夫产后损于血气。血气虚而挟于热。血气得热则流散。渗于脬。故血随小便出也。
治产后小便出血。茜根散方。
茜根(一两) 石苇(二两去毛) 木通(二两锉) 子芩(一两) 滑石(二两) 生
干地黄
(一两)
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓。每于食前温服。
治产后脏有积热。致小便出血。石苇散方。
石苇(二两去毛) 榆白皮(二两锉) 黄芩〔一(二)两〕 木通(二两锉) 赤芍
药(二两)
冬
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓。每于食前温服。
又方。
白茅根(二两锉) 瞿麦(二两) 鲤鱼齿(一百枚细研入) 车前子(二两) 冬葵
子(一两)
木
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓。每于食前温服。
又方。
瞿麦(一两) 黄芩(一两) 冬葵子(一两) 木通(一两锉) 茜根(一两) 当
归(一两)
上件药。捣筛为散。每服四钱。以水一中盏。
煎至六分。去滓。每于食前温服。
又方。
车前子(二两) 瞿麦(一两) 黄芩(一两) 郁金(一两) 蒲黄(一两)
上件药。捣细罗为散。每服。食前。以茅根酒(汤)调下二钱。
又方。
贝齿(五枚烧灰) 葵子(一两) 车前子(一两) 滑石(二两) 生干地黄(一两)
茜根
(一两)
上件药。捣细罗为散。每于食前。以温酒调下三(二)钱。
又方。
乱发灰(半两) 滑石(半两)
上件药。同研令匀。每服。以生地黄汁调下一钱。
又方。
生地黄(半斤) 生刺蓟(半斤)
上件药。捣绞取汁。每服食前。温服一小盏。
又方。
生干地黄(一两) 阿胶(一两捣碎炒令黄燥)
上件药。捣细罗为散。每服食前。以茜根汤调下二钱。
产后因失血导致气血亏损。气血虚弱且兼有内热,气血受热邪影响则运行散乱,渗入膀胱(脬),因此血液随小便排出。
治疗产后小便出血的茜根散方:
茜根(一两)、石苇(二两,去毛)、木通(二两,锉碎)、子芩(一两)、滑石(二两)、生干地黄(一两)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎至六分满,滤去药渣,在饭前温服。
治疗产后脏腑积热导致小便出血的石苇散方:
石苇(二两,去毛)、榆白皮(二两,锉碎)、黄芩(二两)、木通(二两,锉碎)、赤芍药(二两)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎至六分满,滤去药渣,在饭前温服。
又一方:
白茅根(二两,锉碎)、瞿麦(二两)、鲤鱼齿(一百枚,细研后加入)、车前子(二两)、冬葵子(一两)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎至六分满,滤去药渣,在饭前温服。
又一方:
瞿麦(一两)、黄芩(一两)、冬葵子(一两)、木通(一两,锉碎)、茜根(一两)、当归(一两)。
以上药材,捣碎过筛制成散剂。每次服用四钱,用水一中盏,煎至六分满,滤去药渣,在饭前温服。
又一方:
车前子(二两)、瞿麦(一两)、黄芩(一两)、郁金(一两)、蒲黄(一两)。
以上药材,捣碎过细罗制成散剂。每次在饭前,用茅根酒(或汤)调服二钱。
又一方:
贝齿(五枚,烧成灰)、葵子(一两)、车前子(一两)、滑石(二两)、生干地黄(一两)、茜根(一两)。
以上药材,捣碎过细罗制成散剂。每次在饭前,用温酒调服二钱(或三钱)。
又一方:
乱发灰(半两)、滑石(半两)。
以上药材,共同研磨均匀。每次服用,用生地黄汁调服一钱。
Postpartum blood loss leads to a deficiency of Qi and Blood. When Qi and Blood are deficient and accompanied by internal heat, the pathogenic heat causes them to scatter and permeate into the bladder (Paofu), resulting in blood being discharged with urine.
