妇人肠覃似孕，乃寒气客于肠外，与卫气相搏，气不得荣，因有所系，瘕而内着，恶气乃起， 肉
乃生。其始生大如鸡卵，稍以益大，状如怀子，按之则坚，推之则移，月事以时下。此结气大肠，为气病而
血不病，故月事不断，当用散气之剂治之。其蓄血似孕，因多郁怒，经闭不月，腹渐大，初时人以为孕，
至过月不产，诸证渐见。此蓄血子门，为血病，当破血药下之。
凡孕妇出痘，热能动胎，胎落则气血衰败，而不能起发灌浆矣。故始终以安胎为主，外用细软之帛紧兜
肚上，切不可用丁、桂燥热之品，及食牛虱毒物之类，以致触犯。其条芩、白术、艾叶、砂仁之类，与痘
相宜者采而用之。其初发热，则以参苏饮发之。痘即出后，则多服安胎饮保之。渴者，则用人参白术散加减。泻者，
则用黄芩汤合四君子汤，内加诃子。血虚者，则以四物汤加托药。色灰白而起发较迟者，则用十全大补汤
去桂服之。总之，不问轻重，悉以清热安娠为主。更有孕妇出痘，正当盛时忽临正产者，势必气血俱虚，
亦只以十全大补汤大补气血为主。虚寒者，少加熟附。若腹中微痛者。此恶露未尽也，宜四物汤加干姜、
桂心、木香、黑豆，用熟地黄而去芍药。盖恐寒凉，有伤生气，然有当用者，酒炒用之。若寒战切牙，腹胀
不渴，而足冷身热者，此乃脾胃内虚，外作假热也，宜参、 、归、附、木香之类，一二剂而愈者吉，不
愈者凶。若孕妇肥胖者，则气居于表而慊于内也，人参可多，黄 宜少，多加带壳缩砂，切忌脱蒂果子之
类。至有痘将收靥，忽作泄泻，口渴饮水，小便短少，其痘胖壮红润者，此内热也，宜用五苓散，内加黄芩、
芍药之类。若至滑泻不止，食少腹胀而足冷。痘色灰白，脉细无力者，此犯五虚必死之证也。凡妇人方产
之后，或半月左右，适逢出痘者，此无胎孕系累，惟气血尚虚，治宜大补营卫为主。若痘出多者，则加连
翘、粘子之类。大便自利者，则用肉果、炮姜之类。余即照常一例而治，不必多疑，反生他误。至于孕妇
出痘，在于初
出之时胎落者，则血气虽为大虚，然热毒亦因走泄，兼之未经起胀灌浆，则血气未曾外耗，倘痘非险逆，
加以大补托里，每多得生。至于收靥之时胎落者，则毒已出表消散，亦多无事，但重虚而元气易脱，倍宜
补益耳。若正当起胀灌浆而胎落者，则气血衰败，内外两虚，既不能逐毒以外出，则毒必乘虚而内攻，
其为不救者多矣。
黄芩汤 治热痢。
黄芩 炙草 芍药（各等分） 大枣（五七枚）
水煎服。
参苏饮（见本卷喘急门。） 安胎饮四物汤（俱见本卷安胎门。） 人参白术散（见本
卷泄泻门。） 四君子汤（见本卷胎逆上逼门。） 十全大补汤（见本卷胎不长养门。）
五苓散（见本卷泄泻门，附四苓散下。）
妇人患肠覃（肠道外的肿块）症状类似怀孕，是因为寒气侵入肠外，与卫气相互搏结，导致气机运行不畅，因而有所附着，形成瘕块并内着于体内，恶气由此产生，赘肉随之生长。其初生时大小如鸡蛋，逐渐增大，形状如同怀胎，按压时感觉坚硬，推动时可以移动，月经仍然按时来潮。这是气结于大肠，属于气病而血未受病，所以月经不断，应当使用行气散结的方剂治疗。
蓄血（瘀血停滞）症状类似怀孕，多因长期抑郁或愤怒所致，导致经闭不来，腹部逐渐变大，起初人们误以为是怀孕，直到过了预产期仍未分娩，各种症状逐渐显现。这是瘀血阻滞子门（子宫口），属于血病，应当使用破血逐瘀的药物攻下。
凡是孕妇出痘疹，热邪会扰动胎元，若胎堕则气血衰败，痘疹就不能正常起发和灌浆。因此治疗始终以安胎为主，外用细软的布带紧紧兜住腹部，切不可使用丁香、肉桂等燥热之品，以及食用牛虱等有毒食物，以免触犯禁忌。对于黄芩、白术、艾叶、砂仁等与痘疹病情相宜的药物，可以选用服用。在初期发热时，用参苏饮发散；痘疹发出后，则多服安胎饮以保护胎元。口渴者，用人参白术散加减治疗；腹泻者，用黄芩汤合四君子汤，内部加入诃子；血虚者，用四物汤加入托毒透疹的药物；痘色灰白且起发较迟者，用十全大补汤去掉肉桂后服用。总之，无论病情轻重，都以清热安胎为主。
