(附论)
夫妊娠吐血者。皆由脏腑所伤。为忧思惊怒。皆伤脏腑。气逆故吐血。吐血而心闷胸满
未欲止。心闷甚者死。妊娠病此。多坠胎也。
又云。妊娠之人。将护为难。若触冒风寒。饮食生冷及喜怒劳动之过。悉致胎动。胎动
则气血失度。故下血也。又云。母有宿疾。子脏为风冷所乘者。亦令胎动下血。皆失将护所
致。
又云。妊娠经血暴下。少腹或痛者。由冷热之气内击于胞络。或举重烦劳暴伤冲任之经。
其血忽下。随其经养而补之。所下不已。腰腹痛者。其胎多堕。
又云。妊娠僵仆或从高堕下。伤损胞络。致血下动胎。而血伤气逆者。胎随气上抢心。
为死生之候。其母舌青者。儿死母活。唇口无沫。儿生。唇青沫出者。母子俱死。唇口青舌
赤者。母死儿活。若下血不住。胞燥胎枯。则令胎死也。
又云。妊娠尿血者。由劳伤经络而有热。热乘于血。血得热则流溢。渗入于胞。故尿血
也。
方
桔梗汤 治妊娠惊胎。劳伤。心腹急痛。卒下血。胎动不安。
桔梗(炒) 茯神(去木各一两) 人参 当归(炙锉各半两) 钩藤皮(一钱) 桂
(去粗皮)
独活(去芦头) 芍药(锉炒各半两) 生干地黄(焙一两) 桑上寄生(微炒锉半两) 石
膏(一
两) 甘草(炙黄半两) 上粗捣筛。每服三钱。以水一盏。煎至七分去滓。空心温服。日
三
服。
定神丸 治妊娠胎动。腹痛下血宜服。保胎安定神思。
桑寄生汤(一名阿胶散出圣惠方)治妊娠胎动。时有下血。腹胁疼痛。
桑寄生(一两半) 阿胶(炙燥) 当归(切焙) 白茯苓(去黑皮) 芎 白术 干
熟地黄
(焙) 甘草(炙各一两) 龙骨(烧) 干姜(炮各一钱) 上粗捣筛。每服三钱。以水
一盏。枣
二枚擘破。煎至七分去滓。不拘时温服。
阿胶散(出圣惠方)治妊娠胎动。时有所下血。腹胁疼痛。
阿胶(三钱捣碎炒令黄燥) 艾叶(半两微炒) 当归(锉二钱微炒) 赤石脂 龙骨
(各半
两) 芎 (三钱) 黄 (锉) 熟地黄 干姜(炮锉各一两) 甘草(一钱炙微赤锉) 上
为
散。每服四钱。同水一盏。入生姜五片。枣三枚。煎至六分去滓。不计时候。稍热服。
半夏汤 治妊娠卒下血不止。腹疼。手足寒热。腰背酸疼。
半夏(汤洗七次) 麦门冬(去心焙各二两) 甘草(炙锉) 当归(微炙) 黄 (锉
各两半)
阿胶(炙令燥二两) 人参 黄芩(去黑心) 旋复花(各一两) 上粗捣筛。每服三钱。
以水一
盏。入葱白二寸。生姜半钱切。同煎至七分去滓。空心温服。
人参汤 治妊娠卒下血。致胎不安。小腹疼痛。
人参 当归(切微炒) 阿胶(炙令燥各二两) 甘草(炙令赤) 芎 黄芩(去心)
艾叶
(各二两) 吴茱萸(汤洗焙) 生干地黄(微炒各二两) 上捣筛。每服三钱。以水一盏。
入生
姜
阿胶汤 治妊娠胎动。腹痛下血。运闷。
阿胶(炙燥一两) 生姜(切炒干三钱) 芎 续断(各半两) 侧柏 当归(切焙)
桑寄
生艾叶(各三钱) 竹茹(鸡子大一团) 上粗捣筛。每服三钱。以水一盏。入枣二枚擘
破。
煎七分去滓。温服之。
伏龙肝汤 治妊娠胎动不安。腹内疼痛。下血不止。
伏龙肝 桑寄生 续断(锉微炒) 芎 (炒各一两) 龙骨(三钱) 当归(切焙) 阿
胶
(炙燥各一两) 干姜(炮) 甘草(炙各一两) 上粗捣筛。每服五钱。以水一盏半。入
生姜三
片。
伏龙肝散(出圣惠方)治妊娠胎动。腹痛。下血不止。
伏龙肝 当归(锉微炒各一两) 龙骨(三钱 ) 阿胶(一两捣碎炒令黄燥) 蒲黄
(三钱)
艾叶(半两净微炒) 熟干地黄(一两炒) 牛角腮(炙黄燥) 芎 (各半两) 上捣细
罗为散。
每服不计时候。以粥饮调下二钱。
茯神汤 治妊娠八九月。或临月因用力劳乏。便即胎动。忽然下血。心腹急痛。面
目青黑。冷汗出。气息欲绝。
茯神(去木) 熟干地黄(焙各一两) 甘草(炙半两) 钩藤(一两) 桔梗(炒) 人
参当
归(切焙) 芍药(锉炒各一两半) 上为粗散。每服三钱。以水一盏。煎至七分去滓。温
服。
一
禹余粮丸 治妊娠胎动。腹痛。下血不止。
禹余粮( 醋淬七次二两) 木贼(锉炒半两) 干姜(炮) 龙骨 附子(炮裂去皮
脐各一
两) 白芷 当归(切焙) 芎 (各半两) 上为末。煮面糊和丸如梧桐子大。每服三十
丸。
以温酒。食前服之。
人参饮 治妊娠胎动不安。腰腹痛。血下不止。
人参 芎 当归(切焙) 阿胶(炙燥各二两) 艾叶(一握) 杜仲(去粗皮炙二
两) 熟
干地黄(焙一两) 甘草(炙锉一两) 上粗捣筛。每服三钱。以水一盏半。枣一枚擘破。
煎至
一盏去滓。温服下。不拘时。
阿胶散(出圣惠方)治妊娠从高坠下。腹痛下血。面色青黄。
阿胶(一两捣碎炒微黄燥) 木香(不见火) 芎 熟干地黄(各半两) 干姜(一
钱炮裂
锉) 当归(锉微炒) 桑寄生 桂心(各半两) 上捣筛为散。每服四钱。以水一中盏。
煎至
六分去滓。不计时温服。
胶艾汤 治妊娠卒下血。胎动腹痛。保血安胎。
蒲黄散(一名当归散)治妊娠卒下血。令胎不安。脐腹撮痛。
蒲黄(微炒) 当归(焙令香锉) 龙骨 阿胶(炙令燥) 芎 (各半两) 生干地
黄(焙各
半两一方用熟干地黄) 牛角腮(黄牛角上者炙令焦一两) 上为散。研匀细。每服二钱匕。
用
艾叶汤(一名地黄艾叶汤)治妊娠卒下血不止。腰腹疼痛。
艾叶(炒二两) 熟干地黄(焙二两一方用生干地黄) 人参 地榆 干姜(炮裂) 阿
胶
(炒燥) 当归(切焙各一两) 上粗捣筛。每服五钱。以水一盏半。煎至八分去滓。温服。
不
拘时候。
阿胶散 治妊娠损动胎气。腹内结痛。血下不止。晕闷。
阿胶(炙燥) 桑寄生(各二两) 续断(一两半) 熟干地黄(焙) 芎 白芷 人
参(各
一两) 上为散。每服三钱。煎青竹茹糯米汤调下。不拘时。
秦艽汤 治妊娠胎动下血。身体烦热倦怠。
秦艽(去苗土) 鹿角胶(炙燥) 地榆(锉) 甘草(炙锉) 白芷 人参 芎 (各
半两)
上粗捣筛。每服五钱。以水一盏半。糯米五十粒。煎至一盏。去滓。不拘时。温服。
侧柏丸 治妊娠胎动。脐腹 痛。下血不止。
侧柏 芍药(各一两) 代赭石(研) 黄 (锉) 木贼(锉炒) 芎 禹余粮(
各半两)
上为末。酒煮面糊和丸如梧桐子大。每服二十丸。浓煎木贼酒下。食前服。
芎 散(出圣惠方)治妊娠五六个月。从高坠下。胎动腹内不安。兼脐下
刺
疼痛。不住下血。
芎 (三钱炒) 阿胶(捣碎炒令黄燥一两) 当归(一两锉微炒) 艾叶(半两微炒)
熟干
地黄(一两) 桑寄生 赤石脂(各三钱) 上捣细罗为散。每服不计时候。以温酒下二钱。
苎根汤(出大全良方)疗劳损动胎。腹痛去血。胎动向下。
苎根 干地黄(各二两) 当归(锉微炒) 芍药 阿胶(炙令黄燥) 甘草(炙各一
