产后四五日忽感风寒发厥,乃阳气既虚而阴血又耗,复感寒邪以成之者也。宜转厥安产汤。
转厥安产汤
人参 附子(制)
水煎服。
产后五七日内强力下床,伤动血气,致使风邪乘虚入之。或伤于房室,或怀忧怒扰荡冲和,或因食生硬伤
动脏腑。得病之初眼涩,口噤,肌肉挛搐,渐至腰脊筋急强直者不可治。此乃人自不谨所致,非偶尔中风所得
也。宜用荆芥穗三钱为末,或酒或童便 开灌之神效。
产后生风因去血过多,气无所主,以致唇青厥冷,汗出,目眩神昏,命在须臾,此虚极生风也。急服济危
丹。误投风药则不救。
济危丹
乳香(去油研) 五灵脂(研) 硫黄(研) 元精石(研) 阿胶(蛤粉炒珠) 卷柏(生用)
桑寄生 陈皮(去白,各等分)
先将四味末和入金石器内,微炒勿令焦,再研极细,再入余药末和匀,生地黄汁为丸,每服二十丸。
产后咳嗽,有因恶露上攻肺经受邪者,宜二母散以破其瘀。有感风咳嗽,恶寒发热者,宜参苏饮以散其寒。
有阴虚火盛上烁肺金者,宜麦味地黄汤以滋其化源。
二母散
知母 贝母(去心) 人参 茯苓(各一钱) 桃仁 杏仁
各四十九粒(各去皮尖捣)
水煎服。
参苏饮
人参 苏叶 半夏(制) 葛根 前胡 桔梗 枳壳(麸炒) 陈皮 茯苓 甘草 木香
上加姜枣,水煎服。
麦味地黄汤
熟地黄 山药 山萸肉 丹皮 茯苓 泽泻 麦冬(去心) 五味子
上各等分,水煎服。
产后四五日突然感受风寒而引发四肢厥冷,这是因为阳气已经虚弱且阴血又遭耗损,再加上外感寒邪所导致的。适宜使用转厥安产汤。
产后五至七天内强行下床活动,损伤了气血,致使风邪趁虚侵入体内。或者因房事不节,或者因忧愁愤怒扰乱了体内的冲和之气,或者因食用生冷坚硬食物损伤了脏腑。在发病初期出现眼睛干涩、牙关紧闭、肌肉痉挛抽搐,逐渐发展到腰脊部筋脉拘急、僵硬直立的,属于不可治愈的危重症。这是患者自身不慎所致,并非偶然的中风病。适宜用荆芥穗三钱研成粉末,用酒或童子尿冲服,效果神妙。
产后发生内风是因为失血过多,气无所依附,导致嘴唇发青、四肢厥冷、出汗、头晕眼花、神志昏迷,生命垂危,这是极度虚弱而生内风的表现。急需服用济危丹。如果误用祛风药则无法救治。
济危丹
乳香(去油后研磨)、五灵脂(研磨)、硫黄(研磨)、元精石(研磨)、阿胶(用蛤粉炒成珠状)、卷柏(生用)、桑寄生、陈皮(去白),以上各等分。
先将前四味药研成粉末放入金石容器中,轻微炒制不要炒焦,再研磨至极细,然后加入其余药物的粉末混合均匀,用生地黄汁制作成丸药,每次服用二十丸。
产后咳嗽,有因恶露上攻肺经导致受邪的,适宜用二母散来破除瘀血。有因感受风邪引起咳嗽,伴有恶寒发热的,适宜用参苏饮来疏散寒邪。有因阴虚火旺向上灼伤肺金的,适宜用麦味地黄汤来滋养化源。
二母散
知母、贝母(去心)、人参、茯苓(各一钱)、桃仁、杏仁各四十九粒(各去皮尖捣碎)
用水煎煮后服用。
参苏饮
人参、苏叶、半夏(炮制)、葛根、前胡、桔梗、枳壳(麸炒)、陈皮、茯苓、甘草、木香
上方加生姜、大枣,用水煎煮后服用。
Four or five days postpartum, sudden exposure to wind-cold leads to cold limbs (Jue), which is caused by the depletion of both Yang Qi and Yin Blood, compounded by the invasion of external Cold pathogen. Zhuan Jue An Chan Tang (Turn Jue and Secure Birth Decoction) is indicated.
