{"resource_id":15271,"title":"评注产科心法","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"評註產科心法","sections":[{"id":"chapter-1-section-1","title":"評註產科心法","paragraphs":[]},{"id":"chapter-1-section-2","title":"目錄","paragraphs":["小引","續印《產科心法》之緣起"]},{"id":"chapter-1-section-3","title":"李序","paragraphs":[]},{"id":"chapter-1-section-4","title":"原序","paragraphs":[]},{"id":"chapter-1-section-5","title":"蔡序","paragraphs":[]},{"id":"chapter-1-section-6","title":"上集種子門","paragraphs":[]},{"id":"chapter-1-section-7","title":"種子方法","paragraphs":[]},{"id":"chapter-1-section-8","title":"種子歌","paragraphs":[]},{"id":"chapter-1-section-9","title":"上集胎前門","paragraphs":[]},{"id":"chapter-1-section-10","title":"胎產醫法總論","paragraphs":[]},{"id":"chapter-1-section-11","title":"胎產醫法總論","paragraphs":[]},{"id":"chapter-1-section-12","title":"胎產醫法總論","paragraphs":[]},{"id":"chapter-1-section-13","title":"驗胎之法","paragraphs":[]},{"id":"chapter-1-section-14","title":"孕婦忌食","paragraphs":[]},{"id":"chapter-1-section-15","title":"藥忌","paragraphs":["惡阻","胎動不安","漏胎","半產","子煩","子懸","子眩","子癇","子腫","子嗆","子鳴","子喑","子淋","小便不通","孕悲","尿血","乳泣","胎不長"]},{"id":"chapter-1-section-16","title":"熱病防損胎","paragraphs":[]},{"id":"chapter-1-section-17","title":"娠妊傷寒","paragraphs":["瘧疾","洩瀉","痢疾","鬼胎","吐血","便血","大便燥結","孤漿"]},{"id":"chapter-1-section-18","title":"誤服傷胎之藥","paragraphs":[]},{"id":"chapter-1-section-19","title":"心痛","paragraphs":[]},{"id":"chapter-1-section-20","title":"胸腹痛","paragraphs":[]},{"id":"chapter-1-section-21","title":"腰痛","paragraphs":[]},{"id":"chapter-1-section-22","title":"痰臌似胎案","paragraphs":[]},{"id":"chapter-1-section-23","title":"下集臨產門","paragraphs":[]},{"id":"chapter-1-section-24","title":"臨產事宜方論","paragraphs":["倒生","橫生","盤腸生"]},{"id":"chapter-1-section-25","title":"附難產案","paragraphs":["下集"]},{"id":"chapter-1-section-26","title":"產後門","paragraphs":[]},{"id":"chapter-1-section-27","title":"下集產後門","paragraphs":["胞衣不下","玉門不閉","心慌自汗","血暈","惡露不下","產後血崩","子宮不收","腸中癢","產後不語"]},{"id":"chapter-1-section