治胎前诸疾。或因怒,中气充子脏,或充脬脉,腹急肚胀,腰腹时疼,不思饮
食,四肢浮肿,气急时喘,大便忽难,小便忽涩,产门忽肿。
当归(一两) 赤茯苓 枳壳 白芍药 川芎(各二两) 川白姜(炮) 木香(煨) 粉
草(各半两)
上 咀,每服三大钱。水一盏半,姜三片,煎至八分,去滓,无时温服。如禀受气弱及
南人,枳壳减半;如气实及北人,于内加分量服之。或连日大便秘涩,加蜜同煎。
初虞世治妊娠大便秘涩方。
枳壳(三两) 防风(二两) 甘草(炙,一两)
上为细末,沸汤点服一、二钱,空心,日三。
又治虚羸大便秘方。
枳壳(制) 阿胶(炒,等分)
上为细末,炼蜜和剂杵二、三千下,丸如梧子大。别研滑石末为衣,温水下二十丸。半
日来未通,再服三十丸,止于五十丸。
又方∶车前子(一两) 大黄(半两,炒)
上为细末,每服三钱,空心,蜜汤调下。
论曰∶夫妊娠小便不通者,由小肠有热,热入于脬,内热结甚者,故令小便不通也。若
小便不通,则心胁、小腹气涩而喘急也。陈无择云∶凡妊娠胎满逼脬,多致小便不利者。或
心肾气不足,不能使脬冷,清浊相干,为诸淋病;或胞系了戾,小便不通,名曰转胞。又胎
满尿出不知时,名曰遗尿,治之各有方。
治疗妊娠期间各种疾病。有的因为发怒,导致中气充塞子宫(子脏),或者充塞膀胱脉络(脬脉),腹部拘急、肚腹胀满,腰部和小腹时常疼痛,不想喝水饮食,四肢浮肿,呼吸急促甚至喘息,大便突然困难,小便突然涩滞不通,产门突然肿胀。
当归(一两) 赤茯苓 枳壳 白芍药 川芎(各二两) 川白姜(炮制) 木香(煨制) 粉草(各半两)
以上药物切碎,每次服用三大钱。用水一盏半,生姜三片,煎煮至八分满,滤去药渣,随时温服。如果体质禀受之气虚弱以及南方人,枳壳用量减半;如果气实以及北方人,在其中增加分量服用。或者连续几天大便秘结涩滞,加蜂蜜同煎。
初虞世治疗妊娠大便秘结涩滞的方子。
枳壳(三两) 防风(二两) 甘草(炙,一两)
以上药物研成细末,用沸水冲服一、二钱,空腹时服用,每天三次。
又治疗身体虚弱消瘦且大便秘结的方子。
枳壳(炮制) 阿胶(炒,等量)
以上药物研成细末,用炼蜜调和药剂捣杵二、三千下,制成梧桐子大小的丸药。另外将滑石研成细末作为包衣,温水送服二十丸。半天后仍未通便,再服用三十丸,最多不超过五十丸。
以上药物研成细末,每次服用三钱,空腹时,用蜜汤调服。
论述说:妊娠期间小便不通的原因,是由于小肠有热,热气侵入膀胱(脬),内部热邪结聚严重,所以导致小便不通。如果小便不通,就会导致心胁部和小腹部气机涩滞而喘息急促。陈无择说:凡是妊娠胎体增大压迫膀胱,多导致小便不利的情况。或者是心肾之气不足,不能使膀胱寒冷(指气化功能失常),清浊之气相互干扰,形成各种淋证疾病;或者是胞系扭转不顺,小便不通,名叫转胞。还有胎体增大尿液流出不知时间,名叫遗尿,治疗它们各有相应的方剂。
Treats various diseases during pregnancy. Some cases arise from anger, causing the middle Qi to fill the uterus (Zizang) or the bladder meridians (Paomai), resulting in abdominal tension and distension, frequent pain in the waist and abdomen, loss of appetite and thirst, edema of the four limbs, shortness of breath with occasional asthma, sudden difficulty in defecation, sudden astringency and obstruction of urination, and sudden swelling of the birth canal.
Dang Gui (Radix Angelicae Sinensis, 1 liang) Chi Fu Ling (Poria Cocos with Red Sand, 2 liang each) Zhi Qiao (Fructus Aurantii, 2 liang each) Bai Shao Yao (Radix Paeoniae Lactiflorae, 2 liang each) Chuan Xiong (Rhizoma Chuanxiong, 2 liang each) Chuan Bai Jiang (Rhizoma Zingiberis Recens, processed/fired, 0.5 liang each) Mu Xiang (Radix Aucklandiae, roasted/warmed, 0.5 liang each) Fen Cao (Radix Glycyrrhizae Uralensis, 0.5 liang each).
Crush the above herbs. Take three qian per dose. Add one and a half zhan of water and three slices of ginger. Decoct until reduced to eight fen. Remove the dregs and take warm at any time. If the constitution is weak due to endowment, or for people from the South, reduce the dosage of Zhi Qiao by half; if the Qi is excess or for people from the North, increase the dosage within the formula. If constipation persists for several days, add honey and decoct together.
Chu Yushi's prescription for treating severe constipation during pregnancy:
Zhi Qiao (Fructus Aurantii, 3 liang) Fang Feng (Radix Saposhnikoviae, 2 liang) Gan Cao (Radix Glycyrrhizae Uralensis, roasted, 1 liang).
Grind the above into fine powder. Mix with boiling water and take one or two qian. Take on an empty stomach, three times a day.
Another prescription for treating emaciation and severe constipation:
Zhi Qiao (Fructus Aurantii, prepared) E Jiao (Colla Corii Asini, fried, equal parts).
Grind the above into fine powder. Mix with refined honey to form a paste, pound 2,000 to 3,000 times. Shape into pills the size of mulberry seeds. Coat with powder of Hua Shi (Talcum) separately prepared. Take twenty pills with warm water. If no bowel movement occurs after half a day, take another thirty pills, not exceeding fifty pills in total.
Another prescription:
Che Qian Zi (Semen Plantaginis, 1 liang) Da Huang (Radix et Rhizoma Rhei, fried, 0.5 liang).
Grind the above into fine powder. Take three qian per dose. Take on an empty stomach, mixed with honey water.
Discussion states: The cause of urinary retention during pregnancy lies in heat in the Small Intestine. Heat enters the bladder (Pao). When internal heat accumulation is severe, it causes urinary retention. If urine cannot be discharged, Qi stagnation in the heart, hypochondrium, and lower abdomen leads to shortness of breath and urgency. Chen Wuyue said: In pregnancy, when the full fetus presses against the bladder, it often leads to difficult urination. This may be due to insufficiency of Heart and Kidney Qi, failing to keep the bladder cold (referring to dysfunction of Qi transformation), causing turbid and clear energies to interfere, resulting in various strangury diseases; or due to the twisting of the bladder ligaments (Baoxi), causing urinary retention, named Zhuanbao (Displacement of the Bladder). Also, when the full fetus causes involuntary leakage of urine without awareness, it is named Yi Niao (Urinary Incontinence). Each has its specific treatment prescriptions.