欲產(chǎn)之婦脈離經(jīng).沉細(xì)而滑也同名.夜半覺痛應(yīng)分誕.來日日午定知生.
脈經(jīng)曰.離經(jīng)其脈。O(shè)腹痛引腰脊.為欲生也.但離經(jīng)者不產(chǎn)也.又云其脈離經(jīng).夜半覺.日中則生也.
經(jīng)者常也.謂離其常處為離經(jīng).假如妊婦昨日見左沉實(shí)為男之脈.今日或脈。请x其尋常之m.f1411.cn/yishi/脈.而異于平日.又且腹痛.是知將誕也.通真子引難經(jīng)一呼三至曰離經(jīng)為解.李 范又引難經(jīng)一呼一至曰離經(jīng)以解沉細(xì)而滑.皆非也.難經(jīng)言損至二脈.雖同名離經(jīng).其脈與理則不同.且脈經(jīng)明言離經(jīng).其脈浮也.不曾引援難經(jīng)之文.今脈訣因其言脈浮又添沉細(xì)而滑.同名離經(jīng).蓋以前所診男女脈.或云浮大為女.若只脈浮為離經(jīng).若平常見浮大為女之脈.何以辨離經(jīng).故又增沉細(xì)而滑.以見離浮大之常經(jīng)為沉滑也.圣惠方云.夜半子時(shí)覺腹痛.來日午時(shí)必定生產(chǎn).謂子午相沖.正半日時(shí)數(shù)也.通真子曰夜半痛.日午生.此言恐未為的.又曰腹痛而腰不痛者未產(chǎn)也.若腹痛連腰痛甚者即產(chǎn).所以然者腎候于腰.胞系于腎.故也.診其尺脈.轉(zhuǎn)急如切繩轉(zhuǎn)珠者.即產(chǎn)也.生產(chǎn)有難易.痛來有緊慢.安可定半日.當(dāng)斷以活法.
身重體熱寒又頻.舌下之脈黑復(fù)青.及舌上冷子當(dāng)死.腹中須遣母歸冥.面赤舌青細(xì)尋看.母活子死定應(yīng)難.唇口俱青沫又出.母子俱死總高KT .面青舌〔青〕(赤)沫出頻.母死子活定知真.不信若能看應(yīng)驗(yàn).尋之賢哲不虛陳.
脈指南作面青舌赤.蓋面以候母.舌以候子.今云子活.合以舌赤為是.若云舌青.則與前面赤舌青.母活子死之候相反.若胎先下.其子得活.www.med126.com如未下.子母俱亡.自身重體熱寒又頻至此.并不用脈.只以外候參決子母生死.蓋以臨產(chǎn)脈不可考.但當(dāng)以察色而知之.