吴(廿五)寒热头痛。渴饮不化,胸闷呕恶。询经水三月未来。寸脉搏指。此属妊象。
细条芩(一钱五分) 炒焦半丑(一钱五分) 川芎(五分) 知母(一钱五分) 橘红(一钱) 花粉(一钱五
分) 嫩苏梗(一钱)
魏(廿八)妊娠暮热早凉。口干胸闷。
桑皮(一钱) 条芩(一钱五分) 麦冬(二钱) 细生地(三钱) 知母(一钱五分) 花粉(一钱五分) 生
白芍(一钱五分) 川斛(四钱)
缪(廿二)胎气上冲。干呕不食。势防小产则危。
小生地 麦冬 焦白术 阿胶 知母 黄芩 生白芍 云茯神 炒焦砂仁末
王(廿七)妊娠咳嗽。适有七月。太阴司胎。作子嗽治。
桑根白皮 杏仁 鲜竹茹 淡天冬 桔梗 生甘草 紫菀(一钱) 加建蜜三匙临服冲入
王(廿六)妊娠已及弥月。嗳酸 胀。议安胎饮去芎、归、条芩。加茯苓。即戊己汤加香附。紫苏。茯苓易茯神。
西党(二钱) 炙草(五分) 制香附(三钱) 甜冬术(二钱) 广皮(一钱) 拣麦冬(四分) 抱木茯神(二
钱) 大白芍(二钱) 紫苏(六分)
许(廿四)新产腹痛。姑议逐瘀。
延胡(一钱) 制香附(三钱) 郁金(二钱) 当归(一钱五分) 南山楂(三钱) 泽兰(一钱五分) 赤芍
(一钱)
陈(廿六)新产头晕。腹痛。先驱恶露。
归尾(一钱五分) 远志(四分) 制香附(三钱) 赤芍(一钱) 桃仁(一钱五分) 泽兰(一钱) 丹皮(一
钱五分) 琥珀(四分) 炒山楂(三钱)
苏(三一)新产十朝。阴气下泄。阳从上冒。汗出烦渴。便难腰痛。每假寐。必魂魄飞越。是阴怯而阳无所附之征。
即仲景之郁冒见端也。颇宜镇阳。
生牡蛎(三钱) 细生地(三钱) 大麻仁(一钱五分) 清阿胶(二钱五分) 麦冬(三钱) 炙甘草(五分) 茯
神(二钱) 柏子仁(二钱)
又 新产四朝。腹痛背痛。腰溶溶而痛。恶露淋漓。此属督带交伤。宜理奇脉。以逐瘀佐之。但不可骤用温补。
当归(一钱五分) 丹皮(一钱五分) 南楂炭(三钱) 川断(二钱) 泽兰(一钱) 茯神(二钱)
吴(三一)新产潮热。腹痛汗泄。此属郁冒。
川斛(三钱) 丹参(一钱五分) 郁金(一钱) 淮小麦(一钱五分) 南楂炭(二钱) 泽兰(一钱五分) 茯
神(二钱)
马(三八)面色痿黄。形寒咳嗽。询产后下虚。理宜温养。
鹿角霜(三钱) 鹿角胶(三钱) 杞子(一钱五分) 当归(一钱五分) 补骨脂(一钱) 熟地炭(三钱) 紫
石英(三钱) 炒小茴(四分)
苏(三二)产后下虚。是冲任脉震而动。心痛形寒。最怕淹缠蓐损。宜议温养。
河车胶(三钱) 淡苁蓉(二钱) 熟地炭(四钱) 当归(一钱五分) 补骨胆(一钱) 茯苓(三钱) 紫石
英( 研,三钱)
王(三八)半产下虚。怯寒恍热。恶露未净。少腹仍痛。所喜瘕泄已减。胃思纳食。阳明有渐振之义。再拟扶胃疏
瘀。方保无虞。
川斛(四钱) 半夏曲(炒,一钱五分) 茺蔚子(一钱五分) 小茴香拌炒当归(一钱五分) 炒香菟丝饼(二
钱) 泽兰(一钱) 新会皮(一钱) 粉丹皮(一钱)
王(三六)阴气下泄。阳从上冒。头痛。巅顶尤甚。恶露已净。脉象左部细涩。明是液亏不司留恋其阳。为上实下
虚之症。
倘过用辛泄。恐伤阳气。预为复热之防。理议益阴。和阳熄风。
