论曰内经谓五气所病,在肺为咳,产后脏腑俱弱,风寒乘虚而客于肺,肺为华盖,位处
于上,其俞在背,外合皮毛,寒气客之,则先乘于肺,肺感微寒,故为咳嗽。
治产后咳嗽,痰壅烦闷。百部汤方
百部 款冬花 紫菀(去苗土) 贝母(去心) 知母(焙) 白薇 杏仁(去皮尖双
仁炒)
上七味等分,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
治产后咳嗽痰盛,头目不利。皂荚丸方
皂荚(七挺不 者水浸 取汁滤去滓) 丁香 桂(去粗皮各半两) 诃黎勒(炮取皮
十枚) 杏仁(八十枚去皮尖双仁炒)
上五味,将四味捣为细末,以皂荚水就银石铫内,煎如膏,即将药和搜为丸,如梧桐子
大。每服十丸,乌梅汤下,不拘时服。
治产后咳嗽痰壅。半夏汤方
半夏(半两生姜汁淹浸一宿切焙) 贝母(去心一两) 柴胡(去苗一两) 猪牙 皂
荚(炙
上五味,粗捣筛,每服三钱匕,水一盏,生姜五片,同煎七分,去滓温服,不拘时。
治产后咳嗽,痰涎壅闷。紫菀汤方
紫菀(去苗土一两半) 贝母(去心一两) 白茯苓(去黑皮二两) 人参(一两) 陈
橘皮(
上六味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
治产后肺气虚寒,咳嗽喘闷。黄 汤方
黄 (锉) 桔梗(炒) 人参 白茯苓(去黑皮) 山芋(各半两)
上五味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
治产后咳嗽,喘急烦闷。柴胡汤方
柴胡(去苗) 麻黄(去根节煎掠去沫焙) 紫苏茎叶 陈橘皮(去白焙) 杏仁(去
皮尖双
上五味等分,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
治产后咳嗽,连声不绝,痰涎壅盛。百部丸方
百部(焙半两) 细辛(去苗叶三两) 贝母(去心) 甘草(炙) 紫菀(去苗土) 桂
(去粗
上一十味,捣罗为末和匀,炼蜜为丸,如梧桐子大,每服二十丸,生姜蜜汤下,不拘时
服。
治产后肺感寒,咳嗽上气,咽嗌不利,声重鼻塞。十味丸方
当归(切焙) 细辛(去苗叶各一两) 桂(去粗皮三分) 蜀椒(去目并闭口炒汗出
一分)
分) 桑根白皮(
上一十味,捣罗为末,炼蜜为丸,梧桐子大。每服二十丸,温酒下,生姜酒亦得。不拘
时。
治产后咳嗽。黄 汤方
黄 (锉二两) 人参 茯神(去木) 麦门冬(去心焙) 桂(去粗皮) 陈橘皮(去
白焙)
两)
上一十一味,粗捣筛,每服三钱匕,水一盏半,生姜二片,枣一枚擘,同煎一盏,去滓
温服,不拘时。
治产后伤风咳嗽,壮热憎寒。白前汤方
白前 桑根白皮(锉) 生干地黄(焙各一两半) 白茯苓(去黑皮二两半) 地骨皮
(二
上六味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
治产后肺寒咳嗽。前胡汤方
前胡(去芦头) 升麻 桂(去粗皮) 紫菀(去苗土) 白茯苓(去黑皮) 五味子 麦
门冬
上八味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
治产后肺气寒壅咳嗽。地骨皮汤方
地骨皮(锉焙二两半) 白术(二两) 石膏(碎三分) 桑根白皮(锉二两) 杏仁
(去
上五味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
治产后肺感寒,咳嗽不已。吴茱萸汤方
吴茱萸(汤洗焙干炒三分) 桂(去粗皮一两) 细辛(去苗叶一两一分) 当归(切
焙三分)
上五味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时。
《黄帝内经》论述道:五气致病,在肺表现为咳嗽。产后妇女脏腑功能均虚弱,风寒之邪乘虚侵袭肺部。肺为“华盖”(五脏六腑之盖,位最高),位于人体上部,其背俞穴在背部,外合皮毛。寒气侵入,首先侵犯肺脏,肺感受轻微寒邪,因此发生咳嗽。
治疗产后咳嗽、痰液壅盛导致烦闷的百部汤方:
药材包括:百部、款冬花、紫菀(去除苗和泥土)、贝母(去除心)、知母(焙干)、白薇、杏仁(去皮尖及双仁,炒制)。
以上七味药等量混合,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
治疗产后咳嗽痰多、头目昏沉不清的皂荚丸方:
药材包括:皂荚(七挺不腐烂者,用水浸泡取汁,过滤去渣)、丁香、桂枝(去除粗皮,各半两)、诃黎勒(炮制,取皮十枚)、杏仁(八十枚,去皮尖及双仁,炒制)。
以上五味药,将前四味捣成细末,用皂荚水在银或石制的铫子内煎煮如膏状,然后将药粉与膏混合搓成丸剂,大小如梧桐子。每次服用十丸,用乌梅汤送下,不限时间服用。
治疗产后咳嗽痰液壅盛的半夏汤方:
