治产前产后,血气风冷,及是妇人所患一切疾病,并皆理疗神验。
金钗石斛(二分,另杵) 秦艽 官桂(去皮) 干地黄 贝母 防风 糯米 甘
草(炙) 干姜(炮) 细辛(以上各一分) 当归 蜀椒(去目) 大麻仁 大豆卷(即
黑豆皮) 黄芩(以上各二分) 石膏(明净者) 麒麟竭 没药 龙脑(各一钱半
上一十九味,并须州土新好者,大分细捣罗为末,炼蜜六两,热,须入水一分同炼,令
水尽,和药为丸,先杵五百下,后,丸如弹子大。匀可成七十二丸,用汤使治病,状如后。
产前产后,血气头旋身战,可用薄荷汤下。月信不通,当归酒下。赤白带下,温酒下,妇人
临产难产,胎衣不下,子死腹中,横产倒死,死绝不语,但看头热气在,取一丸,用芎枣汤
,研灌口中,但入喉立苏,神妙。产后恶血不尽,脐腹疼痛,呕吐发热,憎寒烦闷,月候不
调,或多或少,皮肤虚肿,产血不止,虚劳,中风,口噤不语,半身不遂,产前产后,赤白
痢,大便秘涩,血渴,血晕,狂语见鬼,头痛,面色痿黄,渐成劳瘦,饮食无味。以上病状
,并无灰酒研下一丸,服之五七丸,临产五脏不痛,男女易生,其神验难述。催生,当归酒
下。产后中风血晕,生地黄汁同煎十沸,研药一丸,灌之,立瘥。御风,但五日一度,烂嚼
一丸,空心热酒下,或浴下,嚼一丸,温酒下。小儿天吊惊风,薄荷酒下,一丸分作三服。
中风不语,身忽如板,用消梨,好瓤薄荷,同研,热服一丸,用衣被盖覆,但汗出,相次揭
衣被,盒饭风坐卧,立瘥。其妇人身上一切诸疾,但只以温酒及当归薄荷同研一丸,立瘥。
产宝诸方云∶忌生冷油腻鱼鸡等物,汤酒入口,温热得所,但未产以前,与产后一腊,好依
方合,一法。博济方中,用麒麟竭、没药、龙脑、三味。近医者云∶血竭、没药、破血、产
前不可服,若合,只依太医局方,除此三味,合之分两亦同,产前后亦可通服也,初产作小
丸服之,一法。初产了五七日间,气虚,蜜药才下,散胸隔间,恐发虚热,凡合一料,以糯
糊丸半料,糯糊丸者,初产至两腊可服,丸如桐子大,分三十六服。
Treats conditions before and after childbirth, blood and qi affected by wind-cold, as well as all diseases suffered by women; it has miraculous and effective therapeutic results.
Jinchai Shihu (Dendrobium nobile stem, 2 fen, pounded separately) Qinjiao (Gentianae Macrophyllae Radix) Guigui (Cinnamomi Cortex), peeled Ganyedi Huang (Rehmanniae Radix Preparata) Beimu (Fritillariae Cirrhosae Bulbus) Fangfeng (Saposhnikoviae Radix) Nuomi (Oryza Sativa Glutinosa Semen) Gancao (Glycyrrhizae Radix et Rhizoma Preparata with honey), roasted Ganjiang (Zingiberis Rhizoma Preparatus), processed Xixin (Asari Radix et Rhizoma) [each of the above: 1 fen] Danggui (Angelicae Sinensis Radix) Shujiao (Zanthoxyli Pericarpium), eyes removed Dama Ren (Cannabis Fructus) Dadou Juan (Glycines Sojae Tegumentum, i.e., black soybean skin) Huangqin (Scutellariae Radix) [each of the above: 2 fen] Shigao (Gypsum Fibrosum, clear and pure) Qilinjie (Dracaenae Sanguis) Moyao (Myrrhae Resina) Longnao (Borneolum Syntheticum) [each: 1 qian 5 fen].
The above nineteen medicinal materials must be fresh and high-quality from their respective origins. Pound them finely and sieve into powder. Refine 6 liang of honey with heat; add 1 fen of water to refine together until the water is completely evaporated. Mix with the medicine powder to form pills. First pound five hundred times, then shape into pills the size of a bullet. Uniformly, seventy-two pills can be made. Use decoctions or wines as guides for administration according to the condition:
For dizziness and body tremors caused by blood and qi disturbance before and after childbirth, administer with Bohe Tang (Mint Decoction). For amenorrhea, administer with Danggui Jiu (Angelica Wine). For leukorrhea (red and white discharge), administer with warm wine. For difficult labor, retained placenta, fetal death in utero, breech presentation leading to death, unconsciousness without speech, if head warmth and residual breath are present, take one pill, grind it in Xiong Zao Tang (Ligusticum and Jujube Decoction), and instill into the mouth. Once swallowed, consciousness returns immediately; this is miraculous. For postpartum retention of lochia, umbilical and abdominal pain, vomiting, fever, aversion to cold, restlessness, irregular menstruation (scanty or excessive), edema, persistent postpartum bleeding, consumptive disease, stroke, trismus with inability to speak, hemiplegia, red and white dysentery before and after childbirth, constipation, blood thirst, syncope due to blood loss, delirium with hallucinations, headache, sallow complexion, gradual emaciation, and loss of taste, dissolve one pill in water (no need for ash wine) and swallow, or take five to seven pills. Taking these before labor prevents visceral pain and facilitates easy delivery for both mother and child; its efficacy is beyond description. To induce labor, administer with Danggui Jiu (Angelica Wine). For postpartum stroke and blood syncope, boil Shengdihuang Zhi (Fresh Rehmanniae Juice) for ten boils, grind one pill, and instill; recovery is immediate. For wind prevention, chew one pill every five days on an empty stomach with hot wine, or after bathing; alternatively, chew one pill with warm wine. For infantile convulsions (Tian Diao Jing Feng), administer with Bohe Jiu (Mint Wine), dividing one pill into three doses. For stroke with aphasia and sudden rigidity like a board, mix Xiao Li (a type of pear) and good-quality mint pulp, grind together, take one pill hot, cover with blankets, wait for sweating, then gradually uncover, avoid wind exposure while sitting or lying down; recovery is immediate. For all diseases in women, grind one pill with warm wine, Danggui, and Bohe; recovery is immediate.
The "Chanbao" formulas state: Avoid raw, cold, greasy foods, fish, and chicken. Decoctions and wines should be taken at a warm temperature. Before delivery and within one month postpartum, prepare according to this formula. This is one method. The "Boji Fang" uses Qilinjie, Moyao, and Longnao. Recent physicians argue that Xuejie (Dracaenae Sanguis) and Moyao have blood-breaking properties and should not be taken before childbirth. If compounding, follow the Imperial Medical Bureau standard formula, excluding these three ingredients, keeping other proportions the same; this allows use before and after childbirth. This is another method. After initial delivery, make small pills for consumption. This is yet another method. Within five to seven days after initial delivery, when qi is deficient, honey pills may disperse in the chest and diaphragm, potentially causing deficiency heat. Therefore, for one batch of medicine, half can be made into Nuohu Wan (Glutinous Rice Paste Pills). Nuohu Wan can be taken from initial delivery up to two months later. Shape pills like tung seeds, divide into thirty-six doses.