恶阻者，谓有胎气恶心阻其饮食也。妊娠禀受怯弱，中脘宿有痰饮，便有阻病。其证颜色如故，脉
息平和，但觉多卧少起，肢体沉重，头目昏眩，恶闻食气，喜啖酸咸，或嗜一物，或大吐，或时吐痰与
清水。甚者或作寒热，心中愦闷，呕吐痰水，胸膈烦满，恍惚不能支持。此皆胃气弱，而兼痰与气滞者
也。亦有素本不虚，而一受胎孕，则冲任上壅，气不下行，故呕逆者。又有由经血既闭，水渍于脏，脏
气不宣通，故心烦愦闷，气逆而呕吐。及三月余而呕吐渐止。盖三月，相火化胎之候，未能上食于母，
血气未用，五味不化，中气壅实，其为郁滞痰火秽恶之气，尽冲于胃，所以有恶阻等证。及三月后，胎元
渐大，则脏气仅供胎气，不有郁滞，自无暇上逆矣。亦有不拘强弱，间有不病者何也？凡妇人无病，不
分强弱俱能受孕。怀子病月，不在形之强弱，在于脏腑虚实。如中宫气健，胃中宿无痰饮，清浊自能
升降，不令秽气上壅，自无恶阻等证，即俗谓胎气好也。又妇人怀子，喜食酸咸果
实为何？盖阴阳交合，受胎于肾，生化于肝，二脏皆供给于胎，则肝肾不足，故喜食酸咸以自救也。以
上诸证，轻者不须服药，乃常病也。重者须少药调之，宜用加味参橘饮。考之古人有用半夏茯苓汤、茯苓
丸，专治恶阻。又有用白术散、人参丁香散、人参橘皮汤、醒脾饮，其中不用半夏，恐胎初结，半夏性
能动胎，虑其辛燥易散。但恶阻又非半夏不止，须姜汁炒，以制其毒，故仲景用人参半夏干姜丸，
罗谦甫用半夏茯苓汤，朱丹溪谓肥人多痰，瘦人多火，用二陈加减，治胎前恶阻，痰逆呕吐，心烦、头
眩、恶食俱效，经云有故无殒是也。立斋云∶半夏乃健脾气化痰滞主药，脾胃虚弱呕吐或痰涎壅滞，饮食
少，胎不安，必用半夏茯苓汤，倍加白术安胎健脾，常用甚验也。恶阻兼腰痛者，防胎堕下，犹宜二陈、
四物加条芩、白术和中理脾为主，不可升举，盖呕逆气已上升，再用升药，则犯有升无降，上更实而下
更虚，益促其堕矣。再若左脉弱而呕，服诸药不止者，当服理血归原药则愈，经云无阴则呕是也。后选
备诸方，用者择取可耳。
加味参橘饮 治孕成两三月后，恶阻呕逆恶食，或头眩晕倦怠者。
人参（一钱） 归身（酒洗） 白术（土炒。各二钱） 半夏（八分，制） 橘红 藿香 炙草（
各四分） 砂仁（三分，碎） 竹茹（一团）
加姜一片，水煎服。肥人加竹沥一盏，姜汁一匙。
止呕安胎饮 治孕妇呕吐，百药不效，服此即愈。
人参 青皮（麸炒。各五分） 广皮 半夏（制） 白茯苓（各八分） 吴茱萸（汤泡去黄水，
微炒） 炙草（各三分）
加煨姜三片，水煎，徐徐温服。
归原散 治妊娠恶阻，呕吐不止，头痛，全不入食，服诸药不止者。
人参 川芎 归身 白芍 丁香 炙草（各五钱） 茯苓 白术（土炒） 陈皮（各一两五钱）
半夏（一两，制） 桔梗（炒） 枳壳（麸炒。各二钱五分）
共为细末。引用姜五片，枣一枚，水煎调，每服三钱。方内丁香不若易以砂仁
或豆蔻为稳，如果胃寒之甚，用者亦详慎之。
自此以下诸方，出自《济阴纲目》择录以备采用。
参橘散 治妊娠恶阻，吐逆痰水，不食，心虚烦闷。
人参 橘皮（去白） 茯苓 麦冬（去心） 白术（土炒） 浓朴（姜汁制。各一钱） 炙草
（五分） 竹茹（一团）
引加生姜三片，水煎服。
青竹茹汤 治妊娠恶阻，呕吐不食。（此方清而不寒。）
竹茹（弹子大一团） 橘皮 白茯苓（各一钱五分） 半夏（制） 生姜（各二钱）
水煎，温服。忌羊肉、鸡、鱼、面食。《全书》加梗米一撮。
橘皮汤 治妊娠呕吐，不下食。
人参 竹茹 橘皮 白术（土炒。各二钱） 生姜（一钱） 浓朴（一钱五分，制）
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。
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，制） 藿香叶 甘草（各二钱）
上为细末，每服二钱，不拘时，沸汤调下。
保生汤 治妊娠恶阻，少食呕吐，或兼吐泻作渴。
人参（一钱） 白术（土炒） 香附（制） 橘红 乌梅（一方作乌药） 炙草（各五分）
加生姜，水煎服。觉恶心呕吐，加丁香。予谓不若易砂仁七粒为稳。吐泻作渴则效在乌梅矣。作乌药者非。
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，
百节烦痛，羸瘦有痰，胎孕不牢。
人参 白术（土炒） 茯苓 陈皮（各一钱） 熟地（胸满者去之） 旋覆花（无痰涎不用）
桔梗 半夏（汤泡七次，姜汁炒黄） 白芍（酒炒） 川芎 炙草（各五分）
加生姜三片，水煎，空心服。《千金方》无旋覆花，有紫苏叶、细辛。有
热，加炒黄芩。有客热烦渴、口疮，去橘皮、细辛，加前胡、酒炒知母七分。若腹冷下利，去地黄，加
炒桂心五分。桂心炒用即不堕胎，然非真腹冷下利者不宜。若气逆作胀者，加麸炒枳壳、苏梗、制香附。
小和中饮 治妊妇胎气滞满，饮食停滞作胀。
陈皮 茯苓 浓朴（姜汁制。各一钱五分） 山楂 扁豆（炒。各二钱） 炙草（五分）
水一钟半，加生姜三五片，煎服。如呕者，加制半夏一二钱。如胀满气不顺者，加砂仁七八分。如火
郁于上者，加焦栀子一二钱。如妇人气逆血滞者，加紫苏梗、制香附之属。
以下二方出《全书·新方》，录之以备采择。
六味异功煎 治妊妇胃虚兼寒多呕者。
人参（二三钱） 白术（土炒） 茯苓（各二钱） 干姜（一二钱，炒黄） 陈皮 炙草（各一钱）
水一钟半，煎服。
