《病源论》云∶产后气血俱虚,因遇风寒乘之;血气相击,随气乍上乍下上冲心下攻腹,
故令心腹痛。
《产经》治产后腹中虚冷,心腹痛,不思饮食,呕吐厥逆,补虚除风冷理仲当归汤方∶
甘草(三两) 当归(二两) 人参(一两) 白术(一两) 干姜(半两)
凡五物,水七升,煮取二升半,分三服,神良。
《子母秘录》治产后心腹痛方∶
当归 芎 夕药 干姜(各六分)
为散,空腹温酒服一方寸匕,日二。
《耆婆方》治人心腹痛,此即产后血瘀方∶
生姜(三斤)
以水小三升,煮取一升半,分三服,当下血及恶水即愈。
《经心方》治产后腹满方∶
黑豆(一升)
水五升,煮取三升,澄清,酒五升合煎,取三升,分三服。
《子母秘录》治产后腹中秽汁不尽,腹满不减小豆汤方∶
小豆(三升)
以水一斗,煮熟,尽服其汁,立除。
《经心方》治产后胸胁及腹壮热烦满方∶
羚羊角烧为末,以冷水服之。
《广济方》治产后心胸中烦闷,血气涩,肋下坊不能食方∶
生地黄汁(一升) 当归(一两,末) 清酒(五合) 生姜汁(五合)
上,和煎三四沸,去滓,温四五合服之,中间进少食。
《病源论》云∶夫产伤血劳气,腠理则虚,为风邪所乘,邪搏于气,气不得宣越,故令
虚肿。轻浮如吹者,是邪搏于气,气肿也。若皮薄如熟李状,则变为水。
《短剧方》治产后中风冷,成肿欲死方∶
取鼠壤四升,熬令热,以囊贮着腹上,亦着阴上下,使热气入腹中良。
《录验方》治产后余痛及血兼风肿方∶
真当归一物切之,以酒一斗,煮取七升,以四升大豆熬令焦,及酒热(浇热)豆中,去
滓,多少服,日二。
《千金方》治产后风肿面欲裂破者方∶
以紫汤一服即瘥,神效。
《经心方》治产后肿满方∶
乌豆一斗,水五升(二斗),煮取五升,以酒五升,煎取五升,分五服。
《子母秘录》治产后遍身肿方∶
生地黄汁一升,酒二合,温顿饮之。
《产经》治产后诸大风中缓急肿气百病独活汤方∶
独活 当归 常陆 白术(各二两)
凡四物,水一斗,煮取四升,服,且覆取汁。
《诸病源候论》记载:产后气血两虚,若遭遇风寒侵袭;血气相互搏击,随着气机忽上忽下,上冲至心下,攻冲腹部,因此导致心腹疼痛。
《产经》中治疗产后腹中虚冷、心腹痛、不思饮食、呕吐及四肢厥逆的补虚祛风冷方——理仲当归汤:
甘草(三两) 当归(二两) 人参(一两) 白术(一两) 干姜(半两)
以上五味药,用水七升,煎煮取汁二升半,分三次服用,效果极佳。
《子母秘录》中治疗产后心腹痛的方剂:
当归、川芎、芍药、干姜(各六分)
研为散剂,空腹时用温酒送服一方寸匕,每日两次。
《耆婆方》中治疗人心腹痛的方剂,此即针对产后血瘀的方子:
生姜(三斤)
用水约三升,煎煮取汁一升半,分三次服用,若能排出瘀血及恶露水液即可痊愈。
《经心方》中治疗产后腹部胀满的方剂:
黑豆(一升)
用水五升,煎煮取汁三升,澄清后,加入五升酒共同煎煮,最终取汁三升,分三次服用。
《子母秘录》中治疗产后腹中秽浊汁液排不尽、腹部胀满不减的小豆汤:
小豆(三升)
用水一斗,煮熟后,饮尽药汁,症状可立即消除。
《经心方》中治疗产后胸胁及腹部壮热、烦闷胀满的方剂:
将羚羊角烧成粉末,用冷水送服。
《广济方》中治疗产后心胸烦闷、血气涩滞、肋下痞块导致不能进食的方剂:
生地黄汁(一升) 当归(一两,研末) 清酒(五合) 生姜汁(五合)
以上药物混合,煎煮三四沸,滤去渣滓,每次温服四五合,服药期间可少量进食。
《诸病源候论》记载:分娩损伤血液,劳损元气,腠理因而虚弱,被风邪乘虚而入,邪气与正气相搏,气机不得宣通发散,因此导致虚肿。轻浮如吹气般肿胀的,是邪气搏结于气分,属于气肿。如果皮肤薄如熟李子状,则转化为水肿。
《短剧方》中治疗产后中风冷,形成严重肿胀近乎死亡的方剂:
取鼠穴周围的土壤四升,炒热,装入布袋敷在腹部,也可敷在阴部上下,使热气进入腹中,效果良好。
《录验方》中治疗产后余痛以及血瘀兼风肿的方剂:
取真当归一味药切碎,用酒一斗,煎煮取汁七升,再用四升大豆炒焦,趁热将药酒浇在豆上,滤去渣滓,根据病情多少服用,每日两次。
《千金方》中治疗产后风肿导致面部欲裂破的方剂:
服用紫汤一次即可痊愈,神效。
《经心方》中治疗产后肿胀满盛的方剂:
乌豆一斗,加水五升(或二斗),煎煮取汁五升,再加入五升酒,煎取五升,分五次服用。
《子母秘录》中治疗产后全身浮肿的方剂:
生地黄汁一升,酒二合,温热后一次性饮服。
《产经》中治疗产后各种大风引起的缓急肿胀等百病的独活汤:
独活、当归、常陆(注:疑为药材名,原文如此)、白术(各二两)
以上四味药,用水一斗,煎煮取汁四升,服用,并覆盖身体以取汗出。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: After childbirth, both Qi and Blood are deficient. If exposed to Wind-Cold pathogens, Qi and Blood clash with each other. Following the movement of Qi, they surge up and down intermittently, rushing upward to the epigastrium and attacking the abdomen, thus causing pain in the heart and abdomen.
