(附论)
夫冬时严寒。触冒伤之。藏于肌骨。夏至乃发。壮热又为暑病。暑病即热病也。此寒气
蕴积发即有毒。若妊娠遇之。多致伤堕也。非节之气。伤于妊妇。热毒之气。侵损胞胎。遂
有堕胎漏血。俱害子母之命也。
方
催生汤 妊娠热病。六七日。极热煮胎。治儿死身冷。不能自出。须用暖胎药。用
黑神散。不若用催生汤。
苍术 桔梗 橘红 白芷 桂心 粉草 当归 干姜 制朴 芍药 半夏 川芎 枳壳
(各
柴胡散 治妊娠热病。骨节烦痛。头疼壮热。若不止则损胎。
柴胡 家葛根 知母 栀子仁 甘草(各半两) 石膏 大青 黄芩 升麻(各三两) 上
咀
人参散 治妊娠热气乘于心脾。津液枯少。烦躁壅热。口舌干渴。
人参 麦门冬 赤茯苓 地骨皮 家葛根 黄芩 犀角屑(各三两) 甘草(半两) 上
咀。每服三钱。水一盏。煎至六分去滓。温服。
人参黄 散 治妊娠身热烦躁。口干食少。
人参 黄 家葛根 秦艽 麦门冬(各二两) 知母(二分) 甘草(半两) 赤茯
苓(一两) 上 咀。每服四钱。水一盏。姜三片。淡竹叶十四片。煎至六分去滓。温服。
大黄饮子 治妊娠热病六七日。热入腹中。大小便闭涩。烦热。
川大黄 石膏 知母 前胡 赤茯苓(各三钱) 栀子仁 甘草 黄芩(各七两) 上
咀。每服半两。水一大盏。生地黄一分。煎六分去滓。无时温服。
黑神散(一名乌金散一名肉桂散)治热病胎死腹中。此病因母患热病至六七
日
以后。脏腑极热熏煮其胎。是以致死。缘儿死身冷。不能自出。但服黑神散。暖其胎。
须臾胎即自出。何以知其胎之已死。但看产母舌青者。是其候也。及治败血不散。乍寒
乍热。
桂心 当归 芍药 甘草 干姜 生干地黄(各一两) 黑豆(炒去皮二两) 附子(半
两)
上为细末。每服二钱。空心温酒调下。一方无附子。用蒲黄。夫妊娠谓之重身。二命系焉。
将理失宜。皆能损胎。不特病热熏煮所致。或因顿仆惊恐。出入触犯。及素有症瘕积聚。坏
胎最多。候其舌青。即知子死。养胎论曰。面青舌赤。母死子生。唇青吐涎。子母俱毙。又
有双怀二胎。或一死一生。其候尤难知。自非临期审视。未易预逆。不可不备学也。然以黑
神散温胎。谓若补助产母使其气正免致虚邪之困顿。胎自下矣。催生汤。殊胜黑神散。
葛根散 治妊娠数月。胸膈烦躁。唇口干渴。四肢壮热。少食。
葛根 黄芩 人参 葳蕤 黄 麦门冬 甘草(各等分) 上 咀。每服四钱。水一
盏。
竹茹一块如钱大。煎至七分去滓。温服。无时。
知母散 治妊娠烦躁闷乱。口干。及胎脏热。
知母 麦门冬 甘草(各半两) 黄芩 赤茯苓(各三分) 上 咀。每服四钱。水一
盏。
煎至七分去滓。入竹沥一合。更煎二沸。温服。一方用竹茹一块。无竹沥。
人参饮子 治妊娠热病。壮热头痛。呕吐不止。不食。心胸烦闷。经云热病与中暑
相似。但热病者。脉盛。中暑者脉虚。
人参 竹茹 家葛根(各一两) 芦根(二两) 麦门冬(一两半) 知母(三分) 上
咀。
每服四钱。水一盏。入连根葱白三寸。煎至七分去滓。温服。
栀子仁饮子 治妊娠热病。出斑黑色。小便如血。气急欲绝。胎欲落。
栀子仁 升麻 石膏 生干地黄(各二两) 黄芩 大青(各一两) 上 咀。每服半
两。
葱白七寸。豉四十九粒。水一盏煎至五分去滓。无时温服。救急有杏仁。无地黄、石膏。一
方加青黛。无大青。又方以陈皮如鸡子大。酒煮服。救妊妇危困。
治妊娠热病。六七日。热入腹。大小便秘涩。烦热。
上以牛粪水调涂腹上。勿令干。
缩脾饮 解伏热。除烦渴。消暑毒。止吐痢。霍乱之后。服热药太多。致烦躁者。
草果仁(四两) 乌梅肉(三两) 甘草(二两半) 上 咀。每服半两。水一碗。生
姜十片。
煎
柴胡石膏汤 治妊娠伤暑。头痛。恶寒身热。躁闷。四肢疼痛。项背拘急。口舌干
燥。
柴胡(四两) 甘草(二两) 石膏(八两) 上 咀。每服二钱。水一盏。姜五片。
煎至六
分去滓。温服。若气虚体冷。加人参四两。
治妊娠热病。
葱白(五两) 豆豉(一升) 上以水六升。煮取二升。分二服。取汗。
