(附论)
夫妊娠之人。若肝经有热。播流血脉。散于肌肉。营气不从于肉理。则生痈肿诸疮之类。
内经谓。诸痛痒疮皆属于心。治法宜调经络。平腑脏。则邪壅之疾自瘥。
方
分气汤 治妊娠诸疮。利心经。散壅滞。
麦门冬 槟榔 当归 大腹皮 甘草 木通 羌活 芎 桑根白皮(锉各一两) 大
黄
(炒三分) 上粗捣筛。每服三钱。水一盏。煎至六分去滓。空心日午临卧温服。
薄荷丸 治妊娠气血壅滞。致身体生疮瘙痒。
干薄荷叶(二两) 荆芥穗(一两半) 蔓荆实(去白皮) 玄参 甘草 大黄 人参 麦
门
冬(去心各一两) 羌活 细辛(去苗叶一两半) 上为末。炼蜜丸如鸡头大。每服一丸。
茶酒
嚼
白芷丸 治妊娠风气壅头目不利。身体生疮。
白芷(三两) 芎 天南星(水煮各一两) 羌活(半两) 菊花(三分) 藿香叶
(一两)
防风(半两) 细辛(一两) 当归(一两) 上捣罗为末。酒煮面糊丸如梧桐子大。每服
二十丸。
薄
地黄丸 治妊娠诸疮。
生干地黄 黄芩 人参 荆芥 栀子仁 黄 甘草 干薄荷叶(各一两) 上为末。
炼
蜜丸如梧桐子大。每服二十丸。温汤下。不拘时。
皂荚子散 治妊娠气壅生疮。
皂荚子(二百枚) 槐实 甘草 干薄荷叶 黄 荆芥穗(各一两) 芎 天麻(各
半
两) 上捣罗为散。每服一钱匕。温酒调下。沸汤亦得。不拘时。
荆芥汤 治妊娠血气壅滞。身体生疮。心神不宁。
荆芥穗 芎 细辛 威灵仙 甘草(各一两炙) 皂荚(半两不蛀者去皮涂酥炙) 上
粗
捣筛。每服二钱匕。水一盏。煎至六分去滓。食后临卧温服之。
黄 汤 治妊娠气血壅滞生疮。
黄 苦参 羌活 独活 恶实 甘草(炙各一两) 上粗捣筛。每服三钱匕。水一盏。
煎至七分去滓。温服。
秦艽丸 治妊娠疮疥。烦热瘙痒。
秦艽(半两) 黄 枳壳 漏芦 防风(各一两半) 黄连(去须半两) 上为末。
炼蜜丸
如梧桐子大。每服二十丸。温酒空心。日午夜卧服。
祛风散 治妊娠风热气盛。攻身体生疮。皮肤燥涩。大便结滞。
羌活(去芦头二两) 大黄(湿纸裹煨二两) 黄 (锉三两) 芎 (一两) 朴硝
(别研半
两) 当归(切焙一两半) 上捣罗为细散。与朴硝匀。每服一钱匕。日午夜卧。用温蜜水
调
下。微利为度。
治疮 妇人妊娠。患此疾者并治之。
黄桑条(去皮锉碎熬灰) 苍茸草(热灰) 上相和令滤过。又将童子小便一处相和。
煎用。
涂在疮口里三五日去靥根为妙。
治孕痈方。
用乌药研。出洪州软白香辣者良。水一盏。牛皮胶一片。同煎至七分温服。
治脑疽疮 治妊娠妇人患此疮者。
用地石榴草煎酒吃为妙。
罩胎散 治孕妇痘疮已发。急宜服之。以解热毒。不治伤胎。
赤茯苓(去皮) 白术 当归(中截) 白芍药 赤芍药 柴胡 干葛 人参(去芦) 桔
梗(去芦) 黄芩 防风 陈皮(去白) 荆芥 枳壳 紫草 阿胶(炒) 糯米(炒) 川
白芷 甘草(炙) 川芎 缩砂仁(炒) 大热加郁金 上锉。每服三钱。水一盏半。干柿
蒂七枚。野苎
根七寸。甜瓜蒂七枚。同银器煎。以小荷叶盖定。去滓。盏盛。仍用荷叶盖覆。空心服。昝
氏曰。金银能安胎。如无银器。以瓦器煎。金箔、银箔研入药内。
治妊娠上膈有热。唇口生疮。非时头痛不安。小便黄赤。
升麻 杏仁 前胡(去毛) 桔梗 黄芩 麦门冬(去心) 葛根 知母(各等分) 上
细杵
罗为末。每服二钱。水一盏。生姜二片。同煎取八分。食后临卧服。
(附论)
妊娠期间的女性,如果肝经有热邪,热邪流注血脉,散布于肌肉之间,导致营气不能顺从地运行于腠理(皮肤纹理及汗孔),就会发生痈肿等各种疮疡类疾病。
《黄帝内经》中说:各种疼痛、瘙痒和疮疡,都归属于心(心主火,火毒蕴结)。治疗原则应当调理经络,平衡脏腑功能,那么邪气壅滞导致的疾病自然痊愈。
方剂
分气汤:治疗妊娠期间各种疮疡。功效为清利心经,消散气机壅滞。
药材组成:麦门冬、槟榔、当归、大腹皮、甘草、木通、羌活、川芎、桑根白皮(锉碎,各一两)、大黄(炒制,三分)。
用法:将上述药物捣成粗末过筛。每次服用三钱,加水一盏,煎煮至六分,去药渣。在空腹、中午及睡前温服。
薄荷丸:治疗妊娠期间气血壅滞,导致身体生疮且瘙痒。
药材组成:干薄荷叶(二两)、荆芥穗(一两半)、蔓荆实(去除白皮)、玄参、甘草、大黄、人参、麦门冬(去心,各一两)、羌活、细辛(去苗叶,一两半)。
