〔云〕趁痛散 治产后气弱血滞,遍身疼痛,及身热头疼。
牛膝 当归 桂心 白术 黄 独活 生姜(各半两) 甘草 薤白(各三钱半)
上 咀。每服半两,水三盏,煎至一盏半,去渣,食前服。
五积散加酒煎,治感寒头痛身疼,方见伤寒门。恐与四物各半服之稳当。加桃仁煎,治
腰痛,逐败血,去风湿。
〔《大》〕治产后遍身青肿疼痛,及众疾。
牛膝 大麦 (等分)
上为细末,以新瓦罐子中填一重麦 ,一重牛膝,如此填满,用盐泥固济,火
过赤,放冷,研为散。但是产后诸疾,热酒调二钱下。
风痹,风与痹杂合病也。盖风痹痿厥四者多杂合。如风痹、风痿、痿厥、痹厥、风厥之
类是也。风痿、风痱病,今集中风门。痿厥、痹厥,即香港脚病,今集入厥门。风厥、痿痹,
散见各门。风痹,今入痹门焉。
《灵枢》∶病在阳者,命曰风(寿夭刚柔篇)。东垣云∶此病在阳,因十二经各受风
邪,以高言之气分也。故身半以上,风之中也,用针当引而去之也。又曰∶散而去之,用药
以辛温发散,通因通用,又热因热用是也。
《灵枢》∶病在阴者,命曰痹。东垣云∶身半以下,湿之中也,命曰痹。饮食自倍,肠
胃乃伤,得之劳倦,脾胃气虚而下陷,运气荣气,不得升浮经营心肺也。
阴阳俱病,命曰风痹(言阴阳气血俱病也)。尺肤涩者,风痹也。(全文见诊法)
《灵枢》云∶风痹淫泺,病不可已,足如履冰,时如入汤中,股胫淫泺,烦心头痛(伤
肾脾)。时呕时 ,眩已汗出(伤心)。久则目眩(伤肝)。悲以善恐,短气不乐(伤肺)。
不出三年,死也(一云∶三日死)。
[Yun Qizi] Chentong San (Urging Pain-Relieving Powder): Treats postpartum body pain due to Qi deficiency and blood stasis, as well as fever and headache.
Eucommiae Cortex (Duzhong), Angelicae Sinensis Radix (Danggui), Cinnamomi Ramulus (Guixin), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Radix (Huangqi), Angelicae Pubescentis Radix (Duhuo), Zingiberis Recens Rhizoma (Shengjiang) (each 0.5 liang); Glycyrrhizae Radix et Rhizoma (Gancao), Allii Macrostemonis Bulbus (Xiebai) (each 3.5 qian).
The above herbs are cut into small pieces. Take 0.5 liang per dose, add three zhen of water, decoct until one and a half zhen remains, remove the dregs, and take before meals.
Wuji San (Five Accumulations Powder) decocted with wine treats headache and body pain caused by cold invasion; the formula is seen in the Shanghan (Cold Damage) section. It may be safer to take it mixed with Siwu Tang (Four Substances Decoction) in equal halves. Adding Persicariae Herba (Taoren) decoction treats lower back pain, expels bad blood, and dispels wind-dampness.
[TAI PING HUI MIN HE JI JU FANG] Treats postpartum generalized cyanotic swelling and pain, as well as various diseases.
Eucommiae Cortex (Duzhong), Hordeum Vulgare (Damai) (equal parts).
The above herbs are ground into fine powder. Fill a new clay pot layer by layer with Hordeum Vulgare (Damai) and Eucommiae Cortex (Duzhong) until full. Seal firmly with salt mud, fire-calcine until red hot, let cool, and grind into powder. For any postpartum disease, mix two qian with hot wine and take orally.
Fengbi (Wind-Bi Syndrome) is a mixed disease where Wind pathogen and Bi pathogen combine. Generally, Feng (Wind), Bi (Obstruction), Wei (Flaccidity), and Jue (Reversal/Cold Extremities) often occur together. Examples include Fengbi, Fengwei, Weijue, Bijue, and Fengjue. Fengwei and Fengfei (Wind Paralysis) are now collected in the Zhongfeng (Stroke) section. Weijue and Bijue refer to Xianggangjiao (Hong Kong Foot/Charcot Joint-like condition), now collected in the Jue section. Fengjue and Fengbi are scattered across various sections. Fengbi is now collected in the Bi section.
Ling Shu (Spiritual Pivot) states: Diseases located in Yang are named Feng (Wind) (from the chapter *Shou Yao Gang Rou*). Li Dongyuan said: This disease is in Yang, caused by Wind pathogen invading each of the twelve meridians; speaking from a high perspective, it affects the Qi level. Therefore, when Wind invades the upper half of the body, acupuncture should guide the pathogen out. He also said: Disperse and eliminate it; use acrid-warm herbs to disperse, apply "treat obstruction with unblocking methods" (Tong Yin Yong Tong), and "treat heat with heat" (Re Yin Yong Re).
Ling Shu states: Diseases located in Yin are named Bi. Li Dongyuan said: The lower half of the body is invaded by Dampness, named Bi. Overeating damages the intestines and stomach; fatigue and overwork cause Spleen-Stomach Qi deficiency with sinking, preventing Ying (Nutritive) Qi from ascending and floating to nourish the Heart and Lungs.
When both Yin and Yang meridians are diseased, it is named Fengbi (meaning both Yin-Yang and Qi-Blood are diseased). Rough skin on the Chi area indicates Fengbi (full text see Diagnosis section).
Ling Shu states: In Fengbi, the pathogen spreads insidiously, the disease cannot be cured easily; feet feel like walking on ice, sometimes feeling like entering boiling water; thighs and calves feel heavy and sore; heart vexation and headache (damage Kidney and Spleen). Occasional vomiting, occasional vertigo followed by sweating (damage Heart). Long-term dizziness (damage Liver). Sadness and frequent fear, shortness of breath and unhappiness (damage Lung). Death within three years (another version says death in three days).