妇人受胎经三月而堕者,虽气血不足,亦中冲脉有伤。中冲即阳明胃脉供养胎孕。至此时,必须节饮食,
绝嗜欲,戒恼怒。若胎动不安,宜千金保胎丸。若大便燥厥,腹满努力难解,无故悲泣,谓之脏躁,宜清燥
汤。若值天时大
寒大热所染各证,宜和气散加减服之。
千金保胎丸
杜仲(姜汁炒断丝) 白术(蜜炙,各二钱) 当归(酒洗) 熟地黄(姜汁炒) 阿胶(蛤粉炒成珠)
益母草 川续断(酒炒) 香附米(四制) 条芩(酒炒,各一两) 川芎 艾叶(醋煮) 陈皮(去白,各五钱)
砂仁(二钱五分) 炙甘草(一钱)
上为末,枣肉和丸梧子大,每服百丸,空心,米饮下。
清燥汤
栝蒌仁(炒研) 白芍(酒炒) 当归身(各一钱半) 生地黄(酒洗) 麦冬(去心) 麻仁(炒,各二钱)
枳壳(麸炒) 条芩(各一钱) 甘草(四分) 松子仁(三钱)
河水煎,入蜂蜜十匙,温服。
和气散
藿香 陈皮 白术(蜜炙) 砂仁(炒) 黄芩 桔梗 益智仁(各一钱) 浓朴(姜汁炒) 枳壳(麸炒,
各一钱半) 甘草 苏叶(各八分) 小茴(七分) 灯心(十茎)
水煎服。
热加柴胡一钱,黄芩加倍;疟加青皮一钱,草果一钱五分;嗽加杏仁(去皮尖,杵),五味子各一钱半;喘加
香附米(制)一钱;呕加茯苓、半夏(制、炒黄)各一钱。
妇女怀孕三个月后发生流产的,虽然原因是气血不足,但也因为冲脉受到损伤。中冲脉即阳明胃经,负责供养胎孕。到了这个时候,必须节制饮食,断绝嗜欲,戒除恼怒。如果出现胎动不安的情况,适宜服用千金保胎丸。如果大便干燥坚硬,腹部胀满,用力排便却难以解出,无故悲伤哭泣,这称为脏躁,适宜服用清燥汤。如果遇到天时大寒或大热所引发的各种证候,适宜服用和气散并加减药物后服用。
千金保胎丸
杜仲(用姜汁炒至丝断) 白术(用蜜炙,各二钱) 当归(用酒洗) 熟地黄(用姜汁炒) 阿胶(用蛤粉炒成珠状)
益母草 川续断(用酒炒) 香附米(经过四种方法炮制) 条芩(用酒炒,各一两) 川芎 艾叶(用醋煮) 陈皮(去掉白色内层,各五钱)
砂仁(二钱五分) 炙甘草(一钱)
以上药材研为细末,用枣肉调和制成梧桐子大小的丸药,每次服用一百丸,空腹时,用米汤送服。
清燥汤
栝蒌仁(炒后研碎) 白芍(用酒炒) 当归身(各一钱半) 生地黄(用酒洗) 麦冬(去掉心) 麻仁(炒,各二钱)
枳壳(用麸皮炒) 条芩(各一钱) 甘草(四分) 松子仁(三钱)
用河水煎煮,加入蜂蜜十匙,温服。
和气散
藿香 陈皮 白术(用蜜炙) 砂仁(炒) 黄芩 桔梗 益智仁(各一钱) 浓朴(用姜汁炒) 枳壳(用麸皮炒,各一钱半) 甘草 苏叶(各八分) 小茴(七分) 灯心(十茎)
用水煎煮后服用。
发热加柴胡一钱,黄芩加倍;疟疾加青皮一钱,草果一钱五分;咳嗽加杏仁(去皮尖,捣碎)、五味子各一钱半;气喘加香附米(炮制过)一钱;呕吐加茯苓、半夏(炮制、炒黄)各一钱。
If a woman suffers a miscarriage after three months of conception, although it is due to deficiency of Qi and Blood, it is also because the Chong Mai (Penetrating Vessel) has been injured. The Zhong Chong refers to the Stomach Meridian of Yangming, which nourishes the fetus. At this stage, one must regulate diet, abstain from desires, and avoid anger. If there is restless fetus, Qianjin Baotai Wan (Thousand Gold Fetus-Securing Pill) is indicated. If there is dry and hard stool, abdominal fullness, difficulty in defecation despite straining, and unprovoked weeping, this is called Zang Zao (Visceral Agitation), and Qingzao Tang (Clear Dryness Decoction) is indicated. If various syndromes are contracted due to extreme cold or heat of the season, Heqi San (Harmonizing Qi Powder) with modifications is indicated.
