答曰。阳明者。经脉之海。起于鼻。交额中。入上齿。还出侠口。交人中左之右右之左。产
后气消血散。营卫不理。散乱入于诸经。却还不得。故令口鼻黑气起。及变鼻衄。此缘产后
虚热。变生此疾。其疾不可治。名曰胃绝肺败。详此一证。保庆府无方。可急服琥珀黑散。
视其病患鼻黑退。衄止者。活。(方见第八十二问中)
答曰。营者血也。卫者气也。营行脉中。卫行脉外。相随上下。谓之营卫。因产所下过多。
营血暴竭。卫气无主。独聚于肺中。故令喘也。此名孤阳绝阴。难治。若产后恶露不快。败
血停凝。上熏于肺。亦令喘急。如此但服夺命丹。血去。喘急自止。(夺命丹方见八十一问)
旋复花汤。治产后伤风。或风寒暑湿。咳嗽喘满。痰涎壅塞。如服夺命丹喘不定。可服此药
。
前胡 麻黄 杏仁 五味子 茯苓 甘草 赤芍 旋复花 半夏曲 人参 玄及(各等分)
上为饮子。每服四钱。水盏半。姜五片。枣一枚。煎七分。温服。食前。
答曰。产后五七日内。强力下床。或月内。伤于房室。或忧怒。扰荡冲和。或灼炙。伤动脏
腑。初眼涩口噤。肌肉 搐。以渐腰脊筋急强直者不治。此乃人作。非偶尔中风所得。本集
无方。三因方评之颇详。
八风汤。治迷惑如醉。狂言惊悸。恍惚见鬼。
天雄 当归 人参(各五两) 附子 防风 天门冬 蜀椒 独活(各四两) 乌头 秦艽 细
辛白术 干姜(各三钱) 山茱萸 五味子 桔梗 香白芷 柴胡 莽草(各半两)
上为末。每服二钱。温酒调下。日三服。以身中觉如针刺者。药行也。
独活散。治产后中风
口噤。肩项强直。四肢拘急。
独活 桂心 甘草(炙) 当归(炒一本作川芎) 麻黄 附子(炮) 细辛(半两) 防风(八味)
每服四钱。水酒各半盏。煎七分。拗开口灌之。
Answer: The Yangming meridian is the sea of the twelve meridians. It originates at the side of the nose, intersects at the forehead, enters the upper teeth, emerges to surround the mouth, and crosses at the Renzhong (人中) point, with the left meridian crossing to the right and the right to the left. After childbirth, Qi and blood are depleted, and Ying-Wei (Nutritive and Defensive Qi) regulation is disrupted. Blood and Qi scatter into various meridians but cannot return to their proper positions. This causes black Qi to appear around the mouth and nose, leading to epistaxis (nosebleed). This condition arises from postpartum deficiency-heat generating this disease. It is difficult to treat and is named "Stomach Extinction and Lung Failure" (Wei Jue Fei Bai). Regarding this syndrome, Baoqing Prefecture has no specific formula; one should urgently administer Hupo Heisan (Amber Black Powder). If the patient's nasal blackness recedes and bleeding stops, the prognosis is favorable. (See Formula in Question 82)
Answer: Ying (Nutritive Qi) is blood, and Wei (Defensive Qi) is Qi. Ying circulates within the vessels, while Wei circulates outside the vessels. Moving up and down together, they are referred to as Ying-Wei. Due to excessive blood loss during childbirth, Ying-blood is suddenly exhausted, leaving Wei-Qi without a master. It gathers exclusively in the lungs, causing asthma (wheezing). This is named "Lone Yang and Extinct Yin," which is difficult to treat. If lochia (postpartum discharge) is not discharged smoothly, causing stagnant blood to coagulate and ascend to fumigate the lungs, it also leads to rapid breathing. In such cases, administering Duoming Dan (Life-Restoring Pill) will remove the blood stasis, and the rapid breathing will cease naturally. (See Duoming Dan in Question 81)
Xuanfuhua Tang (Inula Flower Decoction) treats wind-strike after childbirth or coughing, wheezing, chest fullness, and phlegm-saliva obstruction caused by wind-cold, summer-heat, or dampness. If wheezing does not stabilize after taking Duoming Dan, this medicine can be taken.
Qianhu (Peucedani Radix), Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen Amarum), Wuweizi (Schisandrae Fructus), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), Xuanfuhua (Inulae Flos), Banxiaqu (Pinelliae Fermentatum), Renshen (Ginseng Radix), Xuanji (Asari Radix et Rhizoma) [all in equal parts].
Prepare as a decoction (Yinzi). Take 4 qian per dose with 1.5 cups of water, 5 slices of ginger, and 1 jujube. Decoct until reduced to 0.7 volume. Take warm before meals.
Answer: Within five to seven days after childbirth, if one exerts oneself to get out of bed, or engages in sexual intercourse within a month, or suffers from sorrow and anger disturbing the harmonious Qi, or undergoes excessive moxibustion damaging the Zang-Fu organs, initial symptoms include dry eyes, trismus (lockjaw), and muscle twitching. Gradually, stiffness and rigidity of the waist and spine develop. Such cases are incurable. This is due to human error, not accidental contraction of wind-stroke. This collection provides no formula; San Yin Fang discusses it in detail.
Bafeng Tang (Eight Winds Decoction) treats confusion resembling drunkenness, delirious speech, palpitations with fright, mental confusion, and hallucinations of seeing ghosts.
Tianxiong (Aconiti Lateralis Radica Preparata), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix) [each 5 liang]; Fuzi (Aconiti Lateralis Radix Preparata), Fangfeng (Saposhnikoviae Radix), Tianmendong (Asparagi Radix), Shujiao (Zanthoxyli Pericarpium), Duhuo (Angelicae Pubescentis Radix) [each 4 liang]; Wutou (Aconiti Radix), Qinjiao (Gentianae Macrophyllae Radix), Xixin (Asari Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma) [each 3 qian]; Shanzhuyu (Corni Fructus), Wuweizi (Schisandrae Fructus), Jiegeng (Platycodonis Radix), Xiangbaizhi (Angelicae Dahuricae Radix), Chaihu (Bupleuri Radix), Mangcao (Matricariae Flos) [each 0.5 liang].
Grind into powder. Take 2 qian per dose, mixed with warm wine. Take three times daily. The medication is effective when the body feels like needle pricks.
Duhuo San (Angelicae Pubescentis Powder) treats wind-stroke after childbirth.
Symptoms include trismus, stiffness of the shoulders and neck, and spasticity of the four limbs.
Formula: Duhuo (Angelicae Pubescentis Radix), Guixin (Cinnamomi Cortex), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Chao Danggui (Fried Angelicae Sinensis Radix; another version uses Chuanxiong Ligustici Rhizoma), Mahuang (Ephedrae Herba), Paofuzi (Prepared Aconiti Lateralis Radix), Xixin (Asari Radix et Rhizoma) [each 0.5 liang], Fangfeng (Saposhnikoviae Radix) [total eight herbs].
Take 4 qian per dose with half a cup of water and half a cup of wine. Decoct until reduced to 0.7 volume. Pry open the mouth and administer.