产后血晕由气血暴虚,血随气上,迷乱心神,故眼前生花,甚者闷绝口噤,神昏气冷,宜清魂散,或立应
汤。若产儿下地时用荆芥穗(炒焦)为末,每服五分,童便调服可预防血晕之患。又用韭菜切细盛瓶中,以热
醋沃之,向产妇面熏之。若下血多而晕,但昏闷烦乱而已,当补血。宜芎归汤。若下血少而晕,乃恶露上抢于
心,心下急满,神昏口噤,
不省人事,当破血行血,宜夺命散。
清魂散
荆芥穗(五钱) 川芎(二钱五分) 人参 泽兰叶(各一钱半) 甘草(一钱)
为末,温酒、热汤各半钟,调服二钱。
立应汤
熟地黄 当归(各三钱) 白芍(二钱) 五灵脂(半生半炒) 川芎(各一钱)
水煎服。
芎归汤
当归 川芎(各五钱)
水煎,连服数剂。(或加人参一钱更妙)
夺命散
没药 血竭各等分为末
每服二钱,童便好酒各半钟,煎数沸调服。
产后下血过多,每致血脱,宜增损四物汤。
增损四物汤
当归(三钱) 川芎 白芍(酒炒) 人参(各一钱) 炮姜(三分) 炙甘草(五分)
水煎,入童便半钟温服。
产后阴虚有热,又遇风邪虚汗不止,宜黄 汤。若阴虚盗汗,宜浮麦散。
黄 汤
黄 (蜜炙) 熟地黄 麦冬(去心,各二钱) 白术(蜜炙) 茯苓(各一钱五分) 牡蛎粉(一钱)
防风(七分) 枣(二枚)
水煎服。
浮麦散
人参(二钱) 当归(三钱) 熟地黄(一钱五分) 麻黄根(五分) 黄连(酒炒,五分) 浮小麦
(一撮)
水钟半,煎七分服。
产后血晕是由于气血突然极度虚弱,血液随着气机上逆,扰乱心神,从而导致眼前出现花斑,严重时会出现昏迷、牙关紧闭、神志不清、气息寒冷等症状。这种情况适宜使用清魂散,或者立应汤。如果在胎儿娩出后,立即将炒焦的荆芥穗研成粉末,每次服用五分,用童子尿调服,可以预防血晕的发生。另外,也可以用韭菜切碎放入瓶中,倒入热醋,让产妇面部靠近瓶口吸入蒸汽。如果产后出血多导致晕厥,仅表现为昏闷烦乱,应当进行补血治疗,适宜使用芎归汤。如果产后出血少却出现晕厥,这是恶露上冲于心,导致心下急迫胀满,神志昏迷、牙关紧闭、不省人事,应当采用破血行血的方法,适宜使用夺命散。
清魂散
配方:荆芥穗(五钱)、川芎(二钱五分)、人参、泽兰叶(各一钱半)、甘草(一钱)。
制法与用法:研为细末,用温酒和热汤各半钟调和,服用二钱。
立应汤
配方:熟地黄、当归(各三钱)、白芍(二钱)、五灵脂(一半生用,一半炒用)、川芎(各一钱)。
制法与用法:水煎后服用。
芎归汤
配方:当归、川芎(各五钱)。
制法与用法:水煎,连续服用数剂。(也可以加入人参一钱,效果更佳)
夺命散
配方:没药、血竭,各等分研为细末。
制法与用法:每次服用二钱,用童子尿和好酒各半钟,煮沸几开后调和服用。
增损四物汤
配方:当归(三钱)、川芎、白芍(酒炒)、人参(各一钱)、炮姜(三分)、炙甘草(五分)。
制法与用法:水煎,加入童子尿半钟,温热后服用。
产后阴虚伴有内热,又感受风邪导致虚汗不止,适宜使用黄芪汤。如果阴虚导致盗汗,适宜使用浮麦散。
黄芪汤
配方:黄芪(蜜炙)、熟地黄、麦冬(去心,各二钱)、白术(蜜炙)、茯苓(各一钱五分)、牡蛎粉(一钱)、防风(七分)、大枣(二枚)。
制法与用法:水煎后服用。
浮麦散
配方:人参(二钱)、当归(三钱)、熟地黄(一钱五分)、麻黄根(五分)、黄连(酒炒,五分)、浮小麦(一撮)。
制法与用法:用水半钟,煎至七分量时服用。
Postpartum blood syncope is caused by a sudden and severe deficiency of Qi and Blood, where Blood follows the upward movement of Qi, confusing and disturbing the Shen (Spirit), resulting in visual hallucinations (seeing spots). In severe cases, it leads to coma, clenched jaws, unconsciousness, and cold breath. It is appropriate to use Qinghun San (Clear the Soul Powder) or Liying Tang (Instant Response Decoction). If, after the delivery of the fetus, roasted Jingjie Sui (Schizonepetae Spica, charred) is ground into powder and taken at a dose of 5 fen each time, mixed with Tongbian (urine of a healthy boy), it can prevent postpartum blood syncope. Alternatively, finely chopped Jiucai (Allium tuberosum, Chinese Chive) can be placed in a bottle, hot Cu (Vinegar) poured over it, and the fumes directed towards the parturient woman's face for inhalation. If fainting occurs due to excessive bleeding, presenting only as drowsiness, oppression, and restlessness, tonification of Blood is indicated; Xiong Gui Tang (Ligusticum and Angelica Decoction) is appropriate. If fainting occurs despite minimal bleeding, this indicates that Elu (lochia) has rushed upwards to affect the Heart, causing urgency and fullness below the heart, unconsciousness, clenched jaws, and loss of consciousness. In such cases, breaking stasis and promoting Blood circulation is required; Du Ming San (Life-Saving Powder) is appropriate.
