娠妊之际,经脉不行,浊气上于清道,以致中脘停痰,眩晕呕吐,胸膈满闷,名曰恶
阻。法当理脾化痰,升清降浊,以安胃气,用二陈汤加枳壳主之。若脾虚者,用六君子汤,
加苏梗、枳壳、砂仁、香附主之。其半夏,虽为妊中禁药,然痰气阻塞中脘,阴阳拂逆,非
此不除。以姜汤泡七次,炒透用之,即无碍也。若与参、术、同行犹为稳当。凡安胎气,止
呕、定眩,须用白术为君,而以半夏、茯苓、陈皮、砂仁佐之,往往有效。夫妊娠恶阻,似
属寻常,然呕吐太多,恐伤胎气,医者可不善为调摄乎!
二陈汤 六君子汤(俱见类中。
娠妊胎动不安,多因起居不慎,或饮食触犯禁忌,或风寒搏其冲任之脉,或跌仆伤损,
或怒动肝火,或脾气虚弱,宜各推其因而治之。大法,若因母病而胎动,但治其病而胎自安
若因胎动而致病,但安其胎而母病自愈。再诊其色,若面赤舌青,则子难保,若面青舌赤
吐沫,母亦难全。娠妊中切宜戒谨。
当归 川芎 白芍药(酒炒) 大熟地(九制) 茯苓 阿胶(各一钱) 甘草(炙) 艾叶(各三
分) 白术(二钱
水煎服。
若起居不慎,加人参、黄 、杜仲、续断;若饮食触犯,加人参、倍加白术;若风寒相
搏,当按经络以祛风寒;若跌仆伤损,另用佛手散,加青木香、益母草;若怒动肝火,本方
加柴胡、山栀;若脾气虚弱,去熟地,加人参、扁豆、陈皮。然因时调治,对证处方,全在
在妊娠期间,月经停止来潮,体内浊气上逆侵犯清阳之道,导致中脘部位停聚痰饮,出现头晕目眩、呕吐、胸膈部胀满憋闷等症状,这被称为“恶阻”(妊娠呕吐)。治疗原则应当调理脾胃、化解痰湿,提升清气、降泄浊气,以安定胃气,使用二陈汤加枳壳为主方。如果患者脾虚,则使用六君子汤,加入苏梗、枳壳、砂仁、香附为主方。其中的半夏,虽然是妊娠期禁用的药物,但如果痰气阻塞中脘,导致阴阳之气逆乱,非此药不能祛除病邪。用姜汁浸泡七次,炒透后使用,就没有妨害了。如果与人参、白术等药同用,更为稳妥。凡是安固胎气、止呕、定眩,必须以白术为君药,而以半夏、茯苓、陈皮、砂仁作为佐使药,往往能取得疗效。妊娠恶阻,看似寻常病症,但如果呕吐过于频繁,恐怕会损伤胎气,医生怎能不善于进行调摄护理呢!
