伤寒 子满 子鸣 子喑 中暑 中湿 泄泻 痢疾 疮毒 无故哭泣
妊妇伤寒 宜清和为主，各随六经所见表里之症治之，切不可与常病伤寒同治，
以致损胎，误
母子性命。凡治伤寒，不拘日数，但见恶寒发热，为病在表。用四味紫苏和胎饮为主。各随
所见之症，加减治之。
紫苏（一钱五分） 白术（一钱五分） 条芩（一钱五分） 甘草（一钱）
如恶寒头痛，项强腰脊痛，此病在太阳膀胱。加
羌活（一钱） 防风（一钱） 川芎（一钱） 本（一钱）
葱，连根须三根，姜引，盖被取汗。如恶寒不发热，只头痛鼻干，或项强，此病在阳明
胃，本
方加葛根、白芷、防风等分，葱白三根，淡豆豉一撮，煎服汗解。如寒热往来，头眩或呕，
或心下烦，或胸胁满，此病在少阴胆，加柴胡一钱，人参一钱。呕加半夏八分。胸胁满，加
枳壳一钱，桔梗一钱。头眩，加川芎一钱，姜引。如发热恶寒，咳嗽甚者，此病在手太阴脾
，
加人参、干姜（炙）、白芍（酒炒）各一钱，姜枣引。如恶寒蜷卧，发热手足冷，此病在足少阴
肾，加独活一钱，熟地一钱，细辛一钱，姜枣引。如恶寒手足厥冷，唇口青，遍身痛，如被
杖头顶痛，此病在足厥阴肝，加炒当归一钱，炒吴茱萸一钱，羌活一钱，细辛一钱，葱连须
三根。姜枣引。
凡治伤寒不拘日数，但无恶寒头痛，只发热口燥，咽干而渴，此病邪在里。用黄龙汤为
主。（此汤出《活人书》，并治头痛，胁痛，呕逆。）
柴胡（一钱） 黄芩（一钱） 人参（一钱） 甘草（一钱）
如发热口渴，小便不利，此病在手足太阳，小肠膀胱腑病也，加白术一钱五分，猪苓一
钱，
泽泻一钱，赤苓一钱，木通一钱。如发热大渴，此病在手足阳明胃、大肠也，加知母一钱，
石膏二钱，淡竹叶一把，粳米一撮。如大热大渴烦躁，大便不通，此病在足阳明胃府也，去
人参，加枳实一钱（炒)，大黄一钱（煨)，芒硝一钱，姜引，以利水为度。如发热口渴，
心烦不得眠，或干呕，此病在足少阳胆，加麦冬、花粉、栀子、枣仁各一钱，竹肉一大丸。
如发热而渴，腹中痛自利，此病在足太阴脾，加白术一钱，白芍一钱，阿胶一钱，白茯苓一
钱，姜枣引。如发热而渴，自利不止，手足冷，此病在少阴肾，去柴胡，加干姜一钱（炒)
，赤石脂一钱，白茯苓一钱，砂仁一钱，姜枣引。如发热而渴，痢浓血，手足冷，
此病在足厥阴肝，加当归一钱，白芍一钱（酒炒)，白术一钱，茯
苓一钱，乌梅引。
凡伤寒瘥后，调理失宜，复发热者，此劳复也，用黄龙汤加知母一钱，麦冬一钱，石膏
二钱
，淡竹叶、粳米引，取汁。如因饮食失节，复发热者，此食复也，用前四味柴苏和胎饮，加
炒枳实，炒黄连，陈皮、神曲（煨)，姜枣引。若时行天气传染者，根据上法分六经表里治之
；或于初病之时，用败毒散，加和胎药解之。
人参 羌活 柴胡 茯苓 前胡 甘草 川芎 桔梗 枳壳 黄芩 苏叶 葛根 生姜
葱白引，取汁。
凡伤寒热不解，遍身发斑，赤如锦纹，加味化斑汤治之。
人参（一钱) 知母（一钱) 石膏（二钱) 甘草（一钱) 黄芩（一钱) 栀子仁（一钱) 生
地（一钱） 淡竹叶（二十片） 豆豉（半合）
水煎服。
妊妇子满 孕妇至七八个月，其胎长大，腹大胀满，逼迫子户，坐卧不安，（名
曰子满。）束胎饮主之。
白术（一钱五分） 黄芩（一钱五分） 苏叶（一钱五分） 枳壳（一钱五分） 大腹皮（一钱
五分）
炙甘（三分） 带壳砂仁（炒，五分）
姜引。
妊妇子鸣 孕妇欠身，或向高处取物，子在腹中失脱口中所含 ，故啼，（曰
子鸣。）治法令母作男子拜；或豆散在地，令母拾之，子含着不啼。
妊妇子喑 妊至八九个月，忽然声喑不语，（名曰子喑。）由少阴之脉，下养乎胎
，不能上荣于舌之故。俟十月生子后，自能复声，非病也。可服药，勿信庸医妄利。
妊妇中暑 其病发热而渴自汗，精神昏愦，四肢倦怠少气，用清暑和胎饮
。
炙黄 （一钱） 人参（一钱） 炙甘草（一钱） 白术（一钱） 黄芩（一钱） 黄连（一钱）
知母（一钱） 麦冬（一钱） 北五味（十粒）
妊孕中湿 或冒雨；或早行感雾露之气；或久居湿地；或大汗出；取冷水洗浴。
其症发热骨节痛，身体重，头痛鼻塞，用黄芩白术汤。
条芩（五钱） 白术（五钱） 苏叶（二钱五分） 姜（五片）
妊妇泄泻 凡妊妇泄泻，以补中安胎为主，用四君子汤加白术一钱。如发热而泻
为热，加黄
芩一钱；不渴为寒，加炮姜五分，乌梅一个；如久泻大渴，加葛根、木香（炒）、干姜、白
