益母丸(又名千金保胎丸) 凡女人受孕,经三月而胎堕者,虽气血不足,乃中冲脉有伤。
中冲脉,即阳明胃经,供应胎孕。至此时,必须节饮食、绝欲、戒怒,庶免小产之患。服此可以保全。
白术(土炒) 熟地黄(姜汁炒) 杜仲(姜汁炒,各四两) 当归(酒洗) 续断(酒洗)
阿胶(蛤粉炒) 香附米(四制) 益母草 条芩(炒,各二两) 陈皮 川芎 艾叶(醋炙,各一两)
砂仁(炒,五钱)
上为细末,煮枣肉为丸,如桐子大。每服百丸,空心米饮下。
金匮当归散 此方养血清热,孕妇宜常服之。如瘦人血少有热,胎动不安,素曾半
产者,皆宜服之,以清其源,而无后患也。
当归 川芎 白芍药 黄芩(各一两) 白术(二两)
上为末。每服二钱,酒饮调服。日再服。或用酒糊为丸,如桐子大。每服五十丸,茶汤任下。日三服。
白术汤 治胃虚恶阻吐水,甚至十余日,水浆不入者。
白术(炒,一两) 人参(五钱) 丁香(二钱半) 甘草(一钱)
上为细末。每服二钱,加生姜五片,水煎。食前温服。
缩砂散 治妊娠胃虚气逆,呕吐不食。
缩砂仁为末。每服二钱。生姜汤或米饮调服。
三物解毒汤 治误服毒药。
甘草 黑豆 淡竹叶(各等分)
上用水煎浓服。
白扁豆散 治妊娠误服诸般毒药,动胎欲堕。
白扁豆生去皮,为细末。米饮调服方寸匕。神效,或浓煎亦可。
豆淋酒 治产后,犹有余血水气者。
黑豆五升,熬令烟尽,投瓷器内,以酒一斗淬之饮。盖豆淋酒治污血,又能发表也。
枳实芍药散 《金匮》云∶产后腹痛烦满,不得卧,此方主之。
枳实(炒令黑,勿太过) 芍药(各等分)
上杵为散,服方寸匕,日三服。并主痈脓,以麦粥下之。
羊肉汤 治产妇脾虚,为寒邪所乘,以致腹痛。及寒月生产,寒气入于产门,脐下胀满,手不可犯。
精羯羊肉(四两) 当归 川芎(各半两) 生姜(一两)
上以水十盏,酒三盏,煎至四盏。分四次,空心服。加葱,盐亦可。
《衍义》云∶一妇人产当寒月,寒气入产门,脐满,手不得犯。此寒疝也。医将治
之以抵当汤,谓其有瘀血耳。予教之曰∶非其治也,可服张仲景羊肉汤。少减,作二服愈。
回生丹 治产后瘀积等证。
大黄(一斤为细末) 苏木(三两,锉,用河水五碗,煎汁三碗) 黑豆(三升,煮熟取汁
三碗) 红花(三两,酒四碗煎汁三碗)
上将大黄末,以好醋二斤搅匀,以文武火熬成膏。次下三项汁。搅开大黄膏,
再熬成膏。如有锅HT ,焙干入在后药。
当归 川芎 熟地黄 白茯苓 苍术 香附 玄胡索 桃仁 蒲黄 牛膝(各一两)
白芍药 甘草 陈皮 木香 三棱 五灵脂 羌活 地榆 山茱肉(各五钱) 人参
白术 木瓜 青皮(各三钱) 良姜(四钱) 乳香 没药(各二钱)
同末,大黄膏为丸,如弹子大。每服一丸,好酒化下。
艾附暖宫丸 治妇人经水不调,小腹时痛,赤白带下,子宫寒冷。
香附(四制,一斤) 艾叶(醋浸炒) 当归 川芎 白芍药(酒炒) 熟地黄(姜汁炒,各
一两) 玄胡索(炒,二两) 甘草(生用,八钱)
上为细末,醋糊丸,如桐子大。每服七、八十丸。米汤、酒任下。
神方验胎散 两三个月月经不行,疑而未决,此药探之。
真雀脑芎(一两) 当归(全用。重一两者,只用七钱)
为细末,分作二服。浓煎,好艾汤一盏调下,或好酒调服亦得。可待三两个时
辰,觉脐腹微动而频,即有胎也。动罢即愈,安稳无虞。如不是胎,即不动,所
滞恶物自行。如服药不觉效,再煎红花汤调下。
益母丸(又名千金保胎丸):凡是女性怀孕,到三个月时发生流产的,虽然原因是气血不足,但根本在于冲脉和中脉受损。中脉即阳明胃经,负责供应胎孕所需的营养。到了这个时候,必须节制饮食、断绝房事、戒除愤怒,这样才可以避免小产的祸患。服用此药可以保全胎儿。
药材组成:白术(用土炒制)、熟地黄(用姜汁炒制)、杜仲(用姜汁炒制,各四两)、当归(用酒清洗)、续断(用酒清洗)、阿胶(用蛤粉炒制)、香附米(经过四种方法炮制)、益母草、黄芩条(炒制,各二两)、陈皮、川芎、艾叶(用醋炙制,各一两)、砂仁(炒制,五钱)。
制作与服用方法:将上述药材研成细末,用煮熟的枣肉作为粘合剂制成丸药,大小如梧桐子。每次服用一百丸,空腹时用米汤送服。
金匮当归散:这个方剂具有养血清热的作用,孕妇适宜经常服用。如果是身体瘦弱、血少且有内热的孕妇,出现胎动不安,或者以前有过习惯性流产史的,都适宜服用此方,以清除病源,从而避免后患。
药材组成:当归、川芎、白芍药、黄芩(各一两)、白术(二两)。
制作与服用方法:将上述药材研成粉末。每次服用二钱,用酒调服。每天服用两次。或者用酒糊制成丸药,大小如梧桐子。每次服用五十丸,用茶汤送服均可。每天服用三次。
