《子母秘录》云∶产后诸状亦无所异,但若不能食方∶
白术(四两) 生姜(六两)
上二味,细切,以水酒各三升,暖火煎药,取一升半,绞去滓,分温再服,许仁则与女。
《博济安众方》产后呕逆不能食方∶
浓朴(二两,炙) 白术(一两,炒)
上,以水二升,煎取一升,分四五服。
《病源论》云∶产腑脏劳伤,血虚不复,而风邪乘之;搏于血气,使气不宣泄,而痞涩
生热,或肢节烦愦,或唇干燥,但因虚生热,故谓之虚热。
《葛氏方》治产后烦热,若渴或身重痒方∶
熬大豆,酒淋及热,饮二升,温覆取汗。
《千金方》治产后虚热头痛方∶
白夕药(五两) 桂心(三两) 干地黄(五两) 牡蛎(五两)
四味,以水五升,煮取二升半,分三服。
《病源论》云∶妇人以肾系胞,产则血水俱下,伤损肾与膀胱之气,津液竭燥,故令渴。
《医门方》疗产后大渴不止方∶
芦根(切,一升) 栝蒌(三两) 人参 甘草(炙) 茯苓(各二两) 生麦门(各
四两,去心) 大枣(十二枚)
水九升,煮取三升,分三服。
《子母秘录》云∶产后渴方∶
新汲水和蜜饮之,仍不论多少李,温与大新妇服之。
《病源论》云∶凡产后皆血虚,故多汗。
《录验方》治产后虚劳,汗出不止牡蛎散方∶
牡蛎(二两) 干姜(二两) 麻黄根(二两)
凡三物,冶筛,杂白粉,粉身,不过三四便止。
《千金方》治产后虚羸,盗汗,时邑邑恶寒方∶
吴茱萸(如鸡子大)
一味,以酒三升浸之半日,煮得二升,顿服一升,日再。间日饮之。
《子母秘录》治产后汗出不止,兼腹痛虚乏劳方∶
通草 夕药 当归(各三两) 生地黄(切,一升)
上四味,切,以水六升,煮取二升半,去滓,分温三服。(今按∶《博济安众方》∶夕药,
当归各一两,生地黄切半升。上,水二升,煎取一升,分服。)
《子母秘录》记载:产后各种症状虽然与其他情况没有太大差异,但针对产后不能进食的方剂如下:
白术(四两) 生姜(六两)
以上两味药,切碎,用水三升、酒三升,用小火慢煎,取汁液一升半,过滤去渣,分两次温服。这是许仁则传给女性的方子。
《博济安众方》中治疗产后呕吐逆气、不能进食的方剂:
厚朴(二两,炙制) 白术(一两,炒制)
以上药物,用水二升,煎取一升,分四五次服用。
《诸病源候论》记载:分娩导致脏腑劳损受伤,血液亏虚无法恢复,风邪趁机侵袭;风邪与血气搏结,使气机不能宣泄,从而产生痞塞涩滞并生热,或者出现四肢关节烦闷昏乱,或者嘴唇干燥,这都是因为虚弱而生热,所以称为虚热。
《葛氏方》治疗产后烦热,若伴有口渴或身体沉重瘙痒的方剂:
将大豆炒熟,用热酒淋浇,饮用二升,覆盖衣被取汗。
《千金方》治疗产后虚热头痛的方剂:
芍药(五两) 桂心(三两) 干地黄(五两) 牡蛎(五两)
以上四味药,用水五升,煮取二升半,分三次服用。
《诸病源候论》记载:妇女以肾系连胞宫,分娩时血和水液一同下行,损伤了肾与膀胱的气,津液枯竭干燥,所以导致口渴。
《医门方》治疗产后大渴不止的方剂:
芦根(切段,一升) 栝蒌(三两) 人参 甘草(炙制) 茯苓(各二两) 麦门冬(各四两,去心) 大枣(十二枚)
用水九升,煮取三升,分三次服用。
《子母秘录》记载:治疗产后口渴的方剂:
用新汲取的凉水调和蜂蜜饮用,不论多少,温热后给刚生产完的新产妇服用。
《录验方》治疗产后虚劳,出汗不止的牡蛎散方剂:
牡蛎(二两) 干姜(二两) 麻黄根(二两)
以上三味药,捣碎过筛,混合米粉,扑撒在身体上,不过三四次即可停止出汗。
《千金方》治疗产后身体虚弱消瘦,盗汗,时常心情抑郁恶寒的方剂:
吴茱萸(如鸡蛋大小)
仅这一味药,用酒三升浸泡半天,煮得二升,一次性服用一升,每天两次。隔日饮用一次。
《子母秘录》治疗产后出汗不止,兼有腹痛、虚乏劳损的方剂:
通草 芍药 当归(各三两) 生地黄(切段,一升)
以上四味药,切碎,用水六升,煮取二升半,过滤去渣,分三次温服。(按语:《博济安众方》中:芍药、当归各一两,生地黄切半升。以上药物,用水二升,煎取一升,分次服用。)
The *Zimu Milu* (Secret Records of Mother and Child) states: Although various postpartum conditions are not significantly different from others, the following prescription is for postpartum inability to eat:
Bai Zhu (Atractylodis Rhizoma, four liang), Sheng Jiang (Zingiberis Rhizoma Recens, six liang).