芍（酒炒）、诃子肉、乌梅引。（等分，视症酌。）
妊妇痢疾 凡妊妇痢疾，以清热和胎，行气养血为主，黄芩芍药汤主之。切不可
用大黄、槟榔，以致堕胎。
当归（一钱） 白术（一钱） 黄芩（一钱） 白芍（一钱） 黄连（一钱） 枳壳（一钱） 茯苓
（一钱） 陈皮（一钱） 生甘草（一钱） 木香（五分）
乌梅引。
妊妇疮毒 病乳痈者，托里解毒汤主之。
川芎（一钱） 当归（一钱） 白芷（一钱） 黄芩（一钱） 连翘（一钱） 花粉（一钱） 银花
（一钱） 甘草节（一钱） 青皮（五分） 皂刺（十个）
如背上臀上者，病在阳明，本方去青皮，加升麻一钱，葛根一钱。如胸前两颊生者，病
在少
阳，本方去白芷，加柴胡一钱，胆草一钱，栀子一钱。如背膊腋下生者，病在太阴，加陈皮
，去青皮，又加桔梗一钱，桑白皮一钱，天冬一钱。如在胯下阴旁生者，病在厥阴，本方去
白芷，倍加青皮。如手足掌内生者，病在少阴，本方去白芷、青皮、花粉，加黄连一钱，黄
柏一钱，木通一钱。
凡痈毒，有九处不可治。
一、伏兔（脚背） 二、腓 （音肥善，脚肚间。） 三、背脊中 四、肩俞（夹背两旁）
五、项（对口） 六、胸 七、须 八、髭（音咨） 九、颐
妊妇无故哭泣 凡孕妇忽然无故悲惨哭泣，状如邪祟，此脏躁症也，十枣汤主之。
甘草（三两） 小麦（一升） 大枣（十枚）
水六升，煎三升，去渣。分三服即效，再服竹叶汤主之。
人参（一钱） 麦冬（一钱） 茯苓（一钱） 炙甘草（一钱） 小麦（一合） 青竹肉（一大丸）
姜枣引。
此十症，秘本所无，今从万密斋先生女科中摘出，以补未备，俾学人览之，有蹊径之可
循，不致茫无畔岸。但古云医不执方，又在学人临症凭脉，神而明之，不可胶柱鼓瑟也。
妇人妊娠，宜常服当归散（《金匮》）
当归 川芎 芍药 黄芩 白术
胎动不安，防其堕者，宜服杜仲丸。
杜仲（二两，水炒） 续断（二两，酒洗）
共末，煮红枣肉为丸。每服三十丸，米饮下，空心食远服。并服胡连丸。
胡连丸（安胎圣药也）
条芩（四两，沉水） 白术（二两） 莲肉（去心，二两） 砂仁（一两，微炒） 炙甘（一两）
共末，另用山药五两，米饮煮糊为丸，米饮下。
胎前有血崩之症，安胎饮加后止崩药治之。
【背景信息】
书名：胎产指南 作者：张曜孙 朝代：清 章节：增补胎前十症 类别：妇儿
【待处理原文】
伤寒（外感热病） 子满（妊娠腹大异常） 子鸣（胎儿在腹中啼哭） 子喑（妊娠失音） 中暑（感受暑邪） 中湿（感受湿邪） 泄泻（腹泻） 痢疾（痢疾） 疮毒（疮疡毒素） 无故哭泣（无端悲伤哭泣）
孕妇患伤寒，治疗应以清解调和为主，根据六经（太阳、阳明、少阳、太阴、少阴、厥阴）所表现的表证或里证进行辨证施治，切不可按照普通人的伤寒方法治疗，以免损伤胎儿，危及母子性命。凡是治疗伤寒，不拘泥于患病天数，只要见到恶寒发热，说明病邪在表。以四味紫苏和胎饮为主方。根据所见症状，加减药物进行治疗。
紫苏（一钱五分） 白术（一钱五分） 黄芩（一钱五分） 甘草（一钱）
如果恶寒头痛，颈项强直，腰脊疼痛，这是病在足太阳膀胱经。加羌活（一钱）、防风（一钱）、川芎（一钱）、藁本（一钱），葱连根须三根，生姜为引，盖被取汗。如果恶寒但不发热，只是头痛鼻干，或者颈项强直，这是病在足阳明胃经，原方加葛根、白芷、防风等量，葱白三根，淡豆豉一把，煎服发汗而解。如果寒热往来，头晕目眩或呕吐，或者心下烦闷，或者胸胁胀满，这是病在足少阳胆经，加柴胡一钱，人参一钱。呕吐加半夏八分。胸胁胀满，加枳壳一钱，桔梗一钱。头晕目眩，加川芎一钱，生姜为引。如果发热恶寒，咳嗽严重的，这是病在手太阴肺经（注：原文误作脾，据中医理论及症状应为肺经，此处依原文翻译但保留术语逻辑，通常手太阴指肺），加人参、干姜（炙）、白芍（酒炒）各一钱，生姜大枣为引。如果恶寒蜷缩卧倒，发热且手足冰冷，这是病在足少阴肾经，加独活一钱，熟地黄一钱，细辛一钱，生姜大枣为引。如果恶寒且手足厥冷，嘴唇口唇发青，全身疼痛，像被杖打一样，头顶痛，这是病在足厥阴肝经，加炒当归一钱，炒吴茱萸一钱，羌活一钱，细辛一钱，葱连根须三根，生姜大枣为引。
凡是治疗伤寒不拘泥于患病天数，如果没有恶寒头痛，只有发热、口干、咽干而渴，这是病邪在里。以黄龙汤为主方。（此汤出自《活人书》，也治疗头痛、胁痛、呕吐逆气。）
