论曰呼出心与肺,吸入肾与肝,呼吸应息,则人气平调,产后肺气不足,呼吸升降不至
舒快
是其
治产后短气,上膈壅闷。人参汤方
人参 诃黎勒(炮去核) 木香 五味子 陈橘皮(汤浸去白皮) 白茯苓(去黑皮) 白
术
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后虚羸,呼吸少气。当归建中汤方
当归(切焙四两) 桂(去粗皮三两) 芍药(六两) 甘草(炙二两)
上四味, 咀如麻豆,每服五钱匕,水一盏半,入生姜一枣大拍碎,枣三枚擘破,同
煎至八分,去滓温服,日三,若大虚,加饴糖少许,汤成下。
治产后肺气不足,短气虚乏。前胡汤方
前胡(去芦头) 半夏(为末生姜汁制作饼焙) 白术 人参 甘草(炙锉) 桔梗(炒
各
上八味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣一枚擘,同煎至七分,去滓温服
,日三。
治产后气短力乏,言语不利。白术汤方
白术(一两) 人参 杏仁(汤浸去皮尖双仁炒) 陈橘皮(汤浸去白焙) 甘草(炙
锉)
黄(焙各半两)
上一十味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣一枚擘破,同煎至七分,去滓
温服,不拘时候。
治产后短气不足。枳实半夏汤方
枳实(去瓤麸炒) 半夏(为末生姜汁制作饼焙) 木香 干姜(炮各半两) 五味子
(三分)
上八味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣一枚擘破,同煎至七分,去滓温
服,不拘时候。
治产后短气,呼吸促迫。地黄饮方
熟干地黄(焙) 当归(切焙) 人参 白术 白茯苓(去黑皮) 乌药(锉) 沉香
(锉)
上一十味, 咀如麻豆,每服五钱匕,水一盏半,生姜三片,枣二枚擘破,同煎至八
分,去滓温服,不拘时,日三。
治产后短气。半夏丸方
半夏(汤浸去滑七遍一两) 人参(二两) 枳实(去瓤麸炒半两) 诃黎勒(煨去核
三分)
上四味,捣罗为末,用生姜自然汁煮面糊,丸如梧桐子大。每服二十丸,生姜紫苏热水
下,不拘时,日三服。
论述说:呼气由心和肺主管,吸气由肾和肝主管,呼吸与脉搏相应协调,则人体之气平和调顺。产后肺气不足,呼吸升降功能不能达到舒快通畅的状态,这是治疗产后短气、上焦膈部壅塞闷胀的方剂:人参汤方。
人参、诃黎勒(炮制后去核)、木香、五味子、陈橘皮(用热水浸泡后去除白色果皮)、白茯苓(去除黑色外皮)、白术。
以上八味药,粗捣碎并过筛,每次服用三钱匕,加水一盏,煎煮至七分满,滤去药渣,温服,不限定具体时间。
治疗产后身体虚弱消瘦,呼吸气短。当归建中汤方。
当归(切碎焙干四两)、桂枝(去除粗糙外皮三两)、芍药(六两)、甘草(炙烤二两)。
以上四味药,咬咀成如麻豆大小的颗粒,每次服用五钱匕,加水一盏半,放入生姜一块如枣大拍碎,大枣三枚掰开,共同煎煮至八分满,滤去药渣,温服,每日三次。如果身体极度虚弱,加入少许饴糖,待药汤煎成后溶入服用。
前胡(去除芦头)、半夏(研为细末,用生姜汁制作成药饼后焙干)、白术、人参、甘草(炙烤锉碎)、桔梗(炒制)。
以上八味药,粗捣碎并过筛,每次服用三钱匕,加水一盏,生姜三片,大枣一枚掰开,共同煎煮至七分满,滤去药渣,温服,每日三次。
白术(一两)、人参、杏仁(热水浸泡后去皮尖,双仁者炒制)、陈橘皮(热水浸泡后去白皮焙干)、甘草(炙烤锉碎)、黄芪(焙干各半两)。
以上十味药,粗捣碎并过筛,每次服用三钱匕,加水一盏,生姜三片,大枣一枚掰开,共同煎煮至七分满,滤去药渣,温服,不限定具体时间。
枳实(去除瓤麸炒)、半夏(研为细末,用生姜汁制作成药饼后焙干)、木香、干姜(炮制各半两)、五味子(三分)。
以上八味药,粗捣碎并过筛,每次服用三钱匕,加水一盏,生姜三片,大枣一枚掰开,共同煎煮至七分满,滤去药渣,温服,不限定具体时间。
熟干地黄(焙干)、当归(切碎焙干)、人参、白术、白茯苓(去除黑色外皮)、乌药(锉碎)、沉香(锉碎)。
以上十味药,咬咀成如麻豆大小的颗粒,每次服用五钱匕,加水一盏半,生姜三片,大枣二枚掰开,共同煎煮至八分满,滤去药渣,温服,不限定时间,每日三次。
半夏(热水浸泡去除滑腻七遍,一两)、人参(二两)、枳实(去除瓤麸炒半两)、诃黎勒(煨制去核三分)。
以上四味药,捣碎筛选为细末,用生姜自然汁煮面糊,制成如梧桐子大小的丸剂。每次服用二十丸,用生姜紫苏热水送下,不限定时间,每日三次服用。
Commentary states: Exhalation is governed by the Heart and Lung, while inhalation is governed by the Kidney and Liver. When respiration corresponds with the pulse, the Qi of the human body is peaceful and harmonious. Postpartum deficiency of Lung Qi results in respiratory ascent and descent failing to reach a state of comfort and smoothness. This section treats shortness of breath postpartum accompanied by stagnation and oppression in the upper diaphragm. Formula for Ginseng Decoction (Renshen Tang):
Ginseng Radix et Rhizoma (Ren Shen), Terminalia chebula Retz. Fruit (He Le Le) [prepared, pitted], Aucklandia Root (Mu Xiang), Schisandra Fruit (Wu Wei Zi), Tangerine Peel (Chen Ju Pi) [steeped in hot water, white pith removed], Poria (Bai Fu Ling) [black skin removed], Atractylodes Macrocephala Rhizome (Bai Zhu).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qian bi (approx. 3-5g), decocted in one sheng (approx. 200ml) of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating emaciation and weakness postpartum with shortness of breath: Formula for Danggui Jianzhong Decoction (Danggui Jianzhong Tang):
Angelica Sinensis Radix (Dang Gui) [cut and roasted, 4 liang], Cinnamon Twig (Gui Zhi) [rough bark removed, 3 liang], Peony Root (Shao Yao) [6 liang], Licorice Root (Zhi Gan Cao) [roasted, 2 liang].
