半产多因是嗽生。内伤寒热暴而行。东垣升举全生剂。活命汤方妙莫名。
柴胡 川归 升麻 白芍(各二钱) 生地 熟地 川芎 本(各一钱五分) 防风 羌活 独活 葛根 炙草(各
一
钱) 细辛(二分) 蔓荆子(五分) 红花(三分) 水煎热服。
气血虚甚。所以脱下。但宜养气和血。腰肚常宜暖之。治宜补中益气汤。或十全大补汤。
户物形如帕下垂。俗名呼作产门颓。治宜补气兼升法。浊气清时物自回。
闷乱欲绝者是。
产后昏迷血入心。令人颠倒失精神。脉浮而滑宜续命。弦脉须当用七珍。
人参 川芎 石菖蒲 生地(各二两) 防风 辰砂(各五钱) 细辛(一钱) 为末。每用一钱
产后呕吐不食者是。
产后因虚血入脾。令人呕吐食还希。脉来弦缓多微细。抵圣汤煎功效奇。
赤芍 半夏 泽泻 人参 陈皮 炙甘草(各二钱) 生姜(焙干一钱) 酒水煎服。
肺喘多因恶血侵。故令气促作痰声。寸口脉来浮兼滑。参苏霹雳遂安宁。
妊娠月份未满而流产。多因劳累损伤气血所致。
半产(小产)大多因为咳嗽引发,体内感受寒热之邪导致胎元不固而突然下行。李东垣的升举全生剂、活命汤方剂疗效奇妙,难以用言语形容。
柴胡、当归、升麻、白芍(各二钱)、生地、熟地、川芎、藁本(各一钱五分)、防风、羌活、独活、葛根、炙甘草(各一钱)、细辛(二分)、蔓荆子(五分)、红花(三分)。水煎,趁热服用。
气血极度虚弱,所以胎元脱落。此时只宜调养气和血,腰部和小腹常需保暖。治疗宜用补中益气汤,或十全大补汤。
阴道内有物如帕子般下垂,俗称为“产门颓”(子宫脱垂)。治疗宜采用补气兼升提的方法,待浊气下降、清气上升时,脏器自然回复原位。
患者感到烦闷混乱,几乎要断气,这是产后昏迷的症状。
产后昏迷是因为败血进入心包,令人神志颠倒、精神丧失。脉象浮而滑者,宜用续命汤;脉象弦者,须当用七珍散。
人参、川芎、石菖蒲、生地(各二两)、防风、辰砂(各五钱)、细辛(一钱)。研为细末。每次服用一钱。
产后因虚损,败血侵入脾经,令人呕吐,即使想吃饭也很快吐出。脉象弦缓且多微细,煎服抵圣汤功效奇特。
赤芍、半夏、泽泻、人参、陈皮、炙甘草(各二钱)、生姜(焙干一钱)。酒水混合煎服。
产后恶露不尽,败血游走于经络之中,导致气喘咳嗽,胸膈部感觉不利。
肺喘大多因败血侵袭所致,因此导致气促并伴有痰鸣声。寸口脉象浮兼滑,服用参苏霹雳散后随即安宁。
脉象弦,表示筋脉失养、血液入肝,面部生疮、易怒等症状繁多。有时血晕发作状如中风,服用丹皮散后即可平安。
If the gestational period is insufficient, abortion (spontaneous miscarriage) occurs due to labor and injury to Qi and Blood.
Spontaneous miscarriage often arises from coughing; internal exposure to cold or heat pathogens causes the fetus to descend suddenly. Li Dongyuan's Shengju Quansheng Ji (Lifting and Nourishing Complete Life Formula) and Huoming Tang (Life-Saving Decoction) possess miraculous effects that are hard to describe.
Chaihu (Bupleuri Radix), Chuan Gui Dang (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma), Bai Shao (Paeoniae Radix Alba) (each 2 qian), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ben Cao (Ligustici Wallichii Rhizoma) (each 1.5 qian), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Ge Gen (Puerariae Lobatae Radix), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata cum Melle) (each 1 qian), Xi Xin (Asari Radix et Rhizoma) (2 fen), Man Jing Zi (Vittaginis Fructus) (5 fen), Hong Hua (Carthami Flos) (3 fen). Decoct in water and take hot.
When Qi and Blood are extremely deficient, the fetus descends. It is appropriate only to nourish Qi and harmonize Blood. The waist and abdomen should be kept warm. Treatment should employ Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) or Shiquan Dabu Tang (Ten Great Tonifying Decoction).
A mass protrudes from the vagina like a handkerchief, commonly known as "Chanmen Tui" (prolapse of the vaginal opening/uterine prolapse). Treatment requires tonifying Qi and employing lifting methods; when turbid Qi descends and clear Qi ascends, the organ will naturally return to its place.
The patient feels stifled and chaotic, on the verge of death; this is postpartum coma.
Postpartum coma results from blood stasis entering the Heart, causing mental confusion and loss of spirit. If the pulse is floating and slippery, Xuming Tang (Continuing Life Decoction) is indicated; if the pulse is wiry, Shizhen San (Seven Treasures Powder) must be used.
Renshen (Ginseng Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shi Chang Pu (Acori Tatarinowii Rhizoma), Sheng Di Huang (Rehmanniae Radix) (each 2 liang), Fang Feng (Saposhnikoviae Radix), Chen Sha (Cinnabar) (each 5 qian), Xi Xin (Asari Radix et Rhizoma) (1 qian). Grind into powder. Take 1 qian each time.
Postpartum vomiting and inability to eat constitute postpartum vomiting syndrome.
Postpartum deficiency allows blood stasis to invade the Spleen, causing vomiting where food is quickly regurgitated. If the pulse is wiry, slow, and mostly fine/thready, Digesting Saint Tang (Di Sheng Tang) yields miraculous efficacy.
Chi Shao (Paeoniae Radix Rubra), Ban Xia (Pinelliae Rhizoma), Ze Xie (Alismatis Rhizoma), Renshen (Ginseng Radix), Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata cum Melle) (each 2 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (roasted dry, 1 qian). Decoct with wine and water, then take.
Postpartum lochia stagnation, with blood stasis wandering through the meridians, leads to asthma, coughing, and chest diaphragm discomfort.
Lung asthma is often caused by blood stasis invading, resulting in shortness of breath and phlegm rales. If the Cun Kou (radial artery at the wrist) pulse is floating and slippery, Shen Su Pili San (Ginseng and Perilla Thunderbolt Powder) brings immediate peace.
Postpartum convulsions of the tendons and vessels in the hands and feet, resembling wind-stroke, indicate blood syncope (Xue Yun).
A wiry pulse indicates tendon malnourishment and blood entering the Liver, accompanied by facial sores, anger, and various ailments. Sometimes blood syncope manifests like wind-stroke; taking Danpi San (Moutan Powder) ensures safety.
Dan Pi (Moutani Cortex), Fang Feng (Saposhnikoviae Radix) (equal parts). Grind into powder. Take 1 qian each time, mixed with warm wine or salted water.
During pregnancy, vomiting, aversion to food, and abdominal pain indicate disharmony of fetal Qi, leading to Ezu (morning sickness). Heqi San (Harmonizing Qi Powder) should be used, removing Dingxiang (Caryophylli Flos) and Muxiang (Aucklandiae Radix), taken as one dose.