(《金匮》)
治妇人漏下,或半产后下血不绝,或妊娠下血腹痛为胞阻漏(下者,怀妊而经来,以阳
不
月水
阿胶 芎 甘草(二两) 艾叶 当归(三两) 芍药(四两) 干地黄(原方未
注分两。
姜。严氏治胎动经漏
血及金疮伤经内绝者
此足太阴、厥阴药也。四物以养其血,阿胶以益其阴,艾叶以补其阳,和以甘草,行以
酒势,使血能循经养胎,则无漏下之患矣。
又方∶阿胶一斤,蛤粉炒,艾叶数茎,亦名胶艾汤《良方》∶治胎动不安,腰腹疼痛;
或胎上抢心,去血腹痛。《指迷》方加秦艽(妇人受胎一月,形如露珠,乃太极动而生阳,
天
,地二生火,谓之 ,足少阳脉所主,若吐逆恶食,名曰恶阻,有孕明矣,或偏嗜一物,乃
一脏之虚,如爱酸物,乃肝经不能养胎而虚也;三月如清鼻涕,先成鼻与雌雄二器,乃分男
女,手厥阴相火所主,胎最易动;四月始受水精以成血脉,形像具,手足顺成,手少阳脉所
主;
皆成
精以
其身
主之
(《良方》)
治螈 胎动不安(螈 ,手足抽掣也。热为阳,风主动,肝风相火为病也)。
钩藤钩 当归 茯神 人参(一钱) 桔梗(钱半) 桑寄生(五分。)风热加黄芩、
栀子、柴胡、白术,风痰加半夏、南星、竹沥,风胜加全蝎、僵蚕。
此足厥阴药也。钩藤之甘寒以除心热而散肝风,柴胡、桔梗之辛凉,黄芩、栀子之苦寒
,以
而安
(出自《金匮要略》)
治疗妇人经血淋漓不断,或半产后出血不止,或妊娠期下血腹痛称为胞阻漏(所谓“漏”,是指怀孕后仍有月经来潮,因为阳气不足导致月水不调)。
药物组成:阿胶、川芎、甘草(各二两)、艾叶、当归(各三两)、芍药(四两)、干地黄(原方未注明分量,需加生姜煎服)。严氏用此方治疗胎动不安、经血淋漓以及金创伤及经脉导致内部出血者。
这是足太阴脾经和足厥阴肝经的药物。四物汤(由熟地、当归、白芍、川芎组成)用来滋养血液,阿胶用来补益阴液,艾叶用来温补阳气,配合甘草调和,借助酒势推动药力运行,使血液能够循行于经脉以滋养胎儿,从而没有淋漓下血的祸患。
另一个方子:阿胶一斤,用蛤粉炒制,加上几茎艾叶,也叫做胶艾汤。《良方》记载:治疗胎动不安,腰腹疼痛;或者胎气上冲心脏,伴有出血腹痛。《指迷方》中在此方基础上加入秦艽。(按:妇人受孕一个月时,胚胎形状如露珠,这是太极运动产生阳气的阶段,天一生水,地二生火,这属于足少阳胆脉所主司的范围。如果出现呕吐逆反、厌恶食物,称为恶阻,这就明确是有孕了。如果对某种食物特别偏好,那是某一脏腑虚弱所致,比如喜爱酸味食物,是肝经不能滋养胎儿而导致的虚证;到三个月时,胚胎像清鼻涕一样成形,先形成鼻子和雌雄生殖器,于是区分男女,这由手厥阴心包络相火所主司,此时胎元最容易动荡;到四个月才开始接受水精以形成血脉,形体具备,手足顺次长成,这由手少阳三焦脉所主司。)
(出自《良方》)
治疗抽搐、胎动不安(抽搐,是指手足抽掣。热属于阳,风主动摇,这是肝风和相火致病)。
药物组成:钩藤钩、当归、茯神、人参(一钱)、桔梗(一钱半)、桑寄生(五分)。如果有风热症状,加黄芩、栀子、柴胡、白术;如果有风痰症状,加半夏、南星、竹沥;如果风邪偏盛,加全蝎、僵蚕。
这是足厥阴肝经的药物。钩藤味甘性寒,用来清除心热并疏散肝风;柴胡、桔梗味辛性凉,黄芩、栀子味苦性寒,用来清热泻火从而安定胎元。
(From *Jin Gui Yao Lue*)
Treats women with metrorrhagia (continuous uterine bleeding), or persistent bleeding after a miscarriage, or uterine bleeding accompanied by abdominal pain during pregnancy known as Bao Zu Lou (abdominal obstruction with leakage). "Lou" refers to menstruation occurring during pregnancy due to insufficient Yang energy causing irregular menstrual flow.
