治妇人脏气本虚,宿挟风冷,胸鬲满痛,腹胁绞刺,呕吐恶心,饮食减少
,身面虚浮,恶寒战栗,或泄利不止,少气羸困;及因生产,脏气暴虚,邪冷内胜,宿疾转甚。
吴茱萸(汤洗七次,炒,一两半) 桔梗 干姜(炮) 甘草(炙) 麦门冬(去心) 半夏(汤
洗七次) 防风 细辛 当归(酒浸,炒) 茯苓 牡丹皮 桂心(各半两)
上为粗末。每服四钱,水一盏半,煎七分,去滓,食前热服。
治心下坚大如盘,边如旋盘,水饮所作,名曰气分。
枳实(麸炒去瓤,一两半) 白术(三两)
上锉散。每服四钱,水盏半,煎七分,去滓温服,腹中软,即当散也。
治妇人产后虚肿喘促。利小便则愈。
生姜(三两,取汁) 白面(三两) 半夏(七个,汤洗去滑,破)
上以生姜汁搜面,裹半夏为七饼子,炙焦熟,为末。熟水调一钱,小便利为效。
最治产后肿满,喘急烦渴,小便不利。(方见第六论)
第八论曰∶产后乍见鬼神者何?答曰∶心主身之血脉,因虚伤耗血脉,心气则虚,败血
停积,上干于心,心不受触,遂致心中烦躁,卧起不安,乍见鬼神,言语颠倒。医工不识,
呼为血邪,如此治之,必不得愈。但服调经散,每服加龙脑一捻,得睡即安。
调经散 方见第七论,每服加龙脑一捻。
第九论曰∶产后不语者何?答曰∶人心有七孔三毛,产后虚弱,多致停积败血,闭于心
窍,神志不能明了。又心气通于舌,心气闭塞,则舌亦强矣,故令不语。如此但服七珍散。
治疗妇人脏气原本虚弱,平素夹杂风冷之邪,导致胸膈部胀满疼痛,腹部和胁肋部如绞割刺痛,呕吐恶心,饮食减少,身体和面部虚浮肿胀,怕冷并伴有战栗,或者腹泻不止,气息短少且身体瘦弱困倦;以及因分娩后,脏气突然虚弱,寒邪在体内亢盛,使旧疾加重。
吴茱萸(用热水清洗七次,炒制,一两半)、桔梗、干姜(炮制)、甘草(炙烤)、麦门冬(去除心)、半夏(用热水清洗七次)、防风、细辛、当归(用酒浸泡,炒制)、茯苓、牡丹皮、桂心(以上各半两)。
将上述药材捣成粗末。每次服用四钱,加水一盏半,煎煮至七分水量,滤去药渣,饭前热服。
治疗心下部位坚硬肿大如盘状,边缘像旋转的盘子一样,这是由水饮停聚所致,病名叫做“气分”。
将药材切碎散开。每次服用四钱,加水一盏半,煎煮至七分水量,滤去药渣温服,如果腹中变软,说明病邪已消散。
治疗妇人产后出现的虚肿和气喘急促。通过利小便的方法即可痊愈。
生姜(三两,取汁液)、白面(三两)、半夏(七个,用热水清洗去除滑腻感,掰破)。
用生姜汁调和面粉,包裹半夏制成七个饼子,烤至焦熟,研成粉末。用温水调服一钱,以小便通畅为见效标志。
最适宜治疗产后肿胀满闷,气喘急迫,心烦口渴,小便不利。(方剂见第六论)
第八论问道:产后突然看见鬼神是怎么回事?回答说:心主宰身体的血脉,因为虚弱耗损了血脉,导致心气虚弱,败血停滞积聚,向上干扰心脏,心脏不能承受这种刺激,从而导致心中烦躁,坐卧不安,突然看见鬼神,言语错乱颠倒。医生如果不认识这种情况,称之为“血邪”,这样治疗,必定无法痊愈。只需服用调经散,每次服用时加入一捻龙脑(冰片),能够入睡即平安。
调经散(方剂见第七论),每次服用时加入一捻龙脑(冰片)。
第九论问道:产后不能说话是怎么回事?回答说:人心有七孔三毛(指心的精细结构),产后身体虚弱,容易导致败血停滞积聚,闭塞心窍,神志不能清明。另外,心气通达于舌,心气闭塞,舌头也会僵硬,所以导致不能说话。这种情况只需服用七珍散。
Treats women whose Zang Qi (Visceral Energy) is originally deficient, harboring chronic Wind-Cold pathogens, resulting in fullness and pain in the chest and diaphragm, cramping and stabbing pain in the abdomen and hypochondrium, vomiting and nausea, reduced appetite, puffiness of the body and face, aversion to cold with shivering, or incessant diarrhea, shortness of breath, emaciation and fatigue; as well as conditions arising from childbirth where Zang Qi suddenly becomes deficient, Cold pathogens prevail internally, exacerbating chronic diseases.
