉、桔梗、熟地、白术、滑石。十月满足,腹痛。
催生散:陈皮、乌药、枳壳、干姜、肉桂、木通、益母草、归尾、红花、三棱、莪术、五灵脂、牛膝、香附、白芷、百草霜。
临产易生散(后易生药,用猪心血和汤下):归尾、川芎、芍药、枳壳、乳香、木香、甘草、发灰。
催经二月用:干姜、肉桂、枳壳、红花、木通、杜牛膝、牡丹皮、生地、陈皮、香附、三棱、莪术、白芷、桃仁、滑石。
通经散:红花、鬼箭羽、牛膝、桂枝、干漆、刘寄奴、干姜、白芷、归身、苏木、三棱。
三、四个月用堕胎散:刘寄奴、丹皮、赤芍、生地、干姜、肉桂、三棱、莪术、白芷梢(各一钱)、真寸香、甘草梢(各三分)、桃仁(二钱)、杜牛膝(一钱)、归尾、红花(各三钱)。好酒一碗,好醋一碗,煎八分,入好锻石五分,热服。
调理孕妇:香附、陈皮、黄芩、大腹皮、枳壳、归身、芍药、川芎、熟地、甘草、山楂、花粉、桔梗、茯苓、砂仁(一钱)、枣(一个)。
妊妇伤寒,大发热:小柴胡、黄芩、枳壳、竹茹、陈皮、花粉、紫苏、干葛、甘草、归身、川芎、羌活、大腹皮、桔梗、香附。有痰加竹沥、姜汁,前发热饱闷加枳壳、草果,总加姜三片、砂仁一钱。
束胎丸(七、八个月恐胎气展大,以此扶助母气)。白术、陈皮(忌火,各二两)、白茯苓(七钱五分)、条芩(酒洗,夏天用一两,秋冬七钱五分)。粥糊为丸,每服五、六十丸,空心白沸汤送下。
Women's diseases prioritize pregnancy and childbirth, where yin and yang intersect, and essence and qi are conceived. Thus, the Chong (Penetrating) and Ren (Conception) vessels serve as the origin for connecting to the uterus. It is also said: the Mingmen (Gate of Life) is the repository for storing essence.
When cinnabar and mercury first rise, they penetrate into the uterus; a single stem divides into two, marking the beginning of the infant's formation. In the first month, the fetus is like dew, nourished by the Shaoyang Gallbladder channel; in the second month, by the Jueyin Liver channel; in the third month, by the Juexin Pericardium channel; in the fourth month, by the Shaoyin Heart channel; in the fifth month, by the Yangming Stomach channel; in the sixth month, by the Taiyin Spleen channel; in the seventh month, by the Yangming Large Intestine channel; in the eighth month, by the Taiyin Lung channel; in the ninth month, by the Taiyang Bladder channel; and in the tenth month, by the Taiyin Kidney channel. This is how the zang-fu organs transmit essence and blood sequentially to nourish the embryo. Generally speaking, early pregnancy often involves vomiting acid or food, or craving sour foods, due to the influence of Wood Qi (Liver). Among the five viscera, only the Liver Qi tends to be excessive. Since Wood nature prefers expansion and dislikes suppression, combined with the obstruction of fetal Qi, it leads to fullness and distension in the chest and diaphragm, and aversion to food stems from this nature. Vomiting acid and craving sour foods reflect the sour taste of Wood; vomiting food and aversion to food result from Wood overcoming Earth. Gradually, as the Ministerial Fire and Sovereign Fire nourish the fetus, symptoms such as irritability and fever may appear. This is because the Heart governs Blood, and while Blood protects the fetal root, it may fail to adequately irrigate the Sea of Blood. Nourishment by the Spleen and Stomach often manifests as abdominal distension, or cases of poor appetite accompanied by swollen feet. Upon entering the months governed by the Large Intestine and Lung, symptoms of Zang Zao (Viscera Agitation) with frequent crying may occur. Although it is said that pregnancy is primarily governed by the Chong and Ren vessels, it invariably involves the Kidneys and Bladder, as both belong to Cold Water. However, during fetal nourishment, Kidney Qi has already been expended, and the infant's viscera are fully formed, leading to delivery outside the regular meridian pathways. Those skilled in regulation may administer medicinal preparations in advance to ensure maternal and fetal peace, strictly observing the suitability of meridians and Yin-Yang according to the lunar months before considering abortive drugs. Otherwise, indiscriminate use of medicines may disrupt balance. Heat may lead to miscarriage or retained products; cold may cause pain or diarrhea. Collectively, these present numerous pathologies; briefly summarized, severe cases involve Tai Lou (Fetal Leakage) or Po Sui (Membrane Rupture), while mild cases