〔云〕救急散 治产后赤白痢,腹中绞痛。
芍药 阿胶 艾叶 熟地(各一两) 甘草 当归(各三两)
上 咀,水煎,分二服,空心饮。
〔《大》〕当归芍药散治妊娠腹中绞痛,心下急痛,及疗产后血晕,崩中久痢。(方见妇人血崩门。)
〔杨〕疗妊娠血痢。用阿胶二两,以酒一升半,煮取一升,顿服。
〔《大》〕产后诸痢,煮薤白食之。又方,羊肾脂炒薤白,空心食之,甚佳。
〔《经》〕治产后、胎前痢疾。败龟甲一枚,米醋炙研为末,醋汤调下。(丹溪云∶龟甲大补阴,
治劳倦。)
〔丹〕妇人患堕胎后,膈满食少,痢不止,脉虚,左手尤甚。
滑石 白芍药(炒) 苍术(各五钱) 白术(二钱五分) 干姜(四钱) 茯苓(一钱) 诃子(二
钱,煨)
上为细末,调下保和丸四五十粒。
〔云〕产后血痢,脐腹疼痛,四物汤加槐花、黄连、御米壳等药。
黄连丸 治产后赤白痢,腹中搅痛不忍。
黄连(四两) 阿胶 蒲黄 栀子仁(各一两) 当归(二两半) 黄芩 黄柏(各二两)
上为末,炼蜜丸,如桐子大。每服六七十丸,米饮调下,日三、夜一。
〔仲〕产后下痢虚极,白头翁加甘草阿胶汤主之。(《脉经》作“热痢重下,新产虚极者”。)
白头翁 阿胶(各二两) 黄连 黄柏 秦皮(各三两) 甘草(二两)
上以水七升,煮取二升半,纳胶令消尽,分三服,温服。
妇人临产痢疾,山栀不拘多少,烧灰为细末。空心熟水调下一钱,甚者不过五服。
产后血痢,小便不通,脐腹疼痛。用生马齿苋捣汁二大合,煎一沸,下蜜一合,调顿服。
〔梅〕治产后血泄不禁,余血作痛兼块。桂心、干姜等分为末,空心酒调服方寸匕。
〔《大》〕疗产后痢,日五十行者。取木里蠹虫粪炒黄,急以水沃之,令稀稠得所,服之即瘥。
〔《圣》〕产后诸痢方。取苍耳叶捣汁半盏,日三四,温服。
【云岐子】救急散:治疗产后赤白痢,腹中剧烈绞痛。
药材:芍药、阿胶、艾叶、熟地黄(各一两);甘草、当归(各三两)。
制法与用法:将上述药材切碎,加水煎煮,分两次服用,空腹时饮用。
【《太平惠民和剂局方》】当归芍药散:治疗妊娠期间腹中绞痛,心下急痛,以及治疗产后血晕、崩漏日久导致的痢疾。(方剂详见妇人血崩门。)
【杨氏】治疗妊娠血痢。使用阿胶二两,用酒一升半,煎煮至取汁一升,一次性服下。
【《太平惠民和剂局方》】产后各种痢疾,煮薤白食用。另一方法,用羊肾脂炒薤白,空腹食用,效果很好。
【《黄帝内经》相关论述/或指代经典医籍】治疗产后及产前痢疾。败龟甲一枚,用米醋炙烤后研为细末,用醋汤调服。(朱丹溪说:龟甲大补阴气,治疗劳倦损伤。)
【朱丹溪】妇女在堕胎后,出现胸膈胀满、食欲减退、痢疾不止,脉象虚弱,左手脉尤为明显。
药材:滑石、白芍药(炒)、苍术(各五钱);白术(二钱五分);干姜(四钱);茯苓(一钱);诃子(二钱,煨制)。
制法与用法:将上述药材研为细末,送服保和丸四五十粒。
【云岐子】产后血痢,脐腹部疼痛,使用四物汤加入槐花、黄连、御米壳等药物。
黄连丸:治疗产后赤白痢,腹中搅动疼痛难以忍受。
药材:黄连(四两);阿胶、蒲黄、栀子仁(各一两);当归(二两半);黄芩、黄柏(各二两)。
制法与用法:将上述药材研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用六七十丸,用米饮调服,每日三次,夜间一次。
【张仲景】产后下痢虚损至极,以白头翁加甘草阿胶汤主治。(《脉经》记载为“热痢重下,新产虚极者”。)
药材:白头翁、阿胶(各二两);黄连、黄柏、秦皮(各三两);甘草(二两)。
制法与用法:用水七升,煎煮至取汁二升半,放入阿胶使其完全溶化,分三次温服。
妇女临产时患痢疾,山栀不拘数量,烧成灰后研为细末。空腹时用熟水调服一钱,严重者不超过五次即可痊愈。
产后血痢,小便不通,脐腹部疼痛。使用生马齿苋捣取汁液两大合,煮沸一次,加入蜂蜜一合,调和后一次性服下。
【梅师】治疗产后血泄不禁,余血作痛兼有积块。桂心、干姜等分为末,空腹时用酒调服一方寸匕。
【《太平惠民和剂局方》】治疗产后痢疾,每天腹泻五十次的人。取木中蛀虫的粪便炒黄,立即用水浇淋,调节稀稠度适宜,服用后即愈。
[Yun Qizi] Jiujisan (Emergency Rescue Powder): Treats postpartum dysentery with red and white discharge, accompanied by severe colic in the abdomen.
