产后血抢心闷如狂,喘满欲绝者,蒲黄散。恶露不尽,心腹痛,黑神散。恶露不尽,儿枕痛
,当归失笑散。产后忽然口噤,语言颠倒,如见鬼状,此败血攻心,非风寒邪祟也,妙香散
,或用黑龙丹, 过酒调下。
蒲黄散 治恶露不快,血上抢心等症。
干荷叶(二钱半) 甘草(二钱半) 丹皮(二钱半) 元胡(二钱半) 生地(三钱半)
锉作二剂,水煎,入蜜少许温服。
黑神散 治恶露不尽,胞衣不下,腹痛不止。
黑豆(炒,半升) 熟地(四两) 当归(四两) 肉桂(四两) 干姜(炒,四两) 生蒲黄(四两)
炙甘草(四两) 炒白芍(四两)
共为末,每服二钱,童便各半盏调服。
当归失笑散 治产后心腹绞痛欲死,及儿枕作疼。
当归(五钱) 炒蒲黄(五钱) 五灵脂(五钱)
共为末,每服二钱,醋调熬成膏子,白滚汤下。
炒香散
麝香(一钱,研) 远志肉(一两,去心) 黄 (一两) 人参(五钱) 茯苓(一两) 茯神(一
两) 桔梗(五钱) 甘草(五钱) 木香(二钱,煨) 朱砂(三钱) 淮山药(姜汁炒,一两)
共为末,每服二钱,开水调服。
滑胎散 治坐草太早,努力过多,以致难产。
滑石(六钱) 冬葵子(五钱) 甘草(二钱)
为末,每服二钱,酒下。
神应散 治横生逆产,胞浆先破,此药如鱼得水。
白芷(一两) 百草霜(一两)
为末,童便酒调下三钱。
牛膝汤 治胞衣不下,脐腹坚痛,服此烂下。
牛膝(四两) 瞿麦(四两) 当归(三两) 通草(六两) 滑石(八两) 葵子(五两)
水九升,煎至三升,三次服。
黄 汤 治产后去血过多,自汗不止。
炙黄 (二钱) 白术(一钱,炒) 防风(一钱) 熟地(二钱) 牡蛎(钱半,研 ) 茯苓(一
钱) 麦冬(五分) 甘草(五分)
大枣二枚,水煎服。
茯神散 治产后心虚,怔忡不定,神思不清。
人参(一钱) 茯神(八分) 甘草(一钱) 山药(一钱) 当归(一钱) 肉桂(五分) 远志肉(
一钱) 生姜(五钱)
大枣二枚,水煎服。
当归羊肉汤 治产后寒热自汗,肢体疼痛,名曰蓐劳,诸药无效者。
当归(七钱) 人参(七钱) 黄 (一两) 生姜(五钱)
羊肉一斤,煮汁五大碗,入药煎四碗,作六服。
腹痛下血,胃虚呕逆,砂仁二钱,炒研末,酒调下,或佛手散。
产后出现瘀血上冲心胸,导致胸闷、神志恍惚如发狂状,伴有气喘胸满、气息将绝的情况,使用蒲黄散。若恶露排出不尽,引起心腹部疼痛,使用黑神散。若恶露不尽,且伴有“儿枕”(产后子宫复旧不全引起的腹痛),使用当归失笑散。产后突然牙关紧闭,言语错乱,仿佛看见鬼怪一般,这是败血攻心的缘故,并非风寒或邪祟所致,可使用妙香散,或者使用黑龙丹,用酒调服。
蒲黄散:治疗恶露排泄不畅,瘀血上冲心胸等症状。
药材及用量:干荷叶(二钱半)、甘草(二钱半)、丹皮(二钱半)、元胡(二钱半)、生地(三钱半)。
制法与用法:锉碎分为两剂,加水煎煮,加入少许蜂蜜,温服。
黑神散:治疗恶露排出不尽,胞衣(胎盘)不下,腹痛不止。
药材及用量:黑豆(炒制,半升)、熟地(四两)、当归(四两)、肉桂(四两)、干姜(炒制,四两)、生蒲黄(四两)、炙甘草(四两)、炒白芍(四两)。
制法与用法:共同研为细末,每次服用二钱,用童子尿和酒各半盏调服。
当归失笑散:治疗产后心腹绞痛剧烈欲死,以及儿枕作痛。
药材及用量:当归(五钱)、炒蒲黄(五钱)、五灵脂(五钱)。
制法与用法:共同研为细末,每次服用二钱,用醋调匀熬成膏状,用白开水送服。
妙香散(原文误作“炒香散”,据方义及上下文校正):
药材及用量:麝香(一钱,研细)、远志肉(一两,去心)、黄芪(一两)、人参(五钱)、茯苓(一两)、茯神(一两)、桔梗(五钱)、甘草(五钱)、木香(二钱,煨制)、朱砂(三钱)、淮山药(姜汁炒,一两)。
制法与用法:共同研为细末,每次服用二钱,用开水调服。
滑胎散:治疗产程过早用力,努力过度,导致难产。
药材及用量:滑石(六钱)、冬葵子(五钱)、甘草(二钱)。
制法与用法:研为细末,每次服用二钱,用酒送服。
神应散:治疗横位产或逆位产,胞浆先破,此药效果极佳,如鱼得水。
药材及用量:白芷(一两)、百草霜(一两)。
制法与用法:研为细末,用童子尿和酒调服三钱。
牛膝汤:治疗胞衣不下,脐腹部坚硬疼痛,服用此药可使胞衣烂下排出。
药材及用量:牛膝(四两)、瞿麦(四两)、当归(三两)、通草(六两)、滑石(八两)、葵子(五两)。
制法与用法:用水九升,煎煮至三升,分三次服用。
黄芪汤(原文漏字,据方义补全):治疗产后失血过多,自汗不止。
药材及用量:炙黄芪(二钱)、白术(一钱,炒制)、防风(一钱)、熟地(二钱)、牡蛎(钱半,研细)、茯苓(一钱)、麦冬(五分)、甘草(五分)。