理阴煎（附附子理阴煎，六味回阳饮。） 治妊妇肝肾阳虚作呕者。此理中汤之变方也。
熟地（三五七钱，或一二两） 当归（二三钱，或五七钱） 干姜（一二三钱，炒黄） 炙草（一二钱）
水二钟，煎七八分，热服。治杂证，此方内或加肉桂一二钱。加制附子，即名附子理阴煎；再加人参，
即名六味回阳饮，治命门火衰，阴中无阳等证。
良方半夏茯苓汤 治妊娠脾胃虚弱，饮食不化，呕吐不止。
半夏（汤泡七次，姜汁炒黄） 陈皮 砂仁（炒。各一钱） 茯苓（二钱） 炙草（五分）
上用姜、枣、乌梅，水煎服。有煎服一二剂后用茯苓丸。
茯苓丸 治妊娠烦闷头晕，闻食吐逆，或胸腹痞闷。
人参 赤茯苓 桂心 橘红 半夏（汤泡七次，姜汁炒黄） 干姜（炮。各一两） 白术（土炒） 枳
壳（麸炒） 炙草（各二两）
上为末，炼蜜丸，梧子大。每服五十丸，米饮空心下，日三服。必脉迟证寒方用姜、桂，用者宜
详审之。上原方有葛根二两，似非所宜，故不开入方中。一方加去心麦冬。《肘后方》加北五味子。
苦柚单方 治妊妇恶阻，呕吐不食，头晕不敢行步。
苦柚皮（不拘多少）
上一味浓煎汤，饮数盏即愈。吐甚者，加姜汁。
恶阻，是指怀孕后胎气上逆，导致恶心、阻碍饮食的病证。如果孕妇先天禀赋虚弱，中脘部位素有痰饮停滞，就会发生这种病。其症状表现为面色如常，脉象平和，但感觉嗜睡少动，肢体沉重，头晕目眩，厌恶食物气味，喜欢品尝酸咸口味，或者特别嗜好某种食物，有时剧烈呕吐，有时吐出痰液和清水。病情严重的，会出现寒热往来，心中烦乱闷塞，呕吐痰水，胸膈部烦热胀满，精神恍惚难以支撑。这些都是由于胃气虚弱，兼有痰湿和气机阻滞所致。也有的人原本体质不虚，一旦受孕，冲任二脉之气上壅，气机不能下行，所以发生呕逆。还有的是因为月经停止后，水湿浸渍脏腑，脏气宣通不畅，所以心烦闷乱，气机上逆而呕吐。到了怀孕三个月左右，呕吐逐渐停止。这是因为三个月时，是相火化生胎儿的阶段，胎儿尚未能摄取母体营养，气血未被大量消耗，五味之精未能完全转化，中焦气机壅实，那些郁滞的痰火秽浊之气，全部冲犯于胃，所以出现恶阻等症状。等到三个月以后，胎儿逐渐长大，脏腑之气主要供给胎儿生长，不再产生郁滞，自然也就没有气机上逆的情况了。也有人不分体质强弱，偶尔有不发病的，这是为什么呢？凡是健康的妇女，不论体质强弱都能受孕。怀孕后是否发病，不在于形体的强弱，而在于脏腑的虚实。如果中焦脾胃之气健旺，胃中没有宿存的痰饮，清阳上升、浊阴下降的功能正常，不让秽浊之气上壅，自然就没有恶阻等症状，这就是俗称的“胎气好”。另外，妇女怀孕后喜欢吃酸咸水果是什么原因呢？这是因为阴阳交合，受孕于肾，生化源于肝，肝肾两脏都供给胎儿营养，因此肝肾相对不足，所以喜欢吃酸咸之物来自救。以上各种症状，轻者不需要服药，属于常见病症。重者需要用少量药物调理，适宜使用加味参橘饮。考察古人的记载，有用半夏茯苓汤、茯苓丸专门治疗恶阻的。又有用白术散、人参丁香散、人参橘皮汤、醒脾饮的，这些方剂中不用半夏，是因为担心胎儿初结，半夏药性可能动胎，顾虑其辛燥容易耗散胎元。但是恶阻又非半夏不能止住，必须用姜汁炒制，以制约其毒性，所以张仲景用人参半夏干姜丸，罗谦甫用半夏茯苓汤，朱丹溪认为肥胖人多痰，消瘦人多火，用二陈汤加减治疗胎前恶阻引起的痰逆呕吐、心烦、头晕、厌食等症，效果显著，正如《内经》所说“有故无殒”（有病则病受之，不伤正气）。薛立斋说：半夏是健脾化痰的主药，对于脾胃虚弱引起的呕吐或痰涎壅滞、饮食减少、胎动不安，必须用半夏茯苓汤，加倍加入白术以安胎健脾，常用非常有效。如果恶阻伴有腰痛，要防止流产，仍宜用二陈汤、四物汤加上黄芩、白术，以和中理脾为主，不可使用升提药，因为呕逆之气已经上升，再用升提药，就会造成“有升无降”，上部更实而下部更虚，反而加速流产。如果再出现左脉弱且呕吐，服用各种药物无效的情况，应当服用理血归原药才能痊愈，正如《内经》所说“无阴则呕”。后面选录了各种方剂，使用者可以根据情况选择。
加味参橘饮：治疗怀孕两三个月后，恶阻呕逆、厌食，或者头晕眩晕、倦怠乏力。
人参（一钱） 当归身（酒洗） 白术（土炒，各二钱） 半夏（八分，炮制） 橘红 藿香 炙甘草（各四分） 砂仁（三分，捣碎） 竹茹（一团）
加生姜一片，水煎服。体型肥胖者加竹沥一盏，姜汁一匙。
止呕安胎饮：治疗孕妇呕吐，百药无效，服用此方即愈。
人参 青皮（麸炒，各五分） 广陈皮 半夏（炮制） 白茯苓（各八分） 吴茱萸（汤泡去黄水，微炒） 炙甘草（各三分）
加煨姜三片，水煎，慢慢温服。
归原散：治疗妊娠恶阻，呕吐不止，头痛，完全无法进食，服用各种药物无效的情况。
人参 川芎 当归身 白芍 丁香 炙甘草（各五钱） 茯苓 白术（土炒） 陈皮（各一两五钱） 半夏（一两，炮制） 桔梗（炒） 枳壳（麸炒，各二钱五分）
共研为细末。引用生姜五片，大枣一枚，水煎调服，每次服三钱。方中的丁香不如换成砂仁或豆蔻稳妥，如果是胃寒特别严重的，使用者也要详细审慎。
自此以下的方剂，出自《济阴纲目》，择录以备采用。
参橘散：治疗妊娠恶阻，吐逆痰水，不进食，心虚烦闷。
人参 橘皮（去白） 茯苓 麦冬（去心） 白术（土炒） 厚朴（姜汁制，各一钱） 炙甘草（五分） 竹茹（一团）
引药加生姜三片，水煎服。
青竹茹汤：治疗妊娠恶阻，呕吐不进食。（此方性质清利而不寒凉。）
竹茹（弹子大一团） 橘皮 白茯苓（各一钱五分） 半夏（炮制） 生姜（各二钱）
水煎，温服。忌食羊肉、鸡肉、鱼类、面食。《全书》加粳米一撮。
