达生散(见《妇人规古方》)妊娠临月,服十余剂则易产。或加砂仁、枳壳,如兼别证,以意增减。
诗云∶诞弥厥月,先生如达。注曰∶先生,首生也;达,小羊也。羊子易生,故以此名之。
人参 白术 当归 白芍 陈皮 紫苏(各一钱) 炙甘草(二钱) 大腹皮(酒洗晒干三钱)
水一钟半,煎服。一方无当归、白芍、白术。
钱氏 生化汤(见《妇人规古方》)此钱氏世传治妇人者。
当归(五钱) 川芎(二钱) 甘草(炙五分) 焦姜(三分) 桃仁(十粒,去皮尖双仁) 熟地(三钱)
上 咀,水二钟,枣二枚,煎八分,温服。
一方无熟地(按∶后世多用无熟地一方)。
附加减法∶凡胎衣不下,或血冷气闭、血枯气弱等证,连服生化汤二三剂即下,或用此送益母丸一丸,即
下。盖益母草行血养血,性善走而不伤人者也。凡妇人无论胎前产后,皆宜此药。凡血晕虚晕,加荆芥穗六七
分。凡产妇气虚气脱,倦怠无力,加人参、黄 。凡阳虚厥逆,加附子、肉桂。脉虚烦渴,加麦冬、五味子。
气壅有痰,加陈皮、竹沥。血虚血燥便结,加麻仁、杏仁、苁蓉。多汗不眠,加茯神、枣仁、黄 ;上体多汗
加麻黄根,下体多汗加汉防己。烦热,加丹皮、地骨皮。口噤,如风反张螈 者,加荆芥、防风各三四分。恶
露未尽,身发寒热,头痛胁胀,其小腹必然胀痛,加红花、丹皮、肉桂各三四分,玄胡一钱。内伤饮食,加山
楂、陈皮、砂仁,或神曲、麦芽。外伤寒湿,或加苍
术、白术。血积食积,胃有燥粪,脐腹胀痛,加大黄二钱。产后下血不止,或如屋漏水,沉黑不红,或断或
来,或如水或有块,淋沥不休,此气血大虚之候,不可误用寒凉,其脉浮脱者,可加附子辈诸阳分药,否则无
救矣。佛手散单用当归三钱、川芎二钱,此即其变方也。
《会稽钱氏世传》曰∶“尝论产证,本属血虚、阴亡、阳孤,气亦俱病。如大补则气血陡生,倘失调则诸
邪易袭。四物避芍药之寒,四物得姜、桃之妙,气毋耗散,法兼补虚;食必扶脾,勿专消导;热不可用芩、
连,恐致宿秽凝滞;寒不宜用桂、附,反招新血流崩。三阳见表证之多,似可汗也,用麻黄则重竭其阳;三阴
见里证之剧,似可下也,用承气则大涸其血。耳聋胁痛乃肾虚,恶露之停,休用柴胡;
谵语汗多乃元弱,似邪之证,毋同胃实,厥由阳气之衰,难分寒热,非大补不能回阳。痉因阴血之亏,岂论
刚柔,非滋营阴以润络。潮热似疟,以疟治则迁延。神乱如邪,以邪论则立困。总属大虚,须从峻补。去
血多而大便燥,苁蓉加于生化,非润肠和气之能通。患汗出而小便难,六君倍用参 ,必生津助液之可利。
加参生化频服,救产后之危。活命长生,调摄须产前加意。
加味芎归汤(见《妇人规古方》)治分娩交骨不开,或五七日不下,垂死者。
生男女妇人发(一握烧存性) 自死龟壳(一个或占过者亦可,酥炙) 川芎
当归(各一两)
上咀,每用一两,水煎服,良久,不问生死,胎自下。
《良方》当归汤滑胎催生(见胎气上逼)。
经验滑石散(见《妇人规古方》)治产难。凡水下胎干,胎滞不生,用此最效。
滑石(飞过一两) 白蜜 香油(各半盏)
上将油蜜慢火熬熟三四沸,掠去沫,调滑石末,顿服。外以油调于产妇脐腹,上下摩之,立效。
佛手散(见杀血心痛)
达生散(见《妇人规古方》):妊娠临近预产期时,服用十余剂即可顺利分娩。或者加入砂仁、枳壳,如果兼有其他证候,根据具体情况增减药味。
古诗云:“诞弥厥月,先生如达。”注释说:“先生”指头胎生产;“达”指小羊。小羊生产容易,所以用这个名字来命名此方。
人参、白术、当归、白芍、陈皮、紫苏(各一钱),炙甘草(二钱),大腹皮(酒洗后晒干三钱)。
用水一钟半,煎煮后服用。另一版本没有当归、白芍、白术。
钱氏生化汤(见《妇人规古方》):这是钱氏家族世代相传治疗妇人疾病的方子。
当归(五钱),川芎(二钱),甘草(炙五分),焦姜(三分),桃仁(十粒,去皮尖且为双仁者),熟地黄(三钱)。