葵子汤 疗妊娠得病六七日以上。身热入脏。大小便不利。安胎除热。
葵子仁(二升) 滑石(四两) 上以水五升煮取一升。去滓。取服。须臾当下。便愈。
葱豉汤 治妊娠热病。烦躁口干。小便涩赤。
治妊娠热病方。
以车辖脂酒服。一方用水调服半匙。
又方
以清羊屎水调涂腹上。勿令干。
又方
上以水服伏龙肝一鸡子大。亦可调为泥涂脐下。
治大热烦闷者。
用葛根汁二升。分三服。如人行五里久。进一服。一方水煮葛根服。勿用野葛根。伤胎。
又方
以烧大枣七枚为末。酒和服。
又方(出千金方)
用槐实烧灰取方寸匕。酒和服。
治妊娠热病。胎死腹中。下之。
用乌鸡一只。去毛。细锉。以水三升煮取二升。去鸡。通手用衣帛蘸摩脐下。胎自出。
鹿角汤 治妊娠热病。胎死腹中。
用鹿角屑一两。水一碗葱白五茎。豆豉半合。同煎至六分去滓。温分二服。良效。一名
鹿角散。
治妊娠得病。应服汤药者。
先捣小豆一升。细筛。鸡子黄和如鹅子大。为二饼。熟炙。先令啖尽。食顷。乃服余药。
不
治妊娠热病。
用水底泥泥心下三寸。立愈。
治妊娠三四月。日常时煎燥。忽烦闷不识人。去大腑热。然后吃此方。
钩藤 桔梗 桑寄生 麦门冬 茯苓 知母 防风(各等分) 上细捣罗为末。每服五
钱。水一碗煎取八分。食后去滓吃。连吃一盏亦无妨。但大腑热即可连吃也。
【附论】
冬季严寒,人体受寒邪侵袭,寒气潜伏于肌肤骨骼之间,直到夏至时节才发作。这种壮热的病症被称为暑病,暑病也就是热病。这是因为寒气蕴积体内,一旦发作便带有毒性。如果孕妇遇到这种情况,往往会导致流产。非时之气(不合节令的气候)伤害孕妇,热毒之气侵入并损伤胞胎,从而导致堕胎和漏血,这都会危害母子两人的生命。
【方剂】
**催生汤**
主治妊娠期间患热病,经过六七天,极度高热煎熬胎儿。治疗胎儿已死、母体发冷、胎儿无法自行排出的情况。应当使用暖胎药物,虽然可以用黑神散,但不如使用催生汤效果好。
药材:苍术、桔梗、橘红、白芷、桂心、粉草(甘草)、当归、干姜、制朴(厚朴)、芍药、半夏、川芎、枳壳。(各等分)
**柴胡散**
主治妊娠热病,骨节烦痛,头痛且壮热。如果病情不止,则会损伤胎儿。
药材:柴胡、家葛根、知母、栀子仁、甘草(各半两)、石膏、大青、黄芩、升麻(各三两)。上药切碎。
**人参散**
主治妊娠热气乘袭心脾,导致津液枯少,烦躁壅热,口舌干渴。
药材:人参、麦门冬、赤茯苓、地骨皮、家葛根、黄芩、犀角屑(各三两)、甘草(半两)。上药切碎。每次服用三钱,加水一盏,煎至六分,去渣,温服。
**人参黄耆散**(原文“人参黄 散”,据方义补全为黄耆/黄芪)
主治妊娠身体发热、烦躁,口干,食欲减少。
药材:人参、黄耆、家葛根、秦艽、麦门冬(各二两)、知母(二分)、甘草(半两)、赤茯苓(一两)。上药切碎。每次服用四钱,加水一盏,生姜三片,淡竹叶十四片,煎至六分,去渣,温服。
**大黄饮子**
主治妊娠热病六七天,热邪进入腹中,大小便闭涩不通,烦热。
药材:川大黄、石膏、知母、前胡、赤茯苓(各三钱)、栀子仁、甘草、黄芩(各七两)。上药切碎。每次服用半两,加大盏水,生地黄一分,煎至六分,去渣,随时温服。
**黑神散**(又名乌金散、肉桂散)
主治热病导致胎死腹中。此病因母亲患热病至六七日后,脏腑极热熏蒸煎熬胎儿,以致死亡。因为胎儿死后身体变冷,不能自行排出。只需服用黑神散,温暖胞胎,片刻后胎儿即可自行排出。如何知道胎儿已经死亡?只要看产妇舌头发青,就是征象。此外也用于治疗败血不散,忽冷忽热。
药材:桂心、当归、芍药、甘草、干姜、生干地黄(各一两)、黑豆(炒去皮二两)、附子(半两)。上药研为细末。每次服用二钱,空腹用温酒调服。另一版本无附子,改用蒲黄。
