论曰产后肾气不足,或恶露所出未尽,遇风寒客搏,皆令气脉凝滞,留注于腰,邪正相
击,故令腰痛。
治产后腰痛沉重。芎 汤方
芎 牛膝(去苗酒浸切焙) 当归(切焙) 萆 (锉) 桂(去粗皮) 桃仁(汤
去皮尖
上七味,粗捣筛,每服三钱匕,水一盏,入生姜三片,枣二枚擘破,同煎至七分,去滓
温服,不拘时候。
治产后气血凝滞,腰重痛。芍药汤方
赤芍药 延胡索 当归(切炒) 枳壳(去瓤麸炒) 牛膝(去苗酒浸炒) 石斛(去
根) 附
上七味,锉如麻豆大,每服三钱匕,水一盏,入生姜三片,枣二枚擘破,同煎至七分
,去滓温服,不拘时候。
治产后腰痛不可忍。附子丸方
附子(炮裂去皮脐) 人参 当归(切焙) 熟干地黄(焙) 桂(去粗皮) 延胡索 威
灵仙
上七味,捣罗为末,炼蜜为丸,如弹子大,每服一丸,细嚼温酒下,胡桃茶亦得,不拘
时候。
治产后虚损,气血不和,腰痛难忍。丹参丸方
丹参(锉) 续断 当归(切炒) 桂(去粗皮) 牛膝(去苗酒浸切焙) 鬼箭羽(锉
各一两)
上八味,除没药外,并捣罗为末,入没药拌匀,再用炼蜜和丸,如梧桐子大。每服三十
丸,温酒下,不拘时候。
治产后腰重痛,不可转侧。续断饮方
续断 芍药 桂(去粗皮) 生干地黄(焙) 黄 (细锉) 芎 黄芩(去黑心) 当
归
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后腰痛,举动不得。羚羊角饮方
羚羊角(镑) 红蓝花 牛膝(酒浸切焙各二两) 桂(去粗皮) 芍药(各一两) 生
干地黄
上六味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后腰痛沉重,举动艰难。牡丹汤方
牡丹皮 柴胡(去苗) 犀角(镑) 杜仲(去粗皮锉炒) 当归(切焙) 桂(去粗
皮) 枳
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。
治产后气血凝滞,攻腰痛。熟干地黄散方
熟干地黄(焙二两) 当归(切炒一两半) 吴茱萸(汤洗焙干炒半两) 细辛(去苗
叶三分)
上六味,捣罗为散,每服二钱匕,温酒调下,不拘时候。
治产后虚冷,气血不和腰痛。人参汤方
人参 当归(切) 附子(炮裂去皮脐) 浓朴(去粗皮生姜汁炙) 槟榔(生锉) 桂
(去
上一十味,锉如麻豆大,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后腰脚酸疼,转侧不得,壮热汗出,气短心怔。当归黄 汤方
当归(锉焙) 黄 (细锉) 芍药(各二两) 生姜(切焙五两)
上四味,粗捣筛,分作八服,每服水二盏半,煎至一盏,去滓温服。
治一切产后风劳冷气,女人冷血气,腰痛等。楮实丸方
楮实(二升炒) 牛膝(酒浸切焙) 当归(切焙) 干姜(炮各一两)
上四味,捣罗为末,炼蜜和丸,如梧桐子大。每服食前空心,酒下二十丸。
Commentary states: After childbirth, the Kidney Qi is insufficient, or the lochia (postpartum discharge) has not been completely expelled. When exposed to Wind-Cold pathogenic factors that invade and contend with the body, it causes stagnation of Qi and blood in the meridians, which remains and accumulates in the lower back. The interaction between the pathogenic factor and the healthy Qi results in lower back pain.
