论曰妊娠将理无方,脾胃不足,饮食减退,不能行荣卫,化精微,养冲任,故令胎脏内
弱,子气不足,生化稍亏,巢元方谓母病疗母,则胎安是也,若使脾胃和而能饮食。水谷化
而运气血,则何虑胎气不长也。
治妊娠胎不长养。白术散方
白术(二两) 芎 芍药 人参 阿胶(炙令燥各一两) 甘草(炙锉半
两)
上六味,捣罗为散,每服三钱匕,以葱粥饮调下,日三。
治妊娠、养胎。芎 散方
芎 白术(各一两) 蜀椒(去目及闭口炒出汗三两) 牡蛎( 研为粉半两)
上四味,捣研为散,每服二钱匕,食前温酒调下。米饮亦得。
治妊娠气血不足,胎瘦不长。干地黄汤方
熟干地黄(焙) 阿胶(米炒沸) 芎 当归(切米炒各二两) 赤芍药 甘
草
上七味,粗捣筛,每服三钱匕,水一盏,入粳米少许,同煎七分,去滓温服、日三。
治妇人血衰不足。经候悭涩,致子宫不荣,妊娠多病,胎不长成。地黄丸方
熟干地黄(不拘多少)
上一味切焙,捣为末,炼蜜为丸,如弹大,每服一丸,空心煎当归酒嚼下,温酒亦得。
治妊娠气血虚弱,令胎不长,和气养胎,地黄芎 丸方
熟干地黄(焙一两) 芎 (三分) 白茯苓(去黑皮半两) 人参 当归(切
焙各
一两)
锉一分)
上一十四味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,不计时候,粥饮下。日
三。
治妊娠胎不长,安胎和气思食。黄 汤方
黄 (锉) 白术 人参 麦门冬(去心焙) 陈橘皮(汤去白焙各三分) 芎
上九味,粗捣筛,每服三钱匕,以水一盏,入生姜二片,枣三枚,煎至六分,去滓食前
温服。
治妊娠胎不长,养胎。人参丸方
人参 白茯苓(去黑皮) 当归(切焙) 柴胡(去苗) 浓朴(去粗皮涂生
姜汁炙
两) 甘草
上一十味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,食前温水下。
论述说:妊娠期间调理没有方法,导致脾胃功能不足,饮食减少,不能运行营卫之气,化生精微物质,滋养冲脉和任脉,因此使得胎脏内部虚弱,胎儿元气不足,生化功能略有亏损。巢元方曾说,母亲生病治疗母亲,那么胎儿就能安稳,就是这个道理。如果能使脾胃调和并能正常饮食,水谷精微转化为运气血,又何必担心胎儿不长呢?
治疗妊娠期胎儿发育不良的白术散方:
白术(二两) 川芎 芍药 人参 阿胶(炙烤至干燥,各一两) 甘草(炙烤后锉碎,半两)
以上六味药,捣碎过筛制成散剂,每次服用三钱匕,用葱粥汤调服,每日三次。
治疗妊娠期、养胎的川芎散方:
川芎 白术(各一两) 蜀椒(去掉目及闭口者,炒至出油,三两) 牡蛎(研成粉末,半两)
以上四味药,捣碎研细制成散剂,每次服用二钱匕,饭前用温酒调服。米汤也可以。
治疗妊娠期气血不足,胎儿瘦小不长壮的干地黄汤方:
熟干地黄(焙干) 阿胶(米炒至沸) 川芎 当归(切后用米炒,各二两) 赤芍药 甘草
以上七味药,粗捣过筛,每次服用三钱匕,用水一盏,加入少许粳米,共同煎煮至七分,去渣温服,每日三次。
治疗妇人血衰不足,月经量少涩滞,导致子宫不荣,妊娠期多病,胎儿发育不全的地黄丸方:
熟干地黄(不限多少)
以上一味药切碎焙干,捣成末,用炼蜜制成丸药,如弹子大小,每次服用一丸,空腹时煎当归酒送服并嚼碎,温酒也可以。
治疗妊娠期气血虚弱,导致胎儿不长,调和气机以养胎的地黄川芎丸方:
熟干地黄(焙干一两) 川芎(三分) 白茯苓(去掉黑皮半两) 人参 当归(切后焙干各一两) [注:原文此处有缺漏或排版错误,根据上下文推测可能还有其他药材,但仅依据可见文本]
[注:原文“锉一分”前缺失主语,且列出的药材数量与“上一十四味”不符,此处忠实翻译可见部分]
以上十四味药(注:原文称十四味,但列出较少,依原文记录),捣碎过筛成末,用炼蜜调和制成丸药,如梧桐子大小,每次服用三十丸,不拘时候,用粥饮送服。每日三次。
治疗妊娠期胎儿不长,安胎、调和气机、增进食欲的黄耆汤方:
黄耆(锉碎) 白术 人参 麦门冬(去掉心焙干) 陈橘皮(热水烫过去掉白瓤焙干,各三分) 川芎
以上九味药,粗捣过筛,每次服用三钱匕,用水一盏,加入生姜两片,大枣三枚,煎煮至六分,去渣饭前温服。
治疗妊娠期胎儿不长,养胎的人参丸方:
人参 白茯苓(去掉黑皮) 当归(切后焙干) 柴胡(去掉苗) 浓朴(去掉粗皮,涂生姜汁炙烤) 甘草
以上十味药,捣碎过筛成末,用炼蜜调和制成丸药,如梧桐子大小,每次服用三十丸,饭前温水送服。
Discourse states: If there is no proper regimen during pregnancy, the Spleen and Stomach will be deficient. This leads to reduced appetite, an inability to circulate Ying (Nutritive) and Wei (Defensive) Qi, transform essence and micro-nutrients, and nourish the Chong (Penetrating) and Ren (Conception) vessels. Consequently, the fetal organ becomes internally weak, the fetus's vital energy is insufficient, and its biological transformation is slightly impaired. Chao Yuanfang stated that if the mother's illness is treated, the fetus will be secure; this is the principle at work. If the Spleen and Stomach are harmonious and capable of normal digestion, and if water and grain are transformed into circulating Qi and Blood, why worry about the fetus failing to grow?
