论曰人之气血,环周一身,无或偏废,产后中风偏枯者,由新产之后,气血俱耗,不能
周荣于肌肉,致体或偏虚,风邪乘虚入客于半身,日加痿瘁而为偏枯也。
治产后中风偏枯,手足不遂,痿弱无力。天雄散方
天雄(炮裂去皮脐) 附子(炮裂去皮脐) 五味子(炮) 白术 人参 白芷 细辛
(去苗
三分) 麻黄(去
归(切焙一两半) 防风(
上一十七味,捣罗为散,每服二钱匕,温酒调下,不拘时。
治产后中风,手足偏枯,筋脉弛缓,疼痛无力。椒附汤方
蜀椒(去目并闭口者炒出汗半两) 附子(炮裂去皮脐) 防风(去叉) 桂(去粗皮)
白茯
(碎各一两)
芩(去黑心各半两)
上一十五味,锉如麻豆,每服三钱匕,水一盏,入生姜三片,枣一枚擘,煎至七分,
去滓温服,不拘时。
治产后中风偏枯,手足不仁,或筋脉无力,不能自举,心下多惊。菖蒲汤方
菖蒲(洗锉) 远志(去心) 木通(锉) 白茯苓(去黑皮) 人参 石决明 当归
(切
上九味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣一枚擘,同煎七分,去滓温服,
不拘时。
治产后中风偏枯,手足不遂,痿弱无力,或痴或痛。独活汤方
独活(去芦头二两) 桑寄生(一两一分) 杜仲(去粗皮切炒) 牛膝(酒浸切焙) 细
辛(
(炙锉) 芎 人参(各一两半) 当归(切焙一两三分) 芍药 熟干地黄(焙各二两)
上一十五味,粗捣筛,每服三钱匕,水一盏,生姜三片枣一枚擘,同煎七分,去滓温服
,不拘时。
治产后中风偏枯,疼痛拘挛,言语謇涩。防风汤方
防风(去叉一两半) 芎 (一两) 吴茱萸(汤浸焙干炒一分) 天雄(炮裂去皮脐)
人参
出) 桂(去
上一十二味,锉如麻豆,每服三钱匕,水一盏,生姜三片枣一枚擘破,煎七分,去滓
温服,不拘时。
治产后中风偏枯。地黄汤方
熟干地黄(焙一两一分) 萆 附子(炮裂去皮脐各三分) 干漆(炒烟出) 麻黄
(去节
椒(去目并闭口者炒出
上一十味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时。
治产后中风偏枯,半身不遂,言语不利,疼痛无力。黄 酒方
黄 蜀椒(去目并闭口者炒出汗) 白术 牛膝(去苗锉) 葛根(各三两) 防风
(去
艽(去苗土) 干姜(炮) 当
(去芦头) 桂(去粗皮三分)
上一十八味,锉如麻豆,用生绢袋盛,于四斗醇酒内浸三日,每温服一盏,不拘时。
治产后中风偏枯,半身不收,麻痹不仁。独活饮方
独活(去芦头) 杜仲(去粗皮切炒) 牛膝(去苗酒浸焙) 桂(去粗皮) 细辛(去
苗叶)
节各一两)
上一十一味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时。
治产后中风偏枯。芍药汤方
芍药 当归 麻黄(去根节) 防风(去叉) 独活(去芦头) 白僵蚕(炒) 牛膝
(酒浸切
上九味,锉如麻豆,每服三钱匕,水一盏,生姜三片,煎七分,去滓温服,不拘时。
治产后中风,手足偏枯,言语迟涩,恍惚多忘。当归饮方
当归(切焙) 防风(去叉) 桂(去粗皮) 人参 芎 玄参(各一两) 独活(去
芦头一
上七味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓不拘时温服。
Discourse: The Qi and Blood of the human body circulate throughout the entire body without bias or neglect. Hemiplegia (hemiplegic paralysis) caused by Wind-stroke after childbirth occurs because, following recent delivery, both Qi and Blood are exhausted. They fail to circulate and nourish the muscles, causing one side of the body to become deficient. Pathogenic Wind takes advantage of this deficiency to invade half of the body, gradually leading to flaccidity and weakness, resulting in hemiplegia.
