《急救仙方》Vol. 1

The first volume of Ji Jiu Xian Fang (Emergency Immortal Prescriptions) records medicinal formulas for treating various ailments during pregnancy. Here are several common prescriptions for stabilizing the fetus:

Atractylodes-Scutellaria Decoction (Baizhu Huangqin Tang) is used for unstable fetal Qi. Take equal parts of white atractylodes rhizome (Baizhu) and scutellaria root (Huangqin), coarsely grind them. For each dose, use three qian (9g) of the mixture, decoct with two bowls of water and one piece of Chinese angelica root (Danggui) until reduced to one bowl. Drink warm.

Instant Relief Powder (Li Xiao San) specifically treats restless fetal movement with abdominal distension and coldness. Grind equal parts of Sichuan lovage rhizome (Chuanxiong) and Danggui into coarse powder. Decoct five qian (15g) per dose in water and consume warm before meals. For cases with bleeding or heart/abdominal pain, decoct using equal parts wine and water.

Fetal Protection Powder (Bao An San) is indicated for severe fetal pain or heavy bleeding after physical trauma. Stir-fry villous amomum fruit (Sharen) with its peel until blackened, then peel and grind finely. Take with warm wine—a warming sensation in the abdomen confirms stabilized fetal Qi.

For restless fetal movement, lumbar pain, uterine torsion, or persistent bleeding: Pound three sheng (~600ml) of acorus calamus root (Shichangpu) juice for oral intake. Alternatively, decoct an egg-sized portion of mugwort leaves (Aiye) in four sheng (~800ml) wine until reduced by half, dividing into two doses. Another option: ingest one qian seven fen (~5g) of powdered betel nut (Binglang) with scallion white decoction.

Double Yellow Powder (Er Huang San) treats pregnancy-related spotting: Grind equal parts raw and prepared rehmannia root (Shengdihuang/Shudihuang) into powder. Take three qian (9g) per dose with a decoction of Baizhu and bitter orange (Zhiqiao). Bleeding-Ceasing Powder (Li Sheng San) addresses persistent pregnancy bleeding: Simmer two chicken livers in one sheng (~200ml) quality wine until cooked, consuming both liver and wine.

Bitter Orange-Poria Powder (Zhi Ling San) manages spotting or accidental bleeding: Stir-fry half a liang (~15g) of Zhiqiao with bran, combine with half a liang Huangqin and two liang (~60g) Baizhu as coarse powder. Decoct five to seven qian (15-21g) per dose in water for pre-meal consumption.

For post-fall or impact pain during pregnancy: Decoct one liang (~30g) Danggui with two ge (~40ml) fresh bamboo shavings (Qingzhuru) in two sheng (~400ml) good wine, bringing to boil ten times before dividing into three doses. A simpler alternative: take two qian (~6g) powdered Chuanxiong with warm wine.

These formulas target common pregnancy complications like fetal restlessness, bleeding, and abdominal pain, primarily using standard herbs like Danggui, Chuanxiong, and Baizhu. The text emphasizes selecting preparation methods and dosages according to symptom severity.

This scripture records ancient medicinal formulas for treating various pregnancy-related disorders. For cases where fetal Qi surges upward causing chest discomfort, a decoction is prepared with cooked rehmannia root (Shu Dihuang), white peony root (Baishao), mugwort leaves (Aiye), and Chinese angelica (Danggui) — half an ounce of each ingredient boiled with ginger and jujubes for oral administration.

The "Fire Dragon Powder" (Huolong San) for pregnancy-induced heart pain combines stir-fried mugwort leaves, fennel seeds, and Sichuan chinaberry (Chuanlianzi), ground into fine powder to be taken before meals. The special preparation method for "Qi-Unblocking Powder" (Tongqi San) — used for severe pregnancy-related back pain — involves roasting psoralea seeds (Buguzhi) on a tile until fragrant, then grinding them to mix with chewed walnut kernels, taken with warm wine on an empty stomach in three-qian doses.

For restless fetal movement or retained dead fetus, the "Chuanxiong-Danggui Decoction" (Xiong Gui Tang) uses equal parts Sichuan lovage root (Chuanxiong) and Chinese angelica boiled with perilla leaves in wine-water, which either calms the fetus or expels the deceased one. The peculiar condition of audible fetal crying in the womb is treated by having the mother sip concentrated decoctions of coptis root (Huanglian) and raw licorice (Sheng Gancao), or alternatively by holding aged soil from a rat's nest in her mouth.

