川芎(一钱五分) 当归(三钱) 赤芍(酒炒一钱) 茯苓(一钱) 木香(三分) 黄连(姜汁炒四分) 甘
草(炙四分) 枳壳(五分) 陈皮(三分)
上药用水一盏。煎五分。空心服。
烦为虚烦。闷为满闷。虚烦者血液耗散。心神不守。宜猛进独参汤。满闷者胸膈郁滞。恶露攻心。宜生化汤。用水
磨木香二分冲服。虚甚加参。此二症。设误用枳壳香附乌药峻烈之品。则元气蚀损。而病转加剧。
产毕须闭目稍坐。然后上床。以被褥靠之。暑月以席卷。数枕靠之。若自己把持不住。令老练女人靠之。不可实时
睡倒。常以手从心至脐。随意按摩。俾恶露下行。房中安放醋盆。以烧红烈炭 之。以防血晕。
腹上用小衣烘热。替换温之。虽暑月不可仅盖单被。毋令腹寒而血块作痛。
冬末春初。天气严寒。宜闭密产室。紧塞隙孔。四围置火。常令暖气和融。以免他患。但不宜熏香。走泄真气。
才产不宜食物。即服生化汤二三剂。饥甚先服白米汤一盏。次食白粥。十日内食物宜淡。切忌饮冷。半月后方可食
鸡子。亦须打开煮之。以防脾虚难化。盈月食猪羊肉。亦须撙节。酒虽活血。然气性剽悍。亦不宜多。
七日内不宜梳洗。尤忌濯足。惟恐招风受湿。疾病蜂起。昼夜令人陪侍。毋致虚惊。变症百出。
言语宜慎。勿以多言。耗散元气。勿以爱憎。辄生恼闷。以中气馁弱。二者均能致病。
Chuanxiong (1.5 qian) Danggui (3 qian) Chishao (stir-fried with wine, 1 qian) Fuling (1 qian) Muxiang (0.3 qian) Huanglian (stir-fried with ginger juice, 0.4 qian) Gancao (roasted, 0.4 qian) Zhike (0.5 qian) Chenpi (0.3 qian)
The above herbs are decocted with one zhan of water until reduced to half a zhan. Take on an empty stomach.
Fanmen refers to xu fan (deficiency-related vexation) and man men (fullness and oppression). Xu fan is caused by the depletion of blood and fluids, leading to the heart spirit failing to remain anchored. It is appropriate to urgently administer Dushen Tang (Ginseng Decoction). Man men is characterized by stagnation in the chest and diaphragm, where lochia attacks the heart. It is suitable to use Shenghua Tang (Invigorating Blood Decoction). Administer 0.2 qian of Muxiang ground in water as a suspension. If the deficiency is severe, add Renshen. For these two conditions, if one mistakenly uses harsh substances such as Zhike, Xiangfu, or Wuyao, it will damage the primordial qi and exacerbate the disease.
After delivery, one should close the eyes and sit for a while before getting into bed, using bedding to support the body. In summer months, roll up a bamboo mat and use several pillows for support. If one cannot maintain this posture themselves, have an experienced woman assist. One must not lie down immediately to sleep. Frequently massage from the heart region to the navel at will, to facilitate the downward flow of lochia. Place a basin of vinegar in the delivery room and throw red-hot charcoal into it to prevent xue yun (blood fainting due to postpartum hemorrhage).
Warm a small garment on the abdomen and replace it to keep warm. Even in summer, do not cover oneself with only a thin quilt; avoid abdominal coldness which causes pain from blood clots.
At the end of winter and beginning of spring, when the weather is severely cold, the delivery room should be closed tightly and gaps sealed. Fire sources should be placed around to keep the interior warm and harmonious, preventing other illnesses. However, incense burning should be avoided to prevent the leakage of true qi.
Immediately after birth, solid food should not be consumed; instead, take two or three doses of Shenghua Tang. If extremely hungry, first drink one zhan of white rice soup, then eat white porridge. For ten days, food should be bland; cold drinks are strictly forbidden. Eggs may be eaten after half a month, but must be boiled open to prevent difficulty in digestion due to spleen deficiency. After a full month, pork and mutton can be eaten, but in moderation. Although wine promotes blood circulation, its nature is fierce and volatile, so it should not be consumed in excess.
For seven days, combing and washing are inappropriate, especially foot bathing, lest wind and dampness invade and cause diseases to arise. Day and night, someone should accompany and attend to the patient to prevent fright, which could lead to various complications.
Speech should be cautious; do not talk excessively, as this depletes primordial qi. Do not generate anger or depression due to love or hate, because the middle qi is weak; both factors can cause illness.