薛立斋治一产妇,患虚极生风。或用诸补剂,四肢逆冷,自汗泄泻,肠鸣腹痛。薛以阳气虚寒,用六君子,
姜、附各加至五钱不应,以参、附各一两始应。良久不应,仍肠鸣腹痛,后灸关元百余壮,及服十全大补汤方效。
一产妇患中风,盗汗自泄,发热晡热,面色黄白,四肢畏冷,此气血俱虚,用八珍汤不应,更用十全大补、
加味归脾二汤始应。后因劳怒,发厥昏愦,左目牵紧,两唇抽动,小便自遗,薛谓肝火炽盛,用十全大补加钩
藤、山栀而安。再用十全大补汤,辰砂远志丸而愈。
一妇人产后睡久,及醒则昏昏如醉,不省人事,用荆芥穗微焙为末,每服三钱,豆淋酒调服,或童便服,
此华佗愈风散也,又名举卿古拜散。医用此及交解散,(当归、荆芥穗等分,每服三钱,水酒煎。)云服后当
睡,必以左手搔头,用之果然。此病多因怒极伤肝,或怒气内郁,或坐草受风而成,急宜服此,便可立待。
(《本草纲目》。)
王肯堂治一妇,产后七日,为将息失宜,腠理不密,偶因风寒所侵,身热头痛,两眼反视,手足螈 ,名
曰蓐风,用前方,其疾即愈。古人珍此秘方,隐括其名曰举卿古拜散。盖用韵之切语,举卿为荆,古拜为芥。
《曾公谈录》谓之再生丹,亦神之也。(《续医说》。)
薛氏谓前症如此,用不应者,急用大补气血为主。
吴交山治一妇,产后因虚,牙关紧急,半身不遂,失音,以续命汤煮饮,数服而安。(《医宗粹言》。)
薛立斋治一产妇中风,不省人事,言语妄甚,恶风寒,喜热饮,形气倦怠,脉虚浮无力。薛谓气血虚寒,
用十全大补汤,二十余剂不应,又二十余剂稍缓。乃渐加附子至一钱,服数剂,诸症减一二,又二十余剂,十
退三四。乃去附子五分,数剂,诸症顿退而安。后又发,仍用前药,加附子三五分而愈。
一产妇不语,用七珍散而愈。后复不语,内热晡热,肢体倦怠,饮食不进,用加味归脾汤为主,佐以七珍
散而愈。后因怒不语,口噤,腰背反张,手足发搐,或小便见血,面色或青或黄,或时兼赤白。面青,肝之本
色也;黄者,脾气虚也;赤者,心血虚也。用八珍汤加钩藤、茯苓、远志渐愈,又用加味归脾汤而痊。
一产妇状如香港脚,发热瞀闷,搐掣惊悸,或用独活寄生汤而痊。后复作,服之,其汗如水,更加口噤吐痰。
乃用十全大补汤,培养血气渐愈。后饮食日少,肌体日瘦,吐痰如涌,此命门火衰,脾土虚寒,用八味丸加归
脾汤,诸症渐退,肌肉渐生。
萧万如治陈昌之内,首胎恃壮,当风澡体,即病发热如燎,口眼 斜,喘呕有沫,面目青黄,心腹膨胀,
扬手舞足,脉见弦数不鼓。曰∶此肝虚自招风也,非表病也。急以姜附丸灌下,仍用当归四逆汤加入吴茱萸,
两剂诸症如失。
来天培治马氏妇,二十余岁,产后九日,患腹痛,筋挛抽掣不可忍,恶露不绝,脉沉细而紧,视其面色,
青黄不泽,此肝经血少而兼寒也。与归芍六君加炮姜,一剂腹痛虽未止,而筋挛稍缓。另延专科,以广、半、
钩藤、木香、威灵仙等,腹痛益甚,且血崩不止,更加发热神昏。再求治,以 、术、归、地、山药、苓、萆、
艾叶、阿胶、姜、附、 、术、地,俱至两外,一剂而腹痛抽掣止,再剂而崩亦痊,用归脾调理而愈。
薛立斋治疗一位产妇,患极度虚弱而生风。有人使用各种补剂后,出现四肢逆冷、自汗、泄泻、肠鸣腹痛等症状。薛立斋认为这是阳气虚寒,使用六君子汤,将干姜、附子各加至五钱,但无效;随后将人参、附子各加至一两,才见效。过了一段时间症状未缓解,仍然肠鸣腹痛,后来艾灸关元穴百余壮,并服用十全大补汤,方才奏效。
另一位产妇患中风,盗汗自出,发热且傍晚加重(晡热),面色黄白,四肢畏冷,这是气血俱虚的表现。使用八珍汤无效,改用十全大补汤和加味归脾汤后才见效。后来因劳累和愤怒,引发昏厥神志不清,左眼牵引紧绷,双唇抽动,小便失禁。薛立斋认为是肝火炽盛,使用十全大补汤加入钩藤、山栀,病情得以安定。之后继续服用十全大补汤和辰砂远志丸而痊愈。
还有一位妇人产后睡眠时间长,醒来后昏昏沉沉如醉酒状,不省人事。使用荆芥穗微焙为末,每次服用三钱,用豆淋酒调服,或者用童便服用,这就是华佗的愈风散,又名举卿古拜散。医生也使用此方及交解散(当归、荆芥穗等分,每次服用三钱,水酒同煎),说服药后应当睡觉,必须用左手搔头,使用后果然如此。这种病多因大怒伤肝,或怒气内郁,或在分娩时受风而成,急需服用此方,便可立即等待好转。(《本草纲目》。)
王肯堂治疗一位妇女,产后七天,因调养不当,腠理不密,偶然被风寒侵袭,身热头痛,两眼反视,手足抽搐,名叫蓐风,使用前面的方剂,疾病随即痊愈。古人珍视这个秘方,隐括其名为举卿古拜散。这其实是利用韵脚的切语,“举卿”谐音“荆”,“古拜”谐音“芥”。《曾公谈录》称之为再生丹,也是对其神奇功效的推崇。(《续医说》。)
