〔《大》〕紫苏饮 治妊娠心腹胀满而胁妨闷。(方见妇人胎逼上心门。)
〔洁〕枳壳汤 治妇人妊胎腹胀。
枳壳(三两) 黄芩(一两)
上为粗末。每服五钱,水盏半煎,温服。
治胎前腹满,身体沉重,枳壳汤中加白术一两。
〔仲〕妇人怀妊六七月,脉弦发热,其胎愈胀,腹痛恶寒者,小腹如扇。所以然者,子藏寒故也。当以附
子汤温其脏。(附子汤方见伤寒。)
妇人伤胎,怀身,腹满不得小便,从腰以下重如有水气状。怀身七月,太阴当养不养,此心气实,刺泻
劳宫及关元,小便微利则愈。
治产后血与恶露不下,因而血胀。用杜牛膝杵碎,用水熬成膏,去渣,每服一碗。未知再服,神效。子
母产后秽污不尽,腹满。用麻子三两,酒五升,煮取一升,分温二服。当下恶物。
〔《千》〕治产后秽污下不尽,腹满。生姜二斤,以水煮取汁服,即出。
〔《日华》〕治产后血胀。苗叶同功,乃益母草子也。
〔《保》〕紫金丹 治产后肿,胸中有物状,是嗌气不降。
代赭石 HT 石(各等分。按∶本草并无 HT 石,止有砺石,一名磨石。即其能破宿血,下石淋,除 结,
伏鬼物恶气。疑即是此。)
上为细末,醋糊丸,桐子大。每服三十五丸,酒下。胸中痛,加川归汤下。久服治血癖。
〔《大》〕抵圣汤 治产后腹胀满闷,呕吐不定,不可用寻常治胀止吐药。
赤芍药 半夏 泽兰叶 人参 陈皮(各一分) 甘草(一钱)
上 咀,用水一碗,生姜焙干五钱,煎至半碗,去渣,分热三服。
〔丹〕阳礼五孺人,疟,产后腹满,略渴不饮,脉却虚。
白术(炒,六钱) 陈皮(五钱) 白芍(炒极熟,二钱半) 浓朴 川芎(各二钱) 每服加海金沙一钱。
分四帖,煎下保和丸二十五粒。
〔《大》〕枳术汤。治虚后心腹大如盘。(方见胀门补虚条。)
〔《保》〕又方 代赭石(一两) 桃仁(三十,去皮尖) 大黄(半两)
上细末,薄荷水调丸。三五十丸,温水下无时。
治产后腹大坚满不能卧,白圣散。
樟柳根(三寸) 大戟(两半) 甘遂(半两)
上细末。每服二钱,热汤下。取大府利为度。此主水气之妙药也。
〔《甲》〕妇人产后余疾,饮食不下,胸胁支满,目眩足寒,心切痛,善噫,闻酸臭,胀痹,腹满,小腹
尤大,期门主之。
《大》:紫苏饮,治疗妊娠期间心腹胀满且胁肋部憋闷不适。(该方剂见妇人胎逼上心门篇。)
洁古:枳壳汤,治疗妇女怀孕期间腹部胀满。
药材及用量:枳壳(三两)、黄芩(一两)。
制法与服法:将上述药材捣成粗末。每次服用五钱,加水一盏半煎煮,温服。
若治疗胎前腹满、身体沉重,可在枳壳汤中加入白术一两。
仲景:妇女怀孕六七个月时,出现脉象弦紧、发热,胎儿胀感加重,伴有腹痛和恶寒,小腹感觉像扇子一样寒冷。之所以如此,是因为子宫寒冷所致。应当使用附子汤来温暖子宫。(附子汤方剂见伤寒篇。)
妇女伤胎,怀孕后腹部胀满且无法小便,腰部以下沉重,好像有水气积聚的样子。怀孕七个月时,太阴经应当滋养胎儿却未能正常滋养,这是心气实盛的表现,应针刺劳宫穴和关元穴并采用泻法,待小便微微通利后即可痊愈。
治疗产后瘀血与恶露不下,因而导致的血性腹胀。使用杜牛膝捣碎,用水熬制成膏状,去渣滓,每次服用一碗。若未见效可再次服用,效果神奇。
母子产后污秽之物不尽,导致腹部胀满。使用麻子三两,酒五升,煮取一升药液,分两次温服。服药后会排出恶物。
《千金方》:治疗产后污秽排出不尽,腹部胀满。使用生姜二斤,水煮取汁服用,污秽物即可排出。
《日华子本草》:治疗产后血胀。益母草的苗叶功效相同,这里指的是益母草的种子。
《保命集》:紫金丹,治疗产后浮肿,胸中有异物感,这是由于嗳气不降所致。
药材及用量:代赭石、礞石(各等分。按语:本草中并无“HT石”,只有礞石,又名磨石。即其能破除陈旧瘀血,下石淋,消除结聚,镇压鬼物恶气。怀疑即是此药。)
制法与服法:将上述药材研为细末,用醋糊制作丸剂,大小如梧桐子。每次服用三十五丸,酒送服。若胸中疼痛,加川当归汤送服。长期服用可治疗血癖(体内积块)。
《大》:抵圣汤,治疗产后腹部胀满闷痛,呕吐不定,不可使用寻常治疗胀满和止吐的药物。
药材及用量:赤芍药、半夏、泽兰叶、人参、陈皮(各一分)、甘草(一钱)。
制法与服法:将药材切碎,用水一碗,加入焙干的生姜五钱,煎至半碗,去渣,分三次热服。
丹溪:阳礼五孺人,患疟疾,产后腹部胀满,略微口渴但不想饮水,脉象却虚弱。
药材及用量:白术(炒,六钱)、陈皮(五钱)、白芍(炒至极熟,二钱半)、厚朴、川芎(各二钱)。每次服用时加入海金沙一钱。
制法与服法:分为四帖,煎服时配合保和丸二十五粒。
《大》:枳术汤。治疗虚损后心腹部胀大如盘。(该方剂见胀满门补虚条。)
《保命集》:又一方。
药材及用量:代赭石(一两)、桃仁(三十枚,去皮尖)、大黄(半两)。
