论曰产后气血未至和平,邪气客于风府,循膂而下,与卫气大会,阴阳交争,虚实更作
,寒
腰
胜,
治产后寒热疟,往来不歇。犀角饮方
犀角屑 麦门冬去心焙) 升麻(洗焙) 知母(切) 当归(切焙) 甘草(炙) 生
干地黄
上一十味,粗捣筛,每服五钱匕,水一盏半,煎至一盏去滓,当未发前服,欲发时再服
治产后寒热疟。小柴胡汤方
柴胡(去苗八两) 黄芩(去黑心) 人参 甘草(炙各三两) 半夏(汤洗去滑二两
半)
上五味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣二枚擘,同煎七分,去滓温服,
不拘时。
治产后疟,先寒后热,头痛发渴,骨节痛。秦艽汤方
秦艽(去苗土) 麻黄(去根节煎掠去沫焙) 乌梅(去核炒) 甘草(炙) 麦门冬
(去心炒)
焙) 赤茯苓(去
上一十二味,粗捣筛,每服五钱匕,水一盏半,生姜三片,煎至八分去滓,当未发前服
,欲发时再服。
治产后诸疟,寒热往来,烦渴。柴胡汤方
柴胡(去苗) 黄芩(去黑心) 人参 当归(切焙) 生干地黄(焙) 甘草(炙) 猪
苓(去
上七味,粗捣筛,每服五钱匕,水一盏半,煎八分去滓,当未发前,及空心日午临卧服
治产后一切疟。木香丸方
木香 常山(锉) 牡蛎(火烧赤) 大黄(炮锉) 知母(焙) 麻黄(去根节煎掠
去沫
两)
上一十味,捣罗为末,炼蜜为丸,梧桐子大。每服二十丸,温酒下,当未发前服。
治产后寒热疟,头疼体痛烦渴。芍药饮方
赤芍药(一两) 当归(切焙二两) 柴胡(去苗一两) 麦门冬(去心焙一两半) 黄
芩(去
裙醋炙二两
上一十味,粗捣筛,每服五钱匕,水一盏半,生姜三片枣二枚擘,同煎八分,去滓温服
,当未发前,不拘时服。
治产后寒热疟,往来不已,烦渴体痛。人参饮方
人参 甘草(炙) 浓朴(去粗皮生姜汁炙各三分) 知母(半两) 常山(半两) 麦
门冬(
上九味,粗捣筛,每服五钱匕,水一盏半,生姜三片,同煎至八分去滓,当未发前服。
治产后寒热疟,发渴头痛。乌梅饮方
乌梅肉(炒) 黄连(去须) 柴胡(去苗) 人参(各一两) 甘草(炙三分) 当
归(切焙一
上八味,粗捣筛,每服五钱匕,水一盏半,生姜三片,枣二枚擘,同煎至八分去滓,当
未发前温服。
治产后寒热疟,烦渴引饮,头疼体痛。七胜饮方
干姜(半两炮) 黄连(去须) 桃仁(去皮尖双仁炒) 当归(切焙) 常山(锉) 柴
胡(
上七味,粗捣筛,每服三钱匕,水一盏,煎至七分去滓,当未发前,空心温服,欲发时
再服。
治产后寒热疟,或半日间日发。知母饮方
知母(半两) 白茯苓(去黑皮一两) 乌梅肉(三分炒) 大青(半两) 麦门冬(去
心一两)
上八味,粗捣筛,每服五钱匕,水一盏半,生姜三片,枣二枚擘,同煎至八分去滓,当
未发前服,欲发时再服。
治产后寒热疟。常山饮方
常山 甘草(炙各一两) 黄芩(去黑心) 石膏(碎各二两) 乌梅(去核熬十四枚)
当归
上七味,粗捣筛,每服五钱匕,水一盏半,生姜三片,枣二枚擘,同煎至八分去滓,当
未发前温服。
论述说:产后气血尚未恢复平和,邪气客居于风府穴,沿着脊柱向下行走,与卫气在大椎处会合,导致阴阳之气相互交争,虚实交替出现,寒热胜复。
治疗产后寒热疟疾,症状表现为寒热往来不停歇的犀角饮方:
犀角屑、麦门冬(去心并焙干)、升麻(洗净并焙干)、知母(切片)、当归(切片并焙干)、甘草(炙制)、生干地黄。
以上十味药,粗捣筛碎,每次服用五钱匕,用水一盏半,煎煮至一盏,滤去药渣,在发作前服用,欲发作时再服一次。
治疗产后寒热疟疾的小柴胡汤方:
柴胡(去苗八两)、黄芩(去黑心)、人参、甘草(炙各三两)、半夏(汤洗去滑二两半)。
以上五味药,粗捣筛碎,每次服用三钱匕,用水一盏,生姜三片,大枣二枚掰开,一同煎煮至七分,滤去药渣,温服,不拘泥于固定时间。
治疗产后疟疾,症状为先寒后热、头痛、口渴、骨节疼痛的秦艽汤方:
