治产后虚烦必效。
蒲黄(不以多少,纸上炒)
上一味,每服一钱匕,东流水调下,不以时候。
产后去血过多,津液不回,肾气虚弱,多使人烦渴,引饮无度,虽非三消,其证颇同。
治之当养血通气、回津补肾方效。
治产后虚渴不止,少气脚弱,眼昏头眩,饮食无味。
熟干地黄(一两) 人参(三两) 麦门冬(二两) 栝蒌根(四两) 甘草(半两)
上为锉散。每服四钱,水二盏,糯米一撮,生姜三片,枣三枚,煎七分,去滓,食前服。
六气经纬丸 治同前。(方见前妊娠腹痛下利门当归芍药散)
诸治产前后淋闭,其法不同。产前当安胎,产后当去血,如其冷、热、膏、石、气淋等
,为治则一,但量其虚实而用之。瞿麦、蒲黄,最为产后要药,唯当寻其所因,则不失机要矣。
治产后诸淋,无问冷、热、膏、石、结气,悉主之。
白茅根(八两,生) 瞿麦穗 白茯苓(各四两) 蒲黄 桃胶 滑石 甘草(炙,各一两) 子贝
(十个,烧) 葵子 人参(各二两) 石首鱼脑骨(二十个,烧)
上为锉散。每服四大钱,水一盏半,姜三片,灯芯二十茎,煎七分,去滓温服;亦可为
末,煎木通汤调下二钱。如气壅闭,木通、橘皮煎汤调下。
治产后恶血不散,发渴疼痛;及恶露不快,脐腹坚胀;兼室女经候不匀,
赤白带下,心腹腰脚疼痛。
当归 赤芍药 牡丹皮 延胡索(各二两,炒) 桂心(一两)
上为末,蜜丸,如梧子大。温酒、米饮下三五丸,食前温服;痛甚,细嚼咽下。
治疗产后虚烦症状,此方极为有效。
蒲黄(用量不限,在纸上炒制)
以上一味药,每次服用一钱匕的量,用东流水调服,不拘泥于具体时间。
产后失血过多,津液无法恢复,肾气虚弱,常导致人出现心烦口渴,饮水无度,虽然不属于三消病,但症状颇为相似。
治疗时应当采用养血通气、回津补肾的方法才有效。
治疗产后虚渴不止,少气脚弱,眼昏头眩,饮食无味。
熟干地黄(一两) 人参(三两) 麦门冬(二两) 栝蒌根(四两) 甘草(半两)
以上药材切碎成散剂。每次服用四钱,加水两盏,糯米一撮,生姜三片,大枣三枚,煎至七分满,滤去药渣,饭前服用。
六气经纬丸 治疗同前。(方剂见前妊娠腹痛下利门当归芍药散)
各种治疗产前产后淋证闭阻的方法不同。产前应当安胎,产后应当祛瘀,如果是冷淋、热淋、膏淋、石淋、气淋等,治疗方法原则一致,只需根据患者的虚实情况来用药即可。瞿麦、蒲黄,是产后最重要的药物,只要寻找病因,就不会错过关键要点。
治疗产后各种淋证,不论冷淋、热淋、膏淋、石淋、结气淋,都主治。
白茅根(八两,生用) 瞿麦穗 白茯苓(各四两) 蒲黄 桃胶 滑石 甘草(炙,各一两) 车前子(十个,烧焦) 葵子 人参(各二两) 石首鱼脑骨(二十个,烧焦)
以上药材切碎成散剂。每次服用四大钱,加水一盏半,生姜三片,灯芯草二十茎,煎至七分满,滤去药渣温服;也可以制成粉末,用木通汤调服二钱。如果气机壅滞闭塞,用木通、橘皮煎汤调服。
治疗产后恶血不散,引发口渴疼痛;以及恶露排出不畅,脐腹部坚硬胀满;兼治室女月经不调,赤白带下,心腹腰脚疼痛。
当归 赤芍药 牡丹皮 延胡索(各二两,炒制) 桂心(一两)
以上药材研成粉末,用蜂蜜制成丸剂,如梧桐子大小。温酒或米饮送服三五丸,饭前温服;疼痛严重时,细嚼后咽下。
Treats postpartum deficiency-related vexation; this formula is highly effective.
