《病源论》云∶产伤于经血,其后虚损不复。或劳役损动而血暴崩下,遂淋沥不断时来,
故谓恶露不尽。
《葛氏方》治产后恶血不除方∶
生姜(三斤)
咀,以水一斗,煮取三升,分三服。当下恶血。
《千金方》治产后恶血不尽烦闷腹痛方∶
捣生藕,取汁,饮二升,甚验。
又方∶捣地黄汁一升,酒三合,合温,顿服之。
《短剧方》治产后漏血不息方∶
蜂房 故 船竹茹
凡二物,分等,皆烧末以酪及浆服方寸匕,日三。
《医门方》疗产后余血作 (疾)痛兼块者方∶
桂心 干地黄 (分等)
末,酒服方寸匕,日二三。
又云∶疗产后血泄不禁止方∶
急以干地黄末,酒服一匙,二三服即止。
《产经》疗产后腹中秽汁不尽,腹满不减。小豆汤方∶
小豆五升,以水一斗,煮熟,尽服其汁,立除。
《耆婆方》治产后恶露不尽方∶
生姜(一斤) 蒲黄(三两)
以水九升,煮取三升,分三服,得恶血出即瘥。
《录验方》治产后余血不尽多结成 ,吴茱萸散方∶
吴茱萸(一两) 薯蓣(二两)
凡二物,冶下筛,酒服方寸匕,日三。
《病源论》云∶产后脏虚或宿挟风寒,或新解触冷,与气相击搏,恒腹痛。若气逆上者,
亦令心痛胸胁痛也。
《集验方》治产后腹痛方∶
当归(一斤) 酒(一斗)
煮取七升,以大豆四升熬,酒洗热豆,去滓,随多少服,日二。
《葛氏方》治产后腹瘕痛方∶
末桂,温酒服方寸匕,日三。
又方∶烧斧令赤,以染酒中饮之。
《千金方》治产后腹痛不可忍方∶
牛膝(五两) 酒(五升)
煮取二升,分再服,若干,以酒渍之,然后可煮。
又方∶吴茱萸一升,以酒三升,渍一宿,煎得半升,顿服。
又云∶治产后腹中如弦,恒坚痛,无聊赖方∶
当归屑二方寸匕,纳蜜一升,煎之适口,一顿服之。
《产经》治产后腹中绞痛,脐下坠满方∶
以清酒煮白饴,令如浓白酒,顿服二升,不瘥复作,不过三,神良。
《僧深方》治产后余寒冷,腹中绞痛并上下方∶
吴茱萸 干姜 当归 夕药 独活 甘草(各一两)
凡六物,水八升,煮取三升,分三服。
《诸病源候论》说:分娩损伤了经血,之后身体虚弱损耗无法恢复。或者因为劳累过度导致气血受损,血液突然大量崩漏下行,于是淋漓不断时常流出,所以称为恶露不尽。
《葛氏方》治疗产后恶血不除的方剂:
生姜(三斤)
切碎,用水一斗,煮取三升药液,分三次服用。服药后应当排出恶血。
《千金方》治疗产后恶血不尽、烦闷腹痛的方剂:
捣碎生藕,取汁液,饮用二升,效果非常显著。
另一个方子:捣取地黄汁一升,加入酒三合,混合温热后,一次性服下。
《短剧方》治疗产后漏血不止的方剂:
蜂房(烧过的) 船竹茹
以上两味药,分量相等,都烧成粉末,用酪浆和浆水送服一方寸匕的药量,每天三次。
《医门方》治疗产后余血形成疼痛兼有结块的方剂:
桂心 干地黄 (分量相等)
研成粉末,用酒送服一方寸匕的药量,每天两到三次。
又说:治疗产后血泄不止的方剂:
急忙用干地黄末,用酒送服一匙,服用两三次即可停止。
《产经》治疗产后腹中秽浊汁液不尽,腹部胀满不减轻的小豆汤方剂:
小豆五升,用水一斗,煮熟后,喝尽其中的汁液,立刻消除症状。
《耆婆方》治疗产后恶露不尽的方剂:
生姜(一斤) 蒲黄(三两)
用水九升,煮取三升药液,分三次服用,排出恶血后病情即愈。
《录验方》治疗产后余血不尽多结成块的吴茱萸散方剂:
吴茱萸(一两) 薯蓣(二两)
以上两味药,研磨过筛,用酒送服一方寸匕的药量,每天三次。
《诸病源候论》说:产后脏腑虚弱,或者平时夹杂风寒,或者是新近感受寒冷,寒气与气相互搏击,常常引起腹痛。如果气逆向上冲,也会导致心痛和胸胁痛。
《集验方》治疗产后腹痛的方剂:
当归(一斤) 酒(一斗)
煮取七升药液,用大豆四升炒熟,用酒洗热豆子,去掉渣滓,根据患者能承受的多少来服用,每天两次。
《葛氏方》治疗产后腹中瘕聚疼痛的方剂:
肉桂粉末,用温酒送服一方寸匕的药量,每天三次。
另一个方子:将斧头烧红,浸入酒中饮下。
《千金方》治疗产后腹痛难以忍受的方剂:
牛膝(五两) 酒(五升)
煮取二升药液,分两次服用。如果药材干燥,先用酒浸泡,然后才可以煮。
另一个方子:吴茱萸一升,用酒三升,浸泡一夜,煎取半升药液,一次性服下。
又说:治疗产后腹中像琴弦一样紧绷,持续坚硬疼痛,令人无可奈何的方剂:
当归屑两个方寸匕的量,加入蜂蜜一升,煎煮至口感适宜,一次性服下。
《产经》治疗产后腹中绞痛,脐下坠胀满闷的方剂:
用清酒煮白饴糖,使其变成浓稠如白酒的状态,一次性服用二升。如果没好再制作,不超过三次,疗效神奇良好。
《僧深方》治疗产后余寒未尽,腹中绞痛并涉及上下部位的方剂:
