凡妊娠病疟,多由营卫虚弱,脾胃不足,或感风寒,或伤生
冷,传为疟疾,名曰子疟。宜服驱邪散。热多寒少者,清脾饮去半夏。寒多热少者,人参养胃汤去半夏。久而虚
者,四兽饮主之。
驱邪散
藿香 白术 茯苓(各等钱) 甘草 肉果(少许) 知母(一钱) 橘红(八分) 砂仁(八分)
姜枣引。如有表邪者,加苏叶八分,葱白五寸,或加柴胡八分。
清脾饮
白术 茯苓 知母(各一钱) 青皮(四分) 浓朴(八分) 黄芩(二钱) 甘草(五分)
生姜为引,水煎服。原方有柴胡。
人参养胃汤
人参 苍术 藿香 浓朴(各一钱) 陈皮(一钱五分) 肉果(六分) 茯苓(一钱二分) 炙甘草(五分)
姜引,或加乌梅一个。
四兽饮
人参(二钱) 白术(土炒,二钱) 茯苓(一钱二分) 炙甘草(五分) 陈皮(一钱二分) 肉果(八分)
元枣(三枚) 姜(二片) 乌梅(三个)
或加当归二钱,虎骨胶二钱,如无胶用虎骨六钱。以上各方,虎骨、当归均可加入。
(音闲即胎风,一名儿晕,又名痉)
凡妊娠口噤项强,手足挛搐,言语蹇涩,痰涎壅盛,不省人事,名曰子痫。切不可作中风治。宜服加味羚羊
角散,或加味地黄汤。如无痰涎,言语如常,但见中风形状,此缘血少类风,如
以风药投之,贻害不浅。
加味羚羊角散
羚羊角 当归 防风 独活 茯苓 枣仁 五加皮(各一钱) 米仁(五分) 杏仁(八分) 甘草 木香
(各三分) 葱白(五寸) 姜(五片)
煎服。虚,加人参。痰,加竹沥、姜汁。脾虚,加炒白术。风痰涌甚,加天竺黄一钱,川贝一钱。
加味地黄汤
大熟地(姜汁、砂仁拌炒八钱) 净萸肉(四钱) 怀山药(四钱) 茯苓(三钱) 丹皮(三钱) 泽泻
(二钱) 陈胆星(二钱) 吴茱萸(五分) 川连(五分,煮汁泡七次,炒一钱)
荆沥冲服。
In cases of malaria occurring during pregnancy, it is mostly due to the deficiency of Ying and Wei (nutritive and defensive qi), insufficiency of the Spleen and Stomach, or contraction of Wind-Cold pathogenic factors, or injury from raw and cold foods, which transmits into malaria, named "Zi Malaria" (Malaria in Pregnancy). It is suitable to take Quxie San (Expel Evil Powder). For those with more heat and less cold, use Qingpi Yin (Clear the Spleen Decoction) removing Banxia (Pinelliae Rhizoma). For those with more cold and less heat, use Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach) removing Banxia. For prolonged illness leading to deficiency, Six Beasts Yin (Six Animals Decoction) is the primary treatment.
Quxie San (Expel Evil Powder)
Huoxiang (Agastaches Herba), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma) in equal amounts; Rougu (Myristicae Semen) in a small amount; Zhimu (Anemarrhenae Rhizoma) 1 qian; Juhong (Citri Reticulatae Pericarpium Rubrum) 8 fen. Use Shengjiang (Zingiberis Rhizoma Recens) and Zao (Jujubae Fructus) as guides. If there are exterior pathogens, add Ziye (Perillae Folium) 8 fen, Congbai (Allii Macrostemonis Bulbus) 5 cun, or Chaihu (Bupleuri Radix) 8 fen.
Qingpi Yin (Clear the Spleen Decoction)
Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma) each 1 qian; Qingpi (Citri Reticulatae Pericarpium) 4 fen; Houpo (Magnoliae Officinalis Cortex) 8 fen; Huangqin (Scutellariae Radix) 2 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 5 fen. Use Shengjiang (Zingiberis Rhizoma Recens) as a guide, decoct in water and take orally. The original formula contains Chaihu (Bupleuri Radix).
Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach)
Renshen (Ginseng Radix et Rhizoma), Cangzhu (Atractylodis Rhizoma), Huoxiang (Agastaches Herba), Houpo (Magnoliae Officinalis Cortex) each 1 qian; Chenpi (Citri Reticulatae Pericarpium) 1 qian 5 fen; Rougu (Myristicae Semen) 6 fen; Fuling (Poria) 1 qian 2 fen; Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) 5 fen. Use Shengjiang (Zingiberis Rhizoma Recens) as a guide, or add Wumei (Mume Fructus) one piece.
Six Beasts Yin (Liushou Yin)
Renshen (Ginseng Radix et Rhizoma) 2 qian; Baizhu (Atractylodis Macrocephalae Rhizoma) stir-fried in earth, 2 qian; Fuling (Poria) 1 qian 2 fen; Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) 5 fen; Chenpi (Citri Reticulatae Pericarpium) 1 qian 2 fen; Rougu (Myristicae Semen) 8 fen; Yuan Zao (Jujubae Fructus) three pieces; Jiang (Zingiberis Rhizoma Recens) two slices; Wumei (Mume Fructus) three pieces.
Alternatively, add Danggui (Angelicae Sinensis Radix) 2 qian, Hugu Jiao (Colla Corii Tigris) 2 qian; if Colla Corii Tigris is unavailable, use Hugu (Os Tigridis) 6 qian. In all the above formulas, Hugu (Os Tigridis) and Danggui (Angelicae Sinensis Radix) can be added.
(Yin sounds like "Xian", also known as Tai Feng (Fetal Wind), Yi Ming Er Yun (Infant Dizziness), also called Jing (Spasm))
Whenever during pregnancy there is lockjaw, neck stiffness, convulsions and spasms of the hands and feet, slurred speech, excessive phlegm-saliva accumulation, and loss of consciousness, it is named "Zi Xian" (Eclampsia in Pregnancy). It must absolutely not be treated as Stroke (Zhong Feng). It is suitable to take Jiawei Lingyangjiao San (Modified Antelope Horn Powder) or Jiawei Dihuang Tang (Modified Rehmannia Decoction). If there is no phlegm-saliva and speech is normal, but only stroke-like symptoms are seen, this is due to blood deficiency resembling wind (Lei Feng). If wind-dispelling drugs are administered, the harm will be profound.
Jiawei Lingyangjiao San (Modified Antelope Horn Powder)
Lingyangjiao (Cornu Saigae Tataricae), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Fuling (Poria), Zaoren (Ziziphi Spinosae Semen), Wujapi (Acanthopanacis Cortex) each 1 qian; Yiren (Coicis Semen) 5 fen; Xingren (Armeniacae Semen Amarum) 8 fen; Gancao (Glycyrrhizae Radix et Rhizoma), Muxiang (Aucklandiae Radix) each 3 fen; Congbai (Allii Macrostemonis Bulbus) 5 cun; Jiang (Zingiberis Rhizoma Recens) five slices.
Decoct and take orally. For deficiency, add Renshen (Ginseng Radix et Rhizoma). For phlegm, add Zhuli (Bambusae Caulis in Taenia) and Jiangzhi (Zingiberis Succedaneum); for Spleen deficiency, add Chao Baizhu (Atractylodis Macrocephalae Rhizoma Praeparata); for severe surging of Wind-Phlegm, add Tianzhuhuang (Calami Tiphosi) 1 qian, Chuanbei (Fritillariae Thunbergii Bulbus) 1 qian.
Jiawei Dihuang Tang (Modified Rehmannia Decoction)
Dushudi (Rehmanniae Radix Praeparata) stir-fried with Jiangzhi (Zingiberis Succedaneum) and Sharen (Amomi Fructus) 8 qian; Jing Yurou (Corni Fructus) 4 qian; Huaishanyao (Dioscoreae Rhizoma) 4 qian; Fuling (Poria) 3 qian; Danpi (Moutan Cortex) 3 qian; Zexie (Alismatis Rhizoma) 2 qian; Chen Danning (Arisaematis Cum Bile) 2 qian; Wu Zhu Yu (Evodiae Fructus) 5 fen; Chuanlian (Coptidis Rhizoma) 5 fen (boiled in juice, soaked seven times, then stir-fried to 1 qian).
Take mixed with Jingli (Schizonepetae Caulis et Folium Infusum).