妇人伤寒六经传变治例皆与男子同法惟经水适来适断热入血室与夫胎前产后崩漏带下则治有殊别也
热入血室
妇人中风发热恶寒经水适来得之七八日热除而脉迟身凉胸胁下满如结胸状谵语者此为热入血室也当刺
期门随其实而泻之（东垣云妄见妄闻夜梦亡人皆肝木太盛而为邪也刺期门与此义同）
许学士治一妇人患热入血室证医者不识用补血调气药延养数日遂成血结胸或劝用前药予曰小柴胡已迟不可行也无
己则有一焉刺期门穴斯可矣予不能针请善针者治之如言而愈或问曰热入血室何谓而成结胸也予曰邪气传入经络与正气
相搏上下流行或遇经水适来适断邪气乘虚而入血室血入邪迫上入肝经肝受邪则谵语而见鬼复入膻中则血结于胸也何以
言之妇人平居水当养于木血当养于肝方未受孕则下行之以为月水既妊则中蓄之以养胎及已产则上壅之以为乳皆此血也
今邪气蓄血并归肝经聚于膻中结于乳下故手触之则痛非汤剂可及故当刺期门也
妇人伤寒发热经水适来昼日明了夜则谵语如见鬼状者此为热入血室无犯胃气及上二焦必自愈（活人云小柴胡汤和之
○犯胃气谓下之犯上二焦谓发汗也）
衍义云一妇人温病已十二日诊其脉六七至而涩寸稍大尺稍小发寒热颊赤口干不了了耳聋问之病数日经水乃行此属
少阳热入血室也若治不对病则必死乃按其证与小柴胡汤服之二日又与小柴胡汤加桂干姜一日寒热遂止又云我脐下急痛
又与抵当丸微利脐下痛痊身渐凉脉渐匀尚不了了仍复与小柴胡次日又云我但胸中热燥口鼻干又少与调胃承气汤不得利
次日又云心下痛又与大陷胸丸半服利三行次日虚烦不乐时亦有所见时复狂言虽知其尚有燥屎以其极虚不敢攻之遂与竹
叶汤去其烦热其夜大便自通至晓两次中有燥屎数枚而狂言虚烦尽解但咳嗽唾此肺虚也恐乘虚而成肺痿遂与小柴胡去人
参大枣生姜加干姜五味子汤一日咳减二日而病悉愈以上皆用张仲景方
妇人中风七八日续得寒热发作有时经水适断者此为热入血室其血必结故如疟状发作有时小柴胡汤主之
附
云 妇人伤寒中风治法与男子无异惟热入血室妊娠伤寒则不同也宜以四物安养胎血佐以汗下之药治之妇人伤寒
中
风自汗头痛项背强发热恶寒脉浮而缓恐热入血室故倍加芍药
桂枝加芍药汤
桂枝（一两半） 赤芍药（三两半）生姜（切一两半） 甘草（炙一两） 大枣（六枚擘）上锉细每服五钱水（煎
服）
妇人伤寒脉浮而紧头痛身热恶寒无汗发汗后恐热入血室宜麻黄加生地黄汤
麻黄（二两半） 桂枝（一两半） 甘草（半两炙） 生地黄（二两） 杏仁（二十五枚去皮尖）上 咀每服五钱
水煎服
活 妇人伤寒经脉方来初断寒热如疟狂言见鬼宜用干姜柴胡汤
柴胡（四两） 栝蒌根 桂枝（各一两半） 牡蛎（ ） 干姜 甘草（炙各一两）上 咀每服五钱水一盏半煎至
七分去滓温服初服微烦再服汗出而愈
罗 小柴胡加地黄汤 治妇人室女伤寒发热经水适来适断昼日明了夜则谵语如见鬼神亦治产后恶露方来忽间断
欲死
柴胡（一两二钱半） 人参 黄芩 甘草（炙） 半夏（汤洗七次） 生地黄（各七钱）上为粗末每服五钱生姜三
片枣二枚水煎服
云 妇人伤寒身热脉长而弦属阳明少阳往来寒热夜躁昼宁如见鬼状经水适断热入血室不实满者小柴胡加牡丹皮
汤
主之大实满者桃仁承气汤下之
小柴胡加牡丹皮汤方
柴胡 人参 牡丹皮（各二两）甘草（炙） 生姜（各七钱半） 半夏（汤洗六钱） 大枣（三枚擘） 黄芩（七
钱半）上锉细每服一两水煎服
妇人伤寒头痛脉浮医反下之邪气乘虚而传于里经水闭不行心下结硬口燥舌干寒热往来狂言如见鬼状脉沉而数者当
下之宜小柴胡加芒硝大黄汤主之
柴胡（二两） 半夏（制一两半） 黄芩 生姜（各七钱半） 大黄 芒硝（各七钱） 甘草（炙五钱半） 大枣
（三枚擘） 上锉每服一两水煎去滓下芒硝再沸温服若脉不沉数则不可下
许 辛亥中寓居毗陵学官王仲礼其妹病伤寒发寒热遇夜则如鬼物所凭六七日忽昏塞涎响如引锯牙关紧急瞑目不
知
人疾势极危召予视之予曰得病之初曾值月经来否其家曰月经方来病作而经遂止一二日发寒热昼虽静夜则有鬼祟从昨日
涎生不省人事予曰此热入血室之证也仲景云妇人中风发热恶寒经水适来昼则明了夜则谵语如见鬼状发作有时此名热入
血室医者不晓以刚剂与之遂致胸膈不利涎潮上脘喘急息高昏冒不知人事当先化其痰后除其热予急以一呷散投之两时顷
涎下得睡省人事次授以小柴胡加地黄汤三服而热除不汗而自解矣
云 妇人伤寒表虚自汗身凉四肢拘急脉沉而迟太阳标病少阳本病经水适断桂枝加附子红花汤
桂枝（二两半） 芍药 生姜（各一两半） 甘草（炙一两） 附子（炮） 红花（各五钱）上锉细每服一两水三
盏煎服
妇人伤寒太阳标病汗解表除邪热内攻热入血室经水过多无满实者甘草芍药汤
甘草 芍药 生地黄 川芎（各一两）上 咀每服一两水三盏煎至一盏半去滓入发灰五钱调匀温服不止者刺隐白
妊娠伤寒
吴 凡妊娠伤寒六经治例皆同但要安胎为主凡药中有犯胎者则不可用也如藿香正气散十味芎苏散参苏
饮小柴胡汤之类有半夏能犯胎如用须去之若痰多呕逆必用之以半夏曲则可如无沸汤泡七次去皮脐生姜自然汁拌晒干乃
可用也凡川乌附子天雄侧子肉桂干姜大黄芒硝芫花甘遂大戟蜀漆水蛭虻虫桃仁牡丹皮干漆代赭石瞿麦牛膝等类之物皆
动胎之药凡用必须斟酌仔细而详之也其余详见各条治例兹不录凡护胎之法伤寒热病热甚者宜用井底泥涂脐二寸干即又
涂之一方以白药子为末水调涂之一方以伏龙肝末水调涂之可护胎也大抵妊娠伤寒合用汤剂必加黄芩白术二味能安胎也
或以此二味煎汤与之或为细末白汤调下二三钱亦佳如妊妇素禀弱者药中四物汤佐之不可缺也且如用小柴胡汤去半夏加
白术合四物汤用之可以保胎除热也其效如神余皆仿此用之则妙矣
洁 黄 解肌汤治妇人妊娠伤风自汗
人参 黄 当归 川芎 甘草（炙各五钱） 芍药（六钱）加苍术生地黄亦可上为粗末每服五钱水煎温服无时
海 若妊娠伤寒中风表虚自汗头痛项强身热恶寒脉浮而弱太阳经病宜表虚六合汤
四物汤（四两） 桂枝 地骨皮（各七钱）
若妊娠伤寒头痛身热无汗脉紧太阳经病宜表实六合汤
四物汤（四两） 麻黄 细辛（各半两）
若妊娠伤寒中风湿之气肢节烦疼脉浮而热头痛者太阳标病也宜风湿六合汤
四物汤（四两） 防风 苍术（制各七钱）
若妊娠伤寒下后过经不愈湿毒发斑如锦纹宜升麻六合汤
四物汤（四两） 升麻 连翘（各七钱）
若妊娠伤寒胸胁满痛而脉弦少阳证宜柴胡六合汤
四物汤（四两） 柴胡 黄芩（各七钱）
若妊娠伤寒大便硬小便赤气满而脉沉数阳明太阳本病也急下之宜大黄六合汤
四物汤（四两） 大黄 桃仁（去皮尖麸炒十枚）
若妊娠伤寒汗下后咳嗽不止者宜人参六合汤
四物汤（四两） 人参 五味子（各五钱）
若妊娠伤寒后虚痞胀满者阳明本虚宜浓朴六合汤
四物汤（四两） 浓朴 枳实（麸炒各五钱）
若妊娠伤寒汗下后不得眠者宜栀子六合汤
四物汤（四两） 栀子 黄芩（各五钱）
若妊娠伤寒大渴蒸蒸而烦脉长而大者宜石膏六合汤
