秦(十七) 经停三月。无寒热。诊脉大。系恶阻减食。(恶阻)
细子芩 知母 苏梗 砂仁 橘红 当归 生白芍
(方丸)细子芩(三两) 苏梗(一两生研) 砂仁(五钱) 白芍(一两半) 熟白术(二两) 当归(一两半)
青苎汤法丸。
某 怀妊将三月。肝气攻冲。胁痞。呕吐红痰。(肝气)
细条芩 生白芍 川楝子 栝蒌皮 半夏曲 橘红 竹茹 生姜
程(二六) 殒胎每三月。是肝虚。(肝虚滑胎)
人参 阿胶 当归 白芍 川芎 桑寄生
钱(三九) 上年夏产。过月经转。今经停四个月。左脉弦滑流动。乃为妊象。此气急脘痞咳嗽。热气上
乘。迫肺之征。形肉日瘦。热能烁阴耗气。议清金平气。勿碍于下。(热伤肺阴)
桑叶 川贝 桔梗 广皮 黑山栀 地骨皮 茯苓 甘草
杨 血液仅仅养胎。春阳升举。上焦易燥。喉呛心嘈。皆液亏阳亢。
鲜生地 茯神 白扁豆 元参心 川斛
谢 始而热入阴伤。少腹痛。溺不爽。秋暑再伤。霍乱继起。今不饥不食。全是胃病。况怀妊五月。
胎气正吸脾胃真气。津液重伤。致令咳逆。(胃虚咳逆)
人参 知母 炒麦冬 木瓜 莲子肉 茯神
金 怀妊五月得热病。久伤阴液。身中阳气。有升无降。耳窍失聪。便难艰涩。议用仲景复脉法。
以生津液。(热邪伤阴)
炙甘草 人参 生地炭 阿胶 天冬 麦冬 生白芍 麻仁
某 怀妊百日。丙丁养胎。胎热。从戌亥时升。耳前赤痱刺痛。当养阴制火。
细生地 茯神 生白芍 建莲 桑叶 钩藤
某 脉右虚左弦。身麻肢冷。胎冲胀闷。五六月当脾胃司胎。厥阴内风暗动。不饥吞酸。全属中
虚。(肝风犯脾胃)
人参 枳壳 半夏 姜汁 桔梗
胡 怀妊六月。阳明司胎。闪动络脉。环跳痛连腰膂。最防胎气。(闪动络脉)
归身 桂枝木 炒杞子 炙草 羊胫骨 白茯苓
某 气逆壅热于上。龈肿喉痹。胸闷腹肿。七月太阴司胎。法宜宣化清上。(热壅上焦)
川贝 牛蒡子 连翘 苏梗 杏仁 花粉 菊花 橘红
汪 娠八月。胎动不安。脘闷不饥。宜凉血调气。可以安适。(气滞血热)
黄芩 知母 橘红 生白芍 当归 砂仁
程 娠八月。形寒气逆。神烦倦无寐。乃肝阳乘中之征。拟进熄风和阳法。(肝风)
黄芩 当归 生白芍 生牡蛎 橘红 茯神
又 肝风眩晕。麻痹少寐。
熟首乌 炒黑杞子 白芍 女贞子 茯神 黑 豆皮
王 先寒后热。咳呛。是春月风温肺病。风为阳邪。温渐变热。客气着人。即曰时气。怀妊九月。足
少阴肾脉养胎。上受热气。肺痹喘急。消渴胸满。便溺不爽。皆肺与大肠为表里之现症。状若
绘矣。芎归辛温。参术守补。肉桂沉香辛热。皆胎前忌用。致大热烦闷。势属危殆。议以清肺之
急。润肺之燥。俾胎得凉则安。去病身安。自为不补之补。古人先治其实。实者邪也。(热伤肺阴)
泡淡黄芩 知母 鲜生地 花粉 阿胶 天冬
又 喘热减半。四肢微冷。腹中不和。胎气有上冲之虑。昨进清润之方。 有汗。可见辛燥耗
血。便是助热。今烦渴既止。问初病由悲哀惊恐之伤。养肝阴。滋肾液为治。稳保胎元。病体可
调。复脉去桂麻姜枣加天冬知母子芩。
朱 脉右涩小数。左弦促。纳食脘胀。常有甘酸浊味。微呕吐清涎。旬朝始一更衣。仍不通爽。询
知病起情怀抑郁。由气郁化热。如内经五志过极。皆从火化。就怀妊恶阻。按徐之才逐月安
养。亦在足少阳经。正取清热养胎。况肝胆相火内寄。非凉剂无以和平。古人治病。以偏救偏。
幸勿畏虚以贻患。(郁热)
金石斛 黑山栀 茯苓 半夏曲 橘红 竹茹 枳实
某 恶阻。本欲恶心厌食。今夹时邪。头痛身热。当先清热。(时邪发热)
竹叶 连翘 生甘草 黄芩 花粉 苏梗
某 交节上吐下泻。况胎动不安。脉虚唇白。急用理中法。(吐泻伤热阳)
附子 人参 于术 茯苓 白芍
周 病中怀妊泄泻。(泄泻)
焦术 炒白芍 炒黄芩 炒广皮
金 怀妊若患时症。古人重在保胎。今者喜暖恶寒。升则厥痛。坠微便痛绕腹。暖胎须避络
伤。以及奇脉。畏虑胎坠难挽。辛香温柔之补。冀其止厥。(寒邪厥)
鹿角霜 淡苁蓉 炒杞子 柏子仁 当归 炒沙苑 炒大茴 茯苓
某 固护胎元。诸症俱减。惟心嘈觉甚。阴火上升。营虚之征。(营虚火炎)
人参 桑寄生 熟地 阿胶 丝绵灰 条芩 白芍 当归 茯苓 香附
某 怀妊。痢滞半月。胃阴既亏。阳气上逆。咽中阻。饮水欲哕。舌尖红赤。津液已耗。燥补
燥劫。恐阴愈伤。而胎元不保。议益胃和阳生津治之。(痢伤胃阴)
