妊娠心惊胆怯,烦闷不安,名曰子烦,竹叶安胎饮主之。大抵皆由心肺虚热,是以扰乱心烦。
或积痰于胸,吐涎恶食,亦令心烦,剧则胎动不安。如心肺虚热,或积痰于中,《千金》竹沥汤。若
吐甚,胎动不安,烦闷口干,不得眠,又吐涎过多,以致外虽不热,而觉五心烦热,或日间不
觉,而夜觉热者,并宜加味竹叶汤。至于娠妇烦躁口干者,缘足太阴脾,其气通于口;手少阴心,其气
通于舌。脏腑气虚,热乘心脾,津液枯燥,故心烦口干,与子烦大同小异,宜用加减参麦汤。
竹叶安胎饮 治孕妇心惊胆怯,烦闷不安,名曰子烦症。
人参 生地 枣仁(去壳,炒研) 远志(甘草水制,去骨各一钱) 当归(酒洗) 白术(土
炒各二钱) 麦冬(去心) 条芩 川芎(各八分) 陈皮 炙草(各四分) 竹叶(十四片) 姜 枣
煎服。
《千金》竹沥汤 治妊娠子烦。
竹沥一盏,茯苓(三钱) 麦冬(去心) 防风 黄芩(各三钱)
加味竹叶汤 治妊娠心烦不解,名曰子烦,并治五心烦热。
人参 黄芩(各一钱) 茯苓(一钱五分) 麦冬(二钱半去心) 竹叶五片,粳米一撮
水煎,空心热服。
加损参麦汤 治孕妇心神烦躁,壅热口干。
人参 知母 麦冬 栀子(炒各一钱) 栝蒌根 犀角(磨各八分) 条芩 炙草(各五分) 枣(一枚)
水煎服。夏加竹沥八分、姜汁少许。
妊娠期间出现心惊胆怯、烦闷不安的症状,称为“子烦”,主治方剂为竹叶安胎饮。这大多是由于心肺虚热所致,从而导致心神扰乱而心烦。
如果胸中积有痰浊,表现为吐涎沫、厌恶饮食,也会引起心烦,严重时会导致胎动不安。如果是心肺虚热,或者中焦积痰,适用《千金方》中的竹沥汤。如果呕吐严重,伴有胎动不安、烦闷口干、无法入睡,且吐涎过多,导致虽然体表不热,但感觉五心(两手心、两足心及心胸)烦热,或者白天不觉热而夜间觉得热的情况,都适宜使用加味竹叶汤。至于孕妇出现烦躁、口干的情况,是因为足太阴脾经之气通于口;手少阴心经之气通于舌。脏腑气虚,热邪乘袭心脾,导致津液枯燥,所以出现心烦口干,这与子烦大同小异,适宜使用加减参麦汤。
竹叶安胎饮:治疗孕妇心惊胆怯、烦闷不安,即名为子烦症。
配方:人参、生地黄、酸枣仁(去壳,炒后研碎)、远志(用甘草水炮制,去骨,各一钱)、当归(酒洗)、白术(土炒,各二钱)、麦冬(去心)、黄芩、川芎(各八分)、陈皮、炙甘草(各四分)、竹叶(十四片)。煎服时加入生姜、大枣。
《千金》竹沥汤:治疗妊娠子烦。
配方:竹沥一盏,茯苓(三钱)、麦冬(去心)、防风、黄芩(各三钱)。
加味竹叶汤:治疗妊娠心烦不解,名为子烦,并治疗五心烦热。
配方:人参、黄芩(各一钱)、茯苓(一钱五分)、麦冬(二钱半,去心)、竹叶(五片)、粳米(一撮)。用水煎煮,空腹温热服用。
加损参麦汤(注:原文此处标题为“加损参麦汤”,正文描述对应前文提到的“加减参麦汤”之功效,故提取实体时以原文为准):治疗孕妇心神烦躁、壅热口干。
配方:人参、知母、麦冬、栀子(炒,各一钱)、栝蒌根、犀角(磨汁,各八分)、黄芩、炙甘草(各五分)、大枣(一枚)。用水煎服。夏季加竹沥八分、少许姜汁。
During pregnancy, if one experiences palpitations with fear and timidity, along with restlessness and discomfort, it is termed "Zi Fan" (Fetal Restlessness). The primary formula for treatment is Zhuye Antai Yin (Bamboo Leaf Fetus-Calming Decoction). Generally, this arises from deficiency-heat in the Heart and Lung meridians, which disturbs the mind causing irritability.