Ingredients: Shaoyao (Paeoniae Radix), Ejiao (Donkey-hide Gelatin), Aiyè (Artemisiae Argyi Folium), Shudi (Rehmanniae Radix Praeparata) (each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 3 liang).
Preparation and Administration: Coarsely crush the ingredients, decoct in water, divide into two doses, and drink on an empty stomach.
[Taiping Huimin Heji Jufang] Danggui Shaoyao San (Angelica and Paeonia Powder): Treats abdominal colic during pregnancy, urgent pain in the epigastrium, as well as postpartum blood syncope and chronic dysentery resulting from prolonged metrorrhagia. (See the section on Metrorrhagia for the formula.)
[Yang Shi] Treats bloody dysentery during pregnancy. Use 2 liang of Ejiao (Donkey-hide Gelatin), decoct in 1.5 sheng of wine until reduced to 1 sheng, and take in a single dose.
[Taiping Huimin Heji Jufang] For various types of postpartum dysentery, boil Xiebai (Allii Macrostemonis Bulbus) and eat it. Another method: stir-fry Xiebai (Allii Macrostemonis Bulbus) with sheep kidney fat and consume on an empty stomach; this is very effective.
[Jing (Classics)] Treats dysentery occurring before or after childbirth. Take one Baiduiguia (Testudinis Carapax et Plastrum), roast with rice vinegar, grind into powder, and administer with vinegar-infused water. (Zhu Danxi stated: Testudinis Carapax et Plastrum greatly tonifies Yin and treats fatigue due to overexertion.)
[Zhu Danxi] Women who suffer from dysentery that does not cease after spontaneous abortion, presenting with chest fullness, poor appetite, and a deficient pulse, especially pronounced in the left hand.
Ingredients: Huashi (Talcum), Baishaoyao (Paeoniae Radix Alba, stir-fried), Cangzhu (Atractylodis Rhizoma) (each 5 qian); Baizhu (Atractylodis Macrocephalae Rhizoma) (2.5 qian); Ganjiang (Zingiberis Rhizoma) (4 qian); Fuling (Poria) (1 qian); Hezi (Terminaliae Chebulae Fructus, roasted) (2 qian).
Preparation and Administration: Grind into fine powder and take with 40-50 pills of Baohe Wan (Harmonize the Stomach Pill).
[Yun Qizi] For postpartum bloody dysentery with pain in the umbilical and abdominal regions, use Siwu Tang (Four Substances Decoction) added with Huaihua (Sophorae Flos), Huanglian (Coptidis Rhizoma), and Yumike (Papaveris Pericarpium).
Huanglian Wan (Coptis Pill): Treats postpartum dysentery with red and white discharge, accompanied by unbearable twisting abdominal pain.
Ingredients: Huanglian (Coptidis Rhizoma) (4 liang); Ejiao (Donkey-hide Gelatin), Puhuang (Pollinis Typhae), Zhiziren (Gardeniae Semen) (each 1 liang); Danggui (Angelicae Sinensis Radix) (2.5 liang); Huangqin (Scutellariae Radix), Huangbo (Phellodendri Cortex) (each 2 liang).
Preparation and Administration: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 60-70 pills per dose, administered with rice water, three times daily and once at night.
[Zhang Zhongjing] For postpartum dysentery with extreme deficiency, Baitouweng Jia Gancao Ejiao Tang (Baitouweng Decoction with Licorice and Donkey-hide Gelatin) is the primary treatment. ([Maijing] records it as "for severe heat dysentery with heavy purging in women who are extremely deficient after recent childbirth.")
Ingredients: Baitouweng (Pulsatillae Radix), Ejiao (Donkey-hide Gelatin) (each 2 liang); Huanglian (Coptidis Rhizoma), Huangbo (Phellodendri Cortex), Qinpi (Fraxini Cortex) (each 3 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang).
Preparation and Administration: Decoct in 7 sheng of water until reduced to 2.5 sheng, add Ejiao (Donkey-hide Gelatin) and stir until completely dissolved. Divide into three doses and take warm.
For women suffering from dysentery at the time of childbirth, use Zhizi (Gardeniae Fructus) in any quantity, burn to ash, and grind into fine powder. Take 1 qian mixed with boiled water on an empty stomach; for severe cases, no more than five doses are needed.
For postpartum bloody dysentery with urinary retention and abdominal pain, use fresh Machibian (Portulacae Herba), crush to extract juice (2 da he), boil for one boil, add 1 he of honey, mix, and take in a single dose.
[Mei Shi] Treats postpartum uncontrollable bloody discharge, pain caused by residual blood, and associated masses. Mix Guixin (Cinnamomi Cortex) and Ganjiang (Zingiberis Rhizoma) in equal parts, grind into powder, and take one fang cun bi (square-inch scoop) mixed with wine on an empty stomach.
[Taiping Huimin Heji Jufang] For postpartum dysentery with fifty bowel movements per day: Collect the feces of wood-boring insects, stir-fry until yellow, immediately pour water over it to achieve appropriate consistency, and administer; recovery follows quickly.
[Beiji Qianjin Yaofang] Formulas for various postpartum dysenteries: Crush Can'er Ye (Xanthii Folium) to extract half a zhan of juice, take warm three to four times daily.