夫人触冒寒气而为病者。谓之伤寒。产妇血气俱虚。日月未满。而起早劳动。为寒所伤。
则
治产后伤寒。头目四肢俱疼。心胸烦热。桂心散方。
桂心(一两) 麻黄(三分去根节) 荆芥(三分) 石膏(二两) 赤芍药(三分) 柴
胡(一
分去
草(一分炙
微赤
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。温服。如人行五七里再服。以得汗出为效。
治产后伤寒。头目疼痛。四肢烦热。心胸满闷。不欲饮食。前胡散方。
前胡(三分去芦头) 石膏(二两) 麻黄(一两去根节) 葛根(锉) 人参(去芦
头) 黄芩
芎
上各半
两)
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。豉五十粒。葱白五寸。
煎至六分。去滓。稍热频服。以微汗为效。
治产后伤寒咳嗽。咽喉不利。四肢烦疼。半夏散方。
半夏(汤洗七遍去滑) 人参(去芦头) 赤芍药 细辛 白术 桔梗(去芦头) 桂
心陈
橘皮
去皮尖
双仁
上件药。捣粗罗为散。每服四钱。以水一盏。入生姜半分。
煎至六分。去滓。不计时候温服。
治产后伤寒。虚烦体热。头痛。四肢骨节俱疼。细辛散方。
细辛(半两) 桂心(一两) 赤芍药(三分) 前胡(一两去芦头) 石膏(二两半)
葛根
(三分
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。葱白五寸。豉五十粒。
煎至六分。去滓。不计时候。温服。以微汗为效。
治产后伤寒。呕哕不止。虚烦渴躁。枇杷叶散方。
枇杷叶(半两去毛微炙) 麦门冬(三分去心) 浓朴(半两去皴皮涂生姜汁炙令香熟)
干
葛根
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候温服。
治产后伤寒三日以前。头痛恶风烦热。葛根散方。
葛根(一两锉) 麻黄(一两去根节) 桂心(三分) 甘草(三分炙微赤锉) 赤芍
药(三分)
柴
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。稍热服之。如人行五七里再服。以微汗为度。
治产后伤寒三日以前。头项腰脊俱痛。发汗不出。烦躁者。麻黄散方。
麻黄(一两去根节) 桂心(三分) 杏仁(半两汤浸去皮尖双仁麸炒微黄) 人参(三
分去
芦头)
炙令香
熟) 附
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至五分。去滓。稍
治产后伤寒。烦热不解。大小便涩。栀子仁散方。
栀子仁(半两) 犀角屑(三分) 赤芍药(三分) 黄芩(半两) 柴胡(一两去苗)
川大黄
(一
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候温服。
治产后伤寒头疼。身体如火。心胸烦躁。麦门冬散方。
麦门冬(一两去心) 赤芍药(三分) 黄芩(三分) 栀子仁(二分) 石膏(二两)
犀角屑
〔一
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候温服。
治产后伤寒。心膈热躁。肩背强硬。四肢拘急烦疼。羌活散方。
羌活(三分) 石膏(一两) 麻黄(一两去根节) 甘草(一分炙微赤锉) 桂心 芎
赤
茯苓
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。葱白五寸。豉五十粒。
煎至六分。去滓。稍热频服。微汗出为度。
治产后伤寒。经数日后。胸中妨闷。喉咽噎塞。不能饮食。射干散方。
射干(半两) 川升麻(三分) 人参(三分去芦头) 甘草(半两炙微赤锉) 陈橘
皮(二分
汤浸
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。
煎至五分。去滓。不计时候温服。
治产后伤寒。四肢拘急。心腹满闷。头痛壮热。白术散方。
白术(三分) 芎 (三分) 赤芍药(三分) 附子(三分炮裂去皮脐) 桂心(二
分) 青橘
皮(
膏
(一
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候稍热服。
治产后伤寒咳嗽。心胸不和。背膊烦疼。前胡散方。
前胡(三分去芦头) 杏仁(半两汤浸去皮尖双仁麸炒微黄) 桂心(半两) 人参(三
分去
芦头)
分炙微赤
锉) 赤
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治产后伤寒。心膈痰壅。呕逆。四肢烦热。人参散方。
人参(一两去芦头) 丁香(半两) 前胡(一两去芦头) 半夏(半两汤洗七遍去滑)
桂心
(半
熟)
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
凡是人体受到寒气侵袭而引发的疾病,称为伤寒。产妇气血两虚,若产期未满月就过早起床劳作,被寒气所伤,就会引发产后伤寒。
治疗产后伤寒,症见头、目及四肢均疼痛,心胸烦热,用桂心散方。
桂心(一两) 麻黄(三分,去根节) 荆芥(三分) 石膏(二两) 赤芍药(三分) 柴胡(一分,去苗) 甘草(一分,炙至微红)
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分、大枣三枚,煎煮至六分水量,滤去药渣,温服。如步行五至七里后再服一次,以出汗为见效标准。
治疗产后伤寒,症见头目疼痛,四肢烦热,心胸满闷,不想饮食,用前胡散方。
前胡(三分,去芦头) 石膏(二两) 麻黄(一两,去根节) 葛根(锉碎) 人参(去芦头) 黄芩(半两) 川芎(半两)
