制香附 当归尾(各二钱) 延胡 赤芍 丹皮 川芎(各一钱五分) 生地(一钱) 红
花(八
上药俟临痛时。每日水煎服一帖。连服二三帖即愈。愈后永远忌食生冷茶饭水果等物。
不久
产后血大来。须看血色之红紫。视形气之虚实。如血色多紫。乃当去之败血。留之反作
痛。
血。
止。
月外
加参生化汤 治产后血崩。形脱。气促。汗多。
当归(四钱) 川芎(三钱) 荆芥(四分) 桃仁(十粒杵碎) 高丽参(三钱) 瑶
桂(五分二帖
如汗出不止。加黄 高丽参。(各三钱)渴加麦冬五味。泻加茯苓莲子。两手脉伏。或
右手脉
惊悸加
闻药
加炒
升举大补汤 治产后日久。血崩不止。或如鸡卵大块。或去血如片。宜大补脾胃。升提
气血
高丽参 白术(各三钱) 熟地(二钱) 当归(一钱五分) 川芎 黄 (各一钱) 白
芷荆芥
如渴加麦冬五味。泻加泽泻莲子。痰加半夏。兼白带者。加苍术、半夏各一钱。俱水煎
热服
生脉散 保肺清心。治气少汗多。兼口渴。病危脉绝。并夏月火旺烁金。
高丽参(五分) 麦冬(八分) 五味子(九粒) 水煎温服。
产后心痛。即胃脘痛。以胃脘在心之下。因伤寒气及冷物。故作痛。用生化汤。佐以散
寒消
则
若
加味生化汤 当归(四钱) 川芎(二钱) 炮姜 炙甘草(各五分) 桃仁(十粒杵
碎) 痛止去
一钱。伤肉食加砂仁
【妇人行经腹痛】
制香附、当归尾(各二钱),延胡索、赤芍、丹皮、川芎(各一钱五分),生地(一钱),红花(八分)。
以上药物在疼痛发作时,每日水煎服用一帖。连续服用二至三帖即可痊愈。痊愈后永远忌食生冷、茶饭、水果等食物。
【产后血崩】
产后大量出血,必须观察血色是红还是紫,审视患者形体的虚实状况。如果血色多呈紫色,那是应当排出的败血,若强行止血反而会导致疼痛加剧。
加参生化汤:治疗产后血崩,出现形体脱失、气促、汗多等症状。
处方:当归(四钱)、川芎(三钱)、荆芥(四分)、桃仁(十粒,捣碎)、高丽参(三钱)、肉桂(五分)。共服两帖。
如果出汗不止,加入黄耆和高丽参(各三钱);口渴加麦冬、五味子;腹泻加茯苓、莲子;两手脉象伏匿,或右手脉象微弱,加入惊悸加药方(原文此处有缺漏,依语境推测为安神定惊之品,但严格按原文提取实体,故仅列可见药材,此处原文“惊悸加”后无具体药名,暂略或视为指令性文字,但在实体提取中若无明确药名则不列入herbs,此处根据上下文“闻药 加炒”疑似排版错误或缺失,暂按可见内容处理,若无法确定具体药材则不列入。注:原文“惊悸加”后接“闻药 加炒”,语义不通,可能为“远志”、“炒枣仁”等误植,但因未明示,严格遵循“只提取原文中明确出现的实体”,故此处不强行补全药材,仅保留明确药名)。*修正:仔细阅读原文,“惊悸加”后换行“闻药 加炒”,这显然是OCR错误或排版断裂。但在翻译任务中,需忠实于文本。若无法识别具体药材,则不译出具体药名,仅翻译句式结构。然而,为了通顺,通常此类古籍整理会依据常识补全,但作为AI应严谨。此处“闻药”极可能是“远志”之误,“加炒”后接药材。鉴于任务要求“不增添内容”,我将尽量直译,对于缺失部分保持沉默或指出原文如此。但为了白话文流畅,我将假设这是指代前文或通用治法,或者仅翻译可见部分。*
*再次审视原文:“惊悸加 / 闻药 / 加炒 / 升举大补汤”。这里“闻药”和“加炒”明显是上一句的残留或下一句的开头被截断。结合“加参生化汤”的加减法,通常是“惊悸加酸枣仁、远志”等。由于原文缺失,我在翻译中将忽略无法确定的“闻药/加炒”,直接连接下文或说明原文残缺。但为了符合“逐句对照”,我将翻译为:“若惊悸,加用...(原文此处文字残缺或排版错乱,‘闻药’‘加炒’语义不明,暂略)”。*
*实际上,更合理的解读是:原文在“惊悸加”之后,紧接着是“闻药”(可能是远志的误写)和“加炒”(可能是炒枣仁等)。但既然要求不增添,我就只翻译看得见的。*
*让我们看下一段:“升举大补汤”。*
加参生化汤加减:如汗出不止,加黄耆、高丽参(各三钱);口渴加麦冬、五味子;腹泻加茯苓、莲子;两手脉伏,或右手脉(原文此处中断,接下一段“惊悸加...”)。
升举大补汤:治疗产后日久,血崩不止,或排出如鸡卵大小的血块,或去血如片状。宜大补脾胃,升提气血。
处方:高丽参、白术(各三钱)、熟地(二钱)、当归(一钱五分)、川芎、黄耆(各一钱)、白芷、荆芥(原文此处“白芷荆芥”后无剂量,且接下一行“如渴...”,推测荆芥为原方成分,剂量可能缺失或共用前文,但原文未标,故列出名称)。
如果口渴加麦冬、五味子;腹泻加泽泻、莲子;痰多加半夏;兼有白带者,加苍术、半夏各一钱。均用水煎热服。
生脉散:保肺清心。治疗气短汗多,兼有口渴。病情危重脉绝,以及夏季火旺克金(肺)的情况。
处方:高丽参(五分)、麦冬(八分)、五味子(九粒)。水煎温服。
【产后心腹痛】
产后心痛,即胃脘痛。因为胃脘位于心脏下方,因感受寒气和食用冷物,所以发生疼痛。使用生化汤,佐以散寒消积之法。
(原文此处“佐以散 / 寒消 / 则 / 若”语句破碎,意为配合散寒消导的药物,视情况而定。)
加味生化汤:当归(四钱)、川芎(二钱)、炮姜、炙甘草(各五分)、桃仁(十粒,捣碎)。疼痛停止后去掉桃仁(原文“痛止去”后接“一钱”,推测是去某药一钱,或指桃仁用量调整,但通常生化汤去桃仁是因瘀去。原文“痛止去 / 一钱。伤肉食加砂仁”。推测意思是:痛止后去掉某药一钱,或者桃仁减量?通常生化汤中桃仁活血,痛止可去。若伤肉食,加砂仁一钱。此处原文表述较乱,“痛止去”后直接“一钱”,中间缺宾语。结合“伤肉食加砂仁”,推测完整逻辑为:痛止后去桃仁(或某药)一钱,若伤肉食则加砂仁一钱。为准确起见,翻译为:疼痛停止后,减去一钱(原文未指明何药,疑为桃仁或某辅药);若因伤食肉类引起,加砂仁一钱。)
[Abdominal Pain During Menstruation]
Zhixiangfu (Cyperus Rhizoma, processed), Dangguiwei (Angelica Sinensis Root Tail) (each 2 qian); Yanhusuo (Corydalis Rhizoma), Chishao (Red Peony Root), Danpi (Moutan Cortex), Chuanxiong (Ligusticum Rhizome) (each 1.5 qian); Shengdi (Rehmannia Root) (1 qian); Honghua (Carthamus Flower) (8 fen).
Decoct these herbs in water and take one dose daily when pain occurs. Continuous administration for two to three doses will result in recovery. After recovery, strictly avoid consuming raw, cold foods, tea, rice meals, fruits, and other such items permanently.
[Postpartum Hemorrhage]
When massive bleeding occurs postpartum, observe whether the blood color is red or purple, and assess the deficiency or excess of the patient's physical constitution. If the blood color is predominantly purple, it indicates stasis blood that should be expelled; forcibly stopping it may exacerbate pain.
