疗妇人妊娠恶阻,呕吐不下食。
青竹茹 橘皮(各三两) 生姜 茯苓(各四两) 半夏(五两)
上细切,以水六升,煮取二升半,去滓,分三服。不瘥,频服。忌羊肉、饧、酢等物。
《古今录验》疗妊娠不欲食,或吐,春月所宜服柴胡方。
甘草 柴胡(各二两) 麻黄(一两) 食茱萸(半两) 大枣(十二个)
上细切,以水六升,煮取三升,适寒温服一升,日三。疗食噫醋,除热下气,所宜多
与上同。但秋、夏去茱萸,加枸杞一升;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;十月加川芎三分。忌海藻、菘菜。
凡妇人妊娠胎动,不以日月多少而常堕胎者;有虽有胎而月信虽不多,常来而胎不损者
。《产宝方》云∶妇人妊娠常胎动不安者,由冲任经虚,胞门、子户受胎不实故也。并有饮
酒、房室过度,有所损动不安者。巢氏云∶妇人冲任二经,挟风寒而有胎,故不以日月多寡
,因误有击触而胎动者。有喜怒不常,气宇不舒,伤于心肝,触动血脉,冲任经虚,乃致胞
门不固;或因登高上厕,风攻阴户,入于子宫,如此皆令胎动不安也。曾有以娠妇月信不绝
,而胎不损,问产科能宗古者。答曰∶妇人血盛气衰,其人必肥。既娠之后,月信常来,而
胎不动,若据晚进观之,便以为漏胎。若作漏胎治之,则胎必堕;若不作漏胎治,则其胎未
必堕。今推宗古之言,诚有旨也。巢氏云∶妇人经闭不利,别无所苦者,是谓有子。以其经
血蓄之以养胎,拥之为乳汁也。有子之后,蓄以养胎矣,岂可复能散动邪?所以然者,有娠
而月信每至,是亦未必因血盛也。若谓妇人荣经有风,则经血喜动,以其风胜则可也。既荣
经为风所胜,则所来者非养胎之血。以此辨之,若作漏胎,治之必服保养、补胎之药。且胎
不损,强以药滋之,乃所谓实实虚虚也。其胎终堕宜矣。若医知所荣经有风之理,专以一药
治风,经信可止。或不服药,胎亦无恙。然而有胎本不固,而因房室不节,先漏而后堕者,
须作漏胎治之,此又不可不审也。亦有妇人年方壮岁,听医官言,某药可服致补暖而子,使
胞门子户为药所操搏。(《巢氏病源》并《产宝方》并谓之胞门子户;张仲景谓之血室。)使
新血不滋,旧血不下,设或有子,不以迟晚则必堕。中年之后,气宇渐衰,必有崩中、带下
之疾。或月信愆期,渐觉黄瘦,腰背不伸,五心烦热,五劳七伤之疾从此而生,不独胞门、
子户风寒而生也。故《千金翼方》有朴硝荡胞汤,正为此疾。今之医者未见有用,亦未见有
知之者。又论妊娠胎动,其由有二。一因母病而胎动,但疗母疾,其胎自安。若胎不坚固自
动,其母疾唯当安胎,其母自愈。一因劳役气力,或触冒冷热,或饮食不适,或居处失宜。
轻者转动不安,重者便致伤堕,当以母形色察之。母面赤舌青色者,儿死母活;唇口青,两
边沫出者,子母俱死;面青舌赤,口中沫出者,母死子活也。
治疗妇女妊娠期间恶阻,呕吐且无法进食。
青竹茹、橘皮(各三两)、生姜、茯苓(各四两)、半夏(五两)。
以上药材细切,用水六升,煎煮至二升半,滤去药渣,分三次服用。若未痊愈,可频繁服用。忌食羊肉、饴糖、醋等食物。
《古今录验》记载治疗妊娠食欲不振,或伴有呕吐,春季适宜服用的柴胡方。
甘草、柴胡(各二两)、麻黄(一两)、食茱萸(半两)、大枣(十二个)。
以上药材细切,用水六升,煎煮至三升,待温度适宜时服用一升,每日三次。治疗饮食后嗳气泛酸,清除内热,降逆下气,效果显著。
此方随季节变化加减:但春、夏季去掉茱萸,加枸杞一升;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、白菜。
凡是妇女妊娠期间胎动,不论怀孕月份多少,经常发生堕胎的;或者虽然有胎,月经量虽不多,却经常来潮而胎儿不受损伤的。《产宝方》说:妇女妊娠常出现胎动不安,是由于冲任经虚,胞门、子户受胎不实所致。也有因饮酒、房事过度,有所损伤导致胎动不安的。巢元方说:妇女冲任二经,挟带风寒而有胎,所以不论怀孕月份多少,因误有击触而导致胎动的。也有因喜怒无常,气机不畅,损伤心肝,触动血脉,冲任经虚,致使胞门不固;或因登高、如厕,风邪侵袭阴户,进入子宫,如此皆会导致胎动不安。曾经有人问产科医生,为何有的孕妇月经不断而胎儿不受损伤,能否遵循古法。回答是:妇女血盛气衰,其人必定肥胖。既然怀孕之后,月经常来,而胎儿不动,如果根据后世观点来看,便认为是漏胎。