治产后腹痛不止,及一切血气腹痛。(出《经验妇人方》)
天仙藤(五两,炒焦)
为细末,每服二钱。产后腹痛,用炒生姜,小便和细酒调下。常患血气,用温酒调服效。
产后腹中有块,上下时动,痛发不可忍。此由妊娠聚血,产后气羸,恶露未尽,新血与
故血相搏而痛,俗谓之儿枕,乃血瘕也。宜蒲黄散。
真蒲黄,研。饮调服二钱。如燥渴者,新水调。
疗产后血块,痛经,脉行后腹疼,并经脉不调。
熟地黄(一斤) 陈生姜(半斤)
上拌,同炒干为末,每服二钱。产前乌梅汤调下;常服,酒调;经脉不通,乌梅、荆芥
酒调下。
疗新产后腹痛,恶血不尽行。黑神散。(方见《局方》)
疗新产后七、八日,腹痛、两胁痛。
当归 刘寄奴 苦梗(各十二分) 延胡索(别为末) 桂心 陈皮(各四分) 茯苓 芍
药(各八分)
上 咀,以水二升,煮取八合,调延胡索末,空心服。
疗先患冷气,因产后发腹痛。
芎 桂心 当归 吴茱萸 茯苓 芍药 甘草(各六分) 桃仁(十分)
上 咀,水七升,煮取二升,去滓,分三服。
《千金》疗产后腹痛。桃仁芍药汤。
桃仁(半升) 芍药 当归 川芎 干漆(碎,熬) 桂心 甘草(各二两)
上细切,以水八升,煮取二升半,去滓,分三服。
治疗产后腹痛不止,以及所有血气引起的腹痛。(出自《经验妇人方》)
天仙藤(五两,炒至焦黄)
研磨成细末,每次服用二钱。若是产后腹痛,用炒过的生姜汁和小便混合,调细酒送服。如果是常年患有血气病,用温酒调服效果显著。
产后腹中有肿块,上下移动,疼痛发作时难以忍受。这是由于妊娠期间血液积聚,产后身体虚弱,恶露未尽,新血与旧血相互搏结而导致的疼痛,俗称“儿枕”,属于血瘕(腹部积块)。适宜使用蒲黄散。
真蒲黄,研磨。用饮水调服二钱。如果感到燥渴,用新汲水调服。
治疗产后血块、痛经、月经来潮后腹部疼痛,以及月经不调。
熟地黄(一斤) 陈生姜(半斤)
将两者拌和,共同炒干后研为细末,每次服用二钱。产前服用用乌梅汤调下;日常服用用酒调服;若经脉不通,用乌梅和荆芥酒的药液调下。
治疗新产后的腹痛,因恶血不尽引起。黑神散。(方剂见《太平惠民和剂局方》)
治疗新产后七八日,出现腹痛、两侧胁肋疼痛。
当归 刘寄奴 桔梗(各十二分) 延胡索(单独研为细末) 桂心 陈皮(各四分) 茯苓 芍药(各八分)
将药材切碎,用水二升,煎煮取八合药液,调入延胡索细末,空腹服用。
治疗原本患有冷气,因产后引发腹痛。
川芎 桂心 当归 吴茱萸 茯苓 芍药 甘草(各六分) 桃仁(十分)
将药材切碎,用水七升,煎煮取二升药液,去除药渣,分三次服用。
《千金方》治疗产后腹痛的方剂:桃仁芍药汤。
桃仁(半升) 芍药 当归 川芎 干漆(捣碎,炒制) 桂心 甘草(各二两)
将药材细细切碎,用水八升,煎煮取二升半药液,去除药渣,分三次服用。
Treats persistent abdominal pain after childbirth, as well as all types of abdominal pain caused by blood and qi disorders. (From *Jingyan Furen Fang*)
**Tianxian Teng San (Aristolochia Vine Powder)**
*Tianxian Teng* (Five liang, stir-fried until scorched)
Grind into a fine powder. Take two qian per dose. For postpartum abdominal pain, mix with stir-fried fresh ginger juice and urine, then take down with fine wine. For chronic blood and qi disorders, taking it with warm wine is effective.
Abdominal masses in the postpartum period that move up and down, causing unbearable pain upon onset. This is due to blood accumulation during pregnancy, followed by qi deficiency after childbirth, incomplete expulsion of lochia, and the conflict between new blood and old blood, causing pain. Colloquially known as "child pillow" (Ezhen), it belongs to the category of Blood Zha (abdominal mass). **Puhuang San (Polygonatum Pollen Powder)** is suitable.
True *Puhuang*, ground. Take two qian mixed with drinking water. If dryness and thirst are present, mix with newly drawn water.
Treats postpartum blood masses, dysmenorrhea, abdominal pain following menstruation, and irregular menstruation.
*Shu Dihuang* (One jin) Aged fresh ginger (Half jin)
Mix them together and stir-fry until dry, then grind into powder. Take two qian per dose. Before delivery, take down with *Wumei Tang* (Mume Decoction); for daily maintenance, take with wine; for blocked meridians, take down with a mixture of *Wumei* (Mume) and *Jingjie* (Schizonepeta) in wine.
Treats postpartum abdominal pain caused by incomplete expulsion of foul blood. **Heishen San (Black Divine Powder)**. (Formula see *Ju Fang*)
Treats abdominal pain and bilateral hypochondriac pain occurring seven or eight days after childbirth.
*Danggui* (Angelica Sinensis) *Liujinu* (Artemisia anomala) *Kujie* (Platycodon grandiflorus, note: text says Kujie but context implies Jiegeng/Panax not specified, WHO standard for Kujie is often Platycodon or similar root, here translated as Platycodon Root based on common usage in this era's texts though character is slightly variant/typo for Jiegeng in some editions, strictly translating entity name provided: Kujie) *Yanhusuo* (Corydalis Rhizome, ground separately) *Guixin* (Cinnamon Twig Heart) *Chenpi* (Citrus Reticulatae Pericarpium) (Each four fen) *Fuling* (Poria) *Shaoyao* (Peony Root) (Each eight fen)
Cut the herbs into small pieces. Boil in two sheng of water until reduced to eight ge. Mix in the *Yanhusuo* powder and take on an empty stomach.
Treats abdominal pain triggered by childbirth in patients who previously suffered from cold qi.
*Xiong* (Ligusticum Chuanxiong) *Guixin* (Cinnamon Twig Heart) *Danggui* (Angelica Sinensis) *Wuzhuyu* (Evodia Fruit) *Fuling* (Poria) *Shaoyao* (Peony Root) *Gancao* (Licorice Root) (Each six fen) *Taoren* (Apricot Seed) (Ten fen)
Cut the herbs into small pieces. Boil in seven sheng of water until reduced to two sheng. Strain and divide into three doses.
*Qianjin Fang* treats postpartum abdominal pain: **Taoren Shaoyao Tang (Peach Kernel and Peony Decoction)**.
*Taoren* (Peach Kernel) (Half sheng) *Shaoyao* (Peony Root) *Danggui* (Angelica Sinensis) *Chuanxiong* (Ligusticum Chuanxiong) *Ganqi* (Dry Resin of Toxicodendron, crushed and roasted) *Guixin* (Cinnamon Twig Heart) *Gancao* (Licorice Root) (Each two liang)
Finely chop the herbs. Boil in eight sheng of water until reduced to two and a half sheng. Strain and divide into three doses.