恶阻，谓呕吐、恶心、头眩、恶食、择食是也。
千金方云∶凡妇人虚羸，血气不足，肾气又弱，或当风饮冷太过，心下有痰水者，欲有
胎而喜病阻。所谓欲有胎者，其人月水尚来，颜色肌肤如常，但苦沉重愦闷，不欲饮食，又
不知其患所在，脉理顺时平和，则是欲有娠也，如此经二月日后，便觉不通，则结胎也。阻
病者，患心中愦愦，头重眼眩，四肢沉重，懈惰不欲执作，恶闻食气，欲啖咸酸果实，多卧少
起，世谓恶食（恶阻俗谓病儿，然亦间有不病者，又不拘于强弱，此何以故？即俗所谓胎气
好）。其至三四月日以上，皆大剧吐逆，不能自胜举也，此由经血既闭，水溃于脏，脏气不宣
通，故心烦愦闷，气逆而呕吐也。血脉不通，经络痞涩，则四肢沉重，挟风则头目眩也，觉如
此候者，便宜服半夏茯苓汤数剂，后将茯苓丸，痰水消除，便欲食也，既得食力，体强气
壮，力足养胎，母便健矣。
大全云∶妊娠禀受怯弱，便有阻病，其状颜色如故，脉息和顺，但觉肢体沉重，头目昏
眩，择食，恶闻食气，好食咸酸，甚者或作寒热（恶阻亦有寒热，不可不知），心中愦闷，呕吐
痰水，恍惚不能支持，巢氏谓之恶阻，但证有轻重耳，轻者不服药亦不妨，重者须以药闻
之，《千金方》以半夏茯苓汤、茯苓丸专治阻病，然此二药，比来少有服者，以半夏有动胎
之性。盖胎初结，虑其易散，不可不谨也；张仲景《伤寒论》，有用黄龙汤者，小柴胡汤中去半
夏是也；此盖为妊娠而设焉；王子亨则有白术散；《局方》则有人参丁香散；杨振则有人参橘
皮汤；齐士明则有醒脾饮，（醒脾二字足以尽之也）皆不用半夏，用之多效。
李茂翁云∶若左脉弱而呕，服诸药不止者，当服理血归原药则愈。经云无阴则呕是
也。薛氏云∶前证若中脘停痰，用二陈药加枳壳，若饮食停滞，用六君子加枳壳；若脾胃
虚弱，用异功散；若胃气不足，用人参橘皮汤；兼气恼，加枳壳；胸胁痞闷，更加苏梗；胁痛，
再加柴胡；若饮食少思，用六君子加紫苏、枳壳；头晕体倦，用六君子汤；若脾胃虚弱，呕吐
不食，用半夏茯苓汤；盖半夏乃健脾气、化痰滞之主药也，脾胃虚弱而呕吐，或痰涎壅滞，
饮食少思，胎不安，必用半夏茯苓汤，倍加白术。然半夏、白术、茯苓、陈皮、砂仁，善能安胎
气，健脾胃，予常用之验。
半夏茯苓汤 治妊娠恶阻，呕吐心烦，头目眩晕，恶闻食气，好食酸咸，多卧少起，百节
烦疼，羸瘦有痰，胎孕不牢。
半夏（汤洗七次，姜汁炒黄） 白术 陈皮（各一钱） 熟地黄（胸满者去之） 旋复花（无痰涎不用）
桔梗 人参 芍药 川芎 甘草（各五分）
上 咀，加生姜三片，水煎，空心服，兼服后茯苓丸。《千金方》无旋复花，有紫苏叶、
细辛。有热加黄芩。有客热烦渴口疮，去橘皮、细辛，加前胡、知母各七分半。若腹冷
下利，去地黄，加炒桂心五分（有热是内热，有客热是邪热，桂心炒用，即不堕胎，然非真腹
冷不利者，不宜）。若胃中虚热，大便秘，小便赤涩，去地黄，加大黄七分半，黄芩一钱。
（加大黄又是一案）
陈皮半夏汤 治怀妊气血不足，胎气始盛，逆动胃气，恶阻呕吐，不进饮食。
陈皮（去白，盐水炒） 茯苓（各一钱） 半夏（制，一钱半） 子芩（淡姜汁炒） 枳壳（麸炒）
紫苏（各八分） 甘草（炙，五分）
上切一剂，生姜三片，水一盅，煎七分，食远温服。
旋复花汤 疗妊娠六七月间，胎不安常处，亦治阻病。（补脾利气，行痰水）
旋复花（五分） 白术 浓朴 枳壳 黄芩 茯苓（各一钱五分） 半夏 芍药 生姜（各一钱）
上 咀，作一服，水煎，食前温服。
缩砂二陈汤 治妊娠脾胃虚弱，饮食不化，呕吐不止，（此方有辛散酸收之妙）
半夏 陈皮（去白） 砂仁（炒，各一钱） 白茯苓（二钱） 甘草（炙，五分）
上加生姜三片，枣一枚，乌梅肉少许，水煎服一二剂，后服茯苓丸。
参橘散 治妊娠恶阻，吐逆痰水，不食，心虚烦闷。（重在心虚烦闷，故用麦门、竹茹）
人参 橘皮（去白） 茯苓 麦门冬（去心） 白术 浓朴（姜汁炒，各一钱） 甘草（炙，五分）
上作一服，加生姜七片，竹茹如弹子大，水煎服。
青竹茹汤 妊娠恶阻，呕吐不食。（此方清而不寒，自是一法）
竹茹（弹子大一团） 橘皮 白茯苓（各一钱半） 半夏（汤泡七次） 生姜（各二钱）
上锉，水煎温服，忌羊肉饧 等物。
芦根汤 治妊娠呕吐不食，兼吐痰水。（清肺胃，降逆气，散滞气，而不用半夏，又是一法）
生芦根（七分） 橘红（四分） 生姜（六分） 槟榔（二分） 枇杷叶（三分）
上切，以水二盏煎七分，空心热服。
一方 治妊娠恶食，心中烦愦，热闷呕吐。
青竹茹 麦门冬（各三两） 前胡（二两） 橘皮（一两） 芦根（一两）
如体热，四肢烦热，加地骨皮一两。
上切细，以水一大升煮半升，去渣，分两服，食前服。
人参半夏丸 治妊娠恶阻酸心，胸腹冷痛，吐逆不食。
人参 半夏（汤泡七次） 干生姜（各半两）