薛氏认为前症如果这样治疗无效,应紧急以大补气血为主。
吴交山治疗一位妇女,产后因虚,牙关紧急,半身不遂,失音,用续命汤煮饮,服用几剂后安稳。(《医宗粹言》。)
薛立斋治疗一位产妇中风,不省人事,言语错乱严重,恶风寒,喜热饮,形体气息倦怠,脉象虚浮无力。薛立斋认为是气血虚寒,使用十全大补汤,二十多剂无效,又二十多剂稍见缓和。于是逐渐增加附子至一钱,服用几剂,诸症减轻一二成,再服用二十多剂,十退三四成。于是去掉五分附子,服用几剂,诸症顿时消退而安稳。后来又复发,仍用前药,加入附子三五分而痊愈。
一位产妇不语,用七珍散而痊愈。后来再次不语,伴有内热、傍晚发热、肢体倦怠、饮食不进,以加味归脾汤为主,佐以七珍散而痊愈。后来因愤怒导致不语,口噤,腰背反张,手足发搐,有时小便见血,面色或青或黄,或时常兼有赤白色。面青是肝的本色;黄者,脾气虚也;赤者,心血虚也。使用八珍汤加入钩藤、茯苓、远志逐渐痊愈,又用加味归脾汤而康复。
一位产妇症状类似香港脚(下肢肿痛),发热瞀闷,抽搐惊悸,有人用独活寄生汤而痊愈。后来复发,服用此药,出汗如水,更加出现口噤吐痰。于是使用十全大补汤,培养血气,逐渐痊愈。后来饮食日渐减少,肌体日渐消瘦,吐痰如涌,这是命门火衰,脾土虚寒,使用八味丸加归脾汤,诸症渐退,肌肉渐生。
萧万如治疗陈昌之的妻子,第一胎倚仗身体强壮,当风洗澡,随即发病,发热如火燎,口眼歪斜,喘呕有沫,面目青黄,心腹膨胀,扬手舞足,脉象弦数但不鼓指。他说:这是肝虚自招风邪,不是表证。紧急用姜附丸灌下,仍用当归四逆汤加入吴茱萸,两剂后诸症消失。
来天培治疗马氏妇,二十多岁,产后九天,患腹痛,筋挛抽掣不可忍受,恶露不绝,脉沉细而紧,看其面色,青黄无光泽,这是肝经血少而兼寒。给予归芍六君汤加炮姜,一剂后腹痛虽未止,但筋挛稍缓。另外延请专科医生,使用广皮、半夏、钩藤、木香、威灵仙等,腹痛更甚,且血崩不止,更加发热神昏。再次求治,使用黄芪、白术、当归、地黄、山药、茯苓、萆薢、艾叶、阿胶、干姜、附子、肉桂、白术、熟地,剂量均达到一两以上,一剂后腹痛抽掣停止,再剂后崩漏也痊愈,用归脾汤调理而愈。
Xue Lizhai treated a postpartum woman suffering from wind generated by extreme deficiency. After using various tonifying agents, she developed cold limbs, spontaneous sweating, diarrhea, borborygmus, and abdominal pain. Xue diagnosed this as deficiency-cold of the Yang Qi. He prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) with dried ginger (Sheng Jiang, 干姜) and prepared aconite root (Fu Zi, 附子) each increased to five qian, but there was no response. Only when the dosage of ginseng root (Ren Shen, 人参) and prepared aconite root (Fu Zi, 附子) was increased to one liang did the treatment take effect. When symptoms persisted after some time, with continued borborygmus and abdominal pain, he applied moxibustion to the Guanyuan CV-4 acupoint for over one hundred moxa cones, followed by administration of Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction), which finally yielded results.