用法:将上述药物研为细末,用炼蜜制成如鸡头大小的丸剂。每次服用一丸,嚼碎后用茶或酒送服。
白芷丸:治疗妊娠期间风气壅滞,导致头目不清利,身体生疮。
药材组成:白芷(三两)、川芎、天南星(水煮,各一两)、羌活(半两)、菊花(三分)、藿香叶(一两)、防风(半两)、细辛(一两)、当归(一两)。
用法:将上述药物捣碎过罗成细末,用酒煮面糊制成如梧桐子大小的丸剂。每次服用二十丸。
地黄丸:治疗妊娠期间各种疮疡。
药材组成:生干地黄、黄芩、人参、荆芥、栀子仁、黄芪、甘草、干薄荷叶(各一两)。
用法:将上述药物研为细末,用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,用温水送下,不限时间。
皂荚子散:治疗妊娠期间气机壅滞生疮。
药材组成:皂荚子(二百枚)、槐实、甘草、干薄荷叶、黄芪、荆芥穗(各一两)、川芎、天麻(各半两)。
用法:将上述药物捣碎过罗成散剂。每次服用一钱匕,用温酒调服,沸水也可,不限时间。
荆芥汤:治疗妊娠期间血气壅滞,身体生疮,心神不宁。
药材组成:荆芥穗、川芎、细辛、威灵仙、甘草(炙,各一两)、皂荚(半两,无蛀虫者,去皮涂酥炙)。
用法:将上述药物捣成粗末过筛。每次服用二钱匕,加水一盏,煎煮至六分,去药渣。饭后及睡前温服。
黄芪汤:治疗妊娠期间气血壅滞生疮。
药材组成:黄芪、苦参、羌活、独活、牛蒡子、甘草(炙,各一两)。
用法:将上述药物捣成粗末过筛。每次服用三钱匕,加水一盏,煎煮至七分,去药渣,温服。
秦艽丸:治疗妊娠期间疮疥,烦热瘙痒。
药材组成:秦艽(半两)、黄芪、枳壳、漏芦、防风(各一两半)、黄连(去须,半两)。
用法:将上述药物研为细末,用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,空腹时及日午夜卧时用温酒送服。
祛风散:治疗妊娠期间风热气盛,攻冲身体生疮,皮肤干燥涩滞,大便结滞不通。
药材组成:羌活(去芦头,二两)、大黄(湿纸包裹煨熟,二两)、黄芪(锉碎,三两)、川芎(一两)、朴硝(单独研磨,半两)、当归(切后焙干,一两半)。
用法:将除朴硝外的药物捣罗成细散,与朴硝混合均匀。每次服用一钱匕,日午夜卧时用温蜂蜜水调服,以轻微腹泻为度。
治疮方:妇人妊娠期间患此疾者均适用。
药材组成:黄芪桑条(去皮锉碎熬成灰)、苍茸草(置于热灰中烧焦)。
用法:将两者混合过滤,再加入童子小便一起煎煮使用。
外用方法:涂抹在疮口内,待三五日后去除结痂根部为佳。
治孕痈方:
使用乌药研磨。出自洪州的软白香辣者品质较好。加水一盏,加入一片牛皮胶,同煎至七分,温服。
治脑疽疮:治疗妊娠妇女患此疮的情况。
用地石榴草煎酒服用为佳。
罩胎散:治疗孕妇痘疮已经发出,急需服用,以解除热毒,且不伤胎气。
药材组成:赤茯苓(去皮)、白术、当归(取中段)、白芍药、赤芍药、柴胡、干葛(葛根)、人参(去芦头)、桔梗(去芦头)、黄芩、防风、陈皮(去白)、荆芥、枳壳、紫草、阿胶(炒制)、糯米(炒制)、川白芷、甘草(炙)、川芎、缩砂仁(炒制)。若大热则加郁金。
用法:将上述药物锉碎。每次服用三钱,加水一盏半,加入干柿蒂七枚、野苎根七寸、甜瓜蒂七枚,同用银器煎煮。用小荷叶盖住容器,去药渣,用盏盛装,仍用荷叶覆盖。空腹服用。昝氏说:金银能安胎,如果没有银器,可用瓦器煎煮。金箔、银箔研入药内。
治妊娠上膈有热,唇口生疮,非时头痛不安,小便黄赤。
药材组成:升麻、杏仁、前胡(去毛)、桔梗、黄芩、麦门冬(去心)、葛根、知母(各等分)。
用法:将上述药物细细杵碎过罗成末。每次服用二钱,加水一盏,生姜两片,同煎取八分,食后及睡前服用。
(Attached Discussion)
In pregnant women, if there is heat in the Liver Meridian, the heat flows into the blood vessels and scatters into the muscles. When Ying Qi (Nutritive Qi) fails to follow the proper course through the Cou Li (skin texture and interstices), various sores such as carbuncles and swellings may arise.