四物汤（四两） 石膏 知母（各五钱）
若妊娠伤寒小便不利太阳本病宜茯苓六合汤
四物汤（四两） 茯苓 泽泻（各五钱）
若妊娠伤寒太阳本病小便赤如血者宜琥珀六合汤
四物汤（四两） 琥珀 茯苓（各五钱）
若妊娠伤寒汗下后血漏不止胎气损动者宜胶艾六合汤
四物汤（四两） 阿胶 艾（各五钱一方加甘草同上一方加甘草干姜黄 ）
若妊娠伤寒四肢拘急身凉微汗腹中痛脉沉而迟少阴病也宜附子六合汤
四物汤（四两） 附子（炮去皮剂） 桂（各五钱）
若妊娠伤寒蓄血证不宜堕胎药下之宜四物大黄汤下之
四物汤（四两） 生地黄 大黄（酒浸各五钱）
妇人妊娠或蓄血抵当桃仁勿妄施要教子母俱无损大黄四物对分之
丹 施孺人伤风未解两足下胫冷嗽多不吐痰头眩盖其性急又当临月
黄芩（半钱） 陈皮 白术（各一钱） 苏桔（三分） 木通 枳壳（炒各五分） 麻黄（三分） 甘草（炙二分）
桔梗 苍术（各半钱）上水煎服无时
云 妇人有孕伤寒脉浮头重腹中切痛宜桂枝芍药当归汤
桂枝 芍药 当归（各一两）上锉细每服一两水煎
妇人妊娠伤寒自利腹中痛食饮不下脉沉者太阴病也宜芍药汤
芍药 白术 甘草 茯苓（各一两）上如前修服
活 治妊娠伤寒安胎宜阿胶散
人参 白茯苓 阿胶（炒） 桑寄生 白术（各等分）上捣罗为细末糯米饮调下二钱日二服
治妊娠伤寒安胎宜白术散
白术 黄芩（新瓦上炒香各等分）上为末每服三钱水一钟生姜三片大枣一枚擘破同煎至七分去滓温服但觉头疼发热
便可服二三服即瘥惟四肢厥冷阴证见者未可服
治妊娠伤寒憎寒发热当发其汗宜葱白汤
葱白（十茎） 生姜（二两切）上锉水二盏煎至一盏连服取汗
海 葱白一物汤用葱白二把以水一升熟煮取汁令食尽亦生安胎若胎损须臾即出
紫苏散 治胎气不和揍上心腹胀满疼痛谓之子悬能安活胎亦下损胎又治伤寒头疼发热遍身疼痛
紫苏叶 当归（各一两） 人参 甘草（炙各半两） 大腹皮 川芎 白芍药 陈皮（去白各一两）每服八钱水一
钟半生姜五片葱白三茎连须煎至一钟去滓食前热服若心腹甚痛者加木香元胡索研同煎服
芎苏散 治妊妇伤寒头痛增寒壮热身痛项强
紫苏叶 川芎 白芍药 白术 陈皮 干葛 甘草 麦门冬（各等分）锉散每服四钱姜四片葱白三茎煎热服
治妇人伤寒妊娠服药例
若发热恶寒不离桂枝芍药若往来寒热不离柴胡前胡若大渴者不离知母石膏五味子麦门冬若
大便泄者不离桂附干姜白术若大便燥结者不离大黄黄芩若月经适来适断者不离小柴胡若胎不安者不离人参阿胶白术黄
芩若发汗者不离煎豉生姜麻黄旋复若头痛者不离石膏山栀前胡若伤暑头痛者不离柴胡甘草石膏若满闷者不离枳实陈皮
若胎气不安者不离黄芩麦门冬人参若斑发黑者不离黄芩栀子升麻
大 治妊娠时气身大热令子不落护胎方
伏龙肝研为极细末调涂脐下三寸干即易瘥即止
又方 井水泥涂干即易之（二方出本事有效）
又方 浮萍 蓝根 朴硝 蛤粉 大黄（微炒）上为末水调傅脐上安胎解热极妙
又方 白药子为末水调傅腹上
治妊娠霍乱二方（附少阴吐利门）
治妊娠发斑变为黑色宜栀子大青汤
黄芩 升麻 栀子仁（各二两） 大青 杏仁（各半两） 上 咀每服五钱水一盏半细切葱白三寸煎至一盏去滓温
服
产后伤寒
吴 新产后患伤寒不可轻易发汗盖有产时伤力发热去血过多发热恶露不去发热三日蒸乳发热或有早起
动劳饮食停滞一皆发热状类伤寒要在仔细详辨切不可辄便发汗大抵产后大血空虚若汗之则变筋惕肉 或郁冒昏迷而不
省或风搐搦而不定或大便秘涩而难去其害非轻切宜精审凡有发热且与四物汤以川芎当归为君最多白芍药须炒过酒蒸熟
地黄佐之如发热加软苗柴胡人参干姜主之最效盖干姜之辛热能引血药入血分气药入气分也且能去恶养新有阳生阴长之
道以热治热深合内经之旨予尝用之取效如神故录以劝之如有恶露未尽者益母丸黑神散必兼用之若胃虚食少者必加白术
茯苓有痰呕逆者必加陈皮半夏其余六经各条治例皆同但药中必加四物汤为主乃养血务本之要也
产后中风数十日不解头微痛恶寒时时有热心下闷干呕汗出虽多阳旦证可与阳旦汤（即桂枝汤方见太阳病）
产后中风发热面赤喘而头痛竹叶汤主之
竹叶（一把） 葛根（三两） 防风 桔梗 桂枝 人参 甘草（炙各一两）上 咀每服五钱枣一枚姜五片水一盏
半煎一盏去滓服温覆使汗出若头项强用大附子半钱煎药扬去沫呕者加半夏一钱
丹 产后发热恶寒皆属血气虚左手脉不足补血右手脉不足补气凡恶寒发热又腹痛当去恶血恶寒发热乳汁不通及
膨
者无子当消用麦芽二两炒研细清汤作四服调下有子当下用木通通草猪蹄汁调煎服
产后才见身热不可发表并一切苦寒药必用干姜治之大发其热轻则用茯苓淡渗其热
大 凡产后发热头痛身疼不可便作感冒治之此等多是血虚或败血作梗宜以平和之剂与服必效如玉露散或四物加
北
柴胡等分煎服若便以小柴胡汤及竹叶石膏汤之类竟不救者多矣
玉露散 治产后乳脉不行身体壮热疼痛头目昏痛大便涩滞悉治之凉膈压热下乳
人参 茯苓 甘草（各半两） 苦梗（炒） 川芎 白芷（各一两） 当归（二钱半） 芍药（七钱半）上 咀每
服五钱水一盏煎至七分温服如烦热甚大便秘者加大黄二钱半
有汗出的称为柔痉，无汗出的称为刚痉，其证治详情详见《杂病》第五册，此处不再赘述。
妇人患伤寒，六经传变的治法与男子相同，唯有月经适来或适断时热入血室，以及妊娠、产后崩漏、带下等情况，治疗方法则有特殊区别。
热入血室：
妇人患中风，出现发热、恶寒，正值月经来潮，病程七八天后，热退而脉迟、身凉，胸胁部胀满如同结胸的症状，并伴有谵语，这是热邪陷入血室的表现。应当针刺期门穴，根据实证情况采用泻法。（李东垣说：妄见妄闻、夜间梦见已故之人，都是肝木过盛受邪所致，针刺期门与此道理相同。）
许学士治疗一位患有热入血室证的妇人，医生未能识别，使用了补血调气的药物调养数日，结果形成了血结胸。有人建议使用前药（指小柴胡汤），我说：“用小柴胡汤已经太迟，不可行。”如果没有其他办法，只有一个选择：针刺期门穴即可治愈。我不会针灸，请擅长针灸的人治疗，按此方法痊愈了。有人问：“热入血室为何会形成结胸？”我说：“邪气传入经络，与正气相搏，上下流行，如果遇到月经适来或适断，邪气乘虚而入血室，血液受邪逼迫向上进入肝经，肝受邪则出现谵语和幻视；再进入膻中，则血液凝结于胸部。为什么这样说呢？妇女平时，水滋养木，血滋养肝，在未受孕时，下行成为月经；怀孕时，蓄积在中间以养胎；分娩后，上壅成为乳汁，这些都是血的作用。现在邪气蓄积血液，一并归入肝经，聚于膻中，结于乳下，所以手触之则痛，这不是汤剂所能达到的，所以应当针刺期门。”
妇人患伤寒发热，正值月经来潮，白天神志清楚，夜晚则谵语如见鬼怪，这是热入血室。不要损伤胃气及上二焦，病必自愈。（《活人书》说：用小柴胡汤和解它。○所谓“犯胃气”是指用攻下法，“犯上二焦”是指用发汗法。）
