薛立斋治一孕妇,无故悲泣,用大枣汤而愈。后复患,以四君子加麦冬、山栀而愈。
陈良甫曰∶乡先生郑虎卿内人黄氏,妊娠四五个月,遇昼则惨戚悲伤,泪下数次,如有所凭,医与巫者兼
治皆无益。良甫时年十四,正在儒中习业,见说此证,而虎卿惶惶无计,良甫遂告之管先生伯同,说先人曾说
此证,名曰脏燥悲伤,非大枣汤不愈。虎乡借方看之甚喜,对证治药,一投而愈。(《良方》。)
薛立斋治一妊妇心痛,(非真心痛也。)烦热作渴,用白术散即愈。后因停食,其痛仍作,胸腹膨满,按之则
痛,此因饮食停滞。用人参养胃汤,按之不痛。乃脾胃受伤,以六君子汤补之而愈。
一妊妇心腹作痛,胸胁作胀,吞酸不食,此肝脾气滞。用二陈、山楂、山栀、青皮、木香而愈。又因怒仍
痛,胎动不食,面色青黄,肝脉弦紧,脾脉弦长,此肝乘其土。用六君子汤加升麻、柴胡、木香而愈。
一妊妇心腹作痛,胎气上攻,吐痰恶心,饮食少进,此脾虚气滞而为痰。用六君子加柴胡、枳壳,诸证渐
退,饮食渐进。又用四君子加枳壳、山栀、桔梗而安。后因怒,两胁气胀,中脘作痛,恶寒呕吐,用六君子加
柴胡、升麻,一剂而愈。
朱丹溪治孙院君,因近丧,冒恶气伤胎,肚痛手不可近,发热,口中不思饮食,须安胎散滞气。青皮二钱,
黄芩、白芍各二钱,归尾一钱五分,木香五分,甘草炙四分,水三盏,先煎苎根二大片,煎至二盏,去苎根,
入前药同煎至一盏,热服全愈。
吴洋治汪伯玉从叔母,吴病小腹急痛,面痒恶寒。医路万先生,曰∶妊娠转胞。洋曰∶不然,此阴证也。
叔曰∶若病得之内,诚如公言。万拂衣行,厉声曰∶吴生杀而婶矣。洋即为灸气海一穴,进理中汤,顷之疾平,
万语塞。(《太函集》。)
薛立斋治疗一位孕妇,无缘无故悲伤哭泣,服用大枣汤后痊愈。后来病情复发,使用四君子汤加入麦冬、山栀后痊愈。
陈良甫说:乡里的老前辈郑虎卿的妻子黄氏,怀孕四五个月时,白天总是神情凄惨悲伤,流泪数次,好像有神灵附体一样,医生和巫师一起治疗都没有效果。陈良甫当时十四岁,正在儒学中读书学习,听说了这个病症,看到郑虎卿惊慌失措没有办法,陈良甫就告诉管先生伯同,说他的先人曾提到过这个病症,名叫脏燥悲伤(因五脏津液不足导致的干燥和情绪异常),不用大枣汤不能治愈。郑虎卿借来方子查看非常高兴,对症用药,服一次药就痊愈了。(出自《良方》。)
薛立斋治疗一位孕妇心痛(不是真心痛),伴有烦热口渴,服用白术散后痊愈。后来因为停食(饮食积滞),疼痛再次发作,胸腹部胀满,按压时疼痛,这是因为饮食停滞造成的。使用人参养胃汤治疗后,按压不再疼痛。这是脾胃受伤,于是用六君子汤补益脾胃而痊愈。
一位孕妇心腹作痛,胸胁胀满,吞酸水不想吃东西,这是肝脾气机阻滞。使用二陈汤、山楂、山栀、青皮、木香后痊愈。后来又因为生气仍然疼痛,胎动不安不想进食,面色青黄,肝脉弦紧,脾脉弦长,这是肝气乘克脾土。使用六君子汤加入升麻、柴胡、木香后痊愈。
一位孕妇心腹作痛,胎气上冲,吐痰恶心,饮食减少,这是脾虚气滞导致生痰。使用六君子汤加入柴胡、枳壳,各种症状逐渐消退,饮食逐渐增加。又用四君子汤加入枳壳、山栀、桔梗使病情安定。后来因为生气,两胁气胀,中脘部疼痛,恶寒呕吐,使用六君子汤加入柴胡、升麻,一剂药后痊愈。
朱丹溪治疗孙院君,因为临近丧事,冒犯秽浊之气伤了胎气,肚子痛得手不能触碰,发热,口中不想吃东西,需要安胎并消除滞气。青皮二钱,黄芩、白芍各二钱,当归尾一钱五分,木香五分,炙甘草四分,水三盏,先煎煮苎根两大片,煎至两盏,去掉苎根,加入前面的药物同煎至一盏,热服后完全痊愈。
吴洋治疗汪伯玉的叔母,吴氏小腹部急痛,面部发痒且恶寒。医生路万先生说:这是妊娠转胞(妊娠期小便不通,胞系扭转)。吴洋说:不对,这是阴证。病人家属说:如果病是从内部产生的,确实像您说的。路万先生拂袖离去,厉声说:吴医生会害死你的婶婶。吴洋随即灸气海穴一个穴位,进服理中汤,不久疾病平息,路万先生无话可说。(出自《太函集》。)
Xue Lizhai treated a pregnant woman who was weeping for no reason, which was cured by using Dazao Tang (Jujube Decoction). When the condition recurred later, it was cured by using Sijunzi Tang (Four Gentlemen Decoction) with added Maidong (Ophiopogonis Radix) and Shanzhi (Gardeniae Fructus).
