〔大全〕妇人怀胎有七月、八月而产者,有至九月、十月而产者,有经一年、二年乃
至四年而后产者,各根据后法治。
〔娄〕先期欲产者,凉血安胎。过期不产者,补血行滞。
〔薛〕一妊妇八个月,胎欲坠似产,卧久少安,日晡益甚。此气血虚弱,朝用补中
益气汤加茯苓、半夏随愈,更以八珍汤调理而安。
集验知母丸 治日月未足而痛如欲产者,兼治产难及子烦。
知母(不以多少)
为细末,炼蜜丸如鸡头大。温酒嚼下,日三服。一方丸如梧子大,粥饮下二十丸。
槐子丸 治妊娠月数未足,而似欲产腹痛者。
槐子 蒲黄(各等分)
上为细末,蜜丸如梧子大。温酒下二十丸,以痛止为度。
又方 取蒲黄如枣核大,筛过,以井花水调服。
又方 梁上尘,灶突煤同为末,空心温酒服方寸匕。
〔千〕治日月未足欲产。捣菖蒲根汁一二升灌喉中。
〔罗〕治过期不产方 四物汤加香附、桃仁、枳壳、缩砂、紫苏,水煎服,即生。
〔大全〕 夫人脏腑调和,则血气充实,风邪鬼魅,不能干之。若荣卫虚损,则精神
衰弱,妖魅鬼精,得人于脏,状如怀娠,故曰鬼胎也。
【薛】 前证因七情脾肺亏损,气血虚弱,行失常道,冲任乖违而致之者,乃元气不足,
病气有余也。若见经候不调,就行调补,庶免此证。治法以补元气为主,而佐以雄黄丸
之类行散之。若脾经郁结气逆者,用加味归脾汤调补之。若脾虚血不足者,用六君、芎、
归培养之。肝火血耗者,用加味逍遥散滋抑之。肝脾郁怒者,用加味归脾、逍遥二药兼
服。肾肝虚弱者,用六味地黄丸。一妇人经闭八月,肚腹渐大,面色或青或黄,用胎
证之药不应。余诊视之曰∶面青脉涩,寒热往来,肝经血病也。面黄腹大,少食体倦,脾
经血病也。此郁怒伤脾肝之证,非胎也。不信,仍用治胎散之类不验。余用加味归脾、逍
遥二药各二十余剂,诸证稍愈。彼欲速效,别服通经丸一服,下血昏愦,自汗恶寒,手足
俱冷,呕吐不食。余用人参、炮姜二剂渐愈,又用十全大补五十余剂而安。
雄黄丸 治妊娠是鬼胎,致腹中黑血散下腹痛。
雄黄(细研) 鬼臼(去毛) 莽草 丹砂(细研) 巴豆(去皮、心、油) 獭肝(炙,
令黄,各半两) 蜥蜴(一枚,炙黄) 蜈蚣(一条,炙黄)
上为细末,蜜丸如梧子大。空心温酒下二丸,日两服。后当利,如不利加至三丸。初
下清水,次下虫如马尾状无数,病极者下蛇、虫,或如蛤蟆卵、鸡子,或如白膏,或如豆
汁,其病即除。
治妇人鬼胎及血气不可忍方。
斑蝥(去头、足、翅,炒) 延胡索(炒,各三钱)
上为细末,再研如面。温酒调服半钱,胎下为度。
治妇人虚羸,有鬼胎 块,经候不通。
以芫花根(三两) 锉炒令黄色,为细末,桃仁煎汤调下一钱,当下恶物。
《补遗》治妇人鬼胎如抱一瓮。
吴茱萸 川芎 秦艽 柴胡 僵蚕 巴戟 巴豆(不去油) 芫花(醋煮,二两)
上为末,炼蜜丸梧子大。每服七丸,蜜酒下,即出恶物而愈。
上方俱犯毒药,不可轻用,姑以古方存之耳。
【《大全》】妇女怀孕,有的七个月、八个月分娩,有的到九个月、十个月分娩,有的经过一年、两年甚至四年后才分娩,都根据后面的方法治疗。
【娄全善】预产期提前想生产的,用凉血安胎法。过期不生产的,用补血行滞法。
【薛己】有一位孕妇怀孕八个月,胎儿欲坠似临产,躺久了稍感安宁,但傍晚时分症状加重。这是气血虚弱所致,早晨服用补中益气汤加茯苓、半夏,随即痊愈,随后再用八珍汤调理而安胎。
