川芎(二钱) 当归(四钱) 甘草(四分) 桃仁(十粒) 茯苓(一钱) 陈皮(五分) 木香(三
分) 水煎熟。去渣。送香连丸三十粒。如产后已服生化汤二三帖。产妇精神甚好。可服芩
连芍药之类。若大黄等药。决不可用。
产后半月。患痢后重。
川芎(二钱) 当归(三钱) 白芍(酒炒一钱) 黄连(姜汁炒六分) 枳壳(五分) 甘草(四分)
茯苓(一钱) 木香(三分) 加红糖煎服。
产后患血痢久不愈。属阴虚。宜四物汤加人参。
产后泻痢。已论立方。大率因初产气血暴竭。必用生化汤加减。未曾论产后泻痢。多由饮食
伤脾而得。故重出治法方症。然必先服生化汤。行块止痛后。可用后方耳。产痢黄色。乃脾土真
气虚。宜补中益气汤。加木香。肉果。久痢元气下陷。大便不禁。肛门如脱。宜六君子汤。加
木香。肉果。干姜。
伤面食。宜六君子汤。加麦芽。
停谷。宜六君子汤。加神曲。
停肉食。宜六君子汤加山楂(四个) 砂仁(四分) 神曲(一钱) 胃气虚弱泻痢。完谷不化。
宜温助胃气。六君子汤加肉果(一个) 木香(四分)
胃气虚。脾气弱。四肢浮肿。宜补中益气汤。合五皮饮。
陈皮 桑白皮 大腹皮 茯苓皮 姜皮(各一钱)
(〔吴按〕亦有以五加易桑白者更妥。)
诸症兼呕吐。加藿香。兼痰加半夏(八分) 兼小便短涩。加茯苓(一钱) 泽泻(五分) 灯心
(三十支) 泻久不止。加莲子(十粒) 赤痢血多。加姜、砂、木香之类。然不可多用。恐热
则愈行。久痢不止。加人参(一钱) 黄连(一钱) 同煎服。
Chuanxiong Rhizoma (2 qian), Danggui Radix (4 qian), Glycyrrhizae Radix et Rhizoma (0.4 qian), Persicae Semen (10 grains), Poria (1 qian), Citri Reticulatae Pericarpium (0.5 qian), and Aucklandiae Radix (0.3 qian). Decoct in water until cooked. Remove the dregs, and administer with 30 pills of Xianglian Wan (Fragrant Coptis Pills). If the postpartum woman has already taken two or three doses of Shenghua Tang (Birth Recovery Decoction) and her spirit is very good, she may take herbs such as Huangqin Scutellariae Radix, Huanglian Coptidis Rhizoma, and Shaoyao Paeoniae Radix. The use of harsh purgatives like Dahuang Rheubarbi Radix et Rhizoma must absolutely be avoided.
Half a month after childbirth, suffering from dysentery with tenesmus (a feeling of incomplete defecation).
Chuanxiong Rhizoma (2 qian), Danggui Radix (3 qian), BaiShao Paeoniae Radix Alba (stir-fried with wine, 1 qian), Huanglian Coptidis Rhizoma (stir-fried with ginger juice, 0.6 fen), Zhiqiao Aurantii Fructus (0.5 fen), Glycyrrhizae Radix et Rhizoma (0.4 qian), Poria (1 qian), and Aucklandiae Radix (0.3 qian). Add brown sugar and decoct for administration.
Postpartum bloody dysentery that persists for a long time belongs to Yin deficiency. It is suitable to take Siwu Tang (Four Substances Decoction) added with Renshen Ginseng Radix et Rhizoma.
Postpartum diarrhea and dysentery: The prescription has been discussed previously. Generally, this arises because Qi and Blood are suddenly depleted immediately after childbirth; therefore, Shenghua Tang (Birth Recovery Decoction) modified is essential. Previously, postpartum diarrhea and dysentery were not specifically discussed, as they are mostly caused by dietary injury to the Spleen and Stomach. Thus, the treatment methods and prescriptions are repeated here. However, one must first take Shenghua Tang (Birth Recovery Decoction); only after the blood stasis is expelled and pain is relieved can the subsequent formulas be used. Yellow-colored postpartum dysentery indicates deficiency of the true Qi of the Spleen Earth. It is suitable to take Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Aucklandiae Radix and Myristicae Semen. For chronic dysentery leading to sinking of Yuan Qi (Original Qi), incontinence of feces, and a sensation of anal prolapse, it is suitable to take Liujunzi Tang (Six Gentlemen Decoction) added with Aucklandiae Radix, Myristicae Semen, and Zingiberis Rhizoma Recens.
For injury caused by consuming wheat products, it is suitable to take Liujunzi Tang (Six Gentlemen Decoction) added with Maiya Hordei Fructus Germinatus.
For stagnation of grain, it is suitable to take Liujunzi Tang (Six Gentlemen Decoction) added with Shenqu Massae Fermentatae.
For stagnation of meat products, it is suitable to take Liujunzi Tang (Six Gentlemen Decoction) added with Crataegi Fructus (4 pieces), Amomi Fructus Rotundus (0.4 fen), and Shenqu Massae Fermentatae (1 qian).
For diarrhea and dysentery due to weak Stomach Qi, characterized by undigested food in stool, it is suitable to warm and assist Stomach Qi by taking Liujunzi Tang (Six Gentlemen Decoction) added with Myristicae Semen (1 piece) and Aucklandiae Radix (0.4 fen).
For weak Stomach Qi and weak Spleen Qi, accompanied by edema of the four limbs, it is suitable to take Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Wupi Yin (Five Peel Infusion).
Wupi Yin (Five Peel Infusion) composition: Citri Reticulatae Pericarpium, Morus Cortex Alni Radicis, Tugurii Trichosanthis Pericarpium, Poria Cum Ramo Ulmi, and Zingiberis Pericarpium (each 1 qian).
([Wu's Note] It is also appropriate to replace Morus Cortex Alni Radicis with Acanthopanacis Cortex, which is better.)
If these symptoms are accompanied by vomiting, add Huoxiang Pogostemonis Herba. If accompanied by phlegm, add Banxia Pinelliae Rhizoma (0.8 fen). If accompanied by scanty and difficult urination, add Poria (1 qian), Alismatis Rhizoma (0.5 fen), and Juncus Effusus Stem (30 stalks). If diarrhea persists for a long time without stopping, add Nelumbinis Semen (10 grains). If bloody dysentery has excessive blood, add Ginger, Amomi Fructus Rotundus, and Aucklandiae Radix, but do not use in large amounts, as heat-inducing herbs may exacerbate the condition. For chronic dysentery that does not stop, add Renshen Ginseng Radix et Rhizoma (1 qian) and Huanglian Coptidis Rhizoma (1 qian), decoct together, and take.