肥盛妇人不能孕育者,以其身中脂膜闭塞子宫,而致经事不能行。可用导痰汤之类。
瘦怯妇人不能孕育者,以子宫无血,精气不聚故也。可用四物汤,养血、养阴等药。
孕妇人因火动胎,逆上作喘者,急用条黄芩、香附之类。将条芩更于水中沉,取重者用之。
固胎
地黄(半钱) 人参 白芍(各一钱) 白术(一钱半) 川芎 归身尾(一钱) 陈皮(一钱) 甘
草(二钱) 糯米(一十四粒) 黄连(些小) 黄柏(些小) 桑上羊儿藤(七叶完者)
上 咀煎汤服之。
血虚不安者用阿胶。痛者缩砂,行气故也。
一切病不可表。
(从痰治。)
戴云∶恶阻者,谓妇人有孕恶心,阻其饮食者是也。
肥者有痰,瘦者有热,多用二陈汤。
或白术为末,水丸。随所好,或汤或水下。
妇人怀妊爱物,乃一脏之虚。假如肝脏虚,其肝气止能生胎,无余物也。
血块、死血、食积、痰饮、成块在两胁,动作腹鸣、嘈杂、眩晕、身热、时作时止。
黄连(一两,一半用茱萸炒,去茱萸;一半益智炒,去益智) 山栀(半两,炒) 台芎(半两) 香附
(一两,用便浸) 萝卜子(一两半炒) 山楂(一两) 三棱 青皮 神曲(各半两) 莪术(半两,用米
醋煮) 桃仁(半两,留尖去皮) 白芥子(一两半,炒) 瓦龙子(消血块)
为末,作丸子服之。
妇人血块如盘,有孕难服峻削。
香附(四两,醋煮) 桃仁(一两,去皮尖) 海石(一两,醋煮) 白术(一两)
为末,神曲为丸。
In obese women who are unable to conceive, it is because the fatty membranes in the body obstruct the uterus (Zigong), leading to amenorrhea. Decoctions such as Daotan Tang (Phlegm-Resolving Decoction) may be used.
In frail and thin women who are unable to conceive, it is due to a lack of blood in the uterus and the failure of essence and qi to gather. Siwu Tang (Four Substances Decoction), along with herbs that nourish blood and yin, may be used.
If a pregnant woman suffers from fetal agitation caused by fire pathogen, resulting in rebellious qi and wheezing, Tiaohuang Huangqin (Coptis Rhizome, specifically the strip variety) and Xiangfu (Cyperus Rhizome) should be administered urgently. The Coptis Rhizome should be soaked in water, and only the pieces that sink to the bottom (indicating higher density and potency) should be used.
To Stabilize the Fetus: Dihuang (Rehmanniae Radix Praeparata, 0.5 qian), Renshen (Ginseng Radix et Rhizoma), Baishao (Paeoniae Radix Alba, each 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Guishenwei (Radix Angelicae Sinensis, stem and tail ends, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Nuomi (Oryza Sativa Glutinosa, 14 grains), Huanglian (Coptidis Rhizoma, a small amount), Huangbai (Phellodendri Cortex, a small amount), Sangshangyangerteng (Uncaria Rhynchophylla growing on mulberry tree, seven complete leaves). These ingredients are cut into small pieces and decocted in water for oral administration.
For cases of fetal unrest due to blood deficiency, Ejiao (Donkey-hide Gelatin) is used. For pain, Suosha (Amomi Fructus Rotundus) is used because it promotes the movement of qi.
All diseases should not be treated with diaphoretic (sweat-inducing) methods.
(Treatment based on Phlegm.)
Dai Yun stated: "Ezu" (Nausea and Vomiting of Pregnancy) refers to the condition where a pregnant woman experiences nausea, which obstructs her appetite and food intake.
Obese patients often have phlegm, while thin patients often have heat; Erchen Tang (Two-Aged Decoction) is frequently used.
Alternatively, Baizhu powder can be formed into pills using water as a binder. They can be taken according to preference, either as a decoction or swallowed with water.
Cravings for specific foods during pregnancy indicate the deficiency of a certain zang organ. For instance, if the Liver is deficient, its qi is solely sufficient to nourish the fetus, leaving no surplus for itself.
Blood stasis masses, dead blood, food retention, and phlegm-fluids condensing into lumps in the hypochondrium, accompanied by abdominal borborygmus, epigastric discomfort, vertigo, fever, and intermittent symptoms.
Huanglian (Coptidis Rhizoma, 1 liang; half stir-fried with Zhuyu [Evodiae Fructus] and discarded; half stir-fried with Yizhi [Alpiniae Oxyphyllae Fructus] and discarded), Shanzhi (Gardeniae Fructus, 0.5 liang, stir-fried), Taixiong (Ligusticum Chuanxiong Rhizoma, 0.5 liang), Xiangfu (Cyperus Rhizoma, 1 liang, soaked in urine), Luobozhongzi (Brassicae Semina, 1.5 liang, stir-fried), Shanzha (Crataegi Fructus, 1 liang), Sanleng (Sparganii Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Shenqu (Massa Medicata Fermentata, each 0.5 liang), Ezhu (Curcumae Longae Rhizoma, 0.5 liang, boiled in rice vinegar), Taoren (Persicae Semen, 0.5 liang, tip retained, skin removed), Baijiezi (Sinapis Semen, 1.5 liang, stir-fried), Walongzi (Fossilized Bones, for resolving blood masses). Grind into powder and form into pills for administration.
If a woman has a large blood mass in the abdomen resembling a plate, harsh purgatives or strong blood-breaking agents cannot be easily administered during pregnancy.
Xiangfu (Cyperus Rhizoma, 4 liang, boiled in vinegar), Taoren (Persicae Semen, 1 liang, skin and tip removed), Haishi (Pumex, 1 liang, boiled in vinegar), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang). Grind into powder and form into pills using Shenqu paste as a binder.