延胡索(一钱) 肉桂(六分)
上药用生化汤调服。
儿已产下。烧铁秤锤。令红投醋盆中。使产妇闻醋气。可免血晕之患。
产时用力过多。劳倦伤脾。孤脏不能自主。故手足逆冷而厥气上行。经云。阳气衰于下。则为寒厥是也。非大补不
能回阳。岂是芎归数钱。照常一日一服。而能扶将绝之气血耶。必于生化汤中倍加人参。一昼夜服二三剂。使药气接续
不断。则气血旺而精神复。厥症自止矣。若服药而口渴。另用生脉散以代茶助津。以救脏燥也。或四肢逆冷泻痢。有类
伤寒阴症。仍服生化汤倍加人参。酌加附子四五分。生黄 二钱。则可回阳止逆。经云。厥气上行。满脉去形。谓逆气
上行满于经络。则神气渐散矣。大抵手足厥冷。由于气血并竭。神将离而机欲息。仅此呼吸一线之留。设非大剂参 。
断难倚仗。此数十年经验之论。非敢凭虚臆造。以误人也。
人参(一钱) 麦冬(一钱) 五味子(十粒)
上药用水七分盏。煎四分热服。
产后发热。恶寒头痛。勿误为太阳症。寒热往来。胸满胁痛。勿误为少阳症。凡此皆因气血两虚。阴阳不和。有类
外感而实非外感也。即或偶冒风寒。亦当以末治之。夫以脱血之后。而有发热恶寒。头疼胁痛等症。设投以散剂。重发
其汗。则病未消。而元气已消。其害可胜言哉。仲景云。亡血家慎勿发汗。丹溪云。产后万不可表。斯言尽之矣。况生
化汤有芎姜二味。亦寓发散之义。就本方照后量加之法。速服数剂。诸症自除。
延胡索(一钱) 肉桂(六分)
以上药物用生化汤(产后调理基础方,具有活血化瘀、温经止痛功效)调服。
婴儿已经产出。将铁秤锤烧红,投入醋盆中,让产妇闻醋气,可以避免血晕(产后因失血过多或瘀血上攻导致的神志昏迷)的祸患。
分娩时用力过多,劳倦损伤脾脏,孤脏(指脾,此处强调其孤立无援的状态)不能自主控制,所以手足逆冷并出现厥证(四肢冰冷甚至昏厥),厥气上行。医经说:“阳气衰于下,则为寒厥”,正是这种情况。如果不是大补元气,就不能回阳救逆。哪里是几钱川芎、当归,像平常那样一天服用一次,就能扶持将绝的气血呢?必须在生化汤中加倍加入人参,一昼夜服用二三剂,使药力接续不断,那么气血旺盛而精神恢复,厥症自然停止。如果服药后口渴,另用生脉散(益气养阴方剂)代替茶水以助生津,来救治脏腑干燥。或者出现四肢逆冷、腹泻痢疾,症状类似伤寒阴证(表现为畏寒肢冷、脉微细等虚寒证候),仍然服用生化汤并加倍加入人参,酌情加入附子(温里回阳药)四五分,生黄芪(补气固表药)二钱,就可以回阳止逆。医经说:“厥气上行,满脉去形”,意思是逆气上行充满经络,那么神气就会逐渐消散。大抵手足厥冷,是由于气血同时枯竭,神气即将离散而生机欲息,仅存一线呼吸。如果不是大剂量的人参,实在难以倚仗。这是数十年来的经验之谈,不敢凭空臆造,以免误人。
人参(一钱) 麦冬(滋养肺胃阴液药) 五味子(收敛固涩药)
以上药物用水七分盏,煎至四分,热服。
产后发热、恶寒、头痛,不要误认为是太阳病(外感风寒初期,表现为恶寒发热、头项强痛、脉浮)。寒热往来(忽冷忽热)、胸满胁痛,不要误认为是少阳病(邪在半表半里,表现为寒热往来、胸胁苦满)。凡是这些情况,都是因为气血两虚,阴阳不和,症状类似外感但实际上并非外感所致。即使偶尔冒犯风寒,也应当以内治法处理。在脱血之后,出现发热恶寒、头疼胁痛等症状,如果投以发散解表的药剂,强行发汗,那么病未消除,元气已消耗殆尽,其危害怎能说得尽呢?张仲景说:“亡血家慎勿发汗”(失血患者严禁使用发汗法)。朱丹溪说:“产后万不可表”(产后绝对不可使用解表发汗法)。这些话已经概括得很全面了。况且生化汤中含有川芎、生姜两味药,也蕴含发散之意。按照后面提到的剂量增加方法,在本方基础上速服数剂,各种症状自然消除。
Yanhusuo (Corydalis Rhizoma, 1 qian) Rougui (Cinnamomi Cortex, 6 fen)
The above herbs are taken with Shenghua Tang (Decoction for Postpartum Transformation), a foundational formula for postpartum regulation that promotes blood circulation, removes stasis, warms the meridians, and relieves pain.