原生地(四钱) 河车胶(一钱五分) 生左牡蛎(三钱) 当归(一钱五分) 豆皮(一钱五分) 清阿胶(另
烊冲,一钱五分) 云茯神(二钱)
又 头痛已缓。畏寒食减。带淋心痛。
苏叶(六分) 延胡(炒,一钱) 细生地(二钱) 豆皮(一钱五分) 丹参(一钱五分) 川芎(五分) 川
斛(一钱五分) 炙草(五分) 蛤粉炒阿胶(一钱五分) 加姜皮(五分)
又 液衰盗汗。少寐带淋。
川斛(一钱五分) 制首乌(三钱) 川芎(炒,七分) 淮小麦(一钱五分)
丹参(一钱五分) 上清阿胶(蛤粉炒,一钱五分) 云茯神(二钱) 远志(去心研炒,四分)
王(三二)新产四朝。潮热腹痛。便难头痛。恶露未净。此属郁冒。当与逐瘀为务。
归尾(一钱五分) 制香附(三钱) 泽兰(一钱) 赤芍(一钱五分) 桃仁(去尖炒,一钱五分) 茺蔚子(一
钱五分) 丹皮(一钱) 延胡(一钱) 琥珀末(临服调入,四分)
吴(二十五岁):寒热交替,头痛。口渴饮水但水液不化,胸闷,恶心呕吐。询问得知月经三个月未来。寸脉搏动有力。这属于妊娠的征象。
细条黄芩(一钱五分) 炒焦半夏(一钱五分) 川芎(五分) 知母(一钱五分) 橘红(一钱) 天花粉(一钱五分) 嫩苏梗(一钱)
魏(二十八岁):妊娠期间傍晚发热,早晨凉爽。口干,胸闷。
桑白皮(一钱) 条芩(一钱五分) 麦冬(二钱) 细生地(三钱) 知母(一钱五分) 天花粉(一钱五分) 生白芍(一钱五分) 川石斛(四钱)
缪(二十二岁):胎气上冲。干呕,不能进食。形势担心小产则危险。
小生地 麦冬 焦白术 阿胶 知母 黄芩 生白芍 云茯神 炒焦砂仁末
王(二十七岁):妊娠期咳嗽。适逢怀孕七月。太阴经主司胎儿,按“子嗽”治疗。
桑根白皮 杏仁 鲜竹茹 淡天冬 桔梗 生甘草 紫菀(一钱) 加建蜜三匙,临服时冲入
王(二十六岁):妊娠已满一个月(注:此处“弥月”通常指满月或足月,结合上下文及方义,可能指临近分娩或特定阶段,原文直译为满一月/足月)。嗳气泛酸,腹胀。建议安胎饮去掉川芎、当归、条芩。加入茯苓。即戊己汤加香附、紫苏。将茯苓改为茯神。
西党参(二钱) 炙甘草(五分) 制香附(三钱) 甜冬术(二钱) 广陈皮(一钱) 拣麦冬(四分) 抱木茯神(二钱) 大白芍(二钱) 紫苏(六分)
许(二十四岁):新产后腹痛。暂且建议逐瘀。
延胡索(一钱) 制香附(三钱) 郁金(二钱) 当归(一钱五分) 南山楂(三钱) 泽兰(一钱五分) 赤芍(一钱)
陈(二十六岁):新产后头晕。腹痛。先驱除恶露。
归尾(一钱五分) 远志(四分) 制香附(三钱) 赤芍(一钱) 桃仁(一钱五分) 泽兰(一钱) 丹皮(一钱五分) 琥珀(四分) 炒山楂(三钱)
苏(三十一岁):新产后十天。阴气下泄,阳气从上冒越。出汗,烦躁口渴。大便困难,腰痛。每次假睡时,必定感觉魂魄飞越。这是阴气虚弱而阳气无所依附的征象。也就是张仲景所说的“郁冒”的开端。颇适宜镇潜阳气。
生牡蛎(三钱) 细生地(三钱) 大麻仁(一钱五分) 清阿胶(二钱五分) 麦冬(三钱) 炙甘草(五分) 茯神(二钱) 柏子仁(二钱)
又案:新产后四天。腹痛背痛。腰部溶溶然疼痛。恶露淋漓不尽。这属于督脉和带脉同时受伤。适宜调理奇经八脉。辅以逐瘀。但不可以骤然使用温补。