将药材捣碎,用水两钟,大枣两枚,煎至八分满,温服。
另一版本没有熟地黄(按语:后世多使用无熟地黄的这一版本)。
加减法:凡是胎衣不下,或血冷气闭、血枯气弱等证候,连续服用生化汤二三剂即可排出,或者用此汤送服益母丸一丸,即可排出。因为益母草能行血养血,性质善于走窜而不伤人。凡是妇女无论产前产后,都适宜使用此药。凡是血晕虚晕,加荆芥穗六七分。凡是产妇气虚气脱,倦怠无力,加人参、黄芪。凡是阳虚厥逆,加附子、肉桂。脉虚烦渴,加麦冬、五味子。气壅有痰,加陈皮、竹沥。血虚血燥导致便秘,加火麻仁、杏仁、肉苁蓉。多汗不眠,加茯神、酸枣仁、黄芪;上半身多汗加麻黄根,下半身多汗加汉防己。烦热,加牡丹皮、地骨皮。口噤,像风邪引起的角弓反张抽搐者,加荆芥、防风各三四分。恶露未尽,身体发寒热,头痛胁胀,小腹必然胀痛,加红花、牡丹皮、肉桂各三四分,玄胡索一钱。内伤饮食,加山楂、陈皮、砂仁,或者神曲、麦芽。外伤寒湿,或者加苍术、白术。血积食积,胃中有燥屎,脐腹胀痛,加大黄二钱。产后下血不止,或者像屋漏水一样,颜色沉黑不红,或断或续,或者如水或有血块,淋漓不休,这是气血大虚的征候,不可误用寒凉药物,其脉浮脱者,可以加附子类诸阳分药物,否则就无法救治了。佛手散单用当归三钱、川芎二钱,这就是它的变方。
《会稽钱氏世传》说:“曾经论述产证,本属血虚、阴亡、阳孤,气也全部生病。如果大补则气血突然生成,倘若调理失当则各种邪气容易侵袭。四物汤避开芍药的寒性,四物汤得到姜、桃的妙用,气不会耗散,方法兼顾补虚;饮食必须扶持脾胃,不要专门消导;热证不可用黄芩、黄连,恐怕导致宿便秽物凝滞;寒证不宜用肉桂、附子,反而招致新血流崩。三阳经出现表证较多,似乎可以用发汗法,但用麻黄则会再次竭尽阳气;三阴经出现里证严重,似乎可以用攻下法,但用承气汤则会大量枯竭血液。耳聋胁痛是肾虚,恶露停滞,不要用柴胡;谵语汗多是元气虚弱,看似邪气的证候,不要当作胃实处理,厥逆是由于阳气衰微,难以分辨寒热,不是大补不能回阳。痉挛是因为阴血亏损,岂论刚痉柔痉,不是滋养营阴以润络脉不行。潮热像疟疾,用治疟的方法则会拖延病情。神志混乱像中邪,按邪气论治则会立刻困顿。总归是大虚证,必须从峻补入手。失血多而大便干燥,在生化汤中加入肉苁蓉,并非仅仅依靠润肠和气的功能就能通便。患汗出而小便困难,六君子汤倍用人参、黄芪,必定依靠生津助液的功能才能通利。加参生化汤频繁服用,可挽救产后危局。想要活命长生,调摄必须在产前多加注意。
加味芎归汤(见《妇人规古方》):治疗分娩时交骨不开,或者五七日胎儿不下,垂死之人。
生男女人的头发(一握烧存性),自死的龟壳(一个,或者占过卦的也可以,酥炙),川芎,当归(各一两)。
将药材捣碎,每次用一两,水煎服,过了很久,不问生死,胎儿自然下来。
经验滑石散(见《妇人规古方》):治疗难产。凡是羊水已下而胎干,胎滞不生,用此方最效。
滑石(飞过一两),白蜜,香油(各半盏)。
先将油蜜用慢火熬熟三四沸,撇去泡沫,调入滑石末,一次性服用。外用油调和涂抹于产妇脐腹部,上下按摩,立即见效。
Daseng San (Cordis Ginseng Decoction, see "Ancient Formulas in Furen Gui"): When pregnancy nears the due date, taking more than ten doses facilitates easy delivery. Alternatively, add Amomi Fructus (Shaoren) and Aurantii Fructus (Zhiqiao); if other syndromes are present, adjust the ingredients according to judgment.
