论曰产后虚渴者,血虚内亡津液故也,血为阴,阴虚则阳胜,阳胜则生热,虚热熏蒸,
津液内涸,咽干口燥,故令渴而引饮也。
治产后下血过多,虚烦热渴。干地黄汤方
生干地黄(焙三分) 芍药 芎 (各一两) 桔梗(炒三分) 丹参(一两) 当归
(切微炒
两) 葛根(锉碎
上一十二味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后虚渴,或脱血过多,脏腑虚渴,骨节烦热、倦怠。石斛丸方
石斛(去根) 牛膝(去苗酒浸切焙) 泽泻 附子(炮裂去皮脐) 桂(去粗皮) 鹿
茸(酥
炙锉) 生干
上一十二味,捣罗为末,炼蜜为丸,如梧桐子大。每服二十丸,煎枣汤下,不拘时候。
治产后虚渴烦躁。芦根饮方
芦根(锉一两) 栝蒌根(半两) 人参(一两一分) 甘草(炙) 白茯苓(去黑皮
各三分)
上六味,锉如麻豆大,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后虚烦热渴。葛根饮方
葛根(锉) 人参(各一两) 白茯苓(去黑皮半两) 桂(去粗皮一两) 甘草(炙
半两)
上九味,捣为粗末,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后气血虚乏,内燥引饮,心下烦闷。黄 汤方
黄 (微炙锉三分) 白茯苓(去黑皮) 当归(切微炒) 桑寄生(微炙各半两) 桃
仁(
上八味,捣为粗末,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后虚渴。竹叶汤方
竹叶(一两切) 甘草(炙) 人参(各半两) 小麦(一两) 白茯苓(去黑皮半两)
半夏(
上七味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后津液减耗,虚渴引饮。菖蒲散方
石菖蒲 栝蒌根(各一两) 黄连(去须半两)
上三味,捣罗为散,每服二钱匕,新汲水调下,日三。
治产后虚乏,津液衰耗,烦渴不止。姜米汤方
干姜(炮一两) 陈粟米(炒二两) 甘草(炙一两)
上三味,粗捣筛,每服三钱匕,水一盏,煎至六分,滤去滓,食前稍热服,日三。
治产后血虚烦热,引饮不止。地黄散方
生干地黄(焙一两) 熟干地黄(焙四两)
上二味,捣罗为散,每服三钱匕,温酒调下,温粥饮调亦得,日三。
治产后血虚烦渴,饮食不进。地黄当归汤方
熟干地黄(焙) 赤石脂(各二两) 当归(切焙) 木占斯 地榆 黄连(去须) 白
茯苓(
黄(去根节
上一十三味,粗捣筛,每服五钱匕,水一盏半,入生姜三片,同煎至八分,去滓温服。
治产后虚渴引饮。麦门冬人参汤方
麦门冬(去心焙) 人参 甘草(炙) 栝蒌根 生干地黄(焙) 土瓜根(各一两)
上六味,粗捣筛,每服三钱匕,水一盏半,煎至一盏,去滓食后温服。
论述:产后出现虚性口渴的原因,是由于失血导致体内津液亏损。血属于阴,阴虚则阳气相对偏盛,阳气偏盛则产生内热。这种虚热在体内熏蒸,致使津液枯竭,咽喉干燥、口腔燥渴,因此使人感到口渴而想要饮水。
治疗产后因下血过多导致的虚烦、发热和口渴的干地黄汤方:
生干地黄(焙干)三分,芍药一两,川芎一两,桔梗(炒)三分,丹参一两,当归(切片微炒)一两,葛根(锉碎)。以上十二味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至七分,去渣温服,不限时间。
治疗产后虚渴,或因脱血过多导致的脏腑虚渴、骨节烦热、倦怠无力的石斛丸方:
石斛(去根),牛膝(去苗,酒浸后切焙),泽泻,附子(炮裂去皮脐),桂枝(去粗皮),鹿茸(酥炙后锉)。以上十二味药,捣罗成细末,炼蜜为丸,如梧桐子大小。每次服用二十丸,用煎枣汤送服,不限时间。
治疗产后虚渴烦躁的芦根饮方:
芦根(锉)一两,栝蒌根(即天花粉)半两,人参一两一分,甘草(炙),白茯苓(去黑皮)各三分。以上六味药,锉如麻豆大,每次服用三钱匕,加水一盏,煎煮至七分,去渣温服,不限时间。
治疗产后虚烦热渴的葛根饮方:
葛根(锉),人参各一两,白茯苓(去黑皮)半两,桂枝(去粗皮)一两,甘草(炙)半两。以上九味药,捣为粗末,每次服用三钱匕,加水一盏,煎煮至七分,去渣温服,不限时间。
治疗产后气血虚弱匮乏,体内燥热引水自救,心下部烦闷的黄耆汤方:
黄耆(微炙锉)三分,白茯苓(去黑皮),当归(切微炒),桑寄生(微炙)各半两,桃仁(去皮尖双仁,炒)。以上八味药,捣为粗末,每次服用三钱匕,加水一盏,煎煮至七分,去渣温服,不限时间。
治疗产后虚渴的竹叶汤方:
竹叶(切)一两,甘草(炙),人参各半两,小麦一两,白茯苓(去黑皮)半两,半夏(汤洗七遍去滑)。以上七味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至七分,去渣温服,不限时间。
治疗产后津液减少耗损,虚渴引水的菖蒲散方:
石菖蒲一两,栝蒌根(即天花粉)一两,黄连(去须)半两。以上三味药,捣罗成散剂,每次服用二钱匕,用新汲凉水调服,每日三次。
治疗产后虚乏,津液衰耗,烦渴不止的姜米汤方:
干姜(炮)一两,陈粟米(炒)二两,甘草(炙)一两。以上三味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至六分,滤去渣滓,饭前稍热时服用,每日三次。
治疗产后血虚烦热,引水不止的地黄散方:
生干地黄(焙)一两,熟干地黄(焙)四两。以上两味药,捣罗成散剂,每次服用三钱匕,用温酒调服,或用温粥饮调服亦可,每日三次。
治疗产后血虚烦渴,饮食不进的地黄当归汤方:
熟干地黄(焙),赤石脂各二两,当归(切焙),木占斯,地榆,黄连(去须),白茯苓(去黑皮),黄耆(去根节),甘草(炙),生姜。以上十三味药,粗捣筛过,每次服用五钱匕,加水一盏半,加入生姜三片,同煎至八分,去渣温服。
治疗产后虚渴引水的麦门冬人参汤方:
麦门冬(去心焙),人参,甘草(炙),栝蒌根(即天花粉),生干地黄(焙),土瓜根各一两。以上六味药,粗捣筛过,每次服用三钱匕,加水一盏半,煎煮至一盏,去渣饭后温服。
Discussion: The occurrence of deficiency-thirst after childbirth is due to blood deficiency leading to the internal loss of body fluids. Blood belongs to Yin; when Yin is deficient, Yang becomes relatively excessive. Excess Yang generates heat. This deficiency-heat steams internally, causing the depletion of body fluids, dryness of the throat and mouth, thus inducing thirst and a desire to drink.
