诸家巧立病名,竹叶汤以治子烦,安荣散以治子淋,天仙藤散以治子气之方,羚羊角散
治子
痫之病,子肿症用全生白术方,子悬症用紫苏叶方。胎前之症,非止数名,总因孕妇气血亏
虚;或有外感致生诸症而胎不安,岂胎有病母之理也。子烦淋肿等症名,乃后人巧立之名,
形容胎前之病耳。愚意随症治方,多尊丹溪先生安胎散加减以治,毫无误失。
凡屡产生子无气,及育而不寿者,以父母气血不足故也。夫人爱精重施,则髓满骨坚,
又得
血气壮盛之妇为配,生子自精神而有寿。若壮阳弱妇成孕,则母无余血荫胎,必借药补,以
培胎元,斯生寿子。又若弱女衰翁,必须异床寡欲,药味助神,算候经期,固精方施,斯干
元资始之本,实坤元资生之源浓也。经曰∶因而和之,期为圣度。若不远帷薄,则相火易动
,虽不交会,亦暗流损泄多矣。阴平阳秘,精神乃治;阴阳离决,精神乃绝。后立二方,实
补先天之不足,孕成后必宜多服,以全胎元,生子必精神有寿,经验极多,故录示人。
治屡产生子无气,或育而不寿;又补气血虚弱,孕成不安,或得孕数堕,照方每月服十
五贴,弱甚者,每日一帖。大益胎而分娩易,又生子精神有寿,经验良方也。
人参(一钱,如弱人用二钱) 当归(二钱) 白术(二钱) 川芎(八分) 怀生地(自蒸,
二钱) 条芩(二钱) 柴苏(四分) 陈皮(四分) 甘草(四分)
若虚弱人,陈皮去白,再加黄连五分,枣三枚,水煎服。
又加减法,脾胃弱常泄泻,加莲子十枚,带壳砂仁三分,减地黄。多怒而泻,加木香二
分。口常燥渴,加麦冬一钱,怔忡惊悸,加枣仁一钱,益智一钱,天员十个。
先天大造丸(兼服助胎尤妙)
紫河车(一具,壮盛头胎者佳,如新鲜者挑去血筋,和酒浆煮烂,入药捣匀) 山药(一
两)
人参(一两五钱) 归身(二两五钱) 麦冬(一两) 五味子(五钱) 黄柏(八分,久患泻人不
可用) 天冬(一两) 怀生地(二两)
脾胃弱常泻人,减地黄,用白术一两,各为末,炼蜜丸,先将地黄、麦冬,蒸捣如泥,
次下诸药末,又捣千余下,丸如绿豆大,空心清汤下百丸,忌萝卜,不可食。
各家巧妙设立病名,用竹叶汤治疗子烦(妊娠期间因热扰心神所致的心烦不安),用安荣散治疗子淋(妊娠期小便短赤涩痛),用天仙藤散治疗子气(妊娠期肢体肿胀),用羚羊角散治疗子痫(妊娠期抽搐昏迷),子肿(妊娠期肢体浮肿)症使用全生白术方,子悬(妊娠期胸胁胀满、胎动不安)症使用紫苏叶方。胎前的病症,不止这几个名称,总归是因为孕妇气血亏虚;或者因为外感邪气导致产生各种病症而胎元不安,哪有胎儿有病而母亲没病的道理呢?子烦、子淋、子肿等病名,是后人巧妙设立的名称,只是形容胎前疾病的表现罢了。我的意见是随证施治,大多遵循丹溪先生安胎散进行加减来治疗,从未出现失误。
凡是多次生产后孩子体弱无生气,以及养育却寿命不长的情况,是由于父母气血不足造成的。人如果爱惜精气、谨慎施泄,就能使骨髓充盈、骨骼坚固,再加上与血气壮盛的妇女婚配,生下的孩子自然精神饱满且长寿。如果是阳气旺盛的男子与体质虚弱的妇女成孕,那么母亲没有多余的血脉滋养胎儿,必须借助药物进补,以培固胎元,这样才能生出健康长寿的孩子。又如果是年轻女子与年老体衰的男子结合,必须分床睡觉、减少房事,用药味辅助神志,推算好经期,在固精的基础上行房,这才是干元(父系)资始的根本,也是坤元(母系)资生的源泉深厚啊。《内经》说:因此调和阴阳,才符合圣人的法度。如果不远离帷帐薄帘(指节制性欲),则相火容易妄动,即使不进行性交,也会暗中流失损耗很多精气。阴气平和、阳气固秘,精神才能正常;阴阳分离决裂,精神就会衰竭。后来制定这两个方子,确实是补充先天之气的不足,怀孕成功后务必多服用,以保全胎元,生下的孩子必然精神饱满且长寿,经验非常多,所以记录下来展示给人看。
治疗多次生产后孩子体弱无生气,或养育却寿命不长;又补益气血虚弱,怀孕后不安定,或怀孕数次流产的情况,按照方子每月服用十五帖,身体特别虚弱的,每天服用一帖。大补胎元且分娩容易,又能让孩子精神饱满且长寿,是经验非常良效的方子。
人参(一钱,如果是体弱的人用二钱) 当归(二钱) 白术(二钱) 川芎(八分) 怀生地(自行蒸制,二钱) 条芩(二钱) 柴胡和紫苏(四分) 陈皮(四分) 甘草(四分)
