《产宝》论曰∶夫妊娠肿满，由脏气本弱，因产重虚，土不克水，血散入四肢，遂致腹
胀，手足面目皆浮肿，小便秘涩。陈无择云∶凡妇人宿有风寒冷湿，妊娠喜脚肿，俗呼为
皱脚。亦有通身肿满，心腹急胀，名曰胎水。
论曰∶凡妊娠之人，无使气极。若心静气和，则胎气安稳。若中风寒邪气及有所触
犯，则随邪而生病也。凡妊娠经血壅闭以养胎，若忽然虚肿，乃胎中挟水，水血相搏，脾
胃恶湿，主身之肌肉，湿渍气弱，则肌肉虚，水气流溢，故令身肿满也。然其由有自，或
因泄泻下痢，脏腑虚滑，耗损脾胃；或因寒热疟疾烦渴，引饮太过，湿渍脾胃，皆能使
头面或手足浮肿也。然水渍于胞，儿未成形而胎多损坏，及其临产日脚微肿，乃胞脏水
少血多，水出于外，故现微肿，则易生也。宿有寒气，因寒冷所触，故能令腹胀肿满也。
《产乳集》论妊娠自三月成胎之后，两足自脚面渐肿腿膝以来，行步艰辛，以至喘闷，
饮食不美，似水气状。至于脚指间有黄水出者，谓之子气，直至分娩方消。此由妇人素
有风气，或冲任经有血风，未可妄投汤药，亦恐大段甚者，虑将产之际费力，有不测之忧，
故不可不治于未产之前也。古方论中少有言者，按《名医录》宋少主元徽中，与徐文伯
微行学针法，文伯见一妊妇足肿不能行，少主脉之，此女形也。文伯诊之曰∶此男胎也，
在左则胎黑色。少主怒欲破之。文伯恻然曰∶臣请针之，胎遂堕，男形而色黑。此妊娠足
肿之说，见于古者。今巢氏《病源》中但有子烦之论，《千金》并《产宝》方亦略言之，
刘禹锡《续传广信方》以为妊妇有水气而成胎，《太平圣惠》亦言之，皆非也。元丰中，
淮南陈景初，名医也，独有方论治此病，方名初谓之香附散，李伯时易名曰天仙藤散也。
〔薛〕前证若胸满腹胀，小便不通，遍身浮肿，用鲤鱼汤。脾胃虚弱，佐以四君子。
若面目虚浮，肢体如水气，用全生白术散；如未应，用六君子汤。脾虚湿热，下部作肿，用
补中益气加茯苓。若饮食失宜，呕吐泄泻，用六君子汤。若腿足发肿，喘闷不安，或指缝
出水，用天仙藤散。脾胃虚弱，兼四君子汤；如未应，用补中益气汤。若脾肺气滞，用加
味归脾汤佐以加味逍遥散。一妊妇每胎至五月，肢体倦怠，饮食无味，先两足肿，渐
至遍身，后及头面，此是脾肺气虚，朝用补中益气，夕用六君子加苏梗而愈。凡治妊娠，
毋泥月数，但见某经证，即用本药为善。
一妊妇年三十八，妊娠水肿，以鲤鱼汤加五苓散、人参。湿加苍术一钱，浓朴、陈皮五
分，萝卜子炒、车前子、滑石各一钱，作一帖。若喘急加苦葶苈，小便不利加木通、灯草，甚者车前
子、浚川散，其湿毒自消。防己治腰以下湿热肿，如内伤胃弱者，不可用也。
天仙藤散
天仙藤（洗，略炒） 香附子（炒） 陈皮 甘草 乌药（不必天台者，但得软白辛而香者良）
上等分，净秤为细末，每服三钱，水一大盏，姜三片，木瓜三片，紫苏三叶，同煎
至七分，放温澄清，空心食前服，日三服。小便利，气脉通，体轻肿渐消，更不须多服。（元
丰末，王荆公居金陵，举家病，以诗赠景初曰∶举族贫兼病，烦君药石功，到家何所寄，一一问征鸿。因
此见方得于李伯时家传方，录于临川张右丞宅。）
《产宝》疗妊娠身肿有水气，心腹胀满，小便少。
茯苓（四两） 杏仁 槟榔（各三两） 旋复花 郁李仁（各一两）
上为粗末，以水六升，煮取二升，去滓分温三服。小便通即瘥。