Another postpartum woman suffered from stroke-like symptoms, night sweats, spontaneous sweating, fever that worsened in the late afternoon (Bū Rè, 晡热), sallow-white complexion, and aversion to cold in the limbs. This indicated deficiency of both Qi and Blood. Ba Zhen Tang (Eight Treasure Decoction) was ineffective; only after switching to Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) and Jia Wei Gui Pi Tang (Modified Spleen-Restoring Decoction) did improvement occur. Later, due to exertion and anger, she experienced syncope and confusion, left eye traction and tightness, lip twitching, and urinary incontinence. Xue attributed this to blazing Liver Fire and prescribed Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) supplemented with Uncaria rhynchophylla (Gou Teng, 钩藤) and Gardenia jasminoides fruit (Zhi Zi, 栀子), stabilizing the condition. She subsequently recovered after continuing with Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) and Chen Sha Yuan Zhi Wan (Cinnabar and Polygala Pill).
A puerpera slept for long periods and upon waking appeared intoxicated and unconscious. She was treated with Jing Jie Sui (Schizonepeta Spike) lightly roasted and powdered, three qian per dose, taken with Dou Lin Jiu (Soybean-infused Wine) or Tong Bian (Child's Urine). This is Hua Tuo’s Yu Feng San (Wind-Extinguishing Powder), also known as Ju Qing Gu Bai San. Physicians also used this formula along with Jiao Jie San (Cross-Intersecting Powder, composed of equal parts Angelica sinensis root [Dang Gui, 当归] and Schizonepeta spike [Jing Jie, 荆芥], three qian per dose, decocted with water and wine). It was noted that patients should sleep after taking it and scratch their heads with the left hand, which proved effective. This disease often arises from extreme anger injuring the Liver, internal stagnation of anger, or exposure to wind during childbirth. Immediate administration of this formula can lead to rapid recovery. (*Ben Cao Gang Mu*, Compendium of Materia Medica).
Wang Kentang treated a woman who, seven days postpartum, suffered from improper rest and care, leading to loose pores and invasion by Wind-Cold. Symptoms included fever, headache, eyes rolling backward, and convulsions of the hands and feet, termed Ru Feng (Postpartum Wind). Using the aforementioned formula, her illness resolved quickly. The ancients treasured this secret recipe and coined the name Ju Qing Gu Bai San using phonetic abbreviations: "Ju Qing" sounds like "Jing" (Schizonepeta), and "Gu Bai" sounds like "Jie" (Schizonepeta). *Zeng Gong Tan Lu* referred to it as Zai Sheng Dan (Rebirth Pill), emphasizing its miraculous nature. (*Xu Yi Shuo*, Continued Medical Sayings).
Xue stated that if previous treatments fail for such conditions, urgent large-scale tonification of Qi and Blood is required.
Wu Jiaoshan treated a woman whose postpartum deficiency led to locked jaw, hemiplegia, and aphonia. She was given Xu Ming Tang (Life-Sustaining Decoction) as a decoction, recovering after several doses. (*Yi Zong Cui Yan*, Medical Essentials).
Xue Lizhai treated a postpartum woman with stroke, unconsciousness, severe delirious speech, aversion to Wind and Cold, preference for hot drinks, fatigue, and a deficient, floating, forceless pulse. Diagnosing Qi and Blood deficiency-cold, he prescribed Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction). After more than twenty doses with no effect, and another twenty doses showing slight relief, he gradually added Aconitum carmichaelii lateral root (Fu Zi, 附子) to one qian. After several doses, symptoms reduced by one or two tenths; after another twenty doses, they reduced by three to four tenths. He then removed five fen of Fu Zi (Aconitum carmichaelii lateral root); after several doses, symptoms vanished completely. Upon recurrence, he repeated the previous prescription with an addition of three to five fen of Fu Zi (Aconitum carmichaelii lateral root), resulting in recovery.