集验知母丸 治疗月份未到却疼痛如临产者,兼治难产及妊娠心烦。
知母(用量不限)
研成细末,用炼蜜制成如鸡头米大小的药丸。嚼服,温酒送下,每日三次。另一方制成药丸如梧桐子大小,用粥饮送下二十丸。
槐子丸 治疗妊娠月份未到,却像要生产一样腹痛者。
槐子 蒲黄(各等分)
以上研成细末,蜜丸如梧桐子大小。温酒送下二十丸,以疼痛停止为度。
又一方 取蒲黄如枣核大小,筛过,用井花水调服。
又一方 取屋梁上的灰尘、灶膛口的黑煤,同为细末,空腹时温酒送服一方寸匕。
【千】治疗月份未到想生产。捣菖蒲根取汁一二升灌入喉中。
【罗谦甫】治疗过期不产的方子:四物汤加香附、桃仁、枳壳、缩砂仁、紫苏,水煎服,即可分娩。
【《大全》】夫人脏腑调和,则血气充实,风邪鬼魅不能侵犯。若营卫虚损,则精神衰弱,妖魅鬼精侵入五脏,状如怀孕,所以称为鬼胎。
【薛己】上述病症因七情导致脾肺亏损,气血虚弱,运行失常道,冲任二脉乖违而导致。这是元气不足,病气有余。如果见到月经不调,就进行调补,以免发生此证。治疗方法以补元气为主,辅以雄黄丸之类行散药物。如果是脾经郁结气逆者,用加味归脾汤调补。如果是脾虚血不足者,用六君子汤加川芎、当归培养气血。肝火耗伤血液者,用加味逍遥散滋阴潜阳。肝脾郁怒者,用加味归脾汤和逍遥散两药兼服。肾肝虚弱者,用六味地黄丸。一位妇人闭经八月,肚腹渐大,面色或青或黄,用治胎的药物无效。我诊视后说:面青脉涩,寒热往来,是肝经血病。面黄腹大,少食体倦,是脾经血病。这是郁怒伤及脾肝的证候,不是胎孕。患者不信,仍用治胎散之类的药物,无效。我用加味归脾汤、逍遥散两药各服二十余剂,诸症稍愈。她想要速效,另服通经丸一服,结果下血昏愦,自汗恶寒,手足俱冷,呕吐不食。我用人参、炮姜两剂逐渐好转,又用十全大补汤五十余剂才安定。
雄黄丸 治疗妊娠鬼胎,导致腹中黑血散下腹痛。
雄黄(细研) 鬼臼(去毛) 莽草 丹砂(细研) 巴豆(去皮、心、油) 獭肝(炙至黄色,各半两) 蜥蜴(一枚,炙黄) 蜈蚣(一条,炙黄)
以上研成细末,蜜丸如梧桐子大小。空腹时温酒送下二丸,每日两次。之后应当腹泻,如果不腹泻加至三丸。初下清水,次下虫如马尾状无数,病重者下蛇、虫,或如蛤蟆卵、鸡蛋,或如白膏,或如豆汁,病即除。
治疗妇人鬼胎及血气不可忍受的方子。
斑蝥(去头、足、翅,炒) 延胡索(炒,各三钱)
以上研成细末,再研磨如面粉般细腻。温酒调服半钱,胎下为止。
治疗妇人身体虚弱消瘦,有鬼胎块,月经不通。
以芫花根(三两) 锉碎炒至黄色,研成细末,用桃仁煎汤调下一钱,当下恶物。
《补遗》治疗妇人鬼胎如抱一瓮。
吴茱萸 川芎 秦艽 柴胡 僵蚕 巴戟天 巴豆(不去油) 芫花(醋煮,二两)
以上研成末,炼蜜丸梧子大小。每服七丸,蜜酒送下,即出恶物而愈。
以上方子都含有毒药,不可轻用,姑且保存古方而已。
[Da Quan] Women may deliver at seven or eight months of pregnancy, at nine or ten months, or even after one, two, or up to four years. Treat each case according to the following methods.
