干姜 人参各一两 半夏二两
右三味,末之,以生姜汁糊为丸,加梧子大,饮服十丸,日三服。
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妊娠,小便难,饮食如故,当归贝母苦参丸主之。
【按】
方证不合,必有脱简,不释。
当归 贝母 苦参各四两
右三味,末之,炼蜜为丸,如小豆大,饮服三丸,加至十丸。
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妊娠,有水气,身重,小便不利,洒淅恶寒,起即头眩,葵子茯苓散主之。
【注】
妊娠外有水气则浮肿,洒淅恶寒,水盛贮于肌肤,故身重;内有水气,则小便不利,
水盛阻遏阳气上升,故起即头眩也。用葵子茯苓者,是专以通窍利水为主也。
癸子一升 茯苓三两
右二味,杵为散,饮服方寸匕,日三服,小便利则愈。
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妇人妊娠,宜常服当归散主之。
【注】
妊娠无病不须服药,若其人瘦而有热,恐耗血伤胎,宜常服此以安之。
【集注】
尤怡曰:妊娠最虑热伤,故于芎、归、芍药养血之中,用黄芩清热,佐白术和胃也。
震亨称黄芩、白术为安胎圣药,夫芩、术非能安胎者也,去其湿热,其胎自安耳!
当归 黄芩 芍药 芎藭各一筋 白术半筋
右五味,杵为散,酒饮服方寸匕,日再服,妊娠常服即易产,胎无苦疾,产后百病悉
主之。
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妊娠养胎,白术散主之。
【注】
妊娠妇人,肥白有寒,恐其伤胎,宜常服此。
【集注】
尤怡曰:妊娠伤胎,有因热者,亦有因寒者,随人藏气之阴阳而各异也。当归散正治
热之剂。白术散君白术和胃,臣川芎调血,使蜀椒去寒,佐牡蛎安胎也,则正治寒之
剂也。仲景并列于此,其所以昭示后人者深矣。
Ganjiang (Rhizoma Zingiberis Preparatum), Renshen (Radix Ginseng) each 1 liang, Banxia (Rhizoma Pinelliae) 2 liang.
The above three ingredients are powdered, mixed with fresh ginger juice to form pills the size of wutong seeds. Take 10 pills per dose with water, three times daily.
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During pregnancy, if there is difficulty in urination but appetite remains normal, Danggui Beimu Kushen Wan (Danggui, Fritillaria and Sophora Pill) is indicated.
[Note]
There is a mismatch between the formula and the syndrome; it is certain that some text has been lost. No explanation is provided.
Danggui (Radix Angelicae Sinensis), Beimu (Bulbus Fritillariae Cirrhosae), Kushen (Cortex Sophorae Flavescentis) each 4 liang.
The above three ingredients are powdered, mixed with refined honey to form pills the size of small beans. Start with 3 pills per dose taken with water, gradually increasing up to 10 pills.
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During pregnancy, if there is fluid retention, heaviness of the body, difficult urination, chills and shivering, and dizziness upon rising, Kuizi Fuling San (Abelmoschus and Poria Powder) is indicated.
[Annotation]
When fluid retention affects the exterior, edema and chills occur; when fluid accumulates excessively in the muscles and skin, the body feels heavy. When fluid retention affects the interior, urination becomes difficult; excessive fluid obstructs the ascent of yang qi, causing dizziness upon rising. The use of Kuizi (Fructus Abelmoschi Esculenti) and Fuling (Poria) focuses primarily on unblocking orifices and promoting diuresis.
Kuizi (Fructus Abelmoschi Esculenti) 1 sheng, Fuling (Poria) 3 liang.
The above two ingredients are pounded into a powder. Take one fangcun bi (a square-inch measure) with water, three times daily. Recovery occurs when urination becomes smooth.
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Women during pregnancy should regularly take Danggui San (Angelica Powder) for maintenance.
[Annotation]
If there is no illness during pregnancy, medication is not necessary. However, if the patient is thin and has internal heat, which may consume blood and harm the fetus, it is advisable to regularly take this formula to stabilize the fetus.
[Collected Notes]
You Yi stated: Heat injury is the greatest concern during pregnancy. Therefore, within the blood-nourishing properties of Xiongqiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), and Shaoyao (Radix Paeoniae Alba), Huangqin (Radix Scutellariae) is used to clear heat, assisted by Baizhu (Rhizoma Atractylodis Macrocephalae) to harmonize the stomach.
Zhenheng (Zhu Zhenheng) referred to Huangqin (Radix Scutellariae) and Baizhu (Rhizoma Atractylodis Macrocephalae) as the holy medicines for calming the fetus. In fact, these herbs do not directly calm the fetus; rather, by removing damp-heat, the fetus naturally stabilizes.
Danggui (Radix Angelicae Sinensis), Huangqin (Radix Scutellariae), Shaoyao (Radix Paeoniae Alba), Xiongqiong (Rhizoma Chuanxiong) each 1 jin, Baizhu (Rhizoma Atractylodis Macrocephalae) half a jin.
The above five ingredients are pounded into a powder. Take one fangcun bi with wine, twice daily. Regular consumption during pregnancy facilitates delivery, prevents fetal distress, and treats various postpartum diseases.
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For nourishing the fetus during pregnancy, Baizhu San (Atractylodes Powder) is indicated.
[Annotation]
For pregnant women who are fat, pale, and have cold syndromes, which may harm the fetus, it is advisable to regularly take this formula.
[Collected Notes]
You Yi stated: Fetal damage during pregnancy can be caused by either heat or cold, varying according to the yin and yang of the individual's zang-fu organs. Danggui San is precisely a formula for treating heat. Baizhu San uses Baizhu (Rhizoma Atractylodis Macrocephalae) as the sovereign herb to harmonize the stomach, Chuanxiong (Rhizoma Chuanxiong) as the minister herb to regulate blood, Shujiao (Pericarpium Zanthoxyli) as the envoy herb to dispel cold, and Muli (Concha Ostreae) as the assistant herb to calm the fetus; thus, it is precisely a formula for treating cold. Zhang Zhongjing placed them side by side here, revealing profound intentions for future generations.