妊娠四五月,咳嗽、五心烦热,胎动不安,名曰子嗽,宜服宜胎饮。若因外感风寒,喘急不食,宜桔梗散。
若火盛乘金,胎气壅塞,宜兜铃散。痰多喘满,宜百合散。
宜胎饮
干地黄(三钱,酒洗) 当归身(酒洗) 麦冬(去心,各一钱半) 白芍(酒炒,二钱) 阿胶(蛤粉
炒珠) 杜仲(盐水炒断丝) 川续断(盐水炒) 条芩 枳壳(麸炒,各一钱) 砂仁(炒去壳,三分,研)
河水煎服。
桔梗散
淡天冬(去心) 赤茯苓(各一钱) 桑白皮 桔梗 苏叶(各五分) 麻黄(三分,去节) 川贝母(去心、
杵) 人参 炙甘草(各二分) 姜(三片)
水煎服。(一方有杏仁、无贝母)
兜铃散
马兜铃 桔梗 人参 川贝母(去心、杵) 甘草(炙,各五分) 桑白皮 陈皮 大腹皮(豆汁浸、
洗) 苏叶(各一钱) 五味子(四分)
水煎服。(一方有枳壳、无人参、川贝母)
百合散
百合 紫菀茸 川贝母(去心、杵) 白芍 前胡 赤茯苓 桔梗(炒,各一钱) 炙甘草(五分) 姜(五片)
水煎服。
妊娠患疟,寒热往来,名曰子疟。或热多寒少及但热不寒,口苦舌干,大便秘涩,脉弦而数,宜醒脾饮。
或寒多热少及但寒不热,恶心头痛,面色青白,脉弦而迟,宜人参养胃汤。或无气虚弱,宜补中益气汤(方见
前子气条中)。或饮食停滞,宜加减六君汤。或邪盛食少,宜驱邪汤。
醒脾饮
青皮 浓朴(姜汁炒) 白术(蜜炙) 草果 柴胡 黄芩 茯苓 炙甘草(各五分)
水煎服。
人参养胃汤
浓朴(姜制) 橘红(各八分) 苍术(一钱,制) 藿香叶 草果 茯苓 人参(各五分) 炙甘草(三分)
姜(七片) 乌梅(一个)
水煎服。
加减六君汤
人参 白术(蜜炙,八分) 陈皮 苍术(制) 藿香叶(各一钱) 茯苓 桔梗 炙甘草(各五分)
姜(三片)
水煎服。
驱邪汤
高良姜 白术(蜜炙) 草果 橘红 藿香叶 砂仁 白茯苓(各一钱) 甘草(五钱) 姜(五片) 枣(二枚)
水煎服。
During the fourth or fifth month of pregnancy, if coughing, heat sensation in the five centers (palms, soles, and chest), and restless fetus occur, it is termed "Zisu" (Cough during Pregnancy). It is appropriate to administer Yitai Yin (Fetus-Supporting Decoction). If caused by external contraction of Wind-Cold, accompanied by panting, urgency, and loss of appetite, Jiegeng San (Platycodon Powder) is appropriate.
If Fire excess overacts on Metal (Lungs), causing stagnation and obstruction of Fetal Qi, Dailing San (Manshurian Aristolochia Powder) is appropriate. If there is excessive phlegm with chest fullness and panting, Baihe San (Lily Bulb Powder) is appropriate.
Yitai Yin (Fetus-Supporting Decoction)
Shu Di Huang (Prepared Rehmannia Root, 3 qian, washed with wine) Dang Gui Shen (Body of Angelica Sinensis, washed with wine) Mai Dong (Ophiopogon Tuber, heart removed, each 1.5 qian) Bai Shao (White Peony Root, stir-fried with wine, 2 qian) E Jiao (Donkey-hide Gelatin, stir-fried with clam powder into pearls) Du Zhong (Eucommia Bark, stir-fried with salt water until fibers break) Chuan Xu Duan (Dipsacus Root, stir-fried with salt water) Huang Qin (Scutellaria Root) Zhi Ke (Aurantium Fruit, stir-fried with bran, each 1 qian) Sha Ren (Amomum Fruit, stir-fried, husk removed, 3 fen, crushed)
Decoct in river water and take orally.
Jiegeng San (Platycodon Powder)
Dan Tian Dong (Asparagus Tuber, heart removed) Chi Fu Ling (Red Poria, each 1 qian) Sang Bai Pi (Mulberry Root Bark) Jie Geng (Platycodon Root) Zi Su Ye (Perilla Leaf, each 5 fen) Ma Huang (Ephedra Stem, 3 fen, nodes removed) Chuan Bei Mu (Sichuan Fritillary Bulb, heart removed, pounded) Ren Shen (Ginseng Root) Zhi Gan Cao (Honey-fried Licorice Root, each 2 fen) Sheng Jiang (Fresh Ginger, 3 slices)
Decoct in water and take orally. (Another formula contains Xing Ren [Apricot Seed] but no Bei Mu.)
