〔洁〕黄 解肌汤 治妇人妊娠,伤风自汗。
人参 黄 当归 川芎 甘草(炙,五钱) 芍药(六钱) 加苍术、生地亦可。
上为粗末,每服五钱,水煎,温服无时。
〔海〕若妊娠伤寒中风,表虚自汗,头痛项强,身热恶寒,脉浮而弱,太阳经病。宜表虚六合汤。
四物汤(四两) 桂枝 地骨皮(各七钱)
若妊娠伤寒,头痛、身热、无汗,脉紧,太阳经病。宜表实六合汤。
四物汤(四两) 麻黄 细辛(各半两)
若妊娠伤寒,中风湿之气,肢节烦疼,脉浮而热,头痛者,太阳标病也。宜风湿六合汤。
四物汤(四两) 防风 苍术(制,各七钱)
若妊娠伤寒,下后过经不愈,湿毒发斑如锦纹,宜升麻六合汤。
四物汤(四两) 升麻 连翘(各七钱)
若妊娠伤寒,胸胁满痛而脉弦,少阳症也。宜柴胡六合汤。
四物汤(四两) 柴胡 黄芩(各七钱)
若妊娠伤寒,大便硬,小便赤,气满而脉沉数,阳明太阳本病也。急下之。宜大黄六合汤。
四物汤(四两) 大黄(五钱) 桃仁(去皮尖,十个,麸炒)
若妊娠伤寒,汗下后咳嗽不止者,宜人参六合汤。
四物汤(四两) 人参(五钱) 五味子(五钱)
若妊娠伤寒后,虚痞胀满者,阳明本虚也。宜浓朴六合汤。
四物汤(四两) 浓朴 枳实(麸炒。各五钱)
若妊娠伤寒,汗下后不得眠者,宜栀子六合汤。
四物汤(四两) 栀子 黄芩(各五钱)
若妊娠伤寒,大渴,蒸蒸而烦,脉长而大者,宜石膏六合汤。
四物汤(四两) 石膏 知母(各五钱)
若妊娠伤寒,小便不利,太阳本病。宜茯苓六合汤。
四物汤(四两) 茯苓 泽泻(各五钱)
若妊娠伤寒,太阳本病,小便赤如血状者,宜琥珀六合汤。
四物汤(四两) 琥珀 茯苓(各五钱)
若妊娠伤寒,汗下后血漏不止,胎气损者,宜胶艾六合汤。
四物汤(四两) 阿胶艾(各五钱。一方加甘草,同上。一方加甘草、干姜、黄 )
若妊娠伤寒,四肢拘急,身凉微汗,腹中痛,脉沉而迟,少阴病也。宜附子六合汤。
四物汤(四两) 附子(炮,去皮脐) 桂(各五钱)
若妊娠伤寒蓄血证,不宜堕胎药下之,宜四物大黄汤下之。
四物汤(四两) 生地 大黄(酒浸。各五钱)
妇人妊娠或蓄血,抵当桃仁勿妄施,要教子母俱无损,大黄四物对服之。
〔丹〕施孺人伤风未解,两足下胫冷,嗽多不吐痰,头眩。盖其性急,又当临月。
黄芩(半钱) 陈皮 白术(各一钱) 苏梗(三分) 木通 枳壳(炒。各五分) 麻黄(三分)
甘草(炙,二分) 桔梗 苍术(各半钱)
水煎服,无时。
〔云〕妇人有孕伤寒,脉浮头重,腹中切痛,宜桂枝芍药当归汤。
桂枝 芍药 当归(各一两)
上锉细末,服一两,水煎。
妇人妊娠伤寒,自利腹中痛,食饮不下,脉沉者,太阴病也。宜芍药汤。
芍药 白术 甘草 茯苓(各一两)
上如前修服。
〔《活》〕治妊娠伤寒,安胎。宜阿胶散。
人参 白茯苓 阿胶(炒) 桑寄生 白术(各等分)
上捣罗为细末,糯米饮调下二钱,日二服。
治妊娠伤寒,安胎。宜白术散。
白术 黄芩(各等分。新瓦上炒香)
上为末,每服三钱,水一钟,生姜三片,大枣一枚,劈破,同煎至七分,去渣温服。但觉头疼发热,
便可服,二三服即瘥。惟四肢厥冷,阴症见者,未可服。
治妊娠伤寒,憎寒发热,当发其汗,宜葱白汤。
葱白(十茎) 生姜(二两,切)
上锉,水二盏,煎至一盏,连服取汗。
〔海〕葱白一物汤 用葱白二把,以水一升,煮熟取汁,令食尽。亦主安胎。若胎死,须臾即出。
治妇人伤寒妊娠服药例
若发热恶寒,不离桂枝、芍药。若往来寒热,不离柴胡、前胡。若大渴者,不离知母、石膏、五
味子、麦门冬。若大便泄者,不离桂、附、干姜、白术。若大便燥结者,不离大黄、黄芩。若月经适来适
断者,不离小柴胡。若胎不安者,不离人参、阿胶、白术、黄芩。若发汗者,不离葱、豉、生姜、麻黄、
旋复。若头痛者,不离石膏、山栀、前胡。若伤暑头痛者,不离柴胡、甘草、石膏。若满闷者,不离枳
实、陈皮。若胎气不安者,不离黄芩、麦门冬、人参。若斑发黑者,不离黄芩、栀子、升麻。
〔《大》〕治妊娠时气,身大热,令子不落,护胎方。
伏龙肝,研令极细末,调涂脐下三寸,干即易,瘥即止。
又方 井中泥,涂,干即易之。(二方出《本事》,有效。)
又方 浮萍 朴硝 蛤粉 蓝根 大黄(微炒)
上为末,水调敷脐上,安胎解热,极妙。
治妊娠霍乱二方(附少阴吐利门。)
治妊娠发斑,变为黑色,宜栀子大青汤。
黄芩 升麻 栀子仁(各二两) 大青 杏仁(各半两)
上 咀,每服五钱,水一盏半,细切葱白三寸,煎至一盏,去渣温服。
[Zhang Yuansu] Huangqi Jieji Tang (Astragalus Decoction for Relieving the Muscle Layer) treats women during pregnancy who have contracted wind-pathogen and experience spontaneous sweating.
Renshen (Ginseng Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Licorice Radix et Rhizoma, honey-fried, 5 qian), Shaoyao (Paeoniae Radix, 6 qian). Adding Cangzhu (Atractylodis Rhizoma) and Shengdi (Rehmanniae Radix) is also acceptable.
Grind the above into coarse powder. Take 5 qian per dose, decoct with water, and take warm at any time.
