(治妊娠痢。)
川芎 黄芩(各八分) 当归 炒白术(各一钱五分) 建曲 夏曲(各二钱) 藿梗 云
苓(各一钱) 赤芍(一钱二分) 煨木香(四分) 炙草(三分)引加姜皮(半分)、砂
仁壳(二分)、冬瓜皮(五分)投二剂化滞祛邪。和调营卫。痢应可止。如未止。用归芍六
君汤。(即前内症二二香砂六君汤去藿香砂仁换当归白芍各一钱)和入香连丸(见内症五九)
一钱。服三五剂自愈。愈后加服八珍汤(见内症十三)数剂。
(治产妇中风。不省人事。口吐涎沫。手足螈 。)
归身(四钱) 荆芥穗(一钱五分)
上药为末。每服二钱。水一盏。酒童便各一小杯。煎成灌之。下咽即解。
(胎前临产之月。间一日服一剂。临产时。有力之家。照方加好人参七分。无力
上炙黄 二钱。)
当归身(三钱) 焦术 炒黄芩(各一钱五分) 广皮(五分) 益母草 大熟地(各
二钱) 大川
(治横生逆产难产者。)
全当归(一两) 川芎 柞树皮(各五钱) 红花(二钱) 炙黄 (三钱) 败龟板
(一个炙)照分两每料蜜成三丸。
每服一丸。丹参二钱煎汤服。若膏粱体弱甚加人参二钱。藜藿体不加即产也。
(治怀孕六七个月。因跌磕伤胎。腹中疼痛。口噤昏闷。或心腹饱满。血上冲心。及
后腹痛发热头疼诸症。)
当归(五钱) 川芎(三钱)水一盏。酒一小杯。同煎。照服一二剂。胎生者安。胎死
者下。
如横生倒产。子死腹中者。
如黑马料豆五钱炒焦。乘热淬入酒水中。加童便一杯煎服。
(治疗妊娠期间患痢疾。)
川芎、黄芩(各八分)、当归、炒白术(各一钱五分)、建曲、夏曲(各二钱)、藿梗、云苓(各一钱)、赤芍(一钱二分)、煨木香(四分)、炙甘草(三分)。引药加入姜皮(半分)、砂仁壳(二分)、冬瓜皮(五分)。服用两剂以消除积滞、祛除病邪,调和营卫(运行于脉外之气与行于脉中之血),痢疾应当可以停止。如果痢疾未止,使用归芍六君汤(即前文内症篇中的二二香砂六君汤,去掉藿香和砂仁,换入当归和白芍各一钱),并冲服香连丸(见内症篇五九)一钱。服用三到五剂即可自愈。痊愈后加服八珍汤(见内症篇十三)数剂。
(治疗产妇感受风邪,神志不清,口吐涎沫,手足抽搐。)
当归身(四钱)、荆芥穗(一钱五分)。
将上述药物研为细末。每次服用二钱,用水一盏、童便(健康儿童的小便)一小杯、酒一小杯,煎煮后灌服。药液咽下即刻见效。
(在胎前临产之月,每隔一日服用一剂。临产时,家境富裕者,按方加入好人参七分;家境贫寒者,改用炙黄芪二钱。)
当归身(三钱)、焦白术、炒黄芩(各一钱五分)、广陈皮(五分)、益母草、大熟地(各二钱)、大川芎(此处原文排版错乱,结合上下文及常规配伍,应为川芎,但原文仅列“大川”二字接下文,根据《古方汇精》常见体例及后续药材推断,此处可能缺字或指代川芎,但严格依原文提取实体,此处暂不强行补全,仅翻译可见部分,注:原文此处断句混乱,“大川”后直接接下一段标题,推测原意包含川芎,但在本段药材列表中未完整显示,故翻译时保留原文结构,指出其意图为临产调理方)。*修正:重新审视原文结构,第三段开头是说明文字,接着列出药材。药材列表为:当归身(三钱)、焦术、炒黄芩(各一钱五分)、广皮(五分)、益母草、大熟地(各二钱)、大川... 此处“大川”极可能是“大川芎”的截断,或者“大川”指代某种特定规格的药物,但在中医古籍中少见单独用“大川”。鉴于任务要求不增添内容,我将忠实翻译现有文字,并在实体提取时谨慎处理。*
实际上,观察原文格式,第三段药材列表似乎被第四段的标题打断或排版错误。让我们仔细看:“大川”后面紧跟着“(治横生逆产难产者。)”。这显然是排版错误。通常这类方剂会包含川芎。但在没有明确文字的情况下,我不能随意添加。然而,为了翻译的通顺性,我将把“大川”视为未完成的词或特指,但在实体提取中,若无完整名称则不列入。不过,考虑到这是古籍整理,"大川"后往往接"芎"。若严格按字面,"大川"不是标准药名。此处我将翻译为“大川(疑为川芎之误或残缺)”,但在最终输出中,为了符合“不增添内容”且保持流畅,我将仅翻译可见字符,并在实体提取中忽略不完整的“大川”。
*再次修正策略*:仔细看图文对应关系,第三段药材最后是“大川”,然后换行是第四段标题。这明显是OCR或排版导致的断裂。在翻译时,我会注明原文如此。但在实体提取中,只提取完整明确的实体。
(治疗胎位不正、逆向分娩及难产的情况。)
全当归(一两)、川芎、柞树皮(各五钱)、红花(二钱)、炙黄芪(三钱)、败龟板(一个,经火炙)。按照分量,每料药蜜炼制成三丸。
每次服用一丸,用丹参二钱煎汤送服。若是体质虚弱、饮食精细之人,加人参二钱;若是体质强壮、饮食粗劣之人,不加人参也能顺利生产。
(治疗怀孕六七个月时,因跌倒磕碰导致伤胎,出现腹部疼痛、牙关紧闭、昏闷,或者心腹胀满、血液上冲心脏,以及随后出现的腹痛、发热、头痛等各种症状。)
当归(五钱)、川芎(三钱)。用水一盏、酒一小杯,共同煎煮。按照此法服用一到两剂。胎儿存活者得以安胎,胎儿已死者则排出体外。
如果是胎位不正、逆向分娩,或胎儿死于腹中的情况。
取黑马料豆五钱,炒至焦黑,趁热浸入酒水中,加入一杯童便,煎煮后服用。
(Treating dysentery during pregnancy.)
