孕妇若有病,所怀腹内之胎,早具人性,故一人生殃,两人有虑,一人服药,两人消
受,医药之所系也大矣哉!稍有不慎,一犯胎元,易使陨落,伤及二命。欲得两可之道,
在临症时,应用方药,常宜加安胎数味于内,(如当归、白芍、枳壳、苏梗。)有热加黄芩,有
寒加肉桂,胸闷加川朴、木香,腹胀加大腹皮,体虚加白术,无不应手奏效。其余参病
酌用,自可保全母子两安。
天地间每有厉气流行,触人鼻窍。肺主鼻,由肺传胃,先犯上焦气分,起初恶寒,随
后发热,舌苔白滑,渴不欲饮,独右寸关脉洪数,邪热上熏则呕,热势下注则泻。盖肺
司皮毛,脾主肌肉,热邪渐次传里,蕴而日炽,烁营耗液,逼邪达表,皮肤现出如蚊啮红细点为
疹,隐于肌肉红点为斑,赤亮者吉,紫黑者凶。常发于春夏秋三时,冬令间或有
之。初宜用豆豉、荆芥、桑叶、僵蚕、西河柳、郁金、桔梗、蝉蜕、升麻之类,升透其
邪。两三帖后,当清其营,以柴胡、连翘、紫草、地骨皮、丹皮、象贝、山栀、赤芍。两
三帖后,倘壮热大渴喜饮,舌苔燥裂,急救其阴,投犀角地黄汤、白虎汤,或荸荠汁、甘
蔗汁、枇杷果梨汁。如是渴未能解,乃少少饮以冷水,入腹后不作呕,任其饮足,随出
汗而解,亦有邪随汗出,恶寒战栗而解者。退病早者一候外(七日来复之谓也),有延至二候三候
始退者,不可不知。
孕妇如果患病,腹中所怀的胎儿早已具备人性,因此一人遭殃,两人担忧;一人服药,两人承受药效,医药所承担的责任真是重大啊!稍有不慎,一旦触犯胎元,容易使胎儿陨落,伤及两条性命。想要寻求两全其美的方法,在临症时应用方药,常宜在方中加入几味安胎的药物(如当归、白芍、枳壳、苏梗)。有热象加黄芩,有寒象加肉桂,胸闷加川朴、木香,腹胀加大腹皮,体虚加白术,没有不随手奏效的。其余药物根据病情斟酌使用,自然可以保全母子平安。
天地间常有疫疠之气流行,触动人的鼻窍。肺主鼻,病邪由肺传入胃,先侵犯上焦气分,起初恶寒,随后发热,舌苔白滑,口渴但不想喝水,唯独右寸关脉洪数,邪热上熏则呕吐,热势下注则腹泻。大概因为肺主管皮毛,脾主管肌肉,热邪逐渐传里,蕴结而日益炽盛,灼烧营血耗损津液,逼迫邪气达于体表,皮肤出现像蚊子叮咬的红细点为疹,隐于肌肉中的红点为斑,颜色赤亮者预后良好,紫黑色者预后凶险。这种病常发于春、夏、秋三季,冬季偶尔也有发生。初期适宜用豆豉、荆芥、桑叶、僵蚕、西河柳、郁金、桔梗、蝉蜕、升麻之类,以升散透发其邪气。服用两三帖后,应当清解营分热毒,用柴胡、连翘、紫草、地骨皮、丹皮、象贝、山栀、赤芍。再服用两三帖后,如果出现高热大渴喜饮,舌苔干燥裂开,需紧急救阴,投用犀角地黄汤、白虎汤,或者荸荠汁、甘蔗汁、枇杷果梨汁。如果这样仍然口渴不能缓解,才少量饮用冷水,喝入腹中如果不呕吐,任其饮足,随出汗而病解,也有邪气随汗出,通过恶寒战栗而病解的情况。退病早的经过一个候期外(即七日来复的意思),有拖延到两个或三个候期才开始消退的,不可不知道。
If a pregnant woman falls ill, the fetus within her womb already possesses human nature; thus, one person suffers misfortune, two people worry; one takes medicine, two share its effects. The responsibility of medical treatment is indeed great! A slight carelessness, once offending the fetal origin (Tai Yuan), can easily cause the fetus to fall and harm both lives. To seek a solution that benefits both, when prescribing formulas during clinical practice, it is advisable to often add several fetal-calming herbs into the formula (such as Dang Gui [Angelicae Sinensis Radix], Bai Shao [Paeoniae Radix Alba], Zhi Qiao [Aurantii Fructus], Su Geng [Perillae Caulis]). If there is heat, add Huang Qin [Scutellariae Radix]; if there is cold, add Rou Gui [Cinnamomi Cortex]; if there is chest stuffiness, add Chuan Po [Magnoliae Officinalis Cortex] and Mu Xiang [Aucklandiae Radix]; if there is abdominal distension, add Da Fu Pi [Arecae Pericarpium]; if there is deficiency, add Bai Zhu [Atractylodis Macrocephalae Rhizoma]. There is no case where these do not take effect promptly. Other herbs should be used according to the specific disease condition, thereby naturally ensuring the safety of both mother and child.