熟地 乌梅 白芍 山药 建莲 茯苓
用川石斛煎汤代水。
潘 血液护胎。尚且不固。心中如饥空洞。食不能纳。况又战栗呕逆。凡内外摇动。都是动胎。从
来有胎而病外感。麻桂硝黄等剂。必加四物。是治病保胎第一要法。(热邪伤阴)
小生地 白芍 阿胶 知母 黄芩 青蒿梗
王 临月下痢脓血。色紫形浓。热伏阴分。议用白头翁汤。(热邪下痢脓血)
又 苦味见效。知温热动血。以小其制为剂。可全功矣。
黄芩 黄柏 炒银花 炒山楂 茯苓 泽泻
某 胎漏鼻衄。发疹而喘。(胎漏)
淡黄芩 真阿胶 青苎
某 触胎下血。腹痛而坠。(触胎下血)
人参 炒白芍 炙草 广皮 熟地炭 炒砂仁末
加纹银一二两青苎一两。
又 照前方去熟地加炮姜熟术。
又 人参 熟地 炒归身 炒白芍 炙草 茯神 广皮 炒砂仁
陆(十八) 形瘦。脉数尺动。不食恶心。证象恶阻。腰痛见红。为胎漏欲坠。
青苎(二钱) 建莲(五钱) 纹银(一两) 砂仁(七分) 白糯米(一钱)
某 三月胎漏。用固下益气。
人参 熟术 熟地 阿胶 白芍 炙草 砂仁 艾炭
华 血下。殒胎未下。浊气扰动。晕厥呕逆。腹满。少腹硬。二便窒塞不通。此皆有形有质之阻。若
不急为攻治。浊瘀上冒。必致败坏。仿子和玉烛散意。(殒胎不下)
川芎 当归 芒硝 茺蔚子 大腹皮 青皮 黑豆皮 调回生丹
程 怀妊八月。子肿。腹渐坠。正气虚弱。补剂必须理气。预为临产之算。(子肿)
人参 茯苓 广皮 大腹皮 苏梗 砂仁末
易曰。大哉干元。万物资始。此言气之始也。又曰。至哉坤元。万物资生。此言形之始也。人得
父母之气。以生气生形。即禀此乾坤之气也。两仪既兆。五行斯彰。故天一生水。水属肾。肾
脏先生。地二生火。火属心。心又次生。天三生木。木属肝。肝又次生。地四生金。金属肺。肺又
次生。天五生土。土属脾。脾又次生。天既以五行生五脏。而仁义礼智信之五德。亦即寓于
其中。朱夫子所云。天以阴阳五行。化生万物。气以成形。而理亦赋焉。此之谓也。因此古人
重胎教。所以端其本也。而今不复讲矣。然六淫之感。七情之伤。妊妇禀气有强弱。小儿
胎元有静躁。故安胎之法。不可不详。如恶阻胎淋胎晕胎肿胎悬及漏胎等症。古人言之
甚晰。兹不具赘。今阅叶先生案。胎前大约以凉血顺气为主。而肝脾胃三经。尤为所重。因
肝藏血。血以护胎。肝血失荣。胎无以荫矣。肝主升。肝气横逆。胎亦上冲矣。胎气系于脾。如
寄生之托于苞桑。茑与女萝之施于松柏。脾气过虚。胎无所附。堕滑难免矣。至于胃为水
谷之海。妊妇全赖水谷之精华。以养身护胎。故胃气如兵家之饷道。不容一刻稍缓也。其
余有邪则去邪。有火则治火。阴虚则清滋。阳虚则温补。随机应变。无所执着。学人更能引
而伸之。触类而通之。安胎之法。可一以贯之。无余蕴矣。(秦天一)
徐评 案方亦清。无大出入。然非妇科专门。多有未到之处。当更博求之。
Qin (17 years old) Menstruation has stopped for three months. There is no aversion to cold or fever. The pulse is large. This is due to morning sickness (morning sickness, nausea and vomiting during pregnancy) leading to reduced appetite.
*Fine-substance Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Sugen (Perillae Caulis), Sharen (Amomi Fructus), Juhong (Citri Reticulatae Pericarpium Rubrum), Danggui (Angelicae Sinensis Radix), Sheng Baishao (Paeoniae Radix Alba)*
(Pill Formula) Fine-substance Huangqin (3 liang), Sugen (1 liang, raw and ground), Sharen (5 qian), Baishao (1.5 liang), Shu Baizhu (2 liang), Danggui (1.5 liang).
