(孕妇呕吐,名曰恶阻,非谓经阻而言)
娠妊之际,经不行。浊气凝滞,上乾清道,或中脘停痰,胸膈满闷,眩晕呕吐,或倦卧无力,而不喜食;
或一时觉大病之象,或过时而全无病;此所谓孕妇多怪病,实非病也,名恶阻。方用二陈汤加枳壳炒,砂仁
研去壳,以安胃化痰。若脾气虚,用六君子汤加紫苏梗(五分),枳壳(五分,炒),砂仁(五分,炒),
香附(八分),加姜枣煎服。其半夏必用姜水泡洗三次。若与人参同用更稳。恶阻之症,虽属寻常,然呕
多不食,气必上逆,逆则防冲,动心包,孕妇有碍,急宜安胎调胃。
二陈汤
制半夏(一钱,泡) 广陈皮(七分) 白茯苓(一钱二分) 炙甘草(五分) 本方加人参(八分),
白术(一钱),即六君子汤。俱宜加姜枣煎服。
胎动各有所因,或怒动肝火,或起居不慎,或跌扑闪动,及房事动扰,则胎不安。孕妇腰痛发热,不食不
眠。方用安胎饮主之各有加减法。设若不安之甚,防其胎伤于内,须验其舌,与面色相配。如面赤舌青,知胎
已伤。面青舌赤,母伤子存。面舌俱赤,两无妨。面舌俱青,两命亡。如产妇口吐白沫,唇口色青者,立死难
保。娠妊者,切宜慎养。
安胎饮
大熟地(三钱) 归身(一钱) 白芍(一钱,酒炒) 炙草(五分) 艾叶(五分) 砂仁(五分,研)
白茯苓(一钱五分) 川芎(三分) 白术(一钱,土炒) 阿胶(一钱)
水煎服。
胎动,有因寒因热、因虚因实之分,岂可概从温补为事。(徐语)
若起居不慎,房事扰动者,加人参(一钱),杜仲(二钱),川断(一钱),桑寄生(二钱),真者为佳。
如无力用参,即加蜜炙黄 (三钱)。若怒动肝火,本方加柴胡(三分),黑栀(八分)。若脾虚气滞者,除
熟地,加人参(五分),陈皮(五分),白扁豆(二钱,炒)。若跌扑伤动,另用当归(一钱五分),川芎
(五分),青木香(一钱),桑寄生(二三钱)(此物极能安胎,最妙,惟恐不真)。若感风寒相搏,须按各
经以祛之。轻者于本方除熟地加苏梗一钱,此味能宽胎气,去胀满,且安胎。或加青苎三钱。大凡子烦诸症,
皆可加入。更有气虚胎下陷者,另用补中益气汤,以升举胎元则安。大抵体弱之人,安胎饮内皆宜加人参,
即合成胶艾八珍汤。
补中益气汤
炙黄 (二钱) 于术(一钱,土炒) 陈皮(五分) 归身(一钱) 柴胡(三分,蜜炙) 升麻(三分,
蜜炙) 炙草(五分) 加姜枣煎服。
保胎丸
此即家 庵先生托胎丸,予加当归配成君臣佐使四味,名保胎丸,极有效验,即名千金保孕方。
杜仲(八两,用糯米粥汤拌,蒸晒干炒) 山药(六两,炒另磨留粉二两,打糊为丸) 川断(四两,
盐水炒) 当归(二两,酒炒)
即用山药粉打糊为丸。亦有用枣肉打为丸,不拘时,开水送下四钱。凡有孕
者,即合服之。服过七个足月可止,此方物省而功大,永无小产之患。且产后多乳病,贫者宜传此方与服,
价廉不费。虽受外感,亦勿间断。如见有小产者,即传此方,其效如神。
在妊娠期间,月经停止。体内浊气凝滞,向上侵犯清阳之道,或者中脘部位停聚痰饮,导致胸膈部满闷、眩晕、呕吐,或者疲倦嗜卧、无力、食欲不振;
有时突然感觉像得了大病一样,有时过了这段时间又完全没有病症;这就是所谓的孕妇多怪病,实际上并不是真正的疾病,称为恶阻。治疗方剂使用二陈汤,加入炒枳壳和研碎去壳的砂仁,以安定胃气、化解痰饮。如果是脾气虚弱,使用六君子汤,加入紫苏梗(五分)、炒枳壳(五分)、炒砂仁(五分)、香附(八分),加生姜和大枣煎服。其中的半夏必须用姜水泡洗三次。如果与人参同用更加稳妥。恶阻的症状,虽然属于常见情况,但如果呕吐频繁且不能进食,气机必然上逆,气逆则容易冲犯,扰动心包,对孕妇造成危害,急需安胎并调理胃气。
