(即附子理中汤。)
白术 茯苓(各二钱) 人参(三钱) 附子(一钱)
产后血块未消。患泻。
川芎 茯苓(各二钱) 当归(四钱) 姜炭 炙甘草(各五分) 桃仁(十粒) 莲子(八粒)
产后血块已消。患泻。
川芎(一钱) 当归 白术(各二钱) 姜炭 炙甘草(各四分) 茯苓(一钱五分) 人参(三钱)
肉果(一个制) 陈皮(五分) 泽泻(八分) 如寒泄痛加砂仁(二钱) 热泄加黄连(炒一钱)
泻水腹痛。米饮不化。加砂仁。山楂。麦芽。(各二钱) 泻有嗳酸臭气谕狻;汲喟琢『笾馗雇础G凹 匾 畏 4思 辉偃搿K 欧揭恢 摹W炔垢
焉。
产痢无后重。但日久不止。宜六君子汤。加木香。肉果。
产后赤白痢脐下痛。宜用当归。浓朴。黄连。肉果。甘草。桃仁。川芎。煎服。
产后痢久色白。属血气。宜四物汤。加荆芥。人参。(痢久而形色羸白。故属血虚。)
产后痢。形体羸困。心腹绞痛。宜用薤白。石榴皮。当归。黄连。地榆。煎服。如腹痛不止
。用温汤布蘸暖腹则缓。
噤口痢。
(这是)附子理中汤。
白术、茯苓(各二钱),人参(三钱),附子(一钱)。
产后血块尚未消除,出现腹泻症状。
川芎、茯苓(各二钱),当归(四钱),姜炭、炙甘草(各五分),桃仁(十粒),莲子(八粒)。
产后血块已经消除,出现腹泻症状。
川芎(一钱),当归、白术(各二钱),姜炭、炙甘草(各四分),茯苓(一钱五分),人参(三钱),肉豆蔻(一个,经炮制),陈皮(五分),泽泻(八分)。如果属于寒性泄泻且伴有疼痛,加砂仁(二钱);如果属于热性泄泻,加黄连(炒制一钱)。
如果腹泻如水、腹部疼痛,米饮无法消化,加砂仁、山楂、麦芽(各二钱)。如果腹泻伴有嗳气酸臭气味……(原文此处有缺漏或乱码,意指根据具体症状加减用药)。
产后患痢疾但没有里急后重感,只是日久不止,适宜使用六君子汤,加木香、肉豆蔻。
产后患赤白痢疾且脐下疼痛,适宜使用当归、厚朴、黄连、肉豆蔻、甘草、桃仁、川芎,煎服。
产后患痢疾日久,大便颜色发白,属于气血虚弱,适宜使用四物汤,加荆芥、人参。(因为痢疾日久且形体面色苍白羸弱,所以属于血虚。)
产后患痢疾,身体消瘦困倦,心腹绞痛,适宜使用薤白、石榴皮、当归、黄连、地榆,煎服。如果腹痛不止,用温热的湿布蘸暖敷腹部则能缓解。
噤口痢(指痢疾患者不能进食者)。
黄连(研为末),莲肉(研为粉),两者各半混合均匀。或者制成酒丸,或者用酒调服。每次服用四钱。
(〔吴氏按语〕古方的香连丸,是由黄连和木香组成,与此方不同。)
产后患滞下(痢疾)且有积滞,虽然腹痛极其剧烈,不可使用大黄等攻下药来通下,以免损伤胃气,导致病情不可救治。适宜服用下方的药物。
(This is) Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle).
Bai Zhu (Atractylodis Rhizoma), Fu Ling (Poria) (each 2 qian), Ren Shen (Panacis Ginseng Radix) (3 qian), Fu Zi (Aconiti Lateralis Radix Praeparata) (1 qian).
Postpartum blood stasis has not yet dissipated; diarrhea occurs.
Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Fu Ling (Poria) (each 2 qian), Dang Gui (Angelicae Sinensis Radix) (4 qian), Jiang Tan (Zingiberis Rhizoma Carbonisatum), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle) (each 5 fen), Tao Ren (Persicae Semen), Lian Zi (Nelumbinis Semen) (8 grains).
Postpartum blood stasis has already dissipated; diarrhea occurs.
Chuan Xiong (Ligusticum Chuanxiong Rhizoma) (1 qian), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Rhizoma) (each 2 qian), Jiang Tan (Zingiberis Rhizoma Carbonisatum), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle) (each 4 fen), Fu Ling (Poria) (1.5 qian), Ren Shen (Panacis Ginseng Radix) (3 qian), Rou Dou Kou (Myristicae Semen, processed), Chen Pi (Citri Reticulatae Pericarpium) (5 fen), Ze Xie (Alismatis Rhizoma) (8 fen). If it is cold-type diarrhea with pain, add Sha Ren (Amomi Fructus) (2 qian); if it is heat-type diarrhea, add Huang Lian (Coptidis Rhizoma, stir-fried) (1 qian).
If there is watery diarrhea with abdominal pain and inability to digest rice water, add Sha Ren (Amomi Fructus), Shan Zha (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus) (each 2 qian). If diarrhea is accompanied by sour-smelling belching... [text corruption in original]; adjust according to symptoms.
Postpartum dysentery without tenesmus, persisting for a long time, is suitable for Liu Junzi Tang (Six Gentlemen Decoction), adding Mu Xiang (Aucklandiae Radix), Rou Dou Kou (Myristicae Semen).
Postpartum red-and-white dysentery with pain below the umbilicus is suitable for using Dang Gui (Angelicae Sinensis Radix), Hou Po (Magnoliae Officinalis Cortex), Huang Lian (Coptidis Rhizoma), Rou Dou Kou (Myristicae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Tao Ren (Persicae Semen), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), decocted and taken orally.
Postpartum dysentery lasting a long time with white stool belongs to blood and qi deficiency; Si Wu Tang (Four Substances Decoction) is suitable, adding Jing Jie (Schizonepetae Spica), Ren Shen (Panacis Ginseng Radix). (Because dysentery persists for a long time and the complexion is pale and emaciated, it belongs to blood deficiency.)
Postpartum dysentery with emaciation and fatigue, severe colic in the heart and abdomen, is suitable for using Xie Bai (Allii Macrostemonis Bulbus), Shi Liu Pi (Granati Pericarpium), Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma), Di Yu (Sanguisorbae Radix), decocted and taken orally. If abdominal pain does not cease, apply warm wet cloth to warm the abdomen to relieve it.
Jinkou Li (Dysentery with inability to eat).
Huang Lian (Coptidis Rhizoma, powdered), Lian Rou (Nelumbinis Semen, powdered), mix equal parts. Or make into wine pills, or take with wine. Each dose is 4 qian.
([Wu's Note] The ancient Xianglian Wan (Fragrant Coptis Pill) consists of Huang Lian (Coptidis Rhizoma) and Mu Xiang (Aucklandiae Radix), which is different from this formula.)
Postpartum Zhili (dysentery with stagnation) despite extreme abdominal pain, one must not use Da Huang (Rhei Radix et Rhizoma) or other purgatives to drain downward, as this will damage Stomach Qi, leading to an incurable condition. It is suitable to take the following prescription.