Treatment for postpartum lower back pain characterized by a heavy sensation. Xiongkui Decoction (Xiongkui Tang)
* Chuanxiong Rhizome (Chuanxiong)
* Achyranthes Root (Niuxi) (Remove sprouts, soak in wine, slice, and bake)
* Angelica Sinensis Root (Danggui) (Slice and bake)
* Dioscorea Hypoglauca Rhizome (Bixie) (Crush)
* Cinnamon Twig (Guizhi) (Remove coarse bark)
* Peach Seed (Taoren) (Blanch in hot water, remove skin and tips)
The above seven herbs are coarsely crushed and sifted. For each dose, take three qianbi (approx. 9-10g), add one sheng (approx. 200ml) of water, three slices of fresh ginger, and two cracked jujubes. Simmer together until reduced to 70% of the original volume, strain, and take warm. No specific time restriction applies.
Treatment for postpartum Qi and Blood stagnation presenting with heavy and painful lower back. Shaoyao Decoction (Shaoyao Tang)
* Red Peony Root (Chishaoyao)
* Corydalis Rhizome (Yanhusuo)
* Angelica Sinensis Root (Danggui) (Slice and stir-fry)
* Aurantium Fruit (Zhike) (Remove pith, stir-fry with bran)
* Achyranthes Root (Niuxi) (Remove sprouts, soak in wine, and stir-fry)
* Dendrobium Stem (Shihu) (Remove roots)
* Prepared Aconite Root (Fuzi) (Paozhi processed)
The above seven herbs are crushed to the size of hemp seeds. For each dose, take three qianbi, add one sheng of water, three slices of fresh ginger, and two cracked jujubes. Simmer together until reduced to 70%, strain, and take warm. No specific time restriction applies.
Treatment for unbearable postpartum lower back pain. Fuzi Pill (Fuzi Wan)
* Prepared Aconite Root (Fuzi) (Paozhi processed until cracked, remove skin and navel)
* Codonopsis Root (Renshen) [Note: Text says Renshen, typically Ginseng/Panax ginseng]
* Angelica Sinensis Root (Danggui) (Slice and bake)
* Prepared Rehmannia Root (Shudihuang) (Bake)
* Cinnamon Twig (Guizhi) (Remove coarse bark)
* Corydalis Rhizome (Yanhusuo)
* Spirit Flower Herb (Weilingxian)
The above seven herbs are pounded into powder through a sieve. Honey is refined and used to bind the powder into pills the size of a bullet. Take one pill per dose, chew thoroughly, and swallow with warm wine. Swallowing with walnut tea is also acceptable. No specific time restriction applies.
Treatment for postpartum deficiency and exhaustion, disharmony of Qi and Blood, and unbearable lower back pain. Danshen Pill (Danshen Wan)
* Salvia Miltiorrhiza Root (Danshen) (Crush)
* Dipsacus Root (Xuduan)
* Angelica Sinensis Root (Danggui) (Slice and stir-fry)
* Cinnamon Twig (Guizhi) (Remove coarse bark)
* Achyranthes Root (Niuxi) (Remove sprouts, soak in wine, slice, and bake)
* Euonymus Branch (Guijianyu) (Crush, each 1 liang)
Of the above eight herbs, excluding Myrrh (Moyao), all are pounded into powder through a sieve. Mix in the Myrrh evenly. Use refined honey to form pills the size of a sophora seed. Take thirty pills per dose with warm wine. No specific time restriction applies.
Treatment for postpartum heavy lower back pain and inability to turn or bend. Xuduan Drink (Xuduan Yin)
* Dipsacus Root (Xuduan)
* Peony Root (Shaoyao)
* Cinnamon Twig (Guizhi) (Remove coarse bark)
* Dried Raw Rehmannia Root (Sheng Dihuang) (Bake)
* Astragalus Root (Huangqi) (Finely crush)
* Chuanxiong Rhizome (Xiong)
* Scutellaria Root (Huangqin) (Remove black heart)
* Angelica Sinensis Root (Danggui)
The above eight herbs are coarsely crushed and sifted. For each dose, take three qianbi, add one sheng of water, simmer until reduced to 70%, strain, and take warm. No specific time restriction applies.
