治产后血气不散,积聚成块,上攻心腹,或成寒热,四肢羸瘦,烦疼。
桂心 当归 赤芍药 牡丹皮 没药 槟榔(各半两) 青皮 干漆(炒烟尽,各七钱
半) 大黄 桃仁(去皮尖) 三棱(煨) 玄胡索 鳖甲(酥炙) 浓朴(制,各一两)
上为细末,炼蜜和丸如梧桐子大,每服三四十丸,食前用温酒送下。
治妇人产后疟疾,寒热相半,或多热者。
草果(炮,去皮) 半夏(汤泡) 川芎 赤茯苓 陈皮 白芷(各一钱) 良姜 青
皮(去白) 紫苏 甘草(炙,各半钱) 干葛(二钱)
上作一服,水二盅,生姜三片,煎至一盅,食前服。
治产后疟疾多寒者。
肉豆蔻 草果仁 浓朴(生用) 半夏 陈皮 甘草 大枣(去核) 生姜(各等分)
上细锉和匀,一半生用,一半以湿皮纸裹,煨令香熟,去纸不用,将药和匀,每服七钱
,水二盏,煎至七分,去滓食前一服,食后一服。
治妇人吹奶肿痛,头疼发热。
皂角(一挺,不蛀者,烧灰存性) 蛤粉(用真者,各等分)
上为细末,每服二钱,食后用热酒调服取汗出为度。
治产后妒乳并痈。
连翘汤 升麻 芒硝 玄参 芍药 白蔹 防风 射干 大黄 杏仁
上作一服,水二盅,煎至一盅,食远服。
书云∶阳升阴加,四序无差。万物禀天地之一气,男女从精血之两耶。三旬而阴气纯浓
,子称襁褓,两月而阴气方生,儿呼为牙,在百日名奶星,至半载而为夸,乳童周期而阴阳
各半,孩儿千日乃真气方奢。此际全在乳母,能调则和,不调则违。且和者其母慈祥,能调
寒暑,乳哺得宜,是以百 顿释,形貌充悦,筋骨隆盛,情性其常;违者乳哺失节,不能调
摄,或嗔怒乳儿,令儿邪狂,或酒醉乳儿,令儿惊痫,或有孕乳儿,令儿黄瘦疳积,或感患
乳儿,令儿患惊风异疾,或吐后乳儿,令儿呕逆羸瘦,或伤饱乳儿,令儿多热喘急,或房劳
未定乳儿,令儿多病,或乳母与孩儿同睡,口鼻之气侵吹囟门,令儿鼻塞,或母过爱, 抱
衣服,遇寒常加火烘,热气郁积,令儿患热病,风毒丹毒,又有乳母误将孩儿衣服留于月下
,晒晾过夜,被恶鸟羽屎落于衣上,遂成无辜之疾。或将恶相异物嬉戏,乍忽一见,遂成惊
忤。书云∶衣安月下,招无辜以为殃,童子未成,见稀物而触忤,皆为母之过失,使儿伤精
损血,形体黧黑,四肢枯瘁,病之生杀,从此而来。是以《内经》不载其说,乳下婴孩之疾
,有病难治者,皆无所据。中古巫妨氏着《颅囟经》,以占寿夭,历世相授,于是小儿医方
兴焉。其次晋宋江左推诸苏家小儿方,传习有验,隋间有巢氏方,撰集《病源》,唐有孙真
人留心此术,迨后贤俊群集,名医颇众。然小儿治法,散在诸书,博考群书论说,但有证而
无治法,张涣有方而阙脉证,惟钱氏一书,古今所重,谓小儿方脉固难求证,不可以言语取
者,乳下之婴,襁褓之孩,故专于一科。古之有言∶医之为难,而慈幼科比诸医者,又出人
一头地。虽然人有长幼,病感则一,但幼小不能言者耳。人有四百四证,能调则生,失和则
死。幼者归罪于母,壮者或四气七情,或饥饱劳逸,或嗜欲误犯,皆能成疾,故上古神农氏
之王天下也,观人之违和,啜草木之味,以定咸酸甘苦,以治疾病沉 。咸以软之,酸以收
之,甘以缓之,苦以坚之,奇哉,辛味总摄四傍,然后播种百谷,以养人之形骸。古者巢居
穴处,不昧其道,故能全角返质,以道自守,气血坚刚,终保百年之寿。于是乎明医间出,
继踵不绝。岐和振袂于前,李华驰声于后。悲哉∶后人巧伪日增,故此天寿不满。虽有明医
续世,诊视无功,淫祀妖邪,以求余福,可谓息灯觅朗,枯壑驾舟,虽欲求生,反遭艰险。
大抵养生之士,要识违和之理,则天命无穷矣。
Treats postpartum stagnation of blood and qi, accumulation forming masses, attacking upward to the heart and abdomen, or presenting with alternating chills and fever, emaciation of the four limbs, and vexatious pain.