白术汤:治疗因胃气虚弱导致的妊娠恶阻(呕吐),甚至吐出清水,长达十余日,连水浆都无法入口的情况。
药材组成:白术(炒制,一两)、人参(五钱)、丁香(二钱半)、甘草(一钱)。
制作与服用方法:将上述药材研成细末。每次服用二钱,加入生姜五片,用水煎煮。饭前温服。
缩砂散:治疗妊娠期间因胃虚导致的气逆,出现呕吐、不能进食的症状。
制作与服用方法:将缩砂仁研成粉末。每次服用二钱。用生姜汤或米汤调服。
制作与服用方法:用水煎煮浓汁服用。
白扁豆散:治疗妊娠期间误服各种毒药,导致胎动欲堕的情况。
制作与服用方法:将生白扁豆去皮,研成细末。用米汤调服一方寸匕的量。效果神奇,或者浓煎服用也可以。
制作与服用方法:取黑豆五升,熬至烟尽,投入瓷器中,用一斗酒浇淬(热酒浇在热豆上使其爆裂出汁),然后饮用。因为豆淋酒能治疗污血,又能发散表邪。
枳实芍药散:《金匮要略》中说:产后腹痛、烦闷胀满,无法躺卧,此方主治。
制作与服用方法:捣碎研成散剂,每次服用一方寸匕,每天服用三次。同时也主治痈脓,可用麦粥送服。
羊肉汤:治疗产妇脾虚,被寒邪侵袭,导致腹痛。以及寒冬月份生产,寒气进入产门,导致脐下胀满,手不可触碰的情况。
药材组成:精瘦羯羊肉(四两)、当归、川芎(各半两)、生姜(一两)。
制作与服用方法:用水十盏、酒三盏,煎煮至剩余四盏。分四次服用,空腹服用。加入葱、盐也可以。
《本草衍义》记载:有一位妇人在寒冷月份生产,寒气侵入产门,导致腹部胀满,手不可触碰。这是寒疝病。医生准备用抵当汤治疗,认为是有瘀血。我教导他说:这不是正确的治法,可以服用张仲景的羊肉汤。稍微减少剂量,分两次服用就好了。
药材组成:大黄(一斤,研成细末)、苏木(三两,锉碎,用河水五碗,煎取汁液三碗)、黑豆(三升,煮熟取汁液三碗)、红花(三两,用酒四碗煎取汁液三碗)。
制作与服用方法:先将大黄末用好醋二斤搅匀,用文火和武火交替熬制成膏状。接着加入上述三种汁液。搅拌开大黄膏,再熬制成膏状。如果锅中有焦底,需焙干后混入后面的药中。
后续药材:当归、川芎、熟地黄、白茯苓、苍术、香附、玄胡索、桃仁、蒲黄、牛膝(各一两)、白芍药、甘草、陈皮、木香、三棱、五灵脂、羌活、地榆、山茱萸肉(各五钱)、人参、白术、木瓜、青皮(各三钱)、良姜(四钱)、乳香、没药(各二钱)。
制作与服用方法:将上述药材研成细末,与大黄膏混合制成丸药,大小如弹子。每次服用一丸,用好酒化开送服。
艾附暖宫丸:治疗妇人月经不调,小腹时常疼痛,赤白带下,子宫寒冷。
药材组成:香附(四制,一斤)、艾叶(醋浸炒制)、当归、川芎、白芍药(酒炒制)、熟地黄(姜汁炒制,各一两)、玄胡索(炒制,二两)、甘草(生用,八钱)。
制作与服用方法:将上述药材研成细末,用醋糊制成丸药,大小如梧桐子。每次服用七、八十丸。用米汤或酒送服均可。
神方验胎散:怀孕两三个月月经停止,怀疑是否怀孕而难以决断时,用此药试探。
药材组成:真雀脑芎(一两)、当归(全株使用。重量为一两者,只用七钱)。
制作与服用方法:研成细末,分为两份服用。浓煎好艾汤一盏调服,或者用好酒调服也可以。等待两三个时辰,如果感觉脐腹微微跳动且频繁,就是有胎了。跳动停止后即痊愈,安稳无忧。如果不是怀孕,就不会跳动,滞留的恶物会自行排出。如果服药后不见效,再煎红花汤调服。
Yimu Wan (Motherwort Pill, also known as Qianjin Baotai Wan): For women who experience miscarriage at three months of pregnancy, although the cause is insufficient Qi and Blood, the root lies in damage to the Chong Mai (Penetrating Vessel) and Zhong Mai (Central Vessel). The Zhong Mai refers to the Stomach Meridian of Foot-Yangming, which supplies nutrition for fetal development. At this stage, one must regulate diet, abstain from sexual intercourse, and avoid anger, thereby preventing the risk of spontaneous abortion. Taking this pill can help preserve the fetus.