-28","title":"產後發熱","paragraphs":["乍寒乍熱（與發熱合參）","蒸乳","乳少"]},{"id":"chapter-1-section-29","title":"乳癰","paragraphs":[]},{"id":"chapter-1-section-30","title":"產後心腹諸痛","paragraphs":[]},{"id":"chapter-1-section-31","title":"腹內癰","paragraphs":["呃逆"]},{"id":"chapter-1-section-32","title":"產後身痛","paragraphs":[]},{"id":"chapter-1-section-33","title":"產後腰痛","paragraphs":["產後驚悸","產後發痙","產後顛狂"]},{"id":"chapter-1-section-34","title":"蓐勞","paragraphs":[]},{"id":"chapter-1-section-35","title":"喘促","paragraphs":["鼻中起黑煤"]},{"id":"chapter-1-section-36","title":"產後舌黑舌枯","paragraphs":[]},{"id":"chapter-1-section-37","title":"產後咳嗽治法","paragraphs":["下集"]},{"id":"chapter-1-section-38","title":"樸齋治驗案","paragraphs":[]},{"id":"chapter-1-section-39","title":"下集樸齋治驗案","paragraphs":["附：種子方","小引","庚申歲，友人攜慈善家印送《產科心法》見贈。其書於胎前產後證治靡不備具，且簡而賅，約而括，誠臨證之導師，治療之繩墨。瀏覽已，久思以公諸於世，乃倩越友三三醫報社主任裘吉生先生刊印流通，餉我同人，未必無小補云爾。","民國十二年夏六月邗江漱石生徐召南伯英識於拯黎","續印《產科心法》之緣起","清光緒己丑孟冬，拙荊產後五日，面赤氣喘，醫者目為外邪，用麻杏甘膏、大青龍湯治之。服後大汗數日，竟成不治。閱二年辛卯，偶在親戚家獲睹《種子產科心法》一書。其於胎前產後按症立方，頗為簡要，且悉麻黃為產後禁忌之藥，因借錄之。自後家內凡遇胎產見症，照方服藥，無不獲效如神，誠胎產之金針，醫家之寶筏也。近緣刻本罕見，借閱抄本者日多，碩果僅存，殊堪為慮。用是付印以利己而利人，其庶幾汪樸齋先生一片救世婆心，得以垂諸久遠雲。","民國七年三月鶴城成榮澤謹識"]},{"id":"chapter-1-section-40","title":"李序","paragraphs":["汪樸齋先生《產科心法》一書，向只有鈔本，予與弟侄捐資刻之以公諸世。自胎前臨產以及產後一切調治之法，無不曲折精到，犁然畢具。而開卷一門，則為種子方法。夫有萬物然後有男女，有男女然後有夫婦，有夫婦然後有父子。生育一事，乃天地自然之理，而必求種子方法，不幾涉於人為乎？不知此蓋為艱於子嗣者言也。顧艱於子嗣者，或因祖宗德澤衰微，或因夫婦命宮剋制，或因本身體薄精虛，雖理數難知，大率不離乎此三者近是。是則求種子者，道有存乎其先者矣。其一宜積德。古來勸善之書甚夥，予獨愛漢昭烈帝“勿以小善而不為，勿以惡小而為之”二語。夫小善必為，則大者可知矣。然善之大者，必有大經濟、大力量，而尤必有大機緣，遇者蓋少。至於小善，則人生一日之間，自朝至暮，一出一入，一言一動，罔不有善之可積。所謂德，無論陰不陰，只遇著善端，便勿錯過是也。善必自倫紀之地積起，乃為有本。推而至於濟人，又推而至於利物。積者，積也。日積月累，以小成大，而善量於是乎充矣。為善必先去惡。惡之大者，人皆知其傷天理、損陰，固不為也。至於小者，人每忽之。不知惡無論大小，一念之微，一事之細，苟有傷天地之和，即宜戒之慎之。大要總在去刻薄，從忠濃，務使方寸之內慈愛惻怛，無非一團生生之機，行之久久，自可扶祖宗之德澤，挽命宮之剋制，而承先啟後之道在是矣。其一在節慾。夫外遇之邪淫，正人所不為，至妻外家之間，亦宜有節。節者，制也。不知節，而以有限之精神，供不已之淫慾。譬如激川之流而水必涸，蕩家之產而用必窮。延嗣經雲：元精耗竭，欲熾神疲，若此類者，欲求其種子，焉可得乎？惟能節慾，則精神充足，志氣清明，生子必然康強壽考，聰明端秀。語云：寡慾者多男，貪淫者無後，是欲之不可不節也明矣。予觀樸齋先生是書，於種子一門特揭明雲，其法先宜積德存陰，可見積德為種子之本。至精薄體虛之人，則有五子種玉丹一方，以補填精髓。然與其精既竭而藉藥餌以補填之，何如節之而使不竭之為得乎？