主养胎,及产难颠倒胞不出,服一丸,伤毁不下,产余病汗不出,烦满不止,气逆满,
以酒服一丸,良。一名保生丸方。
甘草 贝母 秦椒 大豆黄卷 干姜 桂心 黄芩 粳米(一作糯米) 石斛 石膏(各
六铢) 当归(十三铢) 麻子(三合)
上十二味为末,蜜和丸如弹子大,每服一丸,日三,用枣汤下。
一方用蒲黄一两。
治妊娠养胎令易产方。
大黄(三十铢,蒸) 枳实 川芎 白术 杏仁(各十八铢) 芍药 干姜 浓朴(各
十二
铢) 吴茱萸(一两)
上九味为末,蜜和丸如梧子大,空腹酒下二丸,日三,不知稍加之。
阿胶(八两) 滑石(二两) 车前子(一升)
上三味治下筛,饮服方寸匕,日再,至生月乃服。药利九窍,不可先服。
(此篇有十章 方八十九首 灸法三首)
第一 胎动及数堕胎(方六首 灸法一首)
治妊娠二三月,上至八九月,胎动不安,腰痛已有所见方∶
艾叶 阿胶 川芎(《肘后》不用) 当归(各三两) 甘草(一两)
上五味 咀以水八升,煮取三升,去滓,纳胶令消,分三服,日三。
治妊娠胎动去血,腰腹痛方∶
阿胶(二两) 川芎 当归 青竹茹(各三两)
上四味 咀,以水一斗半,煮银二斤,取六升,去银纳药煎,取二升半,纳胶令烊,
分三服,不瘥仍作。
一方用甘草二两。
主治安胎,以及难产时胎位不正、胞衣不下,服用一丸;若因损伤导致胞衣仍不排出,或产后余病汗不出、烦闷不止、气逆腹胀,用酒送服一丸,效果良好。此方又名保生丸。
甘草、贝母、秦椒、大豆黄卷、干姜、桂心、黄芩、粳米(一作糯米)、石斛、石膏(各六铢)、当归(十三铢)、麻子(三合)。
以上十二味药研为细末,用蜂蜜调和制成如弹子大小的丸剂,每次服用一丸,每日三次,用枣汤送服。
另一配方加入蒲黄一两。
治疗妊娠期间安胎并利于生产的方剂。
大黄(三十铢,蒸制)、枳实、川芎、白术、杏仁(各十八铢)、芍药、干姜、浓朴(各十二铢)、吴茱萸(一两)。
以上九味药研为细末,用蜂蜜调和制成如梧桐子大小的丸剂,空腹时用酒送服两丸,每日三次,若无效可稍增加剂量。
阿胶(八两)、滑石(二两)、车前子(一升)。
以上三味药处理后过筛,用饮服方寸匕的量,每日两次,直到生产月份才服用。此药通利九窍,不可提前服用。
(本篇共有十章,方剂八十九首,灸法三首)
第一 胎动不安及习惯性流产(方剂六首,灸法一首)
治疗妊娠二三个月至八九月,胎动不安,腰痛且有见红症状的方剂:
艾叶、阿胶、川芎(《肘后备急方》中不用)、当归(各三两)、甘草(一两)。
以上五味药切碎,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。
治疗妊娠胎动出血,腰腹痛的方剂:
阿胶(二两)、川芎、当归、青竹茹(各三两)。
以上四味药切碎,用水一斗半,煎煮银二斤,取汁六升,去银后加入药物煎煮,取汁二升半,加入阿胶使其溶化,分三次服用,若未痊愈继续服用。
另一配方使用甘草二两。
Indicated for nourishing the fetus, as well as difficult labor with malpresentation and retained placenta; take one pill. If the placenta fails to expel due to injury, or if postpartum complications include absence of sweating, persistent irritability and fullness, and rebellious Qi causing abdominal distension, take one pill with wine. It is effective. This formula is also known as Baosheng Wan (Preserve Life Pill).
Gancao (Licorice Root), Beimu (Fritillaria Bulb), Qinjiao (Sichuan Pepper), Doudahuangjuan (Fermented Soybean), Ganjiang (Dried Ginger), Guixin (Cinnamon Twig), Huangqin (Scutellaria Root), Jingmi (Glutinous Rice, alternatively non-glutinous rice), Shihu (Dendrobium Stem), Shigao (Gypsum Fibrosum) (each 6 zhu), Danggui (Angelica Sinensis Root) (13 zhu), Maziren (Hemp Seed) (3 he).
Crush the above twelve herbs into powder, mix with honey to form pills the size of a bullet. Take one pill per dose, three times daily, administered with jujube decoction.
Another variation adds Puhuang (Typha Pollen) 1 liang.
Formula for nourishing the fetus during pregnancy to facilitate easy delivery.
Dahuang (Rhubarb Root and Rhizome) (30 zhu, steamed), Zhishi (Immature Bitter Orange), Chuanxiong (Ligusticum Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Xingren (Apricot Seed) (each 18 zhu), Shaoyao (Peony Root), Ganjiang (Dried Ginger), Houpo (Magnolia Bark) (each 12 zhu), Wuzhuyu (Evodia Fruit) (1 liang).
Crush the above nine herbs into powder, mix with honey to form pills the size of a wu-tzu seed. Take two pills on an empty stomach with wine, three times daily. If ineffective, slightly increase the dosage.
Ejiao (Donkey-hide Gelatin) (8 liang), Huashi (Talcum), Cheqianzi (Plantago Seed).
Process the above three herbs and sift. Take one fangcun bi (a measure equivalent to a square inch spoonful) with water, twice daily. Start taking this only in the month of delivery. This medicine unblocks the nine orifices; do not take it prematurely.
(This section contains ten chapters, eighty-nine formulas, and three moxibustion methods.)
Chapter One: Fetal Movement and Habitual Abortion (Six formulas, one moxibustion method)
Formula for treating fetal movement instability, lower back pain, and vaginal bleeding occurring from the second or third month up to the eighth or ninth month of pregnancy:
Aiye (Mugwort Leaf), Ejiao (Donkey-hide Gelatin), Chuanxiong (Ligusticum Rhizome) (not used in *Zhouhou Fang*), Danggui (Angelica Sinensis Root) (each 3 liang), Gancao (Licorice Root) (1 liang).
Chop the above five herbs. Boil in eight sheng of water until reduced to three sheng. Strain, add Ejiao and stir until dissolved. Divide into three doses, taken three times daily.
Formula for treating fetal movement accompanied by bleeding, lower back and abdominal pain during pregnancy:
Ejiao (Donkey-hide Gelatin) (2 liang), Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), Qingzhuru (Green Bamboo Shavings) (each 3 liang).
Chop the above four herbs. Boil in fifteen dou of water together with two jin of silver until the liquid reduces to six sheng. Remove the silver, add the herbs, and boil until reduced to two and a half sheng. Add Ejiao and stir until melted. Divide into three doses. If symptoms persist, continue preparation and administration.
Another variation uses Gancao (Licorice Root) 2 liang.