倍参生化汤 治产后五急症,视症加减用之。
当归(五钱) 川芎(二钱) 炮姜(四分) 桃仁(十粒) 人参(三四钱) 炙甘草(四分)
枣引。
一、娩儿下即昏晕形色脱,倍参生化汤加荆芥五分,参倍至五六钱。
二、产后劳倦形色脱,倍参生化汤,参加至四五钱,黄 一钱,熟地二钱。如血块痛,
二味切不可用,加熟附四分。
三、产后血崩形色脱,倍参生化汤,参加至五钱,荆芥穗四分,炒。如血块散,可服升举止血复神汤。
白术(二钱) 当归(二钱) 熟地(二钱) 人参(四钱) 黄 (一钱) 黄连(七分) 炙甘
草(四分) 升麻(四分) 陈皮(四分) 白芷(四分) 荆芥穗(四分) 附子(三分)
枣引,水煎。
四、产后汗多形色脱,倍参生化汤,减炮姜,加麻黄根一钱,枣仁一钱,黄 一钱,熟
地三钱,浮小麦十五粒,防风五分。块痛未消,切不可用地、 、术三味。
五、产后气短似喘,倍参生化汤加人参三钱,磨沉香二分,陈皮三分,香附三分。
以上五症,兼见杂症,照后加减治法,须以倍参生化汤为主。渴,加麦冬一钱,五味五
粒;
惊悸,加枣仁三钱,益智一钱;泻,加白茯苓一钱,泽泻八分;大便燥,加肉苁蓉一钱五分
;伤饭面,加炒神曲八分;伤肉,加砂仁五分
,山楂五粒;小便不禁,加益智六分;寒嗽,加杏仁十粒
,桂枝五分;痰,加天花粉八分,橘红一钱;虚嗽,加天冬一钱五分,蒌仁八分
;气虚瘦,加竹沥半盅,姜汁少许;食少,加白术二钱。
倍参生化汤:治疗产后五种危急重症,根据具体症状进行加减使用。
当归(五钱) 川芎(二钱) 炮姜(四分) 桃仁(十粒) 人参(三四钱) 炙甘草(四分)
以红枣为引。
一、胎儿娩出后立即出现昏晕、面色苍白等气血脱失之象,用倍参生化汤加荆芥五分,将人参用量增加至五六钱。
二、产后因劳累倦怠导致气血脱失之象,用倍参生化汤,将人参用量增至四五钱,加黄芪一钱,熟地黄二钱。如果有血块疼痛,这两味药(黄芪、熟地)绝对不可用,应加熟附子四分。
三、产后血崩导致气血脱失之象,用倍参生化汤,将人参用量增至五钱,加炒荆芥穗四分。如果血块消散,可以服用升举止血复神汤。
白术(二钱) 当归(二钱) 熟地黄(二钱) 人参(四钱) 黄芪(一钱) 黄连(七分) 炙甘草(四分) 升麻(四分) 陈皮(四分) 白芷(四分) 荆芥穗(四分) 附子(三分)
以红枣为引,水煎服。
四、产后汗多导致气血脱失之象,用倍参生化汤,减去炮姜,加麻黄根一钱,酸枣仁一钱,黄芪一钱,熟地黄三钱,浮小麦十五粒,防风五分。如果仍有血块疼痛,绝对不可用地黄、黄芪、白术这三味药。
五、产后气短似喘,用倍参生化汤加人参三钱,磨沉香二分,陈皮三分,香附三分。
以上五种病症,如果兼见其他杂症,参照以下加减治法,必须以倍参生化汤为主方。口渴,加麦冬一钱,五味子五粒;
惊悸,加酸枣仁三钱,益智仁一钱;腹泻,加白茯苓一钱,泽泻八分;大便干燥,加肉苁蓉一钱五分;伤食米饭面食,加炒神曲八分;伤食肉类,加砂仁五分,山楂五粒;小便失禁,加益智仁六分;寒性咳嗽,加杏仁十粒,桂枝五分;有痰,加天花粉八分,橘红一钱;虚性咳嗽,加天冬一钱五分,瓜蒌仁八分;气虚消瘦,加竹沥半盅,姜汁少许;食欲减退,加白术二钱。
Beishen Shenghua Decoction: Used to treat five critical emergencies in the postpartum period, with modifications based on specific symptoms.
Danggui (Radix Angelicae Sinensis) (5 qian), Chuanxiong (Rhizoma Chuanxiong) (2 qian), Paojiang (Prepared Rhizoma Zingiberis) (4 fen), Taoren (Semen Persicae) (10 grains), Renshen (Radix Ginseng) (3-4 qian), Zhigancao (Radix Glycyrrhizae Preparata) (4 fen).
Use Jujubae Fructus (Date) as a guide.
