论曰妊娠之人,若人经有热播流血脉,散于肌肉,荣气不从于肉理,则生痈肿诸疮之类
。内经谓诸痛痒疮,皆属于心,治法宜调经络,平腑脏,则邪壅之疾自瘥。
治妊娠诸疮,利心经,疏壅滞。分气汤方
麦门冬(去心焙) 槟榔(生锉) 当归(切焙) 人参 甘草(炙) 木通(锉) 羌
活(去芦
上一十一味,粗捣筛,每服三钱匕,水一盏,煎至六分去滓,空心日午临卧温服。
治妊娠诸疮。地黄丸方
生干地黄(焙) 黄 (锉) 人参 荆芥(去梗) 黄芩(去黑心) 甘草(炙) 栀
子仁 干
上八味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,加至三十丸,温汤下,不拘时。
治妊娠血气壅滞,身体生疮。心神不宁。荆芥汤方
荆芥穗 芎 细辛(去苗叶) 威灵仙(洗锉) 甘草(炙各一两) 皂荚(半两不
者去
上六味,粗捣筛,每服二钱匕,水一盏,煎至六分去滓,食后临卧温服。
治妊娠气壅生疮,皂荚子散方
皂荚子(二百枚灰火炮熟去皮) 槐实(麸炒四两) 甘草(炙) 干薄荷叶 黄 (锉)
荆
上八味,捣罗为散,每服一钱匕,温酒调下,沸汤亦得,不拘时。
治妊娠气血壅滞,攻身体生疮瘙痒,薄荷丸方
干薄荷叶(二两) 荆芥穗(一两半) 蔓荆实(去白皮) 玄参(洗锉) 甘草(炙)
大黄(
上一十味,捣罗为末,炼蜜丸如鸡头大,每服一丸,茶酒嚼下,不拘时。
治妊娠气血壅滞生疮。黄 汤方
黄 (锉) 苦参(洗锉) 羌活(去头芦) 独活(去芦头) 恶实(炒) 甘草(炙
各半两)
上六味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服。
治妊娠疮疥,烦热瘙痒,秦艽丸方
秦艽(半两) 黄 (锉) 枳壳(去瓤麸炒) 漏芦(去芦头) 防风(去叉各一半
两) 黄连
上六味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,温酒下,空心日午夜卧服。
治妊娠风热气盛,攻身体生疮,皮肤燥涩,大便结滞。祛风散方
羌活(去芦头二两) 大黄(湿纸裹煨半两) 芎 (二两) 黄 (锉三两) 朴硝
(别研半
上六味,捣罗为散,与朴硝和匀,每服一钱匕,日午夜卧。用温蜜水调下,微利为效。
治妊娠风气壅,头目不利,身体生疮。白芷丸方
白芷(三两) 芎 天南星(水煮各二两) 羌活(去芦头半两) 藿香叶(一两) 菊
花(
上九味,捣罗为末,酒煮面糊,丸如梧桐子大,每服二十丸,薄荷汤下,不拘时。
论述说:怀孕的妇女,如果外感热邪炽盛,流注于血脉,散漫于肌肉之间,导致营气不能顺从地运行于腠理(皮肤纹理及汗孔),就会发生痈肿等各种疮疡。《内经》中说各种疼痛、瘙痒和疮疡,都归属于心(心主血脉,火热之邪易扰心神及血分),治疗法则应当调理经络,平衡脏腑功能,那么邪气壅滞的疾病自然痊愈。
治疗妊娠期间各种疮疡,以清利心经、疏通气机壅滞为主。分气汤方:
麦门冬(去除心部,焙干) 槟榔(生切锉碎) 当归(切片焙干) 人参 甘草(炙烤) 木通(锉碎) 羌活(去除芦头)
以上十一味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至六分,去渣,空腹、中午及睡前温服。
治疗妊娠期间各种疮疡的地黄丸方:
生干地黄(焙干) 黄芩(锉碎) 人参 荆芥(去除梗) 黄芩(去除黑心部分) 甘草(炙烤) 栀子仁 干姜
以上八味药,捣碎过罗成粉末,用炼蜜制成梧桐子大小的丸剂,每次服用二十丸,加量至三十丸,温水送下,不限时间。
治疗妊娠期间血气壅滞,身体生疮,心神不宁的荆芥汤方:
荆芥穗 川芎 细辛(去除苗叶) 威灵仙(洗净锉碎) 甘草(炙烤,各一两) 皂荚(半两,不蛀者,去皮)
以上六味药,粗捣筛过,每次服用二钱匕,加水一盏,煎煮至六分,去渣,食后及睡前温服。
治疗妊娠期间气机壅滞生疮的皂荚子散方:
皂荚子(二百枚,用灰火煨熟,去皮) 槐实(麸炒四两) 甘草(炙烤) 干薄荷叶 黄芩(锉碎) 荆芥
以上八味药,捣碎过罗成散剂,每次服用一钱匕,用温酒调服,沸水也可,不限时间。
治疗妊娠期间气血壅滞,攻冲身体生疮瘙痒的薄荷丸方:
干薄荷叶(二两) 荆芥穗(一两半) 蔓荆实(去除白皮) 玄参(洗净锉碎) 甘草(炙烤) 大黄
以上十味药,捣碎过罗成粉末,用炼蜜制成鸡头米大小的丸剂,每次服用一丸,嚼碎后用茶或酒送下,不限时间。
治疗妊娠期间气血壅滞生疮的黄耆汤方:
黄耆(锉碎) 苦参(洗净锉碎) 羌活(去除头芦) 独活(去除芦头) 恶实(炒制) 甘草(炙烤,各半两)
以上六味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至七分,去渣温服。
治疗妊娠期间疮疥,烦热瘙痒的秦艽丸方:
秦艽(半两) 黄耆(锉碎) 枳壳(去除瓤,麸炒) 漏芦(去除芦头) 防风(去除叉枝,各一半两) 黄连
以上六味药,捣碎过罗成粉末,用炼蜜制成梧桐子大小的丸剂,每次服用二十丸,温酒送下,空腹、中午及睡前服用。
治疗妊娠期间风热气盛,攻冲身体生疮,皮肤干燥涩滞,大便结滞的祛风散方:
羌活(去除芦头二两) 大黄(湿纸包裹煨制半两) 川芎(二两) 黄耆(锉碎三两) 朴硝(单独研细半两)
以上六味药,捣碎过罗成散剂,与朴硝混合均匀,每次服用一钱匕,中午及睡前服用。用温蜂蜜水调服,轻微腹泻为见效。
