人参(一钱) 橘红 藿香 甘草(各四分) 白术 当归(各二钱) 半夏(八分) 砂仁(三分)
竹茹(四分) 如肥人加竹沥(半匙)
人参 陈皮 竹茹(各一钱) 麦冬 木瓜(各三钱) 藿香(五分) 枇杷叶(三大片无则芦根
代之)
一法妊娠恶食。以所思食任意食之。必愈。
孕妇腹中不时作痛。或小腹重坠。名曰胎痛。宜地黄当归汤主之。如不应。加人参。白术。
陈皮。如因血气。加砂仁。因中气虚下坠而作痛。则服补中益气汤。
熟地(三钱) 当归(一钱) 煎服。
腹作痛升动。先将砂仁(二钱炒) 研末。白汤调服。实时痛止。或入前方煎服。其效如神。
壮实妇人。两手脉平和。饮食如故。都无所苦。而经暗下。此血气旺。养胎之余血也。儿大
能饮自不来矣。不必治。然亦不可使之多下。当和血、凉血、健脾为主。用佛手散加黄 。
白术。如不已。加阿胶。去血多。用八珍汤。加胶。艾。一说壮盛妇胎漏。腰腿不酸痛。
过于小心。只服安胎饮。孕妇经水蓄于胎。若下漏则本于气衰。而不能循于经也。胎干则子
损矣。若因热。用逍遥散。因肝火。用柴胡山栀散。因脾火。用加味归脾汤。因脾气虚不能
摄血。用补中益气汤。
胎漏有母因宿疾。子脏为风冷所乘。血气失度。使胎不安而下血者。有荣经风胜。经血喜动
。而时下者。此二症。若作漏胎治。胎必堕。若以一药治风可止。即不治风亦无害。又有冲
任脉虚。不能制经血。则月水时下。若不早治。使血尽则人毙矣。更有气血虚。血热风热。肝
火脾火。脾胃虚陷。湿热郁怒等而致。治者宜详察之。
大怒伤肝而动血者。宜用佛手散加栀子(炒)、白芍。盖以佛手散胎动能安。胎损能下也。
胎漏经血妄行。淋漓不已。
人参(一钱)橘红 藿香 甘草(各四分)白术 当归(各二钱)半夏(八分)砂仁(三分)竹茹(四分)如果是肥胖的人加竹沥(半匙)。
人参 陈皮 竹茹(各一钱)麦冬 木瓜(各三钱)藿香(五分)枇杷叶(三大片,如果没有则用芦根代替)。
一种方法是治疗妊娠期间厌恶食物。让孕妇想吃什么都随意吃,必定痊愈。
孕妇腹中不时疼痛,或者小腹有沉重下坠感,称为胎痛。适宜用地黄当归汤主治。如果无效,加入人参、白术、陈皮。如果是因血气问题,加入砂仁;如果是因中气虚弱下坠而导致的疼痛,则服用补中益气汤。
熟地黄(三钱)当归(一钱),煎服。
腹部疼痛且伴有升动之感,先将砂仁(二钱炒制)研成粉末,用白开水调服,疼痛立即停止。或者将其加入前面的方剂中煎服,效果神奇。
身体壮实的妇女,两手脉象平和,饮食如常,没有任何痛苦,但月经暗中下行。这是血气旺盛,是滋养胎儿后剩余的血液。胎儿长大到一定程度自然会吸收不再流出,不必治疗。然而也不应让其过多流失,应当以调和血液、凉血、健脾为主。使用佛手散加入黄芩、白术。如果病情未止,加入阿胶。如果出血较多,使用八珍汤,加入阿胶、艾叶。另一种说法认为,体质强壮的妇女出现胎漏(妊娠期阴道少量出血),腰腿不酸痛,是因为过于小心谨慎,只服用安胎饮。孕妇的经血蓄积于子宫,如果发生漏下,根本原因在于气虚,不能循行于经脉。胎儿干枯则会损伤胎儿。如果是因热邪所致,使用逍遥散;如果是因肝火,使用柴胡山栀散;如果是因脾火,使用加味归脾汤;如果是因脾气虚弱不能统摄血液,使用补中益气汤。
胎漏有因为母亲原有宿疾,子宫被风冷邪气侵袭,导致血气失调,使胎儿不安而下血的;有因为荣经风邪偏胜,经血喜动而时下者。这两种病症,如果当作漏胎来治疗,胎儿必然流产。如果用一味药治风即可止血,那么即使不治风也没有害处。还有因为冲任脉虚弱,不能制约经血,导致月经时下。如果不尽早治疗,致使血液耗尽人就会死亡。更有因为气血虚弱、血热风热、肝火脾火、脾胃虚陷、湿热郁怒等原因导致的。治疗者应当详细察辨。
大怒伤肝而动血者,适宜使用佛手散加入栀子(炒)、白芍。因为佛手散能使胎动者安定,使胎损者排出。
胎漏导致经血妄行,淋漓不断。
Ren Shen (Ginseng Radix) [1 qian], Ju Hong (Citri Reticulatae Pericarpium Rubrum), Huo Xiang (Agastaches Herba), Gan Cao (Licorice Root) [each 4 fen], Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix) [each 2 qian], Ban Xia (Pinelliae Rhizoma) [8 fen], Sha Ren (Amomi Fructus) [3 fen], Zhu Ru (Bambusae Caulis in Taenia) [4 fen]. If the patient is obese, add Zhu Li (Bambusae Sap). [half spoon].
