短剧疗妊娠子淋,大小便并不利,气急,已服猪苓散不瘥,宜服甘遂散下之方。
太山赤皮甘遂(二两)
上一味捣筛,以白蜜二合和,服如大豆粒,多觉心下烦,得微下者,日一服之,下后还
将猪苓散,不得下,日再服,渐加可至半钱匕,以微下为度,中间将猪苓散黄柏寄生汤,在
疗子淋方中。(经心录同出第七卷中子淋方中唯有猪苓散无黄柏寄生汤)
古今录验疗妊娠得病六七日以上,身热入脏,大小便不利,安胎除热葵子汤方。
葵子(二升) 滑石(四两碎)
上二味,以水五升,煮取一升尽服,须臾当下便愈。(出第二十四卷中)
短剧疗妊娠忽闷眼不识人,须臾醒,醒复发亦仍不醒者,名为 病,亦号子痫病,亦
号子冒,葛根汤若有竹近可速辨者,当先作沥汁,后辨汤也,其竹远不可即辨者,当先辨汤
,此二疗会得其一种其竹沥偏疗诸 绝起死也,非但偏疗妊娠产妇绝死者有效,小儿忽痫
金疮疗之亦验作竹沥法。
取新伐青淡竹断之,除两头节,留中央一节,作片以砖并侧,令竹两头虚,布列其上烧
中央,两头汁出,以器承之,取服。
又主 冒葛根汤,疗妊娠临月,因发风 ,忽闷愦不识人,吐逆眩倒,小醒复发,名为
子痫病方。
贝母 葛根 丹皮(去心) 木防己 防风 当归 芎 桂肉(切熬) 茯苓 泽泻 甘
草(炙各二两) 独活 石膏(碎) 人参(各三两)
上十四味切,以水九升,煮取三升,分二服,贝母令人易产,若未临月者,升麻代之。忌海
藻菘菜酢。(并出第七卷中)
《短剧》治疗妊娠期间小便淋沥涩痛,大小便均不通畅,呼吸急促,此前已服用猪苓散但未见痊愈,适宜服用甘遂散来攻下积滞。
太山赤皮甘遂(二两)
以上一味药捣碎过筛,用白蜜二合调和,服用量如大豆粒大小,服药后若感觉心下部烦闷,大便微通利者,每日服用一次;若未通便,可改为每日两次,逐渐增加剂量至半钱匕,以大便微通利为限度。在此期间,可交替使用猪苓散或黄柏寄生汤,这些方剂记载在治疗子淋的方剂中。(《经心录》同样收录于第七卷的子淋方中,仅有猪苓散,没有黄柏寄生汤。)
《古今录验》治疗妊娠患病六七天以上,邪气入脏,身体发热,大小便不通畅,具有安胎清热功效的葵子汤方。
以上两味药,用水五升,煎煮取汁一升,一次性服完,不久即可大小便通畅而痊愈。(出自第二十四卷。)
《短剧》治疗妊娠期间突然昏厥、眼睛失明不识人,片刻后苏醒,醒来后又复发且不再清醒的情况,称为“痓”病,也称为子痫病,又称子冒。葛根汤若有新鲜竹沥可以迅速辨别者,应当先制作竹沥汁,然后再煎煮汤药;如果竹子遥远无法立即获取竹沥者,应当先煎煮汤药。这两种治疗方法只需掌握其中一种,竹沥特别擅长治疗各种导致气息断绝、起死回生的病症,不仅对妊娠产妇因痓病导致的假死有效,小儿突发癫痫或金疮(金属利器造成的创伤),使用此法也验证有效。制作竹沥的方法:
选取新砍伐的青淡竹,截断它,去掉两头节,保留中间一节,将竹子剖开片状并侧放,使竹子两头悬空,在上面排列烧灼中间部分,两头流出的汁液用容器承接,取汁服用。
另外主治“子冒”的葛根汤,治疗妊娠临近预产期时,因感受风邪引发痓病,突然昏愦不识人,呕吐逆乱、眩晕跌倒,短暂清醒后又复发,称为子痫病的方剂。
贝母 葛根 丹皮(去心) 木防己 防风 当归 川芎 桂肉(切碎炒制) 茯苓 泽泻 甘草(炙,各二两) 独活 石膏(捣碎) 人参(各三两)
以上十四味药切碎,用水九升,煎煮取汁三升,分两次服用。贝母有助于顺利生产,如果尚未临近预产期,可用升麻代替。忌食海藻、菘菜和醋。(均出自第七卷。)
*Short Ju* treats sublin (dysuria during pregnancy) characterized by difficulty in both urination and defecation, and rapid breathing. If *Zhuling San* has been taken without improvement, it is appropriate to take *Gansui San* to purge the accumulation.