Ingredients: Atractylodis Macrocephalae Rhizoma (stir-fried with soil), Rehmanniae Radix Praeparata (stir-fried with ginger juice), Eucommiae Cortex (stir-fried with ginger juice, each 4 liang), Angelicae Sinensis Radix (washed with wine), Dipsaci Radix (washed with wine), Euphorbiae Pekinensis Colla (stir-fried with clam powder), Cyperi Rhizoma (processed by four methods), Leonuri Herba, Scutellariae Radix (stir-fried, each 2 liang), Tangerine Peel, Ligustici Chuanxiong Rhizoma, Artemisiae Argyi Folium (stir-fried with vinegar, each 1 liang), Amomi Fructus (stir-fried, 5 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Use boiled jujube flesh as a binder to make pills, sized like paulownia seeds. Take 100 pills per dose, administered orally on an empty stomach with rice water.
Jingui Danggui San (Angelica Powder from the Golden Cabinet): This formula nourishes Blood and clears Heat, making it suitable for pregnant women to take regularly. It is indicated for thin individuals with Blood deficiency and internal Heat, presenting with restless fetus or a history of habitual miscarriage. It clears the source of pathology to prevent future complications.
Ingredients: Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Paeoniae Radix Alba, Scutellariae Radix (each 1 liang), Atractylodis Macrocephalae Rhizoma (2 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with wine. Take twice daily. Alternatively, mix with wine paste to form pills sized like paulownia seeds. Take 50 pills per dose, with tea water. Take three times daily.
Baizhu Tang (Atractylodes Decoction): Treats pregnancy toxemia (emesis gravidarum) caused by Spleen-Stomach deficiency, characterized by vomiting clear fluids, lasting over ten days, with inability to retain even liquids.
Ingredients: Atractylodis Macrocephalae Rhizoma (stir-fried, 1 liang), Ginseng Radix et Rhizoma (5 qian), Symplocos Flos (2.5 qian), Glycyrrhizae Radix et Rhizoma (1 qian).
Preparation and Administration: Grind into a fine powder. Take 2 qian per dose, add five slices of fresh Ginger, decoct with water. Take warm before meals.
Suosha San (Amomum Powder): Treats pregnancy-induced nausea and vomiting due to Spleen deficiency and rebellious Qi, resulting in loss of appetite.
Preparation and Administration: Grind Amomi Fructus into powder. Take 2 qian per dose, taken with Ginger decoction or rice water.
Sanwu Jiedu Tang (Three-Ingredient Detoxifying Decoction): Treats accidental poisoning.
Ingredients: Glycyrrhizae Radix et Rhizoma, Sojae Semen Nigrum, Lophatheri Herba (equal parts).
Preparation and Administration: Decoct with water until concentrated, then drink.
Baibian Dou San (White Hyacinth Bean Powder): Treats accidental ingestion of various toxins during pregnancy, causing fetal restlessness and impending miscarriage.
Preparation and Administration: Remove the skin of raw White Hyacinth Beans, grind into fine powder. Take one cun bi (measure) mixed with rice water. Highly effective; strong decoction is also acceptable.
Doulin Jiu (Soybean Pour Wine): Treats postpartum retention of residual blood stasis and fluid dampness.
Preparation and Administration: Take five sheng of black soybeans, roast until smoke ceases, place in a porcelain vessel, and quench with one dou of wine. Drink. Soybean Pour Wine treats bloody stasis and releases the exterior.
