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
得于入脏,状如怀娠,故曰鬼胎也。
疗妊娠是鬼胎,致腹中黑血散下,腹痛。雄黄丸。
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,炙微黄)
上为细末,蜜丸如梧桐子大,空心,温酒下二丸,日二服,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,或如段卵鸡子;或如白膏;或如豆汁。
其病即除。
疗妇人鬼胎,及血气不可忍方。
斑蝥(去头、翼、足,制) 延胡索(炒,各三枚)
上为细末,再研如面,以温酒调下半钱。以胎下为度。
治妇人虚羸,有鬼胎症块,经候不通。
芫花根(三两)
上锉,炒令黄色,为细末,每服一钱,桃仁煎汤调下,当下恶物。
论曰∶夫冬时严寒,人体虚,为寒所伤,即成病为伤寒。轻者淅淅恶寒,翕翕发热,
微咳鼻塞,数日乃止;重者头疼体痛,先寒后热,久而不愈则伤胎。凡妊妇伤寒,仲景无治
法,用药宜有避忌,不可与寻常妇人一概治之也。
妊妇产前腹痛,及治月事或多或少、或前或后,胎气不安。产后血块不散,或亡血过多
,或恶露不下。宜加减四物汤。
当归 川芎 白芍药 熟干地黄(一方用生者,各一两)
上 咀,每服四钱。水一盏半,煎至八分,取六分,清汁热服,日四服。以知为度。
妊孕下血,即入艾六、七叶,阿胶末一钱同煎。疾势甚大,散药不及,以四味各半两细
锉,以水四盏,煎至二盏半,去滓分四服,食前热服,一日之中令尽,以知为度。平常产乳
,服至三腊止;如虚弱,血脏不调,至一月止。
因虚致热,热与血搏,口舌干渴,欲饮水者,加栝蒌根一两,麦门冬三分。
腹中刺痛,恶物不下,加当归、芍药各一分;血崩加地黄、蒲黄各一两。因热生风,
加川芎一分、柴胡半两。身热脉躁,头昏项强,加柴胡、黄芩各半两。大便秘结,加大黄半
两,桃仁一分。炒。如大便滑泄,加桂心、熟附子各一分;发寒热,加干姜、牡丹皮、芍
药各一分。呕者,加白术、人参各半两。腹胀,加浓朴、枳实各一分。虚烦不得眠,加竹叶
、人参各一分。烦躁大渴,加知母、石膏各半两。水停心下,微吐逆,加猪苓、茯苓、防己
各一分。虚寒状类伤寒,加人参、柴胡、防风各三分。
妇女脏腑功能调和,则气血充盈,风邪鬼魅不能侵犯。如果营卫虚弱亏损,则精神衰弱,妖魅鬼精得以侵入内脏,症状如同怀孕,所以称为鬼胎。
治疗妊娠期间患鬼胎,导致腹中黑血散下、腹痛的方剂:雄黄丸。
药材包括: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,炙微黄)。
将上述药物制成细末,用蜂蜜制成如梧桐子大小的丸药。空腹时,用温酒送服两丸,每日两次,服药后应当出现腹泻。如果不腹泻,增加至三丸。初次排出清水,随后排出无数如马尾状的虫体。病情极重的患者会排出蛇虫,或者像鸡蛋黄的块状物;或者像白膏;或者像豆汁。病邪即可去除。
治疗妇人鬼胎,以及气血疼痛难以忍受的方剂:
药材包括:斑蝥(去头、翼、足,炮制)、延胡索(炒,各三枚)。
将上述药物制成细末,再研磨如面粉般细腻,用温酒调服半钱。以胎物排出为度。
治疗妇人身体消瘦虚弱,有鬼胎症块,月经不通的方剂:
药材包括:芫花根(三两)。
将药材切碎,炒至黄色,制成细末。每次服用一钱,用桃仁煎汤调服,应当排出恶露污物。
论述说:冬季严寒,人体虚弱,被寒邪所伤,即形成伤寒病。轻者表现为瑟瑟怕冷,微微发热,轻微咳嗽鼻塞,数日后停止;重者头痛身痛,先寒后热,久不痊愈则会损伤胎儿。凡是孕妇患伤寒,张仲景没有专门的治疗方法,用药宜有禁忌,不可与普通妇人一概而论进行治疗。
治疗孕妇产前腹痛,以及调理月经或多或少、或提前或推后、胎气不安。产后血块不散,或失血过多,或恶露不下。适宜使用加减四物汤。
药材包括:当归、川芎、白芍药、熟干地黄(一方用生地黄,各一两)。
将药材切碎,每次服用四钱。加水一盏半,煎至八分,取六分清汁,热服,每日四次。以见效为度。
若孕期下血,加入艾叶六、七片,阿胶末一钱同煎。病情严重,散药效果不及,将四味药各半两切碎,用水四盏,煎至二盏半,去渣分四次服用,饭前热服,一天之内服完,以见效为度。平常生产哺乳期间,服用至三个腊月为止;如果体质虚弱,血脏不调,服用至一个月为止。
因虚导致内热,热与血搏结,口舌干燥口渴,想喝水的,加栝蒌根一两,麦门冬三分。
