气血太虚,不能约束,宜八珍汤加升麻、柴胡,甚者加熟附子一片。
歌括∶产后气血太虚弱,频频遗尿难固摄。
不可妄投收涩剂,峻补气血泉自缩。
产后遗尿难约束,八珍汤加升柴胡。
甚者更入熟附片,水煎温服病可除。
产理不顺,稳婆不精,误破尿胞膀胱者,用参、 为君,归、芎为臣,桃仁、陈皮、茯苓为佐,猪羊尿胞煎药,百
服乃安。又方云,用生黄丝绢一尺,白牡丹皮根为末,白及末各二钱,水二碗,煮至绢烂如饴,服之,宜静卧,不可作
声,名补脬饮,神效。
由产后虚弱,热客于脬中,内虚频数,热则小便淋涩作痛曰淋。
茅根汤 凡产后冷热淋并治之。
石膏(一两) 白茅根(一两) 瞿麦 白茯苓(各五钱) 葵子 人参 桃胶 滑石(各一钱) 石首鱼头(四
个)
灯心水煎,入齿末,空心服。
眉批∶一本小注载∶症由内虚,方用石膏一两,无此治法,不可拘执陈方以致误人。一本石膏作一钱,无滑
石。一作各等分。
又方 治产后小便痛淋血。
白茅根 瞿麦 葵子 车前子 通草(以上俱无份量) 鲤鱼齿(一百个)
水煎服。亦入齿末。
眉批∶按齿末,疑均是鲤鱼齿。
歌括∶患淋石膏茅根君,瞿麦茯苓滑石参。
葵子桃胶石首鱼,灯心为引奏效神。
产后小便痛血淋,瞿麦葵子白茅根。
车前通草鲤鱼齿,鱼齿研末水煎吞。
气血过于虚弱,无法约束膀胱,适宜使用八珍汤加入升麻、柴胡,病情严重者再加一片熟附子。
歌诀:产后气血极度虚弱,频频遗尿难以固摄。
不可盲目投用收敛固涩的药物,峻补气血则小便自能控制。
产后遗尿难以约束,用八珍汤加入升麻和柴胡。
病情严重者可再加入熟附子片,水煎后温服,病即可痊愈。
产程不顺利,接生婆技术不精,误破膀胱者,用人参为君药,当归、川芎为臣药,桃仁、陈皮、茯苓为佐药,用猪或羊的膀胱煎煮药物,服用百余次后身体才能安宁。又有方剂说,用一尺生黄丝绢,白牡丹皮根研末,白及研末各二钱,水两碗,煮至丝绢烂如饴糖状,服用此药,宜静卧,不可出声,名为补脬饮,效果神奇。
由于产后虚弱,热邪客居在膀胱中,内虚导致尿频,热盛则小便淋漓涩痛,称为淋证。
茅根汤 凡是产后冷热淋证都治疗。
石膏(一两) 白茅根(一两) 瞿麦 白茯苓(各五钱) 葵子 人参 桃胶 滑石(各一钱) 石首鱼头(四个)
用灯心草煎水,调入牙齿末,空腹服用。
眉批:另一版本的小注记载:症状由内虚引起,方中用石膏一两,没有这种治法,不可拘泥于陈旧的方剂以致误人。另一版本石膏用量为一钱,没有滑石。还有一种说法是各等分。
又一方 治疗产后小便疼痛淋血。
白茅根 瞿麦 葵子 车前子 通草(以上均无具体份量) 鲤鱼齿(一百个)
水煎服。也调入牙齿末。
眉批:按牙齿末来看,怀疑都是鲤鱼齿。
歌诀:患淋证以石膏、茅根为君药,瞿麦、茯苓、滑石、人参为辅。
葵子、桃胶、石首鱼,灯心草为引子,奏效神奇。
产后小便疼痛血淋,用瞿麦、葵子、白茅根。
车前子、通草、鲤鱼齿,鱼齿研成末用水煎吞服。
Qi and Blood are excessively deficient, failing to exert control, [the treatment] should be Bazhen Tang (Eight-Treasure Decoction) with Shengma (Rhizoma Cimicifugae) and Chaihu (Radix Bupleuri) added; in severe cases, one slice of Shu Fuzi (Prepared Radix Aconiti Lateralis) is added.
