孕妇无故悲泣,为脏躁也。用大枣汤,或竹茹汤治之,自愈。
大枣汤
小麦(三两) 甘草(三两) 大黑枣(十枚)
水六碗,煎三碗,分三四次服。
淡竹茹汤
人参(一钱) 茯苓(一钱) 半夏(五分,泡) 麦冬(五钱) 甘草(五分) 竹茹(一钱五分)
加枣姜,煎服。(此方心虚、虚烦、惊悸,皆可治。)
(加味逍遥散,见下集乳痈门)
孕妇血尿,不必惊慌,方用续断汤。或胶
地汤。如怒动肝火,用加味逍遥散。若食火炙热物,用加味清胃散。有血热流滞于脬,即为血淋,用葵子一升,
研细,水煮二升,分三次服。
清胃散
黄连 生地 连翘 升麻 麦冬
续断汤
川续断(五钱) 赤芍药(五钱) 生地(一钱) 当归(五钱)
共为末,每空心,葱白煎汤调服二钱。
胶地丸
阿胶(二两,蛤粉炒为末) 大生地(二两,酒蒸熟杵膏)
二味为丸,如桐子大每服七十丸,空心米饮下。此方极稳且补血,如急时,每样二钱,水煎服。
有孕在腹,乳自出,名曰乳泣。泣多,恐生子难养,缘内血不足以养胎也。乃气血虚弱,不能统摄,多服八
珍汤以助其血,子遂能育,所谓医有赞育之功。
八珍汤(见前胎漏)
妇人月经不行,已六七个月,从前月事准,今又无病,腹不见大,脉见微滑,但不甚旺,此胎不长也。是以
常有十二三个月而生者,此产母血气不旺,法当助其血气,补其脾胃,即胎长腹大而生。补脾用五味异功散,
培血用八珍汤。如有别疾,随症加减。《集验方》用鲤鱼尺许,煮食其汁,胎能长。《指掌方》用黄 汤、白
术丸,皆能长胎,均助脾胃、补冲任之法。
五味异功散(即六君子除半夏)
人参 白术 茯苓 甘草 陈皮
加姜枣煎服。(此方除陈皮加四物汤,即八珍汤)
黄 汤
黄 白术 茯苓 麦冬 人参 陈皮 甘草
姜枣煎服。
白术丸
白术 当归 阿胶 地黄 川芎 牡蛎 川椒
蜜为丸。
孕妇无故悲伤哭泣,这是脏躁病。用大枣汤,或者竹茹汤治疗,自然痊愈。
大枣汤
小麦(三两) 甘草(三两) 大黑枣(十枚)
用水六碗,煎煮成三碗,分三四次服用。
淡竹茹汤
人参(一钱) 茯苓(一钱) 半夏(五分,浸泡) 麦冬(五钱) 甘草(五分) 竹茹(一钱五分)
加入红枣和生姜,煎煮后服用。(此方心气虚弱、虚烦、惊悸,都可以治疗。)
孕妇尿血,不必惊慌,方剂用续断汤。或者胶地汤。如果因愤怒触动肝火,用加味逍遥散。如果吃了辛辣炙烤的热物导致食火,用加味清胃散。如果有血热流滞于膀胱,就是血淋,用葵子一升,研细,用水煮二升,分三次服用。
续断汤
川续断(五钱) 赤芍药(五钱) 生地(一钱) 当归(五钱)
共同研为末,每次空腹时,用葱白煎汤调服二钱。
胶地丸
阿胶(二两,用蛤粉炒后研为末) 大生地(二两,用酒蒸熟捣成膏)
这两味药制成丸,如梧桐子大小,每次服用七十丸,空腹时用米饮送下。此方非常稳妥且能补血,如果是紧急情况,每样取二钱,用水煎煮服用。
怀孕在腹中,乳汁自行流出,名叫乳泣。流出过多,恐怕孩子出生后难以抚养,这是因为体内血液不足以滋养胎儿。这是气血虚弱,不能统摄血液,多服用八珍汤来助益血液,胎儿就能发育,这就是医学有辅助孕育的功效。
八珍汤(见前胎漏)
妇人月经停止,已经六七个月了,以前月经准时,现在又没有其他疾病,腹部不见增大,脉象微滑,但不太旺盛,这是胎不长。因此常有十二三个月才分娩的情况,这是因为产母血气不旺盛,治法应当助其血气,补益脾胃,这样胎儿就能长大,腹部变大而分娩。补脾用五味异功散,培补血液用八珍汤。如果有其他疾病,根据症状加减。《集验方》用一尺左右的鲤鱼,煮食并喝它的汁液,胎儿就能生长。《指掌方》用黄耆汤、白术丸,都能使胎儿生长,都是补益脾胃、补养冲任的方法。
五味异功散(即六君子汤去除半夏)
人参 白术 茯苓 甘草 陈皮
加入姜枣煎煮服用。(此方除去陈皮加上四物汤,就是八珍汤)
Pregnant women who weep and cry without cause are suffering from Zangzao (Visceral Dryness). It can be treated with Dazao Tang (Jujube Decoction) or Zhuru Tang (Bamboo Shavings Decoction), and it will heal spontaneously.
Dazao Tang (Jujube Decoction)
Tritici Semen (Xiaomai, Wheat) (3 liang)
Gancao Radix et Rhizoma Preparata (Licorice Root and Rhizome, Prepared) (3 liang)
Ziziphi Jujubae Fructus (Daheizao, Large Black Jujube) (10 pieces)
Boil in 6 bowls of water until reduced to 3 bowls. Take in 3-4 divided doses.
