论曰胎处胞内,随母所闻,才觉受气,便宜将慎,若妊娠月满,或欲逼生,形体完具,
精神已成,母忽惊动,遂为惊胎,则转移不常,宜速治之,不尔则精气并居,令子发癫。
治妊娠惊胎,转动不定。阿胶汤方
阿胶(炒令燥) 桑上寄生(锉焙) 大腹皮(锉) 麦门冬(去心焙) 黄 (锉) 防
风(去
上一十二味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓空心温服。
治妊娠因惊,胎内转动。人参汤方
人参 柴胡(去苗) 桑上寄生 青橘皮(汤浸去白焙) 甘竹茹 续断 芎 (各一
两)
上八味,粗捣筛,每服三钱匕,以水一盏,入枣三枚擘破,同煎至七分,去滓空心温服
治妊娠惊胎。苎麻散方
苎麻根(一握锉) 诃黎勒(煨去核) 山芋 茯神(去木各一两) 人参(二两)
上五味,捣罗为散,每服二钱匕,以米饮调下,不拘时。
治妊娠惊胎。定神丸方
陟厘 生干地黄(焙) 人参 当归(炙令香锉碎) 龙骨 赤石脂 浓朴(去粗皮涂
生姜
上一十味,捣罗为末,炼蜜和丸,梧桐子大,每服空心熟水下二十丸。
治妊娠外因惊动,胎动不安,转移不宁。艾叶汤方
艾叶(炙干三分) 桑上寄生(锉炒一两半) 人参(二两) 茯神(去木三分) 阿
胶(炙令燥
上五味,粗捣筛,每服三钱匕,以水一盏,入糯米半合,葱白三寸并须切,同煎至七分
,去滓温服食前。
治妊娠惊胎,胎动不安,时时转易。黄芩汤方
黄芩(去黑心) 白术(锉炒) 白芍药(锉炒各半两) 黄 (锉) 人参 山芋(各
一两)
上六味,粗捣筛,每服五钱匕,水一盏,糯米半合,葱白三寸细切,煎至八分,去滓温
服食前。
治妊娠因惊,胎动不安。当归汤方
当归(炙香锉) 生干地黄(焙) 艾叶(炒) 甘草(炙锉各一两) 芎 芍药(锉
炒) 阿
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服、食前。
治妊娠胎不稳,镇心安胎。茯神散方
茯神(去木) 芍药(锉炒) 桑根白皮(锉炒) 当归(切焙) 芎 (各一两) 人
参(二两)
上六味,捣罗为散,每服三钱匕,以米饮调服,不拘时。
治妊娠外有惊动,令胎不稳。芎 汤方
芎 (二两) 人参(三两) 当归(切焙一两) 甘草(炙半两) 阿胶(炙令燥半
两)
上五味,粗捣筛,每服三钱匕,水一盏,葱白二寸拍碎,同煎至七分,去滓温服、食前
治妊娠惊胎。生银汤方
生银五两
上以水一盏,入葱白三寸切,阿胶半两炒,同煎至七分,去银并滓温服之,若要作粥服
,入糯米二合,煮为粥服之,甚佳。
论述说:胎儿位于胞宫之内,随着母亲所听到的外界信息而感应。刚刚感觉到胎气形成时,就应当谨慎调养。如果妊娠月份已满,或者想要催生,此时胎儿形体完备,精神已具,母亲忽然受到惊动,就会导致“惊胎”,使胎位转移不定,应当迅速治疗,否则精气并聚于子,会导致孩子将来发癫狂病。
治疗妊娠惊胎,胎动转动不定的阿胶汤方:
阿胶(炒至干燥) 桑上寄生(切碎焙干) 大腹皮(切碎) 麦门冬(去心焙干) 黄芪(切碎) 防风(去芦头)
以上十二味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至七分,去渣,空腹温服。
治疗妊娠因受惊,胎在体内转动的参术汤方(注:原文标题为人参汤,但根据组成及常规命名习惯,此处依原文直译为人参汤,实际组成为人参等八味):
人参 柴胡(去苗) 桑上寄生 青橘皮(汤浸去白焙干) 竹茹 续断 川芎 芍药(各一两)
以上八味药,粗捣筛过,每次服用三钱匕,用水一盏,加入三枚掰破的大枣,同煎至七分,去渣,空腹温服。
治疗妊娠惊胎的苎麻散方:
苎麻根(一把切碎) 诃黎勒(煨去核) 山芋 茯神(去木心,各一两) 人参(二两)
以上五味药,捣碎过罗成散剂,每次服用二钱匕,用米饮调下,不拘时间。
治疗妊娠惊胎的定神丸方:
陟厘(即茶饼或特定药材,此处保留原名) 生干地黄(焙干) 人参 当归(炙香切碎) 龙骨 赤石脂 厚朴(去粗皮涂生姜汁炙)
以上十味药,捣碎过罗成末,炼蜜和丸,如梧桐子大小,每次空腹用熟水送服二十丸。
治疗妊娠外因惊动,胎动不安,转移不宁的艾叶汤方:
艾叶(炙干三分) 桑上寄生(切碎炒一两半) 人参(二两) 茯神(去木心三分) 阿胶(炙令干燥)
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,加入糯米半合,葱白三寸连同须一起切碎,同煎至七分,去渣,饭前温服。
治疗妊娠惊胎,胎动不安,时时转易的黄芩汤方:
黄芩(去黑心) 白术(切碎炒) 白芍药(切碎炒,各半两) 黄芪(切碎) 人参 山芋(各一两)
以上六味药,粗捣筛过,每次服用五钱匕,用水一盏,糯米半合,葱白三寸细切,煎至八分,去渣,饭前温服。
治疗妊娠因惊,胎动不安的当归汤方:
当归(炙香切碎) 生干地黄(焙干) 艾叶(炒) 甘草(炙切碎,各一两) 川芎 芍药(切碎炒) 阿胶(炙令干燥)
以上八味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至七分,去渣,饭前温服。
治疗妊娠胎不稳,镇心安胎的茯神散方:
茯神(去木心) 芍药(切碎炒) 桑根白皮(切碎炒) 当归(切焙干) 川芎(各一两) 人参(二两)
以上六味药,捣碎过罗成散剂,每次服用三钱匕,用米饮调服,不拘时间。
治疗妊娠外有惊动,令胎不稳的芎劳汤方(注:原文缺字,依组成推测为川芎为主,暂称芎劳汤或依原文留空处理,此处依原文结构译为含川芎的汤方):
川芎(二两) 人参(三两) 当归(切焙干一两) 甘草(炙半两) 阿胶(炙令干燥半两)
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,葱白二寸拍碎,同煎至七分,去渣,饭前温服。