按语:妊娠称为“重身”,两条性命系于一身。调理失当,都能损伤胎儿,不仅仅是因为热病熏蒸所致。也有因跌倒惊恐、出入触犯,以及素有症瘕积聚,最容易坏胎。观察舌头发青,就知道胎儿已死。《养胎论》说:面青舌赤,母死子生;唇青吐涎,母子俱亡。又有双怀二胎,或一死一生,其征象尤其难以知晓,若非临产时仔细审视,很难预先推测,不可不预备学习。然而用黑神散温胎,说是补助产母使其正气恢复,避免虚邪困顿,胎儿自然就会落下。催生汤的效果远胜于黑神散。
**葛根散**
主治妊娠数月,胸膈烦躁,嘴唇口干,四肢壮热,食欲少。
药材:葛根、黄芩、人参、葳蕤、黄耆、麦门冬、甘草(各等分)。上药切碎。每次服用四钱,加水一盏,竹茹一块如铜钱大小,煎至七分,去渣,温服,随时可服。
**知母散**
主治妊娠烦躁闷乱,口干,以及胎脏热。
药材:知母、麦门冬、甘草(各半两)、黄芩、赤茯苓(各三分)。上药切碎。每次服用四钱,加水一盏,煎至七分,去渣,加入竹沥一合,再煎两沸,温服。另一版本用竹茹一块,无竹沥。
**人参饮子**
主治妊娠热病,壮热头痛,呕吐不止,不进食,心胸烦闷。经云:热病与中暑相似,但热病患者脉象盛大,中暑者脉象虚弱。
药材:人参、竹茹、家葛根(各一两)、芦根(二两)、麦门冬(一两半)、知母(三分)。上药切碎。每次服用四钱,加水一盏,加入带根的葱白三寸,煎至七分,去渣,温服。
**栀子仁饮子**
主治妊娠热病,出现黑色斑疹,小便如血,气急欲绝,胎儿欲坠落。
药材:栀子仁、升麻、石膏、生干地黄(各二两)、黄芩、大青(各一两)。上药切碎。每次服用半两,加葱白七寸,豆豉四十九粒,水一盏,煎至五分,去渣,随时温服。急救时可加杏仁,若无地黄、石膏,一方加青黛,若无大青,又一方用陈皮如鸡蛋大小,酒煮服,以救治妊妇危困。
**治妊娠热病,六七日,热入腹,大小便秘涩,烦热。**
以上症状可用牛粪水调涂腹部,不要让它干。
**缩脾饮**
解伏热,除烦渴,消暑毒,止吐痢。霍乱之后,服用热药太多,导致烦躁者适用。
药材:草果仁(四两)、乌梅肉(三两)、甘草(二两半)。上药切碎。每次服用半两,加水一碗,生姜十片,煎...(原文此处截断,依常规理解为煎服)
**柴胡石膏汤**
主治妊娠伤暑,头痛,恶寒身热,躁闷,四肢疼痛,项背拘急,口舌干燥。
药材:柴胡(四两)、甘草(二两)、石膏(八两)。上药切碎。每次服用二钱,加水一盏,姜五片,煎至六分,去渣,温服。若气虚体冷,加人参四两。
**治妊娠热病。**
药材:葱白(五两)、豆豉(一升)。用水六升,煮取二升,分两次服,取汗。
**葵子汤**
疗妊娠得病六七天以上,身热入脏,大小便不利,安胎除热。
药材:葵子仁(二升)、滑石(四两)。用水五升煮取一升,去渣,服用。片刻后大便应通下,病即愈。
**治妊娠热病方。**
用车辖脂(车轴油)酒服。另一版本用水调服半匙。
**又方**
用水送服伏龙肝一鸡子大。也可以调成泥涂在脐下。
**治大热烦闷者。**
用葛根汁二升,分三次服。如人行走五里路的时间,进服一次。另一版本水煮葛根服,不要用野葛根,以免伤胎。
**又方**
用烧焦的大枣七枚研为末,酒调和服用。
**又方**(出自《千金方》)
用槐实烧灰,取方寸匕,酒调和服用。
**治妊娠热病,胎死腹中,下之。**
用乌鸡一只,去毛,细切。用水三升煮取二升,去掉鸡肉,用手拿着衣帛蘸取药液摩擦脐下,胎儿自然排出。
**鹿角汤**
治妊娠热病,胎死腹中。
用鹿角屑一两,水一碗,葱白五茎,豆豉半合,同煎至六分,去渣,分两次温服,效果良好。又名鹿角散。
**治妊娠得病,应服汤药者。**
先捣小豆一升,细筛,用鸡子黄调和如鹅蛋大小,做成两个饼,熟炙。先让患者吃尽,过一会儿,再服用其余药物。
**治妊娠三四月,日常时常感到燥热,忽然烦闷不识人,去大腑热,然后吃此方。**
药材:钩藤、桔梗、桑寄生、麦门冬、茯苓、知母、防风(各等分)。上药细捣罗为末。每次服用五钱,加水一碗煎取八分,饭后去渣服用。连吃一盏也无妨,只要是大腑热就可以连吃。
[Attached Discussion]