After the infant has been delivered, heat an iron scale weight until red-hot and throw it into a basin of vinegar. Let the puerpera smell the vinegar vapor to prevent the danger of Xueyun (syncope due to excessive blood loss or blood stasis attacking upward).
Excessive effort during delivery damages the Spleen through fatigue and overwork. The isolated Zang organ cannot control itself, resulting in cold extremities and Jue syndrome (cold limbs or fainting), with Jue Qi (rebellious cold qi) moving upward. The Classics state: "When Yang Qi declines at the lower part, it becomes Cold Jue." This is exactly such a case. Without major tonification, Yang Qi cannot be restored. How could mere amounts of Xiong Gui (Chuanxiong and Danggui) taken once daily as usual support the nearly exhausted Qi and Blood? It is necessary to double the dosage of Renshen (Ginseng Radix et Rhizoma) in Shenghua Tang, administering two to three doses within twenty-four hours, so that the medicinal effect remains continuous. Then, when Qi and Blood become abundant and spirit recovers, the Jue symptoms will stop naturally. If thirst occurs after taking the medicine, use Shaomai San (Pulse-Generating Powder) instead of tea to assist fluid production and rescue dryness of the Zang organs. Or, if there are cold extremities accompanied by diarrhea and dysentery, resembling Yin syndrome of Shanghan (Cold Damage presenting with aversion to cold, cold limbs, and fine/deep pulse), continue using Shenghua Tang with doubled Renshen, adding Fuzi (Aconiti Lateralis Radix Praeparata, 4-5 fen) and Sheng Huangqi (Astragali Radix, 2 qian) according to discretion, to restore Yang and reverse rebellion. The Classics say: "Jue Qi moves upward, filling the vessels and departing from the form," meaning rebellious Qi moves upward and fills the meridians, causing Shen Qi (spiritual energy) to gradually dissipate. Generally, cold extremities result from the simultaneous exhaustion of Qi and Blood; the Spirit is about to depart and vital functions are about to cease, leaving only a thread of respiration. Without large doses of Renshen, one can hardly rely on recovery. This is a conclusion drawn from decades of experience, not fabricated arbitrarily to mislead people.
Renshen (Ginseng Radix et Rhizoma, 1 qian) Maidong (Ophiopogonis Radix, 1 qian) Wuweizi (Schisandrae Fructus, 10 grains)
Take the above herbs with water measured at seven-tenths of a cup, decoct until four-tenths remain, and take warm.
Postpartile fever, aversion to cold, and headache should not be mistaken for Taiyang syndrome (initial stage of external contraction of wind-cold, characterized by aversion to cold, fever, stiff neck, and floating pulse). Alternating chills and fever, chest fullness, and hypochondriac pain should not be mistaken for Shaoyang syndrome (pathogen between exterior and interior, characterized by alternating chills and fever, bitter taste, and hypochondriac fullness). All these conditions arise from dual deficiency of Qi and Blood and disharmony of Yin and Yang; they resemble external contraction but are essentially not caused by external pathogens. Even if wind-cold is occasionally contracted, internal treatment should be employed. After severe blood loss, if symptoms such as fever, aversion to cold, headache, and hypochondriac pain occur, administering dispersing agents to induce heavy sweating would mean that before the disease is eliminated, the Yuan Qi (original Qi) is already depleted. How could the harm be negligible? Zhang Zhongjing said: "Those who have lost blood must be cautious about inducing sweating." Zhu Danxi said: "In the postpartum period, surface-releasing methods are absolutely contraindicated." These statements cover the matter comprehensively. Moreover, Shenghua Tang contains Chuanxiong and Shengjiang (Fresh Zingiberis Rhizoma), which also imply a dispersing function. By following the dosage addition method described below and administering several doses of this base formula quickly, all symptoms will naturally resolve.