大全云∶妇人怀胎，有七月八月而产者，有至九月十月而产者，有经一年二年，乃至四
年而后产者，各根据后治法。
楼氏曰∶先期欲产者，凉血安胎；过期不产者，补血行滞。
薛氏曰∶一妊妇八个月，胎欲坠，似产，卧久少安，日晡益甚，此气血虚弱也，朝用补中
益气汤加茯苓、半夏随愈，更以八珍汤，数剂而安。
知母丸 治妊娠日月未足而痛，如欲产者，兼治产难及子烦。（治子烦、胎热妙剂）
知母不拘多少，为细末，炼蜜丸，如鸡头实大，温酒嚼下，日三服。一方丸如桐子大，
粥饮下二十丸。
槐子丸 治妊娠月数不足，而似欲产腹痛者。
槐子 蒲黄（各等分）
上为细末，蜜丸，如桐子大，温酒下二十丸，以痛止为度。（此方与治胞衣不下蒲黄酒
同，而一以酒煎作汤，一以蜜丸酒下。煎丸分两虽殊，而其药则一也。宜致思之）
又方 取蒲黄筛过，如枣核大，以井华水调服。
又方 捣菖蒲根汁一二升，灌喉中。
又方 梁上尘、灶突墨，同为末，空心温酒服方寸匕。
加味四物汤 治过月不产者，用此补血行滞。
四物汤 香附 桃仁 枳壳 缩砂 紫苏
上用水煎服，即生。
大全云∶夫人脏腑调和，则血气充实，风邪鬼魅，不能干之。若荣卫虚损，则精神衰弱，
妖魅鬼精，得入于脏，状如怀娠，故曰鬼胎也。
薛氏曰∶前证因七情相干，脾肺亏损，气血虚弱，行失常道，冲任乖违而致之者，乃元
气不足，病气有余也。若见经候不调，就行调补，庶免此证，治法以补元气为主，而佐以雄
黄丸之类行散之。若脾经郁结气逆者，用加味归脾汤调补之；若脾虚血不足者，用六君、芎、
归培养之；肝火血耗者，用加味逍遥散滋抑之；肝脾郁怒者，用加味归脾、逍遥二药兼服；
肾肝虚弱者，用六味地黄丸。
一妇人经闭八月，肚腹渐大，面色或青或黄，用胎证之药不应。余诊视之曰∶面青脉涩，
寒热往来，肝经血病也；面黄腹大，少食体倦，脾经血病也，此郁怒伤脾肝之证，非胎也。不
信，仍用治胎散之类不验。余用加味归脾、逍遥二药，各二十余剂，诸证稍愈。彼欲速效，遂
服通经丸一服，下血昏惯，自汗恶寒，手足俱冷，呕吐不食，余用人参、炮姜二剂渐愈。
斩鬼丹 治鬼胎，如抱一瓮。（下三方，皆治诸虫怪疾之假气血而成形者，又何独论鬼
胎之有）
吴茱萸 川乌（一方作川芎） 秦艽 柴胡 白僵蚕 巴戟 巴豆（不去油） 芫花（醋煮，各二两）
上为末，炼蜜丸，如桐子大，每服七丸，蜜酒送下，即出恶物而愈。轻者，去芫花、巴豆、巴戟。
斑玄丸 治鬼胎惑于妖魅，状如 瘕，一切气血痛亦效。
斑蝥（去头足翅，炒）（斑蝥宜慎用） 玄胡索（炒，各三钱）
上为末，糊丸，酒下，或为末，以温酒调下半钱，以胎下为度。
雄黄丸 治鬼胎瘀血腹痛。（虽曰有故无殒，然大毒之药，亦须慎也）
雄黄（细研） 鬼臼（去毛） 莽草 丹砂（细研） 巴豆（去油） 獭肝（炙黄，各半两）
蜥蜴（一枚，炙黄） 蜈蚣（一条，炙黄）
上为细末，炼蜜丸，如桐子大，每服二丸，空心温酒下，日两服，后当利。如不利，加至三
丸，初下清水，次下虫如马尾状无数；病极者，下蛇虫或如虾膜卵、鸡子，或如白膏，或如豆
汁，其病即除。
枳实槟榔丸 治妊娠 瘕癖块，及二者疑似之间，久服安养胎气，消散 瘕，兼宽膈
进食。（此方甚平，何以能治 瘕痞块，惟疑似者，庶乎可）
枳实 槟榔 黄连 黄柏 黄芩 当归 阿胶（炒成珠） 木香（各半两）
上为末，水和丸，如小豆大，每服三十丸，温米饮下，不计时，日三服。
《妇人大全良方》记载：妇女怀孕，有的七个月、八个月分娩，有的到九个月、十个月分娩，有的经过一年、两年，甚至四年后才分娩，均根据后面的治疗方法处理。
楼氏说：预产期提前想要生产的，用凉血安胎法；过期不生产的，用补血行滞法。
薛己说：一位孕妇怀孕八个月，胎儿欲坠，似临产状，卧床休息后稍安，但傍晚时症状加重，这是气血虚弱所致。早晨服用补中益气汤加茯苓、半夏，随即痊愈，随后又服用八珍汤，数剂后胎气安定。
知母丸 治疗妊娠月份未到而腹痛，像要生产的样子，兼治难产及子烦（治疗子烦、胎热的妙方）。
