凡产后瘫痪类风病者,皆因去血过多,气不能生新血,以致
经络不调,筋骨疼痛,甚至半身不遂,疯废床褥,经年不愈,手足麻足不仁,拘挛不知痛痒,若误认为风症,妄
用祛风散血燥烈等药,多致不救。治宜虎骨鹿茸丸。
虎骨鹿茸丸
虎胫骨(一对,如无以胶三两代之,用膀十四两亦可) 鹿茸(羊酥蒸炙,一对,如无以胶四两代之) 枸杞子
(小茴一两,酒炒,三两) 菟丝子(三两) 巴戟肉(酒炒,三钱) 刺蒺藜(酒炒,二两) 补骨脂(盐水炒,
一两五钱) 肉桂(一两五钱) 陈皮(一两) 威灵仙(一两五钱) 防风(一两) 淫羊藿(羊油炙,三两)
杜仲(姜汁炒,三两) 全蝎梢(酒洗淡炒,三钱) 归身(酒炒,三两) 川萆 (一两) 鳖甲(醋炙,二两)
共为末,各胶溶化,再用鹿筋,(如无,牛筋可代,)一斤,炖烂化,捣如泥。米仁一斤,炒研末,打稠糊,
和饴糖三斤,溶并各膏,和匀捣为丸,不拘大小,每服五钱,烧酒浸红花、蕲艾少许送下。忌生冷。
产后寒热往来,应期而发,此由气血并竭,阳虚生外寒,阴虚生内热。或昼轻夜重,或日晡潮热,一日二三度,
其症虽似乎疟而发无常期,只须生化汤倍加当归,则身热自退。即或应期而发,症与疟同,亦必调和气血为主,
无用芩、连等治热,及常、果、槟、楂等截疟。如汗多,加参 。热甚,倍用当归、川芎。若产及一月,其人素
虚而患疟,用人参养胃汤,并服人参白术膏。
加减生化汤
川芎(一钱) 当归(二钱) 人参 白术(各一钱) 茯苓(八分) 青皮(二分) 炙甘草(三分)
藿香(八分) 乌梅(一枚)
渴,加麦冬一钱,五味三分。痰,加半夏八分,竹沥、姜汁。汗,加黄 、枣仁各一钱。伤米食,加神曲
一钱,麦芽五分。伤
肉食,加山楂、砂仁各五分。
人参养胃汤
人参 白术 当归(各二钱) 茯苓 半夏(各八分) 肉果 甘草 青皮 藿香(各四分) 乌梅(二枚)
人参白术汤
白术(一斤) 人参(一两)
水六碗,煎去其半,如法再煎,如此三次,去渣取汁,共九碗,慢火熬至一碗,每日服半酒杯,白汤下。
凡是产后出现类似风病的瘫痪症状,都是因为失血过多,气无法化生新血,导致经络失调,筋骨疼痛,甚至半身不遂,疯癫废弛卧床不起,经年不愈,手足麻木不知痛痒,拘挛抽搐。如果误认为是风症,妄用祛风、散血、燥烈等药物,大多会导致不治之症。治疗适宜使用虎骨鹿茸丸。
虎骨鹿茸丸
虎胫骨(一对,如果没有可用胶三两替代,用猪膀胱皮十四两也可以),鹿茸(用羊酥蒸炙,一对,如果没有可用胶四两替代),枸杞子(小茴香一两,酒炒,三两),菟丝子(三两),巴戟天肉(酒炒,三钱),刺蒺藜(酒炒,二两),补骨脂(盐水炒,一两五钱),肉桂(一两五钱),陈皮(一两),威灵仙(一两五钱),防风(一两),淫羊藿(羊油炙,三两),杜仲(姜汁炒,三两),全蝎梢(酒洗淡炒,三钱),当归身(酒炒,三两),川萆薢(一两),鳖甲(醋炙,二两)。
以上药材共研为末,各胶溶化后,再用鹿筋(如果没有,牛筋可代),一斤,炖烂化开,捣成泥状。薏苡仁一斤,炒后研末,打成稠糊,和饴糖三斤,溶入各种膏剂,混合均匀捣成丸药,大小不拘,每次服用五钱,用烧酒浸泡红花、蕲艾少许送服。忌食生冷食物。
产后寒热往来,按时发作,这是由于气血俱竭,阳虚产生外寒,阴虚产生内热。或者白天轻晚上重,或者日晡时潮热,一天发作两三次,其症状虽然像疟疾但发作没有固定时间,只需在生化汤中加倍使用当归,则身体发热自然消退。即使按时发作,症状与疟疾相同,也必须以调和气血为主,不需要使用黄芩、黄连等清热药,以及常山、果核、槟榔、山楂等截疟药。如果汗多,加入人参。热甚,加倍使用当归、川芎。如果生产刚满一个月,其人素体虚弱而患疟疾,用人参养胃汤,并服用人参白术膏。
加减生化汤
川芎(一钱),当归(二钱),人参,白术(各一钱),茯苓(八分),青皮(二分),炙甘草(三分),藿香(八分),乌梅(一枚)。
口渴,加麦冬一钱,五味子三分。有痰,加半夏八分,竹沥、姜汁。出汗多,加黄芪、枣仁各一钱。伤米食,加神曲一钱,麦芽五分。伤肉食,加山楂、砂仁各五分。
人参养胃汤
人参,白术,当归(各二钱),茯苓,半夏(各八分),肉豆蔻,甘草,青皮,藿香(各四分),乌梅(二枚)。
人参白术汤
白术(一斤),人参(一两)。
用水六碗,煎至减半,依法再煎,如此三次,去渣取汁,共得九碗,慢火熬至一碗,每日服用半酒杯,用白开水送下。
