论曰妊娠感冒寒邪,藏于皮肤。洒然而寒, 热而闷,头项痛,腰脊强,脉浮,在表
者当汗之。在里者下之。汗下之理,制方宜轻,但非破血伤胎之剂。皆通用之,和其阴阳,
正其表里,使经不传,邪无深入,斯无危殆矣。
治妊娠伤寒,安胎出汗。阿胶汤方
阿胶(炒令燥一分) 独头蒜(一颗以秋收瓜蔓裹了外用黄泥固济定以炭火二斤烧令通
赤放冷打开取出细研为末无,瓜蔓但只以瓜根半两代) 羌活(去芦头) 独活(去芦头) 苍
术(米泔浸一宿去粗皮焙) 紫菀(去土) 白术 人参 附子(炮裂去皮脐各一分) 甘
草(半
上一十味,锉如麻豆,每服三钱匕,水一盏,入连须葱白一寸,同煎至七分,去滓温服
,如人行十里许,连服二服,至三服末后一服吃了,便以冷水漱口,漱一二十遍。漱罢以衣
微盖取汗。
治妊娠伤寒,壮热憎寒,头疼体痛。白术汤方
白术(一两) 麻黄(去节先煎掠去沫焙三两) 石膏 葛根(锉) 何首乌 甘草(炙
各一
上六味,粗捣筛,每服三钱匕,水一盏,入葱白一寸,煎取七分,去滓温服,不计时候
治妊娠伤寒。发热恶寒,身体疼痛。麻黄汤方
麻黄(去节先煎掠去沫焙) 苍术(各三两) 白术(一两) 陈橘皮(去白炒二两) 甘
草(
上五味,粗捣筛,每服三钱匕,水一盏,入葱白一寸,盐豉七枚,煎至七分,去滓温服
,不计时候。
治妊娠伤寒,头痛恶寒,浑身壮热。前胡汤方
前胡(去芦头) 细辛(去苗叶) 芎 麻黄(去根节先煎掠去沫焙) 杏仁(去皮
尖双仁
四两) 白术
水煮三五十沸薄切放干
上一十五味,粗捣筛。每服三钱匕,水一盏,入葱白一寸。同煎至六分。去滓稍热服,
不计时候。
治妊娠伤寒,初受病二三日,头痛肢体疼痛,烦躁恶风,身热憎寒,并皆治之。白术汤
方
白术(麸炒锉) 石膏(各二两别研如粉) 甘草(炙锉) 人参 五味子(微炒) 芎
(锉)
上八味,除石膏外,粗捣筛,入石膏末拌和令匀,每服三钱匕,水一盏,入生姜三片,
枣三枚擘破,同煎至六分。去滓稍热服,不拘时。
治妊娠伤寒,头痛体疼,安胎和气。异功汤方
麻黄(去根节先煎掠去沫焙四两) 苍术(米泔浸一宿锉焙) 白术(各二两米泔浸一
宿锉
上五味,粗捣筛,每服三钱匕,水一盏,入葱白二寸,煎至七分,去滓通口服,日三。
治妊娠伤寒,憎寒壮热。头痛体疼,柴胡汤方
柴胡(去苗) 白术(各一两米泔浸半日炒) 芎 当归(焙干) 芍药 防风(去
叉) 赤
上九味,粗捣筛,每服三钱匕,水一盏,枣二枚擘破,生姜三片,煎六分,去滓不计时
候温服。
治妊娠伤寒,憎寒发热,头痛体疼。前胡汤方
前胡(去芦头) 升麻 麻黄(先煎掠去沫焙) 人参 羚羊角镑 白术(各一两) 陈
橘皮
上八味,粗捣筛,每服三钱匕,水一盏,入葱白一寸,生姜三片,煎至七分,去滓稍热
服,不计时候。
治妊娠伤寒,头疼壮热。前胡汤方
前胡(去芦头) 白术 人参 石膏(碎) 黄芩(去黑心各二两)
上五味,粗捣筛,每服三钱匕,水一盏,入葱白一寸,同煎至六分,去滓温服。空心食
前。
治妊娠伤寒,护胎。白散子方
白药子
上一味,不拘多少为末,用鸡子清调涂在纸花上,纸可碗口大,贴在脐下胎存处,干即
以温水润之。
治妊娠伤寒,头痛壮热。前胡汤方
前胡(去芦头) 黄芩(去黑心) 石膏(碎) 阿胶(炙燥各一两)
上四味,粗捣筛,每服三钱匕,水一盏,煎六分。去滓不拘时温服。
治时气,令不堕胎。方
伏龙肝(三两)
上一味,水和涂脐方五寸,干即易。
治妊娠七八月,暴伤风寒,身体烦疼,寒热往来,胎动不安,头昏眩,腰背酸痛。
芍药饮方
芍药 当归(切焙) 白术 甘草(炙锉) 人参 浓朴(去粗皮生姜汁炙各一两)
上六味,粗捣筛,每服五钱匕,水一盏半,生姜三片,薤白三寸,同煎至八分,去滓温
服,不拘时。
治妊娠伤寒,安胎盆气。白术汤方
白术 黄芩(等分新瓦上同炒香)
上二味,粗捣筛,每服三钱匕,水一盏,生姜三片,大枣一枚擘破,同煎至七分。去滓
温服,但觉头痛发热,便可服,三二服即瘥,唯四肢厥冷阴证者,未可服。
论述说:妊娠期间感受寒邪,邪气藏于皮肤之间。表现为突然发冷畏寒,发热且胸闷,头痛项强,腰脊僵硬,脉象浮,病位在表者应当用发汗法治疗。病位在里者应当用泻下法治疗。发汗和泻下的原理在于,制定方剂宜药性轻灵,只要不是破血伤胎的药剂,都可以通用。调和阴阳,纠正表里失调,使病邪不传变深入,这样就没有危险了。
治疗妊娠伤寒,安胎发汗。阿胶汤方
阿胶(炒至干燥一分) 独头蒜(一颗,用秋天收获的瓜蔓包裹,外用黄泥封固,用二斤炭火烧至通红,放冷后打开取出,细细研磨成粉末;如果没有瓜蔓,只用半两瓜根代替) 羌活(去芦头) 独活(去芦头) 苍术(米泔水浸泡一夜,去粗皮焙干) 紫菀(去泥土) 白术 人参 附子(炮裂去皮脐各一分) 甘草(半两)
