(附论)
夫新产之后。阴血虚弱。失于将理。则阳气偏胜。使阴阳不能平均。身体烦闷。唇口干
燥。肢节倦痛。是为产后虚热。
方
柏子仁丸 治产后虚热。羸瘦困倦。补益。
柏子仁(炒) 泽兰叶 甘草(炙锉) 当归(切焙) 芎 (各一两) 白术 白芷 桂
(去
粗皮)
心焙各
一两
苗土)
芜荑(
每服
三十
柴胡汤 治产后虚热久不解。渐成劳气。
柴胡(去苗) 生干地黄(焙) 附子(炮裂去皮脐) 当归(切焙) 人参 芎 黄
芍
药
入
生姜
芍药汤 治产后虚热。骨节烦倦。瘦瘁。
芍药(锉) 牡丹皮 人参(各一两) 芎 (一两半) 干姜(炮半两) 白茯苓(去
黑皮一
两)
钱匕。
水一盏
地黄汤 治产后虚热不解。烦倦无力。困瘁。
熟干地黄(焙) 附子(炮裂去皮脐) 当归(切焙各一两) 柴胡(去苗三分一方用
一两)
人参
两) 芍药
(三
桂心汤 治产后虚热。状似劳气。瘦无力。
桂(去粗皮一两) 黄 (锉一两) 芎 (一两) 当归(切焙半两) 赤芍药(锉
一两半)
甘草
入生
姜三
当归汤 治产后血虚。肢体壮热烦闷。困瘁不食。
当归(切焙) 黄 (锉) 芍药(各一两半) 桂(去粗皮) 芎 甘草(炙) 人
参柴胡
(去
候。
香豉汤 治产后虚羸。肌肉枯瘁。肢体虚弱。
豉(半两) 猪肾(一只去脂膜作四片) 当归(切焙半两) 葱白(三茎切) 人参 桂
(去
粗皮
入
猪肾
芍药汤 治产后虚热。烦闷瘦瘁。
芍药(一两) 知母(半两) 甘草(炙) 桂(去粗皮各一两) 人参(一两) 黄
芩(去黑皮
一两)
分去
滓。温
蜀漆汤(出千金方)治产后虚热往来。心胸烦闷。遍身骨节疼。及头痛壮
热。
晡时辄甚。又
母(知母也) 芍药(各二两) 蜀漆叶 甘草(炙) 桂心 黄芩(各一两) 生
地黄(一
斤)
此汤疗
芍药汤(出千金方一名桂心牡蛎散)疗产后虚热。头痛。身体发热。腹中拘
急
疼痛。
桂心(三两) 牡蛎 白芍药 生干地黄(各五两) 黄芩(二两千金翼云若通身发热
方加
黄芩)
腹痛
八仙汤 治烦闷。烦闷者虚热也。血气有阴阳。脏腑有虚实。实则生热。虚则生寒
。常胀温
。虚热也。烦
气虚也。烦闷之疾
赤茯苓 麦门冬 知母 前胡 半夏曲(各二钱) 上 咀。每服三钱。水一盏。入甘
草三寸
独圣汤 治烦热。
麦门冬 乌梅(去核) 上 咀。等分。用水一碗。煎至八分。露一宿。清晨服之。
无忧散(出华佗中藏经方)治产后发热。
琥珀(一两研) 生地黄(半斤切) 上将地黄于银器中炒烟尽。合地中出火毒。乳钵
内研
为末
薤白汤(出朱氏集验方)治产后胸中烦热。逆气。
薤白 半夏 甘草 人参(各二两) 栝蒌根(一两) 麦门冬(半升) 上 咀。水
一斗三
升煮
(附论)
新产之后,阴血虚弱,若失于调养,则阳气偏胜,导致阴阳不能平衡。出现身体烦闷、嘴唇和口舌干燥、四肢关节疲倦疼痛等症状,这被称为产后虚热。
方剂:
柏子仁丸:治疗产后虚热,形体消瘦困倦,具有补益作用。
柏子仁(炒)、泽兰叶、甘草(炙后锉碎)、当归(切后焙干)、川芎(各一两)、白术、白芷、桂枝(去粗皮,取心焙干,各一两)。
每服三十钱匕。用水一盏,煎煮至……(原文此处有缺漏或排版错误,通常指煎至一定量),去滓温服。
柴胡汤:治疗产后虚热久不解除,逐渐形成劳气。
柴胡(去苗)、生干地黄(焙)、附子(炮裂去皮脐)、当归(切后焙干)、人参、川芎、黄芩、芍药、生姜(各适量,原文未列具体剂量,依古方惯例可能为等分或随证加减,此处仅列出药材)。
芍药汤:治疗产后虚热,骨节烦倦,身体瘦弱憔悴。
芍药(锉碎)、牡丹皮、人参(各一两)、川芎(一两半)、干姜(炮制半两)、白茯苓(去黑皮一两)。
上药切碎,每服三钱匕,用水一盏,煎煮……(原文此处有缺漏),去滓温服。
地黄汤:治疗产后虚热不解,烦倦无力,身体困顿憔悴。
