产后小水不通,四物汤去生地。加赤苓、木通。又法∶用炒盐一撮,麝香少许拌匀,填产妇
脐内,外以葱头十余茎,缚作一束,切片如饼子样,须手指浓,先将盐麝二物纳脐中,后将
葱饼加于其上,用艾炷与葱饼一样大灸之,待热气入腹方止,其小便自通矣。
有大小便俱闭而恶露不行者,服行血药,恶露已净,用四物汤,黄芩、山栀、枳壳、木通、
赤苓之类。如恶露不行,大便泻而小便闭者,但可服五苓散,加行血药,如赤芍、红花、元
胡索等类,不可服胃苓汤,盖苍术、浓朴能止血故也。
产后气消血败,营卫不理散乱,流入诸经,不得还元,故口鼻黑气起。及变鼻衄,因产后虚
极,变为此症,则胃绝肺败,多至不救,用犀角地黄汤,或可挽回百一。
犀角 生地 白芍 丹皮
水煎服。
娄氏曰∶累经产而无乳汁者,亡津液故也,须服滋补之药以动之。若虽有乳汁,而又不甚多
者,须服通经之药以动之。仍羹 引之。盖妇人之乳,资于冲脉,与胃经通故也。大抵妇人
素有疾,在冲任经者,乳汁少而其色带黄,所食之子,怯弱多病。又曰∶乳汁不行,有气血
盛而壅闭不行者,有气血弱涩而不行者。虚当补之,实当疏之。疏用通草、漏芦、土瓜之类
,补用盅乳粉、猪蹄、鲫鱼之属。
云台立效方
元米(半合) 莴苣子(半合) 生甘草(五钱)
上煎汁一升,去渣分作三服,乳汁立下。
涌泉散 治妇人乳汁绝少。
瞿麦穗 麦冬 龙骨 山甲(炙) 王不留行
上为细末,每服一钱,热酒调下,后服猪蹄汤,再用油木梳于左右乳上,各梳二三十梳,每
日三服。
胎前乳汁自出者,谓之乳泣,又名乳注。生子多不育,产后乳汁自出,盖是体虚,宜服补药
以止之。亦有乳多急痛而出者,温帛熨之,漏芦散亦可。
漏芦散
漏芦(二钱半) 蛇壳(一条) 栝蒌(十只)
为末,酒调服二钱。
Postpartum difficulty in urination can be treated with Siwu Tang (Four Substances Decoction) from which Shengdi Huang (Rehmanniae Radix) is removed, and Chifuling (Poria cum Ligni) and Mutong (Akebiae Caulis) are added. Another method: Mix one scoop of fried salt with a small amount of Moschus (Musk), fill it into the umbilicus of the postpartum woman. Outside, bundle more than ten green onion heads together, slice them into cake-like shapes (cut slightly thick). First place the salt and musk mixture into the umbilicus, then cover it with the onion cake. Apply moxibustion using an moxa cone of the same size as the onion cake. Stop when heat penetrates into the abdomen; urination will naturally resume.
In cases where both large and small bowel movements are obstructed and lochia (postpartum discharge) does not flow, administer blood-invigorating herbs first. Once lochia has cleared, use Siwu Tang (Four Substances Decoction) with additions such as Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Zhike (Aurantii Fructus), Mutong (Akebiae Caulis), and Chifuling (Poria cum Ligni). If lochia fails to flow, accompanied by diarrhea and urinary retention, only Wuling San (Five-Ingredient Powder with Poria) should be taken, combined with blood-invigorating herbs like Chishao (Paeoniae Radix Rubra), Honghua (Carthami Flos), and Yuanhusuo (Corydalis Rhizoma). Do not use Weiling Tang (Stomach-Strengthening Decoction), because Cangzhu (Atractylodis Rhizoma) and Houpo (Magnoliae Officinalis Cortex) have hemostatic properties.
After childbirth, Qi is depleted and Blood is damaged. Ying (Nutritive Qi) and Wei (Defensive Qi) become disordered and scattered, flowing into the meridians without returning to their source, causing black qi to rise around the mouth and nose. This may progress to Bi Nu (epistaxis/nosebleed). Due to extreme deficiency after childbirth leading to this condition, it indicates exhaustion of Stomach Qi and failure of Lung Qi, often resulting in death. Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) may salvage one or two percent of cases.
Ingredients: Xijiao (Rhinocerotis Cornu), Sheng Di Huang (Rehmanniae Radix), Bai Shao (Paeoniae Radix Alba), Dan Pi (Moutan Cortex).
Decoct in water and take orally.
Lou stated: Women who have had multiple births but lack milk secretion do so due to loss of body fluids; they must take tonifying herbs to stimulate production. If there is some milk but insufficient quantity, herbs that unblock the meridians should be taken to promote flow. This should still be guided by dietary soups. Generally, women's milk originates from the Chong Mai (Penetrating Vessel) and connects with the Stomach Meridian. Broadly speaking, if a woman has chronic illness affecting the Chong and Ren (Conception Vessel) meridians, her milk will be scant and yellowish, and her offspring will be weak and prone to disease. Furthermore, regarding milk stasis: there are cases where abundant Qi and Blood cause obstruction and blockage, and cases where deficient Qi and Blood cause sluggishness and non-flow. Deficiency requires tonification; excess requires dispersion. For dispersion, use Tongcao (Tetrapanacis Medulla), Loulu (Euphorbiae Humifusae Herba), and Tugua (Trichosanthes Cucumerina); for tonification, use Zhongru Fen (Calcar Ostrei), Zhu Ti (Porcinus Pes), and Ji Yu (Cyprinus Carpio).
Yuntai Lifang (Cloud Terrace Instant Efficacy Formula):
Jing Mi (Oryza Sativa Germis, half he), Letuzi (Lactucae Semen, half he), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, five qian).
Decoct to obtain one sheng of liquid, strain, and divide into three doses; milk will appear immediately.
Yongquan San (Surging Spring Powder): Treats women with extremely scant milk.
Qumai Sui (Dianthi Spica), Maidong (Ophiopogonis Tuber), Longgu (Fossilia Ossis Mastodi seu Maxillaris), Shan Jia Zhi (Manis Squama, processed), Wangbuliuxing (Vaccariae Semen).
Grind into fine powder. Take one qian per dose, mixed with warm wine. Follow with a meal of pig trotter soup. Then comb both breasts twenty to thirty times with an oiled wooden comb. Take three times daily.
Premature lactation before delivery is called Ru Qi (Breast Weeping) or Zhu Ru (Leaking Milk). Offspring born from such pregnancies often fail to survive. Postpartum spontaneous leakage of milk is due to constitutional weakness; tonifying herbs should be taken to stop it. In cases of excessive milk accompanied by urgent pain, apply warm cloth compresses; Loulu San (Euphorbia Dispersion Powder) is also applicable.
Loulu San (Euphorbia Dispersion Powder):
Loulu (Euphorbiae Humifusae Herba, two qian half), She Qiao (Serpentis Cutis, one strip), Gualou (Trichosanthis Fructus, ten units).
Grind into powder. Take two qian mixed with wine.