论曰妊娠将理失宜,经血时下,谓之漏胎,由冲任虚弱,不能固养胞胎,故令经血时下
,如器之漏也,久漏不已,则胎气无所禀养,心致萎燥矣。
治妊娠漏胎,下血不止,腹内疼痛。续断丸方
续断 附子(炮裂去皮脐) 蒲黄 干姜(炮) 芍药 芎 山茱萸(各一两半) 白
术
两)
上一十三味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,空心日晚温酒下。
治妊娠漏胎,下血不止,脐腹疼痛。续断饮方
续断(锉二两) 艾叶(去梗焙干) 熟干地黄(焙) 当归(切焙各一两) 竹茹(新
者) 阿
上七味,捣为粗末,每服三钱匕,用水一盏,煎至七分,去滓空心温服,早晚各一。
治妊娠漏胎,淋沥不止。艾叶饮方
艾叶(陈者半两) 干姜(炮) 当归(炙锉各三分) 芎 (一两)
上四味,捣为粗末,每服三钱匕,以水一盏,入生姜一枣大拍碎,同煎至七分,去滓热
服。空心日午晚后各一。
治妊娠漏胎,淋沥下血,脐腹疼痛。桑寄生汤方
桑上寄生(炙令黄锉碎半两) 当归(炙锉一两半) 芎 (锉一两)
上三味,粗捣筛,每服三钱匕,以水半盏,酒半盏,同煎取六分,去滓温服,早晨午时
晚间各一。
治妊娠漏胎下血过多。胶艾汤方
阿胶(炙燥半两) 艾叶(焙干一两)
上二味,粗捣筛,每服三钱匕,以水一盏,煎至七分,去滓温服,早晨午时晚间各一。
治妊娠漏胎下血过多,腹中刺痛,止血安胎。芎 饮方
芎 当归(切焙) 竹茹(各一两) 阿胶(炙燥三分)
上四味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,早晨午时至晚各一服。
治妊娠胎漏下血不止,腹痛。姜黄汤方
姜黄 当归(切焙) 熟干地黄(焙) 艾叶(焙干) 鹿角胶(炒燥各一两)
上五味,粗捣筛,每服五钱匕,水一盏半,入生姜半分切,枣三枚擘破,煎至八分,去
滓食前温服。
治妊娠胎动不安,及漏胎腹中痛。阿胶汤方
阿胶(炒燥) 白术 当归(切焙) 甘草(炙各一两) 桑上寄生(锉炒) 熟干地
黄(焙各
上一十味,粗捣筛,每服五钱匕,水一盏半,枣三枚擘破,煎至八分去滓,不计时候稍
热服。
治妊娠五月六月,下血不止。黄 汤方
黄 (炙锉一两半) 桑寄生(炙锉) 地榆(锉) 熟干地黄(焙各一两) 艾叶(焙
干) 龙
上六味,粗捣筛,每服五钱匕,水一盏半,生姜半分切,枣三枚擘破,同煎至六分,去
滓食前温服。
治妊娠胎漏,下血不止、腹痛。地黄散方
熟干地黄(焙) 干姜(炮各三分)
上二味,捣罗为散,每服二钱匕食前温酒调下。
治妊娠胞漏,月水时下,此由冲任脉虚,不能制约太阳少阴之经,故令血下,盖冲任之
脉,为经络之海,皆起于胞内,今不能制其经血,故为漏胎,血干即死。黄 饮方
黄 (锉) 地榆 桑寄生(各一两半) 艾叶(半两) 白龙骨(研二两) 生地黄
(二两)
上七味,锉如麻豆大,每服五钱匕,水一盏半,煎取八分,去滓食前温服,如人行三五
里再服。
治妊娠漏胎,心腹 痛,或时下血。竹茹寄生汤方
竹茹 桑寄生 阿胶(炙燥) 艾叶 芍药 白术(各等分)
上六味,锉如麻豆大拌匀,每服三钱匕,水一盏,煎至七分,去滓温服。
治妊娠胎漏,下血不止。阿胶汤方
阿胶(炒燥) 刘寄奴 赤石脂 黄连(去须) 白龙骨(各一两半) 乌梅(五枚碎
焙) 桑
瓤麸炒一两一分)
上一十五味,粗捣筛,每服五钱匕,水一盏半,入生姜五片,同煎至八分,去滓温服,
不拘时。
治妊娠胎漏下血。艾叶汤方
艾叶(炒) 黄芩(去黑心各半两) 黄连(去须) 茯神(去木) 桑耳 代赭 浓
朴(去粗
上一十一味,粗捣筛,每服五钱匕,水一盏半,入生姜五片,同煎至八分,去滓温服,
不拘时。
治妊娠胎漏方
生地黄汁(二合) 清酒(二合)
上二味相和,煎三四沸,空腹分温二服。
治妊娠胎漏,下血不止。地黄散方
熟干地黄(焙) 干姜(炮) 赤石脂(各二两)
上三味,捣罗为散,酒服方寸匕,日二三服。
治漏胎下血不止。当归阿胶散方
当归(切焙) 阿胶(炙燥各半两) 龙骨(二分半) 地榆 蒲黄(炒各三分) 熟
干地黄(
上八味,捣罗为散,每服方寸匕,空腹米饮调下,日再。
论述说:妊娠期间调理失当,经血时下不断,称为漏胎。这是由于冲任二脉虚弱,不能固摄和滋养胞胎,所以导致经血时下,就像容器有漏洞一样。如果长期漏血不止,胎气就得不到禀受和滋养,最终会导致胎儿枯萎干燥而死亡。
治疗妊娠漏胎,下血不止,腹内疼痛的续断丸方:
续断、附子(炮制裂开并去皮脐)、蒲黄、干姜(炮制)、芍药、川芎、山茱萸(各一两半)、白术(一两半)。
以上十三味药,捣碎过筛成粉末,用炼蜜调和做成丸子,大小如梧桐子大。每次服用二十丸,空腹及晚间用温酒送服。
