论曰妊娠咳嗽者,以肺感寒气故也。经谓形寒饮冷则伤肺,久咳不已,则寒气相移。不
惟孕育有伤。而肺气痿弱,皮毛枯悴,治法宜发散寒邪,滋补胎气,则咳嗽自已。
治妊娠咳嗽,喘满短气。防己汤方
防己 白药子(各一两)
上二味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,未效再服。
治妊娠咳嗽,胸满气急减食。柴胡汤方
柴胡(去苗一两) 桃仁(去皮尖双仁炒半两) 天门冬(去心三分) 麦门冬(去心
焙) 甘
两)
上一十味,粗捣筛,每服三钱匕,水一盏,煎至六分,去滓不计时候温服。
治妊娠咳嗽,及安胎气。槐豆散方
槐豆(炒) 当归(酒浸切焙) 贝母(去心) 芎 人参(各一两)
上五味,捣罗为散,每服二钱匕,温酒调下,日三。
治妊娠咳嗽不止。麦门冬饮方
麦门冬(去心焙一两) 紫菀(去土) 杏仁(去皮尖双仁炒) 桑根白皮(锉各半两)
桔梗
上六味,粗捣筛,每服三钱匕,竹茹如鸡子大,水一盏半,煎减半,入蜜少许,打转去
滓温服,日三。
治妊娠咳嗽,人参散方
人参 陈橘皮(汤浸去白焙) 甘草(炙各三两) 生姜(五两洗切作片子焙)
上四味,捣罗为散,每服二钱匕,沸汤调下。
治妊娠咳嗽,胸膈不利,痰涎壅闷。前胡汤方
前胡(去苗) 和皮大腹(锉) 半夏(为末生姜汁和作饼子) 陈橘皮(去白炒) 甘
草(炙
上五味,粗捣筛,每服三钱匕,水一盏,生姜三片,同煎至六分,去滓食后临卧温服。
治妊娠咳嗽不止,消痰逆,和胃气。丁香半夏汤方
丁香(炒) 木香(炮) 半夏(生姜汁拌炒各半两) 人参 白术(锉) 桔梗(炒)
白豆蔻
茯苓(去黑皮各
上一十二味,粗捣筛,每服三钱匕,水一盏,生姜三片,煎至六分,去滓不计时候温服
治妊娠咳嗽,痰盛呕逆。白术汤方
白术(二两) 半夏(一两生姜汁浸一宿焙)
上二味,粗捣筛,每服三钱匕,水一盏,生姜三片,同煎至半盏。去滓食后温服,日三。
治妊娠咳嗽,痰盛喘逆,桑白皮丸方
桑根白皮(二两锉) 半夏(生姜汁浸一宿焙) 阿胶(炒令燥)
上六味,捣罗为末,糯米粥为丸,如鸡头实大,每服一丸,食后临卧含化咽津。
治妊娠感风冷,咳嗽痰壅,头目昏痛。荆芥饮方
荆芥穗 旋覆花 前胡(去苗各三两) 芍药 半夏(生姜汁制去毒) 甘草(各一两
炙) 麻黄(去节煎掠去沫焙一两半)
上七味,粗捣筛,每服三钱匕,水一盏,生姜三片,煎至六分,去滓不拘时温服。
Discourse states: Cough during pregnancy occurs because the lungs have been affected by cold pathogenic factors. The classics state that exposure to cold in the body and consumption of cold food and drinks will damage the Lungs; if cough persists for a long time, cold pathogens may shift within the body. This not only harms the fetus but also leads to weakness of Lung Qi, with dry and withered skin and hair. The treatment principle should be to disperse cold pathogens and nourish fetal Qi, so that the cough will cease naturally.
Fangji Decoction (Prepatio Fangji): Indicated for pregnancy cough accompanied by asthma, chest fullness, and shortness of breath.
Ingredients: Stephaniae Tetrandrae Radix (Fangji), Dioscoreae Hypoglaucae Rhizoma (Baiyaozi) (each 1 liang).
Preparation and Administration: Coarsely crush and sieve the above two herbs. Take 3 qianbi per dose, decoct with one zhan of water until reduced to 70%, strain, and take warm. If ineffective, repeat administration.
Chaihu Decoction (Prepatio Chaihu): Indicated for pregnancy cough accompanied by chest fullness, rapid breathing, and decreased appetite.
Ingredients: Bupleuri Radix (Chaihu) (remove sprouts, 1 liang), Persicamiae Semen (Taoren) (remove skin, tips, and twin kernels, stir-fry, 0.5 liang), Asparagi Radix (Tianmendong) (remove heart, 3 fen), Ophiopogonis Radix (Maimendong) (remove heart, bake), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried, 0.5 liang), Schisandrae Fructus (Wuweizi) (stir-fry, 0.5 liang), Asteris Radix et Rhizoma (Ziwan), Armeniacae Semen Amarum (Xingren) (remove skin, tips, and twin kernels, stir-fry, 0.5 liang), Morus Albae Cortex Radicis (Sangbaipí) (cut into pieces, 0.5 liang), Platycodonis Radix (Jiegeng) (remove rhizome, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the above ten herbs. Take 3 qianbi per dose, decoct with one zhan of water until reduced to 60%, strain, and take warm at any time.
Huaidou Powder (San Huaidou): Indicated for pregnancy cough and to stabilize fetal Qi.