Qianjin Baotai Wan (Thousand Gold Fetus-Securing Pill)
Duzhong (Eucommiae Cortex stir-fried with ginger juice until fibers break) and Baizhu (Atractylodis Macrocephalae Rhizoma honey-fried), each 2 qian; Danggui (Angelicae Sinensis Radix washed with wine); Shudihuang (Rehmanniae Radix Praeparata stir-fried with ginger juice); Ejiao (Asini Corii Colla stir-fried with clam powder into beads); Yimucao (Leonuri Herba); Chuanduxuan (Cynanchi Atrati Radix stir-fried with wine); Xiangfumiao (Cyperi Rhizoma processed by four methods); Tiaoqin (Scutellariae Radix stir-fried with wine) and Chuanxiong (Ligustici Chuanxiong Rhizoma), each 1 liang; Aiye (Artemisiae Argyi Folium boiled with vinegar); Chenpi (Citri Reticulatae Pericarpium without white pith), each 5 qian; Sharen (Amomi Fructus) 2.5 qian; Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) 1 qian.
Grind all ingredients into fine powder, mix with jujube flesh to make pills the size of wutong seeds. Take 100 pills per dose, on an empty stomach, with rice water.
Qingzao Tang (Clear Dryness Decoction)
Gualouren (Trichosanthis Semen stir-fried and crushed); Baishao (Paeoniae Radix Alba stir-fried with wine) and Dangguishen (Radix Angelicae Sinensis central part), each 1.5 qian; Shengdihuang (Rehmanniae Radix washed with wine); Maidong (Ophiopogonis Radix dehearted); Haren (Cannabis Semen stir-fried), each 2 qian; Zhiqiao (Aurantii Fructus stir-baked with bran); Tiaoqin (Scutellariae Radix), each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 4 fen; Songziren (Pinus Massoniana Seed) 3 qian.
Decoct in river water, add 10 spoons of honey, and take warm.
Heqi San (Harmonizing Qi Powder)
Huoxiang (Agastaches Herba); Chenpi (Citri Reticulatae Pericarpium); Baizhu (Atractylodis Macrocephalae Rhizoma honey-fried); Sharen (Amomi Fructus stir-fried); Huangqin (Scutellariae Radix); Jiegeng (Platycodonis Radix); Yizhiren (Alpiniae Oxyphyllae Fructus), each 1 qian; Nongpo (Magnoliae Officinalis Cortex stir-fried with ginger juice); Zhiqiao (Aurantii Fructus stir-baked with bran), each 1.5 qian; Gancao (Glycyrrhizae Radix et Rhizoma); Suye (Perillae Folium), each 8 fen; Xiaohui (Foeniculi Fructum) 7 fen; Dengxin (Junci Medulla) 10 stems.
Decoct in water and take orally.
For fever, add Chaihu (Bupleuri Radix) 1 qian, double the Huangqin; for malaria, add Qingpi (Citri Reticulatae Pericarpium Viride) 1 qian, Caoguo (Tsaoko Fructus) 1.5 qian; for cough, add Xingren (Prunus Armeniacae Semen de-almondated and pounded) and Wuweizi (Schisandrae Chinensis Fructus), each 1.5 qian; for wheezing, add Xiangfumiao (Cyperi Rhizoma processed) 1 qian; for vomiting, add Fuling (Poria) and Banxia (Pinelliae Rhizoma processed and stir-fried until yellow), each 1 qian.