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分、豆豉五十粒、葱白五寸,煎煮至六分水量,滤去药渣,稍热时频频服用,以微微出汗为见效标准。
治疗产后伤寒咳嗽,咽喉不利,四肢烦疼,用半夏散方。
半夏(汤洗七遍去滑腻) 人参(去芦头) 赤芍药 细辛 白术 桔梗(去芦头) 桂心 陈皮(去皮尖) 杏仁(双仁,去麸皮炒微黄)
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一盏,加入生姜半分,煎煮至六分水量,滤去药渣,不拘时候温服。
治疗产后伤寒,虚烦体热,头痛,四肢骨节均疼痛,用细辛散方。
细辛(半两) 桂心(一两) 赤芍药(三分) 前胡(一两,去芦头) 石膏(二两半) 葛根(三分)
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分、葱白五寸、豆豉五十粒,煎煮至六分水量,滤去药渣,不拘时候温服,以微微出汗为见效标准。
治疗产后伤寒,呕哕不止,虚烦口渴躁动,用枇杷叶散方。
枇杷叶(半两,去毛微炙) 麦门冬(三分,去心) 厚朴(半两,去皴皮涂生姜汁炙至香熟) 干姜 葛根
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分水量,滤去药渣,不拘时候温服。
治疗产后伤寒三日以前,头痛恶风烦热,用葛根散方。
葛根(一两,锉碎) 麻黄(一两,去根节) 桂心(三分) 甘草(三分,炙微红锉碎) 赤芍药(三分) 柴胡
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分水量,滤去药渣,稍热服下。如步行五至七里后再服一次,以微微出汗为度。
治疗产后伤寒三日以前,头项腰脊俱痛,发汗不出,烦躁者,用麻黄散方。
麻黄(一两,去根节) 桂心(三分) 杏仁(半两,汤浸去皮尖双仁,麸炒微黄) 人参(三分,去芦头) 附子(炮裂去皮脐)
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分、大枣三枚,煎煮至五分水量,滤去药渣,稍热服下。
治疗产后伤寒,烦热不解,大小便涩滞,用栀子仁散方。
栀子仁(半两) 犀角屑(三分) 赤芍药(三分) 黄芩(半两) 柴胡(一两,去苗) 川大黄
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分水量,滤去药渣,不拘时候温服。
治疗产后伤寒头疼,身体如火灼热,心胸烦躁,用麦门冬散方。
麦门冬(一两,去心) 赤芍药(三分) 黄芩(三分) 栀子仁(二分) 石膏(二两) 犀角屑
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分水量,滤去药渣,不拘时候温服。
治疗产后伤寒,心膈热躁,肩背强硬,四肢拘急烦疼,用羌活散方。
羌活(三分) 石膏(一两) 麻黄(一两,去根节) 甘草(一分,炙微红锉碎) 桂心 川芎 赤芍药 茯苓
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分、葱白五寸、豆豉五十粒,煎煮至六分水量,滤去药渣,稍热时频频服用,以微微出汗为度。
治疗产后伤寒,经过数日后,胸中妨闷,喉咽噎塞,不能饮食,用射干散方。
射干(半两) 川升麻(三分) 人参(三分,去芦头) 甘草(半两,炙微红锉碎) 陈皮(二分,汤浸去白瓤)
以上药物,捣碎并粗筛成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分水量,滤去药渣,不拘时候温服。
治疗产后伤寒,四肢拘急,心腹满闷,头痛壮热,用白术散方。
白术(三分) 川芎(三分) 赤芍药(三分) 附子(三分,炮裂去皮脐) 桂心(二分) 青橘皮 干姜 石膏
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分水量,滤去药渣,不拘时候稍热服下。
治疗产后伤寒咳嗽,心胸不和,背膊烦疼,用前胡散方。
前胡(三分,去芦头) 杏仁(半两,汤浸去皮尖双仁,麸炒微黄) 桂心(半两) 人参(三分,去芦头) 甘草(三分,炙微红锉碎) 赤芍药
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分、大枣三枚,煎煮至六分水量,滤去药渣,不拘时候温服。
治疗产后伤寒,心膈痰壅,呕逆,四肢烦热,用人参散方。
人参(一两,去芦头) 丁香(半两) 前胡(一两,去芦头) 半夏(半两,汤洗七遍去滑) 桂心(半两,炙令香熟)
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半分、大枣三枚,煎煮至六分水量,滤去药渣,不拘时候温服。
For those whose illness is caused by exposure to cold pathogenic factors, it is termed Cold Damage (Shanghan). Postpartum women have deficiency in both blood and Qi. If they rise and engage in labor too early before the confinement period is over, and are injured by cold, they will develop postpartum Cold Damage.
