橘皮 竹茹 人参 白术(各十八铢) 生姜(一两) 浓朴(十二铢)
妊娠呕吐不下食者,此方主之。
恶阻以闻食而恶,责之脾虚。呕吐以食入复吐,责之有火,所谓诸逆冲上皆属于火也。
此是厥阴之血,既养其胎,少阳之火,虚而上逆。竹茹能平少火,浓朴能下逆气,橘皮、生
姜所以开胃,人参、白术所以益脾,开胃益脾,欲其安谷云尔。
先医云∶白术、条芩,安胎之圣药。此何云也?盖以白术益脾,能培万物之母。条芩泻
火,能滋子户之阴,兴其利而去其害,故曰安胎圣药。
熟地黄 艾叶 当归 川芎 炙甘草 真阿胶(炒成珠,各半钱) 黄 (二分半)
孕妇漏胎不安者,此方主之。
漏胎者,怀胎而点滴下血也。此是阴虚不足以济火,气虚不足以固血,故有此证。是方
也,阿胶、熟地、当归、川芎,益血药也。黄 、甘草、艾叶,固气药也。血以养之,气以
固之,止漏安胎之道毕矣。
砂仁(一钱,槌碎) 葱白(十枚,煎汤吞下)
妊娠腹痛者,此方主之。
痛者,气血滞涩不通使然。故用砂仁顺气于下,葱白顺气于中,气行血利,而痛自止。
有故而痛者,各随证以治之。
生犀角 地骨皮 麦门冬 赤茯苓 条芩 生甘草
子烦者,此方主之。
子烦者,怀子而烦闷也。烦闷,责心肺有热。故用犀角凉心,骨皮退热,条芩泻火,麦
冬清
橘皮、竹茹、人参、白术(各十八铢)、生姜(一两)、浓朴(十二铢)。
妊娠期间出现呕吐且无法进食的症状,此方主治。
恶阻(妊娠早期因脾胃虚弱导致的恶心厌食)是因为闻到食物气味就感到厌恶,病机责之于脾虚。呕吐表现为食物吃进去后又吐出来,病机责之于有火邪,即所谓“各种向上冲逆的症状都归属于火”。
这是因为厥阴肝血在滋养胎儿的同时,少阳相火因虚而上逆。竹茹能够平抑少阳相火,浓朴能够降泄上逆之气,橘皮和生姜用来开胃,人参和白术用来补益脾气,通过开胃和补脾,旨在让孕妇能够安稳地摄入谷物饮食。
古代医家说:白术和黄芩是安胎的圣药。这里为什么这么说呢?因为白术能补益脾气,能培补万物生长的根本(脾为后天之本);黄芩能清泻火邪,能滋养子宫之阴,兴其益处而去其害害,所以称为安胎圣药。
熟地黄、艾叶、当归、川芎、炙甘草、真阿胶(炒至成珠状,各半钱)、黄芪(二分半)。
孕妇出现胎漏不安的症状,此方主治。
胎漏是指怀孕期间阴道点滴出血。这是因为阴虚不足以制约火邪,气虚不足以固摄血液,因此出现这种证候。本方中,阿胶、熟地黄、当归、川芎是补血药物;黄芪、甘草、艾叶是固气药物。用血来滋养胎儿,用气来固摄胎元,止漏安胎的道理就在这里。
砂仁(一钱,捣碎)、葱白(十枚,煎汤送服)。
妊娠期间出现腹痛的症状,此方主治。
疼痛是由于气血滞涩不通所致。因此使用砂仁在下焦顺气,葱白在中焦顺气,气行则血利,疼痛自然停止。如果有其他病因导致的疼痛,应各自根据具体证候进行治疗。
生犀角、地骨皮、麦门冬、赤茯苓、黄芩、生甘草。
子烦(妊娠期心烦胸闷)的症状,此方主治。
子烦是指怀孕后出现心烦闷乱。心烦闷乱,病机责之于心肺有热。因此使用犀角凉心,地骨皮退热,黄芩泻火,麦门冬清肺...
Eriocauli Fructus (Chenpi), Bambusae Caulis in Taeniam (Zhuru), Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 18 zhu), Zingiberis Recens Rhizoma (Shengjiang) (1 liang), Magnoliae Officinalis Cortex (N Houpo).
This formula is indicated for vomiting and inability to eat during pregnancy.
"En Zu" (morning sickness characterized by aversion to food odor) is attributed to Spleen deficiency. Vomiting, where food is regurgitated after ingestion, is attributed to Fire pathogen, as stated in the principle that "all upward rushing and counterflow symptoms belong to Fire."
In this case, Jueyin Liver blood nourishes the fetus, while Shaoyang Ministerial Fire rebels upward due to deficiency. Zhuru can calm the Shaoyang Fire, N Houpo can direct rebellious Qi downward, Chenpi and Shengjiang open the stomach, while Renshen and Baizhu tonify the Spleen. By opening the stomach and tonifying the Spleen, the aim is to enable the patient to safely consume grain foods.
Ancient physicians stated: Baizhu and Huang Qin are the sacred medicines for calming the fetus. Why is this so? Because Baizhu tonifies the Spleen, thereby nurturing the mother of all things (the Spleen as the root of postnatal existence); Huang Qin clears Fire, thereby nourishing the Yin of the uterus. It promotes benefits and eliminates harm, hence it is called the sacred medicine for calming the fetus.
Rehmanniae Radix Praeparata (Shu Dihuang), Artemisiae Argyi Folium (Ai Ye), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gancao), Asini Corii Colla (Ejiao) (stir-fried until granular, each half qian), Astragali Membranacei Radix (Huangqi) (2.5 fen).
This formula is indicated for threatened miscarriage with spotting and fetal instability during pregnancy.
"Tai Lou" refers to scanty vaginal bleeding during pregnancy. This condition arises because Yin deficiency fails to control Fire, and Qi deficiency fails to secure Blood. In this formula, Ejiao, Shu Dihuang, Danggui, and Chuanxiong are blood-nourishing herbs; Huangqi, Gancao, and Ai Ye are Qi-securing herbs. Blood is used to nourish, and Qi is used to secure, completing the method for stopping leakage and calming the fetus.
Amomi Fructus Rotundus (Sharen) (1 qian, crushed), Allii Fistulosi Bulbus (Congbai) (10 stalks, decocted in water for oral administration).
This formula is indicated for abdominal pain during pregnancy.
Pain results from the stagnation and obstruction of Qi and Blood. Therefore, Sharen is used to regulate Qi in the lower jiao, and Congbai to regulate Qi in the middle jiao. When Qi moves, Blood flows freely, and pain ceases naturally. If pain is caused by specific pathogens, treatment should be tailored to the respective syndrome.
Rhinocerotis Cornu (Sheng Xijiao), Borealis Lycii Cortex (Digupi), Ophiopogonis Radix (Maidong), Poria Cocos with Red Wood (Chifuling), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma Cruda (Sheng Gancao).
This formula is indicated for "Zi Fan" (pregnancy-related restlessness and oppression).
"Zi Fan" refers to mental restlessness and oppression during pregnancy. Restlessness and oppression are attributed to Heat in the Heart and Lungs. Therefore, Xijiao is used to cool the Heart, Digupi to reduce fever, Huangqin to drain Fire, and Maidong to clear the...