世有恣情妇女,妄为偷生不正,或多男女厌于养育,每以草药毒之。必至败血冲心,闷乱喘汗而死者,急
宜解毒行血,宜扁豆散。若毒药伤胎,腰痛短气,宜阿胶散(方见上跌扑伤胎条中)加川芎一钱,未应,煎
送知母丸。
扁豆散
白扁豆(一两,生用)
研极细末,新汲水调下二三钱,口噤者撬开灌之。
知母丸
知母(炒为末)
捣枣肉为丸,如弹子大,每服一丸,阿胶散煎汤嚼送下。(本方人参汤送下)
妊娠不慎饮食,误食毒物、毒药而胎动者,宜黑豆汤。
黑豆汤
黑豆(三合) 淡竹叶(十片,洗) 甘草(三钱)
水煎服。
鬼胎者,岂真有鬼气袭入胞宫而遂得成形乎?此由本妇质弱,或邪思蓄注,血随气结而不散,或卫任
滞逆,脉道壅
瘀而不行,是宫内因之病。必非外来之邪,即血 、气瘕之类也,当即以治 瘕之法治之。此外如狐魅异类之
遇者,虽实有所受,而又非鬼胎之谓,亦当以治 瘕法下之。故鬼胎之症,必因气血不足而兼凝滞者多有之。若
经候不调,而预为调补,则必无是证。既然有是证,亦当以调补元气为主,而继以去积之药可也。故用调补,而
欲于补中兼行者,莫妙于决津煎。欲去其滞,而不猛峻者,莫妙于通瘀煎。既加调补,而欲直攻其病者,夺命丹、
回生丹皆可酌用。或以当归、红花浓煎汤,吞送赤金豆亦妙。
决津煎
当归(三钱) 熟地黄 牛膝(各一钱) 肉桂 乌药(炒,各一钱) 泽泻(一钱五分)
水煎服。如阴滞不行加附子(制)一钱。
通瘀煎
归尾三钱 山楂 香附(炒,各二钱) 红花(新者炒黄) 乌药(炒) 青皮(各一钱) 木香(七分)
泽泻(一钱五分)
水煎,加黄酒一小钟,食前服。
夺命丹
附子(炮,五钱) 干漆(炒令烟尽、研) 牡丹皮(各一两)
上为末,另用大黄一两(研末),以好醋一钟同熬成膏,和药末为丸,如梧子大,温酒下五十丸。(一方有
当归一两)
回生丹
苏木(三两,河水五碗煎至三碗,去渣听用) 红花(三两,炒黄、用酒一壶煮十余沸,去渣听用)
黑豆(三升,煮汁三碗,去豆取皮,晒干为末) 大黄(一斤,为末,用醋
八碗熬成膏,次下红花酒,苏木汤,黑豆汁搅匀,又熬成膏,瓷盆收储听用。锅焦焙干为末,同黑豆皮末俱入膏
内和匀,名为大黄膏) 人参 白术 青皮 木瓜(各三钱) 当归 川芎 玄胡索 苍术 香附(童便制)
蒲黄 赤茯苓 桃仁(去皮尖、捣如泥) 熟地黄(各一两) 牛膝 三棱 山茱萸 五灵脂(炒) 地榆
甘草 羌活 陈皮 白芍(各五钱) 良姜(四钱) 乌药(炒,二两五钱) 木香 乳香(去油) 没药
(去油,各一钱)
上为末,将前所熬大黄膏为丸,弹子大,金箔为衣,每服一丸,随证用汤作引服。
赤金豆
巴霜(去皮膜、略去油,一钱五分) 生附子(切片、略炒燥,二钱) 皂角(微炒焦,二钱) 天竺黄
丁香 木香(各三钱) 轻粉(一钱)
上为末,醋浸,蒸饼为丸萝卜子大,朱砂二钱(水飞)为衣,每服五七丸;欲骤行者,每服一二十丸,浓
煎当归红花汤为引送下。
世间有些放纵情欲的妇女,行为不端,或因厌恶养育子女,常使用草药毒杀胎儿。这必然导致败血上冲心脏,出现神志昏乱、气喘出汗而死亡的情况,此时急需解毒并活血,适宜使用扁豆散。如果是毒药损伤了胎气,出现腰痛、呼吸短促的症状,适宜使用阿胶散(方剂见上文“跌扑伤胎”条中),加入川芎一钱,如果无效,煎服知母丸送下。
扁豆散
白扁豆(一两,生用)
研磨成极细的粉末,用新汲取的冷水调服二三钱,对于牙关紧闭者,撬开嘴巴灌入药液。
知母丸
知母(炒后研末)
捣烂枣肉制成丸子,大小如弹子,每次服用一丸,用阿胶散的煎汤嚼服送下。(本方也可用人参汤送服)
妊娠期间不慎饮食,误食毒物或毒药导致胎动不安的,适宜使用黑豆汤。
黑豆汤
黑豆(三合) 淡竹叶(十片,洗净) 甘草(三钱)
加水煎煮后服用。
