治妇人在草蓐。自发露得风。四肢苦烦热。头痛者。与小柴胡汤。头不痛
主之。
黄芩(一两。) 苦参(二两。) 干地黄(四两。)
上三味。以水六升。煮取二升。温服一升。多吐下虫。
歌曰 妇人发露得风伤。头不痛兮证可详。肢苦但烦芩一两。地黄四两二(苦)参良。
受业林礼丰按。千金云。妇人在草蓐。是新产时也。新产血虚。厥阴主血。血虚则厥阴
之
肢为诸阳之本。两阳相搏。故四肢苦烦热也。头痛者。风邪从脏而干于腑。有欲外出之象。
故与小柴胡汤达之。使其从枢以外出也。头不痛但烦者。风邪内郁。扰动心包之热。心包火
炽。血液必伤。故主以三黄汤。取地黄之甘寒多液者。补阴血之虚。黄芩、苦参之苦寒者。
泻心包之热。使火平而风熄。阴复而肝宁。何有四肢苦烦热之病哉。且心包有热。必挟风木
而生虫。故方下云服后多吐下虫。
治产后虚羸不足。腹中刺痛不止。吸吸少气。或苦少腹急挛痛引腰背
一月。日得服四五剂为善。令人强壮宜。
当归(四两。) 桂枝(三两。) 芍药(六两。) 生姜(三两。) 甘草(二两。) 大
枣(十
汤成纳之。于
汤成纳阿胶
歌曰 补中方用建中汤。四两当归去瘀良。产后虚羸诸不足。调荣止痛补劳伤。
加减歌曰 服汤行瘀变崩伤。二两阿胶六地黄。若厥生姜宜变换。温中止血用干姜。当
归未
受业林礼丰按。产后吸吸少气。不能饮食者。病在太阴也。腹中刺痛不止。或苦少腹急
摩痛引腰背者。病在厥阴也。病属虚羸不足。故用桂枝汤倍芍以助脾气之输。而刺痛牵引乃
血瘀滞着。故用当归以通凝聚之瘀。使脾气有权而得上输下转之力。故产后一月。日得服四
五剂为善也。令人强壮宜者。得补益之功也。加饴糖者。以中土大虚。故用稼穑之味以补中
焦之气
者以养阴。名之曰内补者。以产后虚羸。病偏于内也。古圣之方。无微不到。神乎神乎。
Treats women in the postpartum period who, due to exposure during childbirth, contract wind pathogen. If they suffer from vexatious heat in the four limbs and headache, administer Xiao Chai Hu Tang (Minor Bupleurum Decoction). If there is no headache, this formula (Qianjin San Wu Huang Qin Tang) is the primary treatment.
Huang Qin (Scutellariae Radix, 1 liang), Ku Shen (Sophorae Flavescentis Radix, 2 liang), Gan Di Huang (Rehmanniae Radix Preparata, 4 liang).
These three herbs are boiled in six sheng of water until two sheng remain. Take one sheng warm. It may cause vomiting or purging of many worms.
Song says: Women exposed to wind after childbirth; if the head does not hurt, the syndrome can be detailed. For limbs suffering only from vexation, one liang of Huang Qin, four liang of Di Huang, and two liang of Ku Shen are excellent.
Disciple Lin Lifeng notes: Qianjin Fang states that "women in grass mats" refers to the time of recent delivery. After recent delivery, blood is deficient. The Jueyin Liver channel governs storing blood. Blood deficiency leads to rebellion of Jueyin Qi. The four limbs are the root of all Yang meridians; when two Yangs clash, it causes extreme vexatious heat in the four limbs. If accompanied by headache, it indicates wind pathogen moving from the Zang organs to the Fu organs, showing a tendency to exit outward. Therefore, Xiao Chai Hu Tang is given to unblock the pivot mechanism, allowing the pathogen to exit from the Shaoyang half-exterior half-interior. If there is no headache but only vexation, it indicates wind pathogen stagnating internally, disturbing the heat of the Pericardium. Excessive fire in the Pericardium inevitably damages blood. Thus, the primary treatment uses San Wu Huang Qin Tang. Di Huang's sweet and cold nature with abundant juice is used to tonify the deficiency of Yin blood. Huang Qin and Ku Shen's bitter and cold nature is used to drain the heat of the Pericardium, calming the fire and extinguishing wind, restoring Yin and pacifying the Liver, thereby resolving the vexatious heat in the four limbs. Moreover, heat in the Pericardium must carry Wind Wood qi to generate worms, hence the note under the formula stating that taking it will cause vomiting or purging of many worms.
Treats postpartum weakness and insufficiency, continuous stabbing pain in the abdomen, shortness of breath, or distress from cramping pain in the lower abdomen radiating to the back, persisting for a month. Taking four to five doses per day is beneficial, promoting strength and suitability.
Dang Gui (Angelicae Sinensis Radix, 4 liang), Gui Zhi (Cinnamomi Ramulus, 3 liang), Shao Yao (Paeoniae Radix Alba, 6 liang), Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang), Da Zao (Jujubae Fructus, 10 pieces).
Decoct method: Boil the first five herbs in eight sheng of water until three sheng remain, remove dregs, then add E Jiao (Asini Corii Colla) to melt.
Song says: In tonifying formulas, use Jian Zhong Tang to regulate the Middle; four liang of Dang Gui effectively removes stasis. Postpartum weakness and various deficiencies are treated by harmonizing Ying and Wei, relieving pain, and tonifying劳伤 (labor injury).
Modification Song says: If taking the decoction transforms stasis movement into metrorrhagia, add two liang of E Jiao and six liang of Di Huang. If cold extremities occur, Sheng Jiang should be changed to Gan Jiang (Zingiberis Rhizoma); use Gan Jiang to warm the Middle and stop bleeding. Dang Gui...
Disciple Lin Lifeng notes: Postpartum shortness of breath and inability to eat indicate the disease is in the Taiyin Spleen channel. Continuous stabbing pain in the abdomen or distress from cramping pain in the lower abdomen radiating to the back indicates the disease is in the Jueyin Liver channel. The condition belongs to weakness and insufficiency, so Gui Zhi Tang is used with doubled Shao Yao to assist the Spleen Qi's transport function. The stabbing pain and radiation are due to blood stasis stagnation, so Dang Gui is used to unblock condensed stasis, enabling the Spleen Qi to have the power to ascend and descend. Therefore, within one month postpartum, taking four to five doses daily is optimal. Promoting strength implies achieving tonification effects. Adding Yi Tang (Maltose) is because the Middle Earth (Spleen/Stomach) is severely deficient, so using sweet flavors tonifies the Qi of the Middle Jiao. Adding E Jiao nourishes Yin blood. Named "Nei Bu" (Internal Tonification) because postpartum weakness involves pathology biased inward. The formulas of ancient sages are meticulous and divine.