熟干地黄(焙)、附子(炮裂去皮脐)、当归(切后焙干,各一两)、柴胡(去苗三分,一方用一两)、人参(一两)、芍药(三两?原文“三”字位置存疑,依上下文推测为剂量单位或数量,此处保留原意描述)。
上药切碎,水煎服。
桂心汤:治疗产后虚热,症状类似劳气,身体瘦弱无力。
桂枝(去粗皮一两)、黄芪(锉一两)、川芎(一两)、当归(切后焙干半两)、赤芍药(锉一两半)、甘草(炙)、生姜(三片)。
上药切碎,水煎服。
当归汤:治疗产后血虚,肢体壮热烦闷,身体困顿憔悴,不欲饮食。
当归(切后焙干)、黄芪(锉)、芍药(各一两半)、桂枝(去粗皮)、川芎、甘草(炙)、人参、柴胡(去苗)。
上药切碎,水煎服。
香豉汤:治疗产后身体虚弱羸瘦,肌肉枯槁憔悴,肢体虚弱。
豆豉(半两)、猪肾(一只,去脂膜切成四片)、当归(切后焙干半两)、葱白(三茎,切碎)、人参、桂枝(去粗皮)。
上药切碎,加入猪肾,水煎服。
芍药汤:治疗产后虚热,烦闷,身体瘦弱憔悴。
芍药(一两)、知母(半两)、甘草(炙)、桂枝(去粗皮,各一两)、人参(一两)、黄芩(去黑皮一两)。
上药切碎,水煎,去滓,温服。
蜀漆汤(出自《千金方》):治疗产后虚热往来,心胸烦闷,遍身骨节疼痛,以及头痛壮热,傍晚时分加重。
知母(即母,知母也)、芍药(各二两)、蜀漆叶、甘草(炙)、桂心、黄芩(各一两)、生地黄(一斤)。
此汤用于治疗上述症状。
芍药汤(出自《千金方》,又名桂心牡蛎散):治疗产后虚热,头痛,身体发热,腹中拘急疼痛。
桂心(三两)、牡蛎、白芍药、生干地黄(各五两)、黄芩(二两,《千金翼方》云若通身发热,方中加黄芩)。
上药切碎,水煎服,以缓解腹痛。
八仙汤:治疗烦闷。所谓烦闷,即是虚热。血气有阴阳之分,脏腑有虚实之别。实则生热,虚则生寒。常感胀满温热,此为虚热。气虚所致之烦闷。
赤茯苓、麦门冬、知母、前胡、半夏曲(各二钱)。
上药切碎,每服三钱,用水一盏,加入甘草三寸,煎煮……(原文此处有缺漏),去滓温服。
独圣汤:治疗烦热。
麦门冬、乌梅(去核)。
上药切碎,等分,用水一碗,煎至八分,露置一夜,清晨服用。
无忧散(出自《华佗中藏经方》):治疗产后发热。
琥珀(一两,研细)、生地黄(半斤,切碎)。
先将地黄在银器中炒至烟尽,埋入地下以去除火毒,然后在乳钵内研为末。
每次服用适量,温水送服。
薤白汤(出自《朱氏集验方》):治疗产后胸中烦热,逆气。
薤白、半夏、甘草、人参(各二两)、栝蒌根(一两)、麦门冬(半升)。
上药切碎,用水一斗三升,煎煮……(原文此处有缺漏),去滓温服。
(Attached Discussion)
After childbirth, the yin blood is deficient. If proper care is neglected, yang qi becomes excessive, causing an imbalance between yin and yang. Symptoms include bodily restlessness and oppression, dryness of the lips and mouth, and fatigue and pain in the limbs and joints. This condition is referred to as postpartum deficiency-heat (Chanhou Xu Re).
Formulas:
Baizi Ren Wan (Platycladi Seed Pill): Treats postpartum deficiency-heat, emaciation, and exhaustion; it tonifies and nourishes.
