集验疗妇人妊娠,恶阻呕吐不下食,汤方。
青竹茹 橘皮(各五两) 生姜 茯苓(各四两) 半夏(五两汤洗)
上五味切,以水六升,煮取二升半,分三服,不瘥频作。忌羊肉饧酢物等。(千金经心
录同)
又疗妊娠呕吐不下食,橘皮汤方。
橘皮 竹茹 人参 白术(各三两) 生姜(四两) 浓朴(炙二两)
上六味切,以水七升,煮取二升半,分三服,不瘥重作。忌桃李雀肉等。(千金救急经
心录同出第十一卷中)
古今录验疗妊娠不欲食或吐,春月所宜服,柴胡汤方。
甘草(炙) 柴胡(各二两) 麻黄(一两去节煎去沫) 大枣(十二枚擘) 食茱萸
(一升)
上五味切,以水六升,煮取三升,适寒温服一升,日三疗食噫醋,除热下气,多所宜与
上同,但春秋冬夏去茱萸加枸杞一斤,六月加小麦一升,石膏三两,秋去石膏,加甘草一两
,九月去麻黄加干姜一两,十月加芎 三分。忌海藻菘菜。
又疗恶食,人参汤方。
人参(四两) 浓朴(炙) 生姜 枳实(炙) 甘草(炙各二两)
上五味切,以水六升,煮取三升,分三服。忌海藻菘菜。(并出第三十四卷中)
崔氏半夏茯苓汤,疗妊娠阻病,心中愦闷空烦吐逆,恶闻食气,头眩重,四肢百节疼烦
沉重,多卧少起,恶寒汗出,疲极黄瘦方。
半夏(洗) 生姜(各五两) 旋复花(一两) 橘皮(二两) 茯苓(二两) 细辛 芎
人参 桔梗 甘草(炙各二两) 芍药(二两) 干地黄(三两)
上十二味切,以水一斗,煮取三升,分三服。忌猪羊肉饧菘菜海藻生菜芜荑。
千金云,若病阻积月日不得治,及服药冷热失候病变客热烦渴,口生疮者,除橘皮细辛
,用前胡知母各二两,若变冷下痢者,除干地黄,用桂心二两,若食少胃中虚生热,大便闷
塞,小便赤少者,加大黄三两除地黄,加黄芩一两余依方服一剂,得下后,消息看气力冷热
,更增损方调定,更服一剂汤,便急服茯苓丸,令能食便强健也。
又茯苓丸,疗妊娠阻病患心中烦闷,头眩重,憎闻饮食气便呕逆,吐闷颠倒,四肢垂重
不自胜持,服之即效,要先服半夏茯苓汤两剂后,可将服茯苓丸方。
茯苓 人参(各一两) 桂心(熬) 橘皮 白术 甘草(炙) 葛根(熬) 干姜 半
夏(洗) 枳实(炙各二两)
上十味捣筛,蜜和丸如梧桐子大,饮服二十丸,渐至三十丸,日三。忌海藻菘菜羊肉饧
桃李雀肉酢等。(千金同肘后只五味又云妊娠忌桂故熬肘后不用干姜半夏橘皮葛根)
又疗妊娠常苦烦闷,此子烦也,竹沥汤方。
竹沥(三两) 防风 黄芩 麦门冬(去心各三两) 茯苓(四两)
上五味切,以水四升合竹沥煮,取二升半,分三服,不瘥重作。忌酢物。
又方
时时服竹沥,随多少。(出第十卷中)
近效疗妊娠恶食,心中烦愦,热闷呕吐方。
青竹茹 麦门冬(去心各三两) 前胡(二两) 陈橘皮(一两炙令黄焦香气出佳) 芦
根
(一握取肥白嫩者)
上五味切,以水二大升,煮取半大升去滓,分再服,食后一服,无麦门冬,用小麦三合
煮之,勿令裂即熟,四肢烦蒸者,加地骨皮,医人夏候极录。
《集验方》治疗妇女妊娠期间,因恶阻导致的呕吐、无法进食的汤剂方。
青竹茹、橘皮(各五两)、生姜、茯苓(各四两)、半夏(五两,经汤洗处理)
以上五味药切碎,用水六升,煎煮至剩余二升半,分三次服用。若未痊愈,可频繁制作服用。忌食羊肉、饴糖、醋等食物。(此方与《千金经心录》相同)
又方治疗妊娠呕吐、无法进食的橘皮汤方。
橘皮、竹茹、人参、白术(各三两)、生姜(四两)、浓朴(炙制,二两)
以上六味药切碎,用水七升,煎煮至剩余二升半,分三次服用。若未痊愈,重新制作服用。忌食李子、桃子、雀肉等。(此方出自《千金救急经心录》,同出第十一卷)
《古今录验》治疗妊娠食欲不振或呕吐,春季适宜服用的柴胡汤方。
