1.师曰∶妇人得平脉,阴脉小弱,其人渴,不能食,无寒热,名妊娠,桂枝汤主之。(方见利中)于法六
十日当有此证,设有医治逆者,却一月加吐下者,则绝之。
2.妇人宿有 病,经断未及三月,而得漏下不止,胎动在脐上者,为 痼害。妊娠六月动者,前三月经水
利时,胎也。下血者,后断三月, 也。所以血不止者,其不去故也,当下其 ,桂枝茯苓丸主之。
桂枝茯苓丸方
桂枝 茯苓 牡丹(去心) 桃仁(去皮尖,熬) 芍药(各等分)
上五味,末之。炼蜜和丸和兔屎大,每日食前服一丸。不知,加至三丸。
3.妇人怀娠六七月,脉弦发热,其胎愈胀,腹痛恶寒者,少腹如扇。所以然者,子脏开故也,当以附子汤
温其脏。(方未见。)
4.师曰∶妇人有漏下者,有半产后因续下血都不绝者,有妊娠下血者,假令妊娠腹中痛,为胞阻,胶艾汤
主之。
芎归胶艾汤方(一方加干姜一两。胡洽治妇人胞动无干姜。)
川芎 阿胶 甘草(各二两) 艾叶 当
归(各三两) 芍药(四两) 干地黄(六两)
上七味,以水五升,清酒三升,合煮取三升,去滓,纳胶令消尽,温服一升,日三服。不瘥更作。
5.妇人怀妊,腹中 痛,当归芍药散主之。
当归芍药散方
当归(三两) 芍药(一斤) 茯苓(四两) 白术(四两) 泽泻(半斤) 川芎(半斤,一作三两)
上六味,杵为散,取方寸匕,酒和,日三服。
6.妊娠,呕吐不止,干姜人参半夏丸主之。
干姜人参半夏丸方
干姜 人参(各一两) 半夏(二两)
上三味,末之,以生姜汁糊为丸,如梧子大,饮服十丸,日三服。
7.妊娠,小便难,饮食如故,当归贝母苦参丸主之。
当归贝母苦参方(男子加滑石半两。)
当归 贝母 苦参(各四两)
上三味,末之,炼蜜丸如小豆大,饮服三丸,加至十丸。
8.妊娠,有水气,身重,小便不利,洒淅恶寒,起即头眩,葵子茯苓散主之。
葵子茯苓散方
葵子(一斤) 茯苓(三两)
上二味,杵为散,饮服方寸匕,日三服,小便利则愈。
9.妇人妊娠,宜常服当归散主之。
当归散方
当归 黄芩 芍药 川芎(各一斤) 白术(半斤)
上五味,杵为散,酒饮服方寸匕,日再服。妊娠常服即易产,胎无疾苦。产后百病悉主之。
10.妊娠养胎,白术散主之。
白术散方(见《外台》)
白术(四分) 川芎(四分) 蜀椒(三分,去汗) 牡蛎(二分)
上四味,杵为散,酒服一钱匕,日三服,夜一服。但苦痛,加芍药;心下毒痛,倍加川芎;心烦吐痛,不能
食饮,加细辛一两,半夏大者二十枚。服
之后,更以醋浆水服之。若呕,以醋浆水服之;复不解者,小麦汁服之。已后渴者,大麦粥服之,病虽愈,服之
勿置。
11.妇人伤胎,怀身腹满,不得小便,从腰以下重,如有水气状,怀身七月,太阴当养不养,此心气实,当
刺泻劳宫及关元,小便微利则愈。(见《玉函》)。
1. 老师说:妇女脉象平和,尺部脉(阴脉)稍显细弱,患者感到口渴,不能进食,没有恶寒发热的症状,这称为妊娠。治疗用桂枝汤主之。(方剂见“利病”篇中)。按照法度,怀孕六十天左右应当出现这些证候。如果误治导致病情逆乱,再过一个月出现呕吐或腹泻的症状,则应断绝这种错误的治法(即停止错误的治疗,重新辨证施治)。
2. 妇女素有癥块病(腹内结块),月经停止不到三个月,却出现阴道淋漓出血不止,胎动感觉在脐上的,这是癥块为害。如果是怀孕六个月才胎动的,前三个月月经正常来潮的,那是正常的胎动。如果是先有漏下出血,后来停经三个月的,那是癥病。之所以出血不止,是因为癥块不去除的缘故,应当攻下癥块,用桂枝茯苓丸主之。
桂枝茯苓丸方
桂枝、茯苓、牡丹(去心)、桃仁(去皮尖,炒熟)、芍药(各等分)
以上五味药,研成细末。用炼蜜调和制成如兔屎大小的丸药,每天饭前服用一丸。若无效,可加至三丸。
3. 妇女怀孕六七个月,脉象弦紧,伴有发热,胎儿胀感加重,腹痛且怕冷,小腹部感觉像被扇子扇风一样凉。之所以这样,是因为子宫(子脏)开张的缘故,应当用附子汤温暖子宫。(方剂未见。)