即或稟受怯弱，本質虛羸，然惟能節慾，而後藥力之滋補乃有效耳。予故因刻是書，而復為申論之如右。或有謂予曰：子之論是矣，而尚未得嗣何也？予曰：古人所謂行年五十，而知四十九年之非者是也。","嘉慶九年歲在甲子季秋上浣二日石門李超恆識"]},{"id":"chapter-1-section-41","title":"原序","paragraphs":["蓋醫之一道，為司命之司，原非容易，但能存心濟人，博考群書，臨症體察，以人性命為重，雖未能有聖賢之學，而虛實寒熱、表裡陰陽辨釋明白，用藥得當，自不致於誤人。而產科一症，尤宜謹慎守法。略一錯誤，則胎不保，甚至產母亦傷，能無怨乎？至於產後，總屬氣血空虛，丹溪先生雲：雖有他症，以末治之。此誠千古格言，自當遵前賢制方選用，斷不可以杜撰誤人。如無憂散、佛手散、生化湯之類，千古不磨，毋庸苟且。每見今人，醫產全不合法，一味杜撰好奇，名為生化，實非生化之意。設遇體濃者，僥倖得愈。體薄者，禍必立至。至於產後汗出，須防元陽外越；洩瀉，即防中氣下脫；喘急，更防惡露上逆。此皆產後極忌之處。而產後發熱，常有之也。緣下元空虛，陰虛生內熱，只須四物湯加童便，熱即退也。間有瘀血不行者，有經風者，有停滯者，有蒸乳者，各審其因而藥之。風感者用歸芎，補血之中加黑荊芥一味足矣。蓋產時體虛，百節開張，腠理不固，易入易出，若表其汗，則元陽外越，未有不死者也。其停滯者，只於理脾之藥加谷芽、陳皮可矣。蓋脾虛則不運化，宜用陽藥以助脾溫胃，即運化矣。須知產後有邪，總宜補中兼消，未有消而不補之理。有等初學無傳之輩，放膽竟用柴、芩、羌、防、山楂、神曲之劑，以治傷寒之病，忘卻產後之身，至輕者變重，重者即死，誤人不淺，真可畏怕也。況中風症乃血虛者多，《內經》謂治風先治血，血行風自滅。張景嶽先生師其意，發有非風之論，此皆醫平人而言，尚謹慎如此，而況產後肝血空虛，虛生內風，更可知矣。夫天地有好生之德，吾儕寧不慎重於斯，而以人性命為兒戲哉？予每見而憐焉。因《產科心法》纂選成書，此吾數十年來用之效驗，悟於心而應於手，且簡而不繁。俾產家觀之為準繩，則性命得以安痊。醫家一有準繩，則舉手無錯誤矣。噫！圓通之士，始可與言斯道耶。","乾隆四十五年歲次庚子仲春月休寧樸齋汪纂並序"]},{"id":"chapter-1-section-42","title":"蔡序","paragraphs":["天地之大德曰生，而胎產一事，則天地以其生生之德寄之於人，於以繁生齒而廣之化者也。顧其間或多難產，以致莫救。是生也而殺之，豈天地生生本意哉？亦由調攝、醫治、人事失其"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"評註產科心法","section_title":"評註產科心法","is_available":true},{"id":"chapter-1-section-2","chapter_title":"評註產科心法","section_title":"目錄","is_available":true},{"id":"chapter-1-section-3","chapter_title":"評註產科心法","section_title":"李序","is_available":true},{"id":"chapter-1-section-4","chapter_title":"評註產科心法","section_title":"原序","is_available":true},{"id":"chapter-1-section-5","chapter_title":"評註產科心法","section_title":"蔡序","is_available":true},{"id":"chapter-1-section-6","chapter_title":"評註產科心法","section_title":"上集種子門","is_available":true},{"id":"chapter-1-section-7","chapter_title":"評註產科心法","section_title":"種子方法","is_available":true},{"id":"chapter-1-section-8","chapter_title":"評註產科心法","section_title":"種子歌","is_available":true},{"id":"chapter-1-section-9","chapter_title":"評註產科心法","section_title":"上集胎前門","is_available":true},{"id":"chapter-1-section-10","chapter_title":"評