(附论)
妇人产后冲任俱虚。气血离经。失于将理。气道行涩。恶露不下。则令人烦懊冒闷。脐
腹坚痛。通行败血。升降阴阳。则病可愈。不治则变产症瘕。羸瘦之病也。夫产后腹内恶血
刺疼痛者。内藏虚或挟风冷。致恶血凝滞。不得宣通故也。皆由产时恶露下少。胞络之间。
有
方
治产后血气。
产后血气痛。只有凌霄花。捣来调酒下。其验实然佳。
败酱汤 治产后恶血不除。与气相搏。腹疼痛。
败酱 桂(去粗皮) 刘寄奴(各三分) 牡丹皮 木香 芎 (各半两) 上细筛。
每服二
钱。以水一盏。入地黄一分。煎取七分。再去滓。不计时候温服。
鬼箭羽汤 治产后血气不散。攻心腹刺痛。胀满气喘。
鬼箭羽 当归(切焙) 白术(锉炒) 桂(去粗皮各二两) 细辛(去苗叶一两半) 生
干地
黄(
麒麟竭散(出圣惠方)治产后血气不调。腹内 痛。
麒麟竭 桂(去粗皮) 当归(锉微炒) 蒲黄 红蓝花 木香 没药 延胡索 干漆
(碎
炒烟出) 赤芍药(各半两) 上为散。每服二钱。以热酒下。不拘时。
黄 汤 治产后血气不利。腹急痛。上下攻冲。气逆烦闷。
黄 (锉碎) 白术(锉炮) 当归(切炒) 甘草(炙锉) 人参(各一两) 白羊
肉(一斤去
脂膜切碎每服用三两) 上除羊肉外。捣为粗末。每服三钱。先以羊肉三两切。用水三盏。
煮取一盏。澄清去滓沫。入前药并生姜三片。同煎至七分。去滓。通口服。不拘时候。
干地黄汤 治产后血晕不利。或感风冷。心腹 痛。肢体虚冷。胸膈不快。
生干地黄(焙三两) 甘草(炙) 当归(切炒) 桂(去粗皮) 生姜(去皮切碎炒
干各一两)
上
白术汤 治产后血气壅滞。攻心腹疼痛。或拘急胀满。
白术(锉炒) 当归(锉炒) 桑根白皮(锉各一两半) 细辛(去苗叶) 大黄(锉
炒令香)
桂(去粗皮各一两) 上粗捣筛。每服三钱。水一盏。生姜三片。煎至七分。去滓温服。不
拘
时
芍药汤 治产后因血不快利。气攻心腹疼痛。
芍药(二两) 黄 (锉) 白芷 人参 芎 当归(切炒) 生干地黄(焙) 甘
草(炙各
一两) 白茯苓(去黑皮一两半) 上粗捣筛。每服三钱。水一盏。煎至七分。去滓再入酒
少
许温服。不拘时候。
地黄芍药汤 治产后血气虚冷。攻心腹痛。
生干地黄(焙) 芍药 当归(锉炒) 独活(去芦头) 细辛(去苗叶各二两) 桂
(去粗皮)
干姜(炮制) 甘草(炙) 吴茱萸(水浸经宿炒令香各一两) 上粗捣筛。每服三钱匕。
水一盏。
煎至七分。去滓温服。不计时候。
芎 前胡汤 治产后心腹痛。血气不利。
芎 (一两) 前胡(去芦头二分) 黄芩(去黑心半两) 芍药(一两) 蒲黄(一
两半) 当
归(锉炒三分) 桂(去粗皮三分) 甘草(炙锉一两) 大黄(锉炒半两) 生地黄(焙
二两) 桃
仁(汤浸去皮尖另研三分) 上粗捣筛。每服二钱。水一盏。生姜三片。枣子一枚擘。同煎
至
七
桔梗汤 治产后血气攻心冲腹冷痛。烦满不食。
桔梗(炒) 当归(切焙) 刘寄奴(汤浸去白炒各一两) 桂(去粗皮) 延胡索 陈
橘皮
(汤浸去白炒各一两) 芍药(二两) 白茯苓(去黑皮二两) 上粗捣筛。每服三钱。水
一盏。
煎至
芍药汤 治产后血气攻心腹痛。
芍药(二两) 桂(去粗皮) 甘草(炙锉各一两) 上粗捣筛。每服三钱。水一盏。
煎至七
分。去滓温服。不拘时候。
琥珀煎 治产后血羸。面色萎黄。恶血不尽。脐腹冷痛。
琥珀(研) 牛膝(酒浸切焙) 当归(切焙) 防风(去叉) 荜茇 桃仁(去皮尖
双仁炒研)
芎(各六两) 桂(去粗皮四两) 干姜(炮一两) 清酒(汁一升) 生地黄(汁三升)
蜜(三
两) 酥(六两)
治妇人黄。血冲气。腹痛。
用好香附数升。捣去皮毛。须要净白。用童子小便二停浸一夜。一半用好酸醋煮半日。
乃将童便浸的洒干。二味捣成细末。用酸醋煮面糊为丸。不问美酒盐汤送下。不十日即便面
色红容。饭食加进胜常。颜貌速效如神。亦治男子黄肿。
子散(出圣惠方) 治产后恶血 刺。腹内疼痛。
子(三分) 赤芍药(半两) 桃仁(三分汤浸去皮尖双仁麸炒微黄) 刘寄奴(半
两) 当归(一两锉微炒) 蒲黄(三分) 芎 (半两) 上捣细粗罗为散。每服三钱。
以水一盏。入生地黄汁三合。煎至六分。去滓。不计时候稍热服。
大黄散(出圣惠方)治产后恶血攻腹。 痛不可忍。
川大黄(一两锉) 干漆(一两捣碎炒令烟出) 桂心(一两) 生干地黄(一两) 干
姜(半两炮制锉) 当归(三分锉微炒) 上为散。每服二钱。水酒各半中盏。煎至五分。
不计时候。去
益母草子散(出圣惠方)治产后恶血。腹内 痛。口干心痛闷。
益母草子(半两) 刘寄奴(半两) 芸薹子(三分微炒) 肉桂(三分去粗皮) 没
药(半两)
当归(半两锉微炒) 上捣细罗为散。每服二钱。以水酒各半中盏。煎至五分。不计时候和
滓
热服。
琥珀散(出圣惠方)治产后恶血不散。 刺腹胁疼痛。心隔烦躁。虚气上
冲。
眼见黑花。
琥珀 红蓝花 当归 没药 牛李子 蒲黄 姜黄 赤芍药 芫花(醋半匕炒令干) 桂
心(各半两) 益母草(三分) 延胡索(三分) 上捣细罗为散。每服不计时候。以热酒
调下一钱
牛李子散(出圣惠方) 治产后恶攻心腹 痛不可忍。
牛李子(一两) 桂心(一两) 红蓝花(半两) 蒲黄(半两) 当归(半两锉) 棕
榈皮(二
两炒灰) 上捣细罗为散。每服不计时候。以热酒调下二钱。
锻石散(出圣惠方)治产后恶血攻刺。心腹疼痛。
(案∶此方缺药味。)
上以前九味。捣罗为散。先将地黄汁煎熟。即下蜜与酒酥。搅候容入众药末。以拗篦搅
不住手。候以成膏。倾出瓷器盛。每服一匙。温酒调下。不计时。
鳖甲当归散 治产后小腹结块。痛不可忍。
鳖甲(醋炙去裙三两) 当归(切焙) 桃仁(去皮尖双仁炒) 芍药 京三棱(炮锉)
桂
(去粗皮各一两) 上为散。每服五钱。空心温酒下。日再服。
辰砂妙香散(出危氏方)用生地黄当归汤调立效。(方见心脏门中心虚类)
(按
原方∶茯苓去皮。茯神去木并皮。山药姜炙。远志去心炒。黄 炙。各一两。人参。甘草炙。
桔梗炒。各半两。辰砂三钱另研。木香二两半。麝香一钱另研。上为细末。每服二钱。用温
酒调下。)
刘寄奴散(出圣惠方)治产后恶血冲心。不语。
刘寄奴(一两) 麝香(一分细研) 当归(锉微炒) 芎 桂心 牛膝(去苗) 益
母草
羌活 生干地黄 延胡索(以上各三分) 上捣细罗为散。研入麝香令匀。不计时候。以温
酒
生姜童子小便同调下二钱。
通神散(出圣惠方)治产后败血冲心。
蒲黄(一两) 肉桂(一两去粗皮) 当归(半两锉微炒) 延胡索(半两) 砂(一
分另研)
琥珀(半两) 上捣细罗为散。不计时候。以温酒调下二钱。
乌金散(出圣惠方)治产后恶血冲心腹疼痛。
好墨 梁上尘 釜下墨 猪胎衣 赤鲤鱼鳞(以上各一两) 上都烧为灰。入麝香一钱。