上为末，以生地黄汁浸蒸饼为丸（生地汁浸蒸饼法，不特制半夏之燥，而又不伤血分，
妙妙），如桐子大，每服四十丸，米饮下。
楼氏曰∶《大全》方论半夏动胎而不用，今仲景岂独不知此，而用于此方乎？予治妊娠阻
病，累用半夏，未尝动胎也。经云有故无殒是也。
茯苓丸 治妊娠恶阻，心中烦闷，吐痰眩晕。先服半夏茯苓汤两剂，后服此药。
赤茯苓 人参 桂心 干姜（炮）（前方用干生姜，此用炮姜，又用桂心，亦大热矣。而炮
而生，又复有别，不可不知） 半夏（洗七次，焙） 陈皮（各一两） 干葛根 白术 甘草（炙） 枳壳（去
白麸炒黄，各二两）
上为细末，炼蜜丸，如桐子大，每服五十丸，空心米饮下，日三服。一方加麦门冬。
《肘后方》加五味子。
归原散 治妊娠恶阻，呕吐不止，头痛全不入食，服诸药无效者。
人参 甘草 川芎 当归 芍药 丁香（各半两） 白茯苓 白术 陈皮（各一两半） 桔梗
（炒） 枳壳（炒，各二钱半） 半夏（洗炒黄，一两）
上 咀，每服三钱，加生姜五片，枣一枚，水煎服。
橘皮汤 治妊娠呕吐，不下食。
橘皮 竹茹 人参 白术（各二钱） 生姜（一钱） 浓朴（一钱半）
上锉，水煎服。
恶阻恶食，责之脾虚，呕吐，责之有火。所谓诸逆冲上，皆属于火也。此方竹茹能平少
火，浓朴能下逆气，橘皮、生姜所以开胃，人参白术所以益脾，开胃益脾，欲其安谷云尔。
白术汤 治胃虚，恶阻吐水，甚至十余日，水浆不入者。
白术（炒，一两） 人参（五钱） 丁香（二钱半） 甘草（一钱）
上为细末，每服二钱，加生姜五片，水煎，食前温服。
人参丁香散 治妊娠恶阻，胃寒吐逆，翻胃吐食，及心腹刺痛。
人参（五钱） 丁香 藿香（各二钱半）
上 咀，每服五钱，水煎服。
二香散 治妊娠胎动不安，气不升降，呕吐酸水，起坐觉重。
香附子（一两） 藿香叶 甘草（各二钱）
上为细末，每服二钱，沸汤调下，不拘时。
白术散 治妊娠胎气不和，不进饮食。
白术（炒） 人参 紫苏（各一钱） 青皮（去白） 川芎 诃子（各八分） 甘草（炙，五分）
上 咀，作一服，加生姜三片，水煎服。
（以上数条，方法俱备）
保生汤 治妊娠恶阻，少食呕吐，或兼吐泻作渴。
人参（一钱） 白术（炒） 甘草（炒） 香附 乌梅（一方作乌药）（吐泻作渴，则效在乌梅矣，作乌
药者非） 橘红（各五分）
上锉，加生姜，水煎服，觉恶心呕吐加丁香。
缩砂散 治妊娠胃虚气逆，呕吐不食。
缩砂仁为末，每服二钱，生姜或米饮调服。
《千金方》说：凡是身体虚弱消瘦、气血不足、肾气又弱的妇女，或者因为迎风受寒、过食生冷，导致心下有痰饮停聚的人，在想要怀孕时容易患上恶阻病。所谓“想要怀孕”，是指该女子月经尚且正常来潮，面色和肌肤如常，只是感到身体沉重烦闷，不想吃东西，又不知道病因在哪里，脉象平和顺调，这就是将要受孕了；到了两个月后，月经停止，就是结胎了。患恶阻病的人，心中烦闷不适，头重眼晕，四肢沉重，懈怠懒惰不想劳作，厌恶闻到食物的气味，想吃咸酸的水果，喜欢多躺卧少起身。世人称之为恶食（恶阻俗称病儿，但也有人并不患病，也不局限于体质强弱，这是什么原因呢？就是俗话所说的胎气喜好）。到了三四个月以上，大多剧烈呕吐，无法自持，这是由于经血已经闭止，水湿泛滥于脏腑，脏气不通畅，所以心烦意乱、胸中痞闷，气机上逆而呕吐。血脉不通，经络阻滞涩滞，则四肢沉重，夹带风邪则头目眩晕。如果觉察到这些症状，应当立即服用半夏茯苓汤几剂，随后服用茯苓丸，待痰饮水湿消除，自然就想进食了。既然获得了饮食的营养，身体强壮、气息充沛，精力足以滋养胎儿，母亲也就健康了。
《大全》说：妊娠期间禀赋怯弱的人，就会发生恶阻病，其状神色如故，脉息和顺，只感觉肢体沉重，头目昏眩，挑食，厌恶闻到食物气味，喜欢吃咸酸之物，严重的甚至出现寒热往来（恶阻也有寒热症状，不可不知），心中烦闷，呕吐痰水，精神恍惚不能支持。巢元方称之为恶阻，只是证候有轻重之分，轻者不服药也无妨，重者必须用药治疗。《千金方》用半夏茯苓汤、茯苓丸专门治疗恶阻病，然而这两种药，近来很少有人服用，因为半夏有动胎气的性质。大概是因为胎初结，担心容易流产，不可不谨慎；张仲景《伤寒论》中，有用黄龙汤的，其实是在小柴胡汤中去掉半夏；这是专门为妊娠设立的；王子亨则有白术散；《局方》有人参丁香散；杨振有人参橘皮汤；齐士明有醒脾饮（醒脾二字足以概括其功效），都不用半夏，用了都有效。