药材包括:半夏(半两,用生姜汁浸泡一夜,切片焙干)、贝母(去除心一两)、柴胡(去除苗一两)、猪牙皂荚(炙烤)。
以上五味药,粗捣后过筛。每次服用三钱匕,加水一盏,生姜五片,共同煎至七分满,去渣后温服,不限时间。
治疗产后咳嗽、痰涎壅塞导致闷窒的紫菀汤方:
药材包括:紫菀(去除苗土一两半)、贝母(去除心一两)、白茯苓(去除黑皮二两)、人参(一两)、陈皮(去除白瓤焙干)。
以上六味药,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
治疗产后肺气虚寒、咳嗽气喘闷窒的黄耆汤方:
药材包括:黄耆(锉碎)、桔梗(炒制)、人参、白茯苓(去除黑皮)、山芋(即山药,各半两)。
以上五味药,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
治疗产后咳嗽、气喘急促烦闷的柴胡汤方:
药材包括:柴胡(去除苗)、麻黄(去除根节,煎煮掠去浮沫后焙干)、紫苏茎叶、陈皮(去除白瓤焙干)、杏仁(去除皮尖及双仁)。
以上五味药等量混合,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
治疗产后咳嗽,连续不断,痰涎壅盛的百部丸方:
药材包括:百部(焙干半两)、细辛(去除苗叶三两)、贝母(去除心)、甘草(炙烤)、紫菀(去除苗土)、桂枝(去除粗皮)。
以上十味药,捣碎过罗成细末并混合均匀,用炼蜜制成丸剂,大小如梧桐子。每次服用二十丸,用生姜蜜汤送下,不限时间服用。
治疗产后肺感寒邪,咳嗽上气,咽喉不利,声音重浊鼻塞的十味丸方:
药材包括:当归(切后焙干)、细辛(去除苗叶各一两)、桂枝(去除粗皮三分)、蜀椒(去除目及闭口者,炒至出汗一分)、桑根白皮。
以上十味药,捣碎过罗成细末,用炼蜜制成丸剂,大小如梧桐子。每次服用二十丸,用温酒送下,用生姜酒送下也可以。不限时间服用。
治疗产后咳嗽的黄耆汤方:
药材包括:黄耆(锉碎二两)、人参、茯神(去除木心)、麦门冬(去除心焙干)、桂枝(去除粗皮)、陈皮(去除白瓤焙干)。
以上十一味药,粗捣后过筛。每次服用三钱匕,加水一盏半,生姜两片,大枣一枚掰开,共同煎至一盏满,去渣后温服,不限时间。
治疗产后伤风咳嗽,高热恶寒的白前汤方:
药材包括:白前、桑根白皮(锉碎)、生干地黄(焙干各一两半)、白茯苓(去除黑皮二两半)、地骨皮。
以上六味药,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
治疗产后肺寒咳嗽的前胡汤方:
药材包括:前胡(去除芦头)、升麻、桂枝(去除粗皮)、紫菀(去除苗土)、白茯苓(去除黑皮)、五味子、麦门冬。
以上八味药,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
治疗产后肺气寒邪壅滞咳嗽的地骨皮汤方:
药材包括:地骨皮(锉碎焙干二两半)、白术(二两)、石膏(打碎三分)、桑根白皮(锉碎二两)、杏仁(去除皮尖及双仁)。
以上五味药,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
治疗产后肺感寒邪,咳嗽不止的吴茱萸汤方:
药材包括:吴茱萸(汤洗后焙干炒制三分)、桂枝(去除粗皮一两)、细辛(去除苗叶一两一分)、当归(切后焙干三分)。
以上五味药,粗捣后过筛。每次服用三钱匕,加水一盏,煎至七分满,去渣后温服,不限时间。
The *Neijing* (Yellow Emperor's Inner Canon) states: Among the diseases caused by the five qi, coughing manifests in the Lung. After childbirth, the zang-fu organs are all weak; wind-cold pathogens take advantage of this deficiency to invade the Lungs. The Lung is the "Canopy" (the highest organ covering the other viscera), located in the upper body, with its back-shu points on the back, and externally connecting to the skin and hair. When cold qi invades, it first attacks the Lung. Upon contracting slight cold, the Lung gives rise to coughing.
