芍药(半斤) 当归 茯苓 白术(各四两) 泽泻 川芎(各二两) 共研末。每服二两。用姜
三片枣一枚。煎水送。
此症如因风寒所搏。用紫苏饮。加生姜。系气血虚。加八珍汤。系中气虚。用补中益气汤。
如胀痛。用安胎饮。加升麻。白术。服之不应。兼服补中益气汤。
风冷乘虚入滞则痛。若使腰痛甚则堕胎矣。如因外邪所伤。用独活寄生汤。因气血滞郁。用
紫苏饮。加枳壳。因劳伤元气。用八珍汤。加杜仲。砂仁。阿胶。艾叶。因脾肾阴虚。加白
术。补骨脂。因肝火所伤。用小柴胡汤。加白术。枳壳。山栀。因肝脾郁结。用归脾汤。加
柴胡。枳壳。
治腰痛不可忍。
破故纸(瓦上焙五钱熟为末) 胡桃(一个) 空心温酒嚼下三钱。
此症或云儿口含脐带上疙瘩。因母高举臂脱出。故啼。令母曲腰就地。如拾物状。仍令入儿
口即止。
岐伯云。大积大聚其可犯也。衰其大半而止。过者死。故重身毒之。有故无损。亦无殒也。
醋煮香附(四两) 桃仁(去皮尖) 蛤粉(醋煮) 白术(各一两) 为末。面糊丸服。
嗽有风寒、痰热、虚损、气喘之异。咳有心肝、脾、肾、肺之分。治当知其因。审所属。则
咳嗽止。而胎自安矣。
肺咳则喘息有声。甚者唾血。(肺藏气而应息。故喘息有声。肝络逆。故吐血。)
心咳心痛。喉仲介介如梗状。甚者咽肿喉痹。(小肠失气。)
肝咳则两胁下痛。甚至不可转。转则两胁下满。(呕水胆汁。)
脾咳右胁下痛。隐隐引肩。甚则不可动。动则咳剧。(胃呕而食虫出。)
肾咳则腰背引痛。甚则咳涎。膀胱遗溺(三焦腹满。不欲饮食。)
治嗽因风寒。
芍药(半斤)、当归、茯苓、白术(各四两)、泽泻、川芎(各二两),共同研磨成粉末。每次服用二两,用生姜三片、大枣一枚煎水送服。
此症若因风寒邪气搏结所致,使用紫苏饮,加生姜;若属于气血虚弱,加八珍汤;若属于中气虚弱,使用补中益气汤。如出现胀痛,使用安胎饮,加升麻、白术;服用后无效,兼服补中益气汤。
风冷之邪乘虚侵入导致气滞则疼痛。如果腰痛严重,会导致堕胎。若因外邪损伤,使用独活寄生汤;因气血滞郁,使用紫苏饮,加枳壳;因劳伤元气,使用八珍汤,加杜仲、砂仁、阿胶、艾叶;因脾肾阴虚,加白术、补骨脂;因肝火所伤,使用小柴胡汤,加白术、枳壳、山栀;因肝脾郁结,使用归脾汤,加柴胡、枳壳。用于治疗难以忍受的腰痛。
破故纸(在瓦上焙至五钱重,研为细末)、胡桃(一个),空腹时用温酒嚼服三钱。
此症有人说婴儿口中含着脐带上的疙瘩,因为母亲高举手臂导致脱出,所以啼哭。让母亲弯腰贴近地面,像拾物一样的姿势,仍让婴儿含住即可停止啼哭。
空房鼠窟前后的泥土研为细末,加入麝香(一二厘)混合在内,用酒送服二钱。
黄连煎汁含咽。(以上两个方剂中,麝香具有开窍作用,黄连性寒,都应当酌情使用。)
岐伯说:对于大的积聚病证,可以使用攻伐之法,但病势衰退大半时就应停止,过度攻伐会导致死亡。所以妊娠期间慎用毒药。但有病邪存在时用药不会损伤正气,也不会造成伤害。
醋煮香附(四两)、桃仁(去皮尖)、蛤粉(醋煮)、白术(各一两),研为粉末,用面糊制成丸剂服用。
咳嗽有风寒、痰热、虚损、气喘的不同。咳有心、肝、脾、肾、肺五脏的区别。治疗应当知道病因,审察所属脏腑,那么咳嗽停止,胎儿自然安定。
肺咳则喘息有声,严重的唾血。(肺藏气而主呼吸,所以喘息有声。肝络逆乱,所以吐血。)
心咳心痛,喉咙中有异物感如梗状,严重的咽喉肿痛喉痹。(小肠失于通降之气。)
肝咳则两胁下疼痛,甚至不能转身,转身则两胁下胀满。(呕吐水和胆汁。)
脾咳右胁下疼痛,隐隐牵连肩部,严重时不能活动,活动则咳嗽加剧。(胃气上呕而出食虫。)
Shao Yao (Paeoniae Radix, half jin), Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma, four liang each), Ze Xie (Alismatis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma, two liang each), all ground into powder. Take two liang per dose, delivered with water decocted from three slices of Sheng Jiang (Zingiberis Rhizoma) and one Zao (Jujubae Fructus).
