〔云〕产后往来寒热,四物内加小柴胡汤。
〔《保》〕治日久虚劳,微有寒热,脉沉而数,宜柴胡四物汤。
川芎 当归 芍药 熟地黄(各一钱半) 柴胡(八钱) 人参 黄芩 甘草 半夏(各三钱)
上为末,水煎服。
〔云〕产后往来寒热而脉弦者,少阳也,小柴胡加生地黄汤。
柴胡(二两) 黄芩(五钱) 人参(三钱) 半夏(一两五钱,制) 大枣(三枚) 生地黄
栀子 枳壳(麸炒。各五钱)
上如前煎服。
增损柴胡汤 治产后虚,发寒热,饮食少,腹胀。
柴胡 人参 甘草 半夏 陈皮 川芎 白芍药(各等分)
上 咀,每服三钱,姜五片,枣二枚,水同煎,食后日二服。
〔《大全》〕治产后乍寒乍热,增损四物汤。
人参 当归 芍药 川芎 干姜(各一两) 甘草
上 咀,每服四钱,水一盏,姜三片,煎七分,去渣,热服无时。
〔《云》〕熟地黄散 治产后蓐劳,皆由体虚,气力未壮,劳复所起,四肢烦疼,时发寒热。
熟地黄 人参 白芍药 白茯苓 白术 续断(各一两) 黄 桂心 五味子 当归 川芎
(各七钱半)
上 咀,每服四钱,姜三片,枣一枚,水同煎。
黄 丸 治产后蓐劳,寒热进退,头目眩痛,骨节酸疼,气力乏。
黄 鳖甲 当归(炒。各一两) 桂心 白芍药 续断 川芎 牛膝 苁蓉 沉香 柏子仁 枳
壳(各六钱半) 五味子 熟地黄(各半两)
上为细末,炼蜜为丸,桐子大,每服四五十丸,粥饮下,食后。
【云岐子】产后出现忽冷忽热的症状,在四物汤中加入小柴胡汤。
【《产宝》】治疗日久形成的虚劳病,伴有轻微的寒热往来,脉象沉而数,适宜使用柴胡四物汤。
川芎、当归、芍药、熟地黄(各一钱半);柴胡(八钱);人参、黄芩、甘草、半夏(各三钱)。
以上药物研为细末,用水煎煮后服用。
【云岐子】产后出现忽冷忽热且脉象弦的,属于少阳病(邪犯少阳经所致的病证),宜用小柴胡加生地黄汤。
柴胡(二两)、黄芩(五钱)、人参(三钱)、半夏(一两五钱,炮制过)、大枣(三枚)、生地黄、栀子、枳壳(麸炒,各五钱)。
以上药物按前述方法煎煮服用。
增损柴胡汤:治疗产后体虚,出现寒热发作,饮食减少,腹部胀满。
柴胡、人参、甘草、半夏、陈皮、川芎、白芍药(各等分)。
以上药物切碎,每次服用三钱,加入生姜五片、大枣二枚,与水同煎,饭后每日服用两次。
【《大全》】治疗产后乍冷乍热,使用增损四物汤。
人参、当归、芍药、川芎、干姜(各一两)、甘草。
以上药物切碎,每次服用四钱,用水一盏,加入生姜三片,煎至七分,去渣,随时热服。
【《云岐子》】熟地黄散:治疗产后蓐劳(产后虚损劳倦之病),皆因体质虚弱,气力未恢复,因劳累复发所致,表现为四肢烦扰疼痛,时而发生寒热。
熟地黄、人参、白芍药、白茯苓、白术、续断(各一两);黄芪、桂心、五味子、当归、川芎(各七钱半)。
以上药物切碎,每次服用四钱,加入生姜三片、大枣一枚,与水同煎。
黄芪丸:治疗产后蓐劳,寒热交替进退,头目眩晕疼痛,骨节酸痛,气力匮乏。
黄芪、鳖甲、当归(炒,各一两);桂心、白芍药、续断、川芎、牛膝、肉苁蓉、沉香、柏子仁、枳壳(各六钱半);五味子、熟地黄(各半两)。
以上药物研为细末,用炼蜜制成丸剂,如梧桐子大小,每次服用四五十丸,饭后用米粥汤送下。
[Yun Qizi] For postpartum alternating chills and fever (alternating sensations of cold and heat), add Xiao Chai Hu Tang (Minor Bupleurum Decoction) to Si Wu Tang (Four Substances Decoction).
