(附论)
夫胎处胞内。随母听闻。才觉受气。便宜将慎。若妊娠月满。或欲逼生。形体完具。精
神已成。母忽惊动。遂成惊胎。则转移不常。宜速治之。不尔。则精气并居。令子发癫。
又云妊娠者心神忪悸。睡里多惊。两胁膨胀。腹满连脐急痛。坐卧不宁。气急逼迫胎惊
者何。答曰。胎气既成。五脏安养。皆因气或为喧呼。心忪悸乱。致令胎惊。筋骨伤痛。四
肢不安。急煎大圣散。安保胎孕。则无危矣。
又云妊娠惊胎者。是怀孕月将满。或将产。其胎神识已具。外有劳伤损动。而胎在内惊
动也。
方
阿胶汤 治妊娠惊胎。转动不定。
阿胶(炒令燥) 桑寄生(锉焙) 大腹皮(锉) 黄 (锉) 麦冬(去心焙) 防
风(去叉)
丹参 羚羊角屑 柏子仁(微炒) 缩砂仁(各半两) 人参 白术(各一两) 上粗捣筛。
每服
三钱。以水一盏。煎至七分去滓。温服。
茯苓散(出圣惠方)治妊娠因用力热作。觉胎动心腹急痛。面青汗出。头仰
气
喘欲绝。服诸药安胎无效。又名惊胎。
白茯苓 桔梗(去芦头) 生地黄 人参(去芦头) 桂心 当归(锉微炒) 钩藤 独
活
桑寄生 赤芍药(炙微赤锉) 石膏(各一两) 上为细末散。每服四钱。水一盏。煎六分
去滓。
不
定神丸(一名陟厘丸出圣惠方)治妊娠惊胎。并胎动腹痛下血。
陟厘 生地黄(焙一作熟干地黄) 人参 当归(炙令香锉碎) 龙骨 赤石脂 浓朴
(去
粗皮生姜汁炙锉) 禹余粮(醋淬三五次) 赤芍药(锉炒) 吴茱萸(炒各一两) 上为
末。炼
蜜丸如桐子大。每服二十丸。空心热水或粥饮下。
人参汤 治妊娠因惊。胎内转动。
人参 柴胡(去苗) 桑寄生 甘竹茹 青橘皮(汤去白浸焙) 续断 芎 (各一两)
艾
叶(焙干半两) 上粗捣筛。每服三钱。以水一盏。入枣三枚擘破。同煎至七分半去滓。温
服。
当归汤 治妊娠因惊。胎动不安。
当归(炙香锉) 生地黄(焙) 艾叶(炒) 甘草(炙各一两) 芎 (炒三钱) 芍
药(锉碎)
阿胶(炙令燥各三钱) 人参(二两) 上粗捣筛。每服三钱。以水一盏。煎至七分。食前
去滓
温服。
大圣散(出产经)治妊娠心神忪悸。睡里多惊。两胁膨胀。腹满透脐。急
痛。
坐卧不宁。气急迫逼。胎惊。
白茯苓(去皮) 川芎 麦冬(去心) 黄 (去芦蜜水炙) 当归(去芦酒浸各一两)
木香
(不见火) 人参 甘草(炙各半两) 上 咀。每服四钱。水一盏半。姜五片。煎七分去
滓。
服
黄芩汤 治妊娠不安。惊胎。胎动。时时转易。
黄芩(去黑心) 白术(锉炒) 白芍药(锉炒各半两) 黄 (锉) 人参 山芋(各
一两)
上粗捣筛。每服五钱。以水一盏。糯米半合。葱白三寸。细切。煎至八分去滓。温服食前。
茯神散 治妊娠胎不稳。镇心安胎。
茯神(去木) 芍药(锉炒) 桑白皮(锉炒) 当归(切焙) 芎 (各一两) 人
参(二两) 上为散。每服三钱。以米饮调服。不拘时。
桑寄生散(出圣惠方) 治妊娠端然有所见。惊胎流下。不安。若跳动。心中痛
不
安。
桑寄生 芎 白术 当归(微炒锉各一两) 白茯苓(三钱) 甘草(半两炙微赤锉)
上
为散。每服三钱。以水一中盏。入生姜五分。枣三枚。煎六分。不拘时服。
熟地黄散(出圣惠方)治妊娠数月以来。举动惊胎。小腹 痛。宜服之。
熟地黄 阿胶(捣碎炒令黄燥) 艾叶(微炒) 芎 杜仲(去粗皮炙微黄炒) 当
归(锉
微炒各一两) 上为散。每服四钱。水一中盏。入枣三枚。煎至六分去滓。不拘时服。
当归散(出圣惠方)治妊娠被惊。胎动向下。不安。小腹连腰痛。
当归(锉微炙) 芎 阿胶(捣碎炒令黄燥) 人参(去芦头) 白茯苓(各一两) 艾
叶
(半两微炒) 上为散。每服四钱。水一中盏。煎六分去滓。不拘时服。
苎麻散 治妊娠惊胎。
苎麻根(一握锉) 诃黎勒(煨去核) 茯神(去木各一两) 山芋(切一两) 人参
(二两)
上为散。每服二钱。以米饮调下。不拘时。
艾叶汤 治妊娠外有惊动。胎内不安。转移不宁。