如果是虚弱的人,去掉陈皮的白色部分,再加黄连五分,大枣三枚,用水煎服。
又有加减方法:脾胃虚弱经常腹泻的,加莲子十枚,带壳砂仁三分,减少地黄用量。容易发怒且腹泻的,加木香二分。口中经常干燥口渴的,加麦冬一钱,心悸怔忡惊悸的,加枣仁一钱,益智仁一钱,天竺黄十个。
先天大造丸(兼服此药助胎尤为奇妙)
紫河车(一具,以强壮者第一次怀孕所出者为佳,如果是新鲜的,挑去血筋,用酒浆煮烂,入药捣匀) 山药(一两) 人参(一两五钱) 归身(二两五钱) 麦冬(一两) 五味子(五钱) 黄柏(八分,长期患腹泻的人不可用) 天冬(一两) 怀生地(二两)
脾胃虚弱经常腹泻的人,减少地黄用量,改用白术一两,各研为细末,用炼蜜制成丸剂,先将地黄、麦冬蒸熟捣成泥状,再加入诸药细末,再捣一千多下,制成如绿豆大小的丸药,空腹时用清汤送服一百丸,忌食萝卜,不可吃。
Various schools cleverly establish disease names: Zhuye Tang (Bamboo Leaf Decoction) is used to treat Zifan (pregnancy-related restlessness due to heat disturbing the heart); Anrong San (Anning Powder) is used to treat Zilin (pregnancy-related dysuria with short, red, and painful urination); Tianxianteng San (Akebia Vine Powder) is used to treat Ziqi (pregnancy-related edema); Lingyangjiao San (Antelope Horn Powder) is used to treat Zixian (pregnancy-related eclampsia characterized by convulsions and coma); Quansheng Baizhu Fang (Quansheng Atractylodes Formula) is used for Zizhong (pregnancy-related swelling); and Zisuye Fang (Perilla Leaf Formula) is used for Zixuan (pregnancy-related chest and hypochondriac distension with restless fetus). The conditions before delivery are not limited to these few names; they all stem from the deficiency of Qi and Blood in the pregnant woman, or arise from external pathogenic factors causing various symptoms that disturb the fetus. How can it be that the fetus has a disease while the mother does not? Names such as Zifan, Zilin, and Zizhong are merely clever terms coined by later generations to describe the manifestations of pre-delivery illnesses. My approach is to treat according to the syndrome, mostly modifying Danxi Xiansheng's Antai San (Danxi's Fetus-Securing Powder), without any errors.