崔氏疗妊娠体肿有水气，心腹急满。
茯苓 白术（四两） 旋复花（二两） 杏仁 黄芩（各三两）
上细切，以水七升，煮取二升半，分温三服。忌桃、李、雀肉。酢物。
疗妊娠遍身洪肿，葶苈子散二方。
葶苈子（一两） 白术（五两） 茯苓 桑白皮 郁李仁（各二两）
上为粗末，水六升，煮取二升，分三服，小便利即瘥。
又方
泽泻 葶苈（各二两） 茯苓 枳壳 白术（各六两）
上细切，以水六升，煮取二升，分温两服，小便利即瘥。
泽泻散 治妊娠气壅，身体腹胁浮肿，喘急，大便不通，小便赤涩，宜服。
泽泻 木通 桑白皮 赤茯苓 枳壳 槟榔（各一钱半）
上作一服，水二盅，生姜五片，煎至一盅，食前服。
防己汤 治妊娠脾虚，通身浮肿，心腹胀满，喘促，小便不利。
防己（一钱半） 桑白皮 赤茯苓 紫苏茎叶（各二钱） 木香（半钱）
作一服，煎服法同前。
千金鲤鱼汤 治妊娠腹大，胎间有水气。
白术（五两） 茯苓（四两） 当归 芍药（各三两）
上细锉片，以鲤鱼一尾，修事如食法，煮取汁，去鱼不用，每服四钱，入鱼汁一盏半，
生姜七片，橘皮少许，煎至七分，去滓空心服。《集验》同。
肾着汤 治妊娠腰脚肿。
茯苓 白术（各四两） 干姜 甘草（各二两） 杏仁（三两）
上 咀，每服四钱，水一盏半，煎至七分，食前服。
指迷五皮散 治胎水。寻常脾虚肿满亦治。
大腹皮 桑白皮 生姜皮 茯苓皮 橘皮（各等分）
上 咀，每服半两，水二盏，浓磨木香水一呷，同煎至八分，去滓空心温服。亦治
男子脾虚肿满。
治妊娠两脚浮肿，名曰脆脚。因脾衰不能制水，血化成水所致。用生料平胃散，姜、
枣水煎服。或为末，紫苏叶煎汤调下。
全生白术散 治妊娠面目虚浮，如水肿状。
白术（一两） 生姜皮 大腹皮 茯苓皮 陈皮（各半两）
上为细末，每服二钱，米饮调下，不拘时。
子和治妊娠从脚上至腹肿，小便不利，微渴。猪苓五两为末，以熟水服方寸匕，日三
服。
〔丹〕子肿多湿，用山栀一撮，米饮吞下。
《产宝》论述道：妊娠期间出现身体肿胀胀满，是由于脏腑之气原本虚弱，加上生育导致极度虚损，脾土不能制约肾水，血液散乱流入四肢，从而导致腹部胀大，手足及面目全部浮肿，小便短少且排尿涩痛。陈无择说：凡是妇女素来患有风、寒、冷、湿邪气，怀孕后喜欢脚部肿胀，俗称“皱脚”。也有全身肿胀胀满，心腹急迫胀满的，称为“胎水”。
论述道：凡是怀孕的人，不要让情绪激动到极点。如果心境平静、气息平和，那么胎气就会安稳。如果感受了中风寒邪气以及受到其他触犯，就会随着邪气而生病。凡是怀孕后经血闭阻以滋养胎儿，如果突然发生虚肿，这是胎中挟带水湿，水与血相互搏结，脾胃厌恶湿气，主管身体的肌肉，湿气浸渍导致气弱，则肌肉虚弱，水流溢于肌肤，所以导致身体肿胀胀满。然而其成因各有不同，有的因为腹泻下痢，脏腑虚滑，耗损脾胃；有的因为寒热疟疾烦渴，饮水过多，湿气浸渍脾胃，都能使头面或手足浮肿。然而如果水湿浸渍胞宫，胎儿尚未成形就容易多受损坏；等到临产时脚部轻微肿胀，这是因为胞脏水少血多，水液出于体外，所以呈现轻微肿胀，这就容易生产。素来有寒气，因寒冷触动，所以能导致腹部胀满肿胀。
