妊娠伤风，皆由于天气寒暄不一，或暴寒暴热，人失防范，起居不慎，即鼻塞流涕，微嗽恶风，常作
喷嚏，与伤寒之轻者相似。但伤寒恶寒，此则恶风有间耳，宜香苏散去香附，加葱豉。咳嗽多痰加桔梗，
或紫苏饮加葱豉安胎为妙。嗽兼泻，气口脉滑实有力，中有宿食者，胃苓汤去苍术，俟脾胃调，方理其嗽。
予谓伤风咳嗽，总不如浓煎葱头汤为上。盖风药皆能堕胎，故嗽喘胎寒，多用连须葱汤，大能安胎散气，
胎始无虞，或加香豉犹妙。若不喘者，紫苏饮加砂仁、童便。
香苏散（见本卷霍乱门。） 紫苏饮（见本卷安胎门。） 胃苓汤（见本卷泄泻门。）
妊娠伤食，多由脾胃中气虚弱，不能运化，故东垣云∶脾胃之气壮，则过时不
饥，多食而不伤。盖胃主司纳，脾主消化。凡素常脾胃虚弱，饮食难化，以白术、陈皮等分为末，神曲糊
丸，常服最善。枳术丸但可暂用，枳实峻厉，能耗正气，治者慎之。又经云∶饮食自倍，肠胃乃伤。若饮
食不节，生冷浓味恣性食啖，致伤脾胃，若投以峻剂，则脾胃复伤，而胎亦损。且胎以脾胃为主，脾胃
强则胎系如悬钟而不坠，若伤食不化则脾困而胎不能固矣。故凡治消食导滞，皆先以补脾健胃为主，
兼推扬谷气，则饮食自化。若徒事消克，使脾伤而又伤，化源之机告竭，胎元犹易于堕耳。予治伤食，用
砂仁合四君子汤，或香砂四君合平胃散，屡获有效。世有用平胃散本方治孕妇伤食，此必少壮村妇，粗
粘滞之食，填滞于中，肚腹作痛，不得不平其胃土。如富贵之家，皆美食恣啖，脏气素娇，未有不兼补而施
治也。况平胃散加以朴硝，即为下胎峻剂，用者可不慎乎？予再考方书，有用六君子汤为主，分别肉、面、
米、鱼腥、辛热、生冷所伤，而加以山楂、麦芽、酒曲、陈皮、黄连、砂仁、木香，视其所因而加入，甚
为稳妥。如伤肉食，加山楂于六君子汤内，余以类推。
四君子汤（见本卷胎逆上逼门。） 平胃散六君子汤（俱见本卷诸痛门。）
妊娠期间伤风，多因天气寒热变化无常，或突然受寒受热，人体缺乏防范，起居不慎，从而导致鼻塞流涕、轻微咳嗽、怕风，经常打喷嚏，这与轻度的伤寒症状相似。但伤寒是恶寒（怕冷），而此症则是恶风（怕风吹），二者有所区别。治疗宜用香苏散去掉香附，加入葱白和豆豉。如果咳嗽痰多，可加桔梗；或者使用紫苏饮加入葱白和豆豉以安胎，这是较好的方法。如果咳嗽兼有腹泻，且气口脉象滑实有力，体内有宿食停滞，可用胃苓汤去掉苍术，待脾胃调理好后，再治疗咳嗽。我认为对于伤风引起的咳嗽，总不如浓煎葱头汤效果最好。因为风药大多能导致堕胎，所以对于咳嗽气喘伴有胎寒的情况，多用带须的葱汤，大能安胎并疏散气滞，胎儿才无危险，或者加入香豉更为奇妙。如果不气喘，可用紫苏饮加入砂仁和童便。
妊娠期间伤食，多由脾胃中气虚弱，不能运化食物所致，所以李东垣说：“脾胃之气强壮，就能超过正常进食时间而不觉得饥饿，吃得多也不会受伤。”大概胃主受纳，脾主消化。凡是平时脾胃虚弱，饮食难以消化的，可以用白术和陈皮等分为末，用神曲糊制成丸剂，常服效果最好。枳术丸只能暂时使用，因为枳实药性峻烈，会耗损正气，医者需谨慎。又经书云：“饮食过量一倍，肠胃就会受伤。”如果饮食不节制，恣意食用生冷和浓味厚腻的食物，导致损伤脾胃，若投用峻猛的药物，则脾胃再次受伤，胎儿也会受损。况且胎儿以脾胃为主，脾胃强健则胎儿像悬挂的钟一样稳固不坠，如果伤食不化，则脾困顿而胎儿不能固摄。所以凡是治疗消食导滞，都应以补脾健胃为主，兼以推扬谷气，那么饮食自然化解。如果只是单纯从事消克（攻伐积滞），使脾脏受伤而又受伤，化源之机告竭，胎儿就容易堕落。我治疗伤食，常用砂仁合四君子汤，或者香砂四君合平胃散，屡获有效。世上有用平胃散本方治疗孕妇伤食的，这必定是年轻力壮的农村妇女，因粗粘滞涩的食物填塞阻滞于中焦，导致肚腹疼痛，不得不平其胃土。如果是富贵人家，都是美食恣意食用，脏腑之气素来娇嫩，没有不兼用补益法来治疗的。况且平胃散加上朴硝，就是下胎的峻猛药剂，使用者能不谨慎吗？我再考证方书，有用六君子汤为主，分别根据肉、面、米、鱼腥、辛热、生冷所伤，而加入山楂、麦芽、酒曲、陈皮、黄连、砂仁、木香，视其病因加入，非常稳妥。如伤肉食，在六君子汤内加山楂，其余以此类推。
Wind-cold invasion during pregnancy is mostly caused by irregular changes in weather temperature, or sudden exposure to cold or heat. If people fail to take precautions and are careless in their daily life, they may experience nasal congestion, runny nose, slight cough, aversion to wind, and frequent sneezing. These symptoms resemble mild cases of Shanghan (Cold Damage). However, while Shanghan involves aversion to cold, this condition involves aversion to wind, which distinguishes the two. The appropriate treatment is Xiangsu San (Fragrant Perilla Powder) with Xiangfu removed, plus Congchi (Scallion and Fermented Soybean). If there is much phlegm due to cough, add Jiegeng (Platycodon Root); or use Zisu Yin (Perilla Decoction) with Congchi added for fetal stabilization, which is excellent. If cough is accompanied by diarrhea, and the Qi Kou pulse at the wrist is slippery, full, and forceful, indicating retained food in the stomach, use Weiling Tang (Gastrointestinal Regulating Decoction) without Cangzhu. Once the spleen and stomach are regulated, then treat the cough. I believe that for coughs caused by wind-cold, thickly decocted Scallion Head Soup is superior. Since wind-dispelling herbs can often cause miscarriage, for cough and wheezing accompanied by fetal coldness, a decoction of scallions with roots is widely used; it greatly stabilizes the fetus and disperses qi stagnation, ensuring no danger to the fetus. Adding Xiangchi (Fermented Soybean) is even better. If there is no wheezing, use Zisu Yin with Sharen (Amomum Fruit) and Tongbian (Child's Urine).
