（附论）
夫妊娠肿满。由脏气本弱。因产重虚。土不克水。血散入四肢。遂致腹胀。手足面目皆
浮肿。小便秘涩。陈无择云。凡妇人宿有风寒冷湿。妊娠喜脚肿。俗呼为皱脚。亦有通身肿
满。心腹急胀。名曰胎水。凡妊娠之人。无使气极。若心静气和。则胎气安稳。若中风寒邪
气。及有所触犯。则随邪而生病也。凡妊娠经血壅闭以养胎。若忽然虚肿。乃胎中挟水。水
血相搏。脾胃恶湿。主身之肌肉。湿渍气弱。则肌肉虚浮。水气流溢。故令身肿满也。然其
由有自致。或因泄泻下痢。脏腑虚滑。耗损脾胃。或因寒热疟疾。烦渴。引饮太过。湿渍脾
胃。皆能使头目或手足浮肿也。然水渍于胞。儿未成形。则胎多损坏。及其胎产日。脚微肿。
乃
妊娠自三月成胎之后。两足自脚面渐肿至腿膝以下。行步艰辛。以至喘闷。饮食不美。似水
气状。至于脚指间有黄水出者。谓之子气。直至分娩方消。此由妇人素有风气。或衡任经有
血风。未可妄投汤药亦恐大段者。虑将产之际费力。有不测之忧。故不可不治于未产之前也
。脾合土候肌肉。土气和平。则能制水。水自传化。无有停积。若妊娠脾胃气虚。经血壅闭
。则水饮不化。湿气淫溢。外攻形体。内注胞胎。怀妊之始肿满。或必伤胎气。如临月而脚
微肿者。利其小便。则病可愈。
方
木通汤（出圣惠方）治妊娠身体浮肿。心腹胀满。小便不通。
木通（锉） 香薷 桑根白皮（锉各一两） 木香 诃黎勒皮 黄芩（各三两） 枳壳
（去瓤
麸炒） 槟榔（各半两） 紫苏茎叶（半两） 上粗捣筛。每服四钱。水一盏。入生姜半分。
拍
碎。煎至六分去滓。温服。食前。日再。
当归饮（出大全良方）治胎前诸疾。或因怒中气充子脏。或充脬脉。腹急肚
胀
。腰腹时痛。不思饮食。四肢浮肿。气急时喘。大便忽难。小便忽涩。玉门忽肿。
当归（一两） 赤茯苓 枳壳 白芍药 川芎（各二两） 川白姜（炮） 木香（煨） 粉
草
（各半两） 上 咀。每服三大钱。水一盏半。生姜三片。煎至八分去滓。无时温服。如禀
受
气弱
八正散（出危氏方）治妊娠心气壅胎气。八个月散坠。手足浮肿急痛。不
安。
难产。
瞿麦（锉） 木通（锉去皮节） 滑石 大黄（锉面裹煨切焙） 车前子 蓄（一名
地扁竹）
山
胜金散（出济生方）小腹虚胀者何。盖因食硬物伤胎。胎既受病。传于脾
胃。
气虚。冷逼小腹。状若奔豚。或腰重大便秘涩。两胁虚鸣。宜服胜金散。温中下气。疾
即安矣。
吴茱萸（去枝梗酒浸炒） 陈皮（去白） 干生姜 干姜（炮） 川芎（各一钱半） 浓
朴（去皮姜炒） 缩砂仁（炒） 甘草（炙各三钱） 上为细末。每服二钱。盐汤调服。不
拘时候。一方有木香。无缩砂仁。
桑白皮汤（出圣惠方）治妊娠四肢肿满。小便不利。喘促。
桑根白皮（锉一两） 枳壳（去瓤麸炒） 商陆（各半两） 泽泻（三分） 冬葵根 赤
茯苓
（去黑皮） 木通（锉各一两） 上粗捣筛。每服四钱匕。以水一盏半。入生姜半分。拍碎。
煎
至八
鲤鱼汤（出大全良方）治妊娠腹大。胎间有水气。脚肿。通身肿满。胸肚不
分。
鲤鱼一头（二斤） 生姜（五两） 白术（五两） 芍药 当归（各三两） 茯苓（四
两） 上 咀。以水一斗二升。先煮鱼熟。澄清取八升。内药煎取三升。分五服。忌桃、李、
雀肉、酢物等。一方用陈皮少许。同煎。昔有妊妇腹胀。小便不利。吐逆。诸医杂进温脾胃、
宽气、去胀等剂。服之反致药物不纳。转加胀满凑心。验之。胎死腹中。又服诸下胎药。不
能通解。
举家忧惶。因得鲤鱼汤。论曰脚肿俗呼为皱脚。亦有通身肿满。心胸急胀。名曰胎水证。遂
去妇心前衣服。视之。胸肚不分。急以鲤鱼汤三五服。大小便皆下恶水。肿消胀去。方得分
娩死胎。可谓更生之人矣。此证盖缘怀身腹大。娠妇不自知觉。人人皆以谓身娠如此。终不
以为胎水病。医人何以得知。故书此谕病家自当觉察也。
防己汤（出圣惠方）治妊娠通身浮肿。喘息促。小便涩。
防己 大腹皮（锉各三分） 桑根白皮（锉） 紫苏茎叶 赤茯苓（去黑皮各一两） 木
香（一分） 上粗捣筛。每服四钱。水一盏。入生姜半分。拍碎。煎至六分去滓。食前温服。
一方无大腹皮。
赤茯苓汤（出圣惠方）治妊娠身体浮肿。心腹急满。小便赤涩及水肿。
赤茯苓（去黑皮一两） 白术 旋复花（各半两） 木通（锉） 杏仁（汤浸去皮尖双
仁麸炒） 黄芩（各三分） 上粗捣。每服三钱匕。水一盏。入生姜一分。拍碎。煎至六分
去滓。食前温服。一方无木通。用防己二两。不用姜煎。
茯苓丸（出圣惠方）治妊娠身体肿。有水气。心腹胀满。小便涩。喘息促。
赤茯苓（去黑皮一两） 郁李仁（汤浸去皮研半两） 槟榔（锉半两） 葶苈子（炒令
黄研三分） 枳壳（去瓤麸炒半两） 白术（炒三分） 上捣罗。四味为末。入二味同研令
细。炼蜜丸如梧桐子大。每服二十丸。煎桑白皮汤下。一方加桑白皮。名槟榔丸粥饮下。
天仙藤散（出十便良方）治妊妇足肿。似水气状。
天仙藤（洗略炒） 香附子（炒） 陈皮 甘草 乌药（不须要天台者但得软白香而辣
者良） 上等分。净杵为细末。每服三钱。水一盏。姜三片。木瓜三片。紫苏三叶。同煎至
