【歌】误服汤丸胎气伤,攻冲腹痛实 徨,先煎甘豆汤频服,知母芎归亦可尝。
【论】立斋曰∶妊娠误服毒药,胎动不安者,甘草、黑豆、淡竹叶水浓煎服以解之。若顿仆,用阿胶散送知
母丸。若下血腹痛,佛手散、子母丸。去血过多,八珍汤加益母。
【方】
阿胶散
生地 当归 白芍 阿胶 黄 艾叶 甘草 砂仁
知母丸
知母(焙,为末)
枣肉丸如弹子大,每服化下一丸。
白扁豆散
扁豆(生,为末)
每服三钱,米饮调下。
【歌】娠妊水下曰孤浆,脾弱元虚气血伤,糯米黄 汤早服,免教子母两分张。
【论】《脉经》曰∶妇人怀躯六七月,暴下斗余水,其胎必根据而坠,此非时孤浆预下,气血皆虚故也。大金
曰∶妊娠忽下黄汁如胶,或如豆汁,胎动腹痛者宜。
黄 糯米汤
黄 (六两,炒) 糯米(五合)
一方有川芎,水七升煮三升,分四服,日三夜一。
【歌】闻说鬼胎如抱瓮,面青脉涩腹如冰,雄黄斩鬼班玄散,先哲传留暗室灯。
【论】人之脏腑调和,气血充实,则风邪鬼魅不能干之,若荣卫虚损,精神衰弱,妖魅魍魉得入脏腑,状如
怀子,名曰鬼胎。虞天民曰∶鬼胎属思想所致,盖昼之所思,即夜之所见。凡男女之性淫而虚者,肝肾相火无时
不起,故劳怯,人多梦与鬼交,故鬼者为胎也。非实有鬼,神交接成胎也。故曰思想无穷,所愿不遂,发为白淫
白浊,流于子宫,结为鬼胎。本妇自己血液淫精结聚成块耳。
【方】
雄黄丸
雄黄 鬼白 莽草 朱砂 巴豆(去油各五钱) 獭肝(炙黄八钱) 蜥蜴(炙) 蜈蚣(各一条炙)
为末炼蜜丸如梧桐子大,每服三丸空心温酒下,顷下如蛇虫乃愈。
斩鬼丹
吴茱萸 川芎 秦艽 柴胡 芫花(醋炙) 巴戟 巴豆霜 姜蚕
蜜丸酒下七丸,出恶物愈。
班玄丸
斑蝥(炒) 玄胡索(各三钱)
末服五分酒下,酒糊丸服亦可。
【歌诀】误服汤药或丸剂损伤胎气,导致邪气攻冲引起腹痛,令人惊慌失措。此时应先煎煮甘豆汤频繁服用,知母、川芎、当归组成的方剂也可以尝试使用。
【论述】薛立斋说:妊娠期间误服毒药,导致胎动不安的,用甘草、黑豆、淡竹叶浓煎后服用以解毒。如果是跌倒受伤,用阿胶散送服知母丸。如果下血且腹痛,使用佛手散、子母丸。如果失血过多,使用八珍汤加入益母草。
知母丸
知母(焙干,研为粉末)
用枣肉制成如弹子大小的丸剂,每次服用时化开一丸。
【歌诀】妊娠期阴道流出水样液体称为“孤浆”,这是由于脾气虚弱、元气不足、气血受损所致。早期服用黄芪糯米汤,可避免母子分离的危险。
【论述】《脉经》说:妇女怀孕六七个月时,突然大量排出斗余的水,胎儿必然随之坠落,这叫做非正常时间的“孤浆”提前排出,是因为气血都虚弱的缘故。金代医家戴起宗说:妊娠期间忽然流出黄色汁液像胶一样,或者像豆汁一样,伴有胎动腹痛的,适宜使用此方。
黄芪糯米汤
黄芪(六两,炒制) 糯米(五合)
另一版本方中有川芎,用水七升煮取三升,分四次服用,白天三次,夜间一次。
【歌诀】听说鬼胎的样子像抱着瓮一样腹部胀大,面色发青,脉象涩滞,腹部冷如冰。使用雄黄斩鬼班玄散治疗,这是先哲流传下来的暗室明灯。
【论述】人的脏腑功能调和,气血充实,那么风邪和鬼魅就不能侵犯。如果营卫之气虚损,精神衰弱,妖魅魍魉就能侵入脏腑,症状如同怀孕,名叫鬼胎。虞天民说:鬼胎属于思想意念所致,白天所想的,就是晚上梦见的。凡是男女性格淫乱且身体虚弱的,肝肾相火无时无刻不在升起,所以容易患劳损虚怯之症,人们常梦见与鬼交合,所以所谓的“鬼”形成了胎。并不是真的有鬼,而是精神意识交接形成了胎。所以说思虑无穷,愿望不能实现,导致白淫、白浊,流注于子宫,凝结成鬼胎。这实际上是妇人自己的血液和精微物质凝结成块罢了。
【方剂】
雄黄丸
雄黄 鬼臼 莽草 朱砂 巴豆(去油,各五钱) 獭肝(炙黄,八钱) 蜥蜴(炙) 蜈蚣(各一条,炙)
研为粉末,炼蜜制成梧桐子大小的丸剂,每次空腹服用三丸,用温酒送下,片刻后排出如蛇虫状的恶物即可痊愈。
[Song] Ingestion of decoctions or pills damages fetal Qi, causing attacking pain in the abdomen and inducing panic. First, frequently administer Gan Dou Tang (Sweet Bean Decoction). The combination of Zhi Mu (Anemarrhena Rhizome), Xiong Gui (Ligusticum Chuanxiong and Angelica Sinensis) can also be tried.