《衍义》记载：一位妇人患温病十二天，诊察其脉搏一息六七至且涩，寸脉稍大，尺脉稍小，发冷发热，脸颊红赤，口干不适，耳聋。询问得知患病几天后经水才来，这属于少阳热入血室。如果治疗不对症，必然死亡。于是按其症状给予小柴胡汤，服用两天后，又给予小柴胡汤加桂枝、干姜，一天后寒热停止。又说：“我脐下急痛”，又给予抵当丸，轻微通利后脐下痛痊愈，身体逐渐凉爽，脉搏逐渐均匀，但仍感不适。再次给予小柴胡汤。第二天又说：“我只觉得胸中燥热，口鼻干燥”，又少量给予调胃承气汤，未引起腹泻。第二天又说：“心下疼痛”，又给予大陷胸丸，半服后腹泻三次。第三天出现虚烦不乐，时而看见东西，时而胡言乱语。虽然知道体内还有燥屎，但因其极度虚弱，不敢攻下，于是给予竹叶汤去除其烦热。当晚大便自然通畅，到早晨两次排便中有几枚燥屎，胡言乱语和虚烦全部解除，只是咳嗽吐痰，这是肺虚，恐怕乘虚导致肺痿，于是给予小柴胡汤去人参、大枣、生姜，加干姜、五味子汤，一天后咳嗽减轻，两天后病全愈。以上均使用张仲景的方剂。
妇人患中风，七八天后继续出现寒热往来，发作有时，正值月经结束，这是热入血室。其血液必然凝结，所以像疟疾一样发作有时，主方用小柴胡汤。
附注：
云：妇人患伤寒、中风，治法与男子无异，唯有热入血室、妊娠伤寒则不同。应当用四物汤安养胎血，佐以汗下之法治疗。妇人患伤寒、中风，自汗、头痛、项背强直、发热、恶寒、脉浮而缓，担心热入血室，所以倍加芍药。
桂枝加芍药汤：
桂枝（一两半）、赤芍药（三两半）、生姜（切，一两半）、甘草（炙，一两）、大枣（六枚，掰开）。以上锉细，每次服用五钱，用水煎服。
妇人患伤寒，脉浮而紧，头痛，身热，恶寒，无汗，发汗后担心热入血室，宜用麻黄加生地黄汤。
麻黄（二两半）、桂枝（一两半）、甘草（炙，半两）、生地黄（二两）、杏仁（二十五枚，去皮尖）。以上捣碎，每次服用五钱，用水煎服。
活：妇人患伤寒，经脉方来初断，寒热如疟，狂言见鬼，宜用干姜柴胡汤。
柴胡（四两）、栝蒌根、桂枝（各一两半）、牡蛎（缺量）、干姜、甘草（炙，各一两）。以上捣碎，每次服用五钱，用水一盏半煎至七分，去渣温服。初服微烦，再服汗出而愈。
罗：小柴胡加地黄汤。治疗妇人、少女患伤寒发热，月经适来或适断，白天神志清楚，夜晚谵语如见鬼神，也治疗产后恶露方来忽间断欲死的情况。
柴胡（一两二钱半）、人参、黄芩、甘草（炙）、半夏（汤洗七次）、生地黄（各七钱）。以上为粗末，每次服用五钱，加生姜三片、枣二枚，用水煎服。
云：妇人患伤寒，身热，脉长而弦，属阳明、少阳往来寒热，夜间烦躁，白天安静，如见鬼状，月经适断，热入血室，无实满症状者，用小柴胡加牡丹皮汤主治。大实满者，用桃仁承气汤攻下。
小柴胡加牡丹皮汤方：
柴胡、人参、牡丹皮（各二两）、甘草（炙）、生姜（各七钱半）、半夏（汤洗，六钱）、大枣（三枚，掰开）、黄芩（七钱半）。以上锉细，每次服用一两，用水煎服。
妇人患伤寒，头痛，脉浮，医生反而用攻下法，邪气乘虚传入里，经水闭止不行，心下痞结硬满，口燥舌干，寒热往来，狂言如见鬼状，脉沉而数，应当攻下，宜用小柴胡加芒硝大黄汤主治。
柴胡（二两）、半夏（制，一两半）、黄芩、生姜（各七钱半）、大黄、芒硝（各七钱）、甘草（炙，五钱半）、大枣（三枚，掰开）。以上锉，每次服用一两，用水煎，去渣，下芒硝，再煮沸，温服。若脉不沉数，则不可攻下。
许：辛亥年间，寓居毗陵学官王仲礼的妹妹患伤寒，发冷发热，遇夜则如被鬼物凭依，六七天忽然昏塞，喉间痰响如拉锯，牙关紧急，闭目不省人事，病情极危重。召我去诊治。我说：“得病之初，是否正值月经来潮？”家属说：“月经方来，病作而经遂止。”一二日后发冷发热，白天虽静，夜晚则有鬼祟，从昨日开始流涎，不省人事。我说：“这是热入血室的证候。”仲景说：“妇人中风，发热恶寒，经水适来，昼则明了，夜则谵语，如见鬼状，发作有时，此名热入血室。”医生不懂，用刚猛药剂与之，致使胸膈不利，痰潮上脘，喘急息高，昏冒不知人事。应当先化痰，后除热。我急忙给了一呷散，两个时辰后，痰下得睡，醒后人事清醒。接着给予小柴胡加地黄汤，三服后热除，不汗而自解。
云：妇人患伤寒，表虚自汗，身凉，四肢拘急，脉沉而迟，太阳标病，少阳本病，经水适断，用桂枝加附子红花汤。
桂枝（二两半）、芍药、生姜（各一两半）、甘草（炙，一两）、附子（炮）、红花（各五钱）。以上锉细，每次服用一两，用水三盏煎服。
妇人患伤寒，太阳标病，汗解表除，邪热内攻，热入血室，经水过多，无满实症状者，用甘草芍药汤。
甘草、芍药、生地黄、川芎（各一两）。以上捣碎，每次服用一两，用水三盏煎至一盏半，去渣，入发灰五钱，调匀温服。不止者，刺隐白穴。
妊娠伤寒：
吴：凡妊娠患伤寒，六经治例皆同，但要安胎为主。凡药中有犯胎的则不可用。如藿香正气散、十味芎苏散、参苏饮、小柴胡汤之类，有半夏能犯胎，如用须去掉。若痰多呕逆必用半夏，可用半夏曲，或者用沸汤泡七次，去皮脐，生姜自然汁拌晒干乃可用。凡川乌、附子、天雄、侧子、肉桂、干姜、大黄、芒硝、芫花、甘遂、大戟、蜀漆、水蛭、虻虫、桃仁、牡丹皮、干漆、代赭石、瞿麦、牛膝等类药物，都是动胎之药，凡用必须斟酌仔细详查。其余详见各条治例，此处不录。凡护胎之法，伤寒热病热甚者，宜用井底泥涂脐二寸，干了再涂。一方用白药子为末，水调涂。一方用伏龙肝末，水调涂，可护胎。大抵妊娠伤寒合用汤剂，必加黄芩、白术二味能安胎。或以此二味煎汤与之，或为细末，白汤调下二三钱亦佳。如妊妇素禀弱者，药中四物汤佐之不可缺。且如用小柴胡汤去半夏加白术合四物汤用之，可以保胎除热，其效如神。余皆仿此用之则妙矣。
洁：黄芩解肌汤。治疗妇人妊娠伤风自汗。
人参、黄芩、当归、川芎、甘草（炙，各五钱）、芍药（六钱）。加苍术、生地黄亦可。以上为粗末，每次服用五钱，用水煎温服，不拘时候。
海：若妊娠患伤寒、中风，表虚自汗，头痛，项强，身热，恶寒，脉浮而弱，太阳经病，宜表虚六合汤。
四物汤（四两）、桂枝、地骨皮（各七钱）。
若妊娠患伤寒，头痛，身热，无汗，脉紧，太阳经病，宜表实六合汤。
四物汤（四两）、麻黄、细辛（各半两）。
若妊娠患伤寒，中风湿之气，肢节烦疼，脉浮而热，头痛者，太阳标病也，宜风湿六合汤。
四物汤（四两）、防风、苍术（制，各七钱）。
若妊娠患伤寒，下后过经不愈，湿毒发斑如锦纹，宜升麻六合汤。
四物汤（四两）、升麻、连翘（各七钱）。
若妊娠患伤寒，胸胁满痛而脉弦，少阳证，宜柴胡六合汤。
四物汤（四两）、柴胡、黄芩（各七钱）。
若妊娠患伤寒，大便硬，小便赤，气满而脉沉数，阳明太阳本病也，急下之，宜大黄六合汤。
