TJ TCM.24(1) : 65-76, 2021
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保产无忧方的运用经验分享及禁忌
The indications and contraindications for
the use of traditional herbal formula Bao-Chan-Wu-You-Fang
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祝璇嬿1 赖荣年2,3*
1 中国医药大学附设医院中医妇科
2 中国医药大学附设医院中西医结合科
3 中国医药大学中医学院
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【摘要】
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保产无忧方为台湾中医妇科医师常常运用的安胎与顺产药方，在明末清初中医大家《傅青主女科· 补编》章节中，说明：「保胎，每月三、五服，临产热服，催生如神」的功效；清· 程国彭《医学心悟》指出：「妇人临产，先服一二剂，自然易生；或遇横生倒产，甚至连日不生，速服一二剂，应手取效」。程国彭解释主要作用是「撑法」：「当归、川芎、白芍养血活血者也；厚朴去瘀血者也，用之撑开血脉，俾恶露不致填塞。羌活、荆芥疏通太阳，将背後一撑，太阳经脉最长，太阳治而诸脉皆治。枳壳疏理结气，将面前一撑，俾胎气敛仰而无阻滞之虞。艾叶温暖子宫，撑动子宫则胞胎灵动。川贝、菟丝最能运胎顺产，将胎气全体一撑，大具天然活泼之趣矣。加黄耆所以撑扶元气，元气旺则转运有力也。生姜通神明去秽恶，散寒止呕，所以撑扶正气而安胃气。甘草协和诸药，俾其左宜右有，而全其撑法之神也。」本文将探讨保产无忧方清朝中医妇科各大家的使用经验汇整、运用於第一孕程中医安胎的注意事项，及作者运用保产无忧方於怀孕的第28 周、32 周、36 周、待产前、与产程停滞时的经验分享。
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【关键词】保产无忧方、中药、安胎、助产、催生
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Hsuan-Yen June, MD1Jung-Nien Lai, MD, PhD1,2*
1Department of Chinese Medicine, China Medical University Hospital
2College of Chinese Medicine, China Medical University
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【Summary】
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Bao-Chan-Wu-You-Fang (BCWYF) is a widely used traditional herbal formula in promoting and protecting a normal birth. One famous traditional Chinese medical physician in Ming dynesty, Fu Qin Zhu, indicated that taking BCWYF three times to five times per month could protect fetus and taking this prescription with hot water before labor could promoting augmentation of labor. Another physician in Qing dynesty, Cheng Guo Peng, pointed out that pregnant woman taking one to two doses of BCWYF could promoting labor; further, to pregnant women whose fetus is in malposition or who experienced prolonged labor, taking one to two doses of BCWYF would promote normal labor quickly. This review article showed important information of tocolysis with traditional Chinese mecine especially in first trimester and shared the treatment experience of BCWYF in the third trimester, in labor and prolonged labor.
【Keywords】Bao-Chan-Wu-You-Fang; Chinese Medicine; Tocolysis; Eutocia; Augmentation of Labor
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241.6 保产无忧方的运用经验分享及禁忌