艾叶(炙干三钱) 桑寄生(锉炒一两半) 人参(二两) 茯神(去木三钱) 阿胶
(炙令燥
三钱) 上粗捣筛。每服三钱。以水一盏。入糯米半合。葱白三寸并须。切。同煎至七分去
滓。温
芎 汤 治妊娠外有惊动。令胎内不稳。
芎 (二两) 人参(三两) 当归(切焙一两) 甘草(炙半两) 阿胶(炙令燥半
两) 上粗
捣筛。每服三钱。以水一盏。葱白二寸拍碎。同煎至七分去滓。温服食前。
生银汤(出圣惠方)治妊娠惊胎不安。心神烦闷。
生银(五两) 葱白(三寸切) 阿胶(半两) 上以水一盏。同煎至七分去银并滓。
温服。
若要作粥服。入糯米二合。煮为粥。服之甚佳。
腹胎饮子(出朱氏集验方)自九月十月服此。永无惊恐。\x
香附子(炒四钱) 缩砂(炒三两) 甘草(炙一两) 上为细末。米饮调二钱。
(附论)
胎儿位于胞宫之内,随着母亲的听觉而感知外界。刚刚感受到胎气时,就应当谨慎调养。如果妊娠月份已满,或者想要强行催生,此时胎儿形体完备,精神已具,母亲突然受到惊吓震动,就会形成惊胎证,导致胎动不安、位置不定,应当迅速治疗。如果不及时救治,精气相并,会导致孩子将来发癫狂病。
又说,妊娠期间出现心神慌乱悸动,睡梦中多受惊扰,两胁胀满,腹部胀满且牵连脐部急痛,坐卧不宁,呼吸急促紧迫,这些是胎惊的症状。为什么呢?回答是:胎气既已形成,五脏安养,都因为外界喧呼嘈杂,导致心神慌乱悸动,致使胎惊,筋骨伤痛,四肢不安。应立即煎服大圣散,以保全胎孕,就没有危险了。
又说,妊娠惊胎证,是指怀孕月份将满或即将分娩时,胎儿神识已经具备,外部有劳伤损动,导致在体内的胎儿受到惊吓震动。
方剂
阿胶汤:治疗妊娠惊胎,胎动转动不定。
阿胶(炒至干燥)、桑寄生(锉碎焙干)、大腹皮(锉碎)、黄芩(锉碎)、麦冬(去心焙干)、防风(去叉头)、丹参、羚羊角屑、柏子仁(微炒)、缩砂仁(各半两)、人参、白术(各一两)。以上药材粗捣筛过。每次服用三钱,用水一盏,煎至七分,去渣,温服。
茯苓散(出自《圣惠方》):治疗妊娠因用力受热发作,感觉胎动,心腹急痛,面色青紫,出汗,头仰气喘欲绝,服用其他安胎药无效的情况。这也称为惊胎。
白茯苓、桔梗(去芦头)、生地黄、人参(去芦头)、桂心、当归(锉碎微炒)、钩藤、独活、桑寄生、赤芍药(炙微红锉碎)、石膏(各一两)。以上药材研为细末散剂。每次服用四钱,用水一盏,煎至六分,去渣。
不定神丸(一名陟厘丸,出自《圣惠方》):治疗妊娠惊胎,以及胎动腹痛下血。
陟厘、生地黄(焙干,一作熟干地黄)、人参、当归(炙至香脆锉碎)、龙骨、赤石脂、浓朴(去粗皮,用生姜汁炙后锉碎)、禹余粮(醋淬三五次)、赤芍药(锉炒)、吴茱萸(炒,各一两)。以上药材研为末,炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,空腹时用热水或米粥送服。
人参汤:治疗妊娠因受惊,胎内转动。
人参、柴胡(去苗)、桑寄生、甘竹茹、青橘皮(开水烫去白瓤浸泡焙干)、续断、川芎(各一两)、艾叶(焙干半两)。以上药材粗捣筛过。每次服用三钱,用水一盏,加入三枚掰破的大枣,同煎至七分半,去渣,温服。
当归汤:治疗妊娠因受惊,胎动不安。
当归(炙香锉碎)、生地黄(焙干)、艾叶(炒)、甘草(炙,各一两)、川芎(炒三钱)、芍药(锉碎)、阿胶(炙至干燥,各三钱)、人参(二两)。以上药材粗捣筛过。每次服用三钱,用水一盏,煎至七分,饭前去渣温服。
大圣散(出自《产经》):治疗妊娠心神慌乱悸动,睡梦中多惊扰,两胁胀满,腹部胀满透连脐部,急痛,坐卧不宁,呼吸急促紧迫,胎惊。
白茯苓(去皮)、川芎、麦冬(去心)、黄芩(去芦头,用蜜水炙)、当归(去芦头,酒浸,各一两)、木香(不见火)、人参、甘草(炙,各半两)。以上药材切碎。每次服用四钱,用水一盏半,加生姜五片,煎至七分,去渣。
