《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。
太山赤皮甘遂(二两)
上一味为末,以白蜜二合,和服如大豆粒,多觉心下烦,得微下者,日一服,下之后还
将猪苓散。不得下,日二服,渐加至半钱,以微利为度。《经心录》同。
疗妊娠小便涩痛,兼疗胎水。
猪苓(五两,去皮)
上为末,白汤调方寸匕,加至二匕,日三夜二。不瘥,宜转下之,服前药。
《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。
葵子(二升) 滑石(四两,碎)
上以水五升,煮取一升,去滓尽服。须臾当下便愈。
又方∶葵子(一合) 川朴硝(二两)
上研,每服三钱。水一盏,煎至六分,去滓温服。
治妊娠大小便不通,心腹胀满妨闷,不欲饮食,手足烦热。
槟榔 赤茯苓 大腹皮 木通 郁李仁(去皮尖) 北五味(各一两) 桑寄生 甘草 苦
梗(各半两)
上为粗末,每服三钱。水一盏,煎至六分,温服。
治妊娠大小便不通,热闭心膈,腹胁妨闷,妨害饮食。
大黄 木通 槟榔(各一两) 枳壳(三分) 大腹子(三枚) 诃梨勒(四个,去核,
半生半煨)
上为末,以童便一盏,葱白二寸,同煎至六分,调下二钱。
《短剧》记载治疗妊娠期间患子淋(妊娠期小便涩痛)的方剂,症状表现为大小便均不通畅,呼吸急促。如果服用猪苓散后病情未愈,适宜服用甘遂散以通下泻实。
太山赤皮甘遂(二两)
将上述一味药研成细末,用白蜜二合调和,每次服用如大豆粒大小的药量。若服药后感觉心下部烦闷不适,出现轻微腹泻的情况,则每日服用一次;若服后大便通畅,之后仍继续服用猪苓散进行调理。若仍未通便,可改为每日服用两次,并逐渐增加剂量至半钱,以产生轻微腹泻作为疗效标准。《经心录》中的记载与此相同。
治疗妊娠期间小便涩痛,兼治胎水(妊娠期水肿或羊水异常)。
猪苓(五两,去皮)
将上述药物研成细末,用开水调服一方寸匕的量,逐渐增加至两方寸匕,每日服用三次,夜间服用两次。若病情未愈,宜改用下方通下,即服用前文所述的甘遂散类方药。
《古今录验》记载治疗妊娠患病六、七天以上,邪热入里影响脏腑,导致大小便不通利,具有安胎除热功效的葵子汤。
冬葵子(二升) 滑石(四两,捣碎)
以上药物用水五升,煎煮取汁一升,滤去药渣,一次性服完。不久之后大小便会通畅,疾病痊愈。
另一个方子:冬葵子(一合) 川朴硝(二两)
将上述药物研磨混合,每次服用三钱。用水一盏,煎煮至剩余六分,滤去药渣,温服。
治疗妊娠期间大小便不通,心腹胀满憋闷,不想进食,手足烦热。
槟榔 赤茯苓 大腹皮 木通 郁李仁(去皮尖) 北五味子(各一两) 桑寄生 甘草 苦桔梗(各半两)
将上述药物制成粗末,每次服用三钱。用水一盏,煎煮至剩余六分,温服。
治疗妊娠期间大小便不通,热邪闭阻心胸膈部,腹部胁肋部胀满憋闷,妨碍饮食。
大黄 木通 槟榔(各一两) 枳壳(三分) 大腹子(三枚) 诃梨勒(四个,去核,一半生用一半煨制)
将上述药物研成细末,用童子尿一盏,葱白二寸,一同煎煮至剩余六分,用药粉调服二钱。
The *Duanju* records a treatment for *Zilin* (dysuria during pregnancy) characterized by difficulty in both urination and defecation, and rapid breathing. If the patient has taken *Zhuling San* without relief, it is appropriate to administer *Gansui San* to purge the accumulation.
Taishan Chipi Gansui (2 liang)
Grind the above single herb into powder. Mix with 2 he of white honey and take doses the size of soybean grains. If one feels palpitations or discomfort in the epigastrium after taking the medicine, and experiences slight diarrhea, take once daily. After the bowels are unblocked, resume taking *Zhuling San*. If there is no bowel movement, take twice daily, gradually increasing the dose to half a qian, using mild diarrhea as the therapeutic goal. The record in *Jingxin Lu* is identical.
Treats dysuria during pregnancy and also addresses fetal water retention (edema or abnormal amniotic fluid).
Zhuling (5 liang, skin removed)
Grind the above herb into powder. Take one fangcun bi (a square-inch measure) mixed with warm water, increasing to two fangcun bi. Take three times daily and twice at night. If not relieved, switch to the purgative formula mentioned previously.
The *Gujin Luyan* records *Kui Zi Tang* for treating pregnancy complications lasting six to seven days or more, where heat enters the zang organs causing difficulty in urination and defecation; this formula calms the fetus and clears heat.
Kuizi (2 sheng) Huashi (4 liang, crushed)
Boil the above herbs in 5 sheng of water until reduced to 1 sheng. Strain and take all at once. Bowel and urinary movements will likely become free shortly thereafter, and the disease will resolve.
Another prescription: Kuizi (1 he) Chuan Poxiao (2 liang)
Grind together. Take 3 qian each time. Boil in 1 cup of water until reduced to 60%, strain, and take warm.
Treats constipation and urinary retention during pregnancy, accompanied by abdominal distension and fullness, loss of appetite, and vexatious heat in the hands and feet.
Binglang Chi Fuling Dafupi Mutong Yuliren (skin and tip removed) Bei Wuweizi (each 1 liang) Sangjisheng Gancao Kugeng (each 0.5 liang)
Process into coarse powder. Take 3 qian each time. Boil in 1 cup of water until reduced to 60%, strain, and take warm.
Treats constipation and urinary retention during pregnancy, with heat blocking the chest and diaphragm, abdominal and hypochondriac distension and fullness, interfering with eating.
Dahuang Mutong Binglang (each 1 liang) Zhiqiao (3 fen) Dafuzi (3 pieces) Helile (4 pieces, pitted, half raw half roasted)
Grind into powder. Decoct with 1 cup of child's urine and 2 cun of scallion white until reduced to 60%. Mix with the powder and take 2 qian.