Guixin (Cinnamon Heart), Danggui (Angelica Sinensis Root), Chishao Yao (Red Peony Root), Mudan Pi (Moutan Cortex), Moyao (Myrrh), Binglang (Areca Seed) (each 0.5 liang); Qingpi (Green Tangerine Peel), Ganqi (Drynaria Rhizoma processed until smoke ceases) (each 7 qian); Dahuang (Rhubarb Radix et Rhizoma), Taoren (Peach Seed, peeled and removed of tips); Sanleng (Sparganii Rhizoma, roasted); Xiansu (Cyperus Rotundus Rhizome); Biejia (Trionycis Carapax, fried with butter); Nongpo (Magnoliae Officinalis Cortex, processed) (each 1 liang).
Grind the above into a fine powder, mix with refined honey to make pills the size of Sophora japonica seeds. Take 30-40 pills per dose, administered before meals with warm wine.
Treats women suffering from malaria after childbirth, with equal parts chills and fever, or predominantly fever.
Caoguo (Tsaoko Fructus, processed, peeled), Banxia (Pinelliae Rhizoma, soaked in water), Chuanxiong (Ligusticum Chuanxiong Rhizome), Chi Fuling (Polyporus Umbellatus with red mycelium), Chenpi (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix) (each 1 qian); Liangjiang (Alpiniae Katsumadai Rhizome), Qingpi (Citri Reticulatae Pericarpium, white pith removed); Zisu (Perillae Folium), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 0.5 qian); Gange (Puerariae Radix) (2 qian).
Combine as one dose, add two zhong of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to one zhong, take before meals.
Treats postpartum malaria with predominant chills.
Roudoukou (Myristicae Semen), Caoguoren (Tsaokos Fructus seed), Nongpo (Magnoliae Officinalis Cortex, raw use), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Dazao (Jujubae Fructus, pits removed), Shengjiang (Zingiberis Rhizoma Recens) (equal parts).
Finely chop and mix evenly. Use half raw, and half wrapped in wet skin paper, roast until fragrant and cooked, remove paper, mix medicines together. Take 7 qian per dose, add two zhan of water, decoct to seven-tenths, remove dregs. Take one dose before meals, one dose after meals.
Treats breast inflammation (Chui Nai) causing swelling and pain, accompanied by headache and fever.
Zaojiao (Gleditsiae Sinensis Fructus, one stick, free of insect damage, burned to ash retaining nature), Ge Fen (Concha Meretricis et Cyclinae) (equal parts).
Grind into a fine powder. Take 2 qian per dose, mix with hot wine after meals, administer until sweating occurs.
Treats postpartum "envy milk" (stagnant milk leading to abscess) and carbuncles.
Lianqiao Tang (Forsythiae Decoction), Shengma (Cimicifugae Rhizoma), Mangxiao (Natrii Sulfas), Xuanshen (Scrophulariae Radix), Shaoyao (Paeoniae Radix Alba), Bailian (Trollii Radix), Fangfeng (Saposhnikoviae Radix), Shegan (Belamcandae Rhizoma), Dahuang (Rhubarb Radix et Rhizoma), Xingren (Armeniacae Semen Amarum).
Combine as one dose, add two zhong of water, decoct to one zhong, take long after meals.