註產科心法","section_title":"胎產醫法總論","is_available":true},{"id":"chapter-1-section-11","chapter_title":"評註產科心法","section_title":"胎產醫法總論","is_available":true},{"id":"chapter-1-section-12","chapter_title":"評註產科心法","section_title":"胎產醫法總論","is_available":true},{"id":"chapter-1-section-13","chapter_title":"評註產科心法","section_title":"驗胎之法","is_available":true},{"id":"chapter-1-section-14","chapter_title":"評註產科心法","section_title":"孕婦忌食","is_available":true},{"id":"chapter-1-section-15","chapter_title":"評註產科心法","section_title":"藥忌","is_available":true},{"id":"chapter-1-section-16","chapter_title":"評註產科心法","section_title":"熱病防損胎","is_available":true},{"id":"chapter-1-section-17","chapter_title":"評註產科心法","section_title":"娠妊傷寒","is_available":true},{"id":"chapter-1-section-18","chapter_title":"評註產科心法","section_title":"誤服傷胎之藥","is_available":true},{"id":"chapter-1-section-19","chapter_title":"評註產科心法","section_title":"心痛","is_available":true},{"id":"chapter-1-section-20","chapter_title":"評註產科心法","section_title":"胸腹痛","is_available":true},{"id":"chapter-1-section-21","chapter_title":"評註產科心法","section_title":"腰痛","is_available":true},{"id":"chapter-1-section-22","chapter_title":"評註產科心法","section_title":"痰臌似胎案","is_available":true},{"id":"chapter-1-section-23","chapter_title":"評註產科心法","section_title":"下集臨產門","is_available":true},{"id":"chapter-1-section-24","chapter_title":"評註產科心法","section_title":"臨產事宜方論","is_available":true},{"id":"chapter-1-section-25","chapter_title":"評註產科心法","section_title":"附難產案","is_available":true},{"id":"chapter-1-section-26","chapter_title":"評註產科心法","section_title":"產後門","is_available":true},{"id":"chapter-1-section-27","chapter_title":"評註產科心法","section_title":"下集產後門","is_available":true},{"id":"chapter-1-section-28","chapter_title":"評註產科心法","section_title":"產後發熱","is_available":true},{"id":"chapter-1-section-29","chapter_title":"評註產科心法","section_title":"乳癰","is_available":true},{"id":"chapter-1-section-30","chapter_title":"評註產科心法","section_title":"產後心腹諸痛","is_available