李茂翁说：如果左脉弱且呕吐，服用各种药物不止的，应当服用理血归原的药则会痊愈。经文说“无阴则呕”就是这个道理。薛氏说：前述证候如果是中脘停痰，用二陈药加枳壳；如果是饮食停滞，用六君子汤加枳壳；如果是脾胃虚弱，用异功散；如果是胃气不足，用人参橘皮汤；兼有气恼，加枳壳；胸胁痞闷，再加苏梗；胁痛，再加柴胡；如果饮食减少思虑，用六君子汤加紫苏、枳壳；头晕体倦，用六君子汤；如果是脾胃虚弱，呕吐不食，用半夏茯苓汤；盖半夏是健脾气、化痰滞的主要药物，脾胃虚弱而呕吐，或者痰涎壅滞，饮食少思，胎不安，必须用半夏茯苓汤，倍加白术。然而半夏、白术、茯苓、陈皮、砂仁，善于安胎气，健脾胃，我常用这些药验证有效。
半夏茯苓汤 治疗妊娠恶阻，呕吐心烦，头目眩晕，厌恶闻到食物气味，喜欢吃酸咸味，多躺卧少起身，全身关节烦疼，消瘦有痰，胎孕不牢。
组成：半夏（开水烫洗七次，姜汁炒至黄色）、白术、陈皮（各一钱）、熟地黄（胸满者去掉）、旋复花（无痰涎不用）、桔梗、人参、芍药、川芎、甘草（各五分）。
制法用法：切碎，加生姜三片，水煎，空腹服用，同时服用后面的茯苓丸。《千金方》没有旋复花，有紫苏叶、细辛。有热加黄芩。有客热烦渴口疮，去橘皮、细辛，加前胡、知母各七分半。如果腹冷下利，去地黄，加炒桂心五分（有热是内热，有客热是邪热，桂心炒用，即不堕胎，然而如果不是真正的腹冷下利者，不宜使用）。如果胃中虚热，大便秘结，小便赤涩，去地黄，加大黄七分半，黄芩一钱。（加大黄又是另一种情况）
陈皮半夏汤 治疗怀孕气血不足，胎气始盛，逆动胃气，恶阻呕吐，不进饮食。
组成：陈皮（去白，盐水炒）、茯苓（各一钱）、半夏（制，一钱半）、子芩（淡姜汁炒）、枳壳（麸炒）、紫苏（各八分）、甘草（炙，五分）。
制法用法：切碎一剂，生姜三片，水一盅，煎至七分，饭后温服。
旋复花汤 治疗妊娠六七月间，胎不安常处，也治疗恶阻病。（补脾利气，行痰水）
组成：旋复花（五分）、白术、浓朴、枳壳、黄芩、茯苓（各一钱五分）、半夏、芍药、生姜（各一钱）。
制法用法：切碎，作一服，水煎，饭前温服。
缩砂二陈汤 治疗妊娠脾胃虚弱，饮食不化，呕吐不止。（此方有辛散酸收之妙）
组成：半夏、陈皮（去白）、砂仁（炒，各一钱）、白茯苓（二钱）、甘草（炙，五分）。
制法用法：加生姜三片，枣一枚，乌梅肉少许，水煎服一二剂，后服茯苓丸。
参橘散 治疗妊娠恶阻，吐逆痰水，不食，心虚烦闷。（重在心虚烦闷，故用麦门冬、竹茹）
组成：人参、橘皮（去白）、茯苓、麦门冬（去心）、白术、浓朴（姜汁炒，各一钱）、甘草（炙，五分）。
制法用法：作一服，加生姜七片，竹茹如弹子大，水煎服。
青竹茹汤 妊娠恶阻，呕吐不食。（此方清而不寒，自是一法）
组成：竹茹（弹子大一团）、橘皮、白茯苓（各一钱半）、半夏（开水泡七次）、生姜（各二钱）。
制法用法：切碎，水煎温服，忌羊肉饴糖等物。
芦根汤 治疗妊娠呕吐不食，兼吐痰水。（清肺胃，降逆气，散滞气，而不用半夏，又是一法）
组成：生芦根（七分）、橘红（四分）、生姜（六分）、槟榔（二分）、枇杷叶（三分）。
制法用法：切碎，以水二盏煎至七分，空腹热服。
一方 治疗妊娠恶食，心中烦愦，热闷呕吐。
组成：青竹茹、麦门冬（各三两）、前胡（二两）、橘皮（一两）、芦根（一两）。
加减：如果身体热，四肢烦热，加地骨皮一两。
制法用法：切碎细，以水一大升煮至半升，去渣，分两次服，饭前服。
人参半夏丸 治疗妊娠恶阻酸心，胸腹冷痛，吐逆不食。
组成：人参、半夏（开水泡七次）、干生姜（各半两）。
制法用法：研为末，以生地黄汁浸蒸饼为丸（生地汁浸蒸饼的方法，不仅制约半夏的燥性，而且不伤血分，妙极了），如梧桐子大，每服四十丸，米饮送下。
楼氏说：《大全》方论认为半夏动胎而不用，如今张仲景难道独独不知道这个，而用于此方吗？我治疗妊娠恶阻病，屡次使用半夏，未曾动胎。经文说“有故无殒”就是这个道理。
茯苓丸 治疗妊娠恶阻，心中烦闷，吐痰眩晕。先服半夏茯苓汤两剂，后服此药。
组成：赤茯苓、人参、桂心、干姜（炮）（前方用干生姜，此用炮姜，又用桂心，也是大热的。然而炮制而生姜不同，又有区别，不可不知）、半夏（洗七次，焙）、陈皮（各一两）、干葛根、白术、甘草（炙）、枳壳（去白麸炒黄，各二两）。
制法用法：研为细末，炼蜜丸，如梧桐子大，每服五十丸，空腹米饮送下，日三服。一方加麦门冬。《肘后方》加五味子。
归原散 治疗妊娠恶阻，呕吐不止，头痛全不入食，服诸药无效者。
组成：人参、甘草、川芎、当归、芍药、丁香（各半两）、白茯苓、白术、陈皮（各一两半）、桔梗（炒）、枳壳（炒，各二钱半）、半夏（洗炒黄，一两）。
制法用法：切碎，每服三钱，加生姜五片，枣一枚，水煎服。
橘皮汤 治疗妊娠呕吐，不下食。
组成：橘皮、竹茹、人参、白术（各二钱）、生姜（一钱）、浓朴（一钱半）。
制法用法：切碎，水煎服。
恶阻恶食，责之于脾虚，呕吐，责之于有火。所谓诸逆冲上，皆属于火也。此方竹茹能平少火，浓朴能下逆气，橘皮、生姜所以开胃，人参白术所以益脾，开胃益脾，希望它能安谷罢了。
