浓朴 柴胡 黄芩(各二钱) 麻黄(六分) 陈皮 当归 川芎 桔梗 茯苓(各一钱五分)
桂枝 苍术 白芷 枳壳 羌活(各一钱) 草果 半夏(各二钱) 甘草(九分) 白芍 熟
地(各一钱五分)
分二帖。加姜葱引。如有汗。倍用当归。川芎。桂枝。白芍。熟地。胀。
倍用浓朴。陈皮。寒倍用半夏。苍术。草果。桂枝。热。倍用柴胡。黄芩。痰。倍半夏。茯
苓。痢。倍当归。去枳壳。甘草。头痛。倍川芎。白芷。羌活。余血在腹。成块作痛。加三
棱。莪术。元胡。大茴。遍身痛。加独活。倍羌活。浮肿。气急。泄泻。九死一生。若单气
急。加枳壳。枳实。木香。杏仁。单泄泻。去枳壳。加粟壳。诃子。豆蔻。膈气急。加杏仁
。苏叶。倍用桔梗。枳实。汗去麻黄。加黄 。嗽加杏仁。渴加乌梅。干姜。胀加砂仁。香
产后遍身浮肿。气虚潮热。盖因脾胃虚弱。血气衰败伤风在里。若脉浮强大。用药可治。如
兼泄泻气急。脉细者。难治。
人参 茯苓 熟地 小茴(各三钱) 白术 川芎(各四钱) 当归 白芍 香附(各五钱) 甘
草黄芩 柴胡(各三钱) 分六帖。姜(三片) 水煎服。服尽又用调经丸治之。如肚痛。加
延胡。干漆。枳壳。(各三钱) 嗽加五味。麦冬。款冬花。(各三钱) 手足麻痹。加肉桂(
厚朴、柴胡、黄芩(各二钱),麻黄(六分),陈皮、当归、川芎、桔梗、茯苓(各一钱五分),桂枝、苍术、白芷、枳壳、羌活(各一钱),草果、半夏(各二钱),甘草(九分),白芍、熟地黄(各一钱五分)。
将上述药物分为两帖。煎服时加入生姜和葱白作为药引。如果患者有汗出,加倍使用当归、川芎、桂枝、白芍、熟地黄;如果腹部胀满,加倍使用厚朴、陈皮;如果寒象重,加倍使用半夏、苍术、草果、桂枝;如果热象重,加倍使用柴胡、黄芩;如果有痰,加倍使用半夏、茯苓;如果是痢疾,加倍使用当归,去掉枳壳和甘草;如果头痛,加倍使用川芎、白芷、羌活;如果腹中有瘀血残留,结成块状并引起疼痛,加入三棱、莪术、延胡索、大茴香;如果全身疼痛,加入独活,并加倍使用羌活;如果出现浮肿、气急、泄泻,病情危重,十死一生。如果只是单纯气急,加入枳壳、枳实、木香、杏仁;如果只是单纯泄泻,去掉枳壳,加入罂粟壳、诃子、豆蔻;如果膈部气机阻滞且气急,加入杏仁、紫苏叶,并加倍使用桔梗、枳实;如果有汗出则去掉麻黄;如果咳嗽加入杏仁;如果口渴加入乌梅、干姜;如果腹胀加入砂仁、香附。
产后出现全身浮肿,伴有气虚潮热,这是因为脾胃虚弱,气血衰败,风邪侵入体内所致。如果脉象浮而有力,用药可以治疗;如果兼有泄泻和气急,且脉象细弱,则难以治疗。
人参、茯苓、熟地黄、小茴香(各三钱),白术、川芎(各四钱),当归、白芍、香附(各五钱),甘草、黄芩、柴胡(各三钱)。将上述药物分为六帖。加入生姜三片,用水煎服。服药结束后,再用调经丸进行治疗。如果肚痛,加入延胡索、干漆、枳壳(各三钱);如果咳嗽,加入五味子、麦冬、款冬花(各三钱);如果手足麻木,加入肉桂(剂量未注明)。
Cortex Magnoliae Officinalis (Houpo), Radix Bupleuri (Chaihu), Radix Scutellariae (Huangqin) (each 2 qian), Herba Ephedrae (Mahuang) (6 fen), Pericarpium Citri Reticulatae (Chenpi), Radix Angelicae Sinensis (Danggui), Radix Chuanxiong (Chuanxiong), Fructus Platycodi (Jiegeng), Poria (Fuling) (each 1.5 qian), Ramulus Cinnamomi (Guizhi), Rhizoma Atractylodis Lanceae (Cangzhu), Radix Angelicae Dahuricae (Baizhi), Fructus Aurantii (Zhike), Rhizoma Notopterygii (Qianghuo) (each 1 qian), Fructus Tsaoko (Caoguo), Rhizoma Pinelliae Preparatum (Banxia) (each 2 qian), Radix Glycyrrhizae (Gancao) (9 fen), Radix Paeoniae Alba (Baishao), Radix Rehmanniae Preparata (Shudì) (each 1.5 qian).
