〔《大》〕竹叶汤治妊娠苦烦闷,名曰子烦。
防风 黄芩 麦冬(去心。各二两) 白茯苓(四两)
上锉散,每服四钱,水二盏,竹叶十数片,煎七分去渣,温服之。
益母丸 治子烦似虚不得卧者。(即知母丸。但用枣肉为丸,以人参汤嚼下。方见日月数
未足欲产门。)
治子烦口干不得卧,用黄连去须,为细末,每服一钱,粥饮调下。
〔《大》〕治产后余血不尽,奔心烦闷,生藕汁饮二升甚效。(竹沥亦得。)
治产后余血攻心,或下血不止;心闷面青,冷气欲绝。羊血一盏顿服。如不定,更服立效。
产后血虚气烦。生地黄汁、清酒各一盏相和,煎一沸,分二服服之。
治产后虚烦。用蒲黄,以东流水和服方寸匕,极良。
治产后短气欲绝,心中烦闷,竹叶汤。
竹叶(切细) 麦门冬 小麦(各一升) 甘草(一两) 生姜(二两) 大枣(十四个)
上切,以水一斗,煮竹叶、小麦至八升去渣,纳余药煮取三升,去渣温服。虚悸加人参二两,
少气力加糯米五合。
〔云〕产后虚烦不得眠,芍药栀豉汤。
芍药 当归 栀子(各五钱) 香豉(半合)
上如栀子豉汤修服。产后伤寒;便同下后变证。(此方虽云岐法,不若仲景酸枣汤稳当。)
〔《大》〕竹叶汤。(方见虚条。)
〔《经》〕治产后烦躁。禹余粮一枚,状如酸馅者,入地埋一半,四面紧筑。用炭一秤,发顶
火一斤 ,去火三分耗二为度,用湿沙土罨一宿;方取出,打去外面一重,只使里内细研,
水淘澄五七度,将纸衬干,再研数
千遍,用甘草煎汤调二钱匕,只一服立效。
〔仲〕三物黄芩汤妇人在草蓐,自发露得风,四肢苦烦热头痛者,与小柴胡汤,头不痛,但
烦者,此汤主之。(小柴胡汤方见伤寒。)
黄芩(一两) 苦参(二两) 干地黄(四两)
上三味,以水八升,煮取二升,温服一升,多吐下虫。
妇人产中虚,烦乱,呕逆,安中益气,竹皮大丸主之。
生竹茹(二分) 石膏(二分) 桂枝(一分) 甘草(七分) 白薇(一分)
上五味末之,枣肉和丸弹子大。以饮服一丸,日三夜二服。有热者,倍白薇。烦喘者,
加柏实一分。
[The Mai Jing] Zhuye Tang (Bamboo Leaf Decoction) treats restlessness and oppression during pregnancy, a condition known as Zi Fan (Fetal Restlessness).
Ingredients: Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Maidong (Ophiopogonis Radix, remove the heart, each 2 liang), Baifuling (Poria, 4 liang).
Preparation and Administration: Coarsely powder the above ingredients. Take 4 qian per dose, with 2 zhan of water and more than ten slices of bamboo leaves. Decoct until 70% remains, strain, and take warm.
Yimu Wan (Motherwort Pill) treats Zi Fan (Fetal Restlessness) accompanied by deficiency and inability to lie down. (This is Zhi Mu Wan [Anemarrhenae Pill], but formed into pills using jujube flesh, taken chewed with Renshen Tang [Ginseng Decoction]. See the chapter "Ri Yue Shu Wei Zu Yu Chan Men" for the formula.)
To treat Zi Fan (Fetal Restlessness) with dry mouth and inability to lie down: Use Huanglian (Coptidis Rhizoma), remove the roots, grind into fine powder. Take 1 qian per dose, mixed with congee water.
[The Mai Jing] To treat postpartum residual blood not fully expelled, causing rushing sensation, restlessness, and chest oppression, drinking 2 sheng of fresh lotus root juice is very effective. (Zhuli [Bamboo Sap] may also be used.)
To treat postpartum residual blood attacking the heart, or continuous bleeding; with chest oppression, cyanotic face, and cold qi nearly causing death: Take one zhan of sheep blood in one dose. If symptoms are not stabilized, take again for immediate effect.