如果发热口渴，小便不利，这是病在手太阳小肠经和足太阳膀胱经，属于小肠和膀胱腑的病，加白术一钱五分，猪苓一钱，泽泻一钱，赤茯苓一钱，木通一钱。如果发热大渴，这是病在手阳明大肠经和足阳明胃经，加知母一钱，石膏二钱，淡竹叶一把，粳米一把。如果大热大渴烦躁，大便不通，这是病在足阳明胃腑，去掉人参，加枳实一钱（炒），大黄一钱（煨），芒硝一钱，生姜为引，以利下水为度。如果发热口渴，心烦不得睡眠，或者干呕，这是病在足少阳胆经，加麦冬、天花粉、栀子、酸枣仁各一钱，竹茹一大丸。如果发热而渴，腹痛自利（腹泻），这是病在足太阴脾经，加白术一钱，白芍一钱，阿胶一钱，白茯苓一钱，生姜大枣为引。如果发热而渴，腹泻不止，手足冰冷，这是病在足少阴肾经，去掉柴胡，加干姜一钱（炒），赤石脂一钱，白茯苓一钱，砂仁一钱，生姜大枣为引。如果发热而渴，痢下脓血，手足冰冷，这是病在足厥阴肝经，加当归一钱，白芍一钱（酒炒），白术一钱，茯苓一钱，乌梅为引。
凡是伤寒病愈后，调理不当，再次发热的，这是劳复（因劳累复发），用黄龙汤加知母一钱，麦冬一钱，石膏二钱，淡竹叶、粳米为引，取汁服用。如果因为饮食不节制，再次发热的，这是食复（因饮食复发），用前文提到的四味紫苏和胎饮，加炒枳实，炒黄连，陈皮、神曲（煨），生姜大枣为引。如果是时行疫气传染的，根据上述方法分六经表里治疗；或者在初病之时，用败毒散，加和胎药解除病邪。
人参 羌活 柴胡 茯苓 前胡 甘草 川芎 桔梗 枳壳 黄芩 苏叶 葛根 生姜 葱白为引，取汁服用。
凡是伤寒热邪不解，遍身发出斑疹，红得像锦纹一样，用加味化斑汤治疗。
人参（一钱） 知母（一钱） 石膏（二钱） 甘草（一钱） 黄芩（一钱） 栀子仁（一钱） 生地黄（一钱） 淡竹叶（二十片） 豆豉（半合）
水煎服。
孕妇患子满，孕妇到七八个月时，胎儿长大，腹部胀大异常，压迫子宫，坐卧不安，（名叫子满）。以束胎饮为主方。
白术（一钱五分） 黄芩（一钱五分） 苏叶（一钱五分） 枳壳（一钱五分） 大腹皮（一钱五分）
炙甘草（三分） 带壳砂仁（炒，五分）
生姜为引。
孕妇患子鸣，孕妇伸懒腰，或者向高处取物，胎儿在腹中失脱口中所含之物，所以啼哭，（叫做子鸣）。治疗方法是让母亲模仿男子拜礼的动作；或者将豆子撒在地上，让母亲弯腰去拾，胎儿含着豆子就不啼哭了。
孕妇患子喑，怀孕到八九个月，忽然声音嘶哑不能说话，（名叫子喑）。这是因为足少阴肾脉下行滋养胎儿，不能上行荣养舌头的缘故。等到十月分娩后，自然能恢复声音，这不是病。可以服药，不要相信庸医妄用通利之法。
孕妇患中暑，病症表现为发热而渴，自汗，精神昏沉困倦，四肢倦怠，气短乏力，用清暑和胎饮。
炙黄芪（一钱） 人参（一钱） 炙甘草（一钱） 白术（一钱） 黄芩（一钱） 黄连（一钱） 知母（一钱） 麦冬（一钱） 北五味子（十粒）
孕妇患中湿，或者冒雨行走；或者早起行走感受雾露之气；或者久居湿地；或者大汗出后，用冷水洗浴。
其症状表现为发热骨节疼痛，身体沉重，头痛鼻塞，用黄芩白术汤。
孕妇患泄泻，凡是孕妇泄泻，以补中安胎为主，用四君子汤加白术一钱。如果发热而泻为热证，加黄芩一钱；不渴为寒证，加炮姜五分，乌梅一个；如果久泻大渴，加葛根、木香（炒）、干姜、白芍（酒炒）、诃子肉，乌梅为引。（各药等分，视症状酌情调整。）
孕妇患痢疾，凡是孕妇痢疾，以清热和胎，行气养血为主，用黄芩芍药汤。切不可使用大黄、槟榔，以免导致堕胎。
当归（一钱） 白术（一钱） 黄芩（一钱） 白芍（一钱） 黄连（一钱） 枳壳（一钱） 茯苓（一钱） 陈皮（一钱） 生甘草（一钱） 木香（五分）
乌梅为引。
川芎（一钱） 当归（一钱） 白芷（一钱） 黄芩（一钱） 连翘（一钱） 天花粉（一钱） 金银花（一钱） 甘草节（一钱） 青皮（五分） 皂角刺（十个）
如果在背上臀部生的，病在阳明经，原方去掉青皮，加升麻一钱，葛根一钱。如果在胸前两颊生的，病在少阳经，原方去掉白芷，加柴胡一钱，龙胆草一钱，栀子一钱。如果在背膊腋下生的，病在太阴经，加陈皮，去掉青皮，又加桔梗一钱，桑白皮一钱，天冬一钱。如果在胯下阴旁生的，病在厥阴经，原方去掉白芷，加倍增加青皮。如果在手足掌内生的，病在少阴经，原方去掉白芷、青皮、天花粉，加黄连一钱，黄柏一钱，木通一钱。
凡是痈毒，有九处不可治疗。