To treat postpartum Cold Damage with pain in the head, eyes, and all four limbs, accompanied by vexation and heat in the chest and heart, use the Guixin San (Cinnamon Heart Powder) formula.
Guixin (Cinnamomi Cortex, one liang), Mahuang (Ephedrae Herba, three fen, remove root joints), Jingjie (Schizonepetae Spica, three fen), Shigao (Gypsum Fibrosum, two liang), Chishaoyao (Paeoniae Radix Rubra, three fen), Chaihu (Bupleuri Radix, one fen, remove seedlings), Gancao (Glycyrrhizae Radix et Rhizoma, one fen, stir-bake until slightly red).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water, half ban of fresh ginger, and three jujubes. Decoct until six parts remain. Strain and take warm. Re-administer after walking five to seven li. The treatment is effective when sweating occurs.
To treat postpartum Cold Damage with headache and eye pain, vexatious heat in the four limbs, fullness and oppression in the chest and heart, and loss of appetite, use the Qianhu San (Peucedani Radix Powder) formula.
Qianhu (Peucedani Radix, three fen, remove rhizome stump), Shigao (Gypsum Fibrosum, two liang), Mahuang (Ephedrae Herba, one liang, remove root joints), Gegen (Puerariae Radix, sliced), Renshen (Panacis Ginseng Radix, remove rhizome stump), Huangqin (Scutellariae Radix, half liang), Xiong (Ligustici Chuanxiong Rhizoma, half liang).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water, half ban of fresh ginger, fifty grains of Douchi (Prepared Soybean), and five cun of scallion white. Decoct until six parts remain. Strain and take frequently while slightly hot. The treatment is effective when slight sweating occurs.
To treat postpartum Cold Damage with cough, throat obstruction, and vexatious pain in the four limbs, use the Banxia San (Pinelliae Rhizoma Powder) formula.
Banxia (Pinelliae Rhizoma, wash seven times in boiling water to remove slipperiness), Renshen (Panacis Ginseng Radix, remove rhizome stump), Chishaoyao (Paeoniae Radix Rubra), Xixin (Asari Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Jiegeng (Platycodonis Radix, remove rhizome stump), Guixin (Cinnamomi Cortex), Chenpi (Citri Reticulatae Pericarpium, remove peel and seeds), Xingren (Armeniacae Semen, double-kernel, stir-fry with bran until slightly yellow).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhan of water and half ban of fresh ginger. Decoct until six parts remain. Strain and take warm at any time.