Made into pills using the method of Qingzhu Tang (Green Ramie Decoction).
A certain patient Pregnancy is approaching three months. Liver Qi attacks and rushes. Hypochondriac fullness and stuffiness. Vomiting blood-tinged phlegm. (Liver Qi invading Stomach)
*Fine-stemmed Huangqin, Sheng Baishao, Chuan Lianzi (Toosendan Fructus), Gualoupi (Trichosanthis Pericarpium), Banxiaqu (Pinelliae Fermentatum), Juhong, Zhuru (Bambusae Folium), Shengjiang (Zingiberis Rhizoma Recens)*
Cheng (26 years old) Each time she becomes pregnant, she miscarries at three months. This is due to Liver deficiency. (Liver deficiency causing habitual abortion)
*Renshen (Ginseng Radix et Rhizoma), Ejiao (Asini Corii Colla), Danggui, Baishao, Chuanxiong (Ligustici Chuanxiong Rhizoma), Sangjisheng (Taxilli Cacumen)*
Qian (39 years old) Gave birth last summer. Menstruation resumed afterwards. Now menstruation has stopped for four months. The left pulse is wiry, slippery, and flowing. This is a sign of pregnancy. This patient has rapid breathing, epigastric fullness, and cough. This is a sign of heat qi ascending and pressing on the Lung. Flesh and muscles are wasting away daily. Heat consumes Yin and Qi. It is proposed to clear Metal and calm Qi, without hindering the lower jiao fetus. (Heat injuring Lung Yin)
*Sangye (Mori Folium), Chuan Bei (Fritillariae Cirrhosae Bulbus), Jiegeng (Platycodonis Radix), Guangpi (Citri Reticulatae Pericarpium), Hei Shanzhi (Gardeniae Fructus Carbonisatus), Digupi (Lycii Cortex), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma)*
Yang Blood barely nourishes the fetus. Spring Yang rises. The Upper Jiao easily becomes dry. Throat choking and heart palpitations/irritability. All indicate fluid deficiency and Yang hyperactivity.