制法与服法:研为细末,用薄荷水调制成丸剂。每次三五十丸,随时以温水送服。
治疗产后腹部巨大坚硬胀满不能平卧,使用白圣散。
药材及用量:樟柳根(三寸)、大戟(一两半)、甘遂(半两)。
制法与服法:研为细末。每次服用二钱,用热汤送服。以大便通畅为度。这是主治水气病的妙药。
《甲乙经》:妇女产后余疾,饮食不下,胸胁支撑胀满,头晕目眩,足部寒冷,心脏剧烈疼痛,容易打嗝,闻到酸臭气味,出现胀痹症状,腹部胀满,小腹部尤其肿大,由期门穴主治。
Da: Zisu Yin (Perilla Decoction) treats heart and abdominal distension and fullness with rib-side oppression during pregnancy. (The formula is found in the section on "Fetal Pressure Affecting the Heart".)
Jiegu: Zhike Tang (Bitter Orange Decoction) treats abdominal distension in pregnant women.
Ingredients: Zhike (Fructus Aurantii, 3 liang), Huangqin (Radix Scutellariae, 1 liang).
Preparation and Administration: Grind the above into a coarse powder. Take 5 qian per dose, decoct with 1.5 cups of water, and take warm.
To treat pre-partum abdominal fullness and heavy body, add Baizhu (Radix Atractylodis Macrocephalae, 1 liang) to Zhike Tang.
Zhongjing: When a woman is six or seven months pregnant, if the pulse is wiry and she has fever, the fetal distension worsens, accompanied by abdominal pain and aversion to cold, with the lower abdomen feeling cold like a fan. The reason for this is cold in the Zi Zang (uterus). One should use Fuzi Tang (Aconite Decoction) to warm the uterus. (The Fuzi Tang formula is found in the Treatise on Cold Damage.)
If a woman suffers from fetal injury, with pregnancy accompanied by abdominal fullness and inability to urinate, and heaviness from the waist down resembling water accumulation: at seven months of pregnancy, the Taiyin channel should nourish but fails to do so; this indicates excess Heart Qi. One should needle Laogong (PC8) and Guanyuan (CV4) using the reducing method. Recovery occurs when urination becomes slightly free.
Treat postpartum blood stasis and lochia retention causing blood-related abdominal distension. Use Duniu Xi (Radix Achyranthis Bidentatae), crushed and decocted in water until it forms a paste. Strain and take one bowl per dose. If ineffective, repeat; this is miraculous.