To treat postpartum Cold Damage with empty vexation, body heat, headache, and pain in all bone joints of the four limbs, use the Xixin San (Asari Radix et Rhizoma Powder) formula.
Xixin (Asari Radix et Rhizoma, half liang), Guixin (Cinnamomi Cortex, one liang), Chishaoyao (Paeoniae Radix Rubra, three fen), Qianhu (Peucedani Radix, one liang, remove rhizome stump), Shigao (Gypsum Fibrosum, two and a half liang), Gegen (Puerariae Radix, three fen).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water, half ban of fresh ginger, five cun of scallion white, and fifty grains of Douchi (Prepared Soybean). Decoct until six parts remain. Strain and take warm at any time. The treatment is effective when slight sweating occurs.
To treat postpartum Cold Damage with incessant vomiting and hiccup, empty vexation, thirst, and restlessness, use the Pipaye San (Loquat Leaf Powder) formula.
Pipaye (Loquati Folium, half liang, remove hairs and stir-bake slightly), Maimendong (Ophiopogonis Radix, three fen, remove heart), Houpo (Magnoliae Officinalis Cortex, half liang, remove rough bark, coat with fresh ginger juice, stir-bake until fragrant and cooked), Ganjiang (Zingiberis Rhizoma), Gegen (Puerariae Radix).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water and half ban of fresh ginger. Decoct until six parts remain. Strain and take warm at any time.
To treat postpartum Cold Damage within three days, presenting with headache, aversion to wind, and vexatious heat, use the Gegen San (Puerariae Radix Powder) formula.
Gegen (Puerariae Radix, one liang, sliced), Mahuang (Ephedrae Herba, one liang, remove root joints), Guixin (Cinnamomi Cortex, three fen), Gancao (Glycyrrhizae Radix et Rhizoma, three fen, stir-bake until slightly red and sliced), Chishaoyao (Paeoniae Radix Rubra, three fen), Chaihu (Bupleuri Radix).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water and half ban of fresh ginger. Decoct until six parts remain. Strain and take while slightly hot. Re-administer after walking five to seven li. The treatment is effective when slight sweating occurs.
To treat postpartum Cold Damage within three days, presenting with pain in the head, neck, waist, and spine, inability to sweat, and restlessness, use the Mahuang San (Ephedrae Herba Powder) formula.
Mahuang (Ephedrae Herba, one liang, remove root joints), Guixin (Cinnamomi Cortex, three fen), Xingren (Armeniacae Semen, half liang, soak in water, remove skin and tips, double-kernel, stir-fry with bran until slightly yellow), Renshen (Panacis Ginseng Radix, three fen, remove rhizome stump), Fuzi (Aconiti Lateralis Radix Praeparata, cracked and processed, remove skin and umbilicus).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water, half ban of fresh ginger, and three jujubes. Decoct until five parts remain. Strain and take while slightly hot.
To treat postpartum Cold Damage with unresolved vexatious heat and obstructed urination and defecation, use the Zhiren San (Gardeniae Semen Powder) formula.
Zhiren (Gardeniae Semen, half liang), Xijiaoxie (Rhinocerotis Cornu, three fen), Chishaoyao (Paeoniae Radix Rubra, three fen), Huangqin (Scutellariae Radix, half liang), Chaihu (Bupleuri Radix, one liang, remove seedlings), Chuan Dahuang (Rhei Radix et Rhizoma).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water and half ban of fresh ginger. Decoct until six parts remain. Strain and take warm at any time.
To treat postpartum Cold Damage with headache, body feeling like fire, and vexation and heat in the chest and heart, use the Maimendong San (Ophiopogonis Radix Powder) formula.
Maimendong (Ophiopogonis Radix, one liang, remove heart), Chishaoyao (Paeoniae Radix Rubra, three fen), Huangqin (Scutellariae Radix, three fen), Zhiren (Gardeniae Semen, two fen), Shigao (Gypsum Fibrosum, two liang), Xijiaoxie (Rhinocerotis Cornu).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water and half ban of fresh ginger. Decoct until six parts remain. Strain and take warm at any time.