In winter, severe cold invades the body. The pathogenic cold hides in the muscles and bones, manifesting only at the Summer Solstice. This condition of high fever is called "Shu Bing" (Summerheat Disease), which is synonymous with "Re Bing" (Heat Disease). This occurs because accumulated cold qi becomes toxic upon eruption. If a pregnant woman encounters this, it often leads to miscarriage. Abnormal climatic factors injuring a pregnant woman allow heat-toxic qi to invade and damage the fetus sac, resulting in miscarriage and bleeding, thereby endangering both mother and child.
[Formulas]
**Cuisheng Tang (Labor-Inducing Decoction)**
Indicated for pregnancy complicated by heat disease lasting six to seven days, where extreme heat cooks the fetus. It treats cases where the fetus has died, the mother's body is cold, and the fetus cannot be expelled spontaneously. Warm-the-fetus herbs should be used. Although Heishen San can be used, Cuisheng Tang is superior.
Ingredients: Cangzhu (Atractylodis Rhizoma), Jiegeng (Platycodonis Radix), Juhong (Citri Reticulatae Pericarpium Rubrum), Baizhi (Angelicae Dahuricae Radix), Guixin (Cinnamomi Cortex), Fengan (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), Danggui (Angelicae Sinensis Radix), Ganjiang (Zingiberis Rhizoma), Zhipu (Magnoliae Officinalis Cortex Preparata), Shaoyao (Paeoniae Radix), Banxia (Pinelliae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus Immaturus). [Equal parts]
**Chaihu San (Bupleurum Powder)**
Indicated for pregnancy heat disease presenting with painful and vexed joints, headache, and high fever. If untreated, it damages the fetus.