*Xian Shengdi (Rehmanniae Radix Recens), Fushen (Poria cum Radix et Ramis Xylil), Baibiandou (Phaseoli Semen Album), Yuanshenxin (Scrophulariae Radix Cord Centrum), Chuan Hu (Dendrobii Caulis)*
Xie Initially, heat entered the Yin causing injury. Lower abdominal pain. Urination was not smooth. Autumn summerheat injured again. Cholera followed. Now there is no hunger and no desire to eat. This is entirely a Stomach disease. Moreover, at five months of pregnancy, the fetal Qi is absorbing the true Qi of the Spleen and Stomach. Body fluids are severely injured, leading to cough and reversal of Qi. (Stomach deficiency causing cough and reversal)
*Renshen, Zhimu, Chao Maidong (Ophiopogonis Tuberum), Mugua (Chaenomelis Fructus), Lianzirou (Nelumbinis Semen), Fushen*
Jin Got a febrile disease at five months of pregnancy. Long-term injury to Yin fluids. Yang Qi in the body ascends but does not descend. Ear acoustics lose clarity. Defecation is difficult and astringent. It is proposed to use Zhang Zhongjing's Fu Mai Fa (Restore the Pulse Method). To generate body fluids. (Heat pathogen injuring Yin)
*Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata), Renshen, Sheng Di Tan (Rehmanniae Radix Carbonisata), Ejiao, Tiandong (Asparagi Tuber), Maidong (Ophiopogonis Tuber), Sheng Baishao, Mahren (Cannabis Semen)*
A certain patient Pregnancy is one hundred days. Bing-Ding days nourish the fetus. Fetal heat. Rises from Xu-Hai hours. Ears front red, numb, painful. Should nourish Yin and control fire.
*Xi Shengdi, Fushen, Sheng Baishao, Jianlian (Nelumbinis Plumula), Sangye, Gouteng (Uncariae Ramulus cum Uncis)*
A certain patient Pulse right deficient, left wiry. Body numbness, limbs cold. Fetal rushing, distension, and oppression. In the fifth and sixth months, the Spleen governs fetal nourishment. Jueyin internal wind moves secretly. No hunger, acid regurgitation. Entirely belongs to Middle Jiao deficiency. (Liver wind attacking Spleen and Stomach)
*Renshen, Zhiqiao (Aurantii Fructus), Banxia (Pinelliae Rhizoma), Jiangzhi (Zingiberis Succus), Jiegeng*
Hu Pregnancy is six months. Yangming governs fetal nourishment. Flashing/moving collaterals. Huantiao point pain connecting to waist and back. Most fear fetal Qi damage. (Collateral movement)
*Guishen (Angelicae Sinensis Radix), Guizhimu (Cinnamomi Ramulus), Chao Qizi (Lycii Fructus), Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparata), Yangjinggu (Ossus Tibiae Ovis), Bai Fuling (Poria)*
A certain patient Qi reverses and stagnates with heat in the upper part. Gingival swelling, throat obstruction. Chest oppression, abdominal swelling. In the seventh month, Taiyin governs fetal nourishment. The method should be to diffuse and transform, clearing the upper. (Heat stagnating in Upper Jiao)
*Chuan Bei, Niubangzi (Arctii Fructus), Lianqiao (Forsythiae Fructus), Sugen, Xingren (Prunus Semen), Huafen (Trichosanthis Radix), Juhua (Chrysanthemi Flos), Juhong*
Wang Pregnancy is eight months. Fetal restlessness. Epigastric stuffiness, no hunger. Should cool blood and regulate Qi. Can achieve comfort. (Qi stagnation and blood heat)
*Huangqin (Scutellariae Radix), Zhimu, Juhong, Sheng Baishao, Danggui, Sharen*
Cheng Pregnancy is eight months. Form cold, Qi reversal. Mental irritability, fatigue, insomnia. This is a sign of Liver Yang overacting on the Middle. Propose to enter the method of extinguishing wind and harmonizing Yang. (Liver wind)
*Huangqin, Danggui, Sheng Baishao, Sheng Muli (Ostreae Concha), Juhong, Fushen*
Another symptom: Liver wind dizziness. Numbness, little sleep.