橘皮汤：治疗妊娠呕吐，不能进食。
人参 竹茹 橘皮 白术（土炒，各二钱） 生姜（一钱） 厚朴（一钱五分，炮制）
水煎服。恶阻厌食责之于脾虚，呕吐责之于有火，所谓各种逆气冲上，都属于火。此方中竹茹能平抑少火，厚朴能降逆气，橘皮、生姜用来开胃，人参、白术用来补益脾气，开胃益脾，目的是让患者能够安稳地接受谷食。
二香散：治疗妊娠胎动不安，气机升降失常，呕吐酸水，起坐觉得身体沉重。
香附子（一两，炮制） 藿香叶 甘草（各二钱）
研为细末，每次服二钱，不限时间，用沸水冲服。
保生汤：治疗妊娠恶阻，食欲少、呕吐，或者兼有吐泻口渴。
人参（一钱） 白术（土炒） 香附（炮制） 橘红 乌梅（一方作乌药） 炙甘草（各五分）
加生姜，水煎服。感到恶心呕吐，加丁香。我认为不如换成七粒砂仁稳妥。吐泻口渴则乌梅见效。用乌药的不对。
半夏茯苓汤：治疗妊娠恶阻，呕吐心烦，头晕目眩，厌恶食物气味，喜好酸咸，多卧少起，全身关节烦痛，消瘦有痰，胎孕不牢固。
人参 白术（土炒） 茯苓 陈皮（各一钱） 熟地黄（胸满者去掉） 旋覆花（无痰涎不用） 桔梗 半夏（汤泡七次，姜汁炒黄） 白芍（酒炒） 川芎 炙甘草（各五分）
加生姜三片，水煎，空腹服。《千金方》没有旋覆花，有紫苏叶、细辛。有热者，加炒黄芩。有客热烦渴、口疮者，去橘皮、细辛，加前胡、酒炒知母七分。若腹部冷、下利，去地黄，加炒桂心五分。桂心炒用就不堕胎，然而如果不是真正的腹冷下利者不宜使用。若气逆腹胀者，加麸炒枳壳、苏梗、制香附。
小和中饮：治疗妊妇胎气滞满，饮食停滞导致腹胀。
陈皮 茯苓 厚朴（姜汁制，各一钱五分） 山楂 扁豆（炒，各二钱） 炙甘草（五分）
水一钟半，加生姜三五片，煎服。如果呕吐，加制半夏一二钱。如果胀满气不顺，加砂仁七八分。如火郁于上者，加焦栀子一二钱。如果妇人气逆血滞，加紫苏梗、制香附之类。
以下两个方剂出自《全书·新方》，录之以备采择。
六味异功煎：治疗妊妇胃虚兼寒多呕吐者。
人参（二三钱） 白术（土炒） 茯苓（各二钱） 干姜（一二钱，炒黄） 陈皮 炙甘草（各一钱）
水一钟半，煎服。
理阴煎（附附子理阴煎，六味回阳饮）：治疗妊妇肝肾阳虚作呕者。这是理中汤的变方。
熟地黄（三五七钱，或一二两） 当归（二三钱，或五七钱） 干姜（一二三钱，炒黄） 炙甘草（一二钱）
水二钟，煎至七八分，热服。治疗杂证，此方内可加肉桂一二钱。加制附子，即名附子理阴煎；再加人参，即名六味回阳饮，治疗命门火衰，阴中无阳等证。
良方半夏茯苓汤：治疗妊娠脾胃虚弱，饮食不化，呕吐不止。
半夏（汤泡七次，姜汁炒黄） 陈皮 砂仁（炒，各一钱） 茯苓（二钱） 炙甘草（五分）
上用生姜、大枣、乌梅，水煎服。有煎服一二剂后用茯苓丸的用法。
茯苓丸：治疗妊娠烦闷头晕，闻食吐逆，或者胸腹痞闷。
人参 赤茯苓 桂心 橘红 半夏（汤泡七次，姜汁炒黄） 干姜（炮，各一两） 白术（土炒） 枳壳（麸炒） 炙甘草（各二两）
研为末，炼蜜为丸，梧桐子大。每次服五十丸，米汤送服，空腹服，每日三次。必须是脉迟证寒才用姜、桂，使用者宜详细审察。原方中有葛根二两，似乎不太适宜，所以未列入方中。一方加去心麦冬。《肘后方》加北五味子。
Ezu (Morning Sickness) refers to the condition where, after conception, the fetal qi rebels upward, causing nausea and obstructing food intake. If a pregnant woman has a congenital weak constitution and phlegm-fluid retention in the epigastrium, this disease occurs. The symptoms include a normal facial complexion, a peaceful pulse, but a feeling of excessive sleepiness with little rising, heavy limbs, dizziness and vertigo, aversion to food odors, a preference for sour and salty tastes, or a specific craving for certain foods; sometimes there is severe vomiting, or occasional vomiting of phlegm and clear fluid. In severe cases, there may be alternating chills and fever, mental restlessness and oppression, vomiting of phlegm and water, heat and fullness in the chest and diaphragm, and mental confusion making it hard to endure. These are all due to weak Stomach Qi combined with phlegm-dampness and