For postpartum paralysis resembling wind diseases, it is all due to excessive blood loss, where Qi fails to generate new blood, leading to disharmony of the meridians and collaterals, pain in bones and sinews, and even hemiplegia. The patient may become bedridden with spasms and flaccidity, suffering for years without cure, experiencing numbness in hands and feet, loss of sensation to pain and itch, and contractures. If mistakenly diagnosed as a wind syndrome and treated recklessly with pungent, drying, and acrid herbs that disperse wind and invigorate blood, it often leads to untreatable conditions. The appropriate treatment is Hugu Lurong Wan (Tiger Bone and Deer Antler Pill).
Hugu Lurong Wan (Tiger Bone and Deer Antler Pill)
Hu Jing Gu (Tibia of Tiger, one pair; if unavailable, replace with 3 liang of gelatin, or 14 liang of pig bladder skin), Lu Rong (Deer Antler without bone, steamed with mutton suet, one pair; if unavailable, replace with 4 liang of gelatin), Gou Qi Zi (Goji Berry, stir-fried with 1 liang of Xiao Hui Xiang/Fennel and wine, 3 liang), Tu Si Zi (Cuscuta Seed, 3 liang), Ba Ji Rou (Morinda Root Bark, stir-fried with wine, 3 qian), Ci Ji Li (Tribulus Fruit, stir-fried with wine, 2 liang), Bu Gu Zhi (Psoralea Fruit, stir-fried with salt water, 1.5 liang), Rou Gui (Cinnamon Bark, 1.5 liang), Chen Pi (Aged Tangerine Peel, 1 liang), Wei Ling Xian (Clematis Root, 1.5 liang), Fang Feng (Saposhnikovia Root, 1 liang), Yin Yang Huo (Epimedium Herb, fried with mutton fat, 3 liang), Du Zhong (Eucommia Bark, stir-fried with ginger juice, 3 liang), Quan Xie Shao (Scorpion Tail Tip, washed with wine and lightly stir-fried, 3 qian), Gui Shen (Angelica Sinensis Root Body, stir-fried with wine, 3 liang), Chuan Bi Xi (Dioscorea Hypoglauca Rhizome, 1 liang), Bie Jia (Softshell Turtle Shell, stir-fried with vinegar, 2 liang).
