凡妊娠二三月,胎动不安者,盖因子宫久虚,气血两弱,不能摄元养胎,致令不安欲堕
,急服安胎饮以保之。若先经堕过者,可先服大造丸,继服杜仲丸,庶无半产之患也。
汤氏云∶半产多在三、五、七个月,如前次在几个月堕者,后必如期复然,故当追算前
在三个月堕者,须于未堕半月前,先服清热、养气、固胎远之药数贴,以补其虚。五月、七
月堕者,亦俱于未堕半月前预先服药,方保平安。此据孕后夹热者而言。盖三、五、七系阳
月,缘火能销铄故也。
安胎饮∶人参一钱(虚者倍用),当归二钱,熟地三钱,条芩一钱,川芎七分,白术二
钱
泻
麦
大造丸∶杞子一两,人参一两五钱,当归二两,麦冬一两三钱,天冬一两,益智仁一两
,茯苓二两,五味五钱,熟地(姜炒)二两,川膝五钱,山药八钱,菟丝子(盐水炒)四两,
川
杜仲丸∶见前卷九妇科胎前门。
安胎万全饮∶如脾胃气弱不能管束其胎,血弱不能滋养其胎,不以日月多少而常堕者,
此汤主之。更兼服杜仲丸、胡连丸佳。人参、白术(土炒)、当归身(酒洗)、生地、条芩(微
炒)、陈皮、白芍(酒炒)各一钱,砂仁(带壳捶碎)、炙草各五分,姜三片,枣二枚,水煎
服
故连丸∶安胎圣药,与杜仲丸同日服。条芩四两(沉水者),白术(土炒),莲肉(去心)
各
丸。
黑白安胎散∶治胎动不安。白术(土炒)、怀熟地黄(九蒸九晒)各一两,水煎服。此
方妙
加味四物汤∶治因房事过度,触动胎气不安者。
归身(酒洗)、熟地、阿胶(蛤粉炒珠)各一钱,砂仁(炒)、炙草各五分,竹茹一团,
水煎。调男子裤裆布烧灰一钱服,更禁房事。
四物汤∶治七情触动胎气不安者,以四物为主,按证加入各药。生地(酒浸)、归身(酒
洗)、白芍药(酒炒)各一钱,川芎八分,此四物汤本方。姜、枣引,水煎,食前温服。
如因怒伤肝者,加炒黄芩一钱五分,人参、柴胡、甘草各一钱。因忧悲伤肺者,加炒黄
芩、炒阿胶、苏叶各一钱,五味子十五粒,炙草五分。因恐伤肾者,加制续断、炒黄柏、炒
杜仲各一钱,五味子十五粒,炙草五分,改生地为熟地。因思虚积久不解伤脾者,加土炒白
术一钱五分,人参、陈皮、制香附各一钱,炙草五分。因喜乐大过伤心者,加条芩、黄连、
土炒白术、去心麦冬各一钱,炙草五分。因跌仆触动者,安胎饮主之。归身、炒白芍各一钱
,土炒白术、黄芩、苏叶各一钱五分,炙草、砂仁各五分。
芩术安胎饮∶妊娠安胎主方,加减法开后。白术(米泔水浸一宿,去芦,切片,晒干,
黄土炒香,如脾脉虚弱细软缓大无力,外证饮食少进,恶心呕吐、泄泻等证)用一钱五分或
两钱(若气体强壮,或气郁壅滞、胸腹臌闷、胀满作痛,或素有奔豚、积聚、上攻者忌用),
条芩(如脉洪盛有力,素多内热,用一钱五分或两钱,如气体虚寒,脾肺脉弱、呕哕泄泻者
忌用),当归身酒洗一钱五分或二钱(如嗽有痰喘、呕哕泄泻者忌用,如止有泄泻而无别证,
以黄土炒用),带壳砂仁(微炒)五分或七分(内热者三、四分),生知母一钱(素多内热者,
或
水
如脉弱虚细或缓大无力,饮食减少,口不知味,溏薄泄泻,加人参一钱或一钱五分,炒
白术一钱或一钱五分或二钱,白茯苓一钱,广皮七八分,炒条芩一钱,去知母。如血虚内热
,肝肾脉洪数无力,腰疼,腿膝酸软无力者,加熟地三五钱或七八钱,生地二三钱,酒洗芍
药一钱或一钱五分,炒杜仲、酒洗当归一钱或一钱五分,炒续断一钱。
如肝肾脉虚细濡弱,腰疼,腿膝麻木冷痛,加熟地三五钱或七八钱,川芎八分,制续断
肉一钱,盐水炒杜仲一钱五分,酒洗归身一钱五分或两钱,去知母。如胸腹胀闷,如麸炒枳
壳七分,制大腹皮八分,醋制香附米七分。如素多郁怒,加苏梗八分或一钱,醋制香附米八
分或一钱,小柴胡七八分,酒洗抚芎七分。如呕哕,加藿香八分或一钱,竹茹六七分,制透
半夏八分,陈皮八分,带壳砂仁四五分,煨姜三片,去知母。胃寒呕哕,去条芩、知母、竹
