(附论)
夫产后月水不调者。由产伤动血气。虚损未复。而风邪冷热之气客于经络。乍冷乍热。
冷则
夫妇人冲任之脉。为经络之海。皆起于胞内。而手太阳小肠之经。手少阴心之经也。此
二经
通行
谚
必众。其子失乳。必四肢 羸。肚大青筋。头大发焦。好啖泥土。病名无辜。若经血有余者
。不可以药止之。若产后一二岁。月经不通而无疾。若何必服药。或劳伤血气衰少而不能行
者。但服健脾胃资气血药。自然通行。若以牛膝、红花、苏木、干漆、虻虫、水蛭等药以通
之。则为害滋大。经水枯竭。则无以滋养。其能行乎。初虞世所谓譬犹索万金于乞丐之手。
虽捶楚并下而不可得也。后之学人。更宜详审而疗之。
方
牛膝丸(出圣惠方)治产后月水不调。小腹痞硬。乍寒乍热。食不生肌。
必腹刺痛。口干多
牛膝(一两去苗) 赤芍药(三分) 甘草(三分微炙赤锉) 鬼箭羽(三分) 人参
(三分去芦头)
心(一两) 乌梅肉(半两
去翅足微炒令黄) 水蛭(一分微炒
炼蜜和捣三二百杵。丸如梧桐子大。每服
牛膝丸(出圣惠方)治产后月水往来。乍多乍少。仍复不通。时时疼痛。小
腹里急。下引腰
牛膝 芍药 人参(各三分) 大黄(三两) 牡丹皮 甘草 当归 芎 (各三两) 桂
心(
梧桐子
姜黄丸(出圣惠方)治产后虚乏不足。胸心短气。肚内紧急。腰背疼痛。
月水不调。食少烦
姜黄 当归 熟地黄 牡丹皮 浓朴 赤芍药 桂心 川芎 续断 桃仁 白术 木
香(各
牡丹散(出圣惠方)治产后月水不调。脐腹疼痛。
牡丹(三分) 木香(半两) 肉桂(半两去皮) 当归(三分锉微炒) 赤芍药(三
分) 延胡索(
黄(一两) 鳖甲(一两涂
三分。水一中盏半分。煎至五
子丸(出圣惠方)治产后月候不调。或生寒热。羸瘦。饮食无味。渐
成劳证。
子(半两) 白薇(半两) 桂心(三分) 防葵(半两) 桃仁(半两汤浸去皮
尖双仁麸炒
鳖甲(一两涂醋炙
三百杵。丸如梧桐子大。
桑耳散(出圣惠方)治产后经络不调。脐腹下疼痛。
桑耳(三分) 子(一两) 牛膝(一两去苗) 赤芍药(三分) 白茯苓(一两)
延胡索(
散。每服二钱。食
紫桂散(出圣惠方)治产后虽久。体力尚虚。月候不调。或多或少。脐腹
疼痛。面色萎黄。
药(半两)
两) 麒麟竭(半两)
琥珀散(出圣惠方)治产后经脉不调。四肢烦疼。饮食全少。日渐羸瘦。
琥珀 牛膝 生干地黄 当归(各一两) 桃仁 赤芍药(各半两) 上为粗末。每服
三钱。水
栀子汤 治产后月水不调。及腹内胀不除。身强痛方。
芍药(四两) 牡丹 虻虫(各三两) 栀子(十四枚) 上用水五升煮取二升。分为
三服。
桃仁汤(出圣惠方)治产后及坠身。月水不调。或淋沥不断。后复来。状
如泻水。四体虚乏。不能饮食。腹中坚痛不可行动。月水或前或后。或经月不来。举
体沉重。惟欲眠卧。多
桃仁(五十枚) 泽兰 甘草 芎 人参(各二两) 牡丹皮 牛膝 桂心 当归(各
三两)
煮取六升半。分
黄良丸(出圣惠方)治产后经脉不调匀者。是因伤动。血候不定。凡妇人
\室女经年不调。宜
细辛(去苗) 大黄(醋煮为末) 当归(酒浸去芦) 桃仁(酒浸去尖) 川芎(不
见火) 牛膝(
桐子大。每服三
(Attached Discussion)
Postpartum irregular menstruation is caused by the depletion of Qi and Blood during childbirth, leaving the body in a state of deficiency that has not yet recovered. Pathogenic factors of wind, cold, and heat invade the meridians, resulting in alternating chills and fever.