Taishan Chipi Gansui (Cortex Kansui Radix from Mount Tai, two liang).
The above single ingredient is pounded and sifted, mixed with two he of white honey. The dosage is like a soybean grain. If the patient feels vexation in the epigastrium after taking the medicine, or if there is slight defecation, administer once a day. If defecation does not occur, increase to twice a day. Gradually increase the dose up to half a qianbi (a small measuring spoon), stopping when slight defecation occurs. During this period, *Zhuling San* or *Huangbai Jisheng Tang* may be alternated; these formulas are found in the section treating sublin. (*Jingxin Lu* also records this in Volume 7 under the sublin section, containing only *Zhuling San* without *Huangbai Jisheng Tang*.)
*Gu Jin Lu Yan* treats pregnancy illness lasting six or seven days or more, where pathogenic factors enter the zang organs, causing fever and difficulty in both urination and defecation. This is the *Kuzi Tang* formula for calming the fetus and clearing heat.
Kuzi (Abutilon Semen, two sheng). Huashi (Talcum, four liang, crushed).
The above two ingredients are decocted in five sheng of water to obtain one sheng of liquid, which is taken all at once. Soon after, urination and defecation will become unobstructed, and the condition will heal. (From Volume 24.)
*Short Ju* treats sudden syncope with blindness and inability to recognize people during pregnancy, followed by brief awakening, recurrence of symptoms, and failure to regain consciousness again. This is called "Chong" disease (spasm/stiffness), also known as Zi Xian (eclampsia of pregnancy) or Zi Mao (pregnancy-related dizziness/syncope). For *Gegen Tang*, if fresh bamboo sap (Zhuli) is readily available for quick identification/administration, prepare the bamboo sap first, then decoct the herbal soup. If bamboo is distant and fresh sap cannot be obtained immediately, decoct the herbal soup first. Either method is acceptable; however, Zhuli (Bamboo Sap) is particularly effective in treating various conditions leading to cessation of breath and reviving the seemingly dead. It is not only effective for pregnant women dying from Chong but also verified for infants with sudden epilepsy or Jin Chuang (metal weapon injuries).
Method for making Zhuli:
Select newly felled Qingdan Bamboo (Qiongtheca suavis), cut it off, remove the nodes at both ends, leaving only the central node. Slice the bamboo and place it sideways so that both ends hang empty. Arrange it and burn the central part. Catch the juice flowing out from both ends in a vessel for consumption.
Additionally, the *Gegen Tang* mentioned above for treating Zi Mao treats eclampsia occurring near term due to wind-pathogen invasion causing Chong. Symptoms include sudden confusion, inability to recognize people, vomiting, vertigo, falling, brief awakening followed by recurrence. This is the formula for Zi Xian.
Beimu (Fritillaria Bulb), Gegen (Puerariae Radix), Danpi (Moutan Cortex, heart removed), Mufangji (Stephaniae Tetrandrae Radix), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Xiong (Ligusticum Rhizome), Guirou (Cinnamomi Cortex, chopped and stir-fried), Fuling (Poria), Zexie (Alismatis Rhizoma), Gancao (Licorice Root, honey-fried, each two liang), Duhuo (Angelicae Pubescentis Radix), Shigao (Gypsum Fibrosum, crushed), Renshen (Ginseng Radix, each three liang).
The above fourteen ingredients are chopped and decocted in nine sheng of water to obtain three sheng of liquid, divided into two doses. Beimu facilitates childbirth; if not yet near term, replace it with Shengma (Cimicifugae Rhizoma). Avoid consuming Haizao (Sargassum), Songcai (Brassica pekinensis), and vinegar. (All from Volume 7.)