当归(一钱五分) 丹皮(一钱五分) 南楂炭(三钱) 川断(二钱) 泽兰(一钱) 茯神(二钱)
吴(三十一岁):新产后潮热。腹痛,出汗。这属于郁冒。
川石斛(三钱) 丹参(一钱五分) 郁金(一钱) 淮小麦(一钱五分) 南楂炭(二钱) 泽兰(一钱五分) 茯神(二钱)
马(三十八岁):面色萎黄。形体怕冷,咳嗽。询问得知产后下元虚损。理宜温养。
鹿角霜(三钱) 鹿角胶(三钱) 枸杞子(一钱五分) 当归(一钱五分) 补骨脂(一钱) 熟地炭(三钱) 紫石英(三钱) 炒小茴香(四分)
苏(三十二岁):产后下元虚损。是冲任脉震动而动。心痛,形体怕冷。最怕病情缠绵导致蓐损(产后虚损)。适宜议定温养。
河车胶(三钱) 淡苁蓉(二钱) 熟地炭(四钱) 当归(一钱五分) 补骨脂(一钱) 茯苓(三钱) 紫石英(研,三钱)
王(三十八岁):半产(流产)后下元虚损。怯寒,恍惚发热。恶露未净。少腹仍然疼痛。所庆幸的是瘕积泄泻已减轻,胃气开始思纳食物。阳明胃气有逐渐振奋的意思。再拟定扶胃疏瘀之法,方可保证无虞。
川石斛(四钱) 半夏曲(炒,一钱五分) 茺蔚子(一钱五分) 小茴香拌炒当归(一钱五分) 炒香菟丝饼(二钱) 泽兰(一钱) 新会皮(一钱) 粉丹皮(一钱)
王(三十六岁):阴气下泄,阳气从上冒越。头痛。巅顶尤其严重。恶露已净。脉象左部细涩。明显是津液亏损,不能留恋其阳气。属于上实下虚的症状。
倘若过度使用辛散泄邪之药,恐怕损伤阳气。预先防止复热。理宜益阴,调和阳气,熄风。
原生地(四钱) 河车胶(一钱五分) 生左牡蛎(三钱) 当归(一钱五分) 豆皮(一钱五分) 清阿胶(另烊冲,一钱五分) 云茯神(二钱)
又案:头痛已缓解。畏寒,食欲减退。带下淋浊,心痛。
苏叶(六分) 延胡索(炒,一钱) 细生地(二钱) 豆皮(一钱五分) 丹参(一钱五分) 川芎(五分) 川石斛(一钱五分) 炙甘草(五分) 蛤粉炒阿胶(一钱五分) 加姜皮(五分)
又案:津液衰少,盗汗。睡眠少,带下淋浊。
川石斛(一钱五分) 制首乌(三钱) 川芎(炒,七分) 淮小麦(一钱五分)
丹参(一钱五分) 上清阿胶(蛤粉炒,一钱五分) 云茯神(二钱) 远志(去心研炒,四分)
王(三十二岁):新产后四天。潮热,腹痛。大便困难,头痛。恶露未净。这属于郁冒。应当以逐瘀为务。
归尾(一钱五分) 制香附(三钱) 泽兰(一钱) 赤芍(一钱五分) 桃仁(去尖炒,一钱五分) 茺蔚子(一钱五分) 丹皮(一钱) 延胡索(一钱) 琥珀末(临服调入,四分)
Wu (25 years old): Alternating chills and fever, headache. Thirsty with drinking but fluids fail to transform; chest fullness, nausea, and vomiting. Inquiry reveals amenorrhea for three months. The Cun pulse is palpable and forceful. This belongs to the signs of pregnancy.