These two ingredients are finely chopped. Decoct with three sheng of water and three sheng of wine over gentle heat until one and a half sheng remains. Strain to remove dregs, and take warm in two divided doses. This formula was passed down by Xu Renze for women.
The *Boji Anzhong Fang* (Prescriptions for Universal Peace and Safety) provides a prescription for postpartum vomiting, regurgitation, and inability to eat:
Hou Po (Magnoliae Officinalis Cortex, two liang, processed with fire), Bai Zhu (Atractylodis Rhizoma, one liang, stir-fried).
Decoct these with two sheng of water until one sheng remains. Take in four or five divided doses.
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases) states: Childbirth causes fatigue and injury to the zang-fu organs; blood deficiency fails to recover, allowing wind-pathogen to invade. The pathogen contends with blood and qi, preventing the free flow of qi, leading to stagnation, obstruction, and generation of heat. This may manifest as irritability and confusion in the limbs and joints, or dryness of the lips. Since this heat arises from deficiency, it is termed "deficiency-heat."
The *Ge Shi Fang* (Prescriptions by Master Ge) treats postpartum vexatious heat, especially if accompanied by thirst or heaviness and itching of the body:
Roast soybeans, pour hot wine over them, and drink two sheng. Cover warmly to induce sweating.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats postpartum deficiency-heat headache:
Bai Shao Yao (Paeoniae Radix Alba, five liang), Gui Xin (Cinnamomi Ramulus, three liang), Gan Di Huang (Rehmanniae Radix Preparata, five liang), Mu Li (Ostreae Concha, five liang).
Decoct these four ingredients with five sheng of water until two and a half sheng remains. Take in three divided doses.
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases) states: In women, the kidney connects to the uterus. During childbirth, blood and fluids descend together, damaging the qi of the kidney and bladder. The depletion and drying of body fluids lead to thirst.
The *Yimen Fang* (Prescriptions of the Medical Gate) treats excessive unquenchable thirst after childbirth:
Lu Gen (Phragmitis Rhizoma, cut, one sheng), Gua Lou (Trichosanthis Fructus, three liang), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, processed with fire), Fu Ling (Poria, each two liang), Mai Men Dong (Ophiopogonis Radix, each four liang, heart removed), Da Zao (Jujubae Fructus, twelve pieces).
Decoct with nine sheng of water until three sheng remains. Take in three divided doses.
The *Zimu Milu* (Secret Records of Mother and Child) states: For postpartum thirst:
Drink fresh well water mixed with honey. Administer warm to the new mother, regardless of quantity.
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases) states: All postpartum women suffer from blood deficiency, hence they tend to sweat profusely.
The *Luyan Fang* (Verified Prescriptions) provides the Musli San (Oyster Shell Powder) for postpartum deficiency-labor and incessant sweating:
Mu Li (Ostreae Concha, two liang), Gan Jiang (Zingiberis Rhizoma, two liang), Mahuang Gen (Ephedrae Radix et Rhizoma, two liang).
Grind these three substances into powder, mix with rice flour, and dust the body. Use no more than three or four times to stop sweating.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats postpartum emaciation, night sweats, and occasional depression with aversion to cold:
Wu Zhu Yu (Evodiae Fructus, size of a chicken egg).
Soak this single ingredient in three sheng of wine for half a day. Boil until two sheng remain. Take one sheng at once, twice daily. Drink every other day.
The *Zimu Milu* (Secret Records of Mother and Child) treats postpartum incessant sweating, accompanied by abdominal pain, deficiency, and fatigue:
Tong Cao (Tetrapanacis Medulla), Shao Yao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix, each three liang), Sheng Di Huang (Rehmanniae Radix, cut, one sheng).
Chop these four ingredients. Decoct with six sheng of water until two and a half sheng remains. Strain and take warm in three divided doses. (Note: The *Boji Anzhong Fang* specifies: Shao Yao and Dang Gui, each one liang; Sheng Di Huang, cut, half a sheng. Decoct with two sheng of water until one sheng remains. Take in divided doses.)