凡妊娠腹痛时作,小腹重坠,此缘气虚下降,间有兼寒者,宜加味安胎饮治之。加味安
胎饮∶白术、熟地、当归各二钱,陈皮、苏梗、川芎、甘草各四分,砂仁五分,兼寒者加吴
萸五分,干姜五分,水煎服。
凡妊娠小腹虚胀,因食硬物伤胎,胎既受病,传于脾胃,胃气虚冷,下逼小肠,若奔豚
腰重,大便闭涩,两胁虚鸣,宜服胜金散,温中下气,胎自安矣。
胜金散∶吴萸、陈皮、军姜炮(即制军)、干姜、川芎各二两五钱,浓朴、砂仁、甘草
各
凡妊娠胎冷腹胀,两胁虚鸣、脐下疼痛欲泻,小便频数,大便虚滑,此因胎已成形,而
多食瓜果生冷之物,或当风取凉,受不时之气,致令子身不安,皮毛刺痛,筋骨拘紧而母有
此病,急宜安胎和气饮治之。安胎和气饮∶诃子(面煨)、白术各二两,橘红、白芍、木香
各
凡妊娠心神忪悸,睡梦多惊,胁腹饱胀,过时连脐急痛,气促不宁,此是胎气既成。五
脏安养已久,或因气闷,或因喧呼,致令胎惊筋骨伤痛、四肢不安,急以大圣散治之。大圣
散∶当归、川芎、麦冬、茯苓各二钱,炙 、人参、甘草各五分,姜三片,水煎。
凡妊娠头旋目昏,腮项肿硬,此因胎气有伤,热毒上攻,沉痛欲呕,背项拘急,致令眼
昏生花,若加痰壅,危在片时,急以消风散治之。消风散∶雨茶、甘菊、羌活、石膏、当归
、川芎、羚羊、白芷、荆芥、防风、甘草,加姜煎,食前服。
凡是妊娠期间出现腹痛阵发、小腹有沉重下坠感,这是由于气虚导致气机下降所致,偶尔伴有寒邪的,适宜使用加味安胎饮进行治疗。加味安胎饮:白术、熟地黄、当归各二钱,陈皮、紫苏梗、川芎、甘草各四分,砂仁五分;若兼有寒邪者,加吴茱萸五分、干姜五分,用水煎煮后服用。
凡是妊娠期间小腹虚性胀满,是因为食用坚硬食物损伤了胎儿,胎儿既已受病,病气传及脾胃,导致胃气虚冷,向下逼迫小肠,若出现如奔豚病般的腰部沉重感、大便闭塞不通、两胁部虚鸣等症状,适宜服用胜金散,以温中散寒、降逆下气,胎儿自然就能安定。
胜金散:吴茱萸、陈皮、制大黄(即炮制的军姜)、干姜、川芎各二两五钱,厚朴、砂仁、甘草各……(原文此处缺失后续剂量)
凡是妊娠期间因胎冷导致腹部胀满,两胁部虚鸣、脐下疼痛且有便意欲泻,小便频数,大便稀溏滑泄,这是因为胎儿已经成形,而孕妇多食瓜果生冷之物,或在风中纳凉,感受了非时之气,致使胎儿身体不安,皮肤毛发刺痛,筋骨拘挛紧缩,母亲因此患病,急需使用安胎和气饮进行治疗。安胎和气饮:诃子(面粉煨制)、白术各二两,橘红、白芍、木香各……(原文此处缺失后续剂量)
凡是妊娠期间出现心神恍惚惊悸,睡梦中多受惊吓,胁肋腹部饱胀,过一段时间后牵连脐部急痛,气短喘息不安,这是因为胎气已经形成。五脏安养已久,可能因为气机郁闷,或者因为大声喧哗呼叫,致使胎儿受惊,筋骨伤痛、四肢不安,急需使用大圣散进行治疗。大圣散:当归、川芎、麦冬、茯苓各二钱,炙黄芪、人参、甘草各五分,生姜三片,用水煎煮。
凡是妊娠期间出现头晕眼花、腮部和颈部肿胀坚硬,这是因为胎气受损,热毒向上攻冲,剧烈疼痛想要呕吐,背部和颈部拘挛紧急,致使眼睛昏花视物不清,如果再加上痰浊壅盛,危险就在片刻之间,急需使用消风散进行治疗。消风散:雨前茶、甘菊花、羌活、石膏、当归、川芎、羚羊角、白芷、荆芥、防风、甘草,加入生姜煎煮,饭前服用。
Whenever abdominal pain occurs intermittently during pregnancy, accompanied by a heavy and bearing-down sensation in the lower abdomen, this is due to Qi deficiency causing Qi to descend. In cases occasionally complicated by Cold, Jiawei Antai Yin (Additive Decoction for Calming the Fetus) is indicated for treatment. Jiawei Antai Yin: Baizhu (Atractylodis Macrocephalae Rhizoma), Shudi (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix) each 2 qian; Chenpi (Citri Reticulatae Pericarpium), Sugen (Perillae Caulis), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) each 4 fen; Sharen (Amomi Fructus) 5 fen. For those with Cold, add Wuyu (Evodiae Fructus) 5 fen and Jiangjiang (Zingiberis Rhizoma) 5 fen. Decoct in water and take orally.
