人参(二钱虚加二钱) 白术(三钱) 白芍 神曲(炒各一钱) 大腹皮(洗) 陈皮(各四分)
五分) 甘草(三分) 川芎(七分) 如腹胁痛。或块痛。加砂仁(五
分) 腹大痛加吴茱萸(一钱)
产后大便不通。误服大黄等药。致成膨胀。或腹中痛块不止。
川芎 人参 茯苓 酒芍(各一钱) 当归(四钱) 陈皮(四分) 甘草 香附(各三分) 桃仁
苁蓉(酒洗去甲一钱五分) 如胀甚。加人参(二三钱) 如血块痛。
将药送三消丸。以上三方。大率相同。可通用。俱遵丹溪方加减。屡治屡验。然治误服大黄
。必须服归参。至半斤以上。大便方通。肿胀渐消也。
(治妇人死血。食积。痰饮等症。)
黄连(一两五钱。内一两用吴茱萸四钱。煎汁炒干。五钱用益智仁炒黄色。净用黄连。)
(〔吴按〕净用者。去同炒之药也。) 萝卜子(一两五钱炒) 川芎 山栀(炒) 青皮 山棱(醋炙) 莪术(醋炙各五钱) 桃
仁(去皮尖十粒) 香附(童便浸炒一两) 楂肉(一两) 为末。和匀。蒸饼为丸。用上煎药送。每
服五六十丸。
产后七日内外。感风寒嗽。鼻塞声重。恶寒。宜服生化汤。加杏仁。桔梗。如有痰加花粉。
勿用麻黄。以动汗。如嗽而血块不痛。用小柴胡汤。若患火嗽而声重。痰少。面赤。毋用凉
药
。大凡产妇有火并痰嗽。必调理产过半月后。方可用寒凉之剂。若半月前。还当重产。丹溪
云产后不可发表。盖因其虚也。产后七日内外。感风寒嗽。鼻塞声重。
人参(二钱,体虚者加二钱)白术(三钱)白芍 神曲(炒,各一钱)大腹皮(洗净)陈皮(各四分、五分)甘草(三分)川芎(七分)。如果腹部或胁部疼痛,或有结块疼痛,加砂仁(五分);腹部剧烈疼痛加吴茱萸(一钱)。
产后大便不通,误服大黄等泻下药,导致形成腹胀膨胀,或者腹中疼痛结块不止。
川芎 人参 茯苓 酒白芍(各一钱)当归(四钱)陈皮(四分)甘草 香附(各三分)桃仁 肉苁蓉(酒洗去鳞甲,一钱五分)。如果胀满严重,加人参(二至三钱);如果是血块疼痛,用此药送服三消丸。以上三个方子,大体相同,可以通用,都遵循朱丹溪的方剂进行加减,多次治疗多次见效。然而治疗因误服大黄导致的病症,必须服用归参汤,剂量达到半斤以上,大便才能通畅,肿胀逐渐消退。
黄连(一两五钱,其中一两用吴茱萸四钱煎汁炒干,五钱用益智仁炒至黄色,净用黄连。)[吴谦按:净用是指去除与药材同炒的其他药物。] 萝卜子(一两五钱,炒)川芎 山栀(炒)青皮 三棱(醋炙)莪术(醋炙,各五钱)桃仁(去皮尖,十粒)香附(童便浸后炒,一两)山楂肉(一两)。研为细末,混合均匀,用蒸饼做丸剂,用上述煎好的药汤送服。每次服用五六十丸。
产后七日内外,感受风寒出现咳嗽、鼻塞、声音沉重、恶寒,适宜服用生化汤,加杏仁、桔梗。如果有痰,加天花粉。不要用麻黄,以免发汗过多。如果咳嗽但血块不痛,用小柴胡汤。如果是火咳且声音沉重,痰少,面红,不要用凉性药物。大凡产妇有火并伴有痰嗽,必须调理到产后半个月以后,才可以使用寒凉的药物。如果在半个月前,仍应当重视产后护理。朱丹溪说产后不可发表解表,是因为产妇身体虚弱。产后七日内外,感受风寒出现咳嗽、鼻塞、声音沉重。
Ren Shen (2 qian, add 2 qian for deficiency) Bai Zhu (3 qian) Bai Shao Shen Qu (stir-fried, each 1 qian) Da Fu Pi (washed) Chen Pi (each 4 fen, 5 fen) Gan Cao (3 fen) Chuan Xiong (7 fen). If there is pain in the abdomen or hypochondrium, or painful masses, add Sha Ren (5 fen); if there is severe abdominal pain, add Wu Zhu Yu (1 qian).
After childbirth, if bowel movement is obstructed and one mistakenly takes Rhubarb (Da Huang) and other purgatives, it may lead to abdominal distension and bloating, or unceasing pain from masses in the abdomen.
Chuan Xiong Ren Shen Fu Ling Jiu Shao (each 1 qian) Dang Gui (4 qian) Chen Pi (4 fen) Gan Cao Xiang Fu (each 3 fen) Tao Ren Rong Rong (washed with wine, scales removed, 1.5 qian). If distension is severe, add Ren Shen (2-3 qian); if there is pain from blood stasis masses, administer this decoction followed by San Xiao Wan (Three Eliminations Pill). The above three formulas are generally similar and can be used interchangeably; they all follow the modifications of Dan Xi's formulas, having been treated repeatedly with verified efficacy. However, for conditions caused by the mistaken use of Da Huang, one must take Dang Gui and Ren Shen decoction, reaching a dosage of over half a jin (approx. 500g), before bowel movements become smooth and swelling gradually subsides.
(Treats conditions such as dead blood [blood stasis], food stagnation, and phlegm-fluid retention in women.)
Huang Lian (1 liang 5 qian; of which, 1 liang is stir-fried dry with juice from 4 qian of Wu Zhu Yu, and 5 qian is stir-fried with Yi Zhi Ren until yellow, using only the purified Huang Lian.) [Note by Wu Qian: "Purified" means removing the herbs that were stir-fried together.] Luo Bo Zi (1 liang 5 qian, stir-fried) Chuan Xiong Shan Zhi (stir-fried) Qing Pi San Leng (vinegar-processed) E Zhu (vinegar-processed, each 5 qian) Tao Ren (skin and tip removed, 10 kernels) Xiang Fu (soaked in child's urine and stir-fried, 1 liang) Zha Rou (1 liang). Grind into fine powder, mix evenly, and form pills using steamed wheat dough. Administer with the aforementioned decoction. Take 50-60 pills per dose.
Within seven days after childbirth, if affected by wind-cold causing cough, nasal congestion, heavy voice, and aversion to cold, it is suitable to take Sheng Hua Tang (Postpartum Restoration Decoction) with added Xing Ren (Apricot Seed) and Jie Geng (Platycodon Root). If there is phlegm, add Hua Fen (Trichosanthes Root). Do not use Ma Huang (Ephedra) as it induces sweating. If coughing occurs but blood stasis masses do not hurt, use Xiao Chai Hu Tang (Minor Bupleurum Decoction). If suffering from fire-cough with heavy voice, scanty phlegm, and red face, do not use cooling medicines. Generally, for postpartum women with heat and phlegm-cough, one must wait until half a month after delivery to regulate the condition before using cold-natured medications. Before half a month has passed, postpartum care should still be prioritized. Dan Xi stated that postpartum women should not undergo surface-releasing treatments because of their deficiency. Within seven days after childbirth, affected by wind-cold causing cough, nasal congestion, and heavy voice.