Dan Zhuru Tang (Light Bamboo Shavings Decoction)
Renshen Radix Ginseng (1 qian)
Fuling Poria (1 qian)
Banxia Rhizoma Pinelliae Preparatum (Pinellia Tuber, Soaked) (5 fen)
Maidong Radix Ophiopogonis (5 qian)
Gancao Radix et Rhizoma Preparata (Licorice Root and Rhizome, Prepared) (5 fen)
Zhuru Bamboo Shavings (1.5 qian)
Add Jujube and Ginger, decoct and take orally. (This formula can treat Heart Qi deficiency, empty heat irritability, and palpitations.)
(Jiawei Xiaoyao San [Modified Free Wanderer Powder], see Breast Abscess section in the next volume)
If a pregnant woman has hematuria, there is no need to panic; use Xuduan Tang (Dipsacus Decoction) or Jiadi Tang (Cortex Lycii and Rehmannia Decoction). If anger stirs up Liver Fire, use Jiawei Xiaoyao San (Modified Free Wanderer Powder). If eating spicy, roasted, or hot foods causes Food Heat, use Jiawei Qingwei San (Modified Stomach-Clearing Powder). If Blood Heat stagnates in the Bladder, resulting in Xuelin (Blood Strangury), use 1 sheng of Huangqizi (Abelmoschus Seeds), finely ground, boiled in water to reduce to 2 sheng, and taken in 3 divided doses.
Qingwei San (Stomach-Clearing Powder)
Huanglian Rhizoma Coptidis
Shengdi Radix Rehmanniae Recens
Lianqiao Forsythiae Fructus
Shengma Rhizoma Cimicifugae
Maidong Radix Ophiopogonis
Xuduan Tang (Dipsacus Decoction)
Chuanxuduan Radix Dipsaci (5 qian)
Chishao Radix Paeoniae Rubra (5 qian)
Shengdi Radix Rehmanniae Recens (1 qian)
Danggui Radix Angelicae Sinensis (5 qian)
Grind all into powder. Each time on an empty stomach, mix 2 qian with decoction of Congbai (Scallion White) and take orally.
Jiadi Wan (Cortex Lycii and Rehmannia Pill)
Ejiao Colla Corii Asini (2 liang, stir-fried with Ge Fen [Clam Shell Powder] and ground into powder)
Da Shengdi Radix Rehmanniae Recens (2 liang, steamed with wine until cooked, then pounded into paste)
Combine these two ingredients to make pills the size of Tungzi (Toona seeds). Take 70 pills each time on an empty stomach, washed down with Rice Drink. This formula is very stable and tonifies Blood. In emergencies, take 2 qian of each ingredient, decoct in water, and take orally.
When milk flows spontaneously from the breasts during pregnancy, it is called Ruqi (Breast Weeping). Excessive flow may suggest difficulty in nurturing the child after birth, due to insufficient internal Blood to nourish the Fetus. This indicates Qi and Blood deficiency failing to control and contain. Taking more Bazhen Tang (Eight Treasure Decoction) to assist Blood generation allows the Fetus to develop properly. This demonstrates the medical principle of assisting gestation.
(Bazhen Tang [Eight Treasure Decoction], see previous section on Tai Lou [Fetal Leakage])
If a woman’s menstruation stops for six or seven months, whereas it was previously regular, and she has no other illness but her abdomen does not enlarge, and her pulse is slightly slippery but not vigorous, this indicates Taibuchang (Poor Fetal Growth). Consequently, delivery may occur at twelve or thirteen months. This is because the mother’s Qi and Blood are weak. The treatment method should be to boost Qi and Blood, and tonify the Spleen and Stomach, so that the Fetus grows, the abdomen enlarges, and delivery occurs. To tonify the Spleen, use Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder); to cultivate Blood, use Bazhen Tang (Eight Treasure Decoction). If there are other diseases, modify according to symptoms. *Jiyan Fang* (Collected Effective Prescriptions) suggests using a carp about one chi long, boiling it, eating the meat, and drinking the broth, which promotes fetal growth. *Zhangfang* (Handbook of Indications) uses Huangqi Tang (Astragalus Decoction) and Baizhu Wan (Atractylodes Macrocephala Pill), both of which promote fetal growth by tonifying the Spleen and Stomach and supplementing the Chong and Ren vessels.
Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder)
(This is Liujunzi Tang [Six Gentlemen Decoction] minus Banxia [Pinellia Tuber].)
Renshen Radix Ginseng
Baizhu Rhizoma Atractylodis Macrocephalae
Fuling Poria
Gancao Radix et Rhizoma Preparata (Licorice Root and Rhizome, Prepared)
Chenpi Pericarpium Citri Reticulatae
Add Jiang (Ginger) and Zao (Jujube), decoct and take orally. (If Chenpi [Citrus Peel] is removed from this formula and Siwu Tang [Four Substance Decoction] is added, it becomes Bazhen Tang [Eight Treasure Decoction].)
Huangqi Tang (Astragalus Decoction)
Huangqi Radix Astragali
Baizhu Rhizoma Atractylodis Macrocephalae
Fuling Poria
Maidong Radix Ophiopogonis
Renshen Radix Ginseng
Chenpi Pericarpium Citri Reticulatae
Gancao Radix et Rhizoma Preparata (Licorice Root and Rhizome, Prepared)
Add Jiang (Ginger) and Zao (Jujube), decoct and take orally.
Baizhu Wan (Atractylodes Macrocephala Pill)
Baizhu Rhizoma Atractylodis Macrocephalae
Danggui Radix Angelicae Sinensis
Ejiao Colla Corii Asini
Di Huang Radix Rehmanniae Praeparata
Chuanxiong Rhizoma Chuanxiong
Muli Concha Ostreae
Chuanjiao Fructus Zanthoxyli
Make into pills with Honey.