凡妊娠将临月,忽然两目不明,灯火不见,头痛项肿,不能转颈,此由常居火阁,衣襟卧褥,伏热在内,或服
补药热物太过,致令胎热而肝脏壅极,风热上攻入脑,故见此症。急以天冬饮子治之。大忌酒、蒜、炙 、油腻,一
切辛热发物,否则眼不复明矣。
天冬饮子
天冬 荆芥(各一钱五分) 当归 川芎 熟地 白芍 茯苓 知母(各二钱) 人参(六分) 五味(十
四粒) 防风 茺蔚子(各一钱)
如病退,间日一剂,初服,每日一帖。
凡妊娠遍身刺痛胀满,此由五脏不利,血气虚羸,因食生冷或发热憎寒,唇白面青,筋脉拘挛,骨节酸痛,皮
毛干涩,气急上喘,大便不通,呕吐频频,此危症也。急以平安散保之。
平安散
浓朴 陈皮 熟地 甘草 川芎 木香(各等钱) 煨姜(二片) 盐(一撮)
水煎服。
凡妊娠因吐血,衄血,或被伤失血,蓦患口噤,项背强直,类中风症,宜服加减安胎饮。衄音肉,刃伤也。
加减安胎饮
人参 白术 麦冬 当归 熟地 天麻(各二钱) 防风 荆芥(各一钱) 陈皮 甘草(各五分) 姜(三片)
水煎服。或加川贝一钱,天竺黄一钱。
凡妊娠面赤,口干舌苦,心烦腹胀,百节酸痛,小便不通,此由恣意饮酒及食水果鱼肉,一切腥膻热毒之故。
以归凉节命饮治之。
归凉节命饮
苎根 白芍 当归 川芎 麦冬(各一钱) 生白术(一钱半) 砂仁(五分) 甘草(六分) 粘米(一撮)
如中酒者,加葛根一钱。积食者,加山楂、麦芽各一钱。小便闭者,加赤苓、腹皮各一钱,葱白引。
凡是妊娠临近分娩时,突然两眼视物不清,连灯火都看不见,头痛且颈部肿胀,脖子无法转动。这是由于长期居住在火炕(或温暖房间)中,衣被褥垫导致体内伏热积聚,或者服用了过多的补药和热性食物,致使胎热亢盛,肝脏气机壅滞至极,风热之邪上攻入脑,所以出现这些症状。应立即使用天冬饮子治疗。严格禁止饮酒、吃蒜、炙烤食物及油腻食物,以及一切辛热发物,否则眼睛将不能再恢复视力。
天冬饮子
天冬、荆芥(各一钱五分),当归、川芎、熟地黄、白芍、茯苓、知母(各二钱),人参(六分),五味子(十四粒),防风、茺蔚子(各一钱)。
如果病情减退,改为隔天服用一剂;刚开始服药时,每日一剂。
凡是妊娠期间全身刺痛胀满,这是由于五脏功能不利,气血虚弱消瘦,因食用生冷食物或因发热恶寒所致,表现为嘴唇苍白、面色青暗,筋脉拘挛抽搐,骨节酸痛,皮肤毛发干枯涩滞,呼吸急促气喘,大便不通,频繁呕吐,这是危急重症。应立即使用平安散来保全胎儿。
平安散
厚朴、陈皮、熟地黄、甘草、川芎、木香(各等量),煨姜(两片),盐(一撮)。
用水煎煮后服用。
凡是妊娠期间因吐血、鼻出血,或被外伤失血,突然发生口噤不开,项背强直,类似中风的症状,适宜服用加减安胎饮。(注:“衄”音同“肉”,指刃伤或鼻出血。)
加减安胎饮
人参、白术、麦冬、当归、熟地黄、天麻(各二钱),防风、荆芥(各一钱),陈皮、甘草(各五分),生姜(三片)。
用水煎煮服用。也可以加入川贝母一钱、天竺黄一钱。
凡是妊娠期间面红,口干舌苦,心烦意乱,腹部胀满,全身关节酸痛,小便不通畅,这是由于肆意饮酒以及食用水果、鱼肉等一切腥膻热毒之物造成的。使用归凉节命饮治疗。
归凉节命饮
苎麻根、白芍、当归、川芎、麦冬(各一钱),生白术(一钱半),砂仁(五分),甘草(六分),粘米(一撮)。
如果是醉酒引起的,加入葛根一钱。如果是积食引起的,加入山楂、麦芽各一钱。如果是小便闭塞的,加入赤茯苓、大腹皮各一钱,用葱白作为引经药。
In cases where, near the end of pregnancy, a woman suddenly experiences blurred vision to the point of not being able to see even by lamplight, accompanied by headache and swelling of the neck such that turning the head is impossible, this is caused by residing in warm environments (such as heated kang) with bedding that traps internal latent heat, or by taking excessive tonifying medicines and hot-natured foods. This leads to extreme fetal heat and liver qi stagnation, allowing wind-heat to attack upwards into the brain, resulting in these symptoms. One should urgently administer Tiandong Yinzi (Asparagus Root Decoction). It is strictly forbidden to consume alcohol, garlic, roasted foods, greasy foods, and all acrid-hot stimulant substances; otherwise, vision will not recover.