同研令细。每服不计时候。以热酒调下二钱。
乌金散(出圣惠方)治产后恶血不尽。冲心痛。气促烦乱。
赤鲤鱼鳞(三两烧灰) 棕榈(三两烧灰) 灶尾墨(一两) 釜底墨(一两) 乱发
(三两烧
灰) 以上五味。入瓷瓶内封固济。候干。以炭烧须令通赤。候冷取出细研。
虻虫(三分去翅足微炒) 水蛭(三分微炒) 麒麟竭(一两) 麝香(一分细研) 当
归(半
两锉微炒) 桂心(三分) 上捣细罗为散。都杵令匀。不计时候温服。生姜酒调下一钱。
或
生
乌金散(出圣惠方)治产后败血冲心疼痛。面青手足冷。
赤鲤鱼鳞(二两) 室女头发(二两) 伏龙肝(一两) 腊月猪脂 水蛭(一两) 香
墨(一
两) 以上六味。入固济了瓷瓶子内。密封泥候干。用炭火再 令通赤。候冷取出。细研入
后药。
桂心(一两) 当归(一两锉微炒) 麝香(一分细研) 上捣细罗为散。入前烧了药
同研令
匀细。每服以豆淋酒调下一钱。
鱼散(出圣惠方)治产后恶血不散冲心痛。
鱼(二两) 乱发(一两) 皂荚一挺(长七八寸者) 砂(一两) 穿山甲(一
两半) 香
墨(半两) 上同入固济了瓷瓶内。泥封候干。用炭火烧须令通赤。待冷取出。入麝香一分。
同
玳瑁散(出圣惠方)治产后败血冲心晕绝。
玳瑁屑 延胡索 当归(锉微炒) 赤鲤鱼鳞(各半两烧灰) 麝香(另细研三分) 琥
珀
(另研) 水蛭(炒令黄) 丹皮 益母草子 香墨(以上各半两 ) 上捣细罗为散。入
研了药
令匀。每服不计时候。以温酒调下一钱。
赤龙鳞散(出圣惠方)治产后恶血冲心。
又方
用兔头炙令热。以熨产妇腹。如刀绞痛者。熨之立定。
治痛不可忍。
取苦瓠芦未经开者。亦搅痛即开去子讫。以沸酽酢投中蒸熟。随痛即令熨。冷即换极妙。
吴茱萸汤(出千金方)治产后血气不利。心腹疼痛。或寒或热。或时吐。短
气
乏力。气倦。
吴茱萸(汤浸微炒一两) 防风(去叉) 桔梗(炒) 甘草(炙) 干姜(炮制锉) 细
辛(去
苗叶各半两) 生干地黄(焙) 当归(切炒各三分) 上粗捣筛。每服三钱。水一盏。煎
至七
分。去滓温服。不拘时候。
疗血气痛欲绝。
用槐鸡为末。酒浓煎顿服。立效。
大黄干漆汤(出千金方)治新产后有血腹中切痛。
大黄 干漆 干地黄 桂心 干姜(各二两) 上 咀。以水三升。清酒五升。煮取三
升。
去滓温服。一升血当下。若仍不瘥。明旦服一升。满三服病无不瘥。
四神散(一名芎归散出和剂方)治产后留血不消。积聚作块。急切疼痛。犹
如
遁口。心腹绞
当归 芍药 川芎 干姜(炮各等分) 上为末。每服方寸匕。温酒调下。日三服。
治妇人血气痛。
干姜 赤石脂 上为末。醋为丸。每服五十丸。淡醋汤下立效。
锻石散
锻石(二两打碎) 赤鲤鱼鳞(三两) 干藕节(四两) 乱发 败蒲(二两) 棕榈
皮(二两)
红蓝花(一两) 芫花(一两) 上都入瓷瓶子内。使盐泥固济候干。以砖头盖头。再用炭
火半
秤之。如人行一二里。还来其初。青烟出后。白烟出。经一宿。冷取出捣罗细为散。加麝
香一分。同研令细。每服以温酒调下一钱。如人行三五里。再服。其恶血自下。
穿山甲散(出圣惠方)治产后恶血在腹中 痛不可忍。
穿山甲(一两) 孩子发(一两十岁以上佳) 干漆(一两) 红蓝花子(一两) 赤
鲤鱼鳞
(二两) 灶突墨(二两) 上都入于瓷瓶内。以瓦盖口用盐泥固济。于盖上开一窍。以大
火烧
令烟白
乌鸦散(出圣惠方)治产后恶血腹中 痛。
腊月乌鸦(一只去嘴爪) 赤鲤鱼鳞(一两) 桑木耳(一两) 童子发(一两) 香
墨(半两)
砂(一两) 上都入一瓷瓶子内。以六一泥固济曝干。先用文火。烟出后。以武火 。移
时
待冷。取出捣细罗为散。研入麝香一分。每服不计时候。以热酒调下二钱。
乌金散(出圣惠方)治产后恶血攻心腹 痛。
赤鲤鱼鳞(二两) 兔头(二两) 乱发(一两) 棕榈(一两) 干漆(一两) 虻
虫(半两去
翅足) 水蛭(半两) 狗胆(三枚) 香墨(一两) 上都入一瓷瓶子内。密固济候干。
用炭火
烧须令通赤。待冷取出。捣细罗为散。研入麝香一分。每服不计时。以生姜温酒调一钱。
黑神散(出圣惠方)治产后一切恶血 刺。腹内疼痛。及发渴烦热。
生干地黄 鸟巢子 槲叶 棕榈皮(一斤) 好墨(一挺) 童子发(四两) 上都入
罐子
中。以泥封裹令干。以炭火烧须令通赤。慢去火候。冷取出。捣细罗为散。不计时。热酒下
二钱。
当归散(出圣惠方)治产后恶血不散。攻心腹 痛。
当归(三分锉微炒) 赤芍药(一两) 刘寄奴(半两) 芎 (三分) 红花(三分)
桂心
(半两) 延胡索(半两) 没药(半两) 上捣细罗为散。不计时候。以热酒调下二钱。
砂丸(出圣惠方)治产后恶血凝结不散。刺腹胁 痛。
砂(细研) 当归(锉微炒) 干姜(炮制锉) 没药 芫花(醋拌微炒) 蓬莪术
(各一两)
(附论)
妇女产后,冲脉和任脉都虚弱。气血脱离正常经络运行,缺乏调理。气机运行涩滞,恶露排出不畅,就会使人感到心烦意乱、头昏目眩、胸闷憋气,肚脐及腹部坚硬疼痛。通过通行败血(产后残留的瘀血),调节阴阳升降,疾病就可以痊愈;如果不治疗,就会转变为产后癥瘕积聚、身体消瘦等病症。凡是产后腹内恶血刺痛疼痛的,是因为内脏虚弱或者夹杂风冷邪气,导致恶血凝滞,不能宣通所致。这些都是由于分娩时恶露排出量少,胞宫络脉之间……
【方剂】
治疗产后血气痛:
产后血气疼痛,只有凌霄花一种药。将其捣碎后用酒调服。其疗效确实非常显著。
败酱汤:治疗产后恶血未能清除,与气相互搏结,导致腹部疼痛。
药材:败酱、桂枝(去除粗皮)、刘寄奴(各三分)、牡丹皮、木香、川芎(各半两)。将上述药材细细筛过。每次服用二钱,用水一盏,加入地黄一分,煎煮至七分,再滤去药渣。不分时候温服。
鬼箭羽汤:治疗产后血气不散,攻冲心腹引起刺痛,伴有胀满气喘。
药材:鬼箭羽、当归(切片焙干)、白术(锉碎炒制)、桂枝(去除粗皮,各二两)、细辛(去苗叶,一两半)、生干地黄。
麒麟竭散(出自《圣惠方》):治疗产后血气不调,腹内刺痛疼痛。
药材:麒麟竭(血竭)、桂枝(去除粗皮)、当归(锉碎微炒)、蒲黄、红蓝花(红花)、木香、没药、延胡索、干漆(捣碎炒至烟出)、赤芍药(各半两)。将上述药材研为散剂。每次服用二钱,用热酒送服。不拘时候。
黄芪汤:治疗产后血气不利,腹部急痛,气上下攻冲,气逆烦闷。
药材:黄芪(锉碎)、白术(锉碎炮制)、当归(切片炒制)、甘草(炙后锉碎)、人参(各一两)、白羊肉(一斤,去除脂膜切碎,每服用三两)。除羊肉外,将其他药材捣成粗末。每次服用三钱,先取羊肉三两切碎,用水三盏,煮取一盏,澄清去滓沫。加入前药并生姜三片,同煎至七分,去滓。通口服下。不拘时候。
干地黄汤:治疗产后血晕不利,或者感受风冷,心腹刺痛疼痛,肢体虚冷,胸膈不适。