Verse: Postpartum Qi and Blood are extremely weak, frequent enuresis is hard to restrain.
Do not rashly administer astringent agents; vigorously tonifying Qi and Blood will naturally restore control.
Postpartum enuresis is difficult to constrain; use Bazhen Tang (Eight-Treasure Decoction) with Shengma (Rhizoma Cimicifugae) and Chaihu (Radix Bupleuri).
In severe cases, add slices of Shu Fuzi (Prepared Radix Aconiti Lateralis); decoct in water, take warm, and the illness can be cured.
If the delivery process is irregular, or the midwife is unskilled, causing accidental rupture of the bladder (urinary bladder), use Renshen (Radix Ginseng) as the sovereign drug, Danggui (Radix Angelicae Sinensis) and Xiong (Rhizoma Chuanxiong) as the minister drugs, Tao Ren (Semen Persicae), Chenpi (Pericarpium Citri Reticulatae), and Fuling (Poria) as the assistant drugs. Decoct the medicine using pig or sheep urinary bladders; after taking it over a hundred times, peace is restored. Another prescription states: use one chi of raw yellow silk gauze, powder of Bai Mudan Pi Gen (Cortex Moutan Radicis) and Baiji (Rhizoma Bletillae), each two qian. With two bowls of water, boil until the silk gauze dissolves like maltose. Take this medicine, lie quietly, do not make noise. It is named BUPAO YIN (Bladder-Reinforcing Drink), with miraculous efficacy.
Due to postpartum weakness, heat pathogens lodge in the bladder (urinary bladder). Internal deficiency causes frequent urination; heat causes dribbling,涩 (astringency/obstruction), pain, termed Lin Syndrome (Dysuria).
Maogen Tang (Imperata Rhizome Decoction) treats both cold and hot Lin Syndrome (Dysuria) occurring postpartum.
Shigao (Gypsum Fibrosum) (one liang), Baimaogen (Rhizoma Imperatae) (one liang), Qumai (Herba Dianthi), Baifuling (Poria) (each five qian), Kuizi (Semen Malvae), Renshen (Radix Ginseng), Tao Jiao (Gum Tragacanth), Huashi (Talcum) (each one qian), Shishouyutou (Caput Pseudosciaenae) (four pieces).
Decoct with Dengxincao (Medulla Junci), mix with tooth powder, take on an empty stomach.
Commentary: One version's small note records: The symptom arises from internal deficiency; using one liang of Shigao (Gypsum Fibrosum) in the formula has no such treatment method; do not rigidly adhere to old prescriptions to cause harm. In another version, Shigao (Gypsum Fibrosum) is one qian, without Huashi (Talcum). Yet another version uses equal parts.
Another prescription: Treats postpartum painful dysuria with blood.
Baimaogen (Rhizoma Imperatae), Qumai (Herba Dianthi), Kuizi (Semen Malvae), Cheqianzi (Semen Plantaginis), Tongcao (Medica Tetrapami) (above items have no specified dosage), Liyu Chi (Teeth of Cyprinus Carpio) (one hundred pieces).
Decoct in water and take. Also mix with tooth powder.
Commentary: Regarding "tooth powder," it is suspected that these are all teeth of Cyprinus Carpio.
Verse: For Lin Syndrome (Dysuria), Shigao (Gypsum Fibrosum) and Baumaogen (Rhizoma Imperatae) are sovereign; Qumai (Herba Dianthi), Fuling (Poria), Huashi (Talcum), and Renshen (Radix Ginseng) are ministers.
Kuizi (Semen Malvae), Tao Jiao (Gum Tragacanth), Shishouyutou (Caput Pseudosciaenae), with Dengxincao (Medulla Junci) as guide, achieve miraculous effect.
Postpartum painful dysuria with blood, use Qumai (Herba Dianthi), Kuizi (Semen Malvae), and Baimaogen (Rhizoma Imperatae).
Cheqianzi (Semen Plantaginis), Tongcao (Medica Tetrapami), Liyu Chi (Teeth of Cyprinus Carpio); grind fish teeth into powder, decoct in water and swallow.