Fine Huangqin (Scutellariae Radix) (1.5 qian), Stir-fried Jiao Banxia (Pinelliae Rhizoma Preparatum) (1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (0.5 qian), Zhi Mu (Anemarrhenae Rhizoma) (1.5 qian), Juhong (Citri Reticulatae Pericarpium Rubrum) (1 qian), Huafen (Trichosanthis Radix) (1.5 qian), Nen Sugen (Perillae Caulis) (1 qian).
Wei (28 years old): During pregnancy, evening fever and morning coolness. Dry mouth, chest fullness.
Sangpi (Mori Cortex) (1 qian), Tiao Qin (Scutellariae Radix) (1.5 qian), Maidong (Ophiopogonis Tuber) (2 qian), Xi Shengdi (Rehmanniae Radix Preparata) (3 qian), Zhi Mu (Anemarrhenae Rhizoma) (1.5 qian), Huafen (Trichosanthis Radix) (1.5 qian), Sheng Baishao (Paeoniae Radix Alba) (1.5 qian), Chuanhu (Dendrobii Caulis) (4 qian).
Miao (22 years old): Fetal Qi rushing upward. Dry retching, inability to eat. Risk of threatened miscarriage is critical.
Xiao Shengdi (Rehmanniae Radix Preparata), Maidong (Ophiopogonis Tuber), Jiao Baizhu (Atractylodis Macrocephalae Rhizoma Preparatum), Ejiao (Colla Corii Asini), Zhi Mu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Sheng Baishao (Paeoniae Radix Alba), Yun Fushen (Poria cum Risus et Lignum) (Stir-fried Jiao Sharen (Amomi Fructus Preparatum) powder).
Wang (27 years old): Cough during pregnancy. At seven months gestation. Taiyin governs the fetus; treated as "Zisu" (pregnancy cough).
Sanggenbaipi (Mori Cortex), Xingren (Armeniacae Semen Amarum), Xian Zhuru (Bambusae Caulis in Taenia Preparatus), Dan Tiandong (Asparagi Tuber), Jiegeng (Platycodonis Radix), Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Ziwan (Asternis Radix) (1 qian). Add San Qian Jianmi (Honey) (3 spoons), mix in just before administration.
Wang (26 years old): Pregnancy has reached full term. Belching with sour regurgitation, abdominal distension. Propose An Tai Yin (Fetus-Calming Decoction) removing Chuanxiong, Danggui, and Tiao Qin. Add Fuling. This is equivalent to Wu Ji Tang adding Xiangfu and Zisu. Replace Fuling with Fushen.
Xi Dangshen (Codonopsis Radix) (2 qian), Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparata) (0.5 qian), Zhi Xiangfu (Cyperi Rhizoma Preparatum) (3 qian), Tian Dongzhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Guang Pi (Citri Reticulatae Pericarpium) (1 qian), Jian Maidong (Ophiopogonis Tuber) (0.4 qian), Bao Mu Fushen (Poria cum Risus et Lignum) (2 qian), Da Baishao (Paeoniae Radix Alba) (2 qian), Zisu (Perillae Folium) (0.6 qian).
Xu (24 years old): Abdominal pain after recent childbirth. Tentatively propose expelling blood stasis.
Yanhu (Corydalis Rhizoma) (1 qian), Zhi Xiangfu (Cyperi Rhizoma Preparatum) (3 qian), Yujin (Curcumae Radix) (2 qian), Danggui (Angelicae Sinensis Radix) (1.5 qian), Nan Shanzha (Crataegi Fructus) (3 qian), Zelan (Lycopi Herba) (1.5 qian), Chishao (Paeoniae Radix Rubra) (1 qian).
Chen (26 years old): Dizziness and abdominal pain after recent childbirth. First expel lochia.
