瓜沥谢 经停二月余,右脉滑数,脘格呕恶,食入即吐。宜防妊育。
钗斛(三钱) 藿梗(二钱) 桑寄生(三钱) 生香附(钱半) 苏梗(二钱) 阳春砂(六分)
杜仲(三钱) 焦栀子(钱半) 新会皮(钱半) 炒谷芽(四钱) 条芩(钱半)
清煎二帖。
介按∶妇人受妊,全赖肾气之旺,肾气旺则容易摄精而荫胎。兹由肝热挟胎气上冲。致
妊娠二月,呕吐恶阻,故于平肝养胃之中,参以补肾之品,确治恶阻之良方。
头蓬胡 肝风犯胃,头疼晕眩,呕恶,脉左虚细,右稍滑,经停厌食。宜防孕育,未知
桑寄生(三钱) 扁金钗(三钱) 新会皮(钱半) 炒杜仲(三钱) 炒驴胶(钱半) 苏梗(
钱半) 藿梗(钱半) 阳春砂(六分,冲) 豆皮(三钱) 明天麻(八分) 甘菊(钱半)
清煎四帖。
介按∶胃虚而肝风内震,以致眩晕呕恶。治以滋肝和胃而理气,是恶阻而兼肝风之良法。
渔庄沈 妊育头胀,腹中气机不和,脉弦濡滑,溲弱短数,呕恶涎沫,胃钝。宜和中、理气、护胎。(五月初四日。)
大腹皮(三钱) 江西术(一钱) 桑螵蛸(钱半) 藿梗(二钱) 苏梗(钱半) 新会皮(钱
半) 车前子(三钱) 焦栀子(二钱) 天仙藤(钱半) 阳春砂(七分,冲) 条芩(钱半)
清煎二帖。
介按∶肝阳横逆,阻滞气机,挟湿而侵侮脾胃,是以呕恶头胀。故治以安胎为主,兼清湿热以佐之。
瓜沥谢氏,月经停止两个多月,右手脉象滑数,胃脘部痞塞感并伴有恶心呕吐,食物入口即吐出。应当预防是怀孕所致。
钗石斛(三钱) 藿香梗(二钱) 桑寄生(三钱) 生香附(一钱半) 苏梗(二钱) 阳春砂仁(六分)
杜仲(三钱) 焦栀子(一钱半) 新会陈皮(一钱半) 炒谷芽(四钱) 黄芩(一钱半)
清水煎煮,服用两帖。
邵介按语:妇人受孕,完全依赖肾气的旺盛,肾气旺盛则容易摄纳精气以荫护胎元。此处是由于肝热挟带胎气上冲。导致妊娠两个月时,出现呕吐、恶阻症状,因此在平抑肝火、养胃和中之中,参入补肾的药物,确实是治疗恶阻的良好方剂。
头蓬胡氏,肝风侵犯胃部,头痛眩晕,恶心呕吐,左手脉象虚细,右手稍滑,月经停止且厌恶饮食。应当预防是怀孕所致,尚不确定。
桑寄生(三钱) 扁金钗石斛(三钱) 新会陈皮(一钱半) 炒杜仲(三钱) 炒驴皮胶(一钱半) 苏梗(一钱半) 藿香梗(一钱半) 阳春砂仁(六分,冲服) 豆豉皮(三钱) 明天麻(八分) 甘菊花(一钱半)
清水煎煮,服用四帖。
邵介按语:胃气虚弱而肝风内动震动,导致眩晕和恶心呕吐。治疗方法以滋养肝脏、调和胃气并梳理气机为主,这是治疗恶阻兼有肝风的良法。
渔庄沈氏,怀孕初期头部胀痛,腹中气机不和,脉象弦濡滑,小便微弱短少且频数,恶心呕吐涎沫,胃气迟钝。适宜调和脾胃、梳理气机、保护胎元。(五月初四日。)
大腹皮(三钱) 江西白术(一钱) 桑螵蛸(一钱半) 藿香梗(二钱) 苏梗(一钱半) 新会陈皮(一钱半) 车前子(三钱) 焦栀子(二钱) 天仙藤(一钱半) 阳春砂仁(七分,冲服) 黄芩(一钱半)
清水煎煮,服用两帖。
Xie from Guali: Menstruation has been suspended for over two months. The pulse on the right side is slippery and rapid (Hua Shu). There is a sensation of fullness and obstruction in the epigastrium accompanied by nausea and vomiting, with food being vomited immediately after ingestion. It is advisable to guard against pregnancy.