茹,加制去黄水吴茱萸三分。如虚烦,加去心麦冬一钱,竹茹七分。如咳嗽,加麦冬一钱,
蜜炙桑白皮八分或一钱,去皮尖杏仁八分,前胡一钱,麸炒枳壳八分。如小便淋沥不通,加
车前子一钱,赤芩一钱,木通七分,甚者加滑石钱半。如胎动下血,倍加生知母。
安胎万全神应散∶治妊妇三月前后或因恼怒,或行走失足,跌损伤胎,腹痛腰胀,一服
即安。虽然见血一二日未离宫者,再服无有不愈。倘或先因三、四、五月内曾经小产过者,
将及前月份,又觉腰骨酸胀,急速服下一剂即安。真万全秘方,经验多人。当归(酒洗)、
白
(蛤粉炒
水各一碗
榆各一钱
凤衣散∶治三、五、七月小产。用头生鸡子抱出小鸡之蛋壳,阴阳瓦焙黄,研细末。如
前次小产在何月份,至时预先用无灰酒冲服,可免小产。
苎根汤∶治妊妇受胎数月后,胎动、漏胎及子悬症。野苎麻根,孕一月者用一寸,加金
银器煎汤服之,立安。
胶艾安胎散∶治妊妇顿扑跌挫,胎动下血不止。人参、条芩、阿胶(蛤粉炒成珠)各一
钱
四分
止漏绝神丹∶治胎漏下血,安胎更妙。土炒白术五钱,熟地一两,三七根末三钱,水煎
服,此方妙在三七根末,乃止血神品,故用之极效。
阿胶散∶治妊妇或因倾扑、或因毒药动胎不安,腰腹疼痛,或有所下。阿胶(蛤粉炒成
珠)、艾叶(炒)、归身(酒洗)、川芎、白芍、熟地、蜜 、炙草,姜、枣引,水煎,空心
服
白扁豆散∶治孕妇误服诸般毒药、毒物及用毒药攻胎,药毒冲心,其症牙关紧闭,口不
能言,两手强直握拳,头低自汗身微热,外症与中风相似,但其脉浮而软,十死一生。医多
不识,若误作中风治,必死无疑。用白扁豆三两去皮,生研为细末,以新汲水调下即效,或
米饮调服,或煎汤服亦可。
三物解毒汤∶治误服毒药动胎。生甘草、黑豆、淡竹叶各等分,用水煎浓汁服之。
凡妊娠两三个月,出现胎动不安的情况,大概是因为子宫长期虚弱,气血双重衰弱,无法固摄元气、滋养胎儿,导致胎儿不安欲坠。此时应紧急服用安胎饮来保胎。如果此前曾经发生过流产,可以先服用大造丸,接着服用杜仲丸,这样就能避免半产(中期流产)的祸患。
汤氏说:中期流产多发生在第三、第五、第七个月。如果上一次是在某个月份流产的,下一次必定会在相同月份再次发生。因此,如果前次在第三个月流产,必须在未流产半个月之前,先服用清热、补气、固胎的药物几剂,以补益其虚损。第五个月、第七个月流产的,也都在未流产半个月之前预先服药,才能确保平安。这是针对怀孕后夹杂热邪的情况而言的。因为第三、第五、第七月属于阳月,由于火能销铄(消耗)的缘故。
安胎饮:人参一钱(体虚者加倍使用),当归二钱,熟地黄三钱,黄芩一钱,川芎七分,白术二钱,麦冬。
大造丸:枸杞子一两,人参一两五钱,当归二两,麦冬一两三钱,天冬一两,益智仁一两,茯苓二两,五味子五钱,熟地黄(姜炒)二两,牛膝五钱,山药八钱,菟丝子(盐水炒)四两。
杜仲丸:见前卷九妇科胎前门。
安胎万全饮:如果脾胃气弱不能约束胎儿,血弱不能滋养胎儿,不论怀孕多久经常流产的,此方主治。最好同时服用杜仲丸、胡连丸(黄连丸)。人参、白术(土炒)、当归身(酒洗)、生地黄、黄芩(微炒)、陈皮、白芍(酒炒)各一钱,砂仁(带壳捶碎)、炙甘草各五分,生姜三片,大枣二枚,水煎服。
胡连丸:是安胎圣药,与杜仲丸同日服用。黄芩四两(沉水者佳),白术(土炒),莲子肉(去心)各...(原文此处似有缺漏,依文意推测为等分或具体剂量,此处仅译出可见部分)。
黑白安胎散:治疗胎动不安。白术(土炒)、怀熟地黄(九蒸九晒)各一两,水煎服。此方妙处...(原文此处似有缺漏)。
加味四物汤:治疗因房事过度,触动胎气导致不安的情况。当归身(酒洗)、熟地黄、阿胶(蛤粉炒珠)各一钱,砂仁(炒)、炙甘草各五分,竹茹一团,水煎。调入男子裤裆布烧成的灰一钱服用,并严禁房事。