Ingredients: Chaihu (Bupleuri Radix), Jiagen (Puerariae Radix), Zhimu (Anemarrhenae Rhizoma), Zhiziren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang), Shigao (Gypsum Fibrosum), Daqing (Isatidis Folium), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma) (each 3 liang). The herbs are cut into small pieces.
**Renshen San (Ginseng Powder)**
Indicated for pregnancy heat qi invading the Heart and Spleen, causing dryness and scarcity of fluids, vexation, heat obstruction, dry mouth, and thirst.
Ingredients: Renshen (Panacis Ginseng Radix), Maidong (Ophiopogonis Radix), Chi Fuling (Poria Cum Rosa), Digupi (Lygodii Radix), Jiagen (Puerariae Radix), Huangqin (Scutellariae Radix), Xijiaoxie (Rhinocerotis Cornu Trita) (each 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang). The herbs are cut into small pieces. Take 3 qian per dose, add 1 zhan of water, decoct until 6 fen remains, strain, and take warm.
**Renshen Huangqi San (Ginseng and Astragalus Powder)**
*Note: Original text says "Renshen Huang San", inferred as Huangqi based on formula context.*
Indicated for pregnancy with body heat, vexation, dry mouth, and poor appetite.
Ingredients: Renshen (Panacis Ginseng Radix), Huangqi (Astragali Radix), Jiagen (Puerariae Radix), Qinjiao (Gentianae Macrophyllae Radix), Maidong (Ophiopogonis Radix) (each 2 liang), Zhimu (Anemarrhenae Rhizoma) (2 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang), Chi Fuling (Poria Cum Rosa) (1 liang). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water, 3 slices of fresh ginger, 14 leaves of Danzhuyez (Lophatheri Herba), decoct until 6 fen remains, strain, and take warm.
**Dahuang Yinzi (Rhubarb Drink)**
Indicated for pregnancy heat disease lasting six to seven days, where heat enters the abdomen, causing constipation and difficult urination, along with vexation and heat.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Qianhu (Peucedani Radix), Chi Fuling (Poria Cum Rosa) (each 3 qian), Zhiziren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 7 liang). *Note: Dosage discrepancy in original text (liang vs qian) preserved as per source.* The herbs are cut into small pieces. Take 0.5 liang per dose, add 1 large zhan of water, 1 fen of Shengdihuang (Rehmanniae Radix), decoct until 6 fen remains, strain, and take warm at any time.
**Heishen San (Black Divine Powder)**
*(Also known as Wu Jin San or Rougui San)*
Indicated for fetal death in utero due to heat disease. When the mother suffers from heat disease for six to seven days, extreme internal heat cooks the fetus, causing death. The dead fetus becomes cold and cannot expel itself. Taking Heishen San warms the uterus, allowing the fetus to be expelled shortly thereafter. Diagnosis of fetal death is indicated by a cyan tongue in the mother. It also treats retained blood not dispersing, alternating chills and fever.
Ingredients: Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Sheng Ganhudiyang (Rehmanniae Radix Preparata) (each 1 liang), Heidou (Soybean Seed) (stir-baked, skin removed, 2 liang), Fuzi (Aconiti Lateralis Radix Preparata) (0.5 liang). Grind into fine powder. Take 2 qian per dose, mix with warm wine on an empty stomach. Another version excludes Fuzi and uses Puhuang (Typhae Pollen).
Commentary: Pregnancy is called "Zhong Shen" (Double Life), as two lives depend on it. Improper management can damage the fetus, not only due to heat cooking but also due to falls, fright, trauma, or existing masses (Zheng Jia). Observing a cyan tongue indicates fetal death. *Yang Tai Lun* states: Cyan face and red tongue mean mother dies while fetus lives; cyan lips and salivation mean both die. Twin pregnancies may have one dead and one alive, which is hard to diagnose without careful examination near term. However, Heishen San warms the fetus by restoring the mother's righteous Qi, preventing deficiency pathogens, allowing natural expulsion. Cuisheng Tang is far superior to Heishen San.
