凡产后瘫痪类风病者,皆因去血过多,气不能生新血,以致
经络不调,筋骨疼痛,甚至半身不遂,疯废床褥,经年不愈,手足麻足不仁,拘挛不知痛痒,若误认为风症,妄
用祛风散血燥烈等药,多致不救。治宜虎骨鹿茸丸。
虎骨鹿茸丸
虎胫骨(一对,如无以胶三两代之,用膀十四两亦可) 鹿茸(羊酥蒸炙,一对,如无以胶四两代之) 枸杞子
(小茴一两,酒炒,三两) 菟丝子(三两) 巴戟肉(酒炒,三钱) 刺蒺藜(酒炒,二两) 补骨脂(盐水炒,
一两五钱) 肉桂(一两五钱) 陈皮(一两) 威灵仙(一两五钱) 防风(一两) 淫羊藿(羊油炙,三两)
杜仲(姜汁炒,三两) 全蝎梢(酒洗淡炒,三钱) 归身(酒炒,三两) 川萆 (一两) 鳖甲(醋炙,二两)
共为末,各胶溶化,再用鹿筋,(如无,牛筋可代,)一斤,炖烂化,捣如泥。米仁一斤,炒研末,打稠糊,
和饴糖三斤,溶并各膏,和匀捣为丸,不拘大小,每服五钱,烧酒浸红花、蕲艾少许送下。忌生冷。
产后寒热往来,应期而发,此由气血并竭,阳虚生外寒,阴虚生内热。或昼轻夜重,或日晡潮热,一日二三度,
其症虽似乎疟而发无常期,只须生化汤倍加当归,则身热自退。即或应期而发,症与疟同,亦必调和气血为主,
无用芩、连等治热,及常、果、槟、楂等截疟。如汗多,加参 。热甚,倍用当归、川芎。若产及一月,其人素
虚而患疟,用人参养胃汤,并服人参白术膏。
加减生化汤
川芎(一钱) 当归(二钱) 人参 白术(各一钱) 茯苓(八分) 青皮(二分) 炙甘草(三分)
藿香(八分) 乌梅(一枚)
渴,加麦冬一钱,五味三分。痰,加半夏八分,竹沥、姜汁。汗,加黄 、枣仁各一钱。伤米食,加神曲
一钱,麦芽五分。伤
肉食,加山楂、砂仁各五分。
人参养胃汤
人参 白术 当归(各二钱) 茯苓 半夏(各八分) 肉果 甘草 青皮 藿香(各四分) 乌梅(二枚)
人参白术汤
白术(一斤) 人参(一两)
水六碗,煎去其半,如法再煎,如此三次,去渣取汁,共九碗,慢火熬至一碗,每日服半酒杯,白汤下。
For postpartum paralysis resembling wind diseases, it is all due to excessive blood loss, where Qi fails to generate new blood, leading to disharmony of the meridians and collaterals, pain in bones and sinews, and even hemiplegia. The patient may become bedridden with spasms and flaccidity, suffering for years without cure, experiencing numbness in hands and feet, loss of sensation to pain and itch, and contractures. If mistakenly diagnosed as a wind syndrome and treated recklessly with pungent, drying, and acrid herbs that disperse wind and invigorate blood, it often leads to untreatable conditions. The appropriate treatment is Hugu Lurong Wan (Tiger Bone and Deer Antler Pill).
Hugu Lurong Wan (Tiger Bone and Deer Antler Pill)
Hu Jing Gu (Tibia of Tiger, one pair; if unavailable, replace with 3 liang of gelatin, or 14 liang of pig bladder skin), Lu Rong (Deer Antler without bone, steamed with mutton suet, one pair; if unavailable, replace with 4 liang of gelatin), Gou Qi Zi (Goji Berry, stir-fried with 1 liang of Xiao Hui Xiang/Fennel and wine, 3 liang), Tu Si Zi (Cuscuta Seed, 3 liang), Ba Ji Rou (Morinda Root Bark, stir-fried with wine, 3 qian), Ci Ji Li (Tribulus Fruit, stir-fried with wine, 2 liang), Bu Gu Zhi (Psoralea Fruit, stir-fried with salt water, 1.5 liang), Rou Gui (Cinnamon Bark, 1.5 liang), Chen Pi (Aged Tangerine Peel, 1 liang), Wei Ling Xian (Clematis Root, 1.5 liang), Fang Feng (Saposhnikovia Root, 1 liang), Yin Yang Huo (Epimedium Herb, fried with mutton fat, 3 liang), Du Zhong (Eucommia Bark, stir-fried with ginger juice, 3 liang), Quan Xie Shao (Scorpion Tail Tip, washed with wine and lightly stir-fried, 3 qian), Gui Shen (Angelica Sinensis Root Body, stir-fried with wine, 3 liang), Chuan Bi Xi (Dioscorea Hypoglauca Rhizome, 1 liang), Bie Jia (Softshell Turtle Shell, stir-fried with vinegar, 2 liang).
