少妇产后半月,血崩昏晕,人皆曰恶血冲心也,谁知是不慎房帏之过乎!夫产后业逾半月,虽不比初产之二、
三日,而气血初生,尚未全复,即血路已净,而胞胎之损伤未痊,断不可轻于一试,以重伤其门户。气血初复,不
知慎养,致血崩昏晕,是心肾两伤,不特胞胎门户已也。精泄神脱,舍大补其气与血,别无良法也。
方用救败求生汤。
人参(二两) 当归(二两,酒洗) 白术(二两,土炒) 九蒸熟地(一两) 山萸(五钱,蒸) 山药(五
钱,炒) 枣仁(五钱,生用) 附子(一分或一钱,自制)
水煎服。一剂而神定,二剂而晕止,三剂而血亦止矣,倘一服见效,连服三、四剂,减去一半,再服十剂,
可庆更生。此方补气以回元阳于无何有之乡,阳回而气回,自可摄血以归神,生青而续命矣。
眉批∶亦有中气素虚,产后顷刻血崩不止,气亦随之而脱。此至危之证,十常不救者八、九,惟用独参汤尚可
救活一、二。辽人参去芦五钱,打碎,急煎,迟则气脱不及待矣。煎成徐徐灌之,待气回再煎一服灌之。其余治法参看
血崩门。但产后不可用杭芍炭以及诸凉药。然此证皆系临产一、二日前入房所致,戒之!
歌括∶少妇产后半月时,阴兴阳起云雨施。
血崩昏晕见神鬼,此等病孽自作之。
救败求生参白术,当归山药与熟地。
山萸枣仁制附子,补气回阳此方奇。
年轻产妇在产后半个月,出现血崩(大量阴道出血)和昏晕的症状。人们都说是恶露(产后残留的瘀血)上冲心脏所致,殊不知这是不慎进行房事造成的过错!
虽然产后已经超过半个月,虽不像刚生产后的两三天那样危急,但气血刚刚生成,尚未完全恢复。即使经血已经排净,胞胎(子宫)的损伤也尚未痊愈,绝对不可以轻易尝试房事,以免严重损伤身体的门户(指生殖系统及元气根本)。
气血刚刚恢复,却不知谨慎调养,导致血崩和昏晕,这是心和肾都受到了伤害,不仅仅是胞胎和门户受损的问题。精气外泄、神气涣散,除了大补气和血之外,没有其他良法。
方剂使用救败求生汤。
人参(二两),当归(二两,用酒清洗),白术(二两,用土炒制),九蒸熟地黄(一两),山茱萸(五钱,蒸制),山药(五钱,炒制),酸枣仁(五钱,生用),附子(一分或一钱,自制炮制)。
用水煎服。服用一剂后神志安定,两剂后昏晕停止,三剂后出血也停止了。如果服用一剂就见效,连续服用三四剂,然后减半剂量,再服用十剂,就可以庆幸获得新生。这个方子通过补气,在无何有之乡(指元气根本之处)挽回元阳,阳气回归则气机随之回归,自然能够摄纳血液并使其归藏于神,生机重现而延续生命。
眉批:也有中气(脾胃之气)素来虚弱的人,产后顷刻间血崩不止,气也随之脱失。这是极其危险的证候,十个人里通常有八九个无法救治,只有使用独参汤还可以救活一两个。辽人参(去芦头)五钱,打碎,急火煎煮,拖延则气脱来不及等待。药液煎成后慢慢灌服,待气机回复后再煎一服灌服。其他治疗方法参考血崩门章节。但是产后不可使用杭白芍炭以及各种寒凉药物。然而这种病症都是因为临产前一两天内行房所致,务必戒除!
歌括:
年轻产妇在产后半个月的时候,阴气兴起阳气发动,行云布雨(指行房事)。
出现血崩昏晕,甚至看见神鬼幻象,这样的病孽都是自作自受。
救败求生汤用人参和白术,加上当归、山药和熟地黄。
还有山茱萸、酸枣仁和制附子,补气回阳此方功效奇特。
A young puerpera, half a month postpartum, suffered from metrorrhagia (profuse vaginal bleeding) and syncope. People generally attribute this to "evil blood rushing to the heart," but little do they know it is due to imprudent sexual intercourse! Although more than half a month has passed since delivery, unlike the critical first two or three days, the Qi and Blood have just begun to regenerate and are not yet fully restored. Even if the lochia has cleared, the damage to the Chong and Ren vessels (uterus/reproductive system) has not healed; one must absolutely avoid sexual activity to prevent further injury to the "gate" (the root of vitality).
When Qi and Blood have just recovered but proper care is neglected, leading to metrorrhagia and syncope, both the Heart and Kidney are injured, not merely the reproductive organs. With the leakage of Essence and the dissipation of Shen (Spirit), there is no better method than massive tonification of Qi and Blood.
The formula used is Jiubai Qiusheng Tang (Rescue for the Defeated, Seek Life Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 2 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang, washed with wine), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 liang, stir-fried with soil), Shu Di Huang (Rehmanniae Radix Praeparata, steamed nine times, 1 liang), Shan Yu Rou (Corni Fructus, 5 qian, steamed), Shan Yao (Dioscoreae Rhizoma, 5 qian, stir-fried), Suan Zao Ren (Ziziphi Spinosae Semen, 5 qian, raw), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 fen or 1 qian, self-processed).
Decoct in water and take orally. After one dose, the Shen stabilizes; after two doses, the syncope stops; after three doses, the bleeding ceases. If improvement is seen after one dose, continue for three to four doses, then reduce the dosage by half, and take ten more doses to celebrate recovery. This formula tonifies Qi to restore Yuan Yang (Original Yang) at its source; as Yang returns, Qi follows, naturally grasping the Blood and returning it to the Shen, reviving life.
Commentary: There are cases where the Middle Qi (Spleen/Stomach Qi) is inherently deficient, leading to immediate, unstoppable metrorrhagia postpartum, with Qi collapsing simultaneously. This is a critical condition where eight or nine out of ten patients die. Only Du Shen Tang (Single Ginseng Decoction) may save one or two. Use Liao Ren Shen (Liaoning Ginseng, removing the radicle) 5 qian, crushed, decoct urgently; delay will result in fatal Qi collapse. Administer the decoction slowly. Once Qi recovers, prepare another dose. For other treatments, refer to the Metrorrhagia section. However, postpartum, Hang Shao Yao (Paeoniae Radix Alba Carbonisata) and other cooling herbs must be avoided. Note that these cases are caused by sexual intercourse one or two days before delivery; beware!
Verse:
Half a month postpartum, the young mother experiences sexual arousal and intercourse.
Metrorrhagia and syncope occur, accompanied by hallucinations; such illness is self-inflicted.
Jiubai Qiusheng Tang uses Ren Shen and Bai Zhu, along with Dang Gui, Shan Yao, and Shu Di Huang.
With Shan Yu Rou, Suan Zao Ren, and processed Fu Zi, this miraculous formula tonifies Qi and restores Yang.