论曰产后气血俱虚,寒湿客搏,致脾胃怯弱,不能播散诸气,使水血不分,流溢肌肤,
故为肿满,利其小水,则病可愈。
治产后通身肿满,气喘烦闷。防已汤方
防已 枳壳(去瓤麸炒) 桑根白皮(锉) 芎 葳蕤 当归(切焙各一两) 葶苈
(
上八味,粗捣筛,每服三钱匕,水一盏,枣二枚擘破,煎至七分,去滓温服,以疏利肿
消为度。
治产后肿满,因宿有抑郁,滞气留结不散,变为浮肿,烦闷咳逆,恶血不行。大腹皮汤
方
大腹皮 赤茯苓(去黑皮) 当归(切焙) 紫苏茎叶 青橘皮(汤浸去白炒) 甘草
(炙锉
上一十一味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服。日三。
治产后浮肿烦闷。羌活汤方
羌活(去芦头) 青橘皮(去白麸炒各半两) 枳壳(去瓤麸炒) 芎 生干地黄(焙)
白术(锉) 桑根白皮(各一两) 木香 牵牛子(略炒) 诃黎勒皮(微炒) 赤茯苓(去
黑皮各
上一十一味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后肿满喘咳。防己枳壳汤方
防己(一两) 枳壳(去瓤麸炒二两) 桑根白皮(锉) 当归(切焙各一两) 木香
(半两)
上七味,粗捣筛,每服五钱匕水一盏半,煎至一盏,去滓温服,不拘时。
治产后肿满,喘急咳嗽。贝母汤方
贝母(去心) 桑根白皮(锉) 紫菀 赤茯苓(去黑皮) 五味子(各一两) 杏仁
(去皮
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时。
治产后遍身肿满。牵牛子丸方
牵牛子(半生半熟) 枳壳(去瓤麸炒各一两) 当归(切焙) 生干地黄(焙) 芎
桑
上九味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,煎桑根白皮汤下,不拘时。
治产后肿满,心烦气闷,肠胃不利。羚羊角汤方
羚羊角(屑) 延胡索 枳壳(去瓤麸炒) 芍药 刘寄奴 槟榔(锉) 桑根白皮(锉
等分)
上七味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时。
治产后肿满。烦闷喘咳。枳壳丸方
枳壳(去瓤麸炒) 防己(各二两) 诃黎勒皮(半两) 大黄(炒一两) 当归(切
焙二两)
上七味,除研外,捣罗为末拌匀。炼蜜丸如梧桐子大,每服二十丸,生姜紫苏汤下。不
拘时。
治产后通身暴肿,烦闷不食。商陆汤方
商陆根(锉二两) 防风(去叉一两) 甘草(炙半两) 附子(炮裂去皮脐一枚) 赤
小豆(
上六味, 咀如麻豆,每服五钱匕,水一盏半,煎取一盏,去滓温服,不拘时。
治产后遍身头面浮肿。干地黄汤方
生干地黄(焙) 白术 芍药 赤茯苓(去黑皮各一两) 桑根白皮(锉二两) 甘草
(锉
上九味,并生用,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓温服,不拘时。
治产后头面四肢肿满,气喘咳嗽。贝母丸方
贝母(去心) 赤茯苓(去黑皮各二两) 紫菀 桑根白皮(锉) 五味子 杏仁(去
皮尖
上八味,除研二味外,捣罗为末,以杏仁枣膏拌,如干更入炼蜜少许,丸如梧桐子大,
每服二十丸,至三十丸,浓煎商陆根汤下,不拘时。
治产后头面浮肿,两胁痛。枳壳丸方
枳壳(去瓤麸炒一两一分) 诃黎勒(煨去核二两) 当归(切焙) 大黄(锉炒) 防
己芍
牛子(一两
上一十一味,捣罗为末,炼蜜和丸,梧桐子大,每服二十丸,煎桑白皮枣汤下。加至三
十丸。
治产后肿满不能食。防己汤方
防己(二两) 防风(去叉) 芎 附子(炮裂去皮脐) 甘草(炙锉) 当归(切
焙) 陈
上八味, 咀如麻豆,每服三钱匕,水一盏,入生姜三片,同煎至六分,去滓食前温
服。
治产后血风通身浮肿。柘黄汤方
柘黄 枳壳(去瓤麸炒) 白术 地丁(各一两半) 黄 (锉) 人参 款冬花 桔
梗(
上八味,粗捣筛,每服三钱匕,水一盏,煎至六分,去滓温服,不拘时。
Commentary states: Postpartum, both Qi and Blood are deficient. Cold-dampness pathogens invade and contend, causing the Spleen and Stomach to become weak and unable to distribute and scatter various Qi mechanisms. This results in the failure of separation between Water and Blood, which overflow into the skin and muscles, thus causing swelling and fullness. Promoting urination will cure the disease.
