夫妊娠惊胎者,是怀妊月将满,其胎神识已具,或将产之时,从高坠下,伤损胞络,致
血下胎动,遂上抢心胸,气绝不醒。其母面赤舌青,口无沫出者,儿死母活;唇口俱青沫出
者,子母俱死;面青舌青,沫出,母死子活。若下血不止,胞燥胎枯,令子死矣。
催生神妙佛手散(一名芎 汤)。治妇人妊娠五、七月,因事筑磕着胎,或子死腹中,
恶露下,疼痛不已,口噤欲绝,用此药探之,若不损则痛止,子母俱安。若胎损,立便逐
下。本出文仲、徐、王,效神验。《胎动方》云∶治血上冲,心腹满闷者,如汤沃雪。《救急
》、《经心》同。(出《外台》)。又治产前、产后体热,败血腹痛。
当归(六两) 川芎(四两) 张氏方等分。
上为粗末,每服三钱。水一大盏,煎令泣泣欲干,投酒一大盏,只煎一沸,去滓温服
。口噤灌之。如人行五里再服,不过三、二服便生。一方云∶此药治伤胎去血多;崩中去血
多;金疮去血多;拔牙去血多,昏晕欲倒者,以水煎服。或先以漏血,腹内疼痛,加芍药、
官桂,减半随手效。(详见通用方)
治妊娠因坠倒损胎,不转动,腹内疼痛,腰重及子死腹中不出,须臾三服,立下。
川芎(一两)
为细末,以热酒调服方寸匕,日三、四服。
治妊娠因失所动,困绝。《千金方》亦治子烦。
上取竹沥,饮一升立愈。
治妊娠从高坠下,腹痛下血,烦闷。
生地黄 益母草(各一两) 当归 黄 (各半两)
上 咀,每服四钱。水一盏,姜四片,煎至六分,去滓,无时候。
《集验》疗妊娠二、三月上至七、八月,顿仆失踞,胎动不安,伤损腰、腹痛欲死,
若有所见;及胎奔上抢心、短气,下血不止方。
妊娠惊胎,是指怀孕月份将近满期,此时胎儿的神识已经具备。或因临产之时,从高处坠落,损伤胞络,导致出血并引起胎动,随即气血上冲心胸,致使气绝昏迷不醒。如果母亲面色红赤而舌色青紫,口中无泡沫流出,是胎儿死亡而母亲存活;如果嘴唇和口唇都呈青紫色且有泡沫流出,则是母子双亡;如果面部和舌色均青紫且有泡沫流出,则是母亲死亡而胎儿存活。如果下血不止,导致胞宫干燥、胎元枯竭,会使胎儿死亡。
催生神妙佛手散(又名芎䓖汤)。治疗妇女在妊娠五、七月时,因外力撞击伤及胎元,或胎儿死于腹中,恶露下行,疼痛不止,牙关紧闭近乎昏厥,使用此药试探,若胎儿未受损则疼痛停止,母子平安;若胎儿已受损,则立即排出。本方出自文仲、徐之才、王冰,疗效神奇灵验。《胎动方》记载:治疗血气上冲,心腹胀闷者,效果如同热水浇雪般迅速。《救急方》、《经心录》与此相同。(出自《外台秘要》)。又用于治疗产前、产后身体发热,瘀血腹痛。
当归(六两) 川芎(四两) 张氏方中两者等分。
将上述药材捣成粗末,每次服用三钱。用水一大盏,煎煮至汤汁浓稠欲干时,加入酒一大盏,仅煮沸一次,滤去药渣,温服。若患者牙关紧闭,则灌服。如人行走五里路的时间内再次服用,不超过二、三次即可分娩。另一说法称:此药治疗因伤胎导致失血过多;崩漏导致失血过多;金创导致失血过多;拔牙导致失血过多,出现昏晕欲倒症状者,用水煎服。或者先有漏血,腹内疼痛,可加芍药、官桂,剂量减半,随手见效。(详见通用方)
治疗妊娠因坠倒损伤胎元,胎不动转,腹内疼痛,腰部沉重以及胎儿死于腹中不出,短时间内服用三次,即可立即产出。
川芎(一两)
研为细末,用热酒调服一方寸匕,每日服用三、四次。
治疗妊娠因受惊动导致困倦昏绝。《千金方》也用于治疗子烦(妊娠期心烦不安)。
取竹沥水,饮用一升,立即可愈。
治疗妊娠从高坠下,腹痛下血,烦闷。
生地黄 益母草(各一两) 当归 黄芪(各半两)
将药材切碎,每次服用四钱。用水一盏,生姜四片,煎至六分,滤去药渣,不拘时候服用。
《集验方》治疗妊娠二、三月乃至七、八月,突然跌倒失去支撑,胎动不安,损伤腰腹部,疼痛剧烈欲死,如有幻觉;以及胎气奔上冲心、气短,下血不止的方剂。
Fetal shock in pregnancy refers to a condition occurring when the gestational period is nearly full, at which time the fetus's consciousness and spirit are already formed. It may result from falling from a height during the time of impending labor, damaging the uterine collaterals, leading to bleeding and fetal movement, followed by Qi and Blood rushing upward to the chest and heart, causing Qi obstruction and unconsciousness. If the mother's face is red and her tongue is cyanotic, with no foam coming from her mouth, it indicates that the fetus is dead but the mother survives; if both the lips and mouth are cyanotic with foam exuding, it indicates the death of both mother and child; if both the face and tongue are cyanotic with foam exuding, it indicates the death of the mother but the survival of the fetus. If vaginal bleeding continues without stopping, causing the uterus to dry up and the fetal vitality to wither, the fetus will die.
