夫产后虚损。而热气客于脬内。虚则小便数。热则小便少。故成淋涩也。
治产后小便淋涩。脐下妨闷。葵根散方。
冬葵根(一两) 车前子(三分) 滑石(一两) 冬瓜仁(三分) 木通(一两锉) 川
大黄
(三分
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓温服。日三四服。
治产后小便淋涩。心神烦闷。滑石散方。
滑石(一两) 木通(一两锉) 车前子(一两) 葵子(三分) 黄芩(三分) 麦
门冬(三分
去心)
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓温服。日三四服。
治产后小便卒淋涩。溺血。石苇散方。
石苇(一两去毛) 榆白皮(一两锉) 赤芍药(半两) 黄芩(三分) 木通(一两
锉) 葵子
(半
上件药。捣筛为散。每服三钱。以水一中盏。入生地黄一分。
煎至六分。去滓。温服。日三四服。
治产后小便淋。疼痛。或时便血。或如豆汁。或如稠胶。贝齿散方。
贝齿(四枚) 葵子(一两) 石膏(一两) 滑石(一两) 阿胶(半两捣碎炒令黄
燥)
上件药。捣细罗为散。每服三钱。以水一中盏。入猪脂一分。
煎至六分。去滓温服。日三四
治产后小肠结热。淋涩。心神烦躁。口舌干焦。不思食饮。黄芩散方。
黄芩(半两) 瞿麦(半两) 甘草(半两炙微赤锉) 麦门冬(半两去心) 滑石(一
两)
木通
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓温服。日三四服。
治产后。小肠风气隔闭。淋涩不通。葵子散方。
葵子(一两) 滑石(三分) 黄芩〔二(三)分〕 瞿麦(三分) 灯心(一分) 白
石英粉(一
两)
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓温服。日三四服。
治产后卒淋涩。小腹疼痛。当归散方。
当归(半两锉微炒) 生干地黄(三分) 石苇(半两去毛) 栀子仁(半两) 赤芍
药(半两)
赤
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓温服。日三四服。
治产后小便淋涩。及血淋。白茅根散方。
白茅根(三分锉) 瞿麦(一两) 鲤鱼齿(二十枚细研) 木通(二两锉) 车前子
(一两)
冬葵
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓温服。日三四服。
治产后小便淋涩疼痛。大麻仁散方。
大麻仁(一两) 榆白皮(一两锉) 葵子(一两) 瞿麦(半两) 甘草(一分炙微
赤锉)
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓温服。日三四服。
治产后小便淋涩。腹胁胀满。时复疼痛方。
鼠妇(半两)
上件药。捣细罗为散。每服。以温酒调下半钱。日三四服。
产后身体虚弱亏损,热气侵入膀胱内部。虚证表现为小便频数,热证表现为小便量少,因此形成淋证涩痛的症状。
治疗产后小便淋涩,伴有脐下胀闷不适的葵根散方:
冬葵根(一两)、车前子(三分)、滑石(一两)、冬瓜仁(三分)、木通(一两,锉碎)、川大黄(三分)。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后小便淋涩,伴有心神烦闷的滑石散方:
滑石(一两)、木通(一两,锉碎)、车前子(一两)、葵子(三分)、黄芩(三分)、麦门冬(三分,去心)。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后突然小便淋涩,尿血的石苇散方:
石苇(一两,去毛)、榆白皮(一两,锉碎)、赤芍药(半两)、黄芩(三分)、木通(一两,锉碎)、葵子(半两)。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生地黄一分,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后小便淋沥,疼痛,有时便血,或排出如豆汁样、如稠胶样的贝齿散方:
贝齿(四枚)、葵子(一两)、石膏(一两)、滑石(一两)、阿胶(半两,捣碎炒至微黄干燥)。
以上药物,捣细过罗制成散剂。每次服用三钱,用水一中盏,加入猪脂一分,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后小肠结热,导致淋涩,心神烦躁,口舌干燥焦苦,不思饮食的黄芩散方:
黄芩(半两)、瞿麦(半两)、甘草(半两,炙至微红并锉碎)、麦门冬(半两,去心)、滑石(一两)、木通。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后小肠风气阻隔闭塞,导致淋涩不通的葵子散方:
葵子(一两)、滑石(三分)、黄芩(三分)、瞿麦(三分)、灯心(一分)、白石英粉(一两)。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后突然淋涩,小腹疼痛的当归散方:
当归(半两,锉碎微炒)、生干地黄(三分)、石苇(半两,去毛)、栀子仁(半两)、赤芍药(半两)。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后小便淋涩,以及血淋的白茅根散方:
白茅根(三分,锉碎)、瞿麦(一两)、鲤鱼齿(二十枚,细研)、木通(二两,锉碎)、车前子(一两)、冬葵。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后小便淋涩疼痛的大麻仁散方:
大麻仁(一两)、榆白皮(一两,锉碎)、葵子(一两)、瞿麦(半两)、甘草(一分,炙至微红并锉碎)。
以上药物,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服。每日服用三四次。
治疗产后小便淋涩,腹胁胀满,时常疼痛的方剂:
鼠妇(半两)。
以上药物,捣细过罗制成散剂。每次服用时,用温酒调服半钱。每日服用三四次。
Postpartum deficiency and damage allow pathogenic heat to lodge within the bladder (Pao, 脬). Deficiency manifests as frequent urination, while heat manifests as scanty urination, thus resulting in strangury with astringency (Lin Se, 淋涩).
