〔《大》〕竹叶汤治妊娠苦烦闷,名曰子烦。
防风 黄芩 麦冬(去心。各二两) 白茯苓(四两)
上锉散,每服四钱,水二盏,竹叶十数片,煎七分去渣,温服之。
益母丸 治子烦似虚不得卧者。(即知母丸。但用枣肉为丸,以人参汤嚼下。方见日月数
未足欲产门。)
治子烦口干不得卧,用黄连去须,为细末,每服一钱,粥饮调下。
〔《大》〕治产后余血不尽,奔心烦闷,生藕汁饮二升甚效。(竹沥亦得。)
治产后余血攻心,或下血不止;心闷面青,冷气欲绝。羊血一盏顿服。如不定,更服立效。
产后血虚气烦。生地黄汁、清酒各一盏相和,煎一沸,分二服服之。
治产后虚烦。用蒲黄,以东流水和服方寸匕,极良。
治产后短气欲绝,心中烦闷,竹叶汤。
竹叶(切细) 麦门冬 小麦(各一升) 甘草(一两) 生姜(二两) 大枣(十四个)
上切,以水一斗,煮竹叶、小麦至八升去渣,纳余药煮取三升,去渣温服。虚悸加人参二两,
少气力加糯米五合。
〔云〕产后虚烦不得眠,芍药栀豉汤。
芍药 当归 栀子(各五钱) 香豉(半合)
上如栀子豉汤修服。产后伤寒;便同下后变证。(此方虽云岐法,不若仲景酸枣汤稳当。)
〔《大》〕竹叶汤。(方见虚条。)
〔《经》〕治产后烦躁。禹余粮一枚,状如酸馅者,入地埋一半,四面紧筑。用炭一秤,发顶
火一斤 ,去火三分耗二为度,用湿沙土罨一宿;方取出,打去外面一重,只使里内细研,
水淘澄五七度,将纸衬干,再研数
千遍,用甘草煎汤调二钱匕,只一服立效。
〔仲〕三物黄芩汤妇人在草蓐,自发露得风,四肢苦烦热头痛者,与小柴胡汤,头不痛,但
烦者,此汤主之。(小柴胡汤方见伤寒。)
黄芩(一两) 苦参(二两) 干地黄(四两)
上三味,以水八升,煮取二升,温服一升,多吐下虫。
妇人产中虚,烦乱,呕逆,安中益气,竹皮大丸主之。
生竹茹(二分) 石膏(二分) 桂枝(一分) 甘草(七分) 白薇(一分)
上五味末之,枣肉和丸弹子大。以饮服一丸,日三夜二服。有热者,倍白薇。烦喘者,
加柏实一分。
《脉经》记载:竹叶汤用于治疗妊娠期间因烦闷痛苦而引发的病症,称为“子烦”。
处方组成:防风、黄芩、麦冬(去除心部,各二两)、白茯苓(四两)。
制法与用法:将上述药材切碎成散剂,每次服用四钱,加水两盏,放入十几片竹叶,煎煮至剩余七分药液,滤去药渣,温服。
益母丸:用于治疗子烦症状严重导致身体虚弱无法安卧的情况。(此方即知母丸,但改用枣肉作为粘合剂制成丸剂,用人参汤送服。该方详见“日月数未足欲产门”章节。)
另一种治疗子烦口干且无法安卧的方法:使用黄连去除须根,研磨成细末,每次服用一钱,用米粥汁调服。
《脉经》记载:治疗产后余血未尽,导致气血上冲引起的心烦胸闷,饮用生藕汁二升效果显著。(竹沥也可以使用。)
治疗产后余血攻心,或者下血不止;伴有心胸闷塞、面色青紫、冷气袭人几乎要断气的危重情况:顿服一盏羊血。如果症状未定,再次服用立即见效。
产后血虚导致的气机烦躁:取生地黄汁和清酒各一盏混合,煮沸一次,分两次服用。
治疗产后虚烦:使用蒲黄,用东流水调和服用一方寸匕的量,效果极好。
治疗产后气短几乎要断绝,心中烦闷:使用竹叶汤。
处方组成:竹叶(切细)、麦门冬、小麦(各一升)、甘草(一两)、生姜(二两)、大枣(十四个)。
制法与用法:将上述药材切碎,用水一斗,先煮竹叶和小麦至剩余八升,滤去药渣,加入其余药物,继续煎煮至剩余三升,滤去药渣,温服。若伴有虚悸症状,加人参二两;若气力不足,加糯米五合。
《云岐子论》记载:产后虚烦导致无法入睡,使用芍药栀豉汤。
处方组成:芍药、当归、栀子(各五钱)、香豉(半合)。
制法与用法:按照栀子豉汤的制备方法服用。对于产后伤寒,其变化证候类似于误下后的变证。(此方虽被称为权宜之法,但不如张仲景的酸枣汤稳妥妥当。)
《内经》记载:治疗产后烦躁。取一枚禹余粮,形状像酸馅饼一样的,将其一半埋入地下,四周紧密夯实。使用炭火一秤,以及从头顶取下的头发一斤,燃烧至灰烬减少三分之二为度,然后用湿沙土覆盖一整夜;之后取出,敲去外面一层,只使用内部部分,细细研磨,用水淘洗澄清五六次,用纸张衬垫晾干,再研磨数千遍,用甘草煎汤调服二钱匕,仅一次服用即可立竿见影。
张仲景记载:三物黄芩汤。妇女在分娩后,因暴露身体感受风邪,出现四肢苦于烦热、头痛的症状,给予小柴胡汤;如果头不痛,只是心烦,则用此汤主治。(小柴胡汤方详见伤寒章节。)
处方组成:黄芩(一两)、苦参(二两)、干地黄(四两)。
制法与用法:以上三味药,用水八升,煎煮至剩余二升,温服一升,服药后可能会多吐或排泄出虫体。