两) 上
咀。以水六升。煮取二升去滓。内胶烊。分三服。忌海藻、菘菜、芜荑。
杜仲汤 治妊娠卒然下血不止。令胎不安。小腹疼痛连腰。
杜仲(去粗皮锉炒二两) 人参(一两) 阿胶(炙令燥) 芎 (各一两) 当归(微
炒二两)
艾
服。
相次三服。腹中当暖即血止。一方无艾叶。止用水酒共煎服。名人参汤。
钩藤汤 治妊娠八九个月。或胎动不安。因用力劳乏。心腹痛。卒然下血。面目
青。冷汗出。气息欲绝。
麦门冬汤 治妊娠胎动不安。忽然下血。寒热往来。腹痛如欲产。手足烦闷。
麦门冬(去心焙二两) 甘草(炙锉) 人参 生干地黄(焙) 黄芩(去黑心) 阿
胶(炙令
燥各一两) 上粗为散。每服三钱。以水酒各半盏。入生姜半钱切。枣三枚擘破。同煎至七
分去滓。食前温服。
芍药散 治妊娠胎动下血不止。脐腹 痛。迷闷昏塞。
白芍药(一两炒) 牡蛎( 半两) 熟干地黄(焙半两) 木贼(锉炒一两) 乌贼
鱼骨(去
甲) 干姜(炮各半两) 上为散。每服三钱。以米饮或温酒调下。食前。
当归散 治妊娠胎动下血不止。
当归(切焙干) 桑根白皮(锉) 续断 芍药 芎 (各一两) 干姜(炮半两) 上
为散。每服二钱。以酒调下。不拘时。
桑寄生散(出圣惠方)治妊娠损动。腹内结痛。血下晕闷。
桑寄生 当归(锉微炒各一两) 阿胶(一两捣碎炒令黄燥) 续断(一两锉) 艾叶
(半两微炒) 芎 (一两) 上捣筛为散。每服用药五钱。先以水一大盏半。入银三两。
煎至一盏。次入
卷柏散(出圣惠方)治妊娠伤动。腹痛下血。心烦。
卷柏 阿胶(捣碎炒令黄燥) 龙骨 当归(锉微炒) 熟艾(微炒锉) 熟干地黄(各
半两) 上捣细罗为散。每服。不计时候。煎黑豆汤调下二钱。
黄 汤(出圣惠方)治妊娠五六月下血不止。
黄 (炙锉一两半) 桑寄生(炙锉) 地榆(锉) 熟干地黄(焙各一两) 艾叶(焙
干一两) 龙骨(研各三钱) 上粗捣筛。每服五钱。以水一盏半。生姜半钱切。枣三枚擘
破。同煎至六分去滓。食前温服。
鹿胶汤(出仁存方)治妊娠胎动不安。腰痛下血。
当归 川芎 苎根(各一两) 鹿角胶 艾叶(各二两) 上 咀。每服四钱。以水一
盏。葱白二个。银半两。煎至一盏去滓。热服。空心食前。
阿胶散(出圣惠方)治妊娠胎上逼心。下血不止。
阿胶(捣碎炒令黄燥) 芎 当归(锉微炒) 熟干地黄(各一两) 银(一斤水一
斗煎至五升) 上为散。每服四钱。以银汁一中盏。煎至六分去滓。不计时候。温服。
马通汤(出肘后方)治妊娠卒惊奔走。或从高坠下。暴出血数升。
马通汁(一升) 干地黄 阿胶(各四两) 当归 艾叶(各三两) 上 咀。以水五
升煮取二升半。去滓。内马通汁。及胶令烊。分三服。不瘥重作。
治妊娠忽暴下血数升。胎燥不动。(出千金方)
榆白皮(三两) 当归 生姜(各三两) 干地黄(四两) 葵子(一升肘后不用) 上
以水五升煮取二升半。分三服。不瘥。更作服之。
芎 汤(一名地黄汤)治妊娠已数月。卒然下血不定。
芎 散(出圣惠方)治妊娠忽胎动下恶血。腹痛不可忍。心神烦闷。
芎 (一两) 当归(锉微炒) 鹿角胶(捣碎炒令黄燥各一两半) 桑寄生 熟干地
黄(各
一两) 上为散。每服四钱。以水一盏。入生姜五片。枣三枚。煎至六分去滓。不计时候。
稍热服。
乌贼鱼骨散 治妊娠胎动不安。下血不止。脐腹 痛。
乌贼鱼骨(去甲一两) 白芍药 芎 龙骨 赤石脂(各半两) 上为散。每服二钱。
以
米饮或温酒调下。食前。
桂枝茯苓丸 治妇人宿有症病。经断未及三月而得漏下不止。胎动在脐上者。为症
痼。害。妊娠六月动者。前三月。经水利时胎。下血者。后断三月 也。所以血不止者
。其症不去
桂枝 茯苓 牡丹皮(去心) 桃仁(去皮尖熬) 芍药(各等分) 上为末。炼蜜和
丸如兔
屎大。每日。食前服一丸。不瘥加至三丸。
当归散(出圣惠方)治妊娠劳热。胎动不安。下血。腹痛不止。心中烦闷。
当归(锉微炒) 芎 (各一两) 黄芩(半两炒) 熟干地黄(一两半焙) 伏龙肝
(一两)
上捣筛为散。每服四钱。以水一中盏。入淡竹茹一钱。煎至六分去滓。不计时候。温服。
干地黄散(一名益母散出圣惠方)治妊娠从高坠下。腹痛下血。烦闷。
生地黄 益母草(各一两) 当归 黄 (各半两) 上 咀。每服四钱。水一盏。姜
四片。
煎至六分去滓。无时候服。一方加芎 。
当归散 治妊娠卒下血。腰腹疼痛。
当归(切焙) 桑寄生 续断(各半两) 赤芍药(一钱) 上捣罗为散。每服三钱正。
空心
食前。温酒调下。有冷加干姜一两。腹痛加芎 一两。
治妊娠胎动下血不住。腹痛不止。宜服此方。(出圣惠方)
当归(锉微炒一两) 桑木耳(微炙半两重) 干姜(微裂锉) 续断(各一两) 上
捣细罗为
散。每服。不计时候。以温酒调下二钱。
若由顿仆及举重致胎动去血者。及腹痛。(出肘后方)
胶(三两炙) 当归(二两) 甘草(一两炙) 上 咀。以水五升。煮取二升。分两
服。忌
菘菜、海藻。
治妊娠血注下不止。(出千金方)
(附论)
妊娠期间出现吐血症状,都是由于脏腑受到损伤所致。忧愁、思虑、惊恐、愤怒等情绪都会伤害脏腑,导致气机逆乱,从而引发吐血。如果吐血伴随心胸烦闷胀满且不能停止,心胸烦闷严重者会死亡。妊娠期间患此病,大多会导致流产。
又说,孕妇的调养护理比较困难。如果触犯风寒,饮食生冷,以及喜怒过度或劳累过度,都会导致胎动不安。胎动不安则气血失去常态,因此会出现阴道出血。又说,如果母亲原有宿疾,子宫被风冷邪气侵袭,也会导致胎动不安和阴道出血。这些都是因为调养护理不当所导致的。
又说,妊娠期间经血突然大量下泄,小腹部有时疼痛,是由于冷热之气在体内相互搏击于胞络,或者是举重、烦劳突然损伤了冲脉和任脉。血液突然下行,应根据其经脉滋养的情况进行补益治疗。如果出血不止,伴有腰部和腹部疼痛,胎儿大多会流产。
又说,妊娠期间跌倒或从高处坠落,损伤了胞络,导致血液下行并扰动胎儿。如果血液损伤导致气机逆乱,胎儿随上逆之气冲击心脏,这是判断生死的关键征象。如果孕妇舌头发青,说明胎儿已死而母亲存活;如果嘴唇和口部没有泡沫,说明胎儿能出生;如果嘴唇发青且有泡沫吐出,说明母子双亡;如果嘴唇和口部发青但舌头红润,说明母亲死亡而胎儿存活。如果出血不止,胞宫干燥、胎儿枯萎,则会导致胎儿死亡。
又说,妊娠期间尿血,是由于劳累损伤经络而产生内热,热邪侵袭血液,血液受热则流动溢出,渗入膀胱,从而导致尿血。
方剂:
桔梗汤:治疗妊娠惊扰胎儿、劳伤、心腹急痛、突然阴道出血、胎动不安。