Gan Dihuang Tang (Dry Rehmannia Decoction) for treating deficiency-irritability, fever, and thirst caused by excessive postpartum bleeding:
Sheng Gan Di Huang (Baked Dry Rehmanniae Radix, *Rehmanniae Radix Preparata*) 3 fen, Shaoyao (White Peony Root, *Paeoniae Radix Alba*) 1 liang, Xiong (Szechwan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*) 1 liang, Jiegeng (Platycodon Root, *Platycodi Radix*) 3 fen (stir-fried), Danshen (Salvia Root, *Salviae Miltiorrhizae Radix et Rhizoma*) 1 liang, Danggui (Chinese Angelica Root, *Angelicae Sinensis Radix*) 1 liang (sliced and lightly stir-fried), Gegen (Kudzu Root, *Puerariae Lobatae Radix*) crushed. The above twelve ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to seven-tenths. Strain and take warm at any time.
Shihu Wan (Dendrobium Pill) for treating postpartum deficiency-thirst, or organ deficiency-thirst, bone-joint irritability-heat, and fatigue due to excessive blood loss:
Shihu (Dendrobium Stem, *Dendrobii Caulis*), Niuxi (Achyranthes Root, *Achyranthis Bidentatae Radix* - removed sprouts, soaked in wine, sliced, and baked), Zexie (Alisma Rhizome, *Alismatis Rhizoma*), Fuzi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Preparata* - roasted until cracked, skin and umbilicus removed), Gui (Cinnamon Twig, *Cinnamomi Ramulus* - rough bark removed), Lurong (Deer Antler, *Cervi Cornu Degelatinatum* - roasted with butter and crushed). The above twelve ingredients are pounded into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose, washed down with jujube decoction at any time.
Lugen Yin (Reed Root Drink) for treating postpartum deficiency-thirst and irritability:
Lugen (Reed Rhizome, *Phragmitis Rhizoma*) 1 liang (crushed), Gualougen (Trichosanthes Root, *Trichosanthis Radix*) 0.5 liang, Renshen (Ginseng Root, *Ginseng Radix et Rhizoma*) 1 liang 1 fen, Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma* - honey-roasted), Bai Fuling (Poria, *Poria* - black skin removed) each 3 fen. The above six ingredients are crushed like hemp seeds. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to seven-tenths. Strain and take warm at any time.
Gegen Yin (Kudzu Root Drink) for treating postpartum deficiency-irritability and heat-thirst:
Gegen (Kudzu Root, *Puerariae Lobatae Radix*) 1 liang (crushed), Renshen (Ginseng Root, *Ginseng Radix et Rhizoma*) 1 liang, Bai Fuling (Poria, *Poria* - black skin removed) 0.5 liang, Gui (Cinnamon Twig, *Cinnamomi Ramulus* - rough bark removed) 1 liang, Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma* - honey-roasted) 0.5 liang. The above nine ingredients are pounded into coarse powder. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to seven-tenths. Strain and take warm at any time.