Whenever the lower abdomen feels distended and empty during pregnancy, caused by consuming hard foods that damage the fetus, once the fetus is diseased, the pathology transmits to the Spleen and Stomach. If the Stomach Qi becomes deficient and cold, pressing downward on the Small Intestine, presenting with symptoms such as waist heaviness similar to Ben Tun (Rushing Pig disease), constipation, and empty buzzing sounds in both hypochondria, Shengjin San (Golden Victory Powder) is indicated to warm the Middle and direct rebellious Qi downward, thereby calming the fetus. Shengjin San: Wuyu (Evodiae Fructus), Chenpi (Citri Reticulatae Pericarpium), Junjiang Pao (prepared Rheum Palmatum Radix et Rhizoma), Jiangjiang (Zingiberis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) each 2 liang 5 qian; Houpo (Magnoliae Officinalis Cortex), Sharen (Amomi Fructus), Gancao (Glycyrrhizae Radix et Rhizoma) each... [text missing].
Whenever abdominal distension occurs due to fetal Cold during pregnancy, accompanied by empty buzzing in both hypochondria, pain below the umbilicus with an urge to defecate, frequent urination, and loose slippery stools, this is because the fetus has already formed, but the mother consumed excessive fruits, melons, or raw/cold foods, or cooled herself in the wind, contracting non-seasonal pathogenic factors. This causes fetal unrest, prickling sensations in the skin and hair, and stiffness/tightness of sinews and bones, resulting in maternal illness. An Tai He Qi Yin (Decoction for Calming the Fetus and Harmonizing Qi) should be urgently administered. An Tai He Qi Yin: Hezi Mian Wei (Arecae Semen Roasted with Flour), Baizhu (Atractylodis Macrocephalae Rhizoma) each 2 liang; Juhong (Citri Reticulatae Pericarpium), Baishao (Paeoniae Radix Alba), Muxiang (Aucklandiae Radix) each... [text missing].
Whenever palpitations and mental restlessness occur during pregnancy, with frequent nightmares and fright, fullness and distension in the hypochondria and abdomen, followed by urgent pain radiating to the umbilicus after some time, shortness of breath, and anxiety, this indicates that the fetal Qi has formed. After the Five Zang Organs have been nourished for a long time, sudden Qi stagnation or loud shouting may cause fetal fright, leading to pain in sinews and bones and restlessness in the four limbs. Dasheng San (Great Sage Powder) should be urgently used for treatment. Dasheng San: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Maidong (Ophiopogonis Tuber), Fuling (Poria) each 2 qian; Zhi Huangqi (Astragali Radix Praeparated with Honey), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) each 5 fen; three slices of fresh ginger. Decoct in water.
Whenever dizziness, blurred vision, swelling, and hardness of the cheeks and neck occur during pregnancy, this is due to damaged fetal Qi with Heat-Toxin attacking upward. Severe pain with nausea, stiffness and tension in the back and neck, causing visual disturbances and flashing lights, if compounded by Phlegm obstruction, constitutes a critical condition imminent with danger. Xiaofeng San (Wind-Extinguishing Powder) should be urgently administered. Xiaofeng San: Yucha (Pre-Qingming Tea), Ganju (Chrysanthemi Flos), Qianghuo (Notopterygii Rhizoma et Radix), Shigao (Gypsum Fibrosum), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Lingyangjiao (Saigae Tataricae Cornu), Baizhi (Angelicae Dahuricae Radix), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma). Add fresh ginger, decoct, and take before meals.