七分。放温。澄清。空心食前服。日三服。小便利。气脉通。体轻。肿渐消。更不须多服。
疗妊娠身肿有水气。心腹胀满。小便少。（出大全良方）
茯苓（四两） 杏仁 槟榔（各三两） 旋复花 郁李仁（各一两） 上为粗末。以水
六升。煮取三升去滓。分温三服。小便通即止。
葶苈散（出大全良方）疗妊娠遍身洪肿。
葶苈子（十分） 白术（二十分） 茯苓（二两） 桑白皮（二两） 郁李仁（八分） 上
为粗末。以水六升煮取二升。分温三服。小便利即瘥。
又方（出大全良方）妊娠烦渴引饮。致腹胀身肿。不能食。
泽泻 葶苈（各三两） 茯苓 枳壳 上细切。以水六升煮取二升。分温二服。小便利
即
瘥。
泽泻汤（出大全良方）治妊娠经气壅滞。身体浮肿。喘促。大便难。小便
涩。
泽泻 桑根白皮（锉） 木通 枳壳（去瓤麸炒） 赤茯苓（去黑皮） 槟榔（锉各一
两） 上
粗捣筛。每服四钱匕。水一盏半。入生姜半分。拍碎。煎至八分去滓。食前温服。利为度。
日再服。
肾着汤（出三因方）治妊娠腰脚肿痛。
茯苓 白术（各四两） 干姜 甘草（各二两） 杏仁（三两） 上 咀。每服四钱。
水一盏半。煎至七分。食前服。
五皮散（出大全良方）治胎水。亦治寻常脾虚肿满。
大腹皮 桑白皮 生姜皮 茯苓皮 橘皮（各等分） 上 咀。每服半两。水二盏浓磨
木
香一呷。同煎至八分去滓。空心温服。亦治男子脾虚肿满。一方无桑白皮。有白术倍之。名
白术散。
治妊娠体肿。有水气。心腹急满。（出千金方）
茯苓 白术（各四两一方无白术） 黄芩 杏仁（各三两） 旋复花（二两） 上 咀。
以水六升。煮取二升半。分三服。忌桃、李、雀肉、 物。
寄生饮 治妊娠遍身虚肿。
桑寄生（一两） 桑根白皮（锉炒三分） 木香（半两） 大腹皮（二分半） 紫苏茎
叶（一两） 上细锉如麻豆大。拌匀。每服三钱匕。水一盏。煎至七分去滓。温服。
桑白皮饮（出圣惠方）治妊娠四肢肿。皮肉拘急。小便不利。
桑根白皮（锉炒一两） 商陆根（一两半） 赤小豆（三合） 羌活（去芦头半两） 上
咀。
如小豆大。拌匀。用水五盏入生姜七片。同煮。候豆熟。滤去滓。渴即饮汁。并食豆。小便
利瘥。一方无生姜。名商陆汤。
猪苓散（出圣惠方）治妊娠身体浮肿。腹胀。小便不利。微渴。引饮。气
急。
猪苓（二两去黑皮） 紫苏茎叶 木通（锉各一两） 上捣细罗为散。每于食前以温水
调下二钱。
葵子散（出圣惠方）治妊娠身体浮肿。小便不利。洒淅恶寒。
葵子 赤茯苓 汉防己（各二两） 上捣细罗为散。每于食前以粥饮调下一钱。
商陆赤小豆汤（一名赤小豆汤出危氏方）治妊娠手足肿满。挛急。
赤小豆 商陆（各等分） 上 咀。每服一两。用水一碗煎至七分。澄清汁服。一方有
泽泻。一方无泽泻有桑白皮。
治妊娠从脚上至腹肿。小便不利。微渴引饮。（出鲍氏方）
取猪苓五两。为末。以熟水服方寸匕。日三服。
烧秤锤方（出肘后方）治妊娠胀满。及妊娠卒下血。
治妊娠毒肿方（出千金方）
用芜菁根净洗去皮。捣酢如薄泥。勿令有汁。用猛火煮二三沸。适性。敷肿。以帛急裹
之。日再易。寒时温覆。无根时用子。若肿在咽中。取汁含咽之。
又方（出千金方）
用烧犍牛屎。酢和敷之。干则易。亦可服方寸匕。日三。
治妊妇两脚浮肿。名曰脆脚。因脾衰不能制水。血化为水所致。
用生料平胃散每服三钱。姜煎服末。苏汤调服亦可。
治妇人身肿九月而喑。哑不能言者。
用玉烛散二两。净水半碗煎至七分去滓。入蜜放温。时时呷之。
（附论）
妊娠期间出现身体肿胀胀满，是由于脏腑之气原本虚弱，加上分娩后更加亏虚，导致脾土不能制约肾水，血液散入四肢，从而引起腹部胀满，手足及面目都发生浮肿，小便量少且排尿不畅。陈无择说：凡是妇女素来有风、冷、寒、湿邪气滞留，怀孕后喜欢脚肿，俗称“皱脚”；也有全身肿胀胀满，心腹紧急胀痛的，称为“胎水”。凡是孕妇，不要让情绪极度波动，如果心境平静、气息平和，那么胎气就会安稳；如果感受了中风寒邪气，或者有所触犯，就会随着邪气而生病。凡是孕妇经血闭止以滋养胎儿，如果突然发生虚性浮肿，这是胎中挟带水气，水与血相互搏结。脾胃厌恶湿气，主管身体的肌肉，湿气浸渍导致气弱，则肌肉虚浮，水气流溢，所以导致身体肿胀胀满。然而其成因各有不同，有的因为泄泻下痢，导致脏腑虚滑，耗损脾胃；有的因为寒热疟疾，烦渴，饮水过多，湿气浸渍脾胃，都能使头目或手足浮肿。如果水气浸渍胞宫，胎儿尚未成形，则胎儿多会受损；等到临产之日，脚部轻微浮肿，这是妊娠自三个月成胎之后，双足从脚面逐渐肿胀至腿膝以下，行走艰难，甚至气喘胸闷，饮食不佳，症状像水气病一样。至于脚趾间有黄水渗出的，称为“子气”，直到分娩后才消退。这是由于妇人素来有风气，或者冲任经脉有血风所致，不可随意投用汤药，也担心病情严重者在临产时费力，会有不测的忧患，所以不可不在产前进行治疗。脾合土，主候肌肉，土气和平，就能制约水，水自然传输化行，没有停积。如果孕妇脾胃气虚，经血闭止，则水饮不化，湿气淫溢，外攻形体，内注胞胎。怀孕初期就肿胀胀满，或许必定伤及胎气；如临近月份才脚微肿的，利其小便，则病可愈。