The *Nei Jing* (Inner Canon) states: "All pain, itching, and sores belong to the Heart." The treatment principle should be to regulate the meridians and balance the Zang-Fu organs, so that diseases caused by pathogenic stagnation will naturally heal.
Formulas
Fenqi Tang (Separating Qi Decoction): Treats various sores during pregnancy. It benefits the Heart Meridian and dissipates stagnation.
Ingredients: Ophiopogonis Radix (Maidong), Arecae Semen (Binglang), Angelicae Sinensis Radix (Danggui), Arecae Pericarpium (Dafupi), Glycyrrhizae Radix et Rhizoma (Gancao), Akebiae Caulis (Mutong), Notopterygii Radix et Rhizoma (Qianghuo), Ligustici Chuanxiong Rhizoma (Chuanxiong), Morus Albae Cortex Radicis (Sangbaipipi) (all cut into pieces, 1 liang each); Rheum Palmatum Radix et Rhizoma (Dahuang) (stir-fried, 3 qian).
Usage: Coarsely grind and sieve the above ingredients. Take 3 qian per dose, add 1 zhan of water, decoct until 6 fen remains, remove the dregs, and take warm on an empty stomach, at noon, and before bed.
Bohe Wan (Peppill): Treats body sores with itching caused by Qi and Blood stagnation during pregnancy.
Ingredients: Menthae Haplocalycis Herba (Boheye) (2 liang), Schizonepetae Spica (Jingjiesui) (1.5 liang), Viticis Fructus (Manjingzi) (deprived of white skin), Scrophulariae Radix (Xuanshen), Glycyrrhizae Radix et Rhizoma (Gancao), Rheum Palmatum Radix et Rhizoma (Dahuang), Ginseng Radix (Renshen), Ophiopogonis Radix (Maidong) (deprived of heart, 1 liang each), Notopterygii Radix et Rhizoma (Qianghuo), Asari Radix et Rhizoma (Xixin) (deprived of roots and leaves, 1.5 liang).