秦艽(去苗土)、麻黄(去根节,煎煮掠去浮沫后焙干)、乌梅(去核炒)、甘草(炙)、麦门冬(去心炒)、[原文此处有缺漏,推测为其他药材]、赤茯苓(去[皮])。
以上十二味药,粗捣筛碎,每次服用五钱匕,用水一盏半,生姜三片,煎煮至八分,滤去药渣,在发作前服用,欲发作时再服一次。
治疗产后各种疟疾,症状为寒热往来、心烦口渴的柴胡汤方:
柴胡(去苗)、黄芩(去黑心)、人参、当归(切片焙干)、生干地黄(焙干)、甘草(炙)、猪苓(去[皮])。
以上七味药,粗捣筛碎,每次服用五钱匕,用水一盏半,煎煮至八分,滤去药渣,在发作前,以及空腹、日中、临卧时服用。
治疗产后一切疟疾的木香丸方:
木香、常山(锉碎)、牡蛎(火烧至红)、大黄(炮制锉碎)、知母(焙干)、麻黄(去根节,煎煮掠去浮沫[及余药])。
以上十味药,捣罗成细末,用炼蜜制成梧桐子大小的丸剂。每次服用二十丸,用温酒送下,在发作前服用。
治疗产后寒热疟疾,症状为头疼、身体疼痛、心烦口渴的芍药饮方:
赤芍药(一两)、当归(切片焙干二两)、柴胡(去苗一两)、麦门冬(去心焙干一两半)、黄芩(去[黑心]裙醋炙二两)、[原文此处有缺漏]。
以上十味药,粗捣筛碎,每次服用五钱匕,用水一盏半,生姜三片,大枣二枚掰开,一同煎煮至八分,滤去药渣,温服,在发作前,不拘泥于固定时间服用。
治疗产后寒热疟疾,症状为寒热往来不止、心烦口渴、身体疼痛的人参饮方:
人参、甘草(炙)、浓朴(去粗皮,用生姜汁炙各三分)、知母(半两)、常山(半两)、麦门冬([去心])。
以上九味药,粗捣筛碎,每次服用五钱匕,用水一盏半,生姜三片,一同煎煮至八分,滤去药渣,在发作前服用。
治疗产后寒热疟疾,症状为发作时口渴、头痛的乌梅饮方:
乌梅肉(炒)、黄连(去须)、柴胡(去苗)、人参(各一两)、甘草(炙三分)、当归(切片焙干一[两])。
以上八味药,粗捣筛碎,每次服用五钱匕,用水一盏半,生姜三片,大枣二枚掰开,一同煎煮至八分,滤去药渣,在发作前温服。
治疗产后寒热疟疾,症状为心烦口渴想喝水、头疼身体疼痛的七胜饮方:
干姜(半两炮制)、黄连(去须)、桃仁(去皮尖,双仁者炒)、当归(切片焙干)、常山(锉碎)、柴胡([去苗])。
以上七味药,粗捣筛碎,每次服用三钱匕,用水一盏,煎煮至七分,滤去药渣,在发作前空腹温服,欲发作时再服一次。
治疗产后寒热疟疾,症状为或半日一发或隔日一发的知母饮方:
知母(半两)、白茯苓(去黑皮一两)、乌梅肉(三分炒)、大青(半两)、麦门冬(去心一两)。
以上八味药,粗捣筛碎,每次服用五钱匕,用水一盏半,生姜三片,大枣二枚掰开,一同煎煮至八分,滤去药渣,在发作前服用,欲发作时再服一次。
治疗产后寒热疟疾的常山饮方:
常山、甘草(炙各一两)、黄芩(去黑心)、石膏(碎各二两)、乌梅(去核熬十四枚)、当归([切焙])。
以上七味药,粗捣筛碎,每次服用五钱匕,用水一盏半,生姜三片,大枣二枚掰开,一同煎煮至八分,滤去药渣,在发作前温服。
Commentary states: After childbirth, the Qi and Blood have not yet returned to a state of harmony. Pathogenic factors lodge in the Fengfu (GV16) acupoint, travel downward along the spine, and converge with the Wei Qi (Defensive Qi) at the Da Zhui (GV14) area. This leads to an interaction and struggle between Yin and Yang, resulting in alternating deficiency and excess, and alternating dominance of cold and heat.
