产后太阳感风,大喘、大吐、大呕,不治证也。喘则元阳将绝,况大喘乎!吐则胃气将亡,况大吐乎!呕
则脾气将
脱,况大呕乎!治宜转气救产汤大剂与之。喘吐止当有生机,否则仍死。若太阳证口吐脓血,头痛必破,心烦不
止,腹痛如死,或作结胸,小见证便难救,若齐见必死。宜佛手散多加人参,佐以肉桂、荆芥即愈。
转气救产汤
人参 麦冬(去心) 白术(蜜炙) 当归 川芎 荆芥 桂枝
水煎服。
佛手散
当归(五钱) 川芎(三钱)
水煎服。
产后少阳感风。谵语、烦躁,更加惊悸者死,盖少阳胆也。胆无汁不能润心,心无血不能为养。是以心中恍
惚而谵语、烦躁、惊悸相因而生也。夫胆受邪不发表则血无以生,然徒发表则血更耗散。宜佛手散(方见上太阳
感风条中),加人参、枣仁、麦冬、竹茹、朱砂、熟地黄治之。
产后阳明感风而大喘、大汗亦不治,宜补虚降火汤。若阳明证发狂,亡阳不救也。狂证多实热,产后则虚热。
实热可泻,虚热不可泻。然正惟兼亡阳,虽实热仍属气虚。宜收阳汤一剂汗止,二剂狂定,不得服三剂。盖此只可救亡
阳,急证不可。据此治产后二剂后,即单用人参、麦冬、当归、川
芎、五味子调理自安。
补虚降火汤
人参 麦冬(去心) 元参 桑叶 苏子(各一钱)
水煎服。
收阳汤
人参 桑叶 麦冬(去心) 元参 青蒿(各一钱)
水煎服。
产后太阳经受邪感受风邪,出现严重喘息、剧烈呕吐、频繁干呕,属于难治之证。喘息说明元阳即将衰竭,何况是严重喘息!呕吐说明胃气即将耗亡,何况是剧烈呕吐!干呕说明脾气即将脱失,何况是频繁干呕!治疗应当使用转气救产汤,给予大剂量服用。如果喘息和呕吐停止,病人便可能有生机,否则仍然会死亡。如果是太阳病证候表现为口吐脓血,头痛剧烈至头部破裂,心烦意乱不止,腹痛剧烈如同濒死,或者出现结胸证,症状较轻时便难以救治,如果所有症状同时出现必然死亡。适宜使用佛手散并大量加入人参,辅以肉桂、荆芥即可痊愈。
转气救产汤
人参 麦冬(去除心) 白术(用蜂蜜炙烤) 当归 川芎 荆芥 桂枝
加水煎煮后服用。
产后少阳经受邪感受风邪。出现胡言乱语、烦躁不安,如果再加上惊恐心悸则预后不良,因为少阳对应胆腑。胆汁没有津液滋润就不能滋养心脏,心脏没有血液就不能得到濡养。因此心中恍惚不定,导致胡言乱语、烦躁、惊悸相继产生。胆腑受到邪气侵袭,如果不通过发汗解表来驱邪,血液就无法生成;然而如果单纯使用发汗解表法,血液会更加耗散。适宜使用佛手散(方剂见上文太阳感风条中),加入人参、酸枣仁、麦冬、竹茹、朱砂、熟地黄进行治疗。
产后阳明经受邪感受风邪而出现严重喘息、大汗淋漓也属于难治之证,适宜使用补虚降火汤。如果是阳明病证候出现发狂,阳气外亡则无法救治。狂证多属于实热,而产后则属于虚热。实热可以泻下清热,虚热不可以泻下。然而正因为兼有阳气外亡,即使是实热也仍然属于气虚范畴。适宜使用收阳汤,一剂后汗止,二剂后狂躁安定,不可服用第三剂。因为此方只能救治阳气外亡的急症,不能久服。根据此法治疗后,在服用两剂之后,就单独使用人参、麦冬、当归、川芎、五味子进行调理,身体自然安宁。
Taiyang (Greater Yang) channel affected by wind after childbirth, presenting with severe panting, violent vomiting, and frequent retching, constitutes a difficult-to-treat condition. Panting indicates that the Primordial Yang is on the verge of exhaustion; how much more so in cases of severe panting! Vomiting indicates that Stomach Qi is on the verge of depletion; how much more so in cases of violent vomiting! Retching indicates that Spleen Qi is on the verge of collapse; how much more so in cases of frequent retching! Treatment should employ Zhuanqi Jiuchan Tang (Transform Qi and Rescue Childbirth Decoction), administered in large doses. If the panting and vomiting cease, there may be a chance for survival; otherwise, death remains inevitable. In cases where Taiyang syndrome manifests as spitting up pus and blood, severe headache leading to head rupture, incessant mental restlessness, abdominal pain resembling death, or the formation of Jie Xiong (Chest Binding) syndrome, even mild symptoms are difficult to rescue; if all symptoms appear simultaneously, death is certain. The appropriate treatment is Foshou San (Buddha's Hand Powder) with a substantial addition of Renshen (Ginseng Root), assisted by Rougui (Cinnamon Bark) and Jingjie (Schizonepeta), which will lead to recovery.
