妊娠五六个月,遍身浮肿,腹胀喘促,高过心胸,气逆不安,小便不利者,属水气为病,名曰子肿(俗云∶
琉璃胎)。此胎中有水也,宜防己汤。若面目虚浮,四肢作肿,宜全生白术散,未应,佐以四君子汤。若下部
肿甚,宜补中益气汤(方见子气条中)加茯苓三钱。若脾虚肿满,宜单氏白术散。若胎前浮肿,脾肺俱病者,
宜五皮散。若湿热肿满,宜栀子散。
防己汤
防己 赤茯苓 桑白皮 紫苏叶(各一钱) 木香(不见火,五分) 姜(三片)
水煎服。
全生白术散
白术(蜜炙,一两) 生姜皮 大腹皮 陈皮 茯苓皮(各五钱)
为末,每服二钱,米饮调下。
如未应佐以四君子汤,即人参、白术、茯苓、炙甘草各一钱,煎汤调服。
单氏白术散
白术(蜜炙) 当归(各二钱) 人参(一钱) 川芎(八分) 大腹皮 茯苓(各七分) 陈皮(四分)
甘草(三分) 姜(三片)
水煎服。
如水泻至肿,加山药、扁豆、泽泻。
五皮散
大腹皮 桑白皮 茯苓皮 陈皮 生姜皮(各等分)
加木香(少许)浓煎汁半钟,空心服。
妊娠七八月,忽然卒倒,僵仆不省人事,顷刻即醒,名曰子晕,宜葛根汤。亦有血虚、阴火炎上,鼓动其
痰而眩晕者,宜葛根四物汤。亦有气血两虚而眩晕者,宜八珍汤。
葛根汤
葛根(一钱二分) 桂枝(去皮) 麻黄(去节,各八分) 白芍 甘草(各六分) 姜(三片) 枣(二枚)
水一钟半,先将麻黄、葛根煎至一钟,去沫,入诸药煎七分,温服。
葛根四物汤
熟地黄 当归 川芎 白芍(各一钱) 葛根 秦艽 防风(各八分) 牡丹皮(六分) 细辛(三分)
水煎,入竹沥一杯和匀,温服。
八珍汤
人参 白术(蜜炙) 茯苓 炙甘草 熟地黄 当归 白芍 川芎(各等分) 姜(三片) 枣(二枚)
水煎服。
妊娠五六个月时,全身浮肿,腹部胀满且呼吸急促,胸部高耸超过心胸部位,气机上逆导致心神不安,小便不通利,这属于水气致病,称为子肿(俗称琉璃胎)。这是因为胎中有水,适宜使用防己汤。如果面部和眼部虚浮,四肢肿胀,适宜使用全生白术散;若效果不明显,可配合四君子汤。如果下肢肿胀严重,适宜使用补中益气汤(方剂见“子气”条目)并加入三钱茯苓。如果是脾虚导致的肿胀胀满,适宜使用单氏白术散。如果是产前浮肿,脾肺两脏均受影响的,适宜使用五皮散。如果是湿热导致的肿胀胀满,适宜使用栀子散。
防己汤
防己、赤茯苓、桑白皮、紫苏叶(各一钱)、木香(不经过火烤,五分)、生姜(三片)。
用水煎煮后服用。
全生白术散
白术(用蜂蜜炙过,一两)、生姜皮、大腹皮、陈皮、茯苓皮(各五钱)。
研成细末,每次服用二钱,用米汤调服。
如果效果不明显配合四君子汤,即人参、白术、茯苓、炙甘草各一钱,煎汤调服。
单氏白术散
白术(蜜炙)、当归(各二钱)、人参(一钱)、川芎(八分)、大腹皮、茯苓(各七分)、陈皮(四分)、甘草(三分)、生姜(三片)。
用水煎煮后服用。
如果出现水样腹泻进而导致肿胀,加入山药、扁豆、泽泻。
五皮散
大腹皮、桑白皮、茯苓皮、陈皮、生姜皮(各等分)。
加入少许木香,浓煎至半钟药汁,空腹服用。
妊娠七八个月时,突然昏倒,身体僵硬仆倒在地,不省人事,但片刻后即苏醒,称为子晕,适宜使用葛根汤。也有因血虚、阴火上炎,鼓动痰液而导致眩晕的,适宜使用葛根四物汤。也有因气血两虚而导致眩晕的,适宜使用八珍汤。
葛根汤
葛根(一钱二分)、桂枝(去皮)、麻黄(去节,各八分)、白芍、甘草(各六分)、生姜(三片)、大枣(二枚)。
用水一钟半,先将麻黄、葛根煎煮至一钟,撇去浮沫,加入其他药物再煎至七分,温服。
葛根四物汤
熟地黄、当归、川芎、白芍(各一钱)、葛根、秦艽、防风(各八分)、牡丹皮(六分)、细辛(三分)。
用水煎煮,加入一杯竹沥混合均匀,温服。
八珍汤
人参、白术(蜜炙)、茯苓、炙甘草、熟地黄、当归、白芍、川芎(各等分)、生姜(三片)、大枣(二枚)。
用水煎煮后服用。
During the fifth or sixth month of pregnancy, if there is generalized edema, abdominal distension with panting, chest fullness extending above the heart and chest region, rebellious Qi causing restlessness, and difficult urination, this belongs to water-Qi pathology, named Zi Swelling (commonly known as Liuli Tai). This indicates water retention within the fetus; Fangji Tang should be used. If there is puffy swelling of the face and eyes along with swollen limbs, Quansheng Baizhu San should be used; if ineffective, supplement with Sijunzi Tang. If swelling in the lower body is severe, Buzhong Yiqi Tang (see formula under "Zi Qi") with three qian of Fuling should be used. If swelling and distension are due to Spleen deficiency, Dan Shi Baizhu San should be used. If pre-delivery edema involves both the Spleen and Lung, Wupi San should be used. If swelling and distension are caused by Damp-Heat, Zhizi San should be used.