治疗妊娠期间风气壅滞,头目不利,身体生疮的白芷丸方:
白芷(三两) 川芎 天南星(水煮,各二两) 羌活(去除芦头半两) 藿香叶(一两) 菊花
以上九味药,捣碎过罗成粉末,用酒煮面糊,制成梧桐子大小的丸剂,每次服用二十丸,薄荷汤送下,不限时间。
It is stated that in pregnant women, if exogenous heat pathogen becomes vigorous and flows into the blood vessels, scattering into the muscles, causing Ying Qi (nutritive Qi) to fail to follow the proper course through the Li (cunli, interstices), conditions such as carbuncles, swellings, and various sores may arise. The *Neijing* states that "all pain, itching, and sores belong to the Heart." The treatment principle should be to regulate the meridians and balance the Zang-Fu organs, whereby diseases caused by pathogenic stagnation will naturally heal.
To treat various sores during pregnancy, the method involves clearing and benefiting the Heart Meridian and dispersing stagnation. Formula for Dividing Qi (Fenqi Tang):
Ophiopogonis Radix (Ouyidong, 麦门冬) (remove heart, roast) Arecae Semen (Binglang, 槟榔) (freshly cut and crushed) Angelicae Sinensis Radix (Danggui, 当归) (sliced and roasted) Ginseng Radix et Rhizoma (Renshen, 人参) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted with honey) Akebiae Caulis (Mutong, 木通) (crushed) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (remove rhizome base)
The above eleven herbs are coarsely pounded and sieved. Each dose consists of three qianbi (approx. 9-10g), decocted in one sheng (approx. 200ml) of water until reduced to six-tenths. Strain and take warm on an empty stomach, at noon, and before bed.
Pill of Rehmanniae Radix (Dihuang Wan) for treating various sores during pregnancy:
Rehmanniae Radix Praeparata (Shengdihuang, 生地黄) (roast) Scutellariae Radix (Huangqin, 黄芩) (crushed) Ginseng Radix et Rhizoma (Renshen, 人参) Schizonepetae Spica (Jingjie, 荆芥) (remove stems) Scutellariae Radix (Huangqin, 黄芩) (remove blackened parts) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted with honey) Gardeniae Fructus (Zhizi, 栀子) (extract seeds) Zingiberis Rhizoma Recens (Ganjiang, 干姜)
The above eight herbs are pounded, sifted into powder, and mixed with refined honey to form pills the size of sophora seeds. Take twenty pills per dose, increasing to thirty, with warm water, at any time.