配方:桔梗(炒制)、茯神(去除木质部分,各一两)、人参、当归(炙制并切碎,各半两)、钩藤皮(一钱)、桂枝(去除粗皮)、独活(去除芦头)、芍药(切碎炒制,各半两)、生干地黄(焙干,一两)、桑上寄生(微炒切碎,半两)、石膏(一两)、甘草(炙制变黄,半两)。以上药材粗捣筛过。每次服用三钱,用水一盏,煎煮至七分,去渣,空腹温服,每日三次。
定神丸:治疗妊娠胎动不安、腹痛下血,宜服用此方以保胎并安定神志。
桑寄生汤(又名阿胶散,出自《圣惠方》):治疗妊娠胎动不安、时有阴道出血、腹胁疼痛。
配方:桑寄生(一两半)、阿胶(炙制干燥)、当归(切后焙干)、白茯苓(去除黑皮)、川芎、白术、干熟地黄(焙干)、甘草(炙制,各一两)、龙骨(烧制)、干姜(炮制,各一钱)。以上药材粗捣筛过。每次服用三钱,用水一盏,大枣二枚掰破,煎煮至七分,去渣,不拘时候温服。
阿胶散(出自《圣惠方》):治疗妊娠胎动不安、时有阴道出血、腹胁疼痛。
配方:阿胶(三钱,捣碎炒至黄燥)、艾叶(半两,微炒)、当归(切碎二钱,微炒)、赤石脂、龙骨(各半两)、川芎(三钱)、黄芪(切碎)、熟地黄、干姜(炮制切碎,各一两)、甘草(一钱,炙制微红切碎)。以上制成散剂。每次服用四钱,加水一盏,放入生姜五片、大枣三枚,煎煮至六分,去渣,不拘时候稍热服。
半夏汤:治疗妊娠突然阴道出血不止、腹痛、手足寒热交替、腰背酸痛。
配方:半夏(用汤洗七次)、麦门冬(去心焙干,各二两)、甘草(炙制切碎)、当归(微炙)、黄芪(切碎,各一两半)、阿胶(炙制干燥二两)、人参、黄芩(去除黑心)、旋覆花(各一两)。以上粗捣筛过。每次服用三钱,用水一盏,放入葱白二寸、生姜半钱切片,同煎至七分,去渣,空腹温服。
人参汤:治疗妊娠突然阴道出血,导致胎动不安、小腹疼痛。
配方:人参、当归(切后微炒)、阿胶(炙制干燥,各二两)、甘草(炙制变红)、川芎、黄芩(去心)、艾叶(各二两)、吴茱萸(汤洗焙干)、生干地黄(微炒,各二两)。以上捣筛。每次服用三钱,用水一盏,放入生姜...(原文此处似有缺漏或排版错误,接下文阿胶汤前文可能混杂,按原文结构继续)
阿胶汤:治疗妊娠胎动不安、腹痛下血、头晕胸闷。
配方:阿胶(炙制干燥一两)、生姜(切后炒干三钱)、川芎、续断(各半两)、侧柏叶、当归(切后焙干)、桑寄生、艾叶(各三钱)、竹茹(如鸡蛋大一团)。以上粗捣筛过。每次服用三钱,用水一盏,放入大枣二枚掰破,煎煮七分,去渣,温服。
伏龙肝汤:治疗妊娠胎动不安、腹内疼痛、阴道出血不止。
配方:伏龙肝、桑寄生、续断(切碎微炒)、川芎(炒制,各一两)、龙骨(三钱)、当归(切后焙干)、阿胶(炙制干燥,各一两)、干姜(炮制)、甘草(炙制,各一两)。以上粗捣筛过。每次服用五钱,用水一盏半,放入生姜三片...(原文此处未写完煎法,通常同前例)
伏龙肝散(出自《圣惠方》):治疗妊娠胎动不安、腹痛、阴道出血不止。
配方:伏龙肝、当归(切碎微炒,各一两)、龙骨(三钱)、阿胶(一两,捣碎炒至黄燥)、蒲黄(三钱)、艾叶(半两,净微炒)、熟干地黄(一两,炒制)、牛角腮(炙制黄燥)、川芎(各半两)。以上捣细罗为散。每次不拘时候,用米粥饮调下二钱。
茯神汤:治疗妊娠八九月,或临产时因用力劳累,随即胎动不安,突然阴道出血,心腹急痛,面目青黑,出冷汗,气息微弱欲绝。
配方:茯神(去木)、熟干地黄(焙干,各一两)、甘草(炙制半两)、钩藤(一两)、桔梗(炒制)、人参、当归(切后焙干)、芍药(切碎炒制,各一两半)。以上为粗散。每次服用三钱,用水一盏,煎煮至七分,去渣,温服。
禹余粮丸:治疗妊娠胎动不安、腹痛、阴道出血不止。
配方:禹余粮(醋淬七次,二两)、木贼(切碎炒制,半两)、干姜(炮制)、龙骨、附子(炮裂去皮脐,各一两)、白芷、当归(切后焙干)、川芎(各半两)。以上为末,煮面糊和丸如梧桐子大。每次服用三十丸,用温酒送服,饭前服。
人参饮:治疗妊娠胎动不安、腰腹痛、阴道出血不止。
配方:人参、川芎、当归(切后焙干)、阿胶(炙制干燥,各二两)、艾叶(一握)、杜仲(去粗皮炙制,二两)、熟干地黄(焙干,一两)、甘草(炙制切碎,一两)。以上粗捣筛过。每次服用三钱,用水一盏半,大枣一枚掰破,煎煮至一盏,去渣,温服,不拘时候。
阿胶散(出自《圣惠方》):治疗妊娠从高坠下,腹痛下血,面色青黄。
配方:阿胶(一两,捣碎炒微黄燥)、木香(不见火)、川芎、熟干地黄(各半两)、干姜(一钱,炮裂切碎)、当归(切碎微炒)、桑寄生、桂心(各半两)。以上捣筛为散。每次服用四钱,用水一中盏,煎煮至六分,去渣,不计时温服。
蒲黄散(又名当归散):治疗妊娠突然阴道出血,令胎动不安,脐腹撮痛。
配方:蒲黄(微炒)、当归(焙干至香切碎)、龙骨、阿胶(炙制干燥)、川芎(各半两)、生干地黄(焙干,各半两,一方用熟干地黄)、牛角腮(黄牛角上的,炙制焦黄,一两)。以上为散,研匀细。每次服用二钱匕,用艾叶汤送服。
艾叶汤(又名地黄艾叶汤):治疗妊娠突然阴道出血不止,腰腹疼痛。
配方:艾叶(炒制二两)、熟干地黄(焙干二两,一方用生干地黄)、人参、地榆、干姜(炮裂)、阿胶(炒制干燥)、当归(切后焙干,各一两)。以上粗捣筛过。每次服用五钱,用水一盏半,煎煮至八分,去渣,温服,不拘时候。
阿胶散:治疗妊娠损动胎气,腹内结痛,阴道出血不止,晕闷。
配方:阿胶(炙制干燥)、桑寄生(各二两)、续断(一两半)、熟干地黄(焙干)、川芎、白芷、人参(各一两)。以上为散。每次服用三钱,用青竹茹糯米汤调下,不拘时候。
秦艽汤:治疗妊娠胎动下血,身体烦热倦怠。
配方:秦艽(去苗土)、鹿角胶(炙制干燥)、地榆(切碎)、甘草(炙制切碎)、白芷、人参、川芎(各半两)。以上粗捣筛过。每次服用五钱,用水一盏半,糯米五十粒,煎煮至一盏,去渣,不拘时候温服。
侧柏丸:治疗妊娠胎动不安,脐腹疼痛,阴道出血不止。
配方:侧柏叶、芍药(各一两)、代赭石(研细)、黄芪(切碎)、木贼(切碎炒制)、川芎、禹余粮(各半两)。以上为末,酒煮面糊和丸如梧桐子大。每次服用二十丸,浓煎木贼酒送服,饭前服。
川芎散(出自《圣惠方》):治疗妊娠五六个月,从高坠下,胎动腹内不安,兼脐下刺痛,不住下血。
配方:川芎(三钱,炒制)、阿胶(捣碎炒令黄燥一两)、当归(一两,切碎微炒)、艾叶(半两,微炒)、熟干地黄(一两)、桑寄生、赤石脂(各三钱)。以上捣细罗为散。每次不拘时候,用温酒送下二钱。
苎根汤(出自《大全良方》):治疗劳损动胎,腹痛去血,胎动向下。
配方:苎根、干地黄(各二两)、当归(切碎微炒)、芍药、阿胶(炙令黄燥)、甘草(炙制,各一两)。以上切碎,用水六升,煮取二升,去渣,加入阿胶烊化,分三次服。忌海藻、菘菜、芜荑。