Usage: Grind into powder, make pills with refined honey the size of a chicken head. Take one pill per dose, chew it, and swallow with tea or wine.
Baizhi Wan (Angelica Dahurica Pill): Treats wind-Qi stagnation causing unclear head and eyes, and body sores during pregnancy.
Ingredients: Angelicae Dahuricae Radix (Baizhi) (3 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Pinelliae Tuber (Tiannanxing) (boiled in water, 1 liang each), Notopterygii Radix et Rhizoma (Qianghuo) (0.5 liang), Chrysanthemi Flos (Juhua) (3 fen), Pogostemonis Herba (Huoxiangye) (1 liang), Saposhnikoviae Radix (Fangfeng) (0.5 liang), Asari Radix et Rhizoma (Xixin) (1 liang), Angelicae Sinensis Radix (Danggui) (1 liang).
Usage: Grind into fine powder, make pills with wine-boiled wheat paste the size of a sophora seed. Take 20 pills per dose.
Dihuang Wan (Rehmannia Pill): Treats various sores during pregnancy.
Ingredients: Rehmanniae Radix Preparata (Shenggan Dihuang), Scutellariae Radix (Huangqin), Ginseng Radix (Renshen), Schizonepetae Spica (Jingjie), Gardeniae Fructus (Zhizi Ren), Astragali Membranacei Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Menthae Haplocalycis Herba (Boheye) (1 liang each).
Usage: Grind into powder, make pills with refined honey the size of a sophora seed. Take 20 pills per dose, swallow with warm water, at any time.
Zaojiazi San (Soapberry Seed Powder): Treats sores caused by Qi stagnation during pregnancy.
Ingredients: Gleditsiae Sinensis Fructus (Zaojiazi) (200 units), Sophorae Fructus (Huaishi), Glycyrrhizae Radix et Rhizoma (Gancao), Menthae Haplocalycis Herba (Boheye), Astragali Membranacei Radix (Huangqi), Schizonepetae Spica (Jingjiesui) (1 liang each), Ligustici Chuanxiong Rhizoma (Chuanxiong), Gastrodiae Rhizoma (Tianma) (0.5 liang each).
Usage: Grind into powder. Take 1 qianbi per dose, mix with warm wine to drink; boiling water is also acceptable, at any time.
Jingjie Tang (Schizonepeta Decoction): Treats body sores, restlessness of mind and spirit due to Qi and Blood stagnation during pregnancy.
Ingredients: Schizonepetae Spica (Jingjiesui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Asari Radix et Rhizoma (Xixin), Stellariae Radix (Weilingxian), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 1 liang each), Gleditsiae Sinensis Fructus (Zaojiao) (0.5 liang, free from worms, deprived of skin, roasted with butter).
Usage: Coarsely grind and sieve. Take 2 qianbi per dose, add 1 zhan of water, decoct until 6 fen remains, remove dregs, and take warm after meals and before bed.
Huangqi Tang (Astragalus Decoction): Treats sores caused by Qi and Blood stagnation during pregnancy.
Ingredients: Astragali Membranacei Radix (Huangqi), Sophorae Flavescentis Radix (Kushen), Notopterygii Radix et Rhizoma (Qianghuo), Angelicae Pubescentis Radix (Duohuo), Arctii Fructus (Enishi), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 1 liang each).
Usage: Coarsely grind and sieve. Take 3 qianbi per dose, add 1 zhan of water, decoct until 7 fen remains, remove dregs, and take warm.
Qinjiao Wan (Gentian Pill): Treats sores and scabies during pregnancy, accompanied by irritability, heat, and itching.
Ingredients: Gentianae Macrophyllae Radix (Qinjiao) (0.5 liang), Astragali Membranacei Radix (Huangqi), Aurantii Fructus (Zhike), Euphorbiae Humifusae Radix (Loulou), Saposhnikoviae Radix (Fangfeng) (1.5 liang each), Coptidis Rhizoma (Huanglian) (deprived of roots, 0.5 liang).
Usage: Grind into powder, make pills with refined honey the size of a sophora seed. Take 20 pills per dose, swallow with warm wine on an empty stomach and at midnight/late night.
