时人妄立种子方,多用香附为主,大损气血,服久则少力腰疼,及成痼疾绝胎。间有服
交加
散而偶得子者,因少壮妇多恚怒,服之抑气诸荣,幸中耳,岂可视为良方,珍服图嗣乎。且
无子多由少血不能摄充,或屡堕胎损血,及经行作痛,或子宫空虚之故。欲求嗣者,须修补
阴大造丸三、四料,以助阴血头胎,功效甚奇。经行久痛人,丸内用牛膝一两,元胡索五钱
以调之。得孕屡堕者,成胎后,每月必服丹溪安胎饮十数帖,则可保矣。
补阴大造丸 治血虚气弱人,不能摄充精元成胎、或屡堕胎,及生子不寿者。若
孕后虚热盗汗,食少带多,并宜服。
紫河车(一具) 人参(二两) 当归(二两) 天冬(一两三钱) 北五味(五钱) 杜仲(七
钱,姜炒) 山药(八钱) 牛膝(酒炒,一两) 黄柏(盐炒,七钱) 怀生地(自蒸,二两)
合法丸服,俱同先天大造丸。
时医用枳壳、香附等耗气药,立敛胎易产方,名非无见也。仿古方士进湖阳公主,枳壳
瘦胎
方义,遂增几味耗气药品,巧立方名,使人信而服之,惑世害人久矣。盖方士因湖阳公主,
居养而形浓,食膏粱而胎肥,过期难产,特进此方,亦幸中耳。其胎之损元不寿,不责咎也
,常人岂可概服乎。夫孕至九个月,胎形全具,一母之气血荫胎两用,正宜服药补之。母弱
者药培于他月,若复耗之,则母救己不赡,奚有余血分荫其胎?是以饿损胎元,日渐伶仃瘦
弱,无敛胎易产之效,有亏元损寿之害,其孕母血气亦亏损,多至临盆艰涩,娩后血晕发厥
,危疾皆由所致,人不知也。《妇人良方》所载无忧散、保气散、神寝散,俱不可服。
滋荣易产汤(凡孕妇至九个月服之有益)
人参(一钱) 川芎(一钱) 当归(三钱) 茯苓(八分) 甘草(四分) 陈皮(五分) 大腹
皮(八分) 白术(八分) 黄芩(八分) 益母草(二钱) 怀生地(二钱)
水煎服。
达生散 孕妇临月服之,活血去滞,虚者加参。又,一方有芍药、人参,尤佳。
(此方秘本无增入。)
大腹皮(姜制,一钱五分) 甘草(一钱五分) 葱叶(三根) 黄杨脑(七个)
春加川芎、防风;夏加黄芩、五味;秋加泽泻;冬加砂仁或木通。胎动加阿胶;上气加
紫苏、地黄;性急加柴胡;口渴加麦冬、黄芩。
当时的人胡乱创立助孕方剂,多以香附为主药,严重损耗气血,长期服用会导致体力减退、腰痛,甚至形成顽固性疾病导致不孕。偶尔有人服用交加散而侥幸怀孕,是因为年轻妇女多因愤怒导致气机郁滞,服用此方能抑制气机并疏通各经脉,只是碰巧有效罢了,怎么能把它当作良方,珍视服用以求子嗣呢?况且不孕多由阴血不足不能滋养充盛,或多次流产损伤阴血,以及经期腹痛,或子宫空虚等原因造成。想要求子的,必须服用补阴大造丸三到四料,以辅助阴血,对头胎受孕功效非常神奇。对于经期长期腹痛的人,丸药内加入一两牛膝、五钱延胡索来调理。怀孕后屡有流产者,在成胎之后,每月必须服用丹溪安胎饮十数帖,这样就可以保住了。
补阴大造丸:治疗血虚气弱之人,不能摄纳充盛精元以成胎,或屡有流产,以及生子不长寿的情况。如果怀孕后出现虚热盗汗、食欲不振、白带过多,也都适宜服用。
紫河车(一具) 人参(二两) 当归(二两) 天冬(一两三钱) 北五味子(五钱) 杜仲(七钱,姜炒) 山药(八钱) 牛膝(酒炒,一两) 黄柏(盐炒,七钱) 怀生地(自蒸,二两)
混合制作成丸剂服用,方法同先天大造丸。
当时的医生使用枳壳、香附等耗气药物,创立收敛胎儿、易于生产的方剂,名义上并非没有道理。这是模仿古代方士为湖阳公主进献的枳壳瘦胎方的义理,于是增加了几味耗气的药品,巧妙地命名方剂,使人相信并服用,迷惑世人、危害百姓已经很久了。大概方士因为湖阳公主,居住养尊处优而形体肥胖,食用肥甘厚味而胎儿肥大,过期难产,特别进献这个方子,也是碰巧有效罢了。那些胎儿损伤元气、寿命不长的问题,并不归咎于此方,普通人怎么可以一概服用呢?妊娠到了九个月,胎儿形态已完全具备,母亲的气血要同时供养母子两人,正应该服药滋补。母亲体质弱者,在其他月份用药培补,如果再消耗它,那么母亲连自己都救不过来,哪里还有多余的血液分给胎儿荫护?因此会饿损胎儿元气,使胎儿日渐孤单瘦弱,没有收敛胎儿、易于生产的功效,反而有亏损元气、损害寿命的危害,孕妇的血气也会亏损,大多导致临盆时艰涩难产,分娩后血晕昏厥,各种危重疾病都是由这引起的,人们却不知道。《妇人良方》中记载的无忧散、保气散、神寝散,都不可服用。
滋荣易产汤(凡是孕妇到九个月时服用有益)
人参(一钱) 川芎(一钱) 当归(三钱) 茯苓(八分) 甘草(四分) 陈皮(五分) 大腹皮(八分) 白术(八分) 黄芩(八分) 益母草(二钱) 怀生地(二钱)
用水煎服。
