（解毒汤∶黄芩、黄连、黄柏、栀子）
孕妇或感伤寒，或染时令火症，烧热昏昏不退，急用凉药清解，以保其胎，如三黄、解毒、芩、连、羚羊，
惟犀角伤胎之物，不宜用。如不解，至胎损腹中，不得下，孕妇昏愦，斯时极难着手，须验产母之舌。如面赤
舌青，其子已损，急用平胃散加朴硝，服下立出。但死胎不得不下，下之又恐气随下脱，不下又难保产母。倘
面青舌赤，及面舌俱青而口吐白沫者皆两命难存，不可为也。设遇胎下面转赤，尚有一息之存，随即以参
归地救之，间可活十中一二。
热入血分，不用犀角。经曰∶有故无殒，亦无殒也。第不可过剂耳。
平胃散
苍术（二钱） 浓朴（一钱五分） 陈皮（一钱五分） 甘草（八分）
加朴硝（五钱） 煎服。又方∶独用朴硝三四钱，童便一盅和热酒调服，即下。但下后即如产后温补，若
仍作热症医，即错矣。
热病伤胎，下后即用温补，是促其母死耳。（徐评）
凡遇伤寒必保胎，莫与寻常一样猜，最稳只宜香苏饮，分经加味变通来。
香苏饮
香附 紫苏 陈皮 甘草 砂仁
如太阳经加防风，荆芥，秦艽，阳明经加
葛根、知母，少阳经加柴胡、黄芩、人参。
（即是少阳症，邪在半表半里之间）
此症乍寒乍热，过时神清。有一日一发者，有隔日一发者，始则亦宜香苏饮表之。如待寒热分明，始用小
柴胡汤和解之，切勿早用柴胡。若汗多宜加人参，如热盛寒少而有汗，可加石膏、知母以凉散退热，勿致热伤
胎气，早为留意。
小柴胡汤
柴胡 人参 茯苓 陈皮 甘草
【解毒汤：由黄芩、黄连、黄柏、栀子组成】
孕妇如果感染了伤寒，或者染上了时令的火症（温热病），出现发热昏沉不退的症状，必须紧急使用凉性药物进行清热解表，以保护胎儿。例如可以使用三黄汤、解毒汤、黄芩、黄连、羚羊角等药物。但是犀角是损伤胎儿的药物，不宜使用。如果病情没有缓解，导致死胎留在腹中无法排出，孕妇出现昏迷不醒的情况，这时治疗非常困难，必须检查产妇的舌头。如果面色红赤而舌色发青，说明胎儿已经死亡，应紧急使用平胃散加入朴硝，服用后死胎会立即排出。但死胎必须排出，排出后又担心气随之下脱，不排出又难以保全产妇性命。倘若面色发青、舌色红赤，以及面舌都发青且口吐白沫的，都是母子两条命都难保，无法救治。如果遇到胎死后下面转红，还有一线生机，随即用人参、当归、地黄来抢救，偶尔能救活十分之一二。
热邪进入血分，不使用犀角。医经说：“有病则病受之，不会伤害母体，也不会伤害胎儿。”只是不可用药过量罢了。
【平胃散】
苍术（二钱） 浓朴（一钱五分） 陈皮（一钱五分） 甘草（八分）
加入朴硝（五钱），煎服。另一个方子：单独使用朴硝三四钱，用童子尿一盅配合热酒调服，死胎即可排出。但是排出后应当像产后一样进行温补，如果仍然按照热症治疗，就错了。
热病伤胎，排出死胎后立即使用温补药物，这是加速产妇死亡的做法。（徐评注）
凡是遇到伤寒必须保护胎儿，不能像对待普通人那样随意猜测，最稳妥的方法是使用香苏饮，根据经络辨证加减变化。
【香苏饮】
香附 紫苏 陈皮 甘草 砂仁
如果是太阳经病症，加防风、荆芥、秦艽；阳明经病症加葛根、知母；少阳经病症加柴胡、黄芩、人参。
（这就是少阳症，邪气在半表半里之间）
这种症状表现为忽冷忽热，过一段时间后神志清醒。有一日发作一次的，也有隔日发作一次的，初期也适宜用香苏饮解表。如果等到寒热症状分明时，再使用小柴胡汤和解，千万不要过早使用柴胡。如果汗多，宜加入人参；如果热盛寒少且有汗，可加石膏、知母来凉散退热，以免热邪损伤胎气，需及早留意。
【小柴胡汤】
柴胡 人参 茯苓 陈皮 甘草
[Decoction for Detoxification: composed of Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), and Zhizi (Gardeniae Fructus)]
If a pregnant woman contracts Shanghan (Cold Damage) or is infected with seasonal fire syndromes (warm-heat diseases), presenting with persistent fever and drowsiness, cool-natured herbs must be urgently used to clear heat and resolve the pathogen to protect the fetus. For example, Sanhuang Decoction (Three Yellows Decoction), Jiedu Decoction, Huangqin, Huanglian, and Lingyangjiao (Antelope Horn) may be used. However, Xijiao (Rhinoceros Horn) is a substance that damages the fetus and should not be used. If the condition does not resolve, leading to a dead fetus retained in the uterus unable to be expelled, and the pregnant woman falls into coma, treatment becomes extremely difficult at this stage. One must examine the mother's tongue. If the face is red but the tongue is cyanotic, the fetus has already died; urgently use Pingwei San (Regulate the Stomach Powder) added with Poxiao (Mirabilite). After ingestion, the dead fetus will be expelled immediately. However, the dead fetus must be expelled; yet, after expulsion, there is fear of Qi collapsing with the expulsion, while failing to expel it makes it difficult to save the mother. If the face is cyanotic and the tongue is red, or if both face and tongue are cyanotic accompanied by foaming at the mouth, both lives are difficult to save, and no cure is possible. If, upon expulsion of the fetus, the discharge turns red, indicating a remaining breath of life, one should immediately administer Shengmai San-like rescue with Renshen (Ginseng), Danggui (Angelicae Sinensis Radix), and Dihuang (Rehmanniae Radix); occasionally, one or two out of ten may survive.
