凡妊娠月未足而半产者,由气血弱,脏腑皆虚,加以病患感冒、情欲相挠,以致精血攻
冲,侵损荣卫,而胎无所养,与枯枝落果无异。如既堕以生化汤加减治之,未堕而血行腰痛
,急以十圣散连进数帖,或芎 补血汤。
十圣散∶人参、黄 各二钱,当归、白芍、川芎、熟地、白术各一钱,砂仁五分,川断
七分,甘草七分,姜一片,枣一个,食过服。忌恼怒、生冷、一切辛热等物。
芎 补血汤∶川芎、白术、阿胶、白芍、杜仲、人参、黄 、五味、木香、甘草、加
姜一片,枣二枚。
凡妊娠临月、或九个月,腹中儿啼者,缘儿在母腹,口含脐带,随母呼吸,妊母或将手
扳高取得,提出儿口脐带故鸣。但令其母如男子作揖,使脐带仍入儿口,即不鸣矣。
一方∶煎黄连浓汁呷之。黄连二钱,甘草一钱,煎水服之。
又法∶急令妊妇自己用扫帚扫地,以愈为度。
凡妊妇将足月,脬为胎压,转在一边,以致脐下急痛,小便不能,但升举其胎,则脬仍
还旧而水道自通。宜六君子合四物汤去茯苓、半夏、陈皮,探吐以提之,不宜专用滑渗之药
。产后亦有此症,捣葱白铺于脐上灸之,立效。
六君子汤∶半夏(姜制)二钱,陈皮(去白),茯苓一钱,甘草五分,人参、白术。
四物汤∶当归(酒洗),生地三钱,芍药二钱,川芎钱半。
凡是妊娠月份未满而中途流产的,是由于气血虚弱,脏腑功能均不足,再加上患病感冒、情欲干扰,导致精血上冲,损伤了营卫之气,致使胎元失去滋养,就像枯枝上的果实脱落一样。如果已经流产,用生化汤加减来治疗;如果尚未流产但出现阴道出血和腰痛,应立即连续服用几帖十圣散,或者使用芎劳补血汤。
十圣散:人参、黄芪各二钱,当归、白芍、川芎、熟地黄、白术各一钱,砂仁五分,续断七分,甘草七分,生姜一片,大枣一个,饭后服用。禁忌恼怒、生冷食物以及一切辛辣热性食物。
芎劳补血汤:川芎、白术、阿胶、白芍、杜仲、人参、黄芪、五味子、木香、甘草,加生姜一片,大枣两枚。
凡是妊娠临近预产期,或九个月时,胎儿在腹中啼哭的,原因是胎儿在母腹中,口含脐带,随着母亲的呼吸运动,孕妇或将手举高取物,将胎儿口中的脐带拉出,所以发出鸣声。只需让孕妇像男子作揖那样弯腰,使脐带重新回到胎儿口中,啼哭就会停止。
另一种方法:煎煮黄连制成浓汁,慢慢含服。黄连二钱,甘草一钱,煎水服用。
又一种方法:急忙让孕妇自己用扫帚扫地,直到症状痊愈为止。
凡是孕妇即将足月,膀胱被胎儿压迫,位置偏转在一边,导致脐下急痛,小便无法排出,只要提升胎儿的位置,膀胱就能恢复原位,水道自然通畅。宜用六君子汤合四物汤,去掉茯苓、半夏、陈皮,通过探吐的方法来提气升胎,不宜专门使用滑利渗湿的药物。产后也有这种病症,捣碎葱白铺在肚脐上施灸,立即见效。
In cases of miscarriage before the full term of pregnancy, it is due to deficiency of Qi and Blood and weakness of the Zang-Fu organs. This condition is exacerbated by external pathogenic factors such as colds or emotional disturbances, leading to a chaotic rush of Essence and Blood that damages Ying (Nutritive) and Wei (Defensive) Qi. Consequently, the fetus loses its nourishment, similar to a fruit falling from a withered branch. If the miscarriage has already occurred, treat with Shenghua Tang (Decoction for Generating New Blood) with modifications. If vaginal bleeding and lower back pain occur before the miscarriage, immediately administer several doses of Shisheng San (Ten-Sage Powder) or Xiong Gui Buxue Tang (Ligusticum and Cinnamon Twig Decoction for Nourishing Blood).
Shisheng San: Renshen (Ginseng Radix), Huangqi (Astragali Radix) each 2 qian; Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chuanxiong (Chuanxiong Rhizome), Shudihuang (Rehmanniae Radix Preparata), Baizhu (Atractylodis Macrocephalae Rhizoma) each 1 qian; Sharen (Amomi Fructus) 5 fen; Xuanduan (Dipsaci Radix) 7 fen; Gancao (Glycyrrhizae Radix et Rhizoma) 7 fen; one slice of Shengjiang (Zingiberis Rhizoma Recens); one Jujubae Fructus. Take after meals. Avoid anger, raw/cold foods, and all spicy/hot substances.
Xiong Gui Buxue Tang: Chuanxiong, Baizhu, Ejiao (Colla Corii Asini), Baishao, Duzhong (Eucommiae Cortex), Renshen, Huangqi, Wuweizi (Schisandrae Fructus), Muxiang (Aucklandiae Radix), Gancao, plus one slice of Shengjiang and two Jujubae Fructus.
In cases where the fetus cries in the womb near the end of pregnancy or at nine months, it is because the fetus holds the umbilical cord in its mouth while breathing along with the mother. If the pregnant woman raises her hands high to reach for something, she may pull the umbilical cord out of the fetus's mouth, causing crying. Simply instruct the mother to perform a bowing motion like a man making a courtesy gesture, which will allow the umbilical cord to re-enter the fetus's mouth, stopping the crying.
Another method: Brew strong decoction of Huanglian (Coptidis Rhizoma) and sip slowly. Huanglian 2 qian, Gancao 1 qian, decoct in water and take.
Another method: Urgently have the pregnant woman sweep the floor herself until the symptom resolves.
When a pregnant woman is near term, the bladder may be compressed by the fetal head and displaced to one side, causing acute pain below the umbilicus and inability to urinate. By lifting the fetus, the bladder returns to its original position, and urinary flow resumes naturally. Use Liujunzi Tang (Six-Gentlemen Decoction) combined with Siwu Tang (Four-Agent Decoction), removing Fuling (Poria), Banxia (Pinelliae Rhizoma), and Chenpi (Citri Reticulatae Pericarpium). Induce vomiting to lift the Qi and raise the fetus. Do not use solely slippery/diuretic herbs. This condition can also occur postpartum; crush Baicong (Allii Fistulosi Bulbus), place it on the umbilicus, and apply moxibustion for immediate effect.
Liujunzi Tang: Banxia (Pinelliae Rhizoma, prepared with ginger) 2 qian; Chenpi (Citri Reticulatae Pericarpium, white pith removed) 1 qian; Fuling (Poria) 1 qian; Gancao 5 fen; Renshen, Baizhu.
Siwu Tang: Danggui (Angelicae Sinensis Radix, washed with wine) 3 qian; Shengdihuang (Rehmanniae Radix) 2 qian; Shaoyao (Paeoniae Radix) 1.5 qian.