治疗妊娠漏胎,下血不止,脐腹疼痛的续断饮方:
续断(锉碎二两)、艾叶(去梗焙干)、熟干地黄(焙干)、当归(切后焙干,各一两)、竹茹(新鲜的)、阿胶(一两)。
以上七味药,捣成粗末。每次取三钱匕,用水一盏,煎至七分,去渣,空腹温服,早晚各一次。
治疗妊娠漏胎,淋沥不止的艾叶饮方:
艾叶(陈年的半两)、干姜(炮制)、当归(炙后锉碎,各三分)、川芎(一两)。
以上四味药,捣成粗末。每次取三钱匕,用水一盏,加入生姜一块枣大小拍碎,同煎至七分,去渣热服。空腹、日中、晚间各服一次。
治疗妊娠漏胎,淋沥下血,脐腹疼痛的桑寄生汤方:
桑上寄生(炙至黄色锉碎,半两)、当归(炙后锉碎,一两半)、川芎(锉碎,一两)。
以上三味药,粗捣筛过。每次取三钱匕,用水半盏、酒半盏,同煎取六分,去渣温服,早晨、午时、晚间各服一次。
治疗妊娠漏胎下血过多的胶艾汤方:
阿胶(炙燥,半两)、艾叶(焙干,一两)。
以上两味药,粗捣筛过。每次取三钱匕,用水一盏,煎至七分,去渣温服,早晨、午时、晚间各服一次。
治疗妊娠漏胎下血过多,腹中刺痛,具有止血安胎作用的芎䓖饮方:
川芎、当归(切后焙干)、竹茹(各一两)、阿胶(炙燥,三分)。
以上四味药,粗捣筛过。每次取三钱匕,用水一盏,煎至七分,去渣温服,从早晨到晚间各服一次。
治疗妊娠胎漏下血不止,腹痛的姜黄汤方:
姜黄、当归(切后焙干)、熟干地黄(焙干)、艾叶(焙干)、鹿角胶(炒燥,各一两)。
以上五味药,粗捣筛过。每次取五钱匕,用水一盏半,加入生姜半分切块,大枣三枚掰破,煎至八分,去渣饭前温服。
治疗妊娠胎动不安,以及漏胎腹中痛的阿胶汤方:
阿胶(炒燥)、白术、当归(切后焙干)、甘草(炙,各一两)、桑上寄生(锉后炒)、熟干地黄(焙,各一两)。
以上十味药,粗捣筛过。每次取五钱匕,用水一盏半,大枣三枚掰破,煎至八分去渣,不拘时候稍热服。
治疗妊娠五月六月,下血不止的黄耆汤方:
黄耆(炙后锉碎,一两半)、桑寄生(炙后锉碎)、地榆(锉碎)、熟干地黄(焙,各一两)、艾叶(焙干)、龙眼肉(一两)。
以上六味药,粗捣筛过。每次取五钱匕,用水一盏半,生姜半分切块,大枣三枚掰破,同煎至六分,去渣饭前温服。
治疗妊娠胎漏,下血不止、腹痛的地黄散方:
熟干地黄(焙干)、干姜(炮制,各三分)。
以上两味药,捣罗成散剂。每次取二钱匕,饭前用温酒调服。
治疗妊娠胞漏,月水时下,这是由于冲任脉虚,不能制约太阳、少阴之经,所以导致血液下行。大概冲任二脉是经络之海,都起于胞宫内部,现在不能控制其经血,所以成为漏胎,血枯竭则胎儿死亡。黄耆饮方:
黄耆(锉碎)、地榆、桑寄生(各一两半)、艾叶(半两)、白龙骨(研细,二两)、生地黄(二两)。
以上七味药,锉如麻豆大小。每次取五钱匕,用水一盏半,煎取八分,去渣饭前温服,如人行走三五里后再服。
治疗妊娠漏胎,心腹疼痛,或时下血的竹茹寄生汤方:
竹茹、桑寄生、阿胶(炙燥)、艾叶、芍药、白术(各等分)。
以上六味药,锉如麻豆大小拌匀。每次取三钱匕,用水一盏,煎至七分,去渣温服。
治疗妊娠胎漏,下血不止的阿胶汤方:
阿胶(炒燥)、刘寄奴、赤石脂、黄连(去须)、白龙骨(各一两半)、乌梅(五枚碎后焙干)、桑耳(麸炒,一两一分)。
以上十五味药,粗捣筛过。每次取五钱匕,用水一盏半,加入生姜五片,同煎至八分,去渣温服,不拘时候。
治疗妊娠胎漏下血的艾叶汤方:
艾叶(炒)、黄芩(去黑心,各半两)、黄连(去须)、茯神(去木)、桑耳、代赭石、浓朴(去粗皮,各等分)。
以上十一味药,粗捣筛过。每次取五钱匕,用水一盏半,加入生姜五片,同煎至八分,去渣温服,不拘时候。
治疗妊娠胎漏方:
生地黄汁(二合)、清酒(二合)。
以上两味相和,煎煮三四沸,空腹分两次温服。
治疗妊娠胎漏,下血不止的地黄散方:
熟干地黄(焙干)、干姜(炮制)、赤石脂(各二两)。
以上三味药,捣罗成散剂。用酒送服方寸匕大小的量,每日二三次。
治疗漏胎下血不止的当归阿胶散方:
当归(切后焙干)、阿胶(炙燥,各半两)、龙骨(二分半)、地榆、蒲黄(炒,各三分)、熟干地黄(一两)。
以上八味药,捣罗成散剂。每次取方寸匕大小的量,空腹用米饮调服,每日两次。