Fangji Tang (Stephania Decoction) for treating postpartum generalized swelling and fullness, with panting, vexation, and stuffiness:
Fangji (Stephaniae Tetrandrae Radix), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran), Sangbaipí (Mori Cortex Radicis, chopped), Xiong (Chuanxiong Rhizome), Weirui (Polygonati Odorati Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and dried, each 1 liang), Tinglizi (Descurainiae Semen seu Lepidii Semen).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with 1 zhan of water and 2 broken Jujubes until reduced to 70%. Strain and take warm. Continue until swelling is relieved and subsided.
Dafupi Tang (Arecae Pericarpium Decoction) for treating postpartum swelling and fullness caused by chronic depression, where stagnant Qi remains and knots without dispersing, transforming into edema, accompanied by vexation, panting, coughing, and obstruction of lochia:
Dafupi (Arecae Pericarpium), Chifuling (Poria Cum Radio, black skin removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Zisu Jingye (Perillae Caulis et Folium), Qingju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted and chopped).
The above eleven herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with 1 zhan of water until reduced to 70%. Strain and take warm. Three times daily.
Qianghuo Tang (Notopterygii Rhizomatis et Radicis Decoction) for treating postpartum edema with vexation and stuffiness:
Qianghuo (Notopterygii Rhizomatis et Radicis), Qingju pi (Citri Reticulatae Pericarpium, white pith removed, stir-fried with bran, each half liang), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran), Xiong (Chuanxiong Rhizome), Shenggan Dihuang (Rehmanniae Radix Preparata, dried), Baizhu (Atractylodis Macrocephalae Rhizoma, chopped), Sangbaipi (Mori Cortex Radicis, each 1 liang), Muxiang (Aucklandiae Radix), Qianniuzi (Pharbitidis Semen, slightly stir-fried), Helilepi (Terminaliae Chebulae Pericarpium, lightly stir-fried), Chifuling (Poria Cum Radio, black skin removed).
The above eleven herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with 1 zhan of water until reduced to 70%. Strain and take warm, at any time.
Fangji Zhike Tang (Stephania and Aurantium Decoction) for treating postpartum swelling, fullness, panting, and cough:
Fangji (Stephaniae Tetrandrae Radix, 1 liang), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran, 2 liang), Sangbaipi (Mori Cortex Radicis, chopped), Danggui (Angelicae Sinensis Radix, sliced and dried, each 1 liang), Muxiang (Aucklandiae Radix, half liang).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, decocted with 1.5 zhan of water until reduced to 1 zhan. Strain and take warm, at any time.
Beimu Tang (Fritillariae Bulbus Decoction) for treating postpartum swelling, fullness, urgent panting, and cough:
Beimu (Fritillariae Cirrhosae Bulbus, heart removed), Sangbaipi (Mori Cortex Radicis, chopped), Ziwan (Asturi Flos), Chifuling (Poria Cum Radio, black skin removed), Wuweizi (Schisandrae Chinensis Fructus, each 1 liang), Xingren (Armeniacae Semen Amarum, skin removed).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with 1 zhan of water until reduced to 70%. Strain and take warm, at any time.
Qianniuzi Wan (Pharbitis Pill) for treating postpartum generalized swelling and fullness:
Qianniuzi (Pharbitidis Semen, half raw half cooked), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran, each 1 liang), Danggui (Angelicae Sinensis Radix, sliced and dried), Shenggan Dihuang (Rehmanniae Radix Preparata, dried), Xiong (Chuanxiong Rhizome), Sangbaipi (Mori Cortex Radicis).
The above nine herbs are pounded into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills each time, washed down with decoction of Mori Cortex Radicis, at any time.
Lingyangjiao Tang (Saiga Antelope Horn Decoction) for treating postpartum swelling, fullness, mental restlessness, qi stagnation, and intestinal-stomach dysfunction:
Lingyangjiao (Saigae Tataricae Cornu, shaved), Yanshusuo (Corydalis Rhizoma), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran), Shaoyao (Paeoniae Radix Alba or Rubra), Liu Jinu (Artemisiae Annuae Herba), Binglang (Arecae Semen, chopped), Sangbaipi (Mori Cortex Radicis, chopped, equal parts).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with 1 zhan of water until reduced to 70%. Strain and take warm, at any time.