The ancient poem states: "In the month of birth, the firstborn is like a lamb." The annotation explains: "Firstborn" refers to the first delivery; "Da" refers to a small sheep. Sheep give birth easily, hence this name for the formula.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Chen Pi (Citri Reticulatae Pericarpium), Zi Su (Perillae Folium) (each 1 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (2 qian), Da Fu Pi (Arecae Pericarpium) (washed with wine, sun-dried, 3 qian).
Add one and a half zhong of water, decoct and take. Another version lacks Dang Gui, Bai Shao, and Bai Zhu.
Qian Shi Shenghua Tang (Qian's Life-Generating Decoction, see "Ancient Formulas in Furen Gui"): This is a formula passed down through generations of the Qian family for treating women's diseases.
Dang Gui (Angelicae Sinensis Radix) (5 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (pre-fried, 5 fen), Jiao Jiang (Scorched Zingiberis Rhizoma) (3 fen), Tao Ren (Persicae Semen) (10 grains, skin and pointed ends removed, double-kernelled), Shu Di Huang (Rehmanniae Radix Praeparata) (3 qian).
Crush the herbs, add two zhong of water and two dates, decoct until reduced to eight-tenths, and take warm.
Another version lacks Shu Di Huang (Note: Later generations mostly use the version without Shu Di Huang).
Modifications: For retained placenta, or syndromes of blood stasis with cold qi obstruction, blood deficiency with qi weakness, etc., continuously taking Shenghua Tang for two or three doses will expel it, or send down Yi Mu Wan (Motherwort Pill) with this decoction. Motherwort (Yi Mu Cao) moves and nourishes blood, its nature is good at moving without harming people. Women should use this medicine whether before or after childbirth. For syncope due to blood loss or deficiency, add Jing Jie Sui (Schizonepetae Spica) 6-7 fen. For postpartum qi deficiency and collapse, fatigue and weakness, add Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix). For yang deficiency with reversal cold, add Fu Zi (Aconiti Lateralis Radix Praeparata) and Rou Gui (Cinnamomi Cortex). For deficient pulse with irritability and thirst, add Mai Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Fructus). For qi stagnation with phlegm, add Chen Pi (Citri Reticulatae Pericarpium) and Zhu Li (Bambusae Sap). For blood deficiency and dryness leading to constipation, add Ma Ren (Canavaliae Semen) or Hemp Seed, Xing Ren (Armeniacae Semen Amarum), and Cong Rong (Cynomorii Herba). For excessive sweating and insomnia, add Fu Shen (Poria Cum Radice Xyli) and Zao Ren (Ziziphi Spinosae Semen); for upper body sweating add Ma Huang Gen (Ephedrae Radix et Rhizoma), for lower body sweating add Han Fang Ji (Stephaniae Tetrandrae Radix). For irritability and heat, add Dan Pi (Moutan Cortex) and Di Gu Pi (Lycii Cortex). For lockjaw, resembling wind-induced opisthotonos and convulsions, add Jing Jie (Schizonepetae Herba) and Fang Feng (Saposhnikoviae Radix) each 3-4 fen. If lochia is not exhausted, accompanied by chills and fever, headache and hypochondriac distension, and inevitable lower abdominal pain and distension, add Hong Hua (Carthami Flos), Dan Pi (Moutan Cortex), Rou Gui (Cinnamomi Cortex) each 3-4 fen, and Yuan Hu (Corydalis Rhizoma) 1 qian. For internal injury from diet, add Shan Zha (Crataegi Fructus), Chen Pi (Citri Reticulatae Pericarpium), Sha Ren (Amomi Fructus), or Shen Qu (Massa Medicata Fermentata) and Mai Ya (Hordei Fructus Germinatus). For external injury from cold and dampness, add Cang Zhu (Atractylodis Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma). For blood and food accumulation, dry stool in the stomach, umbilical and abdominal distension and pain, add Da Huang (Rhei Radix et Rhizoma) 2 qian. For continuous postpartum bleeding, resembling roof leakage, dark black and not red, intermittent or flowing, watery or with clots, unceasing dribbling, this is a sign of severe qi and blood deficiency. Do not mistakenly use cold-cooling medicines. If the pulse is floating and depleted, add Fu Zi (Aconiti Lateralis Radix Praeparata) and other yang-tonifying drugs; otherwise, there is no rescue. Fo Shou San (Buddha's Hand Powder) uses only Dang Gui (Angelicae Sinensis Radix) 3 qian and Chuan Xiong (Ligustici Chuanxiong Rhizoma) 2 qian; this is its modified form.
