证治与吴茱萸汤同,此方极妙。
防风(去芦、叉) 干姜(炮) 当归(去芦,酒浸,炒) 牡丹皮 桂心(不见火) 茯
苓(
各一两) 吴
上为粗末。每服四钱,水一盏半,煎七分,去渣,食前热服。
治产后虚渴不止,少气脚弱,眼昏头眩,饮食无味。
熟干地黄(净洗,酒浸,蒸,焙,一两) 人参(三两) 麦门冬(去心,二两) 栝
蒌根(
上为锉散。每服四钱,水二盏,糯米一撮,生姜三片,枣三枚,煎七分,去渣,食前服
治产后虚羸,大便秘涩。
阿胶(碎炒) 枳壳(浸,去瓤,麸炒,各二两) 滑石(研飞为衣,半两)
上为末,炼蜜丸,如梧桐子大。每服二十丸,温水下,半日来未通再服。
治产后心腹痛欲死,百药不效,服此顿愈。
蒲黄(炒香) 五灵脂(酒研,淘去砂土,各等分,为末)
上先用酽醋调二钱熬成膏,入水一盏,煎七分,食前热服。
(《易简方》) 治妇人气血不足,四肢怠惰,乏力少气。兼治产后下血过多
阴阳不和,乍寒乍热,并皆服之。
当归 川芎 人参 干姜(炮) 甘草(炙) 白芍药(各等分)
上 咀。每服四钱,水一盏,煎至六分,去滓,热服。若产后寒热,腹中刺痛,则有败
血,当用五积散加醋煎,及大圣散服之。若所下过多,犹有刺痛,亦宜服此二药。一方治经
血凝滞腹内,血气作疼,用四物汤加莪术、官桂等分,名六合汤。一方治下血不止,及妊妇
胎动,加熟艾、干姜、甘草、阿胶、黄 等分,名胶艾汤。一法治血痢,止加胶、艾。治产
后血搏,口干烦渴,加栝蒌、麦门冬。烦热小便涩,大便秘,加大黄桃仁汤。胁胀,加浓朴、
枳实。虚烦不得睡,加竹叶、人参。大渴烦躁,加知母、石膏。一方治妇人血虚,心腹 痛
不可忍者,去地黄加干姜,名四神汤。大率产后,不问下血多少,须日进黑神散三服。下血
少者,以大圣散间之。至二腊以后,腹内略无疼痛,方服四物汤、建中汤之类。若早服之,
则补住败血,为后患不浅。黑神、大圣非逐血药,但能推陈致新,多服不妨。今人往往疑其
逐血性寒,则不然,看其用药可见矣。若恶血去多,徐徐补之,亦不为晚,不可姑息以贻后
患。且如古方用四顺理中丸为产后进食之剂,既用蜜丸,又倍甘草,其甜特甚,岂能快脾?
不若只用理中汤少损甘草。素有痰饮者,二陈汤之类服之为佳。且如妊妇恶阻,古方有茯苓
丸、茯苓汤,内有地黄、竹茹、川芎辈,定能定呕,服之则愈见增极。大抵恶阻,皆由素有
痰饮以致之,可用二陈汤改名小茯苓汤,用之极效,不可不知。
证治与吴茱萸汤相同,此方极为精妙。
防风(去芦头、分叉部分) 干姜(炮制) 当归(去芦头,酒浸,炒) 牡丹皮 桂心(不经过火烤) 茯苓(各一两)
以上药物捣成粗末。每次服用四钱,加水一盏半,煎至七分,滤去药渣,饭前热服。
治疗产后虚渴不止,少气脚弱,眼昏头眩,饮食无味。
熟干地黄(净洗,酒浸,蒸,焙,一两) 人参(三两) 麦门冬(去心,二两) 栝蒌根(一两)
以上药物锉成散剂。每次服用四钱,加水二盏,糯米一撮,生姜三片,枣三枚,煎至七分,滤去药渣,饭前服用。
治疗产后身体虚弱羸瘦,大便秘涩。
阿胶(碎炒) 枳壳(浸,去瓤,麸炒,各二两) 滑石(研飞为衣,半两)
以上药物制成粉末,用炼蜜制成丸药,如梧桐子大小。每次服用二十丸,温水送下,半天后若未通便再服。
治疗产后心腹痛欲死,百药不效,服此方顿时痊愈。
蒲黄(炒香) 五灵脂(酒研,淘去砂土,各等分,为末)
以上先用浓醋调二钱熬成膏,加入水一盏,煎至七分,饭前热服。
(《易简方》)治疗妇人气血不足,四肢怠惰,乏力少气。兼治产后下血过多,阴阳不和,乍寒乍热,均服用此方。
当归 川芎 人参 干姜(炮制) 甘草(炙) 白芍药(各等分)
以上药物切碎。每次服用四钱,加水一盏,煎至六分,滤去药渣,热服。若产后寒热,腹中刺痛,则有败血,当用五积散加醋煎,及大圣散服用。若所下过多,犹有刺痛,也宜服用此二药。一方治疗经血凝滞腹内,血气作疼,用四物汤加莪术、官桂等分,名六合汤。一方治疗下血不止,及妊妇胎动,加熟艾、干姜、甘草、阿胶、黄芩等分,名胶艾汤。一方治疗血痢,只加胶、艾。治疗产后血搏,口干烦渴,加栝蒌、麦门冬。烦热小便涩,大便秘,加大黄桃仁汤。胁胀,加厚朴、枳实。虚烦不得睡,加竹叶、人参。大渴烦躁,加知母、石膏。一方治疗妇人血虚,心腹疼痛不可忍者,去地黄加干姜,名四神汤。大率产后,不问下血多少,须日进黑神散三服。下血少者,以大圣散间之。至二腊以后,腹内略无疼痛,方服四物汤、建中汤之类。若早服之,则补住败血,为后患不浅。黑神、大圣非逐血药,但能推陈致新,多服不妨。今人往往疑其逐血性寒,则不然,看其用药可见矣。若恶血去多,徐徐补之,亦不为晚,不可姑息以贻后患。且如古方用四顺理中丸为产后进食之剂,既用蜜丸,又倍甘草,其甜特甚,岂能快脾?不若只用理中汤少损甘草。素有痰饮者,二陈汤之类服之为佳。且如妊妇恶阻,古方有茯苓丸、茯苓汤,内有地黄、竹茹、川芎辈,定能定呕,服之则愈见增极。大抵恶阻,皆由素有痰饮以致之,可用二陈汤改名小茯苓汤,用之极效,不可不知。