所谓“鬼胎”,难道真是有鬼气侵入子宫胞宫从而形成胎儿吗?这是因为原本体质虚弱的妇女,或者因邪念积聚灌注,血液随着气机凝结而不能消散,或者是卫气和任脉滞涩逆乱,脉道壅塞瘀阻而不能运行,这是宫内产生的疾病。必定不是外来的邪气,就是血瘕、气瘕之类的病症,应当立即按照治疗血瘕、气瘕的方法来治疗。此外,如遇到狐魅异类之邪的侵害,虽然确实有所感受,但这也不属于鬼胎的范畴,也应当用治疗血瘕、气瘕的方法攻下消除。所以鬼胎的症状,大多是因为气血不足兼有凝滞造成的。如果月经不调,预先进行调理补益,就一定不会出现这种证候。既然出现了这种证候,也应当以调理补益元气为主,随后再用消除积滞的药物即可。因此,想要在使用补益法的同时兼顾行气活血,没有比决津煎更妙的了。想要消除瘀滞,但又不希望药性猛烈峻烈的,没有比通瘀煎更妙的了。既加了调理补益,又想要直接攻逐病邪的,夺命丹、回生丹都可以酌情使用。或者用当归、红花浓煎汤剂,吞服赤金豆也很好。
决津煎
当归(三钱) 熟地黄 牛膝(各一钱) 肉桂 乌药(炒,各一钱) 泽泻(一钱五分)
加水煎煮后服用。如果有阴寒凝滞不行,可加附子(制)一钱。
通瘀煎
归尾三钱 山楂 香附(炒,各二钱) 红花(新鲜的炒黄) 乌药(炒) 青皮(各一钱) 木香(七分) 泽泻(一钱五分)
加水煎煮,加入黄酒一小钟,饭前服用。
夺命丹
附子(炮制,五钱) 干漆(炒至烟尽、研磨) 牡丹皮(各一两)
以上药物研为细末,另外取大黄一两(研末),用好醋一钟共同熬成膏状,与药末混合制成丸子,大小如梧桐子大,温酒送服五十丸。(另一版本有一两当归)
回生丹
苏木(三两,用河水五碗煎至三碗,去渣备用) 红花(三两,炒黄、用酒一壶煮十余沸,去渣备用) 黑豆(三升,煮汁三碗,去豆取皮,晒干研末) 大黄(一斤,研末,用醋八碗熬成膏,接着加入红花酒、苏木汤、黑豆汁搅拌均匀,再熬成膏,用瓷盆收储备用。锅底的焦糊物焙干研末,同黑豆皮末一起混入膏内和匀,称为大黄膏) 人参 白术 青皮 木瓜(各三钱) 当归 川芎 玄胡索 苍术 香附(童便制) 蒲黄 赤茯苓 桃仁(去皮尖、捣如泥状) 熟地黄(各一两) 牛膝 三棱 山茱萸 五灵脂(炒) 地榆 甘草 羌活 陈皮 白芍(各五钱) 良姜(四钱) 乌药(炒,二两五钱) 木香 乳香(去油) 没药(去油,各一钱)
以上药物研为细末,将前面所熬的大黄膏用来制作丸子,大小如弹子,用金箔包裹作为外衣,每次服用一丸,根据证候选用汤剂作为引经药送服。
赤金豆
巴霜(去皮膜、略去油,一钱五分) 生附子(切片、略炒干燥,二钱) 皂角(微炒焦,二钱) 天竺黄 丁香 木香(各三钱) 轻粉(一钱)
以上药物研为细末,用醋浸泡,蒸饼为丸,大小如萝卜子,用朱砂二钱(水飞法处理)作为外衣,每次服用五到七丸;如果想要药效迅速发作,每次服用一二十丸,用浓煎的当归红花汤作为引经药送服。
In the world, there are women who indulge in their desires and act improperly, or who resent raising children, often using herbal medicines to poison themselves. This inevitably leads to敗血 (disordered blood) rushing to the heart, resulting in death due to mental confusion, panting, and sweating. In such emergencies, it is urgent to detoxify and promote blood circulation; Bian Dou San (Lablab Bean Powder) is suitable. If toxic drugs damage the fetus, causing lower back pain and shortness of breath, E Jiao San (Donkey-hide Gelatin Powder) [formula see above under "Traumatic Injury to Fetus"] should be used with one qian of Chuan Xiong (Ligusticum Rhizome). If there is no response, Zhi Mu Wan (Anemarrhena Pill) should be decocted and taken.