药材:生干地黄(焙干,三两)、甘草(炙)、当归(切片炒制)、桂枝(去除粗皮)、生姜(去皮切碎炒干,各一两)。
白术汤:治疗产后血气壅滞,攻冲心腹疼痛,或者拘急胀满。
药材:白术(锉碎炒制)、当归(锉碎炒制)、桑根白皮(锉碎,各一两半)、细辛(去苗叶)、大黄(锉碎炒至香)、桂枝(去除粗皮,各一两)。将上述药材粗捣筛过。每次服用三钱,用水一盏,生姜三片,煎至七分,去滓温服。不拘时候。
芍药汤:治疗产后因血行不畅利,气攻冲心腹疼痛。
药材:芍药(二两)、黄芪(锉碎)、白芷、人参、川芎、当归(切片炒制)、生干地黄(焙干)、甘草(炙,各一两)、白茯苓(去黑皮,一两半)。将上述药材粗捣筛过。每次服用三钱,用水一盏,煎至七分,去滓后再加入少许酒,温服。不拘时候。
地黄芍药汤:治疗产后血气虚冷,攻冲心腹痛。
药材:生干地黄(焙干)、芍药、当归(锉碎炒制)、独活(去芦头)、细辛(去苗叶,各二两)、桂枝(去除粗皮)、干姜(炮制)、甘草(炙)、吴茱萸(水浸过夜炒至香,各一两)。将上述药材粗捣筛过。每次服用三钱匕,用水一盏,煎至七分,去滓温服。不计时候。
川芎前胡汤:治疗产后心腹痛,血气不利。
药材:川芎(一两)、前胡(去芦头,二分)、黄芩(去黑心,半两)、芍药(一两)、蒲黄(一两半)、当归(锉碎炒制,三分)、桂枝(去除粗皮,三分)、甘草(炙锉,一两)、大黄(锉碎炒制,半两)、生地黄(焙干,二两)、桃仁(汤浸去皮尖另研,三分)。将上述药材粗捣筛过。每次服用二钱,用水一盏,生姜三片,枣子一枚掰开,同煎至七分。
桔梗汤:治疗产后血气攻心冲腹冷痛,烦闷不食。
药材:桔梗(炒制)、当归(切片焙干)、刘寄奴(汤浸去白炒制,各一两)、桂枝(去除粗皮)、延胡索、陈橘皮(汤浸去白炒制,各一两)、芍药(二两)、白茯苓(去黑皮,二两)。将上述药材粗捣筛过。每次服用三钱,用水一盏,煎至七分。
芍药汤:治疗产后血气攻冲心腹痛。
药材:芍药(二两)、桂枝(去除粗皮)、甘草(炙锉,各一两)。将上述药材粗捣筛过。每次服用三钱,用水一盏,煎至七分,去滓温服。不拘时候。
琥珀煎:治疗产后血虚羸弱,面色萎黄,恶血不尽,脐腹冷痛。
药材:琥珀(研细)、牛膝(酒浸切片焙干)、当归(切片焙干)、防风(去叉)、荜茇、桃仁(去皮尖双仁炒制研细)、川芎(各六两)、桂枝(去除粗皮,四两)、干姜(炮制,一两)、清酒(汁一升)、生地黄(汁三升)、蜜(三两)、酥(六两)。
治疗妇人黄病,血冲气,腹痛。
用好香附数升,捣去皮毛,必须干净洁白。用童子小便两停浸泡一夜,一半用好酸醋煮半天。然后将童便浸泡过的香附洒干,两种材料捣成细末。用酸醋煮面糊做成丸药。不问美酒或盐汤送下。不到十天脸色就会红润,饭量增加胜过平常,容颜迅速见效如神。也治疗男子黄肿病。
虻虫子散(出自《圣惠方》):治疗产后恶血刺痛,腹内疼痛。
药材:虻虫子(三分)、赤芍药(半两)、桃仁(三分,汤浸去皮尖双仁麸炒微黄)、刘寄奴(半两)、当归(一两,锉碎微炒)、蒲黄(三分)、川芎(半两)。将上述药材捣细,粗罗为散。每次服用三钱,用水一盏,加入生地黄汁三合,煎至六分,去滓。不计时候稍热服。
大黄散(出自《圣惠方》):治疗产后恶血攻腹,疼痛不可忍受。
药材:川大黄(一两,锉碎)、干漆(一两,捣碎炒令烟出)、桂心(一两)、生干地黄(一两)、干姜(半两,炮制锉碎)、当归(三分,锉碎微炒)。将上述药材研为散剂。每次服用二钱,用水酒各半中盏,煎至五分。不计时候。
益母草子散(出自《圣惠方》):治疗产后恶血,腹内刺痛疼痛,口干心痛闷。
药材:益母草子(半两)、刘寄奴(半两)、芸薹子(三分,微炒)、肉桂(三分,去粗皮)、没药(半两)、当归(半两,锉碎微炒)。将上述药材捣细罗为散。每次服用二钱,以水酒各半中盏,煎至五分。不计时候,连同药滓一起热服。
琥珀散(出自《圣惠方》):治疗产后恶血不散,刺痛腹胁疼痛,心隔烦躁,虚气上冲,眼前见黑花。
药材:琥珀、红蓝花、当归、没药、牛李子、蒲黄、姜黄、赤芍药、芫花(醋半匕炒令干)、桂心(各半两)、益母草(三分)、延胡索(三分)。将上述药材捣细罗为散。每次不计时候,用热酒调下一钱。
牛李子散(出自《圣惠方》):治疗产后恶血攻冲心腹,疼痛不可忍受。
药材:牛李子(一两)、桂心(一两)、红蓝花(半两)、蒲黄(半两)、当归(半两,锉碎)、棕榈皮(二两,炒灰)。将上述药材捣细罗为散。每次不计时候,用热酒调下二钱。
锻石散(出自《圣惠方》):治疗产后恶血攻刺,心腹疼痛。
(案语:此方缺药味。)
以上以前九味药材,捣罗为散。先将地黄汁煎熟,即下蜜与酒酥,搅拌候容入众药末,以拗篦搅不住手,候以成膏。倾出瓷器盛装。每次服用一匙,温酒调下。不计时间。
鳖甲当归散:治疗产后小腹结块,疼痛不可忍受。
药材:鳖甲(醋炙去裙边,三两)、当归(切片焙干)、桃仁(去皮尖双仁炒制)、芍药、京三棱(炮制锉碎)、桂枝(去除粗皮,各一两)。将上述药材研为散剂。每次服用五钱,空腹温酒送下。每日两次。
辰砂妙香散(出自《危氏方》):用生地黄当归汤调服立效。(方剂见心脏门中心虚类)
(按原方:茯苓去皮,茯神去木并皮,山药姜炙,远志去心炒,黄芪炙,各一两。人参,甘草炙,桔梗炒,各半两。辰砂三钱另研,木香二两半,麝香一钱另研。将上述药材为细末。每次服用二钱,用温酒调下。)
刘寄奴散(出自《圣惠方》):治疗产后恶血冲心,不语。
药材:刘寄奴(一两)、麝香(一分,细研)、当归(锉碎微炒)、川芎、桂心、牛膝(去苗)、益母草、羌活、生干地黄、延胡索(以上各三分)。将上述药材捣细罗为散。研入麝香令匀。不计时候,以温酒、生姜、童子小便同调下二钱。
通神散(出自《圣惠方》):治疗产后败血冲心。
药材:蒲黄(一两)、肉桂(一两,去粗皮)、当归(半两,锉碎微炒)、延胡索(半两)、砂(一分,另研)、琥珀(半两)。将上述药材捣细罗为散。不计时候,以温酒调下二钱。
乌金散(出自《圣惠方》):治疗产后恶血冲心腹疼痛。
药材:好墨、梁上尘、釜下墨、猪胎衣、赤鲤鱼鳞(以上各一两)。都将上述药材烧为灰。入麝香一钱,同研令细。每次不计时候,以热酒调下二钱。
乌金散(出自《圣惠方》):治疗产后恶血不尽,冲心痛,气促烦乱。
药材:赤鲤鱼鳞(三两,烧灰)、棕榈(三两,烧灰)、灶尾墨(一两)、釜底墨(一两)、乱发(三两,烧灰)。以上五味,入瓷瓶内封固济。候干,以炭烧须令通赤。候冷取出细研。
虻虫(三分,去翅足微炒)、水蛭(三分,微炒)、麒麟竭(一两)、麝香(一分,细研)、当归(半两,锉碎微炒)、桂心(三分)。将上述药材捣细罗为散。都杵令匀。不计时候温服。生姜酒调下一钱。
乌金散(出自《圣惠方》):治疗产后败血冲心疼痛,面青手足冷。