吴茱萸 干姜 当归 芍药 独活 甘草 (各一两)
以上六味药,用水八升,煮取三升药液,分三次服用。
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Childbirth injures the menstrual blood, leading to subsequent deficiency and failure of recovery. Or, due to overexertion damaging the qi and blood, blood may suddenly collapse and flow down profusely, dripping continuously and recurring frequently; thus it is called "incomplete expulsion of lochia" (Eluo Bujin).
*Ge Shi Fang* (Prescriptions by Ge) for treating residual evil blood not expelled after childbirth:
Shengjiang (Fresh Ginger, Rhizoma Zingiberis Recens) (three jin)
Chopped, boiled in ten dou of water until three sheng of liquid remain, divided into three doses. Evil blood should be discharged upon taking this.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) for treating incomplete expulsion of evil blood causing restlessness and abdominal pain after childbirth:
Crush fresh Ou (Lotus Root, Rhizoma Nelumbinis), extract the juice, drink two sheng. It is highly effective.
Another prescription: Crush Dihuang (Rehmannia Root, Radix Rehmanniae Recens) to obtain one sheng of juice, mix with three he of wine, warm the mixture, and take it all at once.
*Duan Ju Fang* (Short Drama Prescriptions) for treating continuous bleeding after childbirth:
Fengfang (Honeycomb, Nidus Vespae) [burned] Chuanzhuru (Bamboo Shavings from Old Boats, Caulis Bambusae in Taenia)
These two substances are taken in equal parts, both burned to ash, and administered as one fangcun bi (a measure approx. 2-3 grams) with dairy products or fermented grain mash, three times daily.
*Yi Men Fang* (Medical Gate Prescriptions) for treating residual blood causing pain and masses after childbirth:
Guixin (Cinnamon Bark, Cortex Cinnamomi Cassiae) Dihuang (Prepared Rehmannia Root, Radix Rehmanniae Praeparata) [equal parts]
Grind into powder, administer one fangcun bi with wine, two to three times daily.
