一 妇患崩血，由于中年郁怒，百药不效。仲淳用大剂参、 ，以胎发灰〔火 末，存性。〕调入
药服，久之渐愈。
胎前有三。禁，禁汗、下、利小便。仲淳云∶安胎大法，宜补脾胃，〔参、术、扁豆。〕壮腰
肾，〔杜仲、续断。〕滋阴〔生地，二冬。〕养血〔杞、芍、枣仁。〕顺气〔橘红、砂仁。〕总宜清
热〔芩、连、骨皮，银花。〕为主，忌破气破血，升散辛热燥剂。然胎前诸症不一，有谓之恶阻者，由
胃气虚弱，恶心而妨阻饮食也。有谓之子烦者，缘心肺有热，烦闷而胸膈不安也。有胎动上冲，以致心
腹胀满作痛者，谓之子乡悬责之气逆所致。两足浮大，甚至面目肢体俱肿者，谓之子肿，责之脾虚所
致。〔土不制水。〕有小便涩痛淋沥者，谓之子淋，责之下焦虚热。有小便不通，或因胎满压胞所致
者，则直升举之，或别有所因者，随症治之。有遗尿不禁，或为频数，此属肝火血热。亦有因阴虚火旺，
亦有因胎压
尿胞所致之不同。有怀胎而点滴下血者，或月月若行经者，或猝然大下者，皆由阴虚不足以济火，
气虚不足以固血所致，亦有因脾虚不能统血，有因肝火血热妄行者，若血漏尽则毙。常见漏胎之生
儿，多不育，以无血荫胎故也。有频惯堕胎者，因血气虚损，不能荣养胎元而然。立斋云∶堕胎因
内热而虚者为多，宜常服安胎饮。凡娠妇腰痛，多致堕胎，不可不知。有娠妇忽然失音，不能言语
者，即经所云∶人有重身，九月而喑，此胞之络脉绝也。胞脉者，系于肾少阴之脉，贯肾系舌本，故
不能言，不必治也，当十月复。谓既产而胞络通，则能言矣。至若难产之故，多由内热灼其胞液，
以致临产之际，干涩而难。或脾胃虚弱，不能运化精微，而令胞液不足，亦致难产。宜于七、八月间
常服补气滋阴，养血清热疏滞之剂，如安胎饮，达生散之类，加减用之。若中年之妇，生育太多，气
血虚弱者，尤宜预服。或有因孕妇形盛气实，身居安逸，口厌肥甘，致胞胎肥浓，根蒂坚牢，亦令
难产。宜预服瘦胎丸饮。胎前调治之大纲如此，然胎产自有专科，所当合参则备。
竹茹汤〔见伤寒。〕加参、苓、芍、橘、木瓜、苏子、砂仁。
此方补胃清热，利气降逆，治恶阻之神剂。如肥人而因中脘停痰者，可用二陈汤加枳壳、砂仁之
类，胃弱加人参。半夏损津液，虽为妊娠所忌，然有是病，则用是药，故孙真人为立方之圣，其胎前方
中亦用之，若非系湿痰，切勿妄投。
犀角散
犀角〔凉心。〕冬麦〔清肺。〕骨皮〔除热。〕黄芩〔泻火。〕赤茯
苓〔导赤。〕此治子烦之剂。
紫苏饮〔重订。〕
紫苏 橘红〔理气通滞。〕大腹皮〔降逆气。〕白芍〔敛逆气。〕当归〔血
中气药。〕人参〔虚者用之。〕宜加沉香，砂仁。
此治子悬〔即胎上冲。〕之剂。仲淳一方，用紫苏、橘红、麦冬、竹茹、枇杷叶施于阴虚之
人，甚宜甚效。
茯苓导水汤〔见肿胀。〕
原方应去泽泻、〔嫌其利水。〕槟榔，〔嫌其破血。〕虚加人参。
此方理脾制水，清肺利气，可治子肿。原方内加减药中有犯胎气者宜去之。薛氏载鲤鱼汤一方，
用白术、茯苓、橘红、当归、白芍以鲤鱼一尾，破洗煎脓汁煎药。
五淋汤〔见淋门。〕
原方应去牛膝〔嫌其通经。〕宜少用车前。
此方滋阴清热分利小便，治子淋宜之。
补中益气汤〔见泄泻。〕
此升举之法，若胎满压胞，小便不通者，可仿此加减，煎汤探吐。须审不可吐诸条，用之则稳。或
别有所因者，当参小便不通门诸法治之。一法令稳婆手入产户，托起其胎，即溺出如注。
加味逍遥汤〔见小便不禁，宜从加减法。〕六味宜去泽泻，加知、柏、二冬，二方俱
加白薇。〔治血淋，及胎产遗尿。〕
此二方皆治小便不禁。肝火血热，用加味逍遥；阴虚火旺，用知柏、六味，分别用之。
八仙长寿丸 人参固本丸〔俱见虚劳。宜作煎饮。〕
俱加白芍、枣仁、杜仲、续断之属。
此二方皆可治漏下血。八仙丸但治阴虚不足以济火，而固本丸则兼治气虚不足以固血矣。如因脾
虚不能摄血者，加味归脾汤。如因肝火血热妄行，加味逍遥散，俱加减用之。
安胎饮〔亦可作丸长服。〕
白术〔健脾生荣血，以荫胎元。〕黄芩〔泻火清胞热，以安胎元，二味称安胎圣药，〕杜
仲续断〔补肾，使肾气充足，托住胎元，不致堕矣。杜仲八两，续断二两，为末，山药糊丸，名保
胎丸。〕生地 二冬〔滋阴。〕枸杞 白芍〔养血。〕人参 甘草〔补气。〕砂仁〔
通滞。〕宜加银花、黄连、连翘。〔可预解一切胎毒，服至百剂，神效。黄连一味煎饮。治孕妇腹
内钟鸣，及儿哭。〕
此方补脾胃，壮腰肾，滋阴养血，清热顺气。诸法尽备。自初孕至产，皆当主此，随宜加减服之。若
频惯堕胎者，尤宜预服。仲淳云∶余阅本草，见治胎将堕欲死者，用生地二两，酒炒砂仁末一两，水酒
各二碗，分作二次服，传一门人，试之如神。
达生散
人参〔或用黄 。〕甘草〔补气。〕白术〔健脾。〕白
芍当归〔养血。〕紫苏 陈皮〔理气通滞。〕腹皮〔降气、消肿。〕如临产时服，宜加
白蜜、麻油〔各一杯。〕若胞浆破早，血水先干者，不时与以协济之。
此方名达生者，取诗言诞弥厥月，先生如达之义。达小。羊也，先生首生也。羊子先首生而无
留难。预服此方，则气血不虚不滞，兼之滑润，而其产也，犹之达矣。
瘦胎饮
枳壳〔麸炒，二两。〕甘草〔炙，一两。为末，每服二钱，白汤调下，日三服。温隐居
加当归、木香。或煎或丸皆可。〕
此方名瘦胎者，欲令其胎瘦而易产也。昔湖阳公主体肥，每产累日不下，南山道人进以此方，而得
效。果形盛气实者方可用之，否则必致耗气而难产，是以药贵因人而施耳。
保产无虞方 临月预服数剂，及将产再服一剂，自然易产。
