治妊娠咳嗽不止,胎不安。(六方出产科)
甘草 杏仁(各一分) 紫菀(一两) 桑白皮(一分) 苦梗(三分) 天门冬(一
两)
上 咀,每服三钱。水一盏,竹茹一块,煎至七分去滓,入蜜半匙,再煎二沸,温服。
疗妊娠咳嗽方。
以车 烧赤投酒中,候冷冻饮料之,良。
疗妊娠伤寒,涎多咳嗽。
知母 杏仁 天门冬 桑白皮(等分)
上 咀,每服三钱。水一盏,煎至七分,去滓服。
妊娠喘嗽不止,宜服《局方》华盖散,稳重而有效。
论曰∶夫妊娠吐血者,皆由脏腑所伤。为忧、思、惊、怒,皆伤脏腑,气逆吐血,吐血
而心闷胸满未欲止,心闷甚者死。妊娠病此,多堕胎也。
《局方》必胜散 有效,治吐血不止。
马勃,用生布擦为末,浓米饮调下。(昌黎先生云∶牛溲、马勃、败鼓之皮,俱收并蓄,
待用无遗者,医师之良也。)
论曰∶妊娠苦烦闷者,以四月受少阴君火气以养精;六月受少阳相火气以养气。若母心
惊胆寒,多有烦闷,名曰子烦也。《产宝》云∶夫妊娠而子烦者,是肺脏虚而热乘于心,则
令心烦也。停痰积饮在心胸之间,或冲于心,亦令烦也。若热而烦者,但热而已;若有痰饮
而烦者,呕吐涎沫,恶闻食气,烦躁不安也。大抵妊娠之人,既停痰积饮,又虚热相搏,气
郁不舒;或烦躁,或呕吐涎沫,剧则胎动不安,均谓之子烦也。
治疗妊娠期间咳嗽不止,导致胎气不安。(此六首方剂出自产科部分)
甘草、杏仁(各一分)、紫菀(一两)、桑白皮(一分)、桔梗(三分)、天门冬(一两)。
以上药材切碎,每次服用三钱。用水一盏,加入竹茹一块,煎煮至七分,滤去药渣,加入半匙蜂蜜,再煮沸两次,温服。
治疗妊娠咳嗽的方剂。
将车前草烧红后投入酒中,待冷却冰冻后饮用,效果良好。
治疗妊娠伤寒,痰涎多且咳嗽。
知母、杏仁、天门冬、桑白皮(等分)。
以上药材切碎,每次服用三钱。用水一盏,煎煮至七分,滤去药渣服用。
妊娠期间气喘咳嗽不止,适宜服用《太平惠民和剂局方》中的华盖散,药性稳重且有效。
论述说:妊娠期间吐血,都是由于脏腑受损所致。忧愁、思虑、惊恐、愤怒都会损伤脏腑,导致气逆而吐血。如果吐血伴有心胸闷满且不能停止,心胸极度闷痛者会死亡。妊娠期间患此病,大多会导致流产。
《太平惠民和剂局方》中的必胜散有效,用于治疗吐血不止。
马勃,用生布擦拭成粉末,用浓米汤调服。(昌黎先生韩愈说:“牛溲、马勃、败鼓之皮,都收集保存起来,等待使用时无一浪费,这是良医的做法。”)
治疗鼻出血。用白茅花浓煎汁液服用。(也可以从第七卷治疗吐血的方剂中选择选用。)
论述说:妊娠期间感到烦闷痛苦的,是因为怀孕四个月时受少阴君火之气以滋养精气;六个月时受少阳相火之气以滋养元气。如果母亲心惊胆寒,多有烦闷感,这叫做“子烦”。《产宝》中说:妊娠期间出现子烦,是肺脏虚弱而热气乘袭心脏,从而导致心烦。停聚的痰饮积聚在心胸之间,或者冲犯心脏,也会导致烦闷。如果是热邪导致的烦闷,只是发热而已;如果有痰饮导致的烦闷,则会呕吐涎沫,厌恶闻见食物的气味,烦躁不安。大抵妊娠妇女,既有停聚的痰饮积滞,又有虚热相互搏结,气机郁结不舒展;或者烦躁,或者呕吐涎沫,严重时胎动不安,都称为“子烦”。
Treats persistent coughing during pregnancy, leading to fetal instability. (These six formulas are from the Obstetrics section)
Gancao (Licorice Root), Xingren (Apricot Seed) (each 1 fen), Ziwan (Aster Root) (1 liang), Sangbaipi (Mulberry Bark) (1 fen), Jiegeng (Platycodon Root) (3 fen), Tianmendong (Asparagus Tuber) (1 liang).