Qi stagnation. There are also cases where the person was not originally deficient, but upon conception, the Chong and Ren vessels become congested upward, preventing Qi from descending, thus causing vomiting and rebellion. Another type arises because after menstruation ceases, water dampness infiltrates the Zang organs, preventing their Qi from circulating freely, leading to mental irritability and oppression, rebellious Qi, and vomiting. By around three months of pregnancy, vomiting gradually subsides. This is because at three months, the phase fire transforms into the fetus; the fetus cannot yet nourish itself from the mother, blood and Qi are not heavily utilized, and the essence of the five flavors is not fully transformed. The middle Jiao Qi becomes congested and solid, so the stagnant phlegm-fire and turbid foul Qi rush to the Stomach, causing symptoms like Ezu. After three months, as the fetal origin grows larger, the Zang organ Qi is mainly supplied to the fetus, there is no longer stagnation, and naturally, there is no rebellious Qi. Some women, regardless of strength, occasionally do not get sick. Why? Healthy women can conceive regardless of physical strength. Whether illness occurs during pregnancy depends not on physical strength but on the deficiency or excess of the Zang-Fu organs. If the Middle Jiao Spleen-Stomach Qi is robust, and there is no retained phlegm-fluid in the Stomach, the clear Yang ascends and turbid Yin descends normally, preventing turbid Qi from congesting upward, thus avoiding Ezu; this is what is commonly called "good fetal Qi." Furthermore, why do pregnant women crave sour and salty fruits? This is because yin and yang intersect, conception occurs in the Kidney, and transformation originates in the Liver; both the Liver and Kidney supply nutrients to the fetus, leading to relative insufficiency in these two organs, hence the craving for sour and salty items to self-nourish. For the above symptoms, mild cases require no medication and are common conditions. Severe cases require slight medicinal adjustment, suitable for Jiawei Shenzhu Yin (Modified Ginseng and Tangerina Peel Decoction). Examining ancient records, Banxia Fuling Tang (Pinellia and Poria Decoction) and