**Baibu Tang (Stemona Decoction)** for treating postpartum cough with phlegm obstruction causing irritability and stuffiness:
Ingredients: Baibu (*Radix Stemona*), Kuandonghua (*Flos Farfarae*), Ziwan (*Radix Asteris*), Beimu (*Bulbus Fritillariae Cirrhosae*, core removed), Zhi_mu (*Rhizoma Anemarrhenae*, roasted), Baiwei (*Radix Cynanchi Atrati*), Xingren (*Semen Armeniacae Amarum*, peel and tips removed, twin kernels discarded, stir-fried).
These seven herbs are taken in equal parts, coarsely crushed and sieved. For each dose, take three qianbi (approx. 9g), add one zhan (approx. 200ml) of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Zaojiao Wan (Gleditsia Sinensis Pill)** for treating postpartum cough with excessive phlegm and clouded head and eyes:
Ingredients: Zaojiao (*Fructus Gleditsiae Sinensis*, seven pods not rotten, soaked in water to extract juice, filtered to remove dregs), Dingxiang (*Flos Caryophylli*), Gui (*Ramulus Cinnamomi*, outer bark removed, half liang each), Helile (*Fructus Terminaliae Chebulae*, processed, ten pieces of peel), Xingren (*Semen Armeniacae Amarum*, eighty seeds, peel and tips removed, twin kernels discarded, stir-fried).
Take these five herbs. Pound the first four into a fine powder. Using the Zaojiao juice, decoct in a silver or stone ding (cauldron) until it resembles a paste. Mix the powder with the paste to form pills the size of Sophora seeds. Take ten pills per dose, washed down with Wumei Tang (Mume Decoction), at any time.
**Banxia Tang (Pinellia Decoction)** for treating postpartum cough with phlegm obstruction:
Ingredients: Banxia (*Rhizoma Pinelliae Ternatae*, half liang, soaked overnight in Shengjiang juice, sliced and dried), Beimu (*Bulbus Fritillariae Cirrhosae*, core removed, one liang), Chaihu (*Radix Bupleuri*, shoots removed, one liang), Zhuya Zaojiao (*Fructus Gleditsiae Sinensis*, roasted*).
These five herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water and five slices of Shengjiang, decoct together until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Ziwan Tang (Aster Decoction)** for treating postpartum cough with phlegm-saliva obstruction causing stifling sensation:
Ingredients: Ziwan (*Radix Asteris*, shoots and soil removed, one and a half liang), Beimu (*Bulbus Fritillariae Cirrhosae*, core removed, one liang), Baifuling (*Poria*, black skin removed, two liang), Renshen (*Radix Ginseng*, one liang), Chenpi (*Pericarpium Citri Reticulatae*, white pith removed, dried*).
These six herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Huangqi Tang (Astragalus Decoction)** for treating postpartum lung qi deficiency and cold, presenting with cough, wheezing, and stifling:
Ingredients: Huangqi (*Radix Astragali Membranacei*, chopped), Jiegeng (*Radix Platycodonis*, stir-fried), Renshen (*Radix Ginseng*), Baifuling (*Poria*, black skin removed), Shanyu (*Radix Dioscoreae Hypoglaucae*, half liang each).
These five herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Chaihu Tang (Bupleurum Decoction)** for treating postpartum cough with rapid wheezing and irritability:
Ingredients: Chaihu (*Radix Bupleuri*, shoots removed), Mahuang (*Herba Ephedrae*, roots and joints removed, boiled to skim off foam then dried), Zisu Jingye (*Caulis et Folium Perillae Frutescentis*), Chenpi (*Pericarpium Citri Reticulatae*, white pith removed, dried*), Xingren (*Semen Armeniacae Amarum*, peel and tips removed, twin kernels discarded*).