四物汤（四两）、大黄、桃仁（去皮尖，麸炒，十枚）。
若妊娠患伤寒，汗下后咳嗽不止者，宜人参六合汤。
四物汤（四两）、人参、五味子（各五钱）。
若妊娠患伤寒后，虚痞胀满者，阳明本虚，宜浓朴六合汤。
四物汤（四两）、浓朴、枳实（麸炒，各五钱）。
若妊娠患伤寒，汗下后不得眠者，宜栀子六合汤。
四物汤（四两）、栀子、黄芩（各五钱）。
若妊娠患伤寒，大渴，蒸蒸而烦，脉长而大者，宜石膏六合汤。
四物汤（四两）、石膏、知母（各五钱）。
若妊娠患伤寒，小便不利，太阳本病，宜茯苓六合汤。
四物汤（四两）、茯苓、泽泻（各五钱）。
若妊娠患伤寒，太阳本病，小便赤如血者，宜琥珀六合汤。
四物汤（四两）、琥珀、茯苓（各五钱）。
若妊娠患伤寒，汗下后血漏不止，胎气损动者，宜胶艾六合汤。
四物汤（四两）、阿胶、艾（各五钱）。一方加甘草同上一方加甘草、干姜、黄芩。
若妊娠患伤寒，四肢拘急，身凉，微汗，腹中痛，脉沉而迟，少阴病也，宜附子六合汤。
四物汤（四两）、附子（炮，去皮，切）、桂（各五钱）。
若妊娠患伤寒，蓄血证，不宜堕胎药下之，宜四物大黄汤下之。
四物汤（四两）、生地黄、大黄（酒浸，各五钱）。
妇人妊娠或蓄血，抵当、桃仁勿妄施，要教子母俱无损，大黄四物对分之。
丹：施孺人伤风未解，两足下胫冷，嗽多不吐痰，头眩，盖其性急又当临月。
黄芩（半钱）、陈皮、白术（各一钱）、苏桔（三分）、木通、枳壳（炒，各五分）、麻黄（三分）、甘草（炙，二分）、桔梗、苍术（各半钱）。以上水煎服，不拘时候。
云：妇人有孕伤寒，脉浮，头重，腹中切痛，宜桂枝芍药当归汤。
桂枝、芍药、当归（各一两）。以上锉细，每次服用一两，用水煎。
妇人妊娠伤寒，自利，腹中痛，食饮不下，脉沉者，太阴病也，宜芍药汤。
芍药、白术、甘草、茯苓（各一两）。以上如前修服。
活：治妊娠伤寒安胎，宜阿胶散。
人参、白茯苓、阿胶（炒）、桑寄生、白术（各等分）。以上捣罗为细末，糯米饮调下二钱，日二服。
治妊娠伤寒安胎，宜白术散。
白术、黄芩（新瓦上炒香，各等分）。以上为末，每次服用三钱，水一钟，生姜三片，大枣一枚掰破，同煎至七分，去渣温服。但觉头疼发热便可服，二三服即瘥。惟四肢厥冷阴证见者未可服。
治妊娠伤寒憎寒发热，当发其汗，宜葱白汤。
葱白（十茎）、生姜（二两，切）。以上锉，水二盏，煎至一盏，连服取汗。
海：葱白一物汤，用葱白二把，以水一升熟煮，取汁令食尽，亦生安胎。若胎损，须臾即出。
紫苏散：治胎气不和，凑上心腹胀满疼痛，谓之子悬，能安活胎，亦下损胎。又治伤寒头疼发热，遍身疼痛。
紫苏叶、当归（各一两）、人参、甘草（炙，各半两）、大腹皮、川芎、白芍药、陈皮（去白，各一两）。每服八钱，水一钟半，生姜五片，葱白三茎，连须煎至一钟，去渣，食前热服。若心腹甚痛者，加木香、元胡索研同煎服。
芎苏散：治妊妇伤寒，头痛增寒，壮热身痛，项强。
紫苏叶、川芎、白芍药、白术、陈皮、干葛、甘草、麦门冬（各等分）。锉散，每服四钱，姜四片，葱白三茎，煎热服。
治妇人伤寒妊娠服药例：
若发热恶寒不离桂枝、芍药；若往来寒热不离柴胡、前胡；若大渴者不离知母、石膏、五味子、麦门冬；若大便泄者不离桂、附、干姜、白术；若大便燥结者不离大黄、黄芩；若月经适来适断者不离小柴胡；若胎不安者不离人参、阿胶、白术、黄芩；若发汗者不离煎豉、生姜、麻黄、旋复；若头痛者不离石膏、山栀、前胡；若伤暑头痛者不离柴胡、甘草、石膏；若满闷者不离枳实、陈皮；若胎气不安者不离黄芩、麦门冬、人参；若斑发黑者不离黄芩、栀子、升麻。
大：治妊娠时气，身大热，令子不落，护胎方。
伏龙肝研为极细末，调涂脐下三寸，干了即换，瘥即止。
又方：井水泥涂，干了即易之。（二方出《本事方》，有效）
又方：浮萍、蓝根、朴硝、蛤粉、大黄（微炒）。以上为末，水调傅脐上，安胎解热极妙。
又方：白药子为末，水调傅腹上。
治妊娠发斑变为黑色，宜栀子大青汤。
黄芩、升麻、栀子仁（各二两）、大青、杏仁（各半两）。以上捣碎，每次服用五钱，水一盏半，细切葱白三寸，煎至一盏，去渣温服。
产后伤寒：
吴：新产后患伤寒，不可轻易发汗。盖有产时伤力发热、去血过多发热、恶露不去发热、三日蒸乳发热，或有早起动劳、饮食停滞，一皆发热，状类伤寒。要在仔细详辨，切不可辄便发汗。大抵产后大血空虚，若汗之则变筋惕肉瞤，或郁冒昏迷而不省，或风搐搦而不定，或大便秘涩而难去，其害非轻。切宜精审。凡有发热，且与四物汤，以川芎、当归为君，最多白芍药，须炒过，酒蒸熟地黄佐之。如发热加软苗柴胡、人参、干姜，主之最效。盖干姜之辛热能引血药入血分，气药入气分也，且能去恶养新，有阳生阴长之道，以热治热，深合内经之旨。予尝用之，取效如神，故录以劝之。如有恶露未尽者，益母丸、黑神散必兼用之。若胃虚食少者，必加白术、茯苓。有痰呕逆者，必加陈皮、半夏。其余六经各条治例皆同，但药中必加四物汤为主，乃养血务本之要也。
产后中风数十日不解，头微痛，恶寒，时时有热心，心下闷，干呕，汗出，虽多，阳旦证，可与阳旦汤（即桂枝汤，方见太阳病）。
产后中风，发热，面赤，喘而头痛，竹叶汤主之。
竹叶（一把）、葛根（三两）、防风、桔梗、桂枝、人参、甘草（炙，各一两）。以上捣碎，每次服用五钱，枣一枚，姜五片，水一盏半，煎一盏，去渣服，温覆使汗出。若头项强，用大附子半钱，煎药扬去沫。呕者加半夏一钱。
丹：产后发热恶寒皆属血气虚，左手脉不足补血，右手脉不足补气。凡恶寒发热又腹痛，当去恶血。恶寒发热，乳汁不通，及膨（缺字，疑为膨满或类似症状）者，无子当消，用麦芽二两，炒研细，清汤作四服调下。有子当下，用木通、通草、猪蹄汁调煎服。
产后才见身热，不可发表，并一切苦寒药，必用干姜治之，大发其热。轻则用茯苓淡渗其热。
大：凡产后发热，头痛，身疼，不可便作感冒治之。此等多是血虚或败血作梗，宜以平和之剂与服，必效。如玉露散，或四物加北柴胡等分煎服。若便以小柴胡汤及竹叶石膏汤之类，竟不救者多矣。
玉露散：治产后乳脉不行，身体壮热，疼痛，头目昏痛，大便涩滞，悉治之，凉膈压热，下乳。
人参、茯苓、甘草（各半两）、苦梗（炒）、川芎、白芷（各一两）、当归（二钱半）、芍药（七钱半）。以上捣碎，每次服用五钱，水一盏，煎至七分，温服。如烦热甚，大便秘者，加大黄二钱半。
Sweating indicates soft spasm (Rou Jing), while lack of sweating indicates stiff spasm (Gang Jing). The syndrome differentiation and treatment are detailed in Volume 5 of *Miscellaneous Diseases*, so they are not repeated here.