当归〔酒洗，一钱五分。〕白芍 川芎〔利其血。各一钱二分。〕黄 〔一钱。〕甘
草〔益其气。五分。〕枳壳〔炒。〕浓朴〔通其滞。姜汁炒各五分。〕川贝母〔一
味为末，酒服。能治难产、及胎衣不下。去心研一钱。〕菟丝子〔一味为末、酒服能治横生。一钱
五分。〕荆芥穗 川羌活〔透关利节。〕蕲艾〔性能通窍，各五分。河水煎服。〕
此治难产之神方。然阴虚内热，咳逆之人，仍宜滋阴养血，清热顺气为主。
佛手散〔一名芎归汤。〕治娠妇伤动，或子死腹中，血
下疼痛，服此探之，不损则痛止，已损当即下。
当归〔五钱。〕川芎〔二钱五分。水酒各半煎服。〕
此方安生胎，下死胎，乃王道之剂也。一方用牛膝一两，酒煎服之。仲淳用生鸡子三、四枚，盐三
钱，调服。又有用麻油、白蜜各一杯，入汤顿服者，并可采用。胎死腹中法，当以妊妇舌尖青黑为验，
若唇舌俱青，子母俱死也。
妇人手少阴动甚者妊子。〔心脉流利滑动，则血旺而能胎，非数如豆粒之动也。〕阴搏阳别，谓
之有子。〔心主血，肾主子宫。言少阴二脉搏手，与阳邪有别；以其流利滑动，而有和调之象也。〕三
部脉浮沉正等，无他病，而不月者孕也。尺大而旺亦然。经断，病多，六脉不病，亦为有妊。体弱之
妇，脉虽微细，尺脉按之不绝，便是有妊。〔以其体弱，脉故难显。〕尺脉虽小，按之滑者，妊也。〔
尺为肾之外候。乃生人之根蒂。冲任二脉，皆起于胞中，为生化之地，故血盛而脉形如水，气聚而脉象
如珠，其状皆往来流利，动滑脉之体也。〕左疾为男，右疾为女。〔疾即数也。〕
妇人有身，经断其脉弦者，后必大下，不成胎也。〔弦为肝木太过，肝主疏泄不能藏血也。〕妊
娠七、八月。脉实牢强大者吉，沉细者难产而死。妇人欲生，其脉离经，夜半觉，日中则生也。〔离经
者，离于经常之脉。盖胎动于中，脉乱于外，势所必至也。〕
一、有一位妇女患崩漏（非经期大量阴道出血），原因是中年时因抑郁和愤怒导致，服用多种药物均无效。张仲淳使用大剂量的参、[白术]，调入胎发灰〔用火煅烧至存性制成的粉末〕配合药物服用，经过长时间调理后逐渐痊愈。
治疗妊娠期间疾病有三项禁忌：禁止发汗、禁止泻下、禁止利小便。张仲淳说：安胎的大法，应当补益脾胃，〔人参、白术、扁豆〕；强壮腰肾，〔杜仲、续断〕；滋阴，〔生地、天冬、麦冬〕；养血，〔枸杞、白芍、酸枣仁〕；顺气，〔橘红、砂仁〕；总以清热为主，〔黄芩、黄连、地骨皮、金银花〕。忌用破气破血、升散辛热燥烈的药物。然而妊娠期间的病症各不相同，有一种称为恶阻（妊娠早期恶心呕吐等反应），是由于胃气虚弱，恶心而妨碍饮食所致。有一种称为子烦（妊娠期心烦不安），是因为心肺有热，烦闷而胸膈不安所致。有一种胎动上冲，导致心腹胀满疼痛的，称为子悬（胎气上逆），责之于气逆所致。两足浮肿变大，甚至面目肢体全部肿胀的，称为子肿（妊娠水肿），责之于脾虚所致。〔土不制水〕。有小便涩痛淋漓的，称为子淋（妊娠小便淋痛），责之于下焦虚热。有小便不通的，有的因为胎儿过大压迫膀胱所致，则应当用升举之法，或者有其他原因的，随症状治疗。有遗尿不禁，或者尿频的，这属于肝火血热。也有因为阴虚火旺，也有因为胎压膀胱所致，原因不同。有怀孕后点滴出血的，或者每月像来月经一样的，或者突然大量出血的，都是由阴虚不足以济助火势，气虚不足以固摄血液所致，也有因为脾虚不能统摄血液，有因为肝火血热妄行导致的，如果血漏尽则死亡。常见漏胎（先兆流产）所生的婴儿，大多不育，因为没有血液荫养胎元的原因。有习惯性堕胎的，是因为气血虚损，不能荣养胎元所致。薛立斋说：堕胎多因内热兼体虚引起，应当常服安胎饮。凡是孕妇腰痛，多会导致堕胎，不可不知道。有孕妇忽然失音，不能言语的，就是经典所说的：人有重身（怀孕），九月而喑哑，这是因为胞络脉气阻断。胞脉，系于肾少阴之脉，贯穿肾脏联系舌根，所以不能说话，不需要治疗，等到十月分娩后恢复。说既然产后胞络通畅，就能说话了。至于难产的原因，多由内热灼伤胞液，以致临产之际，干涩而难产。或者脾胃虚弱，不能运化精微，导致胞液不足，也致难产。应当在七、八月间常服补气滋阴、养血清热疏滞的药物，如安胎饮、达生散之类，加减使用。如果是中年妇女，生育太多，气血虚弱的，尤其应当预先服用。或者有因为孕妇形体壮盛气实，生活安逸，口味偏好肥甘厚味，导致胞胎肥浓，根基坚牢，也令难产。应当预先服用瘦胎丸饮。妊娠期的调治大纲如此，然而胎产自有专科，应当综合参考才完备。
竹茹汤〔见伤寒篇〕加参、苓、芍、橘、木瓜、苏子、砂仁。
此方补胃清热，利气降逆，是治疗恶阻的神效方剂。如果是肥胖之人因中脘停痰者，可用二陈汤加枳壳、砂仁之类，胃弱加人参。半夏损伤津液，虽然是妊娠所忌，但是有病则用此药，所以孙思邈为处方之圣，其胎前方中也使用它，如果不是湿痰，切勿乱投。
犀角散
犀角〔凉心〕、冬麦〔清肺〕、骨皮〔除热〕、黄芩〔泻火〕、赤茯苓〔导赤〕。这是治疗子烦的方剂。
紫苏饮〔重订版〕
紫苏、橘红〔理气通滞〕、大腹皮〔降逆气〕、白芍〔敛逆气〕、当归〔血中气药〕、人参〔虚者用之〕。宜加沉香、砂仁。
这是治疗子悬〔即胎上冲〕的方剂。张仲淳一方，用紫苏、橘红、麦冬、竹茹、枇杷叶施用于阴虚之人，非常适宜且有效。
茯苓导水汤〔见肿胀篇〕
原方应去掉泽泻、〔嫌其利水太过〕、槟榔、〔嫌其破血〕，虚证加人参。
此方理脾制水，清肺利气，可治疗子肿。原方加减药中有犯胎气的宜去掉。薛氏记载鲤鱼汤一方，用白术、茯苓、橘红、当归、白芍配鲤鱼一尾，破开洗净煎取脓汁煎药。
五淋汤〔见淋门篇〕
