《古今录验》疗妊娠养胎。白术散。
白术 川芎(各四分) 川椒(炒出汗,三分) 牡蛎( ,二分)
上四味,为细末,酒调一钱匕,日三夜一。但苦痛,加芍药;心下毒痛,倍加川芎。吐
唾不能饮食,加细辛一两,半夏大者二十枚服之。复更以浆水服之。若呕,亦以醋浆水服之
;复不解者,小麦汁服之。以后其人若渴者,大麦粥服之。病虽愈,尽服之勿置。裴伏《仲
景方》忌雀肉、桃、李。
疗妊娠胎不长。宜服安胎和气、思食、利四肢,黄 散。
黄 白术 陈皮 麦门冬 白茯苓 前胡 人参(各三分) 川芎 甘草(各半两)
上 咀,每服三钱。水一盏,姜三片,枣一枚,煎至七分,去滓温服。
疗妊娠胎不长,宜服养胎人参丸。
人参 白茯苓 当归 柴胡 刺蓟 浓朴 桑寄生(各一两) 枳壳(三分) 甘草(半
两)
上为细末,炼蜜为丸如梧桐子大。每服二十丸。食前温水吞下。
调补冲任,扶养胎气。治妊娠宿有风冷,胎痿不长;或失于将理,伤动胎气,
多致损堕娠孕。常服益血,保护胎脏。
白术 川芎 阿胶(炒) 地黄(炒令六分焦) 当归(去尾,炒。各一两) 牡蛎
(为粉,二分) 川椒(三分,如常制)
上为末,炼蜜为丸如梧子大。空心,米饮吞三、四十丸。酒、醋汤亦可。
《古今录验》记载治疗妊娠期安胎的方剂:白术散。
药材及用量:白术、川芎(各四分),川椒(炒至出油,三分),牡蛎(煅制,二分)。
以上四味药,研成细末,用酒调服一钱匕,每日三次,夜间一次。如果腹痛剧烈,加芍药;如果心下剧痛,加倍使用川芎。如果呕吐唾液且无法进食,加细辛一两,大半夏二十枚,煎服。之后再用浆水送服。如果出现呕吐,也用醋浆水送服;如果仍不缓解,用小麦汁送服。此后若患者感到口渴,服用大麦粥。即使病愈,也要服完所有药物,不要中途停止。裴伏在《仲景方》中注明忌食雀肉、桃、李。
治疗妊娠期胎儿发育不良的方剂:宜服用黄耆散。该方可安胎、理气、增进食欲、通畅四肢。
药材及用量:黄耆、白术、陈皮、麦门冬、白茯苓、前胡、人参(各三分),川芎、甘草(各半两)。
以上药材切碎,每次服用三钱。加水一盏,生姜三片,大枣一枚,煎煮至七分满,去渣后温服。
治疗妊娠期胎儿发育不良,宜服用养胎人参丸。
药材及用量:人参、白茯苓、当归、柴胡、刺蓟、浓朴、桑寄生(各一两),枳壳(三分),甘草(半两)。
以上药材研成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,饭前用温水吞服。
调理补益冲任二脉,扶养胎气。治疗妊娠期间素有风冷之邪,导致胎儿萎弱不长;或因调养不当,损伤胎气,多导致流产或堕胎。常服此方可益血,保护胎脏。
药材及用量:白术、川芎、阿胶(炒)、地黄(炒至六分焦)、当归(去尾,炒,各一两),牡蛎(研为粉,二分),川椒(三分,按常规炮制)。
以上药材研成细末,用炼蜜制成如梧桐子大小的丸剂。空腹时,用米饮吞服三四十丸。用酒或醋汤送服亦可。
The *Gujin Luyan* records a formula for nourishing the fetus during pregnancy: Baizhu San (Atractylodes Macrocephala Powder).
Herbs and dosages: Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligusticis Chuanxiong Rhizoma) (each 4 fen), Chuanjiao (Sichuan Pepper, Zanthoxyli Pericarpium) (stir-fried until oil comes out, 3 fen), Muli (Oyster Shell, Ostreae Concha) (calcined, 2 fen).