[Discussion] Xue Lizhai stated: If toxic substances are ingested during pregnancy causing fetal restlessness, a concentrated decoction of Gan Cao (Licorice Root), Hei Dou (Black Soybean), and Dan Zhu Ye (Lophatherum Herb) should be taken to resolve the toxicity. If there is a fall or trauma, use E Jiao San (Donkey-Hide Gelatin Powder) to deliver Zhi Mu Wan (Anemarrhena Pill). If there is vaginal bleeding with abdominal pain, Fo Shou San (Buddha's Hand Powder) or Zi Mu Wan (Mother-Child Pill) should be used. If blood loss is excessive, Ba Zhen Tang (Eight Treasures Decoction) with Yi Mu Cao (Motherwort Herb) should be administered.
[Formulas]
E Jiao San (Donkey-Hide Gelatin Powder)
Sheng Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), E Jiao (Colla Corii Asini), Ai Ye (Artemisiae Argyi Folium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sha Ren (Amomi Fructus Rotundus).
Zhi Mu Wan (Anemarrhena Pill)
Zhi Mu (Anemarrhenae Rhizoma) (roasted, powdered).
Made into pills the size of a bullet using jujube flesh. Each time, dissolve one pill before ingestion.
Bai Bian Dou San (White Hyacinth Bean Powder)
Bai Bian Dou (Dolichoris Lablab Semen Album) (raw, powdered).
Take three qian per dose, mixed with rice water.
[Song] Vaginal discharge of watery fluid during pregnancy is called "Gu Jiang" (Orphaned Fluid). This results from weak Spleen Qi, deficient Yuan Qi, and damaged Qi and Blood. Early administration of Huang Qi Nu Mi Tang (Astragalus and Glutinous Rice Decoction) prevents separation of mother and child.
[Discussion] *Mai Jing* (Pulse Classic) states: When a woman is six or seven months pregnant, if she suddenly discharges more than a dou of water, the fetus will inevitably descend. This is called premature discharge of "Gu Jiang" out of season, caused by deficiency of both Qi and Blood. Dai Qizong (Jin Dynasty physician) stated: If during pregnancy yellow juice resembling glue or bean dregs is suddenly discharged, accompanied by fetal restlessness and abdominal pain, this formula is appropriate.
Huang Qi Nu Mi Tang (Astragalus and Glutinous Rice Decoction)
Huang Qi (Astragali Radix) (six liang, stir-fried), Nu Mi (Oryza Sativa Var. Glutinosa).
Another version includes Chuan Xiong (Ligustici Chuanxiong Rhizoma). Boil seven sheng of water down to three sheng, divide into four doses. Take three times during the day and once at night.
[Song] It is said that the "Ghost Fetus" presents with an abdomen swollen like a jar, a bluish complexion, and a choppy pulse, with the abdomen feeling cold as ice. Use Xiong Huang Zhan Gui Ban Xuan San (Realgar Ghost-Slaying Banxuan Powder); this was passed down by ancient sages as a lamp in the dark room.
[Discussion] When the internal organs are harmonious and Qi and Blood are abundant, wind pathogens and demonic influences cannot invade. However, if Ying and Wei Qi are deficient and spirit is weak, demons and spirits may enter the internal organs. The condition resembles pregnancy and is named "Ghost Fetus." Yu Tianmin stated: Ghost Fetus arises from mental thoughts; what is pondered by day appears in dreams by night. Individuals with licentious nature and physical deficiency experience constant rising of Ministerial Fire in the Liver and Kidney, leading to consumptive diseases. People often dream of intercourse with ghosts, hence the term "ghost" forming a fetus. There is no actual ghost; rather, spiritual interaction creates the fetus. Thus, endless thinking and unfulfilled desires lead to white leukorrhea and turbid urine, flowing into the uterus and condensing into a Ghost Fetus. It is essentially the accumulation of the woman's own blood and essence forming a mass.
[Formulas]
Xiong Huang Wan (Realgar Pill)
Xiong Huang (Realgar), Gui Bai (Podophylli Peltati Rhizoma et Radix), Mang Cao (Agri Herba), Zhu Sha (Cinnabaris), Ba Dou (Crotonis Fructus) (oil removed, each five qian), Ta Gan (Leporis Hepat), Xi Yi (Sauri Caulis et Cutis) (roasted), Wu Gong (Scolopendra) (each one, roasted).
Powdered and made into pills the size of wu-tong seeds with refined honey. Take three pills on an empty stomach with warm wine. Recovery occurs when snake-like or insect-like matter is expelled shortly after.
Zhan Gui Dan (Ghost-Slaying Pellet)
Wu Zhu Yu (Evodiae Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix), Chai Hu (Bupleuri Radix), Yuan Hua (Genkwa Flos) (vinegar-roasted), Ba Ji Tian (Morindae Officinalis Radix), Ba Dou Shuang (Crotonis Fructus Pulvis), Jiang Can (Bombyx Batryticatus).
Made into pellets with honey, take seven with wine. Recovery occurs upon expulsion of foul matter.
Ban Xuan Wan (Banxuan Pill)
Ban Mao (Mylabris), Yan Hu Suo (Corydalis Rhizoma) (each three qian).
Powdered, take five fen with wine. Alternatively, make into pills with wine paste for oral administration.