〔熊〕产后心烦发渴,宜清心连子饮。(杂病白浊。)
〔薛〕前证若出血过多,虚火上炎,用童子小便,或四物、白术、麦门、丹皮。若
胃气虚而有热,用竹叶归 汤。若血虚发热,用八珍加麦门、五味。若血脱发热烦躁,用
当归补血汤。若胃气虚弱,用补中益气汤,或七味白术散。一产妇患前证,朝寒暮热,肚
腹作痛,以手按之不痛,余以为血气俱虚,用八珍之类治之。彼反行逐血,更加发热烦躁。
余用当归补血汤,热躁渐止,用八珍、麦门、五味,气血渐复。
熟地黄汤 治产后虚渴不止,少气脚弱,眼眩,饮食无味。
熟地黄(酒洗净,蒸焙,一钱半) 人参(去芦) 麦门冬(去心,各二钱) 栝蒌根(二钱)
甘草(炙,半钱)
上作一服,水二盅,糯米一撮,生姜三片,红枣三枚,同煎至一盅,不拘时服。
《产宝》疗产后大渴不止。
芦根(切,一升) 栝蒌 人参 甘草 茯苓(各三两) 大枣(二十枚) 麦门冬(生,四两)
上以水九升,煮取三升,分三服,顿服四剂,即瘥。忌菘菜。
黄芩散 (杨氏)治产后血渴,饮水不止。
黄芩 麦门冬(各等分)
咀,每服三钱,水盏半,煎至八分,去渣温服无时。
栝蒌根汤 (《集验》)疗产后血渴。
栝蒌根(四两) 麦门冬(去心) 人参(各三两) 生干地黄 甘草(各二两) 土瓜根(五两)
大枣(二十枚) 《产宝》无地黄、麦门冬,有牡蛎粉等分。
咀,以水八升,煮取二升半,分三服。
千金竹叶汤 疗产后虚渴,少气力。
竹叶(三升) 甘草 人参 茯苓(各一两) 小麦(五合) 生姜 半夏(各三两)
麦门冬(五两) 大枣(十五枚)
上 咀,以水九升,先煮竹叶、小麦、姜、枣,取七升,去渣,纳药再煎取二升,去渣
一服五合,日三夜一。
七味白术散 治中气虚弱,津液短少,口干作渴,或因吐泻所致者。
人参 白术(炒) 木香 白茯苓 甘草(炒) 藿香 干葛(各一钱)
上水煎服。
竹叶归 汤 治胃气虚弱,口干作渴,恶冷冻饮料食者。
竹叶(一钱半) 黄 (二钱) 白术 人参 当作(各一钱) 麦门冬(去心,七分)
甘草(炒,五分)
上水煎服。
玄胡索散 治产后失血,渴不止。
郁金 干葛 桂心 青皮 枳壳 玄胡索
上各等分,以好醋浸一宿,焙干末之。每服二钱,陈皮汤调下,日三夜一。
桃花散 治产后不烦而渴。
新锻石(一两) 黄丹(五钱)
上为细末,渴时井水调下一钱。
〔本〕治产后出血太多,虚烦发渴。用真正蒲黄末二钱,白汤调下。如渴燥甚,井
花水下。
治产后中风烦渴。用红花子五合,微炒研碎,以水煎浓,徐徐呷之。
疗血渴及产后渴疾。用莲子心生取为细末,米饮调下二钱效。
【熊】产后出现心烦、口渴的症状,适宜使用清心连子饮。(参考杂病中白浊的治疗思路。)
【薛】上述症状如果是因为出血过多,导致虚火上炎,可以使用童子小便,或者服用四物汤、白术、麦门冬、牡丹皮。如果是胃气虚弱且伴有热象,使用竹叶当归汤。如果是血虚引起的发热,使用八珍汤加麦门冬、五味子。如果是血脱(大量失血)引起的发热和烦躁,使用当归补血汤。如果是胃气极度虚弱,使用补中益气汤,或者七味白术散。有一位产妇患有前述症状,早晨怕冷傍晚发热,腹部疼痛,但用手按压时不痛。我认为这是气血俱虚,于是用八珍汤之类的方剂治疗。患者反而使用了逐瘀活血的方法,导致发热烦躁加重。我改用当归补血汤,热躁逐渐停止,随后使用八珍汤、麦门冬、五味子,气血逐渐恢复。
熟地黄汤 治疗产后虚性口渴不止,伴有少气、脚弱、眼眩、饮食无味。
熟地黄(酒洗净,蒸焙,一钱半) 人参(去芦头) 麦门冬(去心,各二钱) 栝蒌根(二钱)
甘草(炙,半钱)
以上药材为一服量,加水两盅,糯米一撮,生姜三片,红枣三枚,共同煎煮至一盅,不拘时间服用。
《产宝》治疗产后大渴不止。
芦根(切,一升) 栝蒌 人参 甘草 茯苓(各三两) 大枣(二十枚) 麦门冬(生用,四两)
以上用水九升,煮取三升,分三次服用,顿服四剂即可痊愈。忌食白菜类蔬菜。
黄芩散 (杨氏方)治疗产后血渴,饮水不止。
黄芩 麦门冬(各等分)
捣碎,每次服用三钱,用水一盏半,煎至八分,去渣温服,不限时间。
栝蒌根汤 (《集验方》)治疗产后血渴。
栝蒌根(四两) 麦门冬(去心) 人参(各三两) 生干地黄 甘草(各二两) 土瓜根(五两)
大枣(二十枚) 《产宝》中无地黄、麦门冬,有牡蛎粉等分。
捣碎,用水八升,煮取二升半,分三次服用。
千金竹叶汤 治疗产后虚性口渴,少气无力。
竹叶(三升) 甘草 人参 茯苓(各一两) 小麦(五合) 生姜 半夏(各三两)
麦门冬(五两) 大枣(十五枚)
以上捣碎,用水九升,先煮竹叶、小麦、姜、枣,取七升,去渣,加入其他药物再煎取二升,去渣。每次服用五合,白天三次,夜间一次。
七味白术散 治疗中气虚弱,津液短少,口干作渴,或因吐泻所致者。
人参 白术(炒) 木香 白茯苓 甘草(炒) 藿香 干葛(各一钱)
以上用水煎服。
竹叶当归汤 治疗胃气虚弱,口干作渴,厌恶冷冻饮料食物者。
竹叶(一钱半) 黄芪(二钱) 白术 人参(各一钱) 麦门冬(去心,七分)
甘草(炒,五分)
以上用水煎服。
玄胡索散 治疗产后失血,口渴不止。
郁金 干葛 桂心 青皮 枳壳 玄胡索
以上各等分,用好醋浸泡一夜,焙干后研成粉末。每次服用二钱,用陈皮汤调下,白天三次,夜间一次。
桃花散 治疗产后不烦而渴。
新锻石(一两) 黄丹(五钱)
以上研为细末,口渴时用井水调下一钱。
【本】治疗产后出血太多,虚烦发渴。使用真正的蒲黄末二钱,用白开水调下。如果口渴燥热严重,用井花水下送。
[Xiong] Postpartum restlessness and thirst are suitable for treatment with Qingxin Lianzi Yin (Clear Heart Lotus Plumule Decoction). (Refer to the treatment approach for Bai Zhuo [White Turbidity] in miscellaneous diseases.)