":true},{"id":"chapter-1-section-31","chapter_title":"評註產科心法","section_title":"腹內癰","is_available":true},{"id":"chapter-1-section-32","chapter_title":"評註產科心法","section_title":"產後身痛","is_available":true},{"id":"chapter-1-section-33","chapter_title":"評註產科心法","section_title":"產後腰痛","is_available":true},{"id":"chapter-1-section-34","chapter_title":"評註產科心法","section_title":"蓐勞","is_available":true},{"id":"chapter-1-section-35","chapter_title":"評註產科心法","section_title":"喘促","is_available":true},{"id":"chapter-1-section-36","chapter_title":"評註產科心法","section_title":"產後舌黑舌枯","is_available":true},{"id":"chapter-1-section-37","chapter_title":"評註產科心法","section_title":"產後咳嗽治法","is_available":true},{"id":"chapter-1-section-38","chapter_title":"評註產科心法","section_title":"樸齋治驗案","is_available":true},{"id":"chapter-1-section-39","chapter_title":"評註產科心法","section_title":"下集樸齋治驗案","is_available":true},{"id":"chapter-1-section-40","chapter_title":"評註產科心法","section_title":"李序","is_available":true},{"id":"chapter-1-section-41","chapter_title":"評註產科心法","section_title":"原序","is_available":true},{"id":"chapter-1-section-42","chapter_title":"評註產科心法","section_title":"蔡序","is_available":true}],"plain_text":"# 評註產科心法\n## 評註產科心法\n## 目錄\n小引\n續印《產科心法》之緣起\n## 李序\n## 原序\n## 蔡序\n## 上集種子門\n## 種子方法\n## 種子歌\n## 上集胎前門\n## 胎產醫法總論\n## 胎產醫法總論\n## 胎產醫法總論\n## 驗胎之法\n## 孕婦忌食\n## 藥忌\n惡阻\n胎動不安\n漏胎\n半產\n子煩\n子懸\n子眩\n子癇\n子腫\n子嗆\n子鳴\n子喑\n子淋\n小便不通\n孕悲\n尿血\n乳泣\n胎不長\n## 熱病防損胎\n## 娠妊傷寒\n瘧疾\n洩瀉\n痢疾\n鬼胎\n吐血\n便血\n大便燥結\n孤漿\n## 誤服傷胎之藥\n## 心痛\n## 胸腹痛\n## 腰痛\n## 痰臌似胎案\n## 下集臨產門\n## 臨產事宜方論\n倒生\n橫生\n盤腸生\n## 附難產案\n下集\n## 產後門\n## 下集產後門\n胞衣不下\n玉門不閉\n心慌自汗\n血暈\n惡露不下\n產後血崩\n子宮不收\n腸中癢\n產後不語\n## 產後發熱\n乍寒乍熱（與發熱合參）\n蒸乳\n乳少\n## 乳癰\n## 產後心腹諸痛\n## 腹內癰\n呃逆\n## 產後身痛\n## 產後腰痛\n產後驚悸\n產後發痙\n產後顛狂\n## 蓐勞\n## 喘促\n鼻中起黑煤\n## 產後舌黑舌枯\n## 產後咳嗽治法\n下集\n## 樸齋治驗案\n## 下集樸齋治驗案\n附：種子方\n小引\n庚申歲，友人攜慈善家印送《產科心法》見贈。其書於胎前產後證治靡不備具，且簡而賅，約而括，誠臨證之導師，治療之繩墨。瀏覽已，久思以公諸於世，乃倩越友三三醫報社主任裘吉生先生刊印流通，餉我同人，未必無小補云爾。\n民國十二年夏六月邗江漱石生徐召南伯英識於拯黎\n續印《產科心法》之緣起\n清光緒己丑孟冬，拙荊產後五日，面赤氣喘，醫者目為外邪，用麻杏甘膏、大青龍湯治之。