(附论)
夫妊娠之人。若肝经有热。播流血脉。散于肌肉。营气不从于肉理。则生痈肿诸疮之类。
内经谓。诸痛痒疮皆属于心。治法宜调经络。平腑脏。则邪壅之疾自瘥。
方
分气汤 治妊娠诸疮。利心经。散壅滞。
麦门冬 槟榔 当归 大腹皮 甘草 木通 羌活 芎 桑根白皮(锉各一两) 大
黄
(炒三分) 上粗捣筛。每服三钱。水一盏。煎至六分去滓。空心日午临卧温服。
薄荷丸 治妊娠气血壅滞。致身体生疮瘙痒。
干薄荷叶(二两) 荆芥穗(一两半) 蔓荆实(去白皮) 玄参 甘草 大黄 人参 麦
门
冬(去心各一两) 羌活 细辛(去苗叶一两半) 上为末。炼蜜丸如鸡头大。每服一丸。
茶酒
嚼
白芷丸 治妊娠风气壅头目不利。身体生疮。
白芷(三两) 芎 天南星(水煮各一两) 羌活(半两) 菊花(三分) 藿香叶
(一两)
防风(半两) 细辛(一两) 当归(一两) 上捣罗为末。酒煮面糊丸如梧桐子大。每服
二十丸。
薄
地黄丸 治妊娠诸疮。
生干地黄 黄芩 人参 荆芥 栀子仁 黄 甘草 干薄荷叶(各一两) 上为末。
炼
蜜丸如梧桐子大。每服二十丸。温汤下。不拘时。
皂荚子散 治妊娠气壅生疮。
皂荚子(二百枚) 槐实 甘草 干薄荷叶 黄 荆芥穗(各一两) 芎 天麻(各
半
两) 上捣罗为散。每服一钱匕。温酒调下。沸汤亦得。不拘时。
荆芥汤 治妊娠血气壅滞。身体生疮。心神不宁。
荆芥穗 芎 细辛 威灵仙 甘草(各一两炙) 皂荚(半两不蛀者去皮涂酥炙) 上
粗
捣筛。每服二钱匕。水一盏。煎至六分去滓。食后临卧温服之。
黄 汤 治妊娠气血壅滞生疮。
黄 苦参 羌活 独活 恶实 甘草(炙各一两) 上粗捣筛。每服三钱匕。水一盏。
煎至七分去滓。温服。
秦艽丸 治妊娠疮疥。烦热瘙痒。
秦艽(半两) 黄 枳壳 漏芦 防风(各一两半) 黄连(去须半两) 上为末。
炼蜜丸
如梧桐子大。每服二十丸。温酒空心。日午夜卧服。
祛风散 治妊娠风热气盛。攻身体生疮。皮肤燥涩。大便结滞。
羌活(去芦头二两) 大黄(湿纸裹煨二两) 黄 (锉三两) 芎 (一两) 朴硝
(别研半
两) 当归(切焙一两半) 上捣罗为细散。与朴硝匀。每服一钱匕。日午夜卧。用温蜜水
调
下。微利为度。
治疮 妇人妊娠。患此疾者并治之。
黄桑条(去皮锉碎熬灰) 苍茸草(热灰) 上相和令滤过。又将童子小便一处相和。
煎用。
涂在疮口里三五日去靥根为妙。
治孕痈方。
用乌药研。出洪州软白香辣者良。水一盏。牛皮胶一片。同煎至七分温服。
治脑疽疮 治妊娠妇人患此疮者。
用地石榴草煎酒吃为妙。
罩胎散 治孕妇痘疮已发。急宜服之。以解热毒。不治伤胎。
赤茯苓(去皮) 白术 当归(中截) 白芍药 赤芍药 柴胡 干葛 人参(去芦) 桔
梗(去芦) 黄芩 防风 陈皮(去白) 荆芥 枳壳 紫草 阿胶(炒) 糯米(炒) 川
白芷 甘草(炙) 川芎 缩砂仁(炒) 大热加郁金 上锉。每服三钱。水一盏半。干柿
蒂七枚。野苎
根七寸。甜瓜蒂七枚。同银器煎。以小荷叶盖定。去滓。盏盛。仍用荷叶盖覆。空心服。昝
氏曰。金银能安胎。如无银器。以瓦器煎。金箔、银箔研入药内。
治妊娠上膈有热。唇口生疮。非时头痛不安。小便黄赤。
升麻 杏仁 前胡(去毛) 桔梗 黄芩 麦门冬(去心) 葛根 知母(各等分) 上
细杵
罗为末。每服二钱。水一盏。生姜二片。同煎取八分。食后临卧服。
(Attached Discussion)
In pregnant women, if there is heat in the Liver Meridian, the heat flows into the blood vessels and scatters into the muscles. When Ying Qi (Nutritive Qi) fails to follow the proper course through the Cou Li (skin texture and interstices), various sores such as carbuncles and swellings may arise.
The *Nei Jing* (Inner Canon) states: "All pain, itching, and sores belong to the Heart." The treatment principle should be to regulate the meridians and balance the Zang-Fu organs, so that diseases caused by pathogenic stagnation will naturally heal.
