治产后虚肿,喘促,利小便则愈。
生姜(三两,取汁) 白面(三两) 半夏(七个)
上以生姜汁搜面裹半夏为七饼子,炙焦熟为末,水调一盏,小便利为效。
大调经散最治产后肿满,喘急、烦渴,小便不利。(方见二十一卷第三论中)
又论曰∶夫产后劳伤血气,腠理虚,则为风邪所乘。邪搏于气,不得宣越,故令虚肿轻
浮。是邪搏于气,气肿也。若皮肤如熟李状,则变为水肿。气肿者,发汗即愈;水肿者,利
小便瘥也。
治产后风虚,气壅上攻,头面浮肿。汉防己散。
汉防己 猪苓 枳壳 桑白皮(各一两) 商陆 甘草(各三分)
上为粗末,每服四钱。水盏半,姜三片,煎至七分,去滓温服。空心。
治产后遍身青肿疼痛,产后血水疾。(出《妇人经验方》)
干漆 大麦 (等分)
上各为细末,以新瓦罐子中铺一重麦 、一重干漆,如此填满,用盐泥固济,火 通赤
,放冷研为散。但是产后诸疾,热酒调下二钱。
治产血虚、风肿、水肿。
泽兰叶 防己(等分)
上为末,每服二钱,温酒调下。不能饮者,醋汤调亦可。
论曰∶产后腹痛及泻利者何?答曰∶产后肠胃虚怯,寒邪易侵。若未盈月,欲冷当风,
乘虚袭留于肓膜,散于腹胁,故腹痛作阵,或如锥刀所刺。流入大肠,水谷不化,洞泄肠鸣
,或下赤白, 胁 胀,或痛走不定,急服调中汤立愈。若医者以为积滞取之,祸不旋踵。
谨之谨之。
Treats postpartum edema (swelling due to deficiency), panting, and shortness of breath; the condition resolves with diuresis.
Shengjiang (Radix Zingiberis Recens, 3 liang, juice extracted) Baomian (White Wheat Flour, 3 liang) Banxia (Rhizoma Pinelliae, 7 pieces)
Mix the flour with ginger juice to wrap the Banxia, forming seven cakes. Roast until scorched and cooked, then grind into powder. Take one cup mixed with water; effectiveness is indicated by smooth urination.
Da Tiaojing San (Great Menstrual Regulation Powder) is most effective for treating postpartum swelling and fullness, panting, urgency, irritability, thirst, and dysuria. (Formula see Volume 21, Treatise 3)
Furthermore, it is stated: Postpartum labor damages Qi and Blood, causing the Couli (pores and interstitial spaces) to become deficient, allowing Wind pathogenic factors to invade. When pathogens contend with Qi in the Qi level, preventing its free diffusion, it results in deficient edema that is light and floating. This is because pathogens contend with Qi, constituting Qi edema. If the skin resembles a ripe plum, it transforms into Water edema. Qi edema resolves with sweating; Water edema resolves with diuresis.
Han Fangji San (Han Fangji Powder) treats postpartum Wind-deficiency, where Qi stagnation attacks upward, causing swelling of the head and face.
Hanfangji (Radix Stephaniae Tetrandrae) Zhuling (Polyporus, 1 liang each) Zhike (Fructus Aurantii Immaturus) Sangbaipi (Cortex Mori Radicis, 1 liang each) Shanglu (Radix Phytolaccae) Gancao (Radix Glycyrrhizae, 3 fen each)
Grind into coarse powder. Each dose is 4 qian. Decoct with 1.5 cups of water and 3 slices of ginger until reduced to 0.7 cup. Strain and take warm on an empty stomach.
Treats postpartum generalized cyanotic swelling and pain, and postpartum blood-water disease. (From *Furen Jingyan Fang*)
Ganxi (Resina Taxilli) Damai (Hordeum Vulgare, equal parts)
Grind each into fine powder. Layer barley and Ganxi alternately in a new clay pot until full. Seal with salt mud, calcine over fire until red-hot, cool down, and grind into powder. For any postpartum disorder, take 2 qian mixed with hot wine.
Treats postpartum Blood deficiency, Wind edema, and Water edema.
Zelan Ye (Herba Lycopi) Fangji (Radix Stephaniae Tetrandrae, equal parts)
Grind into powder. Take 2 qian per dose, mixed with warm wine. Those unable to drink alcohol may use vinegar soup instead.
It is discussed: Why do abdominal pain and diarrhea/dysentery occur postpartum? The answer is: Postpartum Spleen and Stomach are weak and timid, making them susceptible to Cold pathogenic invasion. If, within the first month, one exposes oneself to cold or wind, the Cold pathogen invades via the deficiency, lodges in the Huangmo (membranous tissue between heart and diaphragm), and scatters to the abdomen and hypochondrium. Thus, abdominal pain occurs paroxysmally, feeling like stabbing with awls or knives. If it flows into the Large Intestine, food and fluids are not digested, leading to profuse diarrhea, borborygmus, passage of red and white mucus, hypochondriac distension, or wandering pain. In such cases, urgently administer Tiaozhong Tang for immediate relief. If physicians mistakenly treat it as accumulation and use purgatives, disaster will follow swiftly. Be cautious, be cautious.