凡受孕之后,经血不时点滴,谓之漏胎。大率以劳伤气血,虚弱之故,或因恼怒,或炙
爆热物所致,宜补中安胎饮。补中安胎饮∶条芩、白术、人参各三钱,熟地三钱,当归钱半
,白芍一钱,甘草五分,苏梗八分。
凡妊娠跌扑动胎,下血不止,急服安胎参苏饮。安胎参苏饮∶人参、蕲艾、川芎各三分
,当归一钱,条芩、白术(生用)各二钱,陈皮、紫苏、生甘草各四分,阿胶一钱。有外感
者
凡妊娠小便中带血,此缘形体劳发,或过食爆炙之物所致。宜清膀胱之火,服加味逍遥
散。加味逍遥散∶当归、白术各二钱,柴胡、白芍各一钱,丹皮、茯苓、栀子各七分,生甘
草八分,加灯芯七茎。
凡妊娠小便淋漓,或小便短涩,此由调摄失宜,酒色过度,伤损荣卫,致令子宫虚弱而
然,又或下焦有热而闭塞,名曰子淋,宜安荣散。安荣散∶当归二钱,滑石一钱,通草一钱
,人参三钱,麦冬三钱,茯苓皮一钱,生甘草、灯芯各五分,水煎服下,一方除灯芯,用灯
芯汤下。
又方∶用桑螵蛸为末,每服二钱,空心米汤下。
又方∶用陈米淘浓泔,炖服之。此方并可治男癃闭。
按∶此症由饮食无忌、热积膀胱者居多。汤氏用古芎归汤加木通、麦冬、人参、灯心、
甘草、滑石治之。
妊娠浮肿,羌活、萝卜子,二味同炒香,只取羌活研末。每服二分,温酒送下。一日一
服,二日二服,三日三服。
凡妊娠面目虚浮,四肢有水气,此名子肿。盖由脾胃虚弱所致。宜全生白术散或鲤鱼汤
。或用卷九加味五皮汤、茯苓汤。
全生白术散∶人参一钱,白术二钱,茯苓皮八分,甘草三分,当归二钱,川芎六分,紫
苏、陈皮各四分,生姜三片,水煎服。
鲤鱼汤∶鲤鱼不拘大小两、三尾,洗去鳞,用水煮熟,去鱼,每服用汤一大钟,煎后药
服之。当归、白术各五钱,茯苓四钱,陈皮二钱,每服四钱,加姜七片,投鱼汤内煎服,以
愈为度。
汤氏云∶子肿于五六月时多有之,其或腹大高过心胸,气不安,此由胎中蓄水所致。若
不早治,必然生子生理残障,子母难保,宜鲤鱼汤,仍尝煮鲤鱼粥食之。
凡是受孕之后,经血不时点滴而下,这叫做漏胎。大抵是因为劳损伤了气血,身体虚弱的缘故,或者因为恼怒,或者吃了炙烤爆炒的热性食物所致,适宜服用补中安胎饮。补中安胎饮:条芩、白术、人参各三钱,熟地黄三钱,当归一钱半,白芍一钱,甘草五分,苏梗八分。
凡是妊娠期间因跌打撞击导致胎动不安,下血不止,紧急时服用安胎参苏饮。安胎参苏饮:人参、蕲艾、川芎各三分,当归一钱,条芩、白术(生用)各二钱,陈皮、紫苏、生甘草各四分,阿胶一钱。如果有外感症状的……
凡是妊娠期间小便中带血,这是因为形体劳累引发,或者过食炙烤爆炒的食物所致。应当清泻膀胱之火,服用加味逍遥散。加味逍遥散:当归、白术各二钱,柴胡、白芍各一钱,丹皮、茯苓、栀子各七分,生甘草八分,加入灯芯七茎。
凡是妊娠期间小便淋漓不尽,或者小便短少涩痛,这是由于调养失当,酒色过度,损伤了营卫之气,致使子宫虚弱而造成的,或者是下焦有热导致闭塞,名叫子淋,适宜服用安荣散。安荣散:当归二钱,滑石一钱,通草一钱,人参三钱,麦冬三钱,茯苓皮一钱,生甘草、灯芯各五分,水煎服下;另一法除去灯芯,用灯芯汤送服。
又一方:用桑螵蛸研为末,每次服用二钱,空腹时用米汤送下。
又一方:用陈年大米淘洗出的浓泔水,炖煮后服用。此方也可以治疗男性癃闭症。
按语:此症大多由饮食无忌讳、热邪积聚在膀胱引起。汤氏使用古芎归汤加木通、麦冬、人参、灯心、甘草、滑石来治疗。
妊娠出现浮肿,用羌活、萝卜子两味药同炒至香,只取羌活研成粉末。每次服用二分,温酒送下。第一天服一次,第二天服两次,第三天服三次。
凡是妊娠期间面目虚浮,四肢有水气,这名叫子肿。大概是由脾胃虚弱所致。适宜服用全生白术散或鲤鱼汤。或者使用卷九中的加味五皮汤、茯苓汤。
全生白术散:人参一钱,白术二钱,茯苓皮八分,甘草三分,当归二钱,川芎六分,紫苏、陈皮各四分,生姜三片,水煎服。
鲤鱼汤:鲤鱼不拘大小,取两三尾,洗净去鳞,用水煮熟,去掉鱼身,每次服用一大钟鱼汤,将后面的药物煎好后,配合鱼汤服用。当归、白术各五钱,茯苓四钱,陈皮二钱,每次取四钱药量,加入姜七片,投入鱼汤内煎服,以病愈为度。
汤氏说:子肿在怀孕五六月时多有发生,如果腹部大得高过心胸,气息不安,这是由胎中蓄水所致。如果不早日治疗,必然导致胎儿生理残障,母子都难以保全,适宜服用鲤鱼汤,并尝试吃煮鲤鱼粥。
After conception, if menstrual blood drips intermittently, it is called *Lou Tai* (Leaking Fetus). This is generally due to Qi and Blood deficiency caused by overwork or injury, or resulting from anger, or consumption of roasted and fried hot-natured foods. It is suitable to take *Buzhong Antai Yin* (Supplement the Middle and Calm the Fetus Decoction). *Buzhong Antai Yin*: Huangqin (Scutellariae Radix) [referred to as Tiao Qin], Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma) each 3 qian, Shudi (Rehmanniae Radix Preparata) 3 qian, Danggui (Angelicae Sinensis Radix) 1.5 qian, Baishao (Paeoniae Radix Alba) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 5 fen, Sugen (Perillae Caulis) 8 fen.