甘草(炙制)、柴胡(各二两)、麻黄(一两,去节,煎煮时撇去浮沫)、大枣(十二枚,掰开)、食茱萸(一升)
以上五味药切碎,用水六升,煎煮至剩余三升,待温度适宜时服用一升,每日三次。此方可治疗饮食后的嗳气泛酸,清除内热,降逆下气,适用情况大多与前文所述相同。但根据季节调整:春秋冬夏去掉茱萸加枸杞一斤;六月加小麦一升、石膏三两;秋季去掉石膏,加甘草一两;九月去掉麻黄加干姜一两;十月加川芎三分。忌食海藻、菘菜。
又方治疗厌恶饮食的人参汤方。
人参(四两)、浓朴(炙制)、生姜、枳实(炙制)、甘草(炙制,各二两)
以上五味药切碎,用水六升,煎煮至剩余三升,分三次服用。忌食海藻、菘菜。(均出自第三十四卷)
崔氏半夏茯苓汤,治疗妊娠恶阻病,症见心中烦乱闷痛、空虚烦躁、吐逆、厌恶闻见食物气味、头晕沉重、四肢关节疼痛烦扰、身体沉重、嗜睡少起、恶寒汗出、极度疲劳、面色萎黄消瘦的方剂。
半夏(洗净)、生姜(各五两)、旋复花(一两)、橘皮(二两)、茯苓(二两)、细辛、川芎、人参、桔梗、甘草(炙制,各二两)、芍药(二两)、干地黄(三两)
以上十二味药切碎,用水一斗,煎煮至剩余三升,分三次服用。忌食猪羊肉、饴糖、菘菜、海藻、生菜、芜荑。
《千金方》记载:如果恶阻病持续数月日不得治愈,以及服药后冷热失当导致病变出现客热、烦渴、口生疮者,去掉橘皮和细辛,改用前胡、知母各二两;如果变为寒冷下痢者,去掉干地黄,改用桂心二两;如果饮食减少、胃中虚而生热,大便闷塞不通,小便赤少者,加大黄三两,去掉地黄,加黄芩一两,其余按原方服用一剂。服药后得下(排便),需观察患者的气力及冷热状况,再增减方药进行调整,继续服用一剂汤药。随后急需服用茯苓丸,以使患者能进食并恢复强健。
又方茯苓丸,治疗妊娠恶阻病患者心中烦闷、头晕沉重、厌恶闻见饮食气味便呕吐逆乱、吐出物令人昏闷颠倒、四肢下垂沉重难以支撑的方剂。服用此丸即见效,但必须先服用半夏茯苓汤两剂后,才可服用茯苓丸方。
茯苓、人参(各一两)、桂心(熬制)、橘皮、白术、甘草(炙制)、葛根(熬制)、干姜、半夏(洗净)、枳实(炙制,各二两)
以上十味药捣碎过筛,用蜂蜜调和制成如梧桐子大小的丸药,用温水送服二十丸,逐渐增加至三十丸,每日三次。忌食海藻、菘菜、羊肉、饴糖、李子、桃子、雀肉、醋等。(《千金方》相同,《肘后备急方》只有五味药,且又说妊娠忌用桂枝,故《肘后方》不用桂枝;《肘后方》也不用干姜、半夏、橘皮、葛根)
又方治疗妊娠常苦于烦闷,这是“子烦”,竹沥汤方。
竹沥(三两)、防风、黄芩、麦门冬(去心,各三两)、茯苓(四两)
以上五味药切碎,用水四升合竹沥一起煎煮,取二升半,分三次服用。若未痊愈,重新制作服用。忌食醋类食物。
又一方
随时服用竹沥,用量不限。(出自第十卷)
近效方治疗妊娠厌恶饮食,心中烦乱闷痛,热闷呕吐的方剂。
青竹茹、麦门冬(去心,各三两)、前胡(二两)、陈橘皮(一两,炙至焦黄香气溢出为佳)、芦根(一把,选取肥白嫩者)
以上五味药切碎,用水两大升,煎煮至剩余半大升,去渣滓,分两次服用,饭后服用一次。若无麦门冬,可用小麦三合煮之,不要煮裂即熟。若四肢烦热蒸腾者,加地骨皮。此方录自医人夏侯极。
Jiyan Fang (Collected Proven Prescriptions) treats women during pregnancy suffering from nausea and vomiting due to "Ezu" (pregnancy toxemia/nausea), unable to eat, decoction formula.