原方应去掉牛膝、〔嫌其通经动胎〕。宜少用车前子。
此方滋阴清热分利小便，治疗子淋适宜。
补中益气汤〔见泄泻篇〕
这是升举之法，若胎满压胞，小便不通者，可仿此方加减，煎汤探吐。须审查不可吐的各种情况，使用则稳妥。或者有其他原因的，应当参考小便不通门诸法治之。另一法令稳婆手入产户，托起其胎，即溺出如注。
加味逍遥汤〔见小便不禁，宜从加减法〕、六味地黄丸宜去泽泻，加知母、黄柏、天冬、麦冬，两方俱加白薇。〔治血淋，及胎产遗尿〕。
这两方都治疗小便不禁。肝火血热，用加味逍遥汤；阴虚火旺，用知柏地黄丸合六味地黄丸，分别使用。
八仙长寿丸、人参固本丸〔俱见虚劳篇。宜作煎饮〕。
俱加白芍、枣仁、杜仲、续断之类。
这两方都可治疗漏下血。八仙丸只治阴虚不足以济火，而固本丸则兼治气虚不足以固血矣。如因脾虚不能摄血者，用加味归脾汤。如因肝火血热妄行，用加味逍遥散，俱加减使用。
安胎饮〔亦可作丸长服〕。
白术〔健脾生荣血，以荫胎元〕、黄芩〔泻火清胞热，以安胎元，二味称安胎圣药〕、杜仲续断〔补肾，使肾气充足，托住胎元，不致堕矣。杜仲八两，续断二两，为末，山药糊丸，名保胎丸〕、生地、二冬〔滋阴〕、枸杞、白芍〔养血〕、人参、甘草〔补气〕、砂仁〔通滞〕。宜加银花、黄连、连翘。〔可预解一切胎毒，服至百剂，神效。黄连一味煎饮。治孕妇腹内钟鸣，及儿哭〕。
此方补脾胃，壮腰肾，滋阴养血，清热顺气。诸法尽备。自初孕至产，皆当主此，随宜加减服之。若频惯堕胎者，尤宜预服。张仲淳说：我阅本草，见治胎将堕欲死者，用生地二两，酒炒砂仁末一两，水酒各二碗，分作二次服，传授给一门人，试之如神。
达生散
人参〔或用黄芪〕、甘草〔补气〕、白术〔健脾〕、白芍当归〔养血〕、紫苏、陈皮〔理气通滞〕、腹皮〔降气、消肿〕。如临产时服，宜加白蜜、麻油〔各一杯〕。若胞浆破早，血水先干者，不时给予以协济之。
此方名达生者，取诗言诞弥厥月，先生如达之义。达小羊也，先生首生也。羊子先首生而无留难。预服此方，则气血不虚不滞，兼之滑润，而其产也，犹之达矣。
瘦胎饮
枳壳〔麸炒，二两〕、甘草〔炙，一两。为末，每服二钱，白汤调下，日三服。温隐居加当归、木香。或煎或丸皆可〕。
此方名瘦胎者，欲令其胎瘦而易产也。昔湖阳公主体肥，每产累日不下，南山道人进以此方，而得效。果形盛气实者方可用之，否则必致耗气而难产，是以药贵因人而施耳。
保产无虞方 临月预服数剂，及将产再服一剂，自然易产。
当归〔酒洗，一钱五分〕、白芍、川芎〔利其血。各一钱二分〕、黄芪〔一钱〕、甘草〔益其气。五分〕、枳壳〔炒〕、浓朴〔通其滞。姜汁炒各五分〕、川贝母〔一味为末，酒服。能治难产、及胎衣不下。去心研一钱〕、菟丝子〔一味为末、酒服能治横生。一钱五分〕、荆芥穗、川羌活〔透关利节〕、蕲艾〔性能通窍，各五分。河水煎服〕。
这是治疗难产的神方。然而阴虚内热，咳逆之人，仍宜滋阴养血，清热顺气为主。
佛手散〔一名芎归汤〕。治娠妇伤动，或子死腹中，血下疼痛，服此探之，不损则痛止，已损当即下。
当归〔五钱〕、川芎〔二钱五分。水酒各半煎服〕。
此方安生胎，下死胎，乃王道之剂也。一方用牛膝一两，酒煎服之。张仲淳用生鸡子三、四枚，盐三钱，调服。又有用麻油、白蜜各一杯，入汤顿服者，并可采用。胎死腹中法，当以妊妇舌尖青黑为验，若唇舌俱青，子母俱死也。
妇人手少阴动甚者妊子。〔心脉流利滑动，则血旺而能胎，非数如豆粒之动也〕。阴搏阳别，谓之有子。〔心主血，肾主子宫。言少阴二脉搏手，与阳邪有别；以其流利滑动，而有和调之象也〕。三部脉浮沉正等，无他病，而不月者孕也。尺大而旺亦然。经断，病多，六脉不病，亦为有妊。体弱之妇，脉虽微细，尺脉按之不绝，便是有妊。〔以其体弱，脉故难显〕。尺脉虽小，按之滑者，妊也。〔尺为肾之外候。乃生人之根蒂。冲任二脉，皆起于胞中，为生化之地，故血盛而脉形如水，气聚而脉象如珠，其状皆往来流利，动滑脉之体也〕。左疾为男，右疾为女。〔疾即数也〕。
妇人有身，经断其脉弦者，后必大下，不成胎也。〔弦为肝木太过，肝主疏泄不能藏血也〕。妊娠七、八月。脉实牢强大者吉，沉细者难产而死。妇人欲生，其脉离经，夜半觉，日中则生也。〔离经者，离于经常之脉。盖胎动于中，脉乱于外，势所必至也〕。
1. A woman suffered from metrorrhagia (non-menstrual heavy vaginal bleeding), caused by depression and anger in middle age, to which various medicines were ineffective. Zhang Zhongchun used a large dose of Ginseng Radix et Rhizoma (Renshen) [Atractylodis Macrocephalae Rhizoma (Baizhu)], mixed with fetal hair ash [powder prepared by calcining until carbonized but retaining properties], administered with the decoction. After a long period of treatment, she gradually recovered.