Zhuanqi Jiuchan Tang (Transform Qi and Rescue Childbirth Decoction)
Renshen (Ginseng Root)
Maidong (Ophiopogon Tuber, heart removed)
Baizhu (Atractylodes Macrocephala Rhizome, honey-fried)
Danggui (Angelica Sinensis Root)
Chuanxiong (Ligusticum Chuanxiong Rhizome)
Jingjie (Schizonepeta Spike)
Guizhi (Cinnamon Twig)
Decoct in water and take orally.
Foshou San (Buddha's Hand Powder)
Danggui (Angelica Sinensis Root) (5 qian)
Chuanxiong (Ligusticum Chuanxiong Rhizome) (3 qian)
Decoct in water and take orally.
Shaoyang (Lesser Yang) channel affected by wind after childbirth. Presentation of delirium (Zhenyu) and irritability, compounded by palpitations and fright, indicates a fatal prognosis, as Shaoyang corresponds to the Gallbladder. Without bile fluid to moisten it, the Heart cannot be nourished; without blood to sustain it, the Heart cannot function properly. Consequently, mental confusion arises, leading to delirium, irritability, and palpitations occurring sequentially. When the Gallbladder is invaded by pathogenic factors, failing to release the exterior through sweating prevents blood generation; however, solely employing exterior-releasing methods causes further blood depletion. The appropriate treatment is Foshou San (see formula above under Taiyang Wind section), supplemented with Renshen (Ginseng Root), Zaoren (Sour Jujube Seed), Maidong (Ophiopogon Tuber), Zhuru (Bamboo Shavings), Zhusha (Cinnabar), and Shudihuang (Rehmannia Root, prepared).
Yangming (Bright Yang) channel affected by wind after childbirth, presenting with severe panting and profuse sweating, is also difficult to treat; Buxu Jianghuo Tang (Tonify Deficiency and Descend Fire Decoction) is indicated. If Yangming syndrome manifests as mania (Kuangzheng) accompanied by loss of Yang Qi, it is incurable. Mania typically involves excess heat, whereas postpartum conditions involve deficient heat. Excess heat can be purged, but deficient heat cannot. However, precisely because it is accompanied by loss of Yang Qi, even if excess heat is present, it still falls under the category of Qi deficiency. The appropriate treatment is Shouyang Tang (Collect Yang Decoction): one dose stops sweating, two doses calm the mania. Do not administer a third dose. This formula is intended only to rescue from acute loss of Yang Qi and is not for prolonged use. Following this treatment, after two doses, regulation should be conducted using only Renshen (Ginseng Root), Maidong (Ophiopogon Tuber), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), and Wuweizi (Schisandra Fruit) to restore peace and stability.
Buxu Jianghuo Tang (Tonify Deficiency and Descend Fire Decoction)
Renshen (Ginseng Root)
Maidong (Ophiopogon Tuber, heart removed)
Yuanshen (Scrophularia Root)
Sangye (Mulberry Leaf)
Suzi (Perilla Fruit) (each 1 qian)
Decoct in water and take orally.
Shouyang Tang (Collect Yang Decoction)
Renshen (Ginseng Root)
Sangye (Mulberry Leaf)
Maidong (Ophiopogon Tuber, heart removed)
Yuanshen (Scrophularia Root)
Qinghao (Artemisia Annua Herb) (each 1 qian)
Decoct in water and take orally.