*Shu Shouwu (Polygoni Multiflori Radix Preparata), Chao Hei Qizi (Lycii Fructus Carbonisatus), Baishao, Nvzhenzi (Ligustri Lucidi Fructus), Fushen, Hei Doupi (Sojae Semen Nigrum Cutis)*
Wang First chills then fever. Coughing and wheezing. This is Wind-Warmth Lung disease in spring. Wind is a Yang pathogen. Warmth gradually changes to heat. Guest Qi attaches to people. Called seasonal Qi. Pregnancy is nine months. Foot Shaoyin Kidney meridian nourishes the fetus. Upper reception of heat Qi. Lung obstruction, panting urgency. Xiao Ke (wasting-thirst) chest fullness. Urination and defecation not smooth. All are manifestations of Lung and Large Intestine being interior-exterior pairs. The condition is as clear as painting. Xiong Gui (Xiongyao & Danggui) are acrid-warm. Renshen Baizhu are guarding tonification. Rougui (Cinnamomi Cortex) Chenxiang (Aquilariae Lignum Resinatum) are acrid-hot. All are contraindicated before pregnancy. Causing great heat and irritability. The situation is critical. Propose to clear Lung urgency. Moisten Lung dryness. Let the fetus be safe when cool. Remove disease, body safe. Naturally non-tonifying tonification. Ancients first treat excess. Excess is evil. (Heat injuring Lung Yin)
*Pao Dan Huangqin (Scutellariae Radix), Zhimu, Xian Shengdi (Rehmanniae Radix Recens), Huafen, Ejiao, Tiandong*
Another symptom: Panting and heat halved. Limbs slightly cold. Abdomen not harmonious. Fetal Qi has concern of rushing upward. Yesterday advanced moistening formula. Sweating. Visible that acrid-dry consumes blood. Is assisting heat. Now irritability and thirst stopped. Asked initial illness caused by sorrow and fright injury. Nourish Liver Yin. Nourish Kidney fluid as treatment. Steadily protect fetal origin. Disease body can be regulated. Fu Mai (Restore Pulse) remove Gui Ma Jiang Zao add Tiandong Zhimu Zi Huangqin.
Zhu Pulse right choppy small rapid. Left wiry hurried. Food intake epigastric distension. Often sweet-sour turbid taste. Slight vomiting clear saliva. Ten days once bowel movement. Still not smooth. Inquired illness started from emotional depression. From Qi stagnation transforming to heat. As Nei Jing says five emotions extreme. All transform from fire. Regarding pregnancy morning sickness. According to Xu Zhicai monthly nurturing. Also in Foot Shaoyang meridian. Correctly take clearing heat nourishing fetus. Moreover Gallbladder-Liver ministerial fire internally resides. Without cooling agents cannot be peaceful. Ancients treating disease. Use bias to rescue bias. Fortunately do not fear deficiency to cause trouble. (Depressed heat)
*Jin Shihu (Dendrobii Caulis), Hei Shanzhi, Fuling, Banxiaqu, Juhong, Zhuru, Zhishi (Aurantii Fructus Immaturus)*
A certain patient Morning sickness. Originally wanted nausea and food aversion. Now mixed with seasonal pathogen. Headache body fever. Should first clear heat. (Seasonal pathogen fever)
*Zhuye (Bambusae Folium), Lianqiao, Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin, Huafen, Sugen*
A certain patient Crossing solar term vomiting and diarrhea. Moreover fetal restlessness. Pulse deficient lips white. Urgently use Lizhong Fa (Regulate Middle Method). (Vomiting-diarrhea injuring Yang)
*Fuzi (Aconiti Lateralis Radix Preparata), Renshen, Yuzhu (Atractylodis Macrocephalae Rhizoma), Fuling, Baishao*
