因气血养胎,津液不能充润而肺躁也,当补其母。
肺躁欲哭数欠伸。甘草大枣汤。(补二十五。)八珍汤。(补五。)淡竹茹汤。(寒十九。)
寒水攻心而悲泪。五君子汤加砂仁。(补十四。)
肺受风邪,频致泪下。四物寄生汤。(和十四。)
胎动则腹痛,胎漏无腹痛;胎动宜行气,胎漏宜清热。若手足冷厥,唇口青黑,宜人参、甘草、当归、阿胶、莲须、
葱白。
胎动作喘。宜降火,用黄芩、香附末,清汤下。
腹痛下黄汁。黄 、川芎、粘米煎服。
冲任风寒,以致胎动。当归、川芎、紫苏、生姜,煎服。
元气不足,怠倦不能承载。宜服安胎调气饮,(补二十六。)如微热腰痛,连进两服。
怒气伤肝。郁结不舒,触动血脉,而胎不能安。宜安胎饮加香附、柴胡、白芍。(补九。)有火,加栀子、丹皮。
因母病而胎动。但治母病,不必安胎,惟犯胎之药不可入。其余饮酒房劳,触忤仆伤,以致胎动,俱当安胎为主。
胎动下血。葱白煎汤,入阿胶、艾炭,再煎服。又当归、川芎、阿胶、艾、黄芩、甘草,煎服。
胎动腹痛,面青冷汗,气欲绝。此劳动伤胎,宜急治之,钩藤汤。(散八。)
胎不动不坠,腹冷如冰。血少不能荣养其胎也,宜补血汤。(补二十七。)
血少不能荣养其胎也。
血衰气滞。宜抑阳助阴,四物汤加香附、紫苏。(补七。)
小腹重坠。地黄、当归、参、术、陈皮,四君子汤。(补四。)补中益气汤加归、地。(补六。)亦治胎胀。
因为气血用于滋养胎儿,津液无法充分滋润而导致肺脏燥热,治疗应当补益母脏(脾土生肺金)。
肺脏燥热表现为想哭、频繁打哈欠和伸懒腰。使用甘草大枣汤。(补法类第25方)八珍汤。(补法类第5方)淡竹茹汤。(寒凉类第19方)
寒气攻心导致悲伤流泪。使用五君子汤加砂仁。(补法类第14方)
肺部受风邪侵袭,频繁导致流泪。使用四物寄生汤。(调和类第14方)
胎动表现为腹痛,胎漏则没有腹痛;胎动适宜行气,胎漏适宜清热。如果出现手脚冰冷厥逆,嘴唇和口色青黑,适宜用人参、甘草、当归、阿胶、莲须、葱白。
胎动伴随气喘。适宜降火,用黄芩、香附末,清汤送服。
腹痛并排出黄色汁液。用黄耆、川芎、粘米煎服。
冲脉和任脉受风寒侵袭,导致胎动。用当归、川芎、紫苏、生姜,煎服。
元气不足,疲倦无力不能承载胎儿。适宜服用安胎调气饮,(补法类第26方)如果有轻微发热和腰痛,连续服用两剂。
怒气损伤肝脏。气机郁结不舒展,触动血脉,导致胎儿不安。适宜用安胎饮加香附、柴胡、白芍。(补法类第9方)如果有内火,加栀子、丹皮。
因为母亲生病而导致胎动。只治疗母亲的疾病,不必专门安胎,只是含有伤胎作用的药物不可加入。其余如饮酒、房事过度、触犯或跌仆受伤导致的胎动,都应当以安胎为主。
胎动伴有下血。用葱白煎汤,加入阿胶、艾炭,再煎服。或者用当归、川芎、阿胶、艾、黄芩、甘草,煎服。
胎动腹痛,面色青黑出冷汗,气息微弱欲绝。这是劳动损伤了胎儿,应当紧急治疗,使用钩藤汤。(散法类第8方)
胎儿不动也不坠落,腹部冷如冰。这是因为血少不能荣养胎儿,适宜用补血汤。(补法类第27方)
血少不能荣养胎儿。
血衰气滞。适宜抑制阳亢辅助阴液,用四物汤加香附、紫苏。(补法类第7方)
小腹沉重下坠。用地黄、当归、人参、白术、陈皮,四君子汤。(补法类第4方)补中益气汤加当归、地黄。(补法类第6方)也治疗胎胀。
Because Qi and Blood are used to nourish the fetus, body fluids cannot sufficiently moisten, leading to Lung Dryness (Fei Zao, dryness of the Lung organ). Treatment should tonify the mother organ (Spleen Earth generates Lung Metal).