Ingredients: Ejiao (Donkey-hide Gelatin), Chuanxiong Rhizoma (Chuanxiong), Licorice Root (Gancao) (2 liang each), Mugwort Leaf (Ai Ye), Angelica Sinensis Radix (Danggui) (3 liang each), White Peony Root (Shaoyao) (4 liang), Prepared Rehmannia Root (Shu Dihuang/Gan Di Huang) (dosage not specified in original formula; add fresh ginger for decoction). Yan Shi used this formula to treat restless fetus, metrorrhagia, and internal bleeding caused by traumatic injuries affecting the meridians.
These are herbs belonging to the Foot-Taiyin Spleen Meridian and Foot-Jueyin Liver Meridian. Siwu Tang (Four Substances Decoction) nourishes the blood; Ejiao tonifies Yin; Ai Ye warms and tonifies Yang; Gancao harmonizes; and the action of wine promotes circulation. This ensures blood can circulate within the meridians to nourish the fetus, thereby preventing metrorrhagia.
Another prescription: 1 jin of Ejiao, stir-fried with clam powder, plus several sprigs of Ai Ye. It is also called Jiao Ai Tang. *Liang Fang* records it treats restless fetus with lower back and abdominal pain; or fetal Qi rushing upward to the heart accompanied by bleeding and abdominal pain. The *Zhi Mi Fang* adds Qinjiao (Gentianae Macrophyllae Radix) to this formula. (Note: When a woman conceives for one month, the embryo resembles a dewdrop. This is the stage where Taiji moves to generate Yang. Heaven generates Water One, Earth generates Fire Two. This phase is governed by the Foot-Shaoyang Gallbladder Meridian. If there is vomiting, reflux, and food aversion, it is called Ezu (morning sickness), which clearly indicates pregnancy. Specific cravings for certain foods indicate deficiency in specific Zang organs; for example, craving sour foods indicates Liver Meridian deficiency failing to nourish the fetus. By the third month, the embryo resembles clear mucus; the nose and genital organs form first, distinguishing male and female. This stage is governed by the Hand-Jueyin Pericardium Sanhuo (Ministerial Fire), and the fetus is most prone to movement. By the fourth month, it begins to receive Jing (Essence) from water to form blood vessels; the physical form is complete, and hands and feet develop in order. This stage is governed by the Hand-Shaoyang Triple Energizer Meridian.)
(From *Liang Fang*)
Treats convulsions (Eryu) and restless fetus. (Convulsions refer to spasmodic twitching of the limbs. Heat belongs to Yang, Wind is active/moving; this pathology involves Liver Wind and Ministerial Fire.)
Ingredients: Uncaria Hook (Gouteng), Angelica Sinensis Radix (Danggui), Poria (Fushen), Ginseng Radix et Rhizoma (Renshen) (1 qian), Platycodon Root (Jiegeng) (1.5 qian), Taxillus Branch (Sangjisheng) (0.5 fen). Add Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Chaihu (Bupleuri Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) if there is Wind-Heat. Add Banxia (Pinelliae Rhizoma), Nanxing (Arisaematis Rhizoma Praeparatum), and Zhuli (Bambusa Textilis Sap) if there is Wind-Phlegm. Add Quanxie (Scorpio) and Jiangcan (Bombyx Batryticatus) if Wind is predominant.
These are herbs of the Foot-Jueyin Liver Meridian. Gouteng is sweet and cold, clearing Heart heat and dispersing Liver Wind; Chaihu and Jiegeng are acrid and cool; Huangqin and Zhizhi are bitter and cold, clearing heat and purging fire to calm the fetus.