产后头痛,人身之中,气为阳,血为阴,阴阳和畅,斯无病矣。产后去血过多,阴气大
亏,
阳无所附,头者诸阳之会,邪凑于头,故为头痛。但补其阴血,则阳气得足,病自止矣
。芎归汤主之。
川芎(三钱) 当归(六钱,酒洗) 葱白(五钱) 莲须 生姜
水煎服之。
又有败血停留子宫,厥阴之位,其脉上贯巅顶,亦能作痛,前汤加生蒲黄二钱,炒黑豆
一合,酒水各半煎。
产后腹胀满闷,因败血散于脾胃,脾受之,则不能运化津液而成腹胀。亦有停食而腹胀
者,
以脉辨之。因于血者,则脉结涩,不恶食。因于食者,脉必弦滑恶食,平胃散加味主
之。
苍术(米泔浸,去皮,炒。) 浓朴(姜汁炒) 陈皮 香附(醋炒) 人参(各二钱) 神
曲(一钱,炒) 生姜(五分,炒)
伤食加山楂、麦芽。腹胀者,未有不喘,人参定喘汤主之。
人参 陈皮 杏仁 甘草 木香 苏叶
产后咳嗽,肺主气,气为动,所以充皮毛,密腠理者也。产后气虚,皮毛不充,腠理不
密,肺感风寒,以致咳嗽。其症发热恶寒,鼻塞声重,旋复花汤主之。
旋复花 赤芍 前胡 半夏 荆芥穗 甘草 白茯苓 五味子 杏仁 桔梗 枳壳(等
分)
姜枣引。
有汗加桂枝。
产后头痛,在人体之中,气属于阳,血属于阴,阴阳调和通畅,就没有疾病了。产后失血过多,阴气严重亏损,阳气失去依附的基础,头部是诸阳经汇聚的地方,邪气侵袭头部,所以导致头痛。只要补充阴血,那么阳气就能得到充足,病自然就会停止。用芎归汤主治。
川芎(三钱) 当归(六钱,用酒清洗) 葱白(五钱) 莲须 生姜
用水煎服。
又有败血(瘀血)停留在子宫,厥阴肝经的部位,其经脉上行贯穿头顶,也能引起疼痛,在前方的汤剂基础上加生蒲黄二钱,炒黑豆一合,用酒和水各一半煎煮。
产后腹部胀满闷塞,是因为败血散乱于脾胃,脾脏受到侵害,就不能运化津液从而形成腹胀。也有因为停食而导致腹胀的,通过脉象来辨别。如果是因血引起的,脉象结涩,不厌恶食物;如果是因食积引起的,脉象必定弦滑且厌恶食物,用平胃散加味主治。
苍术(米泔水浸泡,去皮,炒制。) 浓朴(姜汁炒) 陈皮 香附(醋炒) 人参(各二钱) 神曲(一钱,炒制) 生姜(五分,炒制)
伤食者加山楂、麦芽。腹胀的人,没有不伴有气喘的,用人参定喘汤主治。
产后咳嗽,肺主司气,气主动,用来充实皮毛,致密腠理(皮肤纹理和汗孔)。产后气虚,皮毛不充实,腠理不致密,肺感受风寒,导致咳嗽。症状表现为发热恶寒,鼻塞声音重浊,用旋复花汤主治。
旋复花 赤芍 前胡 半夏 荆芥穗 甘草 白茯苓 五味子 杏仁 桔梗 枳壳(等分)
用生姜和大枣作为药引。
Postpartum headache: In the human body, Qi belongs to Yang, and Blood belongs to Yin. When Yin and Yang are harmonious and flowing smoothly, there is no disease. After childbirth, excessive blood loss causes a severe deficiency of Yin Qi. Without a foundation for attachment, Yang Qi floats upward. The head is the convergence point of all Yang meridians; when pathogenic factors invade the head, headache occurs. By tonifying Yin and Blood, Yang Qi becomes sufficient, and the illness naturally ceases. Xiong Gui Tang (Safflower and Angelica Decoction) is the primary prescription.
Chuanxiong Rhizoma (San Qian / 3 qian) Danggui Radix (Liu Qian / 6 qian, washed with wine) Congbai Bulbus Allii Cepae (Wu Qian / 5 qian) Lianxu Stamen Nelumbinis Shuxu Herba Shengjiang Rhizoma Zingiberis Recens
Decoct in water and take orally.
In other cases, retained blood (stasis) lingers in the uterus. The Jueyin Liver Meridian ascends through the vertex; thus, it can also cause pain. To the previous decoction, add Sheng Puhuang Pollen Typhae (Er Qian / 2 qian) and Chao Heidou Semen Sojae Preparatum (Yi He / 1 he). Decoct using half wine and half water.
Postpartum abdominal distension and fullness: This is caused by retained blood scattering into the Spleen and Stomach. When the Spleen is affected, it fails to transform and transport fluids, resulting in abdominal distension. There are also cases of abdominal distension due to food stagnation, which can be distinguished by pulse diagnosis. If caused by blood stasis, the pulse is knotted and choppy, and there is no aversion to food. If caused by food stagnation, the pulse is wiry and slippery, accompanied by an aversion to food. Ping Wei San (Calm the Stomach Powder) with modifications is the primary prescription.
Cangzhu Rhizoma Atractylodis Macrocephalae (soaked in rice wash water, peeled, stir-fried) Houpo Cortex Magnoliae Officinalis (stir-fried with ginger juice) Chenpi Pericarpium Citri Reticulatae Xiangfu Rhizoma Cyperi Racemosi (stir-fried with vinegar) Renshen Radix Ginseng (each Er Qian / 2 qian) Shenqu Mass Medicamentosa Fermentata (Yi Qian / 1 qian, stir-fried) Shengjiang Rhizoma Zingiberis Recens (Wu Fen / 0.5 qian, stir-fried)
For food injury, add Shanzha Fructus Crataegi and Maiya Fructus Hordei Germinatus. Abdominal distension is invariably accompanied by asthma/wheezing; Renshen Dingchuan Tang (Ginseng Asthma-Calming Decoction) is the primary prescription.
Renshen Radix Ginseng Chenpi Pericarpium Citri Reticulatae Xingren Semen Armeniacae Amarum Gancao Radix Glycyrrhizae Muxiang Radix Aucklandiae Suyefolium Perillae Folium
Postpartum cough: The Lung governs Qi. Qi is active and serves to nourish the skin and hair and consolidate the Couli (skin pores and interstitial spaces). Postpartum Qi deficiency leads to insufficient nourishment of the skin and hair and lax Couli. The Lung contracts Wind-Cold, resulting in cough. Symptoms include fever, aversion to cold, nasal congestion, and heavy voice. Xuan Fu Hua Tang (Inula Flower Decoction) is the primary prescription.
Xuanfuhua Flos Inulae Chishao Radix Paeoniae Rubra Qianhu Radix Peucedani Banxia Rhizoma Pinelliae Jingjie Sui Herba Schizonepetae Gancao Radix Glycyrrhizae Baifuling Poria (with woody part removed) Wuweizi Fructus Schisandrae Xingren Semen Armeniacae Amarum Jiegeng Radix Platycodi Zhike Fructus Aurantii Immaturus (equal parts)
Use Shengjiang Rhizoma Zingiberis Recens and Dazao Fructus Jujubae as guides.
If sweating is present, add Guizhi Ramulus Cinnamomi.