Grind all ingredients into powder. Melt the respective gelatins. Use Lu Jin (Deer Tendon, 1 jin; if unavailable, beef tendon can be substituted), stew until soft and melted, then pound into a paste. Stir-fry Yi Yi Ren (Coix Seed, 1 jin) and grind into powder, make a thick paste, mix with Yi Tang (Maltose, 3 jin), dissolve and combine with various gelatins, mix evenly, and pound into pills. Size is not restricted. Take 5 qian per dose, delivered with a small amount of Hong Hua (Carthamus Flower) and Qi Ai (Artemisia Princeps Leaf) soaked in Shao Jiu (Baijiu/Liquor). Avoid raw and cold foods.
Postpartum alternating chills and fever occurring at regular intervals is caused by exhaustion of both Qi and Blood. Yang deficiency generates external cold, while Yin deficiency generates internal heat. Symptoms may be lighter during the day and heavier at night, or present as tidal fever in the late afternoon, occurring two or three times a day. Although the symptoms resemble malaria, the timing is irregular. Simply doubling the dosage of Dang Gui (Angelica Sinensis) in Shenghua Tang (Decoction for Generating New Blood) will naturally subside the body heat. Even if the symptoms occur regularly and mimic malaria, the primary treatment must focus on harmonizing Qi and Blood. There is no need to use Huang Qin (Scutellaria Root) and Huang Lian (Coptis Rhizome) for clearing heat, nor Chang Shan (Ipecac Root), Guo He (Magnolia Fruit), Bing Lang (Areca Seed), or Shan Zha (Hawthorn Fruit) for arresting malaria. If sweating is excessive, add Ren Shen (Ginseng). If heat is severe, double the dosage of Dang Gui and Chuan Xiong (Ligusticum Rhizome). If the puerperium has just reached one month, and the patient is constitutionally weak and suffers from malaria, use Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach) and concurrently take Renshen Baizhu Gao (Ginseng and Atractylodes Macrocephala Paste).
Jiajian Shenghua Tang (Modified Decoction for Generating New Blood)
Chuan Xiong (1 qian), Dang Gui (2 qian), Ren Shen, Bai Zhu (each 1 qian), Fu Ling (Poria, 8 fen), Qing Pi (Citrus Aurantium Unripe Peel, 2 fen), Zhi Gan Cao (Prepared Licorice Root, 3 fen), Huo Xiang (Patchouli Herb, 8 fen), Wu Mei (Mume Fruit, 1 piece).
If thirsty, add Mai Dong (Ophiopogon Tuber, 1 qian) and Wu Wei Zi (Schisandra Berry, 3 fen). If there is phlegm, add Ban Xia (Pinellia Tuber, 8 fen), Zhu Li (Bamboo Sap), and Jiang Zhi (Ginger Juice). If sweating, add Huang Qi (Astragalus Root) and Zao Ren (Ziziphus Seed, each 1 qian). If injured by rice food, add Shen Qu (Medicated Leaven, 1 qian) and Mai Ya (Barley Sprout, 5 fen). If injured by meat food, add Shan Zha (Hawthorn Fruit) and Sha Ren (Amomum Fruit, each 5 fen).
Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach)
Ren Shen, Bai Zhu, Dang Gui (each 2 qian), Fu Ling, Ban Xia (each 8 fen), Rou Dou Kou (Nutmeg), Gan Cao, Qing Pi, Huo Xiang (each 4 fen), Wu Mei (2 pieces).
Renshen Baizhu Tang (Ginseng and Atractylodes Macrocephala Decoction)
Bai Zhu (1 jin), Ren Shen (1 liang).
Add six bowls of water, decoct until half remains. Repeat this process according to the method twice more. Strain the dregs to obtain the juice, totaling nine bowls. Simmer slowly over low fire until reduced to one bowl. Take half a wine glass daily, taken with plain warm water.