For mother and infant after childbirth, where foul discharge remains incomplete causing abdominal fullness: use Mazi (Semen Cannabis, 3 liang) and wine (5 sheng). Boil to obtain 1 sheng of liquid, divide into two warm doses. This will expel the foul matter.
Qianjin Fang: Treats postpartum incomplete expulsion of foul discharge causing abdominal fullness. Use Shengjiang (Rhizoma Zingiberis Recens, 2 jin), boil in water to extract juice, and drink. The foul matter will be expelled.
Rihua Bencao: Treats postpartum blood distension. The seedlings and leaves have the same efficacy; here refers to the seeds of Yimu Cao (Herba Leonuri).
Baoming Ji: Zijin Dan (Purple Gold Pill) treats postpartum edema and a sensation of an object in the chest, caused by failing descent of belching qi.
Ingredients: Daizhe Shi (Hematitum, equal parts) and Mengshi (Lapis Glaucophanatus, equal parts). Note: The Materia Medica does not list "HT Shi", only Mengshi, also known as Mo Shi (grinding stone). It can break old blood, pass stones in strangury, resolve accumulations, and suppress evil qi. It is suspected to be this substance.
Preparation and Administration: Grind into fine powder, bind with vinegar paste into pills the size of tung tree seeds. Take 35 pills per dose with wine. For chest pain, administer with Chuan Gui Tang (Angelica Decoction). Long-term use treats blood pi (accumulations).
Da: Disheng Tang (Reach the Sage Decoction) treats postpartum abdominal distension and fullness with irregular vomiting. Do not use ordinary remedies for distension or vomiting.
Ingredients: Chishao Yao (Radix Paeoniae Rubra), Banxia (Rhizoma Pinelliae), Zelan Ye (Herba Lycopi), Renshen (Radix Ginseng), Chenpi (Pericarpium Citri Reticulatae) (each 1 fen), Gancao (Radix Glycyrrhizae, 1 qian).
Preparation and Administration: Cut into pieces. Decoct with one cup of water and 5 qian of roasted dried Shengjiang (Rhizoma Zingiberis Recens) until half a cup remains. Strain and divide into three hot doses.
Danxi: Yangli Wu Ruren suffered from malaria, postpartum abdominal distension, slight thirst without desire to drink, and a weak pulse.
Ingredients: Baizhu (Radix Atractylodis Macrocephalae, stir-fried, 6 qian), Chenpi (Pericarpium Citri Reticulatae, 5 qian), Baishao (Radix Paeoniae Rubra, stir-fried thoroughly, 2.5 qian), Houpo (Cortex Magnoliae Officinalis), Chuanxiong (Rhizoma Chuanxiong) (each 2 qian). Add 1 qian of Haijinsha (Spora Lygodii) per dose.
Preparation and Administration: Divide into four portions. Decoct and take with 25 pills of Baohe Wan (Harmonize the Stomach Pill).
Da: Zhizhu Tang (Immature Bitter Orange and Atractylodes Macrocephala Decoction). Treats abdominal distension large as a plate following deficiency. (The formula is found in the Distension Section under Tonifying Deficiency.)
Baoming Ji: Another prescription.
Ingredients: Daizhe Shi (Hematitum, 1 liang), Taoren (Semen Persicae, 30 pieces, skin and tip removed), Dahuang (Radix et Rhizoma Rhei, 0.5 liang).
Preparation and Administration: Grind into fine powder, mix with mint water to form pills. Take 30-50 pills at any time with warm water.
For postpartum massive, hard abdominal distension preventing lying down, use Baisheng San (White Holy Powder).
Ingredients: Zhangliu Gen (Root of Ulmus pumila var. japonica? *Note: Context implies specific root*, 3 cun), Daji (Radix Euphorbiae Pekinensis, 1.5 liang), Gansui (Radix Kansui, 0.5 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose with hot water. Continue until bowel movements are loose. This is a wonderful medicine for treating water qi.
Jia Yi Jing: For postpartum residual diseases where food cannot be swallowed, chest and hypochondriac support/fullness, dizziness, cold feet, severe heart pain, frequent belching, sensitivity to sour/foul odors, distension and numbness, abdominal fullness, especially enlarged lower abdomen: Qimen (LR14) is the primary point.