妊娠五六月,少阴君火以养精,六七月少阳相火以养气。平素火盛或值天时火热,内外之火相亢而心惊胆
怯,烦躁不安者,名曰子烦。责之心虚有火,宜竹叶汤或竹沥汤,甚则知母饮或犀角散。若左寸微弱,宜知柏
养心汤调服安神丸。
竹叶汤
白茯苓(二钱) 麦门冬(去心) 黄芩(各一钱五分) 淡竹叶(七片) 灯心(十茎)
水煎,日服二次。(一方有当归、防风、栀子仁)
若血虚烦热加熟地黄、当归、白芍、川芎各一钱。若气虚烦躁加人参、白术(蜜炙)、炙甘草各一钱。
竹沥汤
赤茯苓一两,以水一钟煎至七分,去渣入竹沥一杯和匀服。又竹沥一味,细细饮之亦妙。
知母饮
知母 麦冬(去心) 黄 (生用)、甘草(各一钱) 子芩 赤茯苓(各一钱半)
水一钟半,煎至七分,去渣,入竹沥一杯,温服。
气虚加人参一钱,口渴加石膏一钱,热甚者加犀角(锉)五分。
犀角散
犀角(五分,镑) 地骨皮 麦冬(去心,各二钱) 茯神
一钱五分) 条芩(一钱) 甘草(五分)
水煎,温服。
柏子养子汤
生黄 麦冬 枣仁 人参 柏子仁(各一钱) 茯神 川芎 远志(制,各八分) 当归(二钱)
五味子(十粒) 炙甘草(五分) 姜(三片)
水煎服。
安神丸
黄连(酒炒) 生地黄 当归身(各三钱) 炙甘草(五分)
上为末,蒸饼糊丸如黍米大,辰砂二钱为衣,柏子养心汤送四十丸。
妊娠五六月时,少阴君火(心火)负责滋养胎儿的精血;六七月时,少阳相火(胆与三焦之火)负责滋养胎儿的气。若孕妇平素体内火气旺盛,或正值外界气候炎热,导致内外之火相互亢盛,出现心惊胆怯、烦躁不安的症状,称为“子烦”。此病责因于心气虚弱且内有虚火,适宜使用竹叶汤或竹沥汤进行治疗;病情严重者,可使用知母饮或犀角散。若诊察发现左手寸口脉微弱,适宜服用知柏养心汤并配合调服安神丸。
竹叶汤
白茯苓(二钱)、麦门冬(去除心中芯)、黄芩(各一钱五分)、淡竹叶(七片)、灯心草(十茎)。
加水煎煮,每日服用两次。(另一配方包含当归、防风、栀子仁)
若因血虚导致的烦热,加熟地黄、当归、白芍、川芎各一钱。若因气虚导致的烦躁,加人参、白术(蜂蜜炙烤)、炙甘草各一钱。
竹沥汤
赤茯苓一两,用水一钟(约200-300毫升)煎至七分,去药渣后加入一杯竹沥水混合均匀服用。另外,单用竹沥一味药,细细饮用也效果奇妙。
知母饮
知母、麦冬(去除心中芯)、黄芪(生用)、甘草(各一钱)、子芩(即黄芩)、赤茯苓(各一钱半)。
用水一钟半,煎至七分,去药渣,加入一杯竹沥水,温服。
若气虚加人参一钱,口渴加石膏一钱,热势极重者加犀角(锉碎)五分。
犀角散
犀角(五分,镑成薄片)、地骨皮、麦冬(去除心中芯,各二钱)、茯神(一钱五分)、条芩(即黄芩,一钱)、甘草(五分)。
加水煎煮,温服。
柏子养心汤
生黄芪、麦冬、酸枣仁、人参、柏子仁(各一钱)、茯神、川芎、远志(炮制,各八分)、当归(二钱)、五味子(十粒)、炙甘草(五分)、生姜(三片)。
加水煎煮服用。
安神丸
黄连(酒炒)、生地黄、当归身(各三钱)、炙甘草(五分)。
以上药材研为细末,用蒸饼糊制成如黍米大小的丸剂,用辰砂二钱作为包衣,服用时用柏子养心汤送服四十丸。
During the fifth and sixth months of pregnancy, Shaoyin Junhuo (Heart Fire) nourishes the fetus's essence and blood; during the seventh to ninth months, Shaoyang Xianghuo (Gallbladder and Sanjiao Fire) nourishes the fetus's Qi. If a pregnant woman has an inherent excess of fire or is exposed to hot weather, causing internal and external fires to hyperact, resulting in palpitations, timidity, irritability, and restlessness, it is termed "Zifan" (Pregnancy-related Irritability). This condition is attributed to Heart Qi deficiency with internal fire. It is appropriate to use Zhuye Tang (Bamboo Leaf Decoction) or Zhuli Tang (Bamboo Sap Decoction); for severe cases, Zhimu Yin (Anemarrhena Infusion) or Xijiao San (Rhinoceros Horn Powder) may be used. If the pulse at the left Cun position is weak, Zhibai Yangxin Tang (Anemarrhena and Phellodendron Nourishing Heart Decoction) should be taken along with Anshen Wan (Calming Spirit Pill).
