凡产形体劳倦,脾胃俱伤,胃受食伤,不受谷味。是以新产之后,禁膏粱,远浓味,食
粥茹蔬,乃切务也。不善调摄之家,惟虑产妇之虚,以多食有益,浓味为补本,不思食而强
与餍
足,胃受食伤,不受谷食,脾转输迟,食停痞塞,嗳酸恶食。治当扶元为主,温补气血,健
助脾胃,养正兼消,审伤何物,佐以消导。斯脾气复而转输散精,滞物行而胃始思谷。夫饮
食者,元气之滋味,而产后尤借此以补助也。因劳倦伤脾,不胜甘饫,薄味渐进,运化亦速
,再兼服温补之剂,佐以神曲、麦芽,消面饭之伤;山楂、砂仁,消肉食之伤;如伤寒冷之
物,吴茱萸、桂枝亦当加也。如此补消并治,无有不安,屡见治重产虚弱,惟知速消伤物,
反损真气,益增满闷,一帖不效,又加峻药,一医无功,又更一医,先后方类,轻症增重,
致使少食思谷之人反虚,虚而绝不思谷者,十常八九,病家自归数命,医家以为尽技,惜哉
。
加味生化汤 治产后血块未消,服此消食。
川芎(二钱) 当归(五钱) 干姜(四分) 炙甘草(五分) 桃仁(十粒)
伤面饭,加神曲一钱,麦芽一钱、炒。伤肉,加山楂五粒,砂仁五分。伤寒物胁痛,加
吴茱萸一钱,肉桂五分。虚甚,加人参二钱,二服。
健脾消食生化汤 治产后血块痛除,服此方以消食。
川芎(一钱) 当归(三钱) 炙甘(五分) 人参(二钱) 白术(一钱五分) 神曲(一钱)
麦芽(五分)
伤肉,加山楂五粒,砂仁六分。伤食,不用白术用参。如停寒日久,脾胃虚弱,虽药不
运,宜揉按,炒面熨之。
长生活命丹 治伤食人误服消导药多,绝粥几日者,宜服此方。杂症误消耗,绝
食亦神效。
人参(二钱)
水盅半,煎至半盅之数,先用一酒盏之则,送饭锅焦研粉三匙,渐渐加参汤,锅焦引开
胃气
,煎参汤须用新罐,或铜勺,恐闻药气要呕,观医案信方不诬,人参名长生草,饭锅焦名活
命丹,此方曾活数千命,经验极多,故有至三至再之嘱耳。
凡是分娩后,产妇形体劳倦,脾胃两伤,胃受到饮食损伤,便无法接受谷物食物。因此,新产之后,禁止食用肥甘厚味,远离浓烈滋味,食用粥类和蔬菜,才是当务之急。不善于调养护理的家庭,只担心产妇体虚,认为多吃有益,以浓味为补益根本,不顾产妇不想进食而强行让其吃饱,导致胃受饮食损伤,不能消化谷食,脾脏转输功能迟缓,食物停滞造成痞塞,出现嗳气泛酸、厌恶食物的症状。治疗应当以扶助元气为主,温补气血,健运助化脾胃,在养护正气的同时兼顾消导,审察是伤了何种食物,辅助以消食导滞的药物。这样脾气恢复而转输散精功能正常,停滞之物得以运行,胃才开始思虑进食。饮食是元气的滋味来源,而产后尤其借此来补助身体。因为劳倦伤了脾,不胜任甘甜饱腻的食物,应逐渐进用清淡口味,运化功能也会加快,再兼服温补的药剂,辅助神曲、麦芽,以消除面食米饭的积滞;山楂、砂仁,以消除肉食的积滞;如果是伤了寒冷之物,吴茱萸、桂枝也应当加入。如此补法与消法并治,没有不安稳的。屡次见到治疗着重于产后虚弱,只知道快速消除伤食之物,反而损伤真气,增加胀满闷痛,一帖药无效,又加上峻猛药物,一位医生无功效,又换另一位医生,先后方剂种类繁杂,轻症加重,致使原本少食思食的之人反而更虚,因虚而完全不想进食的情况,十有八九。病家归咎于命运,医家以为已尽力,可惜啊。
加味生化汤:治疗产后血块未消散,服用此方以消食。
川芎(二钱) 当归(五钱) 干姜(四分) 炙甘草(五分) 桃仁(十粒)
若伤面食米饭,加神曲一钱,麦芽一钱(炒)。若伤肉食,加山楂五粒,砂仁五分。若伤寒物且胁痛,加吴茱萸一钱,肉桂五分。若极度虚弱,加人参二钱,连服两帖。
健脾消食生化汤:治疗产后血块疼痛消除后,服用此方以消食。
川芎(一钱) 当归(三钱) 炙甘草(五分) 人参(二钱) 白术(一钱五分) 神曲(一钱) 麦芽(五分)
若伤肉食,加山楂五粒,砂仁六分。若伤食,不用白术而用人参。如停寒日久,脾胃虚弱,虽然服药也不运化,适宜揉按腹部,用炒面熨烫。
长生活命丹:治疗伤食之人误服过多消导药,绝食数日的,适宜服用此方。杂症误用消耗药,绝食也有神效。
人参(二钱)
用水半盅,煎至半盅的量,先用一个酒盏的量,送服饭锅焦研成的粉三匙,渐渐增加人参汤。锅焦能引开胃气,煎煮人参汤必须用新罐,或用铜勺,恐怕闻到药气会呕吐。观看医案相信此方不错,人参名为长生草,饭锅焦名为活命丹,此方曾救活数千性命,经验极多,所以有再三嘱咐。
In general, after childbirth, the body is fatigued and exhausted, damaging both the Spleen and Stomach. When the Stomach is injured by food intake, it loses its ability to accept grain foods. Therefore, immediately postpartum, one must prohibit the consumption of rich, greasy, and sweet foods, avoid strong flavors, and prioritize eating porridge and vegetables. Families that fail to care for the patient properly often worry only about the mother's deficiency, believing that abundant food is beneficial and that rich flavors constitute tonification. They force-feed the patient even when she has no appetite, leading to food injury in the Stomach, inability to digest grains, sluggish transport and transformation by the Spleen, stagnation causing fullness and obstruction, belching with sour regurgitation, and aversion to food. Treatment should primarily focus on supporting the Yuan Qi (Original Qi), warming and tonifying Qi and Blood, strengthening and assisting the Spleen and Stomach, nurturing the righteous Qi while simultaneously resolving stagnation. One must ascertain what specific food caused the injury and add herbs to promote digestion accordingly. This allows the Spleen Qi to recover, restoring its function of transporting and distributing essences; as stagnant matter moves, the Stomach begins to crave food again. Food and drink are the flavor source of Yuan Qi, and this is especially crucial for supplementation after childbirth. Due to fatigue injuring the Spleen, the body cannot tolerate heavy, sweet, or cloying foods. Light flavors should be introduced gradually to speed up digestion and transformation. Additionally, warm and tonifying formulas can be used, assisted by Shen