论曰妊娠虚烦懊热者,以阳气偏胜,热气独作,心下懊闷,头痛面赤,小便黄涩。甚则
淋痛是也,病源又谓之子烦。
治妊娠虚烦懊热,退热汤方
人参 甘草(炙) 黄芩(去黑心各二两) 当归(切焙) 芍药 栀子仁 防风(去
叉) 柴
上八味,粗捣筛,每服三钱匕,水一盏,煎取七分,去滓温服,食后。
治妊娠虚烦懊热。胎气不宁,手足烦倦,柴胡饮方
柴胡(去苗) 桑上寄生 知母(切焙) 百合洗 麦门冬(去心焙) 升麻(各一两)
甜竹
上七味,粗捣筛,每服五钱匕,水一盏半,生姜三片,同煎至一盏,去滓食后温服。
治妊娠虚烦懊热心中闷乱。头运重呕逆,四肢倦怠。茯苓汤方
赤茯苓(去黑皮) 防风(去叉) 人参 白术(锉炒) 枳壳(去瓤麸炒) 甘草(炙
各一两)
治妊娠虚烦懊热。知母汤方
知母(切焙) 防风(去叉) 黄芩(去黑心) 甘草(炙) 麦门冬(去心焙) 赤
茯苓(去黑
上七味,粗捣筛,每服三钱匕,水一盏,生姜三片,同煎至七分,入竹沥少许搅匀。去
滓温服,不拘时。
治妊娠心下烦懊热躁。竹沥汤方
防风(去叉) 麦门冬(去心焙) 黄芩(去黑心) 升麻 石膏(碎) 栀子仁(各
一两)
上六味,粗捣筛,每服三钱匕,水一盏,竹沥半合,煎至七分,去滓食后温服。日再。
治妊娠虚烦懊闷。四肢疼痛,不睡。酸枣仁汤方
酸枣仁(炒二两) 芍药 防风(去叉) 赤茯苓(去黑皮) 柴胡(去苗) 犀角(镑)
五味
上一十味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓不拘时温服。
论述说:妊娠期间出现虚烦、心中懊恼发热等症状,是因为阳气偏盛,热气单独发作,导致心下(胃脘部)懊闷不适,伴有头痛、面色发红、小便黄且排尿涩痛。严重的甚至会出现淋证疼痛,这种病源又被称为“子烦”。
治疗妊娠虚烦懊热的退热汤方:
人参、甘草(炙)、黄芩(去除黑心,各二两)、当归(切碎并焙干)、芍药、栀子仁、防风(去除叉枝)、柴胡(原文此处似有缺字,依方义补全为柴胡)。
以上八味药,粗捣筛碎,每次服用三钱匕,用水一盏,煎取七分药液,去渣后温服,饭后服用。
治疗妊娠虚烦懊热、胎气不宁、手足烦倦的柴胡饮方:
柴胡(去除苗)、桑上寄生、知母(切碎并焙干)、百合(水洗)、麦门冬(去除心并焙干)、升麻(各一两)、甜竹沥(原文此处似有缺字,依方名及下文推测为甜竹沥或相关药材,此处保留原文断句)。
以上七味药,粗捣筛碎,每次服用五钱匕,用水一盏半,生姜三片,共同煎至一盏药液,去渣后饭后温服。
治疗妊娠虚烦懊热、心中闷乱、头晕沉重、呕吐逆气、四肢倦怠的茯苓汤方:
赤茯苓(去除黑皮)、防风(去除叉枝)、人参、白术(锉碎并炒)、枳壳(去除瓤麸并炒)、甘草(炙,各一两)。
(注:原文此处未列完整煎服法,仅列药物组成)
治疗妊娠虚烦懊热的知母汤方:
知母(切碎并焙干)、防风(去除叉枝)、黄芩(去除黑心)、甘草(炙)、麦门冬(去除心并焙干)、赤茯苓(去除黑...原文此处截断,依前文应为去皮)。
以上七味药,粗捣筛碎,每次服用三钱匕,用水一盏,生姜三片,共同煎至七分药液,加入少许竹沥搅匀,去渣后随时温服。
治疗妊娠心下烦懊热躁的竹沥汤方:
防风(去除叉枝)、麦门冬(去除心并焙干)、黄芩(去除黑心)、升麻、石膏(捣碎)、栀子仁(各一两)。
以上六味药,粗捣筛碎,每次服用三钱匕,用水一盏,竹沥半合,煎至七分药液,去渣后饭后温服,每日两次。
治疗妊娠虚烦懊闷、四肢疼痛、无法入睡的酸枣仁汤方:
酸枣仁(炒,二两)、芍药、防风(去除叉枝)、赤茯苓(去除黑皮)、柴胡(去除苗)、犀角(镑片)、五味子(原文此处截断,依方义补全为五味子,共十味)。
以上十味药,粗捣筛碎,每次服用五钱匕,用水一盏半,煎至一盏药液,去渣后随时温服。
It is stated that the occurrence of deficiency heat, restlessness, and stifling sensation during pregnancy is due to an excess of Yang Qi, with Heat pathogen acting independently. This results in a stifling and uncomfortable sensation in the epigastrium (heart region), accompanied by headache, flushed face, yellow and scanty or painful urination. In severe cases, it may manifest as dysuria pain. The etiology of this condition is also referred to as "Zi Fan" (Fetal Restlessness).
