一乌(乌梅)三巴(巴豆)七胡椒,研(细)末捣烂取成膏,酒醋调和脐下贴,便令母子见分胞。
一产难,密以净纸书本州太守姓名,灯上烧灰,汤调服即产(出《百一选方》。
一小儿逆生,用乌蛇蜕一条,蝉脱二七个,胎发一团,三味烧为灰,分为二服,温酒调
下,并进二服,仰卧霎时,其儿即顺生。或用小针于儿脚心刺三七刺,急用盐少许涂刺处,
实时顺生,子母俱活也(出刘颖叔《异菀》。
一灸难产法,张文仲灸妇人横产,先手出,诸般符药不效,灸妇人右脚小趾头尖三壮如
小麦大,下火立产。
产后一切杂症,先以生化汤去瘀生新,嗣以八珍汤大补气血,即有杂症,亦姑置弗论。
盖产后挟虚,惟补养气血,气血一复,有邪自然涣解,无邪即见平康。此高鼓峰之说,本于
朱丹溪先生,时医多宗此说,姑存之。
生化汤
当归(五钱) 川芎(二钱) 炮姜(五分) 桃仁(一钱五分) 炙草(一钱) 水煎服。
又产后中风,牙关紧闭,角弓反张,宜以华佗愈风散治之。
荆芥穗(二、三两,焙干为末) 每用三钱或五钱,酒和童便各半送下。若口噤用一两,
以童便煎好从鼻孔灌之。
产后乳少,是气血不足,宜猪蹄汤主之。
生黄 (一两) 当归(五钱) 白芷(三钱) 木通(一钱) 以猪前蹄二只,煮汁五碗,以二碗半煎
药,至八分碗服偃面卧一时,其乳擦一 ,令人吮之,去滓,再同猪蹄汁煎服。
毓麟珠(《景岳》) 治妇人气血俱虚,瘦弱不孕。
人参 白术(炒) 茯苓 芍药(酒炒、各二钱) 川芎 炙草(各三两) 当归 熟地 菟丝子(各四
两) 杜仲(酒炒) 鹿角霜 川椒(炒出汗,各二两
炼蜜丸,如弹子大,每空心嚼服一、二丸,用酒或白汤送下,或为小丸吞服亦可。
如经迟腹痛,桂、附、吴萸之类可加,如血热经早,地骨皮、续断之类可加。
一个乌梅、三个巴豆、七个胡椒,研磨成细末并捣烂制成膏状,用酒和醋调和后贴敷于脐下,便能立刻使母子分离胎盘。
遇到难产,秘密地将净纸写上本州太守的姓名,在灯上烧成灰,用水调服即可分娩(出自《百一选方》)。
有一个胎儿逆位生产的情况,使用一条乌蛇蜕皮、二十七个蝉蜕、一团胎发,将这三味药烧成灰,分成两份服用,用温酒送下,同时服完这两份,让产妇仰卧片刻,胎儿就会顺产。或者用小针在胎儿脚心刺三七下,急忙用少许盐涂抹在针刺处,立刻就能顺产,母子都能存活(出自刘颖叔的《异苑》)。
还有一种治疗难产的灸法,张文仲治疗一位横位生产的妇人,胎儿先露出手臂,各种符咒药物都无效,于是灸治妇人右脚小脚趾尖三壮,每壮大小如小麦粒,火灭后立即分娩。
产后所有的杂症,先用生化汤去除瘀血、生成新血,接着用八珍汤大补气血,即使有杂症,也暂时搁置不论。因为产后伴有虚证,只有补养气血,气血一旦恢复,邪气自然消散,没有邪气就能看到平安健康。这是高鼓峰的说法,源自朱丹溪先生,当时的医生多遵循此说,姑且保留此说。
生化汤
当归(五钱) 川芎(二钱) 炮姜(五分) 桃仁(一钱五分) 炙甘草(一钱) 水煎服。
另外,产后中风,牙关紧闭,身体反张呈弓形,适宜用华佗愈风散治疗。
荆芥穗(二两或三两,焙干研为末) 每次取三钱或五钱,用酒和童便各半量送服。如果牙关紧闭无法吞咽,用一两,用童便煎好后从鼻孔灌入。
生黄芪(一两) 当归(五钱) 白芷(三钱) 木通(一钱) 用猪前蹄两只,煮出五碗汁液,用其中两碗半来煎药,煎至八分满时服用,服药后侧卧一时辰,乳汁流出后,让人吸吮排空,去掉药渣,再同猪蹄汁一起煎服。
毓麟珠(出自《景岳全书》) 治疗妇人气血俱虚,身体瘦弱导致的不孕。
人参 白术(炒) 茯苓 芍药(酒炒,各二钱) 川芎 炙甘草(各三两) 当归 熟地黄 菟丝子(各四两) 杜仲(酒炒) 鹿角霜 川椒(炒至出汗,各二两)
炼蜜制成丸药,如弹子大小,每次空腹嚼服一至二丸,用酒或白开水送下,或者制成小丸吞服也可以。
如果月经推迟且腹痛,可以加入桂枝、附子、吴茱萸等药物;如果血热导致月经提前,可以加入地骨皮、续断等药物。
One Wumei (Mume Fructus), three Badou (Crotonis Fructus), and seven Hu Jiao (Piperis Nigris Fructus), ground into fine powder and pounded into a paste. Mixed with wine and vinegar, applied below the navel, it immediately facilitates the separation of the placenta from mother and child.
