治产后烦闷。蒲黄散。
蒲黄,以东流水和,服方寸匕,极良。
寻常治诸虚烦热者,以竹叶石膏汤、温胆汤。殊不知产后与寻常不同,如石膏等药,不
宜轻用,用之必死。
论曰∶产后口干痞闷者何?答曰∶产后荣卫大虚,血气未定,食面太早,胃不能消化,
面毒结聚于胃脘,上熏胸中,是以口干燥渴,心下痞闷。医者不识,认为胸膈壅滞,以药下
之,万不得一。但服见现丸则愈。
姜黄 三棱 荜澄茄 陈皮 良姜 人参 莪术(等分)
上为细末,用萝卜浸,煮烂研细,将汁煮面糊丸如梧桐子大。用萝卜汤下三十丸。
评曰∶产后口干痞闷,未必只因食面,或产母内积忧烦,外伤燥热,饮食甘辛,使口干
痞闷,当随其所因调之可也。烦心宜四物汤去地黄,加人参乌梅煎;若外伤燥热,看属何经
,当随经为治,难以备举。饮食所伤,见现丸却能作效。
四物汤。(方见本卷第二论)
疗产后大渴不止。
芦根(切,一升) 栝蒌 人参 甘草 茯苓(各三两) 大枣(二十枚) 麦门冬(生,
四两)
上以水九升,煮取三升,分三服,顿服,四剂即瘥。忌菘菜。
治产后血渴,饮水不止。
黄芩 麦门冬(等分)
上 咀,每服三钱。水盏半,煎至八分,去滓温服,无时。
《集验》疗产后血渴。栝蒌根汤。
栝蒌根(四两) 麦门冬 人参(各三两) 生干地黄 甘草(各二两) 土瓜根(五
两) 大枣(二十枚)
上 咀,以水八升,煮取二升半,分三服。(《产宝》无地黄、麦门冬,有牡蛎粉等分)
治疗产后烦闷不安。蒲黄散。
用蒲黄,以东流水调和,服用方寸匕的量,效果极好。
通常治疗各种虚热烦闷的方法,是用竹叶石膏汤、温胆汤。却不知道产后与平常情况不同,像石膏这类药物,不宜轻易使用,使用了必然致死。
论述说:产后口干痞闷是什么原因?回答说:产后营卫之气大虚,血气尚未安定,过早食用面食,胃无法消化,面毒结聚在胃脘部,向上熏蒸胸中,因此口干燥渴,心下痞闷。医生不认识这种情况,误认为是胸膈壅滞,用泻下药攻下,万无一失(注:原文“万不得一”此处语境似指不可妄下,或指误治后果严重,结合后文“但服见现丸则愈”,意指不可下,应服见现丸。此处直译原文逻辑:医生不识,认为胸膈壅滞而用下药,这是错误的/极其危险的)。只服用见现丸就能痊愈。
姜黄 三棱 荜澄茄 陈皮 良姜 人参 莪术(各等分)
以上药材研成细末,用萝卜浸泡,煮烂后研细,取汁液煮面糊制成梧桐子大小的药丸。用萝卜汤送服三十丸。
评论说:产后口干痞闷,未必只是因为吃了面食,或者是产母体内积聚忧烦,外伤燥热,饮食甘辛,导致口干痞闷,应当根据病因来调理即可。心烦意乱宜用四物汤去掉地黄,加入人参、乌梅煎服;如果是外伤燥热,要看属于哪一经,应当随经治疗,难以一一列举。饮食所伤,见现丸却能奏效。
四物汤。(方剂见本卷第二论)
治疗产后大渴不止。
芦根(切,一升) 栝蒌 人参 甘草 茯苓(各三两) 大枣(二十枚) 麦门冬(生,四两)
以上用水九升,煮取三升,分三次服用,顿服,四个疗程即可痊愈。忌食菘菜(白菜)。
治疗产后血渴,饮水不止。
黄芩 麦门冬(各等分)
以上切碎,每次服用三钱。用水一盏半,煎至八分,去渣温服,不限时间。
《集验》治疗产后血渴。栝蒌根汤。
栝蒌根(四两) 麦门冬 人参(各三两) 生干地黄 甘草(各二两) 土瓜根(五两) 大枣(二十枚)
以上切碎,用水八升,煮取二升半,分三次服用。(《产宝》无地黄、麦门冬,有牡蛎粉等分)
Treating postpartual restlessness and oppression. Puhuang San (Powder of Puerariae Radix).
