凡妊娠胎动腹痛者,或因饮食冷热及动风毒物,或因交感,摇动骨节,伤犯胞胎,或因服药太过,血气不调
所致。宜服顺气补血之药。如加味安胎饮,或如圣散。
加味安胎饮
砂仁(炒) 麦冬 条芩(各一钱) 人参 当归 熟地(各二钱) 陈皮 紫苏(各四分) 生白术(一钱五分)
甘草(三分) 大枣(二枚) 生姜(三片)
水煎服。此方凡妊娠元气不足,精神倦怠,胎动不安,或身上微热者,并宜服之,必一日两服,方可平安。
如腹痛者,去麦冬,加蕲艾,醋炒黑七分,或再加四制香附一钱,盖气通则不痛也。如咽燥多痰,兼失血者,加
川贝一钱五分,黑荆芥一钱。
如圣散
鲤鱼皮 阿胶 当归 川断(各二钱) 熟地(三钱) 白芍(一钱) 川芎(一钱) 甘草(六分)
加苎麻根少许,生姜五片,水煎,空心服。
凡妊娠胎漏,经血妄行,此是胎息未实,或因劳役过度,伤动胞胎,或因房室惊触,致令子宫虚滑,经血淋
漓,若不急治,日渐胎干,子母不保。急服寄生散,或参归饮,或阿胶济阴汤,或保产无忧散。
寄生散
寄生 川断 阿胶 香附(黑) 人参 白术 川芎(各等分,加姜五片)
水煎服。
参归饮
人参 当归 寄生 淮生 淮熟 条芩 香附 茯苓 阿胶(各一钱) 川芎(五分) 生甘草(五分)
白芍(二分) 黄 (一钱半) 黄杨叶(三片) 生姜(二片)
水煎服。甚者,日进一剂。
阿胶济阴汤
阿胶 白术(各一钱) 地黄 白芍 当归 川芎(各一钱) 砂仁(带壳,五分) 条芩 蕲艾(各钱半)
香附(八分) 炙甘草(五分) 粘米(一撮)
水二汤碗,煎至一碗,温服。如下血块,加地榆。腰痛,加杜仲。触患胞胎,加金银花。须一日一夜三服,以
防败血攻心。如血不止,加川断二钱炒黑,荆芥一钱五分,黑大豆四十九粒。如因伤瘀而痛,怕按者,加桂心三四分。
保产无忧散
生绵 (二钱半) 归身(一钱,酒炒) 川芎(一钱) 甘草(一分) 菟丝饼(二钱) 羌活(七分)
浓朴(七分,姜汁炒) 枳壳(六分,面炒) 蕲艾(七分,醋炒) 荆芥穗(一钱) 川贝(一钱) 白芍
(酒炒,冬月八分,夏月一钱)
日进二剂亦可。此方兼可催生,如不见血,加生姜二片。
凡是妊娠期间出现胎动腹痛的情况,可能是因为饮食过冷过热或食用了动风毒物,也可能是因为性交时摇动骨节,损伤了胞胎,还可能是因为服药过量,导致血气不调所致。适宜服用顺气补血的药物。例如加味安胎饮,或者如圣散。
加味安胎饮
砂仁(炒制) 麦冬 黄芩(各一钱) 人参 当归 熟地黄(各二钱) 陈皮 紫苏(各四分) 生白术(一钱五分)
甘草(三分) 大枣(两枚) 生姜(三片)
加水煎煮后服用。此方适用于所有妊娠期间元气不足、精神倦怠、胎动不安,或者身体微热的人,必须一日服用两次,才能平安无事。
如果伴有腹痛,去掉麦冬,加入蕲艾,用醋炒至黑色七分,或者再加四制香附一钱,因为气机通畅就不会疼痛。如果有咽干多痰,兼有失血症状的,加入川贝母一钱五分,黑荆芥一钱。
如圣散
鲤鱼皮 阿胶 当归 续断(各二钱) 熟地黄(三钱) 白芍(一钱) 川芎(一钱) 甘草(六分)
加入少许苎麻根,生姜五片,加水煎煮,空腹服用。
凡是妊娠期间出现胎漏(指妊娠期阴道少量出血,时下时止而无腰酸腹痛者),经血妄行,这是因为胎息尚未稳固,可能是因为过度劳累,损伤了胞胎,也可能是因为房事或惊恐刺激,导致子宫虚滑,经血淋漓不尽。如果不紧急治疗,日子久了会导致胎儿干枯,母子都无法保全。应紧急服用寄生散,或者参归饮,或者阿胶济阴汤,或者保产无忧散。
寄生散
桑寄生 续断 阿胶 香附(黑制) 人参 白术 川芎(各等分,加生姜五片)
加水煎煮后服用。
参归饮
人参 当归 桑寄生 淮山药 熟地黄 黄芩 香附 茯苓 阿胶(各一钱) 川芎(五分) 生甘草(五分)
白芍(二分) 黄芪(一钱半) 黄杨叶(三片) 生姜(二片)
加水煎煮后服用。病情严重的,每日进服一剂。
阿胶济阴汤
阿胶 白术(各一钱) 地黄 白芍 当归 川芎(各一钱) 砂仁(带壳,五分) 黄芩 蕲艾(各一钱半)
香附(八分) 炙甘草(五分) 粘米(一小撮)
用水两碗,煎至一碗,温服。如果出现血块,加入地榆。腰痛,加入杜仲。触动胞胎,加入金银花。需要一日一夜服用三次,以防止败血攻心。如果出血不止,加入炒黑的续断二钱,荆芥一钱五分,黑大豆四十九粒。如果是因伤瘀而痛,且害怕按压的,加入桂心三四分。
保产无忧散
生绵黄芪(二钱半) 当归身(一钱,酒炒) 川芎(一钱) 甘草(一分) 菟丝子饼(二钱) 羌活(七分)
厚朴(七分,姜汁炒) 枳壳(六分,面炒) 蕲艾(七分,醋炒) 荆芥穗(一钱) 川贝母(一钱) 白芍
(酒炒,冬季八分,夏季一钱)
每日进服两剂也可以。此方兼有催生的作用,如果没有见红,加入生姜两片。
