产后因忿怒,气逆不舒,胸膈满闷,血块大痛,宜生化原方,临时磨木香三分冲服,则
气舒怒散,而块自行矣。若偏用香、砂、枳实、乌药之类以散气行块,则反使元气耗损而满
闷愈增。如怒后即食,胃虚伤滞,当审所伤何物?如伤肉加砂仁、山楂;伤米食加神曲、麦
芽;伤冷物作痛,留滞胸腹。加肉桂、吴萸以逐寒定痛,慎勿用槟榔丸疏气以消食。
健脾化气饮∶人参、白术、当归各二钱,川芎一钱,姜炭、炙甘草各四分,水煎。如块
痛未除。仍用化生汤磨木香三分。
产后形体劳倦,脾气受伤,是以新产不能多食浓味,食之胃虽少纳,脾转运滞,食停痞
塞,嗳酸恶食,良以此也。治当扶元为主,温补气血,健脾助胃,养正兼消。审所伤何物,
佐以消导。斯脾气复而运转如常,滞物行而胃始思谷矣,若消导过多,必致绝谷难治,急以
长生活命饮救之。
加味生化汤∶川芎一钱,当归二钱,山药一钱,炮姜、炙甘草各五分。完谷不化加煨肉
果一个,块痛加桃仁,痛止加白术,虚加人参。所伤何物,治法如前。身热禁用寒冷药,痞
满忌用耗气药。
长生活命饮∶人参二钱,水二钟,煎八分,入锅焦末服之。如贫不能服参,单用锅焦研
末,冲糊服之。或以白术煎汤调服,亦可望其开胃。
产后因愤怒导致气机逆乱、郁结不畅,出现胸膈部胀满憋闷,血块引起剧烈疼痛,适宜使用生化汤原方,临时将三分木香磨成粉冲服,这样能使气机舒畅、怒气消散,血块自然自行化解。如果片面使用香附、砂仁、枳实、乌药等药物来行气散块,反而会耗损元气,使胀满憋闷的症状更加加重。如果在发怒后立即进食,因胃气虚弱导致饮食停滞,应当审查是损伤了何种食物:如伤食肉类,加入砂仁、山楂;如伤食米面类,加入神曲、麦芽;如食用生冷之物导致疼痛,且寒气留滞于胸腹部,加入肉桂、吴茱萸以驱除寒邪、定痛,务必不要用槟榔丸这类药物来疏气消食。
健脾化气饮:人参、白术、当归各二钱,川芎一钱,姜炭、炙甘草各四分,加水煎煮服用。如果血块疼痛仍未消除,仍应使用生化汤,将三分木香磨粉冲服。
产后身体形体劳倦,脾气受到损伤,因此新产后的妇女不能多吃油腻厚味的食物,吃了之后虽然胃能少量受纳,但脾的运化功能迟滞,导致食物停聚、痞塞不通,出现打嗝有酸味、厌恶食物的症状,原因就在于此。治疗应当以扶助元气为主,温补气血,健脾助胃,在养护正气的同时兼顾消导。审查所伤之食物,辅以消食导滞的药物。这样脾气恢复,运化功能如常,停滞的食物得以排出,胃才开始思虑进食。如果消导药物使用过多,必然导致无法进食而难以治疗,此时急需使用长生活命饮来急救。
加味生化汤:川芎一钱,当归二钱,山药一钱,炮姜、炙甘草各五分。若完谷不化(大便中有未消化的食物),加煨肉果一个;若有血块疼痛,加桃仁;疼痛停止后加白术;若体虚,加人参。对于所伤何物,治疗方法同上。身体发热时禁用寒凉药物,痞满时忌用耗气药物。
长生活命饮:人参二钱,水两钟,煎至八分,加入锅焦末服用。如果贫穷无力服用人参,单用锅焦研成粉末,调糊服用。或者用白术煎汤调服,也可以期望其开胃。
Postpartum anger causes qi rebellion and stagnation, leading to fullness and oppression in the chest and diaphragm, and severe pain from blood stasis. It is appropriate to use the original Shenghua Decoction (Bahuang Tang), with three fen of Muxiang powder taken orally by mixing it temporarily; this will soothe the qi, dissipate anger, and allow the blood stasis to resolve spontaneously. If one exclusively uses herbs such as Xiangfu (Cyperi Rhizoma), Sharen (Amomi Fructus Rotundus), Zhishi (Aurantii Fructus Immaturus), or Wuyao (Linderae Radix) to move qi and disperse stasis, it will instead deplete the primordial qi and exacerbate the fullness and oppression. If food is consumed immediately after anger, due to weak stomach qi causing food stagnation, one must determine what type of food was ingested: if meat caused the injury, add Sharen and Shanzha (Crataegi Fructus); if rice or grains caused the injury, add Shenqu (Medicated Leaven) and Maiya (Hordei Fructus Germinatus); if cold foods caused pain and cold stagnation in the chest and abdomen, add Rougui (Cinnamomi Cortex) and Wuyu (Evodiae Fructus) to expel cold and alleviate pain. One must strictly avoid using Binlang Wan (Areca Seed Pill) to move qi and digest food.
Jianpi Huaqi Yin (Spleen-Strengthening and Qi-Transforming Decoction): Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix) each 2 qian; Chuanxiong (Chuanxiong Rhizoma) 1 qian; Jiangtan (Zingiberis Rhizoma Carbonisatum), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) each 4 fen. Decoct in water and take. If the pain from blood stasis persists, continue to use Shenghua Decoction with 3 fen of Muxiang powder mixed in.
Postpartum physical exhaustion injures the Spleen qi. Therefore, women who have just given birth should not consume rich and greasy foods. Although the Stomach may accept small amounts, the Spleen’s transportation function becomes sluggish, leading to food retention, epigastric fullness, belching with a sour taste, and aversion to food. This is the underlying cause. Treatment should primarily focus on supporting the Yuan qi (Primordial Qi), warming and tonifying qi and blood, strengthening the Spleen and assisting the Stomach, nurturing the righteous qi while simultaneously promoting digestion. Determine the specific food ingested and assist with digestive herbs. In this way, Spleen qi recovers, transportation functions normally, stagnant food moves, and the Stomach begins to desire grain again. Excessive use of digestive herbs will inevitably lead to an inability to eat, making the condition difficult to treat; at this point, Changsheng Huoming Yin (Long-Life Life-Sustaining Decoction) must be used urgently for rescue.
Jiawei Shenghua Tang (Modified Shenghua Decoction): Chuanxiong 1 qian, Danggui 2 qian, Shanyao (Dioscoreae Rhizoma) 1 qian, Paojiang (Zingiberis Rhizoma Preparatum) and Zhi Gancao each 5 fen. For undigested food in stool, add one roasted Rouguo (Myristicae Semen). For pain from blood stasis, add Taoren (Persicae Semen). Once pain ceases, add Baizhu. For deficiency, add Renshen. The treatment for specific food injuries remains as described above. Cold-natured medicines are contraindicated when there is body heat; qi-depleting medicines are contraindicated when there is epigastric fullness.
Changsheng Huoming Yin (Long-Life Life-Sustaining Decoction): Renshen 2 qian, water 2 zhong, decoct until 8 fen remains, then take with Guojiao (Scorched Rice) powder. If poverty prevents the use of Renshen, use only Guojiao ground into powder and taken with paste. Alternatively, decoct Baizhu in water and take it mixed; this may also help to stimulate appetite.