产后泻痢恶露不行,此瘀血渗入大肠泻下青黑色,宜的奇散。若腹痛泻痢,宜当归芍药散。若月内泻痢,
宜鸭子煎。若里急后重,宜香连散加消导药。若痢久不止,宜四君子汤加收敛药。
的奇散
荆芥穗(盏内慢火烧存性,不得犯油火),麝香(少许),研末,沸汤下一钱。
当归芍药散
白芍(二钱五分) 川芎 泽泻(各一钱五分) 当归 赤茯苓 白术(蜜炙,各七分半)
水煎服。
鸭子煎
生姜十两(捣汁),鸭子(一个) 蒲黄(三钱)
上取鸭子打破,入姜汁内搅匀,同煎至八分,入蒲黄再煎六七沸,空心温服。
香连散
木香、黄连各等分,研末服。
四君子汤
人参 白术(蜜炙) 茯苓(各二钱) 炙甘草(一钱) 姜(三片) 枣(二枚)
水煎服。
产后诸淋,宜茅根汤。若败血不止,淋沥不断,宜乌金散。若淋久不止,四肢沉困无力,宜牡蛎散。若小
便闭而淋沥,小腹膨胀,宜 元汤。
茅根汤
白茅根(四两) 茯苓(二两) 瞿麦 葵子 人参(各一两) 蒲黄 滑石 桃仁(去皮尖捣膏)
甘草(各五钱) 紫贝(五个石首鱼头中石十六个)
上为末,每服二钱,灯心煎汤调服。
乌金散
当归 百草霜 干面(一两) 天麻 木香(各二钱五分) 陈墨( ,二钱)
为末,白汤调下二三钱。
牡蛎散
牡蛎( 研) 龙骨( ,各二钱) 川芎 生地黄 茯苓 当归 人参 艾叶 地榆(各一钱) 炙甘草(五分)
水煎服。
元汤
甘草 滑石 瞿麦 车前子 木通 川芎 当归 白芍 生地黄(各一钱)
水煎服。
Postpartum diarrhea and dysentery with lochia stasis not discharging: This is due to blood stasis infiltrating the large intestine, resulting in the discharge of dark green or black stool. The Deqi San (The Extraordinary Powder) is indicated. If accompanied by abdominal pain and diarrhea/dysentery, the Danggui Shaoyao San (Angelica and Peony Powder) is indicated. If diarrhea/dysentery occurs within one month postpartum, the Yazi Jian (Duck Decoction) is indicated. If there is tenesmus (a feeling of incomplete defecation), Xianglian San (Costus and Coptis Powder) combined with digestive-promoting herbs is indicated. If dysentery persists for a long time, the Sijunzi Tang (Four Gentlemen Decoction) combined with astringent herbs is indicated.
Deqi San (The Extraordinary Powder)
Jingjie Sui (Schizonepetae Spica, slow-roasted in a cup until carbonized but retaining its nature, avoiding oil fire), Shexiang (Musk, a small amount). Grind into powder. Take one qian with boiling water.
Danggui Shaoyao San (Angelica and Peony Powder)
Baishao (White Peony Root, 2.5 qian), Chuanxiong (Szechwan Lovage Rhizome), Zexie (Alisma Rhizome, each 1.5 qian), Danggui (Angelica Sinensis), Chifuling (Red Poria), Baizhu (Atractylodes Macrocephala Rhizome, honey-fried, each 0.75 qian).
Decoct in water and take orally.
Yazi Jian (Duck Decoction)
Shengjiang (Fresh Ginger, 10 liang, crushed for juice), Ya Zi (Duck, one), Puhuang (Pollen Typhae, 3 qian).
Break the duck, mix with ginger juice, decoct together until reduced to 80% volume. Add Puhuang and boil for six or seven more times. Take warm on an empty stomach.
Xianglian San (Costus and Coptis Powder)
Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), equal parts. Grind into powder and take orally.
Sijunzi Tang (Four Gentlemen Decoction)
Renshen (Ginseng Radix), Baizhu (Atractylodes Macrocephala Rhizome, honey-fried), Fuling (Poria, each 2 qian), Zhigancao (Prepared Licorice Root, 1 qian), Jiang (Fresh Ginger, 3 slices), Zao (Jujube, 2 pieces).
Decoct in water and take orally.
Various types of strangury (dysuria) postpartum: Maogen Tang (Imperata Rhizome Decoction) is indicated. If lochia stasis does not stop, causing continuous dribbling, Wujin San (Black Gold Powder) is indicated. If strangury persists for a long time, accompanied by heavy, weak limbs, Muli San (Oyster Shell Powder) is indicated. If urinary retention with dribbling occurs, accompanied by lower abdominal distension, Yuan Tang (Yuan Decoction - note: original text has a missing character before 'Tang') is indicated.
Maogen Tang (Imperata Rhizome Decoction)
Baimaogen (Imperata Rhizome, 4 liang), Fuling (Poria, 2 liang), Qumai (Diantherae Herba), Kuizi (Abutilonis Semen), Renshen (Ginseng Radix, each 1 liang), Puhuang (Pollen Typhae), Huashi (Talcum), Taoren (Persicae Semen, peeled, de-husked, pounded into paste), Gancao (Licorice Root, each 5 qian), Zi Bei (Purple Shell/Bezoar from Stonefish head, five shells, sixteen stones total).
Grind all into powder. Take two qian per dose, mixed with liquid decocted from Jiaxin (Centella asiatica stem).
Wujin San (Black Gold Powder)
Danggui (Angelica Sinensis), Baicaoshuang (Soot from burning hundred herbs), Ganmian (Dry Flour, 1 liang), Tianma (Gastrodiae Rhizoma), Muxiang (Aucklandiae Radix, each 2.5 qian), Chenmo (Old Ink, calcined, 2 qian).
Grind into powder. Take two or three qian mixed with plain boiled water.
Muli San (Oyster Shell Powder)
Muli (Ostreae Concha, calcined and ground), Longgu (Fossilia Ossis Mastodi, calcined and ground, each 2 qian), Chuanxiong (Szechwan Lovage Rhizome), Shengdihuang (Rehmanniae Radix), Fuling (Poria), Danggui (Angelica Sinensis), Renshen (Ginseng Radix), Aiye (Artemisiae Argyi Folium), Diyü (Sanguisorbae Radix, each 1 qian), Zhigancao (Prepared Licorice Root, 0.5 qian).
Decoct in water and take orally.
Yuan Tang (Yuan Decoction)
Gancao (Licorice Root), Huashi (Talcum), Qumai (Diantherae Herba), Cheqianzi (Plantaginis Semen), Mutong (Akebiae Caulis), Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), Baishao (White Peony Root), Shengdihuang (Rehmanniae Radix, each 1 qian).
Decoct in water and take orally.