Shengcai Shenmiao Foshou San (Miraculous Buddha Hand Powder for Promoting Labor) (also known as Xiong Ku Tang). It treats women who, during the fifth or seventh month of pregnancy, suffer fetal injury due to external impact, or where the fetus has died in the womb, with lochia flowing, unceasing pain, and jaw clenching approaching collapse. This medicine is used for probing/testing; if the fetus is undamaged, the pain ceases, and both mother and child are safe. If the fetus is damaged, it is expelled immediately. This formula originates from Wen Zhong, Xu Zhicai, and Wang Bing, and its efficacy is miraculous and verified. The *Tai Dong Fang* states: It treats blood and Qi rushing upward causing fullness and oppression in the heart and abdomen, with effects as rapid as snow melting in hot water. The *Jiuji Fang* and *Jingxin Lu* contain the same formula. (From *Waitai Miyao*). It also treats body heat before and after delivery, and abdominal pain caused by retained blood.
Dang Gui (Radix Angelicae Sinensis) (6 liang) Chuan Xiong (Rhizoma Chuanxiong) (4 liang). In Zhang's formula, they are used in equal proportions.
Grind the above into coarse powder. Take 3 qian per dose. Add one large cup of water, boil until the liquid becomes thick and nearly dry, then add one large cup of wine, boil only once more, remove the dregs, and take warm. If the patient has jaw clenching, administer via force-feeding. Repeat the dose after the time it takes a person to walk five li. Delivery usually occurs within two or three doses. Another version states: This medicine treats excessive blood loss due to fetal injury; excessive blood loss due metrorrhagia; excessive blood loss due to traumatic wounds; excessive blood loss due to tooth extraction, presenting with fainting and impending collapse. Boil with water and take orally. Or, if there is initial leakage of blood and abdominal pain, add Bai Shao (Radix Paeoniae Alba) and Guan Gui (Cortex Cinnamomi), reducing the dosage by half, yielding immediate results. (See General Formulas).
Treats fetal injury due to falling in pregnancy, where the fetus does not move, accompanied by abdominal pain, heavy sensation in the waist, and retention of a dead fetus in the womb. Three doses taken within a short time will lead to immediate expulsion.
Chuan Xiong (Rhizoma Chuanxiong) (1 liang)
Grind into fine powder. Mix with hot wine and take one fang cun bi (a square-inch measure) per dose. Take three to four times daily.
Treats pregnancy complicated by sudden fright causing exhaustion and collapse. The *Qianjin Fang* also uses this for Zi Fan (fetal restlessness/irritability in pregnancy).
Take Zhu Li (Bamboo Sap), drink one sheng, and recovery is immediate.
Treats pregnancy complicated by falling from a height, resulting in abdominal pain, vaginal bleeding, and mental agitation/oppression.
Sheng Di Huang (Radix Rehmanniae Preparata) Yi Mu Cao (Herba Leonuri) (each 1 liang) Dang Gui (Radix Angelicae Sinensis) Huang Qi (Radix Astragali) (each 0.5 liang)
Cut the herbs into pieces. Take 4 qian per dose. Add one cup of water and four slices of fresh ginger, boil down to 60% of the original volume, remove dregs, and take at any time.
The *Jiyan Fang* treats conditions from the second or third month up to the seventh or eighth month of pregnancy, involving sudden falls without support, fetal restlessness, injury to the waist and abdomen with severe pain bordering on death, visual hallucinations; as well as fetal Qi rushing upward to oppress the heart, shortness of breath, and unceasing vaginal bleeding.