(《保庆集》第二十一论)
论产后所下过多,虚极生风者,盖皆缘妇人以荣血为主,因
产,血下太多,气无所主,唇青肉冷汗出,目瞑神昏,命在须臾者,不可误用风
此。
太阴玄精 五灵脂(去沙石) 硫黄(老红色者) 乳香(研)
以上四味各等分,慢火炒结成砂,研极细。
桑寄生(须要真者) 陈皮(去白净称) 阿胶(蛤粉炒) 卷柏(去根,生用)
以上四味各等分,修事了,焙干,为末。
上八味同研,用生地黄汁和捣一千下,丸如梧桐子大。温酒或当归酒下二十丸,食前服
治产后一切血疾,淋露不快,儿枕不散,积瘕坚聚,按之攫手,疼痛攻心
但灌药无有不效,验不可言。
五灵脂(去沙石) 当归(去芦) 川芎 干地黄(生者) 良姜
以上各等分,入砂盒内,赤石脂泯缝,纸筋盐泥固济封合,炭火十斤 通红,去火候冷
开取合子,看成黑糟,乃取出细研,入后药。(一本云∶用椽头砂盒)
花乳石( ) 琥珀(研,各一分) 乳香(别研) 硫黄(研,各一钱半) 百草霜
(别研,
上同为细末,米醋煮糊,丸如弹子大。每服一丸,炭火烧通红,投生姜自然汁与无灰酒
各一合,小便半盏,研开,顿服,立效。
治妇人血气久冷无子,及数经堕胎,皆因冲任之脉虚损,胞内宿挟
下不止,月内再行,或前或后,或崩中漏下,三十六疾,积聚癖瘕,脐
以上疾证,皆令孕育不成,以至绝嗣。治产后百病,百日内常服,除宿
孕,及生子充实。亦治男子亡血诸疾。
秦艽 石斛(去根,酒浸,焙) 本(去芦) 甘草(炙) 蚕布(烧灰) 桔梗(炒,
各二
皮、尖,炒,各
各四两) 当归(去芦) 肉桂(去粗皮) 干姜(炮) 细辛(去苗) 川芎 牡丹皮(各
一两半) 山药 川椒(去目,炒
半升) 糯米〔炒,一升(一本∶山
上为细末,炼蜜搜,每两作六丸。每服一丸,细嚼,空心,食前,温酒、醋汤任下。
(出自《保庆集》第二十一论)
论述产后恶露下行过多,因极度虚弱而生内风的证候。这主要是因为妇女以营血为本,分娩时血液流失过多,导致气无所依附(气随血脱)。临床表现为嘴唇发青、肌肉冰冷、冷汗淋漓、闭目神志昏迷,生命垂危在顷刻之间。此时不可误用祛风药物。
太阴玄精 五灵脂(去除沙石杂质) 硫黄(选用老红色的) 乳香(研磨)
以上四味药各取等分,用慢火炒制直至结成砂状,再研磨成极细的粉末。
桑寄生(必须选用真品) 陈皮(刮去白色内层并净称) 阿胶(用蛤粉炒制) 卷柏(去除根部,生用)
以上四味药各取等分,处理后焙干,研成粉末。
将上述八味药混合一起研磨,用生地黄汁调和捣杵一千下,制成如梧桐子大小的丸剂。服用时用温酒或当归酒送服二十丸,饭前服用。
治疗产后各种血证,恶露淋漓不尽不畅快,儿枕痛(产后瘀血阻滞引起的腹痛)不散,以及积聚形成的坚块,触之坚硬且疼痛攻心。只要灌服此药,没有不有效的,疗效显著无法言尽。
五灵脂(去除沙石杂质) 当归(去除芦头) 川芎 干地黄(鲜生地) 良姜
以上各取等分,放入砂盒中,用赤石脂抹平缝隙,用纸筋和盐泥加固密封,用十斤炭火煅烧至通红,撤去火源待冷却后打开盒子,观察内部已成黑糟状,然后取出细研,加入以下药物。(另一版本说:使用椽头砂盒)
花乳石(缺字,疑为剂量或炮制说明) 琥珀(研磨,各一分) 乳香(单独研磨) 硫黄(研磨,各一钱半) 百草霜(单独研磨)
以上共同研成细末,用米醋煮糊作为粘合剂,制成如弹子大小的丸剂。每次服用一丸,用炭火烧红,投入生姜自然汁和无灰酒各一合,小便半盏,研磨溶解后,一次性顿服,立见成效。
治疗妇人血气长期寒冷导致的不孕,以及多次流产,这都是因为冲脉和任脉虚损,胞宫内素有寒邪,导致出血不止,月经一个月内两次来潮,或提前或推后,或崩漏下血,以及三十六种妇科疾症,积聚癖瘕,脐以上的各种疾证,都会导致无法孕育,甚至断绝后代。此方也用于治疗产后百病,产后百日内常服,可消除宿瘀,利于生子并使身体充实。也可用于治疗男子失血的各种疾病。
秦艽 石斛(去除根部,酒浸,焙干) 藁本(去除芦头) 甘草(炙烤) 蚕布(烧成灰) 桔梗(炒制,各二两) 桂皮(去皮尖,炒制,各一两) 肉桂(去除粗皮) 干姜(炮制) 细辛(去除苗叶) 川芎 牡丹皮(各一两半) 山药 川椒(去除椒目,炒制,半升) 糯米(炒制,一升)(另一版本:山茱萸)
以上药物研成细末,用炼蜜调和,每两药粉做成六丸。每次服用一丸,细细咀嚼,空腹,饭前,用温酒或醋汤任意送服。
(From "Bao Qing Ji", Chapter 21)
Discussion on the condition of excessive lochia discharge postpartum leading to internal wind due to extreme deficiency. This is primarily because women rely on Ying Blood (Nutritive Blood) as their foundation. During childbirth, excessive blood loss causes Qi to lose its anchor (Qi follows Blood). Clinical manifestations include cyanosis of the lips, cold muscles, profuse cold sweating, closed eyes with unconsciousness, and a critical condition where life hangs in the balance. At this stage, wind-dispelling medications must not be mistakenly used.
