治产后恶露淋沥不绝,心闷短气,四肢乏弱,不思饮食,头目昏重,五心烦热,面黄体
瘦。牡蛎散。
牡蛎 川芎 熟地黄 白茯苓 龙骨(各一两) 续断 当归(炒) 艾叶(酒炒) 人
参五味子 地榆(各半两) 甘草(一分)
上为末,每服二钱。水一中盏,生姜三片,枣一枚,煎至六分,去滓,食前服。
夫恶露不下者,由产后脏腑劳伤,气血虚损。或胞络挟于宿冷;或产后当风取凉,风冷
乘虚而搏于血,血则壅滞不宣,积蓄在内,故令恶露不下也。
疗产后三、四日恶露不下,呕逆壮热。芍药汤。
芍药(十分) 知母(八分) 生姜 当归 蒲黄(各四分) 红花(二分) 荷叶中
心蒂(七个) 生地黄汁(二合)
上细切,以水二升,煎至七合,去滓;下蒲黄,煎四沸,分温、空心三服。
治产后恶血冲心,胎衣不下,腹中血块等。备急丹(出《产乳》)。
上以锦纹大黄一两,杵为细末,用酽醋半升,同熬成膏,丸如梧桐子大。患者用醋七分
盏,化五丸至七丸服之。须臾血下即愈。亦治坠马内损,恶血不出,神效。
此药难用,大 虚弱,不可服。仍调药,醋不宜太酸,便损肺脏,全在医者斟酌。
疗产后恶露不下,腹中疼痛,心神烦闷。荷叶散。
干荷叶(二两) 鬼箭羽 桃仁 刘寄奴 蒲黄(各一两)
上为粗末,每服三大钱。以童子小便一大盏,姜钱三片,生地黄一分,捶碎同煎至六分
,去滓,无时热服。
治疗产后恶露淋漓不尽,心胸烦闷、气短,四肢乏力虚弱,不想进食,头目昏沉沉重,五心烦热,面色萎黄、身体消瘦。牡蛎散。
牡蛎、川芎、熟地黄、白茯苓、龙骨(各一两);续断、当归(炒制)、艾叶(酒炒制)、人参、五味子、地榆(各半两);甘草(一分)。
以上药物研为细末,每次服用二钱。用水一中盏,生姜三片,大枣一枚,煎煮至六分满,滤去药渣,饭前服用。
那些恶露不下的情况,是因为产后脏腑劳损受伤,气血虚损。或者是胞络夹杂有宿存的寒气;或者是产后受风贪凉,风寒之邪乘虚侵入并与血相搏,导致血液壅滞不通畅,积蓄在体内,所以导致恶露不下。
芍药(十分)、知母(八分);生姜、当归、蒲黄(各四分);红花(二分);荷叶中心蒂(七个);生地黄汁(二合)。
以上药物切碎,用水二升,煎煮至七合,滤去药渣;加入蒲黄,再煮沸四次,分三次温服,空腹服用。
治疗产后恶血冲心,胎衣不下,腹中血块等症。备急丹(出自《产乳》)。
取锦纹大黄一两,捣成细末,用浓醋半升,一同熬制成膏状,丸药大小如梧桐子大。患者用七分满的醋,化开五丸到七丸服用。不久后瘀血下行即痊愈。也治疗坠马造成的内伤,瘀血排不出,效果神奇。
此药难以使用,体质特别虚弱的,不可服用。另外调配药物时,醋不宜太酸,否则会损伤肺脏,全在于医生的斟酌。
Treats postpartum lochia dripping incessantly, chest oppression and shortness of breath, weakness and fatigue in the four limbs, loss of appetite, dizziness and heaviness of the head and eyes, five-palm heat (heat sensation in the palms, soles, and chest), sallow complexion, and emaciation. Muli San (Oyster Shell Powder).
Muli (Oyster Shell), Chuanxiong Rhizoma (Ligusticum Chuanxiong), Shudihuang (Prepared Rehmannia Root), Baifuling (Poria with Hostwood, Poria cocos), Longgu (Fossilized Mammal Bones) (each 1 liang); Xuduan (Dipsacus Root), Danggui (Angelica Sinensis, fried), Aiyè (Artemisia argyi Leaf, wine-fried), Renshen (Ginseng Root), Wuweizi (Schisandra Fruit), Diyu (Sanguisorba Root) (each 0.5 liang); Gancao (Licorice Root) (1 fen).
Grind the above ingredients into a fine powder. Take 2 qian per dose. Add 1 zhongzhan (approx. 200ml) of water, 3 slices of fresh ginger, and 1 jujube. Decoct until reduced to 6/10 volume, strain, and take before meals.
Cases where lochia fails to discharge are caused by labor and injury to the zang-fu organs after childbirth, leading to deficiency and depletion of qi and blood. It may be due to the uterine collaterals harboring old cold pathogens; or because the patient exposed themselves to wind and sought coolness after childbirth, allowing wind-cold to invade through the deficiency and clash with the blood. This causes blood stagnation and obstruction, accumulating internally, thus resulting in the failure of lochia to discharge.
Treats postpartum lochia retention occurring three to four days after delivery, accompanied by vomiting, belching, and high fever. Shaoyao Tang (Peony Decoction).
Shaoyao (White Peony Root) (10 fen), Zhi mu (Anemarrhena Rhizome) (8 fen); Shengjiang (Fresh Ginger), Danggui (Angelica Sinensis), Puhuang (Lygodium Spore) (each 4 fen); Honghua (Carthamus Flower) (2 fen); Hetao Zhongxin Di (Lotus Seed Pod Center Tip) (7 pieces); Shengdihuang Zhi (Juice of Raw Rehmannia Root) (2 he).
Finely chop the above ingredients. Add 2 sheng of water and decoct until reduced to 7 he. Strain the liquid. Add Puhuang (Lygodium Spore) and boil for four cycles. Divide into three doses, take warm, on an empty stomach.
Treats postpartum evil blood rushing to the heart, retention of the placenta, and blood masses in the abdomen. Beijidan (Emergency Pill) (from *Chanru*).
Take 1 liang of Jinwen Dahuang (Jinwen Rheum Palmatum Rhizome), pound it into a fine powder. Use 0.5 sheng of strong vinegar and simmer together until it forms a paste. Shape into pills the size of paulownia seeds. The patient should use 0.7 zhongzhan of vinegar to dissolve 5 to 7 pills and ingest them. Within a short time, the blood will descend and the condition will resolve. It is also effective for internal injuries from falling off a horse where evil blood cannot be expelled.
This medicine is difficult to use; those who are extremely weak and deficient must not take it. Furthermore, when preparing the medicine, the vinegar should not be too sour, as it may damage the lung organ. This requires careful judgment by the physician.
Treats postpartum lochia retention, abdominal pain, and mental restlessness. Hetao San (Lotus Leaf Powder).
Ganheye (Dried Lotus Leaf) (2 liang); Guijianyu (Swallowtail Twig), Taoren (Peach Seed), Liujinu (Agrimonia Pilosa), Puhuang (Lygodium Spore) (each 1 liang).
Grind the above ingredients into a coarse powder. Take 3 daqian per dose. Add 1 zhongzhan of urine from a healthy young boy, 3 slices of ginger, and 1 fen of raw rehmannia root. Crush them and decoct together until reduced to 6/10 volume. Strain and take hot at any time.