include anorexia and headache. Zi Xian (Eclampsia), Zi Xuan (Fetal Distension), and Zi Bu Yu (Fetal Mutism) are difficult conditions; Er Ti (Neonatal Crying), Er Yun (Neonatal Fainting), and Er Zhong (Neonatal Edema) are peculiar signs. Fetal Qi instability, caused by fatigue or anger, with frequent leukorrhea and diarrhea, indicates impending miscarriage or deficiency. Therefore, stabilizing the fetus is better achieved by strengthening the Spleen, as a sturdy beam prevents a bell from falling; fattening the fetus is better achieved by nourishing Blood, as deep water ensures fish remain safe. Regarding Tai Lou (Fetal Leakage), it is mostly due to Blood Heat; if the pulse is洪数 (Surging and Rapid), clearing heat and tonifying is urgent, using Huang Qin (Scutellaria Root), Bai Zhu (Atractylodes Macrocephala Rhizome), E Jiao (Donkey-hide Gelatin), and Xu Duan (Dipsacus Root). Even lifting methods can be used temporarily. If membranes rupture and amniotic fluid flows, and the pulse indicates deviation from the meridian with inevitable miscarriage, urgently using Zi Cao (Arnebia Root) to break stasis allows natural expulsion; Gui Wei (Angelica Sinensis Tail), Tao Ren (Peach Kernel), Hong Hua (Safflower), and Niu Xi (Achyranthes Root) can assist the momentum. Xiao Shi (Niter) and Da Huang (Rhubarb Root) may be selected, but avoid causing meridian depletion and thirst without expulsion, which would endanger the mother. For anorexia, diagnose the Stomach pulse's deficiency or excess. Excess requires digestion promotion and Qi regulation with Xiang Sha (Amomum and Sand Ginger), Zhi Shi (Immature Bitter Orange), and Bai Zhu. Deficiency requires warming and tonification, benefiting the Spleen and clearing it, using Dang Gui (Angelica Sinensis), Chuan Xiong (Ligusticum Chuanxiong Rhizome), and Bai Shao (White Peony Root). For headache, a floating pulse indicates external contraction; a rapid pulse indicates rising Fire. Floating pulses require light dispersing agents, prohibiting Gui Zhi (Cinnamon Twig) and Ma Huang (Ephedra Herb); rapid pulses require suppressing and descending Fire, prohibiting Cheng Qi Tang (Order the Qi Decoction) and Bai Hu Tang (White Tiger Decoction). Zi Xian (Eclampsia) presents with the pregnant woman appearing dazed and spitting saliva; only clearing heat and stabilizing the fetus will resolve it naturally; Bing She Dan (Ice Arrow Pill) and other pills must not be used. Zi Xuan (Fetal Distension) resembles holding a urn, preventing supine lying; only breaking Qi is suitable. Zi Bu Yu (Fetal Mutism) implies inability to speak even after birth. Er Ti (Neonatal Crying) occurs when the mother raises her arms too high, causing milk leakage, as recorded by predecessors. Er Yun (Neonatal Fainting) involves maternal fainting due to maternal Qi failing to shelter the fetus; Ba Zhen Tang (Eight Treasures Decoction) and Shi Chang Pu (Acorus Tatarinowii Rhizome) are effective. Although Er Zhong (Neonatal Edema) belongs to Spleen Deficiency, if accompanied by difficult urination, regulating the Spleen and promoting water metabolism using Si Wu Tang (Four Substances Decoction) and Di Fu Zi (Kochia Fruit) is appropriate. For miscellaneous diseases complicating pregnancy, distinguishing between Shang Han (Cold Damage), Nué (Malaria), and Li (Dysentery) is crucial. Treatment should focus on the miscellaneous disease while adding fetal-stabilizing herbs. If the condition is critical, sweating or purging methods may be used without hesitation regarding the pregnancy, following the classic principle "You Gu Wu Yun" (If there is a pathology, there is no harm). Adapt formulas based on changes, applying wisdom.
