益母丸(又名千金保胎丸) 凡女人受孕,经三月而胎堕者,虽气血不足,乃中冲脉有伤。
中冲脉,即阳明胃经,供应胎孕。至此时,必须节饮食、绝欲、戒怒,庶免小产之患。服此可以保全。
白术(土炒) 熟地黄(姜汁炒) 杜仲(姜汁炒,各四两) 当归(酒洗) 续断(酒洗)
阿胶(蛤粉炒) 香附米(四制) 益母草 条芩(炒,各二两) 陈皮 川芎 艾叶(醋炙,各一两)
砂仁(炒,五钱)
上为细末,煮枣肉为丸,如桐子大。每服百丸,空心米饮下。
金匮当归散 此方养血清热,孕妇宜常服之。如瘦人血少有热,胎动不安,素曾半
产者,皆宜服之,以清其源,而无后患也。
当归 川芎 白芍药 黄芩(各一两) 白术(二两)
上为末。每服二钱,酒饮调服。日再服。或用酒糊为丸,如桐子大。每服五十丸,茶汤任下。日三服。
白术汤 治胃虚恶阻吐水,甚至十余日,水浆不入者。
白术(炒,一两) 人参(五钱) 丁香(二钱半) 甘草(一钱)
上为细末。每服二钱,加生姜五片,水煎。食前温服。
缩砂散 治妊娠胃虚气逆,呕吐不食。
缩砂仁为末。每服二钱。生姜汤或米饮调服。
三物解毒汤 治误服毒药。
甘草 黑豆 淡竹叶(各等分)
上用水煎浓服。
白扁豆散 治妊娠误服诸般毒药,动胎欲堕。
白扁豆生去皮,为细末。米饮调服方寸匕。神效,或浓煎亦可。
豆淋酒 治产后,犹有余血水气者。
黑豆五升,熬令烟尽,投瓷器内,以酒一斗淬之饮。盖豆淋酒治污血,又能发表也。
枳实芍药散 《金匮》云∶产后腹痛烦满,不得卧,此方主之。
枳实(炒令黑,勿太过) 芍药(各等分)
上杵为散,服方寸匕,日三服。并主痈脓,以麦粥下之。
羊肉汤 治产妇脾虚,为寒邪所乘,以致腹痛。及寒月生产,寒气入于产门,脐下胀满,手不可犯。
精羯羊肉(四两) 当归 川芎(各半两) 生姜(一两)
上以水十盏,酒三盏,煎至四盏。分四次,空心服。加葱,盐亦可。
《衍义》云∶一妇人产当寒月,寒气入产门,脐满,手不得犯。此寒疝也。医将治
之以抵当汤,谓其有瘀血耳。予教之曰∶非其治也,可服张仲景羊肉汤。少减,作二服愈。
回生丹 治产后瘀积等证。
大黄(一斤为细末) 苏木(三两,锉,用河水五碗,煎汁三碗) 黑豆(三升,煮熟取汁
三碗) 红花(三两,酒四碗煎汁三碗)
上将大黄末,以好醋二斤搅匀,以文武火熬成膏。次下三项汁。搅开大黄膏,
再熬成膏。如有锅HT ,焙干入在后药。
当归 川芎 熟地黄 白茯苓 苍术 香附 玄胡索 桃仁 蒲黄 牛膝(各一两)
白芍药 甘草 陈皮 木香 三棱 五灵脂 羌活 地榆 山茱肉(各五钱) 人参
白术 木瓜 青皮(各三钱) 良姜(四钱) 乳香 没药(各二钱)
同末,大黄膏为丸,如弹子大。每服一丸,好酒化下。
艾附暖宫丸 治妇人经水不调,小腹时痛,赤白带下,子宫寒冷。
香附(四制,一斤) 艾叶(醋浸炒) 当归 川芎 白芍药(酒炒) 熟地黄(姜汁炒,各
一两) 玄胡索(炒,二两) 甘草(生用,八钱)
上为细末,醋糊丸,如桐子大。每服七、八十丸。米汤、酒任下。
神方验胎散 两三个月月经不行,疑而未决,此药探之。
真雀脑芎(一两) 当归(全用。重一两者,只用七钱)
为细末,分作二服。浓煎,好艾汤一盏调下,或好酒调服亦得。可待三两个时
辰,觉脐腹微动而频,即有胎也。动罢即愈,安稳无虞。如不是胎,即不动,所
滞恶物自行。如服药不觉效,再煎红花汤调下。
Yimu Wan (Motherwort Pill, also known as Qianjin Baotai Wan): For women who experience miscarriage at three months of pregnancy, although the cause is insufficient Qi and Blood, the root lies in damage to the Chong Mai (Penetrating Vessel) and Zhong Mai (Central Vessel). The Zhong Mai refers to the Stomach Meridian of Foot-Yangming, which supplies nutrition for fetal development. At this stage, one must regulate diet, abstain from sexual intercourse, and avoid anger, thereby preventing the risk of spontaneous abortion. Taking this pill can help preserve the fetus.
