麻子仁(别研) 枳壳(去瓤,麸炒) 人参 大黄(各半两)
上为细末,炼蜜为丸,如梧桐子大,每服五十丸,温汤米饮任下。未通加丸数。
橘杏丸(方
第十三论曰∶产后血崩者何?答曰∶因产所下过多,血气暴虚,未得平复,或因劳役,
或因
为难
小腹
丸止
赤石脂( ) 艾叶 补骨脂(炒) 木贼(各半两) 附子(一枚,炮,去皮脐)
上为细末,陈米饮和丸,如梧桐子大,食前温酒送下五十丸,米饮亦可。
(方载崩漏论下)
第十四论曰∶产后腹胀闷满呕吐者何?答曰∶胃受水谷,脾主运化,主血生气,内濡脏
腑者
亦
露过多者,于抵圣汤中去泽兰、赤芍药,倍加生姜、橘皮也。
抵圣汤 赤芍药 半夏(汤泡) 泽兰叶 陈橘皮(去白) 人参〔各一钱(分)〕 甘
草(炙,
上 咀,每服四钱,水一盏半,煎至七分,去滓,温服,不拘时候。
第十五论曰∶产后口鼻黑气起,鼻衄者何?答曰∶阳明者经脉之海,起于鼻,交额中,
还出
故令
上遇此疾,急取绯线二条,并产妇顶心发二条,系中指上节,即止。无药可疗,亦厌禳
之一
第十六论曰∶产后喉中气急喘者何?答曰∶荣者血也,卫者气也,荣行脉中,卫行脉外,
相
孤
喘
夺命丹(方见第二论下)
第十七论曰∶产后中风者何?答曰∶盖因产后伤动血气,劳损经络,腠理空疏,劳役太
早,
病焉
续命
或因
人作
麻子仁(单独研磨)半两,枳壳(去除瓤,用麦麸炒制)半两,人参半两,大黄半两。
将上述药材研成细末,用炼蜜制成丸药,大小如梧桐子,每次服用五十丸,温开水或米汤送服均可。若大便未通,可增加丸数。
橘杏丸(方剂见下文第十三论)
第十三论问:产后血崩是什么原因?回答是:因为分娩时失血过多,气血突然虚弱,尚未恢复平静,又因劳累过度,或因难产导致小腹疼痛剧烈,此时应使用此丸药止住出血。
赤石脂半两,艾叶半两,补骨脂(炒制)半两,木贼半两,附子(一枚,炮制,去皮和脐)。
将上述药材研成细末,用陈年米饮调和制成丸药,大小如梧桐子,饭前用温酒送服五十丸,用米汤送服也可以。
(该方剂记载于“崩漏论”章节下)
第十四论问:产后腹胀闷满且呕吐是什么原因?回答是:胃受纳水谷,脾主运化,脾能生血生气,内里濡养脏腑。若是产后失血过多者,应在抵圣汤中去掉泽兰、赤芍药,加倍加入生姜、橘皮。
抵圣汤:赤芍药一钱(分),半夏(热水浸泡)一钱(分),泽兰叶一钱(分),陈橘皮(去白)一钱(分),人参一钱(分),甘草(炙)一钱(分)。
将上述药材切碎,每次取四钱,加水一盏半,煎至七分,去渣,温服,不拘泥于特定时间。
第十五论问:产后口鼻出现黑气并伴有鼻衄(流鼻血)是什么原因?回答是:阳明经是经脉之海,起于鼻部,交会于额中,还出……因此导致……遇到这种疾病,急取两条绯线,加上产妇头顶心头发两条,系在中指第一节上,即可止血。无药可治,这也是一种厌胜禳解的方法之一。
第十六论问:产后喉中气急喘息是什么原因?回答是:营就是血,卫就是气,营行于脉中,卫行于脉外,相互……孤阳……喘息。夺命丹(方剂见第二论下)。
第十七论问:产后中风是什么原因?回答是:大概是因为产后伤动血气,劳损经络,腠理空疏,过早劳作,……病焉。续命……或者因为……人作。
Hemp Seed (Rizinus Semen, separately ground) 15g, Immature Bitter Orange (Zhi Ke, pulp removed, bran-fried) 15g, Ginseng Root (Ren Shen) 15g, Rhubarb Radix et Rhizoma (Da Huang) 15g.
