产后勿轻用乌药、香附、木香及耗气顺气等药,用之反增满闷,虽陈皮用不可过五分。
亦多损气血。
产后勿用青皮、枳实、苏子以下气定喘,用之元气必脱。
产后乳麦伤胃耗气,五味能阻恶露,枣仁油滑致泻,均为禁忌之品。
产后身热,误用黄芩、黄连、黄柏、栀子,损胃增热,致不进饮食。且黄芩苦寒,无论
恶露净与不净,皆非所宜。
产后四日内,未服生化汤以消血块,勿先用人参、 、术,致块不除。
产后勿轻用牛膝、红花、苏木、枳壳等类以消块,尤忌多用独用。至于三棱、莪术、枳
实、山楂等峻药更不可用。若误用旧血骤下,新血亦随之而损,祸不可测也。予每见俗用山
楂一味煎汁以攻血块,致成危证,频服两三贴必死。
产后勿轻用生地黄,以滞血路。
产后不可用大黄、芒硝以通大便,反成膨胀。
产后不可用五苓以通小便,用之愈闭。
产时不可用济坤丹以下胞胎。
不可信《妇人良方》及《产保百问》,俗医多有守此二书以治产,用芎、归、白芍、生
地,误入实甚,余可知矣!
凡人有疾病,多有求卜以问吉凶,并卜何方何姓人医治可愈,盖此人不明医理,不知医
者孰良孰庸,亦无可如何之计耳。岂知竟有医、卜相通,医求卜荐,许以分谢,卜者贪利,
假神道以指引,因卜而荐,误人性命,比比然也。产后之证,吉凶在于顷刻,不可不知而慎
重也。
或因产过食,恐其劳困,固令勉强,以致停蓄不散,此内伤之实证也。此上诸证,姑举
要者以见其概。然既有表邪,不得不解;既有火邪,不得不清;既有内伤停滞,不得不开通
消导也。今予治各证,后开生化汤中俱有,随证加减,一以重产,一以兼治,所谓道并行而
不相悖,可保万全者矣。
产后不要轻易使用乌药、香附、木香以及具有耗气理气作用的药物,使用后反而会增加胸腹胀闷感,即使是陈皮的使用量也不应超过五分。这些药物大多会损伤气血。
产后不要使用青皮、枳实、苏子来降气平喘,使用后会导致元气脱失。
产后食用麦芽会损伤胃气并耗损元气,五味子会阻碍恶露排出,酸枣仁因油性滑利导致腹泻,这些都是禁忌的药物。
产后出现身体发热,如果误用黄芩、黄连、黄柏、栀子等药物,会损伤胃气并增加内热,导致无法进食。而且黄芩性味苦寒,无论恶露是否排净,都不适宜使用。
产后四天内,如果没有服用生化汤(Shenghua Decoction)来消除血块,不要先用人参、白术(Bai Zhu, 白术),否则会导致血块无法消除。
产后不要轻易使用牛膝、红花、苏木、枳壳等类药物来消除血块,尤其忌讳大量单独使用。至于三棱、莪术、枳实、山楂等峻猛的药物更不可使用。如果误用导致旧血突然下行,新血也会随之受损,后果不堪设想。我常见到世俗之人只用一味山楂煎汁来攻逐血块,导致病情危重,频繁服用两三帖必然致死。
产后不要轻易使用生地黄(Raw Rehmannia Root),因为它会阻滞血脉运行。
产后不可使用五苓散(Wuling Powder)来通利小便,使用后会使小便更加闭塞。
分娩时不可使用济坤丹(Jikun Pill)来促使胎盘娩出。
不要相信《妇人良方》(Furen Liangfang, Good Prescriptions for Women)和《产保百问》,世俗医生多坚守这两本书来治疗产后病,使用川芎、当归、白芍、生地黄,如果是实证误用这些补益滋腻之品,后果可想而知!
大凡人生病,多有求神占卜以问吉凶,并占卜由何方何姓的人医治才能痊愈,这大概是因为此人不懂医理,不知道哪位医生高明、哪位庸俗,也是无可奈何的办法罢了。哪里知道竟然有医卜相通的情况,医生求占卜者推荐病人,许诺给予分成谢礼,占卜者贪图利益,假借神道指引,通过占卜来推荐医生,因此误人性命,这种情况比比皆是。产后病症的吉凶往往在于顷刻之间,不可不知而慎重对待啊。
或者因为产后饮食过量,担心产妇劳累困倦,强行令其进食,导致食物停积不散,这是内伤导致的实证。以上各种证候,姑且列举重要的以见其概貌。然而既然有表邪,不得不解除;既然有火邪,不得不清除;既然有内伤停滞,不得不疏通消导。如今我治疗各种证候,后面列出的生化汤中都有相应药物,随证加减,一方面重视产后特点,一方面兼顾治疗,这就是所谓道理并行而不相违背,可以确保万无一失的方法了。
Postpartum women should not lightly use *Wuyao* (Linderae Radix), *Xiangfu* (Cyperi Rhizoma), *Muxiang* (Aucklandiae Radix), and other Qi-consuming regulating Qi herbs. Using them may instead increase chest and abdominal fullness and stuffiness. Even when using *Chenpi* (Citri Reticulatae Pericarpium), the dosage must not exceed five fen. These herbs often damage Qi and Blood.