服後大汗數日，竟成不治。閱二年辛卯，偶在親戚家獲睹《種子產科心法》一書。其於胎前產後按症立方，頗為簡要，且悉麻黃為產後禁忌之藥，因借錄之。自後家內凡遇胎產見症，照方服藥，無不獲效如神，誠胎產之金針，醫家之寶筏也。近緣刻本罕見，借閱抄本者日多，碩果僅存，殊堪為慮。用是付印以利己而利人，其庶幾汪樸齋先生一片救世婆心，得以垂諸久遠雲。\n民國七年三月鶴城成榮澤謹識\n## 李序\n汪樸齋先生《產科心法》一書，向只有鈔本，予與弟侄捐資刻之以公諸世。自胎前臨產以及產後一切調治之法，無不曲折精到，犁然畢具。而開卷一門，則為種子方法。夫有萬物然後有男女，有男女然後有夫婦，有夫婦然後有父子。生育一事，乃天地自然之理，而必求種子方法，不幾涉於人為乎？不知此蓋為艱於子嗣者言也。顧艱於子嗣者，或因祖宗德澤衰微，或因夫婦命宮剋制，或因本身體薄精虛，雖理數難知，大率不離乎此三者近是。是則求種子者，道有存乎其先者矣。其一宜積德。古來勸善之書甚夥，予獨愛漢昭烈帝“勿以小善而不為，勿以惡小而為之”二語。夫小善必為，則大者可知矣。然善之大者，必有大經濟、大力量，而尤必有大機緣，遇者蓋少。至於小善，則人生一日之間，自朝至暮，一出一入，一言一動，罔不有善之可積。所謂德，無論陰不陰，只遇著善端，便勿錯過是也。善必自倫紀之地積起，乃為有本。推而至於濟人，又推而至於利物。積者，積也。日積月累，以小成大，而善量於是乎充矣。為善必先去惡。惡之大者，人皆知其傷天理、損陰，固不為也。至於小者，人每忽之。不知惡無論大小，一念之微，一事之細，苟有傷天地之和，即宜戒之慎之。大要總在去刻薄，從忠濃，務使方寸之內慈愛惻怛，無非一團生生之機，行之久久，自可扶祖宗之德澤，挽命宮之剋制，而承先啟後之道在是矣。其一在節慾。夫外遇之邪淫，正人所不為，至妻外家之間，亦宜有節。節者，制也。不知節，而以有限之精神，供不已之淫慾。譬如激川之流而水必涸，蕩家之產而用必窮。延嗣經雲：元精耗竭，欲熾神疲，若此類者，欲求其種子，焉可得乎？惟能節慾，則精神充足，志氣清明，生子必然康強壽考，聰明端秀。語云：寡慾者多男，貪淫者無後，是欲之不可不節也明矣。予觀樸齋先生是書，於種子一門特揭明雲，其法先宜積德存陰，可見積德為種子之本。至精薄體虛之人，則有五子種玉丹一方，以補填精髓。然與其精既竭而藉藥餌以補填之，何如節之而使不竭之為得乎？即或稟受怯弱，本質虛羸，然惟能節慾，而後藥力之滋補乃有效耳。予故因刻是書，而復為申論之如右。或有謂予曰：子之論是矣，而尚未得嗣何也？予曰：古人所謂行年五十，而知四十九年之非者是也。\n嘉慶九年歲在甲子季秋上浣二日石門李超恆識\n## 原序\n蓋醫之一道，為司命之司，原非容易，但能存心濟人，博考群書，臨症體察，以人性命為重，雖未能有聖賢之學，而虛實寒熱、表裡陰陽辨釋明白，用藥得當，自不致於誤人。而產科一症，尤宜謹慎守法。略一錯誤，則胎不保，甚至產母亦傷，能無怨乎？至於產後，總屬氣血空虛，丹溪先生雲：雖有他症，以末治之。此誠千古格言，自當遵前賢制方選用，斷不可以杜撰誤人。如無憂散、佛手散、生化湯之類，千古不磨，毋庸苟且。每見今人，醫產全不合法，一味杜撰好奇，名為生化，實非生化之意。設遇體濃者，僥倖得愈。體薄者，禍必立至。至於產後汗出，須防元陽外越；洩瀉，即防中氣下脫；喘急，更防惡露上逆。此皆產後極忌之處。而產後發熱，常有之也。緣下元空虛，陰虛生內熱，只須四物湯加童便，熱即退也。間有瘀血不行者，有經風者，有停滯者，有蒸乳者，各審其因而藥之。風感者用歸芎，補血之中加黑荊芥一味足矣。蓋產時體虛，百節開張，腠理不固，易入易出，若表其汗，則元陽外越，未有不死者也。其停滯者，只於理脾之藥加谷芽、陳皮可矣。蓋脾虛則不運化，宜用陽藥以助脾溫胃，即運化矣。須知產後有邪，總宜補中兼消，未有消而不補之理。有等初學無傳之輩，放膽竟用柴、芩、羌、防、山楂、神曲之劑，以治傷寒之病，忘卻產後之身，至輕者變重，重者即死，誤人不淺，真可畏怕也。況中風症乃血虛者多，《內經》謂治風先治血，血行風自滅。張景嶽先生師其意，發有非風之論，此皆醫平人而言，尚謹慎如此，而況產後肝血空虛，虛生內風，更可知矣。夫天地有好生之德，吾儕寧不慎重於斯，而以人性命為兒戲哉？予每見而憐焉。因《產科心法》纂選成書，此吾數十年來用之效驗，悟於心而應於手，且簡而不繁。俾產家觀之為準繩，則性命得以安痊。醫家一有準繩，則舉手無錯誤矣。噫！圓通之士，始可與言斯道耶。\n乾隆四十五年歲次庚子仲春月休寧樸齋汪纂並序\n## 蔡序\n天地之大德曰生，而胎產一事，則天地以其生生之德寄之於人，於以繁生齒而廣之化者也。顧其間或多難產，以致莫救。是生也而殺之，豈天地生生本意哉？亦由調攝、醫治、人事失其","is_preview":true,"preview_page_limit":10}