倪海厦仲景心法传讲笔记（十七）
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-6w9my0ksvp/cc50932561c24885bbc0a64ad0b7fd5d~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728615462&x-signature=YUT346zSRcYhY8hpPAlWmMBEqgk%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">问：孕妇的胎位不正，还有脐带绕颈，应该<span style="color: black;">怎样</span>处理？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">答：这些在事前都是<span style="color: black;">能够</span>做到的，在事前<span style="color: black;">能够</span>做防范，<span style="color: black;">咱们</span>以针灸的穴道<span style="color: black;">来讲</span>，在足太阳膀胱经的井穴至阴穴，足少阳胆经的井穴窍阴上做针刺（见下图），<span style="color: black;">倘若</span>胎位不正的话，针刺下去，胎位会转正，胎位转正了就不会有脐带绕颈的现象。</span></strong></p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-6w9my0ksvp/7ecdc94933f649738a61a6cddde0a15a~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728615462&x-signature=k4gRIf321vXdukfeZ3afaUIf3dA%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">前面像男孩的睪丸掉下来，<span style="color: black;">亦</span>叫疝气，<span style="color: black;">亦</span><span style="color: black;">能够</span>用针刺的手法，在足厥阴肝经的井穴大墩穴和足太阴脾经的隐白穴（见上图），针一下去，井穴扎针很痛的，一痛一身体收缩，睪丸就收回去了，疝气就<span style="color: black;">无</span>了。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">通常</span>里面有问题，<span style="color: black;">咱们</span>在外面就可诊断得到，妇人怀孕以后，脚肿起来，说明水道系统不是很通畅，<span style="color: black;">咱们</span>要让水道系统通畅，例如像癸子，茯苓，这些都是排水很好的。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">产妇怀孕从一到十月，前五个月，中医的观念是养母体，后五个月是养胎，前五个月是用《金匮》里的</span><span style="color: black;"><span style="color: black;">当归散</span></span><span style="color: black;">：</span><span style="color: black;"><span style="color: black;">当归、黄芩、芍药、川芎、 白术</span></span><span style="color: black;">，后五个月是</span><span style="color: black;"><span style="color: black;">白术散</span></span><span style="color: black;">：</span><span style="color: black;"><span style="color: black;">白术、川芎、各30克、蜀椒22克、牡蛎15克</span></span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">，白术散里最<span style="color: black;">重点</span>是有牡蛎，补胎儿的骨骼。<span style="color: black;">这般</span>的话就不会<span style="color: black;">导致</span>胎儿太大，不会<span style="color: black;">导致</span>超级巨婴。</strong></p><strong style="color: blue;"><span style="color: black;">此刻</span>好多妈妈怀的超级巨婴，都是妈妈乱补，怕出危险，<span style="color: black;">仅有</span>做剖腹产，给医院<span style="color: black;">增多</span>一点收入，西医在这方面是不错的，中医在这方面可能就望尘莫及了。中医认为<span style="color: black;">孩儿</span>在妈妈的肚子里要小，在过去怕<span style="color: black;">显现</span>难产，<span style="color: black;">由于</span>过去<span style="color: black;">无</span>西医，<span style="color: black;">无</span>剖腹产，<span style="color: black;">因此</span>，还会用布条把肚皮包住，不要让胎儿过大。<span style="color: black;">因此</span>，中医在后五个月不补<span style="color: black;">孩儿</span>的肌肉，只补<span style="color: black;">孩儿</span>的骨头，<span style="color: black;">孩儿</span>骨头强健就好，这些都是<span style="color: black;">咱们</span>事先<span style="color: black;">能够</span>预防的动作。</strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">中医<span style="color: black;">因此</span>叫上工治未病，一<span style="color: black;">起始</span>怀孕，<span style="color: black;">咱们</span>就<span style="color: black;">起始</span>动手<span style="color: black;">怎样</span><span style="color: black;">护理</span>了。会<span style="color: black;">导致</span>胎儿胎位不正还有脐带绕颈，这些都是妈妈在怀孕<span style="color: black;">时期</span><span style="color: black;">无</span><span style="color: black;">重视</span>保养。在怀孕之前<span style="color: black;">能够</span>吃一点四物汤，生完小孩以后<span style="color: black;">能够</span>吃一点八珍汤。生完小孩气血两虚，<span style="color: black;">能够</span>吃四物加四君子，在怀孕<span style="color: black;">时期</span><span style="color: black;">不可</span>吃太多补气的药，补气的药吃多了，胎儿会变大。</span></strong></p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-6w9my0ksvp/f5bcb2fcc0384bccb3c4d5d62beaacd7~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728615462&x-signature=44uWGRi8ocgjrOD1BJKUj8bD4Go%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">问：硫磺<span style="color: black;">怎样</span>煮药?</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">答：硫磺是包煎，用布袋装好放入煮，还有石膏<span style="color: black;">亦</span>是包煎，<span style="color: black;">否则</span>，直接放在药里面，煮出来的药全是泥巴，拿不出来了，<span style="color: black;">因此</span>要包煎。有时硫磺和石膏放在一个布包里煎煮，有人会说，硫磺大热，石膏大寒，怎么会把两个大热大寒的药放在<span style="color: black;">一块</span>。这个<span style="color: black;">亦</span>是<span style="color: black;">按照</span>病情的需要。还有<span style="color: black;">便是</span>牡蛎，牡蛎打碎<span style="color: black;">亦</span>是包在布包里放入汤药里<span style="color: black;">一块</span>煮，<span style="color: black;">这般</span>煮得透，金石类的药，都是采用包煎。</span></strong></p>
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