《病源论》云∶运闷之状,心烦,气欲绝是也。亦有去血过多,亦有下血极少,皆令运。
若产去血过多,血虚气极,如此而运闷者,但烦闷而已。若下血过少而气逆者,则血随气上
掩心,亦令运闷,则烦闷而心满气急。二者为异。亦其候。产妇血下多少,则知其应运与不
运。凡产时当慎向坐卧。若触犯禁忌,多令运闷。
《经心方》∶治产后忽闷冒汗出不识人者,是暴虚故也。
取验醋以涂口鼻,仍置醋于前,使闻其气,兼细细饮之。此为上法。(今按∶《子母秘录》
云∶如觉运即以醋喷其面,苏来,即今饮醋。)
又方∶破鸡子,吞之便醒。
又云∶若不醒者可与男子小便,灌口得一升,入腹,大佳。
又云∶若与鸡子等不醒者,可急与竹沥汁一升,一服五合。
《千金方》治产后血运,心闷气绝方∶
验醋一升,和所产血如枣大,服兼 面。
又方∶大豆熬令烟绝,热,以清酒一升泼之,承其汁饮之。
《葛氏方》治血气逆,心烦满者方∶
生竹皮一升,水三升,煮取一升半,分三服。
《产经》治产后心闷,眼不得开方∶
赤小豆为散,东流水和,方寸匕服之。
《僧深方》治产后心闷腹痛方∶
生地黄汁一升,酒三合,和温服。(今按∶《博济安众方》无酒。)
《集验方》治产后心闷,眼不得开方∶
即当头顶上取发如两指大,强人牵之,眼即开。
《孟诜方》治产后血运心闷气绝方∶
以冷水 面即醒。
《博济安众方》云∶产后心闷不语烦热方∶
地黄汁(五合) 当归(一两,末) 清酒(五合) 姜汁(二合)
上,童子小便一升和煎去滓,分服。
《子母秘录》云∶产后促迷不醒,唇口冷,已脉绝血青不语,此是晕鬼所出,血气上冲
心方∶取验醋二合,鸡子一颗。上,先破鸡子于垸中,煮醋一沸,投醋于鸡子中熟搅,与产
者顿服之,立定。
《诸病源候论》说:运闷的症状,是心中烦乱,气息微弱欲绝。也有的是因为产后失血过多,有的是因为恶露排出极少,这些情况都会导致运闷。
如果产后失血过多,导致血虚气极,出现这种运闷,仅仅表现为心烦闷乱而已。如果是恶露排出过少而气机逆乱,那么血液会随着气机上冲遮蔽心窍,也会导致运闷,此时不仅心烦闷乱,还会感到心胸痞满、呼吸急促。这两种情况是不同的。这也是其征候。产妇下血量多或少,就可以知道她是否会发生运闷。凡是分娩时应当谨慎注意坐卧姿势。如果触犯禁忌,大多会导致运闷。
《经心方》记载:治疗产后突然昏冒、出汗且不认识人的症状,这是因为暴发性虚损所致。
取醋涂抹于口鼻处,并将醋放在面前,让患者闻其气味,同时细细饮用。这是上等的治疗方法。(按语:《子母秘录》说:如果觉得要晕倒,就用醋喷其面部,苏醒后,就现在喝醋。)
又一方:打破鸡蛋,吞服即可苏醒。
又说:如果不醒,可以给予男子小便,灌入口中一升,进入腹中,效果很好。
又说:如果与鸡蛋同服仍不醒,可急用竹沥汁一升,每次服用五合。
《千金方》治疗产后血运,心胸闷乱、气息将绝的方剂:
取醋一升,混合所产之血如枣核大小,服用并配合面粉(调服)。
又一方:炒大豆至无烟、发热,用清酒一升泼在上面,承接其汁液饮用。
《葛氏方》治疗气血逆乱,心烦胸满的方剂:
生竹皮一升,加水三升,煮取一升半,分三次服用。
《产经》治疗产后心胸闷乱,眼睛无法睁开的方剂:
赤小豆研为散剂,用东流水调和,一方寸匕的量服用。
《僧深方》治疗产后心胸闷乱、腹痛的方剂:
生地黄汁一升,加酒三合,和匀温服。(按语:《博济安众方》中没有酒。)
《集验方》治疗产后心胸闷乱,眼睛无法睁开的方剂:
就在头顶上取头发如两指宽那么大,用力拉扯,眼睛就会睁开。
《孟诜方》治疗产后血运、心胸闷乱、气息将绝的方剂:
用冷水调面粉敷面即可苏醒。
《博济安众方》说:治疗产后心胸闷乱、不能言语、烦躁发热的方剂:
地黄汁(五合) 当归(一两,研末) 清酒(五合) 姜汁(二合)
以上药物,加入童子小便一升共同煎煮,去渣滓,分次服用。
《子母秘录》说:产后昏迷不醒,嘴唇口角发冷,脉象断绝,血色青黑,不能言语,这是被晕鬼所伤,血气上冲心脏的方剂:
取醋二合,鸡蛋一颗。以上药物,先在瓦盆中打破鸡蛋,煮沸醋一次,将醋倒入鸡蛋中充分搅拌,让产妇一次性服下,立即安定。
According to the *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), the condition of Yunmen (syncope with oppression) is characterized by mental restlessness and a critical weakness of breath. It may also result from excessive blood loss after childbirth or from extremely scanty lochia discharge, both of which can lead to Yunmen.
