大生地(八钱) 北沙参(二钱) 大白芍(三钱) 大麦冬(三钱) 法半夏(一钱五分) 陈
皮(八分) 云苓(三钱) 生甘草(八分) 枳壳(一钱) 鲜竹茹(三钱)
时有加减，总不出此范围。用十味温胆意，而不拘拘成法。如女贞、羚羊、 、二须
、二
络等，亦临时酌用。此方服数十剂全愈，迄今三十余年，其方珍藏，其人犹健，岂易易哉!
(附论胎产金丹)
或谓予论症宜遍考病机，详求治法，始于人有益，乃论止一二，毋乃太简乎?不知医书
汗牛
充栋，症无不备，方法繁多，何能更着书立说?惟古书虽系名家，或立说偏执，予不得不辨
；庸工浅陋，诚恐害人，予不得不辨；而予非治有成效，屡试屡验，亦不敢妄为辨论也。即
如胎孕一门，妇人以此为重，数年不孕，即延医服药，膏、丸并进，乃不独不能受胎，而转
生他病，月事不调一月经行二三次，甚且淋漓不尽，致成崩漏。此何以故?大率医家皆以温
热药为主，而妇人亦以为多服温热，即可受孕，不知未能受胎，而早已受害矣。夫天地之道
，阴阳和而万物生焉，孤阴不生，独阳不长。其以春药医男子，谓可种子，已遗害无穷，何
能生子?即或生子，而胎毒甚重，赤游丹等症，叠起环生；纵或苟延，天花症断难存活。此
男子服春药之效也。乃治妇人亦用此法，以致血海之波澜不静，血热妄行，经且不调，安能
怀孕乎?总之妇科首重调经，缩则为热，过则为寒，如果月事愆期，脉来迟濡，实属虚寒，
寒体不能受胎，温经亦可，但此等脉象最少。盖今之妇人，十有九肝气，脉多弦数，再服温
热，必致肝火盛而血妄行，其患岂独不受胎乎?予尝见望子之妇人，爱服暖药，而庸工多附
妇人之意以用药，究之子不得孕而病不离身，实堪痛恨，故辨言及此。至于业已受孕，而又
易于滑胎，大约在三月内者居多，请医保胎，竟未见有能保者何也?盖庸工既不读书，故不
明医理也。夫妇人怀孕，一月足厥阴肝养胎，二月足少阳胆养胎，三月手厥阴心包络养胎，
四月手少阳三焦养胎，四经皆有相火。凡滑胎者，皆由水不济火，血热所致，欲安胎必须凉
血。虽朱丹溪代人安胎，用白术为末，以黄芩煎汤下之，遂得安好，后人因以黄芩、白术为
安胎之圣药。其实黄芩性凉，白术性燥，怀孕三月前后，胎火、相火并旺，只宜凉之，不宜
燥之。今粗工安胎，总恃此二味，或加续断，而全不见效。不知胎前宜凉，三、四月内尤宜
于凉，治以燥药，胎何能安?续断性温而动，保胎宜静不宜动，药当论性，岂能取其名以为
用耶?若至五、六月间，足太阴脾、足阳明胃养胎，可健脾胃，丹溪方或可全用耳!丹溪必不
欺人，但其方未注月分，恐亦在脾胃胎时耳!盖胎以二十七日为一月，三月半后，已换养胎
之
经矣。予安胎不知凡几，无有不效。如丁邹氏三次滑胎，邹赵氏七次滑胎，缪余氏十一次滑
胎，总在三月之内，后俱请予保胎，无不安全，且生产后或更怀孕，竟无滑胎之虑。予总以
生地养血凉血为君，黄芩则加之，白术则不用，人称余善保胎，其实并无异法，不过深悉养
胎之经，知胎前宜凉之理，不泥于丹溪之法耳!此实屡试屡验，故详论之，以示我后人，庶
不至以济世之术，转变为戕生之术云!