Qinghun San (Clear the Soul Powder)
Ingredients: Jingjie Sui (Schizonepetae Spica, 5 qian), Chuanxiong (Rhizoma Ligustici Chuanxiong, 2.5 qian), Renshen (Radix Ginseng), Zelan Ye (Herba Lycopi, each 1.5 qian), Gancao (Radix Glycyrrhizae, 1 qian).
Preparation and Administration: Grind into fine powder. Mix with half a cup of warm wine and half a cup of hot water decoction, take 2 qian per dose.
Liying Tang (Instant Response Decoction)
Ingredients: Shudihuang (Radix Rehmanniae Preparata, each 3 qian), Danggui (Radix Angelicae Sinensis, each 3 qian), Baishao (Radix Paeoniae Alba, 2 qian), Wulingzhi (Faeces Trogopterori, half raw and half stir-baked), Chuanxiong (Rhizoma Ligustici Chuanxiong, each 1 qian).
Preparation and Administration: Decoct in water and take orally.
Xiong Gui Tang (Ligusticum and Angelica Decoction)
Ingredients: Danggui (Radix Angelicae Sinensis, each 5 qian), Chuanxiong (Rhizoma Ligustici Chuanxiong, each 5 qian).
Preparation and Administration: Decoct in water and take continuously for several doses. (Adding Renshen (Radix Ginseng, 1 qian) may enhance efficacy.)
Du Ming San (Life-Saving Powder)
Ingredients: Moyao (Resina Olibani), Xuexie (Sanguis Draconis), equal parts.
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with half a cup of Tongbian (urine of a healthy boy) and half a cup of good wine, boiled briefly, then taken.
Excessive bleeding after childbirth often leads to Blood collapse (Xuetuo); Zengsun Siwu Tang (Modified Four Substances Decoction) is appropriate.
Zengsun Siwu Tang (Modified Four Substances Decoction)
Ingredients: Danggui (Radix Angelicae Sinensis, 3 qian), Chuanxiong (Rhizoma Ligustici Chuanxiong), Baishao (Radix Paeoniae Alba, wine-fried), Renshen (Radix Ginseng, each 1 qian), Paojiang (Rhizoma Zingiberis Preparatum, 3 fen), Zhigancao (Radix Glycyrrhizae Preparata, 5 fen).
Preparation and Administration: Decoct in water, add half a cup of Tongbian (urine of a healthy boy), and take warm.
Yin deficiency with internal heat after childbirth, combined with wind pathogen causing persistent spontaneous sweating, is treated with Huangqi Tang (Astragalus Decoction). If night sweats occur due to Yin deficiency, Fumai San (Floating Wheat Powder) is appropriate.
Huangqi Tang (Astragalus Decoction)
Ingredients: Huangqi (Radix Astragali, honey-fried), Shudihuang (Radix Rehmanniae Preparata), Maidong (Rhizoma Ophiopogonis, de-cored, each 2 qian), Baizhu (Rhizoma Atractylodis Macrocephalae, honey-fried), Fuling (Poria, each 1.5 qian), Muli Fen (Concha Ostreae, 1 qian), Fangfeng (Radix Saposhnikoviae, 7 fen), Dazao (Fructus Jujubae, 2 pieces).
Preparation and Administration: Decoct in water and take orally.
Fumai San (Floating Wheat Powder)
Ingredients: Renshen (Radix Ginseng, 2 qian), Danggui (Radix Angelicae Sinensis, 3 qian), Shudihuang (Radix Rehmanniae Preparata, 1.5 qian), Mahuang Gen (Radix Ephedrae, 5 fen), Huanglian (Rhizoma Coptidis, wine-fried, 5 fen), Fuxiaomai (Frumentum Levigatum, a pinch).
Preparation and Administration: Decoct in half a cup of water until reduced to seven-tenths volume, then take.