Commentary states: If management during pregnancy is improper, and menstrual blood flows down continuously, it is called "Lou Tai" (Leaking Fetus). This is caused by the deficiency of the Chong and Ren meridians, which fail to consolidate and nourish the fetus, resulting in the downward flow of menstrual blood, similar to a vessel leaking. If the leakage persists for a long time, the fetal Qi will lack nourishment, leading to withering and drying up of the fetus.
Treatment for Lou Tai in pregnancy, with continuous bleeding and abdominal pain: Xuduan Wan (Dipsacus Pill) Formula
Xuduan (Radix Dipsaci), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed), Puhuang (Pollen Typhae), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Shaoyao (Radix Paeoniae Alba), Xiong (Radix Chuanxiong), Shanzhuyu (Fructus Corni) (each 1.5 liang), Baizhu (Radix Atractylodis Macrocephalae) (1.5 liang).
The above thirteen ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 20 pills each time, swallowed with warm wine on an empty stomach and in the evening.
Treatment for Lou Tai in pregnancy, with continuous bleeding and pain in the navel and abdomen: Xuduan Yin (Dipsacus Decoction) Formula
Xuduan (Radix Dipsaci, cut into pieces, 2 liang), Aiye (Folium Artemisiae Argyi, stems removed and dried by baking), Shudihuang (Radix Rehmanniae Preparata, baked), Danggui (Radix Angelicae Sinensis, cut and dried by baking, each 1 liang), Zhuru (Caulis Bambusae in Taeniam, fresh), Ejiao (Colla Corii Asini) (1 liang).
The above seven ingredients are crushed into coarse powder. Take three qian bi (approx. 3-4 grams) each time, add one zhan (approx. 200ml) of water, decoct until reduced to seven-tenths, remove the dregs, and take warm on an empty stomach, once in the morning and once in the evening.
Treatment for Lou Tai in pregnancy, with dripping and continuous bleeding: Aiye Yin (Mugwort Decoction) Formula
Aiye (Folium Artemisiae Argyi, aged, half liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Danggui (Radix Angelicae Sinensis, roasted and cut, each 3 fen), Xiong (Radix Chuanxiong) (1 liang).