4. 老师说:妇女有阴道淋漓出血的,有半产后继续出血不止的,有妊娠期出血的。假如妊娠期腹部疼痛,称为胞阻,用胶艾汤主之。
芎归胶艾汤方(一方加干姜一两。胡洽治疗妇人胎动不安不用干姜。)
川芎、阿胶、甘草(各二两)、艾叶、当归(各三两)、芍药(四两)、干地黄(六两)
以上七味药,用水五升,清酒三升,共同煮取三升药液,去渣,加入阿胶使其完全溶化,温服一升,每天三次。若未痊愈,再煎服。
5. 妇女怀孕,腹部绵绵作痛,用当归芍药散主之。
当归芍药散方
当归(三两)、芍药(一斤)、茯苓(四两)、白术(四两)、泽泻(半斤)、川芎(半斤,一作三两)
以上六味药,捣碎研为散剂,每次取一方寸匕的药量,用酒调服,每天三次。
6. 妊娠期间,呕吐不止,用干姜人参半夏丸主之。
干姜人参半夏丸方
干姜、人参(各一两)、半夏(二两)
以上三味药,研成细末,用生姜汁调和做成丸药,如梧桐子大小,温水送服十丸,每天三次。
7. 妊娠期间,小便困难,饮食如常,用当归贝母苦参丸主之。
当归贝母苦参方(男子病加滑石半两。)
当归、贝母、苦参(各四两)
以上三味药,研成细末,用炼蜜制成如小豆大小的丸药,温水送服三丸,可加至十丸。
8. 妊娠期间,有水气停留,身体沉重,小便不利,洒淅恶寒,起身即头晕目眩,用葵子茯苓散主之。
葵子茯苓散方
葵子(一斤)、茯苓(三两)
以上两味药,捣碎研为散剂,温水送服一方寸匕,每天三次,待小便通利则痊愈。
9. 妇女妊娠,适宜常服当归散主之。
当归散方
当归、黄芩、芍药、川芎(各一斤)、白术(半斤)
以上五味药,捣碎研为散剂,用酒送服一方寸匕,每天两次。妊娠期间常服则易于生产,胎儿无病痛。产后各种疾病也都能主治。
10. 妊娠养胎,用白术散主之。
白术散方(见《外台秘要》)
白术(四分)、川芎(四分)、蜀椒(三分,去汗/闭口者)、牡蛎(二分)
以上四味药,捣碎研为散剂,用酒送服一钱匕,每天三次,夜间一次服用。如果只觉疼痛,加芍药;如果心下部剧烈疼痛,加倍使用川芎;如果心烦、呕吐疼痛,不能饮食,加细辛一两,大半夏二十枚。服药后,再用醋浆水送服。如果呕吐,用醋浆水送服;如果仍不缓解,用小麦汁送服。此后口渴的,喝大麦粥。病虽愈,也不要停止服用。
11. 妇女伤胎,怀孕后腹部胀满,不能小便,腰部以下感觉沉重,好像有水气的样子。怀孕七月,太阴脾经当养而不养,这是心气实盛所致,应当针刺劳宫穴和关元穴以泻其实邪,待小便微利则痊愈。(见《玉函经》)。
1. The Master said: When a woman presents with a calm pulse, but the Yin pulse (referring to the radial artery at the cun position, often associated with the kidney/yin aspect) is slightly weak, and she experiences thirst, inability to eat, without aversion to cold or fever, this is named pregnancy. Guizhi Tang (Cinnamon Twig Decoction) should be administered. (The formula is seen in the section on Diarrhea). According to the method, these symptoms should appear around sixty days of gestation. If improper treatment causes the condition to worsen, and vomiting or diarrhea occurs after one month, such erroneous treatments must be discontinued.