Treatment for postpartum lower back pain with difficulty in movement. Lingyangjiao Drink (Lingyangjiao Yin)
* Antelope Horn (Lingyangjiao) (Sliced thinly)
* Safflower (Honglanhua)
* Achyranthes Root (Niuxi) (Soak in wine, slice, and bake, 2 liang each)
* Cinnamon Twig (Guizhi) (Remove coarse bark)
* Peony Root (Shaoyao) (1 liang each)
* Dried Raw Rehmannia Root (Sheng Dihuang)
The above six herbs are coarsely crushed and sifted. For each dose, take three qianbi, add one sheng of water, simmer until reduced to 70%, strain, and take warm. No specific time restriction applies.
Treatment for postpartum heavy lower back pain and difficult movement. Mudan Decoction (Mudan Tang)
* Moutan Bark (Mudanpi)
* Bupleurum Root (Chaihu) (Remove sprouts)
* Rhinoceros Horn (Xijiao) [Note: Substitute with Buffalo Horn in modern practice] (Sliced thinly)
* Eucommia Bark (Duzhong) (Remove coarse bark, crush, and stir-fry)
* Angelica Sinensis Root (Danggui) (Slice and bake)
* Cinnamon Twig (Guizhi) (Remove coarse bark)
* Zanthoxylum Fruit/Immature Orange Fruit (Zhi) [Text incomplete, likely Zhishi or Zhike]
The above eleven herbs are coarsely crushed and sifted. For each dose, take three qianbi, add one sheng of water, simmer until reduced to 70%, strain, and take warm. No specific time restriction applies.
Treatment for postpartum Qi and Blood stagnation attacking the lower back causing pain. Shudihuang Powder (Shudihuang San)
* Prepared Rehmannia Root (Shudihuang) (Bake, 2 liang)
* Angelica Sinensis Root (Danggui) (Slice and stir-fry, 1.5 liang)
* Evodia Fruit (Wuzhuyu) (Wash with water, bake dry, stir-fry, 0.5 liang)
* Asarum Root (Xixin) (Remove sprouts and leaves, 3 fen)
The above six herbs are pounded into a powder through a sieve. Take two qianbi per dose, mix with warm wine, and ingest. No specific time restriction applies.
Treatment for postpartum deficiency-cold and disharmony of Qi and Blood causing lower back pain. Renshen Decoction (Renshen Tang)
* Codonopsis/Ginseng Root (Renshen)
* Angelica Sinensis Root (Danggui) (Slice)
* Prepared Aconite Root (Fuzi) (Paozhi processed, remove skin and navel)
* Magnolia Bark (Noupo) [Text says Nongpo, likely typo for Houpo/Magnolia officinalis bark] (Remove coarse bark, process with ginger juice)
* Areca Seed (Binglang) (Freshly crush)
* Cinnamon Twig (Guizhi) (Remove coarse bark)
The above ten herbs are crushed to the size of hemp seeds. For each dose, take three qianbi, add one sheng of water, simmer until reduced to 70%, strain, and take warm. No specific time restriction applies.
Treatment for postpartum soreness and pain in the waist and legs, inability to turn, high fever with sweating, shortness of breath, and palpitations. Danggui Huangqi Decoction (Danggui Huangqi Tang)
* Angelica Sinensis Root (Danggui) (Crush and bake)
* Astragalus Root (Huangqi) (Finely crush)
* Peony Root (Shaoyao) (2 liang each)
* Fresh Ginger (Shengjiang) (Slice and bake, 5 liang)
The above four herbs are coarsely crushed and sifted. Divide into eight doses. For each dose, use two and a half sheng of water, simmer until reduced to one sheng, strain, and take warm.
Treatment for all types of postpartum wind-lao cold qi, women's cold blood qi, lower back pain, etc. Chushi Pill (Chushi Wan)
* Broussonetia Fruit (Chushi) (2 sheng, stir-fried)
* Achyranthes Root (Niuxi) (Soak in wine, slice, and bake)
* Angelica Sinensis Root (Danggui) (Slice and bake)
* Dried Ginger (Ganjiang) (Paozhi processed, 1 liang each)
The above four herbs are pounded into powder through a sieve. Use refined honey to form pills the size of a sophora seed. Take twenty pills before meals on an empty stomach, swallowed with wine.