药材:赤鲤鱼鳞(二两)、室女头发(二两)、伏龙肝(一两)、腊月猪脂、水蛭(一两)、香墨(一两)。以上六味,入固济了瓷瓶子内,密封泥候干。用炭火再烧令通赤。候冷取出,细研入后药。
桂心(一两)、当归(一两,锉碎微炒)、麝香(一分,细研)。将上述药材捣细罗为散。入前烧了药同研令匀细。每次以豆淋酒调下一钱。
鲮鱼散(出自《圣惠方》):治疗产后恶血不散冲心痛。
药材:鲮鱼(二两)、乱发(一两)、皂荚一挺(长七八寸者)、砂(一两)、穿山甲(一两半)、香墨(半两)。上同入固济了瓷瓶内,泥封候干。用炭火烧须令通赤。待冷取出,入麝香一分,同……
玳瑁散(出自《圣惠方》):治疗产后败血冲心晕绝。
药材:玳瑁屑、延胡索、当归(锉碎微炒)、赤鲤鱼鳞(各半两,烧灰)、麝香(另细研三分)、琥珀(另研)、水蛭(炒令黄)、丹皮、益母草子、香墨(以上各半两)。将上述药材捣细罗为散。入研了药令匀。每次不计时候,以温酒调下一钱。
赤龙鳞散(出自《圣惠方》):治疗产后恶血冲心。
又方:
用兔头炙令热,以熨产妇腹。如刀绞痛者,熨之立定。
治痛不可忍。
取苦瓠芦未经开者,亦搅痛即开去子讫,以沸酽酢投中蒸熟。随痛即令熨,冷即换极妙。
吴茱萸汤(出自《千金方》):治疗产后血气不利,心腹疼痛。或寒或热,或时吐,短气乏力,气倦。
药材:吴茱萸(汤浸微炒,一两)、防风(去叉)、桔梗(炒)、甘草(炙)、干姜(炮制锉)、细辛(去苗叶,各半两)、生干地黄(焙)、当归(切炒,各三分)。将上述药材粗捣筛过。每次服用三钱,用水一盏,煎至七分,去滓温服。不拘时候。
大黄干漆汤(出自《千金方》):治疗新产后有血腹中切痛。
药材:大黄、干漆、干地黄、桂心、干姜(各二两)。上将药材咀。以水三升,清酒五升,煮取三升。去滓温服。一升血当下。若仍不瘥,明旦服一升。满三服病无不瘥。
四神散(一名芎归散,出自《和剂方》):治疗产后留血不消,积聚作块,急切疼痛,犹如遁口,心腹绞……
药材:当归、芍药、川芎、干姜(炮,各等分)。将上述药材为末。每次服用方寸匕,温酒调下。日三服。
治妇人血气痛。
药材:干姜、赤石脂。将上述药材为末,醋为丸。每次服用五十丸,淡醋汤下立效。
锻石散
药材:锻石(二两,打碎)、赤鲤鱼鳞(三两)、干藕节(四两)、乱发、败蒲(二两)、棕榈皮(二两)、红蓝花(一两)、芫花(一两)。上都入瓷瓶子内,使盐泥固济候干。以砖头盖头,再用炭火半秤之。如人行一二里,还来其初。青烟出后,白烟出。经一宿,冷取出捣罗细为散。加麝香一分,同研令细。每次以温酒调下一钱。如人行三五里,再服。其恶血自下。
穿山甲散(出自《圣惠方》):治疗产后恶血在腹中刺痛不可忍受。
药材:穿山甲(一两)、孩子发(一两,十岁以上佳)、干漆(一两)、红蓝花子(一两)、赤鲤鱼鳞(二两)、灶突墨(二两)。上都入于瓷瓶内,以瓦盖口用盐泥固济。于盖上开一窍,以大火烧令烟白。
乌鸦散(出自《圣惠方》):治疗产后恶血腹中刺痛。
药材:腊月乌鸦(一只,去嘴爪)、赤鲤鱼鳞(一两)、桑木耳(一两)、童子发(一两)、香墨(半两)、砂(一两)。上都入一瓷瓶子内,以六一泥固济曝干。先用文火,烟出后,以武火。移时待冷,取出捣细罗为散。研入麝香一分。每次不计时候,以热酒调下二钱。
乌金散(出自《圣惠方》):治疗产后恶血攻心腹刺痛。
药材:赤鲤鱼鳞(二两)、兔头(二两)、乱发(一两)、棕榈(一两)、干漆(一两)、虻虫(半两,去翅足)、水蛭(半两)、狗胆(三枚)、香墨(一两)。上都入一瓷瓶子内,密固济候干。用炭火烧须令通赤。待冷取出,捣细罗为散。研入麝香一分。每次不计时,以生姜温酒调一钱。
黑神散(出自《圣惠方》):治疗产后一切恶血刺痛,腹内疼痛。及发渴烦热。
药材:生干地黄、鸟巢子、槲叶、棕榈皮(一斤)、好墨(一挺)、童子发(四两)。上都入罐子中,以泥封裹令干。以炭火烧须令通赤。慢去火候。冷取出,捣细罗为散。不计时,热酒下二钱。
当归散(出自《圣惠方》):治疗产后恶血不散,攻心腹刺痛。
药材:当归(三分,锉碎微炒)、赤芍药(一两)、刘寄奴(半两)、川芎(三分)、红花(三分)、桂心(半两)、延胡索(半两)、没药(半两)。将上述药材捣细罗为散。不计时候,以热酒调下二钱。
硇砂丸(出自《圣惠方》):治疗产后恶血凝结不散,刺腹胁刺痛。
药材:硇砂(细研)、当归(锉碎微炒)、干姜(炮制锉)、没药、芫花(醋拌微炒)、蓬莪术(各一两)。
(Attached Discussion)
After childbirth, the Chong (Penetrating Vessel) and Ren (Conception Vessel) are both deficient. Qi and blood deviate from their normal meridians, and lack proper care. The flow of Qi becomes sluggish, and lochia (postpartum discharge) fails to discharge smoothly. This causes irritability, dizziness, chest tightness, hardness and pain in the umbilical and abdominal regions. By promoting the discharge of stagnant blood and regulating the ascending and descending of Yin and Yang, the illness can be cured; if untreated, it may transform into postpartum masses (Zheng Jia) and emaciation syndromes. Cases of stabbing pain in the abdomen due to stagnant blood after childbirth occur because of internal organ deficiency or the presence of wind-cold pathogens, causing the lochia to stagnate and fail to circulate freely. All these conditions result from insufficient lochia discharge during delivery, leaving residual blood within the uterine collaterals...