2. A woman who previously suffered from a mass disease (zheng jia, abdominal masses), whose menstruation has stopped for less than three months, yet continues to experience dripping vaginal bleeding, and feels fetal movement above the umbilicus, this indicates that the pre-existing mass is causing harm. If fetal movement is felt at six months of gestation, and menstruation was normal during the first three months, it is a normal fetus. If there was prior dripping bleeding followed by cessation of menstruation for three months, it is a mass disease. The reason the bleeding does not stop is that the mass remains; therefore, the mass should be expelled using Guizhi Fuling Wan (Cinnamon Twig and Poria Pill).
Guizhi Fuling Wan Formula
Guizhi (Ramulus Cinnamomi), Fuling (Poria), Mudanpi (Cortex Moutan, heart removed), Taoren (Semen Persicae, skin and tip removed, roasted), Shaoyao (Radix Paeoniae Alba) (all in equal parts).
Grind the above five herbs into powder. Mix with refined honey to form pills the size of rabbit droppings. Take one pill before meals daily. If ineffective, increase to three pills.
3. In women pregnant for six or seven months, if the pulse is wiry and accompanied by fever, the sensation of fetal distension increases, abdominal pain occurs with aversion to cold, and the lower abdomen feels as if fanned by a wind. This occurs because the Zi Zang (uterus) is open. Therefore, Fuzi Tang (Aconite Decoction) should be used to warm the uterus. (Formula not shown.)
4. The Master said: Women may present with continuous dripping bleeding, continuous bleeding following a miscarriage, or bleeding during pregnancy. If abdominal pain occurs during pregnancy, it is called Bao Zu (placental obstruction), and Jiao Ai Tang (Colla Corii Asini and Artemisia Argyi Decoction) should be administered.
Xiong Gui Jiao Ai Tang Formula (One variation adds Ganjiang/Dried Ginger, 1 liang. Hu Qian's treatment for uterine agitation excludes Dried Ginger.)
Chuanxiong (Rhizoma Chuanxiong), Ejiao (Colla Corii Asini), Gancao (Radix Glycyrrhizae Preparata) (each 2 liang), Aye (Folium Artemisiae Argyi), Danggui (Radix Angelicae Sinensis) (each 3 liang), Shaoyao (Radix Paeoniae Alba) (4 liang), Shengdihuang (Radix Rehmanniae Preparata) (6 liang).
Decoct the above seven herbs in 5 sheng of water and 3 sheng of clear wine to obtain 3 sheng of liquid. Strain, add Ejiao until completely dissolved, and take 1 sheng warm, three times daily. If not cured, prepare another dose.
5. For pregnant women with abdominal cramping pain, Danggui Shaoyao San (Angelica Sinensis and Paeonia Root Powder) should be administered.