The above four herbs are ground into fine powder. Take one qianbi (a small spoonful measure) mixed with wine, three times a day and once at night. If there is severe pain, add Shaoyao (Peony Root, Paeoniae Radix); if there is severe pain in the epigastrium, double the dosage of Chuanxiong (Ligusticis Chuanxiong Rhizoma). If there is vomiting of saliva and inability to eat, add Xixin (Asarum Root, Asari Radix et Rhizoma) 1 liang, and twenty large Banxia (Pinellia Tuber, Pinelliae Rhizoma), decoct and take. Afterwards, take it again with Jiangshui (fermented rice water). If vomiting occurs, take it with Cujiangshui (vinegar-infused rice water); if still not relieved, take it with Xiaomai Zhi (wheat juice). Thereafter, if the patient feels thirsty, take Damai Zhou (barley porridge). Even if the illness has healed, finish taking all the medicine; do not stop midway. Pei Fu's *Zhongjing Fang* notes contraindications against eating sparrow meat, peaches, and plums.
For treating poor fetal growth during pregnancy, it is suitable to take Huangqi San (Astragalus Powder). This formula can calm the fetus, regulate qi, stimulate appetite, and benefit the limbs.
Herbs and dosages: Huangqi (Astragalus Root, Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citrus Reticulatae Pericarpium), Maimendong (Ophiopogon Tuber, Ophiopogonis Radix), Bai Fuling (Poria, Polyporus), Qianhu (Peucedani Radix), Renshen (Ginseng Root, Ginseng Radix et Rhizoma) (each 3 fen), Chuanxiong (Ligusticis Chuanxiong Rhizoma), Gancao (Licorice Root, Glycyrrhizae Radix et Rhizoma) (each 0.5 liang).
The above herbs are chopped. Take 3 qian per dose. Add one zhan (measure of volume) of water, three slices of Shengjiang (Fresh Ginger, Zingiberis Rhizoma Recens), and one Zao (Jujube Fruit, Zizyphi Fructus). Decoct until reduced to 7/10 of the original volume, strain, and take warm.
For treating poor fetal growth during pregnancy, it is suitable to take Yangtai Renshen Wan (Fetus-Nourishing Ginseng Pill).
Herbs and dosages: Renshen (Ginseng Root, Ginseng Radix et Rhizoma), Bai Fuling (Poria, Polyporus), Danggui (Angelica Sinensis Root, Angelicae Sinensis Radix), Chaihu (Bupleurum Root, Bupleuri Radix), Ciji (Thistle Spine, Cirsii Japonici Herba), Nongpo (Magnolia Bark, Magnoliae Officinalis Cortex), Sangjisheng (Taxillus Stem, Taxilli Caulis) (each 1 liang), Zhike (Aurantii Fructus Immaturus) (3 fen), Gancao (Licorice Root, Glycyrrhizae Radix et Rhizoma) (0.5 liang).
The above herbs are ground into fine powder and made into pills with refined honey, sized like wutongzi (paulownia seeds). Take 20 pills per dose, swallowed with warm water before meals.
Regulate and tonify the Chong and Ren meridians, nurture the fetal qi. Treats conditions where wind-cold pathogen existed prior to pregnancy, causing fetal atrophy and poor growth; or due to improper care, damaging the fetal qi, often leading to miscarriage or abortion. Regular use benefits blood and protects the fetal organ.
Herbs and dosages: Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligusticis Chuanxiong Rhizoma), Ejiao (Donkey-hide Gelatin, Colla Corii Asini) (stir-fried), Dihuang (Rehmannia Root, Rehmanniae Radix Praeparata) (stir-fried until 60% charred), Danggui (Angelica Sinensis Root, Angelicae Sinensis Radica) (remove tail, stir-fried, each 1 liang), Muli (Oyster Shell, Ostreae Concha) (ground into powder, 2 fen), Chuanjiao (Sichuan Pepper, Zanthoxyli Pericarpium) (3 fen, prepared according to standard methods).
The above herbs are ground into powder and made into pills with refined honey, sized like wutongzi (paulownia seeds). Take 30-40 pills on an empty stomach with Mi Yin (rice drink). Taking with wine or vinegar soup is also acceptable.