Throughout the world, epidemic pathogenic qi often circulates and enters through the nasal orifices. The Lung governs the nose; the pathogen transmits from the Lung to the Stomach, first attacking the Qi level of the Upper Jiao. Initially, there is aversion to cold, followed by fever, with a white and slippery tongue coating, thirst without desire to drink, and specifically a surging and rapid pulse at the right Cun and Guan positions. When evil heat steams upward, vomiting occurs; when heat sinks downward, diarrhea ensues. Generally, the Lung governs the skin and hair, while the Spleen governs the muscles. As heat pathogens gradually transmit inward, they accumulate and intensify daily, scorching Ying blood and consuming fluids, forcing pathogens to reach the surface. Red fine spots appearing on the skin like mosquito bites are termed "Zhen" (Rash); red spots hidden in the muscles are termed "Ban" (Macule). Those that are bright red indicate a favorable prognosis, while those that are purple-black indicate an ominous prognosis. This commonly occurs in spring, summer, and autumn, and occasionally in winter. In the initial stage, it is appropriate to use herbs such as Dou Chi [Glycines Semen Preparatum], Jing Jie [Schizonepetae Herba], Sang Ye [Mori Folium], Jiang Can [Bombyx Batryticatus], Xi He Liu [Salicis Tomentosae Ramulus], Yu Jin [Curcumae Radix], Jie Geng [Platycodonis Radix], Chan Tui [Cicadae Periostracum], and Sheng Ma [Cimicifugae Rhizoma] to raise and vent the pathogens. After two or three doses, one should clear the Ying level using Chai Hu [Bupleuri Radix], Lian Qiao [Forsythiae Fructus], Zi Cao [Arnebiae Radix seu Lithospermi Radix], Di Gu Pi [Lycii Cortex], Dan Pi [Moutan Cortex], Xiang Bei [Fritillariae Thunbergii Bulbus], Shan Zhi [Gardeniae Fructus], and Chi Shao [Paeoniae Radix Rubra]. After another two or three doses, if high fever, severe thirst with desire to drink, and a dry, cracked tongue coating appear, one must urgently rescue Yin by administering Xijiao Dihuang Tang [Rhino-Ceris Cornu et Rehmanniae Decoctum] or Baihu Tang [White Tiger Decoction], or juices of Bqi [Dioscoreae Hypoglaucae Tuber], Gan Zhe [Sacchari Candidi], and Pi Pa Guo Li [Loquat Fruit and Pear Juice]. If thirst remains unrelieved even then, only then should one drink small amounts of cold water. If, after entering the stomach, it does not cause vomiting, allow drinking until satisfied; the illness will resolve with sweating. There are also cases where pathogens exit with sweat, resolving through aversion to cold and shivering. Illnesses that subside early take one "Hou" period (meaning seven days for recurrence) to resolve externally; some may delay until two or three Hou periods before subsiding. This must be known.