杜仲汤:治疗妊娠突然阴道出血不止,令胎动不安,小腹疼痛连及腰部。
配方:杜仲(去粗皮切碎炒制,二两)、人参(一两)、阿胶(炙制干燥)、川芎(各一两)、当归(微炒,二两)、艾叶...(原文此处似乎缺失剂量或描述,接“服”字,推测为煎服法)...相次三服。腹中当暖即血止。一方无艾叶,止用水酒共煎服,名人参汤。
钩藤汤:治疗妊娠八九个月,或胎动不安,因用力劳累,心腹痛,突然下血,面目青,冷汗出,气息欲绝。
麦门冬汤:治疗妊娠胎动不安,忽然下血,寒热往来,腹痛如临产状,手足烦闷。
配方:麦门冬(去心焙干,二两)、甘草(炙制切碎)、人参、生干地黄(焙干)、黄芩(去黑心)、阿胶(炙制干燥,各一两)。以上粗为散。每次服用三钱,用水酒各半盏,放入生姜半钱切片、大枣三枚掰破,同煎至七分,去渣,食前温服。
芍药散:治疗妊娠胎动下血不止,脐腹疼痛,迷闷昏塞。
配方:白芍药(一两,炒制)、牡蛎(半两)、熟干地黄(焙干,半两)、木贼(切碎炒制,一两)、乌贼鱼骨(去甲)、干姜(炮制,各半两)。以上为散。每次服用三钱,用米饮或温酒调下,食前服。
当归散:治疗妊娠胎动下血不止。
配方:当归(切焙干)、桑根白皮(切碎)、续断、芍药、川芎(各一两)、干姜(炮制,半两)。以上为散。每次服用二钱,用酒调下,不拘时候。
桑寄生散(出自《圣惠方》):治疗妊娠损动,腹内结痛,血下晕闷。
配方:桑寄生、当归(切碎微炒,各一两)、阿胶(一两,捣碎炒令黄燥)、续断(一两,切碎)、艾叶(半两,微炒)、川芎(一两)。以上捣筛为散。每次用药五钱,先以水一大盏半,入银三两,煎至一盏,次入药...(原文此处截断,通常为煎药)
卷柏散(出自《圣惠方》):治疗妊娠伤动,腹痛下血,心烦。
配方:卷柏、阿胶(捣碎炒令黄燥)、龙骨、当归(切碎微炒)、熟艾(微炒切碎)、熟干地黄(各半两)。以上捣细罗为散。每次服用,不拘时候,煎黑豆汤调下二钱。
黄芪汤(出自《圣惠方》):治疗妊娠五六月下血不止。
配方:黄芪(炙制切碎,一两半)、桑寄生(炙制切碎)、地榆(切碎)、熟干地黄(焙干,各一两)、艾叶(焙干,一两)、龙骨(研细,各三钱)。以上粗捣筛过。每次服用五钱,用水一盏半,生姜半钱切片、大枣三枚掰破,同煎至六分,去渣,食前温服。
鹿胶汤(出自《仁存方》):治疗妊娠胎动不安,腰痛下血。
配方:当归、川芎、苎根(各一两)、鹿角胶、艾叶(各二两)。以上切碎。每次服用四钱,用水一盏,葱白二个、银半两,煎至一盏,去渣,热服,空心食前。
阿胶散(出自《圣惠方》):治疗妊娠胎上逼心,下血不止。
配方:阿胶(捣碎炒令黄燥)、川芎、当归(切碎微炒)、熟干地黄(各一两)、银(一斤,水一斗煎至五升)。以上为散。每次服用四钱,用银汁一中盏,煎至六分,去渣,不拘时候温服。
马通汤(出自《肘后方》):治疗妊娠突然受惊奔走,或从高坠下,暴出血数升。
配方:马通汁(一升)、干地黄、阿胶(各四两)、当归、艾叶(各三两)。以上切碎,用水五升煮取二升半,去渣,加入马通汁及胶令烊化,分三次服。不好再作。
治妊娠忽暴下血数升,胎燥不动。(出自《千金方》)
配方:榆白皮(三两)、当归、生姜(各三两)、干地黄(四两)、葵子(一升,《肘后方》不用)。以上用水五升煮取二升半,分三次服。不好,更作服之。
川芎散(出自《圣惠方》):治疗妊娠忽胎动下恶血,腹痛不可忍,心神烦闷。
配方:川芎(一两)、当归(切碎微炒)、鹿角胶(捣碎炒令黄燥,各一两半)、桑寄生、熟干地黄(各一两)。以上为散。每次服用四钱,用水一盏,放入生姜五片、大枣三枚,煎至六分,去渣,不拘时候稍热服。
乌贼鱼骨散:治疗妊娠胎动不安,下血不止,脐腹疼痛。
配方:乌贼鱼骨(去甲,一两)、白芍药、川芎、龙骨、赤石脂(各半两)。以上为散。每次服用二钱,用米饮或温酒调下,食前服。
桂枝茯苓丸:治疗妇人素有癥病,月经停止不到三个月却漏下不止,胎动在脐上者,为癥痼害。妊娠六个月动者,前三月月经水利时胎成,下血者,后断三月也。所以血不止者,其癥不去故也。
配方:桂枝、茯苓、牡丹皮(去心)、桃仁(去皮尖熬制)、芍药(各等分)。以上为末,炼蜜和丸如兔屎大。每日,食前服一丸,不好加至三丸。
当归散(出自《圣惠方》):治疗妊娠劳热,胎动不安,下血,腹痛不止,心中烦闷。
配方:当归(切碎微炒)、川芎(各一两)、黄芩(半两,炒制)、熟干地黄(一两半,焙干)、伏龙肝(一两)。以上捣筛为散。每次服用四钱,用水一中盏,放入淡竹茹一钱,煎至六分,去渣,不拘时候温服。
干地黄散(一名益母散,出自《圣惠方》):治疗妊娠从高坠下,腹痛下血,烦闷。
配方:生地黄、益母草(各一两)、当归、黄芪(各半两)。以上切碎。每次服用四钱,水一盏,姜四片,煎至六分,去渣,无时候服。一方加川芎。
当归散:治疗妊娠突然下血,腰腹疼痛。
配方:当归(切焙)、桑寄生、续断(各半两)、赤芍药(一钱)。以上捣罗为散。每次服用三钱正,空腹食前,温酒调下。有冷加干姜一两,腹痛加川芎一两。
治妊娠胎动下血不住,腹痛不止,宜服此方。(出自《圣惠方》)
配方:当归(切碎微炒,一两)、桑木耳(微炙,半两重)、干姜(微裂切碎)、续断(各一两)。以上捣细罗为散。每次服用,不拘时候,用温酒调下二钱。
若由顿仆及举重致胎动去血者,及腹痛。(出自《肘后方》)
配方:阿胶(三两,炙制)、当归(二两)、甘草(一两,炙制)。以上切碎,用水五升,煮取二升,分两次服。忌菘菜、海藻。
治妊娠血注下不止。(出自《千金方》)
(Attached Discussion)
Hematemesis (vomiting blood) during pregnancy is caused by injury to the Zang-Fu organs. Worry, excessive thinking, fright, and anger all damage the Zang-Fu organs, leading to rebellious Qi and causing hematemesis. If hematemesis is accompanied by chest oppression and fullness that does not stop, severe chest oppression indicates a fatal prognosis. Pregnancy complicated by this condition often results in miscarriage.
