儿啼腹中，有声如钟，名曰子啼。盖母腹中有疙瘩，儿含口中，因母举手向高处取物，疙瘩脱出儿口，是以
啼哭，如闻钟声。古方用黄连浓煎汁，令母呷服自止。又法∶撒钱于地，令妊妇曲腰，就地拾取钱文，则疙瘩
仍入儿口，啼哭自止，此法更为至妙。
妊娠三五月间，忽然失音不语，名曰子喑。此胞之络脉绝也。盖胞络系于肾少阴之脉，贯肾系舌本，故不
能言。此非药可愈，待十月满足，子母分娩，则自能言，勿药可也。
妊娠八九月，小便不通，此气虚不能举胎，胎压脬胞，展在一边，胞系乖戾，水不能出，名曰转胞。胎若
举起，悬在中央，胞系得疏，则水道自行，宜参术饮。若饱食后气伤胎系，系弱不能自举，而下压膀胱，尿闭
腹肿者，宜参术二陈汤。又法∶将孕妇倒竖起，则胎自坠转，其尿自出，亦
妙。
参术饮
人参 白术（蜜炙） 当归 熟地黄 白芍 川芎 陈皮 半夏（姜制、炒黄） 炙甘草（各二钱）
姜（三片） 枣（二枚）
水煎，空心服。服后随以指探吐，候气定又服又吐（以升提其气、上窍通而下窍自利也）。
参术二陈汤
人参 白术（蜜炙） 当归 白芍 陈皮 半夏（姜汁制、炒黄） 炙甘草（各一钱）
水煎服。
妊娠因酒色过度，内伤胞门，热积膀胱，小便淋涩，心烦闷乱，名曰子淋。若淋痛涩少，宜安荣散。若
房劳内伤而不利，宜肾气丸。若气虚短少，宜补中益气汤（方见前子气条中）血虚涩少，宜滋肾丸。热结膀
胱而不利，宜五苓散。若肝肾虚热成淋，宜知柏四物汤。若肺经郁热，宜黄芩清肺饮。若膏粱浓味，宜清胃饮。
若肝脾湿热，宜加味逍遥散。
肾气丸
熟地黄 菟丝子（各八两） 当归身（三两五钱） 肉苁蓉（五两，酥炙） 山萸肉（二两五钱）
黄柏（酒炒） 知母（酒炒，各一钱） 破故纸（酒炒，五两）
上为末，酒糊丸，空心淡盐汤下五七十丸。
滋肾丸
知母（酒炒） 黄柏（酒炒，各一两） 肉桂（五钱）
为末，水丸梧子大，空心白汤下百丸。
五苓散
白术（蜜炙） 茯苓 猪苓（各一钱） 泽泻（一钱二分） 肉桂（五分）
水煎服。
知柏四物汤
熟地黄 当归 白芍 川芎 黄芩 知母 黄柏（各一钱）
水煎，温服。
黄芩清肺饮
山栀仁（炒，二钱） 黄芩（一钱）
水煎服。如不利加盐豉二十粒。
清胃散
生地黄（一钱五分） 升麻 当归 丹皮（各一钱） 黄连（一钱五分）（夏月加倍）
水煎服。
加味逍遥散
当归 白芍 白术（蜜炙） 茯神 柴胡（各一钱） 甘草（五分） 丹皮 山栀仁（炒，各七分） 姜（三片）
水煎服。
胎儿在母腹中啼哭，声音如同钟声，称为“子啼”。这是因为母亲腹中有肿块（疙瘩），胎儿含在口中。当母亲举手向高处取物时，肿块从胎儿口中脱出，因此导致啼哭，听起来像钟声。古方使用黄连浓煎汁，让孕妇服用即可停止。另一种方法：将铜钱撒在地上，让孕妇弯腰就地拾取钱币，这样肿块就会重新进入胎儿口中，啼哭自然停止，这种方法更为奇妙。
妊娠三到五个月期间，突然失音不能说话，称为“子喑”。这是因为胞宫的络脉阻滞所致。因为胞宫络脉连接于肾少阴经脉，贯通肾脏并系连舌根，所以不能言语。这种情况并非药物可以治愈，等到十月期满，母子分娩后，自然能够说话，不需要用药治疗。
妊娠八到九个月时，小便不通畅，这是因为气虚不能托举胎儿，胎体压迫膀胱，使膀胱位置偏斜，膀胱系膜扭曲，尿液无法排出，称为“转胞”。如果胎儿被托起，悬于中央，膀胱系膜舒展，则水道自行通畅，适宜使用参术饮。如果在饱食后损伤了气机与胎系，胎系虚弱不能自行托举，向下压迫膀胱，导致尿闭、腹部肿胀者，适宜使用参术二陈汤。又一种方法：将孕妇倒立竖起，则胎儿自然坠转复位，尿液自然流出，也很奇妙。
参术饮
人参、白术（蜜炙）、当归、熟地黄、白芍、川芎、陈皮、半夏（姜制、炒黄）、炙甘草（各二钱）
生姜（三片）、大枣（两枚）
用水煎煮，空腹服用。服药后用手指探喉催吐，待气息平稳后再服再吐（目的是升提气机，上窍通利则下窍自通）。
参术二陈汤
人参、白术（蜜炙）、当归、白芍、陈皮、半夏（姜汁制、炒黄）、炙甘草（各一钱）
用水煎煮服用。
妊娠因酒色过度，内伤胞门，热邪积聚于膀胱，导致小便淋沥涩痛，心烦闷乱，称为“子淋”。如果淋痛涩少，适宜使用安荣散。如果因房劳内伤而小便不利，适宜使用肾气丸。如果气虚导致尿量短少，适宜使用补中益气汤（方剂见前文“子气”条中）。血虚导致涩少，适宜使用滋肾丸。热结膀胱导致不利，适宜使用五苓散。如果肝肾虚热导致成淋，适宜使用知柏四物汤。如果肺经郁热，适宜使用黄芩清肺饮。如果因膏粱厚味饮食不当，适宜使用清胃饮。如果肝脾湿热，适宜使用加味逍遥散。
肾气丸
熟地黄、菟丝子（各八两）、当归身（三两五钱）、肉苁蓉（五两，酥炙）、山萸肉（二两五钱）
黄柏（酒炒）、知母（酒炒，各一钱）、破故纸（酒炒，五两）
以上研为细末，用酒糊制作丸药，空腹时用淡盐汤送服五七十丸。
滋肾丸
知母（酒炒）、黄柏（酒炒，各一两）、肉桂（五钱）
研为细末，用水泛丸如梧桐子大，空腹时用白开水送服一百丸。
五苓散
白术（蜜炙）、茯苓、猪苓（各一钱）、泽泻（一钱二分）、肉桂（五分）
用水煎煮服用。
知柏四物汤
熟地黄、当归、白芍、川芎、黄芩、知母、黄柏（各一钱）
用水煎煮，温服。
黄芩清肺饮
山栀仁（炒，二钱）、黄芩（一钱）
用水煎煮服用。如果不通利，加盐豉二十粒。
清胃散
生地黄（一钱五分）、升麻、当归、丹皮（各一钱）、黄连（一钱五分）（夏季加倍）
用水煎煮服用。
加味逍遥散
当归、白芍、白术（蜜炙）、茯神、柴胡（各一钱）、甘草（五分）、丹皮、山栀仁（炒，各七分）、生姜（三片）