四物汤:治疗七情(喜怒忧思悲恐惊)触动胎气导致不安的情况,以四物汤为主,根据症状加入各种药物。生地黄(酒浸)、当归身(酒洗)、白芍药(酒炒)各一钱,川芎八分,这是四物汤的本方。用生姜、大枣做引经药,水煎,饭前温服。
如果是因愤怒伤肝的,加炒黄芩一钱五分,人参、柴胡、甘草各一钱。因忧悲伤肺的,加炒黄芩、炒阿胶、苏叶各一钱,五味子十五粒,炙甘草五分。因恐惧伤肾的,加制续断、炒黄柏、炒杜仲各一钱,五味子十五粒,炙甘草五分,将生地黄改为熟地黄。因思虑积久不解伤脾的,加土炒白术一钱五分,人参、陈皮、制香附各一钱,炙甘草五分。因喜乐过度伤心(心主喜)的,加黄芩、黄连、土炒白术、去心麦冬各一钱,炙甘草五分。因跌打损伤触动的,用安胎饮主治。当归身、炒白芍各一钱,土炒白术、黄芩、苏叶各一钱五分,炙甘草、砂仁各五分。
芩术安胎饮:妊娠安胎的主方,加减法列在后面。白术(米泔水浸泡一夜,去芦头,切片,晒干,黄土炒香,如果脾脉虚弱细软缓大无力,外证表现为饮食少进、恶心呕吐、泄泻等症状)用一钱五分或二钱(如果体质强壮,或气郁壅滞、胸腹胀闷、胀满作痛,或素有奔豚、积聚、上攻症状者忌用),黄芩(如果脉洪盛有力,素来多内热,用一钱五分或二钱,如果体质虚寒,脾肺脉弱、呕哕泄泻者忌用),当归身酒洗一钱五分或二钱(如果有咳嗽痰喘、呕哕泄泻者忌用,如果只是泄泻而无其他症状,用黄土炒用),带壳砂仁(微炒)五分或七分(内热者用三、四分),生知母一钱(素来多内热者...原文此处似有缺漏)。
如果脉弱虚细或缓大无力,饮食减少,口不知味,溏薄泄泻,加人参一钱或一钱五分,炒白术一钱或一钱五分或二钱,白茯苓一钱,广皮七八分,炒黄芩一钱,去掉知母。如果血虚内热,肝肾脉洪数无力,腰疼,腿膝酸软无力,加熟地黄三五钱或七八钱,生地黄二三钱,酒洗芍药一钱或一钱五分,炒杜仲、酒洗当归一钱或一钱五分,炒续断一钱。
如果肝肾脉虚细濡弱,腰疼,腿膝麻木冷痛,加熟地黄三五钱或七八钱,川芎八分,制续断肉一钱,盐水炒杜仲一钱五分,酒洗当归身一钱五分或二钱,去掉知母。如果胸腹胀闷,加麸炒枳壳七分,制大腹皮八分,醋制香附米七分。如果素来多郁怒,加苏梗八分或一钱,醋制香附米八分或一钱,小柴胡七八分,酒洗抚芎七分。如果呕哕,加藿香八分或一钱,竹茹六七分,制透半夏八分,陈皮八分,带壳砂仁四五分,煨姜三片,去掉知母。胃寒呕哕,去掉黄芩、知母、竹茹,加制去黄水吴茱萸三分。如果虚烦,加去心麦冬一钱,竹茹七分。如果咳嗽,加麦冬一钱,蜜炙桑白皮八分或一钱,去皮尖杏仁八分,前胡一钱,麸炒枳壳八分。如果小便淋沥不通,加车前子一钱,赤芩一钱,木通七分,严重的加滑石钱半。如果胎动下血,加倍加生知母。
安胎万全神应散:治疗孕妇三月前后或因恼怒,或行走失足,跌损伤胎,腹痛腰胀,一服即安。虽然见血一二日未离宫者,再服无有不愈。倘若之前在三、四、五月内曾经小产过者,将近前月份,又觉腰骨酸胀,急速服下一剂即安。真是万全秘方,经验多人。当归(酒洗)、白...(原文此处似有缺漏,结合上下文及常见方剂,可能指白术或白芍等,此处仅译出可见部分)(蛤粉炒...原文此处似有缺漏)。水各一碗...榆各一钱...(原文此处似有缺漏)。
凤衣散:治疗三、五、七月小产。用头生鸡蛋抱出小鸡的蛋壳,在阴阳瓦上焙黄,研成细末。如果前次小产在何月份,到时预先用无灰酒冲服,可避免小产。
苎根汤:治疗孕妇受胎数月后,胎动、漏胎及子悬症。野苎麻根,怀孕一个月者用一寸,加金银器煎汤服之,立即安定。
胶艾安胎散:治疗孕妇突然跌倒挫伤,胎动下血不止。人参、黄芩、阿胶(蛤粉炒成珠)各一钱...(原文此处似有缺漏)。四分...(原文此处似有缺漏)。
止漏绝神丹:治疗胎漏下血,安胎效果更佳。土炒白术五钱,熟地黄一两,三七根末三钱,水煎服,此方妙在三七根末,乃是止血神品,所以使用极有效。
