(妊娠得病,欲去子方附)
夫妊娠羸瘦,或挟疾病,脏腑虚损,气血枯竭,既不能养胎,致胎动而不坚固,终不能
安者,则可下之,免害妊妇也。
疗胎动安不得,尚在腹,母欲死。须以牛膝汤下之。
牛膝(去苗,锉。半两) 水银(二两) 朱砂(二两半,研)
上以水五大盏,煮牛膝,可得一半;去滓,即以蜜和朱砂及水银,研如膏。每服以牛膝
汁一小盏调下半匙,顿服。
治妊娠母因疾病胎不能安,可下之。桂心散。
桂心 栝蒌 牛膝 瞿麦(各二两) 当归(一两)
上 咀,每服四钱。水一盏,煎至七分,空心,去滓服。
又方∶瞿麦 桂心(各一两) 牛膝(二两) 蟹爪(二合)
上为细末,空心,温酒调一钱服。
又方∶牛膝(一握)
上细捣,以无灰酒一大盏,煎取七分,温二服。
又方∶取七月七日法曲四两,水二大盏,煎取一盏三分,绵滤去滓,分温三服,立下。
疗妊娠得病,须去胎方。
麦 (一升)
为末,和煮二升,服之即下,神效。
疗妊娠得病,欲去胎方。
取鸡子一枚,以三指撮盐置鸡子中,服之立出。与阮河南疗产难同。《千金》、《经心录》
同。
夫堕胎后,复损于经脉,经脉既虚,故下血不止也。下血多者,便致烦闷,乃至死矣。
治妊娠损动,下血不止,腹痛,宜服此方。
阿胶(一两,炒) 艾叶(半两)
上以水一大盏,煎至六分,去滓温服,空心。
治妊娠损动,下血不止。
甘草(一两,炙) 阿胶(二两,炒) 鸡子(一枚)
上细锉,以水二大盏,煮甘草一盏三分,去滓;下鸡子及阿胶,候胶消,搅令停。无时
,分温三服。
(妊娠期间患病,需要堕胎的方剂附后)
如果孕妇身体消瘦虚弱,或者兼患疾病,导致脏腑虚损,气血枯竭,既不能滋养胎儿,致使胎动不安且不坚固,最终无法安胎的,可以采用下法(堕胎),以免危害孕妇的生命。
治疗胎动不安且无法安胎,胎儿尚在腹中,母亲生命垂危的情况。必须使用牛膝汤来促使胎儿排出。
牛膝(去除苗头,切碎,半两) 水银(二两) 朱砂(二两半,研磨)
以上药材用水五大盏,先煮牛膝,煮至剩下一半水量时;滤去药渣,然后用蜂蜜调和朱砂及水银,研磨成膏状。每次服用时,取一小盏牛膝汁调服半匙药膏,一次性服下。
治疗因母体患病导致胎儿不能安固,可以施行堕胎法。桂心散。
桂心 栝蒌 牛膝 瞿麦(各二两) 当归(一两)
将药材切碎,每次服用四钱。用水一盏,煎煮至七分量,空腹时滤去药渣服用。
另一个方子:瞿麦 桂心(各一两) 牛膝(二两) 蟹爪(二合)
将上述药材研为细末,空腹时用温酒调服一钱。
又一个方子:牛膝(一把)
将牛膝细细捣碎,用无灰酒一大盏,煎煮至七分量,分两次温服。
又一个方子:取七月七日制作的法曲四两,加水两大盏,煎煮至一盏三分,用绵布过滤去渣,分三次温服,胎儿即可迅速排出。
治疗妊娠期间患病,需要去除胎儿的方剂。
麦(一升)
将麦研为粉末,和入水中煮至二升,服用后即可排出,效果神奇。
治疗妊娠期间患病,想要去除胎儿的方剂。
取鸡蛋一枚,用三指撮量的盐放入鸡蛋中,服用后胎儿立即排出。这与阮河南治疗难产的方法相同。《千金方》、《经心录》记载相同。
在堕胎之后,又损伤了经脉,经脉既然虚弱,所以会出现阴道出血不止的症状。出血过多者,会导致烦闷,甚至死亡。
治疗妊娠期间受损动胎,导致阴道出血不止、腹痛的情况,适宜服用此方。
阿胶(一两,炒制) 艾叶(半两)
以上药材用水一大盏,煎煮至六分量,滤去药渣,空腹时温服。
治疗妊娠期间受损动胎,导致阴道出血不止。
甘草(一两,炙烤) 阿胶(二两,炒制) 鸡蛋(一枚)
将药材细细切碎,用水两大盏,先煮甘草至一盏三分量,滤去药渣;然后加入鸡蛋及阿胶,等待阿胶溶化,搅拌使其均匀。随时可分三次温服。
(Afterword: Formulas for Abortion in Pregnancy)
If a pregnant woman is emaciated or suffers from concurrent diseases, resulting in deficiency and damage of the Zang-Fu organs, and exhaustion of Qi and Blood, such that she cannot nourish the fetus, leading to fetal restlessness and instability which ultimately cannot be stabilized, abortion may be induced to prevent harm to the mother.
