答曰。产后气血暴虚。未得安静。血随气上。迷乱心神。故眼花。甚者令人迷绝。口噤神昏
气冷。医者不识。呼为暗风。若作此治。病必难愈。但服清魂散。
泽兰叶(二分半) 人参(二分半) 荆芥穗(一两) 川芎(半两) 甘草(炙一分)
上为细末。每服一钱。热汤温酒各半盏调。下咽喉即开眼气定。人事省。
七宝散。初产后调血和气。补虚。压惊悸。治虚运。
朱砂(研) 桂心 干姜(炮) 当归 羚羊角 川芎 人参 茯苓(各半分)
上为细末。若产妇平和。三日以前。直至盈月。每日各取一字。以羌活豆淋酒调下。空心服
。若觉心胸烦热。即减桂姜。冷即加之。腹痛加当归。心闷加羚羊角。心胸气短加桂。不下
食或恶心加人参。虚颤加茯苓。以意斟酌。日二服。夜一服。不饮酒者。童便酒少许调下。
答曰。产后宫胃太虚。血气未定。食面太早。胃不能消化。面毒结聚于胃脘。上熏胸中。是
以口干烦渴。心下痞闷。医者不识。认为胸膈壅滞。此宜服见 丸。
姜黄 京三棱 荜澄茄 人参 青皮 高良姜 莪术(各等分)
上为末。用细萝卜慢火煮令烂。研细。将汁煮糊为丸。桐子大。萝卜汤下。不拘时。
木香丸。治妇人有妊伤食。
京三棱(此药能落胎不可用前胡五分代之产后用之无碍) 木香 人参 茯苓(去皮各二钱)
上为细末。面糊丸如绿豆大。每服三十丸。熟水送下。
白术散。治气不调和饮食。许学士云。妊妇伤食难得药。惟此二方稳捷。
白术(炒一两) 干紫苏(一两) 白芷(微炒三钱) 人参(七钱半) 川芎 诃子皮(一本作肉)
青皮(各半两) 甘草(二钱半)
上为粗末。每服二钱。水一盏。姜三片。煎七分。温服。不拘时候。
六君子汤。治胸膈痞塞。脾寒不嗜食。燥药不得服。
枳壳(麸炒) 陈皮 人参 白术 白茯苓 半夏(洗各等分)
上为 咀。每服五钱。水二盏。姜五片。煎一盏。去滓温服。无时。
回答:产后气血突然虚弱,身体尚未恢复平静,血液随着气机上逆,扰乱心神,因此出现眼花。严重的会导致神志昏迷、牙关紧闭、意识丧失、气息冰冷。医生如果不了解这种情况,称之为“暗风”。如果按照这种病证来治疗,疾病必定难以痊愈。只需服用清魂散。
泽兰叶(二分半)、人参(二分半)、荆芥穗(一两)、川芎(半两)、甘草(炙一分)。
以上药材研成细末。每次服用一钱,用热汤和温酒各半盏调和送服。药液咽下后,眼睛即能睁开,气息平稳,人事清醒。
七宝散:用于产后初期调理血气、调和气血、补益虚损、压制惊悸,治疗因虚引起的晕厥。
朱砂(研碎)、桂心、干姜(炮制)、当归、羚羊角、川芎、人参、茯苓(各半分)。
以上药材研成细末。如果产妇体质平和,从产后三天前直到满月期间,每天各取一字量的药粉,用羌活豆淋酒调服,空腹服用。如果觉得心胸烦热,就减少桂枝和干姜的用量;感觉冷就增加用量;腹痛加当归;心胸闷塞加羚羊角;心胸气短加桂枝;不下食或恶心加人参;虚性颤抖加茯苓。根据具体情况斟酌调整,每日两次,夜间一次。不饮酒的人,用少许童便酒调服。
回答:产后子宫和胃过于虚弱,血气尚未稳定,进食面食过早,胃无法消化,面毒积聚在胃脘部,向上熏蒸胸中,因此导致口干、烦躁口渴、心下部痞闷堵塞。医生不了解此情况,误认为是胸膈部的壅滞阻塞。这种情况适宜服用见丸(注:原文此处可能有脱字,通常指某特定方剂,依原文直译)。
姜黄、京三棱、荜澄茄、人参、青皮、高良姜、莪术(各等分)。
以上药材研成细末。用细萝卜在慢火上煮至烂熟,捣碎研细,将汁液用来煮糊制作成丸药,大小如梧桐子。用萝卜汤送服,不限时间。
木香丸:治疗妇女怀孕期间饮食积滞。
京三棱(此药能堕胎,不可使用,可用前胡五分代替,产后使用则无妨碍)、木香、人参、茯苓(去皮,各二钱)。
以上药材研成细末,用面糊制成如绿豆大小的丸药。每次服用三十丸,用温水送服。
白术散:治疗气机不调和导致的饮食问题。许学士说,孕妇伤食很难找到合适的药物,只有这两个方子稳妥快捷。
白术(炒一两)、干紫苏(一两)、白芷(微炒三钱)、人参(七钱半)、川芎、诃子皮(另一版本作诃子肉)、青皮(各半两)、甘草(二钱半)。
以上药材切成粗末。每次服用二钱,用水一盏,生姜三片,煎至七分,温服,不限时间。
六君子汤:治疗胸膈痞塞、脾寒食欲不振,且不能使用燥烈药物的情况。
枳壳(麸炒)、陈皮、人参、白术、白茯苓、半夏(洗,各等分)。
以上药材切碎。每次服用五钱,用水二盏,生姜五片,煎至一盏,去渣温服,不限时间。
Answer: Postpartum, Qi and Blood are suddenly deficient, and the body has not yet regained tranquility. Blood follows the upward movement of Qi, confusing and disturbing the Heart Spirit (Shen), resulting in blurred vision. In severe cases, it causes coma, locked jaw, loss of consciousness, and cold breath. If physicians do not recognize this condition, they may call it "An Feng" (Dark Wind). Treating it as such will make the disease difficult to cure. One should simply administer Qing Hun San (Clear Soul Powder).