If during pregnancy, trauma causes fetal disturbance with continuous bleeding, urgently take *Antai Renshen Suye Yin* (Calm the Fetus Ginseng and Perilla Decoction). *Antai Renshen Suye Yin*: Renshen (Ginseng Radix et Rhizoma), Qiai (Artemisiae Argyi Folium), Chuanxiong (Chuanxiong Rhizoma) each 3 fen, Danggui (Angelicae Sinensis Radix) 1 qian, Tiao Qin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) [used raw] each 2 qian, Chenpi (Citri Reticulatae Pericarpium), Zisu (Perillae Folium), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) each 4 fen, Ejiao (Colla Corii Asini) 1 qian. For those with exterior contraction...
If during pregnancy, blood appears in the urine, this is caused by physical fatigue or excessive consumption of roasted and fried foods. One should clear the Fire of the Bladder and take *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder). *Jiawei Xiaoyao San*: Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) each 2 qian, Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba) each 1 qian, Danpi (Moutan Cortex), Fuling (Poria), Zhizi (Gardeniae Fructus) each 7 fen, Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) 8 fen, plus Dengxin (Junci Medulla) 7 stems.
If during pregnancy, urination is dribbling or scanty and painful, this is due to improper care, excess alcohol and sexual activity, damaging Ying and Wei (Nutritive and Defensive Qi), leading to uterine weakness, or heat in the Lower Jiao causing obstruction, named *Zi Lin* (Fetal Strangury). It is suitable to take *Anrong San* (Nourish and Calm Powder). *Anrong San*: Danggui (Angelicae Sinensis Radix) 2 qian, Huashi (Talcum) 1 qian, Tongcao (Tetrapanacis Medulla) 1 qian, Renshen (Ginseng Radix et Rhizoma) 3 qian, Maidong (Ophiopogonis Radix) 3 qian, Fuling Pi (Poria Cum Ligno) 1 qian, Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Dengxin (Junci Medulla) each 5 fen, decocted in water for oral administration; another method removes Dengxin and uses Dengxin Tang (Decoction) for delivery.
Another prescription: Use Sangpiaoxiao (Mantis Egg Case) ground into powder, take 2 qian per dose, swallowed with rice soup on an empty stomach.
Another prescription: Use thick wash water from aged rice, stewed and taken orally. This prescription can also treat male Long Bi (Dysuria).
Note: This condition is mostly caused by unrestricted diet and heat accumulation in the Bladder. Shi used Gu Xiongui Tang (Ancient Chuanxiong and Danggui Decoction) added with Mutong (Akebiae Caulis), Maidong (Ophiopogonis Radix), Renshen (Ginseng Radix et Rhizoma), Dengxin (Junci Medulla), Gancao (Glycyrrhizae Radix et Rhizoma), and Huashi (Talcum) for treatment.
For edema during pregnancy, use Qianghuo (Notopterygii Rhizoma et Radix) and Luobozhi (Brassicae Semens) stir-fried together until fragrant, taking only the Qianghuo ground into powder. Take 2 fen per dose, delivered with warm wine. Once a day for the first day, twice a day for the second day, three times a day for the third day.
When facial puffiness and fluid retention in the limbs occur during pregnancy, it is named *Zi Zhong* (Fetal Edema). This is generally caused by Spleen and Stomach deficiency. It is suitable to take *Quansheng Baizhu San* (Quansheng Atractylodes Powder) or Liyu Tang (Carp Decoction). Alternatively, use Jiawei Wupi Tang (Modified Five Peel Decoction) or Fuling Tang (Poria Decoction) from Volume Nine.
*Quansheng Baizhu San*: Renshen (Ginseng Radix et Rhizoma) 1 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Fuling Pi (Poria Cum Ligno) 8 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 3 fen, Danggui (Angelicae Sinensis Radix) 2 qian, Chuanxiong (Chuanxiong Rhizoma) 6 fen, Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium) each 4 fen, Shengjiang (Zingiberis Rhizoma Recens) 3 slices, decocted in water for oral administration.
*Liyu Tang*: Take carp of any size, two or three tails, clean and remove scales, boil in water until cooked, remove the fish body. Take one large cup of the fish broth per dose. For the herbs: Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) each 5 qian, Fuling (Poria) 4 qian, Chenpi (Citri Reticulatae Pericarpium) 2 qian. Take 4 qian of the herb mixture, add 7 slices of ginger, put into the fish broth, decoct and take orally. Continue until cured.
Shi stated: *Zi Zhong* (Fetal Edema) often occurs in the fifth and sixth months of pregnancy. If the abdomen becomes so distended that it rises above the heart and chest, causing breathlessness, this is due to fluid accumulation within the fetus. If not treated early, it will inevitably result in congenital disabilities in the child, endangering both mother and child. It is suitable to take Liyu Tang (Carp Decoction) and consume carp congee.