另有孕妇出痘，正值痘疹旺盛之时突然临盆分娩，势必导致气血俱虚，此时也只以十全大补汤大补气血为主。若属虚寒证，少量加入熟附子。如果腹中轻微疼痛，这是恶露未尽的表现，适宜用四物汤加入干姜、桂心、木香、黑豆，使用熟地黄而去除芍药。这是因为担心寒凉药物伤害生气，然而如果有必须使用的情况，可用酒炒制的方法处理。如果出现寒战咬牙、腹胀不渴、脚冷身热的症状，这是脾胃内部虚弱，外部表现为假热，适宜用人参、[缺失字]、当归、附子、木香等药物，一二剂后痊愈为吉，不愈则为凶兆。
如果孕妇体型肥胖，则是气浮于表而内部亏虚，人参用量可稍多，黄芪用量宜少，多加带壳的缩砂仁，切忌食用脱蒂的果子之类。等到痘疹即将收靥（结痂脱落）时，忽然出现泄泻、口渴饮水、小便短少，但痘疹饱满壮实、红润，这是内热所致，适宜用五苓散，内部加入黄芩、芍药等药物。如果发展到滑泻不止、饮食减少、腹胀且脚冷、痘色灰白、脉象细无力的情况，这是犯了“五虚”的死证。
凡是妇女刚生产后，或者半个月左右，恰好遇到出痘疹的，因为没有胎孕的牵累，只是气血尚且虚弱，治疗应以大补营卫为主。如果痘疹较多，则加入连翘、粘子等药物。大便自利（自然通畅）的，则用肉果、炮姜等药物。其余情况就按照常规方法治疗，不必过多疑虑，反而产生其他误治。
至于孕妇出痘，在痘疹初出之时胎堕的，虽然气血大为虚弱，但热毒也因胎落而走泄，加之痘疹未经过起胀灌浆阶段，气血未曾向外耗损，倘若痘疹不是险逆重症，加以大补托里之法，往往能够保全母子性命。至于痘疹收靥之时胎堕的，则毒气已出于体表消散，大多没有危险，但身体极度虚弱，元气容易脱失，更应加倍注意补益。如果正值痘疹起胀灌浆之时胎堕的，则气血衰败，内外两虚，既然不能驱逐毒气向外排出，毒气必定乘虚向内攻陷，这种情况大多无法救治。
黄芩汤：治疗热痢。
药材：黄芩、炙甘草、芍药（各等分）、大枣（五至七枚）。
用法：水煎服。
参苏饮（见本卷喘急门）。安胎饮、四物汤（均见本卷安胎门）。人参白术散（见本卷泄泻门）。四君子汤（见本卷胎逆上逼门）。十全大补汤（见本卷胎不长养门）。五苓散（见本卷泄泻门，附于四苓散之下）。
Intestinal polyps (a type of abdominal mass) in women may resemble pregnancy. This condition arises when cold pathogenic factors invade the exterior of the intestines and contend with Wei Qi (Defensive Qi), causing Qi circulation to stagnate. Consequently, the pathogen becomes fixed, forming a mass that adheres internally, generating malignant Qi and leading to the growth of flesh. Initially, the mass is as small as a chicken egg, gradually enlarging until it resembles pregnancy. It feels firm upon palpation but can be moved upon pushing. Menstruation continues to occur at regular intervals. This indicates Qi stagnation in the large intestine; it is a disease of Qi rather than Blood, hence menstruation remains unimpeded. Treatment should employ formulas that dissipate Qi stagnation.
