妊娠元气不实,发热倦怠,致胎不安,宜当归散。若饮食不甘,呕吐不止,宜加味六君汤。若脾胃气虚不
能承载,致胎作胀或胀作痛,宜加味安胎饮。不应,宜补中益气汤。
当归散
当归 川芎 白芍(炒) 白术(蜜炙) 黄芩(酒炒,各五钱)
为末,每服二钱,白汤调下。
若因气恼不安加枳壳(麸炒)五钱,胸膈痞闷再加苏梗三钱,或作疼痛加柴胡五钱。
加味六君汤
人参 白术(蜜炙,各一钱半) 茯苓 陈皮(去白) 半夏(制、炒黄) 苏叶 枳壳(麸炒,各八分)
炙甘草(五分) 姜(三片) 枣(二枚)
水煎服。
加味安胎饮
白术(蜜炙,二钱) 人参 当归 熟地黄 川芎 白芍 陈皮 苏叶 黄芩(蜜炙) 炙甘草(各一钱)
升麻(五分) 姜(三片) 枣(二枚)
水一钟半,煎七分服。一方有砂仁。
补中益气汤
人参 黄 (蜜炙) 白术(蜜炙) 炙甘草(各一钱半) 当归(一钱) 陈皮(五分) 升麻(炒)
柴胡(各三分) 姜(三片) 枣(二枚)
水煎,空心服。
妇人受孕,遇三五七阳月,往往堕胎。如前次三个月而堕,则后次有胎必如期复堕。故半产后,须多服养
气血,固胎元之药,以补其虚。若后次有胎,必先于两个半月后即服清热安胎药数剂,以防三月之堕。至四个
半月后再服八九剂,防过五月至六个半月,再服五七剂,以防七月及至九个月,可保无虞矣。其预防堕胎之药,
三月以前宜芎归补中汤或泰山磐石散。五月以前宜安胎饮或加味异功散。如呕吐宜加味六君煎。七月以前宜
保胎无忧丸或加味益气汤,如有别证更加斟酌。此月防过尤宜服安胎丸。
芎归补中汤
黄芩(蜜制) 当归(酒洗) 白芍(酒炒) 白术(蜜炙,各一钱半) 阿胶(蛤粉炒成珠) 五味子
(不见火) 炙甘草(各五分)
水一钟半,煎七分,不拘时服。一方无木香。
泰山磐石散
人参 黄芩 川续断 黄 (蜜炙) 当归(各一钱) 白芍(酒炒) 熟地黄(各八分) 川芎 砂仁
(研) 炙甘草(各五分) 白术(蜜炙,二钱) 糯米(三钱)
水一钟半,煎七分,食远服。但觉有孕,三五日常服一剂,方保无虞。若有热者倍用黄芩,少用砂仁。胃
弱者倍用砂仁,少黄芩。
安胎饮
白术(蜜炙) 当归 条芩(炒) 苏梗(各一钱) 熟地黄 白芍(各八分) 川芎 香附(制)
砂仁(炒、研,各六分) 陈皮(五分) 甘草(四分)
水煎服。如胎动不安加阿胶(蛤粉炒成珠)一钱。胎痛倍用砂仁。
加味异功散
人参 白术(蜜炙) 当归 川芎 陈皮 茯苓 阿胶(蛤粉炒成珠) 麦冬(去心) 炙甘草(各等分)
姜(三片) 枣(二枚)
水煎服。
加味六君汤
人参 白术(蜜炙) 茯苓 炙甘草 陈皮(去白) 半夏(姜制、炒黄) 白扁豆(姜汁炒) 砂仁
(炒,各一钱) 姜(五片) 枣(四枚)
水一钟半,煎七分,食远服。
保胎无忧丸
党参(饭上蒸三次) 白术(蜜炙黄、勿焦) 当归(酒炒,各四两) 大熟地(酒蒸,六两) 茯苓
(乳蒸三次) 山药(乳蒸三次) 杜仲(姜汁炒断丝) 白芍(酒炒,各三
两) 川芎(炒黑,二两) 续断(酒洗、晒干,五两) 子芩(酒炒) 砂仁(炒、另研细末) 甘草(蜜
炙,各一两) 糯米(炒,五两)
为末,蜜丸,每服三钱,白汤下,早晚各一服。
加味益气汤
人参 黄 (蜜炙) 白术(蜜炙) 甘草(炙,各一钱五分) 当归(二钱) 川芎 砂仁 陈皮
酸枣仁(炒,各八分) 升麻(炒) 柴胡(各三分) 姜(三片) 枣(二枚)
水煎,空心服。
安胎丸
生地黄(四两,砂仁末一两、拌酒、蒸晒九次) 当归身(酒炒) 白芍(酒炒) 白术(切片、饭上蒸、
晒五次、蜜炙,各三两) 广陈皮(去白) 条芩(酒炒) 川续断(盐水炒) 杜仲(盐水炒断丝) 麦冬
(去心,各二两)
上为末,蜜丸梧子大,每朝砂仁汤送下四钱。如脾虚泄泻加淮山药、菟丝饼各三两,气虚加人参二两,血
虚加阿胶(蛤粉炒珠)二两。
During pregnancy, if the primordial Qi (Yuan Qi) is deficient, manifesting as fever and fatigue, leading to fetal instability, Danggui San (Angelica Powder) is indicated. If there is loss of appetite and incessant vomiting, Jiawei Liujun Tang (Modified Six Gentlemen Decoction) is indicated. If Spleen and Stomach Qi deficiency fails to support the fetus, causing abdominal distension or distending pain, Jiwei Antai Yin (Modified Fetus-Supporting Drink) is indicated; if ineffective, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is indicated.
Danggui San (Angelica Powder)