Ren Shen (Ginseng Radix), Chen Pi (Citri Reticulatae Pericarpium), Zhu Ru (Bambusae Caulis in Taenia) [each 1 qian], Mai Dong (Ophiopogonis Tuber), Mu Gua (Chaenomelis Fructus) [each 3 qian], Huo Xiang (Agastaches Herba) [5 fen], Pi Pa Ye (Loquat Leaf) [three large slices; if unavailable, replace with Lu Gen (Reed Rhizome)].
One method for treating pregnancy aversion to food: allow the pregnant woman to eat whatever she desires freely; this will surely lead to recovery.
When a pregnant woman experiences intermittent abdominal pain or a heavy bearing-down sensation in the lower abdomen, it is called Tai Tong (Fetal Pain). It is appropriate to treat with Di Huang Dang Gui Tang (Rehmannia and Angelica Decoction). If there is no response, add Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Chen Pi (Citri Reticulatae Pericarpium). If caused by blood and qi issues, add Sha Ren (Amomi Fructus); if caused by deficiency and sinking of Middle Qi leading to pain, then administer Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Shu Di Huang (Prepared Rehmannia Root) [3 qian], Dang Gui (Angelicae Sinensis Radix) [1 qian]; decoct and take orally.
For abdominal pain accompanied by a rising sensation, first take Sha Ren (Amomi Fructus) [2 qian, stir-fried] ground into powder, mixed with plain boiled water; the pain will stop immediately. Alternatively, add it to the previous formula for decoction; the effect is miraculous.
In robust women whose pulse in both hands is harmonious, whose diet remains normal, and who suffer no other distress, yet experience dark vaginal bleeding during pregnancy, this is due to vigorous blood and qi, representing residual blood used to nourish the fetus. Once the fetus grows sufficiently, it will absorb this naturally, and it will cease; no treatment is necessary. However, excessive loss should be prevented. The primary approach should be to harmonize blood, cool blood, and strengthen the Spleen. Use Fo Shou San (Buddha's Hand Powder) added with Huang Qin (Scutellariae Radix) and Bai Zhu (Atractylodis Macrocephalae Rhizoma). If the condition persists, add E Jiao (Donkey-hide Gelatin). If blood loss is significant, use Ba Zhen Tang (Eight Treasures Decoction) added with E Jiao (Donkey-hide Gelatin) and Ai Ye (Mugwort Leaf). Another view states that for robust women with Tai Lou (Fetal Leakage/vaginal spotting during pregnancy) without soreness or pain in the waist and legs, being overly cautious may lead to using only An Tai Yin (Fetus-Securing Drink). When menstrual blood accumulates in the uterus during pregnancy, if leakage occurs, the root cause is Qi deficiency failing to guide blood along the meridians. This leads to fetal dryness and damage to the child. If caused by Heat, use Xiao Yao San (Free and Easy Wanderer Powder); if caused by Liver Fire, use Chai Hu Shan Zhi San (Bupleurum and Gardenia Powder); if caused by Spleen Fire, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction); if caused by Spleen Qi deficiency failing to control blood, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Tai Lou (Fetal Leakage) can occur because the mother has pre-existing diseases, allowing Wind-Cold to invade the Zi Zang (Uterus), disrupting blood and qi harmony and causing fetal instability with bleeding. It can also occur due to excess Wind in the Ying (Nutrient) Meridian, causing menstrual blood to move frequently and leak intermittently. These two conditions, if treated as Fetal Leakage, will likely result in miscarriage. Using a single herb to treat Wind can stop the bleeding; even if Wind is not specifically treated, it causes no harm. Additionally, deficiency of the Chong and Ren vessels fails to constrain menstrual blood, leading to intermittent monthly bleeding. If not treated early, exhaustion of blood can lead to death. Other causes include Qi and Blood deficiency, Blood Heat and Wind-Heat, Liver Fire and Spleen Fire, Sinking of Spleen and Stomach Qi, Damp-Heat, and Depression/Anger. Practitioners must examine these details carefully.
For cases where severe anger injures the Liver and disturbs blood, use Fo Shou San (Buddha's Hand Powder) added with Zhi Zi (Gardeniae Fructus, stir-fried) and Bai Shao (Paeoniae Radix Alba). This is because Fo Shou San (Buddha's Hand Powder) can calm fetal movement and expel damaged fetus tissue.
Tai Lou (Fetal Leakage) causing erratic menstrual flow and persistent dripping.