论曰产后气血俱虚,饮食易为伤动,脾胃不和,水谷不化,故腹满肠鸣而为泄泻。更遇
寒气,则变为滞下矣。
治产后虚冷,泄泻不止,脏腑冷痛,腹胀满闷。附子丸方
附子(炮裂去皮脐) 木香(炮) 当归(切炒) 甘草(炙) 干姜(炮) 芍药(各
半两) 浓
术(锉炒) 诃黎
上一十二味,捣罗为末,薄面糊和丸,梧桐子大,每服三十丸。米饮下,食前服。
治产后泄泻,日久不止,烦渴困倦,不思饮食。地榆散方
地榆(细锉) 桂(去粗皮) 草豆蔻(去皮) 黄连(去须各三分) 槟榔(锉) 当
归(
香(炒) 枳壳(
上一十三味,捣罗为散,每服二钱匕,温酒调下,米饮亦得,空心食前。
治产后冷滑,泄泻不止。白垩丸方
白垩(火烧一两) 赤茯苓(去黑皮) 生干地黄(焙) 干姜(炮) 陈橘皮(去白
炒各半两)
上五味,捣罗为末,以薄面糊和丸,梧桐子大,每服三十丸,食前米饮下。
治产后日久泄泻,倦怠烦渴。龙骨丸方
龙骨 甘草(炙) 赤石脂 乌梅肉(炒) 人参 黄芩(去黑心) 枳壳(去瓤锉炒) 赤
茯
上一十味,捣罗为末,面糊和丸,梧桐子大,每服三十丸。米饮下。食前、日三。
治产后泄泻久不止,不思饮食。浓朴汤方
浓朴(去粗皮生姜汁炙二两) 生干地黄(焙) 苍术(切焙各一两) 当归(切炒三
分) 酸
上五味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,食前服。
治产后泄泻不止。人参丸方
人参 草豆蔻仁(炮) 诃黎勒(炮去核) 甘草(炙各一两) 白矾(熬令汁尽半两)
上五味,捣罗为末,面糊和丸,梧桐子大,每服三十丸,米饮下。食前服。
治产后久泻不止。赤石脂丸方
赤石脂 人参(各一两) 干姜(炮半两) 龙骨(三分)
上四味,捣罗为末,面糊和丸,梧桐子大,每服三十丸,食前米饮下。
治产后水泻不止。四胜丸方
代赭 干姜(炮) 龙骨(各一两) 附子(炮裂去皮脐三分)
上四味,捣罗为末,面糊和丸,梧桐子大,每服二十丸,米饮下,空心食前服。
治产后热泻不止。木香汤方
木香(炮) 黄连(去须各一两) 诃黎勒皮(三分炮) 龙骨(火烧红半两) 浓朴
(去粗皮
上五味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,空心食前服。
治产后泄泻不止。浓朴汤方
浓朴(去粗皮生姜汁炙锉) 干姜(炮) 白术(锉炒各一两) 甘草(炙半两) 陈
橘皮(去
上五味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,食前。
治产后泄泻,肠滑不止。阿胶丸方
阿胶(炒令燥) 黄柏(去粗皮锉) 人参 干姜(炮) 当归(切炒) 酸石榴皮(各
一两
上六味,捣罗为末,面糊和丸,梧桐子大,每服三十丸。食前米饮下。
治产后冷泻不止。肉豆蔻散方
肉豆蔻(去壳一两) 生姜(汁二合) 细面(二两)
上三味,捣罗二味,用姜汁调作饼子,慢火炙干再焙,捣罗为散,每服二钱匕,米饮调
下,空腹日三。
治产后冷泻,日久不止。熟艾丸方
熟艾(炒四两) 附子(炮裂去皮脐) 陈橘皮(去白切炒) 干姜(炮各一两)
上四味,捣罗为末,面糊和丸,梧桐子大,每服三十丸,食前米饮下。
治产后泄泻不止,脐腹撮痛。方
白矾(烧汁尽) 附子(炮裂去皮脐各二两)
上二味,捣罗为末,炼蜜和丸,如梧桐子大,每服十丸,温米汤下,食前服。
治产后泄泻腹痛。呕逆不能食。浓朴汤方
浓朴(去粗皮生姜汁炙锉二两) 白术(微炒一两)
上二味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓空心食前温服。
论述说:产后气血两虚,饮食容易受到损伤而扰动,导致脾胃功能不和,水谷无法消化,因此出现腹部胀满、肠鸣音亢进并引发泄泻。如果再遇到寒气侵袭,就会转变为痢疾(滞下)。
治疗产后虚寒证,表现为泄泻不止,脏腑冷痛,腹部胀满憋闷的附子丸方:
附子(炮制裂开,去皮和脐)半两,木香(炮制)半两,当归(切片炒制)半两,甘草(炙制)半两,干姜(炮制)半两,芍药半两,白术(锉碎炒制)半两,诃黎勒(去核)半两。
以上十二味药,捣碎过筛成粉末,用稀薄的面糊调和制成丸剂,大小如梧桐子。每次服用三十丸,用米汤送服,饭前服用。
治疗产后泄泻,病程长久不止,伴有烦躁口渴、困倦乏力,不想进食的地榆散方:
地榆(细切),桂枝(去掉粗皮),草豆蔻(去皮),黄连(去掉须根,各三分),槟榔(锉碎),当归(切片炒制),木香(炮制),黄芩(去掉黑心),枳壳(去掉瓤锉碎炒制),陈橘皮(去掉白色部分),茯苓(去掉黑皮),干姜(炮制),甘草(炙制)。
