产后头痛,有气血虚弱、痰厥、着寒着风之不同,不可一例而施治。气血虚弱者,四物汤。
痰厥者二陈汤。着寒着风者,芎苏饮,随症加减。有产后感于异症,手足牵搐,切牙头痛昏
冒,先服四物,后服秦艽丸。
芎苏饮
川芎 苏叶 枳壳 前胡 葛根 木香 桔梗 甘草 陈皮 半夏
姜三片,水煎服。
秦艽丸
川芎 当归 秦艽 荆芥
共为末,醋糊丸,每服四钱。
产后胞损,血水淋漓,茅根汤。败血不止,淋漓不休,乌金散。血不止,久而四肢乏力沉困
,牡蛎散。或产时稳婆误损其尿胞,以致日夜淋漓者,参术膏主之。
茅根汤
茅根(二钱) 瞿麦(钱半) 葵子(二钱) 茯苓(钱半) 人参(一钱) 蒲黄(一钱) 桃胶(一钱) 滑
石(钱半) 半夏(三分) 石膏(一钱) 紫贝(一个,烧)
灯心,姜水煎服。
乌金散
麒麟竭(一两) 百草霜(一两) 元胡(一两) 当归(一两) 男发灰(一两) 鲤鱼鳞(一两) 肉桂(一
两) 赤芍(一两) 松墨(醋浮 ,一两)
为末每服二钱,空心酒下。
牡蛎散
牡蛎粉(二钱) 川芎(一钱) 茯苓(一钱) 熟地(一钱) 龙骨(二钱) 续断(一钱) 当归(一钱) 艾
叶(一钱,酒炒) 人参(一钱) 五味(十粒) 地榆(一钱) 甘草(五分)
姜三片,大枣二枚,水煎服。
参术膏
人参一斤,白术一斤,煎成膏子,每用三钱,白汤下。
产后头痛,有气血虚弱、痰厥(因痰浊阻滞导致的气机逆乱)、受寒受风等不同情况,不能一概而论地施治。气血虚弱者,用四物汤。
痰厥者用二陈汤。受寒受风者,用芎苏饮,根据症状加减药物。有产后感于异常病症,出现手足抽搐、咬牙、头痛昏蒙的,先服用四物汤,后服用秦艽丸。
芎苏饮
川芎 苏叶 枳壳 前胡 葛根 木香 桔梗 甘草 陈皮 半夏
加生姜三片,水煎服。
秦艽丸
川芎 当归 秦艽 荆芥
共研为末,用醋调糊制成丸药,每次服用四钱。
产后胞损,恶露淋漓不尽,用茅根汤。败血不止,淋漓不休,用乌金散。血止不住,日久导致四肢乏力沉重困倦,用牡蛎散。或者是产时稳婆误伤其膀胱,以致日夜淋漓不断的,用参术膏主治。
茅根汤
白茅根(二钱) 瞿麦(一钱半) 冬葵子(二钱) 茯苓(一钱半) 人参(一钱) 蒲黄(一钱) 桃胶(一钱) 滑石(一钱半) 半夏(三分) 石膏(一钱) 紫贝(一个,烧制)
加灯心草,姜水煎服。
乌金散
麒麟竭(一两) 百草霜(一两) 元胡(一两) 当归(一两) 男发灰(一两) 鲤鱼鳞(一两) 肉桂(一两) 赤芍(一两) 松墨(醋浮,一两)
研为末,每次服用二钱,空腹时用酒送下。
牡蛎散
牡蛎粉(二钱) 川芎(一钱) 茯苓(一钱) 熟地黄(一钱) 龙骨(二钱) 续断(一钱) 当归(一钱) 艾叶(一钱,酒炒) 人参(一钱) 五味子(十粒) 地榆(一钱) 甘草(五分)
加生姜三片,大枣二枚,水煎服。
Postpartum headache may arise from different causes such as deficiency of Qi and Blood, Phlegm-Jue (reversal syndrome due to phlegm obstruction), or exposure to Cold and Wind; therefore, treatment cannot be applied uniformly. For cases of Qi and Blood deficiency, Siwu Tang (Four Substances Decoction) is indicated.
For Phlegm-Jue, Erchen Tang (Two Aged Decoction) is used. For exposure to Cold and Wind, Xiong Su Yin (Ligusticum and Perilla Infusion) is prescribed, with modifications based on specific symptoms. In cases where the postpartum woman contracts an abnormal pathogen, presenting with twitching of the limbs and teeth grinding accompanied by headache and dizziness, Siwu Tang should be administered first, followed by Qinjiao Wan (Gentian Pill).