黄芩汤:治疗妊娠不安,惊胎,胎动,时时转易。
黄芩(去黑心)、白术(锉炒)、白芍药(锉炒,各半两)、黄芩(锉碎)、人参、山芋(各一两)。以上药材粗捣筛过。每次服用五钱,用水一盏,加糯米半合,葱白三寸切细,煎至八分,去渣,饭前温服。
茯神散:治疗妊娠胎不稳,镇心安胎。
茯神(去木)、芍药(锉炒)、桑白皮(锉炒)、当归(切焙)、川芎(各一两)、人参(二两)。以上药材研为散剂。每次服用三钱,用米饮调服,不拘时间。
桑寄生散(出自《圣惠方》):治疗妊娠端坐时有所见,惊胎流下,不安,若跳动,心中痛不安。
桑寄生、川芎、白术、当归(微炒锉碎,各一两)、白茯苓(三钱)、甘草(半两,炙微红锉碎)。以上药材研为散剂。每次服用三钱,用水一中盏,加入生姜五分,大枣三枚,煎至六分,不拘时服。
熟地黄散(出自《圣惠方》):治疗妊娠数月以来,举动惊胎,小腹疼痛,宜服此方。
熟地黄、阿胶(捣碎炒至黄燥)、艾叶(微炒)、川芎、杜仲(去粗皮炙微黄炒)、当归(锉碎微炒,各一两)。以上药材研为散剂。每次服用四钱,用水一中盏,加入大枣三枚,煎至六分,去渣,不拘时服。
当归散(出自《圣惠方》):治疗妊娠被惊吓,胎动向下,不安,小腹连腰痛。
当归(锉碎微炙)、川芎、阿胶(捣碎炒至黄燥)、人参(去芦头)、白茯苓(各一两)、艾叶(半两,微炒)。以上药材研为散剂。每次服用四钱,用水一中盏,煎至六分,去渣,不拘时服。
苎麻散:治疗妊娠惊胎。
苎麻根(一握,锉碎)、诃黎勒(煨去核)、茯神(去木,各一两)、山芋(切一两)、人参(二两)。以上药材研为散剂。每次服用二钱,用米饮调下,不拘时。
艾叶汤:治疗妊娠外有惊动,胎内不安,转移不宁。
艾叶(炙干三钱)、桑寄生(锉炒一两半)、人参(二两)、茯神(去木三钱)、阿胶(炙至干燥三钱)。以上药材粗捣筛过。每次服用三钱,用水一盏,加入糯米半合,葱白三寸带须切段,同煎至七分,去渣,温服。
川芎汤:治疗妊娠外有惊动,令胎内不稳。
川芎(二两)、人参(三两)、当归(切焙一两)、甘草(炙半两)、阿胶(炙至干燥半两)。以上药材粗捣筛过。每次服用三钱,用水一盏,葱白二寸拍碎,同煎至七分,去渣,饭前温服。
生银汤(出自《圣惠方》):治疗妊娠惊胎不安,心神烦闷。
生银(五两)、葱白(三寸切)、阿胶(半两)。以上用水一盏,同煎至七分,去银及药渣,温服。
若要作粥服用,加入糯米二合,煮为粥,服用效果很好。
腹胎饮子(出自《朱氏集验方》):自九月十月开始服用此方,永远没有惊恐。
香附子(炒四钱)、缩砂(炒三两)、甘草(炙一两)。以上药材研为细末。用米饮调服二钱。
(Attached Discussion)
The fetus resides within the uterine sac (Bao Gong), perceiving the external environment through the mother's hearing. Once the fetal Qi (vital energy) is initially perceived, careful nursing and caution are required. If the pregnancy months are full, or if one attempts to force labor prematurely, when the fetal form is complete and spirit is established, a sudden fright or shock to the mother may result in "Fetal Fright" (Jing Tai). This condition causes irregular fetal movement and instability; it should be treated promptly. Otherwise, the essence and Qi may congregate pathologically, leading to epilepsy or madness in the child later in life.