There are three prohibitions during pregnancy: prohibit diaphoresis (sweating therapy), prohibit purgation, and prohibit promoting urination. Zhang Zhongchun stated: The general principle for calming the fetus involves tonifying the Spleen and Stomach, [Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Dolichos Lablab Semen (Baidou)]; strengthening the lower back and Kidneys, [Eucommiae Cortex (Duzhong), Dipsaci Radix (Xuduan)]; nourishing Yin, [Rehmanniae Radix Preparata (Shengdi), Asparagi Radix (Tian Dong), Ophiopogonis Radix (Mai Dong)]; nourishing Blood, [Lycii Fructus (Gouqi), Paeoniae Radix Alba (Baishao), Ziziphi Spinosae Semen (Suanzaoren)]; regulating Qi, [Citri Reticulatae Pericarpium (Juhong), Amomi Fructus (Sharen)]; generally focusing on clearing heat, [Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Lycii Cortex (Gupi), Lonicerae Japonicae Flos (Yinhua)]. One must avoid herbs that break Qi and Blood, or those that are ascending, dispersing, acrid, hot, and drying. However, conditions during pregnancy vary. One condition is called "E Zu" (nausea and vomiting in early pregnancy), caused by weak Stomach Qi, leading to nausea and hindering food intake. Another is called "Zi Fan" (restlessness during pregnancy), due to Heat in the Heart and Lungs, causing irritability and discomfort in the chest and diaphragm. If fetal movement rushes upward, causing abdominal distension and pain, it is called "Zi Xuan" (fetal qi rebellion), attributed to rebellious Qi. If both feet swell and enlarge, even extending to the face and limbs, it is called "Zi Zhong" (pregnancy edema), attributed to Spleen deficiency. [Earth failing to control Water]. If there is painful, dribbling dysuria, it is called "Zi Lin" (pregnancy strangury), attributed to deficient Heat in the Lower Jiao. If there is urinary retention, sometimes caused by the full fetus compressing the bladder, lifting methods should be used; if due to other causes, treat according to symptoms. If there is involuntary urination or frequency, this belongs to Liver Fire and Blood Heat. It may also be due to Yin deficiency with hyperactive Fire, or compression of the bladder by the fetus, differing in cause. If there is spotting during pregnancy, or monthly bleeding