〔《大》〕一奇散治产后头疼,用当归、川芎为细末,每服二钱,水一盏,煎七分,温服。
〔丹〕产妇年三十余,身热头痛肚痛。
陈皮 白术 白芍(各二钱) 黄芩(二钱半) 川芎(一钱) 干姜 牡丹皮 甘草(各一钱半)
荆芥(半钱)
分四帖煎服。
〔《保》〕治产后头痛,血虚、痰癖、寒厥、皆令头痛,加减四物汤。
苍术(一两六钱) 羌活 川芎 防风 香附(炒) 白芷(各一两) 石膏(二两半) 细辛(一两半)
当归 甘草(各五钱)
上粗末,每一两水煎,服无时。如有汗者,知气弱头痛也,方中加芍药三两,桂一两半,生
姜煎。如痰癖头痛,加半夏三两,茯苓一两,生姜煎。如热痰头痛,加白芷三两,石膏三两,知母
一两。如寒厥头痛,加天麻三两,附子一两半,生姜三片,煎服。
〔《大》〕芎附散治产后败血作梗,头痛,诸药不效。
上大附子一枚,酽醋一碗,用火四畔炙透,蘸醋令尽,去皮脐,加川芎一两,并为细末,每服一
钱,茶清下。
郭茂恂嫂金华君,产七日不食,始言头痛,头痛已,又心痛作,既而目睛痛,如割如刺,更作
更止,相去无瞬息间。每头痛甚,欲取大石压,良久渐定,心痛作,则以十指抓壁,血流满掌,痛定目
复痛,又以两手自剜取之,如是十日不已,众医无计。进黑龙丹半粒,疾少间,中夜再服下,瞑目寝
如平昔,至平旦下一行,约三升许,如蝗虫子,三疾减半,巳刻又行如前,则顿愈矣。(黑龙丹方见
产后血不下条。)
〔《大》〕一奇散治疗产后头痛,使用当归、川芎研磨成细末,每次服用二钱,加水一盏,煎至七分,温服。
〔丹〕产妇三十多岁,身体发热、头痛且腹痛。
陈皮、白术、白芍(各二钱)、黄芩(二钱半)、川芎(一钱)、干姜、牡丹皮、甘草(各一钱半)、荆芥(半钱)。
分为四帖煎服。
〔《保》〕治疗产后头痛,血虚、痰癖、寒厥都会导致头痛,使用加减四物汤。
苍术(一两六钱)、羌活、川芎、防风、香附(炒制)、白芷(各一两)、石膏(二两半)、细辛(一两半)、当归、甘草(各五钱)。
以上药材捣成粗末,每取一两用水煎煮,随时服用。如果有汗出的,说明气弱导致的头痛,方中加入芍药三两、桂枝一两半,加生姜煎煮。如果是痰癖引起的头痛,加入半夏三两、茯苓一两,加生姜煎煮。如果是热痰引起的头痛,加入白芷三两、石膏三两、知母一两。如果是寒厥引起的头痛,加入天麻三两、附子一两半、生姜三片,煎煮后服用。
〔《大》〕芎附散治疗产后败血阻滞引起的头痛,其他药物无效时。
取大附子一枚,用浓醋一碗,在火四周烤透,蘸醋直到吸尽,去掉皮和脐,加入川芎一两,一起研磨成细末,每次服用一钱,用茶清送下。
郭茂恂的嫂子金华君,生产七天后不进食,开始说头痛,头痛结束后,又出现心痛,接着眼睛疼痛,像切割一样、像针刺一样,反复发作,没有片刻停歇。每当头痛剧烈时,想要找大石头压住头部,过了很久才逐渐平静;心痛发作时,就用十指抓墙壁,血流满手掌;痛定之后眼睛又痛,就用双手自己挖取眼球,这样持续十天不止,众医生没有办法。进服黑龙丹半粒,病情稍缓解,半夜再次服用,闭眼睡觉如同平常人一样,到天亮时排下一行大便,大约三升左右,像蝗虫卵一样的东西,三种疾病减轻了一半,巳刻(上午9-11点)又排便如前,于是顿时痊愈了。(黑龙丹方见产后血不下条。)
[Da] Yiqi San (One Extraordinary Powder) treats postpartum headache. Use Danggui (Angelicae Sinensis Radix) and Chuanxiong (Chuanxiong Rhizoma) ground into fine powder. Take 2 qian per dose, add 1 zhan of water, decoct to 0.7 zhan, and take warm.