Huangqi Tang (Astragalus Decoction) for treating postpartum Qi and Blood deficiency, internal dryness inducing drinking, and epigastric irritability:
Huangqi (Astragalus Root, *Astragali Radix*) 3 fen (lightly roasted and crushed), Bai Fuling (Poria, *Poria* - black skin removed), Danggui (Chinese Angelica Root, *Angelicae Sinensis Radix*) sliced and lightly stir-fried, Sangjisheng (Taxillus Branch, *Taxilli Caulis*) 0.5 liang (lightly roasted), Taoren (Peach Seed, *Persicae Semen*) [removed husk and bitter kernels, stir-fried]. The above eight ingredients are pounded into coarse powder. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to seven-tenths. Strain and take warm at any time.
Zhuye Tang (Bamboo Leaf Decoction) for treating postpartum deficiency-thirst:
Zhuye (Bamboo Leaf, *Bambusae Folium*) 1 liang (sliced), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma* - honey-roasted), Renshen (Ginseng Root, *Ginseng Radix et Rhizoma*) each 0.5 liang, Xiaomai (Wheat Grain, *Tritici Fructus* - common wheat) 1 liang, Bai Fuling (Poria, *Poria* - black skin removed) 0.5 liang, Banxia (Pinellia Tuber, *Pinelliae Rhizoma* - rinsed seven times in water to remove acridity). The above seven ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to seven-tenths. Strain and take warm at any time.
Changpu San (Acorus Powder) for treating postpartum fluid depletion and deficiency-thirst inducing drinking:
Shi Changpu (Acorus Rhizome, *Acori Tatarinowii Rhizoma*) 1 liang, Gualougen (Trichosanthes Root, *Trichosanthis Radix*) 1 liang, Huanglian (Coptis Rhizome, *Coptidis Rhizoma*) 0.5 liang (removing roots). The above three ingredients are pounded into powder. Each dose consists of 2 qianbi, taken with fresh cool water, three times daily.
Jiangmi Tang (Ginger and Millet Decoction) for treating postpartum deficiency-fatigue, fluid depletion, and incessant irritability-thirst:
Ganjiang (Dried Ginger, *Zingiberis Rhizoma*) 1 liang (roasted), Chen Sumi (Stale Millet, *Setariae Italicae Fructus*) 2 liang (stir-fried), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma* - honey-roasted) 1 liang. The above three ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to six-tenths. Filter and take warm before meals, three times daily.
Dihuang San (Rehmannia Powder) for treating postpartum blood-deficiency irritability-heat and incessant drinking:
Sheng Gan Dihuang (Baked Dry Rehmannia Root, *Rehmanniae Radix Preparata*) 1 liang, Shu Gan Dihuang (Baked Prepared Rehmannia Root, *Rehmanniae Radix Preparata*) 4 liang. The above two ingredients are pounded into powder. Each dose consists of 3 qianbi, taken with warm wine, or warm porridge water is also acceptable, three times daily.
Dihuang Danggui Tang (Rehmannia and Angelica Decoction) for treating postpartum blood-deficiency irritability-thirst and loss of appetite:
Shu Gan Dihuang (Baked Prepared Rehmannia Root, *Rehmanniae Radix Preparata*), Chishizhi (Red Halloysite, *Halloysit Rubrum*) each 2 liang, Danggui (Chinese Angelica Root, *Angelicae Sinensis Radix*) sliced and baked, Mozhusi (Mozhusi), Diyü (Sanguisorba Root, *Sanguisorbae Radix*), Huanglian (Coptis Rhizome, *Coptidis Rhizoma*) removing roots, Bai Fuling (Poria, *Poria*), Huangqi (Astragalus Root, *Astragali Radix*) removing root nodes, Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) honey-roasted, Shengjiang (Fresh Ginger, *Zingiberis Rhizoma Recens*). The above thirteen ingredients are coarsely pounded and sifted. Each dose consists of 5 qianbi, boiled in one and a half zhan of water with three slices of ginger until reduced to eight-tenths. Strain and take warm.
Maimen Dong Renshen Tang (Ophiopogon and Ginseng Decoction) for treating postpartum deficiency-thirst inducing drinking:
Maimendong (Ophiopogon Tuber, *Ophiopogonis Tuber*) de-heartened and baked, Renshen (Ginseng Root, *Ginseng Radix et Rhizoma*), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma* - honey-roasted), Gualougen (Trichosanthes Root, *Trichosanthis Radix*), Sheng Gan Dihuang (Baked Dry Rehmannia Root, *Rehmanniae Radix Preparata*), Tugua Gen (Melon Root, *Citrulli Lanati Radix*) each 1 liang. The above six ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, boiled in one and a half zhan of water until reduced to one zhan. Strain and take warm after meals.