此血入于肺也。用苏木二两,水二盏煎一盏,去苏木,加台党一两研入,随时加减调服
,效难尽述。
心者血之主,其人宿寒内伏,因产后虚寒,血凝不行,上冲心之络脉,故心痛也。但以
大岩蜜汤治之,寒去则血脉行而经络通,心痛自止。若误以为败血攻之,则虚极寒益甚,渐
传心之正经,变为真心痛而死矣。
大岩蜜汤∶生地、归身、独活、吴茱萸(炒)、白芍(酒炒)、干姜(炒)、炙草、肉桂、
小
卷
产妇中气多虚,不能行血,血斯凝滞,或闭而不来,或来而不尽,败血入腹,故为腹痛
,乍作乍止,其痛如刺,手不可近。宜用黑神散(见前),或用失笑散(见卷三各种气痛门)
或
止
大
后
失
又有因产时寒气客于子门,入于小腹,或坐卧不谨,使风寒之气乘虚而入,此寒症也。
但不作胀,且无形影,用金铃子散∶川楝子(去核)、小茴、补骨脂、肉桂各一钱,木香四
分
此由产前聚血,产后气虚,恶露未尽,新血与旧血相搏,俗谓之儿枕痛,即血瘕之类也
。用当归元胡索汤∶归尾、元胡索各钱半,五灵脂、蒲黄各一钱,白芍、肉桂、红花各五分
,水、酒各一盏煎一盏,入童便一盏同服。或用山楂肉一两,水煎一钟,加红砂糖五六钱,
好酒一二小杯,空心热服,催下败血即安,或用失笑散(见各种气痛门)亦妙。
羊肉汤∶通治上腹痛、小腹痛、儿枕痛之神方也。精羊肉半斤,当归、川芎各五钱,生
姜一两,水十盏煎三盏服。或用羊肉炖老姜食,或炖制附子,均妙。
这是瘀血进入肺脏所致。使用苏木二两,加水两碗煎至一碗,滤去苏木渣,加入台参一两研成粉末,根据情况调整剂量调服,疗效难以详尽描述。
心是血液的主宰,如果患者体内素有寒邪潜伏,加上产后虚寒,导致血液凝滞不行,向上冲逆冲击心的络脉,从而引起心痛。只需使用大岩蜜汤进行治疗,寒邪去除则血脉运行、经络通畅,心痛自然停止。如果错误地将其当作瘀血来攻逐,会导致正气极度虚弱,寒气更加严重,逐渐传入心的正经,演变为真心痛而死亡。
大岩蜜汤:生地黄、当归身、独活、吴茱萸(炒制)、白芍(酒炒)、干姜(炒制)、炙甘草、肉桂。
产妇的中气大多虚弱,无法推动血液运行,血液因此凝滞,或者经闭不来,或者来而不尽,败血进入腹部,所以出现腹痛,疼痛时作时止,痛感如针刺,手不能触碰。适宜使用黑神散(见前文),或者使用失笑散(见卷三各种气痛门)。
又有因分娩时寒气客居于子门,进入小腹,或者坐卧不慎,使风寒之气乘虚而入,这属于寒证。但此证不伴有胀满,且没有有形之肿块,使用金铃子散:川楝子(去核)、小茴香、补骨脂、肉桂各一钱,木香四分。
这是由于产前血液积聚,产后气虚,恶露未尽,新血与旧血相互搏结,俗称儿枕痛,即属于血瘕一类。使用当归元胡索汤:当归尾、元胡索各一钱半,五灵脂、蒲黄各一钱,白芍、肉桂、红花各五分,用水和酒各一碗煎至一碗,加入童便一碗同服。或者使用山楂肉一两,水煎成一碗,加入红砂糖五六钱,好酒一二小杯,空腹热服,催下败血即可安宁,或者使用失笑散(见各种气痛门)也很好。
羊肉汤:是通治上腹痛、小腹痛、儿枕痛的特效方。精羊肉半斤,当归、川芎各五钱,生姜一两,加水十碗煎至三碗服用。或者用羊肉炖老姜食用,或者炖制附子,效果都很好。
This is caused by blood entering the Lung. Use Su Mu (Sappan Wood) 2 liang, decoct with 2 cups of water until 1 cup remains, remove the Su Mu residue, add Tai Shen (Codonopsis Radix) 1 liang ground into powder, adjust the dosage as needed for administration; the efficacy is difficult to fully describe.
