(又名子嗽)
娠妊数月,胎热冲肺金,常有咳嗽者,宜用泻白散加黄芩、苏梗、川贝主之。如感风热,再加荆芥、桔梗、
甘草。毋任咳嗽伤肺,至成产劳。又不可用温散之味,如羌活、麻黄、桂枝之类,反伤肺而助火,恐胎热上逼,
莫可疗也。如前药之不愈,可服六味地黄汤,为至稳之法。
既感受风热,而云可服六味地黄汤,是直将外邪腻住,锢蔽不出,为后劳病基础。噫,可慨也夫?(徐评)
泻白散
桑白皮(二钱) 地骨皮(三钱)
二味煎服。
六味地黄汤
熟地(三钱) 萸肉(一钱) 茯苓(一钱) 山药(二钱) 泽泻(八分) 麦冬(一钱五分,此味代丹皮)
水煎,空心服。
孕妇腹内出声,乃小儿腹内啼也。此由胞中疙瘩,儿常含于口中以吮血。偶然孕妇攀高拾物,脱出儿口,因
而啼鸣。急令孕妇曲腰就地片时,如拾物状,啼即止矣。或服四物汤加白术、茯神二剂,胎气安固。然必孕六七
个月者有之。
娠妊至八九月忽然不语,谓之子喑。不必惊慌,但以饮食调养,可不必服药。此胞胎系于肾,肾脉贯舌本,
待分娩自能言也。如不放心,可服四物汤加茯神、远志。亦有即能言者,妄投杂药,反恐有误。
肾开窍于二阴,与膀胱为表里。热则小便淋漓,甚者心烦闷乱,用子淋散主之。如肾虚热,不能司化,用六
味汤加车前子,或加知柏治之。又有安乐散、葵子汤,皆可选用。
子淋散
茯苓 麦冬 木通 甘草 大腹皮 淡竹叶
水煎服。
安乐散
人参 麦冬 归身 甘草 通草 滑石 细辛 灯心(各五分)
水煎服。
葵子汤
冬葵子 滑石 木通(各等分),加葱白七寸,水煎服。
(又名子嗽)
怀孕数月,因胎热上冲侵犯肺金,常有咳嗽症状者,适宜使用泻白散加黄芩、苏梗、川贝母来主治。如果感受了风热邪气,再加荆芥、桔梗、甘草。不要任由咳嗽损伤肺气,以至于发展成产后劳损。又不可使用温性发散的药物,如羌活、麻黄、桂枝之类,否则会反而损伤肺气并助长火邪,恐怕导致胎热上逼,那时就难以治疗了。如果上述药物无效,可以服用六味地黄汤,这是最为稳妥的方法。
既然已经感受了风热邪气,却说可以服用六味地黄汤,这简直是让外邪被滋腻之药滞留体内,闭塞不出,成为日后虚劳疾病的基础。唉,真是令人感慨啊!(徐评)
六味地黄汤
熟地黄(三钱) 山茱萸肉(一钱) 茯苓(一钱) 山药(二钱) 泽泻(八分) 麦冬(一钱五分,此药代替牡丹皮)
用水煎煮,空腹服用。
孕妇腹内发出声音,是胎儿在腹中啼哭所致。这是因为胞宫中有疙瘩(指脐带结或类似物),胎儿常含在口中吮吸血液。偶然间孕妇攀高拾取物品,导致该物脱出胎儿口中,因而引起啼鸣。急忙让孕妇弯腰曲身贴近地面片刻,就像拾取物品的姿势一样,啼哭就会停止。或者服用四物汤加白术、茯神,连服两剂,使胎气安固。但这通常只发生在怀孕六七个月的时候。
怀孕到八九月时突然不能说话,称为“子喑”。不必惊慌,只需通过饮食调养,可以不必要服药。这是因为胞胎系于肾,肾脉贯通舌根,等到分娩后自然能说话。如果不放心,可以服用四物汤加茯神、远志。也有的人本来就能说话,乱投杂药,反而恐怕造成误治。
肾开窍于前后二阴,与膀胱互为表里。若有热邪,则小便淋漓不尽,严重的会出现心烦闷乱,用子淋散主治。如果是肾虚有热,不能正常气化,用六味地黄汤加车前子,或者加知母、黄柏来治疗。又有安乐散、葵子汤,都可以选用。
(Also known as Zi Sou)
During several months of pregnancy, due to fetal heat rushing up to invade the Lung Metal (Lung system), coughing is common. In such cases, Xiebai San (White-Draining Powder) added with Huangqin (Scutellariae Radix), Sugeng (Perillae Caulis), and Chuanbei (Fritillariae Bulbus) should be used as the main treatment. If Wind-Heat pathogen is contracted, add Jingjie (Schizonepetae Herba), Jiegeng (Platycodonis Radix), and Gancao (Glycyrrhizae Radix). Do not allow coughing to damage the Lung Qi, leading to postpartum consumptive disease (Chan Lao). Furthermore, warm and dispersing herbs such as Qianghuo (Notopterygii Rhizoma et Radix), Mahuang (Ephedrae Herba), and Guizhi (Cinnamomi Ramulus) must not be used, as they will further damage the Lung and assist Fire. This may cause fetal heat to press upwards, making it untreatable. If the aforementioned medicines are ineffective, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill/Decoction) can be taken; this is the most stable method.
