胶(一斤,炙) 艾叶(一莒)
上二味,以水五升,煮取二升半,分三服。《经心录》同。
夫妊娠漏胎者,谓妊娠数月,而经水时下也。此由冲任脉虚,不能约制手太阳、少阴之
经血故也。冲任之脉为经络之海,起于胞内。手太阳小肠脉也,手少阴心脉也,是二经为表
里,上为乳汁,下为月水。有娠之人,经水所以断者,壅之养胎,蓄之以为乳汁也。冲任气
虚则胞内泄,不能制其经血,故月水时下,亦名胞漏。血尽则人毙矣。又有因劳役、喜怒
哀乐不节,饮食生冷,触冒风寒,遂致胎动。若母有宿疾,子脏为风冷所乘,气血失度,使
胎不安,故令下血也。
夫妊娠卒然有损动,或冷热不调和,致伤于胎,故卒痛而下血。若不止之,则堕胎也。
疗妊妇三、四个月,腹痛时时下血。
续断(八分) 艾叶 当归 干地黄(各六两) 竹茹 阿胶 鸡苏(各四钱)
上以水一升,煎取六合,去滓,空心再服。隔日更服。
疗妊娠六、七个月,忽胎动下血,腹痛不可忍。
川芎(八分) 桑寄生(四分) 当归(十二分)
上以水一升,煎取八合,下清酒半升再煎,取八合,分三服。如人行五、六里再服。
《广济》主安胎,胎病、漏血、腹痛。
当归 川芎 阿胶(炙) 人参(各一两) 大枣(二十个)
上切,以水三升,酒四升,煮取二升半,分三服。五日一剂,频服三、四剂,无所忌。
又疗妊娠胎动,腰痛及下血,安胎。
当归 川芎 苎根(各三两) 鹿角胶 艾叶(各二两) 葱白(一升)
上细切,以水一斗,煮取五升,空心热服。正方用银煮水煎药。(又见腰痛门。)
疗妊娠忽下血,胎上冲心,手足逆冷。
用生艾汁二盏,入阿胶、生蜜各二钱,煎至一盏半,稍热服。如无生艾,浓煎熟艾汁。
治妊娠忽然下血,腰痛不可忍。(男六德续添)
鹿角(锉细) 当归(锉,各半两)
只作一服。以水三盏,煎至一半,空心,食前顿服,不过二服即安。
又方∶
阿胶(一两,炒) 艾叶灰(半两)
上为细末,空心,糯米饮调下二钱。
漏胎下血不止,胞干即死,宜急治之。
生地黄汁(一升) 酒(五合)
上同煎三、五沸,分温三服,以止为度。
崔氏疗妊娠下血不止,血尽子死。
生干地黄为末,酒服方寸匕,日三夜一即愈。不过三服良。
又疗妊娠漏胞方。(一方云及腹内冷者。又见《指迷方》)
生干地黄(五两) 干姜(二两半)
上为末,酒服方寸匕,日再。《集验》、文仲、《经心》同。
疗妊娠无故卒然下血不绝方。
阿胶(三两)用清酒一升半,煎取一升,顿服。
又方∶
治妊娠卒然下血,兼治胎衣不下方。
上以铁锤烧令通赤,内酒中,如此者三次,候温,饮一盏。
胶(一斤,经炙烤处理) 艾叶(一莒)
以上两味药,用水五升,煎煮至剩余二升半,分三次服用。《经心录》中的方剂与此相同。
所谓妊娠漏胎,是指怀孕数月后,月经仍然定期来潮。这是由于冲任脉虚弱,不能制约手太阳小肠经和手少阴心经的经血所致。冲任二脉是经络之海,起源于胞宫内部。手太阳经对应小肠,手少阴经对应心脏,这两条经脉互为表里,上行化为乳汁,下行化为月经。怀孕之后,月经之所以停止,是因为气血壅滞以滋养胎儿,蓄积起来作为乳汁的来源。如果冲任之气虚弱,胞宫内部就会泄漏,无法控制经血,因此月经会定期来潮,这也称为胞漏。如果血液流尽,人就会死亡。又有因为过度劳累、喜怒哀乐情绪失调、饮食生冷食物、遭受风寒侵袭,从而导致胎动不安的情况。如果母亲原本有宿疾,子宫受到风冷邪气侵袭,导致气血运行失常,使胎儿不安稳,因此出现阴道出血。
所谓妊娠突然受损动摇,或者是冷热不调和,导致损伤胎儿,所以突然腹痛并伴有阴道出血。如果不及时制止,就会导致流产。
治疗孕妇怀孕三、四个月时,腹部疼痛且不时阴道出血的方剂:
续断(八分) 艾叶 当归 干地黄(各六两) 竹茹 阿胶 鸡苏(各四钱)
以上药物用水一升,煎煮至剩余六合,滤去药渣,空腹时分两次服用。隔日再服一次。
治疗孕妇怀孕六、七个月时,突然胎动不安并阴道出血,腹痛难以忍受的方剂:
川芎(八分) 桑寄生(四分) 当归(十二分)
以上药物用水一升,煎煮至剩余八合,加入清酒半升再次煎煮,取汁八合,分三次服用。如人行走五、六里的时间后再服用。
《广济方》主治安胎,治疗胎病、漏血、腹痛。
当归 川芎 阿胶(炙烤) 人参(各一两) 大枣(二十个)
以上药材切碎,用水三升、酒四升,煎煮至剩余二升半,分三次服用。五天使用一剂,频繁服用三、四剂,没有禁忌。
又治疗妊娠胎动不安,腰痛及阴道出血,安胎的方剂:
当归 川芎 苎根(各三两) 鹿角胶 艾叶(各二两) 葱白(一升)
以上药材细切,用水一斗,煎煮至剩余五升,空腹热服。原方建议用银器煮水煎药。(又见于腰痛门。)
治疗妊娠突然阴道出血,胎儿上冲心胸,手足逆冷的方剂:
取生艾汁二盏,加入阿胶、生蜜各二钱,煎煮至一盏半,稍温热后服用。如果没有生艾草,可用浓煎的熟艾草汁代替。
治疗妊娠突然阴道出血,腰痛难以忍受的方剂。(由男六德续添)
鹿角(锉成细末) 当归(锉碎,各半两)