Fangji Tang
Fangji, Chi Fuling, Sangbaipi, Zisuye (each 1 qian), Muxiang (not roasted, 5 fen), Shengjiang (3 slices).
Decoct in water and take orally.
Quansheng Baizhu San
Baizhu (honey-fried, 1 liang), Shengjiangpi, Dafuppi, Chenpi, Fulingpi (each 5 qian).
Grind into powder, take 2 qian per dose, mixed with rice water.
If ineffective, supplement with Sijunzi Tang: Renshen, Baizhu, Fuling, Zhigancao (each 1 qian), decoct in water and take.
Dan Shi Baizhu San
Baizhu (honey-fried), Danggui (each 2 qian), Renshen (1 qian), Chuanxiong (8 fen), Dafuppi, Fuling (each 7 fen), Chenpi (4 fen), Gancao (3 fen), Shengjiang (3 slices).
Decoct in water and take orally.
If watery diarrhea leads to swelling, add Shanyao, Bian Dou, and Zexie.
Wupi San
Dafuppi, Sangbaipi, Fulingpi, Chenpi, Shengjiangpi (equal parts).
Add a small amount of Muxiang, decoct strongly until half a zhong of liquid remains, take on an empty stomach.
In the seventh or eighth month of pregnancy, if one suddenly faints, falls stiffly without consciousness, but recovers quickly, it is called Zi Yun (Vertigo of Pregnancy); Gegen Tang should be used. There are also cases where Blood deficiency and Yin Fire flaming upward stir up Phlegm, causing dizziness; Gegen Siwu Tang should be used. There are also cases where dizziness is caused by deficiency of both Qi and Blood; Bazhen Tang should be used.
Gegen Tang
Gegen (1.2 qian), Guizhi (de-barked), Mahuang (remove joints, each 8 fen), Baishao, Gancao (each 6 fen), Shengjiang (3 slices), Dazao (2 pieces).
Use 1.5 zhong of water; first decoct Mahuang and Gegen until 1 zhong remains, skim off the foam, add other herbs and decoct until 0.7 zhong remains, take warm.
Gegen Siwu Tang
Shu Dihuang, Danggui, Chuanxiong, Baishao (each 1 qian), Gegen, Qinjiao, Fangfeng (each 8 fen), Mudanpi (6 fen), Xixin (3 fen).
Decoct in water, mix with one cup of Zhuli (Bamboo Sap), take warm.
Bazhen Tang
Renshen, Baizhu (honey-fried), Fuling, Zhigancao, Shu Dihuang, Danggui, Baishao, Chuanxiong (equal parts), Shengjiang (3 slices), Dazao (2 pieces).
Decoct in water and take orally.