仲氏嫂金华君在秦产七日而不食,始言头疼而心痛,既而目睛痛如割。如是者,更作
更止,相去瞬息间。每头痛甚,欲取大石压,食久渐定;心痛则以十指抓壁欲死;目复痛即欲以
手自剜取之,如是者旬日。国医三四人,郡官中善医亦数人,相顾无以为计。且言其药犯芎,
可以愈头痛;其药犯姜黄,可以治心痛。率皆悠悠
不根之言,竟不知病根所起。病者益困,医者术穷。予度疾势危急,非神丹不能愈,须进
黑龙丹。仲氏尚犹豫,两日不食,恐不胜任。予黄昏进半粒,疾少间;中夜再进药,下寐如
平昔;平旦一行三升许,如蝗虫子,疾减半。巳刻又行如前,则顿愈矣。遗荆钗辈视之,奄殆
无气,午后体方凉,气方属,乃微言索饮,自此遂平复。大抵产后以去污血为先,血滞不快,
作祸若是。世人不诸此理,老媪中医不识疾病之根,岂得无夭枉者?不遇良医,终抱遗憾。
今以黑龙丹广济施人,俾世之人感其效而用之,得尽天年,非祈于报者,所冀救疾苦,存性
命尔。崇宁元年五月五日郭 序。
四味汤 治产后一切诸疾,腹痛、头痛、身痛,更宜服之。产后就吃一服,尤妙,
血不滞,疾不作。
当归 玄胡索 血竭 没药
上各等分,以血竭、没药另研为末,当归、玄胡另研末,和一处。每服二钱,热酒童便
各半,调下。
八味理中汤 治产后气血俱虚,汗出呕吐,百日可服,壮气补虚。
白术(一两,炒) 炙甘草(七钱) 人参 白茯苓 干姜(炒) 滑石 麦芽(炒)
神曲(炒。各五钱)
上为细末,米糊丸,梧桐子大。每服三四十丸,食前姜汤送下。有痰加半夏曲。
(仲景)羊肉汤 治产妇腹中寒痛,血气不足,虚弱甚者,及寒月生产,寒气入于
产门,手不可犯,脐下胀满,此为产后之寒证也。
精羯羊肉(半斤) 当归 陈皮(各二两) 生姜(一两)
上水四碗,煮至二碗,去渣加葱、椒、盐,分作二服。
猪腰饮 治产后褥劳,寒热如疟,自汗无力,咳嗽、头痛、腹痛俱效。
猪腰(一对) 白芍药(酒炒) 当归(各一两)
上以二味药用水三碗,煎至二碗,去渣,将猪腰切作骰子大块,入药汤,入晚米一合,
香豉一钱,加葱、椒、盐,煮稠粥,空心日服一次,神效。
小调经汤 治产后败血凝积,令人浮肿,不可作水治。俱用此药行其气血,浮肿自消。
琥珀 没药 桂心 当归 芍药(各二钱) 麝香(二分) 细辛(五分)
上为细末,每服钱半,姜汤、温酒调下。
雄漆膏 治产后一切血痛,儿枕诸痛如神。
生漆(一两,火熬极熟,入雄末调匀) 雄黄(一两,研末)
上以瓷盏熬漆熟,入雄末和膏得所,以油纸覆之,勿染尘。每服五分,滚酒化开调匀服。
雄黄汤 治产后玉门不敛,阴户突出。
硫黄(一两) 菟丝子 吴茱萸(各七钱) 蛇床子(五钱)
上研匀,每服四钱。水一碗煎汤,频洗之,自收。
仲氏的嫂子金华君在秦国生产后七天没有进食,起初诉说头痛并伴有心痛,随后眼睛疼痛如同被切割一般。这种情况反复发作,发作与停止之间仅相隔片刻。每当头痛剧烈时,她想要搬来大石头压在头上;心痛严重时,她用十指抓挠墙壁,痛苦欲死;眼睛再次疼痛时,她便想用手将自己的眼球挖出,像这样持续了十天。国医中有三四位医生,郡中擅长医术的人也数人,他们面面相觑,束手无策。有人说某种药能治疗因川芎引起的头痛;另一种药能治疗因姜黄引起的心痛。这些都不过是毫无根据的空谈,最终也不知道病根所在。病人更加困顿,医生的手段也用尽了。我推测病情危急,非神丹不能治愈,必须服用黑龙丹。仲氏尚且犹豫,两天未进食,担心身体承受不住。我在黄昏时分给她服下半粒,病情稍见缓解;半夜再次服药,她像往常一样入睡;清晨排便约三升,排出如蝗虫卵般的物质,疾病减轻了一半。巳时(上午9-11点)又排出同样的东西,于是顿时痊愈了。我留下荆钗等侍女照顾她,当时她气息奄奄,几乎断气,直到午后身体才变凉,气息才接续上,这才微弱地索要饮水,从此便康复了。大抵产后以排除污血为先务,如果血液停滞不畅,就会造成如此祸患。世人不懂这个道理,老妇人及庸医不认识疾病的根源,难道不会有夭折枉死者吗?如果不遇到良医,终究会抱憾终身。如今我将黑龙丹广泛施予世人,使世人感激其疗效而使用它,得以享尽天年,这不是为了祈求回报,而是希望救助疾苦,保全性命罢了。崇宁元年五月五日 郭序。
四味汤:治疗产后各种疾病,如腹痛、头痛、身痛,尤其适宜服用。产后立即服用一剂,效果更佳,可使血液不滞,疾病不生。
药材:当归、玄胡索、血竭、没药。
制法:以上药材各取等分,将血竭、没药单独研磨成粉末,当归、玄胡索也单独研磨成粉末,混合在一起。每次服用二钱,用热酒和童便各半量调服。
八味理中汤:治疗产后气血俱虚,出汗呕吐,产后百日后可服用,可壮气补虚。
药材:白术(一两,炒)、炙甘草(七钱)、人参、白茯苓、干姜(炒)、滑石、麦芽(炒)、神曲(炒,各五钱)。
制法:以上药材研为细末,用米糊制作成丸,大小如梧桐子。每次服用三四十丸,饭前用姜汤送服。有痰者加半夏曲。
羊肉汤(出自张仲景):治疗产妇腹中寒痛,血气不足,虚弱严重者,以及寒冬月份生产,寒气侵入产门,手不可触碰,脐下胀满,这是产后的寒证。
药材:精羯羊肉(半斤)、当归、陈皮(各二两)、生姜(一两)。
制法:用水四碗,煮至二碗,去渣,加入葱、花椒、盐,分两次服用。
猪腰饮:治疗产后褥劳,寒热往来如疟疾,自汗无力,咳嗽、头痛、腹痛均有效。
药材:猪腰(一对)、白芍药(酒炒)、当归(各一两)。
制法:以上两种药材用水三碗,煎至二碗,去渣,将猪腰切成骰子大小的块,放入药汤中,加入晚米一合,香豉一钱,再加葱、花椒、盐,煮成稠粥,空腹每日服用一次,效果神奇。
小调经汤:治疗产后败血凝积,导致人体浮肿,不可当作水饮病治疗。均用此药行其气血,浮肿自然消除。
药材:琥珀、没药、桂心、当归、芍药(各二钱)、麝香(二分)、细辛(五分)。
制法:以上药材研为细末,每次服用钱半,用姜汤、温酒调服。
雄漆膏:治疗产后一切血痛,儿枕诸痛如神效。
药材:生漆(一两,用火熬至极熟,加入雄黄末调匀)、雄黄(一两,研末)。
制法:以上用瓷盏熬漆熟,加入雄黄末调和成膏,用油纸覆盖,勿沾染灰尘。每次服用五分,用滚酒化开调匀服用。
雄黄汤:治疗产后玉门不闭合,阴户突出。
药材:硫黄(一两)、菟丝子、吴茱萸(各七钱)、蛇床子(五钱)。
制法:以上研匀,每次服用四钱。用水一碗煎汤,频繁清洗,即可自行收回。
