〔仲〕妇人怀胎,腹中诸疾痛,当归芍药散主之。
当归(三两) 芍药(一斤) 茯苓(四两) 白术(四两) 泽泻(半斤) 芎 (半斤,一作三两)
上六味,杵为散。取方寸匕,酒和日三服。
〔洁〕地黄当归汤 治妇人有孕胎痛。
当归(一两) 熟地(二两)
上为末,作一服,水三升,煎至一升半,去渣,顿服之。
〔仲〕妇人腹中痛,小建中汤主之。(方见虚劳。)
〔云〕芎归汤 治妊娠先患冷气,忽心腹痛如刀刺。
川芎 人参 茯苓 桔梗 吴茱萸 当归(各一两) 浓朴(制) 芍药(各二两)
上 咀,以水九升,煎取三升,分三服,气下即安。
〔丹〕孙院君,因近丧冒恶气,伤胎肚痛,手不可近,发热,口中不思食。须安胎、散滞气。
青皮(三钱) 黄芩 芍药(各二钱) 归尾(一钱半) 川芎(一钱) 木香(五分) 甘草(炙,少)
分二帖。水三盏,先煎苎根二大片,至二盏,去苎根,入前药同煎至一盏,热服。
〔《大》〕治妊娠腹痛。用生地黄三斤,捣汁;酒一升,合煎减半,顿服,愈。
〔《脉》〕师曰∶妇人有胎腹痛,其人不安,若胎病不动,欲知生死,令人摸之,如覆杯者则男;
如肘颈参差起者女也。冷在何面,冷者为死,温者为生。
〔张仲景〕妇女怀孕后,腹部出现各种疼痛,用当归芍药散主治。
当归(三两) 芍药(一斤) 茯苓(四两) 白术(四两) 泽泻(半斤) 川芎(半斤,另一说法为三两)
以上六味药,捣碎制成散剂。每次取一方寸匕的量,用酒调和,每日服用三次。
〔李东垣〕地黄当归汤:治疗孕妇胎痛。
当归(一两) 熟地黄(二两)
以上两味药研为末,作为一次服用的量,加水三升,煎煮至一升半,滤去药渣,一次性服下。
〔张仲景〕妇女腹部疼痛,用小建中汤主治。(方剂见“虚劳”篇。)
〔王执中〕芎归汤:治疗妊娠期间先患有冷气,突然心腹疼痛如刀刺一般。
川芎 人参 茯苓 桔梗 吴茱萸 当归(各一两) 厚朴(炮制) 芍药(各二两)
以上药物切碎,用水九升,煎取三升,分三次服用,气机下行后疼痛即止。
〔朱丹溪〕孙院君,因为临近丧事接触了秽恶之气,损伤胎儿导致肚痛,手不能触碰,发热,口中不想进食。需要安胎、消散滞气。
青皮(三钱) 黄芩 芍药(各二钱) 当归尾(一钱半) 川芎(一钱) 木香(五分) 甘草(炙用,少量)
分为两帖。用水三盏,先煎煮苎麻根两大片,煎至两盏时,去掉苎麻根,加入前面的药物同煎至一盏,热服。
〔《太平圣惠方》〕治疗妊娠腹痛。用生地黄三斤,捣汁;加酒一升,混合煎煮至减半,一次性服下,病愈。
〔《脉经》〕老师说:妇女有胎腹痛,其人不安稳。如果胎儿病变不动,想知道生死情况,让人触摸腹部,形状像倒扣的杯子的是男孩;
像肘部或颈部参差不齐突起的是女孩。寒气在哪个部位,发冷的是死胎,温暖的是活胎。
[Zhang Zhongjing] When a woman is pregnant and suffers from various abdominal pains, Danggui Shaoyao San (Angelica and Peony Powder) is the primary treatment.
Danggui (Radix Angelicae Sinensis, 3 liang), Shaoyao (Radix Paeoniae Lactiflorae, 1 jin), Fuling (Poria, 4 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 4 liang), Zexie (Rhizoma Alismatis, half jin), Xiong (Radix Chuanxiong, half jin; another version says 3 liang).
The above six herbs are pounded into a powder. Take one fangcun bi (a square-inch scoop) at a time, mix with wine, and take three times daily.
[Li Dongyuan] Dihuang Danggui Tang (Rehmannia and Angelica Decoction): Treats fetal pain in pregnant women.
Danggui (Radix Angelicae Sinensis, 1 liang), Shudi (Prepared Radix Rehmanniae, 2 liang).
The above two herbs are ground into powder. Prepare as a single dose, add three sheng of water, decoct until one and a half sheng remains, remove the dregs, and take in one go.
[Zhang Zhongjing] For abdominal pain in women, Xiaojianzhong Tang (Minor Construct the Middle Decoction) is the primary treatment. (Formula see "Deficiency Cold" chapter.)
[Wang Zhizhong] Xiongui Tang (Chuanxiong and Angelica Decoction): Treats pregnancy complicated by pre-existing cold qi, suddenly causing heart and abdominal pain like knife stabs.
Chuanxiong (Rhizoma Chuanxiong), Renshen (Radix Ginseng), Fuling (Poria), Jiegeng (Radix Platycodonis), Wuzhuyu (Fructus Evodiae), Danggui (Radix Angelicae Sinensis) (each 1 liang), Houpo (Cortex Magnoliae Officinalis, processed), Shaoyao (Radix Paeoniae Lactiflorae) (each 2 liang).
The above herbs are chopped. Add nine sheng of water, decoct to obtain three sheng, divide into three doses. Once the qi descends, relief will occur.
[Zhu Danxi] Sun Yuanjun, due to attending a funeral and being exposed to foul miasma, suffered fetal injury and abdominal pain so severe that it could not be touched, accompanied by fever and loss of appetite. The treatment requires calming the fetus and dispersing stagnant qi.
Qingpi (Pericarpium Citri Reticulatae Viridis, 3 qian), Huangqin (Radix Scutellariae, 2 qian), Shaoyao (Radix Paeoniae Lactiflorae, 2 qian), Guiwei (Cauda Radix Angelicae Sinensis, 1.5 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Muxiang (Radix Aucklandiae, 0.5 qian), Gancao (Radix Glycyrrhizae, roasted, small amount).
Divide into two packets. Use three zhan of water. First decoct two large slices of Zhugen (Radix Boehmeriae Niveae) until reduced to two zhan, remove the Zhugen, then add the aforementioned herbs and decoct together until one zhan remains. Take hot.
[Taiping Shenghui Fang] Treats abdominal pain during pregnancy. Use three jin of fresh Dihuang (Fresh Radix Rehmanniae), crush to extract juice; mix with one sheng of wine, decoct together until reduced by half, take in one go, and the disease will be cured.
[Mai Jing] The Master said: If a woman has fetal abdominal pain and feels uneasy, if the fetal pathology is stationary, to determine life or death, have someone palpate the abdomen. If it feels like an inverted cup, it is a male fetus; if it protrudes unevenly like elbows or neck joints, it is a female fetus. Regarding where the cold is located: if cold, the fetus is dead; if warm, the fetus is alive.