只作一剂服用。用水三盏,煎煮至一半量,空腹、饭前一次性服用,不超过两剂即可安定。
又一方:
阿胶(一两,炒制) 艾叶灰(半两)
以上药物研为细末,空腹时用糯米饮调服二钱。
漏胎下血不止,胞宫干燥则胎儿死亡,应当紧急治疗。
生地黄汁(一升) 酒(五合)
以上药物共同煎煮三、五次沸腾,分三次温服,以止血为度。
崔氏治疗妊娠下血不止,若血流尽则胎儿死亡。
将生干地黄研为粉末,用酒送服方寸匕大小的剂量,白天三次、夜间一次即可痊愈。服用不超过三剂效果良好。
又治疗妊娠漏胞的方剂。(一方说适用于腹内寒冷者。又见于《指迷方》)
生干地黄(五两) 干姜(二两半)
以上药物研为粉末,用酒送服方寸匕大小的剂量,每日两次。《集验方》、文仲、《经心录》与此相同。
治疗妊娠无故突然阴道出血不止的方剂。
阿胶(三两)用清酒一升半,煎煮至剩余一升,一次性服用。
又一方:
治疗妊娠突然阴道出血,兼治胎衣不下的方剂。
以上方法是用铁锤烧得通红,放入酒中,如此操作三次,待温度适宜后,饮用一盏。
Jiao (one jin, roasted) Ai Ye (one ju)
The above two ingredients are boiled in five sheng of water until two and a half sheng remain. Divide into three doses. This is the same as the formula in *Jingxin Lu*.
"Leaking fetus during pregnancy" refers to the condition where menstrual blood flows periodically after several months of pregnancy. This occurs due to the deficiency of the Chong and Ren meridians, which fail to restrain the blood of the Hand-Taiyang Small Intestine meridian and the Hand-Shaoyin Heart meridian. The Chong and Ren meridians are the "Sea of Meridians," originating from within the uterus. The Hand-Taiyang meridian corresponds to the Small Intestine, and the Hand-Shaoyin meridian corresponds to the Heart; these two meridians are exterior-interior pairs. Upward, they transform into breast milk; downward, they become menstruation. In pregnant women, menstruation stops because the qi and blood are congested to nourish the fetus and stored to serve as breast milk. If the qi of the Chong and Ren meridians is deficient, leakage occurs within the uterus, and it cannot control the menstrual blood, causing periodic bleeding. This is also called "uterine leakage." If the blood is exhausted, death ensues. Additionally, excessive labor, emotional imbalance (joy, anger, sorrow, happiness), consumption of cold or raw foods, and exposure to wind-cold can lead to fetal movement instability. If the mother has pre-existing diseases, the uterus may be invaded by wind-cold pathogens, causing irregular qi and blood flow and making the fetus unstable, resulting in vaginal bleeding.