[Liu Wansu] If it is typhoid or wind-stroke during pregnancy, with deficiency of the exterior leading to spontaneous sweating, headache and stiffness of the neck, fever and aversion to cold, and a floating and weak pulse, this is a disease of the Taiyang channel. It is suitable to use Biaoxu Liuhe Tang (Exterior-Deficiency Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Guizhi (Cinnamomi Ramulus), Digupi (Lycii Cortex). (Each 7 qian).
If it is typhoid during pregnancy, with headache, fever, anhidrosis, and a tight pulse, this is a disease of the Taiyang channel. It is suitable to use Biaoshi Liuhe Tang (Exterior-Excess Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Mahuang (Ephedrae Herba), Xixin (Asari Radix et Rhizoma). (Each half liang).
If it is typhoid during pregnancy, contracting wind-dampness, with vexing pain in the limbs and joints, a floating and hot pulse, accompanied by headache, this is a biao-disease of the Taiyang channel. It is suitable to use Fengshi Liuhe Tang (Wind-Dampness Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma, processed). (Each 7 qian).
If it is typhoid during pregnancy, after purgation, the pathogen has passed through the meridians but has not healed, and damp-toxin causes macules like brocade patterns, it is suitable to use Shengma Liuhe Tang (Cimicifugae Rhizoma Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Shengma (Cimicifugae Rhizoma), Lianqiao (Forsythiae Fructus). (Each 7 qian).
If it is typhoid during pregnancy, with fullness and pain in the chest and hypochondrium, and a wiry pulse, this is a Shaoyang syndrome. It is suitable to use Chaihu Liuhe Tang (Bupleuri Radix Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix). (Each 7 qian).
If it is typhoid during pregnancy, with hard stool, red urine, qi stagnation, and a deep and rapid pulse, this is a ben-disease of the Yangming and Taiyang channels. Urgent purgation is required. It is suitable to use Dahuang Liuhe Tang (Rhei Radix et Rhizoma Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Dahuang (Rhei Radix et Rhizoma, 5 qian), Taoren (Pruni Semen, skin and tip removed, ten seeds, bran-fried).
If after diaphoresis or purgation for typhoid during pregnancy, cough persists, it is suitable to use Renshen Liuhe Tang (Ginseng Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Renshen (Panacis Ginseng Radix, 5 qian), Wuweizi (Schisandrae Fructus, 5 qian).