以上十味药,锉碎如麻豆大小,每次服用三钱匕,用水一盏,加入带须葱白一寸,同煎至七分,去渣温服。服药后约行走十里路的时间,连续服用两次,到第三次服完最后一剂后,立即用冷水漱口,漱一二十遍。漱完后用衣服轻微覆盖以取汗。
治疗妊娠伤寒,高热恶寒,头痛身体疼痛。白术汤方
白术(一两) 麻黄(去节,先煎掠去浮沫焙干三两) 石膏 葛根(锉碎) 何首乌 甘草(炙各一两)
以上六味药,粗捣筛过,每次服用三钱匕,用水一盏,加入葱白一寸,煎取七分,去渣温服,不限时间。
治疗妊娠伤寒,发热恶寒,身体疼痛。麻黄汤方
麻黄(去节,先煎掠去浮沫焙干) 苍术(各三两) 白术(一两) 陈橘皮(去白炒二两) 甘草(一两)
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,加入葱白一寸、盐豉七枚,煎至七分,去渣温服,不限时间。
治疗妊娠伤寒,头痛恶寒,浑身壮热。前胡汤方
前胡(去芦头) 细辛(去苗叶) 川芎 麻黄(去根节,先煎掠去浮沫焙干) 杏仁(去皮尖双仁四两) 白术
以上十五味药(注:原文此处列举药材似有缺漏或排版错误,依原文“上一十五味”处理),粗捣筛过。每次服用三钱匕,用水一盏,加入葱白一寸。同煎至六分。去渣稍热服,不限时间。
治疗妊娠伤寒,初受病二三日,头痛肢体疼痛,烦躁恶风,身热恶寒,均治之。白术汤方
白术(麸炒锉碎) 石膏(各二两,另研如粉) 甘草(炙锉) 人参 五味子(微炒) 川芎(锉碎)
以上八味药,除石膏外,粗捣筛过,加入石膏末拌和均匀,每次服用三钱匕,用水一盏,加入生姜三片、枣三枚掰破,同煎至六分。去渣稍热服,不拘时间。
治疗妊娠伤寒,头痛体疼,安胎和气。异功汤方
麻黄(去根节,先煎掠去浮沫焙干四两) 苍术(米泔水浸泡一夜锉碎焙干) 白术(各二两,米泔水浸泡一夜锉碎)
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,加入葱白二寸,煎至七分,去渣通口服,每日三次。
治疗妊娠伤寒,恶寒壮热。头痛体疼,柴胡汤方
柴胡(去苗) 白术(各一两,米泔水浸泡半日炒) 川芎 当归(焙干) 芍药 防风(去叉) 赤茯苓(一两)
以上九味药,粗捣筛过,每次服用三钱匕,用水一盏,枣二枚掰破,生姜三片,煎至六分,去渣不拘时候温服。
治疗妊娠伤寒,恶寒发热,头痛体疼。前胡汤方
前胡(去芦头) 升麻 麻黄(先煎掠去浮沫焙干) 人参 羚羊角(镑片) 白术(各一两) 陈橘皮(一两)
以上八味药,粗捣筛过,每次服用三钱匕,用水一盏,加入葱白一寸、生姜三片,煎至七分,去渣稍热服,不限时间。
治疗妊娠伤寒,头疼壮热。前胡汤方
前胡(去芦头) 白术 人参 石膏(碎) 黄芩(去黑心各二两)
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,加入葱白一寸,同煎至六分,去渣温服。空腹食前服用。
治疗妊娠伤寒,护胎。白散子方
白药子
以上一味药,不拘多少,研为粉末,用鸡蛋清调匀涂在纸花上,纸的大小可碗口大,贴在脐下胎儿所在处,干了就用温水润湿。
治疗妊娠伤寒,头痛壮热。前胡汤方
前胡(去芦头) 黄芩(去黑心) 石膏(碎) 阿胶(炙燥各一两)
以上四味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至六分。去渣不拘时温服。
治疗时气病,防止堕胎。方
伏龙肝(三两)
以上一味药,用水调和涂在肚脐方圆五寸处,干了就更换。
治疗妊娠七八月,暴伤风寒,身体烦疼,寒热往来,胎动不安,头昏眩,腰背酸痛。
芍药饮方
芍药 当归(切焙) 白术 甘草(炙锉) 人参 浓朴(去粗皮生姜汁炙各一两)
以上六味药,粗捣筛过,每次服用五钱匕,用水一盏半,生姜三片、薤白三寸,同煎至八分,去渣温服,不拘时间。
治疗妊娠伤寒,安胎盆气。白术汤方
白术 黄芩(等分,在新瓦上同炒香)
以上二味药,粗捣筛过,每次服用三钱匕,用水一盏,生姜三片、大枣一枚掰破,同煎至七分。去渣温服,只要觉得头痛发热,就可以服用,二三服即痊愈,唯独四肢厥冷的阴证患者,不可服用。