Guiwei (Angelicae Sinensis Radix Tail) (1.5 qian), Yuanzhi (Polygalae Radix) (0.4 qian), Zhi Xiangfu (Cyperi Rhizoma Preparatum) (3 qian), Chishao (Paeoniae Radix Rubra) (1 qian), Taoren (Persicae Semen) (1.5 qian), Zelan (Lycopi Herba) (1 qian), Danpi (Moutan Cortex) (1.5 qian), Hupo (Electrum) (0.4 qian), Chao Shanzha (Crataegi Fructus Preparatus) (3 qian).
Su (31 years old): Ten days postpartum. Yin Qi descends and leaks; Yang Qi rises and floats. Sweating, irritability, thirst. Difficulty defecating, lower back pain. Upon every brief sleep, feels as if soul and spirit fly away. This is a sign of Yin deficiency with Yang having no attachment. It marks the onset of "Yumao" (depression and dizziness) described by Zhang Zhongjing. Suitable for calming and subduing Yang.
Sheng Muli (Concha Ostreae) (3 qian), Xi Shengdi (Rehmanniae Radix Preparata) (3 qian), Dama Ren (Cannabis Semen) (1.5 qian), Qing Ejiao (Colla Corii Asini) (2.5 qian), Maidong (Ophiopogonis Tuber) (3 qian), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata) (0.5 qian), Fushen (Poria cum Risus et Lignum) (2 qian), Baiziren (Biota Semen) (2 qian).
Second case: Four days postpartum. Abdominal and back pain. Lower back feels sore and painful. Lochia dripping continuously. This belongs to injury of both Du Mai (Governor Vessel) and Dai Mai (Girdle Vessel). Suitable for regulating the extraordinary vessels, assisted by expelling blood stasis. However, sudden use of warming tonification must be avoided.
Danggui (Angelicae Sinensis Radix) (1.5 qian), Danpi (Moutan Cortex) (1.5 qian), Nanzha Tan (Crataegi Fructus Carbonized) (3 qian), Chuanduan (Drynariae Rhizoma) (2 qian), Zelan (Lycopi Herba) (1 qian), Fushen (Poria cum Risus et Lignum) (2 qian).
Wu (31 years old): Tidal fever after recent childbirth. Abdominal pain and sweating. This belongs to Yumao (depression and dizziness).
Chuanhu (Dendrobii Caulis) (3 qian), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (1.5 qian), Yujin (Curcumae Radix) (1 qian), Huaixiaomai (Tritici Fructus) (1.5 qian), Nanzha Tan (Crataegi Fructus Carbonized) (2 qian), Zelan (Lycopi Herba) (1.5 qian), Fushen (Poria cum Risus et Lignum) (2 qian).
Ma (38 years old): Withered yellow complexion. Aversion to cold, cough. Inquiry reveals postpartum lower deficiency. Should be treated with warming and nourishing.
Lujiaoshuang (Cornu Cervi Degelatinatum) (3 qian), Lujiao jiao (Colla Cornus Cervi) (3 qian), Gouqi (Lycii Fructus) (1.5 qian), Danggui (Angelicae Sinensis Radix) (1.5 qian), Buguzhi (Psoraleae Fructus) (1 qian), Shudi Tan (Rehmanniae Radix Preparata Carbonized) (3 qian), Zishiying (Mineralum Purpuritum) (3 qian), Chao Xiaohui (Foeniculi Fructus) (0.4 qian).
Su (32 years old): Postpartum lower deficiency. Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are shaken and moving. Heart pain, aversion to cold. Most feared is lingering illness leading to "Rusun" (postpartum consumptive disease). Should propose warming and nourishing.
Hechejiao (Placenta Hominis) (3 qian), Dan Congrong (Cistanches Herba) (2 qian), Shudi Tan (Rehmanniae Radix Preparata Carbonized) (4 qian), Danggui (Angelicae Sinensis Radix) (1.5 qian), Buguzhi (Psoraleae Fructus) (1 qian), Fuling (Poria) (3 qian), Zishiying (Mineralum Purpuritum) (ground, 3 qian).
Wang (38 years old): After spontaneous abortion (partial delivery), lower deficiency. Aversion to cold, vague feeling of heat. Lochia not yet cleared. Lower abdomen still painful. Fortunately, mass-related diarrhea has decreased. Stomach desires food intake. Yangming Stomach Qi shows signs of gradual revival. Further prescribe strengthening the stomach and dispersing stasis to ensure safety.