以上十三味药,捣碎过筛成散剂。每次服用二钱匕,用温酒调服,也可以用米汤送服,空腹或饭前服用。
治疗产后因寒冷导致的滑脱不禁,泄泻不止的白垩丸方:
白垩(火烧一两),赤茯苓(去掉黑皮),生干地黄(焙干),干姜(炮制),陈橘皮(去掉白色部分炒制,各半两)。
以上五味药,捣碎过筛成粉末,用稀薄的面糊调和制成丸剂,大小如梧桐子。每次服用三十丸,饭前用米汤送服。
治疗产后日久泄泻,倦怠乏力,烦躁口渴的龙骨丸方:
龙骨,甘草(炙制),赤石脂,乌梅肉(炒制),人参,黄芩(去掉黑心),枳壳(去掉瓤锉碎炒制),赤茯苓(去掉黑皮)。
以上十味药,捣碎过筛成粉末,用面糊调和制成丸剂,大小如梧桐子。每次服用三十丸,用米汤送服。饭前服用,每日三次。
治疗产后泄泻长久不止,不想进食的浓朴汤方:
浓朴(去掉粗皮,用生姜汁炙制二两),生干地黄(焙干),苍术(切片焙干,各一两),当归(切片炒制三分),酸石榴皮(烧存性)。
以上五味药,粗捣筛选。每次服用三钱匕,用水一盏,煎煮至七分,去渣后温服,饭前服用。
治疗产后泄泻不止的人参丸方:
人参,草豆蔻仁(炮制),诃黎勒(炮制去核),甘草(炙制,各一两),白矾(熬制直到汁液耗尽半两)。
以上五味药,捣碎过筛成粉末,用面糊调和制成丸剂,大小如梧桐子。每次服用三十丸,用米汤送服。饭前服用。
治疗产后久泻不止的赤石脂丸方:
赤石脂,人参(各一两),干姜(炮制半两),龙骨(三分)。
以上四味药,捣碎过筛成粉末,用面糊调和制成丸剂,大小如梧桐子。每次服用三十丸,饭前用米汤送服。
治疗产后水样泄泻不止的四胜丸方:
代赭石,干姜(炮制),龙骨(各一两),附子(炮制裂开,去皮和脐三分)。
以上四味药,捣碎过筛成粉末,用面糊调和制成丸剂,大小如梧桐子。每次服用二十丸,用米汤送服,空腹或饭前服用。
治疗产后热性泄泻不止的木香汤方:
木香(炮制),黄连(去掉须根,各一两),诃黎勒皮(炮制三分),龙骨(火烧至红半两),浓朴(去掉粗皮,用生姜汁炙制)。
以上五味药,粗捣筛选。每次服用三钱匕,用水一盏,煎煮至七分,去渣后温服,空腹或饭前服用。
治疗产后泄泻不止的浓朴汤方:
浓朴(去掉粗皮,用生姜汁炙制锉碎),干姜(炮制),白术(锉碎炒制,各一两),甘草(炙制半两),陈橘皮(去掉白色部分)。
以上五味药,粗捣筛选。每次服用三钱匕,用水一盏,煎煮至七分,去渣后温服,饭前服用。
治疗产后泄泻,肠道滑脱不止的阿胶丸方:
阿胶(炒至干燥),黄柏(去掉粗皮锉碎),人参,干姜(炮制),当归(切片炒制),酸石榴皮(烧存性,各一两)。
以上六味药,捣碎过筛成粉末,用面糊调和制成丸剂,大小如梧桐子。每次服用三十丸,饭前用米汤送服。
治疗产后冷泻不止的肉豆蔻散方:
肉豆蔻(去壳一两),生姜(取汁二合),细面粉(二两)。
以上三味药,将肉豆蔻捣碎,用姜汁调和做成饼状,用慢火烤干后再焙干,最后捣碎过筛成散剂。每次服用二钱匕,用米汤调服,空腹每日三次。
治疗产后冷泻,病程长久不止的熟艾丸方:
熟艾(炒制四两),附子(炮制裂开,去皮和脐),陈橘皮(去掉白色部分切片炒制),干姜(炮制,各一两)。
以上四味药,捣碎过筛成粉末,用面糊调和制成丸剂,大小如梧桐子。每次服用三十丸,饭前用米汤送服。
治疗产后泄泻不止,脐腹拘急疼痛的方剂:
白矾(烧制直到汁液耗尽),附子(炮制裂开,去皮和脐,各二两)。
以上二味药,捣碎过筛成粉末,用炼蜜调和制成丸剂,大小如梧桐子。每次服用十丸,用温米汤送服,饭前服用。
治疗产后泄泻腹痛,呕吐逆气不能进食的浓朴汤方:
浓朴(去掉粗皮,用生姜汁炙制锉碎二两),白术(微炒一两)。
以上二味药,粗捣筛选。每次服用五钱匕,用水一盏半,煎煮至八分,去渣后空腹或饭前温服。
Commentary states: Postpartum, both Qi and Blood are deficient. Food and drink are easily damaged and disturbed, leading to disharmony of the Spleen and Stomach. Water and grain fail to transform and digest, resulting in abdominal fullness, borborygmus (intestinal rumbling), and diarrhea. If further exposed to cold pathogenic factors, it may transform into dysentery (Li Xia).