It is also said that nursing care for pregnant women is difficult. Exposure to wind-cold, consumption of raw and cold foods, and excesses in emotions (anger/joy) or physical labor can all cause fetal movement instability. When fetal movement occurs, Qi and Blood lose their normal regulation, resulting in vaginal bleeding. Furthermore, if the mother has pre-existing chronic diseases, and the uterus is invaded by wind-cold pathogens, it will also lead to fetal movement and vaginal bleeding. These are all caused by improper nursing care.
Additionally, sudden heavy vaginal bleeding during pregnancy, sometimes with lower abdominal pain, is due to the internal conflict of cold and heat pathogens attacking the uterine collaterals, or sudden injury to the Chong and Ren meridians from heavy lifting and overexertion. The blood flows down suddenly; treatment should nourish the meridians according to their needs. If bleeding continues with lumbar and abdominal pain, the fetus will likely be aborted.
Also, if a pregnant woman falls or drops from a height, damaging the uterine collaterals, blood flows down disturbing the fetus. If blood loss causes Qi rebellion, the fetus may ascend with the rebellious Qi towards the heart, which is a critical sign for determining survival. If the mother's tongue is cyanotic, the fetus is dead but the mother lives. If the lips and mouth have no foam, the fetus can be born. If the lips are cyanotic and foam appears, both mother and fetus die. If the lips and mouth are cyanotic but the tongue is red, the mother dies but the fetus lives. If bleeding does not stop, the uterus becomes dry and the fetus withers, leading to fetal death.
Regarding hematuria (blood in urine) during pregnancy, it is caused by heat generated from meridian injury due to overwork. Heat invades the blood; when blood is heated, it flows excessively and渗 into the bladder, causing hematuria.
Formulas:
Jiegeng Tang (Platycodon Decoction): Treats fetal disturbance due to fright, injury from overwork, acute pain in the heart and abdomen, sudden vaginal bleeding, and fetal movement instability.
Ingredients: Jiegeng (Fried), Fushen (Wood removed, 1 liang each), Renshen (Ginseng), Danggui (Roasted and chopped, 0.5 liang each), Goutengpi (Hook vine bark, 1 qian), Guizhi (Cinnamon twig, coarse bark removed), Duhuo (Angelica pubescens, root tip removed), Shaoyao (Peony root, chopped and fried, 0.5 liang each), Sheng Gan Dihuang (Raw dried Rehmannia, baked, 1 liang), Sangshang Jisheng (Mistletoe growing on mulberry, lightly fried and chopped, 0.5 liang), Shigao (Gypsum, 1 liang), Gancao (Licorice root, roasted until yellow, 0.5 liang). Process: Coarsely grind and sieve. Dosage: Take 3 qian per dose. Add 1 cup of water, decoct to 70%, strain. Take warm on an empty stomach, three times daily.
Dingshen Wan (Calming Spirit Pill): Treats fetal movement, abdominal pain, and vaginal bleeding during pregnancy. It preserves the fetus and calms the spirit.
Sangjisheng Tang (Mulberry Mistletoe Decoction, also known as Ejiao San, from *Shenghui Fang*): Treats fetal movement, intermittent vaginal bleeding, and abdominal/hypochondriac pain.
Ingredients: Sangjisheng (Mulberry Mistletoe, 1.5 liang), Ejiao (Donkey-hide gelatin, roasted dry), Danggui (Angelica sinensis, sliced and baked), Baifuling (White Poria, black skin removed), Xiong (Chuanxiong), Baizhu (Atractylodes macrocephala), Gan Shudi Huang (Cooked dried Rehmannia, baked), Gancao (Licorice root, roasted, 1 liang each), Longgu (Dragon bone, calcined), Ganjiang (Dried ginger, processed, 1 qian each). Process: Coarsely grind and sieve. Dosage: Take 3 qian per dose. Add 1 cup of water and 2 broken dates. Decoct to 70%, strain. Take warm at any time.
Ejiao San (Donkey-hide Gelatin Powder, from *Shenghui Fang*): Treats fetal movement, intermittent vaginal bleeding, and abdominal/hypochondriac pain.
Ingredients: Ejiao (3 qian, crushed and fried until yellow/dry), Aiye (Mugwort leaf, 0.5 liang, lightly fried), Danggui (2 qian, chopped and lightly fried), Chishizhi (Red halloysite), Longgu (Dragon bone, 0.5 liang each), Xiong (Chuanxiong, 3 qian), Huangqi (Astragalus root, chopped), Shu Dihuang (Cooked Rehmannia), Ganjiang (Dried ginger, processed/chopped, 1 liang each), Gancao (Licorice root, 1 qian, roasted until slightly red/chopped). Process: Make into powder. Dosage: Take 4 qian per dose. Add 1 cup of water, 5 slices of fresh ginger, 3 dates. Decoct to 60%, strain. Take slightly warm at any time.
Banxia Tang (Pinellia Decoction): Treats sudden continuous vaginal bleeding, abdominal pain, alternating cold/heat in hands/feet, and backache during pregnancy.
Ingredients: Banxia (Pinellia ternata, washed 7 times in water), Maidong (Ophiopogon tuber, heart removed/baked, 2 liang each), Gancao (Licorice root, roasted/chopped), Danggui (Angelica sinensis, lightly roasted), Huangqi (Astragalus root, chopped, 1.5 liang each), Ejiao (Donkey-hide gelatin, roasted dry, 2 liang), Renshen (Ginseng), Huangqin (Scutellaria root, black heart removed), Xuanfuhua (Inula flower, 1 liang each). Process: Coarsely grind and sieve. Dosage: Take 3 qian per dose. Add 1 cup of water, 2 cun of scallion white, 0.5 qian sliced fresh ginger. Decoct together to 70%, strain. Take warm on an empty stomach.
Renshen Tang (Ginseng Decoction): Treats sudden vaginal bleeding causing fetal instability and lower abdominal pain.
Ingredients: Renshen (Ginseng), Danggui (Angelica sinensis, sliced/lightly roasted), Ejiao (Donkey-hide gelatin, roasted dry, 2 liang each), Gancao (Licorice root, roasted until red), Xiong (Chuanxiong), Huangqin (Scutellaria root, heart removed), Aiye (Mugwort leaf, 2 liang each), Wuzhuyu (Evodia fruit, washed in water/baked), Sheng Gan Dihuang (Raw dried Rehmannia, lightly roasted, 2 liang each). Process: Grind and sieve. Dosage: Take 3 qian per dose. Add 1 cup of water... [Text fragment]
Ejiao Tang (Donkey-hide Gelatin Decoction): Treats fetal movement, abdominal pain, vaginal bleeding, dizziness, and chest oppression.