resembling menstruation, or sudden heavy bleeding, all are caused by Yin deficiency failing to balance Fire, and Qi deficiency failing to secure Blood. It may also be due to Spleen deficiency failing to control Blood, or reckless flow due to Liver Fire and Blood Heat. If bleeding ceases completely, death ensues. Commonly, infants born from threatened miscarriage often do not survive, due to lack of Blood nourishing the fetus. Those with habitual abortion are so because of Qi and Blood deficiency, unable to nourish the fetal origin. Xue Lizhai said: Abortion is mostly due to internal Heat combined with deficiency; one should frequently take An Tai Yin. Any pregnant woman with lower back pain risks abortion, which must be known. If a pregnant woman suddenly loses her voice and cannot speak, as the classics say: "A person with a heavy body becomes aphasic at nine months," this is because the collaterals of the uterus are blocked. The uterine collaterals connect to the Shaoyin meridian of the Kidney, passing through the Kidney to tie to the root of the tongue, hence the inability to speak. No treatment is needed; speech will return after ten months. Once delivered, the uterine collaterals open, and speech returns. Regarding dystocia (difficult labor), it is mostly due to internal Heat scorching uterine fluids, causing dryness and difficulty at delivery. Or, Spleen and Stomach weakness fails to transform and transport essences, leading to insufficient uterine fluids, also causing difficult labor. One should frequently take formulas that tonify Qi and nourish Yin, nourish Blood and clear Heat, and resolve stagnation between the seventh and eighth months, such as An Tai Yin or Da Sheng San, modified as needed. For women in middle age who have given birth too many times and have weak Qi and Blood, preventive administration is especially appropriate. Or, if the pregnant woman has a robust physique and strong Qi, lives comfortably, prefers rich and sweet foods, leading to a thick and firm placenta/fetus, causing difficult labor, one should take Shou Tai Yin preventively. This is the general outline for managing pregnancy. However, obstetrics has its own specialty, and comprehensive reference is necessary.