Formula for Fuzi Pills (Aconite Pill) to treat postpartum deficiency-cold syndrome, characterized by unremitting diarrhea, cold pain in the Zang-Fu organs, and abdominal distension with oppression:
Pao Lie Qu Pi Qi Fuzi (Prepared Aconite Lateral Root, split, skin and umbilicus removed) 0.5 liang, Pao Muxiang (Prepared Aucklandiae Radix) 0.5 liang, Qie Chao Danggui (Prepared Angelicae Sinensis Radix, sliced and stir-fried) 0.5 liang, Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) 0.5 liang, Pao Ganjiang (Prepared Zingiberis Rhizoma) 0.5 liang, Shaoyao (Paeoniae Radix) 0.5 liang, Chu Chao Baizhu (Caulis Atractylodis Macrocephalae, crushed and stir-fried) 0.5 liang, Helile Qu He (Arecae Semen, pitted) 0.5 liang.
The above twelve ingredients are pounded, sifted into powder, mixed with thin wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with rice water, before meals.
Formula for Diyü Powder to treat postpartum diarrhea persisting for a long time, accompanied by irritability, thirst, fatigue, and anorexia:
Xi Cuo Diyü (Fine-cut Rubiae Radix et Rhizoma), Qu Cu Pi Gui (Cinnamomi Cortex, bark removed), Qu Pi Caodoukou (Cardamomi Fructus, peel removed), Qu Xu Huanglian (Coptidis Rhizoma, whiskers removed, each 3 fen), Cuo Binglang (Arecae Semen, crushed), Qie Chao Danggui (Prepared Angelicae Sinensis Radix, sliced and stir-fried), Pao Muxiang (Prepared Aucklandiae Radix), Qu Heixin Huangqin (Scutellariae Radix, black heart removed), Qu Rang Cuo Chao Zhike (Aurantii Fructus, albedo removed, crushed and stir-fried), Qu Bai Chenpí (Citri Reticulatae Pericarpium, white pith removed), Qù Hēipí Chì Fúlíng (Poria, black skin removed), Pao Ganjiang (Prepared Zingiberis Rhizoma), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma).