Discourse states: When a pregnant woman contracts cold pathogenic factors, the pathogens reside in the skin. The symptoms include sudden chills and aversion to cold, fever accompanied by chest stuffiness, headache and stiff neck, stiffness of the lower back and spine, and a floating pulse. If the pathology is at the exterior (Biao), sweating methods should be used. If the pathology is at the interior (Li), purgative methods should be used. The rationale for sweating and purging dictates that prescriptions should be mild; as long as they are not blood-breaking or fetus-damaging agents, they can be generally applied to harmonize Yin and Yang, correct exterior-interior imbalances, prevent disease transmission and deepening of pathogens, thereby avoiding danger.
Treatment for pregnancy complicated by cold damage, with fetal stabilization and sweating. Ejiao Decoction (Cinnamon Twig and Donkey-Hide Gelatin Decoction)
Ejiao (Donkey-Hide Gelatin) (stir-fried until dry, 1 fen) Duzhou Suan (Single-clove garlic) (one clove, wrapped in autumn melon vines, sealed with yellow mud, fired with two jin of charcoal until red-hot, cooled, opened, removed, and finely ground into powder; if melon vines are unavailable, use half liang of melon roots instead) Qianghuo (Notopterygii Rhizoma et Radix) (remove rhizome head) Duhuo (Angelicae Pubescentis Radix) (remove rhizome head) Cangzhu (Atractylodis Rhizoma) (soaked overnight in rice wash water, remove coarse bark, dried) Ziwan (Asteris Radix) (remove soil) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata) (processed, cracked, peel and umbilicus removed, 1 fen each) Gancao (Glycyrrhizae Radix et Rhizoma) (half liang)
The above ten ingredients are chopped like hemp seeds. Each dose consists of three qian bi (approx. 9-10 grams), boiled in one sheng (approx. 200ml) of water with one cun (approx. 3cm) of scallion white with roots. Simmer until reduced to seven parts, strain, and take warm. After walking for about ten li (approx. 5km), take two doses consecutively. After finishing the third dose, rinse the mouth immediately with cold water twenty times. Then cover slightly with clothing to induce sweating.