大生地（八钱） 北沙参（二钱） 大白芍（三钱） 大麦冬（三钱） 法半夏（一钱五分） 陈皮（八分） 云苓（三钱） 生甘草（八分） 枳壳（一钱） 鲜竹茹（三钱）。
这些药物时常会有加减，但总不出这个范围。这是运用了十味温胆汤的意旨，而不拘泥于固定的成方。例如女贞子、羚羊角、[此处原文缺字]、[此处原文缺字]、[此处原文缺字]等，也是根据情况临时斟酌使用。此方服用几十剂后完全痊愈，至今三十多年，该方被珍藏，其人依然健康，这难道是容易做到的吗！
（附论胎产金丹）
有人对我说：“您论述病症应当全面考察病机，详细探求治法，这样才对人有好处，可是您的论述只有一两处，是不是太简略了？”我不知道医书多得堆满屋子、塞满牛车，病症没有不齐全的，方法繁多，怎么能再著书立说呢？只是古书虽然出自名家，有的立说偏执，我不得不辩驳；庸医浅陋，确实恐怕害人，我不得不辩驳；而且我如果不是治疗有成效，屡试屡验，也不敢妄加辩驳。
就像胎孕这一门，妇人以此为重，几年不孕，就延请医生服药，膏药、丸药一起进服，结果不仅不能受孕，反而生出其他疾病，月经不调——月经行经两三次，甚至淋漓不尽，导致形成崩漏。这是什么原因呢？大概医家都以温热药为主，而妇人也认为多服温热药就可以受孕，不知道未能受孕，却早已受害了。天地之道，阴阳调和而万物产生，孤阴不生，独阳不长。那些用春药医治男子，说可以种子，已经遗害无穷，怎么能生子？即使生了孩子，而胎毒很重，赤游丹等症状，接连发生；纵然勉强延续生命，天花症也断难存活。这就是男子服春药的效果。然而治疗妇人也用这种方法，导致血海波澜不平静，血热妄行，月经尚且不调，怎么能怀孕呢？总之妇科首重调经，缩则为热，过则为寒，如果月经延期，脉来迟濡，确实属于虚寒，寒体不能受胎，温经也可以，但这种脉象最少。大概现在的妇人，十个有九个是肝气问题，脉多弦数，再服温热药，必然导致肝火盛而血妄行，其患难道只是不受胎吗？我曾见过渴望生育的妇人，喜爱服用暖药，而庸医多附和妇人的心意来用药，最终孩子没怀上而病不离身，实在令人痛恨，所以辩驳说到此处。至于已经受孕，而又易于滑胎，大约在三个月内的居多，请求医生保胎，竟然没见有能保住的，为什么呢？大概庸医既不读书，所以不明白医理。
妇人怀孕，第一个月足厥阴肝养胎，第二个月足少阳胆养胎，第三个月手厥阴心包络养胎，第四个月手少阳三焦养胎，这四经都有相火。凡是滑胎的，都是由水不济火，血热所致，想要安胎必须凉血。虽然朱丹溪代别人安胎，用白术为末，以黄芩煎汤送下，于是得以安好，后人因此把黄芩、白术当作安胎的圣药。其实黄芩性凉，白术性燥，怀孕三个月前后，胎火、相火并旺，只宜凉之，不宜燥之。现在粗工安胎，总是倚仗这两味药，或者加上续断，却全不见效。不知道胎前宜凉，三、四月内尤其宜于凉，用燥药治疗，胎怎么能安？续断性温而动，保胎宜静不宜动，药应当论性质，怎么能取其名字来作为用途呢？如果到了五、六月间，足太阴脾、足阳明胃养胎，可以健脾胃，丹溪的方子或许可以全用罢了！丹溪一定不会骗人，但他的方子没有注明月份，恐怕也是在脾胃养胎的时候吧！大概胎儿以二十七天为一个月，三个半月后，已经更换了养胎的经脉了。我安胎不知有多少次，没有不有效的。如丁邹氏三次滑胎，邹赵氏七次滑胎，缪余氏十一次滑胎，总在三月之内，后来都请我保胎，无不安全，并且生产后或者更怀孕，竟无滑胎的忧虑。我总是以生地养血凉血为君药，黄芩则加上它，白术则不用，人称我善于保胎，其实并没有异法，不过是深悉养胎的经脉，知道胎前宜凉的道理，不拘泥于丹溪的方法罢了！这确实是屡试屡验，所以详细论述它，用来显示给我的后人，希望不至于把救世的技术，转变为害人的技术啊！
Radix Rehmanniae Preparata (Ba Qian) Radix Glehniae (Er Qian) Radix Paeoniae Alba (San Qian) Fructus Ophiopogonis (San Qian) Rhizoma Pinelliae Preparatum (Yi Qian Wu Fen) Pericarpium Citri Reticulatae (Ba Fen) Sclerotium Poriae Cocos (San Qian) Radix Glycyrrhizae Preparata (Ba Fen) Fructus Aurantii (Yi Qian) Caulis Bambusae in Taeniam (San Qian).
These herbs are frequently modified, but always remain within this scope. This prescription employs the intent of Shi Wei Wen Dan Tang (Ten-Ingredient Decoction to Warm the Gallbladder), without being rigidly bound by established formulas. For instance, Herba Ligustri Lucidi, Cornu Saigae Tataricae, [text missing], [text missing], [text missing], etc., are also used as appropriate on a temporary basis. After taking dozens of doses of this formula, complete recovery was achieved. To this day, over thirty years later, the formula is treasured, and the patient remains healthy. Is this not difficult to achieve!
