《大全》云∶妇人肾以系胞，腰痛甚则胎堕，故最为紧要。若闪挫气不行者，通气散；肾虚者，青娥不
老丸。总以固胎为主。
通气散方（《良方》）破故纸瓦上炒香为末，先嚼胡桃一个，烂后，以温酒调服故纸末三钱，空心服。治
妊妇腰痛不可忍，此药最神。
王孟英按∶故纸性热妨胎，惟闪挫可以暂用，或但服胡桃较妥。
薛立斋云∶腰痛因肝火动者，小柴胡汤加白术、枳壳、山栀。
沈尧封曰∶腰之近脊处属肾；两旁近季胁者属肝。
《大全》用鼠窟前后土为细末，研麝香，酒调下，立愈。
《产宝》云∶腹中脐带上疙瘩，儿含口中，因妊妇登高举臂，脱出儿口，以此作声。令妊妇曲腰就地，如
拾物状，仍入儿口，即止。又云∶用空房中鼠穴土，同川黄连煎汁饮，亦效。
沈尧封曰∶相传腹内钟鸣，即是儿哭。今人治此，撒豆一把在地，令妊妇细细拾完，即愈。此是妙法。
王孟英按∶此 言也。王清任曰∶初结胎无口时，又以何物吮血养生？既不明白，何不归而谋诸妇。
访问的确再下笔，庶不贻笑后人。此说甚精。余尝谓身中之事，而身外揣测，虽圣人亦不免有未必尽然之
处。故拙案论证，但以气血寒热言之，固属 陋，实不敢以己所未信者欺人也。今春与杨素园大令言及，
从来脏腑之论，殊多可疑。杨侯叹曰∶君可谓读书得
间，不受古人之欺者矣。因出玉田王清任《医林改错》见赠。披阅之下，竟将轩岐以来四千余年之案，一日全
反，毋乃骇闻？然此公征诸目击，非托空言，且杨侯遍验诸兽，无不吻合。然则昔之凿凿言脏腑之形者，
岂不皆成笑柄哉？然泰西《人身HT 说》一书，流入中国已二百余年，所载脏腑与王说略同。而俞理初未见
改错，过信古书，于癸巳类稿内沿袭旧伪。谓中外脏腑迥殊，且云外洋人睾丸有四枚，尤属杜撰欺人。
《妇人大全良方》记载：妇女的肾脏通过经络系连子宫（胞宫），腰痛严重时会导致流产，因此这一症状最为关键。如果是因闪挫导致气机阻滞不通的，使用通气散；如果是肾虚引起的，使用青娥不老丸。治疗总则以固护胎元为主。
通气散方（出自《良方》）：将补骨脂在瓦上炒香后研成细末，先咀嚼一个胡桃仁至烂熟，然后用温酒调服三钱补骨脂末，空腹服用。此药治疗孕妇腰痛剧烈难忍者，效果极佳。
王孟英按语：补骨脂性热，可能妨碍胎气，只有闪挫伤可以暂时使用，或者只服用胡桃仁更为稳妥。
薛立斋说：腰痛如果是因为肝火亢动引起的，用小柴胡汤加入白术、枳壳、山栀。
沈尧封说：腰部靠近脊柱的地方属于肾；两旁靠近季胁的地方属于肝。
《妇人大全良方》还记载：用老鼠洞前后的泥土研成细末，加入麝香，用酒送服，立刻痊愈。
《产宝》记载：腹中脐带上的疙瘩，胎儿含在口中，因为孕妇登高举臂，导致疙瘩脱出胎儿口腔，从而发出声音。让孕妇弯腰贴近地面，像捡东西的样子，疙瘩就会重新进入胎儿口中，声音随即停止。又说：用空房中的鼠穴土，同川黄连一起煎汁饮用，也有效。
沈尧封说：相传腹内钟鸣声，就是胎儿在哭。现在人治疗这种情况，撒一把豆子在地上，让孕妇细细拾完，病就好了。这是妙法。
王孟英按语：这种说法是不正确的。王清任说：刚结成胚胎还没有口的时候，又用什么东西吮吸血液来养生呢？既然不明白，为什么不回家去咨询妇女们？访问确切的真相再动笔，才不会贻笑后人。这种观点非常精辟。我曾经说，对于身体内部的事情，仅凭身外的推测，即使是圣人也可能有未必完全正确的地方。所以我拙劣的医案中论证病情，只从气血寒热的角度论述，虽然显得浅陋，但实在不敢用自己不相信的东西欺骗别人。今年春天与杨素园大令谈到此事，历来关于脏腑的论述，有很多可疑之处。杨侯感叹道：“您真可谓读书发现了间隙，不被古人欺骗的人啊。”于是拿出玉田人王清任的《医林改错》赠送给我。翻阅之下，竟然将自轩辕黄帝、岐伯以来四千多年的医案，一天之内全部推翻，这难道不令人震惊吗？然而这位先生依据亲眼所见的事实，不是凭空乱言，而且杨侯遍验各种动物，没有不吻合的。那么过去那些确切描述脏腑形态的说法，岂不是都成了笑柄吗？然而西方《人身图说》一书，流入中国已有二百多年，其中所载的脏腑与王清任的说法大致相同。而俞理初没有看过《医林改错》，过分相信古书，在《癸巳类稿》中沿袭了旧的谬误。他说中外人的脏腑截然不同，还说外国人睾丸有四枚，这更是杜撰欺人之谈。
The *Daquan* (Compendium) states: In women, the Kidney meridian connects to the Chong and Ren vessels which anchor the uterus (Bao). Severe lower back pain may lead to miscarriage; therefore, this symptom is of utmost importance. If caused by sprain or strain leading to Qi stagnation, use Tongqi San (Ventilation Powder); if due to Kidney deficiency, use Qing'e Bulao Wan (Qing'e Longevity Pill). The general principle of treatment is to secure the fetus.