Qu (Medicated Leaven) and Mai Ya (Sprouted Hordeum Seed) to resolve injuries from wheat and rice; Shan Zha (Crataegus Fruit) and Sha Ren (Amomum Fruit) to resolve meat injuries; and if cold substances were ingested, Wu Zhu Yu (Evodia Fruit) and Gui Zhi (Cinnamon Twig) should also be added. By treating with both tonification and resolution simultaneously, stability is achieved. It is frequently observed that treatments focusing solely on postpartum weakness lead practitioners to use only rapid digestive agents, which inadvertently damages True Qi and exacerbates fullness and oppression. If one prescription fails, harsher drugs are added; if one physician fails, another is consulted. The succession of varied prescriptions worsens mild conditions into severe ones, causing those who already had poor appetite to become more deficient. Consequently, cases where patients completely lose their desire to eat account for eight or nine out of ten. Patients blame fate, while physicians believe they have exhausted their skills—what a pity.
Jiawei Shenghua Tang (Modified Birth-Invigorating Decoction): Treats postpartum blood stasis clots that have not yet dissipated; take this formula to aid digestion.
Chuan Xiong (Ligusticum Rhizome) (2 qian), Dang Gui (Angelica Sinensis Root) (5 qian), Gan Jiang (Dried Ginger) (4 fen), Zhi Gan Cao (Honey-fried Licorice Root) (5 fen), Tao Ren (Peach Kernel) (10 grains).
For injury from wheat/rice: Add Shen Qu (1 qian), Mai Ya (1 qian, stir-fried).
For meat injury: Add Shan Zha (5 grains), Sha Ren (5 fen).
For cold injury with hypochondriac pain: Add Wu Zhu Yu (1 qian), Rou Gui (Cinnamon Bark) (5 fen).
For extreme deficiency: Add Ren Shen (2 qian), taken over two doses.
Jianpi Xiaoshi Shenghua Tang (Spleen-Strengthening Digestive Birth-Invigorating Decoction): Treats postpartum abdominal pain from blood stasis after the clots have resolved; take this formula to aid digestion.
Chuan Xiong (1 qian), Dang Gui (3 qian), Zhi Gan Cao (5 fen), Ren Shen (2 qian), Bai Zhu (Atractylodes Macrocephala Rhizome) (1.5 qian), Shen Qu (1 qian), Mai Ya (5 fen).
For meat injury: Add Shan Zha (5 grains), Sha Ren (6 fen).
For food stagnation: Do not use Bai Zhu; use Ren Shen instead.
If cold stagnation persists for a long time and the Spleen and Stomach are weak, so that medicines do not circulate effectively, abdominal massage and application of stir-fried flour packs are recommended.
Changsheng Huoming Dan (Longevity and Life-Saving Pill): For patients with food stagnation who mistakenly took excessive digestive/resolving medications and have abstained from congee for several days; this formula is suitable. It is also miraculous for miscellaneous diseases where mistaken depletion therapies led to anorexia.
Ren Shen (2 qian).
Decoct half a water cup (zhong) until reduced to half a cup. First, administer one wine cup (jiu zhan) of the decoction, followed by three spoons of powder made from scorched rice crust (guo jiao). Gradually increase the amount of Ginseng decoction. The scorched rice crust helps stimulate stomach Qi. The Ginseng decoction must be prepared in a new pot or using a copper spoon, to prevent nausea induced by the medicinal aroma. Medical records confirm the efficacy of this formula. Ren Shen is named "Changsheng Cao" (Herb of Longevity), and scorched rice crust is named "Huoming Dan" (Life-Saving Pill). This formula has saved thousands of lives through extensive experience, hence the repeated emphasis on its usage.