Xi Jiao Yin Decoction for treating postpartum chills and fever malaria, characterized by unceasing alternation of chills and fever:
Rhinoceros Horn Chips (Xijiaoxie), Ophiopogon Tuber processed by removing the heart and roasted (Mendong), Cimicifugae Rhizome washed and roasted (Shengma), Anemarrhenae Rhizome sliced (Zhimu), Angelicae Sinensis Radix sliced and roasted (Danggui), Licorice Root roasted (Gancao), Dried Rehmanniae Radix (Shengdihuang).
The above ten ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi (approx. 15-20g depending on era/standard, here kept as unit), boiled in 1.5 sheng (approx. 300ml) of water until reduced to 1 sheng (approx. 200ml). Strain the dregs and take before the onset of symptoms; repeat the dose when the symptoms are about to start.
Xiao Chai Hu Tang (Minor Bupleurum Decoction) for treating postpartum chills and fever malaria:
Bupleuri Radix de-stalked (8 liang), Scutellariae Radix cleaned of black heart (Huangqin), Ginseng Radix et Rhizoma (Renshen), Licorice Root roasted (3 liang each), Pinelliae Rhizoma washed in hot water to remove slipperiness (2.5 liang).
The above five ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 sheng (approx. 200ml) of water with 3 slices of Zingiberis Rhizoma Recens (Fresh Ginger) and 2 halved Ziziphi Jujubae Fructus (Jujube). Reduce to 70% volume, strain the dregs, and take warm. Time of administration is unrestricted.
Qin Jiao Tang for treating postpartum malaria, characterized by initial chills followed by fever, headache, thirst, and joint pain:
Gentianae Macrophyllae Radix de-stalked and cleaned of soil (Qinjiao), Ephedrae Herba de-rooted and de-jointed, boiled to remove foam and roasted (Mahuang), Mume Fructus pitted and roasted (Wumei), Licorice Root roasted (Gancao), Ophiopogon Tuber de-hearted and roasted (Mendong), [Text missing], Poria Cocos with black skin removed (Chifuling).
The above twelve ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water with 3 slices of Fresh Ginger. Reduce to 80% volume, strain the dregs, and take before the onset of symptoms; repeat the dose when the symptoms are about to start.
Chai Hu Tang for treating various types of postpartum malaria, characterized by alternating chills and fever, mental restlessness, and thirst:
Bupleuri Radix de-stalked (Chaihu), Scutellariae Radix cleaned of black heart (Huangqin), Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix sliced and roasted (Danggui), Dried Rehmanniae Radix roasted (Shengdihuang), Licorice Root roasted (Gancao), Polyporus (Zhuling).
The above seven ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water until reduced to 80%. Strain the dregs and take before the onset of symptoms, as well as on an empty stomach, at noon, and before going to bed.
Mu Xiang Wan (Wood Fragrance Pill) for treating all types of postpartum malaria:
Aucklandiae Radix (Muxiang), Dichroae Radix chopped (Changshan), Ostreae Concha fire-burned until red (Muli), Rheomi Radix et Rhizoma processed and chopped (Dahuang), Anemarrhenae Rhizome roasted (Zhimu), Ephedrae Herba de-rooted and de-jointed, boiled to remove foam [and other ingredients].