Ingredients: Sophorae Flos (Huaidou) (stir-fried), Angelicae Sinensis Radix (Danggui) (soaked in wine, cut, and baked), Fritillariae Thunbergii Bulbus (Beimu) (remove heart), Ligustici Chuanxiong Rhizoma (Chuanxiong), Ginseng Radix et Rhizoma (Renshen) (each 1 liang).
Preparation and Administration: Crush and sieve the above five herbs into powder. Take 2 qianbi per dose, mix with warm wine, three times daily.
Maimendong Drink (Yin Maimendong): Indicated for persistent pregnancy cough.
Ingredients: Ophiopogonis Radix (Maimendong) (remove heart, bake, 1 liang), Asteris Radix et Rhizoma (Ziwan) (remove soil), Armeniacae Semen Amarum (Xingren) (remove skin, tips, and twin kernels, stir-fried), Morus Albae Cortex Radicis (Sangbaipí) (cut into pieces), Platycodonis Radix (Jiegeng) (remove rhizome), Bambusae Caulis in Taenias (Zhuru) (size of a chicken egg).
Preparation and Administration: Coarsely crush and sieve the above six ingredients. Take 3 qianbi per dose, add Zhuru the size of a chicken egg, decoct with 1.5 zhan of water until reduced by half, add a small amount of honey, stir well, strain, and take warm, three times daily.
Renshen Powder (San Renshen): Indicated for pregnancy cough.
Ingredients: Ginseng Radix et Rhizoma (Renshen), Citri Reticulatae Pericarpium (Chenju pi) (soaked in water, remove white pith, bake), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried, each 3 liang), Zingiberis Rhizoma Recens (Shengjiang) (5 liang, washed, sliced, and baked).
Preparation and Administration: Crush and sieve the above four herbs into powder. Take 2 qianbi per dose, mix with boiling water.
Qianhu Decoction (Prepatio Qianhu): Indicated for pregnancy cough, chest and diaphragm discomfort, and phlegm-saliva congestion.
Ingredients: Peucedani Radix (Qianhu) (remove sprouts), Arecae Pericarpium (Hepida fu) (with peel, cut into pieces), Pinelliae Rhizoma (Banxia) (powdered, mixed with ginger juice to form cakes), Citri Reticulatae Pericarpium (Chenju pi) (remove white pith, stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried).
Preparation and Administration: Coarsely crush and sieve the above five herbs. Take 3 qianbi per dose, decoct with one zhan of water and three slices of fresh ginger until reduced to 60%, strain, and take warm after meals and before bed.
Dingxiang Banxia Decoction (Prepatio Dingxiang Banxia): Indicated for persistent pregnancy cough, eliminating phlegm reversal, and harmonizing Stomach Qi.
Ingredients: Syzygii Aromatis Flos (Dingxiang) (stir-fried), Aquilariae Lignum Resinatum (Muxiang) (processed), Pinelliae Rhizoma (Banxia) (mixed with ginger juice and stir-fried, each 0.5 liang), Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu) (cut into pieces), Platycodonis Radix (Jiegeng) (stir-fried), Amomi Fructus Rotundus (Baidoukou), Poria (Fuling) (remove black skin, each 0.5 liang), Citri Reticulatae Pericarpium (Chenpi) (remove white pith, stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried), Zingiberis Rhizoma Recens (Shengjiang) (three slices).
Preparation and Administration: Coarsely crush and sieve the above twelve herbs. Take 3 qianbi per dose, decoct with one zhan of water and three slices of fresh ginger until reduced to 60%, strain, and take warm at any time.
Baizhu Decoction (Prepatio Baizhu): Indicated for pregnancy cough with excessive phlegm and vomiting/reversal.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu) (2 liang), Pinelliae Rhizoma (Banxia) (1 liang, soaked in ginger juice overnight, then baked).
Preparation and Administration: Coarsely crush and sieve the above two herbs. Take 3 qianbi per dose, decoct with one zhan of water and three slices of fresh ginger until reduced to half a zhan, strain, and take warm after meals, three times daily.
Sangbaipi Pill (Wan Sangbaipi): Indicated for pregnancy cough with excessive phlegm and asthma/reversal.
Ingredients: Morus Albae Cortex Radicis (Sangbaipí) (2 liang, cut into pieces), Pinelliae Rhizoma (Banxia) (1 liang, soaked in ginger juice overnight, then baked), Colla Corii Asini (Ejiao) (stir-fried until dry). Note: The text mentions "six flavors" but lists fewer explicit ingredients with dosages in this segment; translation follows the explicit text.
Preparation and Administration: Crush and sieve the herbs into powder, make pills using glutinous rice porridge, sized like corn seeds. Take one pill per dose, hold in mouth to dissolve and swallow saliva after meals and before bed.
Jingjie Drink (Yin Jingjie): Indicated for pregnancy affected by wind-cold, cough with phlegm congestion, dizziness, and headache.
Ingredients: Schizonepetae Spica (Jingjie sui), Inulae Flos (Xuanfuhua), Peucedani Radix (Qianhu) (remove sprouts, each 3 liang), Paeoniae Radix Rubra (Shaoyao), Pinelliae Rhizoma (Banxia) (processed with ginger juice to remove toxicity), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried, each 1 liang), Ephedrae Herba (Mahuang) (remove joints, boil and skim foam, bake, 1.5 liang).
Preparation and Administration: Coarsely crush and sieve the above seven herbs. Take 3 qianbi per dose, decoct with one zhan of water and three slices of fresh ginger until reduced to 60%, strain, and take warm at any time.