[Dan] A female patient in her thirties suffered from fever, headache, and abdominal pain after childbirth.
Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba) (each 2 qian), Huangqin (Scutellariae Radix) (2.5 qian), Chuanxiong (Chuanxiong Rhizoma) (1 qian), Ganjiang (Zingiberis Rhizoma), Mudanpi (Moutan Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1.5 qian), Jingjie (Schizonepetae Spica) (0.5 qian).
Divide into four doses for decoction and administration.
[Bao] Treats postpartum headache. Blood deficiency, phlegm-stasis, and cold-jue all cause headache; use Jiajian Siwu Tang (Modified Four Substances Decoction).
Cangzhu (Atractylodis Rhizoma) (1 liang 6 qian), Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Xiangfu (Cyperi Rhizoma) (stir-fried), Baizhi (Angelicae Dahuricae Radix) (each 1 liang), Shigao (Gypsum Fibrosum) (2.5 liang), Xixin (Asari Radix et Rhizoma) (1.5 liang), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 qian).
Grind the above into coarse powder. For each 1 liang, decoct with water and take at any time. If sweating occurs, it indicates headache due to Qi deficiency; add Shaoyao (Paeoniae Radix) 3 liang and Guizhi (Cinnamomi Ramulus) 1.5 liang to the formula, decoct with fresh ginger. If headache is caused by phlegm-stasis, add Banxia (Pinelliae Rhizoma) 3 liang and Fuling (Poria) 1 liang, decoct with fresh ginger. If headache is caused by heat-phlegm, add Baizhi (Angelicae Dahuricae Radix) 3 liang, Shigao (Gypsum Fibrosum) 3 liang, and Zhimu (Anemarrhenae Rhizoma) 1 liang. If headache is caused by cold-jue, add Tianma (Gastrodiae Rhizoma) 3 liang, Fuzi (Aconiti Lateralis Radix Praeparata) 1.5 liang, and three slices of fresh ginger, decoct and take.
[Da] Xiongfu San (Ligusticum and Aconite Powder) treats postpartum headache caused by stagnant blood obstruction, when other medicines are ineffective.
Take one large Fuzi (Aconiti Lateralis Radix Praeparata), soak in one bowl of strong vinegar, roast thoroughly around the fire, dip in vinegar until absorbed, remove skin and navel, add Chuanxiong (Chuanxiong Rhizoma) 1 liang, grind together into fine powder. Take 1 qian per dose, swallow with clear tea liquor.
The sister-in-law of Guo Maoxun, Lady Jinhua, had not eaten for seven days after childbirth. She first complained of headache. After the headache subsided, heartache arose. Then eye pain developed, feeling like cutting or stabbing, recurring without a moment's rest. When the headache was severe, she wished for a large stone to press on her head; after a long while, it gradually settled. When heartache arose, she scratched the wall with ten fingers until blood filled her palms. After the pain subsided, eye pain returned, and she dug at her eyes with both hands. This continued for ten days without relief, and no remedy could be found among the physicians. Administer half a pill of Heilong Dan (Black Dragon Pill); the disease eased slightly. At midnight, another dose was given. She closed her eyes and slept as usual. By dawn, she passed a bowel movement, approximately three sheng, resembling locust eggs. The three ailments were reduced by half. At the hour of Si (9-11 AM), she passed stool again as before, and then suddenly recovered completely. (See the section on "Postpartum Failure of Blood Discharge" for the formula of Heilong Dan.)