**Cui Sheng Fang (Labor-Inducing Formula):** Dang Gui (1 qian), Zhi Ke (1.2 qian), Kui Zi (1.5 qian), Pi Xiao (1 qian), Sheng Zhi Ma (1 pinch), Cong Bai (2 stalks). Decoct and take. Safe for ruptured membranes; contraindicated if unruptured to prevent lifelong infertility. For retained placenta, crush 1 pinch of Rapeseed Seeds, take with water; effective.
**Cui Sheng Li Ying Fang (Immediate Labor-Inducing Formula):** Effective for dystocia, transverse lie, and breech presentation. Che Qian Zi (1 liang), Dang Gui (8 qian), Dong Kui Zi, Bai Zhi, Zhi Ke, Bai Shao (3 qian each), Niu Xi, Fu Pi (2 qian), Chuan Xiong (5 qian). Decoct and take.
For one-month pregnancy, the fetal shape is like a drop of essence, condensed like dew on grass, not yet in the uterus, scattered or gathered outside, with nausea, dizziness, and loss of appetite. Pulse is floating and tight. Take this formula: Dang Gui, Bai Shao (3 qian each), Zhi Ke (4 qian), Chuan Xiong, Zi Su (2 qian each), Sha Ren (1 qian), Gan Cao (6 fen).
At two months, the fetal shape resembles peach blossoms, branching halfway to the "North Pole" (2 cun inside the vagina). The fetus enters the abdomen without membranes, causing dizziness, blurred vision, vomiting, and anorexia. Take this formula: Jie Geng, Yi Zhi, Mu Xiang, Cang Zhu, Sha Ren, Huang Qin (wine-fried, 2 qian each), Hou Po, Zi Su, Gan Cao (1 qian each), Zhi Ke (3 qian), Qing Pi (1 qian).
At three months, the fetal shape resembles a cocoon, gradually like a silkworm, large at one end and small at the other, about to enter the uterus. With weakness, nausea, and vomiting, prioritize fetal stabilization. Adjust based on weather temperature. If illness occurs within three months, use the main fetal-stabilizing formula; one dose suffices.
At four months, the fetus enters the uterus, swelling to the Dantian. Avoid rabbit, gazelle, garlic, leeks, and raw/cold foods. Symptoms include fatigue, shortness of breath, fever, tastelessness, somnolence, dizziness, and limb soreness. Take this formula: Zi Ye (1 qian), Gan Cao, Xiao Hui Xiang, Zhi Ke (0.5 qian each), Hou Po, Xiang Fu, Sha Ren, Chen Pi, Cang Zhu (3 qian each). Decoct to 70%, take away from meals.
At five months, gender differentiation occurs. Call to the fetus while walking forward; looking left indicates male, right indicates female. Males crave sour, females crave bland. Within the womb, the fetus is stable. Modify previous formulas as needed.
At six months, muscles grow, hair develops. Males move left, females move right. Movement resembles fish swimming. Prioritize fetal stabilization for other illnesses.
At seven months, the fetus matures: eyes shine, nose breathes, ears open, mouth tastes. All parts complete. Maternal movement becomes difficult. Prioritize fetal stabilization for other illnesses.
