(附论)
昔赵都运恭人。每临产。则子肠先出。产子衣下之后。其肠不收。甚以为苦。名曰盘肠
产。
新汲
方
疗盘肠生产不能者。
用东行芙蓉根。去上粗皮。用内白皮嫩者。去木。烂擂水。用鹅翎毛拂上。即自入。如
不然
治盘肠献花产者。
医书不述其事。然亦可惊。有临分娩产肠先出。儿即随产。俗用冷水 产母面。其产肠
自收
脑顶
水少
治推肠生方。又名盘肠产。
以半夏为末。搐鼻中。则肠上矣。
又方
以大纸捻。以麻油润了。点灯吹灭。以烟熏产妇鼻中。肠即上矣。
樗枝散 治产后子肠下出。不能收拾。不论年深者。皆治之。
用樗枝取皮。焙干。一握。水五升。连根葱五茎。汉椒一撮。同煎三升去滓。倾在盆内
。乘
忌盐
治产后肠出不收。
用枳壳煎汤。温浸良久。即入。一方用二两去瓤。
治产后脱肠不收。
用麻油五斤。炼熟。以盆盛。候温。却令产母坐油盆中。约一顿饭久。用皂刺炙令脆。
去粗
败龟散 治妇人产后肠出不收。
紫浮萍草(阴干半两) 败龟(半两醋炙酥) 上为末。每服二钱。温酒或汤调下。空
心服立验
治妇人产后肠出不收。兼小儿脱肛。
紫浮萍草(阴干) 晚蚕砂(炒各等分) 上为末。每服二钱。沸汤或温酒调下。立验。
又方
山慈菇末。掺肠上。仍以皂角末。搐取喷嚏数声。其肠自入。
儿袋脱出。名突河。
荷叶以麻油 炙干为末。先用荷叶朴硝汤浸出者块肉。令暖。次以前末 入。以缩砂仁
末二
即收
家传方
取麦面内疏布袋中。置热汤盆内。摆洗。候汤温。令产母坐其上。肠浸其中。频摆麦面
袋。
海上方
细辛 麝香 上为末。搐鼻中。得喷嚏。则肠收矣。一方云。凡通关药皆可用。
叶氏方
用朴硝煎汤浸肠。令暖。自然收缩。
连氏方
白矾末一两。调米醋一碗。入净小桶。以硬炭火置内。急令产母坐其上。熏之。
千金方
鳖头烧灰。敷脐上。仍用水调服。
又方
羌活酒煎。
韩都事方
蛇床子 韶脑 胡椒 紫菀梢 上等分为末。每服五钱。煎汤熏洗。
又方
全蝎细末。口含水。以药搐鼻立效。
沈氏方
卷柏半两。锉碎。瓷瓶水煎。热熏温洗。
治产后肠出不收。
白扁豆花 山豆根花 上等分为末。每服四钱。温红花酒调下。立收平复。
又方
枳壳、荆芥煎汤熏洗。五倍子末粉肠上。
又方
令妇人坐臼上。研蓖麻子膏涂顶心。密令以水喷其面。倏然一忍。抬身振动。肠已收矣。
谢氏方
血竭 乳香 上烧烟熏即入。
千金翼方\x
海螵蛸 硫黄 上为末粉肠上。
(附论)
从前赵都运的恭人,每次临产时,子宫肠管先于胎儿脱出。待胎儿及胎盘娩出后,肠管仍无法回纳,这让她非常痛苦,这种病症被称为“盘肠产”。
新汲方
治疗因盘肠产导致肠管脱出无法回纳的情况。
取向东生长的芙蓉根,去除外层粗糙的树皮,只取内部白色的嫩皮,去掉木质部分,捣烂后加水研磨成浆。用鹅毛蘸取药液轻轻拂拭脱出的肠管,肠管即可自行回纳。如果无效,可尝试以下方法:
治盘肠献花产者
医书中未记载此类情况,但确实令人惊讶。有的产妇在分娩时肠管先脱出,婴儿随即产出。民间常用冷水泼洒产妇面部,肠管便会自行回纳。
脑顶水少
治疗推肠生(即盘肠产)的方法。
将半夏研成粉末,吹入患者鼻中,引发喷嚏,肠管即可上升回纳。
又方
用大张纸捻,以麻油润湿,点燃灯芯后吹灭,利用产生的烟熏产妇的鼻子,肠管即可上升回纳。
樗枝散 治疗产后子宫肠管脱出,无法回纳。无论病程长短,均可治疗。
取樗树(臭椿)的树皮,焙干,用量为一握。加水五升,连同葱根五茎、汉椒(花椒)一撮,共同煎煮至剩余三升,滤去药渣。将药液倒入盆中,趁热让产妇坐于盆上熏洗。
注意:忌食盐。
治产后肠出不收
用枳壳煎汤,待温度适宜后浸泡脱出的肠管较长时间,肠管即可回纳。另一方案是用二两枳壳,去掉瓤。
治产后脱肠不收
用麻油五斤,炼制成熟。用盆盛装,待温度适宜后,令产妇坐在油盆中,约一顿饭的时间。再用皂角刺烤至酥脆,去掉粗硬部分……(原文此处中断,推测为后续步骤)
败龟散 治疗妇女产后肠管脱出无法回纳。
紫浮萍草(阴干半两) 败龟(半两,醋炙至酥) 以上药材研成细末。每次服用二钱,用温酒或温水调服。空腹服用,立即见效。
治疗妇女产后肠管脱出无法回纳,兼治小儿脱肛。
紫浮萍草(阴干) 晚蚕砂(炒制,各等分) 以上药材研成细末。每次服用二钱,用沸水或温酒调服,立即见效。
又方
山慈菇粉末,撒在脱出的肠管上。同时用皂角粉末吹入鼻中,引起数次喷嚏,肠管便会自行回纳。
儿袋脱出,名为“突河”。
荷叶以麻油……(原文此处中断,结合上下文推测为炙干为末)先用荷叶和朴硝煎汤浸洗脱出的组织,使其温暖。其次用上述粉末……(原文中断)加入缩砂仁末二……(原文中断)即可回纳。
家传方
取麦面放入有孔的布袋中,置于热汤盆内,反复摆动清洗。待水温适宜,令产妇坐于其上,使肠管浸入水中。频繁摆动麦面袋。
海上方
细辛 麝香 以上药材研成细末,吹入鼻中。引发喷嚏后,肠管即可回纳。另一说法认为,凡是具有通关开窍作用的药物均可使用。
连氏方
白矾末一两,调入米醋一碗,放入干净的小桶中。用硬炭火在桶内加热,急令产妇坐于桶口上方,利用热气熏蒸。
又方
羌活用酒煎煮。
韩都事方
蛇床子 韶脑(樟脑) 胡椒 紫菀梢 以上药材等分为末。每次服用五钱,煎汤进行熏洗。
又方
全蝎研成细末,口中含水,用药粉吹入鼻中,立竿见影。
沈氏方
卷柏半两,切碎,用瓷瓶盛水煎煮。趁热熏蒸,待温后清洗。
治产后肠出不收
白扁豆花 山豆根花 以上药材等分为末。每次服用四钱,用温红花酒调服,立即回纳并恢复平复。
又方
令妇人坐在石臼上,研磨蓖麻子膏涂抹于头顶心(百会穴)。密令用水喷洒其面部,突然忍住不适,起身振动身体,肠管便已回纳。
(Attached Discussion)