The above thirteen ingredients are pounded, sifted into powder. Take 2 qianbi per dose, mixed with warm wine or rice water, taken on an empty stomach or before meals.
Formula for Bai'e Pills to treat postpartum cold-induced slippery incontinence with unremitting diarrhea:
Huoshao Bai'e (Calcined Kaolin) 1 liang, Qù Hēipí Chì Fúlíng (Poria, black skin removed), Sheng Gān Dìhuáng (Fresh Rehmanniae Radix, dried by heat), Pao Ganjiang (Prepared Zingiberis Rhizoma), Qu Bai Chén Pí (Citri Reticulatae Pericarpium, white pith removed and stir-fried, each 0.5 liang).
The above five ingredients are pounded, sifted into powder, mixed with thin wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with rice water before meals.
Formula for Longgu Pills to treat postpartum chronic diarrhea with fatigue, irritability, and thirst:
Longgu (Fossilized Mammoth Bones), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Chishizhi (Halloysitum Rubrum), Chao Wumei Rou (Stir-fried Mume Fructus pulp), Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix, black heart removed), Qu Rang Cuo Chao Zhike (Aurantii Fructus, albedo removed, crushed and stir-fried), Qù Hēipí Chì Fúlíng (Poria, black skin removed).
The above ten ingredients are pounded, sifted into powder, mixed with wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with rice water. Before meals, three times daily.
Formula for Houpo Decoction to treat postpartum chronic diarrhea with anorexia:
Qu Cu Pi Jiangzhi Houpo (Moutan Cortex, coarse bark removed, stir-fried with ginger juice) 2 liang, Sheng Gān Dìhuáng (Fresh Rehmanniae Radix, dried by heat), Qie Bei Cangzhu (Atractylodis Rhizoma, sliced and dried by heat, each 1 liang), Qie Chao Danggui (Prepared Angelicae Sinensis Radix, sliced and stir-fried) 3 fen, Suan Shiliuti Pi (Acid Pomegranate Peel, charred).
The above five ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with one sheng of water, decocted until reduced to 0.7 sheng. Strain and take warm, before meals.
Formula for Renshen Pills to treat postpartum unremitting diarrhea:
Renshen (Ginseng Radix et Rhizoma), Pao Caodoukou Ren (Prepared Cardamomi Fructus seed) 1 liang, Pao Qu He Helile (Prepared Arecae Semen, pitted) 1 liang, Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) 1 liang, Ao Ling Jin Zhibai (Alumen, boiled until liquid is exhausted) 0.5 liang.
The above five ingredients are pounded, sifted into powder, mixed with wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with rice water. Before meals.
Formula for Chishizhi Pills to treat postpartum chronic diarrhea:
Chishizhi (Halloysitum Rubrum) 1 liang, Renshen (Ginseng Radix et Rhizoma) 1 liang, Pao Ganjiang (Prepared Zingiberis Rhizoma) 0.5 liang, Longgu (Fossilized Mammoth Bones) 3 fen.
The above four ingredients are pounded, sifted into powder, mixed with wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with rice water before meals.
Formula for Sixiang Pills to treat postpartum watery diarrhea:
Daizhe (Haematitum) 1 liang, Pao Ganjiang (Prepared Zingiberis Rhizoma) 1 liang, Longgu (Fossilized Mammoth Bones) 1 liang, Pao Lie Qu Pi Qi Fuzi (Prepared Aconite Lateral Root, split, skin and umbilicus removed) 3 fen.
The above four ingredients are pounded, sifted into powder, mixed with wheat paste to form pills the size of Sophora japonica seeds. Take 20 pills per dose, administered with rice water, on an empty stomach or before meals.