The above four ingredients are crushed into coarse powder. Take three qian bi each time, add one zhan of water, add ginger the size of a jujube, smashed, decoct together until reduced to seven-tenths, remove the dregs, and take hot. Take on an empty stomach, at noon, and in the evening.
Treatment for Lou Tai in pregnancy, with dripping bleeding and pain in the navel and abdomen: Sangjisheng Tang (Taxillus Decoction) Formula
Sangshang Jisheng (Ramulus Taxilli, roasted until yellow and cut, half liang), Danggui (Radix Angelicae Sinensis, roasted and cut, 1.5 liang), Xiong (Radix Chuanxiong, cut, 1 liang).
The above three ingredients are coarsely crushed and sifted. Take three qian bi each time, add half a zhan of water and half a zhan of wine, decoct together to obtain six-tenths, remove the dregs, and take warm. Take in the morning, at noon, and in the evening.
Treatment for excessive bleeding from Lou Tai in pregnancy: Jiao Ai Tang (Donkey-hide Gelatin and Mugwort Decoction) Formula
Ejiao (Colla Corii Asini, roasted until dry, half liang), Aiye (Folium Artemisiae Argyi, dried by baking, 1 liang).
The above two ingredients are coarsely crushed and sifted. Take three qian bi each time, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm. Take in the morning, at noon, and in the evening.
Treatment for excessive bleeding from Lou Tai in pregnancy, stabbing pain in the abdomen, to stop bleeding and calm the fetus: Xiong Tiao Yin (Chuanxiong Drink) Formula
Xiong (Radix Chuanxiong), Danggui (Radix Angelicae Sinensis, cut and dried by baking), Zhuru (Caulis Bambusae in Taeniam) (each 1 liang), Ejiao (Colla Corii Asini, roasted until dry, 3 fen).
The above four ingredients are coarsely crushed and sifted. Take three qian bi each time, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm. Take once from morning until evening.
Treatment for fetal leakage with continuous bleeding and abdominal pain in pregnancy: Jianghuang Tang (Curcuma Decoction) Formula
Jianghuang (Rhizoma Curcumae Longae), Danggui (Radix Angelicae Sinensis, cut and dried by baking), Shudihuang (Radix Rehmanniae Preparata, baked), Aiye (Folium Artemisiae Argyi, dried by baking), Lujiujiao (Corium Cornu Cervi Preparatum, fried until dry, each 1 liang).
The above five ingredients are coarsely crushed and sifted. Take five qian bi each time, add one and a half zhan of water, add half a fen of sliced ginger and three jujubes split open, decoct until reduced to eight-tenths, remove the dregs, and take warm before meals.
Treatment for restless fetus and abdominal pain due to Lou Tai in pregnancy: Ejiao Tang (Donkey-hide Gelatin Decoction) Formula
Ejiao (Colla Corii Asini, fried until dry), Baizhu (Radix Atractylodis Macrocephalae), Danggui (Radix Angelicae Sinensis, cut and dried by baking), Gancao (Radix Glycyrrhizae Preparata, roasted, each 1 liang), Sangshang Jisheng (Ramulus Taxilli, cut and roasted), Shudihuang (Radix Rehmanniae Preparata, baked, each 1 liang).
The above ten ingredients are coarsely crushed and sifted. Take five qian bi each time, add one and a half zhan of water and three jujubes split open, decoct until reduced to eight-tenths, remove the dregs, and take slightly warm at any time.
Treatment for continuous bleeding in the fifth and sixth months of pregnancy: Huangqi Tang (Astragalus Decoction) Formula
Huangqi (Radix Astragali Membranacei, roasted and cut, 1.5 liang), Sangjisheng (Ramulus Taxilli, roasted and cut), Diyü (Radix Sanguisorbae, cut), Shudihuang (Radix Rehmanniae Preparata, baked, each 1 liang), Aiye (Folium Artemisiae Argyi, dried by baking), Longyanrou (Arillus Longan) (1 liang).
The above six ingredients are coarsely crushed and sifted. Take five qian bi each time, add one and a half zhan of water, half a fen of sliced ginger, and three jujubes split open, decoct together until reduced to six-tenths, remove the dregs, and take warm before meals.
Treatment for fetal leakage with continuous bleeding and abdominal pain in pregnancy: Dihuang San (Rehmannia Powder) Formula
Shudihuang (Radix Rehmanniae Preparata, baked), Ganjiang (Rhizoma Zingiberis Preparatum, processed, each 3 fen).
