人参(二钱五分) 白术 当归 茯苓 半夏(各一钱) 草果(三分) 甘草 青皮(各四分)
藿香(五分) 乌梅(三个) 水煎服。再服参术膏。
白术(洗净焙干) 人参(各四两) 用水六碗。煎汁碗半。再将渣如法煎三次。共取汁六碗。
每日服半酒杯。以上药调服。或白汤下亦可。
产后儿下地时。恶露随下。则腹无块痛。而自舒畅。若腹失盖被。或伤寒凉物。则恶露凝结
成块。虚症百出。腹胀。身热。骨蒸。五心烦热。食少羸瘦。或似疟。或月水不行。或块在
两胁作痛。肠作雷鸣。嘈杂。眩晕。身热时作时止等症。治法当遵丹溪所云。欲泄其邪。先
补其虚。用补中益气汤。送三消丸。使块消而人不弱。若消块无补。非惟块不可消尽。将食日
减。甚至绝谷。
人参 白芍 黄 (各一钱) 白术(二钱) 当归(二钱) 陈皮 甘草(各四分) 姜(三片)
水煎。送三消丸五六十丸。
产后大便不通。因血少肠燥。在虚弱产妇。若多服生化汤。则气旺血盛。自无便涩之症。治
者切勿用芒硝。大黄等药下之。使重亡津液。便闭愈甚。致成胀满。或致泻不止者。惟当以
生化汤。加减治之。
川芎(八钱) 当归(四钱) 桃仁(十粒) 炙甘草(五分) 陈皮(四分) 麻仁(炒研一钱五分)
如血块痛。加肉桂。元胡索。(各五分) 水煎。食前稍热服。气虚汗。加人参黄 (各一
钱) 汗多而渴。加人参。麦冬。(各一钱五分) 五味子(八粒) 如大便燥结。十日以上。
肛门必有燥粪。用蜜枣纳入肛门。其粪自化。或用麻油。竹管吹入肛门。或用猪胆汁亦可。
以白蜜煎褐色成膏。入水成枣。
人参(二钱五分)、白术、当归、茯苓、半夏(各一钱)、草果(三分)、甘草、青皮(各四分)、藿香(五分)、乌梅(三个),用水煎煮后服用。随后再服用参术膏。
参术膏的制作:白术(洗净并焙干)与人参(各四两),加入六碗水,煎取一碗半药汁。再将药渣按照同样的方法再次煎煮三次,共收集药汁六碗。每日服用半酒杯的药汁,用上述药物调服;或者用白开水送服也可以。
产后婴儿娩出时,恶露(产后排出的余血浊液)随之排出,腹部就没有瘀块疼痛,身体自然感到舒畅。如果腹部失去覆盖保暖,或受寒凉之物侵袭,就会导致恶露凝结成块,从而引发各种虚损症状,如腹胀、身体发热、骨蒸潮热(感觉热量从骨头里透发出来)、五心烦热(两手心、两足心及心胸烦热)、食欲减退、身体消瘦,或者症状类似疟疾,或者月经停止,或者瘀块在两胁部引起疼痛,肠鸣音亢进(肚子发出雷鸣般的响声),胃中嘈杂不适,头晕目眩,身体发热时作时止等症状。治疗方法应当遵循朱丹溪所说的:“想要祛除病邪,必须先补益正气虚弱。”使用补中益气汤(一种具有补中益气、升阳举陷功效的方剂),送服三消丸(一种具有消积导滞功效的方剂),使瘀块消散而人体不虚弱。如果只消除瘀块而不进行补益,不仅瘀块不能完全消除,而且会导致饮食日渐减少,甚至完全无法进食。
配方:人参、白芍、黄芩(原文“黄”疑为黄芩或黄芪,结合语境及常见配伍,此处保留原字或根据常见妇科方推测,但依指令忠实原文,故译为黄[注:古籍中单字“黄”常指黄芩或黄芪,此处依原文直译])、白术(二钱)、当归(二钱)、陈皮、甘草(各四分)、生姜(三片),用水煎煮。送服三消丸五六十丸。
产后大便不通,是因为血液亏少导致肠道干燥。对于体质虚弱的产妇,如果多服用生化汤(一种具有养血祛瘀、温经止痛功效的方剂),就会使气旺血盛,自然就不会有大便涩滞的症状。治疗者千万不要使用芒硝、大黄等泻下药来攻下,以免进一步耗伤津液,导致便秘更加严重,进而形成腹胀,或者导致腹泻不止。只应当使用生化汤,根据具体情况进行加减治疗。
配方:川芎(八钱)、当归(四钱)、桃仁(十粒)、炙甘草(五分)、陈皮(四分)、火麻仁(炒熟研碎,一钱五分)。如果有血块引起的疼痛,加入肉桂、延胡索(各五分)。用水煎煮,在饭前稍温热时服用。如果是气虚出汗,加入人参、黄芪(各一钱)。如果出汗多且口渴,加入人参、麦冬(各一钱五分)、五味子(八粒)。如果大便燥结,超过十天以上,肛门处必然有干燥的粪便。可以用蜜枣纳入肛门,粪便自然会软化排出;或者用麻油、竹管吹入肛门润滑;或者使用猪胆汁也可以。将白蜜煎煮至褐色成膏状,制成枣核大小的丸剂,溶于水后使用。
Ren Shen (2.5 qian), Bai Zhu, Dang Gui, Fu Ling, Ban Xia (each 1 qian), Cao Guo (3 fen), Gan Cao, Qing Pi (each 4 fen), Huo Xiang (5 fen), Wu Mei (3 pieces), decocted in water and taken orally. Subsequently, take Shen Shu Gao.