Use Puhuang (Polygoni Orientalis Herba), mixed with flowing water from the east, taken in a dose of Fangcunbi (a traditional measuring spoon), which is extremely effective.
Usually, to treat various types of deficiency-heat with restlessness, Zhuyeshigao Tang (Decoction of Lophatheri Herba and Gypsum Fibrosum) and Wendan Tang (Decoction for Warming the Gallbladder) are used. However, one must not realize that the postpartum state differs from ordinary conditions; drugs such as Shigao (Gypsum Fibrosum) should not be lightly used, as their use will inevitably lead to death.
The discussion states: What is the cause of dry mouth and epigastric oppression after childbirth? The answer is: After childbirth, Ying and Wei (Nutritive and Defensive Qi) are greatly deficient, and Blood and Qi have not yet stabilized. If noodles are consumed too early, the Stomach cannot digest them. The "noodle toxin" accumulates in the Epigastrium, steaming upwards into the Chest, causing dry mouth and thirst, and oppression below the heart. Physicians who do not recognize this condition may mistakenly diagnose it as obstruction in the Chest and Diaphragm and use purgatives to drain it; this approach is highly dangerous. One should simply take Jianxian Wan (Pill of Seeing the Present) to achieve recovery.
Jianghuang (Curcumae Longae Rhizoma), Sanleng (Sparganii Rhizoma), Bichengqie (Schzschepii Fructus), Chenpi (Citri Reticulatae Pericarpium), Liangjiang (Alpiniae Officinarum Rhizoma), Renshen (Ginseng Radix), Ezhu (Curcumae Phaeocaulis Rhizoma) (in equal parts).
Grind the above herbs into a fine powder. Soak Radish, boil until soft, grind finely, and extract the juice. Use the juice to make a paste with flour to form pills the size of Sophora seeds. Take thirty pills with Radish decoction.
Commentary: Postpartum dry mouth and epigastric oppression are not necessarily only caused by eating noodles. It may also result from internal accumulation of worry and vexation in the mother, external invasion of dryness-heat, or consumption of sweet and pungent foods, leading to dry mouth and oppression. Treatment should be adjusted according to the specific cause. For vexation of the Heart, Siwu Tang (Four Substances Decoction) without Dihuang (Rehmanniae Radix Preparata), added with Renshen (Ginseng Radix) and Wumei (Mume Fructus), should be decocted and taken. If caused by external dryness-heat, treatment should follow the affected Meridian, which is difficult to list exhaustively. For injuries due to diet, Jianxian Wan (Pill of Seeing the Present) can be effective.
Siwu Tang (Four Substances Decoction). (Formula see Volume, Discussion 2)
Treating excessive unceasing thirst after childbirth.
Lugen (Arundinis Rhizoma) (cut, one sheng), Gualou (Trichosanthis Fructus), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), each three liang; Dazao (Ziziphi Jujubae Fructus) (twenty pieces); Maimendong (Ophiopogonis Tuber) (raw, four liang).
Take nine sheng of water, decoct to obtain three sheng, divide into three doses, take all at once. Four courses of treatment will lead to recovery. Avoid Songcai (Brassica rapa var. pekinensis).
Treating postpartum blood-thirst, drinking water incessantly.
Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Tuber) (in equal parts).
Cut into small pieces. Each dose takes three qian. Add one and a half cups of water, decoct to eight-tenths, remove dregs, and take warm at any time.
Jiyan (Collection of Proven Prescriptions) treats postpartum blood-thirst. Gualougen Tang (Decoction of Trichosanthis Radix).
Gualougen (Trichosanthis Radix) (four liang), Maimendong (Ophiopogonis Tuber), Renshen (Ginseng Radix) (each three liang), Shengdihuang (Rehmanniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each two liang), Tugua-gen (Polypodi Rhizoma) (five liang), Dazao (Ziziphi Jujubae Fructus) (twenty pieces).
Cut into small pieces. Take eight sheng of water, decoct to obtain two and a half sheng, divide into three doses. (Chanbao [Precious Prescriptions for Childbirth] does not include Dihuang and Maimendong, but includes Mudifen [Concha Ostreae] in equal parts.)