If excessive blood loss during childbirth leads to severe blood deficiency and extreme Qi deficiency, resulting in Yunmen, the symptoms are merely mental restlessness and oppression. However, if lochia discharge is insufficient and Qi rebels upward, blood follows the rebellious Qi to obstruct the Heart orifice, also causing Yunmen; in this case, there is mental restlessness and oppression accompanied by chest fullness and rapid breathing. These two conditions are distinct. This is also their clinical manifestation. By observing whether the amount of postpartum bleeding is large or small, one can predict whether Yunmen will occur. During delivery, care must be taken regarding sitting, standing, and lying positions. If taboos are violated, Yunmen is likely to occur.
The *Jingxin Fang* states: To treat sudden fainting, sweating, and loss of recognition after childbirth, which is caused by acute deficiency:
Apply vinegar to the mouth and nose, place vinegar nearby for inhalation, and drink it slowly. This is considered an excellent method. (Note: The *Zimu Milu* says: If one feels faint, spray vinegar on the face; upon recovery, drink vinegar.)
Another prescription: Break an egg and swallow it to regain consciousness.
It is also said: If the patient does not wake up, administer one sheng of urine from a male child into the mouth; once ingested, the effect is very good.
It is further stated: If the patient does not wake up even after taking the egg, urgently administer one sheng of bamboo sap, divided into doses of five ge per administration.
The *Qianjin Fang* provides a prescription for treating postpartum blood syncope, chest oppression, and critical Qi deficiency:
Take one sheng of vinegar, mix it with a quantity of postpartum blood equivalent to the size of a jujube pit, ingest it, and take flour paste concurrently.
Another prescription: Stir-fry soybeans until smoke ceases and they are hot, pour one sheng of clear wine over them, catch the resulting liquid, and drink it.
The *Ge Shi Fang* provides a prescription for treating rebellious Qi and Blood, mental restlessness, and chest fullness:
Take one sheng of fresh bamboo skin, add three sheng of water, decoct to obtain one and a half sheng, and divide into three doses.
The *Chan Jing* provides a prescription for treating postpartum chest oppression and inability to open the eyes:
Grind adzuki beans into powder, mix with flowing water from the east, and administer one fangcun bi per dose.
The *Seng Shen Fang* provides a prescription for treating postpartum chest oppression and abdominal pain:
Take one sheng of juice from fresh Rehmannia root (*Sheng Dihuang*), mix with three ge of wine, warm, and ingest. (Note: The *Boji Anzhong Fang* does not include wine.)
The *Jiyan Fang* provides a prescription for treating postpartum chest oppression and inability to open the eyes:
Take hair from the vertex of the head, approximately the width of two fingers, pull it firmly, and the eyes will open.
The *Meng Shen Fang* provides a prescription for treating postpartum blood syncope, chest oppression, and critical Qi deficiency:
Apply a paste made of cold water and flour to the face to regain consciousness.
The *Boji Anzhong Fang* states: For treating postpartum chest oppression, mutism, irritability, and fever:
Rehmannia root juice (*Dihuang Zhi*) (five ge), Angelica sinensis (*Danggui*) (one liang, powdered), clear wine (five ge), ginger juice (two ge).
Combine the above ingredients with one sheng of urine from a young boy, decoct together, strain, and divide into doses for administration.
The *Zimu Milu* states: For postpartum coma with unconsciousness, cold lips and mouth, absent pulse, dark blue blood color, and muteness, which is attributed to attack by a "fainting ghost" causing Qi and Blood to rush upward to the Heart:
Take two ge of vinegar and one egg. Break the egg into a clay vessel first, boil the vinegar once, pour the vinegar into the egg, stir thoroughly, and have the parturient woman consume it all at once; she will stabilize immediately.