治产后温病,阳明府实,表里俱热者。
玄参(两半) 当归(三钱) 生杭芍(四钱) 甘草(钱半) 茅根(二钱)
上药五味,煎汤两盅,分二次温服,一次即愈者,停后服。
产后忌用寒凉,而温热入阳明府后,又必用寒凉方解,因此医者恒多束手。不知石膏、玄参《神农本草
经》皆明载治产乳。是以热入阳明之重者,可用白虎加人参以山药代粳米汤,更以玄参代知母。其稍轻者,治
以此汤,皆可随手奏效。愚用此两方,
救人多矣。临证者当笃信《神农本草经》,不可畏石膏、玄参之寒凉也。况石膏、玄参,《神农本草经》原皆
谓其微寒,并非甚寒凉之药也。
治少乳。其乳少由于气血虚或经络瘀者,服之皆有效验。
生黄 (一两) 当归(五钱) 知母(四钱) 玄参(四钱) 穿山甲(二钱,炒捣) 六路通
(大者三枚,捣) 王不留行(四钱,炒)
用丝瓜瓤作引,无者不用亦可。若用猪前蹄两个煮汤,用以煎药更佳。
治结乳肿疼或成乳痈新起者,一服即消。若已作脓,服之亦可消肿止疼,俾其速溃。并治一切红肿疮疡。
知母(八钱) 连翘(四钱) 金银花(三钱) 穿山甲(二钱,炒捣) 栝蒌(五钱,切丝) 丹参(四钱)
生明乳香(四钱) 生明没药(四钱)
在德州时,有张姓妇,患乳痈,肿疼甚剧。投以此汤,两剂而愈。然犹微有疼时,怂恿其再服一两剂,以
消其芥蒂。以为已愈,不以为意。隔旬日,又复肿疼,复求为治疗。愚曰∶此次服药不能尽消,必须出脓少许,
因其旧有芥蒂未除,至今已溃脓也。后果服药不甚见效。遂入西医院中治疗,旬日后,其疮外破一口,医者用
刀阔之,以期便于敷药。又旬日,内溃益甚,满乳又破七八个口,医者又欲尽阔之使通。病患惧,不敢治。强
出院还家,复求治于愚。见其各口中皆脓、乳并流,外边实不能敷药。然内服汤药,助其肌肉速生,自能排脓
外出,许以十日可为治愈。遂将内托生肌散,作汤药服之,每日用药一剂,煎服二次,
果十日全愈。
【附方】表侄刘××,从愚学医,曾得一治结乳肿疼兼治乳痈方。用生白矾、明雄黄、松萝茶各一钱半,
共研细,分作三剂,日服一剂,黄酒送下,再多饮酒数杯更佳。此方用之屡次见效,真奇方也。若无松萝茶,
可代以好茶叶。
玄参(1.5两) 当归(3钱) 生杭芍(4钱) 甘草(1.5钱) 白茅根(2钱)
以上五味药,煎煮成两盅汤剂,分两次温服。若服用一次即痊愈,则停止后续服药。
产后通常忌用寒凉药物,但温热邪气传入阳明腑后,又必须使用寒凉方剂才能解除,因此医生们往往对此束手无策。殊不知石膏、玄参在《神农本草经》中均明确记载可用于治疗产后乳疾。所以,对于热邪深入阳明的重症患者,可以使用白虎加人参以山药代粳米汤,并用玄参代替知母。对于病情稍轻者,使用本方治疗,都能随手取得疗效。我使用这两个方子,救活的人很多。临证施治时应当笃信《神农本草经》,不可畏惧石膏、玄参的寒凉之性。况且石膏、玄参在《神农本草经》中原著称其性微寒,并非极寒凉的药物。
治疗乳汁分泌不足。乳汁稀少是由于气血虚弱或经络瘀阻引起的,服用此方均有疗效。
生黄芪(1两) 当归(5钱) 知母(4钱) 玄参(4钱) 穿山甲(2钱,炒后捣碎) 路路通(大者三枚,捣碎) 王不留行(4钱,炒制)
以丝瓜瓤作为药引,若无丝瓜瓤也可不用。如果使用两个猪前蹄煮汤,用此汤来煎药效果更佳。
治疗乳房结块肿痛或初起乳痈的情况,服用一剂即可消散。如果已经化脓,服用此方也能消肿止痛,促使脓肿迅速溃破。同时治疗一切红肿疮疡。
我在德州时,有一位张姓妇女,患有乳痈,肿痛非常剧烈。投以此方,服用两剂后痊愈。然而她偶尔仍有轻微疼痛,旁人怂恿她再服用一两剂,以消除残留的病根。她自认为已经痊愈,未加在意。过了十天,肿痛复发,再次求诊治疗。我说:“这次服药不能完全消除肿块,必须排出少许脓液,因为她旧有的病根未除,如今已经化脓。”后果然服药效果不明显。于是她进入西医院接受治疗,十天后,疮口向外破开一个口子,医生用刀将其扩大,以便敷药。又过了十天,内部溃烂更加严重,整个乳房又破开了七八个口子,医生又想全部切开使其通畅。患者恐惧,不敢继续治疗,强行出院回家,再次请求我为其治疗。见其各个疮口中皆流出脓液和乳汁,外部确实无法敷药。然而内服汤药,帮助肌肉快速生长,自然能排出脓液外出,我承诺十日内可治愈。于是将内托生肌散改为汤药服用,每日用药一剂,煎煮后分两次服用,果然十日内完全痊愈。
【附方】表侄刘××,跟随我学习医学,曾得到一个治疗乳房结块肿痛兼治乳痈的方子。使用生白矾、明雄黄、松萝茶各1.5钱,共同研成细末,分作三剂,每日服用一剂,用黄酒送服,若能再多饮几杯美酒效果更好。此方使用多次均见效,真是奇方。如果没有松萝茶,可以用好茶叶代替。
Treats postpartum warm-heat disease (Wenbing) presenting as Yangming Fu-organ excess syndrome, characterized by heat in both the exterior and interior.