In cases of fetal movement and abdominal pain during pregnancy, it may be caused by consuming food that is too cold or hot, or ingesting wind-moving toxic substances; it may also result from sexual intercourse causing bone and joint agitation, damaging the fetus; or it may stem from excessive medication leading to disharmony of Qi and Blood. It is advisable to take herbs that regulate Qi and nourish Blood, such as Jiawei Antai Yin (Modified Fetal-Calming Decoction) or Rusheng San (Like-Sage Powder).
Jiawei Antai Yin (Modified Fetal-Calming Decoction)
Amomi Fructus (stir-fried), Ophiopogonis Radix, Scutellariae Radix (each 1 qian), Ginseng Radix, Angelicae Sinensis Radix, Rehmanniae Radix Preparata (each 2 qian), Citri Reticulatae Pericarpium, Perillae Folium (each 4 fen), Atractylodis Macrocephalae Rhizoma raw (1.5 qian),
Glycyrrhizae Radix et Rhizoma (3 fen), Zizyphi Fructus (2 pieces), Zingiberis Rhizoma Recens (3 slices).
Decoct in water and take orally. This formula is suitable for all pregnant women with insufficient Yuan Qi, mental fatigue, restless fetus, or slight fever. It must be taken twice daily to ensure safety.
If abdominal pain is present, remove Ophiopogonis Radix and add Ai Ye (Artemisiae Argyi Folium), stir-fried with vinegar until blackened (7 fen), or additionally add Xiangfu (Cyperi Rhizoma processed in four ways) (1 qian), because when Qi flows freely, pain ceases. If there is dry throat with excessive phlegm accompanied by blood loss, add Beimu (Fritillariae Bulbus) (1.5 qian) and Jingjie (Schizonepetae Spica charred) (1 qian).
Rusheng San (Like-Sage Powder)
Cyprini Carapax et Plastrum, Ecliptae Herba (Note: Text says Ejiao, usually Donkey-hide gelatin, but context implies hemostasis. Sticking to text: Ejiao / Asini Corii Colla), Angelicae Sinensis Radix, Dipsaci Radix (each 2 qian), Rehmanniae Radix Preparata (3 qian), Paeoniae Radix Alba (1 qian), Chuanxiong Rhizoma (1 qian), Glycyrrhizae Radix et Rhizoma (6 fen).
