胎气宜清不宜热,宜静不宜动,有因胎病不安者,有因母病而胎不安者,宜预安之。
【主意】
妊妇全凭气血谐,伤情冷热挫为灾。伤血脉濡宜四物,四君脉大旋安排。挫气缩砂为末服,术芎芩归不伤胎。
安胎饮
熟地 白术(炒) 当归(酒洗) 川芎 白芍 茯苓 黄芩 甘草 阿胶(炒) 地
榆艾叶(各五分) 姜(三片)
水煎服
胎气郁滞者,宜参苏饮。
人参(二钱) 苏叶(五钱)
水煎服
脾气虚弱者,宜六君子汤。
人参 甘草(各五钱) 白术(炒) 茯苓(各一钱) 半夏(制) 陈皮(去白七
分) 加紫苏 枳壳 姜(二片) 枣(二枚)
水煎,不拘时服
郁结伤脾者,宜归脾汤。
人参 黄 茯神 甘草 木香(忌火) 酸枣仁(炒) 白术(炒)
圆眼肉 加柴胡 栀仁(炒黑各等分) 姜(一片)
水煎服
郁怒肝脾者,宜四七汤。
苏叶 浓朴(姜汁炒) 茯苓(各一钱) 半夏(姜制,一钱五分)
加川芎、川归,怒动肝火加五味子、柴胡、姜、枣煎服。
妊娠月水时下者,皆由冲任脉虚,不能约制经血,血漏尽则
胎毙矣。有劳役喜怒不节,或饮食触冒风寒,或母有宿疾,为风冷所乘,气血失度而血漏下。
【主意】
漏胎血少气偏虚,不能卫护热乘之。脉数黄芩加白术,安胎主药善扶持。弱脉血虚全四物,
艾胶制炒要知宜。下陷升提分湿热,气虚应可用参 。
Fetal Qi should be clear and cool rather than hot, and quiet rather than active. Causes of fetal restlessness include disorders originating from the fetus itself or from the mother's illness affecting the fetus; therefore, preventive measures for stabilizing the fetus should be taken in advance.
[Main Principle Verse]
The pregnant woman relies entirely on the harmony of Qi and Blood. Emotional distress or exposure to cold and heat can cause disaster. If blood vessels are damaged leading to deficiency and dampness, Siwu Tang (Four Substances Decoction) is suitable. If the pulse is large indicating Qi deficiency, Sijunzi Tang (Four Gentlemen Decoction) should be arranged promptly. For Qi stagnation and damage, Amomi Fructus (Sharen, 砂仁) ground into powder can be taken. Atractylodis Rhizoma (Baizhu, 白术), Chuanxiong Rhizome (Chuanxiong, 川芎), Scutellariae Radix (Huangqin, 黄芩), and Angelicae Sinensis Radix (Danggui, 当归) do not harm the fetus when used together.
Antenatal Stabilization Decoction (Antai Yin)
Prepared Rehmanniae Radix (Shudi, 熟地), Fried Atractylodis Rhizoma (Baizhu, 白术), Wine-washed Angelicae Sinensis Radix (Danggui, 当归), Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎), White Peony Root (Baishao, 白芍), Poria (Fuling, 茯苓), Scutellariae Radix (Huangqin, 黄芩), Licorice Root (Gancao, 甘草), Fried Prepared Rehmanniae Radix (Ejiao, 阿胶), Sanguisorbae Radix (Diyu, 地榆), Artemisiae Argyi Folium (Aiye, 艾叶) (each 5 fen), Ginger (3 slices).
Decoct in water and take orally.
For fetal restlessness due to Qi stagnation, Shen Su Yin (Ginseng and Perilla Decoction) is suitable.
Panax Ginseng Radix et Rhizoma (Renshen, 人参) (2 qian), Perillae Folium (Suye, 苏叶) (5 qian).
Decoct in water and take orally.
For fetal restlessness due to Spleen Qi deficiency, Liujunzi Tang (Six Gentlemen Decoction) is suitable.
Panax Ginseng Radix et Rhizoma (Renshen, 人参), Licorice Root (Gancao, 甘草) (each 5 qian), Fried Atractylodis Rhizoma (Baizhu, 白术), Poria (Fuling, 茯苓) (each 1 qian), Processed Pinellia Tuber (Banxia, 半夏), Exocarpium Citri Reticulatae (Chenpi, 陈皮) (7 fen, pith removed), added with Perillae Folium (Zisu, 紫苏), Aurantii Fructus (Zhike, 枳壳), Ginger (2 slices), Jujubae Fructus (Zao, 枣) (2 pieces).
Decoct in water, take at any time without restriction.
For fetal restlessness due to emotional constraint injuring the Spleen, Guipi Tang (Restore the Spleen Decoction) is suitable.
Panax Ginseng Radix et Rhizoma (Renshen, 人参), Astragali Membranacei Radix (Huangqi, 黄芪), Poria Cum Ramo Polypori (Fushen, 茯神), Licorice Root (Gancao, 甘草), Aucklandiae Radix (Muxiang, 木香) (avoid fire processing), Fried Ziziphi Spinosomi Semen (Suanzaoren, 酸枣仁), Fried Atractylodis Rhizoma (Baizhu, 白术), Longan Aril (Yuanyanrou, 圆眼肉), added with Bupleuri Radix (Chaihu, 柴胡), Gardeniae Fructus (Zhiren, 栀仁) fried black (equal parts), Ginger (1 slice).
Decoct in water and take orally.
For fetal restlessness due to anger affecting Liver and Spleen, Siqi Tang (Four Seven Decoction) is suitable.
Perillae Folium (Suye, 苏叶), Fried Magnoliae Officinalis Cortex (Nongpo, 浓朴) with Ginger Juice, Poria (Fuling, 茯苓) (each 1 qian), Processed Pinellia Tuber (Banxia, 半夏) with Ginger (1.5 qian).
Added with Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎) and Angelicae Sinensis Radix (Chuan Gui, 川归). If anger stirs Liver Fire, add Schisandrae Fructus (Wuweizi, 五味子), Bupleuri Radix (Chaihu, 柴胡), Ginger, and Jujubae Fructus (Zao, 枣) to decoct and take.
In pregnancy, if menstruation occurs monthly, it is all due to deficiency of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), which fail to constrain menstrual blood. Once the blood leaks out completely, the fetus will die. This condition arises from overexertion, irregular emotions such as anger or joy, dietary indiscretion exposing one to wind-cold, or pre-existing maternal diseases where wind-cold pathogens invade, causing Qi and Blood imbalance and vaginal bleeding.
[Main Principle Verse]
Leaking fetus presents with scant blood but predominant Qi deficiency, unable to protect against invading heat. If the pulse is rapid, add Scutellariae Radix (Huangqin, 黄芩) and Atractylodis Rhizoma (Baizhu, 白术); these are the main herbs for stabilizing the fetus and supporting health well. If the pulse is weak and Blood is deficient, use Siwu Tang (Four Substances Decoction) entirely; know how to appropriately use fried Ai Ye (Artemisiae Argyi Folium, 艾叶) and Ejiao (Prepared Gelatin, 阿胶). For sinking Qi, use lifting methods and differentiate damp-heat; for Qi deficiency, Panax Ginseng Radix et Rhizoma (Renshen, 人参) should be used.