[From *Bao*] Treats chronic consumptive disease (Xu Lao, a condition characterized by deficiency and fatigue) of long duration, with slight alternating chills and fever, and a deep and rapid pulse. Chai Hu Si Wu Tang (Bupleurum and Four Substances Decoction) is appropriate.
Chuanxiong Rhizome (Chuanxiong Radix), Dang Gui Root (Angelicae Sinensis Radix), Shaoyao Root (Paeoniae Radix), Shu Dihuang (Prepared Rehmanniae Radix) (each 1.5 qian); Chaihu (8 qian); Renshen (Ginseng Radix), Huangqin (Scutellariae Radix), Gancao (Licorice Radix et Rhizoma), Banxia (Pinelliae Rhizoma) (each 3 qian).
Grind the above into powder, decoct in water, and take orally.
[Yun Qizi] For postpartum alternating chills and fever accompanied by a wiry pulse (Xian Mai), this indicates Shaoyang disease (disease of the Shaoyang channel). Use Xiao Chai Hu Jia Sheng Di Huang Tang (Minor Bupleurum Decoction plus Prepared Rehmannia Decoction).
Chaihu (2 liang), Huangqin (5 qian), Renshen (3 qian), Banxia (1.5 liang, processed), Dazao (Jujubae Fructus, 3 pieces), Sheng Dihuang (Raw Rehmanniae Radix), Zhizi (Gardeniae Fructus), Zhike (Aurantii Fructus, stir-fried with bran) (each 5 qian).
Decoct and take as described above.
Zeng Sun Chai Hu Tang (Modified Bupleurum Decoction): Treats postpartum deficiency with onset of chills and fever, reduced appetite, and abdominal distension.
Chaihu, Renshen, Gancao, Banxia, Chenpi (Citri Reticulatae Pericarpium), Chuanxiong, Baishao Yao (White Peony Root) (equal parts).
Cut into small pieces. Take 3 qian per dose, with 5 slices of fresh ginger and 2 jujubes, decocted in water. Take twice daily after meals.
[From *Da Quan*] Treats postpartum sudden chills and sudden fever using Zeng Sun Si Wu Tang (Modified Four Substances Decoction).
Renshen, Dang Gui, Shaoyao, Chuanxiong, Jiangjiang (Dried Ginger) (each 1 liang), Gancao.
Cut into small pieces. Take 4 qian per dose, with one cup of water and 3 slices of fresh ginger, decoct until 70% remains, strain, and take hot at any time.
[From *Yun*] Shu Di Huang San (Rehmannia Powder): Treats postpartum Ru Lao (postpartum consumptive disease due to exhaustion), caused by physical weakness and insufficient recovery of strength, triggered by relapse due to overexertion. Symptoms include vexing pain in the four limbs and intermittent chills and fever.
Shu Dihuang, Renshen, Baishao Yao, Bai Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Xuduan (Dipsaci Radix) (each 1 liang); Huangqi (Astragali Radix), Guixin (Cinnamomi Ramulus), Wuweizi (Schisandrae Fructus), Dang Gui, Chuanxiong (each 7.5 qian).
Cut into small pieces. Take 4 qian per dose, with 3 slices of fresh ginger and 1 jujube, decocted in water.
Huang Qi Wan (Astragalus Pill): Treats postpartum Ru Lao with alternating progression and regression of chills and fever, dizziness and headache, soreness and pain in bone joints, and lack of strength.
Huangqi, Biejia (Trionycis Carapax), Dang Gui (stir-fried) (each 1 liang); Guixin, Baishao Yao, Xuduan, Chuanxiong, Niuxi (Achyranthis Bidentatae Radix), Congrong (Cynomorii Herba), Chenxiang (Aquilariae Lignum Resinatum), Baiziren (Platycladi Semen), Zhike (each 6.5 qian); Wuweizi, Shu Dihuang (each 0.5 liang).
Grind into fine powder, mix with refined honey to make pills the size of tung tree seeds. Take 40-50 pills per dose, swallowed with millet gruel broth, after meals.