Grind all ingredients into powder. Melt the respective gelatins. Use Lu Jin (Deer Tendon, 1 jin; if unavailable, beef tendon can be substituted), stew until soft and melted, then pound into a paste. Stir-fry Yi Yi Ren (Coix Seed, 1 jin) and grind into powder, make a thick paste, mix with Yi Tang (Maltose, 3 jin), dissolve and combine with various gelatins, mix evenly, and pound into pills. Size is not restricted. Take 5 qian per dose, delivered with a small amount of Hong Hua (Carthamus Flower) and Qi Ai (Artemisia Princeps Leaf) soaked in Shao Jiu (Baijiu/Liquor). Avoid raw and cold foods.
Postpartum alternating chills and fever occurring at regular intervals is caused by exhaustion of both Qi and Blood. Yang deficiency generates external cold, while Yin deficiency generates internal heat. Symptoms may be lighter during the day and heavier at night, or present as tidal fever in the late afternoon, occurring two or three times a day. Although the symptoms resemble malaria, the timing is irregular. Simply doubling the dosage of Dang Gui (Angelica Sinensis) in Shenghua Tang (Decoction for Generating New Blood) will naturally subside the body heat. Even if the symptoms occur regularly and mimic malaria, the primary treatment must focus on harmonizing Qi and Blood. There is no need to use Huang Qin (Scutellaria Root) and Huang Lian (Coptis Rhizome) for clearing heat, nor Chang Shan (Ipecac Root), Guo He (Magnolia Fruit), Bing Lang (Areca Seed), or Shan Zha (Hawthorn Fruit) for arresting malaria. If sweating is excessive, add Ren Shen (Ginseng). If heat is severe, double the dosage of Dang Gui and Chuan Xiong (Ligusticum Rhizome). If the puerperium has just reached one month, and the patient is constitutionally weak and suffers from malaria, use Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach) and concurrently take Renshen Baizhu Gao (Ginseng and Atractylodes Macrocephala Paste).
Jiajian Shenghua Tang (Modified Decoction for Generating New Blood)
Chuan Xiong (1 qian), Dang Gui (2 qian), Ren Shen, Bai Zhu (each 1 qian), Fu Ling (Poria, 8 fen), Qing Pi (Citrus Aurantium Unripe Peel, 2 fen), Zhi Gan Cao (Prepared Licorice Root, 3 fen), Huo Xiang (Patchouli Herb, 8 fen), Wu Mei (Mume Fruit, 1 piece).
If thirsty, add Mai Dong (Ophiopogon Tuber, 1 qian) and Wu Wei Zi (Schisandra Berry, 3 fen). If there is phlegm, add Ban Xia (Pinellia Tuber, 8 fen), Zhu Li (Bamboo Sap), and Jiang Zhi (Ginger Juice). If sweating, add Huang Qi (Astragalus Root) and Zao Ren (Ziziphus Seed, each 1 qian). If injured by rice food, add Shen Qu (Medicated Leaven, 1 qian) and Mai Ya (Barley Sprout, 5 fen). If injured by meat food, add Shan Zha (Hawthorn Fruit) and Sha Ren (Amomum Fruit, each 5 fen).
Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach)
Ren Shen, Bai Zhu, Dang Gui (each 2 qian), Fu Ling, Ban Xia (each 8 fen), Rou Dou Kou (Nutmeg), Gan Cao, Qing Pi, Huo Xiang (each 4 fen), Wu Mei (2 pieces).
Renshen Baizhu Tang (Ginseng and Atractylodes Macrocephala Decoction)
Bai Zhu (1 jin), Ren Shen (1 liang).
Add six bowls of water, decoct until half remains. Repeat this process according to the method twice more. Strain the dregs to obtain the juice, totaling nine bowls. Simmer slowly over low fire until reduced to one bowl. Take half a wine glass daily, taken with plain warm water.