产后因忿怒气逆不舒,胸膈满闷,血块大痛,宜生化汤磨木香三分冲服,则气舒怒散而块自行矣。若偏用香
砂、枳实、乌药之类以散气行块,则反使元气耗损而满闷愈增。如怒后即食,胃虚伤滞,当审所伤何物。如伤肉,
加砂仁、山楂。伤米食,加神曲、麦芽。伤冷物作痛,留滞胁腹,加肉桂、吴萸,以逐寒定痛。慎勿服槟榔丸疏
气以消食。
健脾化气饮
人参 白术 当归(各二钱) 川芎(一钱) 姜炭 炙草(各四分)
水煎。如块痛未除,仍用生化汤磨木香三分,方内再加肉桂心八分更佳,以桂能平肝而利气也。
产后形体劳倦,脾气受伤,不宜多食浓味。食之,胃虽少纳,脾转运滞,以致痞塞嗳酸。治当温补气血,健
脾助胃,养正兼消,并审所伤何物,佐以消导。斯脾气复而运转如常,滞物行而胃始纳谷矣。若消导过多,必致
绝谷,难治。急以长生活命饮救之。
加味生化汤
川芎(一钱) 当归(二钱) 山药(一钱) 炮姜 炙草(各五分)
完谷不化,加煨肉果一个。块痛,加桃仁。痛止,加白术。虚,加人参。所伤何物,治法如前。身热,禁用
寒凉药。痞满,禁用耗气药。
长生活命饮
人参(二钱)
水二盅,煎八分,入锅焦末,服之。如贫不能服参,单用锅焦研末冲糊服之。或以白术煎汤调服也。可望其开胃。
Postpartum, due to anger causing qi rebellion and stagnation, there is fullness and oppression in the chest and diaphragm, and severe pain from blood stasis masses. It is appropriate to use Shenghua Tang (Life-Birthing Decoction) with 3 fen (approx. 1g) of ground Muxiang (Aucklandiae Radix) taken orally with water. This will soothe the qi, dissipate anger, and allow the mass to resolve spontaneously. If one exclusively uses aromatic and qi-moving herbs such as Xiangfu (Cyperi Rhizoma), Sharen (Amomi Fructus), Zhishi (Aurantii Fructus Immaturus), or Wuyao (Linderae Radix) to scatter qi and dissolve masses, it will instead deplete primordial qi and exacerbate the fullness and oppression. If food is consumed immediately after anger, leading to dietary stagnation due to deficient stomach qi, one must examine what specific food was ingested. If damaged by meat, add Sharen (Amomi Fructus) and Shanzha (Crataegi Fructus). If damaged by rice or grains, add Shenqu (Massa Medicata Fermentata) and Maiya (Hordei Fructus Germinatus). If pain is caused by cold foods with stagnation in the hypochondrium and abdomen, add Rougui (Cinnamomi Cortex) and Wuyu (Evodiae Fructus) to dispel cold and alleviate pain. Do not take Binglang Wan (Areca Seed Pill) for moving qi and digesting food.
Jianpi Huaqi Yin (Spleen-Strengthening and Qi-Transforming Decoction)
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix) (each 2 qian); Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian); Jiangtan (Zingiberis Rhizoma Carbonisatum), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (each 4 fen).
Decoct in water. If the pain from the mass persists, continue using Shenghua Tang (Life-Birthing Decoction) with 3 fen of ground Muxiang (Aucklandiae Radix) taken orally. Adding 8 fen of Rouguixin (Cinnamomi Cortex Interior) to the formula is even better, as Cinnamon can pacify the Liver and benefit qi flow.
Postpartum physical fatigue injures the Spleen qi; therefore, rich and heavy flavors should not be consumed excessively. If ingested, although the Stomach may accept a small amount, the Spleen's transportation function becomes stagnant, resulting in epigastric fullness, belching, and acid regurgitation. Treatment should involve warming and tonifying qi and blood, strengthening the Spleen and assisting the Stomach, supporting the righteous qi while simultaneously promoting digestion. One must also identify the specific offending food and assist with digestive aids. Thus, when Spleen qi recovers and transportation resumes normally, and stagnant matter moves, the Stomach can resume its function of receiving grain. Excessive use of digestive agents will inevitably lead to an inability to eat, making the condition difficult to treat. In such emergencies, Changsheng Huoming Yin (Long-Life and Life-Saving Decoction) should be used to rescue the patient.
Jiawei Shenghua Tang (Modified Life-Birthing Decoction)
Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), Danggui (Angelicae Sinensis Radix) (2 qian), Shanyao (Dioscoreae Rhizoma) (1 qian), Paojiang (Zingiberis Rhizoma Praeparatum), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (each 5 fen).
If undigested food appears in stool, add one roasted Roudoukou (Myristicae Semen). For pain from masses, add Taoren (Persicae Semen). Once pain ceases, add Baizhu (Atractylodis Macrocephalae Rhizoma). For deficiency, add Renshen (Ginseng Radix et Rhizoma). The treatment method for the specific offending food is as described above. If fever is present, cold-natured medicines are contraindicated. If epigastric fullness is present, qi-depleting medicines are contraindicated.
Changsheng Huoming Yin (Long-Life and Life-Saving Decoction)
Renshen (Ginseng Radix et Rhizoma) (2 qian).
Decoct in two bowls of water until reduced to eight-tenths. Add Guojia mo (powdered scorched rice crust) and take orally. If poverty prevents the use of Ginseng, use only powdered scorched rice crust mixed with rice paste. Alternatively, decoct Baizhu (Atractylodis Macrocephalae Rhizoma) in water and take orally. This may help stimulate appetite.