用水煎煮服用。
Fetal crying in the womb, with a sound like a bell, is called "Zi Ti" (Fetal Crying). This occurs because there is a mass in the mother's abdomen that the fetus holds in its mouth. When the mother raises her hand to reach for something high up, the mass falls out of the fetus's mouth, causing it to cry as if hearing a bell sound. Ancient prescriptions use concentrated decoction of Huanglian (Coptidis Rhizoma), which the pregnant woman drinks to stop the crying. Another method: scatter coins on the ground and have the pregnant woman bend down to pick them up from the floor; this causes the mass to re-enter the fetus's mouth, and the crying stops spontaneously. This method is even more ingenious.
During the third to fifth months of pregnancy, sudden loss of voice and inability to speak is called "Zi Yin" (Pregnancy Aphonia). This is due to the obstruction of the collateral vessels of the Bao Organ (Uterus). The collateral vessels of the Bao Organ connect to the Shaoyin Meridian of the Kidney, which passes through the Kidney and connects to the root of the tongue; hence, speech is impaired. This condition cannot be cured by medicine alone. Wait until the tenth month is full and delivery occurs; then speech will return naturally. Medication is not necessary.
In the eighth or ninth month of pregnancy, difficulty in urination occurs due to Qi deficiency failing to support the fetus. The weight of the fetus compresses the Paopao (Urinary Bladder), displacing it to one side, causing the bladder ligaments to twist and preventing urine discharge. This is called "Zhuan Bao" (Displaced Bladder). If the fetus is lifted and suspended centrally, the bladder ligaments relax, and the urinary pathway opens spontaneously. Shen Zhu Yin (Ginseng and Atractylodes Decoction) is indicated. If excessive eating damages Qi and the fetal ligaments, causing the weakened ligaments to fail in supporting the fetus, leading to downward compression of the bladder, urinary retention, and abdominal swelling, Shen Zhu Er Chen Tang (Ginseng, Atractylodes, and Two-Chen Decoction) is indicated. Another method: invert the pregnant woman vertically; the fetus will naturally shift position, and urine will flow out spontaneously. This is also effective.