For women suffering from cold damage (Shang Han), the transmission and treatment examples across the six meridians are the same as for men. However, when heat enters the blood chamber (Re Ru Xue Shi) due to menstruation just starting or stopping, or in cases of pregnancy, postpartum flooding (Beng Lou), and leukorrhea (Dai Xia), the treatment methods differ specifically.
Heat Entering the Blood Chamber:
When a woman suffers from wind strike (Zhong Feng) with fever and aversion to cold, and her menstruation happens to arrive, after seven or eight days, if the heat subsides, the pulse becomes slow, the body is cool, there is fullness in the chest and hypochondrium resembling chest binding (Jie Xiong), and delirium occurs, this is heat entering the blood chamber. One should puncture the Qimen (LR-14) acupoint and apply the draining method according to the excess condition. (Li Dongyuan stated that hallucinations, hearing voices, and dreaming of deceased persons are all caused by excessive liver wood affected by pathogens; puncturing Qimen shares the same principle.)
Scholar Xu treated a woman with heat entering the blood chamber. The physician failed to recognize it and used blood-nourishing and qi-regulating medicines for several days, resulting in blood-binding chest (Xue Jie Xiong). Someone advised using the previous medicine (Xiao Chai Hu Tang), but I said, "Using Xiao Chai Hu Tang is now too late and cannot be done." If there is no other option, there is one alternative: puncturing the Qimen acupoint will suffice. I am not skilled in acupuncture, so I asked a proficient practitioner to treat her. Following this advice, she recovered. Someone asked, "Why does heat entering the blood chamber form chest binding?" I said, "The pathogenic factor enters the collaterals and fights with healthy qi, circulating up and down. If it coincides with menstruation starting or stopping, the pathogen enters the blood chamber vacuously. The blood, pressured by the pathogen, moves upward into the liver meridian. When the liver is affected, delirium and visual hallucinations occur. If it re-enters the Danzhong (Conception Vessel center), blood binds in the chest. Why do I say this? Normally, water nourishes wood, and blood nourishes the liver. Before conception, blood flows downward to become menstrual flow; during pregnancy, it accumulates in the middle to nourish the fetus; after birth, it rises to become milk. All these are functions of blood. Now, the pathogen and accumulated blood return to the liver meridian, gather at Danzhong, and bind below the breasts, causing pain upon touch. This is beyond the reach of decoctions, hence puncturing Qimen is necessary."