For cases where children born after multiple deliveries lack vitality, or survive but have short lifespans, this is due to insufficient Qi and Blood in the parents. If one cherishes Essence and practices restraint in sexual activity, Marrow will fill and bones become firm. Coupled with marriage to a woman with robust Qi and Blood, the offspring will naturally be vigorous and long-lived. If a man with strong Yang mates with a weak woman, the mother lacks surplus Blood to nourish the fetus, necessitating herbal supplementation to cultivate the Yuan (Source) of the fetus, thereby ensuring healthy and long-lived offspring. Furthermore, if a young woman mates with an elderly, declining man, they must sleep in separate beds, reduce sexual desire, use herbs to calm the Spirit, calculate the menstrual cycle precisely, and engage in intercourse only after securing Essence. This constitutes the foundation of Qianyuan (Paternal Origin) initiating life and enriches Kunyuan (Maternal Origin) generating life. The Classic states: "Therefore, harmonize them, and you will attain the standard of the Sage." If one does not avoid sexual temptation, Minister Fire (Xianghuo) easily stirs; even without actual intercourse, secret leakage and damage occur frequently. When Yin is peaceful and Yang is secure, the Spirit is regulated; when Yin and Yang separate and rupture, the Spirit perishes. I subsequently formulated two prescriptions to truly supplement congenital insufficiency. After conception, they should be taken frequently to preserve the fetal Yuan, ensuring the child is vigorous and long-lived. These have proven effective many times, so I record them for others.
This treats children lacking vitality after multiple deliveries, or those who survive but have short lives; it also tonifies deficient Qi and Blood, stabilizes pregnancy, or prevents recurrent miscarriages. Take fifteen doses per month according to the formula; for severe weakness, take one dose daily. It greatly benefits the fetus and facilitates delivery, and ensures the child is vigorous and long-lived. It is a highly effective empirical prescription.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian; use 2 qian for very weak individuals) Dang Gui (Angelicae Sinensis Radix, 2 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian) Chuan Xiong (Ligusticum Chuanxiong Rhizoma, 8 fen) Huai Sheng Di Huang (Rehmanniae Radix Praeparata, steamed self-made, 2 qian) Tiao Qin (Scutellariae Radix, 2 qian) Chai Hu and Zi Su (Bupleuri Radix and Perillae Folium, 4 fen) Chen Pi (Citri Reticulatae Pericarpium, 4 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen)
For weak individuals, remove the white pith from Chen Pi, add Huang Lian (Coptidis Rhizoma, 5 fen), and Jujubae Fructus (3 pieces). Decoct in water and take orally.
Additional modifications: For those with weak Spleen and Stomach and frequent diarrhea, add Lotus Semen (10 pieces) and Cardamomi Fructus cum Testa (3 fen), and reduce the dosage of Sheng Di Huang. For those prone to anger and diarrhea, add Aucklandiae Radix (2 fen). For chronic dry mouth and thirst, add Ophiopogonis Radix (1 qian). For palpitations and fright-induced anxiety, add Ziziphi Spinosae Semen (1 qian), Alpiniae Oxyphyllae Fructus (1 qian), and Tian Zhu Huang (10 pieces).
Xiantian Dazao Wan (Congenital Great Creation Pill - particularly excellent for assisting pregnancy)
Zi He Che (Human Placenta, one unit; best from a robust first-time mother; if fresh, remove blood vessels, boil until soft with wine and water, then mix evenly with other herbs) Shan Yao (Dioscoreae Rhizoma, 1 liang) Ren Shen (Ginseng Radix et Rhizoma, 1.5 liang) Gui Shen (Angelicae Sinensis Radix, 2.5 liang) Mai Dong (Ophiopogonis Radix, 1 liang) Wu Wei Zi (Schisandrae Chinensis Fructus, 5 qian) Huang Bo (Phellodendri Cortex, 8 fen; contraindicated for those with chronic diarrhea) Tian Dong (Asparagi Radix, 1 liang) Huai Sheng Di Huang (Rehmanniae Radix Praeparata, 2 liang)
For those with weak Spleen and Stomach and frequent diarrhea, reduce Sheng Di Huang and use Bai Zhu (1 liang). Grind all ingredients into fine powder. Prepare honey pills: first steam and mash Sheng Di Huang and Mai Dong into a paste, then add the herbal powders, and pound for over a thousand strokes. Form pills the size of mung beans. Take 100 pills on an empty stomach with clear soup. Avoid eating Radish (Raphani Semen).