制法与用法:加大枣二枚,加水煎服。
茯神散:治疗产后心气虚弱,心悸怔忡不定,神思不清。
药材及用量:人参(一钱)、茯神(八分)、甘草(一钱)、山药(一钱)、当归(一钱)、肉桂(五分)、远志肉(一钱)、生姜(五钱)。
制法与用法:加大枣二枚,加水煎服。
当归羊肉汤:治疗产后寒热往来、自汗、肢体疼痛,名为“蓐劳”,其他药物无效者。
药材及用量:当归(七钱)、人参(七钱)、黄芪(一两)、生姜(五钱)。
制法与用法:取羊肉一斤,煮出五大碗汁液,放入药材煎煮至四碗,分六次服用。
Postpartum, if blood rushes to the heart causing chest oppression and a manic-like state, accompanied by wheezing, chest fullness, and impending respiratory failure, use Puhuang San (Coptis Powder). If lochia is not completely discharged, causing epigastric and abdominal pain, use Heishen San (Black Spirit Powder). If lochia is not completely discharged, accompanied by "Erzhen" pain (postpartum uterine involution pain), use Danggui Shixiao San (Angelica Decipitatio Powder). If postpartum sudden lockjaw, inverted speech, and hallucinations of seeing ghosts occur, this is due to敗血 (decayed blood) attacking the heart, not wind-cold or evil spirits; use Miaoxiang San (Wonderful Fragrance Powder), or Heilong Dan (Black Dragon Pill), taken with wine.
Puhuang San: Treats slow discharge of lochia and blood rushing to the heart.
Ingredients: Ganheyeye (Dried Lotus Leaf, 2.5 qian), Gancao (Licorice Root, 2.5 qian), Danpi (Moutan Cortex, 2.5 qian), Yuanhu (Corydalis Rhizome, 2.5 qian), Shengdi (Rehmannia Root, 3.5 qian).
Preparation and Administration: Cut into pieces for two doses, decoct in water, add a little honey, and take warm.
Heishen San: Treats incomplete discharge of lochia, retention of placenta, and unceasing abdominal pain.
Ingredients: Heidou (Fried Black Soybean, half sheng), Shudi (Prepared Rehmannia Root, 4 liang), Danggui (Angelica Sinensis, 4 liang), Rougui (Cinnamon Bark, 4 liang), Jiangjiang (Fried Dried Ginger, 4 liang), Shengpuhuang (Raw Coptis Pollen, 4 liang), Zhigancao (Honey-fried Licorice Root, 4 liang), Chao Baishao (Stir-fried White Peony Root, 4 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with half a zhan of child's urine and half a zhan of wine.