Zhuru Tang [see Shanghan section] added with Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Paeoniae Radix Alba (Baishao), Citri Reticulatae Pericarpium (Juhong), Chaenomelis Fructus (Mugua), Perillae Fructus (Suzi), Amomi Fructus (Sharen).
This formula tonifies the Stomach and clears Heat, regulates Qi and descends rebellion, a miraculous agent for treating E Zu. For obese individuals with phlegm retention in the Middle Jiao, Er Chen Tang can be used with added Bupleuri Radix (Chaihu - *Note: Text says Zhi Qiao/Aurantium*, correcting to Aurantii Fructus (Zhike)) and Amomi Fructus (Sharen); add Ginseng Radix et Rhizoma (Renshen) for weak Stomach. Pinelliae Rhizoma (Banxia) damages Body Fluids and is taboo in pregnancy, yet "when there is the disease, use the medicine." Thus Sun Simiao, the Sage of Prescriptions, used it in pregnancy formulas. If not damp-phlegm, do not administer blindly.
Xijiao San
Rhinocerotis Cornu (Xijiao) [cools the Heart]; Triticum Aestivum (Xiaomai - *Text says Dong Mai/Ophiopogon context but Xiaomai is Wheat, text likely implies Ophiopogonis Radix (Maidong) or Triticum Aestivum (Xiaomai) for Lung Heat. Given "Qing Fei", Xiaomai fits, but text says Dong Mai. I will translate as written but note standard term* -> Ophiopogonis Radix (Maidong) [clears the Lung]; Lycii Cortex (Gupi) [removes Heat]; Scutellariae Radix (Huangqin) [drains Fire]; Poria (Fuling) [guides out Heart Fire]. This is a formula for treating Zi Fan.
Zisu Yin [Revised]
Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Juhong) [regulates Qi and resolves stagnation], Arecae Pericarpium (Dafupi) [descends rebellious Qi], Paeoniae Radix Alba (Baishao) [astringes rebellious Qi], Angelicae Sinensis Radix (Danggui) [Qi herb in Blood], Ginseng Radix et Rhizoma (Renshen) [for deficiency]. Add Agarwood (Chenxiang) and Amomi Fructus (Sharen).
This is a formula for treating Zi Xuan [i.e., fetal movement rushing upward]. Zhang Zhongchun's prescription uses Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Juhong), Ophiopogonis Radix (Maidong), Bamboo Shavings (Zhuru), Loquat Leaf (Pipaye) for patients with Yin deficiency, which is very suitable and effective.
Fuling Daoshui Tang [see Swelling section]
The original formula should remove Alisma Rhizoma (Zexie) [disliked for its diuretic strength], Areca Seed (Binglang) [disliked for breaking Blood], and add Ginseng Radix et Rhizoma (Renshen) for deficiency.
This formula regulates the Spleen to control Water, clears the Lungs and benefits Qi, suitable for treating Zi Zhong. Remove any ingredients in the original modifications that harm fetal Qi. Xue Shi recorded Liyu Tang, using Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Citri Reticulatae Pericarpium (Juhong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao) decocted with one carp, cleaned and boiled to extract the broth for cooking the herbs.
Wulin Tang [see Strangury section]
The original formula should remove Achyranthis Bidentatae Radix (Niuxi) [disliked for opening meridians/moving blood], and use less Plantaginis Semen (Cheqian).
This formula nourishes Yin, clears Heat, and separates turbidity to promote urination, suitable for treating Zi Lin.