[Formulas]
Treatment for Postpartum Qi and Blood Pain:
For postpartum Qi and blood pain, only Lonicera japonica flower (Lingxiao Hua) is used. Crush it and take it mixed with wine. Its efficacy is indeed excellent.
Baijiang Tang (Patrinia Decoction): Treats postpartum failure to clear stagnant blood, where blood struggles with Qi, causing abdominal pain.
Ingredients: Patriniae Radix (Baijiang), Cinnamomi Ramulus (Guizhi, removed coarse bark), Persicariae Herba (Liujinu) (each 3 fen), Moutan Cortex (Mudanpi), Aquilariae Lignum Resinatum (Muxiang), Ligustici Chuanxiong Rhizoma (Xiong) (each 0.5 liang). Sift the ingredients finely. Take 2 qian per dose, add one cup of water and one part of Rehmanniae Radix (Dihuang), decoct until 0.7 parts remain, then filter. Take warm at any time.
Guijianyu Tang (Tetraptera Decoction): Treats postpartum stagnation of Qi and blood attacking the heart and abdomen causing stabbing pain, distension, and panting.
Ingredients: Tetrapterae Spina (Guijianyu), Angelicae Sinensis Radix (Danggui, sliced and roasted), Atractylodis Macrocephalae Rhizoma (Baizhu, crushed and stir-fried), Cinnamomi Ramulus (Guizhi, removed coarse bark, each 2 liang), Asari Radix et Rhizoma (Xixin, removed seedlings and leaves, 1.5 liang), Dried Rehmanniae Radix (Shenggan Dihuang).
Qilinjie San (Dragon's Blood Powder, from *Shenghui Fang*): Treats postpartum irregular Qi and blood, causing stabbing pain in the abdomen.
Ingredients: Dragon's Blood (Qilinjie), Cinnamomi Ramulus (Guizhi, removed coarse bark), Angelicae Sinensis Radix (Danggui, crushed and lightly stir-fried), Poria (Puhuang), Carthami Flos (Honglanhua), Aquilariae Lignum Resinatum (Muxiang), Myrrha (Moyao), Corydalis Rhizoma (Yanhusuo), Dry Larix resin (Ganqi, crushed and stir-fried until smoke appears), Paeoniae Radix Rubra (Chishaoyao) (each 0.5 liang). Grind into powder. Take 2 qian per dose with hot wine. At any time.
Huangqi Tang (Astragalus Decoction): Treats postpartum obstructed Qi and blood, acute abdominal pain, upward/downward rushing Qi, rebellious Qi, irritability, and oppression.
Ingredients: Astragali Radix (Huangqi, crushed), Atractylodis Macrocephalae Rhizoma (Baizhu, crushed and processed), Angelicae Sinensis Radix (Danggui, sliced and stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and crushed), Ginseng Radix (Renshen) (each 1 liang), White Goat Meat (Baiyangrou, 1 jin, remove fat membrane and chop finely, use 3 liang per dose). Except for the goat meat, grind other ingredients into coarse powder. Take 3 qian per dose. First, chop 3 liang of goat meat, add three cups of water, boil down to one cup, clarify and remove scum. Add the herbal powder and three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct together until 0.7 parts remain, filter, and drink orally. At any time.
Gan Dihuang Tang (Dried Rehmannia Decoction): Treats postpartum dizziness and obstruction, or exposure to wind-cold, causing stabbing pain in the heart and abdomen, cold limbs, and chest discomfort.
Ingredients: Dried Rehmanniae Radix (Shenggan Dihuang, roasted, 3 liang), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Angelicae Sinensis Radix (Danggui, sliced and stir-fried), Cinnamomi Ramulus (Guizhi, removed coarse bark), Zingiberis Rhizoma Recens (Shengjiang, peeled, chopped, stir-fried dry, each 1 liang).
Baizhu Tang (Atractylodes Macrocephala Decoction): Treats postpartum congestion of Qi and blood attacking the heart and abdomen causing pain, or spasmodic distension.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu, crushed and stir-fried), Angelicae Sinensis Radix (Danggui, crushed and stir-fried), Morus Albae Cortex (Sanggenbaidi, crushed, each 1.5 liang), Asari Radix et Rhizoma (Xixin, removed seedlings and leaves), Rheii Radix et Rhizoma (Dahuang, crushed and stir-fried until fragrant), Cinnamomi Ramulus (Guizhi, removed coarse bark, each 1 liang). Coarsely crush and sift. Take 3 qian per dose, add one cup of water and three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct until 0.7 parts remain, filter, and take warm. At any time.
Shaoyao Tang (Peony Decoction): Treats postpartum pain in the heart and abdomen caused by obstructed blood flow and attacking Qi.
Ingredients: Paeoniae Radix (Shaoyao, 2 liang), Astragali Radix (Huangqi, crushed), Angelicae Dahuricae Radix (Baizhi), Ginseng Radix (Renshen), Ligustici Chuanxiong Rhizoma (Xiong), Angelicae Sinensis Radix (Danggui, sliced and stir-fried), Dried Rehmanniae Radix (Shenggan Dihuang, roasted), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, each 1 liang), Poria (Baifuling, removed black skin, 1.5 liang). Coarsely crush and sift. Take 3 qian per dose, add one cup of water, decoct until 0.7 parts remain, filter, add a little wine, and take warm. At any time.
Dihuang Shaoyao Tang (Rehmannia and Peony Decoction): Treats postpartum deficiency-cold of Qi and blood attacking the heart and abdomen.
Ingredients: Dried Rehmanniae Radix (Shenggan Dihuang, roasted), Paeoniae Radix (Shaoyao), Angelicae Sinensis Radix (Danggui, crushed and stir-fried), Angelicae Pubescentis Radix (Duohuo, removed rhizome), Asari Radix et Rhizoma (Xixin, removed seedlings and leaves, each 2 liang), Cinnamomi Ramulus (Guizhi, removed coarse bark), Zingiberis Rhizoma (Ganjiang, processed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Evodiae Fructus (Wuzhuyu, soaked in water overnight and stir-fried until fragrant, each 1 liang). Coarsely crush and sift. Take 3 qian per dose, add one cup of water, decoct until 0.7 parts remain, filter, and take warm. At any time.
Xiong Qianhu Tang (Chuanxiong and Peucedanum Decoction): Treats postpartum heart and abdominal pain due to obstructed Qi and blood.