Zhong's sister-in-law, Lady Jinhua, did not eat for seven days after giving birth in Qin. Initially, she complained of headache and heart pain, followed by eye pain as if being cut. This condition recurred intermittently, with intervals between episodes lasting only moments. Whenever the headache was severe, she desired to place a large stone on her head; when heart pain was intense, she scratched the wall with her ten fingers, suffering to the point of death; when her eyes hurt again, she wanted to gouge out her own eyeballs with her hands. Such suffering lasted for ten days. Three or four imperial physicians and several local experts consulted each other but had no effective plan. Some claimed that certain medicines could cure headaches caused by Chuanxiong (Ligusticum chuanxiong); others said specific drugs could treat heart pain caused by Jianghuang (Curcuma longa). These were all baseless remarks, and ultimately, the root cause of the illness remained unknown. The patient grew increasingly weak, and the doctors exhausted their methods. I assessed that the disease was critical and could only be cured by a miraculous elixir, necessitating the administration of Heilong Dan (Black Dragon Pill). Zhong hesitated, having not eaten for two days, fearing the body could not withstand it. In the evening, I administered half a pill, and the symptoms slightly subsided; at midnight, I gave another dose, and she fell asleep as usual; at dawn, she passed stool about three sheng (approx. 3 liters), discharging substances resembling locust eggs, and the illness reduced by half. At the Si hour (9-11 AM), she passed similar material again, and then she was suddenly cured. I left servants like Jingchai to care for her; she was nearly lifeless, her body only cooled and her breath resumed in the afternoon, after which she faintly asked for water, and from then on, she recovered completely. Generally, postpartum treatment prioritizes the expulsion of lochia (waste blood); if blood stagnation is not resolved, such disasters occur. People of the world do not understand this principle; old women and mediocre physicians fail to recognize the root of diseases, leading inevitably to premature deaths. Without encountering a good physician, one will eventually live with regret. Now, I widely distribute Heilong Dan to benefit people, so that they may appreciate its efficacy and use it, thereby fulfilling their natural lifespan. This is not done to seek reward, but to alleviate suffering and preserve life. Preface by Guo, May 5th, 1st Year of Chongning.