Fuling Wan (Poria Pill) were used specifically for Ezu. Others used Baizhu San (Atractylodes Powder), Renshen Dingxiang San (Ginseng and Clove Powder), Renshen Jupi Tang (Ginseng and Tangerine Peel Decoction), and Xingpi Yin (Spleen-Awakening Drink); these formulas did not use Banxia (Pinelliae Rhizoma) because it was feared that early in conception, Banxia's nature might disturb the fetus, and its acrid-warm dryness might scatter the fetal essence. However, Ezu cannot be stopped without Banxia; it must be stir-fried with ginger juice to mitigate its toxicity. Thus, Zhang Zhongjing used Renshen Banxia Ganjiang Wan (Ginseng, Pinellia, and Dried Ginger Pill), Luo Qianfu used Banxia Fuling Tang, and Zhu Danxi stated that fat people tend to have phlegm while thin people tend to have fire; he used Erchen Tang (Two-Chen Decoction) modified to treat pre-natal Ezu with phlegm-rebellion, vomiting, mental irritability, dizziness, and anorexia, which was effective, as the Classic states: "If there is a cause, there is no destruction" (Yougu wuyun). Xue Lizhai said: Banxia is the main herb for strengthening Spleen Qi and transforming phlegm stagnation. For vomiting due to Spleen-Stomach weakness, or phlegm-saliva congestion, reduced diet, and unstable fetus, one must use Banxia Fuling Tang, doubling the Baizhu (Atractylodis Macrocephalae Rhizoma) to stabilize the fetus and strengthen the Spleen; this is often very effective. If Ezu is accompanied by lower back pain, fearing miscarriage, one should still use Erchen Tang and Siwu Tang (Four-Substance Decoction) plus Huangqin (Scutellariae Radix) and Baizhu, focusing on harmonizing the middle and regulating the Spleen. One must not use ascending herbs, because since the rebellious Qi is already rising, using ascending drugs would create a situation of "ascending without descending," making the upper part more solid and the lower part more deficient, thereby accelerating miscarriage. If the left pulse is weak and vomiting persists despite various medicines, one should take Lixue Guiyuan Yao (Blood-Regulating Return-to-Origin Medicine) to cure it, as the Classic states: "Without Yin, there is vomiting." Various formulas are selected below for users to choose from.