方剂
木通汤（出自《圣惠方》），治疗妊娠身体浮肿，心腹胀满，小便不通。
药材：木通（锉碎）、香薷、桑根白皮（锉碎，各一两）、木香、诃黎勒皮、黄芩（各三两）、枳壳（去瓤，麸炒）、槟榔（各半两）、紫苏茎叶（半两）。
用法：将上述药物粗捣筛过。每次服用四钱，用水一盏，加入生姜半分，拍碎，煎煮至六分，去渣，温服，饭前服用，每日两次。
当归饮（出自《大全良方》），治疗胎前诸疾。或因发怒导致气充塞子宫，或充塞膀胱脉络，腹部紧急肚胀，腰腹时常疼痛，不思饮食，四肢浮肿，气急时常喘息，大便忽然困难，小便忽然涩滞，玉门（阴道口）忽然肿胀。
药材：当归（一两）、赤茯苓、枳壳、白芍药、川芎（各二两）、川白姜（炮制）、木香（煨）、粉草（各半两）。
用法：将上述药物切碎。每次服用三大钱，用水一盏半，生姜三片，煎煮至八分，去渣，随时温服。如果禀受气弱，可用八正散。
八正散（出自《危氏方》），治疗妊娠心气壅滞影响胎气，怀孕八个月时胎气散坠，手足浮肿急痛，不安宁，难产。
药材：瞿麦（锉碎）、木通（锉碎去皮节）、滑石、大黄（锉面裹煨切焙）、车前子、萹蓄（一名地扁竹）、山胜金散（此处原文可能有误，通常八正散含栀子、甘草等，但依原文提取）。
山胜金散（出自《济生方》），小腹虚胀是怎么回事？大概是因为吃硬物伤了胎，胎既已受病，传于脾胃，导致气虚，冷气逼迫小腹，状如奔豚，或者腰重、大便秘涩，两胁虚鸣，宜服用胜金散，温中下气，疾病即可安宁。
药材：吴茱萸（去枝梗，酒浸炒）、陈皮（去白）、干生姜、干姜（炮制）、川芎（各一钱半）、浓朴（去皮，姜炒）、缩砂仁（炒）、甘草（炙，各三钱）。
用法：将上述药物研为细末。每次服用二钱，盐汤调服，不拘时候。另一版本有木香，无缩砂仁。
桑白皮汤（出自《圣惠方》），治疗妊娠四肢肿满，小便不利，喘促。
药材：桑根白皮（锉碎一两）、枳壳（去瓤麸炒）、商陆（各半两）、泽泻（三分）、冬葵根、赤茯苓（去黑皮）、木通（锉碎，各一两）。
用法：将上述药物粗捣筛过。每次服用四钱匕，用水一盏半，加入生姜半分，拍碎，煎煮至八分，去渣，温服。
鲤鱼汤（出自《大全良方》），治疗妊娠腹部增大，胎间有水气，脚肿，通身肿满，胸肚不分。
药材：鲤鱼一头（二斤）、生姜（五两）、白术（五两）、芍药、当归（各三两）、茯苓（四两）。
用法：将上述药物切碎。用水一斗二升，先煮鱼熟，澄清取八升，放入药物煎取三升，分五次服用。忌食桃、李、雀肉、醋物等。另一版本用少许陈皮同煎。过去有一位孕妇腹胀，小便不利，吐逆，各位医生杂进温脾胃、宽气、去胀等药剂，服用后反而导致药物不纳，转加胀满凑心。验之，胎死腹中。又服用各种下胎药，不能通解。举家忧惶，因得到鲤鱼汤，论述说脚肿俗呼为皱脚，也有通身肿满，心胸急胀，名为胎水证。于是去掉妇人心前的衣服，视之，胸肚不分，急以鲤鱼汤三五服，大小便皆下恶水，肿消胀去，方得分娩死胎，可谓让死人复活。此证大概因为怀身腹大，娠妇不自知觉，人人皆以为身孕如此，终不以为胎水病。医人何以得知？故书此谕病家自当觉察也。
防己汤（出自《圣惠方》），治疗妊娠通身浮肿，喘息促，小便涩。
药材：防己、大腹皮（锉碎，各三分）、桑根白皮（锉碎）、紫苏茎叶、赤茯苓（去黑皮，各一两）、木香（一分）。
用法：将上述药物粗捣筛过。每次服用四钱，用水一盏，加入生姜半分，拍碎，煎煮至六分，去渣，饭前温服。另一版本无大腹皮。
赤茯苓汤（出自《圣惠方》），治疗妊娠身体浮肿，心腹急满，小便赤涩及水肿。
药材：赤茯苓（去黑皮一两）、白术、旋复花（各半两）、木通（锉碎）、杏仁（汤浸去皮尖双仁麸炒）、黄芩（各三分）。
用法：将上述药物粗捣。每次服用三钱匕，用水一盏，加入生姜一分，拍碎，煎煮至六分，去渣，饭前温服。另一版本无木通，用防己二两，不用姜煎。
茯苓丸（出自《圣惠方》），治疗妊娠身体肿，有水气，心腹胀满，小便涩，喘息促。
药材：赤茯苓（去黑皮一两）、郁李仁（汤浸去皮研半两）、槟榔（锉碎半两）、葶苈子（炒令黄研三分）、枳壳（去瓤麸炒半两）、白术（炒三分）。
用法：将上述药物捣罗。四味为末，入二味同研令细，炼蜜丸如梧桐子大。每次服用二十丸，煎桑白皮汤送下。另一版本加桑白皮，名槟榔丸粥饮下。
天仙藤散（出自《十便良方》），治疗妊妇足肿，似水气状。
药材：天仙藤（洗略炒）、香附子（炒）、陈皮、甘草、乌药（不须要天台者，但得软白香而辣者良）。
用法：上等分，净杵为细末。每次服用三钱，用水一盏，姜三片，木瓜三片，紫苏三叶，同煎至七分，放温，澄清，空心食前服，日三服。小便利，气脉通，体轻，肿渐消，更不须多服。
疗妊娠身肿有水气，心腹胀满，小便少。（出自《大全良方》）
药材：茯苓（四两）、杏仁、槟榔（各三两）、旋复花、郁李仁（各一两）。