Since Wind-Heat has already been contracted, stating that Liuwei Dihuang Tang can be taken implies that the external pathogen is trapped by the cloying nature of the medicine, unable to exit, thereby laying the foundation for future consumptive diseases. Alas, how lamentable! (Commentary by Xu)
Xiebai San (White-Draining Powder)
Sangbaipi (Mori Cortex) - 2 qian
Digupi (Lygodii Radix) - 3 qian
Decoct these two ingredients and take orally.
Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction)
Shudi (Rehmanniae Radix Praeparata) - 3 qian
Yurou (Corni Fructus) - 1 qian
Fuling (Poria) - 1 qian
Shanyao (Dioscoreae Rhizoma) - 2 qian
Zexie (Alismatis Rhizoma) - 8 fen
Maidong (Ophiopogonis Radix) - 1.5 qian (This ingredient replaces Mudanpi)
Decoct in water and take on an empty stomach.
The sound heard inside the pregnant woman's abdomen is the fetus crying within the womb. This occurs because there is a knot in the Baozhong (uterine cavity/womb), which the fetus often holds in its mouth to suck blood. Occasionally, when the pregnant woman climbs high or picks up objects, this knot slips out of the fetus's mouth, causing it to cry. Urgently instruct the pregnant woman to bend her waist and stay close to the ground for a moment, mimicking the posture of picking up an object; the crying will then cease. Alternatively, administer Siwu Tang (Four-Substance Decoction) added with Baizhu (Atractylodis Macrocephalae Rhizoma) and Fushen (Poria with Hostwood), for two doses, to stabilize the fetal Qi. However, this phenomenon typically occurs only during the sixth or seventh month of pregnancy.
When a pregnant woman suddenly loses her voice at eight or nine months of gestation, it is called "Zi Yin" (Pregnancy Aphonia). There is no need to panic; dietary nourishment and regulation suffice, and medication is generally unnecessary. This is because the Bao Tuo (fetal membrane/support) is connected to the Kidney, and the Kidney meridian passes through the root of the tongue. Speech will naturally return after delivery. If one remains concerned, Siwu Tang (Four-Substance Decoction) added with Fushen (Poria with Hostwood) and Yuanzhi (Polygalae Radix) can be taken. Some women retain their speech naturally; indiscriminate use of miscellaneous drugs may instead cause harm.
The Kidney opens into the two yin passages (urethra and anus) and shares a interior-exterior relationship with the Bladder. Heat causes dribbling urination; severe cases involve mental restlessness and agitation. Zilin San (Zi Lin Powder) is the primary treatment. If Kidney deficiency with heat prevents proper transformation and excretion, Liuwei Tang (Six-Ingredient Decoction) added with Cheqianzi (Plantaginis Semen), or added with Zhimu (Anemarrhenae Rhizoma) and Huangbo (Phellodendri Cortex), can be used. Other options include Anle San (Anle Powder) and Kuizi Tang (Abelmoschus Decoction), which can also be selected.
Zilin San (Zi Lin Powder)
Fuling (Poria)
Maidong (Ophiopogonis Radix)
Mutong (Akebiae Caulis)
Gancao (Glycyrrhizae Radix)
Dafupi (Arecae Pericarpium)
Dan Zhuye (Lophatheri Folium)
Decoct in water and take orally.
Anle San (Anle Powder)
Renshen (Ginseng Radix et Rhizoma)
Maidong (Ophiopogonis Radix)
Guishen (Angelicae Sinensis Radix)
Gancao (Glycyrrhizae Radix)
Tongcao (Tetrapanacis Medulla)
Huashi (Talcum)
Xixin (Asari Radix et Rhizoma)
Dengxin (Junci Medulla) (Each 5 fen)
Decoct in water and take orally.
Kuizi Tang (Abelmoschus Decoction)
Dongkuizi (Abelmoschi Semen)
Huashi (Talcum)
Mutong (Akebiae Caulis) (Equal parts each)
Add Congbai (Allii Fistulosi Bulbus), seven cun in length.
Decoct in water and take orally.