Zhou Illness during pregnancy diarrhea. (Diarrhea)
*Jiao Zhu (Atractylodis Macrocephalae Rhizoma Carbonisatum), Chao Baishao, Chao Huangqin, Chao Guangpi*
Jin Pregnancy if suffering seasonal disease. Ancients focused on protecting fetus. Now likes warmth fears cold. Ascending causes syncope pain. Falling slight pain surrounds abdomen. Warming fetus must avoid collateral injury. And extraordinary vessels. Fear worry fetal falling hard to retrieve. Acrid-aromatic gentle tonification. Hope to stop syncope. (Cold pathogen syncope)
*Lujiaoshuang (Cervi Cornus Degelatinatum), Dan Congrong (Cistanches Herba), Chao Qizi, Baiziren (Platycladi Semen), Danggui, Chao Shayuan (Astragali Complanati Semen), Chao Dahuai (Illicii Fructus), Fuling*
A certain patient Protecting fetal origin. All symptoms decreased. Only heart palpitations/irritability feels severe. Yin fire rising. Ying deficiency sign. (Ying deficiency fire flaming)
*Renshen, Sangjisheng, Shudi (Rehmanniae Radix Preparata), Ejiao, Simianhui (Silk Ash), Tiao Qin (Scutellariae Radix), Baishao, Danggui, Fuling, Xiangfu (Cyperi Rhizoma)*
A certain patient Pregnancy. Dysentery stagnant half month. Stomach Yin already deficient. Yang Qi reverses upward. Throat obstruction. Drinking water wants to retch. Tongue tip red. Fluids already consumed. Dry tonification dry robbery. Fear Yin further injured. And fetal origin not protected. Propose benefit Stomach harmonize Yang generate fluid treatment. (Dysentery injuring Stomach Yin)
*Shudi, Wumei (Mume Fructus), Baishao, Shanyao (Dioscoreae Rhizoma), Jianlian, Fuling*
Use Chuan Shihu decoction water substitute.
Pan Blood protects fetus. Still not solid. Heart like hunger hollow. Food cannot accept. Moreover shivering vomiting reversal. All internal external shaking. Are moving fetus. Since having fetus and suffering exterior infection. Ma Gui Xiao Huang etc agents. Must add Si Wu (Four Substances). Is treating disease protecting fetus first essential method. (Heat pathogen injuring Yin)
*Xiao Shengdi (Rehmanniae Radix), Baishao, Ejiao, Zhimu, Huangqin, Qinghao Geng (Artemisiae Annuae Caulis)*
Wang Approaching month dysentery pus blood. Color purple shape thick. Heat hiding in Yin branch. Propose use Baitouweng Tang. (Heat pathogen dysentery pus blood)
Another symptom: Bitter taste effective. Know warm-heat moving blood. Reduce its preparation as agent. Can complete success.
*Huangqin, Huangbai (Phellodendri Cortex), Chao Yinhua (Lonicerae Japonicae Flos), Chao Shanzha (Crataegi Fructus), Fuling, Zexie (Alismatis Rhizoma)*
A certain patient Fetal leakage nasal bleeding. Erupting rash panting. (Fetal leakage)
*Dan Huangqin, Zhen Ejiao, Qingzhu (Ramiae Cannabis)*
A certain patient Touching fetus bleeding. Abdominal pain and falling. (Touching fetus bleeding)
*Renshen, Chao Baishao, Zhi Cao, Guangpi, Shudi Tan (Rehmanniae Radix Carbonisata), Chao Sharen End*
Add Wen Yin (Refined Silver) 1-2 liang Qingzhu 1 liang.
Another symptom: Follow previous formula remove Shudi add Pao Jiang (Prepared Ginger) Shu Zhu (Prepared Atractylodes).
Another symptom: Renshen, Shudi, Chao Guishen, Chao Baishao, Zhi Cao, Fushen, Guangpi, Chao Sharen.
Lu (18 years old) Thin form. Pulse rapid Chi moves. No eating nausea. Syndrome image morning sickness. Waist pain seeing red. For fetal leakage about to fall.