Ingredients: Ejiao (Donkey-hide gelatin, roasted dry, 1 liang), Shengjiang (Fresh ginger, sliced/fried dry, 3 qian), Xiong (Chuanxiong), Xuduan (Dipsacus root, 0.5 liang each), Cebaiye (Cupressus leaf), Danggui (Angelica sinensis, sliced/baked), Sangjisheng (Mulberry Mistletoe), Aiye (Mugwort leaf, 3 qian each), Zhuru (Bamboo shavings, size of a chicken egg). Process: Coarsely grind and sieve. Dosage: Take 3 qian per dose. Add 1 cup of water and 2 broken dates. Decoct for 7 minutes, strain. Take warm.
Fulonggan Tang (Household Chimney Soil Decoction): Treats fetal movement instability, intra-abdominal pain, and continuous vaginal bleeding.
Ingredients: Fulonggan (Household chimney soil), Sangjisheng (Mulberry Mistletoe), Xuduan (Dipsacus root, chopped/lightly roasted), Xiong (Chuanxiong, roasted, 1 liang each), Longgu (Dragon bone, 3 qian), Danggui (Angelica sinensis, sliced/baked), Ejiao (Donkey-hide gelatin, roasted dry, 1 liang each), Ganjiang (Dried ginger, processed), Gancao (Licorice root, roasted, 1 liang each). Process: Coarsely grind and sieve. Dosage: Take 5 qian per dose. Add 1.5 cups of water and 3 slices of fresh ginger... [Text fragment]
Fulonggan San (Household Chimney Soil Powder, from *Shenghui Fang*): Treats fetal movement, abdominal pain, and continuous vaginal bleeding.
Ingredients: Fulonggan (Household chimney soil), Danggui (Angelica sinensis, chopped/lightly roasted, 1 liang each), Longgu (Dragon bone, 3 qian), Ejiao (Donkey-hide gelatin, 1 liang, crushed/fried yellow/dry), Puhuang (Tiger pollen, 3 qian), Aiye (Mugwort leaf, 0.5 liang, clean/lightly fried), Shu Gan Dihuang (Cooked dried Rehmannia, 1 liang, fried), Niujiaosai (Buffalo horn horn-base, roasted yellow/dry), Xiong (Chuanxiong, 0.5 liang each). Process: Grind finely and sieve. Dosage: Take 2 qian at any time, mixed with rice broth.
Fushen Tang (Poria Decoction): Treats fetal movement and sudden vaginal bleeding in the 8th-9th month or near term due to exertion/fatigue, accompanied by acute heart/abdominal pain, cyanotic/black face, cold sweat, and impending respiratory failure.
Ingredients: Fushen (Poria with wood removed), Shu Gan Dihuang (Cooked dried Rehmannia, baked, 1 liang each), Gancao (Licorice root, roasted, 0.5 liang), Gouteng (Uncaria hook, 1 liang), Jiegeng (Platycodon root, fried), Renshen (Ginseng), Danggui (Angelica sinensis, sliced/baked), Shaoyao (Peony root, chopped/fried, 1.5 liang each). Process: Make into coarse powder. Dosage: Take 3 qian per dose. Add 1 cup of water, decoct to 70%, strain. Take warm.
Yuyuliang Wan (Illite Pill): Treats fetal movement, abdominal pain, and continuous vaginal bleeding.
Ingredients: Yuyuliang (Illite, quenched in vinegar 7 times, 2 liang), Muzei (Equisetum, chopped/fried, 0.5 liang), Ganjiang (Dried ginger, processed), Longgu (Dragon bone), Fuzi (Prepared Aconite, cracked/skin/umbilicus removed, 1 liang each), Baizhi (Angelica dahurica), Danggui (Angelica sinensis, sliced/baked), Xiong (Chuanxiong, 0.5 liang each). Process: Make into powder, mix with wheat paste to form pills the size of paulownia seeds. Dosage: Take 30 pills with warm wine before meals.
Renshen Yin (Ginseng Drink): Treats fetal movement instability, lumbar/abdominal pain, and continuous vaginal bleeding.
Ingredients: Renshen (Ginseng), Xiong (Chuanxiong), Danggui (Angelica sinensis, sliced/baked), Ejiao (Donkey-hide gelatin, roasted dry, 2 liang each), Aiye (Mugwort leaf, 1 handful), Duzhong (Eucommia bark, coarse skin removed/roasted, 2 liang), Shu Gan Dihuang (Cooked dried Rehmannia, baked, 1 liang), Gancao (Licorice root, roasted/chopped, 1 liang). Process: Coarsely grind and sieve. Dosage: Take 3 qian per dose. Add 1.5 cups of water and 1 broken date. Decoct to 1 cup, strain. Take warm at any time.
Ejiao San (Donkey-hide Gelatin Powder, from *Shenghui Fang*): Treats abdominal pain and vaginal bleeding after falling from a height, with cyanotic-yellow complexion.
Ingredients: Ejiao (Donkey-hide gelatin, 1 liang, crushed/lightly fried yellow/dry), Muxiang (Aucklandia root, not exposed to fire), Xiong (Chuanxiong), Shu Gan Dihuang (Cooked dried Rehmannia, 0.5 liang each), Ganjiang (Dried ginger, 1 qian, cracked/fried/chopped), Danggui (Angelica sinensis, chopped/lightly fried), Sangjisheng (Mulberry Mistletoe), Guixin (Cinnamon heart, 0.5 liang each). Process: Grind and sieve into powder. Dosage: Take 4 qian per dose. Add 1 medium cup of water, decoct to 60%, strain. Take warm at any time.
Jiao Ai Tang (Gelatin and Mugwort Decoction): Treats sudden vaginal bleeding, fetal movement, and abdominal pain. Preserves blood and calms the fetus.
Puhuang San (Tiger Pollen Powder, also known as Danggui San): Treats sudden vaginal bleeding causing fetal instability and cramping umbilical/abdominal pain.
Ingredients: Puhuang (Tiger pollen, lightly fried), Danggui (Angelica sinensis, baked until fragrant/chopped), Longgu (Dragon bone), Ejiao (Donkey-hide gelatin, roasted dry), Xiong (Chuanxiong, 0.5 liang each), Sheng Gan Dihuang (Raw dried Rehmannia, baked, 0.5 liang each; one formula uses Shu Gan Dihuang), Niujiaosai (Buffalo horn horn-base, from yellow buffalo, roasted until charred, 1 liang). Process: Make into powder, grind fine. Dosage: Take 2 qian spoons, taken with Aiye Tang (Mugwort Decoction).
Aiye Tang (Mugwort Decoction, also known as Dihuang Aiye Tang): Treats continuous sudden vaginal bleeding and lumbar/abdominal pain.
Ingredients: Aiye (Mugwort leaf, fried, 2 liang), Shu Gan Dihuang (Cooked dried Rehmannia, baked, 2 liang; one formula uses Sheng Gan Dihuang), Renshen (Ginseng), Diyü (Sanguisorba root), Ganjiang (Dried ginger, cracked/processed), Ejiao (Donkey-hide gelatin, fried/dry), Danggui (Angelica sinensis, sliced/baked, 1 liang each). Process: Coarsely grind and sieve. Dosage: Take 5 qian per dose. Add 1.5 cups of water, decoct to 80%, strain. Take warm at any time.
Ejiao San (Donkey-hide Gelatin Powder): Treats fetal qi disturbance, intra-abdominal knotted pain, continuous vaginal bleeding, and dizziness/oppression.