阿胶散:治疗孕妇或因倾倒、或因毒药动胎不安,腰腹疼痛,或有出血。阿胶(蛤粉炒成珠)、艾叶(炒)、当归身(酒洗)、川芎、白芍、熟地黄、蜂蜜、炙甘草,生姜、大枣做引经药,水煎,空腹服用。
白扁豆散:治疗孕妇误服各种毒药、毒物及用毒药攻胎,药毒冲心,其症状牙关紧闭,口不能言,两手强直握拳,头低自汗身微热,外症与中风相似,但其脉浮而软,十死一生。医生多不认识,如果误作中风治疗,必死无疑。用白扁豆三两去皮,生研为细末,用新汲水调下即效,或用米饮调服,或煎汤服亦可。
In cases of threatened miscarriage during the second or third month of pregnancy, it is generally due to long-standing uterine deficiency and a dual weakness of Qi and Blood, which fail to secure the Yuan Qi and nourish the fetus, leading to fetal restlessness and impending expulsion. In such urgent situations, An Tai Yin (Fetus-Securing Decoction) should be administered immediately to preserve the pregnancy. If there has been a history of prior miscarriage, Da Zao Wan (Great Creation Pill) may be taken first, followed by Du Zhong Wan (Eucommia Pill), thereby preventing mid-term miscarriage.
Mr. Tang stated: Mid-term miscarriages often occur in the third, fifth, and seventh months. If a previous miscarriage occurred in a specific month, it is likely to recur in the same month subsequently. Therefore, if a miscarriage previously occurred in the third month, one must take several doses of herbs that clear heat, tonify Qi, and secure the fetus half a month before the expected date to replenish the deficiency. For those who miscarry in the fifth or seventh months, medication should also be taken prophylactically half a month prior to prevent complications. This advice pertains specifically to pregnancies complicated by internal heat. The third, fifth, and seventh months are considered Yang months; since fire can consume and melt, these periods are prone to such issues.
