用各种气痛门失笑散最妙。
有妇人产后血气痛极,百药不效,后用红薯,又名黄薯。于柴炭火中烧熟食之而愈。薯
为气滞之物,食之反效,殊不可解。
此亦败血流入肝经,厥阴之脉,循行胁肋,故为胁痛。症有虚实,宜分治之,不可误也
。如胁下胀,手不可按是瘀血,宜去血,用芎归泻肝汤∶归尾、川芎、青皮、枳壳、香附(
童便炒)、红花、桃仁各二钱,水煎,入童便一钟、酒一钟服。如胁下痛喜人按,其气闪动
筋骨,状若奔豚者,此去血太多,肝脏虚也。用当归地黄汤∶归身、白芍、熟地(俱酒洗)、
党参、甘草、陈皮、肉桂各一钱,姜、枣引,水煎服。
产后去血过多,阴血已亏,阳气失守,头者诸阳之会,上凑于头,故为头痛。但补阴血
,则阳气得行,而头痛自止。宜用芎归汤∶川芎、当归各五钱(俱洗炒),连须葱头五个,
生
又有败血停留子宫厥阴之位,其脉上贯头顶作痛,宜用黑神散(见前)。
产后去血过多,荣血不足,卫气失守,不能敛皮毛、固腠理,故汗泄而易出也。宜急止
之,恐风寒乘虚而入,必变生他疾。宜用麻黄根汤∶归身(酒洗)、蜜 、麻黄根、台党、
炙
之
如眩晕汗出者,此名胃汗,虚极也。急用炙 、台党(人参更妙)、炙草各二钱,熟附
子
如汗不止,风邪乘之,忽然闷倒,口眼 邪,手足弯曲如角弓反张者,此危症也。急用
桂枝、葛根、白芍、甘草、炙 、归身各二钱,熟附子五分,撬开口灌之。此亦危症,不治
者多。
使用气痛门中的失笑散最为巧妙。
有一位妇女产后血气疼痛剧烈,服用多种药物均无效,后来食用红薯(又名黄薯),在柴炭火中烧熟后吃下而痊愈。红薯本是导致气滞的食物,吃了反而见效,实在令人难以理解。
这也是败血流入肝经所致。足厥阴肝经的经脉循行经过胁肋部位,所以出现胁痛。症状有虚证和实证之分,应当分别治疗,不可误治。如果胁下胀满,手不能按压,这是瘀血,应当祛除瘀血,使用芎归泻肝汤:当归尾、川芎、青皮、枳壳、香附(用童便炒制)、红花、桃仁各二钱,加水煎煮,加入一杯童便、一杯酒服用。如果胁下疼痛且喜欢被人按压,气息闪动筋骨,状如奔豚病那样上下冲逆,这是因为失血过多,肝脏虚弱所致。使用当归地黄汤:当归身、白芍、熟地黄(均用酒洗制)、党参、甘草、陈皮、肉桂各一钱,以生姜、大枣为引,加水煎服。
产后失血过多,阴血已经亏损,阳气失去固守。头部是诸阳经汇聚之处,阳气上冲于头,所以引起头痛。只要补充阴血,阳气就能正常运行,头痛自然停止。适宜使用芎归汤:川芎、当归各五钱(均洗净炒制),连须葱头五个,生姜三片,水煎服。
又有败血停留在子宫的厥阴部位,其经脉上行贯通头顶引起疼痛,适宜使用黑神散(见前文)。
产后失血过多,营血不足,卫气失去固守,不能收敛皮毛、固密腠理,所以汗液外泄且容易出汗。应当紧急止汗,恐怕风寒趁虚而入,必然变生其他疾病。适宜使用麻黄根汤:当归身(酒洗制)、蜂蜜、麻黄根、台党参、炙甘草各二钱,水煎服。
如果出现眩晕且出汗的情况,这名叫胃汗,是极度虚弱的表现。紧急使用炙黄芪、台党参(用人参更好)、炙甘草各二钱,熟附子一枚,水煎服。
如果汗出不止,风邪乘虚侵袭,突然昏闷倒仆,口眼歪斜,手足弯曲僵硬如角弓反张,这是危重病症。紧急使用桂枝、葛根、白芍、甘草、炙黄芪、当归身各二钱,熟附子五分,撬开嘴巴灌服。这也是危重病症,不治好的情况很多。
Using *Shixiao San* (Pain-Relieving Powder) from the section on Qi Pain is most excellent.
