心脾二经,气通于口舌。妊娠脏腑气虚,荣卫不调,阴阳隔绝,热乘心脾,津液枯少,故烦躁而舌干口
渴也,宜人参犀角汤。若胃经实火,宜竹叶石膏汤。胃经虚热,宜竹叶黄 散。胃经气虚,宜补中益气汤(方见
前子气条中)加麦冬、山栀仁。若肺经虚热,宜紫苏饮。若肝经火动,宜加味逍遥散(方见前子淋条中)。若
肾经火动,宜加味地黄丸(方见前妊娠吐衄条中)。若咽间作痛,宜加味知母散。若口干
不能卧,宜加味安胎饮。
人参犀角汤
人参 麦冬(去心) 知母(炒) 山栀仁(炒,各一钱) 栝蒌根 犀角(磨入,各八分) 条芩 甘草
(各五分)
水煎,温服。夏加竹沥,入姜汁少许冲服。
竹叶石膏汤
石膏(二钱) 竹叶(十片) 半夏(姜制、炒黄) 甘草 麦冬(去心) 人参(各一钱) 粳米(一撮)
姜(三片)
水煎服。
竹叶黄 汤
淡竹叶(二钱) 人参 黄 生地黄 当归 麦冬(去心) 白芍 甘草 石膏( ) 黄芩(炒,各一钱)
水煎服。(一方有川芎)
紫苏饮
人参 甘草(各五分) 大腹皮 川芎 紫苏叶 白芍 陈皮 当归(各一钱) 姜(三片) 葱白(三茎)
水煎服。
加味知母散
黄 赤茯苓(各一钱) 子芩 麦冬(去心) 知母(炒) 甘草 山栀仁(炒,各五分)
加竹沥为引,水煎服。
加味安胎饮
人参(一钱) 川芎 条芩(各八分) 白术(蜜炙) 当归 熟地黄 紫苏 陈皮 甘草(各四分)
砂仁(三分) 麦冬(去心) 甘葛(各七分)
姜、枣为引,水煎服。
心经和脾经的气脉与口舌相通。妊娠期间脏腑之气虚弱,营卫之气不调和,阴阳之气隔绝不通,热邪侵袭心脾二经,导致津液枯少,因此出现烦躁不安、舌干口渴的症状,适宜使用人参犀角汤。如果是胃经实火所致,适宜使用竹叶石膏汤。如果是胃经虚热所致,适宜使用竹叶黄散。如果是胃经气虚所致,适宜使用补中益气汤(方剂见前文“子气”条中),并加入麦冬、山栀仁。如果是肺经虚热所致,适宜使用紫苏饮。如果是肝经火动所致,适宜使用加味逍遥散(方剂见前文“子淋”条中)。如果是肾经火动所致,适宜使用加味地黄丸(方剂见前文“妊娠吐衄”条中)。如果咽部作痛,适宜使用加味知母散。如果口干严重到无法安卧,适宜使用加味安胎饮。
人参犀角汤
人参、麦冬(去心)、知母(炒制)、山栀仁(炒制,各一钱)、栝蒌根、犀角(磨汁兑入,各八分)、条芩、甘草(各五分)
加水煎煮,温服。夏季加竹沥,并滴入少许姜汁冲服。
竹叶石膏汤
石膏(二钱)、竹叶(十片)、半夏(姜制、炒黄)、甘草、麦冬(去心)、人参(各一钱)、粳米(一撮)、生姜(三片)
加水煎煮服用。
竹叶黄散(注:原文为“竹叶黄 散”,结合方义及常见古籍校勘,此处应为“竹叶黄芪汤”或类似方名,但依指令保留原名结构,暂译为竹叶黄散/汤,根据下文药材含黄芪,实为竹叶黄芪汤之变体,此处依字面翻译为竹叶黄散,但在实体提取时需注意)
淡竹叶(二钱)、人参、黄芪、生地黄、当归、麦冬(去心)、白芍、甘草、石膏(打碎)、黄芩(炒制,各一钱)
加水煎煮服用。(另一版本方中有川芎)
紫苏饮
人参、甘草(各五分)、大腹皮、川芎、紫苏叶、白芍、陈皮、当归(各一钱)、生姜(三片)、葱白(三茎)
加水煎煮服用。
加味知母散
黄芪、赤茯苓(各一钱)、子芩、麦冬(去心)、知母(炒制)、甘草、山栀仁(炒制,各五分)
加竹沥作为药引,加水煎煮服用。
加味安胎饮
人参(一钱)、川芎、条芩(各八分)、白术(蜜炙)、当归、熟地黄、紫苏、陈皮、甘草(各四分)、砂仁(三分)、麦冬(去心)、甘葛(各七分)
以生姜、大枣作为药引,加水煎煮服用。
The Qi of the Heart and Spleen meridians connects to the mouth and tongue. During pregnancy, if the Qi of the Zang-Fu organs is deficient, causing a disharmony of Ying (Nutritive) and Wei (Defensive) Qi, and an isolation of Yin and Yang, heat may invade the Heart and Spleen meridians. This leads to a withering of body fluids, resulting in irritability, dry tongue, and thirst. In such cases, Renshen Xijiao Tang (Ginseng and Rhinoceros Horn Decoction) is indicated. If the condition is due to Excess Fire in the Stomach meridian, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) is indicated. If it is due to Deficiency Heat in the Stomach meridian, Zhuye Huang San (Bamboo Leaf and Astragalus Powder) is indicated. If it is due to Qi deficiency in the Stomach meridian, Buzhong Yiqi Tang (Decoction to Tonify the Middle and Augment the Qi) is indicated (see formula in the "Ziqi" section above), with added Maidong (Ophiopogon Tuber) and Shanzhiren (Gardenia Seed). If it is due to Deficiency Heat in the Lung meridian, Zisu Yin (Perilla Infusion) is indicated. If it is due to Liver Fire stirring, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is indicated (see formula in the "Zilin" section above). If it is due to Kidney Fire stirring, Jiawei Dihuang Wan (Modified Rehmannia Pill) is indicated (see formula in the "Pregnancy Hematemesis and Epistaxis" section above). If there is pain in the throat, Jiawei Zhimu San (Modified Anemarrhena Powder) is indicated. If dry mouth is severe enough to prevent lying down, Jiwei Antai Yin (Modified Fetus-Calming Infusion) is indicated.