《产乳集》论述妊娠自三个月成胎之后，两足从脚面逐渐肿胀至腿膝，行走艰难，甚至气喘胸闷，饮食不佳，症状像水气病一样。至于脚趾间有黄水渗出的，称为“子气”，直到分娩才消退。这是由于妇人素有风气，或者冲任经脉有血风，不可妄自投用汤药，也担心病情特别严重时，顾虑到临产之际费力，会有不测的忧患，所以在未生产之前必须治疗。古代方论中很少有人提及此事，据《名医录》记载，宋少主元徽年间，他与徐文伯微服私访学习针法，徐文伯看见一位孕妇脚肿无法行走，少主诊察她的脉象，认为这是女胎。徐文伯诊察后说：这是男胎，在左侧则胎儿颜色发黑。少主愤怒想要剖开它。徐文伯怜悯地说：臣请求用针刺治疗，胎儿随即堕下，确实是男胎且颜色黑。这妊娠足肿的说法，见于古代案例。现在巢元方《诸病源候论》中只有子烦的论述，《千金方》和《产宝》中的方剂也只是简略提及，刘禹锡《续传信方》认为孕妇有水气而成胎，《太平圣惠方》也提到过，这些都不正确。元丰年间，淮南的陈景初是位名医，唯独他有方论治疗此病，方名起初叫香附散，李伯时改名为天仙藤散。
薛己评述：前述证候如果胸满腹胀，小便不通，遍身浮肿，使用鲤鱼汤。脾胃虚弱，配合四君子汤。如果面目虚浮，肢体像水气病，使用全生白术散；如果无效，使用六君子汤。脾虚湿热，下部作肿，使用补中益气汤加茯苓。如果饮食不当，呕吐泄泻，使用六君子汤。如果腿足发肿，喘闷不安，或者指缝出水，使用天仙藤散。脾胃虚弱，兼用四君子汤；如果无效，使用补中益气汤。如果脾肺气滞，使用加味归脾汤配合加味逍遥散。有一位孕妇每胎到了五个月，肢体倦怠，饮食无味，先两脚肿，逐渐蔓延至全身，后来波及头面，这是脾肺气虚，早晨服用补中益气汤，晚上服用六君子汤加苏梗而痊愈。凡是治疗妊娠病，不要拘泥于月份，只要见到某经的证候，就使用该经的本方为好。
一位三十八岁的孕妇，患妊娠水肿，用鲤鱼汤加五苓散、人参。湿气重加苍术一钱，厚朴、陈皮五分，炒萝卜子、车前子、滑石各一钱，作为一帖药。如果喘急加苦葶苈，小便不利加木通、灯心草，严重的用车前子、浚川散，其湿毒自然消除。防己治疗腰以下湿热肿，如果是内伤胃弱者，不可使用。
天仙藤散
天仙藤（洗净，略炒） 香附子（炒） 陈皮 甘草 乌药（不必是天台产的，只要质地软白、气味辛香的就良）
以上药物等分，净秤后研为细末，每次服用三钱，用水一大盏，生姜三片，木瓜三片，紫苏叶三片，共同煎煮至七分水量，放温澄清后，空腹饭前服用，每日三次。小便通利，气脉通畅，身体轻盈肿胀渐消，就不必再多服。（元丰末年，王安石居住在金陵，全家生病，他写诗赠给陈景初说：“举族贫兼病，烦君药石功，到家何所寄，一一问征鸿。”因此得知此方得自李伯时家传方，记录于临川张右丞宅。）
《产宝》治疗妊娠身体肿胀有水气，心腹胀满，小便少。
茯苓（四两） 杏仁 槟榔（各三两） 旋复花 郁李仁（各一两）
以上药物捣碎为粗末，用水六升，煮取二升药液，去渣滓分三次温服。小便通利即痊愈。
崔氏治疗妊娠身体肿胀有水气，心腹急迫胀满。
茯苓 白术（各四两） 旋复花（二两） 杏仁 黄芩（各三两）
以上药物细切，用水七升，煮取二升半药液，分三次温服。忌食桃、李、雀肉及醋制食物。
治疗妊娠遍身严重肿胀，葶苈子散二方。
葶苈子（一两） 白术（五两） 茯苓 桑白皮 郁李仁（各二两）
以上药物捣碎为粗末，用水六升，煮取二升药液，分三次服用，小便通利即痊愈。
又一方
泽泻 葶苈（各二两） 茯苓 枳壳 白术（各六两）