An Tai Yin (Fetus-Securing Decoction): Ren Shen (Ginseng Radix) 1 qian (if deficient, double the dose), Dang Gui (Angelicae Sinensis Radix) 2 qian, Shu Di Huang (Prepared Rehmanniae Radix) 3 qian, Huang Qin (Scutellariae Radix) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 0.7 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Mai Dong (Ophiopogonis Tuber).
Da Zao Wan (Great Creation Pill): Gou Qi Zi (Lycii Fructus) 1 liang, Ren Shen (Ginseng Radix) 1.5 liang, Dang Gui (Angelicae Sinensis Radix) 2 liang, Mai Dong (Ophiopogonis Tuber) 1.3 liang, Tian Dong (Asparagi Tuber) 1 liang, Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) 1 liang, Fu Ling (Poria) 2 liang, Wu Wei Zi (Schisandrae Chinensis Fructus) 0.5 liang, Shu Di Huang (Prepared Rehmanniae Radix, stir-fried with ginger) 2 liang, Niu Xi (Achyranthis Bidentatae Radix) 0.5 liang, Shan Yao (Dioscoreae Rhizoma) 0.8 qian, Tu Si Zi (Cuscutae Semen) 4 liang (stir-fried with salt water).
Du Zhong Wan (Eucommia Pill): See Volume 9, Gynecology Section on Prenatal Conditions.
An Tai Wan Quan Yin (Fetus-Securing Complete Safety Decoction): Indicated when weak Spleen and Stomach Qi cannot constrain the fetus, and weak Blood cannot nourish it, resulting in recurrent miscarriage regardless of gestational age. It is advisable to concurrently take Du Zhong Wan (Eucommia Pill) and Hu Lian Wan (Coptis Pill). Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried), Dang Gui Shen (Body of Angelicae Sinensis Radix, wine-washed), Sheng Di Huang (Rehmanniae Radix), Huang Qin (Scutellariae Radix, slightly stir-fried), Chen Pi (Citri Reticulatae Pericarpium), Bai Shao (Paeoniae Radix Alba, wine-stir-fried) each 1 qian; Sha Ren (Amomi Fructus Rotundus, crushed with shell), Zhi Gan Cao (Prepared Licorice Root) each 0.5 qian; Sheng Jiang (Fresh Ginger) 3 slices, Da Zao (Jujubae Fructus) 2 pieces. Decoct in water and take orally.
Hu Lian Wan (Coptis Pill): A sacred herb for securing the fetus; take on the same day as Du Zhong Wan (Eucommia Pill). Huang Qin (Scutellariae Radix, sunken in water is preferred) 4 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried), Lian Rou (Lotus Seed Meat, heart removed) [dose missing in text].
Hei Bai An Tai San (Black-White Fetus-Securing Powder): Treats fetal restlessness. Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried), Huai Shu Di Huang (Prepared Rehmanniae Radix, steamed nine times and dried nine times) each 1 liang. Decoct in water and take orally. The efficacy of this formula lies in... [text incomplete].
Jia Wei Si Wu Tang (Modified Four Substances Decoction): Treats fetal restlessness caused by excessive sexual intercourse disturbing the fetal Qi. Dang Gui Shen (Body of Angelicae Sinensis Radix, wine-washed), Shu Di Huang (Prepared Rehmanniae Radix), E Jiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls) each 1 qian; Sha Ren (Amomi Fructus Rotundus, stir-fried), Zhi Gan Cao (Prepared Licorice Root) each 0.5 qian; Zhu Ru (Bambusae Caulis in Taenia) one piece. Decoct in water. Mix in 1 qian of ash from burning a man's underwear cloth, and strictly abstain from sexual intercourse.