白术汤 治疗胃虚，恶阻吐水，甚至十余日，水浆不入者。
组成：白术（炒，一两）、人参（五钱）、丁香（二钱半）、甘草（一钱）。
制法用法：研为细末，每服二钱，加生姜五片，水煎，饭前温服。
人参丁香散 治疗妊娠恶阻，胃寒吐逆，翻胃吐食，及心腹刺痛。
组成：人参（五钱）、丁香、藿香（各二钱半）。
制法用法：切碎，每服五钱，水煎服。
二香散 治疗妊娠胎动不安，气不升降，呕吐酸水，起坐觉重。
组成：香附子（一两）、藿香叶、甘草（各二钱）。
制法用法：研为细末，每服二钱，沸水调下，不拘时间。
白术散 治疗妊娠胎气不和，不进饮食。
组成：白术（炒）、人参、紫苏（各一钱）、青皮（去白）、川芎、诃子（各八分）、甘草（炙，五分）。
制法用法：切碎，作一服，加生姜三片，水煎服。
（以上数条，方法俱备）
保生汤 治疗妊娠恶阻，少食呕吐，或兼吐泻作渴。
组成：人参（一钱）、白术（炒）、甘草（炒）、香附、乌梅（一方作乌药）（吐泻作渴，则效在乌梅矣，作乌药者非）、橘红（各五分）。
制法用法：切碎，加生姜，水煎服，觉恶心呕吐加丁香。
Ezu (Morning Sickness) refers to symptoms such as vomiting, nausea, dizziness, food aversion, and selective eating.
The *Qianjin Fang* states: For women who are physically weak and emaciated, lacking in Qi and Blood, with weak Kidney Qi, or those who have been exposed to wind and consumed excessive cold drinks, leading to phlegm-fluid retention in the epigastrium, they are prone to Ezu when conceiving. The term "wishing to conceive" implies that the woman's menstruation is still regular, her complexion and skin appear normal, but she suffers from a sensation of heaviness and mental restlessness, lacks appetite, and does not know the cause of her ailment. Her pulse is smooth and harmonious, indicating pregnancy. After two months, if menstruation ceases, conception is established. Those suffering from Ezu experience mental restlessness, heavy head and dizzy eyes, heavy limbs, lethargy and reluctance to work, aversion to the smell of food, craving for salty and sour fruits, preferring to lie down more and rise less. This condition is commonly called "aversion to food" (Ezu is colloquially known as "sickness of the child," though some do not suffer from it, regardless of physical strength; this is due to what is colloquially called "favorable fetal Qi"). By the third or fourth month, severe vomiting may occur, beyond self-control. This is because the menstrual blood has ceased, water floods the Zang organs, and their Qi fails to circulate freely, causing