Ingredients: Atractylodis Macrocephalae Rhizoma (stir-fried with soil), Rehmanniae Radix Praeparata (stir-fried with ginger juice), Eucommiae Cortex (stir-fried with ginger juice, each 4 liang), Angelicae Sinensis Radix (washed with wine), Dipsaci Radix (washed with wine), Euphorbiae Pekinensis Colla (stir-fried with clam powder), Cyperi Rhizoma (processed by four methods), Leonuri Herba, Scutellariae Radix (stir-fried, each 2 liang), Tangerine Peel, Ligustici Chuanxiong Rhizoma, Artemisiae Argyi Folium (stir-fried with vinegar, each 1 liang), Amomi Fructus (stir-fried, 5 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Use boiled jujube flesh as a binder to make pills, sized like paulownia seeds. Take 100 pills per dose, administered orally on an empty stomach with rice water.
Jingui Danggui San (Angelica Powder from the Golden Cabinet): This formula nourishes Blood and clears Heat, making it suitable for pregnant women to take regularly. It is indicated for thin individuals with Blood deficiency and internal Heat, presenting with restless fetus or a history of habitual miscarriage. It clears the source of pathology to prevent future complications.
Ingredients: Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Paeoniae Radix Alba, Scutellariae Radix (each 1 liang), Atractylodis Macrocephalae Rhizoma (2 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with wine. Take twice daily. Alternatively, mix with wine paste to form pills sized like paulownia seeds. Take 50 pills per dose, with tea water. Take three times daily.
Baizhu Tang (Atractylodes Decoction): Treats pregnancy toxemia (emesis gravidarum) caused by Spleen-Stomach deficiency, characterized by vomiting clear fluids, lasting over ten days, with inability to retain even liquids.
Ingredients: Atractylodis Macrocephalae Rhizoma (stir-fried, 1 liang), Ginseng Radix et Rhizoma (5 qian), Symplocos Flos (2.5 qian), Glycyrrhizae Radix et Rhizoma (1 qian).
Preparation and Administration: Grind into a fine powder. Take 2 qian per dose, add five slices of fresh Ginger, decoct with water. Take warm before meals.
Suosha San (Amomum Powder): Treats pregnancy-induced nausea and vomiting due to Spleen deficiency and rebellious Qi, resulting in loss of appetite.
Preparation and Administration: Grind Amomi Fructus into powder. Take 2 qian per dose, taken with Ginger decoction or rice water.
Sanwu Jiedu Tang (Three-Ingredient Detoxifying Decoction): Treats accidental poisoning.
Ingredients: Glycyrrhizae Radix et Rhizoma, Sojae Semen Nigrum, Lophatheri Herba (equal parts).
Preparation and Administration: Decoct with water until concentrated, then drink.
Baibian Dou San (White Hyacinth Bean Powder): Treats accidental ingestion of various toxins during pregnancy, causing fetal restlessness and impending miscarriage.
Preparation and Administration: Remove the skin of raw White Hyacinth Beans, grind into fine powder. Take one cun bi (measure) mixed with rice water. Highly effective; strong decoction is also acceptable.
Doulin Jiu (Soybean Pour Wine): Treats postpartum retention of residual blood stasis and fluid dampness.
Preparation and Administration: Take five sheng of black soybeans, roast until smoke ceases, place in a porcelain vessel, and quench with one dou of wine. Drink. Soybean Pour Wine treats bloody stasis and releases the exterior.
Zhishi Shaoyao San (Immature Bitter Orange and Peony Powder): As stated in *Jingui Yaolue*: Postpartum abdominal pain, irritability, fullness, and inability to lie down are treated with this formula.
Ingredients: Aurantii Immaturus Fructus (stir-fried until black, but not burnt), Paeoniae Radix (equal parts).
