产后惊悸,闻声欲死,非他人用力抱持,则虚烦欲死,由心肝脾三经虚也。宜石斛散。若心气大虚,言语
颠倒,宜芎归汤送补心丸,得卧即安。
石斛散
人参 酸枣仁 茯神 远志肉 白芍 石斛 麦冬(去心) 炙甘草 五味子各等分为末
每服二三钱,桂圆汤下。
芎归汤
当归 川芎(各五钱)
水煎服。
补心丸
当归身 生地黄 熟地黄 茯神(各一两) 人参 麦冬(各一两五钱) 枣仁 柏子仁(各八钱)
炙甘草(四钱) 五味子 莲子(各一两二钱)
上为末,蜜丸梧子大,每服百余丸,芎归汤下。
产后怔忡惊悸,心血虚耗也。必睡不安,宜养心汤、益荣汤。心血虚耗亦然,宜茯苓汤。
养心汤
当归身 生地黄 熟地黄 茯神(各一钱) 人参(一钱五分) 麦冬(去心,一钱五分) 酸枣仁 柏子仁
(各八分) 五味子(十四粒) 炙甘草(四分)
加灯心、莲子水煎服。
益荣汤
紫石英( 研) 当归 黄 酸枣仁 远志肉 茯神 木香 人参 白芍 柏子仁 甘草(各等分)
水煎服。
茯苓汤
人参 甘草 山药 当归(各一钱五分) 茯苓 桂心 麦冬(去心) 远志肉(各一钱) 大枣(三枚)
生姜(三片)
水煎服。
产后腹痛呕逆,由恶露下少,败血乘虚散入于脾,而为胀满,胃受之则呕吐也。宜抵圣汤。若腹胀呕吐为
胃不和,宜桔梗半夏汤。若干呕不止,不思饮食为胃弱不和,宜和胃汤。若脾气虚寒为呕吐,为食少而兼腹痛
者,宜五君子煎。
抵圣汤
赤芍 半夏(制) 泽兰叶 陈皮 人参(各一钱五分) 甘草(五分) 姜(七片)
水煎服。
桔梗半夏汤
桔梗 陈皮(各二钱) 半夏制(八分) 姜(三片)
水煎服。
和胃汤
丁香 半夏(制) 枳实 白蔻仁 麦芽 川芎 当归 白芍 干地黄(各一钱) 姜(三片) 枣(两枚)
水煎服。
五君子煎
人参 白术(蜜炙) 茯苓(各二钱) 炙甘草(一钱) 干姜(炒黄,一二钱)
水煎服。
产后惊悸,听到声音就感觉快要死了,如果不是别人用力抱住支撑,就是因虚烦而痛苦欲死,这是由于心、肝、脾三经气血虚弱所致。适宜使用石斛散。如果心气极度虚弱,导致言语错乱颠倒,适宜用芎归汤送服补心丸,能够入睡即能安宁。
石斛散
人参、酸枣仁、茯神、远志肉、白芍、石斛、麦冬(去心)、炙甘草、五味子,各等分研为细末。
每次服用二三钱,用桂圆汤送服。
补心丸
当归身、生地黄、熟地黄、茯神(各一两),人参、麦冬(各一两五钱),枣仁、柏子仁(各八钱),炙甘草(四钱),五味子、莲子(各一两二钱)。
以上药物研为细末,用蜂蜜制成梧桐子大小的丸药,每次服用一百多丸,用芎归汤送服。
产后怔忡、惊悸,是心血虚耗所致。必然伴有睡眠不安,适宜使用养心汤、益荣汤。如果是心血虚耗引起的症状,也适用,适宜使用茯苓汤。
养心汤
当归身、生地黄、熟地黄、茯神(各一钱),人参(一钱五分),麦冬(去心,一钱五分),酸枣仁、柏子仁(各八分),五味子(十四粒),炙甘草(四分)。
加入灯心草、莲子,加水煎煮后服用。
益荣汤
紫石英(研碎)、当归、黄芪、酸枣仁、远志肉、茯神、木香、人参、白芍、柏子仁、甘草(各等分)。
加水煎煮后服用。
茯苓汤
人参、甘草、山药、当归(各一钱五分),茯苓、桂心、麦冬(去心)、远志肉(各一钱),大枣(三枚),生姜(三片)。
加水煎煮后服用。
产后腹痛且呕吐逆气,是由于恶露排出量少,败血乘虚侵入并散入脾脏,导致腹部胀满,胃受邪气影响则发生呕吐。适宜使用抵圣汤。如果腹胀呕吐是因为胃气不和,适宜使用桔梗半夏汤。如果干呕不止,不思饮食,是因为胃弱且不和,适宜使用和胃汤。如果是脾气虚寒导致的呕吐,表现为食少且兼有腹痛,适宜使用五君子煎。
抵圣汤
赤芍、半夏(制)、泽兰叶、陈皮、人参(各一钱五分),甘草(五分),姜(七片)。
加水煎煮后服用。
桔梗半夏汤
桔梗、陈皮(各二钱),半夏(制,八分),姜(三片)。
加水煎煮后服用。
和胃汤
丁香、半夏(制)、枳实、白蔻仁、麦芽、川芎、当归、白芍、干地黄(各一钱),姜(三片),枣(两枚)。
加水煎煮后服用。
Postpartum palpitations and fright, where hearing a sound feels like impending death, or without someone holding and supporting firmly, one feels distressed to the point of wanting to die due to deficiency-induced restlessness. This is caused by the deficiency of the Heart, Liver, and Spleen meridians. Shihu San (Dendrobium Powder) is appropriate. If Heart Qi is severely deficient, leading to incoherent speech, Xiong Gui Tang (Szechwan Lovage and Angelica Decoction) should be used to administer Buxin Wan (Heart-Nourishing Pills); peace is restored once sleep is achieved.