mental restlessness, chest oppression, rebellious Qi, and vomiting. When blood vessels are blocked and meridians are obstructed, limbs become heavy; if accompanied by Wind, the head and eyes become dizzy. Upon perceiving these signs, one should immediately take Banxia Fuling Tang (Pinellia and Poria Decoction) for several doses, followed by Fuling Wan (Poria Pills). Once phlegm and fluids are eliminated, appetite returns. With adequate nutrition, the body becomes strong, Qi abundant, and energy sufficient to nourish the fetus, ensuring the mother's health.
The *Daquan* states: Women with weak constitutions during pregnancy are prone to Ezu. Their appearance remains unchanged, pulse is harmonious, but they feel heavy limbs, dizzy head and eyes, selective eating, aversion to food smells, and cravings for salty and sour foods. Severe cases may present with alternating chills and fever (Ezu can also involve chills and fever, which must be noted), mental restlessness, vomiting of phlegm-fluid, and mental confusion with inability to sustain oneself. Chao Yuanfang calls this Ezu, noting variations in severity. Mild cases may not require medication; severe cases must be treated. The *Qianjin Fang* uses Banxia Fuling Tang and Fuling Wan specifically for Ezu. However, these are rarely used recently because Banxia (Pinellia Rhizome) is considered to disturb the fetus. Since the fetus is newly formed, there is concern about miscarriage, so caution is advised. Zhang Zhongjing's *Shanghan Lun* mentions Huanglong Tang, which is essentially Xiaochaihu Tang (Minor Bupleurum Decoction) without Banxia, designed for pregnancy. Wang Ziheng proposed Baizhu San (Atractylodes Macrocephala Powder); the *Ju Fang* offers Renshen Dingxiang San (Ginseng and Clove Powder); Yang Zhen offered Renshen Jupi Tang (Ginseng and Tangerine Peel Decoction); Qi Shiming offered Xingpi Yin (Spleen-Awakening Drink)—all avoiding Banxia, yet effective.