Qufeng San (Expelling Wind Powder): Treats excessive wind-heat attacking the body causing sores, dry and rough skin, and constipation during pregnancy.
Ingredients: Notopterygii Radix et Rhizoma (Qianghuo) (deprived of rhizome stump, 2 liang), Rheum Palmatum Radix et Rhizoma (Dahuang) (wrapped in wet paper and baked, 2 liang), Astragali Membranacei Radix (Huangqi) (cut, 3 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong) (1 liang), Natrii Sulfas (Puxiao) (separately ground, 0.5 liang), Angelicae Sinensis Radix (Danggui) (cut and dried, 1.5 liang).
Usage: Grind all except Puxiao into fine powder, mix evenly with Puxiao. Take 1 qianbi per dose, swallow with warm honey water at midnight/late night. Stop when mild diarrhea occurs.
Formula for Treating Sores: Applicable to pregnant women suffering from this condition.
Ingredients: Astragalus mulberry branch (deprived of skin, cut, crushed, and calcined to ash), Cangrong grass (charred in hot ash).
Usage: Mix and filter, then combine with urine from a healthy boy and decoct. Apply inside the sore. It is best to remove the root of the scab after three to five days.
Formula for Treating Pregnancy Carbuncle:
Grind Linderae Radix (Wuyao). The soft, white, spicy variety from Hongzhou is superior. Add 1 zhan of water and one piece of Ox Hide Glue (Niujiaojiao), decoct until 7 fen remains, and take warm.
Formula for Treating Brain Furuncle: For pregnant women suffering from this sore.
Decoct Polygonati Multiflori Herba (Didishicao) in wine and drink it. This is considered optimal.
Zaotai San (Covering Fetus Powder): For pregnant women whose smallpox/rash has already erupted. It should be taken urgently to resolve heat toxicity without harming the fetus.
Ingredients: Polyporus (Chifuling) (deprived of skin), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui) (middle section), Paeoniae Radix Alba (Baishaoyao), Paeoniae Radix Rubra (Chishaoyao), Bupleuri Radix (Chaihu), Puerariae Lobatae Radix (Gange), Ginseng Radix (Renshen) (deprived of rhizome stump), Platycodonis Radix (Jiegeng) (deprived of rhizome stump), Scutellariae Radix (Huangqin), Saposhnikoviae Radix (Fangfeng), Citri Reticulatae Pericarpium (Chenpi) (deprived of white pith), Schizonepetae Spica (Jingjie), Aurantii Fructus (Zhike), Lithospermi Radix (Zicao), Asini Corii Colla (Ejiao) (stir-fried), Oryza Sativa Glutinosa Semen (Nuomi) (stir-fried), Angelicae Dahuricae Radix (Chuan Baizhi), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted), Ligustici Chuanxiong Rhizoma (Chuanxiong), Amomi Fructus Rotundus (Suasharen) (stir-fried). If severe heat, add Curcumae Longae Radix (Yujin).
Usage: Cut into pieces. Take 3 qian per dose, add 1.5 zhan of water, seven dried persimmon calyces (Shididi), seven cun of wild ramie root (Yezhugen), and seven melon stalk tips (Tianguadi). Decoct together in a silver vessel. Cover with a small lotus leaf, remove dregs, pour into a cup, and cover again with a lotus leaf. Take on an empty stomach. Zan Shi said: Silver and gold can calm the fetus. If no silver vessel is available, use a clay vessel. Gold foil and silver foil can be ground and added to the medicine.
Formula for Treating Heat in the Upper Jiao during Pregnancy, Mouth Ulcers, Unusual Headache and Restlessness, and Yellow-Dark Urine:
Ingredients: Cimicifugae Rhizoma (Shengma), Pruni Armeniacae Semen (Xingren), Peucedani Radix (Qianhu) (deprived of hairs), Platycodonis Radix (Jiegeng), Scutellariae Radix (Huangqin), Ophiopogonis Radix (Maidong) (deprived of heart), Puerariae Lobatae Radix (Gegen), Anemarrhenae Rhizoma (Zhimu) (equal parts).
Usage: Finely grind and sieve into powder. Take 2 qian per dose, add 1 zhan of water and two slices of Zingiberis Rhizoma Recens (Shengjiang), decoct until 8 fen remains. Take after meals and before bed.