第二十论∶产后汗出多而变痉风者,何。
答曰∶产后血虚,肉理不密,故多汗,因遇风邪搏之,则变痉风也。痉者,口噤不开,背强而直,如发痫
状,摇头马鸣,身反折,须臾十发,气息如绝。宜速斡口灌小续命汤,稍缓即汗出如雨,手拭不及者,不可治。
此方不特治产妇,凡男女偶中此疾,急以此药灌之,无不愈也,或服它药,则不及矣。
第二十一论曰∶产后所下过多,虚极生风者,何。
答曰∶妇人以荣血为主。因产血下太多,气无所主,唇青肉冷,汗出目瞑,神昏,命在须臾,此但虚极生
风也。如此急服济危上丹神良,以风药治之则误矣。
济危上丹
乳香(以竹叶盛,又以竹叶覆上,熨斗略熨过,即研成末) 五灵脂(不夹石者,研) 硫黄(研如粉)
太阴玄精石(研) 陈皮(去穣,锉碎) 桑寄生(锉) 阿胶(锉碎,用蛤粉炒泡起,筛去蛤粉用) 卷柏
(生用。各一两)
上将上四味同研匀,石器内微用火炒动勿令焦,炒了再研极细后,入余药末,用地黄汁打糊丸梧桐子大。
产后温酒下二十丸,当归酒亦得。
又十八论曰∶产后血气通肺,上气咳嗽,多纵睡者,何。
答曰∶产后盈月,血脉未通,好食热面,壅结成痰,或有气块。发时冲心,心痛,气急咳嗽,四肢寒热,
心闷口干,背膊酸疼,睡梦惊狂,体虚无力,时有汗出。心痛,月候不来,名曰∶败症,腹痛绕脐,面色微赤,
因此不疗,纵然得效,三两日又发,急服黑神散,立愈。
第二十论:产后出汗多并出现痉风症状的,是什么原因?
回答说:产后血虚,腠理(皮肤毛孔及肌肉纹理)不致密,所以容易出汗,如果遭遇风邪侵袭搏结,就会转变为痉风。所谓痉,是指牙关紧闭无法张开,背部僵硬挺直,像癫痫发作的样子,摇头发出马嘶般的叫声,身体向后反折,短时间内发作十次,气息微弱如同断绝。应当迅速撬开口腔灌服小续命汤,如果病情稍缓,就会大汗淋漓如雨,连用手擦拭都来不及的情况,就无法治愈了。这个方子不仅治疗产妇,凡是男女偶然患上此疾,紧急用此药灌服,没有不能痊愈的,如果服用其他药物,就来不及了。
第二十一论说:产后恶露排出过多,极度虚弱而生风的,是什么原因?
回答说:妇女以营血为主。因为生产时血液流失太多,气无所依附,导致嘴唇发青、肌肉冰冷、出汗、闭目昏沉、神志昏迷,生命危在旦夕,这仅仅是因为极度虚弱而生风。遇到这种情况,必须紧急服用济危上丹,效果极佳,如果用治风的方法治疗就错了。
济危上丹
乳香(用竹叶盛放,上面再盖一层竹叶,用熨斗稍微熨烫过,然后研成粉末)五灵脂(不含石块的,研磨)硫黄(研磨如粉状)太阴玄精石(研磨)陈皮(去掉白色内瓤,切碎)桑寄生(切碎)阿胶(切碎,用蛤粉炒至起泡,筛去蛤粉使用)卷柏(生用。以上各一两)
先将上述四味药共同研磨均匀,在石器中用微火翻炒,不要让它焦糊,炒完后再次研磨至极细,然后加入其余药物的粉末,用地黄汁调和做成糊状,制成梧桐子大小的丸剂。
产后用温酒送服二十丸,用当归酒送服也可以。
又第十八论说:产后气血通于肺,出现气逆咳嗽,喜欢仰卧的,是什么原因?
