夫产后两胁胀满者。由膀胱宿有停水。因产。恶露下不尽。水壅。痞与气相搏。积在膀
胱。
治产后血气攻胁肋。胀满疼痛。当归散方。
当归(一两锉微炒) 赤芍药(一两) 桔梗(一两去芦头) 白术(一两) 干漆(一
两捣碎
炒令
上件药。捣细罗为散。每于食前。以热酒调下一钱。
治产后两胁胀满。气壅烦闷。枳实散方。
枳实(三分麸炒微黄) 木香(三分) 桂心(半两) 当归(三分锉微炒) 槟榔(一
两) 白
术(
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。每于食前温服。
治产后两胁胀满。胸腹妨闷。不下饮食。浓朴散方。
浓朴(一两去粗皮涂生姜汁炙令香熟) 赤茯苓(三分) 人参(三分去芦头) 当归
(三分
锉微
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣二枚。
煎至六分。去滓。不计时候温服。
治产后脏腑气虚。两胁胀满。不思饮食。四肢无力。白豆蔻散方。
白豆蔻(半两去皮) 人参(半两去芦头) 桂心(半两) 白术(一两) 半夏(半
两汤浸洗
七遍
赤锉)
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治产后两胁胀满。心腹壅闷。不思饮食。陈橘皮散方。
陈橘皮(三分汤浸去白瓤焙) 赤茯苓(三分) 枳实(三分麸炒微黄) 人参(半两
去芦头)
木
槟榔
(
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治产后两胁肋胀满。小腹疼痛。不思饮食。桔梗散方。
桔梗(半两去芦头) 当归(半两锉微炒) 芎 (半两) 大腹皮(三分) 桂心(半
两) 陈
橘皮
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候稍热服。
治产后两肋胀满。小腹疼痛。木香丸方。
木香(一两) 当归(一两锉微炒) 白术(一两) 白芷(半两) 芎 〔三(一)
两〕 槟榔
(半
朴(半两
去粗
上件药。捣罗为末。以醋煮面糊和丸。如梧桐子大。每于食前。以生姜酒下二十丸。
治产后。两肋下及心腹胀满。宿有冷气。攻注膀胱。致使胀痛。浓朴丸方。
浓朴(一两去粗皮涂生姜汁炙令香熟) 诃黎勒〔一两(半)煨用皮〕 赤茯苓(三分)
干
姜(
陈橘皮
(三分
术(三分
上件药。捣罗为末。以醋煮面糊和丸。如梧桐子大。每于食前。以生姜汤下三十丸。
又方。
桂心(一两) 当归(一两锉微炒) 干姜(半两炮裂锉) 木香(半两) 芫花(半
两醋拌炒
令干
上件药。捣细罗为散。每服食前。以热酒调下一钱。
产后出现两胁部胀满的症状,是由于膀胱内原本就有停积的水饮。因为分娩时恶露排出不尽,导致水液壅滞,痞结之气与水饮相互搏结,积聚在膀胱部位。
治疗产后血气攻冲胁肋,引起胀满疼痛的当归散方:
当归(一两,锉碎后微炒)、赤芍药(一两)、桔梗(一两,去除芦头)、白术(一两)、干漆(一两,捣碎,炒至烟尽)。
以上药物,捣碎过细罗成为散剂。每次在饭前,用热酒调服一钱。
治疗产后两胁胀满,气机壅滞导致烦闷的枳实散方:
枳实(三分,麸炒至微黄)、木香(三分)、桂心(半两)、当归(三分,锉碎后微炒)、槟榔(一两)、白术(一两)。
以上药物,捣碎过粗罗成为散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,去渣滓。每次在饭前温服。
治疗产后两胁胀满,胸腹部窒塞闷痛,不能进食的浓朴散方:
浓朴(一两,去除粗皮,涂生姜汁炙烤至香气熟透)、赤茯苓(三分)、人参(三分,去除芦头)、当归(三分,锉碎后微炒)。
以上药物,捣碎过粗罗成为散剂。每次服用四钱,用水一中盏,加入生姜半分、大枣二枚,煎煮至六分,去渣滓。不拘时候,温服。
治疗产后脏腑气虚,两胁胀满,不想吃东西,四肢无力的白豆蔻散方:
白豆蔻(半两,去皮)、人参(半两,去除芦头)、桂心(半两)、白术(一两)、半夏(半两,汤浸洗七遍,赤色锉碎)。
以上药物,捣碎过粗罗成为散剂。每次服用三钱,用水一中盏,加入生姜半分、大枣三枚,煎煮至六分,去渣滓。不拘时候,温服。
治疗产后两胁胀满,心腹壅滞闷痛,不想吃东西的陈橘皮散方:
陈橘皮(三分,汤浸去除白色瓤后焙干)、赤茯苓(三分)、枳实(三分,麸炒至微黄)、人参(半两,去除芦头)、木香(三分)、槟榔(三分)。
以上药物,捣碎过粗罗成为散剂。每次服用三钱,用水一中盏,加入生姜半分、大枣三枚,煎煮至六分,去渣滓。不拘时候,温服。
治疗产后两胁肋胀满,小腹疼痛,不想吃东西的桔梗散方:
桔梗(半两,去除芦头)、当归(半两,锉碎后微炒)、川芎(半两)、大腹皮(三分)、桂心(半两)、陈橘皮(三分)。
以上药物,捣碎过粗罗成为散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,去渣滓。不拘时候,稍热时服用。
治疗产后两肋胀满,小腹疼痛的木香丸方:
木香(一两)、当归(一两,锉碎后微炒)、白术(一两)、白芷(半两)、川芎(一两)、槟榔(半两)、浓朴(半两,去除粗皮)。
以上药物,捣碎过罗成为末,用醋煮面糊和丸,如梧桐子大小。每次在饭前,用生姜酒送下二十丸。
治疗产后,两肋下及心腹胀满,体内素有冷气,攻注于膀胱,致使胀痛。浓朴丸方:
浓朴(一两,去除粗皮,涂生姜汁炙烤至香气熟透)、诃黎勒(一两,煨后用皮)、赤茯苓(三分)、干姜(三分)、陈橘皮(三分)、白术(三分)。
以上药物,捣碎过罗成为末,用醋煮面糊和丸,如梧桐子大小。每次在饭前,用生姜汤送下三十丸。
又一方:
桂心(一两)、当归(一两,锉碎后微炒)、干姜(半两,炮裂后锉碎)、木香(半两)、芫花(半两,醋拌炒至干)。
