妇人经水不行,已经三月,或脉不应指,或经事偶见,法当验之。用川芎为细末,煎艾
汤,空心调下二钱,腹内微动,则有胎,不动者,非胎也。
有孕之后,凡忌食之物,切宜戒谨∶一食鸡子、糯米,令子生寸白虫。一食羊肝,令子
多疾。一食鲤鱼,令儿成疳。一食犬肉,令子无声。一食兔肉,令子缺唇。一食鳖,令子项
短。一食鸭子,令子心寒。一食螃蟹,多致横生。一食雀肉,令子好淫。一食豆酱,令子发
哮。一食野兽肉,令子多怪疾。一食生姜,令子多指。一食水鸡、鳝鱼,令子生癞。一食骡
如此之类,无不验者,所当深戒。
娠孕药忌歌,凡数十种。推之尚不止此,然药中如斑蝥、水蛭、蛇蜕、蜈蚣、水银、信
砒等药,皆非恒用之品,姑置勿论。兹特选其易犯者,约纂数语,俾医家举笔存神,免致差
误。其他怪异险峻之品,在有孕时,自应避忌,不待言也。
乌头附子与天雄,牛黄巴豆并桃仁,芒硝大黄牡丹桂,牛膝藜芦茅茜根,
槐角红花与皂角,三棱莪术薏苡仁,干漆 茹瞿麦穗,半夏南星通草同,
干姜大蒜马刀豆,延胡常山麝莫闻,此系妇人胎前忌,常须记念在心胸。
上药忌禁犯,似矣。然安胎止呕,有用半夏者,娠孕热病,有用大黄者,娠孕中寒,有
用干姜、桂、附者,是何说也?昔黄帝问于岐伯曰∶妇人重身,毒之如何?岐伯对曰∶有故无
殒,亦无殒也,大积大聚,其可犯也,衰其大半而止。有故者,谓有病。无殒者,无损乎胎
也。亦无殒者,于产母亦无损也。盖有病则病当之,故毒药无损乎胎气。然必大积大聚,病
势坚强,乃可投之,又须得半而止,不宜过剂,则慎之又慎矣。用药者,可不按岐黄之大法耶?
妇女月经停止,已经三个月,或者脉象与症状不符,或者月经偶尔来潮,应当进行验胎。用川芎研成细末,用艾叶煎煮的汤水,空腹调服二钱,如果腹内有轻微动静,说明有胎;如果没有动静,就不是怀孕。
怀孕之后,凡是禁忌食用的食物,务必谨慎戒除:一是吃鸡蛋、糯米,会使胎儿生出寸白虫(绦虫)。一是吃羊肝,会使胎儿多病。一是吃鲤鱼,会使孩子形成疳积。一是吃狗肉,会使胎儿失声。一是吃兔肉,会使胎儿唇裂。一是吃鳖,会使胎儿颈短。一是吃鸭子,会使胎儿心寒。一是吃螃蟹,容易导致难产横位。一是吃雀肉,会使胎儿喜好淫邪。一是吃豆酱,会使孩子发作哮喘。一是吃野兽肉,会使胎儿多生怪病。一是吃生姜,会使胎儿手指过多。一是吃田鸡、鳝鱼,会使胎儿生癞疮。一是吃骡肉……如此之类,没有不灵验的,应当深深戒慎。
关于妊娠用药禁忌的歌诀,有几十种。推究起来还不止这些,然而药物中如斑蝥、水蛭、蛇蜕、蜈蚣、水银、信石、砒霜等药,都不是常用之品,暂且搁置不论。这里特意挑选那些容易误用的药物,简要编纂几句口诀,使医生提笔时精神集中,避免错误。其他怪异险峻的药物,在怀孕期间自然应该避忌,不用说也知道。
乌头、附子与天雄,牛黄、巴豆并桃仁,芒硝、大黄、牡丹皮、桂枝,牛膝、藜芦、茅根、茜草根,槐角、红花与皂角,三棱、莪术、薏苡仁,干漆、甘遂、瞿麦穗,半夏、南星、通草同用,干姜、大蒜、马刀豆,延胡索、常山、麝香莫闻,这些都是妇女产前禁忌的药物,必须常常记念在心中。
上述药物禁忌似乎已经完备了。然而安胎止呕,有用半夏的时候;妊娠热病,有用大黄的时候;妊娠中寒,有用干姜、桂枝、附子的情况,这是什么说法呢?从前黄帝问岐伯说:“妇人怀孕,如果用毒药治疗会怎样?”岐伯回答说:“有病则无伤,亦无伤也。”意思是如果有病邪存在,使用攻伐药不会伤害母体,也不会伤害胎儿。“大积大聚,其可犯也”,指大的积聚病症,可以触犯禁忌用药,“衰其大半而止”,病势消退大半就要停止。所谓“有故”,是指有病邪;所谓“无殒”,是指不损伤胎儿;“亦无殒”是指对产妇也没有损害。大概是因为有病邪作为抵挡,所以毒药不会损伤胎气。但是必须是大积大聚,病势强盛,才可以投用此类药物,而且需要见效一半就停止,不宜过量,这就更加谨慎了。用药的人,能不遵循黄帝和岐伯的大法吗?