以上药物细切，用水六升，煮取二升药液，分两次温服，小便通利即痊愈。
泽泻散 治疗妊娠气机壅滞，身体腹胁浮肿，喘急，大便不通，小便赤涩，适宜服用。
泽泻 木通 桑白皮 赤茯苓 枳壳 槟榔（各一钱半）
以上药物作为一服，用水二盅，生姜五片，煎至一盅，饭前服用。
防己汤 治疗妊娠脾虚，通身浮肿，心腹胀满，喘促，小便不利。
防己（一钱半） 桑白皮 赤茯苓 紫苏茎叶（各二钱） 木香（半钱）
作为一服，煎服方法同上。
千金鲤鱼汤 治疗妊娠腹部增大，胎间有水气。
白术（五两） 茯苓（四两） 当归 芍药（各三两）
以上药物细锉成片，用鲤鱼一条，按食用方法处理，煮取鱼汁，去掉鱼肉不用，每次服用四钱药末，加入鱼汁一盏半，生姜七片，橘皮少许，煎至七分水量，去渣滓空腹服用。《集验方》相同。
肾着汤 治疗妊娠腰脚肿胀。
茯苓 白术（各四两） 干姜 甘草（各二两） 杏仁（三两）
以上药物切碎，每次服用四钱，用水一盏半，煎至七分水量，饭前服用。
指迷五皮散 治疗胎水。寻常脾虚肿满也治疗。
大腹皮 桑白皮 生姜皮 茯苓皮 橘皮（各等分）
以上药物切碎，每次服用半两，用水二盏，浓磨木香水一呷，共同煎至八分水量，去渣滓空腹温服。也治疗男子脾虚肿满。
治疗妊娠两脚浮肿，名为“脆脚”（注：原文此处疑为“皱脚”之误，但依原文翻译）。因脾衰不能制约水湿，血化成水所致。使用生料平胃散，用姜、枣水煎服。或者研为粉末，用紫苏叶煎汤调服。
全生白术散 治疗妊娠面目虚浮，像水肿状。
白术（一两） 生姜皮 大腹皮 茯苓皮 陈皮（各半两）
以上药物研为细末，每次服用二钱，米饮调服，不拘时间。
Chen Bao discusses: Pregnancy edema and distension arise from the inherent weakness of the zang-fu qi, exacerbated by the extreme deficiency following childbirth. Earth fails to control Water, blood scatters into the four limbs, leading to abdominal distension, generalized edema of the hands, feet, face, and eyes, along with scanty and difficult urination. Chen Wuyue states: Women who have a history of wind, cold, chill, and dampness often experience foot swelling during pregnancy, commonly known as "wrinkled feet" (Zhou Jiao). There are also cases of generalized edema and distension with urgent fullness in the heart and abdomen, termed "fetal water" (Tai Shui).