以上药物,捣碎过细罗成为散剂。每次在饭前,用热酒调服一钱。
Postpartum distension and fullness in the hypochondriac regions are caused by retained fluid previously stagnating in the Bladder. Due to childbirth, lochia is not completely discharged, leading to fluid congestion. The sensation of obstruction (Pi) and Qi contend with each other, accumulating in the Bladder.
Guizhi Tang (Cinnamon Twig Decoction) for treating postpartum blood and Qi attacking the hypochondriac ribs, causing distension, fullness, and pain:
Danggui Radix Angelicae Sinensis (1 liang, crushed and slightly stir-fried), Chishao Radix Paeoniae Rubra (1 liang), Jiegeng Radix Platycodonis (1 liang, remove the radicle), Baizhu Rhizoma Atractylodis Macrocephalae (1 liang), Ganqi Resina Taxilli (1 liang, pounded and stir-fried until smoke disappears).
The above medicines are pounded into a fine powder through a fine sieve. Before meals, take 1 qian mixed with hot wine.
Zhishi San (Immature Bitter Orange Powder) for treating postpartum distension and fullness in the hypochondriac regions, with Qi stagnation causing irritability and oppression:
Zhishi Fructus Aurantii Immaturus (3 fen, stir-fried with bran until slightly yellow), Muxiang Radix Aucklandiae (3 fen), Guixin Cortex Cinnamomi (0.5 liang), Danggui Radix Angelicae Sinensis (3 fen, crushed and slightly stir-fried), Binglang Semen Arecae (1 liang), Baizhu Rhizoma Atractylodis Macrocephalae (1 liang).
The above medicines are pounded into a coarse powder through a coarse sieve. Take 4 qian per dose. Add 1 zhong of water and 0.5 fen of Shengjiang Rhizoma Zingiberis Recens, decoct until 6 fen remains, strain. Take warm before meals.
Noupu San (Magnolia Bark Powder) for treating postpartum distension and fullness in the hypochondriac regions, chest and abdominal stuffiness and oppression, and inability to eat:
Noupu Cortex Magnoliae Officinalis (1 liang, remove the rough bark, coat with Shengjiang Rhizoma Zingiberis Recens juice, roast until fragrant and cooked), Chifuling Poria Cum Mycelium (3 fen), Renshen Radix Ginseng (3 fen, remove the radicle), Danggui Radix Angelicae Sinensis (3 fen, crushed and slightly stir-fried).
The above medicines are pounded into a coarse powder through a coarse sieve. Take 4 qian per dose. Add 1 zhong of water, 0.5 fen of Shengjiang Rhizoma Zingiberis Recens, and 2 Dazao Fructus Jujubae, decoct until 6 fen remains, strain. Take warm at any time.
