妊娠乳肿，发寒作热，名曰内吃乳。宜用猎牙皂荚一条，去子膜，烧灰存性，酒调服。
妊娠腰痛，最为紧要。盖肾以系胞，而腰为肾之府，故
腰痛、酸急为妊家之大忌。痛甚则堕，不可不预防也。然痛必有因，治之宜审其源，或因劳伤损其经，宜短剧
葶根汤。或因挫闪气滞，宜通气散。或因肾元虚损，宜青娥丸。若血虚瘾胎，无以养肾，以致肾亏腰痛，宜猪
肾丸。通治胎动腰痛，宜千金保孕丸（方见前妊娠至宝条中）。
短剧葶根汤
生地黄 葶根（各二两） 当归 白芍 阿胶（炒成珠） 甘草（各一两）
水三钟，煎二钟，去渣入胶化开，每服一钟。
通气散
补骨脂（瓦上炒，一两）
研末，空心先嚼胡桃肉一个，酒调下。
青娥丸
补骨脂（炒） 杜仲（炒断丝，各四两） 胡桃肉（三十个，研）
蜜丸，酒下四钱。
猪肾丸
猪腰子（一对、劈开两片，去油膜、纳姜制杜仲于内，合住、线扎）
隔水蒸熟、焙干入青盐二钱，共研末，蜜丸，空心，淡盐汤下。
妊娠腹痛，须分寒热虚实。寒痛脉迟，宜理中汤。热痛脉数，宜芩芍汤。虚痛脉无力，喜按，乃血少不能养
胎，宜四君归芍汤。实痛脉有力，拒按，宜香壳丸。
理中汤
人参 白术（蜜炙） 炮姜 炙甘草（各一钱）
水煎，食前服。
如气滞加砂仁、香附各七分。
芩芍汤
黄芩 白芍 白术（蜜炙，各一钱） 肉桂（五分）
水煎，食前温服。
四君归芍汤
人参 白术（蜜炙） 茯苓 炙甘草 当归 白芍（炒，各一钱） 姜（三片） 枣（二枚）
水煎服。
香壳汤
香附（童便制） 枳壳（麸炒，各一钱）
水煎，食远服。
妊娠期间乳房肿胀，伴有发冷发热，称为“内吃乳”。适宜使用一条猎牙皂荚，去除子膜，烧成炭存性，用酒调服。
妊娠腰痛，最为紧要。因为肾系胞宫，而腰为肾之府，所以腰痛、酸急是孕妇的大忌。疼痛严重会导致流产，不可不预防。然而疼痛必有原因，治疗应当审慎查明根源。如果是因劳累损伤经络，适宜用短剧葶根汤。如果是因挫闪导致气机阻滞，适宜用通气散。如果是因肾元虚损，适宜用青娥丸。若是血虚养胎，无法滋养肾脏，导致肾虚腰痛，适宜用猪肾丸。通治胎动腰痛，适宜用千金保孕丸（方剂见前文妊娠至宝条中）。
短剧葶根汤
生地黄、葶根（各二两）；当归、白芍、阿胶（炒至成珠状）、甘草（各一两）。
用水三钟，煎煮至二钟，去渣后加入阿胶使其溶化，每次服用一钟。
通气散
补骨脂（在瓦上炒制，一两）。
研成粉末，空腹先嚼食一个胡桃肉，用酒调服。
青娥丸
补骨脂（炒制）、杜仲（炒断丝，各四两）；胡桃肉（三十个，研磨）。
炼蜜为丸，用酒送服四钱。
猪肾丸
猪腰子（一对，劈开两片，去除油膜，将姜制的杜仲放入其中，合拢后用线扎紧）。
隔水蒸熟，焙干后加入青盐二钱，共同研成粉末，炼蜜为丸，空腹时淡盐汤送服。
妊娠腹痛，必须区分寒热虚实。寒痛脉象迟，适宜用理中汤。热痛脉象数，适宜用芩芍汤。虚痛脉象无力，喜欢按压，这是血少不能养胎所致，适宜用四君归芍汤。实痛脉象有力，拒绝按压，适宜用香壳丸。
理中汤
人参、白术（蜜炙）、炮姜、炙甘草（各一钱）。
水煎，饭前服用。
如果气滞，加砂仁、香附各七分。
芩芍汤
黄芩、白芍、白术（蜜炙，各一钱）；肉桂（五分）。
水煎，饭前温服。
四君归芍汤
人参、白术（蜜炙）、茯苓、炙甘草、当归、白芍（炒制，各一钱）；生姜（三片）、大枣（二枚）。
水煎服。
香壳汤（注：原文标题为香壳丸，正文描述及组成对应汤剂用法，此处依原文标题提取实体，翻译依正文逻辑）
香附（童便制）、枳壳（麸炒，各一钱）。
水煎，饭后远时服用。
Breast swelling during pregnancy, accompanied by chills and fever, is called "Nei Chi Ru" (Internal Eating Breast). It is advisable to use one piece of *Gleditsiae Sinensis Fructus* (Liezha), remove the seed membrane, burn it to charcoal while retaining its properties, and take it mixed with wine.