Taiyin Xuanjing (A specific mineral ingredient) Wulingzhi (Trogopterus Dung, cleaned of sand and stones) Liuhuang (Sulfur, selecting old red variety) Ruxiang (Frankincense, ground)
Take equal parts of the above four ingredients. Slowly stir-fry over low heat until they form a sandy texture, then grind into an extremely fine powder.
Sangjisheng (Taxilli Ramulus, must be authentic) Chenpi (Dried Tangerine Peel, scraped clean of white pith and weighed accurately) Ejiao (Donkey-hide Gelatin, stir-fried with clam shell powder) Juanbai (Selaginella Tamariscina, roots removed, used raw)
Take equal parts of the above four ingredients. Process them, bake dry, and grind into powder.
Mix and grind the aforementioned eight ingredients together. Use juice from fresh Rehmanniae Radix (Sheng Dihuang) to mix and pound for one thousand repetitions. Shape into pills the size of golden rain tree seeds. Take twenty pills with warm wine or Danggui wine before meals.
Treats all blood disorders postpartum, including lingering and unsmooth lochia, persistent "Erzhen" pain (postpartum abdominal pain caused by blood stasis), and hard accumulations that are firm to touch and cause pain radiating to the heart. Administering this medicine yields effective results in every case; the efficacy is beyond description.
Wulingzhi (Trogopterus Dung, cleaned of sand and stones) Danggui (Angelicae Sinensis Radix, radix removed) Chuanxiong (Ligusticum Chuanxiong Rhizome) Gan Dihuang (Rehmanniae Radix Preparata, use fresh Sheng Dihuang) Liangjiang (Alpiniae Officinarum Rhizome)
Take equal parts of the above. Place in a clay crucible. Seal the seams with Red Ochre (Chishizhi), reinforce with paper pulp and salt mud, and seal tightly. Calcine with ten jin of charcoal fire until red hot. Remove from fire and let cool. Open the crucible; when the contents appear as black dregs, take them out and grind finely. Add the following ingredients. (Another version states: use a reed-head clay crucible).
Huarushi (Flower Milk Stone, dosage missing) Hupo (Amber, ground, 1 fen each) Ruxiang (Frankincense, separately ground) Liuhuang (Sulfur, ground, 1.5 qian each) Baicaoshuang (Soot from burning straw, separately ground)
Grind all together into a fine powder. Use rice vinegar boiled into a paste as a binder. Shape into pills the size of bullet seeds. Take one pill per dose. Heat the pill until red hot with charcoal, then drop it into fresh ginger juice and unadulterated wine (one he each) and half a cup of urine. Grind to dissolve and take in one dose for immediate effect.
Treats infertility in women due to long-term coldness of blood and Qi, as well as repeated miscarriages. These conditions arise from deficiency and damage to the Chong and Ren meridians, with chronic cold pathogens in the uterus causing continuous bleeding, menstruation occurring twice within a month, irregular timing (early or late), metrorrhagia and metrostaxis, thirty-six gynecological diseases, accumulations and masses, and disorders above the umbilicus. All these prevent conception and may lead to sterility. This formula also treats various postpartum ailments; regular use within 100 days postpartum eliminates residual pathogenic factors and promotes robust health for childbearing. It is also effective for men suffering from various blood-loss disorders.
Qinjiao (Gentianae Macrophyllae Radix) Shihu (Dendrobii Caulis, roots removed, soaked in wine, baked) Gaoben (Ligustici Wallichii Rhizoma et Radix, radix removed) Gancao (Licorice Root, honey-fried) Canbu (Silk Cloth, burned to ash) Jiegeng (Platycodonis Radix, stir-fried, 2 liang each) Guipi (Cinnamon Bark, remove coarse skin and tips, stir-fried, 1 liang each) Rougui (Cinnamon Bark, remove coarse skin) Jiangjiang (Dried Ginger, processed) Xixin (Asari Radix et Rhizoma, seedlings removed) Chuanxiong (Ligusticum Chuanxiong Rhizome) Mudanpi (Moutan Cortex, 1.5 liang each) Shanyao (Dioscoreae Rhizoma) Chuanjiao (Zanthoxyli Pericarpium, remove seeds, stir-fried, half sheng) Nuomi (Glutinous Rice, stir-fried, one sheng) (Another version: Shanzhuyu)
Grind all ingredients into a fine powder. Knead with refined honey. Make six pills per liang of powder. Take one pill per dose. Chew thoroughly. Take on an empty stomach before meals, with warm wine or vinegar water as desired.