白芷灰 滑石 百草霜
上为末,芎归汤或姜汁调服之。
治胎衣不下 妇人大全方,别有治法。
(虚火载血,渐渐晕来。)
用鹿角烧灰,出火毒,研为极细末,以好酒调,灌下即醒。行血极快也。
又方∶用韭叶细切,盛于有嘴瓶中,以热醋沃之,急封其口,以嘴塞产妇鼻中,可愈眩晕。
人参 白术(各二钱) 黄芩 陈皮 川芎(各半钱) 归身尾(半钱) 甘草(一钱,炙。) 有热加
生姜(三钱) 茯苓(一钱)
必用大补气血,虽有杂证,以末治之。
当清热,补血气。
滑石(二钱) 没药(一钱) 麒麟竭(一钱,无则用牡丹皮) 为末,醋糊作丸。
瓦龙子能消血块。
川芎 黄芩 白术 茯苓 干姜 滑石 白芍(炒) 陈皮
咀,煎汤服。
谓产后败血所去不尽,在小腹作痛。
五灵脂 香附末 蛤粉 醋丸 甚者入桃仁(不去尖)
如恶血不下,以五灵脂为末,神曲糊丸,白术陈皮汤下。
不可作风治,切不可以小续命汤服之。必大补气血,然后治痰。当以左右手脉分其气血多少而治。
口眼 斜,不可服小续命汤。
大发热必用干姜,轻用茯苓,淡渗其热。一应苦寒热发表药,皆不可用也。
才见身热,便不可表。发热恶寒,皆是气血。左手脉不足,补血药多于补气药。右手脉不足,补气药多
于补血药。
恶寒、发热、腹满者,当去恶血。脉满者不是,腹痛者是。
产后不可下白芍,以其酸寒伐生发之气故也。
产后一切病皆不可发散。
Ash of Angelicae Dahuricae Radix (Baizhi), Talcum (Huashi), and Carbonized Herba Artemisiae Annuae (Baicaoshuang).
Grind the above ingredients into powder, and take with Xiongui Tang (Cnidium and Angelica Decoction) or ginger juice.
Treats retained placenta. The *Daquan Furen Liangfang* (Great General Good Formulas for Women) has other treatment methods.
(If deficiency fire carries blood, causing gradual dizziness and fainting.)
Use calcined horn of Cervus nippon (Lujiao) ash, remove fire toxicity, grind into extremely fine powder, mix with good wine, and administer orally to restore consciousness immediately. This method promotes blood circulation very rapidly.
Another prescription: Finely chop leaves of Allium tuberosum (Jiucai), place in a bottle with a spout, pour hot vinegar over it, seal the mouth tightly, and insert the spout into the nostril of the parturient woman to cure dizziness.
Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian), Huangqin (Scutellariae Radix), Chenpi (Citri Reticulatae Pericarpium), Chuanxiong (Chuanxiong Rhizoma) (each 0.5 qian), Dangui Shenyi (Radix Angelicae Sinensis caulis and tail) (0.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian, honey-fried). If there is heat, add Shengjiang (Zingiberis Rhizoma Recens) (3 qian) and Fuling (Poria) (1 qian).
Must greatly tonify Qi and Blood. Even if there are mixed symptoms, treat the root first.
Should clear heat and tonify Qi and Blood.
Huashi (Talcum) (2 qian), Moyao (Myrrha) (1 qian), Qilinjie (Sanguis Draconis) (1 qian; substitute Mudanpi (Moutan Cortex) if unavailable). Grind into powder, make pills with vinegar paste.
Walongzi (Fossilia Maxillae Squali) can dissolve blood stasis.
Chuanxiong (Chuanxiong Rhizoma), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Ganjiang (Zingiberis Rhizoma), Huashi (Talcum), Baishao (Paeoniae Radix Alba, stir-baked), Chenpi (Citri Reticulatae Pericarpium).
Cut into pieces, decoct in water and take.
This refers to pain in the lower abdomen caused by incomplete expulsion of postpartum disordered blood.
Wulingzhi (Trogopteri Excrementum), Xiangfu (Cyperi Rhizoma) powder, Gafen (Concha Meretrix), made into pills with vinegar. For severe cases, add Taoren (Persicae Semen) (uncut tip).
If lochia does not discharge, grind Wulingzhi (Trogopteri Excrementum) into powder, make pills with Shenqu (Massa Medicata Fermentata), and swallow with Baizhu Chenpi Tang (Atractylodes and Citrus Decoction).
Do not treat as wind syndrome. Do not administer Xiaoxuming Tang (Minor Xu Ming Decoction). Must greatly tonify Qi and Blood, then treat phlegm. Treatment should be based on distinguishing the abundance or deficiency of Qi and Blood via radial pulse diagnosis at left and right positions.
Facial paralysis with deviation of mouth and eyes, do not administer Xiaoxuming Tang (Minor Xu Ming Decoction).
For severe fever, Ganjiang (Zingiberis Rhizoma) must be used; for mild cases, use Fuling (Poria) to clear heat through diuresis. All bitter-cold heat-clearing and exterior-releasing drugs must not be used.
As soon as body heat appears, exterior-releasing methods are contraindicated. Fever and aversion to cold are both related to Qi and Blood. If the left radial pulse is deficient, blood-tonifying herbs should exceed Qi-tonifying herbs. If the right radial pulse is deficient, Qi-tonifying herbs should exceed blood-tonifying herbs.
When aversion to cold, fever, and abdominal fullness occur, disordered blood should be expelled. A "full" pulse here does not refer to this condition; abdominal pain is the indicator.
Postpartum, Baishao (Paeoniae Radix Alba) should not be used because its sour and cold nature damages the vitalizing energy.
All diseases postpartum should not be treated with dispersing methods.