知母不拘多少，研成细末，用炼蜜制成丸子，大小如鸡头实，用温酒送服并嚼碎，每日三次服用。另一方法是将药丸做成梧桐子大小，用米粥汁送服二十丸。
槐子丸 治疗妊娠月份不足，却像要生产且腹痛者。
槐子、蒲黄（各等分）
以上药物研成细末，用蜜制成丸子，大小如梧桐子，用温酒送服二十丸，以疼痛停止为度。（此方与治疗胞衣不下的蒲黄酒方相同，只是前者将药煎煮成汤剂，后者制成蜜丸用酒送服。煎剂和丸剂的剂量虽不同，但药物组成是一样的。值得深思。）
又一方：取筛过的蒲黄，如枣核大，用井华水调服。
又一方：捣菖蒲根取汁一二升，灌入喉中。
又一方：取屋梁上的灰尘和灶膛口的烟墨，共同研成细末，空腹时用温酒送服一方寸匕。
加味四物汤 治疗过期不生产者，用此方补血行滞。
四物汤、香附、桃仁、枳壳、缩砂、紫苏
以上药物用水煎服，即可分娩。
《妇人大全良方》记载：如果夫人脏腑调和，则血气充实，风邪鬼魅不能侵犯。如果营卫虚损，则精神衰弱，妖魅鬼精得以进入脏腑，症状如同怀孕，所以称为鬼胎。
薛己说：上述病症因七情相互干扰，导致脾肺亏损，气血虚弱，运行失常，冲任二脉乖违而导致。这是元气不足，病气有余。如果见到月经不调，就进行调补，以免发生此证。治疗方法以补元气为主，辅以雄黄丸之类行散之。如果是脾经郁结气逆者，用加味归脾汤调补；如果是脾虚血不足者，用六君子汤加川芎、当归培养；肝火耗伤血液者，用加味逍遥散滋阴抑制；肝脾郁怒者，用加味归脾汤和逍遥散两药兼服；肾肝虚弱者，用六味地黄丸。
一位妇人闭经八月，肚腹逐渐增大，面色或青或黄，使用安胎药无效。我诊视后说：面青脉涩，寒热往来，是肝经血病；面黄腹大，少食体倦，是脾经血病，这是郁怒损伤脾肝的证候，不是怀孕。患者不信，仍用治胎散之类，无效。我使用加味归脾汤和逍遥散两药，各服二十余剂，诸症稍愈。患者想求速效，于是服用通经丸一剂，导致下血昏厥，自汗恶寒，手足俱冷，呕吐不食。我用人参、炮姜两剂，逐渐痊愈。
斩鬼丹 治疗鬼胎，感觉像抱着一个瓮。（以下三方，都是治疗各种虫怪疾病形成的假气血成形者，又何止讨论鬼胎呢？）
吴茱萸、川乌（另一方作川芎）、秦艽、柴胡、白僵蚕、巴戟天、巴豆（不去油）、芫花（醋煮，各二两）
以上药物研成细末，用炼蜜制成丸子，大小如梧桐子，每次服用七丸，用蜜酒送下，排出恶物即愈。轻症者，去掉芫花、巴豆、巴戟天。
斑玄丸 治疗鬼胎惑于妖魅，症状类似瘕块，一切气血疼痛也有效。
斑蝥（去头足翅，炒制）（斑蝥宜慎用）、玄胡索（炒制，各三钱）
以上药物研成细末，用糊制成丸子，用酒送服；或者研成粉末，用温酒调服半钱，以胎下为度。
雄黄丸 治疗鬼胎瘀血腹痛。（虽然说是“有故无殒”，但大毒之药，也必须谨慎使用。）
雄黄（细研）、鬼臼（去毛）、莽草、丹砂（细研）、巴豆（去油）、獭肝（炙黄，各半两）
蜥蜴（一枚，炙黄）、蜈蚣（一条，炙黄）
以上药物研成细末，用炼蜜制成丸子，大小如梧桐子，每次服用二丸，空腹用温酒送服，每日两次，之后应当腹泻。如果不腹泻，增加到三丸，初下清水，接着排出无数如马尾状的虫子；病情极重者，排出蛇虫或如虾膜卵、鸡蛋，或如白膏，或如豆汁，病即消除。
枳实槟榔丸 治疗妊娠瘕癖块，以及二者疑似之间，久服可安养胎气，消散瘕块，兼宽膈进食。（此方很平和，为何能治疗瘕痞块？只有疑似者，才可能有效。）
枳实、槟榔、黄连、黄柏、黄芩、当归、阿胶（炒成珠）、木香（各半两）
以上药物研成细末，用水泛丸，大小如小豆，每次服用三十丸，用温米饮送下，不限时间，每日三次服用。
The *Daquan* states: Women may give birth after seven or eight months of pregnancy, nine or ten months, or even one to two years, up to four years. Each case should be treated according to the following methods.