At eight months, fetal Qi causes chest stuffiness, irritability, loss of taste, feeling like eating chaff, weakness, and Spleen/Stomach damage. Treat with Ping Wei (Peace the Stomach) and fetal stabilization.
At nine months, the fetus is in the flanks, causing significant movement, worry, stuffiness, and poor appetite. Take this formula: Yi Mu Cao (3 liang), Dang Gui, Zhi Ke, Bai Shao (4 qian each), Yi Zhi (3 qian), Sha Ren (2 qian), Chen Pi (1 qian), Gan Cao (6 fen). Decoct 2 zhong water to 1 zhong, take.
At ten months, the fetus is complete, limbs and bones open, ready for birth. Wait for natural rotation; do not rush to avoid complications. For acute backache or membrane rupture, use family secret formula: Dang Gui, Chuan Xiong, Bai Cao Shuang (2 qian each), Chen Pi, Xiang Fu, Zi Su (0.7 qian each), Da Fu Pi (0.5 qian), Hua Shi, San Leng, E Zhu, Sha Ren (1 qian each), Gan Jiang, Rou Gui (0.7 qian each), Wu Ling Zhi (2 qian), Yan Hu Suo (3 qian). Take three consecutive doses for spontaneous delivery without harm.
**Main Fetal-Stabilizing Formula for Early Pregnancy Illness:** Effective for illnesses up to three months. Chen Pi, Huang Qin, Da Fu Pi, Zhi Ke, Su Geng, Shao Yao, Dang Gui, Chuan Xiong, Gan Cao, Qing Pi, Cao Guo, Fu Ling. Add Ban Xia (Ginger-prepared), Huo Xiang for vomiting; Chai Hu for fever; Tian Hua Fen for thirst; Mu Xiang, Zhi Shi for epigastric fullness; Qiang Huo, Bai Zhi, Xi Xin for headache; Jing Jie, Fang Feng for joint pain; Bai Zhu, Cang Zhu, Hou Po, Shan Yao, Yi Mi Ren for weak Spleen/Stomach; Mu Xiang, Zhu Ling, Ze Xie for dysentery with accumulation.
**Formula for Wind-Cold Cough and Fullness in Pregnancy:** Chen Pi, Jie Geng, Hua Fen, Chai Hu, Zi Su, Ge Gen, Huang Qin, Qian Hu, Da Fu Pi, Sang Bai Pi, Gan Cao, Zhi Ke, Dou Kou, Ban Xia, Luo Bo Zi, Dang Gui, Chuan Xiong, Sha Ren. Add Deng Xin Cao, Ginger; add Kua Dong Hua, Xing Ren, Mai Dong, Wu Wei Zi for chronic cough; Ma Huang for severe wind-cold; Gua Lou Ren, Bei Mu, Fu Ling for phlegm; Shao Yao, Suan Zao Ren for deficient sweating; Qing Pi, Mu Xiang for fullness.
**Formula for Fever and Anorexia in Pregnancy:** Huang Qin (fried), Xiang Fu, Chen Pi, Hua Fen, Da Chai Hu, Su Geng, Gui Shen, Chuan Xiong, Zhi Ke, Ge Gen, Qing Pi, Gan Cao, Shu Di, Shao Yao, Fu Ling, Cao Guo, Qiang Huo, Shan Zha, Fu Pi, Gu Pi. Add Shan Zhi (charred black), Huang Bo (fried), Zhi Mu for red face.
**Formula for Persistent Chills and Poor Appetite in Pregnancy:** Chen Pi, Huang Qin, Hua Fen, Shao Yao, Sheng Di, Xiao Chai Hu, Huang Qi, Bai Zhu, Ren Shen, Fu Ling, Su Geng, Gan Cao, Zhi Ke, Fu Pi, Dang Gui, Chuan Xiong, Sha Ren, Shan Zha, Xiang Fu. Add Qiang Huo for headache; Cong Tou, Fang Feng for nasal congestion; Jing Jie for body pain.