Grind the above ingredients into a fine powder, mix with refined honey to make pills, sized like wutong seeds. Take 50 pills per dose, swallowed with warm water or rice drink as desired. If bowel movement is not achieved, increase the number of pills.
Ju Xing Wan (Orange and Apricot Pill) [Formula see Discussion 13 below]
Discussion 13 asks: What is the cause of postpartum metrorrhagia (profuse uterine bleeding)? The answer is: Due to excessive blood loss during childbirth, Qi and Blood become suddenly deficient and have not yet recovered. This may be exacerbated by physical labor or difficult labor causing severe lower abdominal pain. In such cases, this pill should be used to stop the bleeding.
Red Halloysite (Chi Shi Zhi) 15g, Mugwort Leaf (Ai Ye) 15g, Psoralea Fruit (Bu Gu Zhi, fried) 15g, Equisetum Herb (Mu Zei) 15g, Aconite Lateral Root Preparata (Fu Zi, one piece, processed, skin and bud removed).
Grind the above ingredients into a fine powder, mix with aged rice drink to form pills, sized like wutong seeds. Take 50 pills before meals, delivered with warm wine; rice drink is also acceptable.
(This formula is recorded under the section on Metrorrhagia and Metrostaxis)
Discussion 14 asks: What causes postpartum abdominal distension, fullness, and vomiting? The answer is: The Stomach receives food and fluids, while the Spleen governs transportation and transformation. The Spleen generates Blood and Qi and internally moistens the Zang-Fu organs. For those with excessive postpartum blood loss, in Di Sheng Tang, remove Mentha Leaf (Ze Lan) and Red Peony Root (Chi Shao Yao), and double the dosage of Fresh Ginger (Sheng Jiang) and Tangerine Peel (Ju Pi).
Di Sheng Tang: Red Peony Root (Chi Shao Yao) 3g, Pinellia Tuber (Ban Xia, soaked in hot water) 3g, Mentha Leaf (Ze Lan Ye) 3g, Aged Tangerine Peel (Chen Ju Pi, white pith removed) 3g, Ginseng Root (Ren Shen) 3g, Licorice Root (Gan Cao, roasted) 3g.
Cut the above ingredients into small pieces. Take 12g per dose, add 450ml water, decoct until 280ml remains, strain, and take warm. Do not restrict the time of administration.
Discussion 15 asks: What causes black qi appearing around the mouth and nose accompanied by epistaxis (nosebleed) after childbirth? The answer is: The Yangming Meridian is the sea of the meridians, originating at the nose, intersecting at the forehead, and returning out... thus causing... Upon encountering this condition, urgently take two crimson threads and two strands of hair from the vertex of the parturient's head, tie them around the proximal phalanx of the middle finger, and the bleeding will stop. There is no medicinal treatment for this; it is also considered a form of apotropaic ritual.
Discussion 16 asks: What causes rapid breathing and wheezing in the throat after childbirth? The answer is: Ying (Nutritive Qi) is Blood, Wei (Defensive Qi) is Qi. Ying circulates within the vessels, while Wei circulates outside the vessels, interacting... solitary Yang... wheezing. Duo Ming Dan (Life-Saving Pill) [See Formula under Discussion 2].
Discussion 17 asks: What causes wind-stroke (Zhong Feng) after childbirth? The answer is: It is generally because childbirth injures and disturbs Qi and Blood, damaging the collaterals. The pores (Cou Li) are loose and open due to early physical exertion... leading to illness. Xu Ming Tang (Continuing Life Decoction)... or caused by... human factors.