回答说:产后满一个月,血脉尚未通畅,喜欢吃热面条,导致壅滞结成痰饮,或者有气块形成。发作时气冲心脏,引起心痛,呼吸急促咳嗽,四肢忽冷忽热,心中闷塞口干,背部和肩膀酸痛,睡眠中梦境惊狂,身体虚弱无力,时常出汗。心痛,月经不来,名为败症;腹痛环绕肚脐,面色微微发红,如果不及时治疗,即使暂时见效,两三天后又会复发,应紧急服用黑神散,立刻痊愈。
Chapter 20: What is the cause of profuse sweating followed by the development of Jing-Feng (spasm and wind) syndrome after childbirth?
The answer is: After childbirth, blood deficiency leads to loose interstices (skin pores and muscle textures), resulting in profuse sweating. If exposed to Wind pathogen which combats with the body's Qi, it transforms into Jing-Feng. "Jing" refers to lockjaw where the mouth cannot open, rigidity and straightness of the back, resembling an epileptic seizure, with head shaking, neighing sounds like a horse, opisthotonos (body bent backward), occurring ten times within a short period, with breath appearing as if cut off. One should quickly pry open the mouth and administer Xiao Xuming Tang (Minor Continue Life Decoction). If the condition slows down slightly, sweat will pour like rain; if wiping with hands is insufficient, it is incurable. This formula is not only for postpartum women; for any man or woman who accidentally contracts this disease, urgent administration of this medicine ensures recovery. If other medicines are taken, it will be too late.
Chapter 21 states: What is the cause of excessive lochia discharge leading to extreme deficiency generating Wind?
The answer is: Women rely primarily on Ying Blood (Nutritive Blood). Due to excessive blood loss during childbirth, Qi has no anchor, leading to cyanosis of the lips, cold flesh, sweating, closed eyes, unconsciousness, and life hanging by a thread. This is merely Wind generated from extreme deficiency. In such cases, one must urgently consume Jiwei Shangdan (Emergency Rescue Upper Pill) for its miraculous effect; treating it with Wind-dispelling methods would be a mistake.
Jiwei Shangdan (Emergency Rescue Upper Pill)
Ruxiang (Frankincense Resin, processed by placing in bamboo leaves, covering with more leaves, warming with an iron, then grinding to powder) - 5 liang
Wulingzhi (Trogopterus Dung, free of stones, ground) - 5 liang
Liuhuang (Sulfur, ground to powder) - 5 liang
Taiyin Xuanjingshi (Taiyin Crystal Stone, ground) - 5 liang
Chenpi (Aged Tangerine Peel, pith removed, chopped) - 1 liang
Sangjisheng (Taxillus Chinensis Stem) - 1 liang
Ejiao (Donkey-hide Gelatin, chopped, stir-fried with Ge Fen [Tridacna Shell Powder] until bubbling, sifted to remove shell powder) - 1 liang
Juanbai (Selaginella Tamariscina Herb, used raw) - 1 liang
First, grind the above four ingredients together uniformly. Stir-fry lightly in a stone mortar over low heat without burning. After frying, grind again to an extremely fine powder. Then add the powders of the remaining herbs. Use juice of Dihuang (Rehmannia Root) to make a paste and form pills the size of a paulownia seed.
After childbirth, take 20 pills with warm wine. Danggui wine (Angelica Sinensis wine) is also acceptable.
Furthermore, Chapter 18 states: What is the cause of postpartum Qi and Blood connecting to the Lung, leading to rebellious Qi, coughing, and a preference for lying supine?
The answer is: Within a month after childbirth, the blood vessels have not yet fully circulated. Consuming hot noodles causes stagnation, forming phlegm or Qi masses. When these manifest, Qi rushes to the heart causing chest pain, rapid breathing and coughing, alternating cold and heat in the four limbs, chest oppression, dry mouth, soreness and pain in the back and shoulders, restless dreams, physical weakness, and occasional sweating. Chest pain accompanied by amenorrhea is named Baizheng (Decayed Syndrome); abdominal pain encircling the navel with a slightly reddish complexion. If left untreated, even if temporary relief occurs, it will recur within two or three days. Urgently administer Heishen San (Black Divine Powder) for immediate recovery.