治怀胎三月、四月至九个月,曰恶阻。病者心中愦闷,头重目眩,四肢沉重,懈怠不欲;
热作,恶闻食气,欲啖咸酸,多睡少起,呕逆不食。或胎动不安,非时转动,腰腹疼痛;或
时下血及妊娠一切疾病,并皆治之。
甘草 茯苓 当归 熟地黄 川芎 白术 黄 白芍药 半夏(泡洗七分,切、
炒) 阿胶(切,粉炒) 地榆(各等分)
上 咀,每服三钱,水盏半,生姜四片,煎至八分,去滓温服无时候。一方无半夏、
地榆,有人参、桑寄生。一方无白术、黄 、半夏、地榆;有艾叶。只是胶艾汤加白茯苓。
夫水饮停积,结聚为痰,人皆有之。少者不能为害,多则成病,妨害饮食,乃至呕逆。
妊娠之病,若呕逆甚者,伤胎也。原疾之由,皆胃气不调或风冷乘之,冷搏于胃,故成斯病
也。亦恶阻之一端。
治妊娠恶阻,心中愦闷,虚烦吐逆,头目昏眩,四肢怠堕,百节烦疼,痰逆呕吐,嫌闻
食气,好啖咸酸,恶寒汗出,羸极黄瘦,多卧多起,不进饮食。妊妇有痰,必生阻病。《千
金》以半夏茯苓汤以对之,此思邈处方之妙也。若孕妇羸弱,胎孕不牢,则动必成咎。全在
医者相人强弱以投之,又何虑焉?
半夏(一两,泡十次,别切,炒令黄) 生姜(五两) 茯苓 熟地黄(各三两) 橘
红北细辛 人参 芍药 紫苏 川芎(各一两) 苦梗 甘草(各半两)
上 咀,每服四大钱。水二盏,姜七片,煎至七分,去滓,空心温服。兼服茯苓丸。《
局方》与崔氏无紫苏、细辛;有旋复花一两。有客热烦渴,口疮,去橘皮、细辛,加前胡、
知母各三两。腹冷下痢者,去地黄加炒桂心二两。胃中虚热,大便秘,小便赤涩,加大
黄三两,去地黄加黄芩一两。然半夏虽能动胎,若炒过则无妨。
Treatment for the period from three to nine months of pregnancy is called Ezu (Morning Sickness / Pregnancy Nausea). The patient experiences mental restlessness and oppression, heaviness of the head, dizziness and blurred vision, heaviness and weakness in the four limbs, lethargy and lack of desire to move; when heat arises, there is aversion to the smell of food, a craving for salty and sour flavors, excessive sleep with little rising, vomiting and inability to eat. Or there may be restless fetus, abnormal fetal movement, pain in the waist and abdomen; or vaginal bleeding at inappropriate times, as well as all diseases during pregnancy, are all treated by this prescription.
Gancao (Licorice Root), Fuling (Poria), Danggui (Angelica Sinensis), Shudihuang (Prepared Rehmannia Root), Chuanxiong (Sichuan Lovage Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Huang [Note: Text implies Huangqi or Huangqin, kept as original], Shaoyao (White Peony Root), Banxia (Pinellia Tuber - processed, washed seven times, sliced, stir-fried), Ejiao (Donkey-hide Gelatin - sliced, stir-fried with rice flour), Diyü (Sanguisorba Root) (all in equal proportions).
Crush the above herbs into coarse powder. Take 3 qian per dose, add 1.5 cups of water and 4 slices of fresh ginger, decoct until reduced to 0.8 cup, strain, and take warm at any time. Another version excludes Banxia and Diyü, but includes Renshen (Ginseng) and Sangjisheng (Taxillus Branches). Another version excludes Baizhu, Huang, Banxia, and Diyü, but adds Aye (Mugwort Leaf). This is essentially Jiao'ai Tang (Gelatin and Mugwort Decoction) added with Fuling (Poria).
Water and fluids stagnate and accumulate, condensing into Phlegm (Tan), which everyone possesses. When scant, it causes no harm; when abundant, it becomes pathological, obstructing digestion and leading to vomiting and reflux. In pregnancy, if vomiting and reflux are severe, it damages the fetus. The origin of these ailments lies in disharmony of Stomach Qi or invasion by Wind-Cold. Cold combats within the Stomach, thus forming this disease. This is also one aspect of Ezu.
For treating pregnancy Ezu, characterized by mental restlessness and oppression, deficiency-heat irritability and vomiting, dizziness and blurred vision, lethargy and drooping of the four limbs, general joint pain, phlegm-induced vomiting, aversion to food smells, preference for salty and sour foods, aversion to cold with sweating, extreme emaciation and sallow complexion, excessive lying down with little rising, and refusal to eat: If a pregnant woman has Phlegm, it inevitably causes obstruction diseases. *Qianjin Fang* uses Banxia Fuling Tang (Pinellia and Poria Decoction) to address this, demonstrating the brilliance of Sun Simiao's prescriptions. If the pregnant woman is weak and the fetus is unstable, fetal movement will certainly lead to adverse outcomes. It entirely depends on the physician to assess the patient's strength and weakness before prescribing, so what is there to worry about?
Banxia (Pinellia Tuber - 1 liang, processed ten times, separately sliced, stir-fried until yellow), Shengjiang (Fresh Ginger - 5 liang), Fuling (Poria), Shudihuang (Prepared Rehmannia Root) (each 3 liang), Juhong (Citrus Reticulata Pericarpium), Beixixin (Asari Radix et Rhizoma), Renshen (Ginseng), Shaoyao (Peony Root), Zisu (Perilla Leaf), Chuanxiong (Ligusticum Chuanxiong Rhizome) (each 1 liang), Kugen (Platycodon Root), Gancao (Licorice Root) (each 0.5 liang).
Crush the above herbs into coarse powder. Take 4 qian per dose, add 2 cups of water and 7 slices of ginger, decoct until reduced to 0.7 cup, strain, and take warm on an empty stomach. Also take Fuling Wan (Poria Pill). The *Ju Fang* and Cui Shi's versions exclude Zisu and Xixin, but include Xuanfuhua (Inula Flower, 1 liang). If there is exogenous heat causing irritability and thirst, or mouth ulcers, remove Juhong and Xixin, and add Qianhu (Peucedanum Root) and Zhimu (Anemarrhena Rhizome), each 3 liang. For cold abdomen with diarrhea, remove Shudihuang and add Chao Guixin (Stir-fried Cinnamon Twig), 2 liang. For deficiency-heat in the Stomach with constipation and dark, scanty urine, add Dahuang (Rhubarb Root), 3 liang, remove Shudihuang, and add Huangqin (Scutellaria Root), 1 liang. Although Banxia may disturb the fetus, if stir-fried properly, it poses no harm.