Preparation and Administration: Pound into a powder. Take one cun bi per dose, three times daily. Also treats abscesses/pus, taken with wheat porridge.
Yangrou Tang (Mutton Decoction): Treats postpartum abdominal pain due to Spleen deficiency and invasion of Cold pathogenic factors. It also addresses cold months of delivery where Cold enters the birth canal, causing distension below the umbilicus and tenderness to touch.
Ingredients: Lean Mutton (4 liang), Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma (each half liang), Zingiberis Rhizoma Recens (1 liang).
Preparation and Administration: Decoct with ten bowls of water and three bowls of wine until four bowls remain. Divide into four doses, taken on an empty stomach. Adding scallion and salt is also permissible.
*Bencao Yan Yi* records: A woman delivered in a cold month; Cold entered the birth canal, causing abdominal fullness and tenderness. This was Cold Hernia. The physician intended to use Didang Tang, assuming blood stasis. I advised: "This is not the correct treatment. You may administer Zhang Zhongjing's Yangrou Tang." Reduced dosage, divided into two doses, resulted in recovery.
Huisheng Dan (Life-Restoring Pill): Treats postpartum blood stasis accumulation and related syndromes.
Ingredients: Rheum Palmatum Radix et Rhizoma (1 jin, ground to fine powder), Sappan Lignum (3 liang, chopped, decocted in five bowls of river water to yield three bowls of juice), Sojae Semen Nigrum (3 sheng, cooked to yield three bowls of juice), Carthami Flos (3 liang, decocted in four bowls of wine to yield three bowls of juice).
Preparation and Administration: Mix Rheum powder with two jin of good vinegar, stir evenly, and simmer over gentle and strong heat until it becomes a paste. Add the three juices obtained above. Stir into the Rheum paste and continue simmering until it forms a thick paste. If any charred residue remains in the pot, bake it dry and incorporate it into the subsequent medicine.
Subsequent Ingredients: Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Rehmanniae Radix Praeparata, Poria (1 liang each), Atractylodis Rhizoma, Cyperi Rhizoma, Corydalis Rhizoma, Persicam Semen, Polygoni Multiflori Caulis, Achyranthis Bidentatae Radix (1 liang each); Paeoniae Radix Alba, Glycyrrhizae Radix et Rhizoma, Tangerine Peel, Aucklandiae Radix, Sparganii Rhizoma, Trogopterori Faeces, Notopterygii Rhizoma et Radix, Sanguisorbae Radix, Corni Fructus (5 qian each); Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Chaenomelis Fructus, Citri Reticulatae Pericarpium Viride (3 qian each); Alpiniae Officinarum Rhizoma (4 qian); Boswelliae Resina, Myrrha (2 qian each).
Preparation and Administration: Grind all ingredients into powder, mix with the Rheum paste to form pills sized like bullet shots. Take one pill per dose, dissolved in good wine.
Aifu Nuangong Wan (Artemisia and Cyperus Warming Uterus Pill): Treats irregular menstruation, intermittent lower abdominal pain, leukorrhea (white and red discharge), and uterine coldness in women.
Ingredients: Cyperi Rhizoma (four-process processed, 1 jin), Artemisiae Argyi Folium (soaked in vinegar and stir-fried), Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Paeoniae Radix Alba (stir-fried with wine), Rehmanniae Radix Praeparata (stir-fried with ginger juice, each 1 liang), Corydalis Rhizoma (stir-fried, 2 liang), Glycyrrhizae Radix et Rhizoma (raw, 8 qian).
Preparation and Administration: Grind into fine powder, mix with vinegar paste to form pills sized like paulownia seeds. Take 70-80 pills per dose, with rice soup or wine.
Shenfang Yantai San (Divine Formula Fetal-Detection Powder): Used when menstruation has ceased for two to three months, and pregnancy is suspected but uncertain, to test for conception.
Ingredients: Ligustici Chuanxiong Rhizoma (true quality, 1 liang), Angelicae Sinensis Radix (whole plant; if weighing 1 liang, use only 7 qian).
Preparation and Administration: Grind into fine powder, divide into two doses. Take with a strong decoction of mugwort tea or good wine. Wait two to three hours; if slight frequent pulsations are felt in the navel and abdomen, pregnancy is confirmed. After the sensation subsides, the condition stabilizes safely. If not pregnant, there will be no movement, and retained impurities will pass naturally. If no effect is felt after taking the medicine, take again with Carthami Flos decoction.