胎气宜清不宜热,宜静不宜动,有因胎病不安者,有因母病而胎不安者,宜预安之。
【主意】
妊妇全凭气血谐,伤情冷热挫为灾。伤血脉濡宜四物,四君脉大旋安排。挫气缩砂为末服,术芎芩归不伤胎。
安胎饮
熟地 白术(炒) 当归(酒洗) 川芎 白芍 茯苓 黄芩 甘草 阿胶(炒) 地
榆艾叶(各五分) 姜(三片)
水煎服
胎气郁滞者,宜参苏饮。
人参(二钱) 苏叶(五钱)
水煎服
脾气虚弱者,宜六君子汤。
人参 甘草(各五钱) 白术(炒) 茯苓(各一钱) 半夏(制) 陈皮(去白七
分) 加紫苏 枳壳 姜(二片) 枣(二枚)
水煎,不拘时服
郁结伤脾者,宜归脾汤。
人参 黄 茯神 甘草 木香(忌火) 酸枣仁(炒) 白术(炒)
圆眼肉 加柴胡 栀仁(炒黑各等分) 姜(一片)
水煎服
郁怒肝脾者,宜四七汤。
苏叶 浓朴(姜汁炒) 茯苓(各一钱) 半夏(姜制,一钱五分)
加川芎、川归,怒动肝火加五味子、柴胡、姜、枣煎服。
妊娠月水时下者,皆由冲任脉虚,不能约制经血,血漏尽则
胎毙矣。有劳役喜怒不节,或饮食触冒风寒,或母有宿疾,为风冷所乘,气血失度而血漏下。
【主意】
漏胎血少气偏虚,不能卫护热乘之。脉数黄芩加白术,安胎主药善扶持。弱脉血虚全四物,
艾胶制炒要知宜。下陷升提分湿热,气虚应可用参 。
胎气应当保持清凉而不宜过热,应当保持安静而不宜躁动。导致胎动不安的原因,有的是因为胎儿本身的疾病,有的是因为母体患病而波及胎儿,因此应当预先进行安胎调理。
【主旨歌诀】
孕妇的健康完全依赖于气血的和谐,情绪波动或感受寒热邪气都会造成灾害。如果损伤了血脉导致血虚濡弱,适宜使用四物汤;如果脉象宏大显示气虚,则应随即安排使用四君子汤。如果是气机郁滞受损,可将缩砂仁研末服用;白术、川芎、黄芩、当归这些药物配伍使用不会伤害胎儿。
安胎饮
熟地黄、炒白术、酒洗当归、川芎、白芍、茯苓、黄芩、甘草、炒阿胶、地榆、艾叶(各五分),生姜三片。
用水煎煮后服用。
如果是胎气郁滞导致的胎动不安,适宜使用参苏饮。
人参二钱,苏叶五钱。
用水煎煮后服用。
如果是脾气虚弱导致的胎动不安,适宜使用六君子汤。
人参、甘草(各五钱)、炒白术、茯苓(各一钱)、制半夏、去白陈皮七分,加入紫苏、枳壳、生姜两片、大枣两枚。
用水煎煮,不拘泥于固定时间服用。
如果是忧思郁结损伤脾脏导致的胎动不安,适宜使用归脾汤。
人参、黄芪、茯神、甘草、木香(忌用火炮制)、炒酸枣仁、炒白术、桂圆肉,加入柴胡、炒黑栀子仁(各等分)、生姜一片。
用水煎煮后服用。
如果是郁怒导致肝脾不和,适宜使用四七汤。
苏叶、姜汁炒浓朴、茯苓(各一钱)、姜制半夏(一钱五分)。
加入川芎、当归;如果是因为愤怒引动肝火,则加入五味子、柴胡、生姜、大枣一起煎煮服用。
妊娠期间月经按时来潮的,都是由于冲脉和任脉虚弱,不能约束经血,血液漏尽则胎儿死亡。这种情况多由过度劳累、喜怒情绪不节制,或者饮食不慎触犯风寒,或者母亲原有宿疾,被风冷邪气侵袭,导致气血失调而出现阴道流血。
【主旨歌诀】
漏胎症状表现为血量少但气偏虚,正气不足无法护卫,导致热邪乘虚而入。如果脉数且伴有热象,应在方中加入黄芩和白术,这两味药是安胎的主药,善于扶持正气。如果脉弱且血虚,则应全用四物汤,艾叶和阿胶需制成炒品,要知道如何恰当使用。如果是气陷下坠,需用升提法并区分湿热情况;如果是气虚,应当可以使用人参。
Fetal Qi should be clear and cool rather than hot, and quiet rather than active. Causes of fetal restlessness include disorders originating from the fetus itself or from the mother's illness affecting the fetus; therefore, preventive measures for stabilizing the fetus should be taken in advance.