Formulas
Fenqi Tang (Separating Qi Decoction): Treats various sores during pregnancy. It benefits the Heart Meridian and dissipates stagnation.
Ingredients: Ophiopogonis Radix (Maidong), Arecae Semen (Binglang), Angelicae Sinensis Radix (Danggui), Arecae Pericarpium (Dafupi), Glycyrrhizae Radix et Rhizoma (Gancao), Akebiae Caulis (Mutong), Notopterygii Radix et Rhizoma (Qianghuo), Ligustici Chuanxiong Rhizoma (Chuanxiong), Morus Albae Cortex Radicis (Sangbaipipi) (all cut into pieces, 1 liang each); Rheum Palmatum Radix et Rhizoma (Dahuang) (stir-fried, 3 qian).
Usage: Coarsely grind and sieve the above ingredients. Take 3 qian per dose, add 1 zhan of water, decoct until 6 fen remains, remove the dregs, and take warm on an empty stomach, at noon, and before bed.
Bohe Wan (Peppill): Treats body sores with itching caused by Qi and Blood stagnation during pregnancy.
Ingredients: Menthae Haplocalycis Herba (Boheye) (2 liang), Schizonepetae Spica (Jingjiesui) (1.5 liang), Viticis Fructus (Manjingzi) (deprived of white skin), Scrophulariae Radix (Xuanshen), Glycyrrhizae Radix et Rhizoma (Gancao), Rheum Palmatum Radix et Rhizoma (Dahuang), Ginseng Radix (Renshen), Ophiopogonis Radix (Maidong) (deprived of heart, 1 liang each), Notopterygii Radix et Rhizoma (Qianghuo), Asari Radix et Rhizoma (Xixin) (deprived of roots and leaves, 1.5 liang).
Usage: Grind into powder, make pills with refined honey the size of a chicken head. Take one pill per dose, chew it, and swallow with tea or wine.
Baizhi Wan (Angelica Dahurica Pill): Treats wind-Qi stagnation causing unclear head and eyes, and body sores during pregnancy.
Ingredients: Angelicae Dahuricae Radix (Baizhi) (3 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Pinelliae Tuber (Tiannanxing) (boiled in water, 1 liang each), Notopterygii Radix et Rhizoma (Qianghuo) (0.5 liang), Chrysanthemi Flos (Juhua) (3 fen), Pogostemonis Herba (Huoxiangye) (1 liang), Saposhnikoviae Radix (Fangfeng) (0.5 liang), Asari Radix et Rhizoma (Xixin) (1 liang), Angelicae Sinensis Radix (Danggui) (1 liang).
Usage: Grind into fine powder, make pills with wine-boiled wheat paste the size of a sophora seed. Take 20 pills per dose.
Dihuang Wan (Rehmannia Pill): Treats various sores during pregnancy.
Ingredients: Rehmanniae Radix Preparata (Shenggan Dihuang), Scutellariae Radix (Huangqin), Ginseng Radix (Renshen), Schizonepetae Spica (Jingjie), Gardeniae Fructus (Zhizi Ren), Astragali Membranacei Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Menthae Haplocalycis Herba (Boheye) (1 liang each).
Usage: Grind into powder, make pills with refined honey the size of a sophora seed. Take 20 pills per dose, swallow with warm water, at any time.
Zaojiazi San (Soapberry Seed Powder): Treats sores caused by Qi stagnation during pregnancy.
Ingredients: Gleditsiae Sinensis Fructus (Zaojiazi) (200 units), Sophorae Fructus (Huaishi), Glycyrrhizae Radix et Rhizoma (Gancao), Menthae Haplocalycis Herba (Boheye), Astragali Membranacei Radix (Huangqi), Schizonepetae Spica (Jingjiesui) (1 liang each), Ligustici Chuanxiong Rhizoma (Chuanxiong), Gastrodiae Rhizoma (Tianma) (0.5 liang each).
Usage: Grind into powder. Take 1 qianbi per dose, mix with warm wine to drink; boiling water is also acceptable, at any time.
Jingjie Tang (Schizonepeta Decoction): Treats body sores, restlessness of mind and spirit due to Qi and Blood stagnation during pregnancy.
Ingredients: Schizonepetae Spica (Jingjiesui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Asari Radix et Rhizoma (Xixin), Stellariae Radix (Weilingxian), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 1 liang each), Gleditsiae Sinensis Fructus (Zaojiao) (0.5 liang, free from worms, deprived of skin, roasted with butter).
Usage: Coarsely grind and sieve. Take 2 qianbi per dose, add 1 zhan of water, decoct until 6 fen remains, remove dregs, and take warm after meals and before bed.
Huangqi Tang (Astragalus Decoction): Treats sores caused by Qi and Blood stagnation during pregnancy.
Ingredients: Astragali Membranacei Radix (Huangqi), Sophorae Flavescentis Radix (Kushen), Notopterygii Radix et Rhizoma (Qianghuo), Angelicae Pubescentis Radix (Duohuo), Arctii Fructus (Enishi), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 1 liang each).