In the past, Lady Gong, wife of Zhao Duyun, experienced prolapse of the uterine intestine (submucosal tissue/prolapsed uterus/intestine) prior to fetal expulsion during every labor. After the delivery of the infant and placenta, the prolapsed tissue failed to retract, causing her significant distress. This condition is termed "Pan Chang Chan" (Coiled Intestine Birth).
Xin Ji Fang (Fresh Water Formula)
For treating cases where intestinal prolapse prevents successful delivery or retraction due to Pan Chang Chan.
Take the root of Hibiscus mutabilis (Furong Gen) growing towards the east. Remove the rough outer bark, retaining only the tender white inner bark. Discard the woody parts. Pound the material until mushy, then mix with water to create a slurry. Use a goose feather to gently apply this liquid to the prolapsed tissue; it will spontaneously retract. If this fails, try the following method:
Treating Pan Chang Xian Hua Chan (Flower-Blooming Prolapse)
Medical texts do not record such cases, yet they are startling. In some deliveries, the intestinal tissue prolapses first, followed immediately by the infant. Folk practice involves splashing cold water on the mother's face, after which the prolapsed tissue spontaneously retracts.
Nao Ding Shui Shao (Insufficient Brain Top Fluid)
Treatment for Tui Chang Sheng (Pushing Intestine Birth), also known as Pan Chang Chan.
Powdered Pinellia ternata (Ban Xia) is insufflated into the nose. The resulting sneeze causes the intestine to ascend and retract.
Another Formula
Use a large paper wick moistened with Sesame Oil (Mahu You). Light the wick and blow it out, using the smoke to fumigate the parturient's nose. The intestine will ascend and retract.
Chuzhi San (Toona Sinensis Branch Powder)
Treats postpartum prolapse of the uterine intestine that cannot be managed, regardless of duration.
Take the bark of Toona sinensis (Chuzhi), dry it by roasting, and use one handful. Add five sheng of water, five stalks of green onion including roots, and a pinch of Zanthoxylum bungeanum (Han Jiao/Sichuan Pepper). Decoct together until three sheng remain, then strain. Pour the decoction into a basin. Allow the parturient to sit over the basin for fumigation while hot.
Dietary Restriction: Avoid salt.
Treating Postpartum Intestinal Prolapse Unable to Retract
Decoct Fructus Aurantii (Zhi Qiao) in water. Soak the prolapsed tissue in the warm solution for an extended period, and it will retract. An alternative prescription uses two liang of Zhi Qiao, with the pith removed.