When a woman suffers from cold damage with fever, and her menstruation happens to arrive, if she is clear-minded during the day but delirious at night as if seeing ghosts, this is heat entering the blood chamber. Do not injure the stomach qi or the upper two jiaos, and the disease will heal itself. (*Huo Ren Shu* states: Harmonize it with Xiao Chai Hu Tang. ○ "Injuring stomach qi" refers to purging; "injuring the upper two jiaos" refers to inducing sweating.)
*Yan Yi* records: A woman suffered from warm disease for twelve days. Her pulse was rapid (6-7 beats per breath) and choppy, with the cun position slightly large and chi position slightly small. She had alternating chills and fever, flushed cheeks, dry mouth, discomfort, and deafness. Upon inquiry, her menstruation started only after being sick for several days. This belongs to Shaoyang heat entering the blood chamber. If treated incorrectly, death would ensue. Based on her symptoms, Xiao Chai Hu Tang was administered. After two days, Xiao Chai Hu Tang plus Guizhi and Ganjiang was given. After one day, the chills and fever stopped. She then complained of urgency and pain below the umbilicus. Didang Wan was given, leading to mild bowel movement and relief of pain. Her body cooled, and pulse became regular, though she still felt unwell. Xiao Chai Hu Tang was given again. The next day, she reported chest dryness and heat, and dry nose/mouth. A small dose of Tiao Wei Cheng Qi Tang was given, but no diarrhea occurred. The next day, epigastric pain appeared. Da Xian Xiong Wan was given; half a dose resulted in three bowel movements. On the third day, she experienced empty irritability, occasional hallucinations, and rambling speech. Knowing there were dry feces, but fearing her extreme deficiency, attacking was avoided. Instead, Zhu Ye Tang was used to remove irritability and heat. That night, stool passed naturally. By morning, two bowel movements contained several pieces of dry feces. Rambling and irritability resolved completely, leaving only coughing and sputum, indicating lung deficiency. Fearful of developing lung萎 (Fei Wei) due to deficiency, Xiao Chai Hu Tang minus Renshen, Dazao, and Shengjiang, plus Ganjiang and Wuweizi was given. Cough decreased in one day, and the disease cured in two days. All above used formulas from Zhang Zhongjing.
If a woman suffers from wind strike, and after seven or eight days, continues to have alternating chills and fever occurring at specific times, and her menstruation has just stopped, this is heat entering the blood chamber. The blood must be bound, hence symptoms resemble malaria with periodic occurrence. Xiao Chai Hu Tang is the primary formula.
Appendix:
Yun: The treatment for women with cold damage or wind strike is identical to men, except for heat entering the blood chamber and cold damage during pregnancy. One should use Si Wu Tang to nourish fetal blood, assisted by diaphoretic or purgative herbs. For women with cold damage/wind strike presenting with spontaneous sweating, headache, stiffness of neck/back, fever, aversion to cold, and floating-slow pulse, suspecting heat entering the blood chamber, Shaoyao should be doubled.
Guizhi Jia Shaoyao Tang:
Guizhi (1.5 liang), Chi Shaoyao (3.5 liang), Shengjiang (sliced, 1.5 liang), Zhigancao (roasted, 1 liang), Dazao (6 pieces, split). Coarsely crush. Take 5 qian per dose, decoct in water.
For women with cold damage presenting with floating-tight pulse, headache, body heat, aversion to cold, and anhidrosis, if sweating therapy is used and heat entering the blood chamber is feared, Mahuang Jia Shengdihuang Tang is suitable.
Mahuang (2.5 liang), Guizhi (1.5 liang), Zhigancao (roasted, 0.5 liang), Shengdihuang (2 liang), Xingren (25 pieces, skin and tip removed). Crush. Take 5 qian per dose, decoct in water.
Huo: For women with cold damage where menstruation has just stopped, presenting with chills/fever like malaria, delirium, and hallucinations, Ganjiang Chaihu Tang is suitable.
Chaihu (4 liang), Gualougen, Guizhi (each 1.5 liang), Muli (quantity missing), Ganjiang, Zhigancao (roasted, each 1 liang). Crush. Take 5 qian per dose, decoct in 1.5 sheng water until 0.7 sheng remains. Strain and take warm. Initial dose may cause slight irritability; subsequent doses induce sweating and cure.
Luo: Xiao Chai Hu Jia Dihuang Tang. Treats women and young girls with cold damage fever, menstruation starting/stopping, clear-minded by day, delirious by night as if seeing spirits. Also treats postpartum lochia stopping suddenly with near-death sensation.
Chaihu (1.25 liang), Renshen, Huangqin, Zhigancao (roasted), Banxia (washed in boiling water 7 times), Shengdihuang (each 7 qian). Make coarse powder. Take 5 qian per dose, add Shengjiang (3 slices) and Dazao (2 pieces), decoct in water.
Yun: For women with cold damage, body heat, long-stringy pulse, belonging to Yangming/Shaoyang alternating chills/fever, night irritability/day calmness, hallucinations, stopped menstruation, heat entering blood chamber without fullness/excess, Xiao Chai Hu Jia Mudanpi Tang is indicated. For severe fullness/excess, Tao Ren Cheng Qi Tang is used to purge.
Xiao Chai Hu Jia Mudanpi Tang Formula:
Chaihu, Renshen, Mudanpi (each 2 liang), Zhigancao (roasted), Shengjiang (each 0.75 liang), Banxia (washed in boiling water, 0.6 liang), Dazao (3 pieces, split), Huangqin (0.75 liang). Coarsely crush. Take 1 liang per dose, decoct in water.
For women with cold damage, headache, floating pulse, if the physician mistakenly uses purgatives, pathogen enters interior due to deficiency, menstruation stops, epigastrium becomes hard/full, mouth/dry tongue, alternating chills/fever, delirium/hallucinations, deep-rapid pulse. Purging is required. Xiao Chai Hu Jia Mangxiao Dahuang Tang is indicated.
Chaihu (2 liang), Banxia (processed, 1.5 liang), Huangqin, Shengjiang (each 0.75 liang), Dahuang, Mangxiao (each 0.7 liang), Zhigancao (roasted, 0.55 liang), Dazao (3 pieces, split). Coarsely crush. Take 1 liang per dose, decoct in water, strain, add Mangxiao, boil again, take warm. If pulse is not deep-rapid, do not purge.
Xu: In Xin Hai year, residing in Piling, Scholar Wang Zhongli's sister suffered cold damage with chills/fever. At night, she seemed possessed. After 6-7 days, she became comatose with rattling phlegm, locked jaw, closed eyes, and unconsciousness. Condition critical. I examined her and asked, "Was she menstruating when the illness started?" Family replied, "Menstruation had just started, then stopped when illness began." Two days later, chills/fever returned. Quiet by day, haunted by spirits by night. Salivating since yesterday, unconscious. I diagnosed heat entering the blood chamber. Zhongjing stated: "Women with wind strike, fever/aversion to cold, menstruation arriving, clear by day, delirious by night, periodic occurrence, is heat entering blood chamber." Physicians misunderstood and used harsh drugs, causing chest discomfort, phlegm rising, asthma, high breathing, coma. First resolve phlegm, then clear heat. I urgently gave Yi Xi San. After two hours, phlegm drained, she slept, and regained consciousness. Then Xiao Chai Hu Jia Dihuang Tang was given for three doses. Heat cleared, resolved without sweating.
Yun: Women with cold damage, exterior deficiency with sweating, cool body, limb stiffness, deep-slow pulse, Taiyang marked disease, Shaoyang root disease, stopped menstruation. Use Guizhi Jia Fuzi Honghua Tang.