Siwei Tang (Four Ingredient Decoction): Treats various postpartum ailments, including abdominal pain, headache, and body pain; especially suitable for consumption. Taking one dose immediately after childbirth is particularly effective, preventing blood stagnation and disease onset.
Herbs: Danggui (Angelicae Sinensis Radix), Xuanhusuo (Corydalis Rhizoma), Xuexie (Draconis Sanguis), Moyao (Myrrha).
Preparation: Take equal parts of each herb. Grind Xuexie and Moyao separately into powder. Grind Danggui and Xuanhusuo separately into powder. Mix them together. Take 2 qian per dose, mixed with half hot wine and half child's urine (Tongbian).
Bawei Lizhong Tang (Eight-Ingredient Lizhong Decoction): Treats postpartum deficiency of both Qi and Blood, sweating, and vomiting. Can be taken 100 days postpartum to strengthen Qi and tonify deficiency.
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang, stir-fried), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata, 7 qian), Renshen (Ginseng Radix), Baifuling (Poria), Ganjiang (Zingiberis Rhizoma, stir-fried), Huashi (Talcum), Maiya (Hordei Fructus Germinatus, stir-fried), Shenqu (Massa Medicata Fermentata, stir-fried, 5 qian each).
Preparation: Grind all herbs into fine powder. Make pills using rice paste, sized like Sophora seeds (Wutongzi). Take 30-40 pills per dose before meals, washed down with ginger decoction. Add Banxiaqu (Pinelliae Massa Praeparata) if phlegm is present.
Yangrou Tang (Mutton Soup [from Zhang Zhongjing]): Treats cold pain in the abdomen of postpartum women, insufficient Qi and Blood, severe weakness, and production during cold months where cold pathogen enters the vaginal opening, making it untouchable, with fullness below the umbilicus. This is a postpartum cold syndrome.
Herbs: Jingjie Yangrou (Lean Mutton, 0.5 jin), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium, 2 liang each), Shengjiang (Zingiberis Rhizoma Recens, 1 liang).
Preparation: Use 4 bowls of water, boil down to 2 bowls. Remove dregs. Add scallion, Sichuan pepper, and salt. Divide into two doses.
Zhuyao Yin (Pig Kidney Drink): Treats postpartum confinement labor, alternating chills and fever resembling malaria, spontaneous sweating, weakness, cough, headache, and abdominal pain. Effective for all these symptoms.
Herbs: Zhuyao (Sus Scrofa Domesticus Ren, 1 pair), Baishaoyao (Paeoniae Radix Alba, wine-fried), Danggui (Angelicae Sinensis Radix, 1 liang each).
Preparation: Use 3 bowls of water to decoct the two herbs until 2 bowls remain. Remove dregs. Cut pig kidney into dice-sized chunks. Add to the herbal liquid. Add 1 he of late rice, 1 qian of Xiangchi (Sojae Semen Praeparatum), scallion, Sichuan pepper, and salt. Cook into a thick porridge. Take once daily on an empty stomach. Divine efficacy.
Xiao Tiaojing Tang (Minor Regulation of Menstruation Decoction): Treats postpartum retained blood accumulation causing edema; should not be treated as fluid retention disease. Use this medicine to move Qi and Blood; edema will naturally subside.
Herbs: Hupo (Electrum), Moyao (Myrrha), Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix, 2 qian each), Shexiang (Moschus, 2 fen), Xixin (Asari Radix et Rhizoma, 5 fen).
Preparation: Grind into fine powder. Take 1.5 qian per dose, mixed with ginger decoction and warm wine.
Xiongqi Gao (Male Lacquer Ointment): Treats all types of postpartum blood pain and "child pillow" pains with divine effect.
Herbs: Shengqi (Raw Lacquer, 1 liang, boiled over fire until thoroughly cooked, mixed with Xionghuang powder), Xionghuang (Realgar, 1 liang, ground into powder).
Preparation: Boil lacquer in a porcelain cup until cooked. Mix in Xionghuang powder to form an ointment. Cover with oil paper to prevent dust contamination. Take 5 fen per dose, dissolved in boiling wine and mixed well before ingestion.
Xionghuang Tang (Realgar Decoction): Treats postpartum failure of the vulva to close and prolapse of the vagina.
Herbs: Liuhuang (Sulfur, 1 liang), Tusizi (Cuscutae Semen), Wuzhuyu (Evodiae Fructus, 7 qian each), Shechuangzi (Cnidii Fructus, 5 qian).
Preparation: Grind uniformly. Take 4 qian per dose. Decoct in 1 bowl of water. Wash frequently with the decoction; the prolapse will retract spontaneously.