Schizonepeta Decoction (Jingjie Tang) for treating blood and qi stagnation during pregnancy, body sores, and restless mind:
Schizonepetae Spica (Jingjiesui, 荆芥穗) Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) Asari Radix et Rhizoma (Xixin, 细辛) (remove seedlings and leaves) Pedalilii Radix (Weilingxian, 威灵仙) (wash and crush) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted with honey, each 1 liang) Gleditsiae Sinensis Fructus (Zaojia, 皂荚) (half liang, remove skin if not worm-eaten)
The above six herbs are coarsely pounded and sieved. Each dose consists of two qianbi, decocted in one sheng of water until reduced to six-tenths. Strain and take warm after meals and before bed.
Powder of Gleditsiae Sinensis Seed (Zaojiazi San) for treating qi stagnation causing sores during pregnancy:
Gleditsiae Sinensis Fructus Seed (Zaojiazi, 皂荚子) (200 seeds, roasted in ash fire until cooked, remove skin) Sophorae Fructus (Huaishi, 槐实) (stir-fried with bran, 4 liang) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted with dry Menthae Haplocalycis Herba (Boheye, 薄荷叶) Scutellariae Radix (Huangqin, 黄芩) (crushed) Schizonepetae Spica (Jingjie, 荆芥)
The above eight herbs are pounded, sifted into powder. Each dose consists of one qianbi, taken with warm wine or boiling water, at any time.
Pill of Menthae Haplocalycis Herba (Bohe Wan) for treating blood and qi stagnation during pregnancy, attacking the body to cause sores and itching:
Dry Menthae Haplocalycis Herba (Boheye, 薄荷叶) (2 liang) Schizonepetae Spica (Jingjiesui, 荆芥穗) (1.5 liang) Viticis Fructus (Manjingzi, 蔓荆实) (remove white skin) Scrophulariae Radix (Xuanshen, 玄参) (wash and crush) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted) Rhei Radix et Rhizoma (Dahuang, 大黄)
The above ten herbs are pounded, sifted into powder, and mixed with refined honey to form pills the size of a cock's head. Take one pill per dose, chewed with tea or wine, at any time.
Decoction of Astragali Membranacei Radix (Huangqi Tang) for treating blood and qi stagnation causing sores during pregnancy:
Astragali Membranacei Radix (Huangqi, 黄芪) (crushed) Sophorae Flavescentis Radix (Kushen, 苦参) (wash and crush) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (remove root head) Angelicae Pubescentis Radix (Duhuo, 独活) (remove rhizome base) Arctii Fructus (Niu Bang Zi, 牛蒡子) (stir-fried) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted, each half liang)
The above six herbs are coarsely pounded and sieved. Each dose consists of three qianbi, decocted in one sheng of water until reduced to seven-tenths. Strain and take warm.
Pill of Gentianae Macrophyllae Radix (Qinjiao Wan) for treating sores and scabies during pregnancy, irritability, heat, and itching:
Gentianae Macrophyllae Radix (Qinjiao, 秦艽) (half liang) Astragali Membranacei Radix (Huangqi, 黄芪) (crushed) Aurantii Fructus (Zhiqiao, 枳壳) (remove pulp, stir-fried with bran) Euphorbiae Humifusae Radix (Loulou, 漏芦) (remove rhizome base) Saposhnikoviae Radix (Fangfeng, 防风) (remove forked roots, each half liang) Coptidis Rhizoma (Huanglian, 黄连)
The above six herbs are pounded, sifted into powder, and mixed with refined honey to form pills the size of sophora seeds. Take twenty pills per dose with warm wine, on an empty stomach, at noon, and before bed.
Wind-Dispersing Powder (Qufeng San) for treating excessive wind-heat during pregnancy, attacking the body to cause sores, dry and rough skin, and constipation:
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (remove rhizome base, 2 liang) Rhei Radix et Rhizoma (Dahuang, 大黄) (wrapped in wet paper and baked, half liang) Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) (2 liang) Astragali Membranacei Radix (Huangqi, 黄芪) (crushed, 3 liang) Mirabilite (Puxiao, 朴硝) (separately ground, half liang)
The above six herbs are pounded, sifted into powder, and mixed evenly with Mirabilite. Each dose consists of one qianbi, taken at noon and before bed. Mix with warm honey water; mild diarrhea indicates efficacy.
Pill of Angelicae Dahuricae Radix (Baizhi Wan) for treating qi stagnation due to wind pathogen, obstruction of head and eyes, and body sores during pregnancy:
Angelicae Dahuricae Radix (Baizhi, 白芷) (3 liang) Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) Pinelliae Rhizoma (Tiannanxing, 天南星) (boiled in water, each 2 liang) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (remove rhizome base, half liang) Agastachis Herba (Huoxiangye, 藿香叶) (1 liang) Chrysanthemi Flos (Juhua, 菊花)
The above nine herbs are pounded, sifted into powder, and bound with paste made from flour boiled in wine. Form pills the size of sophora seeds. Take twenty pills per dose with Mint Decoction, at any time.