【妊娠中风歌】中风恶候告君知,眼合肝兮手撒脾,心绝口开肺鼻鼾,肾家将绝定遗尿。
妊娠手足搐搦,忽然不省人事,角弓反张,状如中风者,子痫也。宜服砂仁汤。倘胎前无故
卒然闷到在地,或有不识,误以中风断之,谬矣,此儿晕也,名曰子悬。须以安胎调气治之
,紫苏饮加砂仁、川贝、茯神。虽至将产,仍服紫苏饮为妙。有胎前发喘,乃胎不安而冒风
也,用带须葱白二十茎,煎汤服之,即愈。盖葱能发散,而又安胎也。若因伤食而喘者,紫
苏
饮冲入童便,加砂仁煎服,舍此无别药也。若胎气不和,凑上心腹,以致胸膈饱闷,喘急疼
痛,此子悬也,宜紫苏饮。此药有安胎止堕之功。如胎前偏正头风,川芎调茶服主之。妊娠
感冒四时风寒,霍乱吐泻者,藿香正气散主之。凡胎前伤暑,与霍乱治法同。如胎前疟疾,
惟养荣汤一方。孕妇发呃气逆者,用紫苏饮。亦有胎死腹中,以致气侵上而呃者,下死胎而
呃自止矣,不可不知。孕妇伤食,以紫苏饮加神曲、楂肉、砂仁、麦芽。如兼吐泻,用养胃
汤。有孕无故悲泣不止,如有鬼物以凭之,此名脏躁,非大枣汤不愈。有妊娠忽然耳聋昏聩
者,气血不足也,用十全大补汤。目赤肿者,四物汤加黄连。遍身拘急,痛无定处,夜不得
卧,眼花昏黑者,胎气使然,宜服紫苏饮。
【妊娠中风歌】中风这一凶险的证候,请听我告知:眼睛闭合是肝气绝的表现,手撒不收是脾气绝的表现,口张不闭是心气绝的表现,鼻中鼾声是肺气绝的表现,肾气将绝时必然出现遗尿。
妊娠期间出现手足抽搐,突然神志不清,身体向后反折如弓状(角弓反张),症状类似中风的,这是子痫。适宜服用砂仁汤。如果在胎前无故突然昏倒在地上,或者有人无法识别,误诊为中风,那就错了,这叫做“儿晕”,名称叫作“子悬”。必须用安胎调气的方法治疗,使用紫苏饮加入砂仁、川贝母、茯神。即使临近分娩,继续服用紫苏饮也是妙法。有在胎前出现气喘的,这是因为胎动不安且受风邪侵袭所致,用带须的葱白二十根,煎汤服用,即可痊愈。因为葱具有发散作用,又能安胎。如果是因伤食导致气喘的,在紫苏饮中加入童便,再加砂仁煎服,除了这个没有别的药方。如果胎气不和,向上冲逆至心腹,导致胸膈饱闷、喘急疼痛,这也是子悬,适宜服用紫苏饮。此药有安胎防止流产的功效。如在胎前患有偏头痛或正头痛,用川芎茶调散配合茶水服用为主治。妊娠期间感冒四时的风寒,以及出现霍乱吐泻症状的,主治方剂是藿香正气散。凡是胎前伤暑,治疗方法与霍乱相同。如胎前患疟疾,只有养荣汤一方适用。孕妇出现呃逆气逆的,用紫苏饮。也有因胎死腹中,导致气机上侵而引发呃逆的,排出死胎后呃逆自然停止,这一点不可不知道。孕妇伤食,用紫苏饮加入神曲、山楂肉、砂仁、麦芽。如果兼有吐泻,用养胃汤。怀孕期间无故悲伤哭泣不止,好像有鬼物附身一样,这名叫脏躁,不用大枣汤不能治愈。有妊娠期间突然耳聋失聪的,是气血不足所致,用十全大补汤。眼睛红肿发赤的,用四物汤加入黄连。全身拘挛紧急,疼痛部位不定,夜间不能入睡,眼花视物昏暗黑色的,这是胎气所致,适宜服用紫苏饮。
[Song on Wind-Stroke during Pregnancy] Let me inform you of the ominous signs of wind-stroke: eyes closed indicate exhaustion of Liver Qi; hands flaccid and open indicate exhaustion of Spleen Qi; mouth agape indicates exhaustion of Heart Qi; snoring from the nose indicates exhaustion of Lung Qi; and incontinure of urine signifies that Kidney Qi is about to exhaust.
During pregnancy, if there are spasms of the hands and feet, sudden loss of consciousness, opisthotonos (body bent backward like a bow), and symptoms resembling wind-stroke, this is Zi Xian (Eclampsia). It is suitable to take Sharen Tang (Amomum Decoction). If, without cause before delivery, one suddenly faints and falls to the ground, or if it is misidentified by others and wrongly diagnosed as wind-stroke, this is an error. This condition is called "Zi Yun" (Fetal Dizziness) or "Zi Xuan" (Fetal Distension). It must be treated with methods to calm the fetus and regulate Qi, using Zisu Yin (Perilla Decoction) added with Sharen (Amomum Fruit), Chuanbei (Fritillaria Bulb), and Fushen (Poria with Hostwood). Even when nearing delivery, continuing to take Zisu Yin is advisable. If panting occurs during pregnancy, it is due to fetal instability and invasion of Wind pathogen. Take twenty stalks of scallion white (with roots) decocted in water; this will cure it immediately. Scallion has dispersing properties and can also calm the fetus. If panting is caused by food stagnation, add Tongbian (Child's Urine) to Zisu Yin and decoct with Sharen; there is no other remedy. If Fetal Qi is disharmonious and rushes upward to the heart and abdomen, causing chest fullness, panting, urgency, and pain, this is also Zi Xuan (Fetal Distension), and Zisu Yin (Perilla Decoction) is indicated. This formula has the efficacy of calming the fetus and preventing miscarriage. For lateral or frontal headaches during pregnancy, Chuangxiong Chatiao San (Ligusticum Powder for Tea) taken with tea water is the primary treatment. For colds caused by Wind-Cold of the four seasons during pregnancy, accompanied by Huoluan (Cholera-like syndrome) with vomiting and diarrhea, Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) is indicated. The treatment for Summerheat injury during pregnancy is the same as for Huoluan. For malaria during pregnancy, only Yingrong Tang (Nourishing Blood Decoction) is applicable. For hiccups and rebellious Qi in pregnant women, use Zisu Yin (Perilla Decoction). There are cases where hiccups occur because the dead fetus causes Qi to invade upward; once the dead fetus is expelled, the hiccups stop naturally, which must be known. For food stagnation in pregnant women, use Zisu Yin (Perilla Decoction) added with Shenqu (Medicated Leaven), Zharon Rou (Hawthorn Flesh), Sharen (Amomum Fruit), and Maiya (Malt Germinate). If accompanied by vomiting and diarrhea, use Yangwei Tang (Stomach-Nourishing Decoction). If a pregnant woman cries incessantly without cause, as if possessed by spirits, this is named Zang Zao (Visceral Agitation); only Dazao Tang (Jujube Decoction) can cure it. Sudden deafness and dullness during pregnancy is due to insufficiency of Qi and Blood; use Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction). Red and swollen eyes are treated with Siwu Tang (Four Substances Decoction) added with Huanglian (Coptis Rhizome). Generalized stiffness and tension, pain in indefinite locations, inability to sleep at night, and blurred vision or darkness in sight are caused by Fetal Qi; Zisu Yin (Perilla Decoction) is indicated.