Guizhi (2.5 liang), Shaoyao, Shengjiang (each 1.5 liang), Zhigancao (roasted, 1 liang), Fuzi (prepared), Honghua (each 0.5 liang). Coarsely crush. Take 1 liang per dose, decoct in 3 sheng water.
For women with cold damage, Taiyang marked disease, exterior resolved by sweating, internal pathogenic heat entering blood chamber, excessive menstruation, no fullness/excess. Use Gancao Shaoyao Tang.
Gancao, Shaoyao, Shengdihuang, Chuanxiong (each 1 liang). Crush. Take 1 liang per dose, decoct in 3 sheng water until 1.5 sheng remains. Strain, add 5 qian hair ash, mix well, take warm. If bleeding persists, puncture Yinbai (SP-1).
Pregnancy Cold Damage:
Wu: Generally, six-meridian treatments for pregnancy cold damage are the same, but protecting the fetus is paramount. Avoid herbs that harm the fetus. Examples like Huoxiang Zhengqi San, Shiwei Xiongsu San, Shen Su Yin, Xiao Chai Hu Tang contain Banxia which harms the fetus; remove if used. If phlegm/vomiting requires Banxia, use Banxia Qu, or soak in boiling water 7 times, remove skin/navel, mix with fresh Shengjiang juice, and dry. Herbs like Chuanwu, Fuzi, Tianxiong, Cezi, Rougui, Ganjiang, Dahuang, Mangxiao, Yuanhua, Gansui, Daji, Shuqi, Shuizhi, Mengchong, Taoren, Mudanpi, Ganqi, Daizheshi, Qumai, Niuxi, etc., move the fetus and require careful consideration. See other sections for details. To protect the fetus in hot diseases, apply mud from well bottoms to the navel (2 cun thick), reapply when dry. Alternatively, use Baiaoyzi powder mixed with water, or Fulonggan powder mixed with water. Generally, add Huangqin and Baizhu to decoctions for pregnant women with cold damage to protect the fetus. Can be decocted separately or taken as powder with warm water (2-3 qian). For weak constitutions, add Si Wu Tang. Using Xiao Chai Hu Tang minus Banxia plus Baizhu combined with Si Wu Tang protects the fetus and clears heat effectively. Apply similarly for best results.
Jie: Huangqi Jiemi Tang. Treats pregnant women with wind strike and spontaneous sweating.
Renshen, Huangqi, Danggui, Chuanxiong, Zhigancao (roasted, each 5 qian), Shaoyao (6 qian). Cangzhu and Shengdihuang can be added. Make coarse powder. Take 5 qian per dose, decoct in water, take warm anytime.
Hai: If pregnant women suffer cold damage/wind strike with exterior deficiency, sweating, headache, neck stiffness, body heat, aversion to cold, floating-weak pulse (Taiyang meridian disease), use Biaoxu Liuhe Tang.
Si Wu Tang (4 liang), Guizhi, Digupi (each 0.7 liang).
If pregnant women suffer cold damage with headache, body heat, anhidrosis, tight pulse (Taiyang meridian disease), use Biaoshi Liuhe Tang.
Si Wu Tang (4 liang), Mahuang, Xixin (each 0.5 liang).
If pregnant women suffer cold damage with wind-dampness, joint pain, floating-hot pulse, headache (Taiyang marked disease), use Fengshi Liuhe Tang.
Si Wu Tang (4 liang), Fangfeng, Cangzhu (processed, each 0.7 liang).
If pregnant women suffer cold damage, post-purgative persistent disease, damp-toxin rash like brocade (Taiyang/Shaoyang?), use Shengma Liuhe Tang.
Si Wu Tang (4 liang), Shengma, Lianqiao (each 0.7 liang).
If pregnant women suffer cold damage with chest/hypochondriac fullness/pain, stringy pulse (Shaoyang syndrome), use Chaihu Liuhe Tang.
Si Wu Tang (4 liang), Chaihu, Huangqin (each 0.7 liang).
If pregnant women suffer cold damage with hard stool, red urine, abdominal fullness, deep-rapid pulse (Yangming/Taiyang root disease), urgent purging is needed. Use Dahuang Liuhe Tang.
Si Wu Tang (4 liang), Dahuang, Taoren (skin/tip removed, bran-fried, 10 pieces).
If pregnant women suffer cold damage, post-sweat/purge persistent cough, use Renshen Liuhe Tang.
Si Wu Tang (4 liang), Renshen, Wuweizi (each 5 qian).
If pregnant women suffer cold damage post-sweat/purge with empty bloating (Yangming root deficiency), use Nongpo Liuhe Tang.
Si Wu Tang (4 liang), Houpo, Zhishi (bran-fried, each 5 qian).
If pregnant women suffer cold damage post-sweat/purge insomnia, use Zhizi Liuhe Tang.
Si Wu Tang (4 liang), Zhizi, Huangqin (each 5 qian).
If pregnant women suffer cold damage with extreme thirst, steaming irritability, long-large pulse, use Shigao Liuhe Tang.
Si Wu Tang (4 liang), Shigao, Zhimu (each 5 qian).
If pregnant women suffer cold damage with difficult urination (Taiyang root disease), use Fuling Liuhe Tang.
Si Wu Tang (4 liang), Fuling, Zexie (each 5 qian).
If pregnant women suffer cold damage, Taiyang root disease, red urine like blood, use Hupo Liuhe Tang.
Si Wu Tang (4 liang), Hupo, Fuling (each 5 qian).
If pregnant women suffer cold damage post-sweat/purge with continuous bleeding and fetal disturbance, use Jiao Ai Liuhe Tang.
Si Wu Tang (4 liang), Ejiao, Aiye (each 5 qian). Alternative: Add Gancao to the above; another alternative: Add Gancao, Ganjiang, Huangqin.
If pregnant women suffer cold damage with limb stiffness, cool body, slight sweating, abdominal pain, deep-slow pulse (Shaoyin disease), use Fuzi Liuhe Tang.
Si Wu Tang (4 liang), Fuzi (prepared, skin removed, sliced), Rougui (each 5 qian).
If pregnant women suffer cold damage with blood stasis, avoid abortifacients. Use Si Wu Dahuang Tang to purge.
Si Wu Tang (4 liang), Shengdihuang, Dahuang (wine-soaked, each 5 qian).
Poem: For pregnant women with blood stasis, do not recklessly use Didang or Taoren. Ensure mother and child remain unharmed. Divide Dahuang and Si Wu Tang equally.
Dan: Lady Shi suffered unresolved wind strike, cold lower calves, cough with little sputum, dizziness. Her temperament is irritable, and she is near term.
Huangqin (0.5 qian), Chenpi, Baizhu (each 1 qian), Sujie (0.3 qian), Mutong, Zhike (fried, each 0.5 fen), Mahuang (0.3 qian), Zhigancao (roasted, 0.2 fen), Jiegeng, Cangzhu (each 0.5 qian). Decoct in water, take anytime.
Yun: Pregnant women with cold damage, floating pulse, heavy head, cutting abdominal pain. Use Guizhi Shaoyao Danggui Tang.
Guizhi, Shaoyao, Danggui (each 1 liang). Coarsely crush. Take 1 liang per dose, decoct in water.
Pregnant women with cold damage, spontaneous diarrhea, abdominal pain, inability to eat/drink, deep pulse (Taiyin disease). Use Shaoyao Tang.
Shaoyao, Baizhu, Gancao, Fuling (each 1 liang). Prepare and take as before.