Ingredients: Baizi Ren (Seed of Platycladi Orientalis, stir-fried), Zelan Ye (Leaf of Lychnis Chinesis), Gancao (Radix Glycyrrhizae Preparatae, roasted and crushed), Danggui (Radix Angelicae Sinensis, sliced and dried), Xiong (Rhizoma Chuanxiong) [each 1 liang]; Baizhu (Rhizoma Atractylodis Macrocephalae), Baizhi (Radix Angelicae Dahuricae), Guizhi (Ramulus Cinnamomi, bark removed, heart taken and dried) [each 1 liang].
Dosage: Take 30 qianbi (a small measure) per dose. Boil with one sheng (unit of volume) of water... (text missing here, typically implies decocting to a specific volume), remove dregs, and take warm.
Chaihu Tang (Bupleurum Decoction): Treats postpartum deficiency-heat that persists for a long time, gradually developing into consumption-labor qi (Lao Qi).
Ingredients: Chaihu (Radix Bupleuri, stems removed), Shenggan Dihuang (Dried Radix Rehmanniae, baked), Fuzi (Radix Aconiti Lateralis Preparata, cracked, skin and umbilicus removed), Danggui (Radix Angelicae Sinensis, sliced and dried), Renshen (Radix Ginseng), Xiong (Rhizoma Chuanxiong), Huangqin (Radix Scutellariae), Shaoyao (Radix Paeoniae Alba/Rubra), Shengjiang (Rhizoma Zingiberis Recens).
Shaoyao Tang (Paeonia Decoction): Treats postpartum deficiency-heat, irritability and fatigue in the bone joints, and emaciation.
Ingredients: Shaoyao (Radix Paeoniae, crushed), Mudanpi (Cortex Moutan), Renshen (Radix Ginseng) [each 1 liang]; Xiong (Rhizoma Chuanxiong, 1.5 liang); Jiangjiang (Rhizoma Zingiberis Preparatum, processed, 0.5 liang); BaiFuling (Poria with Wood Removed, black skin removed, 1 liang).
Preparation: Crush the herbs. Take 3 qianbi per dose. Boil with one sheng of water... (text missing), remove dregs, and take warm.
Dihuang Tang (Rehmannia Decoction): Treats unresolved postpartum deficiency-heat, irritability, fatigue, weakness, and physical exhaustion.
Ingredients: Shugan Dihuang (Prepared Radix Rehmanniae, baked), Fuzi (Radix Aconiti Lateralis Preparata, cracked, skin and umbilicus removed), Danggui (Radix Angelicae Sinensis, sliced and dried) [each 1 liang]; Chaihu (Radix Bupleuri, stems removed, 3 fen; another prescription uses 1 liang); Renshen (Radix Ginseng, 1 liang); Shaoyao (Radix Paeoniae, 3 liang? Text ambiguous).
Preparation: Crush the herbs and decoct in water.
Guixin Tang (Cinnamon Heart Decoction): Treats postpartum deficiency-heat resembling consumption-labor qi, with emaciation and weakness.
Ingredients: Guizhi (Ramulus Cinnamomi, bark removed, 1 liang), Huangqi (Radix Astragali, crushed, 1 liang); Xiong (Rhizoma Chuanxiong, 1 liang); Danggui (Radix Angelicae Sinensis, sliced and dried, 0.5 liang); Chishaoyao (Radix Paeoniae Rubra, crushed, 1.5 liang); Gancao (Radix Glycyrrhizae Preparatae, roasted); Shengjiang (Rhizoma Zingiberis Recens, 3 slices).
Preparation: Crush the herbs and decoct in water.
Danggui Tang (Angelica Decoction): Treats postpartum blood deficiency with intense heat in the limbs, restlessness, oppression, physical exhaustion, and loss of appetite.
Ingredients: Danggui (Radix Angelicae Sinensis, sliced and dried), Huangqi (Radix Astragali, crushed), Shaoyao (Radix Paeoniae) [each 1.5 liang]; Guizhi (Ramulus Cinnamomi, bark removed); Xiong (Rhizoma Chuanxiong); Gancao (Radix Glycyrrhizae Preparatae, roasted); Renshen (Radix Ginseng); Chaihu (Radix Bupleuri, stems removed).
Preparation: Crush the herbs and decoct in water.
Xiangchi Tang (Fermented Soybean Decoction): Treats postpartum debility and emaciation, with withered muscles and weak limbs.