Si Wu Tang (Four Substances Decoction): Treats fetal restlessness triggered by emotional disturbances (Seven Emotions). Use Si Wu Tang as the base and add herbs according to symptoms. Sheng Di Huang (Rehmanniae Radix, wine-soaked), Dang Gui Shen (Body of Angelicae Sinensis Radix, wine-washed), Bai Shao Yao (Paeoniae Radix Alba, wine-stir-fried) each 1 qian; Chuan Xiong (Ligustici Chuanxiong Rhizoma) 0.8 qian. This is the standard formula. Use Sheng Jiang (Fresh Ginger) and Da Zao (Jujubae Fructus) as guides. Decoct in water and take warm before meals.
If anger injures the Liver, add Chao Huang Qin (Stir-fried Scutellariae Radix) 1.5 qian, Ren Shen (Ginseng Radix), Chai Hu (Bupleuri Radix), Gan Cao (Licorice Root) each 1 qian. If sorrow injures the Lung, add Chao Huang Qin (Stir-fried Scutellariae Radix), Chao E Jiao (Stir-fried Donkey-hide Gelatin), Su Ye (Perillae Folium) each 1 qian, Wu Wei Zi (Schisandrae Chinensis Fructus) 15 grains, Zhi Gan Cao (Prepared Licorice Root) 0.5 qian. If fear injures the Kidney, add Zhi Xu Duan (Prepared Dipsaci Radix), Chao Huang Bo (Stir-fried Phellodendri Cortex), Chao Du Zhong (Stir-fried Eucommiae Cortex) each 1 qian, Wu Wei Zi (Schisandrae Chinensis Fructus) 15 grains, Zhi Gan Cao (Prepared Licorice Root) 0.5 qian; change Sheng Di Huang (Rehmanniae Radix) to Shu Di Huang (Prepared Rehmanniae Radix). If overthinking injures the Spleen due to prolonged unresolved thoughts, add Tu Chao Bai Zhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma) 1.5 qian, Ren Shen (Ginseng Radix), Chen Pi (Citri Reticulatae Pericarpium), Zhi Xiang Fu (Prepared Cyperi Rhizoma) each 1 qian, Zhi Gan Cao (Prepared Licorice Root) 0.5 qian. If excessive joy injures the Heart, add Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Tu Chao Bai Zhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma), Qu Xin Mai Dong (Ophiopogonis Tuber without heart) each 1 qian, Zhi Gan Cao (Prepared Licorice Root) 0.5 qian. If trauma from falls causes disturbance, use An Tai Yin (Fetus-Securing Decoction) as the primary treatment. Dang Gui Shen (Body of Angelicae Sinensis Radix), Chao Bai Shao (Stir-fried Paeoniae Radix Alba) each 1 qian; Tu Chao Bai Zhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma), Huang Qin (Scutellariae Radix), Su Ye (Perillae Folium) each 1.5 qian; Zhi Gan Cao (Prepared Licorice Root), Sha Ren (Amomi Fructus Rotundus) each 0.5 qian.
Qin Zhu An Tai Yin (Scutellaria-Atractylodes Fetus-Securing Decoction): The main formula for securing the fetus in pregnancy. Modifications are listed below. Bai Zhu (Atractylodis Macrocephalae Rhizoma): Soak in rice wash water overnight, remove rhizome tips, slice, dry, and stir-fry with yellow earth until fragrant. Use 1.5 qian or 2 qian if the Spleen pulse is weak, fine, soft, slow, large, and powerless, accompanied by external symptoms of poor appetite, nausea, vomiting, or diarrhea. Contraindicated if constitution is strong, or if there is Qi stagnation with chest/abdominal distension/pain, or history of Ben Tun (Rushing Pig syndrome), accumulations, or upward attacking pathogens. Huang Qin (Scutellariae Radix): Use 1.5 qian or 2 qian if the pulse is surging, full, and forceful, indicating inherent internal heat. Contraindicated if constitution is deficient and cold, or if Spleen/Lung pulses are weak with vomiting, retching, or diarrhea. Dang Gui Shen (Body of Angelicae Sinensis Radix, wine-washed): Use 1.5 qian or 2 qian. Contraindicated if cough with phlegm/wheezing or vomiting/diarrhea exists. If only diarrhea is present without other symptoms, stir-fry with yellow earth. Sha Ren (Amomi Fructus Rotundus, with shell, slightly stir-fried): Use 0.5 qian or 0.7 qian (use 0.3-0.4 qian if internal heat is present). Sheng Zhi Mu (Raw Anemarrhenae Rhizoma): 1 qian [text incomplete regarding contraindications/modifications for internal heat].
