感冒风寒加防风四分。不应加连须葱头两个。呕吐加藿香三分。生姜二钱。汗多气短加人参二钱。汗出微喘亦加人
参二钱。烦渴加麦冬一钱。五味子十粒。有痰加橘红四分。伤食加神曲一钱。伤肉食加山楂一钱。砂仁末六分。
潮热自汗。谵语便闭。勿认为阳明症。口燥舌干咽痛。勿认为少阴症。夫产后潮热自汗谵语。悉属阳虚。与阳明症
之热邪入腑迥异。口燥舌干咽痛。多由血竭。与少阴症之热邪铄肾悬殊。至于便闭。并非热邪结聚胃中。致有燥屎。岂
可妄议攻下。盖产后劳倦伤脾。运化为难。兼之津液内竭。十九患此。并宜服养正通幽汤以润之。保无他患。
川芎(二钱) 当归(六钱) 甘草(炙五分) 人参(一钱) 黄 (生二钱) 陈皮(一钱) 桃仁(去皮尖
研十一粒) 黑芝麻(炒研二钱) 肉苁蓉(酒洗一钱)
上药用水二盏。煎七分稍热服。
汗多加麻黄根。(麻黄发汗。根止汗。宜用根。)五分。口燥加麦冬一钱。腹满咽干便结加枳壳六分。汗多谵语便实
加茯神二钱。炒酸枣仁一钱。柏子仁一钱。生白术二钱。
气血暴竭。肢体无以濡养。忽然牙关紧闭。筋脉拘挛。两手搐搦。有类中风。或虚火上泛有痰。切勿误用治风消痰
之剂。以重其虚。当以滋荣活络汤治之。
If affected by wind-cold, add Fangfeng (Saposhnikovia Root) 4 fen. If there is no improvement, add two scallion heads with roots intact. For vomiting, add Huoxiang (Patchouli Herb) 3 fen and Shengjiang (Fresh Ginger) 2 qian. For excessive sweating with shortness of breath, add Renshen (Ginseng Root) 2 qian. For sweating accompanied by slight wheezing, also add Renshen (Ginseng Root) 2 qian. For irritability and thirst, add Maidong (Ophiopogon Tuber) 1 qian and Wuweizi (Schisandra Fruit) 10 grains. For phlegm accumulation, add Juhong (Aged Tangerine Peel) 4 fen. For food stagnation, add Shenqu (Medicated Leaven) 1 qian. For meat stagnation, add Shanzha (Hawthorn Fruit) 1 qian and Sha Ren (Amomum Seed) powder 6 fen.
In cases of tidal fever, spontaneous sweating, delirium, and constipation, do not misdiagnose this as Yangming disease (a stage in cold damage pathology characterized by heat entering the fu organs). In cases of dry mouth, dry tongue, and sore throat, do not misdiagnose this as Shaoyin disease (a category of disease involving heart-kidney deficiency or yin deficiency with fire hyperactivity). The tidal fever, spontaneous sweating, and delirium occurring postpartum all belong to yang deficiency; this is completely different from the pathogenic heat entering the fu organs in Yangming disease. Dry mouth, dry tongue, and sore throat are mostly caused by blood exhaustion; this is vastly different from the pathogenic heat cauterizing the kidney in Shaoyin disease. As for constipation, it is not due to pathogenic heat accumulating in the stomach causing dry feces. How can one rashly discuss using purgative methods? Generally, postpartum fatigue and overwork injure the spleen qi, making transportation and transformation difficult. Coupled with internal depletion of body fluids, nineteen out of twenty patients suffer from this. It is advisable to administer Yangzheng Tongyou Tang (Nourishing Rightness and Unblocking Obstruction Decoction) to moisten the intestines, thereby ensuring no other complications arise.
Prescription: Chuanxiong (Ligusticum Rhizome) 2 qian, Danggui (Angelica Sinensis Root) 6 qian, Gancao (Licorice Root, honey-fried) 5 fen, Renshen (Ginseng Root) 1 qian, Huangqi (Astragalus Root, raw) 2 qian, Chenpi (Aged Tangerine Peel) 1 qian, Taoren (Peach Seed, skin and tip removed, crushed) 11 grains, Hei Zhima (Black Sesame Seed, stir-fried and crushed) 2 qian, Roucongrong (Cistanche Stem) 1 qian (washed with wine).
Take the above herbs, add two cups of water, decoct until reduced to seven-tenths, and take warm.
For excessive sweating, add Mahuanggen (Ephedra Root) 5 fen. (Note: Mahuang induces sweating, while Mahuanggen stops sweating; use the root.) For dry mouth, add Maidong (Ophiopogon Tuber) 1 qian. For abdominal fullness, dry throat, and constipation, add Zhiqiao (Bitter Orange Fruit) 6 fen. For excessive sweating, delirium, and solid stool, add Fushen (Poria with Hostwood) 2 qian, Chao Suanzaoren (Ziziphus Seed, stir-fried) 1 qian, Baiziren (Biota Seed) 1 qian, and Sheng Baizhu (Atractylodes Macrocephala Rhizome, raw) 2 qian.
When qi and blood suddenly exhaust, the limbs lose nourishment, leading to sudden locking of the jaw, muscle spasms, and convulsions of both hands, resembling stroke (pseudo-stroke). Or, if deficient fire floats upward accompanied by phlegm, do not erroneously use agents for treating wind and resolving phlegm, as this will exacerbate the deficiency. One should treat with Zirong Huoluo Tang (Nourishing Blood and Activating Collaterals Decoction).