For difficult labor, secretly write the name of the Prefect of the current province on clean paper, burn it to ash over a lamp, mix with water, and take orally to induce delivery (from *Bai Yi Xuan Fang*).
For breech presentation, use one shed skin of Wushe (Dinodon rufozonatum), twenty-seven Chantui (Cicadae Periostracum), and a clump of Lanfa (Fetal Hair). Burn these three ingredients to ash, divide into two doses, and take with warm wine. After taking both doses, have the woman lie supine for a moment, and the infant will be born normally. Alternatively, prick thirty-seven times on the sole of the infant's foot with a small needle, immediately apply a little salt to the pricked area, and normal delivery will occur instantly, saving both mother and child (from Liu Yingshu's *Yi Wan*).
Another moxibustion method for dystocia: Zhang Wenzhong treated a woman with transverse lie where the hand presented first; various talismans and medicines were ineffective. He moxibusted the tip of the woman's right little toe with three cones, each the size of a wheat grain. Upon extinguishing the fire, delivery occurred immediately.
For all miscellaneous conditions after childbirth, first use Shenghua Tang (Life Return Decoction) to remove blood stasis and generate new blood, then use Bazhen Tang (Eight Treasures Decoction) to greatly tonify Qi and Blood. Even if there are miscellaneous conditions, they should be temporarily disregarded. This is because postpartum conditions involve deficiency; only by tonifying Qi and Blood can the pathogenic factors naturally dissipate once Qi and Blood are restored, leading to peace and health. This is Gao Gugeng's theory, originating from Mr. Zhu Danxi. Contemporary physicians mostly follow this view, so it is preserved here.
Shenghua Tang (Life Return Decoction)
Danggui (Angelicae Sinensis Radix, 5 qian) Chuanxiong (Chuanxiong Rhizoma, 2 qian) Paojiang (Zingiberis Rhizoma Preparatum, 0.5 qian) Taoren (Persicae Semen, 1.5 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 1 qian). Decoct in water and take orally.
Additionally, for wind-stroke after childbirth characterized by lockjaw and opisthotonos, Huatuo Yufeng San (Huatuo's Wind-Dispelling Powder) is suitable.
Jingjiesui (Schizonepetae Spica, 2 or 3 liang, dried by roasting and powdered). Use 3 or 5 qian per dose, taken with half wine and half Tongbian (Infant Urine). If lockjaw prevents swallowing, use 1 liang, decoct with Tongbian, and instill through the nose.
Scanty lactation after childbirth is due to insufficiency of Qi and Blood; Zhuti Tang (Pig Trotter Decoction) is indicated.
Sheng Huangqi (Astragali Radix, 1 liang) Danggui (Angelicae Sinensis Radix, 5 qian) Baizhi (Angelicae Dahuricae Radix, 3 qian) Mutong (Akebiae Caulis, 1 qian). Boil two anterior pig trotters to obtain five bowls of broth. Use two and a half bowls of this broth to decoct the herbs until reduced to 0.8 bowl volume. Take orally, then lie on one side for one shichen (two hours). When milk flows, have someone suckle to empty the breast. Remove dregs, and decoct again with the pig trotter broth.
Yulin Zhu (Fertility Pearl, from *Jing Yue Quan Shu*) treats infertility in women due to combined deficiency of Qi and Blood and emaciation.
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Fuling (Poria) Shaoyao (Paeoniae Radix, wine-fried, 2 qian each) Chuanxiong (Chuanxiong Rhizoma) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 3 liang each) Danggui (Angelicae Sinensis Radix) Shudi (Rehmanniae Radix Preparata) Tusizi (Cuscutae Semen, 4 liang each) Duzhong (Eucommiae Cortex, wine-fried) Lujiaoshuang (Cornu Cervi Pantotrichum Preparatum) Chuanjiao (Sichuan Pepper, stir-fried until oil exudes, 2 liang each).
Prepare pills with refined honey, sized like bullet seeds. Chew one or two pills on an empty stomach, taken down with wine or plain water. Small pills for swallowing are also acceptable.
If menstruation is delayed with abdominal pain, add Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Preparata), Wuyu (Evodiae Fructus), etc. If heat in the blood causes early menstruation, add Digupi (Lycii Cortex) and Xuduan (Dipsaci Radix), etc.