治疗妊娠惊胎的生银汤方:
生银五两
以上用水一盏,加入葱白三寸切碎,阿胶半两炒制,同煎至七分,去银渣和药渣,温服之。若要作成粥服用,加入糯米二合,煮成粥服用,效果很好。
Commentary states: The fetus resides within the uterine sac (Baogong), responding to what the mother hears. Once the fetal qi is perceived, caution and care are immediately required. If the pregnancy reaches full term, or if induction of labor is desired, at which time the fetal form is complete and spirit is established, a sudden fright to the mother may result in "Frightened Fetus" (Jing Tai), causing the fetus to shift position irregularly. It should be treated promptly; otherwise, the essence and qi will congregate in the child, leading to epilepsy (Dian) in the offspring.
**Ejiao Tang Decoction** for treating frightened fetus during pregnancy with restless movement:
- Ejiao (Donkey-hide Gelatin) (stir-fried until dry)
- Sangshang Jisheng (Taxillus Sutchuenensis) (chopped and roasted)
- Dafupi (Areca Peel) (chopped)
- Maimendong (Ophiopogon Tuber) (heart removed, roasted)
- Huangqi (Astragalus Root) (chopped)
- Fangfeng (Saposhnikovia Root) (rhizome removed)
Twelve ingredients in total. Coarsely crush and sieve. Take three qianbi (approx. 9g) per dose. Add one zhan (approx. 200ml) of water, decoct until reduced to seven-tenths. Strain and take warm on an empty stomach.
**Renshen Tang Decoction** for treating fetal movement inside due to fright:
- Renshen (Ginseng Radix et Rhizoma)
- Chaihu (Bupleuri Radix) (sprouts removed)
- Sangshang Jisheng (Taxillus Sutchuenensis)
- Qingju pi (Green Tangerine Peel) (soaked in hot water, white pith removed, roasted)
- Zhuru (Bambusae Caulis in Taeniam)
- Xuduan (Dipsaci Radix)
- Xiong (Chuanxiong Rhizoma)
- Shaoyao (Paeoniae Radix Alba) (each 1 liang)
Eight ingredients in total. Coarsely crush and sieve. Take three qianbi per dose. Add one zhan of water and three dates (Ziziphus Jujuba Fructus) split open. Decoct together until reduced to seven-tenths. Strain and take warm on an empty stomach.
**Zhuma San Powder** for treating frightened fetus during pregnancy:
- Zhuma gen (Ramie Root) (one handful, chopped)
- Helile (Terminalia Chebula Retzui) (roasted, pit removed)
- Shanyu (Dioscoreae Rhizoma)
- Fushen (Poria Cum Radice) (wood removed, each 1 liang)
- Renshen (Ginseng Radix et Rhizoma) (2 liangs)
Five ingredients in total. Pound and sieve into powder. Take two qianbi per dose, mixed with rice drink (Mi Yin). Take at any time.