When pregnancy edema spreads from the feet to the abdomen, powdered polyporus mushroom (Zhuling) induces diuresis to reduce swelling. The "Lepidium Powder" (Tingli San) — combining lepidium seed (Tingli) and white atractylodes rhizome (Baizhu) — treats generalized edema through similar diuretic action, while a variant formula adds alisma rhizome (Zexie) and bitter orange (Zhiqiao). The final "Fangji Decoction" specifically addresses spleen deficiency manifesting as whole-body edema, abdominal distension, panting, and dysuria, using fourstamen stephania root (Fangji), mulberry bark (Sangbaipi), and red poria (Chifuling). These formulas demonstrate meticulous attention to herbal processing methods and administration protocols, reflecting ancient Chinese medicine's sophisticated observation and therapeutic approaches to pregnancy disorders.

This text records several ancient medicinal formulas for treating common ailments during pregnancy. First is the constipation-relief formula: use one liang each of perilla stems and leaves, plus two and a half qian of costus root. For severe cases, add bitter orange and betel nut. Grind these herbs into coarse powder, decoct four qian with four slices of fresh ginger in water, and take before meals.

The Angelica-Peony Powder specifically treats abdominal pain during pregnancy: four liang of white peony root, one liang each of Chinese angelica and poria mushroom, two liang each of alisma rhizome and Sichuan lovage root, and one liang of honey-fried licorice. Grind into fine powder and take three qian with warm wine, or form into honey pills for consumption.

The Ginseng Powder addresses vomiting and diarrhea: one liang each of ginseng, ginger-processed magnolia bark, and tangerine peel, half liang each of stir-fried angelica and honey-fried licorice, and one liang of dried ginger. For severe vomiting, add galangal fruit and roasted katsumada seeds. Decoct four qian with three dates in water for oral administration.

The Poria-Pinellia Decoction treats morning sickness: one liang two qian of pinellia rhizome (washed and stir-fried seven times), seven and a half qian each of red poria and prepared rehmannia, half liang each of tangerine peel, ginseng, inula flower, peony root, Sichuan lovage, platycodon root, and stir-fried licorice. Grind coarsely and decoct five qian with three ginger slices. Follow with Poria Pills (made from red poria, ginseng, stir-fried cinnamon and other herbs formed into honey pills).

Finally, the Bamboo Sap Decoction specifically treats restlessness and chest oppression during pregnancy, anciently called "fetal vexation." All formulas emphasize pre-meal administration, reflecting ancient attention to proper timing of herbal intake.

This text records several ancient medicinal formulas for treating pregnancy-related disorders. The first prescription uses three liang of poria (fuling) and one sheng of bamboo sap (zhuli), boiled with four sheng of water until reduced to two sheng. Divide into three doses—if ineffective, repeat administration.

Another formula combines four liang of poria with three liang each of saposhnikovia root (fangfeng), ophiopogon tuber (maimendong) with core removed, and scutellaria root (huangqin), plus one and a half liang of ginseng (renshen). Coarsely chop these ingredients, then decoct four qian per dose with several slices of light bamboo leaves. For insomnia, add zizyphus seed (suanzaoren).

The perilla decoction (zisuyin) specifically treats abdominal distension and pain caused by ascending fetal qi (historically termed "zi xuan"), while also alleviating pre-labor anxiety and dystocia due to qi-blood stagnation. The formula includes one liang of perilla (zisu), two and a half qian each of Chinese angelica (danggui) and licorice (gancao), plus half liang each of ginseng, chuanxiong rhizome (chuanxiong), areca peel (dafupi), aged tangerine peel (chenpi), and white peony root (baishao). Prepare by coarse chopping, then decoct half liang per dose with one and a half cups water, four ginger slices, and seven cun of scallion whites. Strain and take warm on empty stomach.

Anemarrhena powder (zhimu san) addresses pregnancy-related restlessness, chest oppression, dry mouth, and fetal heat symptoms. Combine half liang each of anemarrhena (zhimu), licorice, and coreless ophiopogon tuber with seven qian each of astragalus (huangqi), scutellaria root, and red poria (chifuling). After coarse chopping, decoct four qian per dose with bamboo shavings (zhuru). For limb fever, add pueraria root (gegen) and bupleurum (chaihu).

One specialized formula treats sudden yellow mucus or bean-juice-like vaginal discharge during pregnancy. Use two sheng of chopped ramie root (zhumagen), boiled in four sheng water until reduced to two sheng. Divide into two doses, each time adding half sheng wine before reboiling.

Magnolia bark powder (houpo san) manages persistent watery yellow diarrhea. Combine three liang of ginger-processed magnolia bark (houpo), two liang of coptis (huanglian), and five whole nutmegs (roudoukou) with skin. After chopping, boil in two sheng water until reduced to one sheng for consumption.