The Heart is the master of Blood. If a patient has latent cold pathogen internally due to postpartum deficiency-cold, causing Blood to coagulate and fail to circulate, it rushes upward to strike the collateral vessels of the Heart, resulting in Heart pain. Treat it simply with Da Yan Mi Tang (Great Rock Honey Decoction); once the Cold dissipates, the Blood vessels will flow and meridians will unblock, and the Heart pain will cease naturally. If mistakenly treated as stagnant Blood and attacked with purgatives, extreme deficiency will ensue, making the Cold even more severe, gradually transmitting to the true meridians of the Heart, transforming into Zhen Xin Tong (True Heart Pain) leading to death.
Da Yan Mi Tang: Sheng Di Huang (Rehmanniae Radix), Dang Gui Shen (Angelicae Sinensis Radix), Du Huo (Angelicae Pubescentis Radix), Wu Zhu Yu (Evodiae Fructus, stir-fried), Bai Shao (Paeoniae Radix Alba, wine-fried), Gan Jiang (Zingiberis Rhizoma, stir-fried), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata), Rou Gui (Cinnamomi Cortex).
Postpartum women often have deficient Middle Qi, unable to move Blood, causing Blood stagnation. This may result in amenorrhea or incomplete lochia discharge. Stagnant Blood enters the abdomen, causing abdominal pain that comes and goes, feeling like stabbing, with the area being tender to touch. It is suitable to use Hei Shen San (Black God Powder) (see previous section) or Shi Xiao San (Time-Saving Powder) (see Volume 3, Section on Various Qi Pains).
There are also cases where cold pathogen invades the Zi Men (Gate of the Womb) during childbirth and enters the lower abdomen, or improper sitting and lying allow wind-cold pathogen to enter due to deficiency; this is a Cold syndrome. However, there is no distension nor palpable mass. Use Jin Ling Zi San (Melia Toosendan Powder): Chuan Lian Zi (Toosendan Fructus, pitted), Xiao Hui Xiang (Foeniculi Fructus), Bu Gu Zhi (Psoraleae Fructus), Rou Gui (Cinnamomi Cortex) each 1 qian, Mu Xiang (Aucklandiae Radix) 4 fen.
This arises from accumulated Blood before delivery and Qi deficiency after delivery, with lochia not yet exhausted; new Blood battles with old Blood. Commonly known as Er Zhen Tong (Child Pillow Pain), it belongs to the category of Xue Jia (Blood Mass). Use Dang Gui Yuan Hu Suo Tang (Angelica Tail and Corydalis Decoction): Dang Gui Wei (Angelicae Sinensis Radix), Yuan Hu Suo (Corydalidis Rhizoma) each 1.5 qian, Wu Ling Zhi (Trogopterori Faeces), Pu Huang (Typhae Pollen) each 1 qian, Bai Shao (Paeoniae Radix Alba), Rou Gui (Cinnamomi Cortex), Hong Hua (Carthami Flos) each 5 fen. Decoct with 1 cup of water and 1 cup of wine until 1 cup remains, add 1 cup of Tong Bian (Human Urine, preferably from a healthy child) and take together. Alternatively, use Shan Zha Rou (Crataegi Fructus) 1 liang, decoct with water to make 1 cup, add 5-6 qian of Red Sugar and 1-2 small cups of good wine, take hot on an empty stomach to expel stagnant Blood for relief. Using Shi Xiao San (Time-Saving Powder) (see various Qi Pain sections) is also excellent.
Yang Rou Tang (Mutton Decoction): A divine prescription for treating upper abdominal pain, lower abdominal pain, and Er Zhen Tong. Lean mutton 0.5 jin, Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma) each 5 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 1 liang. Decoct with 10 cups of water until 3 cups remain and take. Alternatively, stew mutton with old ginger to eat, or stew with Prepared Fu Zi (Aconiti Lateralis Radix Praeparata), both are effective.