The *Chan Jing* (Classic of Childbirth) provides the Lizhong Danggui Tang (Cinnamon Twig and Angelica Decoction for Replenishing Deficiency and Dispelling Wind-Cold) for treating postpartum deficiency-cold in the abdomen, heart and abdominal pain, loss of appetite, vomiting, and cold extremities:
Gancao (Licorice Root, 3 liang), Danggui (Angelica Sinensis Root, 2 liang), Renshen (Ginseng Root, 1 liang), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Ganjiang (Dried Ginger, 0.5 liang).
These five herbs are decocted in 7 sheng of water until reduced to 2.5 sheng. The decoction is divided into three doses. It is highly effective.
The *Zimu Milu* (Secret Record of Mother and Child) provides a formula for treating postpartum heart and abdominal pain:
Danggui (Angelica Sinensis Root), Xiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root), Ganjiang (Dried Ginger) (each 6 fen).
Grind into powder. Take one fangcun bi (a measure equivalent to a square inch spoonful) with warm wine on an empty stomach, twice daily.
The *Qipo Fang* (Formula of Qibo) treats heart and abdominal pain in humans; this is also a formula for postpartum blood stasis:
Shengjiang (Fresh Ginger, 3 jin).
Decoct in approximately 3 sheng of water until reduced to 1.5 sheng. Divide into three doses. Once blood stasis and lochia fluids are discharged, the patient will recover.
The *Jingxin Fang* (Heart-Mirroring Formula) treats postpartum abdominal distension:
Heidou (Black Soybean, 1 sheng).
Decoct in 5 sheng of water until reduced to 3 sheng. Clarify the liquid, then combine with 5 sheng of clear wine and decoct further until 3 sheng remain. Divide into three doses.
The *Zimu Milu* (Secret Record of Mother and Child) provides Xiaodou Tang (Adzuki Bean Decoction) for treating postpartum retention of turbid fluids in the abdomen, abdominal distension that does not subside:
Xiaodou (Adzuki Bean, 3 sheng).
Decoct in 1 dou of water until cooked. Drink all the decoction immediately; symptoms will be relieved instantly.
The *Jingxin Fang* (Heart-Mirroring Formula) treats postpartum high fever, irritability, and fullness in the chest, hypochondrium, and abdomen:
Burn Lingyangjiao (Antelope Horn) into powder, and take it with cold water.
The *Guangji Fang* (Universal Relief Formula) treats postpartum irritability in the heart and chest, stagnant Qi and Blood, and subcostal mass preventing eating:
Shengdihuang Zhi (Fresh Rehmannia Juice, 1 sheng), Danggui (Angelica Sinensis Root, powdered, 1 liang), Qingjiu (Clear Wine, 5 he), Shengjiang Zhi (Fresh Ginger Juice, 5 he).
Mix these ingredients and decoct for three or four boils. Strain the dregs. Take 4-5 he warm at a time. Consume small amounts of food during the treatment period.
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Childbirth injures Blood and exhausts Qi, making the Couli (pores and interstices) deficient. Wind-Evil invades due to this deficiency. When Evil clashes with Qi, Qi cannot circulate freely, resulting in deficiency edema. Mild, floating swelling resembling inflated air indicates Evil clashing with Qi, known as Qi edema. If the skin becomes thin like a ripe plum, it transforms into Water edema.
The *Duanju Fang* (Short Treatment Formula) treats severe postpartum Wind-Cold causing life-threatening swelling:
Take 4 sheng of soil from mouse burrows, heat it thoroughly, place it in a cloth bag, and apply it to the abdomen and the area above and below the yin region. This allows heat to enter the abdomen, which is beneficial.
The *Luyan Fang* (Verified Formula) treats residual pain after childbirth, as well as blood stasis combined with Wind-induced edema:
Cut genuine Danggui (Angelica Sinensis Root) into pieces. Decoct in 1 dou of wine until reduced to 7 sheng. Fry 4 sheng of soybeans until scorched. Pour the hot decoction over the hot beans. Strain the dregs. Take an appropriate amount based on the condition, twice daily.
The *Qianjin Fang* (Thousand Gold Formula) treats postpartum Wind-induced edema where the face appears ready to crack:
Taking one dose of Zitang (Purple Decoction) cures the condition immediately; it is miraculous.
The *Jingxin Fang* (Heart-Mirroring Formula) treats postpartum severe swelling and fullness:
Wudou (Black Soybean, 1 dou). Decoct in 5 sheng (or 2 dou) of water until reduced to 5 sheng. Add 5 sheng of wine and decoct until 5 sheng remain. Divide into five doses.
The *Zimu Milu* (Secret Record of Mother and Child) treats generalized postpartum edema:
Take 1 sheng of Shengdihuang Zhi (Fresh Rehmannia Juice) and 2 he of wine. Warm and drink in one go.
The *Chan Jing* (Classic of Childbirth) provides Duhuo Tang (Angelica Pubescens Decoction) for treating various conditions caused by severe Wind affecting the body, including sudden swelling and Qi disorders:
Duhuo (Angelica Pubescens Root), Danggui (Angelica Sinensis Root), Changlu (Changlu Root/Herb, specific regional herb), Baizhu (Atractylodes Macrocephala Rhizome) (each 2 liang).
These four herbs are decocted in 1 dou of water until reduced to 4 sheng. Take the decoction and cover the patient to induce sweating.