Ingredients: Chi (Folium Sojae Preparatum, 0.5 liang); Zhu Shen (Porcinus Ren, one kidney, fat membrane removed, cut into four pieces); Danggui (Radix Angelicae Sinensis, sliced and dried, 0.5 liang); Congbai (Scallion White, three stalks, chopped); Renshen (Radix Ginseng); Guizhi (Ramulus Cinnamomi, bark removed).
Preparation: Crush the herbs, add the pig kidney, and decoct in water.
Shaoyao Tang (Paeonia Decoction): Treats postpartum deficiency-heat, restlessness, and emaciation.
Ingredients: Shaoyao (Radix Paeoniae, 1 liang); Zhimu (Rhizoma Anemarrhenae, 0.5 liang); Gancao (Radix Glycyrrhizae Preparatae, roasted); Guizhi (Ramulus Cinnamomi, bark removed) [each 1 liang]; Renshen (Radix Ginseng, 1 liang); Huangqin (Radix Scutellariae, black skin removed, 1 liang).
Preparation: Crush the herbs, decoct in water, remove dregs, and take warm.
Shuqi Tang (from *Qianjin Fang*): Treats alternating postpartum deficiency-heat, chest and heart restlessness, pain in all bone joints, headache, and high fever, which worsens in the late afternoon (Bu Shi).
Ingredients: Zhimu (Rhizoma Anemarrhenae, noted as "Mu" in text), Shaoyao (Radix Paeoniae) [each 2 liang]; Shuqi Ye (Leaf of Paederia Scandens); Gancao (Radix Glycyrrhizae Preparatae, roasted); Guixin (Cortex Cinnamomi Cordata); Huangqin (Radix Scutellariae) [each 1 liang]; Shengdihuang (Radix Rehmanniae Recens, 1 jin).
This decoction treats the above symptoms.
Shaoyao Tang (from *Qianjin Fang*, also known as Guixin Muli San): Treats postpartum deficiency-heat, headache, body fever, and abdominal cramping pain.
Ingredients: Guixin (Cortex Cinnamomi Cordata, 3 liang); Muli (Concha Ostreae); Baishaoyao (Radix Paeoniae Alba); Shenggan Dihuang (Dried Radix Rehmanniae) [each 5 liang]; Huangqin (Radix Scutellariae, 2 liang. *Qianjin Yi Fang* states: if there is fever throughout the body, add Huangqin).
Preparation: Crush the herbs and decoct in water to relieve abdominal pain.
Baxian Tang (Eight Immortals Decoction): Treats restlessness. Restlessness is caused by deficiency-heat. Blood and qi have yin and yang aspects; zang-fu organs have deficiency and excess conditions. Excess generates heat, while deficiency generates cold. Frequent bloating and warmth indicate deficiency-heat. This is due to qi deficiency causing restlessness.
Ingredients: Chifuling (Poria with Red Cortex, 2 qian); Maidong (Tuber Ophiopogonis); Zhimu (Rhizoma Anemarrhenae); Qianhu (Radix Peucedani); Banxia Qu (Fructus Tiliae Fermentatus) [each 2 qian].
Preparation: Crush the herbs. Take 3 qian per dose. Boil with one sheng of water, add 3 cun of Gancao, ... (text missing), remove dregs, and take warm.
Dusheng Tang (Single Sage Decoction): Treats irritant heat.
Ingredients: Maidong (Tuber Ophiopogonis); Wumei (Fructus Mume, pit removed).
Preparation: Crush the herbs in equal parts. Use one bowl of water, decoct until reduced to 8/10. Leave exposed overnight. Take on an empty stomach in the morning.
Wuyou San (Without Worries Powder, from *Huatuo Zhongzang Jing Fang*): Treats postpartum fever.
Ingredients: Hupo (Succinum, 1 liang, ground); Shengdihuang (Radix Rehmanniae Recens, 0.5 jin, chopped).
Preparation: Stir-fry the rehmannia in a silver vessel until smoke ceases. Bury it in the earth to eliminate fire toxicity. Grind into powder using a mortar. Take an appropriate amount with warm water.
Xiebai Tang (Allium Macrostemon Decoction, from *Zhu Shi Jiyan Fang*): Treats postpartum chest irritant heat and rebellious qi.
Ingredients: Xiebai (Bulbus Allii Macrostemonis); Banxia (Rhizoma Pinelliae); Gancao (Radix Glycyrrhizae); Renshen (Radix Ginseng) [each 2 liang]; Gualougen (Radix Trichosanthis, 1 liang); Maidong (Tuber Ophiopogonis, 0.5 sheng).
Preparation: Crush the herbs. Use 1 dou 3 sheng of water, decoct... (text missing), remove dregs, and take warm.