從中醫典籍探討妊娠外感的中醫治療與用藥思路

Discussion on TCM Prescriptions for Common Colds During Pregnancy from TCM Classics

10.30030/JTCGM.202306_30(1).0002

呂平安(Ping-An Lu)；李佳穎(Chia-Ying Lee)；陳文娟(Wen-Jiuan Chen)

妊娠 ； 子嗽 ； 外感風寒風熱 ； 感冒 ； 保產無憂散 ； pregnancy ； cough during pregnancy ； exogenous infection due to wind and heat ； common cold ； Baochan Wuyou San

中醫婦科醫學雜誌

30卷1期（2023 / 06 / 01）

10 - 18

繁體中文;英文

目的：鑑於妊娠婦女與常人之體質有所不同，故嘗試統整妊娠外感之治療方式、禁忌，以及常用處方，作為現代中醫妊娠外感治療提示。方法：整理孕產典籍《女科百問》、《婦人大全良方》及《婦科心法要訣》中，妊娠傷寒、溫病、子嗽等與妊娠外感相關篇章論述。結論：1.整理典籍常用妊娠外感處方有：敗毒散方、柴胡劑去半夏、蔥白湯或是葛根劑。2.妊娠外感治療，在把握「有是證用是藥」原則下，允許使用解表發汗劑，但應中病即止，不宜過度發汗，並且可根據孕婦體質考慮配伍安胎、補養藥物。

Aim: The constitution of pregnant women are different from that of ordinary people. In this study, we attempt to integrate the treatment methods, contraindications, and common prescriptions of gestational common cold. Methods: The chapters related to gestational common cold such as typhoid fever, febrile disease, and cough during pregnancy in the maternity classics "Gynecology Hundred Questions", " Fu Ren DA Quan Liang Fang" and "Yi Zong Jin Jian．Fu Ke Xin Fa Yao Jue" were sorted out. Conclusions: 1. Commonly used prescriptions for gestational common cold include various Baidu San formulas, various Chaihu Tang formulas excluding Pinellia ternata, welsh onion soup with ginger, or various Gegen Tang formulas. 2. For exogenous pregnancy symptoms, adherence to the principle of "whatever is the syndrome, what is the medicine", and superficies-resolving formula is allowed to ues, but excessive sweating should be avoided. It can also be combined with tocolysis agent and tonifying drugs at the same time.

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