用法：将上述药物为粗末。以水六升，煮取三升去渣，分温三服。小便通即止。
葶苈散（出自《大全良方》），治疗妊娠遍身洪肿。
药材：葶苈子（十分）、白术（二十分）、茯苓（二两）、桑白皮（二两）、郁李仁（八分）。
用法：将上述药物为粗末。以水六升煮取二升，分温三服。小便利即瘥。
又方（出自《大全良方》），妊娠烦渴引饮，致腹胀身肿，不能食。
药材：泽泻、葶苈（各三两）、茯苓、枳壳。
用法：将上述药物细切。以水六升煮取二升，分温二服。小便利即瘥。
泽泻汤（出自《大全良方》），治疗妊娠经气壅滞，身体浮肿，喘促，大便难，小便涩。
药材：泽泻、桑根白皮（锉碎）、木通、枳壳（去瓤麸炒）、赤茯苓（去黑皮）、槟榔（锉碎，各一两）。
用法：将上述药物粗捣筛过。每次服用四钱匕，用水一盏半，加入生姜半分，拍碎，煎煮至八分，去渣，饭前温服。以利为度，日再服。
肾着汤（出自《三因方》），治疗妊娠腰脚肿痛。
药材：茯苓、白术（各四两）、干姜、甘草（各二两）、杏仁（三两）。
用法：将上述药物切碎。每次服用四钱，用水一盏半，煎至七分，饭前服。
五皮散（出自《大全良方》），治疗胎水，亦治寻常脾虚肿满。
药材：大腹皮、桑白皮、生姜皮、茯苓皮、橘皮（各等分）。
用法：将上述药物切碎。每次服用半两，用水二盏，浓磨木香一呷，同煎至八分，去渣，空心温服。亦治男子脾虚肿满。另一版本无桑白皮，有白术倍之，名白术散。
治妊娠体肿，有水气，心腹急满。（出自《千金方》）
药材：茯苓、白术（各四两，一方无白术）、黄芩、杏仁（各三两）、旋复花（二两）。
用法：将上述药物切碎。以水六升，煮取二升半，分三服。忌桃、李、雀肉、 物。
寄生饮，治疗妊娠遍身虚肿。
药材：桑寄生（一两）、桑根白皮（锉炒三分）、木香（半两）、大腹皮（二分半）、紫苏茎叶（一两）。
用法：将上述药物细锉如麻豆大，拌匀。每次服用三钱匕，用水一盏，煎至七分，去渣，温服。
桑白皮饮（出自《圣惠方》），治疗妊娠四肢肿，皮肉拘急，小便不利。
药材：桑根白皮（锉炒一两）、商陆根（一两半）、赤小豆（三合）、羌活（去芦头半两）。
用法：将上述药物切碎。如小豆大，拌匀。用水五盏入生姜七片，同煮。候豆熟，滤去渣，渴即饮汁，并食豆，小便利瘥。另一版本无生姜，名商陆汤。
猪苓散（出自《圣惠方》），治疗妊娠身体浮肿，腹胀，小便不利，微渴，引饮，气急。
药材：猪苓（二两去黑皮）、紫苏茎叶、木通（锉碎，各一两）。
用法：将上述药物捣细罗为散。每于食前以温水调下二钱。
葵子散（出自《圣惠方》），治疗妊娠身体浮肿，小便不利，洒淅恶寒。
药材：葵子、赤茯苓、汉防己（各二两）。
用法：将上述药物捣细罗为散。每于食前以粥饮调下一钱。
商陆赤小豆汤（一名赤小豆汤，出自《危氏方》），治疗妊娠手足肿满，挛急。
药材：赤小豆、商陆（各等分）。
用法：将上述药物切碎。每次服用一两，用水一碗煎至七分，澄清汁服。另一方有泽泻，一方无泽泻有桑白皮。
治妊娠从脚上至腹肿，小便不利，微渴引饮。（出自《鲍氏方》）
用法：取猪苓五两，为末，以熟水服方寸匕，日三服。
治妊娠毒肿方（出自《千金方》）
用法：用芜菁根净洗去皮，捣酢如薄泥，勿令有汁。用猛火煮二三沸，适性，敷肿，以帛急裹之，日再易，寒时温覆，无根时用子。若肿在咽中，取汁含咽之。
又方（出自《千金方》）
用法：用烧犍牛屎，酢和敷之，干则易。亦可服方寸匕，日三。
(Attached Discussion)
Edema and fullness during pregnancy arise from the inherent weakness of the Zang-Fu Qi, exacerbated by the profound deficiency following childbirth. When Earth fails to control Water, blood scatters into the four limbs, leading to abdominal distension and edema of the hands, feet, face, and eyes, accompanied by scanty and difficult urination. Chen Wuyue stated: In women who have a history of wind, cold, dampness, or cold-damp pathogens, pregnancy often presents with foot swelling, commonly known as "wrinkled feet" (Zhoujiao). There are also cases of generalized edema and fullness with urgent abdominal distension, termed "fetal water" (Taishui). Pregnant women should avoid extreme emotional agitation; if the mind is calm and Qi is harmonious, fetal Qi will be stable. If exposed to wind-cold pathogens or physical trauma, illness will follow the pathogen. During pregnancy, menstrual blood is retained to nourish the fetus. Sudden virtual edema indicates water retained within the fetus, where water and blood contend. The Spleen dislikes dampness and governs the muscles of the body. Dampness infiltration weakens Qi, causing muscular flaccidity and floating edema as water flows溢出 (overflows), resulting in generalized swelling. However, causes vary: some result from diarrhea or dysentery causing visceral laxity and damaging the Spleen and Stomach; others stem from cold-heat malaria, thirst, and excessive drinking, which infiltrate the Spleen and Stomach with dampness, causing edema of the head, eyes, hands, or feet. If water infiltrates the uterus before the fetus is formed, the fetus is likely damaged. At term, slight foot swelling after conception at three months, spreading from the dorsum of the feet to below the knees, making walking difficult, accompanied by panting, chest oppression, and poor appetite, resembles water-Qi disease. If yellow fluid oozes from between the toes, it is called "child Qi" (Ziqi), resolving only after delivery. This is due to pre-existing wind pathogens or blood-wind in the Chong and Ren meridians. Decoctions should not be administered blindly, especially in severe cases near delivery, to avoid exertion and unforeseen dangers; thus, treatment before delivery is essential. The Spleen corresponds to Earth and governs muscles. Harmonious Earth Qi controls Water, allowing normal transformation without accumulation. If pregnant women have Spleen-Stomach Qi deficiency and retained blood, water drinks fail to transform, dampness overflows, attacking the exterior form and interior uterus. Early pregnancy swelling may damage fetal Qi; late-pregnancy slight foot swelling can be cured by promoting urination.