一、伏兔穴（大腿前侧肌肉隆起处，原文注脚误作脚背，伏兔在大腿） 二、腓肠肌（小腿肚之间） 三、背脊正中 四、肩俞穴（背部两旁） 五、项部（对口疮） 六、胸部 七、胡须部位 八、髭毛部位 九、下巴颐部
孕妇无故哭泣，凡是孕妇忽然无端悲惨哭泣，状如被邪祟附体，这是脏躁症，用十枣汤治疗。（注：原文此处方剂与症状描述可能存在传抄错误或特定流派用法，通常脏躁用甘麦大枣汤，十枣汤为峻下逐水剂，用于悬饮等实证，此处依原文翻译）
水六升，煎至三升，去渣。分三次服用即见效，再服用竹叶汤。
人参（一钱） 麦冬（一钱） 茯苓（一钱） 炙甘草（一钱） 小麦（一合） 青竹茹（一大丸）
这十种病症，秘本中没有记载，现在从万密斋先生的女科著作中摘出，以补充未备之处，使学习者阅览时有路径可循，不至于茫然无方向。但古语说医生不固执于成方，关键在于学习者临证凭脉，神而明之，不可拘泥固执。
妇人妊娠，宜常服当归散（出自《金匮要略》）
当归 川芎 芍药 黄芩 白术
共研为末，煮红枣肉为丸。每次服用三十丸，米饮送下，空腹时远饭服用。并服用胡连丸。
胡连丸（是安胎圣药）
黄芩（四两，沉水者佳） 白术（二两） 莲肉（去心，二两） 砂仁（一两，微炒） 炙甘草（一两）
共研为末，另用山药五两，米饮煮糊为丸，米饮送下。
[Background Information]
Book Title: Taichan Zhinan (Guide to Obstetrics) Author: Zhang Yaosun Dynasty: Qing Chapter: Supplement on Ten Symptoms Before Delivery Category: Gynecology and Pediatrics
[Original Text Processing]
**Shanghan (Cold Damage), Ziman (Excessive Fetal Growth/Abdominal Distension), Ziming (Fetal Crying in Utero), Zi Yin (Pregnancy Aphonia), Zhongshu (Heatstroke), Zhongshi (Dampness Invasion), Xiexie (Diarrhea), Liji (Dysentery), Chuangdu (Sores and Toxins), Wu Gu Kuqi (Unexplained Weeping)**
For pregnant women suffering from Shanghan (Cold Damage), treatment should primarily focus on clearing heat and harmonizing. One must treat according to the exterior or interior syndromes manifested in the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin). It is absolutely crucial not to treat them as ordinary Shanghan cases, as this could damage the fetus and endanger the lives of both mother and child. In treating Shanghan, regardless of the number of days since onset, if chills and fever are present, it indicates the pathogen is at the exterior. The primary formula is Siwei Zisu Hetai Yin (Four-Ingredient Perilla Fetus-Harmonizing Decoction). Adjust the prescription based on the specific symptoms observed.