Formula of Okra Root (Kuigen San, 葵根散) for treating postpartum strangury with astringency accompanied by oppression and stuffiness below the umbilicus:
Okra root (Dongkuigen, 冬葵根, 1 liang), Plantago seed (Cheqianzi, 车前子, 3 fen), Talcum (Huashi, 滑石, 1 liang), Winter melon seed (Dongguaren, 冬瓜仁, 3 fen), Akebia stem (Mutong, 木通, 1 liang, sliced), Rhubarb (Dahuang, 大黄, 3 fen).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Talcum (Shihui San, 滑石散) for treating postpartum strangury accompanied by mental restlessness and oppression:
Talcum (Shihui, 滑石, 1 liang), Akebia stem (Mutong, 木通, 1 liang, sliced), Plantago seed (Cheqianzi, 车前子, 1 liang), Okra seed (Kuzi, 葵子, 3 fen), Scutellaria root (Huangqin, 黄芩, 3 fen), Ophiopogon tuber (Maimendong, 麦门冬, 3 fen, heart removed).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Pyrrhosia leaf (Shiwei San, 石苇散) for treating sudden postpartum strangury with hematuria:
Pyrrhosia leaf (Shiwei, 石苇, 1 liang, hairs removed), Ulmus bark (Yubaipi, 榆白皮, 1 liang, sliced), Red peony root (Chishao, 赤芍药, 0.5 liang), Scutellaria root (Huangqin, 黄芩, 3 fen), Akebia stem (Mutong, 木通, 1 liang, sliced), Okra seed (Kuzi, 葵子, 0.5 liang).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water plus 1 fen of fresh Rehmannia root (Shengdihuang, 生地黄) until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Concha Arcae (Beichi San, 贝齿散) for treating postpartum strangury with pain, occasional blood in urine, or discharge resembling bean soup or thick glue:
Concha Arcae (Beichi, 贝齿, 4 pieces), Okra seed (Kuzi, 葵子, 1 liang), Gypsum (Shigao, 石膏, 1 liang), Talcum (Huashi, 滑石, 1 liang), Donkey-hide gelatin (Ejiao, 阿胶, 0.5 liang, crushed and stir-fried until yellow and dry).
The above herbs are finely ground and sieved to make a powder. Each dose is 3 qian, decocted with one zhong of water plus 1 fen of lard until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Scutellaria (Huangqin San, 黄芩散) for treating postpartum heat accumulation in the small intestine causing strangury, mental irritability, dry and scorched mouth and tongue, and loss of appetite:
Scutellaria root (Huangqin, 黄芩, 0.5 liang), Dianthus herb (Qumai, 瞿麦, 0.5 liang), Licorice root (Gancao, 甘草, 0.5 liang, honey-fried until slightly red and sliced), Ophiopogon tuber (Maimendong, 麦门冬, 0.5 liang, heart removed), Talcum (Huashi, 滑石, 1 liang), Akebia stem (Mutong, 木通).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Okra Seed (Kuzi San, 葵子散) for treating postpartum wind-qiang obstruction in the small intestine causing strangury and inability to urinate:
Okra seed (Kuzi, 葵子, 1 liang), Talcum (Huashi, 滑石, 3 fen), Scutellaria root (Huangqin, 黄芩, 3 fen), Dianthus herb (Qumai, 瞿麦, 3 fen), Juncus rush (Dengxin, 灯心, 1 fen), White quartz powder (Baishiyingfen, 白石英粉, 1 liang).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Angelica sinensis (Danggui San, 当归散) for treating sudden postpartum strangury with lower abdominal pain:
Angelica sinensis root (Danggui, 当归, 0.5 liang, sliced and lightly stir-fried), Dried rehmannia root (Shenggan Dihuang, 生干地黄, 3 fen), Pyrrhosia leaf (Shiwei, 石苇, 0.5 liang, hairs removed), Gardenia seed (Zhiziren, 栀子仁, 0.5 liang), Red peony root (Chishao, 赤芍药, 0.5 liang).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Imperata rhizome (Baimaogen San, 白茅根散) for treating postpartum strangury and bloody strangury:
Imperata rhizome (Baimaogen, 白茅根, 3 fen, sliced), Dianthus herb (Qumai, 瞿麦, 1 liang), Carp teeth (Liyuchi, 鲤鱼齿, 20 pieces, finely ground), Akebia stem (Mutong, 木通, 2 liang, sliced), Plantago seed (Cheqianzi, 车前子, 1 liang), Okra root (Dongkuigen, 冬葵 [root implied]).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula of Hemp seed (Damaoren San, 大麻仁散) for treating postpartum strangury with pain:
Hemp seed (Damaoren, 大麻仁, 1 liang), Ulmus bark (Yubaipi, 榆白皮, 1 liang, sliced), Okra seed (Kuzi, 葵子, 1 liang), Dianthus herb (Qumai, 瞿麦, 0.5 liang), Licorice root (Gancao, 甘草, 1 fen, honey-fried until slightly red and sliced).
The above herbs are crushed, sifted, and made into a powder. Each dose is 3 qian, decocted with one zhong of water until reduced to 6 fen. Strain and take warm. Take 3-4 times daily.
Formula for treating postpartum strangury with abdominal and hypochondriac fullness and intermittent pain:
Crab (Shufu, 鼠妇, 0.5 liang).
The above herb is finely ground and sieved to make a powder. Each dose is half a qian, taken with warm wine. Take 3-4 times daily.