Danggui Shaoyao San Formula
Danggui (Radix Angelicae Sinensis, 3 liang), Shaoyao (Radix Paeoniae Alba, 1 jin), Fuling (Poria, 4 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 4 liang), Zexie (Rhizoma Alismatis, half jin), Chuanxiong (Rhizoma Chuanxiong, half jin; alternative version 3 liang).
Grind the above six herbs into powder. Take one fang cun bi (square inch scoop) mixed with wine, three times daily.
6. For pregnancy with incessant vomiting, Ganjiang Renshen Banxia Wan (Dried Ginger, Ginseng, and Pinellia Pill) should be administered.
Ganjiang Renshen Banxia Wan Formula
Ganjiang (Rhizoma Zingiberis Preparata), Renshen (Radix Ginseng) (each 1 liang), Banxia (Rhizoma Pinelliae Preparata) (2 liang).
Grind the above three herbs into powder. Use fresh ginger juice to make paste and form pills the size of wutong seeds. Take ten pills with warm water, three times daily.
7. For pregnancy with difficult urination but normal diet, Danggui Beimu Kushen Wan (Angelica Sinensis, Fritillaria, and Sophora Root Pill) should be administered.
Danggui Beimu Kushen Formula (For men, add Huashi/Talcum, half liang.)
Danggui (Radix Angelicae Sinensis), Beimu (Bulbus Fritillariae Cirrhosae), Kushen (Radix Sophorae Flavescentis) (each 4 liang).
Grind the above three herbs into powder. Mix with refined honey to form pills the size of small beans. Take three pills with water, increasing up to ten pills.
8. For pregnancy with fluid retention, heaviness of the body, dysuria, chills, and dizziness upon rising, Kuizi Fuling San (Abelmoschus Seed and Poria Powder) should be administered.
Kuizi Fuling San Formula
Kuizi (Semen Abelmoschi, 1 jin), Fuling (Poria, 3 liang).
Grind the above two herbs into powder. Take one fang cun bi with water, three times daily. Recovery occurs when urination becomes free.
9. Pregnant women are suitable for regular consumption of Danggui San (Angelica Sinensis Powder).
Danggui San Formula
Danggui (Radix Angelicae Sinensis), Huangqin (Radix Scutellariae), Shaoyao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong) (each 1 jin), Baizhu (Rhizoma Atractylodis Macrocephalae) (half jin).
Grind the above five herbs into powder. Take one fang cun bi with wine, twice daily. Regular consumption during pregnancy facilitates delivery and ensures fetal health. It also treats various postpartum diseases.
10. For nourishing the fetus during pregnancy, Baizhu San (Atractylodis Macrocephala Powder) should be administered.
Baizhu San Formula (See "Wai Tai Mi Yao")
Baizhu (Rhizoma Atractylodis Macrocephalae, 4 fen), Chuanxiong (Rhizoma Chuanxiong, 4 fen), Shujiao (Fructus Zanthoxyli, 3 fen, remove pores/seeds), Muli (Concha Ostreae, 2 fen).
Grind the above four herbs into powder. Take one qian cun bi with wine, three times daily, and once at night. If only pain is present, add Shaoyao. If there is severe pain in the epigastrium, double the amount of Chuanxiong. If there is irritability, vomiting, pain, and inability to eat or drink, add Xixin (Herba Asari) 1 liang and large Banxia 20 pieces. After taking the medicine, follow with vinegar-grain water. If vomiting persists, use vinegar-grain water; if still unresolved, use wheat juice. If thirsty later, consume barley porridge. Even if the illness resolves, do not discontinue use.
11. For injured fetus in women, presenting with abdominal fullness during pregnancy, inability to urinate, heaviness from the waist down resembling fluid retention, at seven months of pregnancy, when the Taiyin spleen fails to nourish due to excess Heart Qi, acupuncture at Laogong (PC 8) and Guanyuan (CV 4) should be used to drain the excess. Recovery occurs when urination becomes slightly free. (See "Yu Han Jing").