If a woman's menstruation has ceased for three months, or if the pulse does not correspond to the symptoms, or if menstruation occurs occasionally, it is necessary to verify pregnancy. Use Ligusticum Chuanxiong Rhizome (Chuanxiong) ground into fine powder, mixed with decoction of Artemisia Argyi Herba (Ai Ye, Mugwort), taken on an empty stomach in a dose of two qian. If there is slight movement in the abdomen, pregnancy is confirmed; if there is no movement, it is not pregnancy.
After conception, one must strictly avoid certain foods: consuming chicken eggs and glutinous rice may cause the child to develop tapeworms (Cestoda); eating sheep liver may make the child prone to illness; eating carp may lead to infantile malnutrition syndrome (Gan Syndrome); eating dog meat may cause the child to be mute; eating rabbit meat may result in cleft lip; eating soft-shelled turtle may cause a short neck; eating duck may cause "cold heart" in the child; eating crab often leads to breech presentation; eating sparrow meat may predispose the child to lustful behavior; eating bean paste may induce asthma in the child; eating wild beast meat may cause rare diseases in the child; eating ginger may result in polydactyly; eating frogs and eels may cause leprosy-like skin conditions; eating mule meat... All such prohibitions are effective and should be deeply observed.
There are dozens of verses regarding medicinal contraindications during pregnancy. In reality, there are even more. However, drugs such as Mylabris (Ban Mao), Hirudo (Shui Zhi), Ophichthys Skin (She Tui), Scolopendra (Wu Gong), Mercury (Shui Yin), Realgar (Xin Shi), and Arsenic Trioxide (Pi Shuang) are not commonly used items and are set aside for now. Here, we specifically select those that are easily mistaken and compile a few lines of verse to remind physicians to remain vigilant and avoid errors. Other bizarre and hazardous substances should naturally be avoided during pregnancy without need for further explanation.
Aconite Root (Wutou), Prepared Aconite Lateral Root (Fuzi), and Aconitum Lateral Root (Tianxiong); Calculus Bovis (Niuhuang), Croton Seed (Badou), and Peach Kernel (Taoren); Mirabilite (Mangxiao), Rhubarb Radix et Rhizoma (Dahuang), Peony Root (Mudan Pi), and Cinnamon Twig (Guizhi); Achyranthes Bidentata Root (Niuxi), Veratrum Nigrum Rhizoma (Lilu), Imperata Rhizome (Maogen), and Rubia Cordifolia Root (Qiancao); Sophora Fruit (Huaijiao), Safflower Flower (Honghua), and Gleditsia Sinensis Spine (Zaojiao); Bupleurum Root (Sanleng), Curcuma Longa Rhizome (Ezhu), and Coix Seed (Yiyiren); Dried Lacquer (Ganqi), Kansui Root (Gansui), and Lychnophora Spike (Qumai); Pinellia Tuber (Banxia), Star Fritillary Bulb (Nanxing), and Thlaspi Stem (Tongcao); Dried Ginger (Ganjiang), Garlic Bulb (Dasuan), and Lablab Bean (Madoudou); Corydalis Rhizome (Yanhusuo), Oldenlandia Herb (Changshan), and Moschus (She Xiang)—these are all contraindicated before childbirth for women and must always be kept in mind.
Although these prohibitions seem complete, there are instances where Pinellia Tuber (Banxia) is used to calm the fetus and stop vomiting; Rhubarb Radix et Rhizoma (Dahuang) is used for febrile diseases during pregnancy; and Dried Ginger (Ganjiang), Cinnamon Twig (Guizhi), and Prepared Aconite Lateral Root (Fuzi) are used for cold syndromes during pregnancy. What is the rationale? The Yellow Emperor once asked Qibo: "How should toxic medicines be handled when a woman is pregnant?" Qibo replied: "Where there is pathology, there is no injury; nor is there injury to the mother." This means that if there is a pathogenic accumulation, using attacking medicines will not harm the fetus ("no injury") nor the mother ("also no injury"). "Major accumulations and masses can be treated," but treatment should cease when the condition has improved by more than half. "Pathology" refers to the presence of disease; "no injury" means no damage to the fetal qi because the disease acts as a buffer against the toxicity of the medicine. However, this applies only to major accumulations with strong pathological forces, and dosage must be controlled to avoid excess. Thus, extreme caution is required. Should practitioners not follow the great principles of Huangdi and Qibo?