大全云∶凡生产毕,饮热童便一盏,不得便卧,宜闭目少坐,须臾上床,宜仰卧,不宜侧
卧,宜竖膝,未可伸足,高倚床头,浓铺 褥,遮围四壁,使无孔隙,免致贼风。及以醋涂鼻,
或用醋炭,及烧漆器,更以手从心 至脐下,使恶露不滞,如此三日,以防血晕、血逆。不问
腹痛不痛,有病无病,以童便和酒半盏,温服五七服。酒虽行血,亦不可多,恐引血人四肢,
且能昏晕。宜频食白粥少许。一月之后,宜食羊肉、猪蹄少许。仍慎言语,七情寒暑,梳头洗
足,以百日为度,若气血素弱者,不计日月,否则患手足腰腿酸痛等证,名曰蓐劳,最难治
疗。初产时,不可问是男是女,恐因言语而泄气,或以爱憎而动气,皆能致病(吃紧语)。不
可独宿,恐致虚惊;不可刮舌,恐伤心气;不可刷齿;恐致血逆。须血气平复,方可治事,犯时
微若秋毫,成病重如山岳,可不戒哉。(陈藏器云,渍苎汁与产妇服之,将苎麻与产妇枕之,
止血晕;产妇腹痛,以苎安腹上则止。)产妇将息如法,脏腑调和,庶无诸疾苦,须先服黑神散、
四物汤、四顺理中丸、七宝散;若壮热头痛,此乳脉将行,用玉露散;头目不清,是血晕,用
清魂散;粥食不美,是胃气虚,用四顺理中丸。(皆新产切实治法,须熟之)
《大全》说:凡是分娩结束后,喝一盏热童子尿,不要立刻躺下,应该闭目稍微坐一会儿,过片刻再上床。应当仰卧,不宜侧卧;应当竖起膝盖,暂时不要伸直双腿,高高倚靠在床头,褥子铺得厚实,四周遮挡严密,不留缝隙,以防贼风(外邪)侵袭。然后用醋涂抹鼻子,或者使用醋熏炭,以及烧灼漆器的气味来刺激,同时用手从心口按摩至脐下,使恶露(产后排出的余血浊液)不滞留。这样坚持三天,以预防血晕、血逆等症。无论是否有腹痛,无论有病无病,都用童子尿和酒各半盏,温服五到七次。酒虽然能行血,但也不可多喝,恐怕引血进入四肢,并且可能导致昏晕。适宜频繁少量食用白粥。一个月之后,适宜少量食用羊肉、猪蹄。仍然要谨慎言语,注意七情(喜、怒、忧、思、悲、恐、惊)、寒暑变化,梳头洗脚,以一百天为限度。如果气血本来虚弱的人,不论时间长短,否则会出现手足腰腿酸痛等症状,名叫蓐劳(产后虚损劳伤),最难治疗。刚分娩时,不可询问是男孩还是女孩,恐怕因言语而耗气,或者因喜爱或厌恶而动气,都能导致疾病(这是关键的话)。不可独自居住,恐怕导致虚惊;不可刮舌苔,恐怕损伤心气;不可刷牙,恐怕导致血逆。必须等到血气平复,才可以处理事务,触犯时轻微如秋毫,成病后严重如山岳,能不警惕吗?(陈藏器说,用苎麻汁浸泡给产妇服用,或将苎麻枕给产妇睡,可止血晕;产妇腹痛,将苎麻放在腹部上则疼痛停止。)产妇调养得当,脏腑调和,才不会有各种疾苦,必须先服用黑神散、四物汤、四顺理中丸、七宝散;如果出现壮热头痛,这是乳脉即将通行,用玉露散;头目不清爽,是血晕,用清魂散;饮食无味,是胃气虚,用四顺理中丸。(都是新产妇产后切实有效的治疗方法,必须熟记)
The *Daquan* states: After delivery is completed, drink a cup of hot urine from a young boy. Do not lie down immediately; instead, keep your eyes closed and sit for a short while, then get into bed after a moment. You should lie on your back (supine position), not on your side; you should keep your knees upright and avoid extending your legs fully. Lean high against the headboard, use thick bedding, and seal all walls tightly to prevent gaps, thereby avoiding invasion by "thief wind" (pathogenic external factors). Then, apply vinegar to the nose, or use vinegar-fumed charcoal, or burn lacquerware to inhale the fumes. Additionally, massage with your hand from the heart area down to below the umbilicus to ensure that lochia (postpartum discharge of blood and mucus) does not stagnate. Maintain this routine for three days to prevent syncope due to blood loss (xue yun) and rebellious blood flow (xue ni). Regardless of whether there is abdominal pain or not, and regardless of being ill or healthy, take half a cup of mixture of child's urine and wine, warm and administer 5 to 7 doses. Although wine promotes blood circulation, it must not be consumed in excess, lest it draw blood into the four limbs and cause dizziness or fainting. It is advisable to frequently consume small amounts of white rice porridge. After one month, it is appropriate to consume small amounts of mutton and pig trotters. One must still be cautious with speech, regulate the Seven Emotions (joy, anger, worry, thought, sadness, fear, fright), protect against cold and heat, comb hair, and wash feet, maintaining these practices for a period of one hundred days. If the qi and blood are inherently weak, this duration applies regardless of specific days; otherwise, symptoms such as soreness and pain in the hands, feet, waist, and legs may occur, known as "Ru Lao" (postpartum consumptive fatigue), which is difficult to treat. At the time of initial delivery, do not ask whether the baby is male or female, lest speech deplete qi, or emotions of love or hate stir qi, both of which can cause disease (this is a crucial point). Do not live alone, lest it induce empty fright; do not scrape the tongue coating, lest it damage heart qi; do not brush teeth, lest it cause rebellious blood flow. Only when qi and blood have stabilized can one attend to affairs. Violating these rules initially seems as light as an autumn feather, but the resulting illness becomes as heavy as a mountain. Can one not be vigilant? (Chen Cangqi stated: Soaking ramie root juice for the mother to drink, or using ramie as a pillow for the mother, can stop bleeding and syncope; for postpartum abdominal pain, placing ramie on the abdomen stops the pain.) If the puerpera rests according to proper methods and the zang-fu organs are harmonized, various ailments can be avoided. One should first take Heishen San (Black Divine Powder), Siwu Tang (Four Substances Decoction), Sishun Lizhong Wan (Four-Smooth Regulation of the Middle Pill), and Qibao San (Seven Treasures Powder); if severe fever and headache occur, indicating that the milk channels are about to open, use Yulu San (Jade Dew Powder); if the head and eyes feel unclear, indicating xue yun (syncope due to blood loss), use Qinghun San (Clear Soul Powder); if food tastes bland, indicating deficiency of stomach qi, use Sishun Lizhong Wan (Four-Smooth Regulation of the Middle Pill). (These are practical treatment methods for immediate postpartum care; they must be memorized thoroughly.)