The indications and treatment are the same as those of Wuzhuyu Tang (Evodia Decoction); this formula is extremely excellent.
Fangfeng (Saposhnikoviae Radix, remove rhizome and forked parts) Ganjiang (Zingiberis Rhizoma Preparatum, processed by stir-baking with sand or salt) Danggui (Angelicae Sinensis Radix, remove rhizome, soak in wine, stir-fry) Mudanpi (Moutan Cortex) Guixin (Cinnamomi Cortex, do not expose to fire) Fuling (Poria, each one liang)
Crush the above herbs into coarse powder. Take four qian per dose, add one dan half of water, decoct until seven fen remains, strain, and take hot before meals.
Treats persistent deficiency-thirst after childbirth, shortness of breath, weakness of legs, blurred vision, dizziness, and loss of taste.
Shudihuang (Prepared Rehmanniae Radix, washed clean, soaked in wine, steamed, dried, one liang) Renshen (Ginseng Radix, three liang) Maimendong (Ophiopogonis Radix, remove heart, two liang) Gualougen (Trichosanthis Radix, one liang)
Crush the above herbs into a powder. Take four qian per dose, add two dan of water, a pinch of glutinous rice, three slices of fresh ginger, and three jujubes, decoct until seven fen remains, strain, and take before meals.
Treats postpartum emaciation and weakness, and constipation with dry stools.
Ejiao (Asini Corii Colla, crushed and stir-fried) Zhike (Aurantii Fructus Immaturus, soaked, pith removed, stir-fried with bran, each two liang) Huashi (Talcum, ground and levigated for coating, half liang)
Grind the above herbs into powder, mix with refined honey to make pills the size of paulownia seeds. Take twenty pills per dose with warm water; if bowel movement has not occurred after half a day, take another dose.
Treats severe heart and abdominal pain after childbirth that feels like death, unresponsive to other medicines, but instantly relieved by this formula.
