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Jingui Yaolue · Essentials from the Golden Cabinet
20. Pregnancy Disorders · Pulses, Signs and Treatment
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The Master says: A woman with a normal pulse, yin pulse small and weak, thirst, inability to eat and no cold or heat is named pregnant. Guizhi Tang governs, with formula referred to under diarrhea. By the method these signs should appear at sixty days. A physician treating contrary to this a month earlier, adding emesis and purging, brings the source's cutting-off conclusion.
Note: The closing clause is compressed; no modern obstetric procedure is supplied.
A woman with longstanding fixed-mass illness, menses stopped less than three months, unceasing downward bleeding and movement above navel suffers harm from the chronic mass. With fetal movement at six months, what existed in the first three months while menses flowed freely is the fetus. Bleeding during the later three stopped months is clotted blood. It does not stop because the mass remains. Purge the mass; Guizhi Fuling Wan governs. The source's pregnancy and bleeding chronology is retained.
Guizhi Fuling Wan Formula
Guizhi, Fuling, Mudan with core removed, Taoren peeled and tipped then roasted, and Shaoyao, equal portions.
Powder the five and mix with refined honey into rabbit-dropping-sized pills. Take one daily before food; if no effect is perceived, increase to three.
In pregnancy at six or seven months, wiry pulse, fever, increasing fetal distention, abdominal pain and aversion to cold, with lower abdomen like a fan, come from an opened Child Viscus. Warm it with Fuzi Tang. The formula has not been found, says the note.
The Master says: Women may have downward leaking, continual bleeding after miscarriage, or bleeding during pregnancy. Pregnancy with abdominal pain is fetal-envelope obstruction. Jiao Ai Tang governs.
Xiong Gui Jiao Ai Tang Formula
Xiongqiong, Ejiao and Gancao 2 liang each; Aiye and Danggui 3 liang each; Shaoyao 4 liang; dry Dihuang, amount not supplied.
Combine water 5 sheng and clear wine 3 sheng; boil to obtain 3 sheng, strain, add Ejiao and dissolve fully. Take 1 sheng warm three times daily. If not recovered, make another preparation.
Griping abdominal pain during pregnancy is governed by Danggui Shaoyao San. The supplied formula heading follows.
Danggui 3 liang; Shaoyao 1 jin; Fuling 4 liang; Baizhu 4 liang; Zexie half a jin; Xiongqiong half a jin.
Pound the six to powder. Mix a fangcunbi with wine, three times daily.
Unceasing vomiting in pregnancy is governed by Ganjiang Renshen Banxia Wan.
Ganjiang Renshen Banxia Wan Formula
Ganjiang and Renshen 1 liang each; Banxia 2 liang.
Powder the three and form wutong-seed-sized pills with fresh ginger-juice paste. Take ten with a drink three times daily.
Pregnancy with difficult urine but eating unchanged is governed by Danggui Beimu Kushen Wan.
Danggui Beimu Kushen Wan Formula
Danggui, Beimu and Kushen 4 liang each.
Powder the three and form small-bean-sized pills with refined honey. Take three with a drink, increasing to ten.
Pregnancy with Water qi, heavy body, difficult urine, shivering aversion to cold and dizziness upon rising is governed by Kuizi Fuling San.
Kuizi Fuling San Formula
Kuizi 1 jin; Fuling 3 liang.
Pound the two to powder. Take a fangcunbi with a drink three times daily. Free urine means recovery.
In pregnancy, the source recommends regularly taking Danggui San.
Danggui San Formula
Danggui, Huangqin, Shaoyao and Xiongqiong 1 jin each; Baizhu half a jin.
Pound the five to powder. Take a fangcunbi with wine or drink twice daily. The source claims regular use makes birth easy, prevents fetal illness and governs all postpartum illnesses.
Nourishing the fetus during pregnancy is governed by Baizhu San.
Baizhu San Formula
Baizhu; Xiongqiong; Shujiao 3 fen, moisture driven off; Muli. Amounts for the other three are not supplied.
Pound to powder. Take 1 qianbi with wine three times by day and once at night. For pain alone add Shaoyao, amount unspecified. Severe toxic pain below Heart doubles Xiongqiong. Vexed Heart, vomiting pain and inability to eat or drink add Xixin 1 liang and large Banxia 20 pieces. Afterward take vinegar and fermented-grain water; for vomiting use the same. If still unresolved take wheat juice; later thirst barley gruel. Even once illness recovers, the source says not to set it aside.
Fetal injury in a woman, pregnancy with full abdomen, no urine and heaviness below waist like Water qi: at seven months Greater Yin should nourish but does not. This is replete Heart qi. Drain by needling Laogong and Guanyuan; slight urine brings recovery. The note cites Jade Case. These are the historical text's instructions.
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