**Dingshen Wan Pills** for treating frightened fetus during pregnancy:
- Zhili (Tea Cake/Specific Herb)
- Sheng Gan Dihuang (Rehmanniae Radix Recens Dried) (roasted)
- Renshen (Ginseng Radix et Rhizoma)
- Danggui (Angelicae Sinensis Radix) (stir-fried until fragrant, chopped)
- Longgu (Fossil Bone)
- Chishizhi (Halloysitum Rubrum)
- Houpo (Magnoliae Officinalis Cortex) (rough bark removed, coated with fresh ginger juice and stir-fried)
Ten ingredients in total. Pound and sieve into fine powder. Mix with refined honey to make pills, size of Sophora japonica seeds (Wutongzi). Take twenty pills with warm boiled water on an empty stomach.
**Aiye Tang Decoction** for treating fetal restlessness and insecurity due to external fright, with shifting and uneasiness:
- Aiye (Artemisiae Argyi Folium) (stir-fried until dry, 3 fen)
- Sangshang Jisheng (Taxillus Sutchuenensis) (chopped and stir-fried, 1.5 liang)
- Renshen (Ginseng Radix et Rhizoma) (2 liangs)
- Fushen (Poria Cum Radice) (wood removed, 3 fen)
- Ejiao (Donkey-hide Gelatin) (stir-fried until dry)
Five ingredients in total. Coarsely crush and sieve. Take three qianbi per dose. Add one zhan of water, half he (approx. 15g) of glutinous rice (Oryza Sativa Var. Glutinosa Semen), and three cun (approx. 10cm) of scallion white (Allii Fistulosi Bulbus) including roots, chopped. Decoct together until reduced to seven-tenths. Strain and take warm before meals.
**Huangqin Tang Decoction** for treating frightened fetus during pregnancy with fetal restlessness and frequent shifting:
- Huangqin (Scutellariae Radix) (black heart removed)
- Baizhu (Atractylodis Macrocephalae Rhizoma) (chopped and stir-fried)
- Baishaoyao (Paeoniae Radix Alba) (chopped and stir-fried, each 0.5 liang)
- Huangqi (Astragalus Root) (chopped)
- Renshen (Ginseng Radix et Rhizoma)
- Shanyu (Dioscoreae Rhizoma) (each 1 liang)
Six ingredients in total. Coarsely crush and sieve. Take five qianbi per dose. Add one zhan of water, half he of glutinous rice, and three cun of finely chopped scallion white. Decoct until reduced to eight-tenths. Strain and take warm before meals.
**Danggui Tang Decoction** for treating fetal restlessness and insecurity due to fright during pregnancy:
- Danggui (Angelicae Sinensis Radix) (stir-fried until fragrant, chopped)
- Sheng Gan Dihuang (Rehmanniae Radix Recens Dried) (roasted)
- Aiye (Artemisiae Argyi Folium) (stir-fried)
- Gancao (Glycyrrhizae Radix et Rhizoma) (stir-fried and chopped, each 1 liang)
- Xiong (Chuanxiong Rhizoma)
- Shaoyao (Paeoniae Radix Alba) (chopped and stir-fried)
- Ejiao (Donkey-hide Gelatin) (stir-fried until dry)
Eight ingredients in total. Coarsely crush and sieve. Take three qianbi per dose. Add one zhan of water. Decoct until reduced to seven-tenths. Strain and take warm before meals.
**Fushen San Powder** for stabilizing the fetus during pregnancy by calming the mind and anchoring the fetus:
- Fushen (Poria Cum Radice) (wood removed)
- Shaoyao (Paeoniae Radix Alba) (chopped and stir-fried)
- Sanggen Baipi (Mori Cortex) (chopped and stir-fried)
- Danggui (Angelicae Sinensis Radix) (sliced and roasted)
- Xiong (Chuanxiong Rhizoma) (each 1 liang)
- Renshen (Ginseng Radix et Rhizoma) (2 liangs)
Six ingredients in total. Pound and sieve into powder. Take three qianbi per dose, mixed with rice drink. Take at any time.
**Xiong Tang Decoction** for treating fetal instability caused by external fright during pregnancy:
- Xiong (Chuanxiong Rhizoma) (2 liangs)
- Renshen (Ginseng Radix et Rhizoma) (3 liangs)
- Danggui (Angelicae Sinensis Radix) (sliced and roasted, 1 liang)
- Gancao (Glycyrrhizae Radix et Rhizoma) (stir-fried, 0.5 liang)
- Ejiao (Donkey-hide Gelatin) (stir-fried until dry, 0.5 liang)
Five ingredients in total. Coarsely crush and sieve. Take three qianbi per dose. Add one zhan of water and two cun of smashed scallion white. Decoct together until reduced to seven-tenths. Strain and take warm before meals.
**Shengyin Tang Decoction** for treating frightened fetus during pregnancy:
- Shengyin (Native Silver) (5 liangs)
Add one zhan of water and three cun of chopped scallion white. Stir-fry 0.5 liang of Ejiao. Decoct together until reduced to seven-tenths. Remove the silver and dregs. Take warm. If prepared as porridge, add two he of glutinous rice and cook into porridge. This method is very effective.