The above ten ingredients are pounded into fine powder and formed into pills the size of paulownia seeds using refined honey. Each dose consists of 20 pills, taken with warm wine, before the onset of symptoms.
Shao Yao Yin (Peony Drink) for treating postpartum chills and fever malaria, characterized by headache, body pain, mental restlessness, and thirst:
Red Peony Root (1 liang), Angelicae Sinensis Radix sliced and roasted (2 liang), Bupleuri Radix de-stalked (1 liang), Ophiopogon Tuber de-hearted and roasted (1.5 liang), Scutellariae Radix cleaned of [black heart] and vinegar-roasted (2 liang), [Text missing].
The above ten ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water with 3 slices of Fresh Ginger and 2 halved Jujubes. Reduce to 80% volume, strain the dregs, and take warm. Take before the onset of symptoms, time unrestricted.
Ren Shen Yin (Ginseng Drink) for treating postpartum chills and fever malaria, characterized by incessant alternation of chills and fever, mental restlessness, thirst, and body pain:
Ginseng Radix et Rhizoma (Renshen), Licorice Root roasted (Gancao), Magnoliae Officinalis Bark peeled of rough skin and roasted with ginger juice (3 fen each), Anemarrhenae Rhizome (0.5 liang), Dichroae Radix (0.5 liang), Ophiopogon Tuber [de-hearted].
The above nine ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water with 3 slices of Fresh Ginger. Reduce to 80% volume, strain the dregs, and take before the onset of symptoms.
Wu Mei Yin (Mume Drink) for treating postpartum chills and fever malaria, characterized by thirst and headache upon onset:
Mume Fructus flesh roasted (Wumei Rou), Coptidis Rhizoma de-whiskered (Huanglian), Bupleuri Radix de-stalked (Chaihu), Ginseng Radix et Rhizoma (1 liang each), Licorice Root roasted (3 fen), Angelicae Sinensis Radix sliced and roasted [1 liang].
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water with 3 slices of Fresh Ginger and 2 halved Jujubes. Reduce to 80% volume, strain the dregs, and take warm before the onset of symptoms.
Qi Sheng Yin (Seven Victories Drink) for treating postpartum chills and fever malaria, characterized by mental restlessness, intense thirst, headache, and body pain:
Dried Zingiberis Rhizome half-liang processed (Ganjiang), Coptidis Rhizoma de-whiskered (Huanglian), Persicae Semen de-skin and tip, double-kernel roasted (Taoren), Angelicae Sinensis Radix sliced and roasted (Danggui), Dichroae Radix chopped (Changshan), Bupleuri Radix [de-stalked].
The above seven ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 sheng of water until reduced to 70%. Strain the dregs, take warm on an empty stomach before the onset of symptoms, and repeat the dose when the symptoms are about to start.
Zhi Mu Yin (Anemarrhena Drink) for treating postpartum chills and fever malaria, occurring every half-day or every other day:
Anemarrhenae Rhizome (0.5 liang), White Poria Cocos de-blackened skin (1 liang), Mume Fructus flesh roasted (3 fen), Isatidis Folium (0.5 liang), Ophiopogon Tuber de-hearted (1 liang).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water with 3 slices of Fresh Ginger and 2 halved Jujubes. Reduce to 80% volume, strain the dregs, and take before the onset of symptoms; repeat the dose when the symptoms are about to start.
Chang Shan Yin (Dichroa Drink) for treating postpartum chills and fever malaria:
Dichroae Radix (Changshan), Licorice Root roasted (1 liang each), Scutellariae Radix cleaned of black heart (Huangqin), Gypsum Fibrosum crushed (2 liang each), Mume Fructus pitted and cooked (14 pieces), Angelicae Sinensis Radix [sliced and roasted].
The above seven ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water with 3 slices of Fresh Ginger and 2 halved Jujubes. Reduce to 80% volume, strain the dregs, and take warm before the onset of symptoms.