When Heat enters the Blood level, Xijiao (Rhinoceros Horn) is not used. The classic states: "Where there is pathology, there is no injury [to the healthy body], nor injury to the fetus." It is merely necessary not to overdose.
[Pingwei San]
Cangzhu (Atractylodis Rhizoma) (2 qian) Nongpo (Magnoliae Officinalis Cortex) (1.5 qian) Chenpi (Citri Reticulatae Pericarpium) (1.5 qian) Gancao (Glycyrrhizae Radix et Rhizoma) (0.8 qian)
Add Poxiao (Mirabilite) (5 qian), decoct and take. Another prescription: Use only Poxiao (Mirabilite) 3-4 qian, mixed with one cup of Tongbian (Child's Urine) and warm wine, taken orally; the dead fetus will be expelled immediately. However, after expulsion, treatment should follow postpartum warming and tonifying protocols. If treated as a Heat syndrome again, it would be an error.
Treating fetal damage from Heat disease by using warming and tonifying methods immediately after expulsion of the dead fetus accelerates the mother's death. (Comment by Xu)
Whenever Shanghan (Cold Damage) is encountered, the fetus must be protected; do not guess casually as with ordinary cases. The most stable approach is to use Xiangsu Yin (Fragrant Perilla Infusion), varying it according to channel differentiation.
[Xiangsu Yin]
Xiangfu (Cyperi Rhizoma) Zisu (Perillae Folium) Chenpi (Citri Reticulatae Pericarpium) Gancao (Glycyrrhizae Radix et Rhizoma) Sharen (Amomi Fructus Rotundus)
For Taiyang Channel (Taiyang Meridian) involvement, add Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), and Qinjiao (Gentianae Macrophyllae Radix). For Yangming Channel (Yangming Meridian) involvement, add Gegen (Puerariae Lobatae Radix) and Zhimu (Anemarrhenae Rhizoma). For Shaoyang Channel (Shaoyang Meridian) involvement, add Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), and Renshen (Ginseng).
(This is a Shaoyang Syndrome, where the pathogen is between the exterior and interior.)
This syndrome presents with alternating chills and fever, with clarity of spirit returning after intervals. It may occur once daily or every other day. Initially, Xiangsu Yin (Fragrant Perilla Infusion) should be used to release the exterior. Wait until the chills and fever are distinct before using Xiaochaihu Tang (Minor Bupleurum Decoction) to harmonize. Do not use Chaihu (Bupleuri Radix) too early. If sweating is profuse, add Renshen (Ginseng). If Heat is severe with mild chills and sweating, add Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma) to cool and dissipate Heat, preventing Heat from damaging the fetal Qi; attention must be paid early.
[Xiaochaihu Tang]
Chaihu (Bupleuri Radix) Renshen (Ginseng) Fuling (Poria) Chenpi (Citri Reticulatae Pericarpium) Gancao (Glycyrrhizae Radix et Rhizoma)