It is also stated that during pregnancy, symptoms such as mental flustered palpitations (Xin Song Ji), frequent waking from dreams with fright, distension of both hypochondria, abdominal fullness with urgent pain radiating to the umbilicus, restlessness in sitting and lying, and rapid, forced breathing constitute Fetal Fright. Why? The answer is: Once the fetal Qi is formed and the five Zang organs are nourished, external noise and shouting can cause mental flustered palpitations, thereby inducing Fetal Fright, resulting in pain in bones and sinews, and discomfort in the four limbs. One should immediately decoct Da Sheng San to protect the pregnancy and avoid danger.
Furthermore, Fetal Fright in pregnancy refers to the situation near term or impending delivery, where the fetal consciousness is already developed. External physical strain or injury causes the fetus inside to become frightened and agitated.
Formulas
Ejiao Tang: Treats Fetal Fright in pregnancy, characterized by unstable and erratic fetal movement.
Ejiao (fried until dry), Sangjisheng (crushed and roasted), Dafupi (crushed), Huangqin (crushed), Maidong (heart removed and roasted), Fangfeng (forked ends removed), Danshen, Lingyangjiaoxie, Baiziren (lightly fried), Suosharen (each 0.5 liang), Renshen, Baizhu (each 1 liang). Coarsely grind and sieve the above herbs. Take 3 qian per dose. Decoct with 1 sheng of water until reduced to 0.7 sheng, remove dregs, and take warm.