Perillae Folium (Zi Su Ye, 1.5 qian), Atractylodis Rhizoma (Bai Zhu, 1.5 qian), Scutellariae Radix (Huang Qin, 1.5 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian).
If there are chills, headache, stiff neck, and pain in the lower back and spine, the disease is in the Foot-Taiyang Bladder Channel. Add Notopterygii Rhizoma et Radix (Qiang Huo, 1 qian), Saposhnikoviae Radix (Fang Feng, 1 qian), Chuanxiong Rhizoma (Chuan Xiong, 1 qian), and Ligustici Rhizoma et Radix (Gao Ben, 1 qian). Use three scallions with roots and hairs as a guide, cover with blankets to induce sweating. If there are chills without fever, only headache, dry nose, or stiff neck, the disease is in the Foot-Yangming Stomach Channel. Add Radix Puerariae (Ge Gen), Angelicae Dahuricae Radix (Bai Zhi), and Saposhnikoviae Radix (Fang Feng) in equal parts, along with three white parts of scallions and a handful of Fermented Soybean (Dan Dou Chi), decoct and take to resolve via sweating. If there are alternating chills and fever, dizziness, or vomiting, or subcostal fullness, or chest and hypochondriac fullness, the disease is in the Foot-Shaoyang Gallbladder Channel. Add Bupleuri Radix (Chai Hu, 1 qian) and Ginseng Radix (Ren Shen, 1 qian). For vomiting, add Pinelliae Rhizoma (Ban Xia, 0.8 fen). For chest and hypochondriac fullness, add Aurantii Fructus (Zhi Ke, 1 qian) and Platycodonis Radix (Jie Geng, 1 qian). For dizziness, add Chuanxiong Rhizoma (Chuan Xiong, 1 qian) with ginger as a guide. If there is fever with chills and severe coughing, the disease is in the Hand-Taiyin Lung Channel (Note: Original text says Spleen, but Hand-Taiyin refers to Lung; translated accordingly for medical accuracy while noting original context). Add Ginseng Radix (Ren Shen), Zingiberis Rhizoma (Gan Jiang, roasted), and Paeoniae Radix Alba (Bai Shao, wine-fried) each 1 qian, with ginger and jujube as a guide. If there are chills with curling up, fever, and cold hands and feet, the disease is in the Foot-Shaoyin Kidney Channel. Add Actaeae Rhizoma (Du Huo, 1 qian), Rehmanniae Radix Praeparata (Shu Di Huang, 1 qian), and Asari Radix et Rhizoma (Xi Xin, 1 qian), with ginger and jujube as a guide. If there are chills with cold extremities, cyanosis of lips and mouth, generalized body pain like being beaten, and vertex headache, the disease is in the Foot-Jueyin Liver Channel. Add Fried Angelicae Sinensis Radix (Dang Gui, 1 qian), Fried Evodiae Fructus (Wu Zhu Yu, 1 qian), Notopterygii Rhizoma et Radix (Qiang Huo, 1 qian), and Asari Radix et Rhizoma (Xi Xin, 1 qian), with three scallions with roots and hairs, and ginger and jujube as a guide.
In treating Shanghan, regardless of the days, if there is no chills or headache, but only fever, dry mouth, dry throat, and thirst, the pathogen is in the interior. Use Huanglong Tang (Yellow Dragon Decoction) as the primary formula. (This formula comes from *Huoren Shu* and also treats headache, hypochondriac pain, and vomiting/regurgitation.)
Bupleuri Radix (Chai Hu, 1 qian), Scutellariae Radix (Huang Qin, 1 qian), Ginseng Radix (Ren Shen, 1 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian).