Xuan Shen (Scrophulariae Radix, 1.5 liang) Dang Gui (Angelicae Sinensis Radix, 3 qian) Sheng Hang Shao (Paeoniae Radix Alba, raw, 4 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1.5 qian) Mao Gen (Imperatae Rhizoma, 2 qian).
Decoct the above five herbs to yield two bowls of liquid. Take half a bowl warm each time. If cured after one dose, discontinue subsequent doses.
Postpartum patients are generally contraindicated from using cold-natured herbs; however, when warm-heat pathogens enter the Yangming Fu organs, cold-natured formulas are necessary to resolve the condition. Consequently, physicians often find themselves at a loss. It is unknown that both Shi Gao (Gypsum Fibrosum) and Xuan Shen (Scrophulariae Radix) are explicitly recorded in *Shennong Bencao Jing* (The Divine Farmer's Materia Medica) as treatments for postpartum conditions. Therefore, for severe cases where heat enters the Yangming, Bai Hu Jia Ren Shen Yi Shan Yao Dai Geng Mi Tang (White Tiger Decoction with Ginseng, substituting Coicis Semen with Dioscoreae Rhizoma) can be used, further substituting Zhi Mu (Anemarrhenae Rhizoma) with Xuan Shen (Scrophulariae Radix). For milder cases, this formula yields immediate results. I have saved many people using these two formulas. Clinicians should firmly trust *Shennong Bencao Jing* and not fear the cold nature of Shi Gao (Gypsum Fibrosum) and Xuan Shen (Scrophulariae Radix). Moreover, according to *Shennong Bencao Jing*, both Shi Gao (Gypsum Fibrosum) and Xuan Shen (Scrophulariae Radix) are originally described as slightly cold, not severely cold or cooling.
Treats insufficient lactation. This formula is effective for low milk supply caused by Qi and Blood deficiency or meridian stasis.
Sheng Huang Qi (Astragali Radix, raw, 1 liang) Dang Gui (Angelicae Sinensis Radix, 5 qian) Zhi Mu (Anemarrhenae Rhizoma, 4 qian) Xuan Shen (Scrophulariae Radix, 4 qian) Chuan Shan Jia (Manis Squama, stir-fried and crushed, 2 qian) Lu Lu Tong (Liquidambaris Fructus, large ones: 3 pieces, crushed) Wang Bu Liu Xing (Vaccariae Semen, stir-fried, 4 qian).
Use Si Gua Reng (Luffae Fructus Retinervus) as a guiding herb; if unavailable, it may be omitted. Using broth from two pig forefeet to decoct the herbs yields better results.
Treats breast lumps with swelling and pain, or early-stage Ru Yong (Breast Abscess). One dose leads to resolution. If suppuration has already occurred, this formula reduces swelling and pain, promoting rapid rupture. It also treats all types of red, swollen sores and ulcers.
When I was in Dezhou, a Mrs. Zhang suffered from Ru Yong (Breast Abscess) with severe swelling and pain. After administering this formula, she recovered in two doses. However, she still experienced slight pain occasionally. Encouraged by others, she took one or two more doses to eliminate residual pathology. Believing herself cured, she neglected follow-up. Ten days later, the swelling and pain recurred, and she sought treatment again. I stated, "This medication cannot completely resolve the mass; some pus must be discharged because the underlying pathology remains, and suppuration has now set in." Indeed, subsequent medication showed little effect. She then entered a Western hospital for treatment. Ten days later, an external opening formed, which the physician enlarged with a knife to facilitate dressing application. Another ten days passed, and internal ulceration worsened, with seven or eight additional openings appearing on the breast. The physician intended to incise them all for drainage. Fearing the procedure, the patient refused further treatment, discharged herself against medical advice, and returned home seeking my care. I observed pus and milk flowing from all openings, making external application impossible. However, internal administration of the decoction would promote rapid tissue regeneration, naturally expelling pus. I promised a cure within ten days. Thus, Nei Tuo Sheng Ji San (Internal Support Powder for Generating Flesh) was prepared as a decoction. One dose daily, decocted and taken twice, resulted in complete recovery within ten days.
[Attached Formula] My cousin's nephew, Mr. Liu XX, who studied medicine under me, once obtained a formula for treating breast lumps with swelling and pain, as well as Ru Yong (Breast Abscess). It uses Sheng Bai Fan (Alumen, raw), Ming Xiong Huang (Realgar, refined), and Song Luo Cha (Songluo Tea), each 1.5 qian. Grind into fine powder, divide into three doses. Take one dose daily, washed down with yellow wine; drinking a few more cups of good wine afterward is even better. This formula has proven effective repeatedly; it is truly a miraculous prescription. If Song Luo Cha (Songluo Tea) is unavailable, good quality tea leaves can be substituted.