Treating Postpartum Rectal/Uterine Prolapse Unable to Retract
Use five jin of Sesame Oil (Mahu You), refined until熟 (cooked/ready). Place in a basin. When the temperature is suitable, have the parturient sit in the oil basin for approximately the duration of one meal. Then, roast Gleditsia sinensis thorn (Zaoci) until crisp, removing the coarse parts... [Text cuts off here]
Baigui San (Aged Turtle Powder)
Treats postpartum intestinal prolapse in women unable to retract.
Vermilion Duckweed (Zi Fuping Cao) (half liang, dried in shade) Aged Turtle Shell (Baigui) (half liang, roasted with vinegar until brittle/crisp). Grind both into powder. Take two qian per dose, mixed with warm wine or water. Administer on an empty stomach for immediate effect.
Treating Postpartum Intestinal Prolapse Unable to Retract, Concurrently Treating Pediatric Rectal Prolapse.
Vermilion Duckweed (Zi Fuping Cao) (dried in shade) Silkworm Excrement (Wancansha) (stir-fried, equal parts). Grind into powder. Take two qian per dose, mixed with boiling water or warm wine. Immediate effect.
Another Formula
Powder of Cremanthodium album (Shancigu) is sprinkled onto the prolapsed tissue. Simultaneously, powder of Gleditsia sinensis fruit (Zaojiao) is insufflated into the nose to induce several sneezes, causing the tissue to retract spontaneously.
Prolapse of the "Child Bag," termed "Tu He."
Lotus Leaf with Sesame Oil... [Text cuts off]. Roast until dry and grind into powder. First, soak the protruding tissue in a decoction of Lotus Leaf and Natrii Sulfas (Puxiao). Warm the tissue. Then apply the aforementioned powder... [Text cuts off] along with two... [Text cuts off] of Amomum villosum seed powder (Suansha Ren). It will retract.
Family Prescribed Formula
Place wheat flour in a perforated cloth bag. Place the bag in a basin of hot water and agitate/wash it repeatedly. When the water is warm, have the parturient sit on the bag so the prolapsed tissue is immersed. Frequently agitate the wheat flour bag.
Hai Shang Fang (Formula from the Sea Above)
Asarum heterotropoides (Xixin) Musk (Shexiang). Grind into powder and insufflate into the nose. Inducing a sneeze will cause the tissue to retract. Another view states that any medication capable of opening orifices can be used.
Ye Shi Fang (Master Ye's Formula)
Decoct Natrii Sulfas (Puxiao) in water to soak the prolapsed tissue. Keeping it warm allows natural contraction and retraction.
Lian Shi Fang (Master Lian's Formula)
One liang of Alum (Baifan) powder is mixed with one bowl of rice vinegar. Place in a clean small bucket. Heat hard charcoal inside the bucket. Urgently have the parturient sit above the bucket mouth to fumigate with the rising heat.
Qianjin Fang (Prescription from the Thousand Gold)
Burn the head of a softshell turtle to ash. Apply to the umbilicus. Also, mix with water and administer orally.
Another Formula
Decoct Notopterygium incisum (Qianghuo) in wine.
Han Dushi Fang (Official Han's Formula)
Cnidium monnieri (Shechuangzi) Borneol (Shaonao/Zhangnao) Piper nigrum (Hujiao) Aster tataricus root tip (Ziwanshao). Grind equal parts into powder. Take five qian per dose, decoct in water for fumigation and washing.
Another Formula
Fine powder of Scorpio (Quanxie). Hold water in the mouth. Insufflate the medicinal powder into the nose for immediate efficacy.
Shen Shi Fang (Master Shen's Formula)
Selaginella tamariscina (Juanbai) half liang. Crush and decoct in water in a porcelain bottle. Fumigate while hot, wash when warm.
Treating Postpartum Intestinal Prolapse Unable to Retract
Flowers of Dolichos lablab (Bai Biandouhua) Flowers of Sophora tonkinensis (Shandougenhua). Grind equal parts into powder. Take four qian per dose, mixed with warm Safflower (Honghua) wine. Immediate retraction and recovery.
Another Formula
Decoct Fructus Aurantii (Zhi Qiao) and Schizonepeta tenuifolia (Jingjie) for fumigation and washing. Sprinkle powder of Chinese Gall (Wubeizi) onto the intestine.
Another Formula
Have the woman sit on a stone mortar. Grind Castor bean paste (Bimazi Gao) and apply to the vertex (Baihui point). Secretly spray water on her face. Suddenly endure the sensation, rise, and shake the body; the intestine will have already retracted.
Xie Shi Fang (Master Xie's Formula)
Dragon's Blood (Xuexie) Frankincense (Ruxiang). Burn these to produce smoke and fumigate the area; the tissue will retract.
Qianjin Yi Fang (Supplement to the Thousand Gold Prescriptions)
Cuttlebone (Haipiaoxiao) Sulfur (Liuhuang). Grind into powder and sprinkle onto the prolapsed tissue.