The above two ingredients are crushed and sifted into powder. Take two qian bi each time, mix with warm wine and take before meals.
Treatment for uterine leakage in pregnancy, where menstrual blood flows down, caused by the deficiency of the Chong and Ren meridians, failing to control the Taiyang and Shaoyin meridians, thus causing blood to descend. The Chong and Ren meridians are the sea of the collaterals and meridians, originating from inside the uterus; now they cannot control the menstrual blood, hence becoming Lou Tai. If the blood dries up, death ensues. Huangqi Yin (Astragalus Drink) Formula:
Huangqi (Radix Astragali Membranacei, cut), Diyü (Radix Sanguisorbae), Sangjisheng (Ramulus Taxilli) (each 1.5 liang), Aiye (Folium Artemisiae Argyi) (half liang), Bailonggu (Os Draconis et Ossis Mastodi, ground) (2 liang), Shengdihuang (Radix Rehmanniae Fresh, 2 liang).
The above seven ingredients are cut like hemp seeds. Take five qian bi each time, add one and a half zhan of water, decoct to obtain eight-tenths, remove the dregs, and take warm before meals. Take again after walking for three to five li.
Treatment for Lou Tai in pregnancy, heart and abdominal pain, or intermittent bleeding: Zhuru Jisheng Tang (Bamboo Sheath and Taxillus Decoction) Formula
Zhuru (Caulis Bambusae in Taeniam), Sangjisheng (Ramulus Taxilli), Ejiao (Colla Corii Asini, roasted until dry), Aiye (Folium Artemisiae Argyi), Shaoyao (Radix Paeoniae Alba), Baizhu (Radix Atractylodis Macrocephalae) (equal parts).
The above six ingredients are cut like hemp seeds and mixed evenly. Take three qian bi each time, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm.
Treatment for fetal leakage with continuous bleeding in pregnancy: Ejiao Tang (Donkey-hide Gelatin Decoction) Formula
Ejiao (Colla Corii Asini, fried until dry), Liu Jinu (Herba Siegesbeckiae), Chishizhi (Halloysitum Rubrum), Huanglian (Rhizoma Coptidis, stamens removed), Bailonggu (Os Draconis et Ossis Mastodi) (each 1.5 liang), Wumei (Fructus Mume, five fruits, crushed and roasted), Sang'er (Auricula Judae) (stir-fried with bran, 1 liang and 1 fen).
The above fifteen ingredients are coarsely crushed and sifted. Take five qian bi each time, add one and a half zhan of water and five slices of ginger, decoct together until reduced to eight-tenths, remove the dregs, and take warm at any time.
Treatment for fetal leakage with bleeding in pregnancy: Aiye Tang (Mugwort Decoction) Formula
Aiye (Folium Artemisiae Argyi, fried), Huangqin (Radix Scutellariae, black heart removed) (each half liang), Huanglian (Rhizoma Coptidis, stamens removed), Fushen (Poria cum Radix Pinelliae, wood removed), Sang'er (Auricula Judae), Daizhe (Haematitum), Houpo (Cortex Magnoliae Officinalis, rough bark removed) (equal parts).
The above eleven ingredients are coarsely crushed and sifted. Take five qian bi each time, add one and a half zhan of water and five slices of ginger, decoct together until reduced to eight-tenths, remove the dregs, and take warm at any time.
Treatment for fetal leakage in pregnancy:
Shengdihuangzhi (Jucius Rehmanniae Recens), Qingjiu (Clear Wine) (each 2 he).
Mix the above two ingredients, boil for three or four boils, and divide into two warm doses to take on an empty stomach.
Treatment for fetal leakage with continuous bleeding in pregnancy: Dihuang San (Rehmannia Powder) Formula
Shudihuang (Radix Rehmanniae Preparata, baked), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Chishizhi (Halloysitum Rubrum) (each 2 liang).
The above three ingredients are crushed and sifted into powder. Take a fang cun bi (square-inch spoonful) with wine, two to three times a day.
Treatment for continuous bleeding from Lou Tai: Danggui Ejiao San (Angelica and Donkey-hide Gelatin Powder) Formula
Danggui (Radix Angelicae Sinensis, cut and dried by baking), Ejiao (Colla Corii Asini, roasted until dry, each half liang), Longgu (Os Draconis) (2.5 fen), Diyü (Radix Sanguisorbae), Puhuang (Pollen Typhae, fried, each 3 fen), Shudihuang (Radix Rehmanniae Preparata) (1 liang).
The above eight ingredients are crushed and sifted into powder. Take a fang cun bi each time, mix with rice drink and take on an empty stomach, twice a day.