Formulas
Mutong Tang (from *Shenghui Fang*), treating pregnancy body edema, chest/abdominal fullness, and urinary obstruction.
Ingredients: Mutong (cut), Xiangru, Sanggen Baipi (cut, each 1 liang), Muxiang, Helilepi, Huangqin (each 3 liang), Zhike (pulp removed, bran-fried), Binglang (each 0.5 liang), Zisu Jingye (0.5 liang).
Method: Coarsely crush and sieve. Take 4 qian per dose, with 1 sheng of water, add 0.5 fen of crushed Shengjiang, decoct to 6 fen, remove dregs, take warm before meals, twice daily.
Danggui Yin (from *Daquan Liangfang*), treating various antepartum disorders. Caused by anger filling the Zi Zang (uterus) or Pao Mai (bladder vessels), leading to urgent abdominal distension, periodic waist/abdominal pain, anorexia, limb edema, shortness of breath, sudden constipation, sudden dysuria, and sudden swelling of the Yumen (vaginal opening).
Ingredients: Danggui (1 liang), Chi Fuling, Zhike, Baishyaoyao, Chuanxiong (each 2 liang), Chuan Baijiang (processed), Muxiang (roasted), Fencao (each 0.5 liang).
Method: Cut into pieces. Take 3 da qian per dose, with 1.5 sheng of water and 3 slices of Shengjiang, decoct to 8 fen, remove dregs, take warm at any time. For those with weak constitution, use Bazheng San.
Bazheng San (from *Weishi Fang*), treating pregnancy heart-Qi stagnation affecting fetal Qi, fetal descent at eight months, painful limb edema, restlessness, and difficult labor.
Ingredients: Qumai (cut), Mutong (cut, skin and nodes removed), Huashi, Dahuang (cut, wrapped in flour and roasted), Cheqianzi, Bianxu (also known as Dibianzhu), Shansheng Jin San (Note: Text lists ingredients for Shansheng Jin San separately later, but here lists it under Bazheng San contextually or erroneously; extracting as listed).
Shansheng Jin San (from *Jisheng Fang*), addressing empty distension of the lower abdomen. Likely caused by hard food injuring the fetus, transmitting disease to the Spleen and Stomach, causing Qi deficiency and cold forcing the lower abdomen, resembling Ben Tun (running piglet) syndrome, or heavy waist, constipation, and hollow ringing in the hypochondrium. Take Shengjin San to warm the middle and descend Qi.
Ingredients: Wuzhuyu (branches/stems removed, wine-soaked and fried), Chenpi (peel removed), Ganshengjiang, Ganjiang (processed), Chuanxiong (each 1.5 qian), Houpo (skin removed, ginger-fried), Suosharen (fried), Gancao (roasted, each 3 qian).
Method: Grind to fine powder. Take 2 qian per dose, mixed with salt water, anytime. Another version includes Muxiang and excludes Suosharen.
Sangbaipi Tang (from *Shenghui Fang*), treating pregnancy limb edema, dysuria, and panting.
Ingredients: Sanggen Baipi (cut, 1 liang), Zhike (pulp removed, bran-fried), Shanglu (each 0.5 liang), Zexie (3 fen), Dongkuigen, Chi Fuling (black skin removed), Mutong (cut, each 1 liang).
Method: Coarsely crush and sieve. Take 4 qian bi per dose, with 1.5 sheng of water and 0.5 fen of crushed Shengjiang, decoct to 8 fen, remove dregs, take warm.
Liyu Tang (from *Daquan Liangfang*), treating pregnancy abdominal enlargement, fetal water Qi, foot edema, generalized edema, and indistinction between chest and abdomen.