If after typhoid during pregnancy, there is empty distension and fullness, this is a deficiency of the Yangming channel. It is suitable to use Houpo Liuhe Tang (Magnoliae Officinalis Cortex Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Houpo (Magnoliae Officinalis Cortex), Zhishi (Aurantii Fructus, bran-fried). (Each 5 qian).
If after diaphoresis or purgation for typhoid during pregnancy, insomnia occurs, it is suitable to use Zhizi Liuhe Tang (Gardeniae Fructus Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Zhizi (Gardeniae Fructus), Huangqin (Scutellariae Radix). (Each 5 qian).
If during typhoid, there is extreme thirst, steaming heat with vexation, and a long and large pulse, it is suitable to use Shigao Liuhe Tang (Gypsum Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma). (Each 5 qian).
If during typhoid, there is difficult urination, this is a ben-disease of the Taiyang channel. It is suitable to use Fuling Liuhe Tang (Poria Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Fuling (Polyporus), Zexie (Alismatis Rhizoma). (Each 5 qian).
If during typhoid, belonging to the ben-disease of the Taiyang channel, urine is red like blood, it is suitable to use Hupo Liuhe Tang (Amber Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Hupo (Electrum), Fuling (Poria). (Each 5 qian).
If after diaphoresis or purgation for typhoid during pregnancy, bleeding does not stop, damaging fetal qi, it is suitable to use E'ao Aiye Liuhe Tang (Ossis Corneum and Artemisia Argyi Folium Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), E'ao (Ossis Corneum), Aiyè (Artemisiae Argyi Folium). (Each 5 qian). Another prescription adds Gancao (Licorice Radix et Rhizoma), same as above. Another prescription adds Gancao, Ganjiang (Zingiberis Rhizoma), and Huangqi (Astragali Radix).
If during typhoid, there is spasm and rigidity of the four limbs, cool body with slight sweat, abdominal pain, and a deep and slow pulse, this is a Shaoyin disease. It is suitable to use Fuzi Liuhe Tang (Aconiti Lateralis Radix Preparata Six-Harmony Decoction).
Siwu Tang (Four Substance Decoction, 4 liang), Fuzi (Aconiti Lateralis Radix Preparata, roasted, skin and navel removed), Guizhi (Cinnamomi Ramulus). (Each 5 qian).
If there is blood accumulation syndrome due to typhoid during pregnancy, abortifacient drugs should not be used for purgation; instead, Siwu Dahuang Tang (Four Substance and Rheum Decoction) should be used for purgation.
Siwu Tang (Four Substance Decoction, 4 liang), Shengdi (Rehmanniae Radix), Dahuang (Rhei Radix et Rhizoma, wine-soaked). (Each 5 qian).
For women during pregnancy or with blood accumulation, do not recklessly apply Taren (Pruni Semen) from Didang Tang. To ensure no harm to mother and child, administer Dahuang (Rhei Radix et Rhizoma) paired with Siwu Tang.
[Zhu Danxi] Shi Rusu had unresolved wind-pathogen invasion, cold lower calves, frequent cough without expectoration, and dizziness. This is likely due to her impatient temperament and being near term.
Huangqin (Scutellariae Radix, half qian), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma). (Each 1 qian). Sugen (Perillae Caulis), Mutong (Akebiae Caulis), Zhike (Aurantii Fructus, fried). (Each 5 fen). Mahuang (Ephedrae Herba, 3 fen).
Gancao (Licorice Radix et Rhizoma, honey-fried, 2 fen), Jiegeng (Platycodonis Radix), Cangzhu (Atractylodis Rhizoma). (Each half qian).
Decoct with water and take warm at any time.
[Yun Qizi] For pregnant women with typhoid, if the pulse is floating, head feels heavy, and there is severe abdominal pain, Guizhi Shaoyang Danggui Tang (Cinnamon Twig, Peony, and Angelica Decoction) is suitable.
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix). (Each 1 liang).
Grind into fine powder. Take 1 liang, decoct with water.
For pregnant women with typhoid, if there is spontaneous diarrhea with abdominal pain, inability to eat or drink, and a deep pulse, this is a Taiyin disease. Shaoyao Tang (Peony Decoction) is suitable.
Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Radix et Rhizoma), Fuling (Poria). (Each 1 liang).
Prepare and take as described above.
[Huoren Shu] Treats typhoid during pregnancy to calm the fetus. Ejiao San (Donkey-hide Gelatin Powder) is suitable.
Renshen (Panacis Ginseng Radix), Baifuling (Poria with Wood), Ejiao (Ossis Corneum, fried), Sangjisheng (Taxilli Cacuminis), Baizhu (Atractylodis Macrocephalae Rhizoma). (Equal parts).
