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>
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<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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