二陈汤
制半夏(一钱,浸泡) 广陈皮(七分) 白茯苓(一钱二分) 炙甘草(五分) 本方加入人参(八分)、白术(一钱),即为六君子汤。都适宜加生姜和大枣煎服。
胎动不安各有其成因,或因愤怒引动肝火,或因起居不慎,或因跌倒撞击闪动,以及房事扰动,都会导致胎元不安。孕妇会出现腰痛、发热、不食、失眠等症状。治疗主方使用安胎饮,并根据具体情况有加减法。如果胎动不安非常严重,担心胎儿在内部受损,需要观察舌象,并与面色相互参照判断。如面色红赤而舌色青,可知胎儿已受损。面色青而舌色红,是母体受损而胎儿存活。面色和舌色都红赤,母子均无妨碍。面色和舌色都青,母子性命皆亡。如果产妇口吐白沫,嘴唇和口色发青的,立即死亡难以保全。妊娠期,务必谨慎调养。
安胎饮
大熟地(三钱) 当归身(一钱) 白芍(一钱,酒炒) 炙甘草(五分) 艾叶(五分) 砂仁(五分,研碎) 白茯苓(一钱五分) 川芎(三分) 白术(一钱,土炒) 阿胶(一钱)
用水煎服。
胎动不安,有因寒、因热、因虚、因实的区别,怎么能一概采用温补的方法。(徐氏评语)
如果是因起居不慎、房事扰动引起的,加入人参(一钱)、杜仲(二钱)、川断(一钱)、桑寄生(二钱),以真品为佳。
如果无力用人参,就加入蜜炙黄芪(三钱)。如果是因愤怒引动肝火,在本方基础上加入柴胡(三分)、黑栀子(八分)。如果是脾虚气滞,去掉熟地,加入人参(五分)、陈皮(五分)、炒白扁豆(二钱)。如果是因跌倒撞击损伤,另用当归(一钱五分)、川芎(五分)、青木香(一钱)、桑寄生(二三钱)(此物极能安胎,效果最好,只是恐怕药材不真)。如果是感受风寒邪气相搏,须根据各经络分别祛除。轻症在本方中去掉熟地,加入一钱苏梗,此味药能宽舒胎气,消除胀满,并且安胎。或者加入三钱青苎麻根。大凡子烦(妊娠心烦)等各种症状,都可以加入。更有气虚导致胎元下陷者,另用补中益气汤,以升举胎元则胎安。大体上体质虚弱的人,在安胎饮中都适宜加入人参,这就合成为胶艾八珍汤。
补中益气汤
蜜炙黄芪(二钱) 于术(一钱,土炒) 陈皮(五分) 当归身(一钱) 柴胡(三分,蜜炙) 升麻(三分,蜜炙) 炙甘草(五分) 加生姜和大枣煎服。
保胎丸
这就是家庵先生托胎丸,我加入当归配合成君臣佐使四味药,命名为保胎丸,极其有效验,也就是千金保孕方。
杜仲(八两,用糯米粥汤拌,蒸晒后炒) 山药(六两,炒后另磨留粉二两,打糊做丸) 川断(四两,盐水炒) 当归(二两,酒炒)
即用山药粉打糊做成丸剂。也有用枣肉打糊做丸的,不拘时间,开水送服四钱。凡是怀孕的人,就可以服用此药。服过七个足月可以停止,此方药材便宜而功效巨大,永远没有小产的隐患。而且产后多患乳病,贫穷者适宜流传此方服用,价格便宜不耗费。即使受到外感,也不要间断服用。如果见到有小产迹象的,就传授此方,其效果如神。
(Pregnant women experiencing vomiting is termed "E Zu" (Morning Sickness/Nausea of Pregnancy), here it does not refer to the obstruction of menstruation.)