The above herbs are chopped. Take 3 qian per dose. Add one zhan of water and a piece of Zhuru (Bamboo Shavings), decoct until reduced to 0.7 zhan, filter out the dregs, add half a spoonful of honey, boil two more times, and take warm.
Formula for treating cough during pregnancy.
Burn Cheqiancao (Plantain Herb) until red-hot, throw it into wine, wait until it is chilled and frozen, then drink it; this is effective.
Treats cold damage during pregnancy with excessive saliva and coughing.
Zhimu (Anemarrhena Rhizome), Xingren (Apricot Seed), Tianmendong (Asparagus Tuber), Sangbaipi (Mulberry Bark) (equal parts).
The above herbs are chopped. Take 3 qian per dose. Add one zhan of water, decoct until reduced to 0.7 zhan, filter out the dregs, and take.
For persistent wheezing and coughing during pregnancy, it is advisable to take Huagai San (Hua Gai Powder) from *Ju Fang* (Formulas of the Bureau), which is steady and effective.
Discussion states: Hematemesis (vomiting blood) during pregnancy is caused by injury to the Zang-Fu organs. Worry, rumination, fright, and anger all injure the Zang-Fu organs, causing Qi rebellion and hematemesis. If hematemesis is accompanied by chest oppression and fullness that does not cease, severe chest oppression leads to death. Pregnancy complicated by this condition often results in miscarriage.
Shengsan San (Victory Powder) from *Ju Fang* is effective for treating persistent hematemesis.
Mabo (Lycoperdon), wipe with raw cloth to make powder, mix with thick rice water and swallow. (Mr. Changli [Han Yu] said: "Niusou (Field Horsetail), Mabo (Puffball), and Baigu Zhi Pi (Old Drum Skin) are all collected and stored, used without waste; this is the virtue of a good physician.")
Treats epistaxis (nosebleed). Decoct Baimaohua (White Thistle Flower) strongly to make juice and take it. (Alternatively, select from the hematemesis formulas in Volume Seven.)
Discussion states: The distress and oppression felt during pregnancy occur because at four months of gestation, the body receives the Qi of Shaoyin Junhuo (Ministerial Fire of Shaoyin) to nourish Jing (Essence); at six months, it receives the Qi of Shaoyang Xianghuo (Assistant Fire of Shaoyang) to nourish Qi. If the mother is frightened and her gallbladder is cold, she often experiences oppression and distress, known as "Zifan" (Fetal Oppression/Restlessness). *Chanbao* states: Fetal Restlessness during pregnancy is due to Lung deficiency allowing Heat to invade the Heart, causing mental restlessness. Stagnant Phlegm and accumulated fluids between the heart and chest, or rushing towards the heart, also cause restlessness. If the restlessness is due to Heat, there is merely heat; if due to Phlegm-Fluids, there is vomiting of saliva and froth, aversion to the smell of food, and irritability. Generally, pregnant women have stagnant Phlegm and accumulated fluids combined with deficient Heat fighting each other, causing Qi stagnation and discomfort; whether manifesting as irritability or vomiting saliva and froth, and severely leading to fetal movement instability, all are termed "Zifan".