If the pulse is weak, deficient, fine, or slow/large/powerless, with reduced appetite, loss of taste, and loose diarrhea, add Ren Shen (Ginseng Radix) 1 or 1.5 qian, Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) 1, 1.5, or 2 qian, Bai Fu Ling (Poria) 1 qian, Guang Pi (Tangerine Peel) 0.7-0.8 qian, Chao Huang Qin (Stir-fried Scutellariae Radix) 1 qian; remove Zhi Mu (Anemarrhenae Rhizoma). If Blood deficiency with internal heat, with Liver/Kidney pulses surging, rapid, and powerless, accompanied by lower back pain and sore/weak knees, add Shu Di Huang (Prepared Rehmanniae Radix) 3-5 or 7-8 qian, Sheng Di Huang (Rehmanniae Radix) 2-3 qian, Jiu Xi Shao Yao (Wine-washed Paeoniae Radix) 1 or 1.5 qian, Chao Du Zhong (Stir-fried Eucommiae Cortex), Jiu Xi Dang Gui (Wine-washed Angelicae Sinensis Radix) 1 or 1.5 qian, Chao Xu Duan (Stir-fried Dipsaci Radix) 1 qian.
If Liver/Kidney pulses are deficient, fine, soggy, and weak, with lower back pain and numb/cold/painful legs/knees, add Shu Di Huang (Prepared Rehmanniae Radix) 3-5 or 7-8 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 0.8 qian, Zhi Xu Duan Rou (Prepared Dipsaci Radix flesh) 1 qian, Yan Shui Chao Du Zhong (Salt-water stir-fried Eucommiae Cortex) 1.5 qian, Jiu Xi Dang Gui Shen (Wine-washed Body of Angelicae Sinensis Radix) 1.5 or 2 qian; remove Zhi Mu (Anemarrhenae Rhizoma). If chest/abdominal fullness/distension, add Fu Chao Zhi Ke (Bran-stir-fried Aurantii Fructus) 0.7 qian, Zhi Da Fu Pi (Prepared Arecae Pericarpium) 0.8 qian, Cu Zhi Xiang Fu Mi (Vinegar-prepared Cyperi Rhizoma) 0.7 qian. If prone to depression and anger, add Su Geng (Perillae Caulis) 0.8 or 1 qian, Cu Zhi Xiang Fu Mi (Vinegar-prepared Cyperi Rhizoma) 0.8 or 1 qian, Xiao Chai Hu (Minor Bupleurum Decoction) 0.7-0.8 qian, Jiu Xi Fu Xiong (Wine-washed Ligustici Chuanxiong Rhizoma) 0.7 qian. If vomiting/retching, add Huo Xiang (Agastaches Herba) 0.8 or 1 qian, Zhu Ru (Bambusae Caulis in Taenia) 0.6-0.7 qian, Zhi Tou Ban Xia (Prepared Pinelliae Rhizoma) 0.8 qian, Chen Pi (Citri Reticulatae Pericarpium) 0.8 qian, Sha Ren (Amomi Fructus Rotundus, with shell) 0.4-0.5 qian, Wei Jiang (Roasted Ginger) 3 slices; remove Zhi Mu (Anemarrhenae Rhizoma). For Stomach cold with vomiting/retching, remove Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Zhu Ru (Bambusae Caulis in Taenia); add Zhi Qu Huang Shui Wu Zhu Yu (Prepared Evodiae Fructus washed to remove yellow water) 0.3 qian. If deficiency vexation, add Qu Xin Mai Dong (Ophiopogonis Tuber without heart) 1 qian, Zhu Ru (Bambusae Caulis in Taenia) 0.7 qian. If cough, add Mai Dong (Ophiopogonis Tuber) 1 qian, Mi Zhi Sang Bai Pi (Honey-stir-fried Mori Cortex) 0.8 or 1 qian, Qu Pi Jian Xing Ren (Apricot Seed without skin/shell) 0.8 qian, Qian Hu (Peucedani Radix) 1 qian, Fu Chao Zhi Ke (Bran-stir-fried Aurantii Fructus) 0.8 qian. If scanty/difficult urination, add Che Qian Zi (Plantaginis Semen) 1 qian, Chi Huang Qin (Red Scutellariae Radix) 1 qian, Mu Tong (Akebiae Caulis) 0.7 qian; if severe, add Hua Shi (Talcum) 1.5 qian. If fetal movement with bleeding, double the dose of Sheng Zhi Mu (Raw Anemarrhenae Rhizoma).