If there is fever, thirst, and difficult urination, the disease involves the Hand-Taiyang Small Intestine and Foot-Taiyang Bladder channels, indicating pathology in the Small Intestine and Bladder fu-organs. Add Atractylodis Rhizoma (Bai Zhu, 1.5 qian), Polyporus (Zhu Ling, 1 qian), Alisma Rhizoma (Ze Xie, 1 qian), Poria (Chi Fu Ling, 1 qian), and Akebiae Caulis (Mu Tong, 1 qian). If there is high fever and extreme thirst, the disease involves the Hand-Yangming Large Intestine and Foot-Yangming Stomach channels. Add Anemarrhenae Rhizoma (Zhi Mu, 1 qian), Gypsum Fibrosum (Shi Gao, 2 qian), Lophatheri Herba (Dan Zhu Ye, one handful), and Oryzae Semen (Jing Mi, a pinch). If there is intense heat, extreme thirst, irritability, and constipation, the disease is in the Foot-Yangming Stomach fu-organ. Remove Ginseng Radix (Ren Shen), add Aurantii Fructus Immaturus (Zhi Shi, fried, 1 qian), Rheum Radix et Rhizoma (Da Huang, baked, 1 qian), and Natrii Sulfas (Mang Xiao, 1 qian), with ginger as a guide. Stop when watery stool is passed. If there is fever, thirst, irritability, insomnia, or dry retching, the disease is in the Foot-Shaoyang Gallbladder channel. Add Ophiopogonis Radix (Mai Dong), Trichosanthis Radix (Hua Fen), Gardeniae Fructus (Zhi Zi), and Ziziphi Spinosae Semen (Suan Zao Ren) each 1 qian, and Bamboo Shavings (Zhu Rou) one large pill. If there is fever with thirst, abdominal pain, and spontaneous diarrhea, the disease is in the Foot-Taiyin Spleen channel. Add Atractylodis Rhizoma (Bai Zhu, 1 qian), Paeoniae Radix Alba (Bai Shao, 1 qian), E-Jiao (E Jiao, 1 qian), and Poria (Fu Ling, 1 qian), with ginger and jujube as a guide. If there is fever with thirst, unceasing diarrhea, and cold hands and feet, the disease is in the Foot-Shaoyin Kidney channel. Remove Bupleuri Radix (Chai Hu), add Zingiberis Rhizoma (Gan Jiang, fried, 1 qian), Halloysit Rubrum (Chi Shi Zhi, 1 qian), Poria (Fu Ling, 1 qian), and Amomi Fructus (Sha Ren, 1 qian), with ginger and jujube as a guide. If there is fever with thirst, dysenteric discharge of pus and blood, and cold hands and feet, the disease is in the Foot-Jueyin Liver channel. Add Angelicae Sinensis Radix (Dang Gui, 1 qian), Paeoniae Radix Alba (Bai Shao, wine-fried, 1 qian), Atractylodis Rhizoma (Bai Zhu, 1 qian), and Poria (Fu Ling, 1 qian), with Mume Fructus (Wu Mei) as a guide.
After recovery from Shanghan, if fever recurs due to improper convalescence, this is called "Lao Fu" (recurrence due to fatigue). Use Huanglong Tang (Yellow Dragon Decoction) plus Anemarrhenae Rhizoma (Zhi Mu, 1 qian), Ophiopogonis Radix (Mai Dong, 1 qian), and Gypsum Fibrosum (Shi Gao, 2 qian), with Lophatheri Herba (Dan Zhu Ye) and Oryzae Semen (Jing Mi) as guides to extract the juice. If fever recurs due to dietary indiscretion, this is called "Shi Fu" (recurrence due to food). Use the aforementioned Siwei Zisu Hetai Yin (Four-Ingredient Perilla Fetus-Harmonizing Decoction) plus fried Aurantii Fructus Immaturus (Zhi Shi), fried Coptidis Rhizoma (Huang Lian), Citri Reticulatae Pericarpium (Chen Pi), and Massae Medicatae Fermentatae (Shen Qu, baked), with ginger and jujube as a guide. If it is an epidemic contagion, treat according to the above methods by differentiating the Six Channels' exterior and interior; or at the initial stage of illness, use Baidu San (Resist Toxicity Powder) combined with fetus-harmonizing herbs to resolve the pathogen.
Ginseng Radix (Ren Shen), Notopterygii Rhizoma et Radix (Qiang Huo), Bupleuri Radix (Chai Hu), Poria (Fu Ling), Peucedani Radix (Qian Hu), Glycyrrhizae Radix et Rhizoma (Gan Cao), Chuanxiong Rhizoma (Chuan Xiong), Platycodonis Radix (Jie Geng), Aurantii Fructus (Zhi Ke), Scutellariae Radix (Huang Qin), Perillae Folium (Su Ye), Radix Puerariae (Ge Gen), Zingiberis Rhizoma (Sheng Jiang), and White Part of Scallion (Cong Bai) as a guide to extract juice.
If Shanghan heat does not resolve and macules appear all over the body, red like brocade patterns, use Jiawei Huaban Tang (Modified Macule-Transforming Decoction).
Ginseng Radix (Ren Shen, 1 qian), Anemarrhenae Rhizoma (Zhi Mu, 1 qian), Gypsum Fibrosum (Shi Gao, 2 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian), Scutellariae Radix (Huang Qin, 1 qian), Gardeniae Semen (Zhi Zi Ren, 1 qian), Rehmanniae Radix (Sheng Di Huang, 1 qian), Lophatheri Herba (Dan Zhu Ye, 20 leaves), and Fermented Soybean (Dou Chi, half he). Decoct in water and take orally.
**Ziman (Excessive Fetal Growth):** When a pregnant woman reaches seven or eight months, the fetus grows large, causing excessive abdominal distension, pressing on the uterus, leading to restlessness in sitting and lying down (named Ziman). Treat with Shutai Yin (Fetus-Binding Decoction).
Atractylodis Rhizoma (Bai Zhu, 1.5 qian), Scutellariae Radix (Huang Qin, 1.5 qian), Perillae Folium (Su Ye, 1.5 qian), Aurantii Fructus (Zhi Ke, 1.5 qian), Arecae Pericarpium (Da Fu Pi, 1.5 qian), Honey-fried Licorice Root (Zhi Gan Cao, 3 fen), and Cardamom Fructus with shell (Dai Ke Sha Ren, fried, 5 fen). Ginger as a guide.