Composed of Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao, stir-fried), Atractylodis Macrocephalae Rhizoma (Baizhu, honey-roasted), and Scutellariae Radix (Huangqin, wine-stir-fried), each 5 qian.
Pulverized into fine powder. Take 2 qian per dose, mixed with warm water.
If emotional agitation causes fetal restlessness, add Zhiqiao (Bitter Orange Pericarp, bran-stir-fried) 5 qian. If chest and diaphragm oppression worsens, add Sujie (Perilla Stem) 3 qian. If pain occurs, add Chaihu (Bupleuri Radix) 5 qian.
Jiawei Liujun Tang (Modified Six Gentlemen Decoction)
Composed of Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted, each 1.5 qian), Poria (Fuling), Chenpi (Citri Reticulatae Pericarpium, white part removed), Banxia (Pinelliae Rhizoma, processed and yellow-stir-fried), Ziye (Perilla Leaf), Zhiqiao (Bitter Orange Pericarp, bran-stir-fried, each 0.8 qian), Zhigancao (Licorice Root, honey-roasted, 0.5 qian), Shengjiang (Fresh Ginger, 3 slices), and Dazao (Jujube Fruit, 2 pieces).
Decoct in water and take orally.
Jiwei Antai Yin (Modified Fetus-Supporting Drink)
Composed of Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted, 2 qian), Ren Shen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shudihuang (Rehmanniae Radix Preparata), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Ziye (Perilla Leaf), Huangqin (Scutellariae Radix, honey-roasted), Zhigancao (Licorice Root, honey-roasted, each 1 qian), Shengma (Cimicifugae Rhizoma, 0.5 qian), Shengjiang (Fresh Ginger, 3 slices), and Dazao (Jujube Fruit, 2 pieces).
Decoct with 1.5 zhong of water until 0.7 zhong remains, then take. Another version includes Amomi Fructus (Sharen).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
Composed of Ren Shen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, honey-roasted), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted), Zhigancao (Licorice Root, honey-roasted, each 1.5 qian), Danggui (Angelicae Sinensis Radix, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 0.5 qian), Shengma (Cimicifugae Rhizoma, stir-fried), Chaihu (Bupleuri Radix, stir-fried, each 0.3 qian), Shengjiang (Fresh Ginger, 3 slices), and Dazao (Jujube Fruit, 2 pieces).
