产后败血凝聚,气上冲心作痛,大岩蜜汤,七情相干,血与气并心痛,元胡索汤。败血攻心
腹痛,失笑散。寒邪腹痛,理中汤。
大岩蜜汤 治气上冲心。
当归(一钱) 独活(一钱) 干姜(一钱) 熟地(一钱) 甘草(五分) 北细辛(七分) 吴萸(
一钱) 肉桂(一钱) 远志(一钱) 白芍(一钱)
水煎服。
元胡索汤 治心腹痛。
元胡(一钱) 当归(一钱) 白芍(一钱,炒) 浓朴(一钱,姜炒) 文术(一钱,煨) 三棱(
一钱,煨) 川楝子(一钱) 木香(一钱) 川芎(一钱二分) 桔梗(一钱二分) 槟榔(一钱)
黄芩(八分) 甘草(七分)
水煎服。
失笑散 治胃脘痛。
蒲黄 五灵脂
产后咳嗽而恶露未尽,二陈、四物加活血药。已净,知母茯苓汤。或发热,八物加黄柏、知
母少许。或伤风咳嗽而痰多者,其治法载伤风条下。有恶露上攻,肺经受邪咳嗽,二母散。
血风感寒热湿气,咳嗽痰涎,坐卧不安,四阴煎。有外感者,参苏饮。
二母散 治恶露上攻而嗽。
知母(一两) 贝母(一两) 人参(八钱) 茯苓(八钱) 桃仁(十九粒,研) 杏仁(十四粒,
研)
每服七钱,煎至八分,细细呷下。
四阴煎 保肺清金。
生地(三钱) 麦冬(二钱) 白芍(二钱) 百合(二钱) 沙参(二钱) 生甘草(一钱) 茯苓(
钱半)
水煎服。夜热盗汗,加地骨皮。痰多,加川贝。
产后郁冒,由胃弱不实,多汗故也。血虚必厥,厥必郁冒,白薇汤。产后三疾,郁冒则多汗
,汗多则大便秘结,此皆去血过多,难以药治,苏麻粥主之。
白薇汤 治汗多。
白薇(三钱) 当归(三钱) 人参(钱半) 甘草(七分)
水煎服。
苏麻粥 润肠。
苏子、麻仁不拘多少,研烂取汁,煮粥食之。
产后因败血(瘀滞之血)凝聚,气机上冲至心部引起疼痛,使用大岩蜜汤;若因七情(喜、怒、忧、思、悲、恐、惊)相互干扰,导致血与气并结于心部引起疼痛,使用元胡索汤。败血攻冲心脏及腹部引起疼痛,使用失笑散。寒邪引起的腹痛,使用理中汤。
大岩蜜汤:治疗气机上冲至心部。
当归(一钱)、独活(一钱)、干姜(一钱)、熟地黄(一钱)、甘草(五分)、北细辛(七分)、吴茱萸(一钱)、肉桂(一钱)、远志(一钱)、白芍(一钱)。
用水煎服。
元胡索汤:治疗心腹疼痛。
延胡索(一钱)、当归(一钱)、白芍(一钱,炒制)、厚朴(一钱,姜汁炒制)、莪术(一钱,煨制)、三棱(一钱,煨制)、川楝子(一钱)、木香(一钱)、川芎(一钱二分)、桔梗(一钱二分)、槟榔(一钱)、黄芩(八分)、甘草(七分)。
用水煎服。
产后咳嗽且恶露(产后余血浊液)未尽者,使用二陈汤合四物汤,加入活血药物。若恶露已净,使用知母茯苓汤。若有发热症状,使用八珍汤加入少量黄柏和知母。若是伤风咳嗽且痰多者,其治疗方法记载在“伤风”条目下。若有恶露上攻肺部,致使肺经受邪而咳嗽者,使用二母散。
若因感受风、热、湿、寒之气,出现咳嗽、痰涎增多,坐卧不安者,使用四阴煎。若有外感表证者,使用参苏饮。
二母散:治疗恶露上攻所致咳嗽。
知母(一两)、贝母(一两)、人参(八钱)、茯苓(八钱)、桃仁(十九粒,研碎)、杏仁(十四粒,研碎)。
每次服用七钱,煎煮至剩余八分药液,细细呷服。
四阴煎:保养肺脏,清肃肺气。
生地黄(三钱)、麦冬(二钱)、白芍(二钱)、百合(二钱)、沙参(二钱)、生甘草(一钱)、茯苓(一钱半)。
用水煎服。若夜间发热、盗汗,加地骨皮。若痰多,加川贝母。
产后郁冒(头晕目眩、意识模糊),是由于胃气虚弱不实,加之多汗所致。血虚必然导致厥逆(四肢冰冷、昏厥),厥逆必然导致郁冒,使用白薇汤。产后三种疾病中,郁冒往往伴随多汗,多汗则导致大便秘结,这些皆因去血过多所致,难以用药物治疗,以苏麻粥为主治方。
Postpartum, if lochia stasis (stagnated blood) condenses and qi rushes upward to the heart causing pain, Da Yan Mi Tang (Great Rock Honey Decoction) is used. If seven emotions (joy, anger, worry, thought, sadness, fear, fright) interfere with each other, causing blood and qi to congregate in the heart region leading to pain, Yuan Hu Suo Tang (Corydalis Decoction) is used. If lochia attacks the heart and abdomen causing pain, Shi Xiao San (Pain-Dismissing Powder) is used. For abdominal pain caused by cold pathogen, Li Zhong Tang (Regulate the Middle Decoction) is used.
