《千金》疗产后虚渴,少气力。竹叶汤。
竹叶(三升) 甘草 人参 茯苓(各一两) 小麦(五合) 生姜 半夏(各三两) 麦
门冬(五两) 大枣(十五枚)
上 咀,以水九升,先煮竹叶、小麦、生姜、枣,取七升,去滓;内药再煎取二升,去
滓。一服五合,日三夜一。
《博济》疗产后血渴不止。延胡散。
延胡索 郁金 干葛 桂心 青皮 枳壳(制,等分)
上并以好醋浸一宿,焙干,杵为细末。每服一钱,冷橘皮汤调下,不过三服瘥。
(产后疟疾附)
论曰∶产后乍寒乍热者何?答曰∶阴阳不和,败血不散,能令乍寒乍热。产后血气虚损
,阴阳不和,阴胜则乍寒,阳胜则乍热,阴阳相乘,则或寒或热。若因产劳伤脏腑,血弱不
得宣越,故令败血不散。入于肺则热,入于脾则寒。医人若误作疟疾治之则谬矣。阴阳不和
,宜增损四物汤;败血不散,宜夺命丹。又问二者何以别之?时有刺痛者,败血也;但寒热
无他证者,阴阳不和也。增损四物汤不一,皆随病加减。
人参 当归 芍药 川芎 干姜(各一两) 甘草(四钱重)
上 咀,每服四钱。水一盏,姜钱三片,煎至七分,去滓热服,无时候。
评曰∶乍寒乍热,荣卫不和,难以轻议。若其败血不散,岂止入脾、肺二脏耶?大抵一
阴闭一阳,即作寒热。阴胜故寒,阳胜故热。只可云败血循经流入,闭诸阴则寒,闭诸阳则
热。血气与卫气解则休,遇再会而复作。大调经散、五积散入醋煎佳。
The *Qianjin Fang* treats postpartum deficiency-thirst and shortness of breath with lack of strength. Zhuye Tang (Bamboo Leaf Decoction).
Zhuye (Bamboo Leaf, 3 sheng) Gancao (Licorice Root), Renshen (Ginseng Root), Fuling (Poria), each 1 liang; Xiaomai (Wheat Grain, 5 he); Shengjiang (Fresh Ginger Root), Banxia (Pinellia Tuber), each 3 liang; Maidong (Ophiopogon Tuber, 5 liang); Dazao (Jujube Fruit, 15 pieces).
Crush the herbs. Use 9 sheng of water. First decoct Zhuye, Xiaomai, Shengjiang, and Dazao to obtain 7 sheng of liquid, then remove the dregs. Add the remaining herbs and decoct again to obtain 2 sheng of liquid, then remove the dregs. Take 5 he per dose, three times a day and once at night.
The *Boji Fang* treats intractable postpartum blood-thirst. Yanhu San (Corydalis Powder).
Yanhusuo (Corydalis Rhizome), Yujin (Curcuma Tuber), Gange (Kudzu Root), Guixin (Cinnamon Twig), Qingpi (Aurantii Fructus Immaturus Pericarpium), Zhike (Aurantii Fructus Immaturus), all processed equally.
Soak all herbs in good-quality vinegar overnight, dry by baking, and pound into a fine powder. Take 1 qian per dose, administered with cold Jupi Tang (Tangerine Peel Decoction). It will heal within no more than three doses.
(Attached: Postpartum Malaria)
Discussion states: What is the cause of alternating chills and fever after childbirth? The answer is: Disharmony of Yin and Yang, and failure of stagnant blood to disperse can cause alternating chills and fever. After childbirth, Qi and Blood are deficient and damaged, leading to disharmony of Yin and Yang. If Yin prevails, there is sudden chills; if Yang prevails, there is sudden fever. When Yin and Yang contend with each other, chills or fever occur alternately. If this results from labor injuring the Zang-Fu organs during delivery, causing weak Blood that cannot circulate freely, it leads to stagnant blood failing to disperse. If stagnant blood enters the Lung, heat occurs; if it enters the Spleen, cold occurs. If physicians mistakenly treat this as malaria, it would be erroneous. For disharmony of Yin and Yang, Zengsun Siwu Tang (Modified Four Substances Decoction) is appropriate; for stagnant blood failing to disperse, Mingdan (Life-Restoring Pill) is appropriate. Another question asks how to distinguish between the two? The answer is: Intermittent stabbing pain indicates stagnant blood; chills and fever without other symptoms indicate disharmony of Yin and Yang. There are various variations of Zengsun Siwu Tang, all modified according to the specific condition.
Renshen (Ginseng Root), Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Chuanxiong (Ligusticum Rhizome), Ganjiang (Dried Ginger Rhizome), each 1 liang; Gancao (Licorice Root), 4 qian in weight.
Crush the herbs. Take 4 qian per dose. Use one zhan of water and three slices of ginger. Decoct until reduced to 70%, remove the dregs, and take hot. No specific time restriction.
Commentary states: Alternating chills and fever indicate disharmony of Ying and Wei (Nutritive and Defensive Qi), which is difficult to judge lightly. If it is due to stagnant blood failing to disperse, does it only affect the Spleen and Lung? Generally, when one Yin obstructs one Yang, chills and fever manifest. Prevailing Yin causes cold; prevailing Yang causes heat. It can only be said that stagnant blood flows along the meridians; obstructing the various Yins causes cold, while obstructing the various Yangs causes heat. The condition ceases when Blood/Qi harmonizes with Wei Qi, but recurs upon their next convergence. Dajiao Jing San (Great Menstrual Regulation Powder) and Wuji San (Five Accumulations Powder) are best decocted with vinegar.