Lung Dryness manifests as a desire to cry, frequent yawning, and stretching. Use Gancao Dazao Tang (Licorice and Jujube Decoction). [Tonifying Class, Formula 25]. Bazhen Tang (Eight Treasures Decoction). [Tonifying Class, Formula 5]. Danzhuru Tang (Bamboo Shavings Decoction). [Cold/Cooling Class, Formula 19].
Cold Water attacking the Heart leads to sadness and tears. Use Wujunzi Tang (Five Gentlemen Decoction) with added Sha Ren (Amomum Fruit). [Tonifying Class, Formula 14].
The Lung is affected by Wind Pathogen, frequently causing tearing. Use Siwu Jisheng Tang (Four Substances with Taxus Decoction). [Harmonizing Class, Formula 14].
Fetal movement presents with abdominal pain; Fetal Leakage (Tai Lou, vaginal bleeding during pregnancy without pain) has no abdominal pain. Fetal movement is suitable for promoting Qi circulation, while Fetal Leakage is suitable for clearing Heat. If hands and feet are cold and cold extremities occur, and lips and mouth turn cyanotic or black, use Renshen (Ginseng Radix), Gancao (Licorice Root), Danggui (Angelicae Sinensis Radix), Ejiao (Donkey-hide Gelatin), Lianxu (Lotus Stamen), and Congbai (Scallion White).
Fetal movement accompanied by panting. Suitable for descending Fire, use Huangqin (Scutellariae Radix) and Xiangfu (Cyperi Rhizoma) powder, taken with clear water decoction.
Abdominal pain with discharge of yellow fluid. Use Huangqi (Astragali Radix), Chuanxiong (Chuanxiong Rhizoma), and Nianmi (Sticky Rice) decocted and taken.
Wind-Cold affecting the Chong and Ren Mai (Penetrating and Conception Vessels) causes fetal movement. Use Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Zisu (Perillae Folium), and Shengjiang (Zingiberis Rhizoma Recens), decocted and taken.
Yuan Qi (Primal Qi) deficiency leads to fatigue and inability to support the fetus. Suitable to take Antai Tiaoqi Yin (Fetus-Calming and Qi-Regulating Drink). [Tonifying Class, Formula 26]. If there is slight fever and lower back pain, continue taking two doses.
Anger injures the Liver. Qi stagnation and lack of free flow disturb the blood vessels, making the fetus unstable. Suitable to use Antai Yin (Fetus-Calming Drink) with added Xiangfu (Cyperi Rhizoma), Chaihu (Bupleuri Radix), and Baishao (Paeoniae Radix Alba). [Tonifying Class, Formula 9]. If there is internal Fire, add Zhizi (Gardeniae Fructus) and Danpi (Moutan Cortex).
Fetal movement caused by maternal illness. Treat only the maternal illness, no need specifically to calm the fetus, but drugs that harm the fetus must not be included. For other causes such as alcohol consumption, excessive sexual intercourse, external trauma, or falls causing fetal movement, the primary treatment should be calming the fetus.
Fetal movement with vaginal bleeding. Decoct Congbai (Scallion White) in water, add Ejiao (Donkey-hide Gelatin) and Aitan (Mugwort Charcoal), decoct again and take. Alternatively, use Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Ejiao (Donkey-hide Gelatin), Ai (Artemisiae Argyi Folium), Huangqin (Scutellariae Radix), and Gancao (Licorice Root), decocted and taken.
Fetal movement with abdominal pain, cyanotic complexion, cold sweat, and faint breath. This is labor injuring the fetus; urgent treatment is required. Use Gouteng Tang (Uncaria Decoction). [Dispersing Class, Formula 8].
Fetus does not move nor descend, abdomen feels cold as ice. This is due to insufficient Blood failing to nourish the fetus. Suitable to use Buxue Tang (Blood-Tonifying Decoction). [Tonifying Class, Formula 27].
Insufficient Blood fails to nourish the fetus.
Blood deficiency with Qi stagnation. Suitable to suppress Yang and assist Yin, use Siwu Tang (Four Substances Decoction) with added Xiangfu (Cyperi Rhizoma) and Zisu (Perillae Folium). [Tonifying Class, Formula 7].
Heavy bearing sensation in the lower abdomen. Use Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Chenpi (Citri Reticulatae Pericarpium), Sijunzi Tang (Four Gentlemen Decoction). [Tonifying Class, Formula 4]. Buzhong Yiqi Tang (Middle-Warding Qi-Supplementing Decoction) with added Danggui (Angelicae Sinensis Radix) and Dihuang (Rehmanniae Radix). [Tonifying Class, Formula 6]. Also treats fetal distension.