妊娠头痛,此风邪入脑,阳气衰也。宜芎芷汤。
芎芷汤
川芎 白芷 白菊花 甘草 白芍 茯苓 本 石膏 姜(三片)
水煎服。
如不效加细辛。
妊娠耳鸣,此肾虚也,宜服猪肾丸。即猪腰子(一副去膜),青盐二钱,焙干为末,蜜丸,空心酒下二三
钱,七日见效。
妊娠口舌生疮,咽喉肿痛,俱宜加味凉膈散。
加味凉膈散
黄芩(一钱) 连翘(去心,一钱五分) 山栀仁(炒) 薄荷 桔梗(各八分) 竹叶(十片) 牛蒡子
(一钱) 甘草(五分)
水煎服。
妊娠咽痛,此风寒攻上咽中,胃有痰涎,治宜攻寒化痰为先,宜服升麻桔梗汤。
升麻桔梗汤
升麻 桔梗 甘草(各五分) 防风 元参(各一钱)
水煎服二剂。
妊娠心痛非心痛也,乃胎气上升,壅塞胃口作痛,治宜顺气安胎,宜用手拈散、红枣膏。若有客热犯胃而
痛者,宜增损二陈汤。若客寒犯胃而痛者,宜火龙散。若饮食所伤,宜平胃散加枳壳、山楂。若临产期心胸刺
痛,宜壮气四物汤。
手拈散
五灵脂(炒烟尽,一钱) 草果(一个) 玄胡索 没药(去油,各八分)
酒煎服。
红枣膏
大红枣(二个) 乌梅(一个) 杏仁(去心,七粒)
同捣膏服。
增损二陈汤
白术(蜜炙) 陈皮 茯苓(各二钱) 黄芩(一钱五分) 炙甘草(一钱) 姜(二片) 枣(三枚)
水煎,食远服。
火龙散
川楝子 茴香(各三钱,炒、去核) 艾叶(盐水炒,一钱半)
水煎,食远服。
平胃散
浓朴(姜汁炒) 陈皮(去白,七分) 苍术(米泔浸、炒,一钱) 炙甘草(五分)
上加枳壳(麸炒),山楂肉各七分,姜三片,枣二枚,水煎服。
壮气四物汤
熟地黄 当归 白芍 川芎 木香 青皮 陈皮 枳壳(麸炒) 炙甘草(各一钱)
水煎服。
Headache during pregnancy is caused by wind-pathogen invading the brain and declining Yang Qi. Xiong Zhi Tang (Ligusticum and Angelica Dahurica Decoction) is indicated.
Xiong Zhi Tang (Ligusticum and Angelica Dahurica Decoction)
Chuanxiong Rhizoma (Chuanxiong, 川芎), Bai Zhi Radix Angelicae Dahuricae (Bai Zhi, 白芷), Chrysanthemi Flos (Bai Ju Hua, 白菊花), Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草), Paeoniae Radix Alba (Bai Shao, 白芍), Poria (Fu Ling, 茯苓), Ligustici Rhizoma et Radix (Gao Ben, 藁本), Gypsum Fibrosum (Shi Gao, 石膏), Zingiberis Rhizoma Recens (Jiang, 生姜, three slices).
Decoct in water and take orally.
If ineffective, add Asari Radix (Xi Xin, 细辛).
Tinnitus during pregnancy is caused by Kidney deficiency. Zhu Shen Wan (Pig Kidney Pill) is indicated. Use one pig kidney (remove the membrane), Qing Yan (Green Salt, 青盐, two qian), bake until dry, grind into powder, form pills with honey, and take two to three qian with wine on an empty stomach; improvement should be seen within seven days.
Mouth and tongue ulcers, along with sore throat and swelling during pregnancy, are both treated with Jia Wei Liang Ge San (Modified Cooling Chest Powder).
Jia Wei Liang Ge San (Modified Cooling Chest Powder)
Huang Qin Radix Scutellariae (Huang Qin, 黄芩, one qian), Lonicerae Japonicae Flos (Lian Qiao, 连翘, remove heart, one qian five fen), Gardeniae Fructus (Shan Zhi Ren, 山栀仁, stir-fried), Menthae Haplocalycis Herba (Bo He, 薄荷), Platycodonis Radix (Jie Geng, 桔梗, each eight fen), Phyllostachidis Folium (Zhu Ye, 竹叶, ten leaves), Arctii Fructus (Niu Bang Zi, 牛蒡子, one qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草, five fen).
Decoct in water and take orally.
Sore throat during pregnancy is caused by wind-cold attacking the upper throat and phlegm-fluid retention in the Stomach. Treatment should prioritize dispelling cold and resolving phlegm. Sheng Ma Jie Geng Tang (Cimicifuga and Platycodon Decoction) is indicated.