It also states: For treating uncontrolled postpartum hemorrhage:
Promptly administer one spoonful of Gan Dihuang (Dried Prepared Rehmannia Root, Radix Rehmanniae Praeparata) powder with wine. Two or three doses will stop the bleeding.
*Chan Jing* (Canon of Obstetrics) for treating incomplete expulsion of turbid fluids in the abdomen after childbirth, with persistent abdominal fullness: Xiaodou Tang (Adzuki Bean Decoction):
Xiaodou (Adzuki Beans, Semen Phaseoli Angularis) five sheng, boiled in ten dou of water until cooked. Drink all the liquid immediately for instant relief.
*Qi Po Fang* (Prescriptions of Qi Po) for treating incomplete expulsion of lochia after childbirth:
Shengjiang (Fresh Ginger, Rhizoma Zingiberis Recens) (one jin) Puhuang (Pollen Typhae, Pollen Typhae) (three liang)
Boil in nine sheng of water until three sheng remain, divide into three doses. Recovery occurs once evil blood is expelled.
*Lu Yan Fang* (Verified Records Prescriptions) for treating residual blood remaining after childbirth, often forming clumps: Wuzhuyu San (Evodia Powder):
Wuzhuyu (Evodia Fruit, Fructus Evodiae) (one liang) Shuyao (Dioscorea Tuber, Rhizoma Dioscoreae Hypoglaucae) (two liang)
These two substances are ground and sifted, administered as one fangcun bi with wine, three times daily.
The *Zhu Bing Yuan Hou Lun* states: Postpartum organ deficiency, combined with pre-existing wind-cold or recent exposure to cold, causes the cold to clash with qi, resulting in constant abdominal pain. If qi rebels upward, it also causes heart pain and chest/hypochondriac pain.
*Ji Yan Fang* (Collected Verified Prescriptions) for treating postpartum abdominal pain:
Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis) (one jin) Wine (one dou)
Boil until seven sheng remain. Stir-fry four sheng of soybeans, wash them hot with wine, remove dregs, and consume according to tolerance, twice daily.
*Ge Shi Fang* for treating abdominal mass-related pain after childbirth:
Gui (Cinnamon Twig/Bark, Ramulus et Cortex Cinnamomi) powder, taken with warm wine, one fangcun bi, three times daily.
Another prescription: Heat an axe until red-hot, quench it in wine, and drink the wine.
*Qianjin Fang* for treating unbearable postpartum abdominal pain:
Niuxi (Achyranthes Root, Radix Achyranthis Bidentatae) (five liang) Wine (five sheng)
Boil until two sheng remain, divide into two doses. If the herb is dry, soak it in wine first before boiling.
Another prescription: Take one sheng of Wuzhuyu (Evodia Fruit, Fructus Evodiae), soak in three sheng of wine overnight, decoct until half a sheng remains, and take all at once.
It also states: For treating postpartum abdominal tension like a bowstring, with constant hard pain and distress:
Take two fangcun bi of Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis) chips, add one sheng of honey, decoct until palatable, and take in one dose.
*Chan Jing* (Canon of Obstetrics) for treating severe colicky abdominal pain and bearing-down sensation below the umbilicus after childbirth:
Decoct Baiyi (White Maltose, Saccharum Officialle) in clear wine until it becomes thick like strong rice wine. Take two sheng in one dose. If not cured, prepare again; within three doses, it works miraculously well.
*Seng Shen Fang* (Monk Shen's Prescriptions) for treating lingering cold after childbirth, causing colicky abdominal pain affecting upper and lower regions:
Wuzhuyu (Evodia Fruit, Fructus Evodiae) Ganjiang (Dried Ginger, Rhizoma Zingiberis) Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis) Shaoyao (Peony Root, Radix Paeoniae Alba) Duhuo (Angelica Pubescens Root, Radix Angelicae Pubescentis) Gancao (Licorice Root, Radix Glycyrrhizae Uralensis) [each one liang]
These six substances are boiled in eight sheng of water until three sheng remain, divided into three doses.