〔《大》〕治妊娠忽然下黄汁如胶,或如豆汁,胎动腹痛。
粳米(五升) 黄 (六两)
上以水七升,煎取二升,分为四服。
〔梅〕银苎酒 治妊娠下黄汁,或如赤豆汁。
苎根(去黑皮,切) 银(一斤)
上水九升,煎取四升,每服入酒半升,或一升,煎分二次服。
〔《脉》〕妇人怀躯六月七月,暴下斗余水,其胎必倚而堕,此非时孤浆预下故也。(胎漏,徐徐下水。
今暴下而多,故知堕胎也。)
〔《大》〕妊娠胎动不安者,由冲任经虚,受胎不实也。亦有饮酒房室过度,损动不安者;有误击,
触而胎动者;有喜怒,气宇不舒,伤于心肝,触动血脉者;有信医宜服暖补,反为药所害者;有因母
病而胎动者,但治母病,其胎自安;有胎不坚固,动及母疾,但当安胎,其母自愈。
永固孕丸
地黄 川芎 黄芩(各五分) 归身尾 人参 白芍 陈皮(各一钱) 白术(一钱半) 甘草(三钱)
黄柏(些) 桑上羊食藤(七叶,圆者) 糯米(半升)
上 咀,煎服。
〔仲〕妊娠宜常服,当归散主之。
当归 黄芩 芍药 芎 (各一两) 白术(半斤)
上五味,杵为散,酒饮服方寸匕,日再服。妊娠常服即易产,胎无苦疾。产后百病悉主之。
妊娠养胎,白术散主之。
白术 芎 (各四钱) 蜀椒(三钱,去汗) 牡蛎( ,二分)
上四味,杵为散,酒服一钱匕,日三服,夜一服。但苦痛,加芍药;心下毒痛,倍加芎 ;心烦痛,
吐不能饮食,加细辛一两,半夏大者二十枚;服后若呕,以醋酱水服之,后不解者,小麦汁饮之;以
后渴者,大麦粥服之。病虽愈,服之勿置。
〔《肘》〕胎动不安。取苎根如足大指者一尺, 咀,以水五升。煮取三升,去渣服。(一方有生
姜五片。丹溪云∶苎根大能补阴而行滞血。)
〔《大》〕银苎酒(方见前胎漏条。)
治胎动不安。好银煮水,着葱白作羹,食之佳。
治妊娠二三月,上至八九个月,胎动不安,腹痛,已有所下方。
艾叶 阿胶(炒) 当归 川芎(各三两) 甘草(一两)
上细切,以水八升.煮取三升,去渣,内胶令烊,分三服,日三。
〔云〕立效散 治妇人胎动不安,如重物所坠,冷如冰。(即佛手散,方见眩门。)
〔《大》〕缩砂散 治胎动不安,堕在须臾者,神效。(方见毒物伤胎。)
〔《备急千金要方》〕治疗妊娠期间突然流出黄色汁液,质地像胶一样,或者像豆汁一样,伴有胎动不安和腹痛。
粳米(五升) 黄芩(六两)
以上药材用水七升,煎煮至剩余二升药液,分为四次服用。
〔梅师〕银苎酒 治疗妊娠期间流出黄色汁液,或者像赤豆汁一样。
苎麻根(去除黑色外皮,切碎) 银器(一斤)
以上药材用水九升,煎煮至剩余四升药液,每次服用时加入半升或一升酒,再次煎煮后分两次服用。
〔《脉经》〕妇女怀孕六个月或七个月时,突然大量排出斗余的水样液体,胎儿必然因倾斜而流产,这是因为非正常时间的孤浆(羊水)预先漏下所致。(胎漏是指缓缓流出少量水液。现在突然大量流出,所以知道是堕胎。)
〔《备急千金要方》〕妊娠期间胎动不安的原因,是由于冲脉和任脉虚弱,受孕不实所致。也有因为饮酒或房事过度,损伤导致胎动不安的;有被误击、碰撞而导致胎动的;有因为喜怒情绪,气机郁结不畅,损伤心肝,触动血脉的;有听信医生适宜服用温补药物,反而被药物伤害的;有因为母亲生病而导致胎动的,只要治疗母亲的疾病,胎儿自然安定;有因为胎儿不坚固,胎动引发母体疾病的,只需安胎,母亲自然痊愈。
永固孕丸
地黄 川芎 黄芩(各五分) 当归身尾 人参 白芍 陈皮(各一钱) 白术(一钱半) 甘草(三钱) 黄柏(少许) 桑上羊食藤(七片叶,圆形者) 糯米(半升)
以上药材切碎,煎煮后服用。
〔张仲景〕妊娠期宜常服当归散主治。
当归 黄芩 芍药 川芎(各一两) 白术(半斤)
以上五味药,捣碎制成散剂,用酒送服一方寸匕,每日服用两次。妊娠期常服则易于生产,胎儿无病痛。产后多种疾病均可主治。
妊娠期养胎,用白术散主治。
白术 川芎(各四钱) 蜀椒(三钱,去汗) 牡蛎(煅,二分)
以上四味药,捣碎制成散剂,用酒送服一钱匕,每日三次,夜间一次。如果疼痛厉害,加芍药;如果心下部剧痛,加倍使用川芎;如果心烦痛,呕吐不能饮食,加细辛一两,大半夏二十枚;服药后如果呕吐,用醋酱水送服,之后仍不解的,喝小麦汁;之后口渴的,喝大麦粥。病虽愈,不要停止服用。
〔《肘后备急方》〕胎动不安。取如足大拇指大小的苎麻根一尺,切碎,用水五升。煮取三升,去渣服用。(另一方法有生薑五片。朱丹溪说:苎麻根大能补阴并运行滞血。)
〔《备急千金要方》〕银苎酒(方剂见前文胎漏条)。
治疗胎动不安。用好银煮水,放入葱白做成羹汤,食用效果佳。
治疗妊娠二三个月,直至八九个月,胎动不安,腹痛,已有下方所述方剂。
艾叶 阿胶(炒) 当归 川芎(各三两) 甘草(一两)
以上药材细切,用水八升,煮取三升,去渣,加入阿胶使其溶化,分三次服用,每日三次。
[From *Beiji Qianjin Yaofang*] Treats sudden discharge of yellow fluid resembling glue or bean juice during pregnancy, accompanied by restless fetus and abdominal pain.