达生散:孕妇临近预产期时服用,能活血去滞,体虚者加入人参。另外,有一个方子含有芍药、人参,尤其好。(这个方子在秘本中没有增入。)
大腹皮(姜制,一钱五分) 甘草(一钱五分) 葱叶(三根) 黄杨脑(七个)
春季加川芎、防风;夏季加黄芩、五味子;秋季加泽泻;冬季加砂仁或木通。胎动不安加阿胶;气逆加紫苏、地黄;性情急躁加柴胡;口渴加麦冬、黄芩。
Contemporary people recklessly established conception-promoting prescriptions, mostly using Cyperi Rhizoma (Xiangfu) as the main ingredient, which severely damages Qi and Blood. Long-term consumption leads to fatigue, lower back pain, and even chronic diseases resulting in infertility. Occasionally, some women conceive after taking Jiaojiao San (Interlaced Powder), but this is merely because young women often suffer from anger-induced Qi stagnation; this prescription suppresses Qi and unblocks the Ying (Nutritive) vessels, so it works by chance. How can it be regarded as a good prescription and cherished for seeking offspring? Moreover, infertility is mostly due to insufficient Yin-Blood failing to nourish and fill, or repeated miscarriages damaging Yin-Blood, dysmenorrhea, or an empty uterus. Those seeking offspring must take Buyin Dazao Wan (Nourishing Yin Great Creation Pill) for three or four courses to assist Yin-Blood, with remarkable efficacy for the first pregnancy. For those with long-term dysmenorrhea, add one liang of Achyranthis Bidentatae Radix (Niuxi) and five qian of Corydalis Rhizoma (Yanhusuo) to the pills for regulation. For those who miscarry repeatedly after conceiving, they must take Danxi Antai Yin (Danxi Fetus-Stabilizing Decoction) for more than ten doses every month after conception is established, which can ensure safety.
Buyin Dazao Wan (Nourishing Yin Great Creation Pill): Treats individuals with Blood deficiency and Qi weakness who cannot retain and fill Essence-Yuan to form a fetus, or who suffer repeated miscarriages, or whose children do not live long. If there are deficient heat, night sweats, poor appetite, and excessive leukorrhea after pregnancy, this prescription is also suitable.
