产后勿轻用乌药、香附、木香,及耗气顺气等药。用之反增满闷,虽陈皮用不可过五分。
产后勿轻用青皮、浓朴、山楂、枳壳、陈皮消食药,多损胃减食。即枳壳、香砂等丸,亦多损气血。
产后勿用青皮、枳实、苏子以下气定喘,用之元气必脱。
产后浮麦伤胃耗气,五味能阻恶露,枣仁油滑致泻,均为禁忌之品。
产后身热,误用黄芩、黄连、黄柏、栀子损胃增热,致不进饮食。且黄芩苦寒,无论恶露净与不净,皆非所宜。
产后四日肉,未服生化汤以消血块,勿先用人参、 、术,致块不除。
产后勿轻用牛膝、红花、苏木、枳壳等类以消块,犹忌多用、独用。至于三棱、莪术、枳实、山楂
等峻药,更不可用。若误用,旧血骤下,新血亦随之而损,祸不可测也。予每见俗用山楂一味煎汁,以攻
血块,致成危证。频服两三帖,必死。
产后勿轻用生地黄以滞血路。
产后不可用大黄、芒硝以通大便,反成膨胀。
产后不可用五苓以通小便,用之愈闭。
产时不可用济坤丹以下胞胎。
不可信《妇人良方》及《产保百问》,俗医多有守此二书以治产,用芎、归、白芍、生地,误人实甚,
余可知矣。
凡人有疾病,多有求卜以问吉凶,并卜何方何姓人医治可愈。此盖人不明医理,不知医者孰良孰
庸,亦无可如何之计耳。岂知竟有医卜相通,医求卜荐,许以分谢,
卜者贪利,假神道以指引。因卜而荐,误人性命,比比然也。产后之证,吉凶在于顷刻,不可不知而慎重也。
产后不要轻易使用乌药、香附、木香,以及耗气顺气类的药物。使用后反而会增加胸腹满闷感,即使是陈皮的使用量也不应超过五分。
产后不要轻易使用青皮、厚朴、山楂、枳壳、陈皮等消食药,这些药物大多会损伤胃气、减少食欲。即便是枳壳、香砂等丸剂,也大多会损耗气血。
产后不要使用青皮、枳实、苏子来降气平喘,使用后元气必定脱失。
产后期间,浮小麦会伤胃耗气,五味子会阻碍恶露排出,酸枣仁因油性滑利导致腹泻,这些都是禁忌的药物。
产后出现身体发热时,误用黄芩、黄连、黄柏、栀子会损伤胃气并增加内热,导致无法进食。而且黄芩性味苦寒,无论恶露是否排净,都不适宜使用。
产后第四天若未服用生化汤来消除血块,不要先用人参、白术(原文缺字,据语境补),以免导致血块无法消除。
产后不要轻易使用牛膝、红花、苏木、枳壳等类药物来消除血块,尤其忌讳多用或单独使用。至于三棱、莪术、枳实、山楂等峻猛药物,更不可使用。如果误用,旧有的瘀血突然下行,新血也会随之受损,后果不堪设想。我常常见到世俗之人只用一味山楂煎汁来攻逐血块,导致病情危重。频繁服用两三帖,必然致死。
分娩过程中不可使用济坤丹来下胎胞。
不要相信《妇人良方》及《产保百问》,世俗医生多坚守这两本书来治疗产后病,使用川芎、当归、白芍、生地黄,害人非常严重,其余情况可想而知。
大凡人有疾病,多有求卜问吉凶,并占卜由何方何姓的人医治才能痊愈。这大概是因为人们不懂医理,不知道医生中谁是良医谁是庸医,也是无可奈何的办法罢了。哪里知道竟然有医卜相通的情况,医生求卜者推荐病人,许诺给予谢礼,卜者贪图利益,假借神道进行指引。因为占卜而推荐医生,误人性命的事情,比比皆是。产后病症的吉凶往往在于顷刻之间,不可不知且必须慎重对待。
Postpartum women should not lightly use Wu Yao (Linderae Radix), Xiang Fu (Cyperus Rhizome), Mu Xiang (Aucklandiae Radix), and other Qi-regulating herbs that consume Qi. Using them may instead increase chest and abdominal fullness and oppression; even Chen Pi (Citri Reticulatae Pericarpium) should not exceed 0.5 fen in dosage.