Fuling San (from *Shenghui Fang*): Treats pregnancy complicated by exertion and heat, causing fetal movement, urgent heart and abdominal pain, cyanotic complexion, sweating, head retraction with gasping for breath approaching suffocation, and ineffectiveness of other fetal-anchoring medicines. Also known as Fetal Fright.
Baifuling, Jiegeng (radicle removed), Shengdihuang, Renshen (radicle removed), Guixin, Danggui (crushed and lightly fried), Gouteng, Duhuo, Sangjisheng, Chishaoyao (roasted until slightly red and crushed), Shigao (each 1 liang). Grind into a fine powder. Take 4 qian per dose. Decoct with 1 sheng of water until reduced to 0.6 sheng, and remove dregs.
Budingshen Wan (also known as Zhili Wan, from *Shenghui Fang*): Treats Fetal Fright in pregnancy, along with fetal movement, abdominal pain, and bleeding.
Zhili, Shengdihuang (roasted, alternatively Shudihuang), Renshen, Danggui (roasted until fragrant and crushed), Longgu, Chishizhi, Houpo (bark removed, roasted with ginger juice and crushed), Yuyuliang (quenched in vinegar 3-5 times), Chishaoyao (crushed and fried), Wuzhuyu (fried, each 1 liang). Grind into powder, mix with refined honey to make pills the size of tung seeds. Take 20 pills per dose on an empty stomach with warm water or rice gruel.
Renshen Tang: Treats pregnancy complicated by fright, causing internal fetal movement.
Renshen, Chaihu (sprouts removed), Sangjisheng, Gan Zhuru, Qingjuapi (scalded, white pith removed, soaked and roasted), Xuduan, Chuanxiong (each 1 liang), Aiyè (roasted dry, 0.5 liang). Coarsely grind and sieve. Take 3 qian per dose. Decoct with 1 sheng of water and three halved jujubes until reduced to 0.75 sheng, remove dregs, and take warm.
Danggui Tang: Treats pregnancy complicated by fright, causing unstable fetal movement.
Danggui (roasted until fragrant and crushed), Shengdihuang (roasted), Aiyè (fried), Gancao (roasted, each 1 liang), Chuanxiong (fried, 3 qian), Shaoyao (crushed), Ejiao (roasted until dry, each 3 qian), Renshen (2 liang). Coarsely grind and sieve. Take 3 qian per dose. Decoct with 1 sheng of water until reduced to 0.7 sheng, remove dregs, and take warm before meals.
Da Sheng San (from *Chan Jing*): Treats pregnancy with mental flustered palpitations, frequent waking with fright, hypochondriac distension, abdominal fullness radiating to the umbilicus, urgent pain, restlessness, rapid breathing, and Fetal Fright.
Baifuling (peeled), Chuanxiong, Maidong (heart removed), Huangqin (radicle removed, roasted with honey water), Danggui (radicle removed, wine-soaked, each 1 liang), Muxiang (avoid direct fire), Renshen, Gancao (roasted, each 0.5 liang). Chop the herbs. Take 4 qian per dose. Decoct with 1.5 sheng of water and five slices of fresh ginger until reduced to 0.7 sheng, remove dregs.
Huangqin Tang: Treats pregnancy instability, Fetal Fright, fetal movement, and frequent shifting.
Huangqin (black heart removed), Baizhu (crushed and fried), Baishaoyao (crushed and fried, each 0.5 liang), Huangqin (crushed), Renshen, Shanyu (each 1 liang). Coarsely grind and sieve. Take 5 qian per dose. Decoct with 1 sheng of water, half he of glutinous rice, and three cun of scallion white (finely chopped) until reduced to 0.8 sheng, remove dregs, and take warm before meals.
Fushen San: Treats pregnancy with unstable fetus, calming the heart and anchoring the fetus.