For unexplained sudden bleeding: stir-fry two liang of donkey-hide gelatin (ejiao) with clam powder until pearl-like, then powder. Pound half jin of fresh rehmannia (shengdihuang) for juice. Mix both with three sheng of clear wine, warm and consume in three doses.

For pregnancy-related hematuria without cause: combine one liang of powdered dragon bone (longgu) with five qian of powdered cattail pollen (puhuang). Take one square-inch spoonful (approximately 1g) per dose mixed with wine, three times daily.

This medical section primarily documents several herbal formulas for treating common ailments during pregnancy. The first addresses spleen-stomach weakness in expectant mothers, characterized by umbilical/abdominal pain and persistent diarrhea. It uses Magnolia bark (soaked in ginger juice then stir-fried until yellow), roasted Nutmeg, and flour-wrapped roasted Mace - three qian of the mixture decocted with three slices of fresh ginger. Postpartum cases with similar symptoms may also use this formula.

Another prescription called "Great Tranquility Powder" treats severe pregnancy diarrhea (with bloody/mucous discharge) and life-threatening abdominal pain. It combines thirty black soybeans, two-and-a-half cun of Licorice root (half raw, half processed), and twenty-one Poppy pods (half raw, half stir-fried), coarsely ground and decocted with three ginger slices. Taken before meals, it shows remarkable efficacy.

For pregnancy dysentery caused by internal heat-toxins, use one liang each of Coptis and Phellodendron bark with ten Gardenia seeds, soaked for three shichen then boiled ten times. After removing the dregs, consume the decoction in one dose. Add ginger and tangerine peel if vomiting occurs.

When pregnancy diarrhea with abdominal pain accompanies difficult urination, decoct one ge of glutinous rice with one liang each of stir-fried Angelica sinensis and Astragalus (finely chopped), dividing the strained liquid into four doses.

The "Coptis Powder" specifically treats chronic bloody/purulent stool during pregnancy, combining eight qian Coptis with six qian each of ginger-processed Magnolia bark, clam-shell powder-fried donkey-hide gelatin, and Angelica, plus four qian each of Artemisia argyi leaves, Phellodendron, and blast-fried dried ginger. Take the powder with rice water thrice daily.

Two formulas address pregnancy incontinence: 1) twelve charred Mantis egg-cases powdered with rice water; 2) "Cynanchum Powder" with equal parts Cynanchum atratum and stir-fried white Peony root taken with warm wine.

Finally, "Poria Powder" treats pregnancy urinary obstruction, decocting equal parts red Poria cocos and Abelmoschus manihot seeds. Each formula meticulously details herbal processing methods and administration protocols.

The Ji Jiu Xian Fang (Emergency Immortal Formulas) records several medicinal prescriptions for treating gynecological disorders:

The first formula addresses urinary difficulty in pregnant women. When urination becomes obstructed due to bladder compression, taking a small amount of charred human hair ash mixed with liquid proves highly effective. Another prescription combines Plantago seeds (1 liang) and chopped mallow root (5 qian), decocted in 1.5 sheng of water until reduced by half, to be taken warm on an empty stomach.

The "Dafupi Powder" for treating reddish, painful urination and defecation in pregnancy contains areca peel, roasted Citrus aurantium (with white pith removed), licorice, scutellaria (1 qian each), and red poria (peeled, 2 qian), decocted with scallion whites. Seven fen of the warm decoction should be taken before meals.

The "Evil-Slaying Elixir" specifically treats "ghost fetus" (abnormal masses) in women. Its formula includes evodia, aconite root, gentian, bupleurum, cleaned silkworm larvae, morinda root, croton seeds (with shells removed but oil retained), and vinegar-processed genkwa (1 liang each). Ground into powder and mixed with honey to form wutong seed-sized pills, seven pills are taken with honeyed wine until foreign matter is expelled.

For pregnancy-related lung-heat cough, the "Platycodon Powder" contains asparagus root (pith removed, 1 liang), fritillaria bulb, ginseng, licorice, mulberry bark, platycodon root, and perilla leaf (0.5 liang each), plus red poria (1 liang) and ephedra (nodes removed, 7 qian). Four qian of the mixture is decocted with three ginger slices, with carp strictly avoided during treatment.

The "Aster Decoction" for prolonged cough with fetal restlessness combines aster root and asparagus root (1 liang each), platycodon root (0.5 liang), licorice, mulberry bark, and apricot kernel (2.5 qian each), with ledebouriella root (0.5 liang). Three qian of the mixture is decocted with bamboo shavings, strained, then simmered again with half-spoonful of honey. Carp remains contraindicated during administration.