Divide the above herbs into two doses. Add fresh ginger and scallion white as a guide herb during decoction. If there is sweating, double the dosage of Radix Angelicae Sinensis (Danggui), Radix Chuanxiong (Chuanxiong), Ramulus Cinnamomi (Guizhi), Radix Paeoniae Alba (Baishao), and Radix Rehmanniae Preparata (Shudì). If there is abdominal distension, double the dosage of Cortex Magnoliae Officinalis (Houpo) and Pericarpium Citri Reticulatae (Chenpi). If there is cold predominance, double the dosage of Rhizoma Pinelliae Preparatum (Banxia), Rhizoma Atractylodis Lanceae (Cangzhu), Fructus Tsaoko (Caoguo), and Ramulus Cinnamomi (Guizhi). If there is heat predominance, double the dosage of Radix Bupleuri (Chaihu) and Radix Scutellariae (Huangqin). If there is phlegm, double the dosage of Rhizoma Pinelliae Preparatum (Banxia) and Poria (Fuling). If it is dysentery, double the dosage of Radix Angelicae Sinensis (Danggui), and remove Fructus Aurantii (Zhike) and Radix Glycyrrhizae (Gancao). If there is headache, double the dosage of Radix Chuanxiong (Chuanxiong), Radix Angelicae Dahuricae (Baizhu), and Rhizoma Notopterygii (Qianghuo). If residual blood remains in the abdomen, forming clumps and causing pain, add Rhizoma Sparganii (Sanleng), Rhizoma Curcumae Longae (Ezhu), Radix Corydalis Yanhusuo (Yanhu), and Fructus Anisi Stellati (Da Hui). If there is pain throughout the body, add Radix Angelicae Pubescentis (Duhuo) and double the dosage of Rhizoma Notopterygii (Qianghuo). If edema, shortness of breath, and diarrhea occur, the condition is critical with a high mortality rate. If there is only shortness of breath, add Fructus Aurantii (Zhike), Fructus Aurantii Immaturus (Zhishi), Radix Aucklandiae (Muxiang), and Semen Armeniacae Amarum (Xingren). If there is only diarrhea, remove Fructus Aurantii (Zhike) and add Pericarpium Papaveris (Sugu), Fructus Corni (Hezi), and Semen Myristicae (Doukou). If there is diaphragmatic qi stagnation with shortness of breath, add Semen Armeniacae Amarum (Xingren), Folium Perillae (Suye), and double the dosage of Fructus Platycodi (Jiegeng) and Fructus Aurantii Immaturus (Zhishi). If there is sweating, remove Herba Ephedrae (Mahuang). If there is cough, add Semen Armeniacae Amarum (Xingren). If there is thirst, add Fructus Mume (Wumei) and Rhizoma Zingiberis Preparatum (Ganjiang). If there is distension, add Fructus Amomi Rotundus (Sharen) and Radix Cyperi (Xiangfu).
Postpartum generalized edema accompanied by qi-deficiency tidal fever is caused by spleen and stomach weakness, depletion of qi and blood, and wind pathogen invading the interior. If the pulse is floating and forceful, medication can be effective. If accompanied by diarrhea and shortness of breath with a fine pulse, it is difficult to treat.
Radix Ginseng (Renshen), Poria (Fuling), Radix Rehmanniae Preparata (Shudì), Fructus Foeniculi (Xiaohui) (each 3 qian), Rhizoma Atractylodis Macrocephalae (Baizhu), Radix Chuanxiong (Chuanxiong) (each 4 qian), Radix Angelicae Sinensis (Danggui), Radix Paeoniae Alba (Baishao), Rhizoma Cyperi (Xiangfu) (each 5 qian), Radix Glycyrrhizae (Gancao), Radix Scutellariae (Huangqin), Radix Bupleuri (Chaihu) (each 3 qian). Divide into six doses. Add three slices of fresh ginger, decoct in water, and take orally. After finishing this prescription, use Tiaojing Wan (Regulating Menstruation Pill) for further treatment. If there is abdominal pain, add Radix Corydalis Yanhusuo (Yanhu), Drynaria Rhizome processed with lac (Ganqi), and Fructus Aurantii (Zhike) (each 3 qian). If there is cough, add Fructus Schisandrae (Wuweizi), Radix Ophiopogonis (Maidong), and Flos Farfarae (Kuandonghua) (each 3 qian). If there is numbness in the hands and feet, add Ramulus Cinnamomi (Rougui) (dosage not specified).