Accumulation of Blood (stasis) resembling pregnancy often results from chronic depression or anger, leading to amenorrhea and gradual abdominal enlargement. Initially mistaken for pregnancy, various symptoms emerge when delivery does not occur past the expected time. This represents blood stasis obstructing the Zi Men (cervical os); it is a disease of Blood and should be treated with blood-breaking purgatives.
In cases where pregnant women develop smallpox, heat pathogens can disturb the Fetus. If the Fetus miscarries, Qi and Blood will decline, preventing the rash from erupting and filling with pus. Therefore, the primary treatment principle throughout is to calm the Fetus. Externally, soft cloth should be used to tightly support the abdomen. One must strictly avoid hot and drying herbs such as Ding Xiang (Caryophylli Flos, Clove) and Gui Xin (Cinnamomi Ramulus, Cinnamon Twig), as well as toxic foods like niu shi (likely referring to specific toxic insects or substances). Herbs suitable for smallpox, such as Huang Qin (Scutellariae Radix, Scutellaria Root), Bai Zhu (Atractylodis Rhizoma, Atractylodes Rhizome), Ai Ye (Artemisiae Argyi Folium, Mugwort Leaf), and Sha Ren (Amomi Fructus, Amomum Fruit), should be selected and administered. During the initial fever stage, Shen Su Yin (Ginseng and Perilla Decoction) is used to induce sweating and release the exterior. After the eruption, An Tai Yin (Fetus-Calming Decoction) should be taken frequently to protect the Fetus. For thirst, Ren Shen Bai Zhu San (Ginseng and Atractylodes Powder) is modified. For diarrhea, Huang Qin Tang (Scutellaria Decoction) combined with Si Jun Zi Tang (Four Gentlemen Decoction) is used, with He Zi (Terminalia Chebulae Fructus, Chebulic Myrobalan) added internally. For Blood deficiency, Si Wu Tang (Four Substances Decoction) is used with herbs that support the expulsion of toxins. If the rash is grayish-white and erupts slowly, Shi Quan Da Bu Tang (Comprehensive Great Tonic Decoction) is used without Gui Xin (Cinnamon Twig). In summary, regardless of severity, the main strategy is to clear heat and calm the pregnancy.
In another scenario, if a pregnant woman develops smallpox and goes into labor during the peak of the eruption, both Qi and Blood will inevitably become deficient. The primary treatment should be Shi Quan Da Bu Tang (Comprehensive Great Tonic Decoction) to greatly tonify Qi and Blood. If there are signs of deficiency-cold, a small amount of Shu Fu Zi (Prepared Aconite Lateralis Radix, Prepared Child Root of Aconite) is added. If there is mild abdominal pain, this indicates that lochia has not yet cleared. Si Wu Tang (Four Substances Decoction) is prescribed with Gan Jiang (Zingiberis Rhizoma, Dried Ginger), Gui Xin (Cinnamon Twig), Mu Xiang (Aucklandiae Radix, Costus Root), and Hei Dou (Sojae Semen Nigrum, Black Soybean), using Shu Di Huang (Rehmanniae Radix Praeparata, Prepared Rehmannia Root) instead of Shao Yao (Paeoniae Radix, Peony Root). This is done to avoid cold-natured herbs damaging the vital Qi; however, if necessary, these herbs should be processed with wine. If chills, teeth grinding, abdominal distension, lack of thirst, cold feet, and body heat occur, this indicates internal deficiency of the Spleen and Stomach with external false heat. Herbs such as Ren Shen (Ginseng Radix, Ginseng Root), [missing character], Dang Gui (Angelicae Sinensis Radix, Dong Quai Root), Fu Zi (Aconiti Lateralis Radix Preparata, Prepared Aconite Root), and Mu Xiang (Costus Root) are appropriate. Recovery within one to two doses is auspicious; otherwise, it is ominous.
