当归(去芦,酒浸) 白芍药 川芎 干姜(炮) 人参(各一两) 甘草(炙,半两)
上为 咀,每服四钱重,水一盏,姜三片,同煎至六分,去滓,微热服,不拘时候。
夺命丹
第七论曰∶产后四肢虚肿者何?答曰∶母生子讫,例服黑神散及芎 汤者,取其逐瘀血
以生新血也。倘恶露不尽,停留胞络,生病多端,轻者为胀、为痛、为寒、为热,甚者脉不
调
循经流入四肢,留淫日深,腐坏如水,致令浮肿,医者不审,便作水气治之,投以甘遂、大
戟等药,以导其水,虚之复虚,因兹夭枉者多矣。但服调经散血行肿消,自然良已。黑龙丹
亦治产后浮肿血滞所致,不可不知。
没药(别研) 琥珀(别研。各一钱) 肉桂(不见火) 赤芍药 当归(去芦,酒浸
。各一两) 麝香(半钱,别研) 细辛(洗,半钱) 甘草(炙,二钱)
上为细末,每服半钱重,生姜汁温酒各少许,调匀服。黑龙丹(方载产后杂病证治下)
第八论曰∶产后乍见鬼神者何?答曰∶肝能藏血,心能主血,因产走耗其血,劳动肝心,
败
服
第九论曰∶产后不语者何?答曰∶心者君主之官,神明出焉。内候血海,外应于舌,舌
者心
人参 石菖蒲 生地黄(酒蒸,焙) 川芎(各一两) 朱砂(别研) 防风(去芦。
各半两) 细辛(洗净,一钱) 甘草(炙,半两)
上为细末,每服一钱,薄荷汤调下,不拘时候。地黄多喜恋膈,脾胃不快者以当归代之,
其
第十论曰∶产后腹痛又泻痢者何?答曰∶因产血气劳伤,外则腠理空疏,内则肠胃虚怯,
若
刺,
化,
血。
调中汤
良姜(锉,炒) 当归(去芦,酒浸) 肉桂(不见火) 白芍药 附子(炮,去皮
脐
上 咀,每服三钱,水二盏,煎至一盏,去滓,热服,空心食前。
第十一论曰∶产后遍身疼痛者何?答曰∶因产走动血气,升降失其常度,留滞关节,筋
脉引
可作
趁痛散
川牛膝(去芦,酒浸) 川当归(去芦,酒浸) 官桂(不见火) 白术 黄 (去芦)
川独活(去芦) 生姜(各半两) 薤白(二钱半) 甘草(炙,三钱)
上 咀,每服四钱,水一盏半,煎至八分,去滓,热服,不拘时候。加桑上寄生半两尤
佳。
气少不能
腹中满痛
愈。若以
【增损四物汤】
当归(去除芦头,用酒浸泡)、白芍药、川芎、干姜(炮制)、人参(各一两),甘草(炙,半两)。
以上药物捣碎成粗末,每次服用四钱重,加水一盏,生姜三片,一同煎煮至六分满,滤去药渣,趁微温时服用,不限具体时间。
【夺命丹】
第七篇论述说:产后四肢虚肿是什么原因?回答说:母亲分娩后,通常服用黑神散及芎䓖汤,目的是祛除瘀血以生成新血。如果恶露不尽,停滞在胞宫络脉中,会引发多种疾病,轻者表现为胀、痛、寒、热,重者则脉象不调,循经流入四肢,日久留滞浸淫,导致组织腐坏如水,致使浮肿。医生如果不仔细审察,就当作水气病来治疗,投用甘遂、大戟等药物来导泻水湿,使本已虚弱的身体更加虚弱,因此夭折的人很多。只要服用调经散,使血液运行通畅,肿胀自然消退,身体便会痊愈。黑龙丹也能治疗因产后浮肿和血滞引起的病症,不可不知道。
没药(单独研磨)、琥珀(单独研磨,各一钱),肉桂(不经过火烤)、赤芍药、当归(去除芦头,用酒浸泡,各一两),麝香(半钱,单独研磨),细辛(洗净,半钱),甘草(炙,二钱)。
以上药物研成细末,每次服用半钱重,用少许生姜汁和温酒调和均匀后服用。黑龙丹(方剂记载在产后杂病证治下方)
第八篇论述说:产后突然看见鬼神是什么原因?回答说:肝能藏血,心能主血脉,因为分娩耗损了大量血液,劳伤了肝心,败坏了……(原文此处有缺漏/错乱)
第九篇论述说:产后不能说话是什么原因?回答说:心是君主之官,神明由此发出。内候应于血海,外应于舌,舌是心的……(原文此处有缺漏/错乱)
人参、石菖蒲、生地黄(用酒蒸,焙干)、川芎(各一两),朱砂(单独研磨),防风(去除芦头,各半两),细辛(洗净,一钱),甘草(炙,半两)。
以上药物研成细末,每次服用一钱,用薄荷汤调服,不限具体时间。生地黄多令人胸膈痞闷,脾胃不适者可用当归代替,其……(原文此处有缺漏/错乱)
第十篇论述说:产后腹痛又伴有腹泻痢疾是什么原因?回答说:因为分娩导致气血劳伤,外部腠理空虚疏松,内部肠胃虚弱怯弱,若……(原文此处有缺漏/错乱)刺,化,血。(原文此处有缺漏/错乱)
【调中汤】
良姜(锉碎,炒),当归(去除芦头,用酒浸泡),肉桂(不经过火烤),白芍药,附子(炮制,去皮脐……(原文此处有缺漏/错乱)
以上药物捣碎成粗末,每次服用三钱,加水二盏,煎煮至一盏,滤去药渣,热服,空腹或食前服用。
第十一篇论述说:产后全身疼痛是什么原因?回答说:因为分娩走动气血,升降失去了常规度数,留滞在关节,筋脉牵引……可作……(原文此处有缺漏/错乱)
【趁痛散】
川牛膝(去除芦头,用酒浸泡),川当归(去除芦头,用酒浸泡),官桂(不经过火烤),白术,黄芪(去除芦头),川独活(去除芦头),生姜(各半两),薤白(二钱半),甘草(炙,三钱)。
以上药物捣碎成粗末,每次服用四钱,加水一盏半,煎煮至八分,滤去药渣,热服,不限具体时间。加入桑上寄生半两尤其好。
气少不能……腹中满痛……愈。若以……(原文此处有缺漏/错乱)