For women, the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are the seas of the meridians; they both originate from the Bao Gong (Uterus) and are closely related to the Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian. These two meridians... circulate... proverbs... inevitably numerous. If an infant loses breast milk, the limbs will inevitably become emaciated, the abdomen distended with visible blue veins, hair dry and scorched, and the child may crave eating dirt. This condition is named "Wugu" (Innocent Disease). If there is an excess of menstrual blood, it should not be forcibly stopped with medication. If one year or two years postpartum, menstruation does not flow but there are no other diseases, why take medicine? Or if exhaustion injures Qi and Blood, causing them to be too deficient to flow, simply administer herbs that strengthen the Spleen and Stomach and nourish Qi and Blood, and flow will naturally resume. Using herbs such as Achyranthes Root (Niuxi), Safflower (Honghua), Broomwood (Sumu), Drynaria Resin (Ganqi), Blister Beetle (Mengchong), and Leech (Shuizhi) to promote flow would cause great harm. If menstrual blood is exhausted, there is nothing to nourish, so how can it flow? Chu Yushi once said this is like demanding ten thousand gold coins from a beggar; even under beating and torture, it cannot be obtained. Scholars in later generations should examine and treat this condition with greater care and prudence.
Formulas:
Achyranthes Pill (from *Shenghui Fang*), treats postpartum irregular menstruation, hardness and fullness in the lower abdomen, alternating chills and fever, and food failing to transform into muscle nutrition. It causes stabbing pain in the abdomen, dry mouth, and excessive...
Ingredients: Radix Achyranthis Bidentatae (Niuxi, 1 liang, remove sprouts), Radix Paeoniae Rubrae (Chishaoyao, 3 fen), Radix Glycyrrhizae Preparata (Gancao, 3 fen, lightly roasted until red and chopped), Ramulus Eucommiae Cum Calloso Exuvie (Guijianyu, 3 fen), Radix Ginseng (Renshen, 3 fen, remove rhizome), Heart (Xin, 1 liang), Fructus Mume (Wumei Rou, 0.5 liang, remove stems and pits, lightly roasted until yellow). Mix with refined honey, pound and grind three to two hundred times, form pills the size of paulownia seeds. Take each dose...
Achyranthes Pill (from *Shenghui Fang*), treats postpartum menstrual flow coming and going, sometimes heavy sometimes light, still obstructed, frequent pain, urgency in the lower abdomen, radiating downward to the lower back...
Ingredients: Radix Achyranthis Bidentatae (Niuxi), Radix Paeoniae (Shaoyao), Radix Ginseng (Renshen) (each 3 fen), Radix Rhizoma Rhei (Dahuang, 3 liang), Cortex Moutan (Mudanpi), Radix Glycyrrhizae (Gancao), Radix Angelicae Sinensis (Danggui), Rhizoma Chuanxiong (Chuanxiong) (each 3 liang), Lignum Cinnamomi (Guixin)... paulownia seed-sized...
Curcuma Pill (from *Shenghui Fang*), treats postpartum deficiency and insufficiency, shortness of breath in the chest and heart, tightness in the abdomen, pain in the waist and back, irregular menstruation, poor appetite, and irritability...
Ingredients: Rhizoma Curcumae Longae (Jianghuang), Radix Angelicae Sinensis (Danggui), Radix Rehmanniae Preparata (Shudihuang), Cortex Moutan (Mudanpi), Cortex Magnoliae Officinalis (Houpo), Radix Paeoniae Rubrae (Chishaoyao), Lignum Cinnamomi (Guixin), Rhizoma Chuanxiong (Chuanxiong), Radix Dipsaci (Xuduan), Semen Persicae (Taoren), Rhizoma Atractylodis Macrocephalae (Baizhu), Fructus Litseae (Muxiang) (each...)
Peony Powder (from *Shenghui Fang*), treats postpartum irregular menstruation, pain in the umbilical and abdominal regions.
Ingredients: Cortex Moutan (Mudan, 3 fen), Fructus Litseae (Muxiang, 0.5 liang), Cortex Cinnamomi (Rougui, 0.5 liang, remove bark), Radix Angelicae Sinensis (Danggui, 3 fen, chopped and lightly roasted), Radix Paeoniae Rubrae (Chishaoyao, 3 fen), Rhizoma Corydalis (Yanhusuo)... Huang (1 liang), Carapax et Plastrum Testudinis (Biejia, 1 liang, coated...) 3 fen. Use one bowl and half a cup of water, decoct until five...
