治产后去血过多,血虚则阴虚,阴虚生内热,内热生烦。其证心胸烦闷,吸吸短气,头
痛闷乱,骨节疼痛,晡时辄甚,与大病虚烦相类,急宜治之。
人参 当归 生干地黄 桂心 麦门冬(去心,各一两) 白芍药(二两)
上 咀,每服四大钱。水二盏,先将粳米一合,淡竹叶十片,煎至一盏,去米、竹叶,
入药,并枣二枚,煎至七分,去滓温服。虚甚者用熟地黄。
治妇人草蓐中伤风,四肢苦烦热,头疼,与小柴胡汤;若头不疼但烦者,三物黄芩汤。
黄芩(半两) 苦参(一两) 生干地黄(二两)
上 咀,每服四钱。水一盏,煎至七分,去滓温服。
治妇人产后虚羸,发寒热,饮食少,腹胀等疾。宜增损柴胡汤。
柴胡(三钱) 人参 芍药 半夏(炮) 甘草 橘红 川芎(各三分)
上 咀,每服四钱。水一盏,姜三片,枣一枚,煎至七分,去滓温服。
治妇人产后伤风,发热面赤,喘而头痛。宜服竹叶防风汤。
淡竹叶(半把) 防风 人参 桂枝 苦梗 甘草(各半两) 葛根(一两半)
上 咀,每服三钱。水一盏,姜三片,枣一枚,煎至七分,去滓温服,使汗出。颈项
强,用附子炮去皮脐,锉如豆大,抄一钱同煎。呕者,加半夏煎服。
治妇人产后伤风十数日不解,头微痛,恶寒,时时有热,心下坚,干呕,汗出。宜阳旦
汤。
桂枝 芍药(各三两) 甘草(炙) 黄芩(各二两)
上 咀,每服三钱。水一盏,姜三片,枣一枚,煎至七分,去滓温服,无时候。
自汗者,去桂,加炮熟附子一枚;渴者,去桂,加栝蒌根三两;下痢者,去芍药,加干
姜三两;心下悸者,去芍药,加茯苓四两;虚劳里急者,正阳旦汤主之,煎时入胶饴为佳。
若脉浮紧,无汗发热者,莫与也。
治产后恶露方下,忽而断绝。昼日明了,暮则谵语,寒热往来,如见鬼状。此由为热入
血室,不即治之,诸变不测,宜服柴胡地黄汤。(方见第六卷十五论中)四物汤加北柴胡。
Treats excessive blood loss after childbirth. Blood deficiency leads to Yin deficiency, and Yin deficiency generates internal heat, which causes irritability. The symptoms include chest and heart oppression, shortness of breath, headache with mental confusion, pain in the bone joints, worsening in the late afternoon (Bushi), resembling the deficiency irritability seen after severe illness; urgent treatment is required.
Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Sheng Gan Di Huang (Rehmanniae Radix Recens), Gui Xin (Cinnamomi Cortex), Mai Men Dong (Ophiopogonis Tuber) (remove the heart, each 1 liang), Bai Shao Yao (Paeoniae Radix Alba) (2 liang).
Crush the herbs. Take 4 da qian per dose. Use 2 zhan of water, first decoct 1 he of Jing Mi (Rice) and 10 leaves of Dan Zhu Ye (Lophatheri Herba) until reduced to 1 zhan, remove the rice and leaves, add the medicinal herbs, along with 2 dates (Zao), decoct until reduced to 70%, filter and take warm. For severe deficiency, use Shu Di Huang (Rehmanniae Radix Praeparata).
Treats women contracting wind-pathogen during the puerperium, suffering from vexatious heat in the four limbs and headache; administer Xiao Chai Hu Tang (Minor Bupleurum Decoction). If there is no headache but only vexation, use San Wu Huang Qin Tang (Three-Ingredient Scutellaria Decoction).
Huang Qin (Scutellariae Radix) (0.5 liang), Ku Shen (Sophorae Flavescentis Radix) (1 liang), Sheng Gan Di Huang (Rehmanniae Radix Recens) (2 liang).
Crush the herbs. Take 4 qian per dose. Use 1 zhan of water, decoct until reduced to 70%, filter and take warm.
Treats postpartum emaciation and weakness, alternating chills and fever, poor appetite, abdominal distension, etc. Yi Zeng Sun Chai Hu Tang (Modified Bupleurum Decoction) is suitable.
Chai Hu (Bupleuri Radix) (3 qian), Ren Shen (Ginseng Radix), Shao Yao (Paeoniae Radix), Ban Xia (Pinelliae Rhizoma) (processed), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ju Hong (Citri Reticulatae Pericarpium), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 3 fen).
Crush the herbs. Take 4 qian per dose. Use 1 zhan of water, 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), 1 date (Zao), decoct until reduced to 70%, filter and take warm.
Treats postpartum wind-pathogen contraction with fever, red face, panting, and headache. Ye Zhu Fang Feng Tang (Lophatherum and Saposhnikovia Decoction) should be taken.
Dan Zhu Ye (Lophatheri Herba) (half a handful), Fang Feng (Saposhnikoviae Radix), Ren Shen (Ginseng Radix), Gui Zhi (Cinnamomi Ramulus), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang), Ge Gen (Puerariae Lobatae Radix) (1.5 liang).
Crush the herbs. Take 3 qian per dose. Use 1 zhan of water, 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), 1 date (Zao), decoct until reduced to 70%, filter and take warm to induce sweating. For stiffness of the neck and nape, use Fu Zi (Aconiti Lateralis Radix Praeparata) (processed, skin and rootlet removed), cut into bean-sized pieces, take 1 qian for simultaneous decoction. For vomiting, add Ban Xia (Pinelliae Rhizoma) for decoction and administration.
Treats postpartum wind-pathogen contraction persisting for more than ten days without resolution, slight headache, aversion to cold, intermittent fever, hardness below the heart (epigastric region), dry retching, and sweating. Yang Dan Tang (Yang Dawn Decoction) is indicated.
Gui Zhi (Cinnamomi Ramulus), Shao Yao (Paeoniae Radix) (each 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted), Huang Qin (Scutellariae Radix) (each 2 liang).
Crush the herbs. Take 3 qian per dose. Use 1 zhan of water, 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), 1 date (Zao), decoct until reduced to 70%, filter and take warm at any time. For spontaneous sweating, remove Gui Zhi (Cinnamomi Ramulus) and add one processed Shu Fu Zi (Aconiti Lateralis Radix Praeparata); for thirst, remove Gui Zhi (Cinnamomi Ramulus) and add Gua Lou Gen (Trichosanthis Radix) 3 liang; for dysentery, remove Shao Yao (Paeoniae Radix) and add Gan Jiang (Zingiberis Rhizoma) 3 liang; for palpitations below the heart, remove Shao Yao (Paeoniae Radix) and add Fu Ling (Poria) 4 liang; for deficiency fatigue with interior tension, Zheng Yang Dan Tang (True Yang Dawn Decoction) is the primary treatment, adding Yi Tang (Maltose) during decoction is best. If the pulse is floating and tight with no sweat and fever, do not administer.
Treats sudden cessation of lochia discharge shortly after childbirth. Clarity during the day but delirium at night, alternating chills and fever, hallucinations as if seeing ghosts. This is due to Heat entering the Blood Chamber (Xue Shi). If not treated immediately, various unpredictable changes may occur. Chai Hu Di Huang Tang (Bupleurum and Rehmannia Decoction) should be taken. (Formula found in Volume 6, Discourse 15) Si Wu Tang (Four Substances Decoction) plus Bei Chai Hu (Bupleuri Radix).