Jiawei Shenzhu Yin (Modified Ginseng and Tangerina Peel Decoction): Treats Ezu, vomiting, rebellion, and anorexia after two to three months of pregnancy, or dizziness, vertigo, and fatigue.
Renshen (Ginseng Radix et Rhizoma) (1 qian), Danggui Shen (Angelicae Sinensis Radix body) (wine-washed), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried, each 2 qian), Banxia (Pinelliae Rhizoma) (8 fen, processed), Juhong (Citri Reticulatae Pericarpium Rubrum), Huoxiang (Agastaches Herba), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 4 fen), Sharen (Amomi Fructus) (3 fen, crushed), Zhuru (Bambusae Caulis in Taenia) (one ball).
Add one slice of fresh ginger, decoct in water and take orally. For obese persons, add one liang of Zhuli (Bambusae Caulis in Taenia Juice) and one spoonful of Jiangzhi (Zingiberis Recens Juice).
Zhiou Antai Yin (Vomiting-Stopping and Fetus-Stabilizing Drink): Treats pregnant women's vomiting, ineffective with other medicines, cured by taking this.
Renshen (Ginseng Radix et Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride) (bran-stir-fried, each 5 fen), Guangpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma) (processed), Baifuling (Poria) (each 8 fen), Wuzhuyu (Evodiae Fructus) (soaked in water to remove yellow liquid, slightly stir-fried), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 3 fen).
Add three slices of baked ginger, decoct in water, and take slowly warm.
Guiyuan San (Return-to-Origin Powder): Treats pregnancy Ezu, continuous vomiting, headache, complete inability to eat, and ineffectiveness of various medicines.
Renshen (Ginseng Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui Shen (Angelicae Sinensis Radix body), Baishao (Paeoniae Radix Alba), Dingxiang (Caryophylli Flos), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 5 qian), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried), Chenpi (Citri Reticulatae Pericarpium) (each 1 liang 5 qian), Banxia (Pinelliae Rhizoma) (1 liang, processed), Jiegeng (Platycodonis Radix) (stir-fried), Zhike (Aurantii Fructus Immaturus) (bran-stir-fried, each 2 qian 5 fen).
Grind into fine powder. Use five slices of ginger and one jujube as guides, decoct in water to mix, take 3 qian per dose. It is steadier to replace Dingxiang (Caryophylli Flos) with Sharen (Amomi Fructus) or Doukou (Amomi Fructus). If stomach cold is severe, users should exercise caution.
The following formulas are selected from *Jiyin Gangmu* for reference.
Shenzhu San (Ginseng and Tangerina Peel Powder): Treats pregnancy Ezu, vomiting phlegm-water, anorexia, and mental emptiness with irritability.
Renshen (Ginseng Radix et Rhizoma), Jupi (Citri Reticulatae Pericarpium) (white pith removed), Fuling (Poria), Maidong (Ophiopogonis Radix) (heart removed), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried), Houpo (Magnoliae Officinalis Cortex) (ginger juice processed, each 1 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (5 fen), Zhuru (Bambusae Caulis in Taenia) (one ball).
Guide with three slices of fresh ginger, decoct in water and take orally.
Qingzhuru Tang (Green Bamboo Sheath Decoction): Treats pregnancy Ezu, vomiting and anorexia. (This formula is clearing but not cold.)
Zhuru (Bambusae Caulis in Taenia) (size of a bullet egg, one ball), Jupi (Citri Reticulatae Pericarpium), Baifuling (Poria) (each 1 qian 5 fen), Banxia (Pinelliae Rhizoma) (processed), Shengjiang (Zingiberis Rhizoma Recens) (each 2 qian).
