治产后恶露上攻,流入于肺经,咳嗽,宜服此药。如伤风痰嗽,却以寻常伤风药主治。
知母 贝母 白茯苓 人参(各半两) 桃仁 杏仁(并生,去皮、尖各一分)
上为细末,每服三钱。水一盏半,煎至八分,无时温服。如觉腹痛并服之,立有神效。
疗产后感风伤寒,咳嗽多痰,唾粘。(《产宝》同)
甘草 苦梗(各六分) 款冬花(四分) 生麦门冬 生地黄(各十二分) 葱白(一
握) 豉(二合,旧方无葱白与豉)
上 咀,每二升煮取八合,去滓。食后分二服。
疗咳嗽多痰,唾粘气急。
前胡 五味子 紫菀 贝母(各六分) 桑白皮 茯苓(各八分) 淡竹叶(二十片)
上 咀,水二升,煎取八合,去滓,食后分二服。
疗产后咳嗽气喘。
百部根 苦梗(各六分) 桑白皮(二十分) 干百合 赤茯苓(各八分)
上 咀,水二升,煮取七合,去滓,食后分二服。
论曰;产后喉中气急、喘促者何?答曰;荣者血也,卫者气也。荣行脉中,卫行脉外,
相随上下,谓之荣卫。因产所下过多,荣血暴竭,卫气无主,独聚肺中,故令喘也。此名孤
阳绝阴,为难治。若恶露不快,败血停凝,上熏于肺,亦令喘急,但服夺命丹,(方见十八
卷第四论中)血去喘自定。
评曰∶产后喘急固可畏,若是败血上熏于肺,犹可责效夺命丹。若感风寒,或因忧怒,
饮食咸冷等,夺命丹未可均济,况孤阳绝阴乎?若荣血暴绝,宜大料煮芎 汤,亦自可救。
伤风寒,宜旋复花汤;性理郁发,宜小调经散,用桑白皮、杏仁煎汤调下;伤食宜服见现丸
、五积散、芎 汤。(方见卷之二第五论。又名佛手散)
治疗产后恶露上行攻冲,流入肺经,引起咳嗽,适宜服用此药。如果是伤风引起的痰嗽,则应当以常规的伤风药物为主治。
知母、贝母、白茯苓、人参(各半两);桃仁、杏仁(均生用,去皮和尖端,各一分)。
以上药材研为细末,每次服用三钱。加水一盏半,煎煮至八分满,不拘时候温服。如果感觉腹痛也一并服用,立刻会有神效。
治疗产后感冒风寒,咳嗽多痰,唾液粘稠。(《产宝》记载相同)
甘草、桔梗(各六分);款冬花(四分);生麦门冬、生地黄(各十二分);葱白(一握);豆豉(二合,旧方中没有葱白和豆豉)。
以上药材切碎,用水二升煮取八合,滤去药渣。饭后分两次服用。
治疗咳嗽多痰,唾液粘稠且气急。
前胡、五味子、紫菀、贝母(各六分);桑白皮、茯苓(各八分);淡竹叶(二十片)。
以上药材切碎,用水二升,煎取八合,滤去药渣,饭后分两次服用。
治疗产后咳嗽气喘。
百部根、桔梗(各六分);桑白皮(二十分);干百合、赤茯苓(各八分)。
以上药材切碎,用水二升,煮取七合,滤去药渣,饭后分两次服用。
论述说:产后喉咙中气息急促、喘息促迫的原因是什么?回答说:荣气就是血,卫气就是气。荣气运行在脉管之中,卫气运行在脉管之外,它们相随上下运行,称为荣卫。因为分娩时失血过多,荣血突然枯竭,卫气失去主宰,独自聚集在肺中,所以导致喘息。这叫做“孤阳绝阴”,属于难治之症。如果恶露排出不畅,败血停滞凝结,向上熏蒸于肺,也会导致气喘急促,只需服用夺命丹(方剂见第十八卷第四论中),血去则喘自定。
评论说:产后喘急固然可怕,但如果是败血上熏于肺,还可以依靠夺命丹取得疗效。如果是感受风寒,或者因为忧怒、饮食咸冷等引起,夺命丹未必都能奏效,更何况是孤阳绝阴的情况呢?如果是荣血突然断绝,适宜用大剂量煮芎䓖汤,也可以挽救。感受风寒,适宜用旋复花汤;情志抑郁发作,适宜用小调经散,用桑白皮、杏仁煎汤送服;伤食适宜服用见现丸、五积散、芎䓖汤。(方剂见卷之二第五论。又名佛手散)
To treat postpartum lochia (postpartum vaginal discharge) attacking upward and flowing into the Lung Meridian, causing coughing, this prescription is suitable. If it is a phlegm-cough caused by wind-cold invasion, it should be treated primarily with ordinary wind-cold medicines.