妇女在生产过程中因虚损,出现烦乱、呕逆的症状,旨在安定中焦、益气,使用竹皮大丸主治。
处方组成:生竹茹(二分)、石膏(二分)、桂枝(一分)、甘草(七分)、白薇(一分)。
制法与用法:将以上五味药研成粉末,用枣肉调和制成如弹子大小的丸剂。用饮服用一丸,白天服三次,夜间服两次。若有热象,加倍使用白薇;若伴有烦喘症状,加柏实一分。
[The Mai Jing] Zhuye Tang (Bamboo Leaf Decoction) treats restlessness and oppression during pregnancy, a condition known as Zi Fan (Fetal Restlessness).
Ingredients: Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Maidong (Ophiopogonis Radix, remove the heart, each 2 liang), Baifuling (Poria, 4 liang).
Preparation and Administration: Coarsely powder the above ingredients. Take 4 qian per dose, with 2 zhan of water and more than ten slices of bamboo leaves. Decoct until 70% remains, strain, and take warm.
Yimu Wan (Motherwort Pill) treats Zi Fan (Fetal Restlessness) accompanied by deficiency and inability to lie down. (This is Zhi Mu Wan [Anemarrhenae Pill], but formed into pills using jujube flesh, taken chewed with Renshen Tang [Ginseng Decoction]. See the chapter "Ri Yue Shu Wei Zu Yu Chan Men" for the formula.)
To treat Zi Fan (Fetal Restlessness) with dry mouth and inability to lie down: Use Huanglian (Coptidis Rhizoma), remove the roots, grind into fine powder. Take 1 qian per dose, mixed with congee water.
[The Mai Jing] To treat postpartum residual blood not fully expelled, causing rushing sensation, restlessness, and chest oppression, drinking 2 sheng of fresh lotus root juice is very effective. (Zhuli [Bamboo Sap] may also be used.)
To treat postpartum residual blood attacking the heart, or continuous bleeding; with chest oppression, cyanotic face, and cold qi nearly causing death: Take one zhan of sheep blood in one dose. If symptoms are not stabilized, take again for immediate effect.
Postpartum blood deficiency causing Qi restlessness: Mix one zhan of Sheng Dihuang汁 (Fresh Rehmanniae Juice) with one zhan of Qingjiu (Clear Wine). Boil once, divide into two doses, and take.