The above four ingredients are cut into pieces the size of hemp seeds. Each dose consists of five qian bi, decocted in one and a half sheng of water with one date-sized piece of fresh ginger (crushed) and three dates (split). Decoct until reduced to eight-tenths. Strain and take warm, three times daily. If there is severe deficiency, add a small amount of Maltose (Yi Tang) after the decoction is prepared.
For treating postpartum Lung Qi deficiency manifesting as shortness of breath and fatigue: Formula for Qianhu Decoction (Qianhu Tang):
Peucedani Radix (Qian Hu) [radicle removed), Pinellia Tuber (Ban Xia) [pounded into powder, made into cakes with fresh ginger juice, then roasted], Atractylodes Macrocephala Rhizome (Bai Zhu), Ginseng Radix et Rhizoma (Ren Shen), Licorice Root (Zhi Gan Cao) [roasted and cut], Platycodon Root (Jie Geng) [stir-fried].
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, decocted in one sheng of water with three slices of fresh ginger and one split date. Decoct until reduced to seven-tenths. Strain and take warm, three times daily.
For treating postpartum shortness of breath, lack of strength, and impaired speech: Formula for Bai Zhu Decoction (Bai Zhu Tang):
Atractylodes Macrocephala Rhizome (Bai Zhu) [1 liang], Ginseng Radix et Rhizoma (Ren Shen), Apricot Kernel (Xing Ren) [steeped in hot water, skin and tips removed, stir-fried], Tangerine Peel (Chen Ju Pi) [steeped in hot water, white pith removed, roasted], Licorice Root (Zhi Gan Cao) [roasted and cut], Astragalus Root (Huang Qi) [roasted, each 0.5 liang].
The above ten ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, decocted in one sheng of water with three slices of fresh ginger and one split date. Decoct until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum shortness of breath and insufficiency: Formula for Zhishi Banxia Decoction (Zhishi Banxia Tang):
Immature Bitter Orange (Zhi Shi) [pulp removed, bran-roasted), Pinellia Tuber (Ban Xia) [pounded into powder, made into cakes with fresh ginger juice, then roasted], Aucklandia Root (Mu Xiang), Dried Ginger (Gan Jiang) [prepared, each 0.5 liang], Schisandra Fruit (Wu Wei Zi) [3 fen].
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qian bi, decocted in one sheng of water with three slices of fresh ginger and one split date. Decoct until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum shortness of breath with rapid and forced respiration: Formula for Dihuang Yin (Dihuang Yin):
Prepared Rehmannia Root (Shu Di Huang) [roasted], Angelica Sinensis Radix (Dang Gui) [cut and roasted], Ginseng Radix et Rhizoma (Ren Shen), Atractylodes Macrocephala Rhizome (Bai Zhu), Poria (Bai Fu Ling) [black skin removed], Lindera Root (Wu Yao) [cut into small pieces], Agarwood (Chen Xiang) [cut into small pieces].
The above ten ingredients are cut into pieces the size of hemp seeds. Each dose consists of five qian bi, decocted in one and a half sheng of water with three slices of fresh ginger and two split dates. Decoct until reduced to eight-tenths. Strain and take warm, at any time, three times daily.
For treating postpartum shortness of breath: Formula for Banxia Pills (Banxia Wan):
Pinellia Tuber (Ban Xia) [steeped in hot water, washed seven times to remove acridity, 1 liang], Ginseng Radix et Rhizoma (Ren Shen) [2 liang], Immature Bitter Orange (Zhi Shi) [pulp removed, bran-roasted, 0.5 liang], Terminalia chebula Retz. Fruit (He Le Le) [baked, pitted, 3 fen].
The above four ingredients are pounded and sifted into fine powder. Use natural juice of fresh ginger to cook wheat paste to form pills the size of Sophora japonica seeds. Each dose consists of twenty pills, taken down with hot water containing fresh ginger and Perilla Leaf (Zi Su Ye), at any time, three times daily.