Lou stated: For those with premature labor urges, use cooling blood and calming the fetus method; for those with overdue non-labor, use nourishing blood and promoting stagnation resolution method.
Xue Ji stated: A pregnant woman at eight months felt the fetus was about to fall, resembling labor. Resting in bed provided slight relief, but symptoms worsened in the late afternoon. This was due to deficiency of Qi and Blood. In the morning, she took Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Fuling (Poria) and Banxia (Pinellia Rhizome), which resolved the issue immediately. Subsequently, taking Bazhen Tang (Eight Treasure Decoction) for several doses stabilized the fetus.
Zhimu Wan (Anemarrhena Pill) treats pregnancy pain before full term, resembling labor, and also addresses difficult labor and fetal restlessness (a superb formula for treating fetal restlessness and fetal heat).
Take Zhimu (Anemarrhenae Rhizoma) in any quantity, grind into fine powder, mix with refined honey to form pills the size of a chestnut. Chew and swallow with warm wine, three times daily. Another prescription forms pills the size of a sesame seed, taken with rice gruel, twenty pills per dose.
Huai Zi Wan (Sophora Seed Pill) treats pregnancy where the months are insufficient but abdominal pain resembles impending labor.
Huai Zi (Sophorae Fructus) and Puhuang (Typhae Pollen), equal parts.
Grind into fine powder, mix with honey to form pills the size of sesame seeds. Take twenty pills with warm wine, until pain ceases. (This formula is identical in ingredients to the Puhuang Wine used for retained placenta, differing only in that one is decocted as a liquid and the other formed into pills taken with wine. Although dosage forms differ, the herbs are the same. Consider this carefully.)
Another prescription: Take sifted Puhuang (Typhae Pollen), sized like a date pit, mix with well water and take orally.
Another prescription: Crush fresh Changpu root (Acori Tatarinowii Rhizoma) to extract juice, one to two sheng, and pour into the throat.
Another prescription: Take dust from roof beams and soot from the stove chimney, grind together into powder. Take one cun bi (approx. 3-5 grams) with warm wine on an empty stomach.
Jiawei Siwu Tang (Modified Four Substance Decoction) treats overdue non-labor by nourishing blood and resolving stagnation.
Siwu Tang (Four Substance Decoction), Xiangfu (Cyperus Rhizome), Taoren (Persicae Semen), Zhiqiao (Aurantii Fructus), Suosha (Amomi Fructus Rotundus), Zisu (Perillae Folium).
Decoct in water and take orally; delivery will follow.
The *Daquan* states: When the viscera and bowels are harmonious, Qi and Blood are abundant, and wind pathogens or demons cannot invade. If Ying and Wei (Defensive and Nutritive Qi) are deficient and damaged, spirit becomes weak, allowing demonic essences to enter the viscera. The condition resembles pregnancy, hence called "Ghost Fetus" (Gui Tai).
Xue Ji stated: The aforementioned condition arises from emotional disturbances damaging the Spleen and Lung, leading to Qi and Blood deficiency, abnormal flow, and disharmony of the Chong and Ren vessels. It results from insufficient Yuan Qi (Original Qi) and excess pathogenic Qi. If menstrual irregularities appear, regulate and tonify immediately to prevent this condition. The treatment principle focuses on tonifying Yuan Qi, assisted by Xionghuang Wan (Realgar Pill) to move and dissipate. If there is Spleen meridian depression with Qi rebellion, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction); if Spleen deficiency with Blood insufficiency, use Liu Jun Zi Tang (Six Gentlemen Decoction) plus Chuanxiong (Ligustici Chuanxiong Rhizoma) and Danggui (Angelicae Sinensis Radix); if Liver Fire consumes Blood, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to nourish and suppress; if Liver and Spleen depression with anger, use both Jiawei Guipi Tang and Xiaoyao San; if Kidney and Liver weakness, use Liuwei Dihuang Wan (Six Ingredient Pill with Rehmannia).