Chuanhu (Dendrobii Caulis) (4 qian), Banxia Qu (Pinelliae Rhizoma Preparatum Fermentatum) (stir-fried, 1.5 qian), Chongweizi (Leonuri Fructus) (1.5 qian), Xiaohuixiang Ban Chao Danggui (Angelicae Sinensis Radix stir-fried with Foeniculi Fructus) (1.5 qian), Chao Xiang Tusizi (Cuscutae Semen Preparatum) (2 qian), Zelan (Lycopi Herba) (1 qian), Xinhui Pi (Citri Reticulatae Pericarpium) (1 qian), Fen Danpi (Moutan Cortex) (1 qian).
Wang (36 years old): Yin Qi descends and leaks; Yang Qi rises and floats. Headache, especially at the vertex. Lochia has cleared. Pulse on the left side is fine and choppy. Clearly indicates fluid depletion failing to retain Yang. This is a syndrome of upper excess and lower deficiency.
If pungent dispersing drugs are overused, it may damage Yang Qi. Preemptively prevent recurrent fever. Principle: Nourish Yin, harmonize Yang, extinguish wind.
Yuan Shengdi (Rehmanniae Radix Preparata) (4 qian), Hechejiao (Placenta Hominis) (1.5 qian), Sheng Zuo Muli (Concha Ostreae) (3 qian), Danggui (Angelicae Sinensis Radix) (1.5 qian), Doupi (Moutan Cortex - note: likely variant name or typo for Danpi/Moutan, kept as literal translation contextually similar to Moutan) (1.5 qian), Qing Ejiao (Colla Corii Asini) (melted separately, mixed in, 1.5 qian), Yun Fushen (Poria cum Risus et Lignum) (2 qian).
Second case: Headache has eased. Aversion to cold, reduced appetite. Leukorrhea and dysuria, heart pain.
Suye (Perillae Folium) (0.6 qian), Yanhu (Corydalis Rhizoma) (stir-fried, 1 qian), Xi Shengdi (Rehmanniae Radix Preparata) (2 qian), Doupi (Moutan Cortex) (1.5 qian), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (0.5 qian), Chuanhu (Dendrobii Caulis) (1.5 qian), Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparata) (0.5 qian), Haifen Chao Ejiao (Colla Corii Asini stir-fried with Arseni Trioxidum) (1.5 qian). Add Jiangpi (Zingiberis Rhizoma Recens Pericarpium) (0.5 qian).
Third case: Fluid decline, night sweats. Insomnia, leukorrhea and dysuria.
Chuanhu (Dendrobii Caulis) (1.5 qian), Zhi Shouwu (Polygoni Multiflori Radix Preparata) (3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (stir-fried, 0.7 qian), Huaixiaomai (Tritici Fructus) (1.5 qian).
Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (1.5 qian), Shangqing Ejiao (Colla Corii Asini stir-fried with Arseni Trioxidum) (1.5 qian), Yun Fushen (Poria cum Risus et Lignum) (2 qian), Yuanzhi (Polygalae Radix) (heart removed, ground, stir-fried, 0.4 qian).
Wang (32 years old): Four days postpartum. Tidal fever, abdominal pain. Difficulty defecating, headache. Lochia not yet cleared. This belongs to Yumao (depression and dizziness). Priority should be given to expelling blood stasis.
Guiwei (Angelicae Sinensis Radix Tail) (1.5 qian), Zhi Xiangfu (Cyperi Rhizoma Preparatum) (3 qian), Zelan (Lycopi Herba) (1 qian), Chishao (Paeoniae Radix Rubra) (1.5 qian), Taoren (Persicae Semen) (tips removed, stir-fried, 1.5 qian), Chongweizi (Leonuri Fructus) (1.5 qian), Danpi (Moutan Cortex) (1 qian), Yanhu (Corydalis Rhizoma) (1 qian), Hupo Mo (Electrum Powder) (mixed in just before administration, 0.4 qian).