**Ziming (Fetal Crying in Utero):** When a pregnant woman stretches her body or reaches for objects at a height, the fetus loses the object held in its mouth within the abdomen and cries (called Ziming). The treatment method is to have the mother perform a bowing motion like a man; or scatter beans on the ground and have the mother pick them up, so the fetus holds the bean and stops crying.
**Zi Yin (Pregnancy Aphonia):** At eight or nine months of pregnancy, if the voice suddenly becomes hoarse and speechless (named Zi Yin), it is because the Foot-Shaoyin Kidney channel descends to nourish the fetus and cannot ascend to nourish the tongue. After delivery at ten months, the voice will naturally recover; this is not a disease. Medication can be taken, but do not trust quacks who prescribe purgatives indiscriminately.
**Zhongshu (Heatstroke):** The symptoms include fever with thirst, spontaneous sweating, mental confusion, lethargy of the four limbs, and shortness of breath. Use Qingshu Hetai Yin (Clear Summerheat and Harmonize Fetus Decoction).
Astragali Radix (Huang Qi, honey-fried, 1 qian), Ginseng Radix (Ren Shen, 1 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, honey-fried, 1 qian), Atractylodis Rhizoma (Bai Zhu, 1 qian), Scutellariae Radix (Huang Qin, 1 qian), Coptidis Rhizoma (Huang Lian, 1 qian), Anemarrhenae Rhizoma (Zhi Mu, 1 qian), Ophiopogonis Radix (Mai Dong, 1 qian), and Schisandrae Fructus (Bei Wu Wei Zi, 10 grains).
**Zhongshi (Dampness Invasion):** Caused by walking in rain, catching fog and dew early in the morning, living long-term in damp places, or bathing in cold water after heavy sweating. Symptoms include fever, joint pain, heavy body, headache, and nasal congestion. Use Huangqin Baizhu Tang (Scutellaria and Atractylodes Decoction).
Scutellariae Radix (Huang Qin, 5 qian), Atractylodis Rhizoma (Bai Zhu, 5 qian), Perillae Folium (Su Ye, 2.5 qian), Zingiberis Rhizoma (Sheng Jiang, 5 slices).
**Xiexie (Diarrhea):** For pregnant women with diarrhea, the principle is to tonify the middle and calm the fetus. Use Sijunzi Tang (Four Gentlemen Decoction) plus Atractylodis Rhizoma (Bai Zhu, 1 qian). If accompanied by fever and diarrhea, it is a heat syndrome; add Scutellariae Radix (Huang Qin, 1 qian). If without thirst, it is a cold syndrome; add Prepared Zingiberis Rhizoma (Pao Jiang, 5 fen) and Mume Fructus (Wu Mei, 1). If chronic diarrhea with extreme thirst, add Radix Puerariae (Ge Gen), Aquilariae Lignum Resinatum (Mu Xiang, fried), Zingiberis Rhizoma (Gan Jiang), Paeoniae Radix Alba (Bai Shao, wine-fried), and Terminalia Chebulae Fructus (He Zi Rou), with Mume Fructus (Wu Mei) as a guide. (Equal parts, adjust according to symptoms.)
**Liji (Dysentery):** For pregnant women with dysentery, the principle is to clear heat, harmonize the fetus, move qi, and nourish blood. Use Huangqin Shaoyao Tang (Scutellaria and Peony Decoction). Do not use Rheum Radix et Rhizoma (Da Huang) or Areca Seed (Bing Lang) to avoid miscarriage.
Angelicae Sinensis Radix (Dang Gui, 1 qian), Atractylodis Rhizoma (Bai Zhu, 1 qian), Scutellariae Radix (Huang Qin, 1 qian), Paeoniae Radix Alba (Bai Shao, 1 qian), Coptidis Rhizoma (Huang Lian, 1 qian), Aurantii Fructus (Zhi Ke, 1 qian), Poria (Fu Ling, 1 qian), Citri Reticulatae Pericarpium (Chen Pi, 1 qian), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gan Cao, 1 qian), Aquilariae Lignum Resinatum (Mu Xiang, 5 fen). Mume Fructus (Wu Mei) as a guide.
**Chuangdu (Sores and Toxins):** For breast abscess (Ru Yong), use Tuoli Jiedu Tang (Support Interior and Resolve Toxin Decoction).
Chuanxiong Rhizoma (Chuan Xiong, 1 qian), Angelicae Sinensis Radix (Dang Gui, 1 qian), Angelicae Dahuricae Radix (Bai Zhi, 1 qian), Scutellariae Radix (Huang Qin, 1 qian), Forsythiae Fructus (Lian Qiao, 1 qian), Trichosanthis Radix (Hua Fen, 1 qian), Lonicerae Japonicae Flos (Yin Hua, 1 qian), Glycyrrhizae Radix et Rhizoma nodus (Gan Cao Jie, 1 qian), Citri Reticulatae Pericarpium Viride (Qing Pi, 5 fen), and Gleditsiae Spina (Zao Ci, 10 pieces).