Ingredients: Ejiao (Donkey-hide gelatin, roasted dry), Sangjisheng (Mulberry Mistletoe, 2 liang each), Xuduan (Dipsacus root, 1.5 liang), Shu Gan Dihuang (Cooked dried Rehmannia, baked), Xiong (Chuanxiong), Baizhi (Angelica dahurica), Renshen (Ginseng, 1 liang each). Process: Make into powder. Dosage: Take 3 qian per dose, mixed with Qingzhuru (Green Bamboo Shavings) and Glutinous Rice decoction. Take at any time.
Qinjiao Tang (Gentian Decoction): Treats fetal movement with vaginal bleeding, body restlessness, heat, and fatigue.
Ingredients: Qinjiao (Gentiana macrophylla, remove seedlings/soil), Lujiao Jiao (Deer antler gelatin, roasted dry), Diyü (Sanguisorba root, chopped), Gancao (Licorice root, roasted/chopped), Baizhi (Angelica dahurica), Renshen (Ginseng), Xiong (Chuanxiong, 0.5 liang each). Process: Coarsely grind and sieve. Dosage: Take 5 qian per dose. Add 1.5 cups of water and 50 glutinous rice grains. Decoct to 1 cup, strain. Take warm at any time.
Cebai Wan (Cupressus Pill): Treats fetal movement, umbilical/abdominal pain, and continuous vaginal bleeding.
Ingredients: Cebaiye (Cupressus leaf), Shaoyao (Peony root, 1 liang each), Daizheshi (Magnetite, ground), Huangqi (Astragalus root, chopped), Muzei (Equisetum, chopped/fried), Xiong (Chuanxiong), Yuyuliang (Illite, 0.5 liang each). Process: Make into powder, mix with flour paste boiled in wine to form pills the size of paulownia seeds. Dosage: Take 20 pills with strong Muzei wine before meals.
Xiong San (Chuanxiong Powder, from *Shenghui Fang*): Treats fetal movement and intra-abdominal discomfort after falling from a height in the 5th-6th month, accompanied by stabbing pain below the umbilicus and continuous vaginal bleeding.
Ingredients: Xiong (Chuanxiong, 3 qian, fried), Ejiao (Donkey-hide gelatin, 1 liang, crushed/fried yellow/dry), Danggui (Angelica sinensis, 1 liang, chopped/lightly fried), Aiye (Mugwort leaf, 0.5 liang, lightly fried), Shu Gan Dihuang (Cooked dried Rehmannia, 1 liang), Sangjisheng (Mulberry Mistletoe), Chishizhi (Red halloysite, 3 qian each). Process: Grind finely and sieve. Dosage: Take 2 qian at any time with warm wine.
Zhu Gen Tang (Artemisia Argyi Root Decoction, from *Daquan Liangfang*): Treats fetal disturbance due to劳损 (overwork/injury), abdominal pain with blood loss, and downward fetal movement.
Ingredients: Zhu Gen (Artemisia Argyi root), Gan Dihuang (Dried Rehmannia, 2 liang each), Danggui (Angelica sinensis, chopped/lightly fried), Shaoyao (Peony root), Ejiao (Donkey-hide gelatin, roasted yellow/dry), Gancao (Licorice root, roasted, 1 liang each). Process: Cut into pieces. Add 6 sheng of water, boil to 2 sheng, strain. Dissolve Ejiao in the liquid. Divide into 3 doses. Avoid Haizao (Seaweed), Songcai (Chinese cabbage), and Wuyi (Myrobalan).
Duzhong Tang (Eucommia Decoction): Treats sudden continuous vaginal bleeding causing fetal instability and lower abdominal pain radiating to the waist.
Ingredients: Duzhong (Eucommia bark, coarse skin removed/chopped/fried, 2 liang), Renshen (Ginseng, 1 liang), Ejiao (Donkey-hide gelatin, roasted dry), Xiong (Chuanxiong, 1 liang each), Danggui (Angelica sinensis, lightly roasted, 2 liang), Aiye (Mugwort leaf)... [Text fragment] ...Take three consecutive doses. Warmth in the abdomen indicates bleeding will stop. One formula omits Aiye and uses water and wine for decoction, named Renshen Tang.
Gouteng Tang (Uncaria Hook Decoction): Treats fetal movement instability in the 8th-9th month due to exertion/fatigue, heart/abdominal pain, sudden vaginal bleeding, cyanotic face, cold sweat, and impending respiratory failure.
Maidong Tang (Ophiopogon Decoction): Treats fetal movement instability, sudden vaginal bleeding, alternating chills/fever, abdominal pain resembling labor, and restlessness in hands/feet.
Ingredients: Maidong (Ophiopogon tuber, heart removed/baked, 2 liang), Gancao (Licorice root, roasted/chopped), Renshen (Ginseng), Sheng Gan Dihuang (Raw dried Rehmannia, baked), Huangqin (Scutellaria root, black heart removed), Ejiao (Donkey-hide gelatin, roasted dry, 1 liang each). Process: Make into coarse powder. Dosage: Take 3 qian per dose. Add 0.5 cup water and 0.5 cup wine, 0.5 qian sliced fresh ginger, 3 broken dates. Decoct together to 70%, strain. Take warm before meals.
Shaoyao San (Peony Powder): Treats continuous fetal movement with vaginal bleeding, umbilical/abdominal pain, confusion, and coma.
Ingredients: Baishaoyao (White Peony root, 1 liang, fried), Moli (Oyster shell, 0.5 liang), Shu Gan Dihuang (Cooked dried Rehmannia, baked, 0.5 liang), Muzei (Equisetum, chopped/fried, 1 liang), Wouyu Gu (Cuttlefish bone, shell removed), Ganjiang (Dried ginger, processed, 0.5 liang each). Process: Make into powder. Dosage: Take 3 qian per dose, mixed with rice drink or warm wine before meals.
Danggui San (Angelica Sinensis Powder): Treats continuous fetal movement with vaginal bleeding.
Ingredients: Danggui (Angelica sinensis, sliced/baked dry), Sanggen Baipi (Mulberry root bark, chopped), Xuduan (Dipsacus root), Shaoyao (Peony root), Xiong (Chuanxiong, 1 liang each), Ganjiang (Dried ginger, processed, 0.5 liang). Process: Make into powder. Dosage: Take 2 qian per dose, mixed with wine. Take at any time.
Sangjisheng San (Mulberry Mistletoe Powder, from *Shenghui Fang*): Treats fetal disturbance, intra-abdominal knotted pain, vaginal bleeding with dizziness.
Ingredients: Sangjisheng (Mulberry Mistletoe), Danggui (Angelica sinensis, chopped/lightly fried, 1 liang each), Ejiao (Donkey-hide gelatin, 1 liang, crushed/fried yellow/dry), Xuduan (Dipsacus root, 1 liang, chopped), Aiye (Mugwort leaf, 0.5 liang, lightly fried), Xiong (Chuanxiong, 1 liang). Process: Grind and sieve into powder. Dosage: Take 5 qian of medicine. First add 1.5 large cups of water and 3 liang of silver, decoct to 1 cup, then add medicine... [Text fragment]
Juanbai San (Selaginella Powder, from *Shenghui Fang*): Treats fetal disturbance, abdominal pain, vaginal bleeding, and irritability.
Ingredients: Juanbai (Selaginella), Ejiao (Donkey-hide gelatin, crushed/fried yellow/dry), Longgu (Dragon bone), Danggui (Angelica sinensis, chopped/lightly fried), Shu Ai (Cooked Mugwort, lightly fried/chopped), Shu Gan Dihuang (Cooked dried Rehmannia, 0.5 liang each). Process: Grind finely and sieve. Dosage: Take 2 qian at any time, mixed with Black Soybean decoction.
Huangqi Tang (Astragalus Decoction, from *Shenghui Fang*): Treats continuous vaginal bleeding in the 5th-6th month of pregnancy.
Ingredients: Huangqi (Astragalus root, roasted/chopped, 1.5 liang), Sangjisheng (Mulberry Mistletoe, roasted/chopped), Diyü (Sanguisorba root, chopped), Shu Gan Dihuang (Cooked dried Rehmannia, baked, 1 liang each), Aiye (Mugwort leaf, baked dry, 1 liang), Longgu (Dragon bone, ground, 3 qian each). Process: Coarsely grind and sieve. Dosage: Take 5 qian per dose. Add 1.5 cups of water, 0.5 qian sliced fresh ginger, 3 broken dates. Decoct together to 60%, strain. Take warm before meals.