Chen Liangfu said: The wife of Mr. Zheng Huqing, an elder in my hometown, Huang Shi, was four to five months pregnant. During the day, she appeared miserable and sorrowful, shedding tears several times, as if possessed by spirits. Both physicians and shamans were consulted, but to no avail. Chen Liangfu was fourteen years old at the time, studying Confucian classics. Upon hearing of this case, seeing Zheng Huqing in a panic without a solution, Chen Liangfu informed Mr. Guan Botong, stating that his ancestors had mentioned this condition, named Zangzao Beishang (Visceral Dryness and Sorrow), which could not be cured without Dazao Tang (Jujube Decoction). Zheng Huqing borrowed the prescription, was very pleased upon seeing it, administered the medicine according to the syndrome, and was cured after one dose. (From *Liangfang*.)
Xue Lizhai treated a pregnant woman suffering from heart pain (not true Xin Tong/Heart Pain), accompanied by vexatious heat and thirst, which was cured by using Baizhu San (Atractylodis Macrocephalae Powder). Later, due to food stagnation, the pain returned, with distension and fullness in the chest and abdomen, and tenderness upon pressure, caused by dietary accumulation. Ren Shen Yangwei Tang (Ginseng Stomach-Nourishing Decoction) was used; after administration, there was no tenderness upon pressure. This indicated injury to the Spleen and Stomach, so Liu Junzi Tang (Six Gentlemen Decoction) was used to tonify them, resulting in recovery.
A pregnant woman suffered from pain in the heart and abdomen, distension in the chest and hypochondrium, acid regurgitation, and loss of appetite, indicating Qi stagnation in the Liver and Spleen. Erchen Tang (Two-Cured Decoction) with Shanzha (Crataegi Fructus), Shanzhi (Gardeniae Fructus), Qingpi (Citri Reticulatae Pericarpium Viride), and Muxiang (Aucklandiae Radix) cured the condition. Later, due to anger, the pain persisted, fetal movement occurred, appetite was lost, complexion was greenish-yellow, the Liver pulse was wiry and tight, and the Spleen pulse was wiry and long, indicating Liver Qi invading the Earth (Spleen/Stomach). Liu Junzi Tang (Six Gentlemen Decoction) with Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), and Muxiang (Aucklandiae Radix) cured the condition.
A pregnant woman suffered from pain in the heart and abdomen, fetal Qi attacking upward, expectoration of phlegm, nausea, and reduced food intake, indicating Spleen deficiency with Qi stagnation generating Phlegm. Liu Junzi Tang (Six Gentlemen Decoction) with Chaihu (Bupleuri Radix) and Zhike (Aurantii Fructus Immaturus) was used; various symptoms gradually subsided, and food intake increased. Subsequently, Sijunzi Tang (Four Gentlemen Decoction) with Zhike (Aurantii Fructus Immaturus), Shanzhi (Gardeniae Fructus), and Jiegeng (Platycodonis Radix) stabilized the condition. Later, due to anger, Qi distension occurred in both hypochondria, pain in the Zhongwan (CV12) area, aversion to cold, and vomiting. Liu Junzi Tang (Six Gentlemen Decoction) with Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma) was used, curing the patient after one dose.
Zhu Danxi treated Lady Sun, who, due to attending a recent funeral, was exposed to foul miasma injuring the fetus. She suffered from abdominal pain so severe that her hand could not touch the area, fever, and lack of appetite. The treatment required calming the fetus and resolving Qi stagnation. Qingpi (Citri Reticulatae Pericarpium Viride) 2 qian, Huangqin (Scutellariae Radix) and Baishao (Paeoniae Radix Alba) each 2 qian, Guiwei (Angelicae Sinensis Radix) 1.5 qian, Muxiang (Aucklandiae Radix) 0.5 qian, and Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) 0.4 fen were used. With three zhen of water, two large slices of Zhugen (Ramie Root) were decocted first until reduced to two zhen. The Zhugen was removed, and the other herbs were added, decocted until reduced to one zhen, and taken hot, resulting in complete recovery.
Wu Yang treated the aunt of Wang Boyu. The aunt suffered from urgent pain in the lower abdomen, facial itching, and aversion to cold. Physician Lu Wan diagnosed it as Zhuantong Bao (Fetal Distortion/Cystocele). Wu Yang said: Incorrect, this is a Yin Syndrome. The patient's relative said: If the disease originated internally, your words are indeed correct. Mr. Lu left in indignation, saying sternly: Dr. Wu will kill your aunt. Wu Yang immediately moxa-ed the Qihai (CV6) acupoint and administered Lizhong Tang (Regulate the Middle Decoction). Soon, the illness subsided, leaving Mr. Lu speechless. (From *Taihan Ji*.)