Li Maoweng stated: If the left pulse is weak and vomiting persists despite various medications, one should take Lixue Guiyuan medicine (Blood-Regulating Return-to-Origin Remedy) to recover. The classic text says, "Absence of Yin leads to vomiting." Xue notes: If the preceding syndrome involves phlegm retention in the middle Jiao, use Erchen Tang (Two-Cured Decoction) with Zhike (Aurantii Fructus); if food stagnation, use Liujunzi Tang (Six-Gentlemen Decoction) with Zhike; if Spleen-Stomach deficiency, use Yigong San (Extraordinary Merit Powder); if Stomach Qi insufficiency, use Renshen Jupi Tang; if accompanied by emotional distress, add Zhike; if chest and hypochondriac oppression, add Sugen (Perilla Stem); if hypochondriac pain, add Chaihu (Bupleuri Radix); if reduced appetite, use Liujunzi Tang with Zisu (Perilla Leaf) and Zhike; if dizziness and fatigue, use Liujunzi Tang; if Spleen-Stomach deficiency with vomiting and anorexia, use Banxia Fuling Tang. Banxia is the primary herb for strengthening Spleen Qi and resolving phlegm-stagnation. For Spleen-Stomach deficiency with vomiting, phlegm-fluid obstruction, reduced appetite, and fetal instability, Banxia Fuling Tang with doubled Baizhu is essential. However, Banxia, Baizhu, Fuling, Chenpi, and Sharen are effective in calming fetal Qi and strengthening the Spleen-Stomach; I have verified their efficacy through frequent use.
Banxia Fuling Tang treats pregnancy Ezu, vomiting with mental restlessness, dizziness, aversion to food smells, craving for sour/salty flavors, preference for lying down, joint pain, emaciation with phlegm, and unstable pregnancy.
Ingredients: Banxia (Pinelliae Rhizoma, washed seven times in boiling water, stir-fried with ginger juice until yellow), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Shudihuang (Rehmanniae Radix Praeparata) (remove if chest fullness exists), Xuanjinhua (Inulae Flos) (omit if no phlegm), Jiegeng (Platycodonis Radix), Renshen (Ginseng Radix), Shaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian).
Preparation: Coarsely crush, add three slices of fresh ginger, decoct in water, take on an empty stomach. Also take Fuling Wan afterwards. The *Qianjin Fang* omits Xuanjinhua but includes Ziye (Perillae Folium) and Xixin (Asari Radix et Rhizoma). Add Huangqin (Scutellariae Radix) for heat. For external heat with thirst and mouth ulcers, remove Chenpi and Xixin, add Qianhu (Peucedani Radix) and Zhimu (Anemarrhenae Rhizoma) (each 0.75 qian). For cold abdomen with diarrhea, remove Dihu, add Guixin (Cinnamomi Cortex) fried (0.5 qian). Note: Internal heat differs from external pathogenic heat; fried Guixin does not induce abortion but is unsuitable unless true cold-abdomen with diarrhea exists. For deficient heat in the Stomach with constipation and dark scanty urine, remove Dihu, add Dahuang (Rhei Radix et Rhizoma) (0.75 qian) and Huangqin (1 qian). (Adding Dahuang constitutes a different case.)
Chenpi Banxia Tang treats pregnancy with insufficient Qi and Blood, where fetal Qi rises and disturbs Stomach Qi, causing Ezu, vomiting, and anorexia.
Ingredients: Chenpi (Citri Reticulatae Pericarpium, white pith removed, stir-fried with salt water), Fuling (Poria), Banxia (Pinelliae Rhizoma, processed) (each 1 qian), Ziqin (Scutellariae Radix, stir-fried with light ginger juice), Zhike (Aurantii Fructus, bran-fried), Zisu (Perillae Folium) (each 0.8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (0.5 fen).
Preparation: Cut into pieces, one dose, add three slices of fresh ginger, one cup of water, decoct to 70%, take warm after meals.
Xuanjinhua Tang treats fetal instability between the sixth and seventh months of pregnancy, and also treats Ezu. (Tonifies Spleen, benefits Qi, moves phlegm-fluids.)
