答曰。心者血之主也。有伏宿寒气。因产大虚。寒搏于血。血凝不得消散。其气逆冲击于心
之经脉。故心痛。但以大岩蜜汤治之。寒去则血脉温而经络通。心痛自止。若误以为所伤疗
之。则虚极寒益甚矣。心络寒甚。传之正经。则变真心痛。朝发夕死。夕发朝死。不可轻
用药如此。
大岩蜜汤
熟地 当归 独活 吴茱萸(洗) 官桂 芍药 干姜 甘草(各二两) 细辛 小草(远志苗
也(各一两)
上为粗末。每服五钱。水三盏。煎一盏。去滓温服。不拘时。
四神散。治产后留血不消。积聚作块。急切疼痛。及心腹酸痛下痢。
当归 干姜(炮) 川芎 赤芍
上为末。每服三钱。温酒调下不拘时。
答曰。产卧血虚生热。复因春秋取凉过多。地之蒸湿。因足履之所着而为香港脚。其状热闷掣
。惊悸心烦。呕吐气上。皆其候也。但服小续命汤。三两剂必愈。若医者误用逐败血药攻
之。则血去而疾增益剧。
小续命汤(此药不论胎前产后。或入风邪虚极。遍身疼痛。或疾喘不定者宜 服之。加麝香半
夏入
。每服水二盏。候煎熟倾药汁后。另以麝入于内。再煎一二沸。食前服。一二服神效。)
人参 黄芩 官桂 麻黄 防己(各一两) 生姜(五两) 芎 芍药 甘草 白术(各一两)
附子(一只去皮) 防风(一两半)
上为 咀。每服三钱。水二盏。煎八分。去滓温服。不拘时。
大驱风散。治猝中欲死。风攻身体及五脏。言语謇涩。神思冒昧。或履湿气。变为香港脚。此
方尤妙。
麻黄(二两) 芎 (一两半) 石膏(煨一两半) 肉桂 白芷 甘草 干姜(炮) 当归 黄芩
杏仁(去皮尖炒各二分)
上为 咀。每服四钱。水盏半。煎六分。去滓。不以时候稍热服。汗出为度。一方入荆沥五
协议煎。大验。如香港脚加白术一两。干木瓜一两。去干姜。
Answer: The Heart is the master of Blood. There is latent, chronic cold pathogen within. Due to the extreme deficiency after childbirth, the cold condenses with the Blood, causing Blood stasis that cannot dissipate. The rebellious Qi strikes the meridians of the Heart, thus causing heart pain. One should simply treat it with Da Yan Mi Tang (Great Rock Honey Decoction). Once the cold is eliminated, the blood vessels become warm and the meridians unobstructed, and the heart pain will cease naturally. If one mistakenly treats it as an injury from retained blood and uses purgatives to attack the stasis, the deficiency will become extreme, and the cold will intensify further. If the cold in the Heart collaterals becomes severe and transmits to the regular meridians, it transforms into Zhen Xin Tong (True Heart Pain), where morning onset leads to evening death, and evening onset leads to morning death. Such matters must not be treated lightly or with careless medication.
Da Yan Mi Tang (Great Rock Honey Decoction)
Shu Di Huang (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Du Huo (Angelicae Pubescentis Radix), Wu Zhu Yu (Evodiae Fructus, washed), Guan Gui (Cinnamomi Cortex), Shao Yao (Paeoniae Radix), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 2 liang), Xi Xin (Asari Radix), Xiao Cao (Radix Polygalae Tenuifoliae seedling, also known as Yuan Zhi miao) (each 1 liang).
Grind the above ingredients into a coarse powder. Take 5 qian per dose, add 3 zhan of water, decoct until 1 zhan remains, remove the dregs, and take warm. Time is not restricted.
Si Shen San (Four Spirits Powder): Treats postpartum retained blood that fails to dissipate, accumulating into masses, causing urgent pain, as well as sour pain in the heart and abdomen accompanied by dysentery.
Dang Gui (Angelicae Sinensis Radix), Gan Jiang (Zingiberis Rhizoma, processed), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Chi Shao (Paeoniae Radix Rubra).
Grind the above into a fine powder. Take 3 qian per dose, mix with warm wine and ingest. Time is not restricted.
Answer: After childbirth, lying in bed causes Blood deficiency which generates internal heat. Furthermore, excessive exposure to coolness during spring and autumn, combined with the steaming dampness of the ground entering through the feet, results in Hong Jiao (Jiaogong disease / Beriberi-like condition). Its manifestations include feverish oppression, muscle twitching and cramping, palpitations with fright, irritability, vomiting, and rebellious Qi ascending. These are all its signs. One should simply administer Xiao Xu Ming Tang (Minor Continuation of Life Decoction); three doses will surely cure it. If physicians mistakenly use drugs to purge defeated blood to attack it, the Blood will be depleted, and the disease will increase in severity.
Xiao Xu Ming Tang (Minor Continuation of Life Decoction) [This medicine is suitable for both antenatal and postpartum periods, or when wind pathogen invades due to extreme deficiency causing body-wide pain, or when wheezing is unstable. Add She Xiang (Musk) and Ban Xia (Pinelliae Rhizoma). Use 2 zhan of water per dose. After decocting and pouring out the liquid, add She Xiang separately, boil for one or two more boils, and take before meals. One or two doses yield divine effects.]
Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), Guan Gui (Cinnamomi Cortex), Ma Huang (Ephedrae Herba), Fang Ji (Stephaniae Tetrandrae Radix) (each 1 liang), Sheng Jiang (Zingiberis Rhizoma Recens) (5 liang), Xiong (Chuan Xiong, Ligusticum Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, one piece, peeled), Fang Feng (Saposhnikoviae Radix) (1.5 liang).
Cut the above ingredients. Take 3 qian per dose, add 2 zhan of water, decoct until 0.8 zhan remains, remove dregs, and take warm. Time is not restricted.
Da Qu Feng San (Great Wind-Expelling Powder): Treats sudden stroke nearly leading to death, wind attacking the body and five zang organs, slurred speech, mental confusion, or walking in damp conditions transforming into Hong Jiao (Jiaogong disease). This formula is particularly excellent.
Ma Huang (Ephedrae Herba) (2 liang), Xiong (Chuan Xiong, Ligusticum Chuanxiong Rhizoma) (1.5 liang), Shi Gao (Gypsum Fibrosum, roasted) (1.5 liang), Rou Gui (Cinnamomi Cortex), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma, processed), Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellariae Radix), Xing Ren (Armeniacae Semen Amarum, peeled and tipped, stir-fried) (each 2 fen).
Cut the above ingredients. Take 4 qian per dose, add 1.5 zhan of water, decoct until 0.6 zhan remains, remove dregs. Take slightly warm at any time. Stop when sweating occurs. Another method adds Jing Li (Calami Juice) 5 yi for simultaneous decoction, which yields great verification. If it is Hong Jiao, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Gan Mu Gua (Chaenomelis Fructus) 1 liang, and remove Gan Jiang (Zingiberis Rhizoma).