Jia Shen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood): Treats postpartum hemorrhage accompanied by physical collapse, shortness of breath, and profuse sweating.
Prescription: Danggui (4 qian), Chuanxiong (3 qian), Jingjie (Schizonepeta Spike, 4 fen), Taoren (Peach Seed, 10 grains, crushed), Gaolishen (Korean Ginseng, 3 qian), Rougui (Cinnamon Bark, 5 fen). Take two doses.
If sweating persists, add Huangqi (Astragalus Root) and Gaolishen (each 3 qian); if thirsty, add Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit); if diarrhea occurs, add Fuling (Poria) and Lianzi (Lotus Seed); if both hands' pulses are hidden or the right hand's pulse is [text incomplete], and if palpitations occur, add [text fragment "Wen Yao" and "Jia Chao" appear corrupted/incomplete, likely referring to specific herbs like Yuanzhi or Fried Zao Ren, but omitted here due to lack of explicit names in source].
Shengju Dabu Tang (Decoction for Raising and Greatly Tonifying): Treats prolonged postpartum hemorrhage that does not stop, or expulsion of large clots like chicken eggs, or sheets of blood. It is indicated to greatly tonify the Spleen and Stomach and raise Qi and Blood.
Prescription: Gaolishen (Korean Ginseng), Baizhu (Atractylodes Macrocephala Rhizome) (each 3 qian); Shudi (Prepared Rehmannia Root) (2 qian); Danggui (Angelica Sinensis Root) (1.5 qian); Chuanxiong (Ligusticum Rhizome), Huangqi (Astragalus Root) (each 1 qian); Baizhi (Angelica Dahurica Root), Jingjie (Schizonepeta Spike).
If thirsty, add Maidong and Wuweizi; if diarrhea, add Zexie (Alisma Rhizome) and Lianzi; if phlegm is excessive, add Banxia (Pinellia Tuber); if accompanied by leukorrhea, add Cangzhu (Atractylodes Rhizoma) and Banxia (each 1 qian). Decoct in water and take hot.
Shengmai San (Generate the Pulse Powder): Preserves the Lung and clears the Heart. Treats shortness of breath with profuse sweating, accompanied by thirst. It is used for critical conditions with absent pulses, and for cases in summer where Fire flares up and scorches Metal (Lung).
Prescription: Gaolishen (Korean Ginseng, 5 fen), Maidong (Ophiopogon Tuber, 8 fen), Wuweizi (Schisandra Fruit, 9 grains). Decoct in water and take warm.
[Postpartum Heart and Abdominal Pain]
Postpartum heart pain refers to epigastric pain. Since the epigastrium is located below the heart, pain arises from contracting cold pathogens or consuming cold substances. Use Shenghua Tang, assisted by methods to disperse cold and eliminate stagnation. The text implies adjusting based on symptoms ("Ze/Ruo" fragments suggest conditional adjustments).
Jiawei Shenghua Tang (Modified Decoction for Generating New Blood): Danggui (4 qian), Chuanxiong (2 qian), Paojiang (Roasted Ginger), Zhigancao (Honey-fried Licorice Root) (each 5 fen), Taoren (Peach Seed, 10 grains, crushed). When pain subsides, remove [one qian of a herb, likely Taoren or another specified agent, though the source text is fragmented]; if caused by meat food injury, add Sharen (Amomum Fruit) 1 qian.