To treat postpartum deficiency restlessness: Use Huyang (Polygoni Multiflori Semen), mix with flowing water from the east, and take one fangcun bi (a measure equivalent to a square inch spoonful). It is extremely effective.
To treat postpartum shortness of breath nearing cessation and mental restlessness: Use Zhuye Tang (Bamboo Leaf Decoction).
Ingredients: Zhuye (Bamboo Leaves, cut finely), Maimendong (Ophiopogonis Radix), Xiaomai (Tritici Fructus, each 1 sheng), Gancao (Licorice Root, 1 liang), Shengjiang (Zingiberis Rhizoma Recens, 2 liang), Dazao (Jujubae Fructus, 14 pieces).
Preparation and Administration: Cut the ingredients. Add 1 dou of water. First decoct Zhuye (Bamboo Leaves) and Xiaomai (Tritici Fructus) until 8 sheng remain, then strain. Add the remaining herbs and decoct until 3 sheng remain. Strain and take warm. If there is deficiency palpitation, add Renshen (Ginseng Radix et Rhizoma) 2 liang. If there is lack of energy, add Nuomi (Glutinous Rice) 5 he.
[Yun Qizi Lun] Postpartum deficiency restlessness with insomnia is treated with Shaoyao Zhichi Tang (Peony and Gardenia Fermented Soybean Decoction).
Ingredients: Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), Zhizi (Gardeniae Fructus, each 5 qian), Xiangchi (Fermented Sojae Semen Preparatum, half he).
Preparation and Administration: Prepare and administer according to the method for Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction). For postpartum Cold Damage (Shang Han), it is similar to complications after erroneous purgation. (Although this formula is considered an expedient method, it is not as stable and appropriate as Zhang Zhongjing's Suanzaoren Tang [Ziziphus Decoction].)
[The Mai Jing] Zhuye Tang (Bamboo Leaf Decoction). (See the "Xu Tiao" [Deficiency Section] for the formula.)
[Neijing] To treat postpartum irritability: Take one piece of Yuyuliang (Haematitum), shaped like a sour filling bun. Bury half of it in the ground and pack the surrounding soil tightly. Use one cheng of charcoal and one jin of hair from the crown of the head. Burn until the ash reduces by two-thirds. Cover with wet sandy soil overnight. Then take it out, remove the outer layer, and only use the inner part. Grind finely, wash and clarify with water five or seven times, dry on paper, and grind thousands of times more. Mix with Gancao (Licorice Root) decoction and take two qianbi. One dose brings immediate effect.
[Zhang Zhongjing] Sanwu Huangqin Tang (Three-Ingredient Scutellaria Decoction): When a woman is in confinement, exposed to wind due to uncovered body, suffering from heat and restlessness in the four limbs and headache, give Xiao Chaihu Tang (Minor Bupleurum Decoction); if there is no headache but only restlessness, this decoction governs it. (Xiao Chaihu Tang [Minor Bupleurum Decoction] see Shang Han [Cold Damage]).
Ingredients: Huangqin (Scutellariae Radix, 1 liang), Kushen (Sophorae Flavescentis Radix, 2 liang), Gadihuang (Rehmanniae Radix, 4 liang).
Preparation and Administration: The above three ingredients, with 8 sheng of water, decoct to obtain 2 sheng. Take 1 sheng warm. Excessive vomiting or diarrhea of worms may occur.
When women are deficient during childbirth, suffering from restlessness, disarray, nausea, and vomiting, to stabilize the middle and benefit Qi, use Zhupi Da Wan (Bamboo Peel Large Pill).
Ingredients: Shengzhuru (Bambusae Caulis in Taenia, 2 fen), Shigao (Gypsum Fibrosum, 2 fen), Guizhi (Cinnamomi Ramulus, 1 fen), Gancao (Licorice Root, 7 fen), Baiwei (Cleisostomatis Radix, 1 fen).
Preparation and Administration: Powder the above five ingredients, mix with jujube flesh to form pills the size of a bullet. Take one pill with drink, three times during the day and twice at night. If there is heat, double the amount of Baiwei (Cleisostomatis Radix). If there is restlessness and panting, add Baishi (Platycladi Semen) 1 fen.