**Tui Re Tang (Heat-Reducing Decoction)** for treating deficiency heat and stifling sensation during pregnancy:
*Ren Shen* (Ginseng Radix), *Gan Cao* (Licorice Root, honey-fried), *Huang Qin* (Scutellaria Root, removing black heart, 2 liang each), *Dang Gui* (Angelica Sinensis Root, sliced and roasted), *Shao Yao* (Peony Root), *Zhi Zi Ren* (Gardenia Seed), *Fang Feng* (Saposhnikovia Root, removing forked branches), *Chai Hu* (Bupleurum Root).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qian bi (approx. 9g), decocted with one zhan (approx. 200ml) of water until reduced to seven-tenths. Strain and take warm after meals.
**Chai Hu Yin (Bupleurum Drink)** for treating deficiency heat, stifling sensation, restless fetal qi, and vexation/fatigue in the hands and feet during pregnancy:
*Chai Hu* (Bupleurum Root, removing seedlings), Sang Shang Ji Sheng (Mistletoe growing on mulberry), *Zhi Mu* (Anemarrhena Rhizome, slicing and roasting), Bai He (Lily Bulb, washed), *Mai Men Dong* (Ophiopogon Tuber, removing heart and roasting), *Sheng Ma* (Cimicifuga Rhizome, 1 liang each), Tian Zhu Li (Sweet Bamboo Juice).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi (approx. 15g), decocted with one and a half zhan (approx. 300ml) of water and three slices of fresh ginger until reduced to one zhan. Strain and take warm after meals.
**Fu Ling Tang (Poria Decoction)** for treating deficiency heat, stifling sensation, mental confusion, heavy dizziness, vomiting, and limb fatigue during pregnancy:
Chi Fu Ling (Red Poria, removing black skin), *Fang Feng* (Saposhnikovia Root, removing forked branches), *Ren Shen* (Ginseng Radix), *Bai Zhu* (Atractylodes Macrocephala Rhizome, chopping and stir-frying), *Zhi Ke* (Bitter Orange Fruit, removing pulp and bran, stir-frying), *Gan Cao* (Licorice Root, honey-fried, 1 liang each).
*(Note: The original text lists ingredients but omits the preparation method for this specific formula.)*
**Zhi Mu Tang (Anemarrhena Decoction)** for treating deficiency heat and stifling sensation during pregnancy:
*Zhi Mu* (Anemarrhena Rhizome, slicing and roasting), *Fang Feng* (Saposhnikovia Root, removing forked branches), *Huang Qin* (Scutellaria Root, removing black heart), *Gan Cao* (Licorice Root, honey-fried), *Mai Men Dong* (Ophiopogon Tuber, removing heart and roasting), Chi Fu Ling (Red Poria, removing black skin).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 3 qian bi (approx. 9g), decocted with one zhan (approx. 200ml) of water and three slices of fresh ginger until reduced to seven-tenths. Add a small amount of Zhu Li (Bamboo Juice), mix well, strain, and take warm at any time.
**Zhu Li Tang (Bamboo Juice Decoction)** for treating epigastric restlessness, stifling sensation, heat, and irritability during pregnancy:
*Fang Feng* (Saposhnikovia Root, removing forked branches), *Mai Men Dong* (Ophiopogon Tuber, removing heart and roasting), *Huang Qin* (Scutellaria Root, removing black heart), *Sheng Ma* (Cimicifuga Rhizome), Shi Gao (Gypsum Fibrosum, crushed), Zhi Zi Ren (Gardenia Seed, 1 liang each).
The above six herbs are coarsely crushed and sifted. Each dose consists of 3 qian bi (approx. 9g), decocted with one zhan (approx. 200ml) of water and half he (approx. 10ml) of Zhu Li (Bamboo Juice) until reduced to seven-tenths. Strain and take warm after meals, twice daily.
**Suan Zao Ren Tang (Ziziphus Seed Decoction)** for treating deficiency heat, stifling sensation, limb pain, and insomnia during pregnancy:
Suan Zao Ren (Ziziphus Seed, stir-fried, 2 liang), *Shao Yao* (Peony Root), *Fang Feng* (Saposhnikovia Root, removing forked branches), Chi Fu Ling (Red Poria, removing black skin), *Chai Hu* (Bupleurum Root, removing seedlings), Xi Jiao (Rhinoceros Horn, shaved), Wu Wei Zi (Schisandra Berry).
The above ten herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi (approx. 15g), decocted with one and a half zhan (approx. 300ml) of water until reduced to one zhan. Strain and take warm at any time.