During pregnancy, menstruation ceases. Turbid Qi stagnates and ascends to invade the clear orifices/channels, or phlegm-fluids accumulate in the Zhongwan region, causing fullness and oppression in the chest and diaphragm, dizziness, vomiting, fatigue, weakness, and loss of appetite;
Sometimes one suddenly feels as if suffering from a severe illness, while at other times, after a period of time, there are no symptoms at all; this is what is referred to as pregnant women often having strange ailments, which are actually not true diseases, but are named "E Zu". The prescription used is Er Chen Tang (Two-Aged Decoction) with added fried Zhi Qiao (Bitter Orange Fruit) and crushed Sha Ren (Amomum Fruit) with shells removed, to stabilize the Stomach Qi and resolve phlegm. If there is Spleen Qi deficiency, Liu Jun Zi Tang (Six-Gentlemen Decoction) is used with added Zi Su Geng (Perilla Stem) (5 fen), fried Zhi Qiao (5 fen), fried Sha Ren (5 fen), and Xiang Fu (Cyperus Rhizome) (8 fen), decocted with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube). The Ban Xia (Pinellia Tuber) must be washed three times using ginger water. It is more stable when used together with Ren Shen (Ginseng Root). Although E Zu symptoms are common, frequent vomiting and inability to eat cause Qi to rebel upwards; rebellion may lead to rushing and disturbing the Pericardium, harming the pregnant woman, so it is urgent to calm the fetus and regulate the Stomach.
Er Chen Tang (Two-Aged Decoction)
Zhi Ban Xia (Prepared Pinellia Tuber) (1 qian, soaked) Guang Chen Pi (Aged Tangerine Peel) (7 fen) Bai Fu Ling (Poria) (1.2 qian) Zhi Gan Cao (Honey-fried Licorice Root) (5 fen) Adding Ren Shen (Ginseng Root) (8 fen) and Bai Zhu (Atractylodes Macrocephala Rhizome) (1 qian) to this formula constitutes Liu Jun Zi Tang (Six-Gentlemen Decoction). All should be decocted with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube).
The causes of fetal movement instability vary: they may result from anger stirring Liver Fire, careless daily living, falls or impacts, or sexual activity disturbing the body, leading to fetal insecurity. Pregnant women may experience lower back pain, fever, anorexia, and insomnia. The main prescription for treatment is An Tai Yin (Fetus-Calming Decoction), with modifications according to specific conditions. If the instability is severe, fearing internal fetal damage, one must examine the tongue and correlate it with the facial complexion. If the face is red and the tongue is blue/green, it indicates the fetus has been damaged. If the face is blue/green and the tongue is red, the mother is injured but the fetus survives. If both face and tongue are red, neither is harmed. If both face and tongue are blue/green, both lives are lost. If the parturient woman spits white foam and her lips and mouth appear blue/green, death is imminent and cannot be saved. During pregnancy, careful nurturing is essential.
An Tai Yin (Fetus-Calming Decoction)
Da Shu Di Huang (Prepared Rehmannia Root) (3 qian) Dang Gui Shen (Dang Gui Body) (1 qian) Bai Shao (White Peony Root) (1 qian, wine-fried) Zhi Gan Cao (Honey-fried Licorice Root) (5 fen) Ai Ye (Mugwort Leaf) (5 fen) Sha Ren (Amomum Fruit) (5 fen, crushed) Bai Fu Ling (Poria) (1.5 qian) Chuan Xiong (Szechwan Lovage Rhizome) (3 fen) Bai Zhu (Atractylodes Macrocephala Rhizome) (1 qian, earth-fried) E Jiao (Donkey-hide Gelatin) (1 qian)
Decoct with water and take orally.
