(丹溪) 治妊娠转胞。(转胞者,胎逼及胞,压在一边,胞系转戾。脐下急痛,溲数
或闭也。因气血虚弱,痰饮壅滞以致之。)
当归 熟地黄 芎 芍药 人参 白术 陈皮(留白) 半夏 甘草(炙) 加姜煎。
空心服
气虚补以四君,血虚补以四物,痰饮消以二陈,使气得升举,而胞自通也。(丹溪曰∶
转胞
因思
重则
焦不
之,
利小
又法。将孕妇倒竖,胎转而小便自通矣。
(海藏) 治妊娠伤寒,头痛身热,无汗脉紧,太阳经病。
四物汤(每味一两) 麻黄 细辛(五钱)
凡妇人伤寒,六经治例皆同。有怀妊者,则以安胎为主。药中有犯胎者,则不可用也。
海藏
治表
四物四两,加桂枝地骨皮各七钱,名表虚六合汤。治妊娠伤寒,表虚自汗,(地骨皮凉
血,
风湿
各七
胡黄
黄五
太阳
经曰
参五
炒)
两,
知母
五钱
阿胶
后,
四肢
适
证。(歌
(金匮) 妊娠有宜常服者。(妇人血少有热,胎动不安,及数半产难产者,并宜服之
。胎无疾苦,临盆易产,产后百病,悉皆主之。)
当归 芎 芍药 黄芩(一斤) 白术(半斤) 为末。酒调服。日二。
冲任血盛,则能养胎而胎安。归芎芍药,能养血而益冲任。又怀妊宜清热凉血,血不妄
行则
无所
方加
之以
(朱丹溪)治疗妊娠转胞。(所谓转胞,是指胎儿压迫膀胱,使其偏向一侧,导致膀胱系膜扭转屈曲。症状表现为脐下急迫疼痛,小便频数或闭塞不通。这是由于气血虚弱,痰饮壅滞所致。)
当归、熟地黄、川芎、白芍药、人参、白术、陈皮(保留白色部分不用)、半夏、甘草(炙烤)。加入生姜煎煮。空腹服用。
气虚者用四君子汤补益,血虚者用四物汤补益,痰饮者用二陈汤消除,使气得以升举,则膀胱自然通畅。(朱丹溪说:治疗转胞还有另一种方法。将孕妇倒立竖置,胎儿位置回转,小便自然通畅。)
(张元素/海藏)治疗妊娠伤寒,头痛身热,无汗脉紧,属于太阳经病证。
四物汤(每味药材一两)、麻黄、细辛(五钱)。
凡是妇人患伤寒,六经的治疗原则大体相同。若有怀孕者,则以安胎为主。药物中如果有损伤胎元的,则不可使用。
张元素(海藏)还提出治疗表虚的方法:四物汤四两,加上桂枝、地骨皮各七钱,名为表虚六合汤。治疗妊娠伤寒,表虚自汗证。(地骨皮能凉血,配合其他药物如知母五钱、阿胶等,治疗风湿及四肢不适等证候。)
(《金匮要略》)妊娠期间有适宜常服的药物。(妇女血少且有内热,胎动不安,以及多次半产、难产者,都适宜服用此方。若胎儿没有疾病痛苦,临盆时容易生产,产后各种疾病,也都以此方主治。)
当归、川芎、白芍药、黄芩(一斤)、白术(半斤)。研为细末。用酒调服。每日两次。
冲脉和任脉血液充盛,就能滋养胎儿而使胎元安稳。当归、川芎、白芍药能养血而补益冲任二脉。另外,怀孕期间宜清热凉血,血液不妄行乱动,则……(原文此处残缺,意为胎元稳固)。
(Zhu Danxi) Treats "Zhuanbao" (twisted bladder) during pregnancy. ("Zhuanbao" refers to the fetus pressing against the bladder, displacing it to one side, causing the bladder ligaments to twist and kink. Symptoms include urgent pain below the umbilicus, frequent urination or urinary retention. This is caused by deficiency of Qi and Blood, and stagnation of phlegm-fluid.)
Danggui (Angelicae Sinensis Radix), Shudihuang (Rehmanniae Radix Preparata), Xiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix Alba), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium - retain only the white pith), Banxia (Pinelliae Rhizoma Preparatum), Gancao (Glycyrrhizae Radix et Rhizoma Preparata). Add fresh ginger (Shengjiang, Zingiberis Rhizoma Recens) and decoct. Take on an empty stomach.
For Qi deficiency, tonify with Sijunzi Tang (Four Gentlemen Decoction); for Blood deficiency, tonify with Siwu Tang (Four Substance Decoction); for phlegm-fluid, resolve with Erchen Tang (Two Aged Decoction). This allows Qi to ascend and lift, thereby unblocking the bladder naturally. (Zhu Danxi stated: Another method for treating Zhuanbao is to invert the pregnant woman vertically; once the fetus shifts position, urination will flow freely.)
(Zhang Yuansu/Haizang) Treats pregnancy complicated by Shanghan (cold damage), presenting with headache, fever, absence of sweating, and a tight pulse, indicating a disease of the Taiyang (Greater Yang) channel.
Siwu Tang (each ingredient 1 liang), Mahuang (Ephedrae Herba), Xixin (Asari Radix et Rhizoma) (5 qian).
Generally, for women suffering from Shanghan, the treatment principles for the Six Channels are the same. However, if the patient is pregnant, the primary focus must be on calming the fetus. Any herbs that may harm the fetus should not be used.
Zhang Yuansu (Haizang) also proposed a method for treating exterior deficiency: Siwu Tang 4 liang, plus Guizhi (Cinnamomi Ramulus) and Digupi (Lycii Cortex) each 7 qian, named Biaoxu Liuhe Tang (Exterior Deficiency Six-Harmony Decoction). It treats pregnancy complicated by Shanghan with exterior deficiency and spontaneous sweating. (Digupi cools the blood; combined with other ingredients such as Zhimu (Anemarrhenae Rhizoma) 5 qian and Ejiao (Colla Corii Asini) to treat wind-dampness and limb discomfort.)
(Jin Gui Yao Lue / Essential Prescriptions from the Golden Cabinet) There are prescriptions suitable for regular use during pregnancy. (For women with scanty blood and internal heat, restless fetus, and those prone to habitual abortion or difficult labor, this formula is appropriate. If the fetus is healthy and free from distress, delivery will be easy; it also serves as a primary treatment for various postpartum ailments.)
Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix) (1 jin), Baizhu (Atractylodis Macrocephalae Rhizoma) (0.5 jin). Grind into fine powder. Mix with wine and take. Twice daily.
When the Chong (Penetrating Vessel) and Ren (Conception Vessel) are abundant in blood, they can nourish the fetus and ensure fetal stability. Danggui, Xiong, and Shaoyao nourish Blood and benefit the Chong and Ren vessels. Furthermore, during pregnancy, it is advisable to clear heat and cool the blood so that blood does not move recklessly, thereby... [text incomplete]