《病源论》云∶产后中风口噤者,是血气虚而风入于 颊夹口之筋也。
《短剧方》云∶大豆紫汤治产后中风困笃。或背强口噤,或但烦热苦渴,或头身皆重,
或身痒,剧者。呕逆直视,此皆虚冷湿中风所为也。
大豆三升,熬令极熟,熟自无复声,豫便器KT 若 ,以清酒五升,泼热豆即漉得二
升汁,尽服之,温覆小微汗出身体裁润则愈。今产后皆依常稍服之,一以防风气,二则消血
结。云周德成妻妊胎触盆缘伤折胎,皆死肠腹中,三日困笃,服此酒即瘥。后以治不安亦佳。
(今按∶《经心方》治产后中风百病。)
又云∶产后忽痉口噤,面青手足强反张者方∶
与竹沥汁一升即醒,中风者尤佳。(今按∶勘《葛氏方》多饮。)
《葛氏方》云∶若中风,若风痉,通身冷直,口噤不知人方∶
作沸汤纳壶中令生,妇以足蹒壶上,冷复易之。
又方∶吴茱萸一升,生姜五累,以酒五升,煮三沸,分三服。
今按∶《录验方》干姜,生姜累数用者,以其一支为累,取肥大者。
《千金方》治产后百病并中风痉口噤不开,理血止痛独活紫汤方∶
独活(一斤) 大豆(一斤) 酒(一斗三升)
三味,先以酒渍独活再宿。若急须,微火煮之令减三升,去滓。别熬大豆极焦,以独活
酒洗大豆,即去滓服一升,日三夜一。
《录验方》治产后中风及饮痛方∶
当归(二两) 独活(四两)
凡二物,以水八升,煮取三升,分服一升。
《僧深方》治产后中风口噤方∶
独活(八两) 葛根(六两) 甘草(二两) 生姜(六两)
四物,水七升,煮取三升,分四服。(今按∶《博济安众方》∶独活二两,葛根一两,甘
草一两,生姜二两。上以水二升,煎取八合,分五六服。)
《博济安众方》产后中风,角弓反倒,口不语方∶
蒜(二十辨)
上,以水一升半,煎取五合,灌之,极验。
《产经》治产后中风,口噤独活汤方∶
独活(三两) 防风(二两) 干姜(二两) 桂心(二两) 甘草(二两) 当归(二
两)
凡六物,以清酒三升,水七升,合煮,取二升半,分三服。
《诸病源候论》说:产后出现中风、牙关紧闭(口噤)的症状,是因为气血虚弱,风邪侵入脸颊和口部的筋脉所致。
《短剧方》说:大豆紫汤可以治疗产后中风导致病情危重。症状包括背部僵硬、牙关紧闭,或者只是烦躁发热、极度口渴,或者头身沉重,或者身体瘙痒,严重的会出现呕吐逆气、两眼直视。这些症状都是由虚冷湿邪侵袭中风引起的。
取大豆三升,炒至非常熟透,直到煮熟后不再发出声响,预先准备好容器,将清酒五升泼在热豆上,随即滤出两升汁液,一次性服下。服药后用被子保暖,使身体微微出汗,湿润适中即可痊愈。现在产后妇女都依照此法稍微服用,一是为了预防风气入侵,二是为了消除血结。据说周德成的妻子怀孕时触碰盆沿导致胎折,胎儿死在肠腹中,三天后病情危重,服用此酒后痊愈。后来用此方治疗产后不安也效果很好。
(按语:《经心方》记载治疗产后中风各种疾病。)
又说:产后突然发生痉挛、牙关紧闭,面色青紫、手足强直且向后反张的方剂:
给予竹沥汁一升,患者即可苏醒,对于中风患者尤其有效。(按语:考证《葛氏方》建议多饮。)
《葛氏方》说:如果是中风,或者是风痉,全身冰冷僵直,牙关紧闭不省人事的方剂:
将沸水倒入壶中使其产生蒸汽,让产妇双脚踩在壶口上方熏蒸,变冷后再更换热水。
另一个方子:吴茱萸一升,生姜五段,用酒五升,煮沸三次,分三次服用。
按语:《录验方》中使用干姜、生姜时,“累”作为计量单位,是指一根完整的姜,选取肥大者。
《千金方》治疗产后各种疾病以及中风痉挛、牙关紧闭无法张开的理血止痛独活紫汤方:
独活(一斤) 大豆(一斤) 酒(一斗三升)
以上三味药,先用酒浸泡独活两天两夜。如果急需使用,用微火煮至减少三升,去渣。另外将大豆炒至极其焦黑,用独活酒清洗大豆,然后去渣,服用一升,白天三次,夜间一次。
《录验方》治疗产后中风及饮水疼痛的方剂:
当归(二两) 独活(四两)
以上两味药,用水八升,煮取三升,分次每次服用一升。
《僧深方》治疗产后中风口噤的方剂:
独活(八两) 葛根(六两) 甘草(二两) 生姜(六两)
以上四味药,用水七升,煮取三升,分四次服用。(按语:《博济安众方》记载:独活二两,葛根一两,甘草一两,生姜二两。以上药物用水二升,煎取八合,分五六次服用。)
《博济安众方》治疗产后中风,角弓反张(身体向后弯曲如弓),口不能言语的方剂:
蒜(二十瓣)
以上药物,用水一升半,煎取五合,灌服,效果极佳。
《产经》治疗产后中风,牙关紧闭的独活汤方:
独活(三两) 防风(二两) 干姜(二两) 桂心(二两) 甘草(二两) 当归(二两)
以上六味药,用清酒三升,水七升,混合煮取二升半,分三次服用。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: Postpartum wind-stroke with trismus (lockjaw) occurs due to deficiency of blood and qi, allowing wind pathogen to invade the sinews of the cheeks and mouth.
