治妊娠咳嗽不止,胎不安。(六方出产科)
甘草 杏仁(各一分) 紫菀(一两) 桑白皮(一分) 苦梗(三分) 天门冬(一
两)
上 咀,每服三钱。水一盏,竹茹一块,煎至七分去滓,入蜜半匙,再煎二沸,温服。
疗妊娠咳嗽方。
以车 烧赤投酒中,候冷冻饮料之,良。
疗妊娠伤寒,涎多咳嗽。
知母 杏仁 天门冬 桑白皮(等分)
上 咀,每服三钱。水一盏,煎至七分,去滓服。
妊娠喘嗽不止,宜服《局方》华盖散,稳重而有效。
论曰∶夫妊娠吐血者,皆由脏腑所伤。为忧、思、惊、怒,皆伤脏腑,气逆吐血,吐血
而心闷胸满未欲止,心闷甚者死。妊娠病此,多堕胎也。
《局方》必胜散 有效,治吐血不止。
马勃,用生布擦为末,浓米饮调下。(昌黎先生云∶牛溲、马勃、败鼓之皮,俱收并蓄,
待用无遗者,医师之良也。)
论曰∶妊娠苦烦闷者,以四月受少阴君火气以养精;六月受少阳相火气以养气。若母心
惊胆寒,多有烦闷,名曰子烦也。《产宝》云∶夫妊娠而子烦者,是肺脏虚而热乘于心,则
令心烦也。停痰积饮在心胸之间,或冲于心,亦令烦也。若热而烦者,但热而已;若有痰饮
而烦者,呕吐涎沫,恶闻食气,烦躁不安也。大抵妊娠之人,既停痰积饮,又虚热相搏,气
郁不舒;或烦躁,或呕吐涎沫,剧则胎动不安,均谓之子烦也。
Treats persistent coughing during pregnancy, leading to fetal instability. (These six formulas are from the Obstetrics section)
Gancao (Licorice Root), Xingren (Apricot Seed) (each 1 fen), Ziwan (Aster Root) (1 liang), Sangbaipi (Mulberry Bark) (1 fen), Jiegeng (Platycodon Root) (3 fen), Tianmendong (Asparagus Tuber) (1 liang).
The above herbs are chopped. Take 3 qian per dose. Add one zhan of water and a piece of Zhuru (Bamboo Shavings), decoct until reduced to 0.7 zhan, filter out the dregs, add half a spoonful of honey, boil two more times, and take warm.
Formula for treating cough during pregnancy.
Burn Cheqiancao (Plantain Herb) until red-hot, throw it into wine, wait until it is chilled and frozen, then drink it; this is effective.
Treats cold damage during pregnancy with excessive saliva and coughing.
Zhimu (Anemarrhena Rhizome), Xingren (Apricot Seed), Tianmendong (Asparagus Tuber), Sangbaipi (Mulberry Bark) (equal parts).
The above herbs are chopped. Take 3 qian per dose. Add one zhan of water, decoct until reduced to 0.7 zhan, filter out the dregs, and take.
For persistent wheezing and coughing during pregnancy, it is advisable to take Huagai San (Hua Gai Powder) from *Ju Fang* (Formulas of the Bureau), which is steady and effective.
Discussion states: Hematemesis (vomiting blood) during pregnancy is caused by injury to the Zang-Fu organs. Worry, rumination, fright, and anger all injure the Zang-Fu organs, causing Qi rebellion and hematemesis. If hematemesis is accompanied by chest oppression and fullness that does not cease, severe chest oppression leads to death. Pregnancy complicated by this condition often results in miscarriage.
Shengsan San (Victory Powder) from *Ju Fang* is effective for treating persistent hematemesis.
Mabo (Lycoperdon), wipe with raw cloth to make powder, mix with thick rice water and swallow. (Mr. Changli [Han Yu] said: "Niusou (Field Horsetail), Mabo (Puffball), and Baigu Zhi Pi (Old Drum Skin) are all collected and stored, used without waste; this is the virtue of a good physician.")
Treats epistaxis (nosebleed). Decoct Baimaohua (White Thistle Flower) strongly to make juice and take it. (Alternatively, select from the hematemesis formulas in Volume Seven.)
Discussion states: The distress and oppression felt during pregnancy occur because at four months of gestation, the body receives the Qi of Shaoyin Junhuo (Ministerial Fire of Shaoyin) to nourish Jing (Essence); at six months, it receives the Qi of Shaoyang Xianghuo (Assistant Fire of Shaoyang) to nourish Qi. If the mother is frightened and her gallbladder is cold, she often experiences oppression and distress, known as "Zifan" (Fetal Oppression/Restlessness). *Chanbao* states: Fetal Restlessness during pregnancy is due to Lung deficiency allowing Heat to invade the Heart, causing mental restlessness. Stagnant Phlegm and accumulated fluids between the heart and chest, or rushing towards the heart, also cause restlessness. If the restlessness is due to Heat, there is merely heat; if due to Phlegm-Fluids, there is vomiting of saliva and froth, aversion to the smell of food, and irritability. Generally, pregnant women have stagnant Phlegm and accumulated fluids combined with deficient Heat fighting each other, causing Qi stagnation and discomfort; whether manifesting as irritability or vomiting saliva and froth, and severely leading to fetal movement instability, all are termed "Zifan".