For pregnancy vomiting with phlegm retention, the "Ginseng-Citrus Peel Decoction" contains ginseng, aged tangerine peel, atractylodes, and ophiopogon root (pith removed, 1 liang each), licorice (3 qian), processed magnolia bark, and white poria (0.5 liang each). Four qian of the coarse powder is decocted with lophatherum leaves for oral use.

This scripture records the modified Siwu Decoction formula and its symptom-based variations for treating pregnant women with shanghan (exogenous febrile disease). The base formula consists of equal parts cooked Rehmannia root (Shu Dihuang), Chinese angelica root (Danggui), Szechuan lovage rhizome (Chuanxiong), and white peony root (Shaoyao). A dosage of 4-5 qian (approximately 15-20 grams) is decocted in water and taken with three slices of fresh ginger before meals on an empty stomach.

The following modifications apply for specific symptoms:

For headache with fever, absence of sweating, and floating-tight pulse, add ephedra (Mahuang) and Asarum root (Xixin). When spontaneous sweating occurs with headache, neck stiffness, chills, fever, and floating-weak pulse, incorporate astragalus root (Huangqi) and wolfberry root bark (Digupi). For wind-damp symptoms like joint pain with floating pulse, feverish headache, add ledebouriella root (Fangfeng) and processed atractylodes rhizome (Cangzhu).

For hypochondriac distension/pain with wiry pulse, add bupleurum root (Chaihu) and scutellaria root (Huangqin). Constipation with dark urine and deep-rapid pulse requires raw rhubarb (Sheng Dahuang) and stir-fried peach kernel (Taoren). Dysuria calls for poria (Fuling) and alisma rhizome (Zexie), while blood-like red urine needs additional amber (Hupo). Cold limbs with cramps, dull abdominal pain, and deep-slow pulse demand processed aconite (Pao Fuzi) with a small amount of cinnamon bark (Rougui).

High fever with thirst and large-long pulse requires gypsum (Shigao) and anemarrhena rhizome (Zhimu). Persistent rashes need cimicifuga rhizome (Shengma) and forsythia fruit (Lianqiao). For unrelenting cough, add ginseng (Renshen) and schisandra berry (Wuwei zi). Abdominal distension with false fullness requires ginger-processed magnolia bark (Houpo) and stir-fried bitter orange (Zhishi). Insomnia needs gardenia fruit (Zhizi) with scutellaria. Threatened miscarriage with bleeding requires donkey-hide gelatin (Ejiao), honey-fried licorice (Zhi Gancao), and astragalus root.

Special notes: "Processing" (paozhi) refers to specialized herbal preparation methods (e.g., ginger-frying, bran-roasting), while "pulse signs" denote diagnostic pulse characteristics in Chinese medicine. This formula must be used under professional guidance, with particular caution for pregnant patients.

This text records several medicinal formulas and external applications for treating pregnant women with shanghan (exogenous febrile diseases). First, the external treatments: The first method uses powdered baiyaozi (a Chinese medicinal herb) mixed with egg white to form a paste, which is spread on paper and applied below the navel where the fetus resides. When dry, moisten it with warm water. The second method involves blending zaoxintu (yellow earth from the center of a stove) with water into a paste and repeatedly applying it below the navel. The third is for severe high fever—using well-bottom mud applied over the heart region to protect the fetus.

Next are the internal formulas:

Baizhu Powder treats fever, headache, fetal restlessness, vomiting, or loss of appetite caused by shanghan during pregnancy. The formula includes equal parts (one liang each) of baizhu (white atractylodes), juhong (tangerine peel), renshen (ginseng), qianhu (peucedanum root), chuanxiong (ligusticum), maimendong (ophiopogon, core removed), and chifuling (red poria), plus half a liang each of banxia (pinellia, washed and stir-fried) and gancao (licorice). Take four qian per dose, decocted with four slices of shengjiang (fresh ginger) and two and a half qian of zhuru (bamboo shavings).

Shengma Powder addresses severe headache and high fever from shanghan during pregnancy, containing one liang each of shengma (cimicifuga), stir-fried cangzhu (atractylodes), maimendong (ophiopogon, core removed), mahuang (ephedra, nodes removed), and shigao (gypsum), plus five qian each of huangqin (scutellaria) and zhimu (anemarrhena). Take four qian per dose, decocted with four ginger slices and fourteen fresh bamboo leaves.