Ingredients: Xuanjinhua (Inulae Flos) (0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex), Zhike (Aurantii Fructus), Huangqin (Scutellariae Radix), Fuling (Poria) (each 1.5 qian), Banxia (Pinelliae Rhizoma), Shaoyao (Paeoniae Radix Alba), Shengjiang (Zingiberis Rhizoma Recens) (each 1 qian).
Preparation: Coarsely crush, one dose, decoct in water, take warm before meals.
Suosha Erchen Tang treats pregnancy with Spleen-Stomach weakness, indigestion, and persistent vomiting. (This formula possesses the subtlety of acrid dispersion and sour astringency.)
Ingredients: Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, white pith removed), Sharen (Amomi Fructus Rotundus, fried) (each 1 qian), BaiFuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (0.5 fen).
Preparation: Add three slices of fresh ginger, one jujube, and a little Wumei (Mume Fructus) flesh, decoct in water, take one to two doses, then take Fuling Wan.
Renshen Jusi San treats pregnancy Ezu, vomiting of phlegm-fluid, anorexia, and heart-deficiency with mental restlessness. (Focuses on heart-deficiency restlessness, hence using Maidong and Zhuru.)
Ingredients: Renshen (Ginseng Radix), Jupi (Citri Reticulatae Pericarpium, white pith removed), Fuling (Poria), Maidong (Ophiopogonis Radix, heart removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (0.5 fen).
Preparation: One dose, add seven slices of fresh ginger, a ball-sized piece of Zhuru (Bambusae Caulis in Taeniam), decoct in water, take orally.
Qingzhuru Tang treats pregnancy Ezu, vomiting, and anorexia. (This formula clears heat without being cold, representing a distinct method.)
Ingredients: Zhuru (Bambusae Caulis in Taeniam, a ball-sized piece), Chenpi (Citri Reticulatae Pericarpium), BaiFuling (Poria) (each 1.5 qian), Banxia (Pinelliae Rhizoma, soaked in boiling water seven times), Shengjiang (Zingiberis Rhizoma Recens) (each 2 qian).
Preparation: Coarsely cut, decoct in water, take warm. Avoid mutton and maltose.
Lugen Tang treats pregnancy vomiting and anorexia, accompanied by vomiting of phlegm-fluid. (Clears Lung and Stomach, directs rebellious Qi downward, disperses stagnant Qi, without using Banxia, another method.)
Ingredients: Shenglugen (Phragmitis Rhizoma) (0.7 fen), Juhong (Citri Reticulatae Pericarpium Rubrum) (0.4 fen), Shengjiang (Zingiberis Rhizoma Recens) (0.6 fen), Binglang (Arecae Semen) (0.2 fen), Pipaye (Loquat Leaf) (0.3 fen).
Preparation: Cut into pieces, decoct two cups of water to 70%, take hot on an empty stomach.
Another Formula treats pregnancy food aversion, mental restlessness, heat oppression, and vomiting.
Ingredients: Qingzhuru (Bambusae Caulis in Taeniam), Maidong (Ophiopogonis Radix) (each 3 liang), Qianhu (Peucedani Radix) (2 liang), Jupi (Citri Reticulatae Pericarpium) (1 liang), Lugen (Phragmitis Rhizoma) (1 liang).
Modification: If body heat and limb irritability exist, add Gubopi (Lycopersici Radix) (1 liang).
Preparation: Cut finely, decoct one sheng of water to half a sheng, strain, divide into two doses, take before meals.
Renshen Banxia Wan treats pregnancy Ezu with acid regurgitation, cold pain in chest and abdomen, vomiting, and anorexia.
Ingredients: Renshen (Ginseng Radix), Banxia (Pinelliae Rhizoma, soaked in boiling water seven times), Ganshengjiang (Zingiberis Rhizoma) (each 0.5 liang).
Preparation: Grind into powder, make pills with steamed bread dough soaked in Shengdihuang juice (Rehmanniae Radix). Soaking steamed bread in Rehmannia juice not only restricts the dryness of Pinellia but also protects the Blood aspect, which is excellent. Size of Sophora seeds, take 40 pills per dose with rice drink.
Lou stated: The *Daquan* avoids Banxia due to its potential to disturb the fetus. Did Zhang Zhongjing not know this? Yet he used it in this formula? In my treatment of pregnancy Ezu, I have frequently used Banxia without disturbing the fetus. The classic text says, "If there is a pathology, there is no injury" (Yougu wuyun).
Fuling Wan treats pregnancy Ezu, mental restlessness, vomiting of phlegm, and dizziness. Take two doses of Banxia Fuling Tang first, then this medicine.