For obese pregnant women, Qi floats on the surface while the interior is deficient. Ren Shen (Ginseng Root) dosage can be higher, while Huang Qi (Astragali Radix, Astragalus Root) should be lower. More Su Sha (Amomi Fructus Rotundus, Round Amomum Fruit) with the shell should be added. Avoid fruits detached from their stems. When the smallpox is about to crust over, sudden diarrhea, thirst with drinking, and scanty urine may occur. If the pustules are plump, robust, and red, this indicates internal heat. Wu Ling San (Five-Ingredient Powder with Poria) is used, with Huang Qin (Scutellaria Root) and Shao Yao (Peony Root) added. If sliding diarrhea persists, food intake decreases, abdominal distension occurs, feet are cold, the rash is grayish-white, and the pulse is fine and forceless, this constitutes the "Five Deficiencies" syndrome, which is fatal.
For women who develop smallpox shortly after childbirth or around half a month postpartum, there is no fetal burden, only Qi and Blood deficiency. Treatment should focus on greatly tonifying Ying (Nutritive) and Wei (Defensive) Qi. If there are many pustules, add Lian Qiao (Forsythiae Fructus, Forsythia Fruit) and Zhan Zi (likely referring to a specific seed/herb, possibly Phaleriae Semen or similar). If bowel movements are normal/loose, use Rou Guo (Myristicae Semen, Nutmeg) and Pao Jiang (Zingiberis Rhizoma Recens, Fried Ginger). Other conditions are treated according to standard protocols without excessive doubt to avoid further errors.
If the Fetus miscarries during the initial eruption phase of smallpox in a pregnant woman, although Qi and Blood are severely deficient, the heat-toxin is also released due to the miscarriage. Since the rash has not yet undergone swelling and pus-filling stages, the Qi and Blood have not been externally exhausted. If the smallpox is not severe or adverse, comprehensive tonic and supporting treatments often result in survival. If the Fetus miscarries during the crusting phase, the toxin has already emerged and dissipated externally, so there is usually no danger, but extreme deficiency makes Yuan Qi (Primal Qi) prone to collapse, requiring doubled emphasis on tonification. If the Fetus miscarries precisely during the swelling and pus-filling phase, Qi and Blood are depleted, resulting in both internal and external deficiency. Unable to expel the toxin outward, the toxin will attack inward due to the deficiency, and most cases are incurable.
Huang Qin Tang (Scutellaria Decoction): Treats heat-dysentery.
Ingredients: Huang Qin (Scutellaria Root), Zhi Cao (Prepared Licorice Root), Shao Yao (Peony Root) (equal parts); Da Zao (Jujube Fruit) (5-7 pieces).
Administration: Decoct in water and take orally.
Shen Su Yin (see Asthma and Urgency section in this volume). An Tai Yin (Fetus-Calming Decoction), Si Wu Tang (Four Substances Decoction) (both see Fetus-Calming section in this volume). Ren Shen Bai Zhu San (see Diarrhea section in this volume). Si Jun Zi Tang (see Upward Pressure of Fetus section in this volume). Shi Quan Da Bu Tang (see Fetal Malnutrition section in this volume). Wu Ling San (see Diarrhea section in this volume, attached under Si Ling San).