Huo: To protect the fetus in pregnant women with cold damage, use Ejiao San.
Renshen, Baifuling, Ejiao (fried), Sangjisheng, Baizhu (equal parts). Powder. Take 2 qian with glutinous rice water, twice daily.
To protect the fetus in pregnant women with cold damage, use Baizhu San.
Baizhu, Huangqin (fried on new tile until fragrant, equal parts). Powder. Take 3 qian per dose with 1 zhong water, 3 slices Shengjiang, 1 split Dazao. Decoct to 0.7 portion, strain, take warm. Take at first sign of headache/fever. 2-3 doses cure. Contraindicated in cold limbs/Yin syndrome.
To induce sweating for pregnant women with cold damage and aversion to cold/fever, use Congbai Tang.
Congbai (10 stalks), Shengjiang (2 liang, sliced). Coarsely crush. Decoct in 2 sheng water to 1 sheng. Take continuously to induce sweat.
Hai: Congbai Yiwu Tang. Boil 2 bunches Congbai in 1 sheng water until reduced. Drink all juice. Protects fetus. If fetus is damaged, it expels quickly.
Zisu San. Treats disharmonious fetal qi causing upper heart/abdominal fullness/pain (Zi Xuan). Calms and saves fetus, also expels damaged fetus. Treats cold damage headache/fever/body pain.
Zisuye, Danggui (each 1 liang), Renshen, Zhigancao (roasted, each 0.5 liang), Dafupi, Chuanxiong, Baishaoyao, Chenpi (peeled, each 1 liang). Take 8 qian per dose with 1.5 zhong water, 5 slices Shengjiang, 3 stalks Congbai (with roots). Decoct to 1 zhong, strain, take hot before meals. If severe pain, add Muxiang and Yuanhusuo powder.
Xiongsu San. Treats pregnant women with cold damage headache, increased chills, high fever, body pain, neck stiffness.
Zisuye, Chuanxiong, Baishaoyao, Baizhu, Chenpi, Gange, Gancao, Maimendong (equal parts). Crush. Take 4 qian per dose with 4 slices Shengjiang, 3 stalks Congbai. Decoct hot.
Examples of prescribing for pregnant women with cold damage:
For fever/aversion to cold, always include Guizhi, Shaoyao. For alternating chills/fever, always include Chaihu, Qianhu. For extreme thirst, always include Zhimu, Shigao, Wuweizi, Maimendong. For diarrhea, always include Guizhi, Fuzi, Ganjiang, Baizhu. For constipation, always include Dahuang, Huangqin. For menstruation starting/stopping, always include Xiao Chai Hu Tang. For unstable fetus, always include Renshen, Ejiao, Baizhu, Huangqin. For sweating therapy, always include Jianchi, Shengjiang, Mahuang, Xuanfu. For headache, always include Shigao, Zhizi, Qianhu. For summerheat headache, always include Chaihu, Gancao, Shigao. For fullness/stuffiness, always include Zhishi, Chenpi. For unstable fetal qi, always include Huangqin, Maimendong, Renshen. For black spots/rash, always include Huangqin, Zhizi, Shengma.
Da: To protect the fetus in pregnant women with epidemic cold damage and high fever:
Fulonggan powder applied finely to 3 cun below navel. Replace when dry. Stop when cured.
Another formula: Well bottom mud applied to navel. Replace when dry. (From *Ben Shi Fang*, effective).
Another formula: Fuping, Lan Gen, Poxiao, Ge Fen, Dahuang (lightly fried). Powder. Mix with water, apply to navel. Excellent for protecting fetus and clearing heat.
Another formula: Baiaoyzi powder mixed with water, applied to abdomen.
Two formulas for pregnancy cholera (attached to Shaoyin vomiting/diarrhea section).
For pregnancy rash turning black, use Zhizi Daqing Tang.
Huangqin, Shengma, Zhiren (each 2 liang), Daqing, Xingren (each 0.5 liang). Crush. Take 5 qian per dose with 1.5 sheng water, 3 cun sliced Congbai. Decoct to 1 sheng, strain, take warm.
Postpartum Cold Damage:
Wu: New mothers with cold damage should not be lightly induced to sweat. Causes of fever include labor injury, excessive blood loss, retained lochia, lactation fever (day 3), early exertion, or food stagnation. All mimic cold damage. Careful differentiation is essential; do not sweat indiscriminately. Postpartum blood is deficient. Sweating causes muscle twitching, depression/coma, convulsions, or constipation. These harms are serious. Be precise. For any fever, start with Si Wu Tang. Use Chuanxiong and Danggui as chief herbs, maximize Shaoyao (fried), support with Jiushudi Huang (wine-steamed). If feverish, add Ruanmiao Chaihu, Renshen, Ganjiang. Most effective because Ganjiang's pungent-warm nature guides blood herbs into blood level and qi herbs into qi level, removes evil, nourishes new, follows Yang generating Yin, and treats heat with heat, aligning with *Neijing*. I have used it successfully. Record to advise others. If lochia remains, combine Yimu Wan or Heishen San. If stomach deficiency/poor appetite, add Baizhu, Fuling. If phlegm/vomiting, add Chenpi, Banxia. Other six-meridian treatments are same, but always add Si Wu Tang as base to nourish blood, the root.
Postpartum wind strike lasting dozens of days, slight headache, aversion to cold, occasional internal heat, epigastric stuffiness, dry retching, sweating (even if profuse), Yang Dan syndrome. Give Yang Dan Tang (i.e., Guizhi Tang, see Taiyang disease).
Postpartum wind strike with fever, red face, asthma, headache. Zhuye Tang is indicated.
Zhuye (1 bundle), Gegen (3 liang), Fangfeng, Jiegeng, Guizhi, Renshen, Zhigancao (roasted, each 1 liang). Crush. Take 5 qian per dose with 1 Dazao, 5 slices Shengjiang, 1.5 sheng water. Decoct to 1 sheng, strain, take warm. Cover to sweat. If neck stiffness, add 0.5 qian Da Fuzi, boil medicine, skim foam. If vomiting, add 1 qian Banxia.
Dan: Postpartum fever/aversion to cold belong to blood/qi deficiency. Left pulse insufficient → nourish blood. Right pulse insufficient → tonify qi. If chills/fever + abdominal pain, remove bad blood. If chills/fever + blocked lactation + distension (no children), reduce using 2 liang fried Yanmai (barley) powder, mixed with clear soup, divided into 4 doses. If pregnant, purge using Mutong, Tongcao, pig trotter juice decoction.
Just after delivery, if fever appears, do not use diaphoretics or bitter-cold herbs. Must use Ganjiang to strongly dissipate heat. Mild cases use Fuling to leach out heat.
Da: Postpartum fever, headache, body pain should not be treated as common cold. Mostly blood deficiency or bad blood obstruction. Use mild agents. Yu Lu San or Si Wu Tang plus Bei Chaihu (equal parts) decocted works. Many fail when using Xiao Chai Hu Tang or Zhuye Shigao Tang directly.
Yu Lu San. Treats postpartum blocked lactation, high fever, pain, dizziness, constipation. Clears chest, suppresses heat, promotes lactation.
Renshen, Fuling, Gancao (each 0.5 liang), Kugeng (fried), Chuanxiong, Baizhi (each 1 liang), Danggui (0.25 liang), Shaoyao (0.75 liang). Crush. Take 5 qian per dose, decoct in 1 sheng water to 0.7 portion, take warm. If severe irritability/constipation, add 0.25 liang Dahuang.