Buzhong Yiqi Tang [see Diarrhea section]
This is a lifting method. If the full fetus compresses the bladder causing urinary retention, one may follow this formula with modifications, decoct and induce vomiting. Must review contraindications for vomiting; if applicable, it is safe. If due to other causes, refer to treatments for urinary retention. Alternatively, have the midwife insert a hand into the vagina to lift the fetus, allowing urine to flow like a stream.
Jiawei Xiaoyao Tang [see Involuntary Urination, follow modification rules], Liuwei Dihuang Wan remove Alisma Rhizoma (Zexie), add Anemarrhenae Rhizoma (Zhimu), Phellodendri Cortex (Huangbai), Asparagi Radix (Tian Dong), Ophiopogonis Radix (Mai Dong). Both formulas add Codonopsis Root? No, text says Baiwei. Add Cimicifugae Rhizoma? No, text says Baiwei. Baiwei [treats hematuria and postpartum urinary incontinence].
Both formulas treat urinary incontinence. For Liver Fire and Blood Heat, use Jiawei Xiaoyao Tang; for Yin deficiency with hyperactive Fire, use Zhimu/Huangbai combined with Liuwei Dihuang Wan, use separately.
Baxian Changshou Wan, Renshen Guben Wan [both see Consumption/Deficiency. Suitable as decoctions.]
Add Paeoniae Radix Alba (Baishao), Ziziphi Spinosae Semen (Suanzaoren), Eucommiae Cortex (Duzhong), Dipsaci Radix (Xuduan).
Both formulas treat leakage of blood. Baxian Wan only treats Yin deficiency failing to balance Fire, while Guben Wan also treats Qi deficiency failing to secure Blood. If due to Spleen deficiency failing to control Blood, use Jiawei Guipi Tang. If due to reckless flow from Liver Fire and Blood Heat, use Jiawei Xiaoyao San, modify as needed.
Antai Yin [Can also be made into pills for long-term use.]
Atractylodis Macrocephalae Rhizoma (Baizhu) [tonifies Spleen, generates nutritious Blood to nourish the fetus]; Scutellariae Radix (Huangqin) [drains Fire, clears Uterine Heat to calm the fetus; these two are called the sacred medicines for calming the fetus]; Eucommiae Cortex (Duzhong) & Dipsaci Radix (Xuduan) [tonify Kidney, ensure sufficient Kidney Qi to support the fetus and prevent abortion. Eucommiae Cortex 8 liang, Dipsaci Radix 2 liang, powdered, pillified with Yam paste, named Baotai Wan]; Rehmanniae Radix Preparata (Shengdi), Asparagi Radix (Tian Dong) & Ophiopogonis Radix (Mai Dong) [nourish Yin]; Lycii Fructus (Gouqi), Paeoniae Radix Alba (Baishao) [nourish Blood]; Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao) [tonify Qi]; Amomi Fructus (Sharen) [resolves stagnation]. Add Lonicerae Japonicae Flos (Yinhua), Coptidis Rhizoma (Huanglian), Forsythiae Fructus (Lianqiao). [Can preemptively resolve all fetal toxins; taking up to 100 doses yields miraculous effects. Huanglian alone decocted treats maternal abdominal rumbling and fetal crying].
This formula tonifies Spleen and Stomach, strengthens waist and Kidneys, nourishes Yin and Blood, clears Heat and regulates Qi. All methods are complete. From early pregnancy to delivery, this should be the main approach, modified as appropriate. Especially for those with habitual abortion, preventive use is recommended. Zhang Zhongchun said: I read the Materia Medica, seeing a treatment for impending severe miscarriage: use 2 liang of Rehmanniae Radix Preparata (Shengdi), 1 liang of wine-fried Amomi Fructus powder, 2 bowls of water and 2 bowls of wine, taken in two doses. Passed to a student, tested with miraculous results.
Dasheng San
Ginseng Radix et Rhizoma (Renshen) [or Astragali Radix (Huangqi)], Glycyrrhizae Radix et Rhizoma (Gancao) [tonifies Qi], Atractylodis Macrocephalae Rhizoma (Baizhu) [tonifies Spleen], Paeoniae Radix Alba (Baishao) & Angelicae Sinensis Radix (Danggui) [nourishes Blood], Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Chenpi) [regulates Qi and resolves stagnation], Arecae Pericarpium (Fupi) [descends Qi, reduces swelling]. If taken near delivery, add White Honey (Baimi) and Sesame Oil (Mayou) [one cup each]. If membranes rupture early and amniotic fluid/blood dries up, administer frequently to assist.
The name Dasheng derives from the poem: "When the month of birth arrives, the firstborn is like a lamb." 'Da' refers to a small lamb; 'Xiansheng' means born head-first. Lamb lambs are born head-first without obstruction. Taking this formula beforehand ensures Qi and Blood are neither deficient nor stagnant, plus it provides lubrication, making delivery smooth like a lamb.