It is discussed that pregnant women should avoid excessive emotional agitation. If the mind is calm and qi is harmonious, fetal qi remains stable. If exposed to wind-cold pathogenic factors or other physical/emotional trauma, illness will ensue according to the pathogen. During pregnancy, menstrual blood is retained to nourish the fetus. Sudden generalized edema indicates water-dampness retained within the fetus, where water and blood contend. The Spleen and Stomach dislike dampness; they govern the muscles of the body. Dampness infiltration weakens qi, causing muscle flaccidity, allowing water fluids to overflow, resulting in generalized edema. However, causes vary: some result from diarrhea or dysentery causing visceral laxity and damaging the Spleen and Stomach; others stem from excessive fluid intake due to thirst from alternating chills and fever or malaria, where dampness infiltrates the Spleen and Stomach, causing edema of the head, face, hands, or feet. If water dampness infiltrates the uterus, the fetus may be damaged before formation. Near term, slight foot swelling occurs because the uterine viscera have less water and more blood, with water exiting externally; this slight swelling facilitates delivery. A pre-existing cold condition triggered by cold exposure can cause abdominal distension and swelling.
Chan Ru Ji discusses that after three months of gestation, both feet gradually swell from the dorsum to the knees and shins, making walking difficult, accompanied by panting, chest oppression, and poor appetite, resembling water-qi disease. If yellow fluid oozes from between the toes, it is called "child qi" (Zi Qi), which resolves only after delivery. This is due to the woman's prior constitution of wind pathogens or blood-wind in the Chong and Ren meridians. Decoctions should not be administered recklessly. If the condition is severe, one must worry about exhaustion during labor and unforeseen dangers; thus, treatment before delivery is necessary. Ancient formulas rarely mention this. According to Ming Yi Lu, during the reign of Emperor Yuanhui of Song, the young emperor and Xu Wenbo studied acupuncture incognito. Xu Wenbo saw a pregnant woman with swollen feet unable to walk. The emperor palpated her pulse and diagnosed a female fetus. Xu Wenbo diagnosed: "This is a male fetus; if on the left, the fetus will be black." The emperor, angry, wanted to abort it surgically. Xu Wenbo compassionately said: "Your subject requests to use acupuncture." The fetus was expelled, confirmed as male and black. This case illustrates ancient knowledge of pregnancy-induced foot swelling. Currently, Chao Yuanfang's *Zhu Bing Yuan Hou Lun* only discusses "fetal irritability" (Zi Fan); *Qian Jin Fang* and *Chan Bao* mention it briefly. Liu Yuxi's *Xu Zhuan Xin Fang* attributes fetal formation to water-qi in pregnancy, and *Taiping Sheng Hui Fang* also mentions it, but these are considered incorrect. In the Yuanfeng era, Chen Jingchu of Huainan, a famous physician, had specific formulas for this disease. Initially named Xiang Fu San, Li Boshi renamed it Tian Xian Teng San.
Xue Ji comments: For the aforementioned symptoms, if there is chest fullness, abdominal distension, urinary retention, and generalized edema, use Li Yu Tang (Carp Decoction). For Spleen-Stomach deficiency, combine with Si Jun Zi Tang (Four Gentlemen Decoction). If the face and eyes are puffy and limbs resemble water-qi disease, use Quan Sheng Bai Zhu San (Complete Life Atractylodes Powder); if ineffective, use Liu Jun Zi Tang (Six Gentlemen Decoction). For Spleen deficiency with damp-heat causing lower body edema, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Fu Ling (Poria). For improper diet causing vomiting and diarrhea, use Liu Jun Zi Tang. For leg and foot swelling, panting, restlessness, or oozing between fingers, use Tian Xian Teng San. For Spleen-Stomach deficiency, combine with Si Jun Zi Tang; if ineffective, use Bu Zhong Yi Qi Tang. For Spleen-Lung qi stagnation, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) combined with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). One patient experienced limb fatigue and loss of taste at five months gestation, starting with bilateral foot swelling spreading to the whole body and face. This was Spleen-Lung qi deficiency; morning administration of Bu Zhong Yi Qi Tang and evening administration of Liu Jun Zi Tang plus Su Geng (Perilla Stem) led to recovery. When treating pregnancy conditions, do not rigidly adhere to gestational months; treat based on the meridian pattern observed.