Zhuye Tang (Bamboo Leaf Decoction)
Baifuling (Poria Cocos, 2 qian), Maimendong (Ophiopogonis Radix, heart core removed), Huangqin (Scutellariae Radix, each 1.5 qian), Danzhuye (Lophatheri Herba, 7 leaves), Dengxincao (Junci Medulla, 10 stems).
Decoct in water, take twice daily. (Another formula includes Danggui, Fangfeng, and Zhiziren.)
If irritability and heat are due to Blood deficiency, add Shudihuang, Danggui, Baishao, and Chuanxiong, each 1 qian. If irritability is due to Qi deficiency, add Renshen, Baizhu (Honey-fried), and Zhigancao, each 1 qian.
Zhuli Tang (Bamboo Sap Decoction)
Chifuling (Red Poria Cocos, 1 liang), decoct in one zhong of water until reduced to seven-tenths, strain, and mix with one cup of Zhuli (Bamboo Sap) before taking. Alternatively, drinking pure Zhuli alone is also effective.
Zhimu Yin (Anemarrhena Infusion)
Zhimu (Anemarrhenae Rhizoma), Maimendong (Ophiopogonis Radix, heart core removed), Huangqi (Astragali Radix, raw), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 qian), Ziqin (Scutellariae Radix), Chifuling (Red Poria Cocos, each 1.5 qian).
Decoct in one and a half zhongs of water until reduced to seven-tenths, strain, add one cup of Zhuli (Bamboo Sap), and take warm.
Add Renshen (Ginseng Radix) 1 qian for Qi deficiency; add Shigao (Gypsum Fibrosum) 1 qian for thirst; add Xijiao (Rhinocerotis Cornu) 0.5 qian (crushed) for severe heat.
Xijiao San (Rhinoceros Horn Powder)
Xijiao (Rhinocerotis Cornu, 0.5 qian, shaved), Digupi (Lycii Cortex), Maimendong (Ophiopogonis Radix, heart core removed, each 2 qian), Fushen (Poria Cocos with Hostwood, 1.5 qian), Tiaohuangqin (Scutellariae Radix, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Decoct in water, take warm.
Baizi Yangxin Tang (Seed-of-Cupressus Nourishing Heart Decoction)
Sheng Huangqi (Raw Astragali Radix), Maimendong (Ophiopogonis Radix), Zaoren (Ziziphi Spinosae Semen), Renshen (Ginseng Radix), Baiziren (Platycladi Semen, each 1 qian), Fushen (Poria Cocos with Hostwood), Chuanxiong (Ligustici Chuanxiong Rhizoma), Yuanzhi (Polygalae Radix, processed, each 0.8 fen), Danggui (Angelicae Sinensis Radix, 2 qian), Wuweizi (Schisandrae Fructus, 10 berries), Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 0.5 fen), Jiang (Zingiberis Rhizoma Recens, 3 slices).
Decoct in water and take.
Anshen Wan (Calming Spirit Pill)
Huanglian (Coptidis Rhizoma, wine-fried), Shengdihuang (Rehmanniae Radix), Dangguishen (Angelicae Sinensis Radix, root body, each 3 qian), Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 0.5 fen).
Grind into powder, make pills using steamed cake paste, size of millet seeds. Coat with 2 qian of Chen sha (Cinnabar). Take 40 pills washed down with Baizi Yangxin Tang (Seed-of-Cupressus Nourishing Heart Decoction).