Ingredients: ChiFuling (Poria with Red Skin), Renshen (Ginseng Radix), Guixin (Cinnamomi Cortex), Ganjiang (Zingiberis Rhizoma, roasted) (Note: Previous formula used fresh ginger; this uses roasted ginger and adds Guixin, making it quite hot. Roasting changes its nature, a distinction to be aware of), Banxia (Pinelliae Rhizoma, washed seven times, dried), Chenpi (Citri Reticulatae Pericarpium) (each 1 liang), Gegen (Puerariae Lobatae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhike (Aurantii Fructus, white pith removed, bran-fried until yellow) (each 2 liang).
Preparation: Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 50 pills per dose with rice drink on an empty stomach, three times daily. Another version adds Maidong. *Zhouhou Fang* adds Wuweizi (Schisandrae Chinensis Fructus).
Guiyuan San treats pregnancy Ezu with persistent vomiting, headache, total anorexia, and ineffectiveness of other medicines.
Ingredients: Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Dingxiang (Caryophylli Flos) (each 0.5 liang), BaiFuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1.5 liang), Jiegeng (Platycodonis Radix, fried), Zhike (Aurantii Fructus, fried) (each 2.5 qian), Banxia (Pinelliae Rhizoma, washed and stir-fried until yellow) (1 liang).
Preparation: Coarsely crush, take 3 qian per dose, add five slices of fresh ginger, one jujube, decoct in water, take orally.
Jupi Tang treats pregnancy vomiting and inability to retain food.
Ingredients: Jupi (Citri Reticulatae Pericarpium), Zhuru (Bambusae Caulis in Taeniam), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian), Shengjiang (Zingiberis Rhizoma Recens) (1 qian), Houpo (Magnoliae Officinalis Cortex) (1.5 qian).
Preparation: Coarsely cut, decoct in water, take orally.
Ezu and food aversion are attributed to Spleen deficiency; vomiting is attributed to Fire. As stated, "All rebellious upward movements belong to Fire." In this formula, Zhuru pacifies the "Lesser Fire," Houpo directs rebellious Qi downward, Chenpi and Shengjiang open the appetite, and Renshen and Baizhu benefit the Spleen. Opening the appetite and benefiting the Spleen aims to ensure proper digestion.
Baizhu Tang treats Stomach deficiency, Ezu with vomiting of water, even lasting over ten days with inability to take fluids.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, fried) (1 liang), Renshen (Ginseng Radix) (5 qian), Dingxiang (Caryophylli Flos) (2.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Preparation: Grind into fine powder, take 2 qian per dose, add five slices of fresh ginger, decoct in water, take warm before meals.
Renshen Dingxiang San treats pregnancy Ezu, Stomach-cold with rebellious vomiting, retching, and stabbing pain in the heart and abdomen.
Ingredients: Renshen (Ginseng Radix) (5 qian), Dingxiang (Caryophylli Flos), Huoxiang (Agastaches Herba) (each 2.5 qian).
Preparation: Coarsely crush, take 5 qian per dose, decoct in water, take orally.
Erxiang San treats pregnancy fetal movement instability, Qi failing to ascend and descend, vomiting of sour fluid, and feeling heavy when rising or sitting.
Ingredients: Xiangfu (Cyperi Rhizoma) (1 liang), Huoxiangye (Agastaches Folium), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Preparation: Grind into fine powder, take 2 qian per dose, mix with boiling water, take at any time.
Baizhu San treats pregnancy disharmony of fetal Qi and anorexia.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Renshen (Ginseng Radix), Zisu (Perillae Folium) (each 1 qian), Qingpi (Citri Reticulatae Pericarpium, white pith removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Hezi (Terminalia Chebulae Fructus) (each 0.8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (0.5 fen).
Preparation: Coarsely crush, one dose, add three slices of fresh ginger, decoct in water, take orally.
(The above items cover all methods.)
Baosheng Tang treats pregnancy Ezu, reduced intake with vomiting, or accompanied by vomiting, diarrhea, and thirst.
Ingredients: Renshen (Ginseng Radix) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Gancao (Glycyrrhizae Radix et Rhizoma, fried), Xiangfu (Cyperi Rhizoma), Wumei (Mume Fructus) (One version uses Wuyao; for vomiting/diarrhea with thirst, Wumei is effective, Wuyao is incorrect), Juhong (Citri Reticulatae Pericarpium Rubrum) (each 0.5 fen).
Preparation: Coarsely cut, add fresh ginger, decoct in water. If nausea/vomiting occurs, add Dingxiang.
Suosha San treats pregnancy Stomach deficiency with rebellious Qi, vomiting, and anorexia.
Ingredients: Suosha Ren (Amomi Fructus Rotundus) ground into powder, take 2 qian per dose, mixed with fresh ginger or rice drink.