A woman suffered from extreme blood and Qi pain after childbirth, to which various medicines were ineffective. Later, she ate roasted sweet potatoes (*Dioscorea opposita*, also known as Huangshu) cooked over a charcoal fire and was cured. Sweet potato is typically considered an agent that causes Qi stagnation; it is puzzling why eating it had the opposite effect.
This condition is caused by failed blood (stagnant blood) flowing into the Liver Meridian. The Foot-Jueyin Liver Meridian traverses the hypochondriac region, thus causing hypochondriac pain. The symptoms may be either deficiency or excess, and treatment must be differentiated accordingly to avoid error. If there is distension under the hypochondrium that cannot be touched by hand, this indicates stagnant blood; one should remove the blood using *Xionggui Xiegan Tang* (Szechuan Lovage and Angelica Decoction to Drain the Liver): *Dangguiwei* (Angelica Sinensis Root Tail), *Chuanxiong* (Ligusticum Chuanxiong Rhizome), *Qingpi* (Green Citrus Peel), *Zhike* (Bitter Orange Fruit), *Xiangfu* (Cyperus Rotundus Rhizome, stir-fried with child's urine), *Honghua* (Carthamus Tinctorius Flower), and *Taoren* (Prunus Persica Seed), each 2 qian. Decoct in water, add 1 zhong of child's urine and 1 zhong of wine, and take orally. If there is pain under the hypochondrium that is relieved by pressure, with Qi moving through the sinews and bones resembling the sensation of *Ben Tun* (rushing bull), this is due to excessive blood loss leading to Liver deficiency. Use *Danggui Dihuang Tang* (Angelica and Rehmannia Decoction): *Dangguishen* (Angelica Sinensis Root Body), *Baishao* (White Peony Root), *Shudihuang* (Prepared Rehmannia Root, all washed with wine), *Dangshen* (Codonopsis Pilosula Root), *Gancao* (Licorice Root), *Chenpi* (Aged Tangerine Peel), and *Rougui* (Cinnamon Bark), each 1 qian. Use fresh ginger and jujube as guides, decoct in water, and take orally.
After childbirth, excessive blood loss leads to a deficit of Yin blood, causing Yang Qi to lose its anchor. The head is the convergence point of all Yang meridians; when Yang Qi rushes upward to the head, it causes headache. By tonifying Yin blood, Yang Qi can circulate normally, and the headache will cease spontaneously. It is appropriate to use *Xionggui Tang* (Szechuan Lovage and Angelica Decoction): *Chuanxiong* and *Danggui* (Angelica Sinensis Root), each 5 qian (both washed and stir-fried), five scallion heads with roots, three slices of fresh ginger. Decoct in water and take orally.
Additionally, if failed blood remains in the uterus at the Jueyin position, and its meridian ascends to pierce the vertex causing pain, it is appropriate to use *Heishen San* (Black Divine Powder) (see previous text).
After childbirth, excessive blood loss results in insufficient Ying (Nutrient) blood and unguarded Wei (Defensive) Qi. The inability to consolidate the skin pores and interstices causes sweat to leak out easily. One must urgently stop the sweating, lest Wind-Cold invade due to the deficiency and generate other diseases. It is appropriate to use *Mahuanggen Tang* (Ephedra Root Decoction): *Dangguishen* (Angelica Sinensis Root Body, washed with wine), honey, *Mahuanggen* (Ephedra Root), *Taidangshen* (Codonopsis Pilosula Root), and *Zhi Gancao* (Honey-fried Licorice Root), each 2 qian. Decoct in water and take orally.
If dizziness and sweating occur, this is called "Stomach Sweat," indicating extreme deficiency. Urgently use *Zhi Huangqi* (Honey-fried Astragalus Root), *Taidangshen* (Codonopsis Pilosula Root; Ren Shen/Ginseng Root is better), and *Zhi Gancao* (Honey-fried Licorice Root), each 2 qian, along with one piece of *Shu Fuzi* (Prepared Aconite Lateral Root). Decoct in water and take orally.
If sweating does not stop and Wind pathogen invades, causing sudden fainting, deviation of the mouth and eyes, and flexion of the limbs stiffening like opisthotonos, this is a critical condition. Urgently use *Guizhi* (Cinnamon Twig), *Gegen* (Pueraria Lobata Root), *Baishao* (White Peony Root), *Gancao* (Licorice Root), *Zhi Huangqi* (Honey-fried Astragalus Root), and *Dangguishen* (Angelica Sinensis Root Body), each 2 qian, and *Shu Fuzi* (Prepared Aconite Lateral Root), 0.5 qian. Pry open the mouth and administer the decoction. This is also a critical condition, with many cases being untreatable.