[Xue] If the aforementioned symptoms are caused by excessive blood loss leading to deficiency fire flaming upward, Tong Zi Xiao Bian (Child's Urine) may be used, or Si Wu Tang (Four Substance Decoction), Baizhu (Atractylodis Rhizoma), Maimendong (Ophiopogonis Radix), and Danpi (Moutan Cortex). If there is heat due to weak stomach qi, Zhuye Guidai Tang (Bamboo Leaf and Angelica Dahurica Decoction) should be used. If fever is caused by blood deficiency, Bazhen Tang (Eight Treasure Decoction) added with Maimendong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus) is indicated. If fever and irritability result from blood collapse (severe hemorrhage), Danggui Buxue Tang (Angelica Sinensis Tonifying Qi Decoction) is appropriate. If stomach qi is extremely deficient, Buzhong Yiqi Tang (Center-Boosting Qi-Supplementing Decoction) or Qiwei Baizhu San (Seven-Ingredient Atractylodes Powder) may be administered. One postpartum patient suffered from the aforementioned symptoms: chills in the morning and fever in the evening, abdominal pain that did not worsen upon palpation. I considered this a case of joint deficiency of qi and blood, and treated her with Bazhen Tang (Eight Treasure Decoction) and similar formulas. The patient instead employed blood-invigorating methods, which exacerbated the fever and irritability. I switched to Danggui Buxue Tang (Angelica Sinensis Tonifying Qi Decoction), after which the heat and agitation gradually subsided. Subsequently, using Bazhen Tang (Eight Treasure Decoction), Maimendong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus), her qi and blood gradually recovered.
Shudihuang Tang (Rehmannia Root Decoction) treats persistent postpartum deficiency-thirst accompanied by shortness of breath, weakness in the legs, dizziness, and lack of taste for food.
Shudihuang (Prepared Rehmanniae Radix, washed with wine, steamed and dried, 1.5 qian) Renshen (Ginseng Radix et Rhizoma, radix removed) Maimendong (Ophiopogonis Radix, heart removed, each 2 qian) Gualougen (Trichosanthis Radix, 2 qian)
Gancao (Licorice Root, honey-fried, 0.5 qian)
Take as one dose. Add two zhong of water, a pinch of Nuomi (Glutinous Rice), three slices of Shengjiang (Zingiberis Rhizoma Recens), and three Hongzao (Jujubae Fructus). Decoct together until one zhong remains. Take at any time.
Chanbao (Precious Prescriptions for Women) treats persistent severe postpartum thirst.