**Formula for Fatigue, Fever, and Aversion to Food in Months 4-5:** Ju Hong, Cang Zhu, Zi Ye (2 qian each), Hou Po, Xiang Fu (3 qian each), Gan Cao (9 fen), Xiao Hui Xiang (1.5 qian), Zhi Ke (0.5 qian). Divide into three doses, take warm on an empty stomach daily.
**Formula for Zi Fan (Fetal Irritability):** Characterized by upward rebellious fetal Qi, distension, and pain. Dang Gui, Chuan Xiong, Shao Yao, Chen Pi, Ren Shen, Zi Su, Fu Pi, Sha Ren, Zao Zi. Add Sheng Di for weakness; Huang Qin, Di Gu Pi for heat; Xiang Fu for Qi stagnation; Zhi Shi, Huang Lian for chest stuffiness; Wu Yao, Mu Xiang for body pain due to Qi; Huang Lian (fried), Shao Yao, Bai Zhu for mild diarrhea; omit Bai Zhu if fullness is present.
**Formula for Intermittent Pain and Anorexia in Pregnancy:** Chen Pi, Jie Geng, Wu Yao, Gui Shen, Chuan Xiong, Zhi Ke, Huang Qin, Fu Pi, Shao Yao, Qing Pi, Bing Lang, Xiang Fu, Zha Rou, Yan Hu Suo (fried), Ginger (1 slice), Zhu Yu (small amount).
**Formula for Weak Pulse, Heavy Body, and Somnolence in Months 5-6:** Dang Gui (2 qian), Bai Shao, Yi Mu Cao, Zhi Ke (4 qian each), Sha Ren, Xiang Fu, Yi Zhi, Gan Cao (1 qian each). Divide into three doses, take warm on an empty stomach daily.
**Formula for Vaginal Bleeding, Fetal Movement, and Backache:** Zhi Ke, Huang Qin, Di Yu, Mu Li, Qing Pi, Fu Pi, Ai Ye, Gui Shen, Chuan Xiong, Shu Di, Shao Yao, Cang Zhu, Hou Po, Cao Guo, Bai Zhu, Gan Cao, Sha Ren (alternative: Jie Geng).
**Formula for Weak Spleen/Stomach in Pregnancy:** Chen Pi, Jie Geng, Huang Qin, Fu Pi, Shan Zha, Shan Yao, Bai Zhu, Fu Ling, Yi Mi Ren (use carefully, contraindicated in pregnancy), Cang Zhu, Hou Po, Bai Shao, Cao Guo, Gan Cao, Xiang Fu.
**Formula for Dysentery with Tenesmus, White Discharge, and Abdominal Pain in Pregnancy:** Chen Pi, Jie Geng, Hou Po, Mu Tong, Wu Yao, Shan Zha, Huang Qin, Yan Hu Suo, Shan Yao, Fu Ling, Ginger (fried, small amount), Yi Mi Ren, Zhu Ling, Ze Xie, Cao Guo, Gan Cao, Bai Zhu, Zhu Yu, Dang Gui Shen, Chuan Xiong.
**Formula for Abdominal Pain and Dysentery in Pregnancy:** Dang Gui, Chuan Xiong, Shao Yao, Fu Ling, Ze Xiong (1 liang each), Bai Zhu (1.5 liang). Grind to powder, take 3 qian with plain boiling water on an empty stomach.
**Formula for Red Dysentery and Abdominal Pain in Pregnancy:** (Based on Bu Zhong Yi Qi Tang modification, proven effective by Qian Sheng. Add Che Qian Zi 3 qian if urinary retention follows dysentery.) Chen Pi, Hua Fen, Huang Lian (fried), Huang Qin, Fu Pi, Cao Guo, Bai Shao, Cang Zhu, Hou Po, Mu Tong, Yi Mi Ren, Shan Yao, Fu Ling, Zhu Ling, Ze Xie, Mu Xiang, Zhi Shi (small amount), Bai Zhu, Shan Zha.