A thirty-eight-year-old pregnant woman with edema was treated with Li Yu Tang plus Wu Ling San (Five-Ingredient Powder with Poria), Ren Shen (Ginseng). For heavy dampness, Cang Zhu (Atractylodis Rhizoma) 1 qian, Hou Po (Magnoliae Officinalis Cortex) and Chen Pi (Citri Reticulatae Pericarpium) 0.5 qian were added, along with fried Luo Bo Zi (Raphani Semen), Che Qian Zi (Plantaginis Semen), and Hua Shi (Talcum) each 1 qian, as one dose. For panting, add Ku Ting Li (Semen Lepidii et Descurainiae); for difficult urination, add Mu Tong (Akebiae Caulis) and Deng Cao (Junci Medulla); for severe cases, use Che Qian Zi and Jun Chuan San (Jun Chuan Powder), resolving damp-toxins naturally. Fang Ji (Stephaniae Tetrandrae Radix) treats damp-heat edema below the waist but is contraindicated in internal injury with stomach weakness.
Tian Xian Teng San (Aristolochiae Vitis Decoction)
Tian Xian Teng (Vitis Aristolochiae Caulis, washed and lightly stir-fried), Xiang Fu Zi (Cyperi Rhizoma, stir-fried), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Wu Yao (Linderae Radix - preferably soft, white, and aromatic). Equal parts, finely powdered. Take 3 qian per dose, decoct with 1 large cup of water, 3 slices of Sheng Jiang (Zingiberis Rhizoma), 3 slices of Mu Gua (Chaenomelis Fructus), and 3 leaves of Zi Su (Perillae Folium) until reduced to 70%. Strain, warm, and take on an empty stomach before meals, three times daily. Once urination is clear, qi and pulses are unobstructed, and the body feels light with reduced edema, further doses are unnecessary. (Recorded by Wang Anshi in Jinling during the late Yuanfeng era, derived from Li Boshi's family recipe.)
Chan Bao treats pregnancy body swelling with water-qi, heart/abdominal fullness, and scanty urination.
Fu Ling (Poria) 4 liang, Xing Ren (Armeniacae Semen Amarum), Bin Lang (Arecae Semen) each 3 liang, Xuan Fu Hua (Inulae Flos), Yu Li Ren (Prunus Semen) each 1 liang. Coarsely powdered. Decoct in 6 sheng of water to obtain 2 sheng. Strain and take warm in three doses. Cures when urination flows freely.
Cui Shi treats pregnancy body swelling with water-qi, urgent heart/abdominal fullness.
Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 4 liang, Xuan Fu Hua (Inulae Flos) 2 liang, Xing Ren (Armeniacae Semen Amarum), Huang Qin (Scutellariae Radix) each 3 liang. Finely cut. Decoct in 7 sheng of water to obtain 2.5 sheng. Take warm in three doses. Avoid peaches, plums, sparrow meat, and vinegar foods.
For generalized severe pregnancy edema, Ting Li Zi San (Descurainiae/Semen Lepidii Decoction) two formulas.
Ting Li Zi (Semen Lepidii et Descurainiae) 1 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 liang, Fu Ling (Poria), Sang Bai Pi (Mori Cortex), Yu Li Ren (Prunus Semen) each 2 liang. Coarsely powdered. Decoct in 6 sheng of water to obtain 2 sheng. Take in three doses. Cures when urination flows freely.
Another Formula
Ze Xie (Alismatis Rhizoma), Ting Li (Semen Lepidii et Descurainiae) each 2 liang, Fu Ling (Poria), Zhi Ke (Aurantii Fructus Immaturus), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 6 liang. Finely cut. Decoct in 6 sheng of water to obtain 2 sheng. Take warm in two doses. Cures when urination flows freely.
Ze Xie San (Alismatis Powder) treats pregnancy qi congestion, body/abdomen/flank edema, panting, constipation, and dark/scanty urination.