[Main Principle Verse]
The pregnant woman relies entirely on the harmony of Qi and Blood. Emotional distress or exposure to cold and heat can cause disaster. If blood vessels are damaged leading to deficiency and dampness, Siwu Tang (Four Substances Decoction) is suitable. If the pulse is large indicating Qi deficiency, Sijunzi Tang (Four Gentlemen Decoction) should be arranged promptly. For Qi stagnation and damage, Amomi Fructus (Sharen, 砂仁) ground into powder can be taken. Atractylodis Rhizoma (Baizhu, 白术), Chuanxiong Rhizome (Chuanxiong, 川芎), Scutellariae Radix (Huangqin, 黄芩), and Angelicae Sinensis Radix (Danggui, 当归) do not harm the fetus when used together.
Antenatal Stabilization Decoction (Antai Yin)
Prepared Rehmanniae Radix (Shudi, 熟地), Fried Atractylodis Rhizoma (Baizhu, 白术), Wine-washed Angelicae Sinensis Radix (Danggui, 当归), Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎), White Peony Root (Baishao, 白芍), Poria (Fuling, 茯苓), Scutellariae Radix (Huangqin, 黄芩), Licorice Root (Gancao, 甘草), Fried Prepared Rehmanniae Radix (Ejiao, 阿胶), Sanguisorbae Radix (Diyu, 地榆), Artemisiae Argyi Folium (Aiye, 艾叶) (each 5 fen), Ginger (3 slices).
Decoct in water and take orally.
For fetal restlessness due to Qi stagnation, Shen Su Yin (Ginseng and Perilla Decoction) is suitable.
Panax Ginseng Radix et Rhizoma (Renshen, 人参) (2 qian), Perillae Folium (Suye, 苏叶) (5 qian).
Decoct in water and take orally.
For fetal restlessness due to Spleen Qi deficiency, Liujunzi Tang (Six Gentlemen Decoction) is suitable.
Panax Ginseng Radix et Rhizoma (Renshen, 人参), Licorice Root (Gancao, 甘草) (each 5 qian), Fried Atractylodis Rhizoma (Baizhu, 白术), Poria (Fuling, 茯苓) (each 1 qian), Processed Pinellia Tuber (Banxia, 半夏), Exocarpium Citri Reticulatae (Chenpi, 陈皮) (7 fen, pith removed), added with Perillae Folium (Zisu, 紫苏), Aurantii Fructus (Zhike, 枳壳), Ginger (2 slices), Jujubae Fructus (Zao, 枣) (2 pieces).
Decoct in water, take at any time without restriction.
For fetal restlessness due to emotional constraint injuring the Spleen, Guipi Tang (Restore the Spleen Decoction) is suitable.
Panax Ginseng Radix et Rhizoma (Renshen, 人参), Astragali Membranacei Radix (Huangqi, 黄芪), Poria Cum Ramo Polypori (Fushen, 茯神), Licorice Root (Gancao, 甘草), Aucklandiae Radix (Muxiang, 木香) (avoid fire processing), Fried Ziziphi Spinosomi Semen (Suanzaoren, 酸枣仁), Fried Atractylodis Rhizoma (Baizhu, 白术), Longan Aril (Yuanyanrou, 圆眼肉), added with Bupleuri Radix (Chaihu, 柴胡), Gardeniae Fructus (Zhiren, 栀仁) fried black (equal parts), Ginger (1 slice).
Decoct in water and take orally.
For fetal restlessness due to anger affecting Liver and Spleen, Siqi Tang (Four Seven Decoction) is suitable.
Perillae Folium (Suye, 苏叶), Fried Magnoliae Officinalis Cortex (Nongpo, 浓朴) with Ginger Juice, Poria (Fuling, 茯苓) (each 1 qian), Processed Pinellia Tuber (Banxia, 半夏) with Ginger (1.5 qian).
Added with Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎) and Angelicae Sinensis Radix (Chuan Gui, 川归). If anger stirs Liver Fire, add Schisandrae Fructus (Wuweizi, 五味子), Bupleuri Radix (Chaihu, 柴胡), Ginger, and Jujubae Fructus (Zao, 枣) to decoct and take.
In pregnancy, if menstruation occurs monthly, it is all due to deficiency of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), which fail to constrain menstrual blood. Once the blood leaks out completely, the fetus will die. This condition arises from overexertion, irregular emotions such as anger or joy, dietary indiscretion exposing one to wind-cold, or pre-existing maternal diseases where wind-cold pathogens invade, causing Qi and Blood imbalance and vaginal bleeding.
[Main Principle Verse]
Leaking fetus presents with scant blood but predominant Qi deficiency, unable to protect against invading heat. If the pulse is rapid, add Scutellariae Radix (Huangqin, 黄芩) and Atractylodis Rhizoma (Baizhu, 白术); these are the main herbs for stabilizing the fetus and supporting health well. If the pulse is weak and Blood is deficient, use Siwu Tang (Four Substances Decoction) entirely; know how to appropriately use fried Ai Ye (Artemisiae Argyi Folium, 艾叶) and Ejiao (Prepared Gelatin, 阿胶). For sinking Qi, use lifting methods and differentiate damp-heat; for Qi deficiency, Panax Ginseng Radix et Rhizoma (Renshen, 人参) should be used.