Lugen (Phragmitis Rhizoma, sliced, 1 sheng) Gualou (Trichosanthes Fruit) Renshen (Ginseng Radix et Rhizoma) Gancao (Licorice Root) Fuling (Poria, each 3 liang) Dazao (Jujubae Fructus, 20 pieces) Maimendong (Ophiopogonis Radix, raw, 4 liang)
Add nine sheng of water, boil to obtain three sheng. Divide into three doses. Taking four courses of treatment in one go will lead to recovery. Avoid eating cabbage-family vegetables.
Huangqin San (Scutellaria Powder, Formula by Yang Shi) treats postpartum blood-thirst with incessant drinking.
Huangqin (Scutellariae Radix) Maimendong (Ophiopogonis Radix, equal parts)
Coarsely crush. Take 3 qian per dose. Add one and a half zhan of water, decoct until eight fen remains. Strain and take warm, without specific timing.
Gualougen Tang (Trichosanthes Root Decoction, from "Ji Yan") treats postpartum blood-thirst.
Gualougen (Trichosanthis Radix, 4 liang) Maimendong (Ophiopogonis Radix, heart removed) Renshen (Ginseng Radix et Rhizoma, each 3 liang) Sheng Dihuang (Raw Rehmanniae Radix) Gancao (Licorice Root, each 2 liang) Tugua Gen (Melonsis Trichosanthis Radix, 5 liang)
Dazao (Jujubae Fructus, 20 pieces) Chanbao (Precious Prescriptions for Women) does not include Dihuang (Rehmanniae Radix) or Maimendong (Ophiopogonis Radix), but includes Mudifen (Ostreae Concha Pulvis) in equal parts.
Coarsely crush. Add eight sheng of water, boil to obtain two and a half sheng. Divide into three doses.
Qianjin Zhuye Tang (Thousand Gold Bamboo Leaf Decoction) treats postpartum deficiency-thirst and lack of strength.
Zhuye (Bambusa Leaves, 3 sheng) Gancao (Licorice Root) Renshen (Ginseng Radix et Rhizoma) Fuling (Poria, each 1 liang) Xiaomai (Tritici Fructus, 5 he) Shengjiang (Zingiberis Rhizoma Recens) Banxia (Pinelliae Rhizoma, each 3 liang)
Maimendong (Ophiopogonis Radix, 5 liang) Dazao (Jujubae Fructus, 15 pieces)
Coarsely crush. Add nine sheng of water. First decoct Zhuye (Bamboo Leaves), Xiaomai (Tritici Fructus), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus) to obtain seven sheng. Strain, add remaining herbs, and decoct again to obtain two sheng. Strain. Take five he per dose, three times during the day and once at night.
Qiwei Baizhu San (Seven-Ingredient Atractylodes Powder) treats weak middle qi, shortage of body fluids, dry mouth and thirst, or conditions caused by vomiting and diarrhea.
Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Rhizoma, stir-fried) Muxiang (Aucklandiae Radix) Baifuling (Poria) Gancao (Licorice Root, stir-fried) Huoxiang (Agastaches Herba) Gange (Puerariae Radix, each 1 qian)
Decoct with water and take orally.
Zhuye Guidai Tang (Bamboo Leaf and Angelica Dahurica Decoction) treats weak stomach qi, dry mouth and thirst, and aversion to cold drinks and foods.
Zhuye (Bamboo Leaves, 1.5 qian) Huangqi (Astragali Radix, 2 qian) Baizhu (Atractylodis Rhizoma) Renshen (Ginseng Radix et Rhizoma, each 1 qian) Maimendong (Ophiopogonis Radix, heart removed, 0.7 qian)
Gancao (Licorice Root, stir-fried, 0.5 qian)
Decoct with water and take orally.
Yuanhusuo San (Corydalis Powder) treats postpartum hemorrhage with incessant thirst.
Yujin (Curcumae Radix) Gange (Puerariae Radix) Guixin (Cinnamomi Ramulus) Qingpi (Citri Reticulatae Pericarpium Viride) Zhiqiao (Aurantii Fructus) Yuanhusuo (Corydzidis Rhizoma)
Equal parts. Soak in good vinegar overnight, bake dry, and grind into powder. Take 2 qian per dose, mixed with Chenpi Tang (Tangerine Peel Decoction), three times during the day and once at night.
Taohua San (Peach Blossom Powder) treats postpartum thirst without restlessness.
Xin Duanshi (Newly Calcined Pyrobitumen, 1 liang) Huangdan (Lead Oxide, 5 qian)
Grind into fine powder. When thirsty, mix one qian with well water and take orally.
[Ben] Treats excessive postpartum bleeding causing deficiency-restlessness and thirst. Use 2 qian of pure Puhuang (Typhae Pollen) powder, taken with plain boiled water. If thirst and dryness are severe, use Jinghua Shui (Well Water) to administer it.
Treats postpartum wind-stroke with restlessness and thirst. Use 5 he of Honghuazi (Carthami Flos seed), lightly stir-fried and crushed. Decoct in water until concentrated, and sip slowly.
Treats blood-thirst and postpartum thirst disorders. Use fresh Lianzisheng (Nelumbinis Plumula) ground into fine powder. Take 2 qian mixed with rice drink; effective.