因血脱劳甚,气无所恃,呼吸止息,违其常度,有认为痰火,反用散气化痰之方,误人性命,当以大补血为主。如
有块,不可用参、 、术;无块,方可用本方,去桃仁,加熟地并附子一片;足冷,加熟附子一钱,及参、术、陈皮,
接续补气养荣汤。
加参生化汤 治分娩后即患气短者。有块不可加 、术。
川芎(二钱) 当归(四钱) 炙草(五分) 黑姜(四分) 桃仁(十粒,去皮尖,研) 人参(二钱)
引加枣一枚,连进二、三帖后,再用后方。
补气养荣汤 治产后气短促。血块不痛,宜服此方。
黄 (一钱) 白术(一钱) 当归(四钱) 人参(三钱) 陈皮(四分) 炙草(四分) 熟地(二钱) 川
芎(二钱) 黑姜(四分)
如手足冷,加熟附子一钱;汗多,加麻黄根一钱,浮麦一小撮;渴,加麦冬一钱,五味子十粒;大便不通,加
肉苁蓉一钱,麻仁一撮;伤面饭,加炒神曲一钱,炒麦芽一钱;伤肉食,加山楂、砂仁各五分。
眉批∶按麦芽有回乳之害,用者慎之!
黄 、白术一作各二钱。凡止汗用浮麦宜炒。
歌括∶产后血脱又劳倦,气无所恃短似喘。
散气化痰误人命,大补气血可获安。
加参生化芎归参,炙草黑姜炒桃仁。
气短似喘急投用,引加大枣效如神。
补气养荣用参 ,归芎白术与陈皮。
炙草黑姜熟地黄,血块不痛此方宜。
由于失血过多且劳累过度,气失去了依附的基础,导致呼吸急促甚至暂停,违背了正常的生理节律。有人将其误认为是痰火证,反而使用行气化痰的方剂,这会危及生命,正确的治法应当以大补气血为主。如果体内有瘀血块,不可用人参、白术;如果没有瘀血块,才可以使用本方(指补气养荣汤),去掉桃仁,加入熟地黄和一片附子;如果脚部发冷,加入一钱熟附子,以及人参、白术、陈皮,接续服用补气养荣汤。
加参生化汤:治疗分娩后立即出现气短症状。如果体内有瘀血块,不可加入白术。
处方组成:川芎(二钱)、当归(四钱)、炙甘草(五分)、黑姜(四分)、桃仁(十粒,去皮尖,研碎)、人参(二钱)。
用法:以一枚大枣为引,连续服用两到三帖后,再改用后方(补气养荣汤)。
补气养荣汤:治疗产后气短促。若血块不痛,适宜服用此方。
处方组成:黄芪(一钱)、白术(一钱)、当归(四钱)、人参(三钱)、陈皮(四分)、炙甘草(四分)、熟地黄(二钱)、川芎(二钱)、黑姜(四分)。
加减法:如果手脚冰冷,加入一钱熟附子;出汗多,加入一钱麻黄根和一小撮浮小麦;口渴,加入一钱麦冬和十粒五味子;大便不通,加入一钱肉苁蓉和一撮火麻仁;饮食积滞于面食,加入一钱炒神曲和一钱炒麦芽;饮食积滞于肉食,加入各五分的山楂和砂仁。
眉批:按语指出麦芽有回乳(抑制乳汁分泌)的危害,使用者需谨慎!