Shen Shu Gao preparation: Bai Zhu (washed and dried) and Ren Shen (each 4 liang), add six bowls of water. Decoct to obtain one and a half bowls of juice. Then, decoct the dregs again using the same method three times, collecting a total of six bowls of juice. Take half a wine glass of this juice daily, mixed with the aforementioned medicines; or it can be taken with plain boiled water.
When the infant is delivered postpartum, E Lu (lochia, residual blood and turbid fluid discharged after childbirth) is expelled along with it, so there is no abdominal pain from masses, and the body feels naturally comfortable. If the abdomen loses coverage and warmth, or is exposed to cold or cool substances, E Lu will coagulate into masses, giving rise to various deficiency syndromes, such as abdominal distension, fever, bone-steaming tidal fever (a sensation of heat emanating from the bones), five-palm heat (heat and discomfort in both palms, both soles, and the chest), poor appetite, emaciation, symptoms resembling malaria, amenorrhea, pain in the hypochondriac region caused by masses, borborygmus (rumbling sounds in the intestines), gastric嘈杂 (discomfort and hunger pangs in the stomach), dizziness, and intermittent fever. The treatment method should follow Zhu Danxi's principle: "To drain the pathogenic factor, first tonify the deficiency." Use Bu Zhong Yi Qi Tang (an herbal formula for tonifying the middle and augmenting qi, raising yang, and lifting depression) to administer San Xiao Wan (an herbal formula for resolving accumulations and promoting digestion), thereby dissipating the masses without weakening the person. If one only eliminates the masses without tonification, not only will the masses not be completely resolved, but food intake will gradually decrease, potentially leading to an inability to eat at all.
Formula: Ren Shen, Bai Shao, Huang [Note: likely Huang Qin or Huang Qi], Bai Zhu (2 qian), Dang Gui (2 qian), Chen Pi, Gan Cao (each 4 fen), Sheng Jiang (3 slices). Decoct in water. Administer 50-60 pills of San Xiao Wan with the decoction.
Postpartum constipation occurs due to blood deficiency causing intestinal dryness. In weak postpartum women, if Sheng Hua Tang (an herbal formula for invigorating blood, dispelling stasis, warming meridians, and relieving pain) is taken frequently, qi will flourish and blood will become abundant, naturally eliminating symptoms of bowel obstruction. Practitioners must absolutely avoid using Mang Xiao (Natrii Sulfas) or Da Huang (Rhei Radix et Rhizoma) to purge, as this would severely deplete body fluids, worsening constipation, leading to abdominal fullness, or even uncontrollable diarrhea. One should exclusively use Sheng Hua Tang, modified according to the specific condition.
Formula: Chuan Xiong (8 qian), Dang Gui (4 qian), Tao Ren (10 kernels), Zhi Gan Cao (5 fen), Chen Pi (4 fen), Ma Ren (fried and crushed, 1.5 qian). If there is pain caused by blood masses, add Rou Gui (Cinnamon Bark) and Yuan Hu Suo (Corydalis Rhizome) (each 5 fen). Decoct in water and take slightly warm before meals. For qi deficiency with sweating, add Ren Shen and Huang Qi (Astragali Radix) (each 1 qian). For excessive sweating with thirst, add Ren Shen, Mai Dong (Ophiopogonis Radix) (each 1.5 qian), and Wu Wei Zi (Schisandrae Fructus) (8 grains). If stool is dry and hard, persisting for more than ten days, there will inevitably be dry feces in the anus. Insert a honey-jujube into the anus, and the feces will soften and pass naturally; or blow sesame oil into the anus using a bamboo tube; or use pig bile. Alternatively, boil white honey until it becomes a brown paste, form it into jujube-sized pellets, and dissolve in water for use.