"Kuaiqi Qian Family Generations" states: "I have discussed obstetric syndromes; they essentially belong to blood deficiency, yin exhaustion, and yang isolation, with qi also being diseased. Great tonification causes qi and blood to arise abruptly; if regulation fails, various pathogens easily invade. Si Wu Tang avoids the coldness of Bai Shao (Paeoniae Radix Alba); Si Wu Tang gains the wonder of Ginger (Jiang) and Peach Kernel (Tao Ren); qi does not dissipate, the method combines tonification; diet must support the spleen, do not specialize in digestion; heat cannot be treated with Huang Qin (Scutellariae Radix) and Huang Lian (Coptidis Rhizoma), lest old feces stagnate; cold is unsuitable for Rou Gui (Cinnamomi Cortex) and Fu Zi (Aconiti Lateralis Radix Praeparata), lest new blood flow cause hemorrhage. Three Yang meridians showing many exterior symptoms seem suitable for sweating, but using Ma Huang (Ephedrae Herba) would exhaust yang again; Three Yin meridians showing severe interior symptoms seem suitable for purging, but using Cheng Qi Tang (Harmonizing the Qi Decoction) would greatly deplete blood. Deafness and hypochondriac pain indicate kidney deficiency; for stopped lochia, do not use Chai Hu (Bupleuri Radix); delirium and excessive sweating indicate yuan qi weakness; seemingly pathogenic symptoms, do not treat as stomach excess; reversal cold is due to decline of yang qi, hard to distinguish cold and heat, only great tonification can restore yang. Spasms are due to yin-blood deficiency, regardless of rigid or flexible spasms, only nourishing Ying-yin to moisten collaterals works. Tidal fever resembling malaria, treating as malaria prolongs the condition. Mental confusion resembling possession, treating as pathogen leads to immediate distress. All belong to great deficiency, must proceed with vigorous tonification. After much blood loss with dry stool, adding Cong Rong (Cynomorii Herba) to Shenghua Tang is not merely for moistening intestines and harmonizing qi to achieve bowel movement. With sweating and difficult urination, doubling Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix) in Liu Jun Zi Tang relies on generating fluids and assisting liquids to promote urination. Adding Ren Shen to Shenghua Tang and taking it frequently saves postpartum crises. To live long and healthy, care must be taken during pregnancy preparation.
Jia Wei Xiong Gui Tang (Modified Ligusticum and Angelica Decoction, see "Ancient Formulas in Furen Gui"): Treats failure of the pubic symphysis bones to open during delivery, or fetus retention for five to seven days, in critical cases.
Sheng Nan Nv Ren Fa (Hair of living men and women, one handful, burned to retain efficacy), Zi Si Gui Ke (Shell of dead turtle, one piece, or one used for divination is acceptable, fried with butter), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix) (each 1 liang).
Crush the herbs, use one liang per dose, decoct in water, wait a long time, regardless of life or death, the fetus will naturally descend.
"Liang Fang" Dang Gui Tang (Angelica Decoction) for lubricating pregnancy and inducing labor (see Upper-forcing Fetal Qi).
Experience Huashi San (Talcum Powder) (see "Ancient Formulas in Furen Gui"): Treats dystocia. When amniotic fluid has drained but the fetus is dry and stagnant, this formula is most effective.
Hua Shi (Talcum) (passed through water, 1 liang), Bai Mi (White Honey), Xiang You (Sesame Oil) (each half zhan).
Slowly boil oil and honey until three or four boils, skim off foam, mix with Hua Shi powder, take in one dose. Externally, mix oil and apply to the mother's navel and abdomen, massage up and down, immediate effect.
Fo Shou San (Buddha's Hand Powder) (see Heart Pain from Blood Loss)