Zhuan Jue An Chan Tang (Turn Jue and Secure Birth Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata)
Decoct in water and take orally.
Within five to seven days postpartum, forcing oneself out of bed causes damage to Blood and Qi, allowing Wind pathogen to invade due to deficiency. This may result from sexual indiscretion, emotional disturbances such as worry and anger disrupting the harmonious flow of Chong and Ren vessels, or consumption of raw and hard foods damaging the Zang-Fu organs. Initially, symptoms include dry eyes, trismus (lockjaw), and muscle spasms. If it progresses to stiffness and rigidity of the lumbar spine and tendons, it is incurable. This condition arises from patient negligence rather than accidental stroke (Zhong Feng). Jingjie Sui (Schizonepetae Spica) three qian, powdered, administered with wine or child's urine yields miraculous results.
Postpartum internal wind occurs due to excessive blood loss, leaving Qi without a master, resulting in cyanotic lips, cold limbs, sweating, vertigo, and coma, indicating imminent death. This is internal wind generated by extreme deficiency. Ji Wei Dan (Rescue Danger Pill) must be taken urgently. Administration of Wind-dispelling herbs will prove fatal.
Ji Wei Dan (Rescue Danger Pill)
Ru Xiang (Frankincense Resin, de-oiled and ground), Wu Ling Zhi (Trogopteri Dung, ground), Liu Huang (Sulfur, ground), Yuan Jing Shi (Natrii Sulfas, ground), E Jiao (Asini Corii Colla, stir-fried with clam powder into pearls), Juan Bai (Serpylli Herba, used raw), Sang Ji Sheng (Taxilli Caulis), Chen Pi (Citri Reticulatae Pericarpium, white pith removed), all in equal proportions.
First, mix the powders of the first four ingredients in a stone or metal vessel, stir-fry lightly until not scorched, then grind extremely fine. Add the remaining herbal powders and mix uniformly. Form pills using juice of Sheng Di Huang (Rehmanniae Radix). Take 20 pills per dose.
Postpartum cough may result from lochia attacking the Lung Meridian and causing pathogenic invasion; Er Mu San (Two Mother Powder) is indicated to resolve stasis. Cough induced by Wind pathogen accompanied by aversion to cold and fever requires Shen Su Yin (Ginseng and Perilla Drink) to disperse Cold. Cough due to Yin deficiency with hyperactive fire scorching Lung Metal requires Mai Wei Di Huang Tang (Lycium Fruit and Ophiopogon Rehmannia Decoction) to nourish the source of transformation.
Er Mu San (Two Mother Powder)
Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Bulbus, heart removed), Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), each one qian; Tao Ren (Persicae Semen), Xing Ren (Armeniacae Semen), forty-nine grains each (peeled, tips removed, and pounded).
Decoct in water and take orally.
Shen Su Yin (Ginseng and Perilla Drink)
Ren Shen (Ginseng Radix et Rhizoma), Su Ye (Perillae Folium), Ban Xia (Pinelliae Rhizoma Praeparatum), Ge Gen (Puerariae Lobatae Radix), Qian Hu (Peucedani Radix), Jie Geng (Platycodonis Radix), Zhi Ke (Aurantii Fructus Immaturus, stir-fried with bran), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Xiang (Aucklandiae Radix).
Add fresh ginger and jujube, decoct in water, and take orally.
Mai Wei Di Huang Tang (Lycium Fruit and Ophiopogon Rehmannia Decoction)
Shu Di Huang (Rehmanniae Radix Praeparata), Shan Yao (Dioscoreae Rhizoma), Shan Zhu Yu (Corni Fructus), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Mai Dong (Ophiopogonis Radix, heart removed), Wu Wei Zi (Schisandrae Chinensis Fructus), all in equal proportions.
Decoct in water and take orally.