If phlegm accumulates in the chest, manifesting as spitting of saliva and aversion to food, it also causes irritability; in severe cases, it leads to restless fetus. If there is deficiency-heat in the Heart and Lung, or phlegm accumulation in the middle jiao, Zhuli Tang (Bamboo Sap Decoction) from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) should be used. If vomiting is severe, accompanied by restless fetus, irritability, dry mouth, insomnia, and excessive salivation, leading to a sensation of heat in the five centers (palms of hands, soles of feet, and epigastrium) despite no external fever, or feeling heat at night but not during the day, Jiawei Zhuye Tang (Modified Bamboo Leaf Decoction) is suitable. As for pregnant women experiencing irritability and dry mouth, this is because the Qi of the Foot-Taiyin Spleen meridian connects to the mouth, and the Qi of the Hand-Shaoyin Heart meridian connects to the tongue. Due to deficiency of Zang-Fu Qi, pathogenic heat attacks the Heart and Spleen, drying up body fluids, thus causing irritability and dry mouth. This condition is largely similar to Zi Fan, and Jiajian Shenmai Tang (Modified Ginseng and Ophiopogon Decoction) is appropriate.
Zhuye Antai Yin: Treats pregnant women with palpitations, fear, restlessness, and discomfort, known as Zi Fan syndrome.
Ingredients: Renshen (Ginseng Radix), Shengdi Huang (Rehmanniae Radix), Zaoren (Ziziphi Spinosae Semen, shelled, stir-fried and crushed), Yuanzhi (Polygalae Radix, processed with licorice water, woody core removed, each 1 qian), Danggui (Angelicae Sinensis Radix, washed with wine), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried, each 2 qian), Maidong (Ophiopogonis Radix, heart removed), Huangqin (Scutellariae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 8 fen), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, each 4 fen), Zhuye (Phyllostachidis Folium, 14 leaves). Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) for oral administration.
*Qianjin* Zhuli Tang: Treats pregnancy Zi Fan.
Ingredients: Zhuli (Bamboo Sap, 1 zhan), Fuling (Poria, 3 qian), Maidong (Ophiopogonis Radix, heart removed), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix, each 3 qian).
Jiawei Zhuye Tang: Treats persistent irritability in pregnancy, named Zi Fan, and also treats heat in the five centers.
Ingredients: Renshen (Ginseng Radix), Huangqin (Scutellariae Radix, each 1 qian), Fuling (Poria, 1.5 qian), Maidong (Ophiopogonis Radix, heart removed, 2.5 qian), Zhuye (Phyllostachidis Folium, 5 leaves), Jingmi (Oryza Sativa Germen, a pinch). Decoct with water and take warm on an empty stomach.
Jiasun Shenmai Tang: Treats mental irritability and obstructive heat with dry mouth in pregnant women.
Ingredients: Renshen (Ginseng Radix), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix), Zhizi (Gardeniae Fructus, stir-fried, each 1 qian), Gualougen (Trichosanthis Radix), Xijiao (Rhinocerotis Cornu, ground into liquid, each 8 fen), Huangqin (Scutellariae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, each 5 fen), Zao (Jujubae Fructus, 1 piece). Decoct with water and take orally. In summer, add Zhuli (Bamboo Sap, 8 fen) and a small amount of Jiangzhi (Zingiberis Rhizoma Juice).