夫产后损于血气,血气虚而挟于热,血得热则流散,渗于脬内,故血随小便出。
治小便利血方。
乱发(净洗,烧成灰,研细为末)
上米饮调服方寸匕。一方有滑石等分,每服一钱,生地黄汁调下。
疗产后大小便不利,下血。
车前子 黄芩 蒲黄 生地黄 牡蛎 芍药(各六分)
上为细末,空心,米饮服方寸匕。忌面、蒜。
疗产后血渗入大小肠。
车前子草汁(一升) 蜜(一大合)
上相和,煎一沸,分二服。
《三因》论曰∶妇人趣产劳力,弩咽太过,至阴下脱若脱肛状。乃阴挺下出,逼迫肿痛
。举动、房劳能发作,清水、续小便淋露。
治产后劳伤阴脱。
硫黄 乌贼骨(各半两) 五味子(一分,《千金翼》用三铢。一方无之)
上为细末,研令极细,糁患处,日三易。
当归散 治阴下脱。(方见八卷第十八论)
疗产后阴肿下脱内出,玉门不闭。(《产宝》只有此一方,无论)
锻石(一升,炒令能烧草)
上热汤二升,投灰汤中,适温冷,澄清坐水中,以浸玉门,斯须平复如故。
治产后阴下脱方。(《传心方》)
当归 黄芩 牡蛎( ,各二两) 芍药(一两一分) 皮(烧存性,半两)
上为细末,每服二钱,空心,温酒调服,米饮调服亦可。忌登高举重。
产后因气血受损,气血虚弱且兼有内热,血液受热则流动散乱,渗入膀胱内部,因此血液随小便排出。
治疗小便通畅而见血溢出的方剂。
乱发(洗净,烧成灰烬,研磨成细末)
以上药末用米汤调服一方寸匕。另一版本加入等分的滑石,每次服用一钱,用生地黄汁送服。
治疗产后大小便不通利,以及下血的症状。
车前子、黄芩、蒲黄、生地黄、牡蛎、芍药(各六分)
以上药物研为细末,空腹时,用米汤调服一方寸匕。忌食面食、大蒜。
治疗产后血液渗入大小肠。
车前子草汁(一升)、蜂蜜(一大合)
将两者混合,煮沸一次,分两次服用。
《三因极一病证方论》论述道:妇女分娩时用力过度,努挣咽气太过,导致至阴部位下垂,状如脱肛。这就是阴挺下出,伴有逼迫感和肿痛。
活动或房事劳累会诱发此症,流出清水,持续小便淋漓不尽。
治疗产后劳伤导致的阴器下垂。
硫黄、乌贼骨(各半两)、五味子(一分,《千金翼方》用三铢。另一版本没有此药)
以上药物研为细末,研磨至极细,撒在患处,每日更换三次。
当归散 治疗阴器下垂。(方剂见第八卷第十八论)
治疗产后阴器下垂。
用铁精粉涂抹后推入阴道内。另外,灸脐下横纹处七壮(二七壮)。
治疗产后阴部肿胀下垂,甚至从体内脱出,玉门(阴道口)不能闭合。(《产宝》仅有此一方,不论其他)
锻石(一升,炒至能燃烧稻草的程度)
取热水二升,倒入灰水中,待温度适宜微凉后,澄清液体,坐于水中浸泡玉门,片刻后即可平复如初。
治疗产后阴器下垂的方剂。(出自《传心方》)
当归、黄芩、牡蛎(各二两)、芍药(一两一分)、[某]皮(烧存性,半两)*注:原文此处“皮”前缺字,通常指五倍子皮或类似收敛之皮,依原文直译*
以上药物研为细末,每次服用二钱,空腹时,用温酒调服,用米汤调服也可以。忌登高举重。
Postpartum, damage to Qi and Blood occurs; when Qi and Blood are deficient and accompanied by Heat, Blood becomes fluid and scattered due to the Heat, seeping into the interior of the Bladder (Pao), thus causing Blood to be discharged with urine.
Formula for treating hematuria with normal urination.
Hair from body (cleanly washed, burned to ash, ground into fine powder)
Take one fangcun bi (a square-inch measure) of the above powder, mixed with rice water. Another prescription adds equal parts of Talcum (Huashi), taking one qian per dose, administered with juice of Rehmanniae Radix Recens (Shengdihuang).
Treating postpartum difficulty in urination and defecation, and lower bleeding.
Plantaginis Semen (Cheqianzi), Scutellariae Radix (Huangqin), Polygoni Multiflori Caulis et Folium (Puhuang)*, Rehmanniae Radix Recens (Shengdihuang), Ostreae Concha (Muli), Paeoniae Radix Alba (Shaoyao) (each 6 fen)
Grind the above into a fine powder. Take one fangcun bi on an empty stomach with rice water. Avoid wheat products and garlic.
Treating postpartum blood seeping into the Large Intestine and Small Intestine.
Juice of Plantago asiatica L. herb (Cheqianzi Caozhi) (1 sheng), Honey (Mi) (1 da he)
Mix them together, boil once, and divide into two doses.
The Treatise on Three Causes (Sanyin) states: During childbirth, excessive exertion and forceful bearing down cause the Yin organs to prolapse, resembling rectal prolapse. This is known as vaginal prolapse (Yinting), characterized by a sensation of pressure and swelling pain.
Movement or sexual fatigue can trigger it, leading to the discharge of clear fluid and continuous dribbling of urine.
Treating postpartum prolapse due to labor injury.
Sulfur (Liuhuang), Cutula Sepiae (Wuzeigu) (each 0.5 liang), Schisandrae Fructus (Wuweizi) (1 fen, Qianjin Yi Fang uses 3 zhu. Another version omits this).
Grind the above into an extremely fine powder, apply to the affected area, and change three times daily.
Danggui San treats vaginal prolapse. (See Formula in Volume 8, Treatise 18)
Treating postpartum vaginal prolapse.
Apply powder of Ferri Limatura (Tiejing) and push it inside. Additionally, moxa-convulse the transverse wrinkle below the navel seven times (2x7 convulsions).
Treating postpartum vulvar swelling and prolapse, where the organ protrudes internally and the Yumen (vaginal opening) fails to close. (Only this formula exists in Chanbao, no other discussed).
Calcined Stone (Duanshi) (1 sheng, stir-fried until it can burn straw)
Add 2 sheng of hot water to the ash-water, let it cool to a suitable temperature, clarify the liquid, and sit in the water to soak the Yumen. After a short while, it will recover as before.
Formula for treating postpartum vaginal prolapse. (From Chuanxin Fang)
Angelicae Sinensis Radix (Danggui), Scutellariae Radix (Huangqin), Ostreae Concha (Muli) (each 2 liang), Paeoniae Radix Alba (Shaoyao) (1 liang 1 fen), [Missing Character] Pi (burned to retain its nature, 0.5 liang)
Grind the above into a fine powder. Take 2 qian per dose on an empty stomach, mixed with warm wine; rice water may also be used. Avoid climbing heights or lifting heavy objects.