Zelan Ye (Lagopterum Herba) (2.5 fen), Renshen (Ginseng Radix et Rhizoma) (2.5 fen), Jingjie Sui (Schizonepetae Spica) (1 liang), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (0.5 liang), Gancao (Licorice Root) (roasted, 1 fen).
Grind the above ingredients into a fine powder. Take 1 qian per dose, mixed with half a cup of hot water and half a cup of warm wine. Upon swallowing, the eyes will open, breathing will stabilize, and consciousness will return.
Qibao San (Seven-Treasure Powder): Used in the early postpartum period to regulate Blood and harmonize Qi, tonify deficiency, suppress palpitations and fright, and treat syncope due to deficiency.
Zhusha (Cinnabar) (ground), Guixin (Cinnamon Twig Bark), Jiangjiang (Dried Ginger) (processed), Danggui (Angelica Sinensis Radix), Lingyangjiao (Saiga Tatarica Cornu), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria) (each 0.5 fen).
Grind the above ingredients into a fine powder. If the parturient is physically balanced, from three days before delivery until one month postpartum, take one zi-sized amount daily, mixed with Qianghuo Doulin Jiu (Notopterygium and Bean Leaven Wine). Take on an empty stomach. If chest and heart heat sensation occurs, reduce the dosage of Guixin and Jiangjiang; if feeling cold, increase them. For abdominal pain, add Danggui; for chest stuffiness, add Lingyangjiao; for shortness of breath in the chest, add Guixin; for inability to eat or nausea, add Renshen; for tremors due to deficiency, add Fuling. Adjust according to judgment. Take twice daily and once at night. For those who do not drink alcohol, mix with a small amount of Tongbian Jiu (Child Urine Wine).
Answer: Postpartum, the Uterus and Stomach are extremely deficient, and Qi and Blood have not yet stabilized. Consuming wheat products too early overwhelms the Stomach's digestive capacity. The toxicity of wheat accumulates in the Epigastrium and steams upward into the Chest, causing dry mouth, irritability, thirst, and epigastric fullness and oppression. Physicians who do not recognize this may misdiagnose it as obstruction in the Thoracic Diaphragm. This condition is suitable for treating with Jian Wan (Note: Text implies a specific pill formula, likely missing character in source, translated literally).
Jianghuang (Curcumae Longae Rhizoma), Jingsanleng (Sparganii Rhizoma), Bichengqie (Bergamii Fructus), Renshen (Ginseng Radix et Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Gaoliangjiang (Alpiniae Officinarum Rhizoma), Ezhu (Curcumae Rhizoma) (each equal parts).
Grind the above into a powder. Slowly boil thin radish slices until soft, mash finely, and use the juice to cook the powder into a paste for making pills, sized like paulownia seeds. Take with radish soup, at any time.
Muxiang Wan (Aucklandia Pill): Treats food stagnation in pregnant women.
Jingsanleng (Sparganii Rhizoma) (This herb can induce abortion and should not be used; substitute with Qianhu [Peucedani Radix] 5 fen; safe for postpartum use), Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria) (peeled, each 2 qian).
Grind the above into a fine powder, form into pills the size of mung beans using flour paste. Take 30 pills per dose with warm water.
Baizhu San (Atractylodes Macrocephala Powder): Treats dietary issues caused by disharmonious Qi. Scholar Xu stated that it is difficult to find suitable medicine for pregnant women with food stagnation; only these two formulas are stable and effective.
Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried, 1 liang), Gansuzi (Perillae Folium) (dried, 1 liang), Baizhi (Angelicae Dahuricae Radix) (lightly stir-fried, 3 qian), Renshen (Ginseng Radix et Rhizoma) (7.5 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Hezi Pi (Terminalia Chebulae Pericarpium) (another version uses Hezi Rou [flesh]), Qingpi (Citri Reticulatae Pericarpium Viride) (each 0.5 liang), Gancao (Licorice Root) (2.5 qian).
Cut the above into coarse pieces. Take 2 qian per dose, with one cup of water and three slices of ginger, decoct to 0.7 cups, take warm, at any time.
Liujunzi Tang (Six-Gentlemen Decoction): Treats chest and diaphragm fullness/obstruction, Spleen Cold with poor appetite, especially when drying herbs cannot be used.
Zhiqiao (Aurantii Fructus) (bran-fried), Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Bai Fuling (Poria), Banxia (Pinelliae Rhizoma) (washed, each equal parts).
Cut the above into small pieces. Take 5 qian per dose, with two cups of water and five slices of ginger, decoct to one cup, strain, and take warm, at any time.