**Gegen San (Kudzu Root Powder)**
Indicated for pregnancy of several months with chest and diaphragm vexation, dry lips and mouth, high fever in limbs, and poor appetite.
Ingredients: Gegen (Puerariae Lobatae Radix), Huangqin (Scutellariae Radix), Renshen (Panacis Ginseng Radix), Weirui (Polygonati Odorati Rhizoma), Huangqi (Astragali Radix), Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water and a piece of Zhuru (Bambusae Caulis in Taenia) the size of a coin, decoct until 7 fen remains, strain, and take warm at any time.
**Zhimu San (Anemarrhena Powder)**
Indicated for pregnancy with vexation, restlessness, dry mouth, and heat in the fetus organ.
Ingredients: Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang), Huangqin (Scutellariae Radix), Chi Fuling (Poria Cum Rosa) (each 3 fen). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water, decoct until 7 fen remains, strain, add 1 he of Zhuli (Bambusae Sap), boil twice more, and take warm. Another version uses Zhuru instead of Zhuli.
**Renshen Yinzi (Ginseng Drink)**
Indicated for pregnancy heat disease with high fever, headache, incessant vomiting, anorexia, and chest/mind vexation. Classics state: Heat disease resembles Summerheat, but Heat disease presents with a full pulse, whereas Summerheat presents with a deficient pulse.
Ingredients: Renshen (Panacis Ginseng Radix), Zhuru (Bambusae Caulis in Taenia), Jiagen (Puerariae Radix) (each 1 liang), Lugeng (Phragmitis Rhizoma) (2 liang), Maidong (Ophiopogonis Radix) (1.5 liang), Zhimu (Anemarrhenae Rhizoma) (3 fen). The herbs are cut into small pieces. Take 4 qian per dose, add 1 zhan of water and 3 cun of Congbai (Allii Fistulosi Bulbus) with roots, decoct until 7 fen remains, strain, and take warm.
**Zhiziren Yinzi (Gardenia Seed Drink)**
Indicated for pregnancy heat disease presenting with black macules, urine like blood, shortness of breath nearing collapse, and threatened abortion.
Ingredients: Zhiziren (Gardeniae Semen), Shengma (Cimicifugae Rhizoma), Shigao (Gypsum Fibrosum), Sheng Ganhudiyang (Rehmanniae Radix Preparata) (each 2 liang), Huangqin (Scutellariae Radix), Daqing (Isatidis Folium) (each 1 liang). The herbs are cut into small pieces. Take 0.5 liang per dose, add 7 cun of Congbai (Allii Fistulosi Bulbus), 49 grains of Chidou (Sojae Semen Preparatum), 1 zhan of water, decoct until 5 fen remains, strain, and take warm at any time. For emergency, add Xingren (Armeniacae Semen Amarum); if Shengdihuang/Shigao unavailable, add Qingdai (Indigo Naturalis); if Daqing unavailable, use Chenpi (Citri Reticulatae Pericarpium) the size of a chicken egg, decoct in wine to save critical pregnancy cases.
**Treatment for Pregnancy Heat Disease, 6-7 days, heat entering abdomen, constipation, difficult urination, vexation.**
Apply Niufen Shui (Cow Dung Water) mixed to paste on the abdomen. Do not let it dry.
**Suopi Yin (Spleet-Restraining Drink)**
Resolves latent heat, relieves vexation and thirst, clears summerheat toxicity, stops vomiting and dysentery. Indicated after cholera when excessive hot medicines cause vexation.
Ingredients: Caoguoren (Tsaoko Fructus) (4 liang), Wumei Rou (Mume Fructus Pulpa) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2.5 liang). The herbs are cut into small pieces. Take 0.5 liang per dose, add 1 bowl of water, 10 slices of fresh ginger, decoct... [text cuts off].
**Chaihu Shigao Tang (Bupleurum and Gypsum Decoction)**
Indicated for pregnancy complicated by summerheat injury, headache, aversion to cold with body heat, restlessness, limb pain, stiffness of neck and back, and dry mouth/tongue.