Decoct in water and take on an empty stomach.
Women who conceive often experience miscarriage during the third, fifth, and seventh lunar months (Yang months). If a previous miscarriage occurred at three months, subsequent pregnancies will likely miscarry at the same time. Therefore, after a spontaneous abortion, one must frequently consume herbs that nourish Qi and Blood and secure the fetal root to replenish deficiency. If pregnant again, one should first take several doses of heat-clearing and fetus-supporting herbs after two and a half months to prevent miscarriage at three months. After four and a half months, take eight or nine doses to prevent issues between five and six and a half months. Then take five or seven doses to prevent danger at seven and up to nine months, ensuring safety. For preventing miscarriage, before three months, Xiongui Buzhong Tang or Taishan Panshi San is suitable. Before five months, Antai Yin or Jiawei Yigong San is suitable. If vomiting occurs, Jiawei Liujun Jian is suitable. Before seven months, Baotai Wuyou Wan or Jiawei Yiqi Tang is suitable, adjusting for other syndromes. At this month (referring to around June/July), An Tai Wan is particularly suitable for preventing miscarriage.
Xiongui Buzhong Tang (Cyperus and Angelica Middle-Tonifying Decoction)
Composed of Huangqin (Scutellariae Radix, honey-processed), Danggui (Angelicae Sinensis Radix, wine-rinsed), Baishao (Paeoniae Radix Alba, wine-stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted, each 1.5 qian), Ejiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls), Wuweizi (Schisandrae Chinensis Fructus, not exposed to fire), and Zhigancao (Licorice Root, honey-roasted, each 0.5 qian).
Decoct with 1.5 zhong of water until 0.7 zhong remains, take at any time. Another version lacks Xiangfu (Cyperus Rhizoma).
Taishan Panshi San (Mount Tai Porphyry Powder)
Composed of Ren Shen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix), Chuanxuduan (Dipsaci Radix), Huangqi (Astragali Radix, honey-roasted), Danggui (Angelicae Sinensis Radix, each 1 qian), Baishao (Paeoniae Radix Alba, wine-stir-fried), Shudihuang (Rehmanniae Radix Preparata, each 0.8 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Sharen (Amomi Fructus, crushed), Zhigancao (Licorice Root, honey-roasted, each 0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted, 2 qian), and Nuomi (Glutinous Rice, 3 qian).
Decoct with 1.5 zhong of water until 0.7 zhong remains, take shortly after meals. As soon as pregnancy is suspected, take one dose every three to five days to ensure safety. If heat signs are present, increase Huangqin and decrease Sharen. If Stomach Qi is weak, increase Sharen and decrease Huangqin.
Antai Yin (Fetus-Supporting Drink)
Composed of Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted), Danggui (Angelicae Sinensis Radix), Tiaoqin (Scutellariae Radix, stir-fried), Sujie (Perilla Stem, each 1 qian), Shudihuang (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba, each 0.8 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Xiangfu (Cyperus Rhizoma, processed), Sharen (Amomi Fructus, stir-fried and crushed, each 0.6 qian), Chenpi (Citri Reticulatae Pericarpium, 0.5 qian), and Gancao (Licorice Root, 0.4 qian).
Decoct in water and take. If fetal movement is restless, add Ejiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls) 1 qian. If fetal pain occurs, double the dosage of Sharen.
Jiawei Yigong San (Modified Six Gentlemen Powder)
Composed of Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Ejiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls), Maidong (Ophiopogonis Radix, heart removed), Zhigancao (Licorice Root, honey-roasted, each equal parts), Shengjiang (Fresh Ginger, 3 slices), and Dazao (Jujube Fruit, 2 pieces).
Decoct in water and take.