If located on the back or buttocks, the disease is in the Yangming channel. Remove Citri Reticulatae Pericarpium Viride (Qing Pi), add Cimicifugae Rhizoma (Sheng Ma, 1 qian) and Radix Puerariae (Ge Gen, 1 qian). If located on the chest or cheeks, the disease is in the Shaoyang channel. Remove Angelicae Dahuricae Radix (Bai Zhi), add Bupleuri Radix (Chai Hu, 1 qian), Gentianae Radix (Dan Cao, 1 qian), and Gardeniae Fructus (Zhi Zi, 1 qian). If located on the upper back or armpits, the disease is in the Taiyin channel. Add Citri Reticulatae Pericarpium (Chen Pi), remove Citri Reticulatae Pericarpium Viride (Qing Pi), and add Platycodonis Radix (Jie Geng, 1 qian), Morus Cortex (Sang Bai Pi, 1 qian), and Asparagi Radix (Tian Dong, 1 qian). If located near the groin or genitals, the disease is in the Jueyin channel. Remove Angelicae Dahuricae Radix (Bai Zhi), double the amount of Citri Reticulatae Pericarpium Viride (Qing Pi). If located on the palms or soles, the disease is in the Shaoyin channel. Remove Angelicae Dahuricae Radix (Bai Zhi), Citri Reticulatae Pericarpium Viride (Qing Pi), and Trichosanthis Radix (Hua Fen), add Coptidis Rhizoma (Huang Lian, 1 qian), Phellodendri Cortex (Huang Bo, 1 qian), and Akebiae Caulis (Mu Tong, 1 qian).
There are nine locations where carbuncles and toxins are considered untreatable:
1. Futu (Anterior thigh muscle belly; note: original footnote incorrectly states instep, Futu is ST32 on thigh)
2. Fei (Calf muscle belly)
3. Mid-back spine
4. Jianyu (Sides of the back)
5. Neck (Dui Kou)
6. Chest
7. Beard area
8. Mustache area
9. Chin/Jaw area
**Wu Gu Kuqi (Unexplained Weeping):** If a pregnant woman suddenly weeps bitterly without cause, appearing possessed by evil spirits, this is Zang Zao (Visceral Agitation Syndrome). Treat with Shizao Tang (Ten Jujube Decoction). (Note: Standard TCM usually uses Ganmai Dazao Tang for Zang Zao; Shizao Tang is a harsh purge. Translated as per original text.)
Glycyrrhizae Radix et Rhizoma (Gan Cao, 3 liang), Triticum aestivum (Xiao Mai, 1 sheng), Zizyphi Fructus (Da Zao, 10 pieces).
Decoct in 6 sheng of water until 3 sheng remain, strain. Divide into three doses for immediate effect. Then follow with Zhuye Tang (Bamboo Leaf Decoction).
Ginseng Radix (Ren Shen, 1 qian), Ophiopogonis Radix (Mai Dong, 1 qian), Poria (Fu Ling, 1 qian), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Gan Cao, 1 qian), Triticum aestivum (Xiao Mai, 1 he), Green Bamboo Shavings (Qing Zhu Rou, one large pill). Ginger and jujube as a guide.
These ten symptoms were not in the secret manuscript; they are now extracted from Mr. Wan Mizhai's Gynecology works to supplement deficiencies, providing learners with a clear path and preventing confusion. However, as the ancients said, physicians should not rigidly adhere to fixed formulas. It depends on the learner's ability to diagnose based on pulse and symptoms, applying wisdom flexibly, rather than being dogmatic.
For pregnant women, it is advisable to regularly take Danggui San (Angelica Powder) from *Jingui Yaolue*:
Angelicae Sinensis Radix (Dang Gui), Chuanxiong Rhizoma (Chuan Xiong), Paeoniae Radix (Shao Yao), Scutellariae Radix (Huang Qin), Atractylodis Rhizoma (Bai Zhu).
For restless fetus and prevention of miscarriage, Du Zhong Wan (Eucommia Pill) is suitable.
Eucommiae Cortex (Du Zhong, 2 liang, stir-fried with water), Dipsaci Radix (Xu Duan, 2 liang, washed with wine).
Grind into powder, make pills using paste from boiled red dates. Take 30 pills per dose with rice drink, on an empty stomach away from meals. Also take Hulian Wan.
Hulian Wan (A sacred medicine for calming the fetus):
Scutellariae Radix (Huang Qin, 4 liang, sinking in water), Atractylodis Rhizoma (Bai Zhu, 2 liang), Lotus Seed Meat (Lian Rou, heart removed, 2 liang), Amomi Fructus (Sha Ren, 1 liang, lightly fried), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Gan Cao, 1 liang).
Grind into powder. Separately, use 5 liang of Dioscoreae Rhizoma (Shan Yao), cook into paste with rice drink, and make pills. Take with rice drink.
For postpartum hemorrhage (blood flooding) during pregnancy, use Antai Yin (Fetus-Calming Decoction) plus the following hemostatic herbs for treatment.