Baidoukou San (White Cardamom Powder) for treating postpartum deficiency of Zang-Fu Qi, distension and fullness in the hypochondriac regions, loss of appetite, and weakness in the four limbs:
Baidoukou Fructus Cardamomi Albis (0.5 liang, remove the shell), Renshen Radix Ginseng (0.5 liang, remove the radicle), Guixin Cortex Cinnamomi (0.5 liang), Baizhu Rhizoma Atractylodis Macrocephalae (1 liang), Banxia Rhizoma Pinelliae Preparatum (0.5 liang, soak in boiling water, wash seven times, crush finely).
The above medicines are pounded into a coarse powder through a coarse sieve. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of Shengjiang Rhizoma Zingiberis Recens, and 3 Dazao Fructus Jujubae, decoct until 6 fen remains, strain. Take warm at any time.
Chenju Pi San (Aged Tangerine Peel Powder) for treating postpartum distension and fullness in the hypochondriac regions, chest and abdominal congestion and oppression, and loss of appetite:
Chenju Pi Pericarpium Citri Reticulatae (3 fen, soak in water, remove the white pith, bake dry), Chifuling Poria Cum Mycelium (3 fen), Zhishi Fructus Aurantii Immaturus (3 fen, stir-fried with bran until slightly yellow), Renshen Radix Ginseng (0.5 liang, remove the radicle), Muxiang Radix Aucklandiae (3 fen), Binglang Semen Arecae (3 fen).
The above medicines are pounded into a coarse powder through a coarse sieve. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of Shengjiang Rhizoma Zingiberis Recens, and 3 Dazao Fructus Jujubae, decoct until 6 fen remains, strain. Take warm at any time.
Jiegeng San (Platycodon Root Powder) for treating postpartum distension and fullness in the hypochondriac ribs, lower abdominal pain, and loss of appetite:
Jiegeng Radix Platycodonis (0.5 liang, remove the radicle), Danggui Radix Angelicae Sinensis (0.5 liang, crushed and slightly stir-fried), Xiongchu Radix Chuanxiong (0.5 liang), Dafupi Pericarpium Arecae (3 fen), Guixin Cortex Cinnamomi (0.5 liang), Chenju Pi Pericarpium Citri Reticulatae (3 fen).
The above medicines are pounded into a coarse powder through a coarse sieve. Take 4 qian per dose. Add 1 zhong of water and 0.5 fen of Shengjiang Rhizoma Zingiberis Recens, decoct until 6 fen remains, strain. Take slightly warm at any time.
Muxiang Wan (Aucklandia Pill) for treating postpartum distension and fullness in the hypochondriac ribs and lower abdominal pain:
Muxiang Radix Aucklandiae (1 liang), Danggui Radix Angelicae Sinensis (1 liang, crushed and slightly stir-fried), Baizhu Rhizoma Atractylodis Macrocephalae (1 liang), Baizhi Radix Angelicae Dahuricae (0.5 liang), Xiongchu Radix Chuanxiong (1 liang), Binglang Semen Arecae (0.5 liang), Noupu Cortex Magnoliae Officinalis (0.5 liang, remove the rough bark).
The above medicines are pounded into a fine powder through a sieve. Mix with paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Before meals, take 20 pills with Shengjiang Rhizoma Zingiberis Recens-infused wine.
Noupu Wan (Magnolia Bark Pill) for treating postpartum distension and fullness in the hypochondriac ribs and heart/abdomen, chronic cold qi attacking the Bladder, causing distension and pain:
Noupu Cortex Magnoliae Officinalis (1 liang, remove the rough bark, coat with Shengjiang Rhizoma Zingiberis Recens juice, roast until fragrant and cooked), Helile Fructus Terminaliae Chebulae (1 liang, use the peel after roasting), Chifuling Poria Cum Mycelium (3 fen), Jiangjiang Rhizoma Zingiberis Preparatum (3 fen), Chenju Pi Pericarpium Citri Reticulatae (3 fen), Baizhu Rhizoma Atractylodis Macrocephalae (3 fen).
The above medicines are pounded into a fine powder through a sieve. Mix with paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Before meals, take 30 pills with Shengjiang Rhizoma Zingiberis Recens-infused water.
Another prescription:
Guixin Cortex Cinnamomi (1 liang), Danggui Radix Angelicae Sinensis (1 liang, crushed and slightly stir-fried), Jiangjiang Rhizoma Zingiberis Preparatum (0.5 liang, roasted, cracked, and crushed), Muxiang Radix Aucklandiae (0.5 liang), Yuanhua Flos Genkwa (0.5 liang, mixed with vinegar and stir-fried until dry).
The above medicines are pounded into a fine powder through a fine sieve. Before meals, take 1 qian mixed with hot wine.