〔丹〕产后中风,口眼 斜,必用大补气血,然后治痰。当以左右手脉,分其气血多
少以治,切不可作中风治,用小续命汤及发表治风之药。
〔云〕治产后中风,半身手足不遂,言语謇涩,恍惚多忘,精神不定。
独活 当归 芍药 防风 川芎 玄参 天麻(各五钱) 桂心(三钱)
上 咀。以水八升,煮取二升半,分为三服。觉效,更作一剂。又作丸,每服二十
丸。如有热,加葛根五钱;有冷,加白术五钱;若有气症,加生姜一两半;若手足不遂,加
牛膝一钱半,萆 三钱,黄 四钱;若腹痛,加当归、芍药七钱半;若不食,加人参五钱,
玄参一两;若寒中三阴,所患必冷,小续命汤加姜煎;若暑中三阳,所患必热,小续命汤去
附子,减桂心一半,加薄荷煎。
〔《保》〕血风汤 治产后诸风,痿挛无力。
秦艽 羌活 防风 白芷 川芎 芍药 当归 白术 茯苓 熟地(各等分)
上为末。一半蜜丸,一半散。酒调下五七十丸妙。
〔《食》〕治产后风虚,五缓六急,手足顽痹,气血不调,大豆一升,炒令熟,热投三升
酒中,密封饮之。
〔《短剧》〕治产后中风,语涩,四肢拘急。羌活三两,为末。每服五钱,水、酒各半盏
煎,去渣温服。
上产后中风,用续命汤及羌活发散之药,必详气血,以四物、四君子相与各半,停对分
两服之可也。
【丹溪】产后中风,出现口眼歪斜的症状,必须首先大补气血,然后再治疗痰浊。应当根据左手和右手的脉象,分辨气血的多少来进行治疗,切不可当作普通中风来治,也不可使用小续命汤以及发表祛风的药物。
【云岐子】治疗产后中风,表现为半身及手足运动障碍(不遂),言语不清且艰涩,神志恍惚、健忘,精神不安定。
处方:独活、当归、芍药、防风、川芎、玄参、天麻(各五钱),桂心(三钱)。
以上药材切碎。用水八升,煎煮取汁二升半,分三次服用。若见效,再制作一剂。也可制成丸药,每次服用二十丸。如果有热象,加葛根五钱;如果有寒象,加白术五钱;如果有气滞症状,加生姜一两半;如果手足运动障碍,加牛膝一钱半,萆薢三钱,黄芪四钱;如果腹痛,加当归、芍药七钱半;如果不思饮食,加人参五钱,玄参一两;如果是寒邪中于三阴经,患病必然表现为寒冷,用小续命汤加生姜煎服;如果是暑邪中于三阳经,患病必然表现为发热,小续命汤去掉附子,将桂心减半,加薄荷煎服。
【《保命集》】血风汤,治疗产后各种风证,肢体痿软挛急、无力。
处方:秦艽、羌活、防风、白芷、川芎、芍药、当归、白术、茯苓、熟地黄(各等分)。
以上药材研为细末。一半制成蜜丸,一半保持散剂。用酒调服五十至七十丸效果更佳。
【《食医心镜》】治疗产后风虚,五缓六急,手足麻木痹痛,气血不调。取大豆一升,炒熟后,趁热投入三升酒中,密封后饮用。
【《短剧方》】治疗产后中风,言语艰涩,四肢拘挛紧急。羌活三两,研为细末。每次服用五钱,用水和酒各半盏煎煮,去渣后温服。
上述治疗产后中风的方法,使用续命汤及羌活等发散药物时,必须详细辨别气血状况,可以将四物汤与四君子汤各取一半,按比例配伍分量服用即可。
[Danxi] Postpartum wind-stroke, presenting with deviation of the mouth and eye (Kou Yan Xie), requires first a substantial tonification of Qi and Blood, followed by the treatment of Phlegm. One should differentiate the abundance or deficiency of Qi and Blood based on the pulses at the left and right wrists to guide treatment. It is strictly forbidden to treat it as ordinary wind-stroke, nor should Xiao Xuming Tang (Minor Decoction for Continuing Life) or herbs that release the exterior and dispel wind be used.
[Yunqizi] Treatment for postpartum wind-stroke, manifesting as hemiplegia and incontinence of the half-body and limbs (Ban Shen Shou Zu Bu Sui), slurred and difficult speech (Yan Yu Jian Se), mental confusion, forgetfulness, and unsettled spirit.
Prescription: Du Huo (Angelicae Pubescentis Radix), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix Alba), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xuan Shen (Scrophulariae Radix), Tian Ma (Gastrodiae Rhizoma) (each 5 qian), Gui Xin (Cinnamomi Ramulus) (3 qian).
The above herbs are coarsely crushed. Boil in 8 sheng of water until reduced to 2.5 sheng, divided into three doses. If effective, prepare another dose. Alternatively, make pills, taking 20 pills per dose. If there is heat, add Ge Gen (Puerariae Lobatae Radix) 5 qian; if there is cold, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian; if there are Qi stagnation symptoms, add Sheng Jiang (Zingiberis Rhizoma Recens) 1.5 liang; if there is limb incontinence, add Niu Xi (Achyranthis Bidentatae Radix) 1.5 qian, Bi Xie (Dioscoreae Hypoglaucae Rhizoma) 3 qian, Huang Qi (Astragali Radix) 4 qian; if there is abdominal pain, add Dang Gui and Shao Yao 7.5 qian; if there is anorexia, add Ren Shen (Ginseng Radix et Rhizoma) 5 qian, Xuan Shen 1 liang; if Cold invades the Three Yin meridians, the condition will necessarily present with cold, use Xiao Xuming Tang decocted with Sheng Jiang; if Summer-heat invades the Three Yang meridians, the condition will necessarily present with heat, use Xiao Xuming Tang removing Fu Zi (Aconiti Lateralis Radix Praeparata), halving Gui Xin, and adding Bo He (Menthae Haplocalycis Herba) for decoction.
[Bao Ming Ji] Xue Feng Tang (Blood Wind Decoction) treats various wind syndromes after childbirth, including flaccidity, spasms, and weakness.
Prescription: Qin Jiao (Gentianae Macrophyllae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng, Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong, Shao Yao, Dang Gui, Bai Zhu, Fu Ling (Poria), Shu Di Huang (Rehmanniae Radix Praeparata) (equal parts).
Grind the above herbs into powder. Half is made into honey pills, half remains as powder. Take 50-70 pills mixed with wine for best results.
[Shi Yi Xin Jing] Treats postpartum wind-deficiency, Wu Huan Liu Ji (five slackness and six urgency syndromes), numbness and bi-syndrome in hands and feet, and irregular Qi and Blood. Take one sheng of soybeans (Da Dou), stir-fry until cooked, pour into three sheng of hot wine while still warm, seal tightly, and drink.
[Duan Ju Fang] Treats postpartum wind-stroke, slurred speech, and spasticity/tightness of the four limbs. Qiang Huo 3 liang, ground into powder. Take 5 qian per dose, decoct with half a zhan of water and half a zhan of wine, strain, and take warm.
Regarding the above treatments for postpartum wind-stroke using Xuming Tang and dispersing herbs like Qiang Huo, one must carefully examine Qi and Blood. It is advisable to combine Si Wu Tang (Four Substances Decoction) and Si Jun Zi Tang (Four Gentlemen Decoction), each taking half, and administer them according to proportional dosages.