**Formula for Urinary/Fecal Obstruction and Generalized Edema in Pregnancy:** Chen Pi, Jie Geng, Hua Fen, Zhu Ling, Ze Xie, Zhi Ke, Qing Pi, Sheng Ma, Fu Pi, Su Geng, Cao Guo, Gan Cao, Chai Hu, Xiang Fu, Shan Zha, Hua Shi, Sha Ren, Huang Qin, Ginger, Che Qian Zi, Fu Ling Pi.
**Formula for Fetal Qi Disharmony in Months 7-8:** Gui Shen, Zhi Ke, Chuan Xiong, Huang Qin, Xiang Fu, Chen Pi, Shao Yao, Hua Shi, Su Geng, Shu Di, Da Fu Pi.
**Da Sheng San (Life-Reaching Powder) for Months 8-9:** Supports righteous Qi, disperses stagnant Qi, especially for deficient pregnant women. Da Fu Pi, Bai Zhu, Shao Yao, Dang Gui (1 qian each), Chen Pi, Ren Shen, Gan Cao, Zi Su (0.5 qian each). Decoct and take. Spring: add Chuan Xiong, Fang Feng; Summer: add Huang Qin, or Huang Lian, Wu Wei Zi; Autumn: add Ze Xie; Winter: add Suo Sha, Zhi Ke. Fetal movement: add Zhu Gen, Jin Yin Hua; Upper Qi: add Zi Su; Impatience: add Chai Hu; Anger: add Huang Qin; Poor appetite: add Suo Sha, Shen Qu; Thirst: add Men Dong, Huang Qin; Good appetite: add Huang Yang Tou; Phlegm: add Ban Xia, Huang Qin.
**Formula for Intermittent Dizziness in Pregnancy:** Chen Pi, Jie Geng, Gui Shen, Chuan Xiong, Fu Shen, Yuan Zhi, Shao Yao, Xiang Fu, Gan Cao, Huang Qin, Zhi Ke, Su Geng, Chai Hu, Cao Guo, Sha Ren, Fu Pi.
**Formula for Malaria-Phlegm in Pregnancy:** Zi Su, Chen Pi, Zhi Ke, Huang Qin, Qing Pi, Cao Guo, Cang Zhu, Hou Po, Chai Hu, Shan Zha, Gui Shen, Chuan Xiong, Bai Zhu, Wu Mei (1), Ginger (3 slices), Sha Ren (1 qian, alternative: Jie Geng).
**Formula for Malaria Caused by Food Stagnation and Cold in Pregnancy:** Ju Hong, Fu Ling, Cao Guo, Liang Jiang, Bai Zhu, Huo Xiang Ye, Suo Sha, Zao Jiang, Gan Cao.
**Formula for Fetal Qi Rising, Alternating Chills/Heat, and Fullness in Months 2-3:** Chen Pi, Ban Xia, Fu Ling, Bai Zhu, Huang Qin, Zhi Ke, Su Geng, Xiang Fu, Fu Pi, Gui Shen, Chuan Xiong, Gan Cao, Shao Yao, Qing Pi, Chai Hu, Ginger (3 slices), Sha Ren, Luo Bo Zi (1 qian each).
**Formula for Tai Lou (Fetal Leakage) with Intermittent Lower Abdominal Pain:** Huang Qin, Di Yu, Chen Pi, Hua Fen, Xu Duan, Zhi Ke, Qing Pi, Xiang Fu, Shao Yao, Cang Zhu, Ai Ye, Mu Li, Gan Cao, Gui Shen, Chuan Xiong, Shu Di, Cao Guo.
**Formula for Severe Lower Abdominal Pain, Saliva Vomiting, and Fetal Qi Disharmony in Months 6-7:** Chen Pi, Huang Qin, Gui Shen, Zhu Yu, Shao Yao, Su Geng, Fu Pi, Chuan Xiong, Shu Di, Bai Zhi, Zhi Ke, Gan Cao, Ban Xia, Shan Zha, Xiang Fu.