Ingredients: Ligustici Chuanxiong Rhizoma (Xiong, 1 liang), Peucedani Radix (Qianhu, removed rhizome, 2 fen), Scutellariae Radix (Huangqin, removed black heart, 0.5 liang), Paeoniae Radix (Shaoyao, 1 liang), Poria (Puhuang, 1.5 liang), Angelicae Sinensis Radix (Danggui, crushed and stir-fried, 3 fen), Cinnamomi Ramulus (Guizhi, removed coarse bark, 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and crushed, 1 liang), Rheii Radix et Rhizoma (Dahuang, crushed and stir-fried, 0.5 liang), Rehmanniae Radix (Shengdihuang, roasted, 2 liang), Pruni Semen (Taoren, soaked in water, peel and remove tips, separately ground, 3 fen). Coarsely crush and sift. Take 2 qian per dose, add one cup of water, three slices of Zingiberis Rhizoma Recens (Shengjiang), and one jujube split open, decoct together until 0.7 parts remain.
Jiegeng Tang (Platycodon Decoction): Treats postpartum Qi and blood attacking the heart and cold pain in the abdomen, accompanied by irritability, fullness, and anorexia.
Ingredients: Platcodonis Radix (Jiegeng, stir-fried), Angelicae Sinensis Radix (Danggui, sliced and roasted), Persicariae Herba (Liujinu, soaked in water, washed, stir-fried, each 1 liang), Cinnamomi Ramulus (Guizhi, removed coarse bark), Corydalis Rhizoma (Yanhusuo), Citri Reticulatae Pericarpium (Chenjuapi, soaked in water, washed, stir-fried, each 1 liang), Paeoniae Radix (Shaoyao, 2 liang), Poria (Baifuling, removed black skin, 2 liang). Coarsely crush and sift. Take 3 qian per dose, add one cup of water, decoct until 0.7 parts remain.
Shaoyao Tang (Peony Decoction): Treats postpartum Qi and blood attacking the heart and abdomen causing pain.
Ingredients: Paeoniae Radix (Shaoyao, 2 liang), Cinnamomi Ramulus (Guizhi, removed coarse bark), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and crushed, each 1 liang). Coarsely crush and sift. Take 3 qian per dose, add one cup of water, decoct until 0.7 parts remain, filter, and take warm. At any time.
Hupo Jian (Amber Paste): Treats postpartum blood deficiency and emaciation, sallow complexion, incomplete lochia discharge, and cold pain in the umbilical and abdominal regions.
Ingredients: Amber (Hupo, ground), Achyranthis Bidentatae Radix (Niuxi, soaked in wine, sliced, and roasted), Angelicae Sinensis Radix (Danggui, sliced and roasted), Saposhnikoviae Radix (Fangfeng, removed forked root), Piperis Longi Fructus (Bibo), Pruni Semen (Taoren, peeled, removed tips and double kernels, stir-fried and ground), Ligustici Chuanxiong Rhizoma (Xiong) (each 6 liang), Cinnamomi Ramulus (Guizhi, removed coarse bark, 4 liang), Zingiberis Rhizoma (Ganjiang, processed, 1 liang), Clear Rice Wine (Qingjiu, juice 1 sheng), Fresh Rehmanniae Radix Juice (Shengdihuangzhi, 3 sheng), Honey (Mi, 3 liang), Butter (Su, 6 liang).
Treatment for female jaundice, blood rushing Qi, and abdominal pain.
Use several sheng of high-quality Cyperi Rhizoma (Xiangfu), crush to remove skin and hairs, ensuring they are clean and white. Soak overnight in two parts urine from a prepubertal boy (Tongzi Xiaobian). Boil half of it with good sour vinegar for half a day. Then drain the urine-soaked Xiangfu. Pound both ingredients into a fine powder. Make pills using vinegar-boiled wheat paste. Take with either fine wine or salt water. Within ten days, the complexion will become rosy, appetite will increase beyond usual, and facial appearance will improve rapidly as if by magic. Also treats male yellow edema.
Mengchongzi San (Bug Seed Powder, from *Shenghui Fang*): Treats postpartum stabbing pain from stagnant blood and abdominal pain.
Ingredients: Bug Seeds (Mengchongzi, 3 fen), Paeoniae Radix Rubra (Chishaoyao, 0.5 liang), Pruni Semen (Taoren, 3 fen, soaked in water, peeled, removed tips and double kernels, bran-stir-fried until slightly yellow), Persicariae Herba (Liujinu, 0.5 liang), Angelicae Sinensis Radix (Danggui, 1 liang, crushed and lightly stir-fried), Poria (Puhuang, 3 fen), Ligustici Chuanxiong Rhizoma (Xiong, 0.5 liang). Pound finely and sieve coarsely. Take 3 qian per dose, add one cup of water and 3 he of fresh Rehmanniae Radix Juice (Shengdihuangzhi), decoct until 0.6 parts remain, filter, and take slightly warm at any time.
Dahuang San (Rhubarb Powder, from *Shenghui Fang*): Treats postpartum stagnant blood attacking the abdomen, unbearable pain.
Ingredients: Sichuan Rhubarb (Chuan Dahuang, 1 liang, crushed), Dry Larix resin (Ganqi, 1 liang, crushed and stir-fried until smoke appears), Cinnamon Heart (Guixin, 1 liang), Dried Rehmanniae Radix (Shenggan Dihuang, 1 liang), Dried Ginger (Ganjiang, 0.5 liang, processed and crushed), Angelicae Sinensis Radix (Danggui, 3 fen, crushed and lightly stir-fried). Grind into powder. Take 2 qian per dose, add half a medium cup of water and half a medium cup of wine, decoct until 0.5 parts remain. At any time.
Yimucaozi San (Motherwort Seed Powder, from *Shenghui Fang*): Treats postpartum stagnant blood, stabbing abdominal pain, dry mouth, heart pain, and oppression.
Ingredients: Motherwort Seeds (Yimucaozi, 0.5 liang), Persicariae Herba (Liujinu, 0.5 liang), Rapeseed Seeds (Yuntaizi, 3 fen, lightly stir-fried), Cinnamon Bark (Rougui, 3 fen, removed coarse bark), Myrrha (Moyao, 0.5 liang), Angelicae Sinensis Radix (Danggui, 0.5 liang, crushed and lightly stir-fried). Pound finely and sieve. Take 2 qian per dose, add half a medium cup of water and half a medium cup of wine, decoct until 0.5 parts remain. At any time, take the residue and liquid together while hot.
Hupo San (Amber Powder, from *Shenghui Fang*): Treats postpartum stagnant blood not dispersing, stabbing pain in the abdomen and flanks, chest irritation, rising deficient Qi, and seeing black spots before the eyes.
Ingredients: Amber (Hupo), Carthami Flos (Honglanhua), Angelicae Sinensis Radix (Danggui), Myrrha (Moyao), Niu Lizishu (Niu Lizishu), Poria (Puhuang), Turmeric (Jianghuang), Paeoniae Radix Rubra (Chishaoyao), Genkwa Flos (Yuanhua, stir-fried dry with half a spoonful of vinegar), Cinnamon Heart (Guixin) (each 0.5 liang), Motherwort (Yimucao, 3 fen), Corydalis Rhizoma (Yanhusuo, 3 fen). Pound finely and sieve. Take 1 qian per dose at any time, mixed with hot wine.
Niu Lizishu San (Niu Lizishu Powder, from *Shenghui Fang*): Treats postpartum stagnant blood attacking the heart and abdomen, unbearable pain.
Ingredients: Niu Lizishu (Niu Lizishu, 1 liang), Cinnamon Heart (Guixin, 1 liang), Carthami Flos (Honglanhua, 0.5 liang), Poria (Puhuang, 0.5 liang), Angelicae Sinensis Radix (Danggui, 0.5 liang, crushed), Palm Fiber (Zonglupi, 2 liang, charred to ash). Pound finely and sieve. Take 2 qian per dose at any time, mixed with hot wine.
Duanshi San (Calcined Stone Powder, from *Shenghui Fang*): Treats postpartum stagnant blood attacking and stabbing, causing heart and abdominal pain.
(Note: This formula lacks ingredient names.)
Take the previous nine ingredients, pound and sieve into powder. First, boil Rehmanniae Radix Juice (Dihuangzhi) until cooked, then add honey, wine, and butter. Stir continuously with a spatula until it forms a paste. Pour out and store in a porcelain container. Take one spoonful per dose, mixed with warm wine. At any time.
