妊娠,初受妊时,取常患腹痛者,此由血热之故。名曰痛胎,一时不能速愈,宜服栀芩汤数剂。
栀芩汤
山栀仁 黄芩 当归 元参 枳壳(麸炒) 苏梗 广皮 白芍 杜仲(盐水炒断丝)
各等分,水煎服。
妊娠有三四月而堕者,有六七月而堕者,有屡孕屡堕者。由于气血不充,名曰滑胎,宜固胎丸、益母丸。
固胎丸
人参 黄 (蜜炙) 茯苓 白术(蜜炙) 杜仲(盐水炒) 川续断 山萸肉 白芍 丹参 川芎 山药
当归 生地黄 香附(制) 砂仁 薄荷
水煎服。
益母丸
益母草(一斤) 当归(四两)
为末。蜜丸弹子大,白汤下。
妊娠将临月,两目失明不见灯火,头痛、眩晕、腮颌
肿,不能转侧,此肝经热毒上攻,由过食炙爆、火酒、辛辣等物。名曰胎热。宜消风散、天冬饮。
消风散
荆芥 甘草 羌活 川芎 人参 茯苓 僵茧(炒) 防风 藿香叶 蝉蜕(去翅、足) 陈(去白)
浓朴(姜制)
水煎,食远服。
天冬饮
天门冬(去心) 知母(炒) 茯苓 羌活 人参 防风 五味子 茺蔚子
水一钟,煎七分,食远服。
妊娠不守禁忌,纵恣口腹,过食生冷瓜果及当风取凉,以致胎冷不安,胸腹胀痛,肠中虚鸣,四肢拘急,
泄泻欲绝,名曰胎寒。宜安胎和气饮。
安胎和气饮
诃子(煨) 白术(蜜炙,各二钱) 陈皮 良姜(炒) 木香 白芍 炙甘草 陈米(各一钱) 姜(五片)
水煎服。
During pregnancy, at the initial stage of conception, if the pregnant woman frequently suffers from abdominal pain, this is caused by blood heat (xue re). This condition is named Tong Tai (Painful Fetus), and it cannot be cured quickly in a short time. It is appropriate to take Zhi Qin Tang (Gardenia and Scutellaria Decoction) for several doses.
Zhi Qin Tang
Shanzhiren (Gardeniae Semen), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Yuan Shen (Scrophulariae Radix), Zhike (Aurantii Fructus, bran-fried), Sugeng (Perillae Caulis), Guangpi (Citri Reticulatae Pericarpium), Baishao (Paeoniae Radix Alba), Duzhong (Eucommiae Cortex, salt-water fried until fibers are broken).
All ingredients in equal parts, decocted in water and taken orally.
For those who miscarry during the third or fourth month of pregnancy, or during the sixth or seventh month, or who experience recurrent miscarriages, this is due to insufficiency of Qi and Blood (Qi Xue), known as Hua Tai (Slippery Fetus/Recurrent Miscarriage). It is appropriate to use Gu Tai Wan (Fetus-Securing Pill) and Yi Mu Wan (Motherwort Pill).
Gu Tai Wan
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, honey-fried), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Duzhong (Eucommiae Cortex, salt-water fried), Chuanxuduan (Dipsaci Radix), Shanyurou (Corni Fructus), Baishao (Paeoniae Radix Alba), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanyao (Dioscoreae Rhizoma), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Xiangfu (Cyperi Rhizoma, processed), Sharen (Amomi Fructus), Bohe (Menthae Haplocalycis Herba).
Decocted in water and taken orally.
Yi Mu Wan
Yimucao (Leonuri Herba, one jin), Danggui (Angelicae Sinensis Radix, four liang).
Grind into powder. Form pills the size of bullet seeds with honey, and swallow with warm water.
As the pregnancy nears term, if the eyes lose vision and cannot see candlelight, accompanied by headache, dizziness, swelling of the cheeks and jaw, and inability to turn the body, this is due to Heat-Toxin (Re Du) of the Liver Meridian (Gan Jing) attacking upwards, caused by excessive consumption of roasted foods, strong alcohol, and spicy substances. This condition is named Tai Re (Fetal Heat). It is appropriate to use Xiao Feng San (Wind-Expelling Powder) and Tiandong Yin (Asparagus Decoction).
Xiao Feng San
Jingjie (Schizonepetae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Jiangjian (Bombyx Batryticatus, fried), Fangfeng (Saposhnikoviae Radix), Huoxiangye (Agastaches Herba), Chantui (Cicadae Periostracum, wings and feet removed), Chenpi (Citri Reticulatae Pericarpium, white pith removed), Houpo (Magnoliae Officinalis Cortex, ginger-processed).
Decocted in water, taken long after meals.
Tiandong Yin
Tiandong (Asparagi Radix, heart removed), Zhimu (Anemarrhenae Rhizoma, fried), Fuling (Poria), Qianghuo (Notopterygii Rhizoma et Radix), Renshen (Ginseng Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Wuweizi (Schisandrae Chinensis Fructus), Chongweizi (Leonuri Semen).
Use one zhong of water, decoct until seven-tenths remain, and take long after meals.
If during pregnancy one does not observe taboos, indulges in eating, consumes excessive amounts of raw and cold fruits and vegetables, and seeks coolness by facing the wind, leading to fetal coldness and instability, chest and abdominal distension and pain, empty rumbling in the intestines, spasm and stiffness of the four limbs, and severe diarrhea almost to the point of collapse, this condition is named Tai Han (Fetal Cold). It is appropriate to use An Tai He Qi Yin (Fetus-Securing and Qi-Harmonizing Decoction).
An Tai He Qi Yin
Hezi (Myrobalani Fructus, baked), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried, two qian each), Chenpi (Citri Reticulatae Pericarpium), Liangjiang (Alpiniae Officinarum Rhizoma, fried), Muxiang (Aucklandiae Radix), Baishao (Paeoniae Radix Alba), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chenmi (Old Rice, one qian each), Ginger (five slices).
Decocted in water and taken orally.