Shoutai Yin
Aurantii Fructus (Zhike) [bran-fried, 2 liang], Glycyrrhizae Radix et Rhizoma (Gancao) [roasted, 1 liang. Powdered, take 2 qian per dose, mixed with warm water, three times daily. Wen Juju added Angelicae Sinensis Radix (Danggui) and Aquilariae Lignum Resinatum (Muxiang). Decoction or pills are fine].
Named Shoutai (Thin Fetus) to make the fetus smaller and easier to deliver. Formerly, Princess Huyang was obese and difficult to deliver for days. Daoist Nanshan presented this formula, which was effective. Only suitable for those with robust physique and strong Qi; otherwise, it consumes Qi and causes difficult labor. Medicine must be applied according to the individual.
Baochan Wuyu Fang Take several doses before the month of delivery, and one dose just before delivery, ensuring easy birth.
Angelicae Sinensis Radix (Danggui) [wine-washed, 1.5 qian], Paeoniae Radix Alba (Baishao), Ligusticum Chuanxiong Rhizoma (Chuanxiong) [benefits Blood. Each 1.2 qian], Astragali Radix (Huangqi) [1 qian], Glycyrrhizae Radix et Rhizoma (Gancao) [benefits Qi. 0.5 qian], Aurantii Fructus (Zhike) [fried], Magnoliae Officinalis Cortex (Houpo) [resolves stagnation. Ginger-juice fried, each 0.5 qian], Fritillariae Thunbergii Bulbus (Chuanbeimu) [powdered alone, taken with wine. Treats dystocia and retained placenta. Remove heart, grind 1 qian], Cuscutae Semen (Tusizi) [powdered alone, taken with wine. Treats transverse presentation. 1.5 qian], Schizonepetae Spica (Jingjiesui), Notopterygii Rhizoma et Radix (Qianghuo) [penetrates joints], Ai Ye [opens orifices, each 0.5 qian. Decoct in river water].
This is a miraculous formula for dystocia. However, for those with Yin deficiency and internal Heat, coughing and reversing Qi, focus on nourishing Yin and Blood, clearing Heat and regulating Qi.
Foshou San [Also known as Xiong Gui Tang]. Treats pregnant women with trauma/disruption, or dead fetus in the womb, bleeding and pain. Take this to test: if not damaged, pain stops; if damaged, expel immediately.
Angelicae Sinensis Radix (Danggui) [5 qian], Ligusticum Chuanxiong Rhizoma (Chuanxiong) [2.5 qian. Decoct half water, half wine].
This formula calms living fetuses and expels dead fetuses, a kingly method. Another prescription uses Achyranthis Bidentatae Radix (Niuxi) 1 liang, decocted in wine. Zhang Zhongchun used 3-4 raw eggs and 3 qian salt, mixed and taken. Others use Sesame Oil and White Honey, one cup each, taken in decoction. All can be adopted. To verify fetal death in the womb, check if the tip of the pregnant woman's tongue is blue-black. If lips and tongue are both blue, both mother and child die.
If the Shaoyin pulse of the woman's hand is vigorous, she is pregnant. [Heart pulse flowing and slippery indicates abundant Blood capable of conceiving, not merely rapid like beans]. "Yin pulses forcefully and differs from Yang" is called having a child. [Heart governs Blood, Kidney governs the uterus. Saying the two Shaoyin pulses beat against the fingers, distinct from Yang pathogens; because they are flowing, slippery, and harmonious]. If the pulses in the three positions are equal in floating and sinking, with no other illness, and menstruation has stopped, she is pregnant. Similarly if the Chi pulse is large and vigorous. Menstruation stopped, many illnesses present, but the six pulses are healthy, also indicates pregnancy. For weak women, although the pulse is faint and thin, if the Chi pulse does not cease upon pressure, it is pregnancy. [Because the body is weak, the pulse is hard to manifest]. If the Chi pulse is small but slippery upon pressure, it is pregnancy. [Chi reflects the Kidney externally, the root of life. Chong and Ren meridians originate in the uterus, the place of generation. Thus abundant Blood makes the pulse shape like water, gathered Qi makes the pulse image like pearls, all flowing smoothly, embodying the moving-slippery pulse]. Rapid left pulse indicates male, rapid right pulse indicates female. [Rapid means frequent].
If a pregnant woman has stopped menstruation and the pulse is wiry, she will later suffer heavy bleeding and fail to conceive. [Wiry indicates excessive Liver Wood; Liver governs dispersion and excretion, unable to store Blood]. During the seventh and eighth months of pregnancy, a solid, firm, large pulse is auspicious; a deep and fine pulse indicates difficult labor and death. When a woman is about to give birth, her pulse deviates from the regular pattern. If felt at midnight, she gives birth at noon. [Deviating from regular pulse. Fetal movement inside causes pulse disorder outside, inevitably so].