Ziheche (Human Placenta, one piece) Renshen (Ginseng Radix et Rhizoma, two liang) Danggui (Angelicae Sinensis Radix, two liang) Tiandong (Asparagi Radix, one liang three qian) Beiwuweizi (Schisandrae Chinensis Fructus, five qian) Duzhong (Eucommiae Cortex, seven qian, stir-fried with ginger juice) Shanyao (Dioscoreae Rhizoma, eight qian) Niuxi (Achyranthis Bidentatae Radix, wine-fried, one liang) Huangbai (Phellodendri Cortex, salt-fried, seven qian) Huaishengdi (Rehmanniae Radix Praeparata, self-steamed, two liang).
Mix and make into pills, taken in the same manner as Xiantian Dazao Wan.
Contemporary physicians use Qi-consuming drugs such as Aurantii Fructus (Zhike) and Cyperi Rhizoma (Xiangfu) to create prescriptions for "shrinking the fetus" to facilitate delivery. The name is not without basis. They imitated the ancient method of alchemists presenting the Zhike Shoutai Fang (Aurantii Fructus Fetus-Shrinking Prescription) to Princess Huyang, adding several Qi-consuming herbs, cleverly naming the formula, causing people to believe and take it, deceiving the world and harming people for a long time. The alchemist presented this prescription for Princess Huyang because she lived in luxury, became obese, ate rich food, had a large fetus, and suffered prolonged difficult labor. It worked by chance. The damage to fetal Yuan-Qi and shortened lifespan were not blamed on this prescription. How can ordinary people take it indiscriminately? By the ninth month of pregnancy, the fetal form is complete. The mother's Qi and Blood must nourish both mother and fetus simultaneously, so medication should ideally be used to tonify. If the mother is weak, she should have been tonified in previous months; if Qi is consumed now, the mother cannot even sustain herself, let alone share surplus Blood to nourish the fetus. Thus, the fetal Yuan-Qi is starved, becoming increasingly frail and thin. There is no effect of shrinking the fetus for easier delivery, but rather harm of depleting Yuan-Qi and shortening life. The pregnant woman's Qi and Blood are also depleted, often leading to difficult labor, postpartum blood syncope and fainting, and various critical illnesses caused by this, though people are unaware. Youwu San (Worry-Free Powder), Baoqi San (Qi-Preserving Powder), and Shenqin San (Divine Rest Powder) recorded in *Furen Liangfang* (Good Prescriptions for Women) should all be avoided.
Zirong Yichan Tang (Nourishing Prosperity Easy Delivery Decoction) (Beneficial for pregnant women at nine months):
Renshen (Ginseng Radix et Rhizoma, one qian) Chuanxiong (Ligusticum Chuanxiong Rhizoma, one qian) Danggui (Angelicae Sinensis Radix, three qian) Fuling (Poria, eight fen) Gancao (Glycyrrhizae Radix et Rhizoma, four fen) Chenpi (Citri Reticulatae Pericarpium, five fen) Dafupi (Arecae Pericarpium, eight fen) Baizhu (Atractylodis Macrocephalae Rhizoma, eight fen) Huangqin (Scutellariae Radix, eight fen) Yimucao (Leonuri Herba, two qian) Huaishengdi (Rehmanniae Radix Praeparata, two qian).
Decoct in water and take orally.
Dasheng San (Da Sheng Powder): Take near term to invigorate Blood and remove stasis; add Renshen for deficiency. Another version contains Shaoyao (Paeoniae Radix) and Renshen, which is especially good. (This version has no additions in the secret manuscript.)
Dafupi (Arecae Pericarpium, ginger-processed, one qian five fen) Gancao (Glycyrrhizae Radix et Rhizoma, one qian five fen) Congye (Allii Fistulosi Folium, three stalks) Huangyangnao (Yangboxy Lignum, seven pieces).
In spring, add Chuanxiong (Ligusticum Chuanxiong Rhizoma) and Fangfeng (Saposhnikoviae Radix); in summer, add Huangqin (Scutellariae Radix) and Wuweizi (Schisandrae Chinensis Fructus); in autumn, add Zexie (Alismatis Rhizoma); in winter, add Sharen (Amomi Fructus Rotundus) or Mutong (Akebiae Caulis). For restless fetus, add Ejiao (Colla Corii Asini); for rebellious Qi, add Zisu (Perillae Folium) and Dihuang (Rehmanniae Radix); for irritability, add Chaihu (Bupleuri Radix); for thirst, add Maidong (Ophiopogonis Radix) and Huangqin (Scutellariae Radix).