川芎(二钱) 当归(六钱) 姜炭(四分) 木香(临服磨二分) 陈皮(二分)
产后无块痛。受气伤食。服下方。
白术(二钱) 当归(三钱) 川芎(一钱) 姜炭 炙草(各四分) 人参(二钱) 陈皮(三分)
如伤肉食。加山楂。砂仁。伤饭食。加神曲。伤面食加麦芽。伤寒冷物。胁下作痛加肉桂。
愈消则愈增满闷。必攻补并行。方可化滞进食。但时医所见。只知消
耗。而疑人参为补。而不敢用。误人多矣。故屡治误服散气消导药。致使少食思食之人。反
绝食。日久者。皆用长生活命丹而活者甚多。
产后忿怒气逆。及产后停食二症。善治者。重产而轻怒。治以补气血为主。佐以顺气调气。
则怒郁散而元不损。非徒恃用消导。则停滞行而胃思谷。此治产后忿怒伤食之良法也。若专
一理气消食。非惟气胀不散。停食不消。则正气尤减。食甚至绝谷不救。
产后寒热往来。每日应期而发。其症类疟。切不可用疟疾方药治之。夫气血虚。而寒热更作
。元气弱而外邪或侵。虽寒来股栗。汤火不能温。热如燔炙。水冰不能寒。或昼轻夜重。或
日晡寒热。虽所见症与疟同。其治法必当滋荣益气。以退寒热。有汗急当止汗。只头有汗。
不及于足。此乃孤阳绝阴之症。须当加当归地黄之剂。如阳明恶寒。头痛。无汗。宜于生化
汤加羌活。防风。莲须。葱白。以散之。慎不可作疟治。而用柴胡清肺饮等方。至常山、草
果等药。更害人不可用。
产后寒热有汗。每午后应期而发。类疟。
Chuanxiong (2 qian) Danggui (6 qian) Jiangtan (4 fen) Muxiang (2 fen, ground and added just before taking) Chenpi (2 fen)
Postpartum without blood stasis pain. If caused by emotional constraint and food stagnation, take the following prescription.
Baizhu (2 qian) Danggui (3 qian) Chuanxiong (1 qian) Jiangtan Zhi Gancao (each 4 fen) Renshen (2 qian) Chenpi (3 fen)
If injured by meat, add Shanzha and Sharen; if injured by rice, add Shenqu; if injured by wheat products, add Maiya; if injured by cold foods with pain in the hypochondrium, add Rougui.
As symptoms subside, the sensation of fullness and distension may increase. It is necessary to combine purging and tonifying simultaneously to resolve stagnation and promote appetite. However, contemporary physicians only know how to deplete and suspect that Renshen is a tonic, thus daring not to use it, causing much harm. I have frequently treated patients who mistakenly took Qi-scattering and digestion-promoting medicines, causing those who ate little but desired food to stop eating entirely. For chronic cases, many were saved using Changsheng Huoming Dan.
For postpartum anger leading to rebellious Qi and postpartum food stagnation, skilled practitioners prioritize the postpartum condition over anger. Treatment focuses on tonifying Qi and Blood, assisted by regulating Qi. This disperses anger and depression without damaging Yuan Qi. Merely relying on digestion-promoting herbs allows stagnation to move and the stomach to desire grain, but this is not the best method for treating postpartum anger-induced food stagnation. Specializing solely in regulating Qi and digesting food will not only fail to dissipate Qi distension or eliminate food stagnation but will further reduce healthy Qi, potentially leading to anorexia that is incurable.
Postpartum alternating chills and fever occurring daily at regular intervals resemble malaria (Nue). One must absolutely not use prescriptions for malaria. Because Qi and Blood are deficient, chills and fever alternate; because Yuan Qi is weak, external pathogens may invade. Although chills cause shivering in the thighs, unable to be warmed by hot water or fire, and fever feels like roasting, unable to be cooled by ice or water; or symptoms are lighter during the day and heavier at night, or occur in the late afternoon. Although the symptoms appear identical to malaria, the treatment must nourish Ying (Nutrient) Qi and tonify Qi to resolve chills and fever. If sweating occurs, stop sweating immediately. If sweating is limited to the head and does not extend to the feet, this is a syndrome of isolated Yang and exhausted Yin. One must add Danggui and Dihuang preparations. If there is aversion to cold, headache, and no sweating indicative of the Yangming channel, Qianghuo, Fangfeng, Lianxu, and Congbai should be added to Shenghua Tang to disperse the pathogen. Do not treat as malaria using formulas such as Chaihu Qingfei Yin. Drugs such as Changshan and Caoguo are harmful and must not be used.
Postpartum alternating chills and fever with sweating, occurring daily at regular intervals in the afternoon, resembling malaria.