凡受孕之后,经血不时点滴,谓之漏胎。大率以劳伤气血,虚弱之故,或因恼怒,或炙
爆热物所致,宜补中安胎饮。补中安胎饮∶条芩、白术、人参各三钱,熟地三钱,当归钱半
,白芍一钱,甘草五分,苏梗八分。
凡妊娠跌扑动胎,下血不止,急服安胎参苏饮。安胎参苏饮∶人参、蕲艾、川芎各三分
,当归一钱,条芩、白术(生用)各二钱,陈皮、紫苏、生甘草各四分,阿胶一钱。有外感
者
凡妊娠小便中带血,此缘形体劳发,或过食爆炙之物所致。宜清膀胱之火,服加味逍遥
散。加味逍遥散∶当归、白术各二钱,柴胡、白芍各一钱,丹皮、茯苓、栀子各七分,生甘
草八分,加灯芯七茎。
凡妊娠小便淋漓,或小便短涩,此由调摄失宜,酒色过度,伤损荣卫,致令子宫虚弱而
然,又或下焦有热而闭塞,名曰子淋,宜安荣散。安荣散∶当归二钱,滑石一钱,通草一钱
,人参三钱,麦冬三钱,茯苓皮一钱,生甘草、灯芯各五分,水煎服下,一方除灯芯,用灯
芯汤下。
又方∶用桑螵蛸为末,每服二钱,空心米汤下。
又方∶用陈米淘浓泔,炖服之。此方并可治男癃闭。
按∶此症由饮食无忌、热积膀胱者居多。汤氏用古芎归汤加木通、麦冬、人参、灯心、
甘草、滑石治之。
妊娠浮肿,羌活、萝卜子,二味同炒香,只取羌活研末。每服二分,温酒送下。一日一
服,二日二服,三日三服。
凡妊娠面目虚浮,四肢有水气,此名子肿。盖由脾胃虚弱所致。宜全生白术散或鲤鱼汤
。或用卷九加味五皮汤、茯苓汤。
全生白术散∶人参一钱,白术二钱,茯苓皮八分,甘草三分,当归二钱,川芎六分,紫
苏、陈皮各四分,生姜三片,水煎服。
鲤鱼汤∶鲤鱼不拘大小两、三尾,洗去鳞,用水煮熟,去鱼,每服用汤一大钟,煎后药
服之。当归、白术各五钱,茯苓四钱,陈皮二钱,每服四钱,加姜七片,投鱼汤内煎服,以
愈为度。
汤氏云∶子肿于五六月时多有之,其或腹大高过心胸,气不安,此由胎中蓄水所致。若
不早治,必然生子生理残障,子母难保,宜鲤鱼汤,仍尝煮鲤鱼粥食之。
After conception, if menstrual blood drips intermittently, it is called *Lou Tai* (Leaking Fetus). This is generally due to Qi and Blood deficiency caused by overwork or injury, or resulting from anger, or consumption of roasted and fried hot-natured foods. It is suitable to take *Buzhong Antai Yin* (Supplement the Middle and Calm the Fetus Decoction). *Buzhong Antai Yin*: Huangqin (Scutellariae Radix) [referred to as Tiao Qin], Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma) each 3 qian, Shudi (Rehmanniae Radix Preparata) 3 qian, Danggui (Angelicae Sinensis Radix) 1.5 qian, Baishao (Paeoniae Radix Alba) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 5 fen, Sugen (Perillae Caulis) 8 fen.
If during pregnancy, trauma causes fetal disturbance with continuous bleeding, urgently take *Antai Renshen Suye Yin* (Calm the Fetus Ginseng and Perilla Decoction). *Antai Renshen Suye Yin*: Renshen (Ginseng Radix et Rhizoma), Qiai (Artemisiae Argyi Folium), Chuanxiong (Chuanxiong Rhizoma) each 3 fen, Danggui (Angelicae Sinensis Radix) 1 qian, Tiao Qin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) [used raw] each 2 qian, Chenpi (Citri Reticulatae Pericarpium), Zisu (Perillae Folium), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) each 4 fen, Ejiao (Colla Corii Asini) 1 qian. For those with exterior contraction...