Treatment for pregnancy complicated by cold damage, with high fever, aversion to cold, headache, and body pain. Baizhu Decoction (Atractylodis Macrocephalae Decoction)
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang) Mahuang (Ephedrae Herba) (remove joints, boil first, skim foam, dried, 3 liang) Shigao (Gypsum Fibrosum) Gegen (Puerariae Radix) (chopped) Heshouwu (Polygoni Multiflori Radix) Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 1 liang each)
The above six ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water with one cun of scallion white. Simmer until reduced to seven parts, strain, and take warm. Take at any time.
Treatment for pregnancy complicated by cold damage, with fever, aversion to cold, and body pain. Mahuang Decoction (Ephedra Decoction)
Mahuang (Ephedrae Herba) (remove joints, boil first, skim foam, dried) Cangzhu (Atractylodis Rhizoma) (3 liang each) Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang) Chenjupi (Citri Reticulatae Pericarpium) (remove albedo, stir-fried, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang)
The above five ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water with one cun of scallion white and seven salted black beans (Yanchi). Simmer until reduced to seven parts, strain, and take warm. Take at any time.
Treatment for pregnancy complicated by cold damage, with headache, aversion to cold, and generalized severe heat. Qianhu Decoction (Peucedani Decoction)
Qianhu (Peucedani Radix) (remove rhizome head) Xixin (Asari Radix et Rhizoma) (remove seedlings and leaves) Xiong (Chuanxiong Rhizoma) Mahuang (Ephedrae Herba) (remove roots and joints, boil first, skim foam, dried) Xingren (Armeniacae Semen Amarum) (remove skins and tips, double kernels, 4 liang) Baizhu (Atractylodis Macrocephalae Rhizoma)
(Note: Text indicates fifteen ingredients, though list appears truncated in source). Coarsely crush and sift. Each dose consists of three qian bi, boiled in one sheng of water with one cun of scallion white. Simmer until reduced to six parts. Strain and take slightly warm. Take at any time.
Treatment for pregnancy complicated by cold damage, initially affected for two to three days, with headache, limb pain, restlessness, aversion to wind, body heat, and aversion to cold. Baizhu Decoction (Atractylodis Macrocephalae Decoction)
Baizhu (Atractylodis Macrocephalae Rhizoma) (bran-fried, chopped) Shigao (Gypsum Fibrosum) (2 liang each, separately ground into powder) Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, chopped) Renshen (Ginseng Radix et Rhizoma) Wuweizi (Schisandrae Chinensis Fructus) (lightly fried) Xiong (Chuanxiong Rhizoma) (chopped)
The above eight ingredients, except Shigao, are coarsely crushed and sifted. Mix with Shigao powder evenly. Each dose consists of three qian bi, boiled in one sheng of water with three slices of fresh ginger and three jujubes broken open. Simmer until reduced to six parts. Strain and take slightly warm. Take at any time.
Treatment for pregnancy complicated by cold damage, with headache and body pain, for fetal stabilization and qi harmony. Yigong Decoction (Extraordinary Efficacy Decoction)
Mahuang (Ephedrae Herba) (remove roots and joints, boil first, skim foam, dried, 4 liang) Cangzhu (Atractylodis Rhizoma) (soaked overnight in rice wash water, chopped, dried) Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang each, soaked overnight in rice wash water, chopped)
The above five ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water with two cun of scallion white. Simmer until reduced to seven parts. Strain and take orally. Three times daily.