Bian Dou San (Lablab Bean Powder)
Bai Bian Dou (Lablab Seed, one liang, used raw)
Grind into an extremely fine powder, mix with fresh cold water, and take two to three qian. For patients with lockjaw, pry open the mouth and administer the medicine.
Zhi Mu Wan (Anemarrhena Pill)
Zhi Mu (Anemarrhenae Rhizoma, stir-fried and ground)
Pound jujube flesh to make pills the size of a marble. Take one pill per dose, chewed and swallowed with the decoction of E Jiao San. (This formula can also be taken with Ren Shen Tang [Ginseng Decoction].)
If pregnancy is not handled carefully regarding diet, and toxic substances or drugs are mistakenly ingested leading to fetal movement, Hei Dou Tang (Black Soybean Decoction) is suitable.
Hei Dou Tang (Black Soybean Decoction)
Hei Dou (Sojae Semen Nigrum, three he) Dan Zhu Ye (Lophatheri Herba, ten leaves, washed) Gan Cao (Licorice Root, three qian)
Decoct in water and take orally.
What is referred to as "Ghost Fetus" (Gui Tai)? Is it truly that ghostly qi invades the uterus and forms a fetus? This condition arises because the woman's constitution is weak, or due to the accumulation of evil thoughts, causing blood to congeal with qi and not disperse, or because Wei Qi (Defensive Qi) and Ren Mai (Conception Vessel) are stagnant and reversed, causing the pulse channels to be obstructed and瘀 (stasis) to prevent flow. This is a disease originating within the uterus. It is certainly not an external pathogen, but rather belongs to categories such as Xue Jia (Blood Mass) or Qi Jia (Qi Mass). Therefore, it should be treated according to the methods for treating Jia masses. Furthermore, encounters with fox spirits or other strange entities, although they may involve actual infection, do not constitute "Ghost Fetus." These should also be treated by expelling them using methods for Jia masses. Thus, symptoms of Ghost Fetus are mostly due to deficiency of Qi and Blood combined with stagnation. If menstrual irregularities are addressed with preventive regulation and tonification, this condition would definitely not occur. Since this condition exists, the primary approach should be to regulate and tonify Yuan Qi (Primal Qi), followed by medications that remove accumulations. Therefore, for those wishing to combine tonification with promotion of flow, Jue Jin Jian (Ferry-Crossing Decoction) is unparalleled. For those wishing to remove stagnation without using harsh or峻烈 (severe/potent) drugs, Tong Yu Jian (Unblocking Stasis Decoction) is unparalleled. When both tonification and direct attack on the disease are desired, Ming Dan (Life-Restoring Pill) and Hui Sheng Dan (Resurrection Pill) can be used酌情 (as appropriate). Alternatively, decocting Dang Gui (Angelicae Sinensis Radix) and Hong Hua (Carthami Flos) thickly and swallowing Chi Jin Dou (Red Gold Bean) is also excellent.
Jue Jin Jian (Ferry-Crossing Decoction)
Dang Gui (Angelicae Sinensis Radix, three qian) Shu Di Huang (Prepared Rehmanniae Radix) Niu Xi (Achyranthis Bidentatae Radix, each one qian) Rou Gui (Cinnamomi Cortex) Wu Yao (Linderae Radix, stir-fried, each one qian) Ze Xie (Alismatis Rhizoma, one qian five fen)
Decoct in water and take orally. If Yin stagnation prevents flow, add Fu Zi (Prepared Aconiti Lateralis Radix, one qian).