*Zhi Mu* (Anemarrhenae Rhizoma), *Bei Mu* (Fritillariae Bulbus), *Bai Fu Ling* (Poria), *Ren Shen* (Ginseng Radix et Rhizoma) (each 0.5 liang); *Tao Ren* (Persicae Semen), *Xing Ren* (Armeniacae Semen Amarum) (both raw, peeled and removing tips, each 1 fen).
Grind the above ingredients into a fine powder. Take 3 qian per dose. Add 1.5 zhan of water, decoct until 0.8 zhan remains, and take warm at any time. If abdominal pain is felt, take it together; there will be immediate miraculous effect.
To treat postpartum contraction of wind-cold pathogen, coughing with profuse phlegm, and sticky sputum. (Same as recorded in *Chan Bao*)
*Gan Cao* (Glycyrrhizae Radix et Rhizoma), *Ku Jie* (Platycodonis Radix) (each 6 fen); *Kuan Dong Hua* (Farfarae Flos) (4 fen); *Sheng Mai Men Dong* (Ophiopogonis Radix raw), *Sheng Di Huang* (Rehmanniae Radix) (each 12 fen); *Cong Bai* (Allii Fistulosi Bulbus) (one handful); *Chi* (Sojae Semen Preparatum) (2 he, old prescriptions do not include Cong Bai and Chi).
Chop the above ingredients, decoct 2 sheng of water to obtain 8 he, remove the dregs. Divide into two doses after meals.
To treat coughing with profuse phlegm, sticky sputum, and rapid breathing.
*Qian Hu* (Peucedani Radix), *Wu Wei Zi* (Schisandrae Fructus), *Zi Wan* (Asteris Radix), *Bei Mu* (Fritillariae Bulbus) (each 6 fen); *Sang Bai Pi* (Mori Cortex), *Fu Ling* (Poria) (each 8 fen); *Dan Zhu Ye* (Lophatheri Folium) (20 leaves).
Chop the above ingredients, decoct 2 sheng of water to obtain 8 he, remove the dregs. Divide into two doses after meals.
To treat postpartum cough and asthma.
*Bai Bu Gen* (Stemonae Radix), *Ku Jie* (Platycodonis Radix) (each 6 fen); *Sang Bai Pi* (Mori Cortex) (20 fen); *Gan Bai He* (Lilii Bulbus dried), *Chi Fu Ling* (Poria with red bark) (each 8 fen).
Chop the above ingredients, decoct 2 sheng of water to obtain 7 he, remove the dregs. Divide into two doses after meals.
The discussion states: What is the cause of rapid breathing and panting in the throat after childbirth? The answer is: Ying (Nutrient Qi) is blood, and Wei (Defensive Qi) is qi. Ying circulates within the vessels, while Wei circulates outside the vessels, moving up and down together, which is called Ying-Wei. Because of excessive blood loss during childbirth, Ying blood suddenly exhausts, and Wei Qi loses its master, gathering alone in the Lungs, thus causing panting. This is named "Solitary Yang and Absolute Yin," which is difficult to treat. If lochia does not flow smoothly, and failed blood stagnates and coagulates, steaming upward to the Lungs, it also causes rapid panting. Simply taking *Duoming Dan* (see Formula in Volume 18, Discussion 4) will resolve the panting once the blood is expelled.
Commentary: Postpartum rapid panting is indeed frightening. However, if it is due to failed blood steaming upward to the Lungs, one can still expect efficacy from *Duoming Dan*. If it is caused by wind-cold invasion, or by emotional distress such as worry and anger, or by consuming salty and cold foods, *Duoming Dan* may not be effective for all cases, let alone for Solitary Yang and Absolute Yin. If Ying blood is suddenly cut off, it is appropriate to use a large dose of *Xiong Gui Tang* (Angelicae Sinensis and Ligusticum Decoction), which can also save the patient. For wind-cold invasion, *Xuan Fu Hua Tang* (Inula Flower Decoction) is suitable; for emotional depression manifesting physically, *Xiao Tiao Jing San* (Minor Regulating Menses Powder) is suitable, taken with a decoction of *Sang Bai Pi* and *Xing Ren*; for food injury, *Xian Xian Wan*, *Wu Ji San*, and *Xiong Gui Tang* are suitable. (Formulas see Volume 2, Discussion 5. Also known as *Fo Shou San*)