Biejia Danggui San (Softshell Turtle and Angelica Powder): Treats postpartum abdominal masses, unbearable pain.
Ingredients: Softshell Turtle Shell (Biejia, vinegar-processed, remove skirt, 3 liang), Angelicae Sinensis Radix (Danggui, sliced and roasted), Pruni Semen (Taoren, peeled, removed tips and double kernels, stir-fried), Paeoniae Radix (Shaoyao), Curcumae Radix (Jingsanleng, processed and crushed), Cinnamomi Ramulus (Guizhi, removed coarse bark, each 1 liang). Grind into powder. Take 5 qian per dose on an empty stomach with warm wine. Twice daily.
Chensha Miaoxiang San (Cinnabar Wonderful Fragrance Powder, from *Wei Shi Fang*): Take with Fresh Rehmanniae Radix and Angelicae Sinensis Radix decoction for immediate effect. (See Heart Section, Heart Deficiency Category).
(Original Formula: Poria (Fuling, removed skin), Spirit of Poria (Fushen, removed wood and skin), Dioscoreae Rhizoma (Shanyao, ginger-processed), Polygalae Radix (Yuanzhi, removed heart and stir-fried), Astragali Radix (Huangqi, honey-fried), each 1 liang. Ginseng Radix (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Platcodonis Radix (Jiegeng, stir-fried), each 0.5 liang. Cinnabar (Chensha, 3 qian, separately ground), Agarwood (Muxiang, 2.5 liang), Moschus (Shexiang, 1 qian, separately ground). Grind all into fine powder. Take 2 qian per dose, mixed with warm wine.)
Liujinu San (Persicaria Powder, from *Shenghui Fang*): Treats postpartum stagnant blood rushing to the heart, mutism.
Ingredients: Persicariae Herba (Liujinu, 1 liang), Moschus (Shexiang, 1 fen, finely ground), Angelicae Sinensis Radix (Danggui, crushed and lightly stir-fried), Ligustici Chuanxiong Rhizoma (Xiong), Cinnamon Heart (Guixin), Achyranthis Bidentatae Radix (Niuxi, removed seedlings), Motherwort (Yimucao), Notopterygii Rhizoma et Radix (Qianghuo), Dried Rehmanniae Radix (Shenggan Dihuang), Corydalis Rhizoma (Yanhusuo) (each 3 fen above). Pound finely and sieve. Mix in the ground Moschus evenly. Take 2 qian per dose at any time, mixed with warm wine, Zingiberis Rhizoma Recens (Shengjiang), and urine from a prepubertal boy (Tongzi Xiaobian).
Tongshen San (Spirit-Passing Powder, from *Shenghui Fang*): Treats postpartum败血 (defeated blood/stagnant blood) rushing to the heart.
Ingredients: Poria (Puhuang, 1 liang), Cinnamon Bark (Rougui, 1 liang, removed coarse bark), Angelicae Sinensis Radix (Danggui, 0.5 liang, crushed and lightly stir-fried), Corydalis Rhizoma (Yanhusuo, 0.5 liang), Realgar (Niao, 1 fen, separately ground), Amber (Hupo, 0.5 liang). Pound finely and sieve. Take 2 qian per dose at any time, mixed with warm wine.
Wujin San (Black Gold Powder, from *Shenghui Fang*): Treats postpartum stagnant blood rushing to the heart and abdomen causing pain.
Ingredients: Good Ink (Hao Mo), Dust from Ridgepole (Liangshangchen), Soot from Cauldron Bottom (Fuxiammo), Pig Placenta (Zhu Taiyi), Red Carp Scales (Chi Liyu Lin) (each 1 liang above). Char all to ash. Add 1 qian of Moschus (Shexiang), grind together finely. Take 2 qian per dose at any time, mixed with hot wine.
Wujin San (Black Gold Powder, from *Shenghui Fang*): Treats postpartum incomplete lochia discharge, heart pain from rushing blood, shortness of breath, irritability, and confusion.
Ingredients: Red Carp Scales (Chi Liyu Lin, 3 liang, charred), Palm Fiber (Zonglun, 3 liang, charred), Soot from Stove Tail (Zaowei Mo, 1 liang), Soot from Cauldron Bottom (Fudi Mo, 1 liang), Loose Hair (Luannfa, 3 liang, charred). Place these five ingredients in a porcelain bottle, seal tightly with plaster, let dry, and burn with charcoal until red hot. Cool, remove, and grind finely.
Bug (Mengchong, 3 fen, removed wings and feet, lightly stir-fried), Leech (Shuizhi, 3 fen, lightly stir-fried), Dragon's Blood (Qilinjie, 1 liang), Moschus (Shexiang, 1 fen, finely ground), Angelicae Sinensis Radix (Danggui, 0.5 liang, crushed and lightly stir-fried), Cinnamon Heart (Guixin, 3 fen). Pound finely and sieve. Mix thoroughly. Take warm at any time. Mix 1 qian with Zingiberis Rhizoma Recens (Shengjiang) and wine.
Wujin San (Black Gold Powder, from *Shenghui Fang*): Treats postpartum stagnant blood rushing to the heart causing pain, blue-green complexion, and cold hands and feet.
Ingredients: Red Carp Scales (Chi Liyu Lin, 2 liang), Virgin Girl's Hair (Shinv Toufa, 2 liang), Longtan Earth (Fulonggan, 1 liang), December Pork Fat (Layue Zhizhi), Leech (Shuizhi, 1 liang), Fragrant Ink (Xiang Mo, 1 liang). Place these six ingredients in a sealed porcelain bottle, seal with mud, let dry, and burn with charcoal until red hot. Cool, remove, grind finely, and add the following herbs.
Cinnamon Heart (Guixin, 1 liang), Angelicae Sinensis Radix (Danggui, 1 liang, crushed and lightly stir-fried), Moschus (Shexiang, 1 fen, finely ground). Pound finely and sieve. Mix with the previously charred medicine and grind finely. Take 1 qian per dose mixed with Doulin Wine (soybean-leavened wine).
Lingyu San (Sarcocheilichthys Powder, from *Shenghui Fang*): Treats postpartum stagnant blood not dispersing, rushing to the heart causing pain.
Ingredients: Sarcocheilichthys Variegatus (Lingyu, 2 liang), Loose Hair (Luannfa, 1 liang), Gleditsia Sinensis Fruit (Zaojia, one pod 7-8 cun long), Realgar (Niao, 1 liang), Pangolin Scales (Chuanshanjia, 1.5 liang), Fragrant Ink (Xiang Mo, 0.5 liang). Place together in a sealed porcelain bottle, seal with mud, let dry, and burn with charcoal until red hot. Cool, remove, add 1 fen of Moschus (Shexiang), mix...
Daimai San (Hornbeam Powder, from *Shenghui Fang*): Treats postpartum stagnant blood rushing to the heart causing fainting.
Ingredients: Hornbeam Shavings (Daimaixie), Corydalis Rhizoma (Yanhusuo), Angelicae Sinensis Radix (Danggui, crushed and lightly stir-fried), Red Carp Scales (Chi Liyu Lin, each 0.5 liang, charred), Moschus (Shexiang, 3 fen, separately finely ground), Amber (Hupo, separately ground), Leech (Shuizhi, stir-fried until yellow), Moutan Cortex (Danpi), Motherwort Seeds (Yimucaozi), Fragrant Ink (Xiang Mo) (each 0.5 liang above). Pound finely and sieve. Mix with the ground medicines evenly. Take 1 qian per dose at any time, mixed with warm wine.
Chilonglin San (Red Dragon Scale Powder, from *Shenghui Fang*): Treats postpartum stagnant blood rushing to the heart.
Another Formula:
Roast a rabbit head until hot and apply it to the postpartum woman's abdomen. If there is knife-like cramping pain, applying it stops the pain immediately.
To treat unbearable pain:
Take a bitter gourd vine (Kuhu Lu) that has not yet opened. Twist it until the pain opens it, remove the seeds, pour boiling strong vinegar into it, steam until cooked. Apply to the painful area immediately; replace when cool. Extremely effective.
