呕吐伤气,泻利伤血,妊娠危症也。急治之。
心腹绞痛,吐痢并作。因五味积而为痰,心情郁而为火,乍感寒热,邪正交争,阴阳相混,故致此病。香苏散加藿
香。(散十八。)回生散。(散十九。)
心躁腹痛,吐泻并作。六和汤。(和二十。)
头痛发热。是风邪也。藿香正气散。(散二十。)
热气郁结,胸中烦躁。芦根、竹茹、葛根、麦冬、知母、人参、葱。
四肢厥逆,脉息虚弱。人参白术散。(和二十一。)
脾胃滞,则水谷不能化精气以养胎,宜善为消导。
腹痛而食不化。二陈汤加砂仁,去半夏;如呕吐,加藿香、砂仁;气滞,加木香。(和八。)
吞酸嗳腐。二陈汤去半夏,加左金丸。(和八、寒十四。)
腹满泄泻。异功散加砂仁、木香、谷芽。(补二十二。)
脾气虚弱。白术、陈皮为末,谷芽汤下。
儿在胞中,口含脐带上疙瘩,因妊娠举臂攀高,脱于口而不能复含,故作声。令妊妇曲腰就地,如拾物状,使脐带
仍入儿口即止。或用鼠窟中土为末,入麝香二厘,酒调下二钱。
三、五、七月多堕胎,以三月属心胞,五月属脾,七月属肺,皆脏脉,脏属阴,阴气易亏,故胎亦易堕,此人皆防
之。而一月为胚,形如珠露,胎元未固,又为足厥阴肝脉养之。肝气多郁,肝火易动,或不自谨,胎即消而落矣。一
切忿怒劳倦,皆宜慎之。若房事更在所忌。
冲任气虚。宜养脾胃。千金保胎丸。(补三十五。)六味丸加杜仲、川断、阿胶、北五味。使肾气壮而胎可固,十圣
散。(补三十四。)每月服六帖。
子宫为风冷所乘,致营卫亏弱。八珍汤加桑寄生、防风。(补五。)
少阳火动。性急者多怒,面色黑而气实,此相火太盛,不能生气化胎;及食气伤精,故致胎堕。四物汤加知母、黄
柏、黄芩、麦冬。(补七。)
阴虚内热。黄芩、阿胶、生地、麦冬、白芍。
呕吐会损伤气,腹泻会损伤血,这是妊娠期间的危重病症。必须紧急治疗。
心腹部剧烈绞痛,呕吐与下痢同时发作。这是由于五味杂陈积聚成痰,情绪抑郁化火,突然感受寒热之邪,邪气与正气相互交争,阴阳混乱,从而导致此病。可用香苏散加藿香。(见方剂十八)或回生散。(见方剂十九)
心中烦躁且腹痛,呕吐与腹泻同时发作。可用六和汤。(见方剂二十)
热气郁结于内,胸中烦闷躁扰。可用芦根、竹茹、葛根、麦冬、知母、人参、葱白。
四肢厥冷逆乱,脉搏气息虚弱。可用人参白术散。(见方剂二十一)
脾胃运化停滞,则水谷不能转化为精气以滋养胎儿,应当妥善进行消食导滞治疗。
腹痛且食物不消化。可用二陈汤加砂仁,去掉半夏;如果有呕吐症状,加藿香、砂仁;如果气机阻滞,加木香。(见方剂八)
吞酸且嗳出腐臭气味。可用二陈汤去掉半夏,加左金丸。(见方剂八、寒证十四)
腹部胀满且泄泻。可用异功散加砂仁、木香、谷芽。(见补益二十二)
胎儿在胞宫之中,口含着脐带上的疙瘩(系带结节),因为孕妇举手攀高,导致脐带脱出口外而不能重新含住,所以发出声音。让孕妇弯腰贴近地面,像捡拾东西的姿势,使脐带重新进入胎儿口中即可停止。或者使用老鼠洞中的泥土研为细末,加入麝香二分,用酒调服二钱。
怀孕的第三、五、七月容易堕胎,因为三月属于心包络,五月属于脾,七月属于肺,这些都属于脏脉,脏属阴,阴气容易亏损,所以胎元也容易坠落,人们都对此加以防范。而第一个月称为胚,形状像露珠一样微小,胎元尚未稳固,又由足厥阴肝经滋养。肝气多易郁结,肝火容易妄动,如果不自我谨慎,胎元就会消散坠落。一切愤怒、劳累倦怠,都应当谨慎。至于房事更是禁忌。
冲任二脉气虚。应当调养脾胃。可用千金保胎丸。(见补益三十五)或六味丸加杜仲、川断、阿胶、北五味子。使肾气强壮而胎元可固,十圣散。(见补益三十四)每月服用六帖。
子宫被风冷邪气侵袭,导致营卫之气亏弱。可用八珍汤加桑寄生、防风。(见补益五)
少阳相火妄动。性格急躁的人容易发怒,面色黑且气实,这是相火太盛,不能生气化生胎元;加上饮食之气损伤精血,导致胎堕。可用四物汤加知母、黄柏、黄芩、麦冬。(见补益七)
Vomiting damages Qi, and diarrhea damages Blood; these are critical conditions during pregnancy. Immediate treatment is required.