The *Duanju Fang* (Short Drama Prescriptions) states: Da Dou Zi Tang (Black Soybean Decoction) treats postpartum wind-stroke resulting in critical illness. Symptoms include rigidity of the back and trismus, or merely irritability, fever, and extreme thirst, or heaviness of the head and body, or pruritus of the body; in severe cases, there is vomiting, upward reversal of qi, and fixed gaze. These are all caused by wind-strike due to deficiency-cold-dampness.
Take three sheng of soybeans, stir-fry until thoroughly cooked, until no sound is produced when cooked. Prepare a vessel in advance, pour five sheng of clear wine over the hot beans, then strain to obtain two sheng of juice. Take it all at once. Keep warm with a blanket until a slight sweat appears and the body is slightly moistened, then recovery ensues. Currently, postpartum women take this slightly according to routine, first to prevent wind pathogen invasion, second to resolve blood stasis. It is said that Zhou Decheng's wife, while pregnant, touched the edge of a basin causing fetal injury, with the fetus dying in the intestines and abdomen. After three days of critical condition, she recovered after taking this wine decoction. Later, it was used to treat postpartum restlessness with good results.
(Note: The *Jingxin Fang* records treatments for various diseases of postpartum wind-stroke.)
It also states: For postpartum sudden spasm with trismus, cyanotic complexion, and rigid limbs with opisthotonos (backward arching), use the following prescription:
Administer one sheng of Zhu Li Zhi (Bamboo Sap Juice) to restore consciousness; it is especially effective for wind-stroke. (Note: Examination of the *Ge Shi Fang* suggests drinking more.)
The *Ge Shi Fang* states: For wind-stroke or wind-spasm, where the whole body is cold and stiff, trismus prevents opening the mouth, and the patient is unconscious, use the following method:
Pour boiling water into a pot to generate steam. Have the woman place her feet over the mouth of the pot to fumigate. Replace the water when it cools down.
Another prescription: Wu Zhu Yu (Evodiae Fructus) one sheng, Sheng Jiang (Zingiberis Rhizoma Recens) five pieces, boiled in five sheng of wine for three boils. Divide into three doses.
Note: In the *Lu Yan Fang*, when using Gan Jiang (Zingiberis Rhizoma) and Sheng Jiang (Zingiberis Rhizoma Recens), "lei" refers to one whole piece, selecting the plump ones.
The *Qianjin Fang* treats various postpartum diseases as well as wind-stroke spasm and trismus with the Li Xue Zhi Tong Du Huo Zi Tang (Sanguis Draining and Pain-Relieving Black Soybean Decoction with Angelica Pubescens):
Du Huo (Angelicae Pubescentis Radix) one jin, Da Dou (Glycine Max Seed) one jin, Jiu (Vinum) one dou three sheng.
Soak Du Huo in wine for two nights. If urgent, boil gently until reduced by three sheng, then filter. Independently stir-fry Da Dou until extremely charred. Wash the Da Dou with the Du Huo wine, filter, and take one sheng. Administer three times during the day and once at night.
The *Lu Yan Fang* treats postpartum wind-stroke and pain from drinking fluids:
Dang Gui (Angelicae Sinensis Radix) two liang, Du Huo (Angelicae Pubescentis Radix) four liang.
Boil these two ingredients in eight sheng of water to obtain three sheng. Divide into doses of one sheng each.
The *Seng Shen Fang* treats postpartum wind-stroke with trismus:
Du Huo (Angelicae Pubescentis Radix) eight liang, Ge Gen (Puerariae Lobatae Radix) six liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) two liang, Sheng Jiang (Zingiberis Rhizoma Recens) six liang.
Boil these four ingredients in seven sheng of water to obtain three sheng. Divide into four doses.
(Note: The *Boji Anzhong Fang* records: Du Huo two liang, Ge Gen one liang, Gan Cao one liang, Sheng Jiang two liang. Boil these in two sheng of water to obtain eight ge. Divide into five or six doses.)
The *Boji Anzhong Fang* treats postpartum wind-stroke with opisthotonos and inability to speak:
Suan (Allii Sativi Bulbus) twenty cloves.
Boil in one sheng and half of water to obtain five ge. Administer by灌 (pouring/instilling). This is highly effective.
The *Chan Jing* treats postpartum wind-stroke with trismus using Du Huo Tang (Angelica Pubescens Decoction):
Du Huo (Angelicae Pubescentis Radix) three liang, Fang Feng (Saposhnikoviae Radix) two liang, Gan Jiang (Zingiberis Rhizoma) two liang, Gui Xin (Cinnamomi Cortex) two liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) two liang, Dang Gui (Angelicae Sinensis Radix) two liang.
Boil these six ingredients together in three sheng of clear wine and seven sheng of water to obtain two sheng and half. Divide into three doses.