**Du Sheng San (Single Victory Powder) for Stomach Deficiency, Rebellious Qi, Vomiting, and Anorexia:** Sha Ren alone ground to powder, mixed with Ginger decoction, taken as needed.
**Hua Tai San (Slippery Fetus Powder) for the Ninth Month:** Chen Pi, Wu Yao, Gui Shen, Chuan Xiong, Bai Shao, Yi Mu Cao, Zhi Ke, Su Geng, Huang Qin, Fu Pi, Hua Fen, Jie Geng, Shu Di, Bai Zhu, Hua Shi. For tenth-month abdominal pain.
**Cui Sheng San (Labor-Inducing Powder):** Chen Pi, Wu Yao, Zhi Ke, Gan Jiang, Rou Gui, Mu Tong, Yi Mu Cao, Gui Wei, Hong Hua, San Leng, E Zhu, Wu Ling Zhi, Niu Xi, Xiang Fu, Bai Zhi, Bai Cao Shuang.
**Lin Chan Yi Sheng San (Easy Delivery at Birth Powder):** (Take later with Pig Heart Blood decoction.) Gui Wei, Chuan Xiong, Shao Yao, Zhi Ke, Ru Xiang, Mu Xiang, Gan Cao, Fa Hui (Hair Ash).
**Formula for Inducing Menstruation in the Second Month:** Gan Jiang, Rou Gui, Zhi Ke, Hong Hua, Mu Tong, Du Niu Xi, Mu Dan Pi, Sheng Di, Chen Pi, Xiang Fu, San Leng, E Zhu, Bai Zhi, Tao Ren, Hua Shi.
**Tong Jing San (Meridian-Unblocking Powder):** Hong Hua, Gui Jian Yu, Niu Xi, Gui Zhi, Gan Qi, Liu Ji Nu, Gan Jiang, Bai Zhi, Gui Shen, Su Mu, San Leng.
**Tuo Tai San (Fetus-Dropping Powder) for Months 3-4:** Liu Ji Nu, Dan Pi, Chi Shao, Sheng Di, Gan Jiang, Rou Gui, San Leng, E Zhu, Bai Zhi Shao (1 qian each), Zhen Cun Xiang, Gan Cao Shao (3 fen each), Tao Ren (2 qian), Du Niu Xi (1 qian), Gui Wei, Hong Hua (3 qian each). Decoct 1 bowl good wine and 1 bowl good vinegar to 80%, add 5 fen Hao Duan Shi, take hot.
**Formula for Regulating Pregnant Women:** Xiang Fu, Chen Pi, Huang Qin, Da Fu Pi, Zhi Ke, Gui Shen, Shao Yao, Chuan Xiong, Shu Di, Gan Cao, Shan Zha, Hua Fen, Jie Geng, Fu Ling, Sha Ren (1 qian), Zao (1 fruit).
**Formula for Severe Fever in Pregnant Women with Shang Han:** Xiao Chai Hu, Huang Qin, Zhi Ke, Zhu Ru, Chen Pi, Hua Fen, Zi Su, Ge Gen, Gan Cao, Gui Shen, Chuan Xiong, Qiang Huo, Da Fu Pi, Jie Geng, Xiang Fu. Add Zhu Li, Jiang Zhi for phlegm; Zhi Ke, Cao Guo for fever/fullness; always add 3 slices Ginger, 1 qian Sha Ren.
**Shu Tai Wan (Fetus-Binding Pills) for Months 7-8:** Prevents excessive fetal growth, supports maternal Qi. Bai Zhu, Chen Pi (avoid fire, 2 liang each), Bai Fu Ling (7.5 qian), Tiao Qin (wine-washed, 1 liang in summer, 7.5 qian in autumn/winter). Make pills with congee paste, take 50-60 pills with plain boiling water on an empty stomach.