Treatment for pregnancy complicated by cold damage, with aversion to cold and severe heat. Headache and body pain. Chaihu Decoction (Bupleuri Decoction)
Chaihu (Bupleuri Radix) (remove seedlings) Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang each, soaked in rice wash water for half a day, fried) Xiong (Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix) (dried by baking) Shaoyao (Paeoniae Radix) Fangfeng (Saposhnikoviae Radix) (remove forks) Chi Xiaofu (Red Poria) (1 liang)
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water with two jujubes broken open and three slices of fresh ginger. Simmer until reduced to six parts. Strain and take warm at any time.
Treatment for pregnancy complicated by cold damage, with aversion to cold and fever, headache, and body pain. Qianhu Decoction (Peucedani Decoction)
Qianhu (Peucedani Radix) (remove rhizome head) Shengma (Cimicifugae Rhizoma) Mahuang (Ephedrae Herba) (boil first, skim foam, dried) Renshen (Ginseng Radix et Rhizoma) Lingyangjiao (Saiga Tataricae Cornu) (shaved) Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang each) Chenjupi (Citri Reticulatae Pericarpium) (1 liang)
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water with one cun of scallion white and three slices of fresh ginger. Simmer until reduced to seven parts. Strain and take slightly warm. Take at any time.
Treatment for pregnancy complicated by cold damage, with headache and severe heat. Qianhu Decoction (Peucedani Decoction)
Qianhu (Peucedani Radix) (remove rhizome head) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix et Rhizoma) Shigao (Gypsum Fibrosum) (crushed) Huangqin (Scutellariae Radix) (remove black heart, 2 liang each)
The above five ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water with one cun of scallion white. Simmer until reduced to six parts. Strain and take warm. Take on an empty stomach before meals.
Treatment for pregnancy complicated by cold damage, for fetal protection. Bai Sanzi Formula (White Powder Formula)
Baiyaozi (Dioscoreae Hypoglaucae Rhizoma)
The above single ingredient, amount unspecified, is ground into powder. Mix with egg white and apply onto paper flowers (paper size approx. bowl diameter). Apply to the area below the navel where the fetus resides. If it dries, moisten with warm water.
Treatment for pregnancy complicated by cold damage, with headache and severe heat. Qianhu Decoction (Peucedani Decoction)
Qianhu (Peucedani Radix) (remove rhizome head) Huangqin (Scutellariae Radix) (remove black heart) Shigao (Gypsum Fibrosum) (crushed) Ejiao (Donkey-Hide Gelatin) (fried until dry, 1 liang each)
The above four ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water. Simmer until reduced to six parts. Strain and take warm at any time.
Treatment for seasonal pestilence/qi disorders, to prevent miscarriage. Formula
Fulonggan (Dragon's House Earth / Calcined Clay) (3 liang)
The above single ingredient is mixed with water and applied to the navel area covering five cun square. Replace when dry.
Treatment for pregnancy at seven or eight months, acute contraction of wind-cold, with vexatious body pain, alternating chills and fever, restless fetus, dizziness, and soreness/pain of the waist and back. Shaoyao Drink (Paeonia Decoction)
Shaoyao (Paeoniae Radix) Danggui (Angelicae Sinensis Radix) (cut and baked) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, chopped) Renshen (Ginseng Radix et Rhizoma) Houpo (Magnoliae Officinalis Cortex) (remove coarse bark, stir-fried with fresh ginger juice, 1 liang each)
The above six ingredients are coarsely crushed and sifted. Each dose consists of five qian bi, boiled in one and a half sheng of water with three slices of fresh ginger and three cun of Chinese Leek Bulb (Xiebai). Simmer until reduced to eight parts. Strain and take warm. Take at any time.
Treatment for pregnancy complicated by cold damage, for fetal stabilization and regulating pelvic qi. Baizhu Decoction (Atractylodis Macrocephalae Decoction)
Baizhu (Atractylodis Macrocephalae Rhizoma) Huangqin (Scutellariae Radix) (equal parts, stir-fried together on new tile until fragrant)
The above two ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, boiled in one sheng of water with three slices of fresh ginger and one jujube broken open. Simmer until reduced to seven parts. Strain and take warm. Take whenever headache and fever are felt. Two or three doses will cure. However, this formula is contraindicated for patients with yin syndrome characterized by cold limbs (Jue Limbs).