Shihu San (Dendrobium Powder)
Renshen (Ginseng Radix), Suanzaoren (Ziziphi Spinosae Semen), Fushen (Poria with Hostwood), Yuanzhi Rou (Polygalae Radix Cortex), Baishao (White Peony Root), Shihu (Dendrobii Caulis), Maidong (Ophiopogonis Radix, heart removed), Zhigancao (Prepared Licorice Root), Wuweizi (Schisandrae Fructus), all in equal proportions, ground into powder.
Take 2-3 qian per dose, taken down with Longyan Tang (Longan Decoction).
Xiong Gui Tang (Szechwan Lovage and Angelica Decoction)
Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), each 5 qian.
Decoct in water and take.
Buxin Wan (Heart-Nourishing Pills)
Dangguishen (Body of Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Rehmanniae Radix Preparata), Fushen (Poria with Hostwood), each 1 liang; Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix), each 1.5 liang; Zaoren (Ziziphi Spinosae Semen), Baiziren (Platycladi Semen), each 8 qian; Zhigancao (Prepared Licorice Root) 4 qian; Wuweizi (Schisandrae Fructus), Lianzi (Nelumbinis Semen), each 1.2 liang.
Grind the above into powder, make pills with honey the size of wutong seeds. Take over 100 pills per dose, administered with Xiong Gui Tang (Szechwan Lovage and Angelica Decoction).
Postpartum tremors and palpitations are caused by the depletion of Heart Blood. There must be restless sleep; Yangxin Tang (Heart-Nourishing Decoction) and Yirong Tang (Nourishing Prosperity Decoction) are appropriate. The same applies to Heart Blood depletion; Fuling Tang (Poria Decoction) is appropriate.
Yangxin Tang (Heart-Nourishing Decoction)
Dangguishen (Body of Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Rehmanniae Radix Preparata), Fushen (Poria with Hostwood), each 1 qian; Renshen (Ginseng Radix) 1.5 qian; Maidong (Ophiopogonis Radix, heart removed) 1.5 qian; Suanzaoren (Ziziphi Spinosae Semen), Baiziren (Platycladi Semen), each 8 fen; Wuweizi (Schisandrae Fructus) 14 grains; Zhigancao (Prepared Licorice Root) 4 fen.
Add Dengxincao (Juncus Effusus Medulla) and Lianzi (Nelumbinis Semen), decoct in water and take.
Yirong Tang (Nourishing Prosperity Decoction)
Zhi Shiyin (Fluorite, crushed), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Suanzaoren (Ziziphi Spinosae Semen), Yuanzhi Rou (Polygalae Radix Cortex), Fushen (Poria with Hostwood), Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix), Baishao (White Peony Root), Baiziren (Platycladi Semen), Gancao (Licorice Root), all in equal proportions.
Decoct in water and take.
Fuling Tang (Poria Decoction)
Renshen (Ginseng Radix), Gancao (Licorice Root), Shanyao (Dioscoreae Rhizoma), Danggui (Angelicae Sinensis Radix), each 1.5 qian; Fuling (Poria), Guixin (Cinnamomi Cortex), Maidong (Ophiopogonis Radix, heart removed), Yuanzhi Rou (Polygalae Radix Cortex), each 1 qian; Dazao (Zizyphi Fructus) 3 pieces; Shengjiang (Zingiberis Rhizoma Recens) 3 slices.
Decoct in water and take.
Postpartum abdominal pain with vomiting and regurgitation is caused by scant lochia discharge, allowing failed blood to enter vacuity and scatter into the Spleen, causing distension and fullness; when the Stomach receives this pathogen, vomiting occurs. Disheng Tang (Rescue Holy Decoction) is appropriate. If abdominal distension and vomiting are due to Stomach disharmony, Jiegeng Banxia Tang (Platycodon and Pinellia Decoction) is appropriate. If dry heaving persists and there is no desire for food, it is due to Stomach weakness and disharmony; Hewei Tang (Harmonize Stomach Decoction) is appropriate. If vomiting is due to Spleen Qi deficiency and cold, accompanied by poor appetite and abdominal pain, Wujunzi Jian (Five Gentlemen Decoction) is appropriate.
Disheng Tang (Rescue Holy Decoction)
Chishao (Red Peony Root), Banxia (Pinelliae Rhizoma, prepared), Zelan Ye (Lycopus Herba), Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix), each 1.5 qian; Gancao (Licorice Root) 5 fen; Jiang (Ginger) 7 slices.
Decoct in water and take.
Jiegeng Banxia Tang (Platycodon and Pinellia Decoction)
Jiegeng (Platycodonis Radix), Chenpi (Citri Reticulatae Pericarpium), each 2 qian; Banxia (Pinelliae Rhizoma, prepared) 8 fen; Jiang (Ginger) 3 slices.
Decoct in water and take.
Hewei Tang (Harmonize Stomach Decoction)
Dingxiang (Caryophylli Flos), Banxia (Pinelliae Rhizoma, prepared), Zhishi (Aurantii Fructus Immaturus), Baokouren (Amomi Rotundus Fructus), Maiya (Hordei Fructus Germinatus), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (White Peony Root), Dihuang (Rehmanniae Radix Preparata), each 1 qian; Jiang (Ginger) 3 slices; Zao (Zizyphi Fructus) 2 pieces.
Decoct in water and take.
Wujunzi Jian (Five Gentlemen Decoction)
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fuling (Poria), each 2 qian; Zhigancao (Prepared Licorice Root) 1 qian; Ganjiang (Zingiberis Rhizoma) stir-fried until yellow, 1-2 qian.
Decoct in water and take.