Formula for Muxiang Decoction to treat postpartum heat-type unremitting diarrhea:
Pao Muxiang (Prepared Aucklandiae Radix) 1 liang, Qu Xu Huanglian (Coptidis Rhizoma, whiskers removed) 1 liang, Sanfen Pao Helile Pi (Arecae Semen peel, prepared) 3 fen, Huoshao Hong Longgu (Fossilized Mammoth Bones, fired red) 0.5 liang, Qu Cu Pi Jiangzhi Houpo (Moutan Cortex, coarse bark removed, stir-fried with ginger juice).
The above five ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with one sheng of water, decocted until reduced to 0.7 sheng. Strain and take warm, on an empty stomach or before meals.
Formula for Houpo Decoction to treat postpartum unremitting diarrhea:
Qu Cu Pi Jiangzhi Cuo Houpo (Moutan Cortex, coarse bark removed, stir-fried with ginger juice and crushed), Pao Ganjiang (Prepared Zingiberis Rhizoma), Cuo Chao Baizhu (Caulis Atractylodis Macrocephalae, crushed and stir-fried, each 1 liang), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) 0.5 liang, Qu Bai Chenpí (Citri Reticulatae Pericarpium, white pith removed).
The above five ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with one sheng of water, decocted until reduced to 0.7 sheng. Strain and take warm, before meals.
Formula for Ejiao Pills to treat postpartum diarrhea with intestinal slipping and incontinence:
Chao Ling Zao Ejiao (Donkey-hide Gelatin, stir-fried until dry), Qu Cu Pi Cuo Huangbai (Phellodendri Cortex, coarse bark removed and crushed), Renshen (Ginseng Radix et Rhizoma), Pao Ganjiang (Prepared Zingiberis Rhizoma), Qie Chao Danggui (Prepared Angelicae Sinensis Radix, sliced and stir-fried), Suan Shiliuti Pi (Acid Pomegranate Peel, charred, each 1 liang).
The above six ingredients are pounded, sifted into powder, mixed with wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with rice water before meals.
Formula for Roudoukou Powder to treat postpartum cold diarrhea with unremitting symptoms:
Qu Ke Roudoukou (Myristicae Semen, shell removed) 1 liang, Shengjiang (Zingiberis Rhizoma Fresh, juice 2 he), Xi Mian (Fine Wheat Flour) 2 liang.
The above three ingredients: pound the Myristicae Semen, mix with ginger juice to form cakes, slowly roast until dry, then bake again, finally pound and sift into powder. Take 2 qianbi per dose, mixed with rice water, on an empty stomach, three times daily.
Formula for Shuai Ai Pills to treat postpartum cold diarrhea persisting for a long time:
Chao Shuai Ai (Stir-fried Artemisiae Argyi Folium) 4 liang, Pao Lie Qu Pi Qi Fuzi (Prepared Aconite Lateral Root, split, skin and umbilicus removed), Qu Bai Qie Chao Chenpi (Citri Reticulatae Pericarpium, white pith removed, sliced and stir-fried), Pao Ganjiang (Prepared Zingiberis Rhizoma, each 1 liang).
The above four ingredients are pounded, sifted into powder, mixed with wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with rice water before meals.
Formula to treat postpartum unremitting diarrhea with cramping pain in the umbilical and abdominal regions:
Shao Zhi Jin Baifan (Alumen, burned until liquid exhausted), Pao Lie Qu Pi Qi Fuzi (Prepared Aconite Lateral Root, split, skin and umbilicus removed, each 2 liang).
The above two ingredients are pounded, sifted into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take 10 pills per dose, administered with warm rice soup, before meals.
Formula for Houpo Decoction to treat postpartum diarrhea with abdominal pain, vomiting, regurgitation, and inability to eat:
Qu Cu Pi Jiangzhi Cuo Houpo (Moutan Cortex, coarse bark removed, stir-fried with ginger juice and crushed) 2 liang, Wei Chao Baizhu (Caulis Atractylodis Macrocephalae, lightly stir-fried) 1 liang.
The above two ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, with 1.5 sheng of water, decocted until reduced to 0.8 sheng. Strain and take warm, on an empty stomach or before meals.