Treatment for fetal underdevelopment during pregnancy: Baizhu San (Atractylodes Macrocephala Powder)
Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Xiong (Chuanxiong Rhizome), Shaoyao (Paeoniae Radix), Renshen (Ginseng Radix), Ejiao (Colla Corii Asini, roasted until dry, each 1 liang), Gancao (Licorice Root, roasted and cut, 0.5 liang).
The above six herbs are crushed, sifted, and made into a powder. Each dose consists of 3 qianbi, taken with scallion congee broth, three times daily.
Treatment for pregnancy and fetal nourishment: Xiong San (Chuanxiong Powder)
Xiong (Chuanxiong Rhizome), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang), Shujiao (Sichuan Pepper Pericarp, eyes and closed-mouth ones removed, stir-fried until oil appears, 3 liang), Muli (Ostreae Concha, ground into powder, 0.5 liang).
The above four herbs are crushed and finely ground into a powder. Each dose consists of 2 qianbi, taken with warm wine before meals. Rice drink is also acceptable.
Treatment for Qi and Blood deficiency during pregnancy, resulting in a thin and stunted fetus: Gadihuang Tang (Prepared Rehmannia Decoction)
Shu Gadihuang (Prepared Rehmanniae Radix, roasted), Ejiao (Colla Corii Asini, stir-fried with rice until boiling), Xiong (Chuanxiong Rhizome), Danggui (Angelicae Sinensis Radix, cut and stir-fried with rice, each 2 liang), Chi Shaoyao (Red Paeoniae Radix), Gancao (Licorice Root).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with one zhan of water and a small amount of Jingmi (Oryza Sativa Japonica Group), decocted to 7/10 volume. Strain and take warm, three times daily.
Treatment for women with blood deficiency and decline, scanty and sluggish menstruation, leading to uterine malnourishment, frequent illnesses during pregnancy, and incomplete fetal development: Dihuang Wan (Rehmannia Pill)
Shu Gadihuang (Prepared Rehmanniae Radix, quantity unspecified).
The above single herb is cut, roasted, and ground into powder. It is mixed with refined honey to form pills the size of a bullet. Each dose is one pill, chewed and swallowed with decocted Danggui wine on an empty stomach. Warm wine is also acceptable.
Treatment for Qi and Blood weakness during pregnancy causing fetal underdevelopment, harmonizing Qi and nourishing the fetus: Dihuang Xiong Wan (Rehmannia and Chuanxiong Pill)
Shu Gadihuang (Prepared Rehmanniae Radix, roasted, 1 liang), Xiong (Chuanxiong Rhizome, 3 fen), Bai Fuling (Poria, black skin removed, 0.5 liang), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix, cut and roasted, each 1 liang). [Note: The original text mentions "fourteen ingredients" but lists fewer; translation follows the visible text].
The above fourteen herbs (as per original text count) are crushed, sifted, and made into powder. Mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken at any time with rice drink, three times daily.
Treatment for fetal underdevelopment during pregnancy, calming the fetus, harmonizing Qi, and stimulating appetite: Huangqi Tang (Astragalus Decoction)
Huangqi (Astragali Radix, cut), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix, heart removed and roasted), Chenjupi (Citri Reticulatae Pericarpium, blanched with hot water, white pith removed, and roasted, each 3 fen), Xiong (Chuanxiong Rhizome).
The above nine herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with one zhan of water, two slices of Shengjiang (Zingiberis Rhizoma Recens), and three Zao (Jujubae Fructus), decocted to 6/10 volume. Strain and take warm before meals.
Treatment for fetal underdevelopment during pregnancy and fetal nourishment: Renshen Wan (Ginseng Pill)
Renshen (Ginseng Radix), Bai Fuling (Poria, black skin removed), Danggui (Angelicae Sinensis Radix, cut and roasted), Chaihu (Bupleuri Radix, sprouts removed), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, brushed with Shengjiang juice and roasted), Gancao (Licorice Root).
The above ten herbs are crushed, sifted, and made into powder. Mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 30 pills, taken with warm water before meals.