**Qigen San (Sanguisorba Powder)** for treating postpartum hematuria:
* Qigen (Radix Sanguisorbae) - 1 liang
* Shiwei (Folium Pyri-Erythreae) - 2 liang, hairs removed
* Mutong (Caulis Akebiae) - 2 liang, sliced
* Ziqin (Radix Scutellariae) - 1 liang
* Huashi (Talcum) - 2 liang
* Sheng Gan Dihuang (Radix Rehmanniae Preparata) - 1 liang
Process the above ingredients by pounding and sieving to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to 60% volume, strain, and take warm before meals.
**Shiwei San (Pyri-Erythreae Leaf Powder)** for treating postpartum hematuria caused by accumulated heat in the zang-fu organs:
* Shiwei (Folium Pyri-Erythreae) - 2 liang, hairs removed
* Yubai Pi (Cortex Ulmi) - 2 liang, sliced
* Huangqin (Radix Scutellariae) - 2 liang
* Mutong (Caulis Akebiae) - 2 liang, sliced
* Chishao Yao (Radix Paeoniae Rubra) - 2 liang
Process the above ingredients by pounding and sieving to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to 60% volume, strain, and take warm before meals.
**Another Prescription:**
* Baimaogen (Rhizoma Imperatae) - 2 liang, sliced
* Qumai (Herba Dianthi) - 2 liang
* Liyu Chi (Teeth of Carp, finely ground) - 100 pieces
* Cheqianzi (Semen Plantaginis) - 2 liang
* Dongkuizi (Semen Malvae) - 1 liang
Process the above ingredients by pounding and sieving to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to 60% volume, strain, and take warm before meals.
**Another Prescription:**
* Qumai (Herba Dianthi) - 1 liang
* Huangqin (Radix Scutellariae) - 1 liang
* Dongkuizi (Semen Malvae) - 1 liang
* Mutong (Caulis Akebiae) - 1 liang, sliced
* Qigen (Radix Sanguisorbae) - 1 liang
* Danggui (Radix Angelicae Sinensis) - 1 liang
Process the above ingredients by pounding and sieving to make a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 60% volume, strain, and take warm before meals.
**Another Prescription:**
* Cheqianzi (Semen Plantaginis) - 2 liang
* Qumai (Herba Dianthi) - 1 liang
* Huangqin (Radix Scutellariae) - 1 liang
* Yujin (Rhizoma Curcumae Longae) - 1 liang
* Puhuang (Pollen Typhae) - 1 liang
Process the above ingredients by pounding and sieving through a fine mesh to make a powder. Take 2 qian per dose before meals, mixed with Bai Maogen Jiu (White Imperata Root Wine) or decoction.
**Another Prescription:**
* Beichi (Concha Arcae / Shell of Ark, calcined to ash) - 5 pieces
* Kuizi (Semen Malvae) - 1 liang
* Cheqianzi (Semen Plantaginis) - 1 liang
* Huashi (Talcum) - 2 liang
* Sheng Gan Dihuang (Radix Rehmanniae Preparata) - 1 liang
* Qigen (Radix Sanguisorbae) - 1 liang
Process the above ingredients by pounding and sieving through a fine mesh to make a powder. Take 2 qian (or 3 qian) per dose before meals, mixed with warm wine.
**Another Prescription:**
* Luankui Hui (Ash of Matted Hair) - 0.5 liang
* Huashi (Talcum) - 0.5 liang
Grind the above ingredients together until uniform. Take 1 qian per dose, mixed with juice of fresh Rehmannia root (Sheng Dihuang Zhi).
**Another Prescription:**
* Sheng Dihuang (Radix Rehmanniae Recens) - 0.5 jin
* Sheng Ciji (Spiny Thistle, fresh) - 0.5 jin
Pound and squeeze the above ingredients to extract the juice. Take one small cup per dose, warm, before meals.
**Another Prescription:**
* Sheng Gan Dihuang (Radix Rehmanniae Preparata) - 1 liang
* Ejiao (Colla Corii Asini) - 1 liang, crushed and stir-fried until slightly yellow and dry
Process the above ingredients by pounding and sieving through a fine mesh to make a powder. Take 2 qian per dose before meals, mixed with Qigen Tang (Sanguisorba Decoction).