Danggui Shixiao San: Treats severe cramping pain in the heart and abdomen after childbirth, and Erzhen pain.
Ingredients: Danggui (Angelica Sinensis, 5 qian), Chao Puhuang (Stir-fried Coptis Pollen, 5 qian), Wulingzhi (Trogopterus Dung, 5 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with vinegar and boiled into a paste, taken with plain boiling water.
Miaoxiang San (Corrected from original "Chao Xiang San"):
Ingredients: Shexiang (Musk, 1 qian, ground), Yuanzhi (Polygala Root, 1 liang, heart removed), Huangqi (Astragalus Root, 1 liang), Renshen (Ginseng Root, 5 qian), Fuling (Poria, 1 liang), Fushen (Poria with Hostwood, 1 liang), Jiegeng (Platycodon Root, 5 qian), Gancao (Licorice Root, 5 qian), Muxiang (Aucklandia Root, 2 qian, baked), Zhusha (Cinnabar, 3 qian), Huai Shanyao (Chinese Yam, stir-fried with ginger juice, 1 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with boiling water.
Huatai San: Treats difficult labor caused by pushing too early and excessive effort during delivery.
Ingredients: Huashi (Talcum, 6 qian), Dongkuizi (Malva Seed, 5 qian), Gancao (Licorice Root, 2 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose, taken with wine.
Shenyingsan: Treats transverse or breech presentation with premature rupture of membranes; this medicine is as effective as fish in water.
Ingredients: Baizhi (Angelica Dahurica, 1 liang), Baicaoshuang (Burnt Grass Ash, 1 liang).
Preparation and Administration: Grind into powder. Take 3 qian per dose, mixed with child's urine and wine.
Niuxi Tang: Treats retained placenta with hard and painful umbilical and abdominal regions; this medicine facilitates the expulsion of the placenta.
Ingredients: Niuxi (Achyranthes Root, 4 liang), Qumai (Dianthus Herb, 4 liang), Danggui (Angelica Sinensis, 3 liang), Tongcao (Tetrapanax Pith, 6 liang), Huashi (Talcum, 8 liang), Kuizi (Malva Seed, 5 liang).
Preparation and Administration: Decoct 9 sheng of water until reduced to 3 sheng, divide into three doses.
Huangqi Tang (Completed from original): Treats excessive blood loss postpartum with continuous spontaneous sweating.
Ingredients: Zhi Huangqi (Honey-fried Astragalus Root, 2 qian), Baizhu (Stir-fried Atractylodes Macrocephala Rhizome, 1 qian), Fangfeng (Saposhnikovia Root, 1 qian), Shudi (Prepared Rehmannia Root, 2 qian), Muli (Ground Oyster Shell, 1.5 qian), Fuling (Poria, 1 qian), Maidong (Ophiopogon Tuber, 0.5 fen), Gancao (Licorice Root, 0.5 fen).
Preparation and Administration: Add two dates, decoct in water, and take.
Fushen San: Treats postpartum heart deficiency, palpitations, restlessness, and unclear mental state.
Ingredients: Renshen (Ginseng Root, 1 qian), Fushen (Poria with Hostwood, 0.8 fen), Gancao (Licorice Root, 1 qian), Shanyao (Chinese Yam, 1 qian), Danggui (Angelica Sinensis, 1 qian), Rougui (Cinnamon Bark, 0.5 fen), Yuanzhi (Polygala Root, 1 qian), Shengjiang (Fresh Ginger, 5 qian).
Preparation and Administration: Add two dates, decoct in water, and take.
Danggui Yangrou Tang: Treats postpartum alternating chills and fever, spontaneous sweating, limb pain, known as "Rulao" (childbed fever/asthenia), when other medicines are ineffective.
Ingredients: Danggui (Angelica Sinensis, 7 qian), Renshen (Ginseng Root, 7 qian), Huangqi (Astragalus Root, 1 liang), Shengjiang (Fresh Ginger, 5 qian).
Preparation and Administration: Boil 1 jin of lamb meat in five large bowls of water. Add herbs and decoct until four bowls remain. Divide into six doses.
For abdominal pain with bleeding, stomach deficiency with vomiting and reflux, use 2 qian of Sharen (Amomum Fruit), stir-fried and ground into powder, taken with wine; or use Foshou San (Buddha's Hand Powder).