凡妇人气血两虚,怀孕无所荣养,故四肢无力倦怠,饮食少思,或平昔素有坠胎之患,盖养胎者血也,
护胎者气也。保胎安孕者宜清热也。怀孕如悬钟在梁,梁软则钟坠,故安胎者必补气
血固中气为主,又能养性情,戒暴怒则无坠胎之患矣。
【主方】
人参(五分) 黄 (七分) 当归(七分) 川芎(五分) 白芍(六分) 熟地(一
钱) 黄芩(七分) 白术(一钱) 甘草(五分,炙) 阿胶(一钱,蛤粉炒) 杜仲
(六分去粗皮炒去丝,止腰腹痛)
用水两盅,煎一盅,食远微热服。(月月数帖,服之为妙,或加艾叶)
加减法
腹痛,加砂仁(五分),取其止痛行气也;忧怒郁结者,加紫苏、香附(各五分),取其和胎气也。
安胎饮
胎前宜服,清热养血。
归身(一钱) 川芎(八分) 白芍 熟地 砂仁 陈皮(各一钱) 白术(一钱) 条芩(
一钱五分) 紫苏 艾叶(各八分) 甘草(四分)
用水煎服。
加减法
下血不止,加蒲黄(一钱)、阿胶(一钱,炒);腹痛,加香附、枳壳(各
一钱);腰痛,加杜仲、续断;如胎漏,去陈皮、甘草,加香附亦妙,盖此症属气血虚也。
丹溪安胎丸
白术(炒) 沉水黄芩(各二两)
为末粥丸如梧桐子大,空心服。虚人加人参 黄 。郁加香附,火郁加栀子,八九月后宜服达生散。
金匮当归丸
孕妇宜常服。
川芎 当归(酒洗) 白芍(酒炒) 黄芩(各四两,纳醋炒二两) 白术(麸炒
)阿胶(炒) 人参(各二两) 砂仁(一两)
共为末,面糊为丸,如梧桐子大,每服六七十丸,空心用滚水或米饮汤送下。此方养血清热药也。瘦
人血少有热,胎动不安,素有半产者,宜预服之,以清其源,而后无患矣。妇人有孕则碍脾运化而生湿,湿
而生热,古人用白术,黄芩为安胎之圣药。盖白术补脾燥湿,黄芩清热也。况胎孕赖血气以养,此方加川芎、
当归、白芍、阿胶以补血,再加人参、砂仁,以安胎顺气止腹痛尤为佳也。服此方之后尤为易产。所生男
女兼无胎毒,痘疹稀少,无病易育,屡服屡验。
In cases where women suffer from a deficiency of both Qi and Blood, pregnancy lacks adequate nourishment, resulting in weakness and fatigue in the four limbs, as well as poor appetite or reluctance to eat. Alternatively, they may have a history of habitual abortion (spontaneous abortion). This is because the fetus is nourished by Blood, while it is protected by Qi. To preserve the fetus and ensure a safe pregnancy, clearing heat is appropriate. Pregnancy is like a bell suspended from a beam; if the beam is soft, the bell will fall. Therefore, stabilizing the fetus must primarily focus on tonifying Qi and Blood and consolidating Middle Qi. Additionally, one should cultivate emotional stability and avoid violent anger to prevent the risk of miscarriage.
[Main Formula]
Renshen (Ginseng Radix et Rhizoma) (5 fen), Huangqi (Astragali Radix) (7 fen), Danggui (Angelicae Sinensis Radix) (7 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma) (5 fen), Baishao (Paeoniae Radix Alba) (6 fen), Shudi (Rehmanniae Radix Preparata) (1 qian), Huangqin (Scutellariae Radix) (7 fen), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen, honey-fried), Ejiao (Colla Corii Asini) (1 qian, fried with clam powder), Duzhong (Eucommiae Cortex) (6 fen, coarse skin and silk fibers removed, fried; specifically for relieving lower back and abdominal pain).
Add two zhong of water, decoct until one zhong remains. Take warm after meals. (Taking several doses monthly yields excellent results; mugwort leaves may be added.)