Jiawei Liujun Tang (Modified Six Gentlemen Decoction)
Composed of Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted), Fuling (Poria), Zhigancao (Licorice Root, honey-roasted), Chenpi (Citri Reticulatae Pericarpium, white part removed), Banxia (Pinelliae Rhizoma, ginger-processed and yellow-stir-fried), Baibian Dou (Dolichoris Semen, ginger juice-stir-fried), Sharen (Amomi Fructus, stir-fried, each 1 qian), Shengjiang (Fresh Ginger, 5 slices), and Dazao (Jujube Fruit, 4 pieces).
Decoct with 1.5 zhong of water until 0.7 zhong remains, take shortly after meals.
Baotai Wuyou Wan (Fetus-Securing Worries-Free Pill)
Composed of Dangshen (Codonopsis Radix, steamed over rice three times), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted yellow, not burnt), Danggui (Angelicae Sinensis Radix, wine-stir-fried, each 4 liang), Dushudi (Rehmanniae Radix Preparata, wine-steamed, 6 liang), Fuling (Poria, milk-steamed three times), Shanyao (Dioscoreae Rhizoma, milk-steamed three times), Duzhong (Eucommiae Cortex, ginger juice-stir-fried until fibers break), Baishao (Paeoniae Radix Alba, wine-stir-fried, each 3 liang), Chuanxiong (Ligusticum Chuanxiong Rhizoma, blackened by stir-frying, 2 liang), Xuduan (Dipsaci Radix, wine-rinsed and sun-dried, 5 liang), Ziqin (Scutellariae Radix, wine-stir-fried), Sharen (Amomi Fructus, stir-fried and separately ground to fine powder), Zhigancao (Licorice Root, honey-roasted, each 1 liang), and Nuomi (Glutinous Rice, stir-fried, 5 liang).
Pulverized into fine powder, made into pills with honey. Take 3 qian per dose, washed down with warm water, morning and evening.
Jiawei Yiqi Tang (Modified Qi-Augmenting Decoction)
Composed of Ren Shen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, honey-roasted), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted), Gancao (Licorice Root, honey-roasted, each 1.5 qian), Danggui (Angelicae Sinensis Radix, 2 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Sharen (Amomi Fructus), Chenpi (Citri Reticulatae Pericarpium), Suanzaoren (Ziziphi Spinosae Semen, stir-fried, each 0.8 qian), Shengma (Cimicifugae Rhizoma, stir-fried), Chaihu (Bupleuri Radix, stir-fried, each 0.3 qian), Shengjiang (Fresh Ginger, 3 slices), and Dazao (Jujube Fruit, 2 pieces).
Decoct in water and take on an empty stomach.
Antai Wan (Fetus-Supporting Pill)
Composed of Shengdihuang (Rehmanniae Radix, 4 liang, mixed with 1 liang of Sharen powder and wine, steamed and sun-dried nine times), Dangguishen (Body of Angelicae Sinensis Radix, wine-stir-fried), Baishao (Paeoniae Radix Alba, wine-stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, sliced, steamed over rice, sun-dried five times, honey-roasted, each 3 liang), Guangchenpi (Citri Reticulatae Pericarpium, white part removed), Tiaoqin (Scutellariae Radix, wine-stir-fried), Chuanxuduan (Dipsaci Radix, salt water-stir-fried), Duzhong (Eucommiae Cortex, salt water-stir-fried until fibers break), Maidong (Ophiopogonis Radix, heart removed, each 2 liang).
The above ingredients are pulverized into fine powder and made into pills the size of wu-tong seeds. Take 4 qian each morning, delivered with Sharen decoction. If Spleen deficiency with diarrhea occurs, add Huai Shanyao (Dioscoreae Hypoglaucae Rhizoma) and Tusiji Bing (Cuscutae Semen cake) each 3 liang. If Qi deficiency occurs, add Ren Shen (Ginseng Radix et Rhizoma) 2 liang. If Blood deficiency occurs, add Ejiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls) 2 liang.