黄柏 知母(各二两) 肉桂(一钱
炼蜜丸。每服三钱,开水下。
八珍汤(见虚证)
娠妊胎水肿满,名曰子肿,又名曰子气。其症多属胞胎壅遏,水饮不及通流,或脾虚不
能制水,以致停蓄。大法,胎水壅遏,用五皮饮加白术、茯苓主之;脾虚不能制水,用六君
子汤主之。凡腰以上肿,宜发汗,加秦艽、荆芥、防风。腰以下肿,宜利小便,加车前、泽
泻、防己。胎水通行,生息顺易,宜先时治之,不可俟其既产而自消也。
五皮饮(见水肿。
六君子汤(见类中)
娠妊乳自出,名曰乳泣,生子多不育。然予以为气血虚弱不能统摄,用八珍汤频频补之
其子遂育。夫医理有培补之功,赞化之能,岂可执常说而自画欤!
八珍汤(见虚劳。
凡临产将护之法有四∶一曰善养。当安神静虑,勿着恼怒,时常行动,不可呆坐,不可
多睡,不可饱食,及过饮酒醴,与杂物。惟频食糜粥,以解饥渴,最善。天气热,则预择凉
处,免生火晕。天气寒,则密室温暖,免致血寒,调养得宜,而生息顺易矣。二曰择稳。须
预请老练稳婆,备办需用之物,临产时,不许多人喧哄,免致惊惶,但用老妇二人撑扶,及
凭物站立,倦即仰卧,以枕安腿中,徐徐俟之,直待浆水到,腰腹齐痛甚紧时,是胎已离经
令产妇再仰卧,俾儿转身,头对产门,稍一用力,即生下矣。人生人,系天生人,有自然
之造化,不用人为造作,但顺其性而已。三曰服药。凡新产女子,其脏气坚固,胞胎紧实。
八月,宜服保产无忧汤二、三剂,临产再服二、三剂,撑开道路,则儿易生。复有用力太早
以致浆水先行,或连日不产,劳倦神疲,中气不续,宜服加味八珍汤以助其力。若多胎产
妇,更宜预服此药。复有华佗顺生丹,须俟临盆腰腹齐痛时,再与一、二丸,用佛手散煎汤
送下,凡验产法,腰痛,腹不痛者,未产。腹痛、腰不痛者,未产。必腰腹齐
痛甚紧时,此真欲产也。如或迟滞,即以顺生丹投之,适当其时矣。四曰吉方。凡安产妇床
帐,及藏衣,宜择月空方位。每逢单月,月空在壬丙,逢双月,月空在甲庚。必须看定方位
黄柏、知母(各二两),肉桂(一钱)。用炼蜜制成丸剂。每次服用三钱,用开水送服。
八珍汤(参见虚证章节)
妊娠期间出现胎水肿满的症状,称为“子肿”,也称为“子气”。其症状多属于胞胎壅塞阻滞,导致水饮无法通畅流动;或者是脾虚不能制约水湿,致使水液停蓄积聚。治疗的大法:若是胎水壅塞阻滞,使用五皮饮加白术、茯苓为主方治疗;若是脾虚不能制约水湿,使用六君子汤为主方治疗。凡是腰部以上肿胀的,适宜采用发汗的方法,可加入秦艽、荆芥、防风;腰部以下肿胀的,适宜采用利小便的方法,可加入车前子、泽泻、防己。使胎水通行顺畅,分娩就会顺利容易,应当提前进行治疗,不可等到生产之后才等待其自行消退。
五皮饮(参见水肿章节)
六君子汤(参见类中风章节)
妊娠期间乳汁自行流出,称为“乳泣”,生下的孩子大多难以养活。然而我认为这是由于气血虚弱不能统摄血液和津液所致,使用八珍汤频繁进补,孩子便能养活。医学原理具有培补元气、辅助化育的功能,怎么能拘泥于一般的说法而自我限制呢!
八珍汤(参见虚劳章节)
大凡临产时的护理方法有四条:第一条是善于调养。应当让产妇安神静虑,不要产生恼怒情绪,时常活动身体,不可呆坐不动,不可过多睡眠,不可吃得过饱,以及过量饮酒吃甜酒,或食用杂物。只有频繁食用稀粥,以解除饥渴,是最好的。天气炎热时,预先选择凉爽的地方,避免发生火晕(因热导致的头晕昏厥)。天气寒冷时,保持密室温暖,避免导致血寒,调养得当,分娩就会顺利容易。第二条是选择稳当的接生人员。必须预先邀请老练的稳婆(接生婆),备办需要的物品。临产时,不要让许多人喧哗哄闹,以免产妇惊惶失措,只需两位老妇人撑扶,以及依靠物体站立,疲倦了就仰卧,在双腿间垫枕头,慢慢等待,直到羊水到来,腰腹部同时疼痛非常剧烈紧迫时,这是胎儿已经脱离经络(进入产道)的信号。令产妇再次仰卧,使胎儿转身,头部对准产门,稍微用力,婴儿就生下来了。人人生人,是上天自然造化,不需要人为刻意造作,只要顺应其自然本性即可。第三条是服药。凡是刚生产完的女子,脏腑之气坚固,胞胎紧实。在怀孕八月时,宜服用保产无忧汤两到三剂,临产时再服用两到三剂,以疏通产道,则胎儿容易出生。又有因为用力过早导致羊水先破,或者连续几天不生产,劳累疲倦精神疲乏,中气接续不上,宜服用加味八珍汤以助其力量。如果是多胎产妇,更应预先服用此药。另外还有华佗顺生丹,必须等到临盆腰腹部同时疼痛时,再给一至二丸,用佛手散煎汤送下。凡是验证产法的规律:腰痛但腹不痛的,尚未生产;腹痛但腰不痛的,尚未生产。必须是腰腹同时疼痛且非常剧烈紧迫时,这才是真正要生产了。如果产程迟滞,立即投予顺生丹,正合时机。第四条是选择吉利方位。凡是安置产妇床帐,以及收藏衣物,应选择月空方位。每逢单月,月空位在壬丙方向;逢双月,月空位在甲庚方向。必须看清定准方位。
Huangbai (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma) (each 2 liang), Rougui (Cinnamomi Cortex) (1 qian). Made into pills with refined honey. Take 3 qian per dose, washed down with boiled water.