If this syndrome is caused by the binding of Wind-Cold pathogenic factors, use Zi Su Yin (Perilla Decoction) with added Sheng Jiang (Zingiberis Rhizoma); if it belongs to Qi and Blood deficiency, add Ba Zhen Tang (Eight Treasure Decoction); if it belongs to Middle Qi deficiency, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If distension and pain occur, use An Tai Yin (Fetus-Calming Decoction) with added Sheng Ma (Cimicifugae Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma); if ineffective after administration, concurrently take Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Wind-Cold pathogens invading due to deficiency causing Qi stagnation result in pain. If lower back pain is severe, it may lead to miscarriage. If injured by external pathogens, use Du Huo Ji Sheng Tang (Radix Angelicae Pubescentis Decoction for Expelling Dampness and Nourishing Liver and Kidney); due to Qi and Blood stagnation and depression, use Zi Su Yin (Perilla Decoction) with added Zhi Ke (Aurantii Fructus Pericarpium); due to labor injuring Yuan Qi (Primal Qi), use Ba Zhen Tang (Eight Treasure Decoction) with added Du Zhong (Eucommiae Cortex), Sha Ren (Amomi Fructus), E Jiao (Colla Corii Asini), and Ai Ye (Artemisiae Argyi Folium); due to Spleen and Kidney Yin deficiency, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Gu Bu Zhi (Psoraleae Fructus); due to injury by Liver Fire, use Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Ke (Aurantii Fructus Pericarpium), and Shan Zhi (Gardeniae Fructus); due to Liver and Spleen depression and knotting, use Gui Pi Tang (Restore the Spleen Decoction) with added Chai Hu (Bupleuri Radix) and Zhi Ke (Aurantii Fructus Pericarpium). Used to treat unbearable lower back pain.
Gu Bu Zhi (Psoraleae Fructus) (baked on a tile until five qian, ground into fine powder), Hu Tao (Walnut Kernel, one piece), chewed and taken with warm wine on an empty stomach, three qian per dose.
Regarding this syndrome, some say that the infant holds a nodule on the umbilical cord in its mouth; because the mother raised her arms high, it protruded, causing crying. Instruct the mother to bend her waist close to the ground, as if picking up an object, and allow the infant to suckle again to stop the crying.
Fine powder from the soil at the front and back of a rat burrow in an empty room, mixed with Mo Xiang (Moschus, 1-2 li), taken with wine, two qian per dose.
Decoct Huang Lian (Coptidis Rhizoma) and sip the juice. (In the above two formulas, Mo Xiang (Moschus) opens orifices, and Huang Lian (Coptidis Rhizoma) is cold in nature; both should be used with discretion.)
Qi Bo stated: For large accumulations and聚 (masses), attack methods may be employed, but cease when the pathogen has diminished by more than half; over-treatment leads to death. Therefore, toxic substances are used cautiously during pregnancy. When there is a pathogenic factor, treatment causes no damage, nor does it harm.
Xiang Fu (Cyperi Rhizoma) boiled in vinegar (four liang), Tao Ren (Persicae Semen) (skin and tip removed), Ge Fen (Concha Meretricis) (boiled in vinegar), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (one liang each), ground into powder, formed into pills with wheat paste, and taken orally.
Cough varies according to Wind-Cold, Phlegm-Heat, Deficiency-Consumption, and Asthma. Coughing involves distinctions among the Heart, Liver, Spleen, Kidney, and Lung. Treatment must ascertain the cause and the affected organ; then the cough will cease, and the fetus will naturally be secured.
Lung cough presents with wheezing and audible breath sounds; severe cases involve spitting blood. (The Lung stores Qi and governs respiration, hence wheezing with sound. Reversal of Liver collaterals causes hematemesis/hemoptysis.)
Heart cough presents with heart pain and a sensation of obstruction in the throat as if something were stuck; severe cases involve swollen throat and throat bi-syndrome. (Small Intestine fails to descend Qi.)
Liver cough presents with pain under both hypochondria, so severe that turning is impossible; turning causes fullness under both hypochondria. (Vomiting of water and bile.)
Spleen cough presents with pain under the right hypochondrium, faintly radiating to the shoulder; severe cases make movement impossible, and movement aggravates the cough. (Stomach Qi rebels, vomiting food and intestinal parasites.)
Kidney cough presents with pulling pain in the lower back; severe cases involve coughing up saliva and enuresis. (San Jiao (Triple Burner) abdominal fullness, loss of appetite.)
Treatment for cough caused by Wind-Cold.