These five herbs are taken in equal parts, coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Baibu Wan (Stemona Pill)** for treating postpartum cough that is continuous and incessant, with excessive phlegm-saliva:
Ingredients: Baibu (*Radix Stemona*, dried half liang), Xixin (*Herba Asari*, shoots and leaves removed, three liang), Beimu (*Bulbus Fritillariae Cirrhosae*, core removed), Gancao (*Radix Glycyrrhizae*, roasted*), Ziwan (*Radix Asteris*, shoots and soil removed*), Gui (*Ramulus Cinnamomi*, outer bark removed*).
These ten herbs are pounded, sifted into a fine powder, and mixed evenly. Form pills using refined honey, sized like Sophora seeds. Take twenty pills per dose, washed down with Shengjiang Mi Tang (Ginger-Honey Decoction), at any time.
**Shiwei Wan (Ten-Ingredient Pill)** for treating postpartum lung contraction of cold, cough with rebellious qi, difficulty in throat, heavy voice, and nasal congestion:
Ingredients: Danggui (*Radix Angelicae Sinensis*, sliced and dried*), Xixin (*Herba Asari*, shoots and leaves removed, one liang each), Gui (*Ramulus Cinnamomi*, outer bark removed, three fen), Shujiao (*Fructus Zanthoxyli*, eyes and closed-mouth ones removed, stir-fried until sweat appears, one fen*), Sanggen Baipi (*Cortex Mor radicis*).
These ten herbs are pounded, sifted into a fine powder, and formed into pills using refined honey, sized like Sophora seeds. Take twenty pills per dose, washed down with warm wine; ginger wine is also acceptable. At any time.
**Huangqi Tang (Astragalus Decoction)** for treating postpartum cough:
Ingredients: Huangqi (*Radix Astragali Membranacei*, chopped, two liang), Renshen (*Radix Ginseng*), Fushen (*Poria cum Radice*, wood removed*), Maidong (*Radix Ophiopogonis*, core removed, dried*), Gui (*Ramulus Cinnamomi*, outer bark removed*), Chenpi (*Pericarpium Citri Reticulatae*, white pith removed, dried*).
These eleven herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one and a half zhan of water, two slices of Shengjiang, and one Zao (Jujube) split open. Decoct until one zhan remains, remove the dregs, and take warm at any time.
**Baiqian Tang (Cynanchum Stenophyllum Decoction)** for treating postpartum wind-strike cough with high fever and aversion to cold:
Ingredients: Baiqian (*Radix Cynanchi Stauntonii*), Sanggen Baipi (*Cortex Mor radicis*, chopped), Shenggan Dihuang (*Radix Rehmanniae Preparata*, dried, one and a half liang each), Baifuling (*Poria*, black skin removed, two and a half liang), Digupi (*Cortex Lycii radicis*).
These six herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Qianhu Tang (Peucedanum Decoction)** for treating postpartum lung cold cough:
Ingredients: Qianhu (*Radix Peucedani*, rhizome removed*), Shengma (*Rhizoma Cimicifugae*), Gui (*Ramulus Cinnamomi*, outer bark removed*), Ziwan (*Radix Asteris*, shoots and soil removed*), Baifuling (*Poria*, black skin removed*), Wuweizi (*Fructus Schisandrae Chinensis*), Maidong (*Radix Ophiopogonis*).
These eight herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Digupi Tang (Lycium Root Bark Decoction)** for treating postpartum cough due to cold stagnation in lung qi:
Ingredients: Digupi (*Cortex Lycii radicis*, chopped, dried, two and a half liang), Baizhu (*Rhizoma Atractylodis Macrocephalae*, two liang), Shigao (*Gypsum Fibrosum*, crushed, three fen*), Sanggen Baipi (*Cortex Mor radicis*, chopped, two liang*), Xingren (*Semen Armeniacae Amarum*, peel and tips removed, twin kernels discarded*).
These five herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.
**Wuzhuyu Tang (Evodia Decoction)** for treating postpartum lung contraction of cold with unceasing cough:
Ingredients: Wuzhuyu (*Fructus Evodiae Officinalis*, washed with hot water, dried, roasted, three fen*), Gui (*Ramulus Cinnamomi*, outer bark removed, one liang*), Xixin (*Herba Asari*, shoots and leaves removed, one liang and one fen*), Danggui (*Radix Angelicae Sinensis*, sliced and dried, three fen*).
These five herbs are coarsely crushed and sieved. For each dose, take three qianbi, add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm at any time.