治产后脐下痛。
延胡索 桂心(各半两) 当归(一两)
上为细末,热酒调下二钱。
治产后脐下疼痛不止。香桂散。
川芎 当归(各一分) 桂心(半两)
上为细末,分为三服。每服酒一盏,煎三、五沸,更入小便少许,煎至七分温服。甚者
不过再服即瘥。(出《博济》)
又方∶釜底墨(醋炒令干) 延胡索 刘寄奴 桂心 子
上等分为末,热酒调下二钱。
治产后恶露不快,腰痛,小腹如刺,时作寒热,头痛,不思饮食。亦治久有瘀
血,月水不调,黄瘦不思饮食,并能治之。亦可疗心痛。(与失笑散同。出《产乳》)
五灵脂(水淘去石,焙干、秤,炒为末) 真蒲黄
上以好米醋调五灵脂末,慢火熬成膏子,次以蒲黄末搜和丸如樱桃大,每服一丸。水
与童子小便各半盏,煎至七分,令药化,温服之。少顷再一服,恶露即下。久有瘀血成块,
月信不利者,并用酒磨下。
产后六、七日,忽然脐腹痛,皆由呼吸之间,冷气乘虚而入。宜服当归建中汤和四顺理
中丸,共研,再丸作小丸,饭饮吞下,极妙。
王子亨云∶产后脐腹大痛,由呼吸冷气,乘虚入客于血,宜《局方》当归建中汤。
疗虚及产妇腹中痛,虚眩不能支持,两胁当脐急痛,气上冲,前后相引痛。治之如神。
精羊肉(四两) 当归 川芎(各半两) 生姜(一两)
上细切,以水十盏,煎至三盏,掠去沫,去滓分四服,空心,热服一日。来日再作,两
日滓合为一日煎,当一剂服。
To treat postpartum pain below the umbilicus.
Yanhusuo (Corydalis Rhizome), Guixin (Cinnamon Twig) (each 0.5 liang), Danggui (Angelica Sinensis Root) (1 liang).
Grind the above into a fine powder, and take 2 qian with warm wine.
To treat persistent pain below the umbilicus after childbirth. Xianggui San (Fragrant Cinnamon Powder).
Chuanxiong (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Root) (each 1 fen), Guixin (Cinnamon Twig) (0.5 liang).
Grind the above into a fine powder, and divide into three doses. For each dose, take one zhan of wine, boil for three to five boils, add a small amount of urine, and simmer until reduced to seven-tenths; take warm. In severe cases, no more than two doses are needed for recovery. (From *Boji Fang*)
Another prescription: Fudi Mo (Soot from the bottom of a cauldron, stir-fried with vinegar until dry), Yanhusuo (Corydalis Rhizome), Liujinu (Artemisia Annua Herb or related species), Guixin (Cinnamon Twig), Zi (Seed - *Note: The specific herb named 'Zi' is ambiguous in this context without further specification, likely referring to a seed ingredient mentioned in the source text*).
Grind the above into equal parts as a powder, and take 2 qian with warm wine.
To treat sluggish lochia discharge, lower back pain, stabbing pain in the lower abdomen, alternating chills and fever, headache, and loss of appetite. It also treats chronic blood stasis, irregular menstruation, sallow emaciation with loss of appetite, and can also treat heart pain. (Similar efficacy to Shixiao San [Heartbreak Powder]. From *Chanru Beiyao*)
Wulingzhi (Trogopterus Dung, washed with water to remove stones, dried by roasting, weighed, stir-fried and ground into powder), Zhen Puhuang (True Pollen Typhae).
Mix Wulingzhi powder with good rice vinegar, slowly simmer over low heat until it forms a paste. Then mix in Puhuang powder and knead into pills the size of cherries. Take one pill per dose. Simmer half a zhan of water and half a zhan of child's urine until reduced to seven-tenths, allowing the pill to dissolve, and take warm. After a short while, take another dose, and the lochia will be discharged. For cases where chronic blood stasis has formed clumps and menstruation is obstructed, grind with wine and take.
Six or seven days after childbirth, sudden pain in the umbilical and abdominal region is caused by cold qi entering through deficiency during respiration. It is suitable to take Danggui Jianzhong Tang (Cinnamon Twig Decoction for Replenishing the Middle) and Sishun Lizhong Wan (Four-Obedient Pill for Regulating the Middle), grind them together, reform into small pills, and swallow with gruel. This is extremely effective.
Wang Ziheng stated: Severe pain in the umbilical and abdominal region after childbirth is due to cold qi invading the blood vessels through deficiency during respiration. It is suitable to use Danggui Jianzhong Tang from *Tai Ping Hui Min He Ji Ju Fang*.
To treat deficiency and abdominal pain in postpartum women, weakness and dizziness making support difficult, urgent pain in the hypochondrium and around the umbilicus, qi rushing upward, and pulling pain between the front and back. The treatment is miraculous.
Jing Yangrou (Lean Mutton) (4 liang), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome) (each 0.5 liang), Shengjiang (Fresh Ginger Rhizome) (1 liang).
Cut finely, add ten zhan of water, and simmer until reduced to three zhan. Skim off the foam, remove the dregs, and divide into four doses. Take hot on an empty stomach within one day. Prepare again the next day, combining the dregs from two days into one batch of decoction, which should be taken as one dose.