Add a small amount of Zhuma Gen (Bambusae Caulis in Taeniam) and 5 slices of Zingiberis Rhizoma Recens. Decoct in water and take on an empty stomach.
In cases of Tai Lou (fetal leakage/vaginal bleeding during pregnancy without backache/abdominal pain) where menstrual blood flows recklessly, this indicates that the fetal respiration/qi has not yet solidified. It may be due to overexertion damaging the fetus, or due to sexual activity or fright/stress causing uterine deficiency and slipperiness, resulting in dripping vaginal discharge. If not treated urgently, the fetus will gradually dry up, endangering both mother and child. Urgently take Jisheng San (Viscum Decoction), Shengu Yin (Ginseng and Angelica Drink), Ejiao Jiyin Tang (Donkey-Hide Gelatin Nourishing Yin Decoction), or Baochan Wuyou San (Safe Delivery Without Worries Powder).
Jisheng San (Viscum Decoction)
Taxilli Herba, Dipsaci Radix, Asini Corii Colla, Cyperi Rhizoma (charred), Ginseng Radix, Atractylodis Macrocephalae Rhizoma, Chuanxiong Rhizoma (equal parts, add 5 slices of Zingiberis Rhizoma Recens).
Decoct in water and take orally.
Shengu Yin (Ginseng and Angelica Drink)
Ginseng Radix, Angelicae Sinensis Radix, Taxilli Herba, Dioscoreae Rhizoma (Huai Shan), Rehmanniae Radix Preparata, Scutellariae Radix, Cyperi Rhizoma, Poria, Asini Corii Colla (each 1 qian), Chuanxiong Rhizoma (5 fen), Glycyrrhizae Radix et Rhizoma raw (5 fen),
Paeoniae Radix Alba (2 fen), Astragali Radix (1.5 qian), Fluminis Lati Folium (Huangyangye) (3 pieces), Zingiberis Rhizoma Recens (2 pieces).
Decoct in water and take orally. For severe cases, administer one dose per day.
Ejiao Jiyin Tang (Donkey-Hide Gelatin Nourishing Yin Decoction)
Asini Corii Colla, Atractylodis Macrocephalae Rhizoma (each 1 qian), Rehmanniae Radix, Paeoniae Radix Alba, Angelicae Sinensis Radix, Chuanxiong Rhizoma (each 1 qian), Amomi Fructus (with shell, 5 fen), Scutellariae Radix, Ai Ye (Artemisiae Argyi Folium) (each 1.5 qian),
Cyperi Rhizoma (8 fen), Glycyrrhizae Radix et Rhizoma roasted (5 fen), Glucinis Semen (a pinch).
Use two bowls of water, decoct until one bowl remains, and take warm. If blood clots appear, add Sanguisorbae Radix. For lower back pain, add Eucommiae Cortex. If the fetus is disturbed, add Lonicerae Japonicae Flos. It must be taken three times within a day and night to prevent敗血 (decayed blood) from attacking the heart. If bleeding does not stop, add Dipsaci Radix (charred, 2 qian), Schizonepetae Spica (1.5 qian), and Glycines Sojae Semen Nigrum (49 grains). If pain is due to injury and stasis, and tenderness to pressure exists, add Cinnamomi Cortex (3-4 fen).
Baochan Wuyou San (Safe Delivery Without Worries Powder)
Astragali Radix raw (2.5 qian), Angelicae Sinensis Radix (root part, 1 qian, wine-fried), Chuanxiong Rhizoma (1 qian), Glycyrrhizae Radix et Rhizoma (1 fen), Cuscutae Semen (2 qian), Notopterygii Rhizoma et Radix (7 fen),
Magnoliae Officinalis Cortex (7 fen, fried with ginger juice), Aurantii Fructus Immaturus (6 fen, fried with flour), Ai Ye (Artemisiae Argyi Folium) (7 fen, vinegar-fried), Schizonepetae Spica (1 qian), Fritillariae Bulbus (1 qian), Paeoniae Radix Alba
(wine-fried, 8 fen in winter, 1 qian in summer).
Two doses per day are also acceptable. This formula can also induce labor. If there is no bleeding, add 2 slices of Zingiberis Rhizoma Recens.