If during pregnancy, blood appears in the urine, this is caused by physical fatigue or excessive consumption of roasted and fried foods. One should clear the Fire of the Bladder and take *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder). *Jiawei Xiaoyao San*: Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) each 2 qian, Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba) each 1 qian, Danpi (Moutan Cortex), Fuling (Poria), Zhizi (Gardeniae Fructus) each 7 fen, Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) 8 fen, plus Dengxin (Junci Medulla) 7 stems.
If during pregnancy, urination is dribbling or scanty and painful, this is due to improper care, excess alcohol and sexual activity, damaging Ying and Wei (Nutritive and Defensive Qi), leading to uterine weakness, or heat in the Lower Jiao causing obstruction, named *Zi Lin* (Fetal Strangury). It is suitable to take *Anrong San* (Nourish and Calm Powder). *Anrong San*: Danggui (Angelicae Sinensis Radix) 2 qian, Huashi (Talcum) 1 qian, Tongcao (Tetrapanacis Medulla) 1 qian, Renshen (Ginseng Radix et Rhizoma) 3 qian, Maidong (Ophiopogonis Radix) 3 qian, Fuling Pi (Poria Cum Ligno) 1 qian, Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Dengxin (Junci Medulla) each 5 fen, decocted in water for oral administration; another method removes Dengxin and uses Dengxin Tang (Decoction) for delivery.
Another prescription: Use Sangpiaoxiao (Mantis Egg Case) ground into powder, take 2 qian per dose, swallowed with rice soup on an empty stomach.
Another prescription: Use thick wash water from aged rice, stewed and taken orally. This prescription can also treat male Long Bi (Dysuria).
Note: This condition is mostly caused by unrestricted diet and heat accumulation in the Bladder. Shi used Gu Xiongui Tang (Ancient Chuanxiong and Danggui Decoction) added with Mutong (Akebiae Caulis), Maidong (Ophiopogonis Radix), Renshen (Ginseng Radix et Rhizoma), Dengxin (Junci Medulla), Gancao (Glycyrrhizae Radix et Rhizoma), and Huashi (Talcum) for treatment.
For edema during pregnancy, use Qianghuo (Notopterygii Rhizoma et Radix) and Luobozhi (Brassicae Semens) stir-fried together until fragrant, taking only the Qianghuo ground into powder. Take 2 fen per dose, delivered with warm wine. Once a day for the first day, twice a day for the second day, three times a day for the third day.
When facial puffiness and fluid retention in the limbs occur during pregnancy, it is named *Zi Zhong* (Fetal Edema). This is generally caused by Spleen and Stomach deficiency. It is suitable to take *Quansheng Baizhu San* (Quansheng Atractylodes Powder) or Liyu Tang (Carp Decoction). Alternatively, use Jiawei Wupi Tang (Modified Five Peel Decoction) or Fuling Tang (Poria Decoction) from Volume Nine.
*Quansheng Baizhu San*: Renshen (Ginseng Radix et Rhizoma) 1 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Fuling Pi (Poria Cum Ligno) 8 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 3 fen, Danggui (Angelicae Sinensis Radix) 2 qian, Chuanxiong (Chuanxiong Rhizoma) 6 fen, Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium) each 4 fen, Shengjiang (Zingiberis Rhizoma Recens) 3 slices, decocted in water for oral administration.
*Liyu Tang*: Take carp of any size, two or three tails, clean and remove scales, boil in water until cooked, remove the fish body. Take one large cup of the fish broth per dose. For the herbs: Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) each 5 qian, Fuling (Poria) 4 qian, Chenpi (Citri Reticulatae Pericarpium) 2 qian. Take 4 qian of the herb mixture, add 7 slices of ginger, put into the fish broth, decoct and take orally. Continue until cured.
Shi stated: *Zi Zhong* (Fetal Edema) often occurs in the fifth and sixth months of pregnancy. If the abdomen becomes so distended that it rises above the heart and chest, causing breathlessness, this is due to fluid accumulation within the fetus. If not treated early, it will inevitably result in congenital disabilities in the child, endangering both mother and child. It is suitable to take Liyu Tang (Carp Decoction) and consume carp congee.