Lower back pain during pregnancy is of utmost importance. This is because the Kidney connects to the uterus, and the lower back is the mansion of the Kidney; therefore, lower back pain and soreness/urgency are major taboos for pregnant women. Severe pain may lead to miscarriage, so prevention is essential. However, pain must have a cause, and treatment should carefully examine the source. If caused by fatigue damaging the meridians, *Duanju Tinggen Decoction* is suitable. If caused by sprain or strain leading to Qi stagnation, *Tongqi San* is suitable. If caused by deficiency and damage of Kidney Yuan, *Qing'e Wan* is suitable. If blood deficiency fails to nourish the fetus, thereby failing to nourish the Kidney resulting in Kidney deficiency lower back pain, *Zhushen Wan* is suitable. For general treatment of fetal movement-related lower back pain, *Qianjin Baoyun Wan* is suitable (formula see previous section on Zhibao for Pregnancy).
**Duanju Tinggen Decoction**
*Sheng Dihuang* (Rehmanniae Radix Preparata) and *Tinggen* (each 2 liang); *Danggui* (Angelicae Sinensis Radix), *Baishao* (Paeoniae Radix Alba), *Ejiao* (Asini Corii Colla, fried until pearl-like), *Gancao* (each 1 liang).
Add three zhong of water, decoct to two zhong, remove dregs, add Ejiao to dissolve. Take one zhong per dose.
**Tongqi San**
*Boguzhi* (Psoraleae Fructus, fried on tile, 1 liang).
Grind into powder. Chew one walnut kernel on an empty stomach first, then take with wine.
**Qing'e Wan**
*Boguzhi* (fried), *Duzhong* (Eucommiae Cortex, fried until fibers break, each 4 liang); *Hetaoren* (Juglandis Semen, 30 pieces, ground).
Make pills with honey, take with wine, 4 qian per dose.
**Zhushen Wan**
Pig kidney (one pair, split into two slices, remove oil membrane, insert ginger-processed Duzhong inside, close and tie with thread).
Steam over water until cooked, dry by baking, add 2 qian of Qingyan (Green Salt), grind together into powder, make pills with honey. Take on an empty stomach with light salt water.
Abdominal pain during pregnancy must be differentiated into cold, heat, deficiency, and excess. Cold pain presents with a slow pulse, treat with * Lizhong Tang*. Heat pain presents with a rapid pulse, treat with *Qinshao Tang*. Deficiency pain presents with a forceless pulse and a preference for pressure, indicating blood insufficiency failing to nourish the fetus, treat with *Sijun Guishao Tang*. Excess pain presents with a forceful pulse and aversion to pressure, treat with *Xiangke Wan*.
**Lizhong Tang**
*Renshen* (Ginseng Radix et Rhizoma), *Baizhu* (Atractylodis Macrocephalae Rhizoma, honey-fried), *Paojiang* (Zingiberis Rhizoma Preparatum), *Zhigancao* (Glycyrrhizae Radix et Rhizoma Preparata, each 1 qian).
Decoct in water, take before meals.
If Qi stagnation is present, add *Sharen* (Amomi Fructus) and *Xiangfu* (Cyperi Rhizoma), each 7 fen.
**Qinshao Tang**
*Huangqin* (Scutellariae Radix), *Baishao* (Paeoniae Radix Alba), *Baizhu* (Atractylodis Macrocephalae Rhizoma, honey-fried, each 1 qian); *Rougui* (Cinnamomi Cortex, 5 fen).
Decoct in water, take warm before meals.
**Sijun Guishao Tang**
*Renshen*, *Baizhu* (honey-fried), *Fuling* (Poria), *Zhigancao*, *Danggui*, *Baishao* (fried, each 1 qian); *Jiang* (Fresh Ginger, 3 slices), *Zao* (Jujubae Fructus, 2 pieces).
Decoct in water and take.
**Xiangke Tang** (Note: Original text title says Xiangke Wan, but description implies decoction usage)
*Xiangfu* (Cyperi Rhizoma, processed with child's urine), *Zhiqiao* (Aurantii Fructus, bran-fried, each 1 qian).
Decoct in water, take long after meals.