Ingredients: Chaihu (Bupleuri Radix) (4 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang), Shigao (Gypsum Fibrosum) (8 liang). The herbs are cut into small pieces. Take 2 qian per dose, add 1 zhan of water, 5 slices of ginger, decoct until 6 fen remains, strain, and take warm. If Qi deficiency and cold body, add Renshen (Panacis Ginseng Radix) 4 liang.
**Treatment for Pregnancy Heat Disease.**
Congbai (Allii Fistulosi Bulbus) (5 liang), Chidou (Sojae Semen Preparatum) (1 sheng). Boil in 6 sheng of water until 2 sheng remains. Divide into two doses to induce sweating.
**Kuizi Tang (Abutilon Seed Decoction)**
Treats pregnancy illness lasting over six to seven days, heat entering the zang organs, difficult urination and defecation. Calms the fetus and clears heat.
Ingredients: Kuizi Ren (Abutilonis Semen) (2 sheng), Huashi (Talcum) (4 liang). Boil in 5 sheng of water until 1 sheng remains, strain, and take. Defecation should occur shortly after, curing the condition.
**Congchi Tang (Scallion and Soybean Decoction)**
Treats pregnancy heat disease with vexation, dry mouth, and dark, scanty urination.
**Another Formula for Pregnancy Heat Disease.**
Take Che Xia Zhi (Vehicle Axle Grease) with wine. Another method: take half a spoonful mixed with water.
**Another Method.**
Apply water from washing clean sheep feces to the abdomen. Do not let it dry.
**Another Method.**
Take Fulonggan (Dragon's House Earth) the size of a chicken egg, mixed with water orally. Alternatively, make a paste and apply to below the umbilicus.
**For Severe Heat and Vexation.**
Use Gegen Zhi (Kudzu Juice) 2 sheng, divided into three doses. Administer one dose every five li walking distance. Another method: decoct Gegen root in water. Do not use Ye Gegen (Wild Kudzu) as it harms the fetus.
**Another Method.**
Burn seven large dates, grind to powder, mix with wine and take.
**Another Method** (from *Qianjin Fang*)
Burn Huai Shi (Sophorae Fructus) to ash, take 1 fang cun bi (square inch scoop), mix with wine and take.
**Treatment for Pregnancy Heat Disease with Fetal Death in Utero, to expel.**
Use one black hen, remove feathers, chop finely. Boil in 3 sheng of water until 2 sheng remains. Remove chicken meat. Dip cloth in the broth and massage below the umbilicus with hand; the fetus will expel naturally.
**Lujiao Tang (Deer Horn Decoction)**
Treats pregnancy heat disease with fetal death in utero.
Use Lujiao Xie (Cervi Cornu Depradatum Tritum) 1 liang, 1 bowl of water, 5 stalks of Congbai (Allii Fistulosi Bulbus), 0.5 he of Chidou (Sojae Semen Preparatum). Decoct together until 6 fen remains, strain, divide into two warm doses. Effective. Also known as Lujiao San.
**For Pregnancy Illness Requiring Decoctions.**
First, pound 1 sheng of Xiaodou (Adzuki Bean), sift finely, mix with Ji Zi Huang (Gallic Albumen) to form cakes the size of a goose egg. Roast thoroughly. Have the patient eat them completely. After a short while, administer other medicines.
**Treatment for Pregnancy Heat Disease.**
Apply Shuidi Ni (Water Bottom Mud) to the area 3 cun below the heart. Cures immediately.
**For Pregnancy in 3rd-4th Month with Daily Dryness, Sudden Vexation, Confusion, Clearing Intestinal Heat.**
Then take this formula:
Gouteng (Uncariae Ramulus cum Uncis), Jiegeng (Platycodonis Radix), Sangjisheng (Taxilli Herba), Maidong (Ophiopogonis Radix), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), Fangfeng (Saposhnikoviae Radix) (equal parts). Grind finely and sieve. Take 5 qian per dose, add 1 bowl of water, decoct until 8 fen remains. Take after meals, strained. Drinking a whole cup continuously is acceptable if intestinal heat persists.