腹中刺痛,恶物排不出,加当归、芍药各一分;血崩加地黄、蒲黄各一两。因热生风,加川芎一分、柴胡半两。身体发热脉象躁动,头晕项强,加柴胡、黄芩各半两。大便秘结,加大黄半两,桃仁一分(炒)。如果大便滑泄,加桂心、熟附子各一分;发寒热,加干姜、牡丹皮、芍药各一分。呕吐的,加白术、人参各半两。腹胀,加厚朴、枳实各一分。虚烦不得眠,加竹叶、人参各一分。烦躁大渴,加知母、石膏各半两。水饮停聚心下,轻微呕吐逆气,加猪苓、茯苓、防己各一分。虚寒症状类似伤寒,加人参、柴胡、防风各三分。
When a woman's zang-fu organs are harmonious, her qi and blood will be abundant, preventing wind pathogens and demonic influences from invading. If the Ying (Nutritive) and Wei (Defensive) systems are deficient and damaged, the spirit will weaken, allowing demonic essences to enter the viscera. The condition resembles pregnancy, hence it is called "Ghost Fetus" (Gui Tai).
For treating Ghost Fetus during pregnancy, characterized by the discharge of dark blood from the abdomen and abdominal pain, use Xionghuang Wan (Realgar Pill).
Ingredients: Xionghuang (Realgar, ground finely), Guijiu (Podophyllum, de-haired), Mangcao (Daphne genkwa bark), Dansha (Cinnabar, ground finely), Badou (Crotonis Fructus, peeled, heart and oil removed), Tagan (Leporis Hepatis, roasted until yellow, each 0.5 liang), Xiyyi (Gecko, one piece, roasted until yellow), Wugong (Centipede, one strip, roasted until slightly yellow).
Grind the above ingredients into a fine powder, mix with honey to form pills the size of wutong seeds. Take two pills on an empty stomach with warm wine, twice daily. Diarrhea should follow. If no diarrhea occurs, increase to three pills. Initially, clear water will be discharged, followed by countless worms resembling horse tails. In severe cases, snake-like worms or masses resembling egg yolks, white paste, or bean juice may be expelled. The disease will then be cured.
For treating Ghost Fetus in women and unbearable pain due to qi and blood stagnation:
Ingredients: Banmao (Mylabris, head, wings, and legs removed, processed), Yanhusuo (Corydalis Rhizoma, stir-fried, each three pieces).
Grind the above ingredients into a fine powder, further milling until smooth like flour. Mix with warm wine and take half qian. Stop when the fetus/mass is expelled.