Zhike Wan (Aurantium Pill) for treating postpartum swelling, fullness, vexation, panting, and cough:
Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran), Fangji (Stephaniae Tetrandrae Radix, each 2 liang), Helilepi (Terminaliae Chebulae Pericarpium, half liang), Dahuang (Rhei Radix et Rhizoma, stir-fried, 1 liang), Danggui (Angelicae Sinensis Radix, sliced and dried, 2 liang).
The above seven herbs, except those to be ground separately, are pounded into powder and mixed evenly. Mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills each time, washed down with decoction of Ginger and Perilla, at any time.
Shanglu Tang (Phytolaccae Radix Decoction) for treating postpartum sudden generalized swelling, vexation, and anorexia:
Shanglugen (Phytolaccae Radix, chopped, 2 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, half liang), Fuzi (Aconiti Lateralis Radix Preparata, cracked, skin and umbilicus removed, 1 piece), Chixiaodou (Phaseoli Angularis Semen).
The above six herbs are cut into pieces like hemp seeds. Each dose consists of 5 qianbi, decocted with 1.5 zhan of water until reduced to 1 zhan. Strain and take warm, at any time.
Gan Dihuang Tang (Rehmannia Decoction) for treating postpartum generalized facial and bodily edema:
Shenggan Dihuang (Rehmanniae Radix Preparata, dried), Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba or Rubra), Chifuling (Poria Cum Radio, black skin removed, each 1 liang), Sangbaipi (Mori Cortex Radicis, chopped, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, chopped).
The above nine herbs are used raw. Coarsely crushed and sifted. Each dose consists of 5 qianbi, decocted with 1.5 zhan of water until reduced to 1 zhan. Strain and take warm, at any time.
Beimu Wan (Fritillaria Pill) for treating postpartum swelling and fullness of head, face, and limbs, with panting and cough:
Beimu (Fritillariae Cirrhosae Bulbus, heart removed), Chifuling (Poria Cum Radio, black skin removed, each 2 liang), Ziwan (Asturi Flos), Sangbaipi (Mori Cortex Radicis, chopped), Wuweizi (Schisandrae Chinensis Fructus), Xingren (Armeniacae Semen Amarum, skin and tips removed).
The above eight herbs, except two to be ground separately, are pounded into powder. Mixed with paste of Almond and Jujube; if too dry, add a little refined honey. Form pills the size of paulownia seeds. Take 20 to 30 pills each time, washed down with thick decoction of Phytolaccae Radix, at any time.
Zhike Wan (Aurantium Pill) for treating postpartum facial edema and hypochondriac pain:
Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran, 1 liang 1 fen), Helile (Terminaliae Chebulae Fructus, baked, core removed, 2 liang), Danggui (Angelicae Sinensis Radix, sliced and dried), Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried), Fangji (Stephaniae Tetrandrae Radix), Shaoyao (Paeoniae Radix Alba or Rubra), Qianniuzi (Pharbitidis Semen, 1 liang).
The above eleven herbs are pounded into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills each time, washed down with decoction of Mori Cortex Radicis and Jujube. Increase to 30 pills if necessary.
Fangji Tang (Stephania Decoction) for treating postpartum swelling, fullness, and inability to eat:
Fangji (Stephaniae Tetrandrae Radix, 2 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed), Xiong (Chuanxiong Rhizome), Fuzi (Aconiti Lateralis Radix Preparata, cracked, skin and umbilicus removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted and chopped), Danggui (Angelicae Sinensis Radix, sliced and dried), Chenpi (Citri Reticulatae Pericarpium).
The above eight herbs are cut into pieces like hemp seeds. Each dose consists of 3 qianbi, decocted with 1 zhan of water and 3 slices of fresh Ginger until reduced to 60%. Strain and take warm before meals.
Zhehuang Tang (Zhehuang Decoction) for treating postpartum blood-wind generalized edema:
Zhehuang (Sappan Lignum), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran), Baizhu (Atractylodis Macrocephalae Rhizoma), Diding (Sonchi Japonici Herba, each 1.5 liang), Huangqi (Astragali Membranacei Radix, chopped), Renshen (Ginseng Radix), Kuandonghua (Farfarae Flos), Jiegeng (Platycodonis Radix).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with 1 zhan of water until reduced to 60%. Strain and take warm, at any time.