Sheng Ma Jie Geng Tang (Cimicifuga and Platycodon Decoction)
Cimicifugae Rhizoma (Sheng Ma, 升麻), Platycodonis Radix (Jie Geng, 桔梗), Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草, each five fen), Saposhnikoviae Radix (Fang Feng, 防风), Scrophulariae Radix (Yuan Shen, 元参, each one qian).
Decoct in water and take two doses.
"Heart pain" during pregnancy is not true heart pain, but rather pain caused by fetal Qi ascending and obstructing the Stomach opening. Treatment should regulate Qi and calm the fetus. Shou Nian San (Hand-Pinching Powder) and Hong Zao Gao (Red Date Paste) are indicated. If external heat invades the Stomach causing pain, Zeng Sun Er Chen Tang (Modified Two-Chen Decoction) is indicated. If external cold invades the Stomach causing pain, Huo Long San (Fire Dragon Powder) is indicated. If injury is due to diet, Ping Wei San (Peaceful Stomach Powder) with Zhi Ke (Aurantii Fructus Immaturus, 枳壳) and Shan Zha (Crataegi Fructus, 山楂) is indicated. If stabbing pain occurs in the chest and heart during the delivery period, Zhuang Qi Si Wu Tang (Strengthening Qi Four-Substance Decoction) is indicated.
Shou Nian San (Hand-Pinching Powder)
Trogopteri Dung (Wu Ling Zhi, 五灵脂, stir-fry until smoke ceases, one qian), Tsaoko Fructus (Cao Guo, 草果, one fruit), Corydalis Rhizoma (Yan Hu Suo, 玄胡索), Myrrha (Mo Yao, 没药, remove oil, each eight fen).
Decoct in wine and take orally.
Hong Zao Gao (Red Date Paste)
Jujubae Fructus (Da Hong Zao, 大红枣, two fruits), Mume Fructus (Wu Mei, 乌梅, one fruit), Armeniacae Semen Amarum (Xing Ren, 杏仁, remove heart, seven seeds).
Pound together into a paste and take orally.
Zeng Sun Er Chen Tang (Modified Two-Chen Decoction)
Atractylodis Macrocephalae Rhizoma (Bai Zhu, 1.5 qian honey-fried), Citri Reticulatae Pericarpium (Chen Pi, 陈皮), Poria (Fu Ling, 茯苓, each two qian), Scutellariae Radix (Huang Qin, 黄芩, one qian five fen), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao, 炙甘草, one qian), Zingiberis Rhizoma Recens (Jiang, 生姜, two slices), Jujubae Fructus (Zao, 枣, three fruits).
Decoct in water and take well after meals.
Huo Long San (Fire Dragon Powder)
Toosendan Fructus (Chuan Liu Zi, 川楝子), Foeniculi Fructus (Hui Xiang, 茴香, each three qian, stir-fry, remove core), Artemisiae Argyi Folium (Ai Ye, 艾叶, stir-fry with salt water, one qian half).
Decoct in water and take well after meals.
Ping Wei San (Peaceful Stomach Powder)
Magnoliae Officinalis Cortex (Nong Po, 浓朴, stir-fry with ginger juice), Citri Reticulatae Pericarpium (Chen Pi, 陈皮, remove white pith, seven fen), Atractylodis Rhizoma (Cang Zhu, 苍术, soak in rice wash water, stir-fry, one qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao, 炙甘草, five fen).
Add Aurantii Fructus Immaturus (Zhi Ke, 枳壳, stir-fry with bran) and Crataegi Fructus (Shan Zha Rou, 山楂肉), each seven fen, Zingiberis Rhizoma Recens (Jiang, 生姜, three slices), Jujubae Fructus (Zao, 枣, two fruits). Decoct in water and take orally.
Zhuang Qi Si Wu Tang (Strengthening Qi Four-Substance Decoction)
Rehmanniae Radix Praeparata (Shu Di Huang, 熟地黄), Angelicae Sinensis Radix (Dang Gui, 当归), Paeoniae Radix Alba (Bai Shao, 白芍), Ligustici Rhizoma et Radix (Chuan Xiong, 川芎), Aucklandiae Radix (Mu Xiang, 木香), Citri Reticulatae Pericarpium Viride (Qing Pi, 青皮), Citri Reticulatae Pericarpium (Chen Pi, 陈皮), Aurantii Fructus Immaturus (Zhi Ke, 枳壳, stir-fry with bran), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao, 炙甘草, each one qian).
Decoct in water and take orally.