"Sudden damage and disturbance during pregnancy" refers to injury to the fetus caused by disharmony of cold and heat, leading to sudden abdominal pain and vaginal bleeding. If not treated promptly, miscarriage will occur.
Treatment for abdominal pain with intermittent vaginal bleeding in pregnant women at three or four months:
Xu Duan (8 fen) Ai Ye Dang Gui Gan Di Huang (each 6 liang) Zhu Ru E Jiao Ji Su (each 4 qian)
Boil the above ingredients in one sheng of water until six he remain. Strain the dregs. Take twice on an empty stomach. Repeat every other day.
Treatment for sudden fetal movement instability with vaginal bleeding and unbearable abdominal pain in pregnant women at six or seven months:
Chuan Xiong (8 fen) Sang Ji Sheng (4 fen) Dang Gui (12 fen)
Boil the above ingredients in one sheng of water until eight he remain. Add half a sheng of clear wine and boil again until eight he remain. Divide into three doses. Administer again after walking for five or six li.
*Guangji Fang* treats stabilizing the fetus, fetal disorders, leaking blood, and abdominal pain.
Dang Gui Chuan Xiong E Jiao (roasted) Ren Shen (each 1 liang) Da Zao (20 pieces)
Cut the above ingredients. Boil in three sheng of water and four sheng of wine until two and a half sheng remain. Divide into three doses. One dose lasts five days. Frequent administration of three or four doses is safe without contraindications.
Another treatment for fetal movement instability, lower back pain, and vaginal bleeding during pregnancy to stabilize the fetus:
Dang Gui Chuan Xiong Zhu Gen (each 3 liang) Lu Jiao Jiao Ai Ye (each 2 liang) Cong Bai (1 sheng)
Finely cut the above ingredients. Boil in ten dou of water until five sheng remain. Take hot on an empty stomach. The original prescription suggests using silver vessels for boiling water and decocting. (Also found in the Lower Back Pain section.)
Treatment for sudden vaginal bleeding during pregnancy, with the fetus pressing upward against the heart, and cold extremities:
Use two zhan of fresh Ai juice. Add two qian of E Jiao and two qian of raw honey. Boil until one and a half zhan remain. Take slightly warm. If fresh Ai is unavailable, use thickly decocted cooked Ai juice.
Treatment for sudden vaginal bleeding during pregnancy with unbearable lower back pain. (Added by Nan Liude)
Lu Jiao (finely crushed) Dang Gui (crushed, each ban liang)
Prepare as a single dose. Boil in three zhan of water until half remains. Take all at once on an empty stomach before meals. Two doses are sufficient to stabilize the condition.
Another formula:
E Jiao (1 liang, stir-fried) Ai Ye Hui (ban liang)
Grind the above ingredients into fine powder. Take two qian mixed with rice gruel on an empty stomach.
If leaking fetus causes continuous vaginal bleeding, the uterus becomes dry and the fetus dies. Urgent treatment is required.
Sheng Di Huang Zhi (one sheng) Jiu (five he)
Boil together for three to five boils. Divide into three warm doses. Continue until bleeding stops.
Cui Shi's treatment for continuous vaginal bleeding during pregnancy, where exhaustion of blood leads to fetal death:
Grind dried Sheng Di Huang into powder. Take one fang cun bi (square-inch spoonful) with wine, three times a day and once at night. It will heal. No more than three doses are needed for good results.
Another treatment for leaking uterus during pregnancy. (One version states it applies to cases with internal cold. Also found in *Zhi Mi Fang*.)
Sheng Gan Di Huang (5 liang) Gan Jiang (2.5 liang)
Grind into powder. Take one fang cun bi with wine, twice a day. *Ji Yan*, Wen Zhong, and *Jingxin* agree.
Treatment for sudden, unexplained continuous vaginal bleeding during pregnancy.
E Jiao (3 liang). Boil in one and a half sheng of clear wine until one sheng remains. Take in one dose.
Another formula:
Treatment for sudden vaginal bleeding during pregnancy, also treating retained placenta.
Heat an iron hammer until red-hot. Quench it in wine. Repeat this process three times. When warm, drink one zhan.