To treat postpartum Cold Damage with heat and restlessness in the chest and diaphragm, stiffness and rigidity of the shoulders and back, and spasm and vexatious pain in the four limbs, use the Qianghuo San (Notopterygii Rhizoma et Radix Powder) formula.
Qianghuo (Notopterygii Rhizoma et Radix, three fen), Shigao (Gypsum Fibrosum, one liang), Mahuang (Ephedrae Herba, one liang, remove root joints), Gancao (Glycyrrhizae Radix et Rhizoma, one fen, stir-bake until slightly red and sliced), Guixin (Cinnamomi Cortex), Xiong (Ligustici Chuanxiong Rhizoma), Chishaoyao (Paeoniae Radix Rubra), Fuling (Poria).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water, half ban of fresh ginger, five cun of scallion white, and fifty grains of Douchi (Prepared Soybean). Decoct until six parts remain. Strain and take frequently while slightly hot. The treatment is effective when slight sweating occurs.
To treat postpartum Cold Damage several days later, presenting with chest oppression, throat blockage, and inability to eat, use the Shegan San (Belamcandae Rhizoma Powder) formula.
Shegan (Belamcandae Rhizoma, half liang), Chuan Shengma (Cimicifugae Rhizoma, three fen), Renshen (Panacis Ginseng Radix, three fen, remove rhizome stump), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, stir-bake until slightly red and sliced), Chenpi (Citri Reticulatae Pericarpium, two fen, soak in water, remove white pith).
Crush the above ingredients into a coarse powder. Take five qian per dose. Add one large zhan of water and half ban of fresh ginger. Decoct until five parts remain. Strain and take warm at any time.
To treat postpartum Cold Damage with spasms of the four limbs, fullness and oppression in the heart and abdomen, headache, and high fever, use the Baizhu San (Atractylodis Macrocephalae Rhizoma Powder) formula.
Baizhu (Atractylodis Macrocephalae Rhizoma, three fen), Xiong (Ligustici Chuanxiong Rhizoma, three fen), Chishaoyao (Paeoniae Radix Rubra, three fen), Fuzi (Aconiti Lateralis Radix Praeparata, three fen, cracked and processed, remove skin and umbilicus), Guixin (Cinnamomi Cortex, two fen), Qingju pi (Citri Reticulatae Pericarpium), Ganjiang (Zingiberis Rhizoma), Shigao (Gypsum Fibrosum).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water and half ban of fresh ginger. Decoct until six parts remain. Strain and take while slightly hot at any time.
To treat postpartum Cold Damage with cough, disharmony in the chest and heart, and vexatious pain in the back and shoulders, use the Qianhu San (Peucedani Radix Powder) formula.
Qianhu (Peucedani Radix, three fen, remove rhizome stump), Xingren (Armeniacae Semen, half liang, soak in water, remove skin and tips, double-kernel, stir-fry with bran until slightly yellow), Guixin (Cinnamomi Cortex, half liang), Renshen (Panacis Ginseng Radix, three fen, remove rhizome stump), Gancao (Glycyrrhizae Radix et Rhizoma, three fen, stir-bake until slightly red and sliced), Chishaoyao (Paeoniae Radix Rubra).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water, half ban of fresh ginger, and three jujubes. Decoct until six parts remain. Strain and take warm at any time.
To treat postpartum Cold Damage with phlegm congestion in the chest and diaphragm, vomiting and reversal, and vexatious heat in the four limbs, use the Renshen San (Panacis Ginseng Radix Powder) formula.
Renshen (Panacis Ginseng Radix, one liang, remove rhizome stump), Dingxiang (Caryophylli Flos, half liang), Qianhu (Peucedani Radix, one liang, remove rhizome stump), Banxia (Pinelliae Rhizoma, half liang, wash seven times in boiling water to remove slipperiness), Guixin (Cinnamomi Cortex, half liang, stir-bake until fragrant and cooked).
Crush the above ingredients into a coarse powder. Take four qian per dose. Add one zhong of water, half ban of fresh ginger, and three jujubes. Decoct until six parts remain. Strain and take warm at any time.