Treatment for hemiplegia due to postpartum Wind-stroke, with inability to move hands and feet, and flaccid weakness: Tianxiong San Formula
Tianxiong (Radix Aconiti Kusnezoffii Preparata, prepared until cracked, skin and umbilicus removed) Fuzi (Radix Aconiti Lateralis Preparata, prepared until cracked, skin and umbilicus removed) Wuweizi (Fructus Schisandrae Chinensis, prepared) Baizhu (Rhizoma Atractylodis Macrocephalae) Renshen (Radix Ginseng) Baizhi (Radix Angelicae Dahuricae) Xixin (Herba Asari, radix and leaves removed, 3 qian) Mahuang (Caulis Ephedrae, roots and joints removed) Danggui (Radix Angelicae Sinensis, sliced and dried over heat, 1.5 liang) Fangfeng (Radix Saposhnikoviae, forked parts removed, 3 qian)
The above seventeen ingredients are pounded and sieved into a powder. Take 2 qianbi per dose, mixed with warm wine, at any time.
Treatment for postpartum Wind-stroke causing hemiplegia of hands and feet, laxity of sinews and vessels, pain, and weakness: Jiaofu Tang Formula
Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry until oil appears, 0.5 liang) Fuzi (Radix Aconiti Lateralis Preparata, prepared until cracked, skin and umbilicus removed) Fangfeng (Radix Saposhnikoviae, forked parts removed) Guizhi (Ramulus Cinnamomi, bark removed) Baifuling (Poria, crushed, each 1 liang) Huangqin (Radix Scutellariae, black heart removed, each 0.5 liang)
The above fifteen ingredients are chopped like hemp seeds. Take 3 qianbi per dose, with 1 sheng of water, add 3 slices of Shengjiang (Rhizoma Zingiberis Recens), and 1 Zao (Fructus Jujubae, split). Decoct to 7/10 volume, remove dregs, and take warm at any time.
Treatment for postpartum Wind-stroke hemiplegia, numbness of hands and feet, or weakness of sinews unable to lift themselves, with frequent palpitations: Changpu Tang Formula
Shichangpu (Rhizoma Acori Tatarinowii, washed and chopped) Yuanzhi (Radix Polygalae, heart removed) Mutong (Caulis Akebiae, chopped) Baifuling (Poria, black skin removed) Renshen (Radix Ginseng) Shijueming (Concha Haliotidis) Danggui (Radix Angelicae Sinensis, sliced)
The above nine ingredients are coarsely pounded and sieved. Take 3 qianbi per dose, with 1 sheng of water, 3 slices of Shengjiang, and 1 Zao (split). Decoct together to 7/10 volume, remove dregs, and take warm at any time.
Treatment for postpartum Wind-stroke hemiplegia, inability to move hands and feet, flaccid weakness, dementia, or pain: Duhuo Tang Formula
Duhuo (Radix Angelicae Pubescentis, rhizome removed, 2 liang) Sangjisheng (Ramulus Taxilli, 1.1 liang) Duzhong (Cortex Eucommiae, coarse bark removed, sliced and stir-fried) Niuxi (Radix Achyranthis Bidentatae, soaked in wine, sliced and dried) Xixin (Herba Asari, radix and leaves removed) Gancao (Radix Glycyrrhizae, honey-fried and chopped) Xiong (Radix Chuanxiong) Renshen (Radix Ginseng, each 1.5 liang) Danggui (Radix Angelicae Sinensis, sliced and dried, 1.3 liang) Shaoyao (Radix Paeoniae Alba) Shudihuang (Radix Rehmanniae Preparata, dried, each 2 liang)
The above fifteen ingredients are coarsely pounded and sieved. Take 3 qianbi per dose, with 1 sheng of water, 3 slices of Shengjiang, and 1 Zao (split). Decoct together to 7/10 volume, remove dregs, and take warm at any time.
Treatment for postpartum Wind-stroke hemiplegia, painful spasms, and slurred speech: Fangfeng Tang Formula
Fangfeng (Radix Saposhnikoviae, forked parts removed, 1.5 liang) Xiong (Radix Chuanxiong, 1 liang) Wuzhuyu (Fructus Evodiae, rinsed with water, dried, stir-fried, 1 fen) Tianxiong (Radix Aconiti Kusnezoffii Preparata, prepared until cracked, skin and umbilicus removed) Renshen (Radix Ginseng) Guizhi (Ramulus Cinnamomi, bark removed)
The above twelve ingredients are chopped like hemp seeds. Take 3 qianbi per dose, with 1 sheng of water, 3 slices of Shengjiang, and 1 Zao (split). Decoct to 7/10 volume, remove dregs, and take warm at any time.