A woman had amenorrhea for eight months, with gradual abdominal enlargement and complexion alternating between green and yellow. Medications for pregnancy were ineffective. Upon diagnosis, I stated: Green face, choppy pulse, alternating chills and fever indicate Liver meridian Blood pathology; yellow face, enlarged abdomen, poor appetite, and fatigue indicate Spleen meridian Blood pathology. This is a pattern of depression and anger injuring the Spleen and Liver, not pregnancy. The patient did not believe this and continued using pregnancy treatments without success. I administered Jiawei Guipi Tang and Xiaoyao San, each for over twenty doses, after which symptoms slightly improved. Desiring rapid effect, she took Tongjing Wan (Unblock Menses Pill) once, resulting in bleeding, fainting, spontaneous sweating, aversion to cold, cold extremities, vomiting, and inability to eat. I administered Renshen (Ginseng Radix) and Paogjiang (Prepared Zingiberis Rhizoma) for two doses, after which she gradually recovered.
Zhangui Dan (Demon-Slaying Elixir) treats Ghost Fetus, feeling like holding a jar. (The following three formulas treat various parasitic or monstrous diseases manifesting as false Qi and Blood formations; why limit discussion only to Ghost Fetus?)
Wuzhuyu (Evodiae Fructus), Chuanwu (Aconiti Radix Lateralis Preparata - note: original says Chuanwu, alternative uses Chuanxiong), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix), Baijiangcan (Bombyx Batryticatus), Bajitian (Morinda Officinalis Radix), Badou (Crotonis Fructus - unrefined), Yuanhua (Genkwa Flos, vinegar-cooked), each two liang.
Grind into powder, mix with refined honey to form pills the size of sesame seeds. Take seven pills per dose with honey-wine. Evil matter will be discharged and health restored. For mild cases, remove Yuanhua, Badou, and Bajitian.
Banxuan Wan (Mylabris and Corydalis Pill) treats Ghost Fetus influenced by demons, resembling Jia masses (abdominal masses), effective for all Qi and Blood pain.
Banmao (Mylabris, head, feet, wings removed, stir-fried) (Use with caution) and Yanhusuo (Corydalis Rhizoma, stir-fried), each three qian.
Grind into powder, bind with paste to form pills, take with wine. Or grind into powder, mix with half qian using warm wine, until the mass/fetus is expelled.
Xionghuang Wan (Realgar Pill) treats Ghost Fetus with blood stasis and abdominal pain. (Although it is said "if there is a cause, no harm occurs," highly toxic medicines must still be used with caution.)
Xionghuang (Realgar, finely ground), Guiji (Podophylli Peltati Rhizoma et Radix, hairs removed), Mangcao (Mastrantemi Herba), Dansha (Cinnabar, finely ground), Badou (Crotonis Fructus, oil removed), Taleigan (Lutrae Liver, roasted yellow), each half liang.
Xi yi (Gecko, one piece, roasted yellow), Wugong (Centipede, one piece, roasted yellow).
Grind into fine powder, mix with refined honey to form pills the size of sesame seeds. Take two pills per dose with warm wine on an empty stomach, twice daily. Diarrhea should follow. If no diarrhea, increase to three pills. Initially, clear water is discharged, followed by countless worm-like strands resembling horse tails. In severe cases, snake-like worms or substances resembling shrimp membrane eggs, chicken eggs, white paste, or bean juice are discharged, and the disease is cured.
Zhishi Binglang Wan (Immature Bitter Orange and Areca Seed Pill) treats pregnancy Jia Pi masses (hard abdominal lumps) and conditions where diagnosis is uncertain. Long-term use calms and nourishes the fetus, dissipates Jia masses, and opens the diaphragm to promote appetite. (This formula is very mild; how can it treat Jia masses? It is suitable only for suspected cases.)
Zhishi (Aurantii Fructus Immaturus), Binglang (Arecae Semen), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Ejiao (Asini Corii Colla, fried until pearl-like), Muxiang (Aucklandiae Radix), each half liang.
Grind into powder, bind with water to form pills the size of mung beans. Take thirty pills per dose with warm rice drink, regardless of time, three times daily.