Modifications:
For abdominal pain, add Shaoren (Amomi Fructus Rotundus) (5 fen) for its analgesic and Qi-moving properties. For emotional distress and Qi stagnation due to worry and anger, add Zisu (Perillae Folium) and Xiangfu (Cyperi Rhizoma) (5 fen each) to harmonize fetal Qi.
Ante-natal Decoction (An Tai Yin)
Suitable for use during pregnancy to clear heat and nourish Blood.
Dangguishen (Angelicae Sinensis Radix) (1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (8 fen), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Preparata), Shaoren (Amomi Fructus Rotundus), Chenpi (Citri Reticulatae Pericarpium) (1 qian each), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Tiaohuangqin (Scutellariae Radix) (1.5 qian), Zisu (Perillae Folium), Aiye (Artemisiae Argyi Folium) (8 fen each), Gancao (Glycyrrhizae Radix et Rhizoma) (4 fen).
Decoct in water and take orally.
Modifications:
For persistent vaginal bleeding, add Puhuang (Typhae Pollen) (1 qian) and Ejiao (Colla Corii Asini) (1 qian, fried). For abdominal pain, add Xiangfu (Cyperi Rhizoma) and Zhike (Aurantii Fructus Immaturus) (1 qian each). For lower back pain, add Duzhong (Eucommiae Cortex) and Xuduan (Dipsaci Radix). If there is fetal leakage (spotting during pregnancy), remove Chenpi (Citri Reticulatae Pericarpium) and Gancao (Glycyrrhizae Radix et Rhizoma); adding Xiangfu (Cyperi Rhizoma) is also effective, as this condition belongs to Qi and Blood deficiency.
Danxi Fetus-Stabilizing Pill (Danxi Antai Wan)
Baizhu (Atractylodis Macrocephalae Rhizoma, fried) and Chenhuangqin (Scutellariae Radix, sunken wood quality) (2 liang each).
Grind into powder and form pills using congee, sized like paulownia seeds. Take on an empty stomach. For deficient individuals, add Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix). For Qi stagnation, add Xiangfu (Cyperi Rhizoma); for Fire stagnation, add Zhizi (Gardeniae Fructus). After the eighth or ninth month of pregnancy, it is advisable to take Dasheng San.
Jingui Danggui Pill (Jingui Danggui Wan)
Suitable for pregnant women to take regularly.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, wine-washed), Baishao (Paeoniae Radix Alba, wine-fried), Huangqin (Scutellariae Radix) (4 liang each, with 2 liang stir-fried with vinegar), Baizhu (Atractylodis Macrocephalae Rhizoma, bran-fried), Ejiao (Colla Corii Asini, fried), Renshen (Ginseng Radix et Rhizoma) (2 liang each), Shaoren (Amomi Fructus Rotundus) (1 liang).
Grind all ingredients into powder, bind with wheat paste to form pills sized like paulownia seeds. Take 60-70 pills per dose on an empty stomach, washed down with boiling water or rice soup. This formula consists of herbs that nourish Blood and clear heat. Thin individuals often have insufficient Blood and internal Heat, leading to restless fetus and a history of spontaneous abortion. It is advisable to take this formula prophylactically to clear the root cause and prevent complications. During pregnancy, women's Spleen transportation and transformation are hindered, leading to Dampness, which generates Heat. Ancient practitioners considered Baizhu (Atractylodis Macrocephalae Rhizoma) and Huangqin (Scutellariae Radix) as the supreme herbs for stabilizing the fetus. Baizhu tonifies the Spleen and dries Dampness, while Huangqin clears Heat. Furthermore, the fetus relies on Qi and Blood for nourishment. This formula adds Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), and Ejiao (Colla Corii Asini) to nourish Blood, and further adds Renshen (Ginseng Radix et Rhizoma) and Shaoren (Amomi Fructus Rotundus) to stabilize the fetus, regulate Qi, and relieve abdominal pain, making it particularly excellent. After taking this formula, delivery becomes easier. The newborns, whether male or female, are free from fetal toxins, have fewer instances of chickenpox or smallpox, are healthy and easy to raise. Repeated use has proven effective repeatedly.