[Modified Siwu Decoction]
Danggui (Radix Angelicae Sinensis, removed rhizome, soaked in wine), Baishao (Radix Paeoniae Rubra), Chuanxiong (Rhizoma Chuanxiong), Ganjiang (Rhizoma Zingiberis Secundi, processed), Renshen (Radix Ginseng) (each 1 liang), Gancao (Radix Glycyrrhizae Uralensis, honey-fried, 0.5 liang).
The above herbs are coarsely crushed. Each dose is 4 qian (approx. 12-15g), decocted with one sheng (approx. 200ml) of water and three slices of fresh ginger until reduced to 0.6 sheng. Strain the dregs and take warm. Take at any time.
[Deming Dan (Life-Taking Pill)]
Chapter 7 discusses: What is the cause of flaccid edema of the four limbs after childbirth? The answer is: After delivery, mothers typically consume Heishen San (Black Divine Powder) and Xiongtang (Cyperi Decoction) to expel blood stasis and generate new blood. If lochia (Elu) does not clear completely and stagnates in the uterine collaterals, it can cause various diseases. Mild cases present as distension, pain, cold, or heat; severe cases involve irregular pulses, where pathogenic factors flow along the meridians into the four limbs. Over time, this stagnation leads to tissue corruption resembling water retention, causing edema. If physicians fail to examine carefully and treat it as fluid retention disease, administering drugs such as Kansui Radix (Gansui) and Bigarvia Root (Daji) to drain water will further deplete the already deficient body, leading to many premature deaths. Simply taking Tiaojing San (Regulate Menstruation Powder) promotes blood circulation, resolves swelling, and ensures natural recovery. Heilong Dan (Black Dragon Pill) also treats postpartum edema caused by blood stasis; this must be known.
Moyao (Resina Mirrhae, separately ground), Hupo (Succinum, separately ground, each 1 qian), Rougui (Cortex Cinnamomi, not exposed to direct fire), Chishaoyao (Radix Paeoniae Rubra), Danggui (Radix Angelicae Sinensis, removed rhizome, soaked in wine, each 1 liang), Shexiang (Moschus, 0.5 qian, separately ground), Xixin (Herba Asari, washed, 0.5 qian), Gancao (Radix Glycyrrhizae Uralensis, honey-fried, 2 qian).
