治产后血留下焦不去∶
当归 桂心 甘草(炙,各二两) 芎 芍药(各三两) 干地黄(四两)
上六味, 咀,以水一斗,煮取五升,分为五服。
治产后往来寒热,恶露不尽∶
柴胡(去苗) 生姜(各二两,切) 桃仁(五十枚,去皮尖) 当归 芍药 黄 (各
三两)
上七味, 咀,以清酒一斗三升,煮取三升,先食服一升,日三服。(《千金》以水煮
主产后余疾,有积血不去,腹大短气,不得饮食,上冲心胸,时时烦愦逆满,
手足烦疼,胃中结热。
大黄 黄芩 甘草(炙,各一两) 蒲黄(半两) 大枣(三十枚,擘)
上五味, 咀,以水三升,煮取一升,清朝服,至日中当利,若下不止,进冷粥半升,
即止,若不下,与少热饮自下,人羸者半之(《千金》名蒲黄汤有芒硝一两。)
治产后儿生处空,留血不尽,小腹绞痛。
栀子三十枚,以水一斗,煮取六升,纳当归芍药各三两,蜜五合,生姜五两,羊脂一两
,于栀子汁中,煎取二升,分为三服,日三。
产后血不流方∶
大黄 黄芩 当归 芍药 芒硝 甘草(炙,各一两) 桃仁 杏仁(各三十枚,去皮
尖)
上八味, 咀,以水一斗,煮取三升,去滓,纳芒硝令烊,分为四服,法当下利,利若
不止,作白粥饮一杯暖服,去一炊,久乃再服。
To treat postpartum blood stasis remaining in the lower jiao (Lower Burner) and failing to discharge:
Danggui Tang (Angelica Decoction): Radix Angelicae Sinensis (Danggui), Ramulus Cinnamomi (Guixin), Radix Glycyrrhizae Preparata (Gancao, roasted, 2 liang each), Rhizoma Chuanxiong (Xiongnu), Radix Paeoniae Alba (Shaoyao, 3 liang each), Radix Rehmanniae Preparata (Shengdi, 4 liang).
The above six herbs are coarsely crushed. Boil with one dou of water until reduced to five sheng. Divide into five doses.
To treat postpartum alternating chills and fever with incomplete lochia discharge:
Chaihu Tang (Bupleurum Decoction): Radix Bupleuri (Chaihu, de-radicle), Rhizoma Zingiberis Recens (Shengjiang, 2 liang each, sliced), Semen Persicae (Taoren, 50 seeds, skin and tip removed), Radix Angelicae Sinensis (Danggui), Radix Paeoniae Alba (Shaoyao), Radix Scutellariae (Huangqin, 3 liang each).
The above seven herbs are coarsely crushed. Boil with one dou and three sheng of clear wine until reduced to three sheng. Take one sheng before meals, three times a day. (*Qianjin Fang* uses water for decoction).
Mainly treats residual diseases after childbirth, where accumulated blood remains undischarged, causing abdominal distension and shortness of breath, inability to eat, qi rushing up to the chest and heart, frequent irritability and fullness, painful heat in the hands and feet, and heat accumulation in the stomach.
Dahuang Tang (Rhubarb Decoction): Radix et Rhizoma Rhei (Dahuang), Radix Scutellariae (Huangqin), Radix Glycyrrhizae Preparata (Gancao, roasted, 1 liang each), Spora Puccoonii (Puhuang, 0.5 liang), Fructus Jujubae (Dazao, 30 fruits, split open).
The above five herbs are coarsely crushed. Boil with three sheng of water until reduced to one sheng. Take on an empty stomach in the morning; bowel movement should occur by noon. If diarrhea persists, consume half a sheng of cold congee to stop it. If no bowel movement occurs, take a small amount of hot drink to facilitate natural passage. For frail patients, reduce the dose by half. (*Qianjin Fang* names this Pu Huang Tang and adds Radix Natri Sulfatis/Mangxiao, 1 liang).
To treat emptiness in the birth canal after delivery, incomplete retention of blood, and severe colic in the lower abdomen.
Zhi Zi Tang (Gardenia Decoction): Fructus Gardeniae (Zhizi, 30 fruits), boil with one dou of water until reduced to six sheng. Add Radix Angelicae Sinensis (Danggui) and Radix Paeoniae Alba (Shaoyao, 3 liang each), Mel (Fengmi, 5 he), Rhizoma Zingiberis Recens (Shengjiang, 5 liang), and Adip Ovis (Yangzhi, 1 liang). Simmer in the Zhizi decoction until reduced to two sheng. Divide into three doses, taken three times a day.
Formula for postpartum blood stagnation:
Dahuang Tang (Modified): Radix et Rhizoma Rhei (Dahuang), Radix Scutellariae (Huangqin), Radix Angelicae Sinensis (Danggui), Radix Paeoniae Alba (Shaoyao), Radix Natri Sulfatis (Mangxiao), Radix Glycyrrhizae Preparata (Gancao, roasted, 1 liang each), Semen Persicae (Taoren), Semen Armeniacae Amarum (Xingren, 30 seeds each, skin and tip removed).
The above eight herbs are coarsely crushed. Boil with one dou of water until reduced to three sheng. Strain the dregs, add Radix Natri Sulfatis (Mangxiao) and dissolve. Divide into four doses. The method induces purgation. If diarrhea persists, drink one cup of warm white rice gruel. Wait for some time before administering the next dose.