1. Immediately after delivery, if fainting and signs of Qi and Blood collapse (such as pale complexion) occur, use Beishen Shenghua Decoction with Jingjie (Herba Schizonepetae) added (5 fen), and increase the dosage of Renshen to 5-6 qian.
2. If postpartum fatigue and exhaustion lead to signs of Qi and Blood collapse, use Beishen Shenghua Decoction, increase Renshen to 4-5 qian, add Huangqi (Radix Astragali) (1 qian) and Shudi (Radix Rehmanniae Preparata) (2 qian). If there is pain due to blood stasis masses, these two herbs (Huangqi and Shudi) must absolutely not be used; instead, add Shufu (Radix Aconiti Lateralis Preparata) (4 fen).
3. If postpartum metrorrhagia leads to signs of Qi and Blood collapse, use Beishen Shenghua Decoction, increase Renshen to 5 qian, add fried Jingjiesui (Apex Schizonepetae) (4 fen). If the blood stasis masses have dissipated, one may take Shengzhi Zhixue Fushen Decoction.
Baizhu (Rhizoma Atractylodis Macrocephalae) (2 qian), Danggui (Radix Angelicae Sinensis) (2 qian), Shudi (Radix Rehmanniae Preparata) (2 qian), Renshen (Radix Ginseng) (4 qian), Huangqi (Radix Astragali) (1 qian), Huanglian (Rhizoma Coptidis) (7 fen), Zhigancao (Radix Glycyrrhizae Preparata) (4 fen), Shengma (Rhizoma Cimicifugae) (4 fen), Chenpi (Pericarpium Citri Reticulatae) (4 fen), Baizhi (Radix Angelicae Dahuricae) (4 fen), Jingjiesui (Apex Schizonepetae) (4 fen), Fuzi (Radix Aconiti Lateralis Preparata) (3 fen).
Use Jujubae Fructus (Date) as a guide, decoct in water.
4. If excessive sweating postpartum leads to signs of Qi and Blood collapse, use Beishen Shenghua Decoction, reduce or remove Paojiang, and add Mahuanggen (Caulis Ephedrae) (1 qian), Zaoren (Semen Ziziphi Spinosae) (1 qian), Huangqi (Radix Astragali) (1 qian), Shudi (Radix Rehmanniae Preparata) (3 qian), Xiaomai (Frumentum Tritici Commune) (15 grains), and Fangfeng (Radix Saposhnikoviae) (5 fen). If pain from blood stasis masses persists, absolutely do not use Dihuang (Radix Rehmanniae), Huangqi (Radix Astragali), and Baizhu (Rhizoma Atractylodis Macrocephalae).
5. If shortness of breath resembling asthma occurs postpartum, use Beishen Shenghua Decoction with additional Renshen (3 qian), ground Chenxiang (Lignum Aquilariae Resinatum) (2 fen), Chenpi (Pericarpium Citri Reticulatae) (3 fen), and Xiangfu (Rhizoma Cyperi) (3 fen).
For the above five conditions, if accompanied by miscellaneous symptoms, refer to the following modification methods for treatment, using Beishen Shenghua Decoction as the main formula. For thirst, add Maidong (Radix Ophiopogonis) (1 qian) and Wuweizi (Fructus Schisandrae) (5 grains);
For palpitations and fright, add Zaoren (Semen Ziziphi Spinosae) (3 qian) and Yizhi (Fructus Alpiniae Oxyphyllae) (1 qian);
For diarrhea, add Baifuling (Poria) (1 qian) and Zexie (Rhizoma Alismatis) (8 fen);
For dry stool, add Roucongrong (Herba Cistanches) (1.5 qian);
For indigestion from rice and wheat products, add Chao Shenqu (Massa Medicata Fermentata) (8 fen);
For indigestion from meat, add Sharen (Fructus Amomi Rotundus) (5 fen) and Shanzha (Fructus Crataegi) (5 grains);
For urinary incontinence, add Yizhi (Fructus Alpiniae Oxyphyllae) (6 fen);
For cold cough, add Xingren (Semen Armeniacae Amarum) (10 grains) and Guizhi (Ramulus Cinnamomi) (5 fen);
For phlegm, add Tianhuafen (Radix Trichosanthis) (8 fen) and Juhong (Exocarpium Citri Grandis Rubrum) (1 qian);
For deficiency cough, add Tiantian (Radix Asparagi) (1.5 qian) and Louren (Semen Benincasae) (8 fen);
For Qi deficiency and emaciation, add Zhuli (Succus Bambusae in Taenia) (half zhong) and Jiangzhi (Succus Zingiberis Recens) (a little);
For poor appetite, add Baizhu (Rhizoma Atractylodis Macrocephalae) (2 qian).