Food retention during pregnancy is mostly due to weakness of the middle qi of the spleen and stomach, leading to an inability to transform and transport nutrients. Therefore, Li Dongyuan stated: "If the qi of the spleen and stomach is strong, one will not feel hungry past normal meal times and can eat more without injury." Generally, the stomach governs reception, and the spleen governs digestion. For those who usually have weak spleen and stomach function and difficulty digesting food, equal parts of Baizhu (Atractylodes Macrocephala Rhizome) and Chenpi (Tangerine Peel) can be ground into powder, made into pills with Shenqu (Medicated Leaven) paste, and taken regularly for best results. Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill) should only be used temporarily; Zhishi (Immature Bitter Orange) is harsh and can consume healthy qi, so practitioners must exercise caution. Another classic states: "If food intake doubles, the intestines and stomach will be injured." If dietary habits are irregular, and one indulges in raw, cold, or rich flavors, damaging the spleen and stomach, using harsh purgatives will further injure the spleen and stomach and harm the fetus. Moreover, the fetus relies on the spleen and stomach as its foundation; when these organs are strong, the fetus remains stable like a suspended bell. If food retention leads to spleen dysfunction, the fetus cannot be secured. Therefore, in treating food stagnation, the primary approach should always be tonifying the spleen and strengthening the stomach, while promoting the movement of grain qi, so that food digests naturally. If one merely employs draining methods, injuring the spleen repeatedly, the source of transformation will be exhausted, making miscarriage easy. In my treatment of food retention, I frequently use Sharen combined with Sijunzi Tang (Four Gentlemen Decoction), or Xiangsha Sijunzi combined with Pingwei San (Stomach-Pacifying Powder), achieving consistent success. Some use Pingwei San alone to treat pregnant women with food retention; this applies only to robust rural women whose coarse, sticky foods cause abdominal pain, requiring the pacification of stomach earth. For wealthy families who indulge in fine foods, their visceral qi is inherently delicate, and treatment must include tonification. Furthermore, adding Xiaomingxiao (Mirabilite) to Pingwei San creates a harsh formula for inducing abortion; users must be extremely cautious. Upon reviewing medical texts, another method uses Liujunzi Tang (Six Gentlemen Decoction) as the base, adding specific herbs based on the type of food ingested: ShanZha (Hawthorn Fruit) for meat, Maiya (Sprouted Barley) for noodles/rice, Jiuqu (Wine Qu) for fermented items, Chenpi for fish/fowl odors, Huanglian (Coptis Rhizome) for spicy/hot foods, and Muxiang (Aucklandia Root) for cold/raw foods. This approach is very safe. For example, if meat is consumed, add ShanZha to Liujunzi Tang; other cases follow this logic.