Qingzhuru (Green Bamboo Shavings), Jupi (Tangerine Peel) (each 5 liang), Shengjiang (Fresh Ginger), Fuling (Poria) (each 4 liang), Banxia (Pinellia Rhizome) (5 liang, washed with decoction).
Cut the above five herbs, add six sheng of water, boil to obtain two and a half sheng, divide into three doses. If not cured, prepare frequently. Avoid mutton, maltose, vinegar, etc. (Same as Qianjin Jingxin Lu).
Another formula for treating pregnancy vomiting and inability to eat: Jupi Tang (Tangerine Peel Decoction).
Jupi (Tangerine Peel), Zhuru (Bamboo Shavings), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome) (each 3 liang), Shengjiang (Fresh Ginger) (4 liang), Houpo (Magnolia Bark) (processed by stir-frying, 2 liang).
Cut the above six herbs, add seven sheng of water, boil to obtain two and a half sheng, divide into three doses. If not cured, prepare again. Avoid plums, peaches, sparrow meat, etc. (Same origin as Qianjin Jiujing Xinlu, Volume 11).
Gujin Luyan treats pregnancy anorexia or vomiting, suitable for spring consumption: Chaihu Tang (Bupleurum Decoction).
Gancao (Licorice Root) (processed by stir-frying), Chaihu (Bupleurum Root) (each 2 liang), Mahuang (Ephedra Herb) (1 liang, remove joints, boil and skim foam), Dazao (Jujube Fruit) (12 pieces, torn open), Shizhuyu (Cornus Fruit) (1 sheng).
Cut the above five herbs, add six sheng of water, boil to obtain three sheng. Take one sheng when temperature is appropriate, three times a day. This formula treats belching and acid regurgitation after eating, clears heat, directs qi downward, and is applicable in most cases similar to the previous text. However, adjust according to seasons: In spring, autumn, winter, and summer, remove Shizhuyu and add Gouqi (Lycium Fruit) 1 jin; In June, add Xiaomai (Wheat Grain) 1 sheng, Shigao (Gypsum Fibrosum) 3 liang; In autumn, remove Shigao and add Gancao (Licorice Root) 1 liang; In September, remove Mahuang (Ephedra Herb) and add Ganjiang (Dried Ginger) 1 liang; In October, add Xiong (Ligusticum Rhizome) 3 fen. Avoid Haizao (Sargassum Herb) and Songcai (Chinese Cabbage).
Another formula for treating aversion to food: Renshen Tang (Ginseng Decoction).
Renshen (Ginseng Root) (4 liang), Houpo (Magnolia Bark) (processed by stir-frying), Shengjiang (Fresh Ginger), Zhishi (Immature Bitter Orange) (processed by stir-frying), Gancao (Licorice Root) (processed by stir-frying, each 2 liang).
Cut the above five herbs, add six sheng of water, boil to obtain three sheng, divide into three doses. Avoid Haizao (Sargassum Herb) and Songcai (Chinese Cabbage). (All from Volume 34).
Cui Shi Banxia Fuling Tang (Banxia and Poria Decoction by Master Cui) treats pregnancy Ezu disease, with symptoms of mental confusion and oppression, empty irritability, vomiting and nausea, aversion to the smell of food, dizziness and heaviness, pain and irritation in limbs and joints, body heaviness, excessive sleeping with little rising, aversion to cold with sweating, extreme fatigue, sallow and emaciated complexion.
Banxia (Pinellia Rhizome) (washed), Shengjiang (Fresh Ginger) (each 5 liang), Xuanfuhua (Inula Flower) (1 liang), Jupi (Tangerine Peel) (2 liang), Fuling (Poria) (2 liang), Xixin (Asarum Root), Xiong (Ligusticum Rhizome), Renshen (Ginseng Root), Jiegeng (Platycodon Root), Gancao (Licorice Root) (processed by stir-frying, each 2 liang), Shaoyao (Peony Root) (2 liang), Dihuang (Rehmannia Root) (3 liang).