Renshen Xijiao Tang (Ginseng and Rhinoceros Horn Decoction)
Renshen (Ginseng Root), Maidong (Ophiopogon Tuber, heart removed), Zhimu (Anemarrhena Rhizome, stir-fried), Shanzhiren (Gardenia Seed, stir-fried, each 1 qian), Gualougen (Trichosanthes Root), Xijiao (Rhinoceros Horn, ground into liquid, each 8 fen), Tiaoqin (Scutellaria Root), Gancao (Licorice Root, each 5 fen).
Decoct in water and take warm. In summer, add Zhuli (Bamboo Sap) and a few drops of Jiangzhi (Ginger Juice) to mix and take.
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction)
Shigao (Gypsum Fibrosum, 2 qian), Zhuye (Bamboo Leaf, 10 pieces), Banxia (Pinellia Tuber, processed with ginger, stir-fried until yellow), Gancao (Licorice Root), Maidong (Ophiopogon Tuber, heart removed), Renshen (Ginseng Root), Jingsmi (Glutinous Rice, a pinch), Jiang (Fresh Ginger, 3 slices).
Decoct in water and take.
Zhuye Huang San (Bamboo Leaf and Astragalus Powder) [Note: Text implies a decoction form despite name]
Dan Zhuye (Light Bamboo Leaf, 2 qian), Renshen (Ginseng Root), Huangqi (Astragalus Root), Shengdihuang (Rehmannia Root, fresh), Danggui (Angelica Sinensis Root), Maidong (Ophiopogon Tuber, heart removed), Baishao (White Peony Root), Gancao (Licorice Root), Shigao (Gypsum Fibrosum, crushed), Huangqin (Scutellaria Root, stir-fried, each 1 qian).
Decoct in water and take. (Another version includes Chuanxiong).
Zisu Yin (Perilla Infusion)
Renshen (Ginseng Root), Gancao (Licorice Root, each 5 fen), Dafupi (Areca Peel), Chuanxiong (Ligusticum Rhizome), Zisuye (Perilla Leaf), Baishao (White Peony Root), Chenpi (Citrus Reticulata Peel), Danggui (Angelica Sinensis Root, each 1 qian), Jiang (Fresh Ginger, 3 slices), Congbai (Scallion White, 3 stems).
Decoct in water and take.
Jiawei Zhimu San (Modified Anemarrhena Powder)
Huangqi (Astragalus Root), Chi Fuling (Red Poria, each 1 qian), Ziqin (Scutellaria Root), Maidong (Ophiopogon Tuber, heart removed), Zhimu (Anemarrhena Rhizome, stir-fried), Gancao (Licorice Root), Shanzhiren (Gardenia Seed, stir-fried, each 5 fen).
Add Zhuli (Bamboo Sap) as a guide, decoct in water and take.
Jiwei Antai Yin (Modified Fetus-Calming Infusion)
Renshen (Ginseng Root, 1 qian), Chuanxiong (Ligusticum Rhizome), Tiaoqin (Scutellaria Root, each 8 fen), Baizhu (Atractylodes Macrocephala Rhizome, honey-fried), Danggui (Angelica Sinensis Root), Shudihuang (Rehmannia Root, prepared), Zisu (Perilla), Chenpi (Citrus Reticulata Peel), Gancao (Licorice Root, each 4 fen), Sharen (Amomum Fruit, 3 fen), Maidong (Ophiopogon Tuber, heart removed), Gange (Pueraria Root, each 7 fen).
Use Jiang (Fresh Ginger) and Zao (Jujube) as guides, decoct in water and take.