The above herbs are ground into a fine powder. Each dose is 0.5 qian, mixed evenly with a small amount of fresh ginger juice and warm wine, then taken orally. Heilong Dan (Formula recorded under Postpartum Miscellaneous Diseases Treatment below).
Chapter 8 discusses: What is the cause of suddenly seeing spirits and ghosts after childbirth? The answer is: The Liver stores blood, and the Heart governs blood vessels. Due to childbirth consuming blood significantly, the Liver and Heart are labored and damaged... [Text fragment missing/corrupted].
Chapter 9 discusses: What is the cause of inability to speak after childbirth? The answer is: The Heart is the sovereign official, from which divine spirit emerges. Internally it corresponds to the Sea of Blood, externally to the tongue. The tongue is the organ of the Heart... [Text fragment missing/corrupted].
Renshen (Radix Ginseng), Shichangpu (Rhizoma Acori Tatarinowii), Shengdihuang (Radix Rehmanniae Preparata, steamed in wine, dried), Chuanxiong (Rhizoma Chuanxiong) (each 1 liang), Zhusha (Cinnabaris, separately ground), Fangfeng (Radix Saposhnikoviae, removed rhizome, each 0.5 liang), Xixin (Herba Asari, washed, 1 qian), Gancao (Radix Glycyrrhizae Uralensis, honey-fried, 0.5 liang).
The above herbs are ground into a fine powder. Each dose is 1 qian, taken with Bohe Tang (Mint Decoction). Take at any time. Shengdihuang tends to cause chest oppression; for those with spleen-stomach discomfort, replace it with Danggui. Its... [Text fragment missing/corrupted].
Chapter 10 discusses: What is the cause of abdominal pain accompanied by diarrhea and dysentery after childbirth? The answer is: Childbirth injures Qi and Blood. Externally, the interstices (Couli) are empty and loose; internally, the intestines and stomach are weak and timid. If... [Text fragment missing/corrupted] puncture, transform, blood. [Text fragment missing/corrupted].
[Tiaozhong Tang (Regulate Middle Decoction)]
Liangjiang (Rhizoma Alpiniae Officinarum, sliced, stir-fried), Danggui (Radix Angelicae Sinensis, removed rhizome, soaked in wine), Rougui (Cortex Cinnamomi, not exposed to direct fire), Baishao (Radix Paeoniae Rubra), Fuzi (Radix Aconiti Lateralis Preparata, processed, skin and umbilicus removed...) [Text fragment missing/corrupted].
The above herbs are coarsely crushed. Each dose is 3 qian, decocted with two sheng of water until reduced to one sheng. Strain and take hot. Take on an empty stomach or before meals.
Chapter 11 discusses: What is the cause of whole-body pain after childbirth? The answer is: Childbirth causes Qi and Blood to move erratically, disrupting normal ascending and descending functions. Pathogens stagnate in the joints, pulling on the sinews and vessels... [Text fragment missing/corrupted].
[Chentong San (Urging Pain Relief Powder)]
Chuanniuxi (Radix Achyranthis Bidentatae, removed rhizome, soaked in wine), Chuandanggui (Radix Angelicae Sinensis, removed rhizome, soaked in wine), Guangui (Cortex Cinnamomi Cassiae, not exposed to direct fire), Baizhu (Rhizoma Atractylodis Macrocephalae), Huangqi (Radix Astragali Membranacei, removed rhizome), Chuduohuo (Radix Angelicae Pubescentis, removed rhizome), Shengjiang (Rhizoma Zingiberis Recens) (each 0.5 liang), Xiebai (Bulbus Allii Macrostemonis, 2.5 qian), Gancao (Radix Glycyrrhizae Uralensis, honey-fried, 3 qian).
The above herbs are coarsely crushed. Each dose is 4 qian, decocted with one and a half sheng of water until reduced to 0.8 sheng. Strain and take hot. Take at any time. Adding Sangshang Jisheng (Ramulus Taxilli, 0.5 liang) is especially beneficial.
Qi deficiency unable to... Abdominal fullness and pain... Recovery. If using... [Text fragment missing/corrupted]