如果按漏胎治疗,则胎儿必然流产;如果不按漏胎治疗,则胎儿未必会流产。现在推究遵循古法的言论,确实有其深意。巢元方说:妇女经闭不利,没有其他不适的,这叫做有孕。因为经血蓄积以养胎,充盈成为乳汁。有了胎儿之后,经血蓄积以养胎了,怎么还能再散动呢?之所以这样,是因为怀孕而月经每月都来,这也未必是因为血盛。如果说妇女荣经有风,那么经血喜欢动,因为风邪胜是可以的。既然荣经被风邪所胜,那么流出的就不是养胎的血。以此辨别,如果当作漏胎治疗,必须服用保养、补胎的药物。况且胎儿未受损,强行用药滋补,这就是所谓的“实实虚虚”(使实证更实,虚证更虚)。其胎儿最终流产也是应该的。如果医生知道荣经有风的道理,专门用一种药治风,月经自然可以停止。或者不服药,胎儿也无恙。然而有胎本就不稳固,因房事不节,先见漏红而后流产的,须按漏胎治疗,这又不可不仔细审察。也有妇女正值壮年,听信医官的话,说某药可服用以温补暖宫生子,使胞门子户为药物所操控。(《巢氏病源》和《产宝方》都称之为胞门子户;张仲景称之为血室。)使新血不能滋生,旧血不能下行,假设有孕,不论早晚必然流产。中年以后,气机逐渐衰退,必然会有崩中、带下的疾病。或者月经延期,渐渐觉得面色萎黄消瘦,腰背僵硬不伸,五心烦热,五劳七伤的疾病从此产生,不仅仅是胞门、子户受风寒所致。所以《千金翼方》中有朴硝荡胞汤,正是为此疾而设。现在的医生未见有用过的,也未见有知道的。又论妊娠胎动,其原因有二。一是因母亲生病而导致胎动,只需治疗母亲的疾病,胎儿自然安定。如果胎儿不坚固而自行胎动,母亲疾病只需安胎,母亲自愈。一是因劳累气力,或触犯冷热,或饮食不适,或居住不当。轻者转动不安,重者便导致损伤流产,应当通过母亲的面色形态来观察。母亲面赤舌青色的,儿死母活;唇口青,两边嘴角流沫的,母子俱死;面青舌赤,口中流沫的,母死子活也。
Treats pregnant women with nausea and vomiting during pregnancy (Ezu, 恶阻), unable to eat.
Qingzhuru (Green Bamboo Shavings), Jupi (Citrus Peel) (each 3 liang), Shengjiang (Fresh Ginger), Fuling (Poria) (each 4 liang), Banxia (Pinellia Rhizome) (5 liang).
Finely cut the above ingredients, boil in 6 sheng of water until reduced to 2.5 sheng, remove dregs, divide into three doses. If not cured, take frequently. Avoid mutton, maltose, vinegar, etc.
"Gujin Luyan" records a Chaihu Decoction for treating lack of appetite during pregnancy, or vomiting, suitable for spring.
Gancao (Licorice Root), Chaihu (Bupleurum Root) (each 2 liang), Mahuang (Ephedrae Herba) (1 liang), Shizhuyu (Zanthoxyli Fructus / Edible Prickly Ash Fruit) (0.5 liang), Dazao (Jujube) (12 pieces).
Finely cut the above ingredients, boil in 6 sheng of water until reduced to 3 sheng, take 1 sheng when temperature is appropriate, three times a day. Treats belching with acid reflux, clears heat, directs qi downward, highly effective.