Postpartum women should not use *Qingpi* (Citri Unshudae Pericarpium), *Zhishi* (Aurantii Fructus Immaturus), or *Suzi* (Perillae Fructus) to descend Qi and calm asthma; doing so will inevitably cause the collapse of Yuan Qi (Primordial Qi).
Consumption of *Maimai* (Hordei Fructus Germinatus) damages the Stomach and consumes Qi; *Wuweizi* (Schisandrae Chinensis Fructus) can obstruct the discharge of Lochia; and *Zaoren* (Ziziphi Spinosomi Semen) causes diarrhea due to its oily and slippery nature. All are contraindicated products.
If a postpartum woman presents with body heat, misusing *Huangqin* (Scutellariae Radix), *Huanglian* (Coptidis Rhizoma), *Huangbai* (Phellodendri Cortex), or *Zhizi* (Gardeniae Fructus) will damage the Stomach and increase internal heat, leading to an inability to eat. Moreover, since *Huangqin* is bitter and cold, it is unsuitable regardless of whether the Lochia has been cleared or not.
Within four days after childbirth, if *Shenghua Tang* (Decoction for Generating New Blood) has not been taken to dissolve blood stasis, do not first administer *Renshen* (Ginseng Radix et Rhizoma), *Baizhu* (Atractylodis Macrocephalae Rhizoma), etc., as this will prevent the elimination of blood clots.
Postpartum women should not lightly use herbs such as *Niuxi* (Achyranthis Bidentatae Radix), *Honghua* (Carthami Flos), *Sumu* (Pterocarpus Santalinus Lignum), or *Zhiqiao* (Aurantii Fructus) to eliminate blood stasis. It is especially taboo to use them in large amounts or exclusively. Harsher drugs such as *Sanleng* (Sparganii Rhizoma), *Ezhu* (Curcumae Rhizoma), *Zhishi* (Aurantii Fructus Immaturus), and *Shanzha* (Crataegi Fructus) must absolutely not be used. If misused, causing old blood to suddenly flow down, new blood will also be damaged along with it, and the consequences would be immeasurable. I often see laypeople using only *Shanzha* decocted in water to attack blood stasis, leading to critical conditions; frequent consumption of two or three doses will certainly result in death.
Postpartum women should not lightly use *Shengdihuang* (Rehmanniae Radix) because it stagnates the blood vessels.
Postpartum women must not use *Dahuang* (Rhei Radix et Rhizoma) or *Mangxiao* (Natrii Sulfas) to promote bowel movements, as this will instead cause distension and bloating.
Postpartum women must not use *Wuling San* (Powder of Five Ingredients) to promote urination; doing so will make urinary retention worse.
During labor, *Jikun Dan* (Pill for Nourishing the Uterus) must not be used to expel the placenta.
One should not believe in *Furen Liangfang* (Good Prescriptions for Women) and *Chanbao Baiwen* (Hundred Questions on Childbirth Preservation). Lay physicians often adhere to these two books to treat postpartum conditions, using *Xiong* (Chuanxiong Rhizoma), *Gui* (Angelicae Sinensis Radix), *Baishao* (Paeoniae Radix Alba), and *Shengdi* (Rehmanniae Radix). If applied to excess syndromes, the error is obvious, and one can infer the rest!
Generally, when people are ill, they often seek divination to ask about good or bad fortune, and to divine which person from which direction or with which surname can cure them. This is likely because they do not understand medical principles and do not know which doctors are skilled and which are mediocre; it is merely a last resort. Who would know that there are cases where medicine and divination intersect? Doctors seek recommendations from diviners, promising a share of the fees. Diviners, greedy for profit, feign divine guidance to direct patients through divination, thereby recommending doctors. Consequently, lives are lost due to such practices, and this happens frequently. The prognosis of postpartum conditions hangs in the balance within moments; one must know this and act with caution.
Sometimes, due to overeating after childbirth, fearing the mother's fatigue and exhaustion, she is forced to eat more, leading to food stagnation that does not dissipate. This is an excess syndrome caused by internal injury. The above symptoms are merely listed as key examples to illustrate the general principle. However, if there is exterior pathogenic factor, it must be resolved; if there is fire pathogen, it must be cleared; if there is internal injury with stagnation, it must be unblocked and digested. In my treatment of various conditions, the prescriptions listed later all include *Shenghua Tang*, modified according to the specific syndrome. This approach prioritizes the postpartum state while simultaneously treating the condition, embodying the principle that different methods can run parallel without contradiction, ensuring complete safety.