Wuzhuyu Tang (Evodia Decoction, from *Qianjin Fang*): Treats postpartum obstructed Qi and blood, heart and abdominal pain. Alternating cold and heat, occasional vomiting, shortness of breath, fatigue, and Qi exhaustion.
Ingredients: Evodiae Fructus (Wuzhuyu, soaked in water and lightly stir-fried, 1 liang), Saposhnikoviae Radix (Fangfeng, removed forked root), Platcodonis Radix (Jiegeng, stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Zingiberis Rhizoma (Ganjiang, processed and crushed), Asari Radix et Rhizoma (Xixin, removed seedlings and leaves, each 0.5 liang), Dried Rehmanniae Radix (Shenggan Dihuang, roasted), Angelicae Sinensis Radix (Danggui, sliced and stir-fried, each 3 fen). Coarsely crush and sift. Take 3 qian per dose, add one cup of water, decoct until 0.7 parts remain, filter, and take warm. At any time.
Treatment for Qi and blood pain nearing collapse.
Grind Sophora japonica Chicken (Huaiji) into powder, decoct strongly in wine, and take in one dose. Immediate effect.
Dahuang Ganqi Tang (Rhubarb and Dry Larix Decoction, from *Qianjin Fang*): Treats fresh postpartum abdominal cutting pain due to blood.
Ingredients: Rheii Radix et Rhizoma (Dahuang), Dry Larix resin (Ganqi), Dried Rehmanniae Radix (Gan Dihuang), Cinnamon Heart (Guixin), Dried Ginger (Ganjiang) (each 2 liang). Chop the ingredients. Add three sheng of water and five sheng of clear wine, boil down to three sheng. Filter and take warm. One sheng should cause blood to pass. If not cured, take one sheng the next morning. After three doses, the illness will surely be cured.
Sishen San (Four Gods Powder, also known as Xiong Gui San, from *Heji Fang*): Treats postpartum retained blood not resolving, forming masses, urgent pain, resembling "running mouth" (cramping), and heart/abdominal twisting pain.
Ingredients: Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Shaoyao), Ligustici Chuanxiong Rhizoma (Chuanxiong), Dried Ginger (Ganjiang, processed) (equal parts). Grind into powder. Take one fangcun bi (square-inch measure) per dose, mixed with warm wine. Three times daily.
Treatment for female Qi and blood pain.
Ingredients: Dried Ginger (Ganjiang), Halloysitum Rubrum (Chishizhi). Grind into powder, make pills with vinegar. Take 50 pills per dose with light vinegar water. Immediate effect.
Duanshi San (Calcined Stone Powder)
Ingredients: Calcined Stone (Duanshi, 2 liang, crushed), Red Carp Scales (Chi Liyu Lin, 3 liang), Dried Lotus Root Node (Gan Ou Jie, 4 liang), Loose Hair (Luannfa), Decayed Cattail Pollen (Baipu, 2 liang), Palm Fiber (Zonglupi, 2 liang), Carthami Flos (Honglanhua, 1 liang), Genkwa Flos (Yuanhua, 1 liang). Place all in a porcelain bottle, seal with salt mud, let dry. Cover with a brick, burn with charcoal for half a cheng weight duration (approx. walking 1-2 li). When green smoke turns to white smoke, leave overnight. Cool, remove, grind finely, add 1 fen of Moschus (Shexiang), mix finely. Take 1 qian per dose with warm wine. After walking 3-5 li, take another dose. Stagnant blood will discharge naturally.
Chuanshanjia San (Pangolin Scale Powder, from *Shenghui Fang*): Treats postpartum stagnant blood in the abdomen causing unbearable stabbing pain.
Ingredients: Pangolin Scales (Chuanshanjia, 1 liang), Child's Hair (Haizi Fa, 1 liang, preferably from children over 10 years old), Dry Larix resin (Ganqi, 1 liang), Carthami Seed (Honglanhuazi, 1 liang), Red Carp Scales (Chi Liyu Lin, 2 liang), Chimney Soot (Zaotu Mo, 2 liang). Place all in a porcelain bottle, cover with tile, seal with salt mud. Open a hole on the lid, burn with large fire until white smoke appears.
Wuya San (Crow Powder, from *Shenghui Fang*): Treats postpartum stagnant blood in the abdomen causing stabbing pain.
Ingredients: December Crow (Layue Wuya, one bird, remove beak and claws), Red Carp Scales (Chi Liyu Lin, 1 liang), Mulberry Mould (Sangmu'er, 1 liang), Prepubertal Boy's Hair (Tongzi Fa, 1 liang), Fragrant Ink (Xiang Mo, 0.5 liang), Realgar (Niao, 1 liang). Place all in a porcelain bottle, seal with Liuyi Mud, dry. Start with gentle fire, then strong fire after smoke appears. Wait until cool, remove, grind finely, mix in 1 fen of Moschus (Shexiang). Take 2 qian per dose at any time, mixed with hot wine.
Wujin San (Black Gold Powder, from *Shenghui Fang*): Treats postpartum stagnant blood attacking the heart and abdomen causing stabbing pain.
Ingredients: Red Carp Scales (Chi Liyu Lin, 2 liang), Rabbit Head (Tutou, 2 liang), Loose Hair (Luannfa, 1 liang), Palm Fiber (Zonglun, 1 liang), Dry Larix resin (Ganqi, 1 liang), Bug (Mengchong, 0.5 liang, removed wings and feet), Leech (Shuizhi, 0.5 liang), Dog Gallbladder (Goudan, 3 pieces), Fragrant Ink (Xiang Mo, 1 liang). Place all in a porcelain bottle, seal tightly, let dry. Burn with charcoal until red hot. Cool, remove, grind finely, mix in 1 fen of Moschus (Shexiang). Take 1 qian per dose at any time, mixed with Zingiberis Rhizoma Recens (Shengjiang) and warm wine.
Heishen San (Black Divine Powder, from *Shenghui Fang*): Treats all postpartum stabbing pain from stagnant blood, abdominal pain, thirst, irritability, and fever.
Ingredients: Dried Rehmanniae Radix (Shenggan Dihuang), Bird's Nest Egg (Niaochaozi), Oak Leaf (Huye), Palm Fiber (Zonglupi, 1 jin), Good Ink (Hao Mo, one stick), Prepubertal Boy's Hair (Tongzi Fa, 4 liang). Place all in a jar, seal with mud, let dry. Burn with charcoal until red hot. Slowly reduce heat. Cool, remove, grind finely. Take 2 qian per dose with hot wine at any time.
Danggui San (Angelica Powder, from *Shenghui Fang*): Treats postpartum stagnant blood not dispersing, attacking the heart and abdomen causing stabbing pain.
Ingredients: Angelicae Sinensis Radix (Danggui, 3 fen, crushed and lightly stir-fried), Paeoniae Radix Rubra (Chishaoyao, 1 liang), Persicariae Herba (Liujinu, 0.5 liang), Ligustici Chuanxiong Rhizoma (Xiong, 3 fen), Carthami Flos (Honghua, 3 fen), Cinnamon Heart (Guixin, 0.5 liang), Corydalis Rhizoma (Yanhusuo, 0.5 liang), Myrrha (Moyao, 0.5 liang). Pound finely and sieve. Take 2 qian per dose at any time, mixed with hot wine.
Naosha Wan (Realgar Pill, from *Shenghui Fang*): Treats postpartum凝结 (coagulation) of stagnant blood not dispersing, stabbing pain in the abdomen and flanks.
Ingredients: Realgar (Naosha, finely ground), Angelicae Sinensis Radix (Danggui, crushed and lightly stir-fried), Dried Ginger (Ganjiang, processed and crushed), Myrrha (Moyao), Genkwa Flos (Yuanhua, stir-fried lightly with vinegar), Curcuma Zedoaria Rhizoma (Peng'ezhu) (each 1 liang).