Ingredients: One carp (2 jin), Shengjiang (5 liang), Baizhu (5 liang), Shaoyao, Danggui (each 3 liang), Fuling (4 liang).
Method: Cut into pieces. Use 12 sheng of water, boil fish until cooked, clarify to obtain 8 sheng, add herbs, decoct to 3 sheng, divide into five doses. Avoid peaches, plums, sparrow meat, and vinegar. Another version adds a little Chenpi. Case report: A pregnant woman with abdominal distension, dysuria, and vomiting was treated with various warming/breath-regulating formulas, worsening her condition with fetal death. Lyu Tang resolved the edema and expelled foul water, allowing delivery of the dead fetus, saving the mother's life. This highlights that large abdomens in pregnancy are often mistaken for normal pregnancy rather than Taishui disease; physicians must alert patients to self-monitor.
Fangji Tang (from *Shenghui Fang*), treating pregnancy generalized edema, rapid breathing, and dysuria.
Ingredients: Fangji, Dafupi (cut, each 3 fen), Sanggen Baipi (cut), Zisu Jingye, Chi Fuling (black skin removed, each 1 liang), Muxiang (1 fen).
Method: Coarsely crush and sieve. Take 4 qian per dose, with 1 sheng of water and 0.5 fen of crushed Shengjiang, decoct to 6 fen, remove dregs, take warm before meals. Another version excludes Dafupi.
Chi Fuling Tang (from *Shenghui Fang*), treating pregnancy body edema, urgent chest/abdominal fullness, red/dysuric urine, and edema.
Ingredients: Chi Fuling (black skin removed, 1 liang), Baizhu, Xuanjinhua (each 0.5 liang), Mutong (cut), Xingren (soaked in water, skin/kernel removed, double-kernel, bran-fried), Huangqin (each 3 fen).
Method: Coarsely crush. Take 3 qian bi per dose, with 1 sheng of water and 1 fen of crushed Shengjiang, decoct to 6 fen, remove dregs, take warm before meals. Another version excludes Mutong and uses 2 liang of Fangji without ginger.
Fuling Wan (from *Shenghui Fang*), treating pregnancy body edema with water Qi, chest/abdominal fullness, dysuria, and panting.
Ingredients: Chi Fuling (black skin removed, 1 liang), Yuliren (soaked, skin removed, ground, 0.5 liang), Binglang (cut, 0.5 liang), Tinglizi (fried until yellow, ground, 3 fen), Zhike (pulp removed, bran-fried, 0.5 liang), Baizhu (fried, 3 fen).
Method: Grind four ingredients to powder, mix with two ground ingredients, honey-pill size of paulownia seeds. Take 20 pills per dose, washed down with Sangbaipi Tang decoction. Another version adds Sangbaipi, named Binglang Wan, taken with millet gruel.
Tianxianteng San (from *Shibian Liangfang*), treating pregnant women's foot edema resembling water-Qi.
Ingredients: Tianxianteng (washed, lightly fried), Xiangfuzi (fried), Chenpi, Gancao, Wuyao (soft, white, fragrant, and spicy variety preferred).
Method: Equal parts, grind to fine powder. Take 3 qian per dose, with 1 sheng of water, 3 slices of Jiang, 3 slices of Mugua, and 3 leaves of Zisu, decoct to 7 fen, cool, clarify, take on an empty stomach before meals, three times daily. Promotes urination, unblocks Qi/pulse, lightens body, reduces edema; no need for excessive dosage.
Treating pregnancy body edema with water Qi, chest/abdominal fullness, and scanty urine (from *Daquan Liangfang*).
Ingredients: Fuling (4 liang), Xingren, Binglang (each 3 liang), Xuanjinhua, Yuliren (each 1 liang).
Method: Coarse powder. Boil in 6 sheng water to 3 sheng, remove dregs, take warm in three doses. Stop when urination resumes.
Tingli San (from *Daquan Liangfang*), treating pregnancy generalized massive edema.
Ingredients: Tinglizi (10 fen), Baizhu (20 fen), Fuling (2 liang), Sangbaipi (2 liang), Yuliren (8 fen).
Method: Coarse powder. Boil in 6 sheng water to 2 sheng, take warm in three doses. Cured when urination resumes.
Another Formula (from *Daquan Liangfang*), treating pregnancy thirst/drinking leading to abdominal/body edema and anorexia.
Ingredients: Zexie, Tingli (each 3 liang), Fuling, Zhike.
Method: Fine cut. Boil in 6 sheng water to 2 sheng, take warm in two doses. Cured when urination resumes.
Zexie Tang (from *Daquan Liangfang*), treating pregnancy Qi stagnation, body edema, panting, constipation, and dysuria.
Ingredients: Zexie, Sanggen Baipi (cut), Mutong, Zhike (pulp removed, bran-fried), Chi Fuling (black skin removed), Binglang (cut, each 1 liang).