Cut the above twelve herbs, add one dou of water, boil to obtain three sheng, divide into three doses. Avoid pork, mutton, maltose, Songcai (Chinese Cabbage), Haizao (Sargassum Herb), raw vegetables, Wuyi (Myrobalan).
Qianjin Fang records: If Ezu persists for months without cure, or if improper administration of cold/hot medicines leads to pathological changes such as exogenous heat, irritability, thirst, and oral ulcers, remove Jupi (Tangerine Peel) and Xixin (Asarum Root), use Qianhu (Peucedani Radix) and Zhimu (Anemarrhenae Rhizome) each 2 liang. If it transforms into cold dysentery, remove Dihuang (Rehmannia Root) and use Guixin (Cinnamon Twig) 2 liang. If food intake is low, stomach deficiency generates heat, stool is obstructed, and urine is scanty and red, add Dahuang (Rhubarb Rhizome) 3 liang, remove Dihuang (Rehmannia Root), add Huangqin (Scutellaria Root) 1 liang. Follow the rest of the prescription. After taking one dose and having bowel movement, observe the patient's strength and thermal condition, then adjust the prescription. Continue taking another dose of decoction. Subsequently, urgently take Fuling Wan (Poria Pill) to enable eating and restore strength.
Another formula: Fuling Wan (Poria Pill) treats pregnancy Ezu patients with mental irritability, dizziness and heaviness, aversion to the smell of food leading to vomiting and nausea, vomiting causing dizziness and disorientation, limbs hanging heavy and difficult to support. It takes effect immediately upon taking, but must first take Banxia Fuling Tang (Banxia and Poria Decoction) for two doses before using this Fuling Wan formula.
Fuling (Poria), Renshen (Ginseng Root) (each 1 liang), Guixin (Cinnamon Twig) (roasted), Jupi (Tangerine Peel), Baizhu (Atractylodes Macrocephala Rhizome), Gancao (Licorice Root) (processed by stir-frying), Gegen (Kudzu Root) (roasted), Ganjiang (Dried Ginger), Banxia (Pinellia Rhizome) (washed), Zhishi (Immature Bitter Orange) (processed by stir-frying, each 2 liang).
Pulverize the above ten herbs, mix with honey to make pills the size of Sophora seeds. Take 20 pills with warm water, gradually increasing to 30 pills, three times a day. Avoid Haizao (Sargassum Herb), Songcai (Chinese Cabbage), mutton, maltose, plums, peaches, sparrow meat, vinegar, etc. (Same as Qianjin Fang. Zhouhou only has five ingredients; also states cinnamon is contraindicated in pregnancy, so Zhouhou does not use cinnamon; Zhouhou also does not use Ganjiang (Dried Ginger), Banxia (Pinellia Rhizome), Jupi (Tangerine Peel), Gegen (Kudzu Root)).
Another formula treats pregnancy chronic irritability, known as "Zifan" (Fetal Restlessness): Zhuli Tang (Bamboo Sap Decoction).
Zhuli (Bamboo Sap) (3 liang), Fangfeng (Saposhnikovia Root), Huangqin (Scutellaria Root), Maidong (Ophiopogon Tuber) (decored, each 3 liang), Fuling (Poria) (4 liang).
Cut the above five herbs, add four sheng of water and Zhuli (Bamboo Sap), boil to obtain two and a half sheng, divide into three doses. If not cured, prepare again. Avoid vinegar.
Another method
Take Zhuli (Bamboo Sap) at any time, in any amount. (From Volume 10).
Jinxiao Fang treats pregnancy aversion to food, mental confusion and oppression, heat-induced irritability and vomiting.
Qingzhuru (Green Bamboo Shavings), Maidong (Ophiopogon Tuber) (decored, each 3 liang), Qianhu (Peucedani Radix) (2 liang), Chenjupi (Aged Tangerine Peel) (1 liang, stir-fried until yellow and fragrant), Lugeng (Reed Rhizome) (one handful, select thick, white, tender parts).
Cut the above five herbs, add two large sheng of water, boil to obtain half a large sheng, strain, divide into two doses. Take one dose after meals. If Maidong (Ophiopogon Tuber) is unavailable, use Xiaomai (Wheat Grain) 3 he, boil without cracking until cooked. If limbs feel hot and steaming, add Digupi (Dogwood Cortex). Recorded by physician Xiahou Ji.