Dendrobium chrysanthum (Sanqian), Agastache rugosa stem (Erqian), Taxillus chinensis (Sanqian), Ligusticum chuanxiong raw (Qianban), Perilla stem (Erqian), Amomum villosum (Liufen), Eucommia ulmoides (Sanqian), Gardenia jasminoides charred (Qianban), Citrus reticulata peel (Qianban), Coix seed sprout fried (Siqian), Scutellaria baicalensis (Qianban).
Decoct in water, take two doses.
Commentary by Shao Jie: A woman's conception relies entirely on the prosperity of Kidney Qi (Shen Qi). When Kidney Qi is prosperous, it easily captures essence to nourish the fetus. Here, Liver Heat (Gan Re) combined with fetal Qi rushes upward. This causes vomiting and morning sickness (E Zu) at two months of gestation. Therefore, within the method of calming the Liver and benefiting the Stomach, incorporating tonifying Kidney herbs constitutes an excellent prescription for treating morning sickness.
Hu from Toupeng: Liver Wind (Gan Feng) invades the Stomach, causing headache, dizziness, nausea, and vomiting. The pulse on the left is deficient and fine, while the right is slightly slippery. Menstruation is suspended, and there is anorexia. It is advisable to guard against pregnancy, though this remains uncertain.
Taxillus chinensis (Sanqian), Dendrobium nobile (Sanqian), Citrus reticulata peel (Qianban), Eucommia ulmoides fried (Sanqian), Asini Corii Colla fried (Qianban), Perilla stem (Qianban), Agastache rugosa stem (Qianban), Amomum villosum (Liufen, taken with decoction), Sojae Semen Praeparatum skin (Sanqian), Gastrodia elata (Bafen), Chrysanthemum morifolium (Qianban).
Decoct in water, take four doses.
Commentary by Shao Jie: Stomach deficiency leads to internal stirring of Liver Wind, resulting in dizziness, nausea, and vomiting. The treatment focuses on nourishing the Liver, harmonizing the Stomach, and regulating Qi. This is an excellent method for treating morning sickness complicated by Liver Wind.
Shen from Yuzhuang: During early pregnancy, there is head distension and pain, disharmony of Qi mechanism in the abdomen. The pulse is wiry, soggy, and slippery. Urination is weak, short, and frequent. There is nausea, vomiting of saliva/phlegm, and dullness of the Stomach. It is appropriate to harmonize the Middle Jiao, regulate Qi, and protect the fetus. (May 4th.)
Tangerine peel (Da Fu Pi) (Sanqian), Atractylodes macrocephala (Yi Qian), Mantis egg case (Qianban), Agastache rugosa stem (Erqian), Perilla stem (Qianban), Citrus reticulata peel (Qianban), Plantago seed (Sanqian), Gardenia jasminoides charred (Erqian), Aristolochia debilis vine (Qianban), Amomum villosum (Qifen, taken with decoction), Scutellaria baicalensis (Qianban).
Decoct in water, take two doses.
Commentary by Shao Jie: Hyperactive Liver Yang obstructs the Qi mechanism, combining with Dampness to invade and harass the Spleen and Stomach, thus causing nausea, vomiting, and head distension. Therefore, the treatment primarily focuses on calming the fetus, supplemented by clearing Damp-Heat.