[Lou Quanshan] For those with premature labor urges, use cooling blood and stabilizing the fetus method. For those with overdue pregnancy without labor, use nourishing blood and promoting stagnation resolution method.
[Xue Ji] A pregnant woman at eight months felt the fetus was about to fall as if in labor; lying down provided slight relief, but symptoms worsened in the late afternoon. This was due to deficiency of Qi and Blood. In the morning, she took Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Fuling (Poria) and Banxia (Pinellia Rhizome), which resolved the condition immediately. Subsequently, she was regulated and stabilized using Bazhen Tang (Eight Treasure Decoction).
Jiyan Zhi Mu Wan (Collective Experience Anemopsis Pill) treats pain resembling labor before the due date, and also addresses difficult labor and fetal restlessness.
Zhi Mu (Anem Rhizome) (quantity as needed)
Grind into fine powder, make pills with refined honey the size of a chicken head. Chew and swallow with warm wine, three times daily. Another prescription makes pills the size of a wu zi (Celastrus seed); take twenty pills with gruel drink.
Huai Zi Wan (Sophora Seed Pill) treats pregnancy where the months are not yet full, yet abdominal pain resembles impending labor.
Huai Zi (Sophora Fruit) Huangbo (Phellodendron Bark) (equal parts)
Grind both into fine powder, make pills with honey the size of wu zi. Take twenty pills with warm wine, until pain ceases.
Another prescription: Take Huangbo (Phellodendron Bark) the size of a jujube pit, sift it, and take with well water.
Another prescription: Take dust from roof beams and soot from the stove chimney, grind together into powder, and take one fang cun bi (a measure roughly equal to one square inch) with warm wine on an empty stomach.
[Qian] Treats impending labor before the due date. Crush Changpu root (Acorus Rhizome) to extract juice, one to two sheng, and pour into the throat.
[Luo Qianfu] Prescription for overdue pregnancy without labor: Siwu Tang (Four Substance Decoction) with added Xiangfu (Cyperus Rhizome), Taoren (Persica Seed), Zhike (Aurantii Fructus), Suozhashen (Amomi Fructus Rotundus), and Zisu (Perilla Leaf). Decoct in water and take; delivery will occur.
[Da Quan] When a woman's zang-fu organs are harmonious, her Qi and Blood are abundant, and wind pathogens or demons cannot invade. If Ying and Wei (Defensive and Nutritive Qi) are deficient and damaged, spirit becomes weak, allowing demons or evil spirits to enter the zang organs, presenting like pregnancy; thus it is called "Ghost Fetus" (Gui Tai).
[Xue Ji] The aforementioned syndrome results from Seven Emotions damaging Spleen and Lung, leading to Qi and Blood deficiency, abnormal flow, and disharmony of Chong and Ren vessels. This indicates insufficient Yuan Qi (Original Qi) and excess pathogenic Qi. If menstrual irregularities are observed, regulate and tonify immediately to prevent this syndrome. The treatment principle focuses on tonifying Yuan Qi, assisted by drugs like Xionghuang Wan (Realgar Pill) to dissipate stagnation. If there is Spleen meridian depression with Qi rebellion, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) to regulate and tonify. If Spleen deficiency with Blood insufficiency exists, use Liu Jun Zi Tang (Six Gentlemen Decoction) plus Xiong (Chuanxiong Rhizome) and Danggui (Angelicae Sinensis Radix) to cultivate Qi and Blood. If Liver Fire consumes Blood, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to nourish and suppress. If Liver and Spleen depression with anger exist, use Jiawei Guipi Tang and Xiaoyao San together. If Kidney and Liver are weak, use Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).