Evodiae Fructus (Washed seven times with hot water, stir-fried, 1.5 liang), Platycodonis Radix (Jiegeng), Zingiberis Rhizoma Preparatum (Pao Ganjiang, processed dried ginger), Glycyrrhizae Radix et Rhizoma Preparatum (Zhi Gancao, honey-fried licorice), Ophiopogonis Radix (Qu Xin Men Dong, heart-removed Ophiopogon), Pinelliae Rhizoma Preparatum (Shui Xi Ban Xia, washed with hot water seven times), Saposhnikoviae Radix (Fangfeng), Asari Radix et Rhizoma (Xixin), Angelicae Sinensis Radix (Jiu Jin Dang Gui, wine-soaked and stir-fried), Poria (Fuling), Moutan Cortex (Mudan Pi), Cinnamomi Ramulus (Guixin) (each 0.5 liang).
Grind the above ingredients into a coarse powder. For each dose, take 4 qian, add 1.5 zhan of water, decoct until 0.7 zhan remains, strain, and take hot before meals.
Treats hardness and enlargement under the heart like a plate, with edges resembling a rotating plate, caused by fluid retention, named "Qi Fen" (Energy Division).
Aurantii Fructus Immaturus (Bran-fried, pith removed, 1.5 liang), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 3 liang).
Cut into pieces and scatter. For each dose, take 4 qian, add 1.5 zhan of water, decoct until 0.7 zhan remains, strain, and take warm. If the abdomen becomes soft, the pathogen will dissipate.
Treats postpartum deficiency edema and panting. The condition resolves by promoting urination.
Zingiberis Rhizoma Recens (Sheng Jiang, 3 liang, juice extracted), Triticum aestivum Farina (Bai Mian, 3 liang), Pinelliae Rhizoma (Ban Xia, 7 pieces, washed with hot water to remove slipperiness, broken).
Mix flour with ginger juice, wrap the broken Pinelliae Rhizoma inside to form seven cakes, roast until scorched and cooked, then grind into powder. Mix 1 qian with boiled water; effectiveness is indicated by smooth urination.
Most suitable for treating postpartum swelling and fullness, rapid panting, restlessness and thirst, and difficult urination. (Formula see Treatise 6)
Treatise 8 asks: What causes sudden visions of spirits and ghosts after childbirth? The answer is: The Heart governs the blood vessels in the body. Due to deficiency and consumption of blood vessels, Heart Qi becomes deficient. Stagnant blood accumulates and interferes with the Heart upwards. The Heart cannot tolerate this disturbance, leading to mental restlessness, inability to lie down or sit comfortably, sudden visions of spirits and ghosts, and inverted speech. Physicians who do not recognize this condition may call it "Blood Evil." Treating it as such will certainly not lead to recovery. One should simply administer Tiao Jing San (Regulate Menstruation Powder), adding a pinch of Long Nao (Borneol) per dose. Sleep indicates peace.
Tiao Jing San (See Treatise 7), add a pinch of Long Nao (Borneol) per dose.
Treatise 9 asks: What causes muteness after childbirth? The answer is: The human Heart has seven holes and three hairs (referring to its intricate structure). Postpartum weakness often leads to stagnant blood accumulation, blocking the Heart orifices, preventing clear consciousness. Furthermore, Heart Qi connects to the tongue. If Heart Qi is blocked, the tongue also becomes stiff, causing muteness. In such cases, one should simply administer Qi Zhen San (Seven Treasures Powder).