*Polygoni Sagittifolii Pollen* (Pu Huang) [amount unspecified, stir-fried on paper]
Take the above single herb, one *qian bi* per dose, mixed with water from an east-flowing stream for administration, at any time without restriction.
Excessive blood loss during childbirth leads to insufficient recovery of body fluids and weak Kidney Qi, often causing irritability, thirst, and excessive drinking. Although not classified as San Xiao (Three Wasting-Thirst syndromes), the symptoms are quite similar.
Treatment should focus on nourishing blood, promoting Qi circulation, restoring fluids, and tonifying the Kidneys for effectiveness.
Treats persistent postpartum deficiency-thirst, shortness of breath, weakness in the legs, blurred vision, dizziness, and loss of taste in food.
Prepared *Rehmanniae Radix* (Shu Di Huang) [1 liang], *Ginseng Radix* (Ren Shen) [3 liang], *Ophiopogonis Tuber* (Mai Men Dong) [2 liang], *Trichosanthis Radix* (Gua Lou Gen) [4 liang], *Licorice Root* (Gan Cao) [0.5 liang]
Grind the above herbs into a coarse powder. Take 4 *qian* per dose, with 2 cups of water, a pinch of glutinous rice, 3 slices of ginger, and 3 jujubes. Decoct until reduced to 70%, strain, and take before meals.
Liuqi Jingwei Wan treats the same condition as above. (See Danggui Shaoyao San under the section for abdominal pain and diarrhea during pregnancy.)
Methods for treating strangury and urinary retention before and after childbirth differ. Before childbirth, the method should stabilize the fetus; after childbirth, it should remove blood stasis. For cold strangury, heat strangury, paste strangury, stone strangury, and qi strangury, the treatment principles are consistent, but dosage must be adjusted according to the patient's deficiency or excess. *Dianthi Herba* (Qumai) and *Polygoni Sagittifolii Pollen* (Pu Huang) are the most important herbs for postpartum use. Identifying the underlying cause ensures accurate application.
Treats various types of postpartum strangury, regardless of cold, heat, paste, stone, or qi strangury.
*Imperatae Rhizoma* (Bai Mao Gen) [8 liang, raw], *Herba Dianthi* (Qu Mai Sui), *Poria* (Bai Fu Ling) [each 4 liang], *Polygoni Sagittifolii Pollen* (Pu Huang), *Amygdalus Persica Gum* (Tao Jiao), *Talcum* (Hua Shi), *Radix Glycyrrhizae Preparata* (Zhi Gan Cao) [each 1 liang], *Plantaginis Semen* (Che Qian Zi) [10 seeds, calcined], *Abutili Semen* (Kui Zi), *Ginseng Radix* (Ren Shen) [each 2 liang], *Ossis Encephali Psettae* (Shishou Yu Nao Gu) [20 pieces, calcined]
Grind the above herbs into a coarse powder. Take 4 large *qian* per dose, with 1.5 cups of water, 3 slices of ginger, and 20 stems of *Juncus effusus* (Deng Xin). Decoct until reduced to 70%, strain, and take warm. Alternatively, grind into powder and take 2 *qian* mixed with *Akebiae Caulis* (Mu Tong) decoction. If there is Qi stagnation and obstruction, mix with *Akebiae Caulis* (Mu Tong) and *Citri Reticulatae Pericarpium* (Ju Pi) decoction.
Treats postpartum blood stasis that fails to disperse, leading to thirst and pain; also addresses slow lochia discharge, hardness and distension of the umbilical and abdominal regions; additionally treats irregular menstruation in unmarried women, leukorrhea (red and white discharge), and pain in the heart, abdomen, waist, and legs.
*Angelicae Sinensis Radix* (Dang Gui), *Paeoniae Radix Rubra* (Chi Shao Yao), *Moutan Cortex* (Mu Dan Pi), *Corydalis Rhizoma* (Yan Hu Suo) [each 2 liang, stir-fried], *Cinnamomi Cortex* (Gui Xin) [1 liang]
Grind the above herbs into powder, mix with honey to form pills the size of wutong seeds. Take 3–5 pills with warm wine or rice drink before meals; if pain is severe, chew thoroughly and swallow.