A woman had amenorrhea for eight months, with gradually enlarging abdomen, and complexion alternating between green and yellow. Medications for pregnancy were ineffective. Upon examination, I stated: Green complexion, choppy pulse, and alternating chills and fever indicate Blood disease of the Liver meridian. Yellow complexion, enlarged abdomen, poor appetite, and fatigue indicate Blood disease of the Spleen meridian. This is a syndrome of depression and anger injuring Spleen and Liver, not a pregnancy. The patient did not believe me and continued using Taitai San (Expel Fetus Powder) type medications without effect. I prescribed Jiawei Guipi Tang and Xiaoyao San, each taken for over twenty doses, after which symptoms slightly improved. Desiring rapid effect, she took Tongjing Wan (Unblock Menses Pill) once, resulting in bleeding, faintness, spontaneous sweating, aversion to cold, cold hands and feet, vomiting, and inability to eat. I administered Renshen (Ginseng Radix) and Paoshengjiang (Prepared Ginger Rhizome) for two doses, leading to gradual improvement, followed by Shiquan Dabu Tang (Ten Great Tonification Decoction) for over fifty doses to stabilize her.
Xionghuang Wan (Realgar Pill) treats Ghost Fetus in pregnancy, causing black blood to scatter and discharge with abdominal pain.
Xionghuang (Realgar) (finely ground) Guijiu (Podophylli Peltati Rhizoma et Radix) (remove hairs) Mangcao (Marsdeniae Vine) Dansha (Cinnabaris) (finely ground) Badou (Crotonis Fructus) (remove skin, heart, oil) Tagan (Leporis Hepatatum) (roasted until yellow, half liang each) Xi yi (Geckos) (one piece, roasted yellow) Wugong (Scolopendra) (one strip, roasted yellow)
Grind all into fine powder, make pills with honey the size of wu zi. Take two pills with warm wine on an empty stomach, twice daily. Diarrhea should follow; if not, increase to three pills. Initially clear water is discharged, then countless worms resembling horse tails. In severe cases, snakes, insects, or substances resembling toad eggs, chicken eggs, white paste, or bean soup are discharged, and the disease is cured.
Prescription for women suffering unbearable Ghost Fetus and Qi/Blood stagnation.
Banmao (Mylabris) (remove head, feet, wings, stir-fry) Yanhusuo (Corydalis Rhizoma) (stir-fry, each three qian)
Grind into fine powder, further mill until smooth like flour. Take half qian mixed with warm wine, stop when the fetus is expelled.
Prescription for women who are emaciated, have Ghost Fetus masses, and amenorrhea.
Yuanhua Gen (Genkwa Root) (three liang)
Crush and stir-fry until yellow, grind into fine powder. Take one qian mixed with Tao Ren (Persica Seed) decoction, expecting discharge of foul matter.
[Bu Yi] Treats women with Ghost Fetus feeling like holding a jar.
Wuzhuyu (Evodiae Fructus) Chuanxiong (Ligustici Chuanxiong Rhizoma) Qinjiao (Gentianae Macrophyllae Radix) Chaihu (Bupleuri Radix) Jiangcan (Bombyx Batryticatus) Bajitian (Morinda Officinalis Radix) Badou (Crotonis Fructus) (do not remove oil) Yuanhua (Genkae Flos) (vinegar-boiled, two liang)
Grind into powder, make pills with refined honey the size of wu zi. Take seven pills per dose with honey-wine, expelling foul matter leads to cure.
The above prescriptions all contain toxic drugs and should not be used lightly; they are preserved here merely as ancient formulas.