Zi Pill (from *Shenghui Fang*), treats postpartum menstrual irregularity, or occurrence of chills and fever, emaciation, lack of taste in food, gradually developing into consumptive disease.
Ingredients: Zi (0.5 liang), Radix Cynanchi Atrati (Baiwei, 0.5 liang), Lignum Cinnamomi (Guixin, 3 fen), Radix Saposhnikoviae (Fang Kui, 0.5 liang), Semen Persicae (Taoren, 0.5 liang, soaked in water, remove skin and sharp ends, double kernels, bran-roasted...) Carapax et Plastrum Testudinis (Biejia, 1 liang, coated with vinegar and roasted...) Three hundred pounds, form pills the size of paulownia seeds.
Mulberry Ear Powder (from *Shenghui Fang*), treats postpartum meridian irregularity, pain in the lower umbilical and abdominal region.
Ingredients: Auricula Judae (Sanger, 3 fen), Zi (1 liang), Radix Achyranthis Bidentatae (Niuxi, 1 liang, remove sprouts), Radix Paeoniae Rubrae (Chishaoyao, 3 fen), Poria (Baifuling, 1 liang), Rhizoma Corydalis (Yanhusuo)... powder. Take two qian per dose, after meals...
Purple Cinnamon Powder (from *Shenghui Fang*), treats postpartum cases where time has passed but physical strength remains weak, menstrual irregularity, varying amounts, pain in the umbilical and abdominal region, sallow complexion.
Ingredients: Yao (0.5 liang), Liang), Dragon's Blood (Qilinjie, 0.5 liang)
Amber Powder (from *Shenghui Fang*), treats postpartum meridian irregularity, vexing pain in the four limbs, very little diet, gradual emaciation.
Ingredients: Succinum (Hupo), Radix Achyranthis Bidentatae (Niuxi), Radix Rehmanniae Recens (Sheng Shengdi), Radix Angelicae Sinensis (Danggui) (each 1 liang), Semen Persicae (Taoren), Radix Paeoniae Rubrae (Chishaoyao) (each 0.5 liang). The above are made into coarse powder. Take three qian per dose, use water...
Gardenia Decoction, treats postpartum irregular menstruation, and formulas for persistent abdominal distension and body stiffness/pain.
Ingredients: Radix Paeoniae Albae (Shaoyao, 4 liang), Cortex Moutan (Mudan), Blister Beetle (Mengchong) (each 3 liang), Fructus Gardeniae (Zhizi, 14 fruits). Boil the above in five sheng of water to obtain two sheng, divide into three doses.
Peach Kernel Decoction (from *Shenghui Fang*), treats postpartum conditions and those following abortion/miscarriage, irregular menstruation, or dripping discharge that continues, then returns again, resembling flowing water, weakness in the four limbs, inability to eat, severe fixed pain in the abdomen making movement impossible, menstruation either early or late, or absent for a month, heaviness of the whole body, desire only to sleep, much...
Ingredients: Semen Persicae (Taoren, 50 kernels), Herba Lycopi (Zelan), Radix Glycyrrhizae (Gancao), Rhizoma Chuanxiong (Chuanxiong), Radix Ginseng (Renshen) (each 2 liang), Cortex Moutan (Mudanpi), Radix Achyranthis Bidentatae (Niuxi), Lignum Cinnamomi (Guixin), Radix Angelicae Sinensis (Danggui) (each 3 liang)... decoct to obtain six and a half sheng, divide...
Huangliang Pill (from *Shenghui Fang*), treats uneven postpartum menstrual flow, which is due to injury and disturbance of blood, causing unstable blood conditions. For any woman or maiden with irregular menstruation for years, it is suitable to...
Ingredients: Radix Asari (Xixin, remove sprouts), Radix Rhizoma Rhei (Dahuang, boiled in vinegar to make powder), Radix Angelicae Sinensis (Danggui, soaked in wine, remove rhizome), Semen Persicae (Taoren, soaked in wine, remove tips), Rhizoma Chuanxiong (Chuanxiong, do not expose to fire), Radix Achyranthis Bidentatae (Niuxi)... paulownia seed-sized, take three...