Grind and sieve into fine powder. Take 2 qian mixed with rice water, twice daily.
Treats typhoid during pregnancy to calm the fetus. Baizhu San (Atractylodes Macrocephala Powder) is suitable.
Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqin (Scutellariae Radix). (Equal parts, fried on a new tile until fragrant).
Grind into powder. Take 3 qian per dose with one bell of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), one date (Jujubae Fructus) split open. Decoct until seven-tenths remain, strain, and take warm. As soon as headache and fever are felt, it can be taken; two or three doses will cure it. However, if there is cold extremities and signs of Yin syndrome, it should not be taken.
Treats typhoid during pregnancy with aversion to cold and fever, requiring diaphoresis. Congbai Tang (Scallion Juice Decoction) is suitable.
Congbai (Allii Fistulosi Bulbus, ten stalks), Shengjiang (Zingiberis Rhizoma Recens, 2 liang, sliced).
Chop, add two bells of water, decoct until one bell remains. Take continuously to induce sweating.
[Liu Wansu] Congbai Yiwu Tang (Single Scallion Decoction): Use two handfuls of Congbai (Allii Fistulosi Bulbus), boil in one sheng of water, extract the juice, and consume completely. It also mainly serves to calm the fetus. If the fetus is dead, it will be expelled shortly.
Examples of Medication for Pregnant Women with Typhoid
If there is fever and aversion to cold, rely on Guizhi (Cinnamomi Ramulus) and Shaoyao (Paeoniae Radix). If there is alternating chills and fever, rely on Chaihu (Bupleuri Radix) and Qianhu (Peucedani Radix). If there is extreme thirst, rely on Zhimu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum), Wuweizi (Schisandrae Fructus), and Maimendong (Ophiopogonis Radix). If there is loose stool, rely on Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Preparata), Ganjiang (Zingiberis Rhizoma), and Baizhu (Atractylodis Macrocephalae Rhizoma). If there is dry constipation, rely on Dahuang (Rhei Radix et Rhizoma) and Huangqin (Scutellariae Radix). If menstruation has just started or stopped, rely on Xiaochaihu Tang (Minor Bupleuri Decoction). If the fetus is unsettled, rely on Renshen (Panacis Ginseng Radix), Ejiao (Ossis Corneum), Baizhu (Atractylodis Macrocephalae Rhizoma), and Huangqin (Scutellariae Radix). If inducing sweating, rely on Congbai (Allii Fistulosi Bulbus), Chidouchi (Sojae Semen Praeparatum), Shengjiang (Zingiberis Rhizoma Recens), Mahuang (Ephedrae Herba), and Xuanfu (Inulae Flos). If there is headache, rely on Shigao (Gypsum Fibrosum), Shanzhi (Gardeniae Fructus), and Qianhu (Peucedani Radix). If there is summerheat-induced headache, rely on Chaihu (Bupleuri Radix), Gancao (Licorice Radix et Rhizoma), and Shigao (Gypsum Fibrosum). If there is fullness and oppression, rely on Zhishi (Aurantii Fructus) and Chenpi (Citri Reticulatae Pericarpium). If fetal qi is unsettled, rely on Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix), and Renshen (Panacis Ginseng Radix). If macules turn black, rely on Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), and Shengma (Cimicifugae Rhizoma).
[Daren Quanji] Treats seasonal febrile diseases during pregnancy with high fever, preventing miscarriage, protecting the fetus.
Fulonggan (Dragon's Blood Soil), grind into extremely fine powder, mix with water, and apply to three cun below the umbilicus. Replace when dry. Stop when cured.
Another prescription: Well mud, apply, replace when dry. (These two prescriptions come from Benshi Fang and are effective.)
Another prescription: Fuping (Urticae Herba), Puxiao (Natrii Sulfas), Ge Fen (Concha Meretricis), Lan Gen (Isatidis Radix), Dahuang (Rhei Radix et Rhizoma, lightly fried).
Grind into powder, mix with water, and apply to the umbilicus. Calms the fetus and clears heat, very excellent.
Two prescriptions for treating cholera-like illness during pregnancy (Attached to Shaoyin Vomiting and Diarrhea Section).
Treats macules during pregnancy turning black. Zhizi Daqing Tang (Gardenia and Isatis Decoction) is suitable.
Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Zhiren (Gardeniae Fructus). (Each 2 liang). Daqing (Isatidis Folium), Xingren (Armeniacae Semen Amarum). (Each half liang).
Chop coarsely. Take 5 qian per dose with one and a half bells of water, three cun of finely chopped Congbai (Allii Fistulosi Bulbus). Decoct until one bell remains, strain, and take warm.