Severe cramping pain in the heart and abdomen, with simultaneous vomiting and dysentery. This arises because flavors accumulate to form phlegm, emotional depression generates fire, sudden exposure to cold or heat causes an struggle between pathogenic factors and healthy Qi, and Yin and Yang become confused, thus causing this disease. Use Xiangsu San (Perilla and Cyperus Powder) added with Huoxiang (Patchouli Herb). (Formula 18.) or Huisheng San (Life-Returning Powder). (Formula 19.)
Mental restlessness and abdominal pain, with simultaneous vomiting and diarrhea. Use Liuhe Tang (Six-Harmony Decoction). (Formula 20.)
Headache and fever. This is due to Wind pathogen. Use Huoxiang Zhengqi San (Patchouli Powder for Rectifying the Qi). (Formula 20.)
Heat qi stagnation and knotting, with irritability and restlessness in the chest. Use Genlu Gen (Reed Rhizome), Zhuru (Bamboo Shavings), Gegen (Kudzu Root), Maidong (Ophiopogon Tuber), Zhimu (Anemarrhena Rhizome), Renshen (Ginseng Root), and Congbai (Scallion White).
Cold extremities and reversal, with weak pulse and breath. Use Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Powder). (Formula 21.)
If Spleen and Stomach transport and transformation stagnate, water and grain cannot transform into Essence and Qi to nourish the fetus. Proper digestive and guiding treatment should be employed.
Abdominal pain with undigested food. Use Erchen Tang (Two-Aged Decoction) added with Sharen (Amomum Fruit), removing Banxia (Pinellia Tuber); if vomiting occurs, add Huoxiang (Patchouli Herb) and Sharen (Amomum Fruit); if Qi stagnation exists, add Muxiang (Aucklandia Root). (Formula 8.)
Acid regurgitation and belching of putrid food. Use Erchen Tang (Two-Aged Decoction) removing Banxia (Pinellia Tuber), added with Zuojin Wan (Left Metal Pill). (Formula 8, Cold Syndrome 14.)
Abdominal fullness and diarrhea. Use Yigong San (Yi-Gong Powder) added with Sharen (Amomum Fruit), Muxiang (Aucklandia Root), and Guya (Sprouted Millet). (Tonification 22.)
Spleen Qi deficiency. Grind Baizhu (Atractylodes Macrocephala Rhizome) and Chenpi (Tangerine Peel) into powder, taken with Guya Tang (Sprouted Millet Decoction).
The fetus in the uterus holds a nodule on the umbilical cord in its mouth. Due to the pregnant woman raising her arms and climbing high, the cord slips out of the mouth and cannot re-enter, causing crying sounds. Instruct the pregnant woman to bend her waist to the ground, as if picking up an object, so that the umbilical cord re-enters the infant's mouth, which will stop the crying. Alternatively, use soil from a rat burrow ground into powder, mixed with Shexiang (Musk), taken with wine, two qian per dose.
Miscarriage is common in the third, fifth, and seventh months. The third month belongs to the Pericardium Meridian, the fifth to the Spleen, and the seventh to the Lung. These all belong to Zang organs, which are Yin. Yin Qi is prone to deficiency, so the fetus is also prone to miscarriage; people generally guard against this. However, in the first month, it is called "Pei" (embryo), shaped like a dewdrop, the fetal root is not yet solid, and it is nourished by the Foot Jueyin Liver Meridian. Liver Qi is prone to stagnation, and Liver Fire is prone to movement. If one does not exercise caution, the fetus may dissipate and fall. All anger and fatigue must be guarded against. Sexual intercourse is strictly contraindicated.
Deficiency of Qi in the Chong and Ren vessels. One should nourish the Spleen and Stomach. Use Qianjin Baotai Wan (Thousand Gold Fetus-Securing Pill). (Tonification 35.) or Liuwei Wan (Six-Ingredient Pill) added with Duzhong (Eucommia Bark), Chuanduan (Dipsacus Root), Ejiao (Donkey-Hide Gelatin), and Bei Wuweizi (Schisandra Berry). Strengthen Kidney Qi to secure the fetus. Use Shisheng San (Ten-Sage Powder). (Tonification 34.) Take six doses monthly.
The uterus is invaded by Wind-Cold, leading to weakness of Ying and Wei Qi. Use Bazhen Tang (Eight-Treasure Decoction) added Sangjisheng (Taxillus Branch) and Fangfeng (Saposhnikovia Root). (Tonification 5.)
Hyperactivity of Shaoyang Ministerial Fire. Those with irritable temper often get angry, have dark complexion and excess Qi. This indicates excessive Ministerial Fire, which cannot generate Qi to transform into fetus; combined with dietary damage to Essence, this leads to miscarriage. Use Siwu Tang (Four-Substance Decoction) added Zhimu (Anemarrhena Rhizome), Huangbo (Phellodendron Bark), Huangqin (Scutellaria Root), and Maidong (Ophiopogon Tuber). (Tonification 7.)
Yin deficiency with internal heat. Use Huangqin (Scutellaria Root), Ejiao (Donkey-Hide Gelatin), Shengdi (Rehmannia Root), Maidong (Ophiopogon Tuber), and Baishao (White Peony Root).