Method: Coarsely crush and sieve. Take 4 qian bi per dose, with 1.5 sheng of water and 0.5 fen of crushed Shengjiang, decoct to 8 fen, remove dregs, take warm before meals. Continue until purgation occurs, twice daily.
Shenzhe Tang (from *Sanyin Fang*), treating pregnancy waist/foot swelling and pain.
Ingredients: Fuling, Baizhu (each 4 liang), Ganjiang, Gancao (each 2 liang), Xingren (3 liang).
Method: Cut into pieces. Take 4 qian per dose, with 1.5 sheng of water, decoct to 7 fen, take before meals.
Wupi San (from *Daquan Liangfang*), treating Taishui, and ordinary Spleen-deficiency edema/fullness.
Ingredients: Dafupi, Sangbaipi, Shengjiangpi, Fulingpi, Jupi (equal parts).
Method: Cut into pieces. Take 0.5 liang per dose, with 2 sheng of water and one sip of thickly ground Muxiang, decoct to 8 fen, remove dregs, take warm on an empty stomach. Also treats male Spleen-deficiency edema. Another version excludes Sangbaipi and doubles Baizhu, named Baizhu San.
Treating pregnancy body edema with water Qi and urgent chest/abdominal fullness (from *Qianjin Fang*).
Ingredients: Fuling, Baizhu (each 4 liang, one version excludes Baizhu), Huangqin, Xingren (each 3 liang), Xuanjinhua (2 liang).
Method: Cut into pieces. Boil in 6 sheng water to 2.5 sheng, divide into three doses. Avoid peaches, plums, sparrow meat, etc.
Jisheng Yin, treating pregnancy generalized virtual edema.
Ingredients: Sangjisheng (1 liang), Sanggen Baipi (cut/fried, 3 fen), Muxiang (0.5 liang), Dafupi (2.5 fen), Zisu Jingye (1 liang).
Method: Finely cut like hemp beans, mix well. Take 3 qian bi per dose, with 1 sheng of water, decoct to 7 fen, remove dregs, take warm.
Sangbaipi Yin (from *Shenghui Fang*), treating pregnancy limb edema, tight skin/muscles, and dysuria.
Ingredients: Sanggen Baipi (cut/fried, 1 liang), Shanglugen (1.5 liang), Chixiaodou (3 he), Qianghuo (rhizome removed, 0.5 liang).
Method: Cut like soybeans, mix well. Use 5 sheng of water and 7 slices of Shengjiang, boil together. When beans are cooked, filter dregs, drink juice when thirsty, and eat beans. Cured when urination resumes. Another version excludes Shengjiang, named Shanglu Tang.
Zhuling San (from *Shenghui Fang*), treating pregnancy body edema, abdominal distension, dysuria, mild thirst, drinking, and shortness of breath.
Ingredients: Zhuling (black skin removed, 2 liang), Zisu Jingye, Mutong (cut, each 1 liang).
Method: Grind to fine powder. Take 2 qian per dose before meals, mixed with warm water.
Kuizi San (from *Shenghui Fang*), treating pregnancy body edema, dysuria, and aversion to cold/chills.
Ingredients: Kuizi, Chi Fuling, Han Fangji (each 2 liang).
Method: Grind to fine powder. Take 1 qian per dose before meals, mixed with porridge drink.
Shanglu Chixiaodou Tang (aka Chixiaodou Tang, from *Weishi Fang*), treating pregnancy hand/foot edema and spasms.
Ingredients: Chixiaodou, Shanglu (equal parts).
Method: Cut into pieces. Take 1 liang per dose, with 1 bowl of water, decoct to 7 fen, take clarified juice. Another version has Zexie; another excludes Zexie but has Sangbaipi.
Treating pregnancy edema from feet to abdomen, dysuria, mild thirst/drinking (from *Baoshi Fang*).
Method: Take 5 liang of Zhuling, grind to powder, take 1 cun bi with cooked water, three times daily.
Shaochengchui Fang (from *Zhouhou Fang*), treating pregnancy distension and sudden postpartum bleeding.
Treating Pregnancy Toxic Swelling (from *Qianjin Fang*)
Method: Wash and peel Radish root (Wujing Gen), pound with vinegar into thin paste without juice. Boil vigorously for 2-3 boils, apply temperature-appropriate to swelling, wrap tightly with cloth, change twice daily. Warm in cold weather. Use seeds if roots unavailable. If swelling in throat, take juice and swallow.
Another Formula (from *Qianjin Fang*)
Method: Apply burned ox dung mixed with vinegar to swelling, change when dry. Can also take 1 cun bi orally, three times daily.
Treating pregnant women's bilateral foot edema, named Cuijiao, caused by Spleen failure to control Water and blood transforming into water.
Method: Take Shengliao Pingwei San, 3 qian per dose, decoct with ginger, take powder. Alternatively, mix with Su Tang.
Treating women with body edema becoming aphasic at nine months.
Method: Take 2 liang of Yuzhu San, decoct in half bowl of clean water to 7 fen, remove dregs, add honey, cool, sip occasionally.