淡竹叶(七片) 黄芩 知母 麦冬(各一钱) 茯苓(二钱
水煎服。
二陈汤 六君子汤(俱见类中。
娠妊中,血虚受风,以致口噤,腰背反张,名曰子痫。其症最暴且急。审其果挟风邪,
宜用羚羊角散定之。若兼怒动肝火,佐以逍遥散加人参。若兼胎气上逆,佐以紫苏饮。若兼
脾虚挟痰,佐以六君子汤。若因中寒而发者,宜用理中汤,加防风、钩藤。此症必须速愈为
善,若频发无休,非惟胎妊骤下,将见气血随胎涣散,母命亦难保全。大抵此症,胎气未动
以补气、养血、定风为主;胎气既下,则以大补气血为主。此一定之理,予尝屡治屡验矣
羚羊角(镑) 独活 当归(各一钱) 川芎 茯神 防风 甘草(炙,各七分) 钩藤(三钱) 人
参(八分) 桑寄生(二钱
姜五分,枣二枚,水煎服。
逍遥散(见类中。
紫苏饮(见前胎动。
六君子汤(见虚劳。
理中汤(见中寒。
娠妊腹内自鸣,系小儿在腹内哭声也。谓之子鸣,又谓之腹内钟鸣。古方用鼠穴中土二
钱,加麝香少许,清酒调下。或用黄连浓煎呷之,即止。但黄连性寒,麝香开窍,不宜轻用
此症乃脐上疙瘩,儿含口中,因孕妇登高举臂,脱出儿口,以此作声。令孕妇曲腰就地,
如拾物,一、二刻间,疙瘩仍入儿口,其鸣即止。可服四物汤加白术、茯苓一、二剂,安固
四物汤(见虚劳。
淡竹叶(七片)、黄芩、知母、麦冬(各一钱),茯苓(二钱),用水煎服。
妊娠期间,因血虚受风,导致牙关紧闭、腰背反张,称为子痫。此症发作突然且急迫。若确认为挟有风邪,宜用羚羊角散来平息病情。若兼有怒气引动肝火,可配合逍遥散并加入人参。若兼有胎气上逆,可配合紫苏饮。若兼有脾虚挟痰,可配合六君子汤。若因中寒而引发者,宜用理中汤,并加入防风、钩藤。此症必须迅速治愈为妙,若频繁发作不止,不仅会导致胎儿骤然流产,还将见到气血随胎儿涣散,母亲的生命也难以保全。大抵而言,此症在胎气未动时,以补气、养血、定风为主;胎气既已下坠,则以大补气血为主。这是一定的道理,我曾多次治疗并验证有效。
羚羊角(镑碎)、独活、当归(各一钱),川芎、茯神、防风、甘草(炙,各七分),钩藤(三钱),人参(八分),桑寄生(二钱),生姜(五分),大枣(二枚),用水煎服。
逍遥散(见“类中”章节)。
紫苏饮(见前文“胎动”章节)。
六君子汤(见“虚劳”章节)。
理中汤(见“中寒”章节)。
妊娠期腹内自行鸣响,是胎儿在腹内的哭声。称为子鸣,又称腹内钟鸣。古方使用鼠穴中的泥土二钱,加入少许麝香,用清酒调服。或者用黄连浓煎后慢慢呷服,鸣声即可停止。但黄连性寒,麝香开窍,不宜轻易使用。此症实际上是脐上的疙瘩,被胎儿含在口中,因为孕妇登高举臂,导致疙瘩脱出胎儿口腔,从而发出声音。令孕妇弯腰贴近地面,如同拾取物品一样,约一两刻钟的时间,疙瘩重新进入胎儿口中,鸣声随即停止。可以服用四物汤加入白术、茯苓一至两剂,以安固胎元。
四物汤(见“虚劳”章节)。
Danzhuye (Seven leaves), Huangqin, Zhimu, Maidong (each 1 qian), Fuling (2 qian), decocted in water and taken orally.
Erchen Tang (Two-Old Decoction) and Liujunzi Tang (Six-Gentleman Decoction) (both see "Lei Zhong" section).
During pregnancy, due to blood deficiency and wind invasion, leading to trismus (lockjaw) and opisthotonos (backward arching of the back), it is called Zi Xian (Eclampsia of Pregnancy). This condition manifests suddenly and urgently. If it is confirmed to be complicated by wind pathogen, Lingyangjiao San (Antelope Horn Powder) should be used to settle the condition. If accompanied by anger stirring up Liver fire, Xiaoyao San (Free and Easy Wanderer Powder) with added Renshen (Ginseng) may be used as an adjunct. If accompanied by rebellious fetal Qi, Zisu Yin (Perilla Decoction) may be used as an adjunct. If accompanied by Spleen deficiency with phlegm retention, Liujunzi Tang (Six-Gentleman Decoction) may be used as an adjunct. If triggered by interior cold, Lizhong Tang (Regulate the Middle Decoction) with added Fangfeng (Saposhnikovia Root) and Gouteng (Uncaria Rhynchophylla) should be used. This condition must be cured rapidly for the best outcome; if it occurs frequently without cessation, not only will the fetus be abruptly miscarried, but the Qi and Blood will also dissipate along with the fetus, making it difficult to preserve the mother's life. Generally speaking, for this condition before the fetal Qi has moved downward, the treatment focuses on tonifying Qi, nourishing Blood, and settling Wind; after the fetal Qi has descended, the focus shifts to strongly tonifying Qi and Blood. This is a fixed principle, which I have verified through repeated clinical practice.
Lingyangjiao (Scraped powder), Duhuo, Danggui (each 1 qian), Chuanxiong, Fushen, Fangfeng, Gancao (Honey-fried, each 0.7 fen), Gouteng (3 qian), Renshen (0.8 fen), Sangjisheng (2 qian), Shengjiang (Ginger slice, 0.5 fen), Dazao (Jujube, two pieces), decocted in water and taken orally.
Xiaoyao San (Free and Easy Wanderer Powder) (see "Lei Zhong" section).
Zisu Yin (Perilla Decoction) (see previous "Tai Dong" section).
Liujunzi Tang (Six-Gentleman Decoction) (see "Xu Lao" section).
Lizhong Tang (Regulate the Middle Decoction) (see "Zhong Han" section).
Abdominal self-ringing during pregnancy is the sound of the fetus crying inside the womb. It is called Zi Ming (Fetal Cry), also known as abdominal bell ringing. Ancient formulas used 2 qian of soil from a rat's burrow, added with a small amount of Shexiang (Musk), mixed with clear wine and taken orally. Alternatively, strong decoction of Huanglian (Coptis Rhizome) sipped slowly can stop the sound. However, since Huanglian is cold in nature and Shexiang opens orifices, they should not be used lightly. This condition is actually a nodule above the umbilicus held in the infant's mouth; when the pregnant woman climbs high and raises her arms, the nodule slips out of the infant's mouth, causing the sound. Instruct the pregnant woman to bend her waist and touch the ground, as if picking up an object; within one or two ke (approx. 30-60 minutes), the nodule re-enters the infant's mouth, and the ringing stops. One to two doses of Siwu Tang (Four-Substance Decoction) added with Baizhu (Atractylodes Macrocephala Rhizome) and Fuling (Poria) can be taken to stabilize the fetus.
Siwu Tang (Four-Substance Decoction) (see "Xu Lao" section).