Ze Xie (Alismatis Rhizoma), Mu Tong (Akebiae Caulis), Sang Bai Pi (Mori Cortex), Chi Fu Ling (Poria cum Mycelio et Lignum), Zhi Ke (Aurantii Fructus Immaturus), Bin Lang (Arecae Semen) each 1.5 qian. As one dose, decoct in 2 zhong of water with 5 slices of Sheng Jiang (Zingiberis Rhizoma) to 1 zhong. Take before meals.
Fang Ji Tang (Stephaniae Tetrandrae Decoction) treats pregnancy Spleen deficiency, generalized edema, heart/abdominal fullness, panting, and difficult urination.
Fang Ji (Stephaniae Tetrandrae Radix) 1.5 qian, Sang Bai Pi (Mori Cortex), Chi Fu Ling (Poria cum Mycelio et Lignum), Zi Su Jing Ye (Perillae Caulis et Folium) each 2 qian, Mu Xiang (Aucklandiae Radix) 0.5 qian. As one dose, decoct as above.
Qian Jin Li Yu Tang (Carp Decoction from Qian Jin Fang) treats pregnancy abdominal enlargement due to water-qi between the fetus and mother.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 liang, Fu Ling (Poria) 4 liang, Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix Alba) each 3 liang. Finely sliced. Prepare one carp as food, decoct to extract juice, discard fish. Take 4 qian of powder mixed with 1.5 cups of fish juice, 7 slices of Sheng Jiang (Zingiberis Rhizoma), and a little Ju Pi (Citri Reticulatae Pericarpium). Decoct to 70%, strain, and take on an empty stomach. Same as Ji Yan Fang.
Shen Zhuo Tang (Kidney Attaching Decoction) treats pregnancy waist and foot swelling.
Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 4 liang, Gan Jiang (Zingiberis Rhizoma Recens), Gan Cao (Glycyrrhizae Radix et Rhizoma) each 2 liang, Xing Ren (Armeniacae Semen Amarum) 3 liang. Cut into pieces. Take 4 qian per dose, decoct in 1.5 cups of water to 70%. Take before meals.
Zhi Mi Wu Pi San (Five Barks Powder Directing Wonder) treats fetal water. Also treats ordinary Spleen deficiency edema/distension.
Da Fu Pi (Arecae Pericarpium), Sang Bai Pi (Mori Cortex), Sheng Jiang Pi (Zingiberis Rhizoma Exocarpium), Fu Ling Pi (Poria Exocarpium), Ju Pi (Citri Reticulatae Pericarpium) equal parts. Cut into pieces. Take 0.5 liang per dose, decoct in 2 cups of water with a sip of strong Mu Shan Shui (Liquidambar Resin Water) to 80%. Strain and take warm on an empty stomach. Also treats male Spleen deficiency edema/distension.
Treatment for pregnancy bilateral foot edema, named "Cui Jiao" (Brittle Feet - likely a typo for Zhou Jiao/Wrinkled Feet in original text). Caused by Spleen failure to control water, transforming blood into water. Use Sheng Liao Ping Wei San (Raw Material Calm the Stomach Powder) decocted with Ginger and Jujube. Or powder form, taken with Perilla leaf decoction.
Quan Sheng Bai Zhu San (Complete Life Atractylodes Powder) treats pregnancy facial puffiness resembling edema.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Sheng Jiang Pi (Zingiberis Rhizoma Exocarpium), Da Fu Pi (Arecae Pericarpium), Fu Ling Pi (Poria Exocarpium), Chen Pi (Citri Reticulatae Pericarpium) each 0.5 liang. Finely powdered. Take 2 qian per dose, mixed with rice drink, anytime.
Zi He He treats pregnancy edema from feet to abdomen, difficult urination, slight thirst. Zhu Ling (Polyporus) 5 liang powdered. Take 1 cun bi (square inch measure) with cooked water, three times daily.
Dan Xi comments: Zi Zhong (fetal edema) is mostly due to dampness. Use Zhi Zi (Gardeniae Fructus) one handful, swallowed with rice drink.