Chaihu Powder treats shanghan symptoms like headache, neck stiffness, fever, dry mouth, and chest/rib pain during pregnancy. Equal parts of chaihu (bupleurum), qianhu (peucedanum), chuanxiong (ligusticum), danggui (angelica), renshen (ginseng), shaoyao (peony), gancao (licorice), and shengdihuang (fresh rehmannia) are ground into powder. Take four qian per dose, decocted with three ginger slices, three jujubes, and three scallion whites to induce sweating.

Qinjiao Powder is used when a pregnant woman with shanghan fails to sweat after five or six days, experiencing dry mouth, excessive thirst, delirium, and vomiting. It contains one liang each of qinjiao (gentiana) and chaihu (bupleurum), two liang of shigao (gypsum), and half a liang each of qianhu (peucedanum), chifuling (red poria), gancao (licorice), gegen (kudzu), xijiaosu (powdered rhinoceros horn), shengma (cimicifuga), and huangqin (scutellaria). Take four qian per dose, decocted with four ginger slices and three qian of zhuru (bamboo shavings).

Lastly, Fangfeng Gegen Decoction treats wind-strike (exogenous wind pathogen) during pregnancy causing stiff back and recurrent convulsions, though the full formula is not listed here. These prescriptions reflect ancient physicians’ approach to managing febrile diseases in pregnancy—balancing fever reduction with fetal stabilization. External methods particularly emphasize avoiding harm to the fetus.

This records several traditional Chinese medicinal prescriptions for treating pregnancy-related disorders. The first formula addresses sudden wind-stroke symptoms during pregnancy, manifested as rigid arched-back posture, locked jaw, and speech difficulties—a condition called "wind convulsions" (fengjing) or "eclampsia" (zigong). It contains raw rehmannia root (shengdihuang), apricot kernel (xingren), ephedra (mahuang), and cinnamon bark (guixin). The preparation method involves finely chopping these herbs, then decocting 4 qian (approx. 12g) per dose in water for oral administration.

The second formula treats pre-delivery wind convulsions causing unconsciousness, vomiting, and vertigo. In addition to foundational herbs like ephedra and saposhnikovia root (fangfeng), it incorporates antelope horn (lingyangjiao) and wild jujube seed (suanzaoren) for calming the spirit (shen). The decoction requires added fresh ginger and bamboo sap (zhuli)—the liquid extracted from heated bamboo.

The third formula features kudzu root (gegen) and fritillaria bulb (beimu) as primary ingredients, decocted in water for divided doses to facilitate smooth delivery. If used before the due date, cimicifuga rhizome (shengma) should replace fritillaria.

For pregnancy-associated malaria, two treatment approaches exist: One involves decocting bupleurum root (chaihu) and rhubarb (dahuang) taken warm at dawn on the attack day. Alternatively, herbs can be ground into phoenix tree seed-sized pills—100 pills taken with cold water at dawn, followed by 50 pills two hours later, with bowel movement as the efficacy indicator. Greasy and spicy foods must be avoided during treatment.

The final formula specifically treats pregnancy malaria with high fever and severe thirst, combining raw rehmannia, scutellaria root (huangqin), and ophiopogon root (maimendong) to nourish yin and clear heat. Measurement conversions: 1 liang (approx. 37g) equals 10 qian (3.7g), and 1 fen equals 1/10 qian. Special processing techniques include "removing nodes" (qujie) from ephedra stems and dry-frying (chao)—traditional pharmaceutical preparation methods.

This prescription is for treating malaria in pregnant women. The formula uses one liang (approx. 30g) each of Dichroa root (Changshan) and gypsum (Shigao), half a liang each of roasted licorice (Zhigancao) and Scutellaria root (Huangqin), plus seven dark plums (Wumei). The preparation method involves finely chopping these herbs, soaking them overnight in one bowl each of wine and water, then decocting the mixture at dawn until only one bowl of liquid remains. Strain out the dregs and divide into two doses. Important: administer on the day of malaria onset.

Another formula serves as a pregnancy test, suitable for women who have missed three menstrual cycles. It uses only Ligusticum rhizome (Chuanxiong) in its raw, unprocessed form. Grind the herb into fine powder, then take approximately one fangcunbi (an ancient measurement, about 1g) on an empty stomach with a strong decoction of mugwort leaves (Aiye) tea. If slight abdominal movement is felt, this confirms pregnancy.

For the formula with half a liang of licorice (Gancao) and one liang of Pueraria root (Gegen): crush the ingredients and decoct five qian (approx. 15g) per dose with half a dark plum (Wumei) before administration.