Tiandong Yinzi (Asparagus Root Decoction)
Tian Dong (Asparagi Radix), Jing Jie (Schizonepetae Herba) (each 1.5 qian); Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata), Bai Shao (Paeoniae Radix Alba), Fu Ling (Poria), Zhi Mu (Anemarrhenae Rhizoma) (each 2 qian); Ren Shen (Ginseng Radix et Rhizoma) (0.6 qian); Wu Wei Zi (Schisandrae Chinensis Fructus) (14 grains); Fang Feng (Saposhnikoviae Radix), Chong Wei Zi (Leonuri Fructus) (each 1 qian).
If the illness recedes, take one dose every other day; initially, take one dose daily.
In cases where a pregnant woman suffers from stabbing pain and fullness throughout the body, this is due to dysfunction of the five zang organs and deficiency emaciation of blood and qi. It may be triggered by consuming raw/cold foods or by fever with aversion to cold. Symptoms include pale lips, cyanotic complexion, spasm and contraction of sinews and vessels, soreness and pain of bone joints, dry and rough skin and hair, rapid breathing and asthma, constipation, and frequent vomiting. This is a critical condition. One should urgently administer Ping'an San (Peaceful Preservation Powder) to protect the fetus.
Ping'an San (Peaceful Preservation Powder)
Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Shu Di Huang (Rehmanniae Radix Preparata), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Chuanxiong Rhizoma), Mu Xiang (Aucklandiae Radix) (equal amounts); Wei Jiang (Prepared Ginger) (2 slices); Yan (Salt) (a pinch).
Decoct in water and take orally.
In cases where a pregnant woman suffers from hematemesis or epistaxis, or loses blood due to trauma, and suddenly develops trismus (lockjaw) and rigidity of the neck and back, resembling stroke syndrome, Ji Jian An Tai Yin (Modified Fetus-Securing Decoction) is suitable. (Note: "Nü" refers to bleeding from the nose or injury by a blade.)
Ji Jian An Tai Yin (Modified Fetus-Securing Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mai Dong (Ophiopogonis Tuber), Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Preparata), Tian Ma (Gastrodiae Rhizoma) (each 2 qian); Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Herba) (each 1 qian); Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian); Sheng Jiang (Fresh Ginger) (3 slices).
Decoct in water and take orally. Alternatively, add Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) 1 qian and Tian Zhu Huang (Calami Turionis) 1 qian.
In cases where a pregnant woman presents with a red face, dry mouth, bitter taste in the tongue, restlessness, abdominal distension, soreness and pain of all joints, and dysuria, this is caused by excessive drinking of alcohol and consumption of fruits, fish, and meat, i.e., all pungent, fishy, hot, and toxic substances. One should treat with Gui Liang Jie Ming Yin (Blood-Cooling Life-Prolonging Decoction).
Gui Liang Jie Ming Yin (Blood-Cooling Life-Prolonging Decoction)
Zhu Gen (Bambusae Caulis Internodium), Bai Shao (Paeoniae Radix Alba), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Mai Dong (Ophiopogonis Tuber) (each 1 qian); Sheng Bai Zhu (Raw Atractylodis Macrocephalae Rhizoma) (1.5 qian); Sha Ren (Amomi Fructus) (0.5 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.6 qian); Nian Mi (Glutinis Oryzae Sativi Semen) (a pinch).
If caused by alcohol intoxication, add Ge Gen (Puerariae Lobatae Radix) 1 qian. If caused by food stagnation, add Shan Zha (Crataegi Fructus) and Mai Ya (Hordei Fructus Germinatus) each 1 qian. If there is urinary retention, add Chi Ling (Poria cum Rubro) and Fu Pi (Tomentosae Cortex) each 1 qian, using Cong Bai (Allii Fistulosi Bulbus) as a guiding herb.