妊娠期间胎动不安,多因为起居不慎,或者饮食触犯禁忌,或者风寒邪气搏结冲任二脉,或者跌打损伤,或者愤怒引发肝火,或者脾气虚弱,应当分别推究病因进行治疗。基本法则:如果是因母亲患病而导致胎动,只需治疗母亲的疾病,胎儿自然安定;如果是因胎动不安而引发母体疾病,只需安固胎儿,母体的疾病自然痊愈。再诊察面色舌象,如果面赤舌青,则胎儿难以保全;如果面青舌红吐沫,母亲也难以保全。妊娠期间务必谨慎小心。
当归、川芎、白芍药(酒炒)、大熟地(九制)、茯苓、阿胶(各一钱)、甘草(炙)、艾叶(各三分)、白术(二钱)。水煎服。
如果因起居不慎,加入人参、黄芪、杜仲、续断;如果因饮食触犯禁忌,加入人参,加倍使用白术;如果因风寒相搏,应当根据经络辨证以祛除风寒;如果因跌仆损伤,另用佛手散,加入青木香、益母草;如果因愤怒引发肝火,本方加入柴胡、山栀;如果因脾气虚弱,去掉熟地,加入人参、扁豆、陈皮。然而,根据时节调整治疗,对症处方,全在于(医者的判断与运用)。
During pregnancy, the menstrual flow ceases. Turbid qi ascends and invades the clear pathways, leading to phlegm retention in the Zhongwan (middle epigastrium), resulting in dizziness, vomiting, and fullness/stuffiness in the chest and diaphragm. This condition is named Ezu (Morning Sickness/Pregnancy Vomiting). The treatment principle should be to regulate the Spleen and transform phlegm, raise the clear and descend the turbid, thereby stabilizing the Stomach Qi. The primary formula is Erchen Tang (Two-Aged Decoction) with added Zhiqiao (Bitter Orange Fruit). If there is Spleen deficiency, Liujunzi Tang (Six-Gentlemen Decoction) is used, with added Sugen (Perilla Stem), Zhiqiao (Bitter Orange Fruit), Sharen (Amomum Fruit), and Xiangfu (Cyperus Rhizome). Although Banxia (Pinellia Tuber) is a contraindicated herb during pregnancy, if phlegm-qi obstructs the Zhongwan, causing rebellion of Yin and Yang, this herb is necessary to eliminate the pathogen. By soaking it seven times in Ginger Juice (Jiangtang) and stir-frying it thoroughly before use, it causes no harm. Using it together with Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome) is even more secure. Generally, to stabilize fetal Qi, stop vomiting, and resolve dizziness, Baizhu (Atractylodes Macrocephala Rhizome) must be used as the Sovereign herb, assisted by Banxia (Pinellia Tuber), Fuling (Poria), Chenpi (Tangerine Peel), and Sharen (Amomum Fruit), which often yields effective results. Pregnancy vomiting seems like a common ailment, but excessive vomiting may damage the fetal Qi; can physicians neglect proper care and regulation?
Erchen Tang and Liujunzi Tang (both see under Stroke category).
Fetal restlessness and insecurity during pregnancy are mostly caused by careless daily living, dietary taboos, Wind-Cold attacking the Chong and Ren meridians, falls or trauma, anger stirring Liver Fire, or Spleen Qi deficiency. One must investigate the specific cause and treat accordingly. The general principle is: if the fetus moves due to maternal illness, treat the mother's illness, and the fetus will naturally settle; if the maternal illness arises from fetal restlessness, stabilize the fetus, and the mother's illness will heal spontaneously. Furthermore, examine the complexion and tongue: if the face is red and the tongue is cyanotic, the fetus cannot be saved; if the face is cyanotic, the tongue is red, and there is foaming at the mouth, the mother also faces danger. Extreme caution is required during pregnancy.
Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishaoyao (White Peony Root, stir-fried with wine), Dushudi (Prepared Rehmannia Root, nine-times processed), Fuling (Poria), Ejiao (Donkey-Hide Gelatin) (each 1 qian), Gancao (Licorice Root, honey-fried), Aiye (Mugwort Leaf) (each 3 fen), Baizhu (Atractylodes Macrocephala Rhizome) (2 qian). Decoct in water and take orally.
If caused by careless living, add Renshen (Ginseng Root), Huangqi (Astragalus Root), Duzhong (Eucommia Bark), and Xuduan (Dipsacus Root); if caused by dietary taboos, add Renshen (Ginseng Root) and double the dosage of Baizhu (Atractylodes Macrocephala Rhizome); if caused by Wind-Cold conflict, dispel Wind-Cold according to meridian differentiation; if caused by falls or trauma, use Foshou San (Hand-Touching Powder) separately, adding Qingmuxiang (Tasmannia Stem) and Yimucao (Leonurus Herb); if caused by anger stirring Liver Fire, add Chaihu (Bupleurum Root) and Shanzhi (Gardenia Fruit) to this formula; if caused by Spleen Qi deficiency, remove Dushudi (Prepared Rehmannia Root) and add Renshen (Ginseng Root), Bidou (Lablab Bean), and Chenpi (Tangerine Peel). However, adjusting treatment according to the season and prescribing based on symptoms relies entirely on...