Da Yan Mi Tang: Treats qi rushing upward to the heart.
Angelicae Radix (Danggui, 1 qian), Angelicae Pubescentis Radix (Duohuo, 1 qian), Zingiberis Rhizoma Preparatum (Ganjiang, 1 qian), Rehmanniae Radix Praeparata (Shudi, 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 5 fen), Asari Radix et Rhizoma (Beixixin, 7 fen), Evodiae Fructus (Wuyu, 1 qian), Cinnamomi Cortex (Rougui, 1 qian), Polygalae Radix (Yuanzhi, 1 qian), Paeoniae Radix Alba (Baishao, 1 qian).
Decoct in water and take orally.
Yuan Hu Suo Tang: Treats heart and abdominal pain.
Corydzidis Rhizoma (Yuanhu, 1 qian), Angelicae Radix (Danggui, 1 qian), Paeoniae Radix Alba (Baishao, 1 qian, stir-fried), Magnoliae Officinalis Cortex (Nhoupu, 1 qian, stir-fried with ginger juice), Curcumae Longae Rhizoma (Ezhu, 1 qian, roasted), Sparganii Rhizoma (Sanleng, 1 qian, roasted), Toosendan Fructus (Chuanlianzi, 1 qian), Aucklandiae Radix (Muxiang, 1 qian), Ligustici Chuanxiong Rhizoma (Chuanxiong, 1.2 qian), Platycodonis Radix (Jiegeng, 1.2 qian), Arecae Semen (Binglang, 1 qian), Scutellariae Radix (Huangqin, 8 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 7 fen).
Decoct in water and take orally.
Shi Xiao San: Treats epigastric pain.
Typhae Pollen (Puhuang), Trogopterori Faex (Wulingzhi).
For postpartum cough with incomplete expulsion of lochia (postpartum residual blood and turbid fluid), Er Chen Tang (Two-Aged Decoction) combined with Si Wu Tang (Four-Substance Decoction), added with blood-invigorating herbs. If lochia has cleared completely, Zhimu Fuling Tang (Anemarrhenae and Poria Decoction) is used. If fever is present, Ba Zhen Tang (Eight-Treasure Decoction) with small amounts of Phellodendri Cortex (Huangbai) and Anemarrhenae Rhizoma (Zhimu) is used. If it is wind-stroke cough with excessive phlegm, the treatment method is recorded under the "Wind-Stroke" section. If lochia attacks upward affecting the lungs, causing lung meridian pathogenic invasion and cough, Er Mu San (Two-Mother Powder) is used.
If suffering from wind, heat, dampness, or cold pathogens, resulting in cough, excessive phlegm-saliva, and restlessness in sitting or lying down, Si Yin Jian (Four-Yin Decoction) is used. If there is an external contraction, Shen Su Yin (Ginseng and Perilla Infusion) is used.
Er Mu San: Treats cough caused by lochia attacking upward.
Anemarrhenae Rhizoma (Zhimu, 1 liang), Fritillariae Cirrhosae Bulbus (Beimu, 1 liang), Ginseng Radix et Rhizoma (Renshen, 8 qian), Poria (Fuling), Pruni Persicae Semen (Taoren, 19 grains, crushed), Armeniacae Semen Amarum (Xingren, 14 grains, crushed).
Take 7 qian per dose, decoct until 0.8 portion remains, and sip slowly.
Si Yin Jian: Nourishes the lungs and clears metal (lung qi).
Rehmanniae Radix Recens (Shengdi, 3 qian), Ophiopogonis Tuber (Maidong, 2 qian), Paeoniae Radix Alba (Baishao, 2 qian), Lilii Bulbus (Baihe, 2 qian), Glehniae Radix (Shashen, 2 qian), Glycyrrhizae Radix et Rhizoma Recens (Shenggancao, 1 qian), Poria (Fuling, 1.5 qian).
Decoct in water and take orally. For night fever and night sweats, add Lycii Cortex (Digupi). For excessive phlegm, add Fritillariae Thunbergii Bulbus (Chuanbei).
Postpartum Yu Mao (vertigo and faintness) is due to weak stomach qi and deficiency, exacerbated by excessive sweating. Blood deficiency inevitably leads to Jue (cold limbs/fainting); Jue inevitably leads to Yu Mao. Baiwei Tang (Cynanchum Atratum Decoction) is used. Among the three diseases occurring within three days postpartum, Yu Mao often involves excessive sweating; excessive sweating leads to constipation. All these are caused by excessive blood loss and are difficult to treat with medicine; Su Ma Zhou (Perilla and Hemp Seed Porridge) is the primary treatment.
Baiwei Tang: Treats excessive sweating.
Cynanchi Atrati Radix (Baiwei, 3 qian), Angelicae Radix (Danggui, 3 qian), Ginseng Radix et Rhizoma (Renshen, 1.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 7 fen).
Decoct in water and take orally.
Su Ma Zhou: Moistens the intestines.
Perillae Fructus (Zisu) and Cannabis Fructus (Maren) in any amount, ground into a paste to extract juice, cooked into porridge and eaten.