Bazhen Tang (Eight Treasures Decoction) (see Deficiency Syndromes).
During pregnancy, edema and fullness of the fetus are named "Zi Zhong" (Fetal Edema), also known as "Zi Qi". The symptoms mostly belong to obstruction by the fetal sac, preventing the free flow of fluid retention; or it is due to Spleen deficiency failing to control water, leading to fluid accumulation. The general treatment principle: for fetal water obstruction, use Wupi Yin (Five-Bark Decoction) added with Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria) as the main formula; for Spleen deficiency failing to control water, use Liujunzi Tang (Six Gentlemen Decoction) as the main formula. For swelling above the waist, sweating method is suitable, adding Qinjiao (Gentianae Radix), Jingjie (Schizonepetae Herba), and Fangfeng (Saposhnikoviae Radix). For swelling below the waist, promoting urination is suitable, adding Cheqian (Plantaginis Semen), Zexie (Alismatis Rhizoma), and Fangji (Stephaniae Tetrandrae Radix). Once fetal water flows smoothly, delivery will be easy and smooth; treatment should be initiated in advance, not waiting for spontaneous resolution after childbirth.
Wupi Yin (Five-Bark Decoction) (see Edema).
Liujunzi Tang (Six Gentlemen Decoction) (see Stroke-like Syndromes).
During pregnancy, spontaneous leakage of breast milk is named "Ru Qi" (Breast Milk Weeping); children born under this condition often fail to survive. However, I believe this is due to Qi and Blood deficiency failing to contain and regulate fluids. Using Bazhen Tang (Eight Treasures Decoction) for frequent supplementation allows the child to thrive. Medical principles possess the power of tonification and the ability to assist natural transformation; how can one stick to common sayings and limit oneself?
Bazhen Tang (Eight Treasures Decoction) (see Consumptive Diseases).
There are four methods for nursing care during impending labor: First, proper nourishment. One should calm the mind and eliminate anxious thoughts, avoiding anger. Regular movement is necessary; one should not sit still, sleep excessively, overeat, drink too much sweet wine, or eat miscellaneous items. Frequently eating millet porridge to relieve hunger and thirst is best. In hot weather, choose a cool place in advance to avoid heat-induced fainting. In cold weather, keep the room warm to prevent blood cold. Proper nursing ensures smooth delivery. Second, selecting reliable assistance. One must invite an experienced midwife in advance and prepare necessary supplies. During labor, avoid crowd noise to prevent maternal panic. Only two elderly women should support her, allowing her to lean on objects while standing. When tired, she should lie supine with pillows supporting her legs, waiting patiently until amniotic fluid arrives and severe, tight pain occurs in both the lower back and abdomen. This indicates the fetus has detached from its original position. Let the mother lie supine again to allow the fetus to turn, with the head facing the birth canal. With slight effort, the baby will be born. Human birth is a natural creation of Heaven; no artificial manipulation is needed, only following its natural course. Third, medication. Women who have just given birth have solid organ Qi and tight fetal sacs. In the eighth month of pregnancy, it is advisable to take Baochan Wuyou Tang (Preserve Birth Without Worries Decoction) for two to three doses. Take another two to three doses at the onset of labor to open the pathway, facilitating easier birth. If excessive early pushing causes premature rupture of membranes, or if labor persists for days causing fatigue and exhaustion of Middle Qi, Jiawei Bazhen Tang (Modified Eight Treasures Decoction) should be taken to boost strength. Multiparous women should especially take this medicine in advance. Additionally, Huatuo Shunsheng Dan (Hua Tuo's Smooth Delivery Pill) should be administered only when labor pains involve both the lower back and abdomen simultaneously. Give one or two pills, washed down with decoction of Foshe San (Buddha's Hand Powder). Regarding verification of labor signs: lower back pain without abdominal pain means labor has not started; abdominal pain without lower back pain means labor has not started. True labor begins only when there is severe, tight pain in both the lower back and abdomen. If progress stalls, administer Shunsheng Dan immediately, which is timely. Fourth, auspicious directions. When arranging the产妇's bed curtains and storing clothes, select the "Moon Void" direction. In odd-numbered months, the Moon Void is in the Ren-Bing directions; in even-numbered months, it is in the Jia-Geng directions. One must clearly determine the direction.