茯神散 加味归脾汤
1.产后血虚心气弱, 惊悸恍惚不安宁, 养心须用茯神散, 参耆地芍
桂茯神, 琥珀龙齿归牛膝, 忧思归脾砂齿灵.
【注】产后血虚, 心气不守, 神志怯弱, 故令惊悸, 恍惚不宁也. 宜
用茯神散, 其方乃人参, 黄耆, 熟地, 白芍, 桂心, 茯神, 琥珀, 龙
齿,当归, 牛膝也. 若因忧愁思虑, 伤心脾者, 宜归脾汤加朱砂, 龙
齿治之.
归脾汤方 见首卷
妙香散
2.产后谵狂见鬼神, 败血冲心小调经, 心虚闷乱妙香散, 二茯参耆
远志辰, 甘桔木麝山药末, 归地煎调效若神.
【注】产后败血冲心, 狂乱见鬼, 谵言妄语者, 宜服小调经散. 若因
心血虚, 神不守舍而闷乱者, 则用妙香散, 即茯苓, 茯神, 人参, 黄
耆,远志, 辰砂, 甘草, 桔梗, 木香, 麝香, 山药为散, 以当归, 熟
地煎汤, 调服即愈, 其效如神.
人参当归汤
3.产后血虚烦短气, 人参当归汤最良, 参麦归芍熟地桂, 瘀血冲心
失笑方, 去血过多烦躁甚, 须用当归补血汤.
【注】产后血虚, 心烦短气者, 宜人参当归汤, 即人参, 麦冬, 当归
,白芍, 熟地, 肉桂也. 若因败血冲心者, 宜服失笑散. 若去血过多
,烦而躁者, 乃亡血证也, 宜当归补血汤.
当归补血汤 失笑散 方俱见首卷
Fushen San (Poria Spirit Powder), Jiawei Guipi Tang (Modified Spleen-Invigorating Decoction)
1. Postpartum blood deficiency leads to weak Heart Qi, manifesting as palpitations (Jingji), mental confusion and restlessness. To nourish the Heart, Fushen San should be used. The formula consists of Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Shudi (Rehmanniae Radix Praeparata), Baishao (Paeoniae Radix Alba), Guixin (Cinnamomi Ramulus), Fushen (Poria cum Radice), Hupo (Succinum), Longchi (Dent fossilis), Danggui (Angelicae Sinensis Radix), and Niuxi (Achyranthis Bidentatae Radix). If caused by worry and overthinking damaging the Heart and Spleen, it is appropriate to use Guipi Tang (Spleen-Invigorating Decoction) added with Zhusha (Cinnabaris) and Longchi (Dent fossilis).
[Note] Postpartum blood deficiency causes Heart Qi to fail in its guarding function, resulting in timidity of the spirit, thus leading to palpitations and mental confusion. It is appropriate to use Fushen San, whose ingredients are Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Shudi (Rehmanniae Radix Praeparata), Baishao (Paeoniae Radix Alba), Guixin (Cinnamomi Ramulus), Fushen (Poria cum Radice), Hupo (Succinum), Longchi (Dent fossilis), Danggui (Angelicae Sinensis Radix), and Niuxi (Achyranthis Bidentatae Radix). If due to worry and overthinking damaging the Heart and Spleen, it is appropriate to treat with Guipi Tang (Spleen-Invigorating Decoction) added with Zhusha (Cinnabaris) and Longchi (Dent fossilis).
The formula for Guipi Tang (Spleen-Invigorating Decoction) can be found in the first volume.
Miaoxiang San (Wonderful Fragrance Powder)
2. Postpartum delirium, mania, and hallucinations of spirits and ghosts: if caused by failed blood rushing to the Heart, use Xiaotiaojing San (Minor Regulating Menses Powder); if caused by Heart blood deficiency and the spirit failing to reside within, leading to stifled agitation, use Miaoxiang San (Wonderful Fragrance Powder). This powder consists of Fu Ling (Poria), Fushen (Poria cum Radice), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Yuanzhi (Polygalae Radix), Chen Sha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Muxiang (Aucklandiae Radix), Shexiang (Moschus), and Shanyao (Dioscoreae Rhizoma), ground into powder. It is taken with decoction of Danggui (Angelicae Sinensis Radix) and Shudi (Rehmanniae Radix Praeparata), yielding miraculous efficacy.
[Note] When postpartum failed blood rushes to the Heart, causing mania, hallucinations of ghosts, and delirious speech, it is appropriate to take Xiaotiaojing San (Minor Regulating Menses Powder). If due to Heart blood deficiency and the spirit failing to reside within, causing stifled agitation, then Miaoxiang San (Wonderful Fragrance Powder) should be used. This consists of Fu Ling (Poria), Fushen (Poria cum Radice), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Yuanzhi (Polygalae Radix), Chen Sha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Muxiang (Aucklandiae Radix), Shexiang (Moschus), and Shanyao (Dioscoreae Rhizoma) made into a powder, taken with decoction of Danggui (Angelicae Sinensis Radix) and Shudi (Rehmanniae Radix Praeparata), resulting in immediate cure, with efficacy like that of a deity.
Renshen Danggui Tang (Ginseng and Angelica Decoction)
3. Postpartum blood deficiency causing vexation and shortness of breath: Renshen Danggui Tang (Ginseng and Angelica Decoction) is most effective. The formula consists of Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Tuber), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Praeparata), and Rougui (Cinnamomi Cortex). If caused by stasis rushing to the Heart, use Shixiao Fang (Smile Prescription). If excessive blood loss leads to severe vexation and restlessness, this is a syndrome of blood exhaustion, requiring Danggui Buxue Tang (Angelica Tonifying Blood Decoction).
[Note] Postpartum blood deficiency presenting with vexation and shortness of breath is suitable for treatment with Renshen Danggui Tang (Ginseng and Angelica Decoction), consisting of Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Tuber), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Praeparata), and Rougui (Cinnamomi Cortex). If due to failed blood rushing to the Heart, it is appropriate to take Shixiao San (Smile Powder). If due to excessive blood loss, resulting in vexation and restlessness, this is a syndrome of blood exhaustion, and Danggui Buxue Tang (Angelica Tonifying Blood Decoction) should be used.
The formulas for Danggui Buxue Tang (Angelica Tonifying Blood Decoction) and Shixiao San (Smile Powder) are both found in the first volume.