Dailing San (Manshurian Aristolochia Powder)
Ma Dou Ling (Manshurian Aristolochia Stem) Jie Geng (Platycodon Root) Ren Shen (Ginseng Root) Chuan Bei Mu (Sichuan Fritillary Bulb, heart removed, pounded) Gan Cao (Licorice Root, honey-fried, each 5 fen) Sang Bai Pi (Mulberry Root Bark) Chen Pi (Tangerine Peel) Da Fu Pi (Areca Peel, soaked and washed in bean juice) Zi Su Ye (Perilla Leaf, each 1 qian) Wu Wei Zi (Schisandra Berry, 4 fen)
Decoct in water and take orally. (Another formula contains Zhi Ke [Aurantium Fruit], but lacks Ren Shen [Ginseng Root] and Chuan Bei Mu [Sichuan Fritillary Bulb].)
Baihe San (Lily Bulb Powder)
Bai He (Lily Bulb) Zi Wan Rong (Aster Flower Bud) Chuan Bei Mu (Sichuan Fritillary Bulb, heart removed, pounded) Bai Shao (White Peony Root) Qian Hu (Peucedanum Root) Chi Fu Ling (Red Poria) Jie Geng (Platycodon Root, stir-fried, each 1 qian) Zhi Gan Cao (Honey-fried Licorice Root, 5 fen) Sheng Jiang (Fresh Ginger, 5 slices)
Decoct in water and take orally.
When a pregnant woman suffers from Malaria, characterized by alternating chills and fever, it is termed "Zinüe" (Malaria during Pregnancy). If there is more heat than chills, or only heat without chills, accompanied by bitter taste in the mouth, dry tongue, constipation, and a wiry and rapid pulse, Xingpi Yin (Spleen-Awakening Decoction) is appropriate.
If there are more chills than heat, or only chills without heat, accompanied by nausea, headache, pale or bluish complexion, and a wiry and slow pulse, Renshen Yangwei Tang (Ginseng Stomach-Nourishing Decoction) is appropriate. If due to Qi deficiency, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate (formula see previous section on "Ziqi"). If due to food stagnation, Jiajian Liujun Tang (Modified Six Gentlemen Decoction) is appropriate. If pathogenic factors are strong while dietary intake is low, Quxie Tang (Expel Pathogens Decoction) is appropriate.
Xingpi Yin (Spleen-Awakening Decoction)
Qing Pi (Green Tangerine Peel) Hou Po (Magnolia Bark, stir-fried with ginger juice) Bai Zhu (Atractylodes Rhizome, honey-fried) Cao Guo (Black Cardamom) Chai Hu (Bupleurum Root) Huang Qin (Scutellaria Root) Fu Ling (Poria) Zhi Gan Cao (Honey-fried Licorice Root, each 5 fen)
Decoct in water and take orally.
Renshen Yangwei Tang (Ginseng Stomach-Nourishing Decoction)
Hou Po (Magnolia Bark, ginger-processed) Ju Hong (Red Tangerine Peel, each 8 fen) Cang Zhu (Atractylodes Lancea Rhizome, 1 qian, processed) Huo Xiang Ye (Patchouli Leaf) Cao Guo (Black Cardamom) Fu Ling (Poria) Ren Shen (Ginseng Root, each 5 fen) Zhi Gan Cao (Honey-fried Licorice Root, 3 fen) Sheng Jiang (Fresh Ginger, 7 slices) Wu Mei (Mume Fruit, 1 piece)
Decoct in water and take orally.
Jiajian Liujun Tang (Modified Six Gentlemen Decoction)
Ren Shen (Ginseng Root) Bai Zhu (Atractylodes Rhizome, honey-fried, 8 fen) Chen Pi (Tangerine Peel) Cang Zhu (Atractylodes Lancea Rhizome, processed) Huo Xiang Ye (Patchouli Leaf, each 1 qian) Fu Ling (Poria) Jie Geng (Platycodon Root) Zhi Gan Cao (Honey-fried Licorice Root, each 5 fen) Sheng Jiang (Fresh Ginger, 3 slices)
Decoct in water and take orally.
Quxie Tang (Expel Pathogens Decoction)
Gao Liang Jiang (Galangal Rhizome) Bai Zhu (Atractylodes Rhizome, honey-fried) Cao Guo (Black Cardamom) Ju Hong (Red Tangerine Peel) Huo Xiang Ye (Patchouli Leaf) Sha Ren (Amomum Fruit) Bai Fu Ling (White Poria, each 1 qian) Gan Cao (Licorice Root, 5 qian) Sheng Jiang (Fresh Ginger, 5 slices) Da Zao (Jujube, 2 pieces)
Decoct in water and take orally.