Fetal movement instability can be due to cold, heat, deficiency, or excess; how can one generally resort to warming and tonifying methods? (Comment by Xu)
If caused by careless living or sexual disturbance, add Ren Shen (Ginseng Root) (1 qian), Du Zhong (Eucommia Bark) (2 qian), Chuan Duan (Teasel Root) (1 qian), Sang Ji Sheng (Taxillus Branch) (2 qian), preferably authentic products.
If unable to use Ren Shen (Ginseng Root), add Mi Zhi Huang Qi (Honey-fried Astragalus Root) (3 qian). If caused by anger stirring Liver Fire, add Chai Hu (Bupleurum Root) (3 fen) and Hei Zhi Zi (Black Gardenia Fruit) (8 fen) to the base formula. If due to Spleen deficiency and Qi stagnation, remove Shu Di Huang (Prepared Rehmannia Root), and add Ren Shen (Ginseng Root) (5 fen), Chen Pi (Tangerine Peel) (5 fen), and Chao Bai Bian Dou (Fried White Hyacinth Bean) (2 qian). If due to trauma from falls, separately use Dang Gui (Angelica Sinensis Root) (1.5 qian), Chuan Xiong (Szechwan Lovage Rhizome) (5 fen), Qing Mu Xiang (Vladimiria Root) (1 qian), and Sang Ji Sheng (Taxillus Branch) (2-3 qian) (This herb is extremely effective for calming the fetus, most excellent, though authenticity is a concern). If affected by wind-cold pathogenic factors, dispel them according to the respective meridians. For mild cases, remove Shu Di Huang (Prepared Rehmannia Root) from the base formula and add 1 qian of Su Geng (Perilla Stem); this herb can broaden fetal Qi, relieve distension, and calm the fetus. Alternatively, add 3 qian of Qing Zhu Ma Gen (Green Ramie Root). Generally, various symptoms of Zi Fan (Pregnancy-related mental restlessness/irritability) can be included. For those with Qi deficiency causing fetal sinking, separately use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to lift and support the fetal origin, thereby stabilizing the fetus. Generally, for individuals with weak constitutions, Ren Shen (Ginseng Root) should be added to An Tai Yin (Fetus-Calming Decoction), effectively forming Jiao Ai Ba Zhen Tang (Gelatin and Mugwort Eight-Treasures Decoction).
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
Mi Zhi Huang Qi (Honey-fried Astragalus Root) (2 qian) Yu Zhu (Atractylodes Macrocephala Rhizome) (1 qian, earth-fried) Chen Pi (Tangerine Peel) (5 fen) Dang Gui Shen (Dang Gui Body) (1 qian) Chai Hu (Bupleurum Root) (3 fen, honey-fried) Sheng Ma (Cimicifuga Rhizome) (3 fen, honey-fried) Zhi Gan Cao (Honey-fried Licorice Root) (5 fen)
Decoct with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube) and take orally.
Bao Tai Wan (Fetus-Preserving Pill)
This is based on Mr. Jia'an's Tuo Tai Wan (Fetus-Supporting Pill). I added Dang Gui (Angelica Sinensis Root) to form the sovereign, minister, assistant, and courier roles of four ingredients, naming it Bao Tai Wan (Fetus-Preserving Pill). It is highly effective, also known as the Qian Jin Bao Yun Fang (Thousand Gold Pregnancy-Preserving Formula).
Du Zhong (Eucommia Bark) (8 liang, mixed with glutinous rice porridge soup, steamed, dried, and fried) Shan Yao (Chinese Yam Rhizome) (6 liang, fried, ground separately, keeping 2 liang of powder to make paste for pills) Chuan Duan (Teasel Root) (4 liang, salt-water fried) Dang Gui (Angelica Sinensis Root) (2 liang, wine-fried)
Use the Shan Yao (Chinese Yam Rhizome) powder to make paste for pills. Some use jujube flesh to make paste for pills. Take 4 qian with warm water at any time. Any pregnant woman can take this. Stop taking it after seven full months. This formula uses inexpensive materials but yields great results, preventing miscarriage permanently. Moreover, postpartum breast diseases are common; this formula is suitable for the poor to spread and take, as it is cheap and economical. Even if exposed to external pathogens, do not discontinue. If signs of miscarriage appear, disseminate this formula immediately; its efficacy is miraculous.