Puhuang (Typhae Pollen, stir-fried until fragrant) Wulingzhi (Trogopterori Faeces, ground in wine, washed to remove sand and soil, equal parts, made into powder)
First, mix two qian of the powder with strong vinegar and boil into a paste, then add one dan of water, decoct until seven fen remains, and take hot before meals.
(Yi Jian Fang) Treats women with insufficient qi and blood, lethargy of the four limbs, fatigue, and shortness of breath. Also treats excessive bleeding after childbirth, disharmony of yin and yang, alternating chills and fever; all should take this formula.
Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Renshen (Ginseng Radix) Ganjiang (Zingiberis Rhizoma Preparatum, processed by stir-baking with sand or salt) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Baishao (Paeoniae Radix Alba, equal parts)
Chop the above herbs. Take four qian per dose, add one dan of water, decoct until six fen remains, strain, and take hot. If there is chills and fever after childbirth with stabbing pain in the abdomen, it indicates retained lochia (stagnant blood); use Wuji San (Five Accumulations Powder) decocted with vinegar, and Da Sheng San (Great Sage Powder). If bleeding is excessive and stabbing pain persists, these two formulas are also suitable. One formula treats stagnation of menstrual blood in the abdomen causing pain due to blood and qi; use Siwu Tang (Four Substances Decoction) plus Ezhu (Curcumae Rhizoma) and Guanzi Gui (Cassiae Ramulus) in equal parts, named Liuhe Tang (Six Harmonies Decoction). Another formula treats continuous bleeding and fetal restlessness in pregnancy; add Shuai Ai (Artemisiae Argyi Folium Preparatum), Ganjiang, Gancao, Ejiao, and Huangqin (Scutellariae Radix) in equal parts, named Jiao'ai Tang (Donkey-hide Gelatin and Mugwort Decoction). One formula treats bloody dysentery, adding only Ejiao and Shuai Ai. For postpartum blood stasis with dry mouth and irritability/thirst, add Gualou and Maimendong. For irritability, heat, difficult urination, and constipation, add Dahuang (Rhei Radix et Rhizoma) and Taoren (Persicae Semen) decoction. For distension in the hypochondrium, add Houpo (Magnoliae Officinalis Cortex) and Zhishi (Aurantii Fructus). For deficiency-irritability and insomnia, add Zhuye (Bambusae Folium) and Renshen. For extreme thirst and irritability, add Zhimu (Anemarrhenae Rhizoma) and Shigao (Gypsum Fibrosum). One formula treats women with blood deficiency and unbearable heart/abdominal pain; remove Shudihuang and add Ganjiang, named Sishen Tang (Four Divine Decoction). Generally, regardless of the amount of postpartum bleeding, one must take Heishen San (Black Divine Powder) three times daily. If bleeding is scant, alternate with Da Sheng San. After the second "la" (periods at the end of lunar months), when abdominal pain is minimal, then take Siwu Tang (Four Substances Decoction), Jianzhong Tang (Establish the Middle Decoction), etc. If taken too early, tonification may trap stagnant blood, leading to serious future complications. Heishen San and Da Sheng San are not purgative blood-removing drugs; they merely promote the elimination of the old and generation of the new, so frequent use is harmless. People today often suspect them of being cold-natured blood-purgatives, which is incorrect; this can be seen from their ingredients. If much lochia has been expelled, gradual tonification is not late; do not show leniency to avoid future harm. For instance, ancient formulas used Sishun Lizhong Wan (Four Smoothness and Middle-Regulating Pill) as a postpartum appetite-stimulant; since it is a honey pill and doubles the amount of Gancao, its sweetness is extreme, how can it benefit the spleen? It is better to use Lizhong Tang (Middle-Regulating Decoction) with less Gancao. For those with chronic phlegm-fluid retention, Erchen Tang (Two-Aged Decoction) is preferable. Regarding nausea/vomiting in pregnancy (Ezu), ancient formulas include Fuling Wan (Poria Pill) and Fuling Tang (Poria Decoction), containing Shudihuang, Zhuru (Bambusae Caulis in Taenia), and Chuanxiong, which claim to stop vomiting; taking them makes symptoms worse. Generally, Ezu is caused by pre-existing phlegm-fluid retention; Erchen Tang renamed Xiaofuling Tang (Small Poria Decoction) is extremely effective and should not be ignored.