凡儿方生下,母即昏晕不醒者,此时即有药不能入口,迟则不救。其法急以极软旧衣紧
闭产户,以知事妇女用膝抵住,勿令下面气泄。又令一人一手挽住头发,一手扪住鼻口,勿
令上面气泄。俟稍转略有声息,方用热水接气,急服生化汤。
从权急救生化汤∶治三等血晕,兼化瘀生新。川芎三钱,当归六钱或八钱(酒洗),干
姜
水煎
决
沥
从权急救加参生化汤∶治产后形色脱晕。人参三钱,川芎二钱,当归四钱(酒洗),干
姜
水煎
块痛
仁各
加参生化汤(附大补回阳生化汤)∶人参二钱,川芎四钱,当归八钱(酒洗),干姜四分
(
夜
仍服生化原方。虚脱厥汗多,加人参三四钱。脉与形俱脱将绝,必用此方频灌。厥而兼汗,
加去心麦冬一钱。汗多渴甚,加去心麦冬三钱,汗多痰喘,加竹沥,姜汁,去皮尖杏仁十粒
。汗多喘嗽声重加桔梗、去皮尖杏仁各五分。无汗喘嗽气短,加制半夏一钱,去皮尖杏仁十
粒,桔梗五分。汗多身热气短,加人参,左尺脉弱亦加人参。汗不止,三四剂后加蜜炙黄
一钱。一方,川芎、当归减半,名大补回阳生化汤。治新产厥证,枣引,速煎二服即效。若
厥证渴,佐以生脉五味饮代茶,以救津液,则渴减厥回。
参麦五味饮(去五味子名参麦饮,又名生脉汤,又名生脉散)∶人参二钱(一方三钱),
麦
滋荣益气汤∶治血块痛止而厥。人参、当归各三钱,川芎、白术(土炒)、黄 (蜜炙)
各一钱五分或一钱,熟地二钱,麦冬八分或一钱(去心),炙草四分,五味子十粒,川附子
五
一钱
When a mother faints and does not regain consciousness immediately after the birth of her child, medicines cannot be administered at this stage; delay will result in untreatable conditions. The emergency method is to tightly block the vaginal opening with very soft old clothing, having an experienced woman press against it with her knee to prevent the loss of Qi from below. Another person should hold the hair with one hand and cover the nose and mouth with the other to prevent the loss of Qi from above. Once the patient shows slight signs of recovery and respiration, warm water should be used to receive the vapor (to guide the Qi), followed by the urgent administration of Shenghua Decoction.
Emergency Shenghua Decoction for Ad Hoc Use: Treats three types of blood syncope, while also resolving stasis and generating new tissue. Chuanxiong Rhizoma (Chuanxiong) 3 qian, Danggui Radix (Danggui) 6 or 8 qian (washed with wine), Zingiberis Rhizoma Recens (Ganjiang) [decocted in water].
Emergency Ginseng-Added Shenghua Decoction for Ad Hoc Use: Treats postpartum syncope characterized by pallor and collapse due to Qi and Blood depletion. Renshen Radix (Renshen) 3 qian, Chuanxiong Rhizoma (Chuanxiong) 2 qian, Danggui Radix (Danggui) 4 qian (washed with wine), Zingiberis Rhizoma Recens (Ganjiang) [decocted in water].
Ginseng-Added Shenghua Decoction (with Da Bu Hui Yang Shenghua Decoction): Renshen Radix (Renshen) 2 qian, Chuanxiong Rhizoma (Chuanxiong) 4 qian, Danggui Radix (Danggui) 8 qian (washed with wine), Zingiberis Rhizoma Recens (Ganjiang) 4 fen [decocted in water]. At night, continue administering the original Shenghua Decoction. In cases of collapse, Jue syndrome (cold extremities), and excessive sweating, add Renshen Radix (Renshen) 3–4 qian. If both pulse and physical form are depleted and nearing extinction, this formula must be administered frequently. If Jue syndrome is accompanied by sweating, add Ophiopogonis Radix (Maidong) with heart removed, 1 qian. If sweating is profuse and thirst is severe, add Ophiopogonis Radix (Maidong) with heart removed, 3 qian; if sweating is profuse with phlegm and wheezing, add Arisaematis Cum Bile (Zhuli), Zingiberis Succus (Jiangzhi), and Prunus Armeniaca Semen (Xingren) with skin and tip removed, 10 grains. If sweating is profuse with wheezing, cough, and heavy voice, add Platycodonis Radix (Jiegeng) and Prunus Armeniaca Semen (Xingren) with skin and tip removed, each 5 fen. If there is no sweating, with wheezing, cough, and shortness of breath, add Pinelliae Rhizoma Praeparatum (Banxia) 1 qian, Prunus Armeniaca Semen (Xingren) with skin and tip removed, 10 grains, and Platycodonis Radix (Jiegeng) 5 fen. If sweating is profuse with body heat and shortness of breath, add Renshen Radix (Renshen); if the left Chi pulse is weak, also add Renshen Radix (Renshen). If sweating does not cease, after 3–4 doses, add Astragali Radix Huangqi (Honey-fried) 1 qian. An alternative prescription reduces the dosage of Chuanxiong Rhizoma (Chuanxiong) and Danggui Radix (Danggui) by half, named Da Bu Hui Yang Shenghua Decoction. It treats postpartum Jue syndrome; using dates as a guide, quick decoction and two doses yield immediate effect. If Jue syndrome is accompanied by thirst, supplement with Sheng Mai Wu Wei Yin to replace tea, to restore body fluids, thereby reducing thirst and reversing Jue syndrome.
Sheng Mai Wu Wei Yin (removing Schisandrae Fructus (Wuweizi) yields Can Mai Yin, also known as Sheng Mai Tang or Sheng Mai San): Renshen Radix (Renshen) 2 qian (another prescription uses 3 qian), Ophiopogonis Radix (Maidong) [decocted in water].
Zi Rong Yi Qi Tang: Treats Jue syndrome persisting after the cessation of pain caused by blood masses. Renshen Radix (Renshen) and Danggui Radix (Danggui) each 3 qian, Chuanxiong Rhizoma (Chuanxiong), Atractylodis Macrocephalae Rhizoma (Baizhu) (stir-fried with earth), and Astragali Radix (Huangqi) (honey-fried) each 1.5 qian or 1 qian, Rehmanniae Radix Preparata (Shudihuang) 2 qian, Ophiopogonis Radix (Maidong) with heart removed 0.8 qian or 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata (Zhigancao) 4 fen, Schisandrae Fructus (Wuweizi) 10 grains, Aconiti Lateralis Radix Preparata (Chuanfuzi) 5 qian [decocted in water].