妊娠伤寒。邪入经络。轻则母病。重则子伤。枝伤果必坠。理所必然。故凡治此。当先固其胎气。胎安则子母俱安。
面以候母。舌以候子。色泽则安。色败则毙。面赤舌青者。子死母活。面舌俱青沫出者。母子俱死。亦有面舌俱白。母
子皆死者。盖谓色不泽也。
\r孕妇伤寒白苔舌\pt108a115.bmp\r
孕妇初伤于寒。而见面赤舌上白滑。即当微汗以解其表。如面舌俱白。因发热多饮冷水。阳极变阴所致。当
用温中之药。若见厥冷烦躁。误与凉剂。则厥逆吐利而死。
\r孕妇伤寒黄苔舌\pt108a116.bmp\r
妊娠面赤舌黄。五六日里证见。当微利之。庶免热邪伤胎之患。若面舌俱黄。此失于发汗。湿热入里所致。
当用清热利水药。
\r孕妇伤寒灰黑舌\pt108a117.bmp\r
妊娠面舌俱黑。水火相刑。不必问其月数。子母俱死。面赤舌微黑者。还当保胎。如见灰黑。乃邪入子宫。其
胎必不能固。若面赤者。根本未伤。当急下以救其母。
\r孕妇伤寒纯赤舌\pt108a118.bmp\r
妊娠伤寒温热。而见面舌俱赤。宜随证汗下。子母无虞。伤寒面色皎白。而舌赤者。母气素虚。当用姜、桂等药。
桂不坠胎。庞安常所言也。若面黑舌赤。亦非吉兆。若在临月。则子得生而母当殒。
\r孕妇伤寒紫青舌\pt108a119.bmp\r
妊娠伤寒而见面赤舌紫。乃酒毒内传所致。如淡紫戴青。为阴证夹食。即用枳实理中四逆辈。恐难为力也。
若面赤舌青。母虽无妨。子殒腹内。急宜平胃散加芒硝下之。
\r孕妇伤寒卷短舌\pt108a120.bmp\r
妊娠面黑而舌干卷短。或黄黑刺裂。乃里证至急，不下则热邪伤胎。下之危在顷刻。如无直视循衣撮空等
证。十中可救一二。
妊娠期间患伤寒病。邪气侵入经络。病情轻则母亲患病。病情重则胎儿受损。树枝受伤果实必然坠落。这是理所当然的规律。所以凡是治疗这种情况。应当先稳固胎气。胎气安稳则母子都平安。
面部可以候察母亲的情况。舌象可以候察胎儿的情况。色泽润泽则平安。色泽败坏则死亡。面色红赤而舌色青紫的。胎儿死亡母亲存活。面色和舌色都青紫且有口沫流出的。母子都死亡。也有面色和舌色都白。母子都死亡的。这是因为色泽不润泽的缘故。
孕妇患伤寒出现白苔舌象：
孕妇起初感受寒邪。而见面部红赤、舌上白滑。就应当用微汗法以解除表邪。如果面舌都白。是因为发热时多喝冷水。导致阳极变阴所致。应当使用温中的药物。如果出现四肢厥冷、烦躁不安。误用凉药。就会导致四肢厥逆、呕吐下利而死。
孕妇患伤寒出现黄苔舌象：
妊娠期间面赤舌黄。五六天后出现里证。应当用微通下的方法。以免热邪伤害胎儿的祸患。如果面舌都黄。这是失于发汗。湿热入里所致。应当使用清热利水的药物。
孕妇患伤寒出现灰黑舌象：
妊娠期间面舌都黑。水火相克。不必问怀孕几个月了。母子都死亡。面色红赤而舌微黑的。还应当保胎。如果见到灰黑色。是邪气侵入子宫。胎儿必然不能稳固。如果面色红赤。根本未伤。应当急下以救母亲。
孕妇患伤寒出现纯赤舌象：
妊娠期间患伤寒温热病。而见面舌都红赤。应当随证采用汗法或下法。母子没有危险。伤寒病面色皎白。而舌红赤的。母亲体质素来虚弱。应当使用干姜、肉桂等药物。肉桂不会导致堕胎。这是庞安常所说的话。如果面黑舌赤。也不是吉兆。如果在临产月。则胎儿能生而母亲当死。
孕妇患伤寒出现紫青舌象：
妊娠期间患伤寒而见面赤舌紫。是酒毒内传所致。如果是淡紫色带青色。为阴证夹食积。就用枳实理中汤、四逆汤之类的药物。恐怕难以奏效。如果面赤舌青。母亲虽然无妨。但胎儿已殒落腹内。急宜用平胃散加芒硝攻下。
孕妇患伤寒出现卷短舌象：
妊娠期间面黑而舌干卷短。或者黄黑起刺裂开。是里证危急。不下则热邪伤胎。下则危在顷刻。如果没有直视、循衣摸空等症状。十个人中可以救活一两个。
In pregnancy, contracting cold damage (Shanghan). The pathogenic factor enters the meridians. If mild, the mother is affected; if severe, the fetus is injured. When the branch is damaged, the fruit inevitably falls; this is a matter of course. Therefore, in treating such cases, one must first secure the fetal qi. If the fetus is stable, both mother and child are safe.