Zhishi Shaoyao San (Immature Bitter Orange and Peony Powder): As stated in *Jingui Yaolue*: Postpartum abdominal pain, irritability, fullness, and inability to lie down are treated with this formula.
Ingredients: Aurantii Immaturus Fructus (stir-fried until black, but not burnt), Paeoniae Radix (equal parts).
Preparation and Administration: Pound into a powder. Take one cun bi per dose, three times daily. Also treats abscesses/pus, taken with wheat porridge.
Yangrou Tang (Mutton Decoction): Treats postpartum abdominal pain due to Spleen deficiency and invasion of Cold pathogenic factors. It also addresses cold months of delivery where Cold enters the birth canal, causing distension below the umbilicus and tenderness to touch.
Ingredients: Lean Mutton (4 liang), Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma (each half liang), Zingiberis Rhizoma Recens (1 liang).
Preparation and Administration: Decoct with ten bowls of water and three bowls of wine until four bowls remain. Divide into four doses, taken on an empty stomach. Adding scallion and salt is also permissible.
*Bencao Yan Yi* records: A woman delivered in a cold month; Cold entered the birth canal, causing abdominal fullness and tenderness. This was Cold Hernia. The physician intended to use Didang Tang, assuming blood stasis. I advised: "This is not the correct treatment. You may administer Zhang Zhongjing's Yangrou Tang." Reduced dosage, divided into two doses, resulted in recovery.
Huisheng Dan (Life-Restoring Pill): Treats postpartum blood stasis accumulation and related syndromes.
Ingredients: Rheum Palmatum Radix et Rhizoma (1 jin, ground to fine powder), Sappan Lignum (3 liang, chopped, decocted in five bowls of river water to yield three bowls of juice), Sojae Semen Nigrum (3 sheng, cooked to yield three bowls of juice), Carthami Flos (3 liang, decocted in four bowls of wine to yield three bowls of juice).
Preparation and Administration: Mix Rheum powder with two jin of good vinegar, stir evenly, and simmer over gentle and strong heat until it becomes a paste. Add the three juices obtained above. Stir into the Rheum paste and continue simmering until it forms a thick paste. If any charred residue remains in the pot, bake it dry and incorporate it into the subsequent medicine.
Subsequent Ingredients: Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Rehmanniae Radix Praeparata, Poria (1 liang each), Atractylodis Rhizoma, Cyperi Rhizoma, Corydalis Rhizoma, Persicam Semen, Polygoni Multiflori Caulis, Achyranthis Bidentatae Radix (1 liang each); Paeoniae Radix Alba, Glycyrrhizae Radix et Rhizoma, Tangerine Peel, Aucklandiae Radix, Sparganii Rhizoma, Trogopterori Faeces, Notopterygii Rhizoma et Radix, Sanguisorbae Radix, Corni Fructus (5 qian each); Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Chaenomelis Fructus, Citri Reticulatae Pericarpium Viride (3 qian each); Alpiniae Officinarum Rhizoma (4 qian); Boswelliae Resina, Myrrha (2 qian each).
Preparation and Administration: Grind all ingredients into powder, mix with the Rheum paste to form pills sized like bullet shots. Take one pill per dose, dissolved in good wine.
Aifu Nuangong Wan (Artemisia and Cyperus Warming Uterus Pill): Treats irregular menstruation, intermittent lower abdominal pain, leukorrhea (white and red discharge), and uterine coldness in women.
Ingredients: Cyperi Rhizoma (four-process processed, 1 jin), Artemisiae Argyi Folium (soaked in vinegar and stir-fried), Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Paeoniae Radix Alba (stir-fried with wine), Rehmanniae Radix Praeparata (stir-fried with ginger juice, each 1 liang), Corydalis Rhizoma (stir-fried, 2 liang), Glycyrrhizae Radix et Rhizoma (raw, 8 qian).
Preparation and Administration: Grind into fine powder, mix with vinegar paste to form pills sized like paulownia seeds. Take 70-80 pills per dose, with rice soup or wine.
Shenfang Yantai San (Divine Formula Fetal-Detection Powder): Used when menstruation has ceased for two to three months, and pregnancy is suspected but uncertain, to test for conception.
Ingredients: Ligustici Chuanxiong Rhizoma (true quality, 1 liang), Angelicae Sinensis Radix (whole plant; if weighing 1 liang, use only 7 qian).
Preparation and Administration: Grind into fine powder, divide into two doses. Take with a strong decoction of mugwort tea or good wine. Wait two to three hours; if slight frequent pulsations are felt in the navel and abdomen, pregnancy is confirmed. After the sensation subsides, the condition stabilizes safely. If not pregnant, there will be no movement, and retained impurities will pass naturally. If no effect is felt after taking the medicine, take again with Carthami Flos decoction.