注:黄芪、白术有的版本作各二钱。凡是用浮麦止汗,宜炒用。
歌括:
产后失血又兼劳倦,气无所依呼吸短促似喘。
误用散气化痰之法会危及性命,大补气血方可获得安宁。
加参生化汤由川芎、当归、人参组成,配以炙甘草、黑姜、炒桃仁。
气短似喘急症时立即投用,引加大枣疗效神奇。
补气养荣汤用人参、黄芪,加上当归、川芎、白术与陈皮。
配以炙甘草、黑姜、熟地黄,若有血块但不痛,此方适宜。
Due to severe blood loss and exhaustion, Qi loses its foundation of support, leading to rapid breathing or even cessation of respiration, deviating from normal physiological patterns. Some mistakenly attribute this to Phlegm-Fire (Tan Huo, phlegm-heat syndrome) and inappropriately administer formulas that disperse Qi and resolve phlegm, which can be fatal. The correct treatment should focus on significantly tonifying Blood and Qi. If there are blood stasis masses (Yu Xue Kuai), Ren Shen (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) must not be used; if there are no masses, this formula may be used, removing Tao Ren (Persicae Semen) and adding Shu Di Huang (Rehmanniae Radix Preparata) and one slice of Fu Zi (Aconiti Lateralis Radix Preparata). If the feet are cold, add one qian of prepared Fu Zi, along with Ren Shen, Bai Zhu, and Chen Pi (Citri Reticulatae Pericarpium), followed by Bu Qi Yang Rong Tang (Tonify Qi and Nourish Blood Decoction).
Jia Shen Sheng Hua Tang (Ginseng-Added Birth-Expelling Decoction): Treats shortness of breath occurring immediately after childbirth. If blood stasis masses are present, do not add Bai Zhu.
Ingredients: Chuan Xiong (Ligustici Chuanxiong Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 4 qian), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen), Hei Jiang (Scorched Zingiberis Rhizoma, 4 fen), Tao Ren (Persicae Semen, 10 grains, skin and tips removed, crushed), Ren Shen (Ginseng Radix et Rhizoma, 2 qian).
Administration: Use one Jujube (Ziziphi Spinosae Fructus) as a guide, continue for two to three doses, then switch to the subsequent formula.
Bu Qi Yang Rong Tang (Tonify Qi and Nourish Blood Decoction): Treats shortness of breath and rapid breathing postpartum. Suitable if blood stasis masses are painless.
Ingredients: Huang Qi (Astragali Membranacei Radix, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Dang Gui (Angelicae Sinensis Radix, 4 qian), Ren Shen (Ginseng Radix et Rhizoma, 3 qian), Chen Pi (Citri Reticulatae Pericarpium, 4 fen), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 4 fen), Shu Di Huang (Rehmanniae Radix Preparata, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 2 qian), Hei Jiang (Scorched Zingiberis Rhizoma, 4 fen).
Modifications: If hands and feet are cold, add one qian of prepared Fu Zi; if sweating is excessive, add one qian of Ma Huang Gen (Ephedrae Herba Cum Radice) and a small pinch of Fu Mai (Tritici Levis Fructus); if thirsty, add one qian of Mai Dong (Ophiopogonis Radix) and ten Wu Wei Zi (Schisandrae Chinensis Fructus); if constipated, add one qian of Rou Cong Rong (Cistanches Herba) and a pinch of Ma Ren (Semen Cannabis); if food stagnation involves wheat products, add one qian of Chao Shen Qu (Fomentatio Fermentata) and one qian of Chao Mai Ya (Hordei Fructus Germinatus); if food stagnation involves meat, add five fen each of Shan Zha (Crataegi Fructus) and Sha Ren (Amomi Fructus Rotundus).
Marginal Note: Mai Ya (Hordei Fructus Germinatus) has the adverse effect of suppressing lactation; use with caution!
Note: In some versions, Huang Qi and Bai Zhu are both two qian. When using Fu Mai to stop sweating, it should be stir-fried.
Verse:
Postpartum blood loss combined with fatigue, Qi unsupported leads to shortness of breath resembling asthma.
Mistakenly dispersing Qi and resolving phlegm endangers life; significantly tonifying Blood and Qi brings peace.
Jia Shen Sheng Hua Tang contains Chuan Xiong, Dang Gui, and Ren Shen, with Prepared Licorice, Scorched Ginger, and Stir-fried Peach Kernel.
For acute shortness of breath resembling asthma, administer promptly; guiding with Jujube yields miraculous effects.
Bu Qi Yang Rong Tang uses Ren Shen and Huang Qi, plus Dang Gui, Chuan Xiong, Bai Zhu, and Chen Pi.
With Prepared Licorice, Scorched Ginger, and Prepared Rehmannia, this formula is suitable when blood stasis masses are painless.