Postpartum women should not lightly use Qing Pi (Tangerine Green Peel), Hou Po (Magnoliae Officinalis Cortex), Shan Zha (Crataegi Fructus), Zhi Qiao (Aurantii Fructus Immaturus), and Chen Pi as digestive aids, as they often damage Stomach Qi and reduce appetite. Even pills containing Zhi Qiao or Xiang Sha (Amomi Fructus with Aucklandia) often impair Blood and Qi.
Postpartum women should not use Qing Pi, Zhi Shi (Immature Bitter Orange), or Su Zi (Perilla Fructus) to descend Qi and calm asthma, as doing so will inevitably lead to the collapse of Yuan Qi (Original Qi).
During the postpartum period, Fu Mai (Floating Wheat) damages the Stomach and consumes Qi; Wu Wei Zi (Schisandrae Fructus) obstructs the discharge of E Lu (Lochia); Suan Zao Ren (Ziziphi Spinosae Semen) causes diarrhea due to its oily and slippery nature. All are contraindicated.
When a postpartum woman presents with body heat, mistakenly using Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizome), Huang Bo (Phellodendri Cortex), or Zhi Zi (Gardeniae Fructus) will damage the Stomach and exacerbate heat, leading to an inability to eat. Moreover, since Huang Qin is bitter and cold, it is unsuitable regardless of whether the lochia has been completely discharged or not.
On the fourth day postpartum, if Sheng Hua Tang (Transformation of Blood Decoction) has not been taken to resolve blood stasis clots, one should not initially use Ren Shen (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), lest the clots remain unresolved.
Postpartum women should not lightly use Niu Xi (Achyranthis Bidentatae Radix), Hong Hua (Carthami Flos), Su Mu (Sappan Lignum), or Zhi Qiao to dissolve clots; it is especially taboo to use them in large amounts or exclusively. As for harsh drugs such as San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Zhi Shi, and Shan Zha, they must absolutely not be used. If mistakenly used, old blood may suddenly flow down, causing new blood to be damaged as well, with unpredictable consequences. I often see laypeople using only Shan Zha decocted in water to attack blood clots, resulting in critical conditions. Frequent consumption of two or three doses will certainly lead to death.
Postpartum women should not lightly use Sheng Di Huang (Rehmanniae Radix Recens), as it tends to stagnate the blood vessels.
Postpartum women should not use Da Huang (Rhei Radix et Rhizoma) or Mang Xiao (Natrii Sulfas) to promote bowel movements, as this may instead cause abdominal distension.
Postpartum women should not use Wu Ling San (Five-Ingredient Powder with Poria) to promote urination, as doing so will worsen urinary retention.
During labor, Ji Kun Dan (Womb-Nourishing Pill) should not be used to expel the placenta.
One should not trust *Fu Ren Liang Fang* (Good Advice for Women) and *Chan Bao Bai Wen* (Hundred Questions on Childbirth Preservation); many folk physicians adhere to these two books when treating postpartum conditions, using Xiong (Chuanxiong Rhizome), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), and Sheng Di Huang, which harms people significantly, and the rest can be inferred.
Whenever people suffer from illness, they often seek fortune-tellers to ask about good or bad omens, and to divine which direction or surname of doctor can cure them. This is likely because people do not understand medical principles and do not know which doctors are skilled and which are mediocre, leaving them with no other option. Little do they know that there are cases where medicine and divination intersect: doctors seek recommendations from fortune-tellers, promising them a share of the fees. Fortune-tellers, greedy for profit, use false divine guidance to direct patients. Consequently, deaths caused by being recommended doctors through divination occur frequently. The prognosis of postpartum conditions can change in an instant; this must be known and treated with utmost caution.