*Qingzhu (2 qian), Jianlian (5 qian), Wen Yin (1 liang), Sharen (7 fen), Bai Nuomi (White Glutinous Rice Grain) (1 qian)*
A certain patient Three months fetal leakage. Use securing lower benefiting Qi.
*Renshen, Shu Zhu (Prepared Atractylodes), Shudi, Ejiao, Baishao, Zhi Cao, Sharen, Ai Tan (Artemisiae Argyi Folium Carbonisatum)*
Hua Blood down. Fallen fetus not down. Turbid Qi disturbing. Syncope vomiting reversal. Abdomen full. Lower abdomen hard. Two bowels blocked not passing. These all have form and substance obstruction. If not urgently attack treat. Turbid stasis rushing up. Must cause ruin. Imitate Hezi Yuzhu San intent. (Fallen fetus not down)
*Chuanxiong, Danggui, Mangxiao (Natrii Sulfas), Chongweizi (Leonuri Fructus), Dafupi (Arecae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Hei Doupi, Diao Huisheng Dan (Return Life Pill)*
Cheng Pregnancy eight months. Fetal edema. Abdomen gradually falls. Righteous Qi weak. Tonifying agents must regulate Qi. Prepare for labor calculation. (Fetal edema)
*Renshen, Fuling, Guangpi, Dafupi, Sugen, Sharen End*
I Ching says: Great indeed Qianyuan. Ten thousand things start from it. This speaks of Qi beginning. Again says: Excellent indeed Kunyuan. Ten thousand things generate from it. This speaks of Form beginning. Humans get parents' Qi. To generate Qi generate Form. That is inheriting this Qian-Kun Qi. Two Yi both manifested. Five Elements then bright. So Heaven One generates Water. Water belongs to Kidney. Kidney organ first generates. Earth Two generates Fire. Fire belongs to Heart. Heart then next generates. Heaven Three generates Wood. Wood belongs to Liver. Liver then next generates. Earth Four generates Metal. Metal belongs to Lung. Lung then next generates. Heaven Five generates Earth. Earth belongs to Spleen. Spleen then next generates. Heaven already by Five Elements generates Five Zang. And Ren Yi Li Zhi Xin (Benevolence, Righteousness, Propriety, Wisdom, Trustworthiness) Five Virtues. Also reside within them. Master Zhu said: Heaven by Yin-Yang Five Elements. Transforms generates ten thousand things. Qi by forming shape. And Li (Principle) also endowed. This is called it. Therefore ancients valued prenatal education. So straighten its root. But now no longer discussed. However Six Evils feeling. Seven Emotions injuring. Pregnant women inheriting Qi has strong-weak. Children fetal origin has quiet-restless. So An Tai (calming fetus) method. Cannot not detail. Such as morning sickness, fetal strangury, fetal dizziness, fetal edema, fetal suspension, and leaking fetus etc syndromes. Ancients spoke very clearly. Here not detailed. Now reading Mr Ye's cases. Prenatal generally mainly cools blood smooths Qi. And Liver-Spleen-Stomach three meridians. Especially valued. Because Liver stores Blood. Blood protects fetus. Liver blood loses nourishment. Fetus has no shade. Liver governs ascending. Liver Qi horizontal reversing. Fetus also rushes upward. Fetal Qi ties to Spleen. Like parasitic relying on mulberry. Vines and moss applying to pine-cypress. Spleen Qi too weak. Fetus has no attachment. Falling slipping unavoidable. Regarding Stomach as sea of water-grain. Pregnant women fully rely on water-grain essence. To nourish body protect fetus. So Stomach Qi like military supply route. Not allow moment delay. Remaining have evil then remove evil. Have fire then treat fire. Yin deficiency then clear-nourish. Yang deficiency then warm-tonify. Randomly change respond. No attachment. Learners more able lead and extend it. Touch category and understand it. Calming fetus method. Can one through penetrate it. No remaining essence. (Qin Tianyi)
Xu Comment: Case formulas also clear. No major deviation. But not gynecology specialty. Many places not reached. Should more broadly seek.