Modifications: In spring and summer, remove Zhuyu, add Gouqi (Lycium Fruit) 1 sheng; in June, add Xiaomai (Tritici Semen) 1 sheng, Shigao (Gypsum Fibrosum) 3 liang; in autumn, remove Shigao, add Gancao (Licorice Root) 1 liang; in September, remove Mahuang (Ephedrae Herba), add Ganjiang (Zingiberis Rhizoma) 1 liang; in October, add Chuanxiong (Ligusticum Chuanxiong Rhizome) 3 fen. Avoid Haizao (Sargassum), Songcai (Chinese Cabbage).
For any woman whose fetus moves during pregnancy, regardless of gestational age, who frequently miscarries; or who has a fetus but experiences menstrual bleeding, albeit light, regularly without harming the fetus. "Chanbao Fang" states: Frequent fetal movement and insecurity during pregnancy are due to deficiency of the Chong and Ren meridians, and the Bao Men and Zi Hu (uterine opening) failing to secure the conception. It may also be caused by excessive drinking or sexual activity, causing damage and insecurity. Chao Yuanfang states: When the Chong and Ren meridians harbor wind-cold while pregnant, fetal movement occurs due to accidental physical impact, regardless of gestational age. It may also result from irregular emotions, stagnant qi, damaging Heart and Liver, disturbing blood vessels, leading to Chong-Ren deficiency and instability of the Bao Men; or from climbing heights, using the toilet, where wind attacks the Yin aperture and enters the uterus, all causing fetal movement and insecurity. Once, someone asked obstetricians why some pregnant women have continuous menstruation without fetal harm, if ancient methods apply. The answer was: Women with abundant blood and deficient qi tend to be obese. After pregnancy, if menstruation continues but the fetus remains stable, modern views might diagnose it as Lou Tai (threatened abortion/bleeding during pregnancy). Treating it as Lou Tai would likely cause miscarriage; not treating it as such might preserve the fetus. Examining ancient wisdom reveals profound meaning. Chao Yuanfang says: Amenorrhea without other discomfort indicates pregnancy. Menstrual blood accumulates to nourish the fetus and transforms into milk. Once pregnant, blood accumulates for the fetus, so it shouldn't flow freely. However, continued menstruation during pregnancy isn't necessarily due to excess blood. If one claims Wind in the Ying Meridian causes blood to move, this is plausible. Since Wind dominates the Ying Meridian, the flowing blood is not that which nourishes the fetus. Differentiating thus, treating it as Lou Tai requires tonic herbs for securing the fetus. If the fetus is intact but forced with tonics, it constitutes "Shi Shi Xu Xu" (reinforcing excess and depleting deficiency). Miscarriage would then be expected. If doctors understand the Wind in Ying Meridian theory, treating only the Wind can stop menstruation. Or even without medication, the fetus remains safe. However, if the fetus is inherently unstable, and leakage precedes miscarriage due to immoderate sex, it must be treated as Lou Tai, requiring careful examination. Also, young women trusting physicians' advice to take warming/tonic herbs to conceive may manipulate the Bao Men and Zi Hu. (Both "Chaoshi Bingyuan" and "Chanbao Fang" call this Bao Men Zi Hu; Zhang Zhongjing calls it Xue Shi/Blood Chamber.) This prevents new blood generation and old blood discharge. If pregnancy occurs, miscarriage is inevitable. After middle age, qi declines, leading to Beng Zhong (metrorrhagia/menorrhagia) and Dai Xia (leukorrhea). Menstrual delays, yellow emaciation, stiff back, five-palm heat, and Five Labors and Seven Injuries arise, not just from wind-cold in the Bao Men/Zi Hu. Thus, "Qianjin Yifang" has Poxiao Dangbao Tang for this condition. Modern doctors rarely use or know it. Regarding fetal movement, there are two causes. One: maternal illness causes fetal movement; treat the mother's illness, and the fetus settles. Two: If the fetus is unstable and moves spontaneously, treat the mother's illness by calming the fetus, and the mother heals herself. Another cause: fatigue, exposure to cold/heat, improper diet, or living conditions. Mild cases cause restlessness; severe cases lead to injury or miscarriage. Observe the mother's complexion: Red face, blue tongue indicates dead fetus, living mother; Blue lips/mouth, foam at corners indicates death of both mother and fetus; Blue face, red tongue, foam in mouth indicates dead mother, living fetus.