(Attached Discussion on Fetal Protection and Childbirth Golden Pill)
Some have said to me: "In discussing symptoms, you should comprehensively investigate the pathogenesis and detail the treatment methods, so that it benefits people. Yet your discussion contains only one or two points; is it not too brief?" I do not know that medical books are numerous enough to fill houses and block ox carts, with no symptom unrecorded and countless methods available. How can one write more books? However, although ancient texts are from famous masters, some theories are biased or dogmatic, which I must refute; quacks are shallow and ignorant, and I fear they harm people, which I must refute; moreover, if I were not effective in treatment and had repeated successful trials, I would not dare to argue recklessly.
Take the field of pregnancy as an example. Women consider this crucial. If infertile for several years, they seek doctors and take medicine, consuming both pastes and pills. Yet not only do they fail to conceive, but other diseases arise, such as irregular menstruation—menstrual flow occurring two or three times a month, or even dripping continuously, leading to metrorrhagia and metrostaxis. Why is this? Generally, physicians prioritize warm and hot herbs. Women also believe that taking many warm herbs will facilitate conception. Unaware that failing to conceive, they have already suffered harm. The way of heaven and earth is that when yin and yang harmonize, all things are born. Solitary yin does not generate; solitary yang does not grow. Using aphrodisiacs to treat men, claiming they aid seed production, has caused endless harm; how can children be born? Even if children are born, the fetal toxicity is severe, and conditions like erysipelas (Chi You Dan) occur repeatedly; even if life is barely prolonged, smallpox makes survival impossible. This is the effect of men taking aphrodisiacs. Yet treating women with this same method causes turbulence in the Sea of Blood, reckless movement of heat in the blood, and irregular menstruation, making pregnancy impossible. In summary, gynecology prioritizes regulating menstruation. Contraction indicates heat; excess indicates cold. If menstruation is delayed and the pulse is slow and soft, it truly belongs to deficiency-cold. A cold constitution cannot receive conception; warming the meridians is acceptable, but such pulse presentations are rare. Most contemporary women suffer from Liver Qi stagnation, and their pulses are often wiry and rapid. Taking warm and hot herbs will inevitably cause Liver Fire to flourish and blood to move recklessly. Is the harm limited to infertility? I have seen women eager for children who love taking warming medicines, while quacks cater to their wishes in prescribing. Ultimately, no child is conceived, yet illness remains. This is truly hateful, hence my refutation reaches this point.
As for those already pregnant who are prone to spontaneous abortion, it mostly occurs within the first three months. People request fetal protection, yet rarely succeed. Why? Quacks do not study books and thus do not understand medical principles. During pregnancy, in the first month, the Foot Jueyin Liver nourishes the fetus; in the second month, the Foot Shaoyang Gallbladder nourishes the fetus; in the third month, the Hand Jueyin Pericardium nourishes the fetus; in the fourth month, the Hand Shaoyang Sanjiao nourishes the fetus. These four meridians all contain Ministerial Fire. Spontaneous abortion is generally caused by Water failing to control Fire, resulting in blood heat. To calm the fetus, one must cool the blood. Although Zhu Danxi prescribed Bai Zhu Powder taken with Huang Qin Decoction for fetal protection, leading to safety, later generations regarded Huang Qin and Bai Zhu as sacred herbs for calming the fetus. Actually, Huang Qin is cool in nature, and Bai Zhu is dry. Around the third month of pregnancy, Fetal Fire and Ministerial Fire are both vigorous. Cooling is suitable; drying is not. Crude practitioners rely solely on these two herbs, sometimes adding Radix Dipsaci, yet see no effect. They do not know that cooling is suitable before birth, especially in the third and fourth months. Treating with drying herbs cannot calm the fetus. Radix Dipsaci is warm and moving. Calming the fetus requires stillness, not movement. Herbs should be judged by their nature, not their names. By the fifth and sixth months, the Foot Taiyin Spleen and Foot Yangming Stomach nourish the fetus. Strengthening the Spleen and Stomach is appropriate, and Danxi's formula might be fully applicable! Danxi would not deceive people, but his formula did not specify months, likely intended for the period when the Spleen and Stomach nourish the fetus. Roughly, twenty-seven days constitute one lunar month of gestation. After three and a half months, the nourishing meridians change. I have performed fetal protection countless times without failure. For example, Ding Zoushi had three miscarriages, Zou Zhaoshi had seven, and Miu Yushi had eleven, all within three months. Later, they entrusted me with fetal protection, resulting in safe deliveries. Subsequent pregnancies after childbirth also occurred without fear of miscarriage. I always use Radix Rehmanniae Preparata as the sovereign herb to nourish and cool the blood, add Huang Qin, and omit Bai Zhu. People praise my skill in fetal protection, but there is no special method. I simply deeply understand the meridions that nourish the fetus and the principle that cooling is required before birth, without adhering rigidly to Danxi's methods. This has been repeatedly verified. Therefore, I discuss it in detail to show my successors, hoping not to transform the art of saving lives into a tool for harming them!