The face reflects the condition of the mother; the tongue reflects the condition of the fetus. A lustrous color indicates safety; a withered color indicates death. Red face and cyan tongue indicate fetal death with maternal survival. Cyan face and tongue with frothy saliva indicate death of both mother and fetus. There are also cases where both face and tongue are white, resulting in the death of both mother and fetus. This is due to the lack of luster in the color.
Pregnant woman with cold damage and white-coated tongue:
When a pregnant woman initially contracts cold, presenting with a red face and a slippery white coating on the tongue, one should induce slight sweating to release the exterior. If both face and tongue are white, it is caused by excessive intake of cold water during fever, leading to extreme yang transforming into yin. One should use warming middle-jiao herbs. If cold extremities and irritability appear, administering cooling agents by mistake will lead to death from cold reversal, vomiting, and diarrhea.
Pregnant woman with cold damage and yellow-coated tongue:
In pregnancy, with a red face and yellow tongue, after five or six days, interior syndromes appear. One should induce slight purgation to avoid the harm of heat pathogens injuring the fetus. If both face and tongue are yellow, this results from neglected sweating, causing damp-heat to enter the interior. One should use herbs that clear heat and promote urination.
Pregnant woman with cold damage and gray-black coated tongue:
In pregnancy, with both face and tongue black, water and fire are conflicting. Regardless of the month of gestation, both mother and fetus will die. If the face is red and the tongue slightly black, one should still attempt to preserve the fetus. If gray-black appears, it indicates the pathogen has entered the uterus, and the fetus cannot be sustained. If the face is red, the root is not yet damaged; one should urgently purge to save the mother.
Pregnant woman with cold damage and purely red tongue:
In pregnancy, contracting warm-cold damage, with both face and tongue red, one should follow the syndrome to apply sweating or purging methods; both mother and child will be safe. In cold damage, if the face is pale white but the tongue is red, the mother's qi has been deficient since long ago. One should use herbs like Shengjiang (Zingiberis Rhizoma Recens) and Guizhi (Cinnamomi Ramulus). Guizhi does not cause abortion, as stated by Pang Anchang. If the face is black and the tongue red, it is also an ill omen. If near term, the fetus may survive while the mother dies.
Pregnant woman with cold damage and purple-cyan tongue:
In pregnancy with cold damage, presenting with a red face and purple tongue, this is caused by alcohol toxin transmitting inward. If light purple with cyan edges, it indicates a yin syndrome with food stagnation. Formulas like Zhishi Lizhong Tang (Immature Bitter Orange and Poria Decoction) or Sini Tang (Frigid Extremities Decoction) may be used, though efficacy may be limited. If the face is red and the tongue cyan, although the mother may be unaffected, the fetus has died within the abdomen. One should urgently use Pingwei San (Stomach-Pacifying Powder) with Mangxiao (Natrii Sulfas) to purge.
Pregnant woman with cold damage and curled-short tongue:
In pregnancy, with a black face and dry, curled, short tongue, or yellow-black with prickles and cracks, this indicates an urgent interior syndrome. Failure to purge will allow heat pathogens to injure the fetus; purging carries immediate danger. Without symptoms like fixed gaze or grasping at empty air, one out of ten might be saved.