Usage: Coarsely grind and sieve. Take 3 qianbi per dose, add 1 zhan of water, decoct until 7 fen remains, remove dregs, and take warm.
Qinjiao Wan (Gentian Pill): Treats sores and scabies during pregnancy, accompanied by irritability, heat, and itching.
Ingredients: Gentianae Macrophyllae Radix (Qinjiao) (0.5 liang), Astragali Membranacei Radix (Huangqi), Aurantii Fructus (Zhike), Euphorbiae Humifusae Radix (Loulou), Saposhnikoviae Radix (Fangfeng) (1.5 liang each), Coptidis Rhizoma (Huanglian) (deprived of roots, 0.5 liang).
Usage: Grind into powder, make pills with refined honey the size of a sophora seed. Take 20 pills per dose, swallow with warm wine on an empty stomach and at midnight/late night.
Qufeng San (Expelling Wind Powder): Treats excessive wind-heat attacking the body causing sores, dry and rough skin, and constipation during pregnancy.
Ingredients: Notopterygii Radix et Rhizoma (Qianghuo) (deprived of rhizome stump, 2 liang), Rheum Palmatum Radix et Rhizoma (Dahuang) (wrapped in wet paper and baked, 2 liang), Astragali Membranacei Radix (Huangqi) (cut, 3 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong) (1 liang), Natrii Sulfas (Puxiao) (separately ground, 0.5 liang), Angelicae Sinensis Radix (Danggui) (cut and dried, 1.5 liang).
Usage: Grind all except Puxiao into fine powder, mix evenly with Puxiao. Take 1 qianbi per dose, swallow with warm honey water at midnight/late night. Stop when mild diarrhea occurs.
Formula for Treating Sores: Applicable to pregnant women suffering from this condition.
Ingredients: Astragalus mulberry branch (deprived of skin, cut, crushed, and calcined to ash), Cangrong grass (charred in hot ash).
Usage: Mix and filter, then combine with urine from a healthy boy and decoct. Apply inside the sore. It is best to remove the root of the scab after three to five days.
Formula for Treating Pregnancy Carbuncle:
Grind Linderae Radix (Wuyao). The soft, white, spicy variety from Hongzhou is superior. Add 1 zhan of water and one piece of Ox Hide Glue (Niujiaojiao), decoct until 7 fen remains, and take warm.
Formula for Treating Brain Furuncle: For pregnant women suffering from this sore.
Decoct Polygonati Multiflori Herba (Didishicao) in wine and drink it. This is considered optimal.
Zaotai San (Covering Fetus Powder): For pregnant women whose smallpox/rash has already erupted. It should be taken urgently to resolve heat toxicity without harming the fetus.
Ingredients: Polyporus (Chifuling) (deprived of skin), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui) (middle section), Paeoniae Radix Alba (Baishaoyao), Paeoniae Radix Rubra (Chishaoyao), Bupleuri Radix (Chaihu), Puerariae Lobatae Radix (Gange), Ginseng Radix (Renshen) (deprived of rhizome stump), Platycodonis Radix (Jiegeng) (deprived of rhizome stump), Scutellariae Radix (Huangqin), Saposhnikoviae Radix (Fangfeng), Citri Reticulatae Pericarpium (Chenpi) (deprived of white pith), Schizonepetae Spica (Jingjie), Aurantii Fructus (Zhike), Lithospermi Radix (Zicao), Asini Corii Colla (Ejiao) (stir-fried), Oryza Sativa Glutinosa Semen (Nuomi) (stir-fried), Angelicae Dahuricae Radix (Chuan Baizhi), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted), Ligustici Chuanxiong Rhizoma (Chuanxiong), Amomi Fructus Rotundus (Suasharen) (stir-fried). If severe heat, add Curcumae Longae Radix (Yujin).
Usage: Cut into pieces. Take 3 qian per dose, add 1.5 zhan of water, seven dried persimmon calyces (Shididi), seven cun of wild ramie root (Yezhugen), and seven melon stalk tips (Tianguadi). Decoct together in a silver vessel. Cover with a small lotus leaf, remove dregs, pour into a cup, and cover again with a lotus leaf. Take on an empty stomach. Zan Shi said: Silver and gold can calm the fetus. If no silver vessel is available, use a clay vessel. Gold foil and silver foil can be ground and added to the medicine.
Formula for Treating Heat in the Upper Jiao during Pregnancy, Mouth Ulcers, Unusual Headache and Restlessness, and Yellow-Dark Urine:
Ingredients: Cimicifugae Rhizoma (Shengma), Pruni Armeniacae Semen (Xingren), Peucedani Radix (Qianhu) (deprived of hairs), Platycodonis Radix (Jiegeng), Scutellariae Radix (Huangqin), Ophiopogonis Radix (Maidong) (deprived of heart), Puerariae Lobatae Radix (Gegen), Anemarrhenae Rhizoma (Zhimu) (equal parts).
Usage: Finely grind and sieve into powder. Take 2 qian per dose, add 1 zhan of water and two slices of Zingiberis Rhizoma Recens (Shengjiang), decoct until 8 fen remains. Take after meals and before bed.