Tongqi San Formula (from *Liangfang*): Stir-fry Semen Psoraleae (Pogu Zhi/Buguzhi) on a tile until fragrant, then grind into powder. First, chew one Walnut Kernel (Hetao Ren) thoroughly until soft, then take three qian of the Buguzhi powder mixed with warm wine, taken on an empty stomach. This medicine is most effective for pregnant women suffering from unbearable lower back pain.
Wang Mengying’s commentary: Semen Psoraleae has a hot nature and may harm the fetus; it should only be used temporarily for sprains/strains, or it is safer to consume only Walnut Kernels.
Xue Lizhai stated: For lower back pain caused by Liver Fire agitation, use Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Bai Zhu (Atractylodis Rhizoma), Zhi Ke (Aurantii Fructus), and Shan Zhi (Gardeniae Fructus).
Shen Yaofeng said: The area of the waist near the spine belongs to the Kidney; the sides near the hypochondrium belong to the Liver.
The *Daquan* also records: Use soil from before and after a mouse hole, grind into fine powder, mix with Moschus (She Xiang), and take with wine for immediate cure.
The *Chanbao* (Treasures of Childbirth) states: A nodule on the umbilical cord inside the abdomen, held in the infant's mouth, makes noise when the pregnant woman climbs high and raises her arms, causing the nodule to slip out of the infant's mouth. Have the pregnant woman bend her waist close to the ground, as if picking up an object; once the nodule re-enters the infant's mouth, the sound stops. It also states: Using soil from a mouse hole in an empty room, decocted with Chuan Lian Lian (Coptidis Rhizoma), is also effective.
Shen Yaofeng said: It is traditionally believed that the "bell ringing" sound in the abdomen indicates fetal crying. Currently, people treat this by scattering a handful of beans on the ground and having the pregnant woman pick them up carefully, which cures the condition. This is a clever method.
Wang Mengying’s commentary: This statement is incorrect. Wang Qingren said: When the embryo is first formed and has no mouth, what does it suck blood with to nourish itself? Since this is unclear, why not consult with women at home? Verify the facts before writing, so as not to be laughed at by future generations. This view is very profound. I have often said that regarding matters within the body, speculation from outside the body—even by sages—may not always be entirely correct. Therefore, in my humble medical cases, I argue based solely on Qi, Blood, Cold, and Heat. Although this may seem shallow, I dare not deceive others with things I do not believe myself. This spring, while discussing this with Yang Suyuan, we noted that traditional theories regarding Zang-Fu organs are highly questionable. Lord Yang sighed and said, "You can truly be said to have found gaps in reading and not been deceived by the ancients." He then presented me with Wang Qingren’s *Yilin Gaicuo* (Correction of Errors in the Forest of Medicine) from Yutian. Upon reading it, I found that it overturns all medical cases recorded since Xuanyuan and Qibo over four thousand years in a single day. Is this not shocking? However, this gentleman bases his claims on personal observation, not empty talk, and Lord Yang’s verification across various animals showed perfect correspondence. Then, aren't previous precise descriptions of organ shapes merely jokes? Yet, the Western book *Renshen Tushuo* (Illustrated Description of the Human Body) has been circulating in China for over two hundred years, and its description of Zang-Fu organs is roughly similar to Wang’s theory. Yu Lichu, however, had not seen *Yilin Gaicuo*, overly trusted ancient texts, and perpetuated old errors in his *Guisi Leigao*. He claimed that Chinese and foreign organs are completely different, and further fabricated that foreigners have four testicles, which is pure deception.