Tong Yu Jian (Unblocking Stasis Decoction)
Gui Wei (Tail of Angelicae Sinensis Radix, three qian) Shan Zha (Crataegi Fructus) Xiang Fu (Cyperi Rhizoma, stir-fried, each two qian) Hong Hua (Carthami Flos, fresh ones stir-fried until yellow) Wu Yao (Linderae Radix, stir-fried) Qing Pi (Citri Reticulatae Pericarpium Viride, each one qian) Mu Xiang (Aucklandiae Radix, seven fen) Ze Xie (Alismatis Rhizoma, one qian five fen)
Decoct in water, add one small cup of yellow wine, and take before meals.
Ming Dan (Life-Restoring Pill)
Fu Zi (Prepared Aconiti Lateralis Radix, roasted, five qian) Gan Xi (Drynariae Rhizoma, stir-fried until smoke ceases, ground) Mu Dan Pi (Moutan Cortex, each one liang)
The above ingredients are ground into powder. Separately, take Da Huang (Rhei Radix et Rhizoma, one liang, ground), boil with one cup of good vinegar into a paste, mix with the drug powder to form pills the size of a wutong seed. Take fifty pills with warm wine. (Another version includes one liang of Dang Gui.)
Hui Sheng Dan (Resurrection Pill)
Su Mu (Sappan Lignum, three liang, decocted in five bowls of river water until reduced to three bowls, strain and set aside) Hong Hua (Carthami Flos, three liang, stir-fried until yellow, boiled in one pot of wine for more than ten boils, strain and set aside) Hei Dou (Sojae Semen Nigrum, three sheng, boiled to yield three bowls of juice, remove beans, keep skins, dry and grind) Da Huang (Rhei Radix et Rhizoma, one jin, ground, boiled with eight bowls of vinegar into a paste, then add Hong Hua wine, Su Mu decoction, and Hei Dou juice, stir evenly, boil again into a paste, store in a porcelain basin for use. The burnt residue from the pot is dried, ground, and mixed with the black bean skin powder into the paste, named Da Huang Gao [Large Yellow Paste]) Ren Shen (Ginseng Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Qing Pi (Citri Reticulatae Pericarpium Viride) Mu Gua (Chaenomelis Fructus, each three qian) Dang Gui (Angelicae Sinensis Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Yan Hu Suo (Corydalis Rhizoma) Cang Zhu (Atractylodis Rhizoma) Xiang Fu (Cyperi Rhizoma, processed with child's urine) Pu Huang (Typhae Pollen) Chi Fu Ling (Poria with Red Core) Tao Ren (Persicae Semen, remove skin and tips, pound into mud) Shu Di Huang (Prepared Rehmanniae Radix, each one liang) Niu Xi (Achyranthis Bidentatae Radix) San Leng (Sparganii Rhizoma) Shan Zhu Yu (Corni Fructus) Wu Ling Zhi (Trogopterori Faeces, stir-fried) Di Yu (Sanguisorbae Radix) Gan Cao (Licorice Root) Qiang Huo (Notopterygii Rhizoma et Radix) Chen Pi (Citri Reticulatae Pericarpium) Bai Shao (Paeoniae Radix Alba, each five qian) Liang Jiang (Zingiberis Officinalis Rhizoma Preparatum, four qian) Wu Yao (Linderae Radix, stir-fried, two liang five qian) Mu Xiang (Aucklandiae Radix) Ru Xiang (Olibanum, remove oil) Mo Yao (Myrrha, remove oil, each one qian)
The above ingredients are ground into powder. Use the previously prepared Da Huang Gao to form pills the size of marbles, coated with gold foil. Take one pill per dose, guided by a decoction appropriate to the syndrome.
Chi Jin Dou (Red Gold Bean)
Ba Shuang (Crotonis Fructus, remove skin and membrane, slightly remove oil, one qian five fen) Sheng Fu Zi (Raw Aconiti Lateralis Radix, sliced, slightly stir-fried until dry, two qian) Zao Jiao (Gleditsiae Fructus, lightly stir-fried until scorched, two qian) Tian Zhu Huang (Calami Tuber) Ding Xiang (Caryophylli Flos) Mu Xiang (Aucklandiae Radix, each three qian) Qing Fen (Calomel, one qian)
The above ingredients are ground into powder, soaked in vinegar, and formed into pills the size of radish seeds using steamed wheat cake. Coat with two qian of Zhu Sha (Cinnabar, water-pounded). Take five to seven pills per dose; for rapid action, take ten to twenty pills, guided by a thickly decocted Dang Gui and Hong Hua tea.