An Tai Wan Quan Shen Ying San (Fetus-Securing Complete Safety Divine Response Powder): Treats pregnant women around the third month who suffer fetal injury from anger or stumbling/falling, causing abdominal pain and lumbar distension; relief occurs after one dose. Even if bleeding persists for one to two days without the fetus leaving the uterus, further doses will ensure recovery. If there was a prior spontaneous abortion in the third, fourth, or fifth month, and lumbar bone soreness/distension recurs near that time, taking one dose immediately brings relief. This is a truly complete secret formula, proven effective on many people. Dang Gui (Angelicae Sinensis Radix, wine-washed), Bai [Zhu/Shao?] [text incomplete] (stir-fried with clam powder)... Water one bowl... Yu [Ge?] 1 qian [text incomplete].
Feng Yi San (Phoenix Feather Powder): Treats spontaneous abortion in the third, fifth, and seventh months. Use the eggshell of a chick hatched from a first-laid hen egg. Roast until yellow on a Yin-Yang tile, grind into fine powder. When the time of the previous miscarriage approaches, take orally mixed with unadulterated wine to prevent miscarriage.
Zhu Gen Tang (Chinese Hemp Root Decoction): Treats fetal movement, leaking fetus, and Zi Xuan (fetal suspension) syndrome several months after conception. Use wild Chinese hemp root (Bo Niu Ma Gen). For one month of pregnancy, use 1 cun. Decoct with silver/gold vessels and take orally for immediate stabilization.
Jiao Ai An Tai San (Gelatin-Mugwort Fetus-Securing Powder): Treats sudden falls/trauma in pregnant women causing fetal movement and continuous bleeding. Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), E Jiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls) each 1 qian... [text incomplete]. 4 fen... [text incomplete].
Zhi Lou Jue Shen Dan (Stop-Leaking Absolute Divine Elixir): Treats fetal leakage with bleeding; excellent for securing the fetus. Tu Chao Bai Zhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma) 5 qian, Shu Di Huang (Prepared Rehmanniae Radix) 1 liang, San Qi Gen Mo (Powder of Notoginseng Root) 3 qian. Decoct in water and take. The efficacy lies in the San Qi Gen Mo (Powder of Notoginseng Root), a divine substance for stopping bleeding, hence extremely effective.
E Jiao San (Gelatin Powder): Treats fetal restlessness due to falling or poisoning, causing lower back/abdominal pain or bleeding. E Jiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls), Ai Ye (Mugwort Leaf, stir-fried), Dang Gui Shen (Body of Angelicae Sinensis Radix, wine-washed), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Shu Di Huang (Prepared Rehmanniae Radix), Mi [Tang?] (Honey), Zhi Gan Cao (Prepared Licorice Root). Use Sheng Jiang (Fresh Ginger) and Da Zao (Jujubae Fructus) as guides. Decoct in water and take on an empty stomach.
Bai Bian Dou San (White Hyacinth Bean Powder): Treats accidental ingestion of various poisons/toxins by pregnant women, or use of abortifacient drugs, where toxic fumes rush to the Heart. Symptoms include locked jaw, inability to speak, rigid clenched fists, head drooping, spontaneous sweating, and slight body heat. Externally similar to Stroke (Zhong Feng), but the pulse is floating and soft; prognosis is ten deaths to one life. Doctors often fail to recognize this; misdiagnosing as Stroke leads to certain death. Use 3 liang of Bai Bian Dou (White Hyacinth Bean), peeled, raw ground into fine powder. Mix with fresh well water and take orally for effect. Alternatively, mix with rice drink or decoct in water.
San Wu Jie Du Tang (Three-Item Detoxifying Decoction): Treats fetal disturbance due to accidental poison ingestion. Sheng Gan Cao (Raw Licorice Root), Hei Dou (Black Soybean), Dan Zhu Ye (Lophatheri Herba) in equal parts. Decoct in water to make a concentrated juice and take orally.