Postpartum blood deficiency causing Qi restlessness: Mix one zhan of Sheng Dihuang汁 (Fresh Rehmanniae Juice) with one zhan of Qingjiu (Clear Wine). Boil once, divide into two doses, and take.
To treat postpartum deficiency restlessness: Use Huyang (Polygoni Multiflori Semen), mix with flowing water from the east, and take one fangcun bi (a measure equivalent to a square inch spoonful). It is extremely effective.
To treat postpartum shortness of breath nearing cessation and mental restlessness: Use Zhuye Tang (Bamboo Leaf Decoction).
Ingredients: Zhuye (Bamboo Leaves, cut finely), Maimendong (Ophiopogonis Radix), Xiaomai (Tritici Fructus, each 1 sheng), Gancao (Licorice Root, 1 liang), Shengjiang (Zingiberis Rhizoma Recens, 2 liang), Dazao (Jujubae Fructus, 14 pieces).
Preparation and Administration: Cut the ingredients. Add 1 dou of water. First decoct Zhuye (Bamboo Leaves) and Xiaomai (Tritici Fructus) until 8 sheng remain, then strain. Add the remaining herbs and decoct until 3 sheng remain. Strain and take warm. If there is deficiency palpitation, add Renshen (Ginseng Radix et Rhizoma) 2 liang. If there is lack of energy, add Nuomi (Glutinous Rice) 5 he.
[Yun Qizi Lun] Postpartum deficiency restlessness with insomnia is treated with Shaoyao Zhichi Tang (Peony and Gardenia Fermented Soybean Decoction).
Ingredients: Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), Zhizi (Gardeniae Fructus, each 5 qian), Xiangchi (Fermented Sojae Semen Preparatum, half he).
Preparation and Administration: Prepare and administer according to the method for Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction). For postpartum Cold Damage (Shang Han), it is similar to complications after erroneous purgation. (Although this formula is considered an expedient method, it is not as stable and appropriate as Zhang Zhongjing's Suanzaoren Tang [Ziziphus Decoction].)
[The Mai Jing] Zhuye Tang (Bamboo Leaf Decoction). (See the "Xu Tiao" [Deficiency Section] for the formula.)
[Neijing] To treat postpartum irritability: Take one piece of Yuyuliang (Haematitum), shaped like a sour filling bun. Bury half of it in the ground and pack the surrounding soil tightly. Use one cheng of charcoal and one jin of hair from the crown of the head. Burn until the ash reduces by two-thirds. Cover with wet sandy soil overnight. Then take it out, remove the outer layer, and only use the inner part. Grind finely, wash and clarify with water five or seven times, dry on paper, and grind thousands of times more. Mix with Gancao (Licorice Root) decoction and take two qianbi. One dose brings immediate effect.
[Zhang Zhongjing] Sanwu Huangqin Tang (Three-Ingredient Scutellaria Decoction): When a woman is in confinement, exposed to wind due to uncovered body, suffering from heat and restlessness in the four limbs and headache, give Xiao Chaihu Tang (Minor Bupleurum Decoction); if there is no headache but only restlessness, this decoction governs it. (Xiao Chaihu Tang [Minor Bupleurum Decoction] see Shang Han [Cold Damage]).
Ingredients: Huangqin (Scutellariae Radix, 1 liang), Kushen (Sophorae Flavescentis Radix, 2 liang), Gadihuang (Rehmanniae Radix, 4 liang).
Preparation and Administration: The above three ingredients, with 8 sheng of water, decoct to obtain 2 sheng. Take 1 sheng warm. Excessive vomiting or diarrhea of worms may occur.
When women are deficient during childbirth, suffering from restlessness, disarray, nausea, and vomiting, to stabilize the middle and benefit Qi, use Zhupi Da Wan (Bamboo Peel Large Pill).
Ingredients: Shengzhuru (Bambusae Caulis in Taenia, 2 fen), Shigao (Gypsum Fibrosum, 2 fen), Guizhi (Cinnamomi Ramulus, 1 fen), Gancao (Licorice Root, 7 fen), Baiwei (Cleisostomatis Radix, 1 fen).
Preparation and Administration: Powder the above five ingredients, mix with jujube flesh to form pills the size of a bullet. Take one pill with drink, three times during the day and twice at night. If there is heat, double the amount of Baiwei (Cleisostomatis Radix). If there is restlessness and panting, add Baishi (Platycladi Semen) 1 fen.