For treating emaciated women with Ghost Fetus masses and amenorrhea:
Ingredients: Yuanhuagen (Genkwa Radicis Cortex, 3 liang).
Cut the herbs, stir-fry until yellow, and grind into a fine powder. Take one qian per dose, mixed with decoction of Tao Ren (Persicae Semen). Evil matter should be discharged.
Discussion states: During winter's severe cold, if the human body is weak and injured by cold, it becomes Shanghan (Cold Damage). Mild cases present with shivering chills, slight fever, mild cough, and nasal congestion, resolving after several days; severe cases involve headache and body ache, alternating chills and fever. If prolonged without cure, it damages the fetus. For pregnant women suffering from Shanghan, Zhang Zhongjing provided no specific treatment methods; medication requires caution and avoidance of certain substances, and cannot be treated uniformly as for non-pregnant women.
For treating pre-partum abdominal pain, regulating menstrual flow (too much or too little, early or late), and unstable fetal qi. Also for postpartum undissipated blood stasis, excessive blood loss, or lochia retention. Use Jiajian Siwu Tang (Modified Four Substances Decoction).
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Praeparata) (in another prescription, raw Dihuang is used, each 1 liang).
Cut the herbs. Take 4 qian per dose. Add 1.5 cups of water, boil down to 0.8 cup, retain 0.6 cup of clear liquid, and take hot. Administer four times daily. Continue until improvement is observed.
If bleeding occurs during pregnancy, add 6-7 leaves of Aiye (Artemisiae Argyi Folium) and 1 qian of Ejiao (Asini Corii Colla) powder, decoct together. If the condition is severe and powders are insufficient, cut each of the four ingredients (0.5 liang each) finely, add 4 cups of water, boil down to 2.5 cups, strain, and divide into four doses. Take hot before meals, finishing within one day. Continue until improvement is observed. For normal postpartum nursing, take until three lunar months pass; if weak with irregular blood viscera function, take for one month.
If deficiency leads to heat, and heat combats blood causing dry mouth and throat with thirst, add Gualougen (Trichosanthis Radix) 1 liang and Maidong (Ophiopogonis Radix) 3 fen.
For stabbing abdominal pain and inability to discharge evil matter, add Danggui and Shaoyao each 1 fen. For metrorrhagia, add Dihuang and Puhuang each 1 liang. If heat generates wind, add Chuanxiong 1 fen and Chaihu (Bupleuri Radix) 0.5 liang. For fever and restless pulse, dizziness and stiff neck, add Chaihu and Huangqin (Scutellariae Radix) each 0.5 liang. For constipation, add Dahuang (Rhei Radix et Rhizoma) 0.5 liang and Taoren (Persicae Semen) 1 fen (stir-fried). If loose stools occur, add Guixin (Cinnamomi Ramulus) and Shufuzi (Aconiti Lateralis Radix Praeparata) each 1 fen. For chills and fever, add Jiangjiang (Zingiberis Rhizoma) and Mudanpi (Moutan Cortex) and Shaoyao each 1 fen. For vomiting, add Baizhu (Atractylodis Macrocephalae Rhizoma) and Renshen (Ginseng Radix) each 0.5 liang. For abdominal distension, add Houpo (Magnoliae Officinalis Cortex) and Zhishi (Aurantii Fructus Immaturus) each 1 fen. For deficiency heat causing restlessness and insomnia, add Zhuye (Phyllostachys Nigra Folium) and Renshen each 1 fen. For irritability and extreme thirst, add Zhimu (Anemarrhenae Rhizoma) and Shigao (Gypsum Fibrosum) each 0.5 liang. For fluid retention under the heart with mild nausea, add Zhuling (Polyporus), Fuling (Poria), and Fangji (Stephaniae Tetrandrae Radix) each 1 fen. For deficiency-cold symptoms resembling Shanghan, add Renshen, Chaihu, and Fangfeng (Saposhnikoviae Radix) each 3 fen.