The book states: Yang rises, Yin increases, the four seasons proceed without error. All things inherit the single qi of Heaven and Earth; men and women originate from the union of essence and blood. At thirty days, Yin qi is pure and dense, called Qiangbao (swaddling clothes stage); at two months, Yin qi begins to generate, referred to as Ya (teeth); at one hundred days, named Naixing (milk star); at half a year, called Kua; at one cycle (one year), Yin and Yang are each half; at one thousand days, True Qi becomes abundant. This period relies entirely on the nursing mother. If regulated, there is harmony; if not, there is disharmony. Harmony implies the mother is kind, able to adjust to cold and heat, feeding appropriately, thus eliminating diseases, resulting in a plump and joyful appearance, strong bones and muscles, and normal temperament. Disharmony implies irregular feeding, failure to care properly, such as nursing while angry, causing the child to become evil and wild; or nursing while drunk, causing the child to suffer from fright and epilepsy; or nursing while pregnant, causing the child to become yellow, thin, and suffer from malnutrition and accumulation; or nursing while ill, causing the child to suffer from convulsions and strange diseases; or nursing immediately after vomiting, causing the child to have retching and emaciation; or nursing when overly full, causing the child to have excessive heat and wheezing; or nursing immediately after sexual intercourse, causing the child to be prone to illness; or sleeping with the child, where breath from mouth and nose invades the fontanelle, causing nasal congestion; or excessive affection, holding clothes warmed by fire in cold weather, causing heat accumulation, leading to heat diseases, wind toxicity, and erysipelas; or leaving the child's clothes under the moon overnight, where bird feathers and feces fall on them, leading to the disease of "Wugu" (innocent harm). Or playing with ominous objects, sudden sight leading to fright and collision. The book says: Clothes placed under the moon invite Wugu disaster; children not yet grown, startled by rare objects, all stem from maternal negligence, injuring the child's essence and blood, darkening the complexion, withering the limbs. Birth and death of disease arise from this. Therefore, *Neijing* does not record this theory. Diseases of infants under nursing, especially difficult ones, lack basis. In middle antiquity, Wu Fangshi wrote *Lunxin Jing* (Classic of Cranium and Fontanelle) to predict longevity, passed down through generations, thus pediatric formulas arose. Subsequently, during Jin and Song dynasties in Jiangzuo, Su family pediatric formulas were推崇 (highly regarded), transmitted with efficacy. During Sui, Chao Yuanfang compiled *Bingyuan* (Source of Diseases). In Tang, Sun Simiao paid attention to this art. Later, sages gathered, famous doctors were numerous. However, pediatric treatments are scattered in various books. Extensive research shows only symptoms without treatment methods; Zhang Huan had formulas but lacked pulse and symptom descriptions. Only Qian Yi's work is valued ancient and modern, stating that pediatric pulse and syndrome diagnosis is hard to verify, cannot be grasped by words alone, because infants under nursing and children in swaddling clothes require a specialized department. Ancient saying: Medicine is difficult, and the Department of Child Care stands out among physicians. Although people vary in age, the nature of illness is the same, only young children cannot speak. People have 440 types of syndromes; regulation leads to life, disharmony leads to death. Illnesses in the young are blamed on the mother; illnesses in adults may stem from the Four Qi and Seven Emotions, hunger/fullness, fatigue/labor, or indulgence/errors, all causing disease. Thus, in ancient times, Shennong ruled the world, observing human disharmony, tasting herbs to determine salty, sour, sweet, bitter flavors to treat chronic diseases. Salty softens, sour astringes, sweet moderates, bitter strengthens. Marvelous is the pungent flavor, governing the four directions, then planting grains to nourish the human body. Ancients lived in nests and caves, not deviating from the Dao, thus preserving nature and returning to simplicity, guarding with Dao, keeping Qi and Blood firm and strong, ultimately enjoying a century of life. Thus, wise doctors emerged continuously. Qibo led the way, Li Hua followed with fame. Sad indeed: later generations increased cunning and falsehood, thus failing to reach natural lifespan. Although wise doctors continued, diagnoses were ineffective; profane sacrifices and evil spirits were sought for blessings. This is like extinguishing a lamp to seek light, or sailing a boat in a dry ravine. Though desiring life, one encounters danger. Generally, those who cultivate health must understand the principle of disharmony, then the mandate of heaven is infinite.