Treatment for postpartum Wind-stroke hemiplegia: Dihuang Tang Formula
Shudihuang (Radix Rehmanniae Preparata, dried, 1.1 liang) Bibo (Rhizoma Dioscoreae Hypoglaucae) Fuzi (Radix Aconiti Lateralis Preparata, prepared until cracked, skin and umbilicus removed, each 3 qian) Ganqi (Resina Taxodi, stir-fry until smoke appears) Mahuang (Caulis Ephedrae, joints removed) Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry until sweat appears)
The above ten ingredients are chopped like hemp seeds. Take 3 qianbi per dose, with 1 sheng of water. Decoct to 7/10 volume, remove dregs, and take warm at any time.
Treatment for postpartum Wind-stroke hemiplegia, hemiplegia, dysarthria, pain, and weakness: Huangqi Wine Formula
Huangqi (Radix Astragali Membranacei) Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry until sweat appears) Baizhu (Rhizoma Atractylodis Macrocephalae) Niuxi (Radix Achyranthis Bidentatae, seedlings removed, chopped) Gegen (Radix Puerariae Lobatae, each 3 liang) Fangfeng (Radix Saposhnikoviae, forked parts removed) Qinjiao (Radix Gentiana Macrophyllae, seedlings and soil removed) Jiangjiang (Rhizoma Zingiberis, prepared) Danggui (Radix Angelicae Sinensis, rhizome removed) Guizhi (Ramulus Cinnamomi, bark removed, 3 qian)
The above eighteen ingredients are chopped like hemp seeds. Place in a raw silk bag and soak in 4 dou of pure wine for three days. Take 1 sheng warm at any time.
Treatment for postpartum Wind-stroke hemiplegia, loss of control of half the body, numbness: Duhuo Yin Formula
Duhuo (Radix Angelicae Pubescentis, rhizome removed) Duzhong (Cortex Eucommiae, coarse bark removed, sliced and stir-fried) Niuxi (Radix Achyranthis Bidentatae, seedlings removed, soaked in wine and dried) Guizhi (Ramulus Cinnamomi, bark removed) Xixin (Herba Asari, seedlings and leaves removed) Qianghuo (Rhizoma Notopterygii, rhizome removed, each 1 liang)
The above eleven ingredients are chopped like hemp seeds. Take 3 qianbi per dose, with 1 sheng of water. Decoct to 7/10 volume, remove dregs, and take warm at any time.
Treatment for postpartum Wind-stroke hemiplegia: Shaoyao Tang Formula
Shaoyao (Radix Paeoniae Alba) Danggui (Radix Angelicae Sinensis) Mahuang (Caulis Ephedrae, roots and joints removed) Fangfeng (Radix Saposhnikoviae, forked parts removed) Duhuo (Radix Angelicae Pubescentis, rhizome removed) Baijiangcan (Bombyx Batryticatus, stir-fried) Niuxi (Radix Achyranthis Bidentatae, soaked in wine and sliced)
The above nine ingredients are chopped like hemp seeds. Take 3 qianbi per dose, with 1 sheng of water and 3 slices of Shengjiang. Decoct to 7/10 volume, remove dregs, and take warm at any time.
Treatment for postpartum Wind-stroke, hemiplegia of hands and feet, slow and slurred speech, mental confusion, and forgetfulness: Danggui Yin Formula
Danggui (Radix Angelicae Sinensis, sliced and dried) Fangfeng (Radix Saposhnikoviae, forked parts removed) Guizhi (Ramulus Cinnamomi, bark removed) Renshen (Radix Ginseng) Xiong (Radix Chuanxiong) Xuanshen (Radix Scrophulariae, each 1 liang) Duhuo (Radix Angelicae Pubescentis, rhizome removed, 1 liang)
The above seven ingredients are coarsely pounded and sieved. Take 5 qianbi per dose, with 1.5 shengs of water. Decoct to 1 sheng, remove dregs, and take warm at any time.