川芎(六分) 当归(三钱) 黄 麻黄根 天麻 枣仁(各一钱) 人参(二钱) 甘草 荆芥
枣(三枚) 煎服。如脉脱再加人参(二三钱) 附子(四五分) 忌食
姜。葱。煎。炒。生冷。如身热毋用风药。并勿用芩、连、栀、柏,小便不通。因汗多亡液。
毋用利水药。并毋用小续命汤。愈风汤。即半夏。南星。亦宜少用。毋信用邪术。法尺符水
等事。
产后血崩。气急气脱。昏乱将绝。或晕厥牙紧。速煎清神返魂汤灌之。如气将绝。灌药不下
以酒杯盛二三分灌之。灌下腹渐温暖。不拘帖数。可活。又须另用一
人。以热手从产妇单衣上。由心揉按至腹下数百次。
川芎(二钱) 当归(四钱) 炙甘草(五分) 人参(一钱) 荆芥 干姜(各四分) 桃仁(十粒)
枚) 水煎服。如两手脉伏。右手脉绝。加麦冬(一钱) 五味子(十粒)
灌醒后。块痛未除。减去参等。仍服生化汤。俟块痛已除。再加人参。黄 。若血块已消。减
去桃仁。肉桂若泻加伏苓(三钱) 此危症。须一日一夜内。服二三帖。可保终吉。
产妇日久。血崩不止。或如鸡子大。或成片。治宜大补脾胃。升举气血。消平心火之药。
(并治老壮妇人血淋。)
白术(三钱) 人参 熟地(各二钱) 当归(二钱五分) 黄 (一钱) 炙甘草(五分) 升麻
(炒) 黄柏(炒) 羌活(各四分) 防风(三分) 如泄泻加泽泻(五
分) 莲子(十粒) 减去黄柏。如白带加半夏。苍术(各一钱)
产后脾泄不止。
川芎(六分)、当归(三钱)、黄麻根、天麻、酸枣仁(各一钱)、人参(二钱)、甘草、荆芥、大枣(三枚),加水煎煮后服用。如果脉搏微弱欲绝,再加用人参(二三钱)、附子(四五分)。忌食姜、葱、煎炸、炒制及生冷食物。如果身体发热,不要使用祛风药,并且不要使用黄芩、黄连、栀子、黄柏,小便不通是因为出汗过多导致津液亡失,不要使用利水药,也不要使用小续命汤、愈风汤。半夏、南星也应当少用。不要相信邪术、法尺、符水等迷信行为。
产后血崩(大量出血)、气急、气脱、神志昏乱濒临死亡,或者出现晕厥、牙关紧闭的情况,迅速煎煮清神返魂汤灌服。如果气息将绝,灌药无法咽下,可用酒杯盛取二三分药汁灌入。药液灌下后腹部逐渐温暖,不拘泥于服药帖数,可以救活。另外必须另找一人,用热手隔着产妇的单衣,从心口部位揉按至小腹下方数百次。
川芎(二钱)、当归(四钱)、炙甘草(五分)、人参(一钱)、荆芥、干姜(各四分)、桃仁(十粒)、[缺字,推测为肉桂或类似温里药](一枚),加水煎煮后服用。如果两手脉象沉伏,右手脉象消失,加用麦冬(一钱)、五味子(十粒)。
清醒之后,如果腹痛块痛仍未消除,减去人参等补益药,继续服用生化汤。等到块痛完全消除,再加用人参、黄芪。如果血块已经消散,减去桃仁、肉桂。如果出现腹泻,加用茯苓(三钱)。这是危重病症,必须在一天一夜内服用二三帖,可以保证最终转危为安。
产妇患病日久,血崩不止,或者排出如鸡蛋大小的血块,或者成片状,治疗应当以大补脾胃、升举气血、平抑心火的药物为主。
(同时也治疗老年壮年妇女的血淋。)
白术(三钱)、人参、熟地黄(各二钱)、当归(二钱五分)、黄芪(一钱)、炙甘草(五分)、升麻(炒)、黄柏(炒)、羌活(各四分)、防风(三分)。如果出现泄泻,加用泽泻(五分)、莲子(十粒),减去黄柏。如果白带增多,加用半夏、苍术(各一钱)。产后脾虚泄泻不止。
Chuanxiong (6 fen), Danggui (3 qian), Huangma Gen (Rhizoma Imperatae Root), Tianma (Gastrodiae Rhizoma), Zaoren (Ziziphi Spinosae Semen) (each 1 qian), Renshen (2 qian), Gancao, Jingjie, Zao (3 pieces), decocted in water and taken orally. If the pulse is faint or absent, add additional Renshen (2-3 qian) and Fuzi (4-5 fen). Avoid consuming ginger, scallion, fried foods, stir-fried dishes, and raw/cold foods. If there is body heat, do not use wind-dispelling herbs; furthermore, avoid using Huangqin, Lian, Zhizi, and Bo. Urinary retention occurs due to fluid loss from excessive sweating; do not use diuretic herbs, nor use Xiao Xuming Tang or Yufeng Tang. Banxia and Nanxing should also be used sparingly. Do not trust in evil arts, magic rulers, talismans, or holy water.
Postpartum blood flooding, rapid breathing, Qi collapse, confusion approaching death, or syncope with clenched teeth: rapidly decoct Qingshen Fhun Tang and administer via gavage. If Qi is about to fail and oral administration is impossible, pour two or three fen of medicine into a wine cup for administration. Once administered, if the abdomen gradually becomes warm, survival is possible regardless of the number of doses. Additionally, another person must use warm hands to rub and press from the heart area down to the lower abdomen hundreds of times through the parturient woman's single-layer garment.
Chuanxiong (2 qian), Danggui (4 qian), Zhigancao (5 fen), Renshen (1 qian), Jingjie, Ganjiang (each 4 fen), Taoren (10 grains), [missing character, likely Rougui] (1 piece), decocted in water and taken orally. If the pulses in both hands are deep and hidden, or the right-hand pulse is absent, add Maidong (1 qian) and Wuweizi (10 grains).
After regaining consciousness, if abdominal mass-pain persists, reduce or remove Renshen etc., and continue taking Shenghua Tang. Wait until the mass-pain is completely resolved, then add back Renshen and Huangqi. If blood clots have dissipated, remove Taoren and Rougui. If diarrhea occurs, add Fuling (3 qian). This is a critical condition; administering two or three doses within one day and night can ensure ultimate safety.
For parturient women suffering for a long time with continuous blood flooding, or expelling clots as large as chicken eggs or in sheet-like forms, treatment should focus on herbs that greatly tonify the Spleen and Stomach, raise and lift Qi and Blood, and calm/level Heart Fire.
(Also treats hematuria in older or robust women.)
Baizhu (3 qian), Renshen, Shudi (each 2 qian), Danggui (2.5 qian), Huangqi (1 qian), Zhigancao (5 fen), Shengma (stir-baked), Huangbai (stir-baked), Qianghuo (each 4 fen), Fangfeng (3 fen). If diarrhea occurs, add Zexie (5 fen) and Lianzi (10 grains), and remove Huangbai. If leukorrhea increases, add Banxia and Cangzhu (each 1 qian). Postpartum spleen-deficiency diarrhea that does not cease.