A postpartum woman unable to speak recovered using Qi Zhen San (Seven Treasures Powder). When she became mute again, accompanied by internal heat, afternoon fever, limb fatigue, and anorexia, he primarily used Jia Wei Gui Pi Tang (Modified Spleen-Restoring Decoction) assisted by Qi Zhen San (Seven Treasures Powder), leading to recovery. Later, anger-induced muteness, locked jaw, opisthotonos, convulsions, occasional hematuria, and varying complexions (blue, yellow, or red) appeared. Blue indicates the true color of the Liver; yellow indicates Spleen Qi deficiency; red indicates Heart Blood deficiency. He prescribed Ba Zhen Tang (Eight Treasure Decoction) with Gou Teng (Uncaria rhynchophylla), Fu Ling (Poria cocos), and Yuan Zhi (Polygala root), achieving gradual improvement, followed by complete recovery with Jia Wei Gui Pi Tang (Modified Spleen-Restoring Decoction).
A postpartum woman presented with symptoms resembling Hong Kong Foot (Charcot-Marie-Tooth disease or gouty arthritis, characterized by lower limb swelling/pain), fever, mental cloudiness, convulsions, and palpitations. Du Huo Ji Sheng Tang (Angelica Pubescens and Taxillus Decoction) cured her initially. Upon recurrence, sweating profusely occurred, accompanied by locked jaw and expectoration. He then used Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) to nourish Qi and Blood, leading to gradual recovery. As her diet decreased and body emaciated, with profuse expectoration, he diagnosed Míng Mén Huǒ Shuāi (Decline of the Fire of the Gate of Life) and Spleen Earth deficiency-cold. He prescribed Ba Wei Wan (Eight-Ingredient Pill) combined with Gui Pi Tang (Spleen-Restoring Decoction), causing symptoms to recede and muscle mass to regenerate.
Xiao Wanru treated the wife of Chen Changzhi. For her first birth, relying on her robust constitution, she bathed facing the wind. She immediately developed high fever, facial paralysis (mouth and eye deviation), wheezing with frothy vomit, blue-yellow complexion, abdominal distension, flailing limbs, and a wiry, rapid pulse that lacked force. Xiao diagnosed this as Wind attracted by Liver deficiency, not an exterior syndrome. He urgently administered Jiang Fu Wan (Ginger-Aconite Pill) and prescribed Dang Gui Si Ni Tang (Angelica Four Counterflow Decoction) with Wu Zhu Yu (Evodia fruit). Two doses eliminated all symptoms.
Lai Tianpei treated Mrs. Ma, aged over twenty, nine days postpartum. She suffered unbearable abdominal pain, muscle spasms and convulsions, and continuous lochia discharge. Her pulse was deep, fine, and tight; her complexion was sallow without luster, indicating Liver channel blood deficiency with cold. He prescribed Gui Shao Liu Jun Zi Tang (Angelica and Peony Six Gentlemen Decoction) with Pao Jiang (Prepared Ginger). After one dose, abdominal pain persisted but spasms eased slightly. Another specialist prescribed Guang Chen Pi (Tangerine Peel), Ban Xia (Pinellia tuber), Gou Teng (Uncaria rhynchophylla), Mu Xiang (Aucklandia root), and Wei Ling Xian (Salvia chinensis root), worsening the abdominal pain and causing severe hemorrhage, fever, and coma. Seeking further treatment, Lai prescribed Huang Qi (Astragalus root), Bai Zhu (Atractylodes macrocephala rhizome), Dang Gui (Angelica sinensis root), Di Huang (Rehmannia root), Shan Yao (Dioscorea rhizome), Fu Ling (Poria cocos), Bi Xie (Dioscorea hypoglauca rhizome), Ai Ye (Mugwort leaf), E Jiao (Donkey-hide gelatin), Gan Jiang (Dried Ginger), Fu Zi (Aconitum carmichaelii lateral root), Rou Gui (Cinnamon bark), Bai Zhu (Atractylodes macrocephala rhizome), and Shu Di Huang (Prepared Rehmannia root), all dosed at over one liang. One dose stopped abdominal pain and convulsions; two doses stopped the hemorrhage. She recovered after conditioning with Gui Pi Tang (Spleen-Restoring Decoction).