Xiong Su Yin (Ligusticum and Perilla Infusion)
Chuanxiong Rhizoma (Ligustici Chuanxiong Rhizoma), Perillae Folium (Perillae Folium), Aurantii Fructus Immaturus (Aurantii Fructus Immaturus), Peucedani Radix (Peucedani Radix), Puerariae Radix (Puerariae Radix), Aucklandiae Radix (Aucklandiae Radix), Platycodonis Radix (Platycodonis Radix), Glycyrrhizae Radix et Rhizoma (Glycyrrhizae Radix et Rhizoma), Citri Reticulatae Pericarpium (Citri Reticulatae Pericarpium), Pinelliae Rhizoma Preparatum (Pinelliae Rhizoma Preparatum).
Add three slices of Zingiberis Rhizoma Recens (Fresh Ginger), decoct in water and take orally.
Qinjiao Wan (Gentian Pill)
Chuanxiong Rhizoma (Ligustici Chuanxiong Rhizoma), Angelicae Sinensis Radix (Angelicae Sinensis Radix), Gentianae Macrophyllae Radix (Gentianae Macrophyllae Radix), Schizonepetae Spica (Schizonepetae Spica).
Grind into powder, mix with vinegar paste to form pills, take four qian per dose.
Postpartum uterine injury presents with dripping lochia, treated with Maogen Tang (Imperata Rhizome Decoction). If foul blood continues to flow without cessation, Wujin San (Black Gold Powder) is used. If bleeding persists for a long time leading to weakness and heaviness in the four limbs, Muli San (Oyster Shell Powder) is indicated. Alternatively, if midwives accidentally injure the bladder during delivery, causing continuous dripping day and night, Shenzhu Gao (Ginseng and Atractylodes Paste) is the primary treatment.
Maogen Tang (Imperata Rhizome Decoction)
Imperatae Rhizoma (Imperatae Rhizoma, 2 qian), Dianthi Herba (Dianthi Herba, 1.5 qian), Malvae Semen (Malvae Semen, 2 qian), Poria (Poria, 1.5 qian), Ginseng Radix et Rhizoma (Ginseng Radix et Rhizoma, 1 qian), Polygoni Multiflori Caulis? No, Puhuang (Typhae Pollen, 1 qian), Pruni Persicae Gum (Pruni Persicae Gum, 1 qian), Talcum (Talcum, 1.5 qian), Pinelliae Rhizoma Preparatum (Pinelliae Rhizoma Preparatum, 3 fen), Gypsum Fibrosum (Gypsum Fibrosum, 1 qian), Margaritifera Concha (Margaritifera Concha, one piece, calcined).
Add Junci Medulla (Junci Medulla), decoct in ginger water and take orally.
Wujin San (Black Gold Powder)
Dragon's Blood (Dracaenae Sangue, 1 liang), Cinnabar Stain? No, Baicaoshuang (Soot from Kitchen Chimney, 1 liang), Corydalis Rhizoma (Corydalis Rhizoma, 1 liang), Angelicae Sinensis Radix (Angelicae Sinensis Radix, 1 liang), Cinis Capilli Humani (Ash of Human Hair, 1 liang), Cyprini Squama (Cyprini Squama, 1 liang), Cinnamomi Cortex (Cinnamomi Cortex, 1 liang), Paeoniae Radix Rubra (Paeoniae Radix Rubra, 1 liang), Carbon Ligni (Carbon Ligni, floated in vinegar, 1 liang).
Grind into powder, take two qian per dose, administer with wine on an empty stomach.
Muli San (Oyster Shell Powder)
Concha Ostreae Pulverata (Concha Ostreae Pulverata, 2 qian), Chuanxiong Rhizoma (Ligustici Chuanxiong Rhizoma, 1 qian), Poria (Poria, 1 qian), Rehmanniae Radix Preparata (Rehmanniae Radix Preparata, 1 qian), Os Draconis (Os Draconis, 2 qian), Dipsaci Radix (Dipsaci Radix, 1 qian), Angelicae Sinensis Radix (Angelicae Sinensis Radix, 1 qian), Artemisiae Argyi Folium (Artemisiae Argyi Folium, stir-fried with wine, 1 qian), Ginseng Radix et Rhizoma (Ginseng Radix et Rhizoma, 1 qian), Schisandrae Fructus (Schisandrae Fructus, 10 grains), Sanguisorbae Radix (Sanguisorbae Radix, 1 qian), Glycyrrhizae Radix et Rhizoma (Glycyrrhizae Radix et Rhizoma, 5 fen).
Add three slices of Zingiberis Rhizoma Recens (Fresh Ginger) and two dates, decoct in water and take orally.
Shenzhu Gao (Ginseng and Atractylodes Paste)
Ginseng Radix et Rhizoma (Ginseng Radix et Rhizoma, 1 jin), Atractylodis Macrocephalae Rhizoma (Atractylodis Macrocephalae Rhizoma, 1 jin).
Decoct into a paste, take three qian per dose, administer with plain warm water.