Shen Zhu Yin
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix), Shudihuang (Rehmanniae Radix Praeparata), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Tuberum, ginger-processed, stir-browned), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 2 qian).
Jiang (Zingiberis Rhizoma Recens, 3 slices), Zao (Jujubae Fructus, 2 pieces).
Decoct in water and take on an empty stomach. After taking, induce vomiting with a finger. Wait for Qi to settle, then take again and induce vomiting again (to raise and lift Qi; when the upper orifices are unblocked, the lower orifices naturally open).
Shen Zhu Er Chen Tang
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Tuberum, ginger juice-processed, stir-browned), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 1 qian).
Decoct in water and take.
Excessive indulgence in alcohol and sexual activity during pregnancy damages the Bao Men (Gate of the Uterus) internally, causing heat to accumulate in the Pangguang (Urinary Bladder). This leads to dribbling and painful urination, accompanied by mental restlessness and irritability. This is called "Zi Lin" (Pregnancy Strangury). If there is painful, scanty urination, Anrong San (Anrong Powder) is indicated. If internal injury from sexual exertion causes difficult urination, Shenqi Wan (Kidney-Qi Pill) is indicated. If Qi deficiency causes shortness of urine volume, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is indicated (formula see previous section on Zi Qi). If Blood deficiency causes scanty, obstructed urination, Zishen Wan (Nourish-Kidney Pill) is indicated. If heat binds in the Pangguang causing obstruction, Wuling San (Five-Ingredient Powder with Poria) is indicated. If Liver and Kidney deficient heat causes strangury, Zhibai Siwu Tang (Anemarrhena, Phellodendron, and Four Substances Decoction) is indicated. If Lung meridian stagnant heat is present, Huangqin Qingfei Yin (Scutellaria Lung-Clearing Decoction) is indicated. If caused by rich, greasy food intake, Qingwei Yin (Stomach-Clearing Decoction) is indicated. If Liver and Spleen damp-heat is present, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is indicated.
Shenqi Wan
Shudihuang (Rehmanniae Radix Praeparata), Tusizi (Cuscutae Semen) (each 8 liang), Dangguishen (Angelicae Sinensis Radix, root body) (3.5 liang), Rongzong (Cynomorii Herba, processed with butter) (5 liang), Shanyurou (Corni Fructus) (2.5 liang).
Huangbai (Phellodendri Cortex, wine-fried), Zhimu (Anemarrhenae Rhizoma, wine-fried) (each 1 qian), Poguzhi (Cibotii Rhizoma, wine-fried) (5 liang).
Grind into powder, make pills with wine paste. Take 50-70 pills on an empty stomach with light salt water.
Zishen Wan
Zhimu (Anemarrhenae Rhizoma, wine-fried), Huangbai (Phellodendri Cortex, wine-fried) (each 1 liang), Rougui (Cinnamomi Cortex) (5 qian).
Grind into powder, make water pills the size of wutong seeds. Take 100 pills on an empty stomach with plain warm water.
Wuling San
Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fuling (Poria), Zhuling (Polypori Umbilicati Mycelium) (each 1 qian), Zexie (Alismatis Rhizoma) (1.2 qian), Rougui (Cinnamomi Cortex) (0.5 qian).
Decoct in water and take.
Zhibai Siwu Tang
Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex) (each 1 qian).
Decoct in water and take warm.
Huangqin Qingfei Yin
Shanzhiren (Gardeniae Semen, stir-fried) (2 qian), Huangqin (Scutellariae Radix) (1 qian).
Decoct in water and take. If urination is not smooth, add Yanchi (Sal Fermentatum) 20 grains.
Qingwei San
Shengdihuang (Rehmanniae Radix), Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix), Danpi (Moutan Cortex) (each 1 qian), Huanglian (Coptidis Rhizoma) (1.5 qian) (double dose in summer).
Decoct in water and take.
Jiawei Xiaoyao San
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fushen (Poria with Hostwood), Chaihu (Bupleuri Radix) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian), Danpi (Moutan Cortex), Shanzhiren (Gardeniae Semen, stir-fried) (each 0.7 qian), Jiang (Zingiberis Rhizoma Recens, 3 slices).
Decoct in water and take.