Fushen (wood removed), Shaoyao (crushed and fried), Sangbaipi (crushed and fried), Danggui (cut and roasted), Chuanxiong (each 1 liang), Renshen (2 liang). Grind into powder. Take 3 qian per dose, mixed with rice drink, at any time.
Sangjisheng San (from *Shenghui Fang*): Treats pregnancy where visual hallucinations occur while sitting still, causing Fetal Fright and discharge, restlessness, jumping sensations, and painful anxiety in the heart.
Sangjisheng, Chuanxiong, Baizhu, Danggui (lightly fried and crushed, each 1 liang), Baifuling (3 qian), Gancao (0.5 liang, roasted until slightly red and crushed). Grind into powder. Take 3 qian per dose. Decoct with one sheng of water, five fen of fresh ginger, and three jujubes until reduced to 0.6 sheng, take at any time.
Shudihuang San (from *Shenghui Fang*): Treats pregnancy after several months where movements cause Fetal Fright and lower abdominal pain.
Shudihuang, Ejiao (crushed and fried until yellow and dry), Aiyè (lightly fried), Chuanxiong, Duzhong (bark removed, roasted until slightly yellow), Danggui (crushed and lightly fried, each 1 liang). Grind into powder. Take 4 qian per dose. Decoct with one sheng of water and three jujubes until reduced to 0.6 sheng, remove dregs, take at any time.
Danggui San (from *Shenghui Fang*): Treats pregnancy complicated by fright, causing downward fetal movement, restlessness, and lower abdominal pain radiating to the lower back.
Danggui (crushed and lightly roasted), Chuanxiong, Ejiao (crushed and fried until yellow and dry), Renshen (radicle removed), Baifuling (each 1 liang), Aiyè (0.5 liang, lightly fried). Grind into powder. Take 4 qian per dose. Decoct with one sheng of water until reduced to 0.6 sheng, remove dregs, take at any time.
Zhumashan: Treats Fetal Fright in pregnancy.
Zhumagen (one handful, crushed), Helile (roasted, pit removed), Fushen (wood removed, each 1 liang), Shanyu (cut, 1 liang), Renshen (2 liang). Grind into powder. Take 2 qian per dose, mixed with rice drink, at any time.
Aiyè Tang: Treats pregnancy where external fright causes internal fetal unrest and agitation.
Aiyè (roasted dry, 3 qian), Sangjisheng (crushed and fried, 1.5 liang), Renshen (2 liang), Fushen (wood removed, 3 qian), Ejiao (roasted until dry, 3 qian). Coarsely grind and sieve. Take 3 qian per dose. Decoct with 1 sheng of water, half he of glutinous rice, and three cun of scallion white with roots (chopped) until reduced to 0.7 sheng, remove dregs, and take warm.
Chuanxiong Tang: Treats pregnancy where external fright causes internal fetal instability.
Chuanxiong (2 liang), Renshen (3 liang), Danggui (cut and roasted, 1 liang), Gancao (roasted, 0.5 liang), Ejiao (roasted until dry, 0.5 liang). Coarsely grind and sieve. Take 3 qian per dose. Decoct with 1 sheng of water and two cun of smashed scallion white until reduced to 0.7 sheng, remove dregs, and take warm before meals.
Shengyin Tang (from *Shenghui Fang*): Treats Fetal Fright with restlessness, mental vexation, and oppression.
Shengyin (5 liang), Scallion white (three cun, cut), Ejiao (0.5 liang). Decoct with 1 sheng of water until reduced to 0.7 sheng, remove silver and dregs, and take warm.
To prepare as a porridge, add two he of glutinous rice, cook into porridge, and consume for excellent results.
Futai Yinzi (from *Zhu Shi Ji Yan Fang*): Take this from the ninth and tenth months to prevent fear and panic permanently.
Xiangfu (fried, 4 qian), Suosha (fried, 3 liang), Gancao (roasted, 1 liang). Grind into fine powder. Mix 2 qian with rice drink.