Lujiao Tang (Deer Antler Gelatin Decoction, from *Cunren Fang*): Treats fetal movement instability, lower back pain, and vaginal bleeding.
Ingredients: Danggui (Angelica sinensis), Chuanxiong, Zhu Gen (Artemisia Argyi root, 1 liang each), Lujiao Jiao (Deer antler gelatin), Aiye (Mugwort leaf, 2 liang each). Process: Cut into pieces. Dosage: Take 4 qian per dose. Add 1 cup of water, 2 scallion whites, 0.5 liang silver. Decoct to 1 cup, strain. Take hot on an empty stomach before meals.
Ejiao San (Donkey-hide Gelatin Powder, from *Shenghui Fang*): Treats fetal pressure on the heart and continuous vaginal bleeding.
Ingredients: Ejiao (Donkey-hide gelatin, crushed/fried yellow/dry), Xiong (Chuanxiong), Danggui (Angelica sinensis, chopped/lightly fried), Shu Gan Dihuang (Cooked dried Rehmannia, 1 liang each), Yin (Silver, 1 jin, decocted in 1 dou of water to 5 sheng). Process: Make into powder. Dosage: Take 4 qian per dose. Add 1 medium cup of Silver Juice, decoct to 60%, strain. Take warm at any time.
Matong Tang (Horse Dung Decoction, from *Zhouhou Fang*): Treats sudden fright/rushing or falling from a height causing massive hemorrhage (several sheng of blood).
Ingredients: Matong Zhi (Horse dung juice, 1 sheng), Gan Dihuang (Dried Rehmannia), Ejiao (Donkey-hide gelatin, 4 liang each), Danggui (Angelica sinensis), Aiye (Mugwort leaf, 3 liang each). Process: Cut into pieces. Add 5 sheng of water, boil to 2.5 sheng, strain. Add Matong Zhi and dissolve Ejiao. Divide into 3 doses. Repeat if ineffective.
Treats sudden massive vaginal bleeding (several sheng) with dry fetus and no movement. (From *Qianjin Fang*)
Ingredients: Yu Bai Pi (Elm bark, 3 liang), Danggui (Angelica sinensis), Shengjiang (Fresh ginger, 3 liang each), Gan Dihuang (Dried Rehmannia, 4 liang), Kuizi (Abutilon seed, 1 sheng; omitted in *Zhouhou Fang*). Process: Add 5 sheng of water, boil to 2.5 sheng. Divide into 3 doses. Repeat if ineffective.
Xiong Tang (Chuanxiong Decoction, also known as Dihuang Tang): Treats sudden irregular vaginal bleeding in later stages of pregnancy.
Xiong San (Chuanxiong Powder, from *Shenghui Fang*): Treats sudden fetal movement with expulsion of foul blood, unbearable abdominal pain, and mental restlessness.
Ingredients: Xiong (Chuanxiong, 1 liang), Danggui (Angelica sinensis, chopped/lightly fried), Lujiao Jiao (Deer antler gelatin, crushed/fried yellow/dry, 1.5 liang each), Sangjisheng (Mulberry Mistletoe), Shu Gan Dihuang (Cooked dried Rehmannia, 1 liang each). Process: Make into powder. Dosage: Take 4 qian per dose. Add 1 cup of water, 5 slices of fresh ginger, 3 dates. Decoct to 60%, strain. Take slightly warm at any time.
Wouyu Gu San (Cuttlefish Bone Powder): Treats fetal movement instability, continuous vaginal bleeding, and umbilical/abdominal pain.
Ingredients: Wouyu Gu (Cuttlefish bone, shell removed, 1 liang), Baishaoyao (White Peony root), Xiong (Chuanxiong), Longgu (Dragon bone), Chishizhi (Red halloysite, 0.5 liang each). Process: Make into powder. Dosage: Take 2 qian per dose, mixed with rice drink or warm wine before meals.
Guizhi Fuling Wan (Cinnamon Twig and Poria Pill): Treats women with pre-existing mass disease (Zheng Bing). If menstruation stops for less than three months but leakage bleeding continues, and fetal movement is felt above the navel, it is due to a chronic mass interfering with pregnancy. If fetal movement is felt at six months, it corresponds to the third month after menstruation ceased. The reason for continuous bleeding is that the mass has not been eliminated.
Ingredients: Guizhi (Cinnamon twig), Fuling (Poria), Mudanpi (Tree peony bark, heart removed), Taoren (Peach kernel, skin/tip removed/roasted), Shaoyao (Peony root, equal parts). Process: Make into powder, mix with refined honey to form pills the size of rabbit droppings. Dosage: Take one pill before meals daily. Increase to three pills if ineffective.
Danggui San (Angelica Sinensis Powder, from *Shenghui Fang*): Treats pregnancy complicated by labor-heat, fetal movement instability, vaginal bleeding, continuous abdominal pain, and mental restlessness.
Ingredients: Danggui (Angelica sinensis, chopped/lightly fried), Xiong (Chuanxiong, 1 liang each), Huangqin (Scutellaria root, 0.5 liang, fried), Shu Gan Dihuang (Cooked dried Rehmannia, 1.5 liang, baked), Fulonggan (Household chimney soil, 1 liang). Process: Grind and sieve into powder. Dosage: Take 4 qian per dose. Add 1 medium cup of water and 1 qian Danzhuru (Light Bamboo Shavings). Decoct to 60%, strain. Take warm at any time.
Gan Dihuang San (Raw Rehmannia Powder, also known as Yimu San, from *Shenghui Fang*): Treats abdominal pain, vaginal bleeding, and restlessness after falling from a height.
Ingredients: Sheng Dihuang (Raw Rehmannia), Yimucao (Motherwort herb, 1 liang each), Danggui (Angelica sinensis), Huangqi (Astragalus root, 0.5 liang each). Process: Cut into pieces. Dosage: Take 4 qian per dose. Add 1 cup of water and 4 slices of ginger. Decoct to 60%, strain. Take at any time. One formula adds Xiong (Chuanxiong).
Danggui San (Angelica Sinensis Powder): Treats sudden vaginal bleeding with lumbar/abdominal pain.
Ingredients: Danggui (Angelica sinensis, sliced/baked), Sangjisheng (Mulberry Mistletoe), Xuduan (Dipsacus root, 0.5 liang each), Chi Shaoyao (Red Peony root, 1 qian). Process: Grind into powder. Dosage: Take exactly 3 qian per dose on an empty stomach before meals, mixed with warm wine. Add 1 liang of Ganjiang (Dried Ginger) for cold symptoms; add 1 liang of Xiong (Chuanxiong) for abdominal pain.
Treats continuous fetal movement with vaginal bleeding and abdominal pain. Suitable for this formula. (From *Shenghui Fang*)
Ingredients: Danggui (Angelica sinensis, chopped/lightly fried, 1 liang), Sangmu Er (Mulberry ear fungus, lightly roasted, 0.5 liang weight), Ganjiang (Dried ginger, slightly cracked/chopped), Xuduan (Dipsacus root, 1 liang each). Process: Grind finely and sieve. Dosage: Take 2 qian at any time, mixed with warm wine.
If fetal movement and blood loss are caused by falling or heavy lifting, along with abdominal pain. (From *Zhouhou Fang*)
Ingredients: Ejiao (Donkey-hide gelatin, 3 liang, roasted), Danggui (Angelica sinensis, 2 liang), Gancao (Licorice root, 1 liang, roasted). Process: Cut into pieces. Add 5 sheng of water, boil to 2 sheng. Divide into 2 doses. Avoid Songcai (Chinese cabbage) and Haizao (Seaweed).
Treats continuous downward bleeding in pregnancy. (From *Qianjin Fang*)