Japonica Rice (5 sheng) Huangqin (Scutellariae Radix, 6 liang)
Boil the above ingredients in 7 sheng of water until reduced to 2 sheng, divide into four doses for oral administration.
[Meishi] Yinzhu Jiu (Silver and Ramie Root Wine) Treats discharge of yellow fluid or red bean-like fluid during pregnancy.
Zhumagen (Ramiae Crotalariae Caulis, remove black skin, slice) Silver vessel (1 jin)
Boil the above ingredients in 9 sheng of water until reduced to 4 sheng. For each dose, add half a sheng or one sheng of wine, boil again, and divide into two doses for oral administration.
[From *Maijing*] When a woman is six or seven months pregnant and suddenly discharges more than a dou of watery fluid, the fetus will inevitably tilt and abort; this is due to the premature leakage of "Gupjiang" (isolated amniotic fluid) at an abnormal time. (Tai Lou refers to the slow leakage of small amounts of fluid. Since it now discharges suddenly and in large quantities, it is known as fetal abortion.)
[From *Beiji Qianjin Yaofang*] Restless fetus and insecurity during pregnancy are caused by deficiency of the Chong and Ren meridians, resulting in unstable conception. It may also be caused by excessive alcohol consumption or sexual activity, damaging the fetus; by accidental blows or trauma causing fetal movement; by emotional disturbances such as anger or joy leading to qi stagnation, injuring the Heart and Liver, and disturbing the blood vessels; by mistakenly taking warming and tonifying medicines prescribed by doctors, which harm the body; by maternal illness causing fetal restlessness, in which case treating the mother's illness will naturally stabilize the fetus; or by fetal instability triggering maternal disease, in which case stabilizing the fetus will naturally cure the mother.
Yonggu Yun Wan (Eternal Stability Pregnancy Pill)
Dihuang (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix) (each 5 fen), Guishenwei (Angelicae Sinensis Radix stem and tail), Renshen (Ginseng Radix), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian), Huangbai (Phellodendri Cortex, a little), Sangshangyangshiteng (Caulis Crotalariae on Mulberry, seven leaves, round ones), Nuomi (Glutinous Rice, half sheng)
Chop the above ingredients finely, decoct with water, and take orally.
[Zhang Zhongjing] During pregnancy, Danggui San should be taken regularly.
Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Xiongxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, half jin)
Grind the above five herbs into powder. Take one fangcunbi (square-inch measure) with wine, twice daily. Regular use during pregnancy facilitates delivery and keeps the fetus free from distress. It also treats various postpartum diseases.
For nourishing the fetus during pregnancy, Baizhu San is indicated.
Baizhu (Atractylodis Macrocephalae Rhizoma), Xiongxiong (Ligustici Chuanxiong Rhizoma) (each 4 qian), Shujiao (Sichuan Pepper Fruit, 3 qian, processed to remove moisture), Muli (Ostreae Concha, calcined, 2 fen)
Grind the above four herbs into powder. Take one qianbi with wine, three times daily and once at night. If severe pain occurs, add Shaoyao (Paeoniae Radix); if there is severe pain in the epigastrium, double the amount of Xiongxiong (Ligustici Chuanxiong Rhizoma); if there is irritability, pain, vomiting, and inability to eat, add Xixin (Asari Radix et Rhizoma, 1 liang) and Banxia (Pinelliae Rhizoma, 20 large pieces). If vomiting occurs after taking the medicine, administer with vinegar sauce water; if symptoms persist, drink wheat juice; if thirst develops later, consume barley porridge. Even if the illness resolves, do not discontinue use.
[From *Zhouhou Beiji Fang*] For restless fetus: Take one chi (foot) of Zhumagen (Ramiae Crotalariae Caulis) sized like the big toe of the foot, chop it, and boil in 5 sheng of water until reduced to 3 sheng. Strain and take orally. (Another formula includes 5 slices of Shengjiang (Zingiberis Rhizoma Recens). Zhu Danxi stated: Zhumagen greatly nourishes Yin and moves stagnant blood.)
[From *Beiji Qianjin Yaofang*] Yinzhu Jiu (Silver and Ramie Root Wine) (Formula seen earlier under Tai Lou section).
Treats restless fetus. Boil good silver in water, add scallion whites to make a soup, and eat it for best results.
Treats restless fetus and abdominal pain during pregnancy from two to three months up to eight to nine months. The following formulas have been provided.
Aiye (Artemisiae Argyi Folium), Ejiao (Colla Corii Asini, stir-fried), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang)
Finely chop the above ingredients, boil in 8 sheng of water until reduced to 3 sheng. Strain, add Ejiao (Colla Corii Asini) and melt it. Divide into three doses, taken three times daily.
[Yunqizi] Lixiao San (Instant Efficacy Powder) Treats restless fetus in women, feeling like a heavy weight pressing down, with coldness like ice in the abdomen. (This is Foshou San, see Xuamen section for formula.)
[From *Beiji Qianjin Yaofang*] Suosha San (Amomum Villosum Powder) Treats restless fetus with imminent miscarriage, showing divine efficacy. (See formula under section on Poisonous Substances Injuring Fetus.)