Decoct in water, take warm. Avoid mutton, chicken, fish, and wheat noodles. *Quan Shu* adds a pinch of Jingmi (Oryza Sativa Germ).
Jupi Tang (Tangerina Peel Decoction): Treats pregnancy vomiting and inability to eat.
Renshen (Ginseng Radix et Rhizoma), Zhuru (Bambusae Caulis in Taenia), Jupi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried, each 2 qian), Shengjiang (Zingiberis Rhizoma Recens) (1 qian), Houpo (Magnoliae Officinalis Cortex) (1 qian 5 fen, processed).
Decoct in water and take orally. Ezu and anorexia are attributed to Spleen deficiency; vomiting is attributed to Fire. As stated, "All rebellious rushing upward belongs to Fire." In this formula, Zhuru (Bambusae Caulis in Taenia) pacifies the minor fire, Houpo (Magnoliae Officinalis Cortex) directs rebellious Qi downward, Jupi (Citri Reticulatae Pericarpium) and Shengjiang (Zingiberis Rhizoma Recens) open the appetite, and Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) benefit the Spleen. Opening the appetite and benefiting the Spleen aims to allow stable grain intake.
Erxiang San (Two-Aromatic Powders): Treats pregnancy fetal movement insecurity, abnormal Qi ascent and descent, vomiting sour water, and heaviness when sitting or standing.
Xiangfu (Cyperi Rhizoma) (1 liang, processed), Huoxiang (Agastaches Herba), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Grind into fine powder, take 2 qian per dose, at any time, mixed with boiling water.
Baosheng Tang (Life-Preserving Decoction): Treats pregnancy Ezu, reduced appetite and vomiting, or accompanied by vomiting/diarrhea and thirst.
Renshen (Ginseng Radix et Rhizoma) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried), Xiangfu (Cyperi Rhizoma) (processed), Juhong (Citri Reticulatae Pericarpium Rubrum), Wumei (Mume Fructus) (one version uses Wuyao), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 5 fen).
Add fresh ginger, decoct in water and take orally. If feeling nauseous and vomiting, add Dingxiang (Caryophylli Flos). I suggest replacing it with seven grains of Sharen (Amomi Fructus) for stability. For vomiting/diarrhea and thirst, Wumei (Mume Fructus) is effective. Using Wuyao is incorrect.
Banxia Fuling Tang (Pinellia and Poria Decoction): Treats pregnancy Ezu, vomiting and mental irritability, dizziness and vertigo, aversion to food odors, preference for sour/salty, excessive lying down with little rising, joint烦痛 (pain and discomfort), emaciation with phlegm, and insecure pregnancy.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Shudi (Rehmanniae Radix Preparata) (remove if chest fullness exists), Xuanfuhua (Inulae Flos) (omit if no phlegm-saliva), Jiegeng (Platycodonis Radix), Banxia (Pinelliae Rhizoma) (soaked in water seven times, stir-fried with ginger juice until yellow), Baishao (Paeoniae Radix Alba) (wine-stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 5 fen).
Add three slices of fresh ginger, decoct in water, take on an empty stomach. *Qianjin Fang* lacks Xuanfuhua (Inulae Flos) but includes Zisuye (Perillae Folium) and Xixin (Asari Radix et Rhizoma). If there is heat, add Chao Huangqin (Scutellariae Radix stir-fried). If there is external heat with irritability/thirst or mouth ulcers, remove Jupi (Citri Reticulatae Pericarpium) and Xixin (Asari Radix et Rhizoma), add Qianhu (Peucedani Radix) and Jiuzhi Zhimu (Anemarrhenae Rhizoma wine-stir-fried, 7 fen). If abdomen is cold with diarrhea, remove Shudi (Rehmanniae Radix Preparata), add Chao Guixin (Cinnamomi Cortex stir-fried, 5 fen). Stir-fried Guixin (Cinnamomi Cortex) does not cause miscarriage, but is unsuitable unless there is true abdominal cold and diarrhea. If Qi rebellion causes bloating, add Bran-stir-fried Zhike (Aurantii Fructus Immaturus), Sugeng (Perillae Caulis), and Zhi Xiangfu (Cyperi Rhizoma processed).
Xiaohe Zhong Yin (Minor Harmonizing Middle Drink): Treats pregnant women's fetal Qi stagnation and fullness, food stagnation causing bloating.
Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Houpo (Magnoliae Officinalis Cortex) (ginger juice processed, each 1 qian 5 fen), Shanzha (Crataegi Fructus), Biandou (Dolichoris Semen) (stir-fried, each 2 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (5 fen).
One zhong and a half of water, add 3-5 slices of fresh ginger, decoct and take. If vomiting, add Zhi Banxia (Pinelliae Rhizoma processed) 1-2 qian. If bloating and Qi obstruction, add Sharen (Amomi Fructus) 7-8 fen. If fire stagnates upward, add Jiao Zhizi (Gardeniae Fructus charred) 1-2 qian. If the woman has Qi rebellion and Blood stagnation, add Zisu Geng (Perillae Caulis) and Zhi Xiangfu (Cyperi Rhizoma processed).
The following two formulas are from *Quan Shu · Xin Fang*, recorded for reference.
Liuyi Yigong Jian (Six-Ingredient Yi-Gong Decoction): Treats pregnant women with Stomach deficiency combined with cold and frequent vomiting.
Renshen (Ginseng Radix et Rhizoma) (2-3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried), Fuling (Poria) (each 2 qian), Ganjiang (Zingiberis Rhizoma) (1-2 qian, stir-fried yellow), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 1 qian).
One zhong and a half of water, decoct and take.
Liyin Jian (Nourishing Yin Decoction) (Attached: Fuzi Liyin Jian [Aconite Liyin Decoction], Liuwei Huiyang Yin [Six-Ingredient Returning Yang Drink]): Treats pregnant women's Liver-Kidney Yang deficiency causing vomiting. This is a variation of Lizhong Tang (Middle-Regulating Decoction).
Shudi (Rehmanniae Radix Preparata) (3-5-7 qian, or 1-2 liang), Danggui (Angelicae Sinensis Radix) (2-3 qian, or 5-7 qian), Ganjiang (Zingiberis Rhizoma) (1-2-3 qian, stir-fried yellow), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (1-2 qian).
Two zhongs of water, decoct to 70-80%, take hot. For miscellaneous diseases, add Rougui (Cinnamomi Cortex) 1-2 qian. Adding Zhi Fuzi (Aconiti Lateralis Radix Preparata) makes it Fuzi Liyin Jian (Aconite Liyin Decoction); adding Renshen (Ginseng Radix et Rhizoma) makes it Liuwei Huiyang Yin (Six-Ingredient Returning Yang Drink), treating Mingmen fire decline and Yang absence within Yin.
Liangfang Banxia Fuling Tang (Excellent Formula Pinellia and Poria Decoction): Treats pregnancy Spleen-Stomach weakness, undigested food, and continuous vomiting.
Banxia (Pinelliae Rhizoma) (soaked in water seven times, stir-fried with ginger juice until yellow), Chenpi (Citri Reticulatae Pericarpium), Sharen (Amomi Fructus) (stir-fried, each 1 qian), Fuling (Poria) (2 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (5 fen).
Use fresh ginger, jujube, and Wumei (Mume Fructus), decoct in water and take. Some use Fuling Wan (Poria Pill) after 1-2 doses.
Fuling Wan (Poria Pill): Treats pregnancy irritability and dizziness, vomiting upon smelling food, or chest/abdominal stuffiness.
Renshen (Ginseng Radix et Rhizoma), Chi Fuling (Poria with red skin), Guixin (Cinnamomi Cortex), Juhong (Citri Reticulatae Pericarpium Rubrum), Banxia (Pinelliae Rhizoma) (soaked in water seven times, stir-fried with ginger juice until yellow), Ganjiang (Zingiberis Rhizoma) (prepared, each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried), Zhike (Aurantii Fructus Immaturus) (bran-stir-fried), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 2 liang).
Grind into powder, make pills with refined honey, size of wutong seeds. Take 50 pills per dose, with rice water on an empty stomach, three times daily. Only use ginger and cinnamon if the pulse is slow and signs indicate cold; users should examine carefully. The original formula had Gegen (Puerariae Lobatae Radix) 2 liang, which seems inappropriate, so it is excluded. One version adds Maidong (Ophiopogonis Radix) de-heartened. *Zhouhou Fang* adds Bei Wuweizi (Schisandrae Chinensis Fructus).
Kuyou Danfang (Bitter Pomelo Single Herb Formula): Treats pregnancy Ezu, vomiting and anorexia, dizziness making walking difficult.
Kuyou Pi (Pomeridae Exocarpium) (any amount).
One herb, decoct strongly in water, drink several cups to cure. For severe vomiting, add Jiangzhi (Zingiberis Recens Juice).