治产后去血多,眩晕,顷刻害人,多服取效。心闷气绝,红花末酒调一匕服。未效
服。(方见前。)
又方 松烟墨二钱,火 通红,窨灭火气,为末,半匕。温酒调京墨亦可。
又方 旧漆器烧微烟,逼面熏之,却不可太甚,恐虚怯人,不禁。
又方 韭菜切入藏瓶中,以热米醋浇,纸密封瓶口,勿泄气,以瓶嘴向产妇熏,立醒。
又方 用半夏末少许吹入鼻中。
治产后败血不散,阴阳相胜,作为寒热,入醋半合煎。或外感寒邪,头痛体疼
退,除木香、茴香,加生姜、枣子煎。(方见后。)产后伤寒,多因血虚,以下诸方
于竹叶石膏汤、单小柴胡汤,虽是伤寒退热之剂,更宜审订,似难轻用,恐致夭枉
治产后乳脉不行,身体壮热,头目昏痛,大便涩滞,悉能治之。凉膈压热,下乳。
人参 白茯苓 甘草(各半两) 苦梗(炒) 川芎 白芷(各一两) 当归(一分) 芍
药
(三分)
上锉散。每服二钱,水一盏煎,温服。如烦热甚大便秘者,加大黄二钱半。
治产后乍寒乍热,通身温壮,心胸烦闷。
知母(三两) 芍药 黄芩(各二两) 桂心 甘草(各一两)
上锉散。以水五升,煮取半,分三服。或不用桂,用生地黄。
治疗产后失血过多,出现眩晕症状,病情危急可迅速危及生命,多服用此方可见效。若伴有心胸憋闷、气息微弱欲绝,可用红花粉末,以酒调服一匕(古代量器,约为一匙)。若未见效,则服用前文所述方剂。(方剂见前文。)
另一方法:取松烟墨二钱,用火烤至通红,置于密闭容器中冷却以去除火气,研成粉末,用半匕量温酒调服。也可使用京墨,同样以温酒调服。
又一方:将旧漆器烧至产生微烟,让产妇面对烟雾熏蒸,但不可过于猛烈,恐虚弱的产妇无法承受。
又一方:将韭菜切碎放入瓶中,浇上热米醋,用纸严密密封瓶口,防止漏气,将瓶口对准产妇面部进行熏蒸,产妇即可立刻苏醒。
治疗产后败血(瘀血)不散,导致阴阳失衡,表现为寒热往来。加入半合醋煎煮。若是外感寒邪引起的头痛、身体疼痛,应去掉木香、茴香,加入生姜、大枣煎煮。(方剂见后文。)产后伤寒,多因血虚所致,以下诸方中,竹叶石膏汤、单小柴胡汤虽然是治疗伤寒退热的方剂,但也应当仔细审察辨证,似乎难以轻易使用,恐怕会导致夭折或枉死。
治疗产后乳脉不通,身体高热,头目昏痛,大便涩滞不畅,这些症状都能治疗。此方能清泄膈间郁热,促进乳汁分泌。
药材:人参、白茯苓、甘草(各半两)、桔梗(炒制)、川芎、白芷(各一两)、当归(一分)、芍药(三分)。
以上药物锉散。每次服用二钱,加水一盏煎煮,温服。如果烦热严重且大便秘结者,加大黄二钱半。
治疗产后血虚发热,感冒热潮,身体疼痛,头部沉重,心悸口干。(方剂见前文。)
治疗产后忽冷忽热,全身温热壮热,心胸烦闷。
药材:知母(三两)、芍药、黄芩(各二两)、桂心、甘草(各一两)。
以上药物锉散。用水五升,煮取一半药液,分三次服用。或者不用桂心,改用生地黄。
To treat postpartum hemorrhage leading to excessive blood loss, dizziness, a condition that can be fatal within moments; frequent administration of this prescription yields efficacy. For chest oppression and faintness with near cessation of breath, take Rhodorrhoeae Flos (Honghua) powder, mixed with wine using a *bi* (ancient spoon measure), and ingest. If ineffective, administer the formula mentioned previously. (Formula see previous section.)
Another method: Take two qian of pine-soot ink, heat it over fire until red-hot, extinguish it in a sealed container to remove its "fire qi," grind into powder, and take half a *bi* dose mixed with warm wine. Jingmo (Peking Ink) mixed with warm wine is also acceptable.
Another method: Burn an old lacquerware vessel until slight smoke is produced, and fumigate the patient's face with the smoke. Do not do this excessively, as frail patients may not tolerate it.
Another method: Cut fresh chives and place them in a bottle, pour hot rice vinegar over them, seal the bottle mouth tightly with paper to prevent gas leakage, and direct the bottle opening toward the parturient for fumigation; consciousness will return immediately.
Another method: Blow a small amount of Pinelliae Rhizoma Preparatum (Banxia) powder into the nostrils.
To treat postpartum retained lochia (stagnant blood) that fails to disperse, causing an imbalance of Yin and Yang, manifesting as alternating chills and fever. Add half he of vinegar and decoct. If caused by external contraction of cold pathogenic factors resulting in headache and body pain, remove Xanthoceras Semen (Muxiang) and Foeniculi Fructus (Huixiang), and add Zingiberis Rhizoma Recens (Shengjiang) and Jujubae Fructus (Zaozi) for decoction. (Formula see subsequent section.) Postpartum Cold Damage (Shanghan) is often due to blood deficiency. Regarding the following formulas, although Zhuyegao Tang (Bamboo Leaf and Gypsum Decoction) and Dan Xiao Chaihu Tang (Single Minor Bupleurum Decoction) are agents for reducing fever in Cold Damage, they require careful differentiation and diagnosis; they should not be used lightly, lest they cause premature death or unnecessary harm.
To treat postpartum lactation failure accompanied by high fever, dizziness and headache, and constipation with difficult defecation; this formula addresses all these symptoms. It clears heat from the diaphragm and promotes lactation.
Herbs: Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Gancao (Licorice Root) (each 0.5 liang); Jiegeng (Platycodon Root) (stir-fried), Chuanxiong (Sichuan Lovage Rhizome), Baizhi (Angelicae Dahuricae Radix) (each 1 liang); Danggui (Angelica Sinensis Radix) (1 fen); Shaoyao (Peony Root) (3 fen).
Grind the above herbs into coarse powder. Each dose consists of 2 qian, decocted in one zhan of water, taken warm. If there is severe irritability and heat with significant constipation, add Dahuang (Rhubarb Root and Rhizome) 2.5 qian.
To treat postpartum fever due to blood deficiency, feeling of heat waves from cold invasion, body ache, heavy head, palpitations, and dry mouth. (Formula see previous section.)
To treat postpartum alternating chills and fever, generalized warmth and high fever, and mental restlessness and chest oppression.
Herbs: Zhimu (Anemarrhenae Rhizoma) (3 liang); Shaoyao (Peony Root), Huangqin (Scutellaria Root) (each 2 liang); Guixin (Cinnamon Twig/Cortex Cinnamomi), Gancao (Licorice Root) (each 1 liang).
Grind the above herbs into coarse powder. Use five sheng of water, boil down to half volume, and divide into three doses. Alternatively, omit Guixin and use Shengdihuang (Rehmanniae Radix Preparata).