Chuanxiong Rhizome (Chuanxiong) and Scutellariae Radix (Huangqin), each 8 fen; Danggui Radix (Danggui) and Atractylodis Macrocephalae Rhizoma (Baizhu) stir-fried, each 1.5 qian; Jianqu and Xiaqu, each 2 qian; Agastachis Herba (Huogeng) and Poria (Yunling), each 1 qian; Paeoniae Radix Rubra (Chishao) 1.2 qian; Aucklandiae Radix (Muxiang) baked, 4 fen; Glycyrrhizae Radix et Rhizoma (Gancao) honey-fried, 3 fen. As guiding herbs, add Zingiberis Rhizoma Recens (Jiangpi) 0.5 fen, Amomi Fructus (Sharen) shell 2 fen, and Benincasae Exocarpium (Dongguapi) 5 fen. Administer two doses to eliminate stagnation and expel pathogens, harmonize Ying and Wei (Nutritive and Defensive Qi). The dysentery should cease. If it does not stop, use Guishao Liujun Tang (Cinnamon Twig and Peony Six Gentlemen Decoction)—which is the Er'er Xiangsha Liujun Tang mentioned earlier in the Internal Diseases section, with Huoxiang and Sharen removed and replaced by Danggui and Baishao, each 1 qian—and take 1 qian of Xianglian Wan (Fragrant and Coptis Pill) (see Internal Diseases 59). Take three to five doses for spontaneous recovery. After recovery, administer Bazhen Tang (Eight Treasures Decoction) (see Internal Diseases 13) for several doses.
(Treating postpartum wind-stroke, characterized by loss of consciousness, salivation from the mouth, and convulsions of the hands and feet.)
Danggui Radix (Danggui) body/root 4 qian; Schizonepetae Spica (Jingjie Sui) 1.5 qian.
Grind the above herbs into powder. Each dose is 2 qian, decocted with one cup of water, a small cup of Tongbian (Child's Urine), and a small cup of wine. Administer the mixture orally. Relief occurs immediately upon swallowing.
(During the month preceding delivery, take one dose every other day. At the time of delivery, wealthy families should add Ren Shen (Ginseng Root) 7 fen according to the prescription; poor families should substitute with Huangqi Radix (Astragali Radix) honey-fried 2 qian.)
Danggui Radix (Danggui) body/root 3 qian; Jiaozhu (Charred Atractylodis Rhizoma) and Chao Huangqin (Scutellariae Radix stir-fried), each 1.5 qian; Guangpi (Citri Reticulatae Pericarpium) 5 fen; Leonuri Herba (Yimucao) and Rehmanniae Radix Preparata (Shudi), each 2 qian; Da Chuan [Text incomplete/corrupted in original].
(Treating malpresentation, breech presentation, and difficult labor.)
Quan Danggui (Whole Danggui Radix) 1 liang; Chuanxiong Rhizome (Chuanxiong) and Quercus variabilis Bark (Zashupi), each 5 qian; Carthami Flos (Honghua) 2 qian; Huangqi Radix (Astragali Radix) honey-fried 3 qian; Testudinis Carapax et Plastrum (Guiban) decayed turtle shell, one piece, fire-roasted. According to the dosage, each batch of medicine is processed with honey into three pills.
Take one pill per dose, washed down with a decoction of Danshen Radix et Rhizoma (Danshen) 2 qian. If the patient is weak due to a rich diet, add Ren Shen (Ginseng Root) 2 qian; if the patient is robust due to a coarse diet, no addition is needed, and delivery will proceed naturally.
(Treating injury to the fetus due to falls or bumps during the sixth or seventh month of pregnancy, presenting with abdominal pain, trismus, faintness, epigastric fullness, blood rushing to the heart, and subsequent symptoms such as abdominal pain, fever, and headache.)
Danggui Radix (Danggui) 5 qian; Chuanxiong Rhizome (Chuanxiong) 3 qian. Decoct together with one cup of water and a small cup of wine. Take one to two doses according to this method. If the fetus is alive, it will be secured; if the fetus is dead, it will be expelled.
In cases of malpresentation, breech delivery, or fetal death in utero:
Take 5 qian of Heima Liaodou (Black Horse Soybeans), stir-fry until charred, steep while hot in wine/water, add one cup of Tongbian (Child's Urine), decoct, and administer.