产当寒月以致寒气入腹,脐下胀痛手不可近者,宜羊肉汤。若气实寒甚者,宜蟠葱散。
羊肉汤
精羊肉(四两) 当归 川芎(各五钱) 生姜(一两)
上加葱白三茎,水十钟,煎至四钟,空心每服一钟。
蟠葱散
苍术(米泔浸) 炙甘草(各八钱) 三棱(煨) 蓬术(煨) 茯苓 青皮(各六钱) 砂仁 槟榔(各四
钱) 延胡索(三钱) 干姜(炒) 肉桂(各二钱)
上为末,每服五钱,葱白一茎,煎汤调服。
产后七情相干,血与气并而心疼,宜延胡索汤。若败血凝聚,气上冲心,宜当归失笑散。
延胡索汤
延胡索 当归 白芍 浓朴 川楝子 蓬术 三棱 木香 槟榔(各一钱) 桔梗(一钱二分) 黄芩(八分)
甘草(七分)
水煎服。
当归失笑散
当归(五钱) 五灵脂(炒令烟尽) 蒲黄(炒,各一钱)
水煎热服。
产后遍身疼痛,因气血走动,升降失常,留滞于肢节间,筋脉引急,或手足拘挛不能屈伸,故遍身肢节走
痛,宜趁痛散。若瘀血不尽流于遍身,则肢节作痛,宜如神汤。
趁痛散
当归 白术(蜜炙) 牛膝 黄 生姜 肉桂 薤白 独活 桑寄生(各一钱)
水煎服。
如神汤
当归 延胡索 桂心(各等分)
水煎服。
During delivery in cold months, if cold pathogenic factors invade the abdomen causing distending and painful swelling below the umbilicus that is too tender to be touched by hand, Yangrou Tang (Mutton Decoction) is indicated. If there is excess Qi stagnation with severe cold, Pancong San (Scallion Unbinding Powder) is indicated.
Yangrou Tang (Mutton Decoction)
Jing Yangrou (Lean Mutton, 4 liang) Danggui (Radix Angelicae Sinensis) Chuanxiong (Rhizoma Ligustici Chuanxiong) [each 5 qian] Shengjiang (Fresh Ginger Rhizome, 1 liang)
Add three stalks of Congbai (White Part of Scallion), ten zhong of water, decoct until four zhong remain. Take one zhong on an empty stomach per dose.
Pancong San (Scallion Unbinding Powder)
Cangzhu (Atractylodis Rhizoma, soaked in rice wash water) Zhi Gancao (Prepared Licorice Root) [each 8 qian] Sanleng (Sparganii Rhizoma, roasted) Pengzhu (Zedoary Rhizome, roasted) Fuling (Poria) Qingpi (Exocarpium Citri Reticulatae Viride) [each 6 qian] Sharen (Amomi Fructus) Binglang (Arecae Semen) [each 4 qian] Yanhusuo (Corydalis Rhizome, 3 qian) Ganjiang (Dried Ginger Rhizome, stir-fried) Rougui (Cinnamon Bark) [each 2 qian]
Grind the above into powder. Take 5 qian per dose, mixed with a decoction of one stalk of Congbai (White Part of Scallion).
Postpartum, emotional disturbances (Seven Emotions) may interfere, causing Heart pain due to the binding of Blood and Qi. Yanhusuo Tang (Corydalis Decoction) is indicated. If lochia stasis condenses and Qi rushes upward to the Heart, Danggui Shixiao San (Angelica Disappointment Powder) is indicated.
Yanhusuo Tang (Corydalis Decoction)
Yanhusuo (Corydalis Rhizome) Danggui (Radix Angelicae Sinensis) Baishao (Radix Paeoniae Alba) Houpo (Magnolia Bark) Chuanlianzi (Fructus Toosendan) Pengzhu (Zedoary Rhizome) Sanleng (Sparganii Rhizoma) Muxiang (Aucklandiae Radix) Binglang (Arecae Semen) [each 1 qian] Jiegeng (Platycodon Root, 1.2 qian) Huangqin (Scutellaria Root, 0.8 qian) Gancao (Licorice Root, 0.7 qian)
Decoct in water and take orally.
Danggui Shixiao San (Angelica Disappointment Powder)
Danggui (Radix Angelicae Sinensis, 5 qian) Wulingzhi (Trogopteri Dung, stir-fried until smoke ceases) Puhuang (Lygodii Pollen, stir-fried) [each 1 qian]
Decoct in water and take hot.
Postpartum generalized body pain occurs because Qi and Blood move irregularly, disrupting ascending and descending functions, leading to stagnation in the joints and limbs. This causes tendons and vessels to contract, resulting in spasms or inability to flex and extend the hands and feet, manifesting as wandering pain throughout the body and joints. Chentong San (Pain-Overcoming Powder) is indicated. If residual blood stasis flows throughout the body, causing joint pain, Rushen Tang (Miracle-like Decoction) is indicated.
Chentong San (Pain-Overcoming Powder)
Danggui (Radix Angelicae Sinensis) Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried) Niuxi (Achyranthes Root) Huangqi (Astragali Radix) Shengjiang (Fresh Ginger Rhizome) Rougui (Cinnamon Bark) Xiebai (Allii Macrostemonis Bulbus) Duhuo (Angelicae Pubescentis Radix) Sangjisheng (Taxilli Herba) [each 1 qian]
Decoct in water and take orally.
Rushen Tang (Miracle-like Decoction)
Danggui (Radix Angelicae Sinensis) Yanhusuo (Corydalis Rhizome) Guixin (Cinnamon Twig) [equal parts]
Decoct in water and take orally.