For treating fetal restlessness that cannot be stabilized, with the fetus still in the uterus and the mother's life in danger, Niuxi Tang (Cyathulae Radix Decoction) must be used to expel the fetus.
Niuxi (Achyranthis Bidentatae Radix) (remove sprouts, cut into pieces, 0.5 liang) Shuiyin (Hydrargyrum, 2 liang) Zhusha (Cinnabaris, 2.5 liang, ground)
Take five large bowls of water, boil Niuxi until half remains; remove the dregs, then mix Honey (Mell, 1 liang) with Zhusha and Shuiyin, grinding them into a paste. For each dose, take one small bowl of Niuxi decoction to mix with half a spoonful of the paste, and take it all at once.
To treat cases where maternal illness causes fetal instability, allowing for abortion, Guixin San (Cinnamon Heart Powder) is indicated.
Guixin (Cinnamomi Cortex) Gua Lou (Trichosanthis Fructus) Niuxi (Achyranthis Bidentatae Radix) Qumai (Dianthi Herba) (each 2 liang) Dang Gui (Angelicae Sinensis Radix) (1 liang)
Cut the herbs into small pieces. For each dose, use 4 qian. Add one bowl of water, decoct until 7 fen remains, filter out the dregs, and take on an empty stomach.
Another formula: Qumai (Dianthi Herba) Guixin (Cinnamomi Cortex) (each 1 liang) Niuxi (Achyranthis Bidentatae Radix) (2 liang) Xiezhao (Xenopus Oviductus, Crab Claws) (2 he)
Grind the above herbs into fine powder. Take 1 qian mixed with warm wine on an empty stomach.
Yet another formula: Niuxi (Achyranthis Bidentatae Radix) (one handful)
Finely crush the Niuxi. Decoct in one large bowl of unadulterated wine until 7 fen remains, and take in two divided warm doses.
Yet another formula: Take 4 liang of Faqu (Medicated Leaven) prepared on the seventh day of the seventh lunar month. Add two large bowls of water, decoct until one large bowl plus three fen remains. Filter through silk cloth to remove dregs. Divide into three warm doses; the fetus will be expelled promptly.
Formulas for removing the fetus when pregnancy is complicated by disease.
Mai (Triticum aestivum L., Wheat grain) (1 sheng)
Grind into powder, mix with water and boil to obtain 2 sheng. Ingestion leads to expulsion; this is highly effective.
Formula for removing the fetus when pregnancy is complicated by disease.
Take one chicken egg (Gallus gallus domesticum Ovum). Place salt (Sal) amounting to three finger-pinches into the egg. Ingest it, and the fetus will be expelled immediately. This is identical to Ruan Henan’s method for treating difficult labor. It is also recorded in *Qianjin Fang* and *Jingxin Lu*.
After spontaneous abortion, if the meridians are further damaged, their deficiency leads to continuous vaginal bleeding. Excessive bleeding may cause irritability and distress, potentially leading to death.
For treating pregnancy complications involving fetal disturbance and continuous vaginal bleeding accompanied by abdominal pain, this formula is suitable.
Ejiao (Colla Corii Asini, Donkey-hide Gelatin) (1 liang, stir-fried) Aiye (Artemisiae Argyi Folium, Mugwort Leaf) (0.5 liang)
Decoct the above in one large bowl of water until 6 fen remains. Filter out the dregs and take warm on an empty stomach.
For treating pregnancy complications involving fetal disturbance and continuous vaginal bleeding.
Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root) (1 liang, honey-fried) Ejiao (Colla Corii Asini, Donkey-hide Gelatin) (2 liang, stir-fried) Jizi (Gallus gallus domesticum Ovum, Chicken Egg) (one)
Finely chop the herbs. Decoct Gancao in two large bowls of water until one large bowl plus three fen remains. Filter out the dregs. Add Jizi and Ejiao. Wait for the Ejiao to dissolve, stirring until uniform. Take in three divided warm doses as needed.