治产后腹痛,腹胁胀满。
当归 干姜(等分)
上为末,每服三钱。水一盏,煎八分,入盐、醋少许,食前热服。(《选奇方》用酒煎)
理血气,烦闷、胁肋胀满及痛。
芍药(八分) 蒲黄 延胡索(各四分) 当归(六分) 荷叶蒂(三枚,炙)
上水二升,煎取七合,后入蒲黄,空心分作二服。
疗产后腹痛,气胀,胁下闷,不下食,兼微利。
茯苓 人参 当归 甘草(各六分) 生姜 陈皮(各四分) 浓朴(八分)
上 咀,以水二升,煎取八合,去滓,分温服。
夫积者,阴气也,五脏所生;聚者,阳气也,六腑所成。皆由饮食不节,寒热不调,致
五脏之气积,六腑之气聚。积者,痛不离其部;聚者,其痛无有常处。所以然者,积为阴气
,阴性沉伏,故痛不离其部。聚为阳气,阳性浮动,故痛无常处。产后血气伤于脏腑,脏腑
虚弱,为风冷所乘,搏于脏腑,与血气相结,故成积聚症块也。
治产后余血不散,结成症块疼痛。宜服桃仁散。
桃仁 当归 鬼箭羽 大黄 鳖甲(各一两) 赤芍药 延胡索 琥珀(各三分) 川
芎桂心(各半两)
上为粗末,每服三大钱。水一盏,姜三片,煎至七分,去滓温服。
治产后积血不散,结聚成块;或时寒热,不思饮食。京三棱散。
京三棱 熟地黄 鳖甲(各一两) 桂心 当归 川芎 牡丹皮 刘寄奴 赤芍药(各
半两) 大黄(炒) 桃仁 牛膝(各三分)
上为粗末,每服三钱。水一大盏,姜三片,煎至七分,去滓温服。
治疗产后腹痛,腹部及胁肋部胀满。
当归、干姜(等量)
将上述药材研为细末,每次服用三钱。用水一盏,煎煮至八分,加入少许盐和醋,饭前热服。(《选奇方》中用酒煎煮)
调理血气,缓解烦闷、胁肋胀满及疼痛。
芍药(八分) 蒲黄 延胡索(各四分) 当归(六分) 荷叶蒂(三枚,炙烤)
加水二升,煎取七合药液,随后加入蒲黄,空腹时分两次服用。
治疗产后腹痛,气机胀满,胁下憋闷,食欲不振,兼有轻微腹泻。
茯苓 人参 当归 甘草(各六分) 生姜 陈皮(各四分) 厚朴(八分)
将药材切碎,加水二升,煎取八合药液,滤去药渣,分次温服。
所谓“积”,属于阴气,由五脏生成;所谓“聚”,属于阳气,由六腑形成。这都是由于饮食不节制,寒热失调,导致五脏之气积聚,六腑之气聚结。所谓的“积”,疼痛部位固定不移;所谓的“聚”,疼痛位置没有定处。之所以如此,是因为“积”属于阴气,阴性沉伏潜藏,所以疼痛不离其原发部位。“聚”属于阳气,阳性浮动游走,所以疼痛没有固定处所。产后气血损伤脏腑,脏腑虚弱,被风冷邪气侵袭,邪气搏结于脏腑,与气血相互凝结,从而形成积聚症块。
治疗产后余血未能消散,结成症块并引起疼痛。适宜服用桃仁散。
桃仁 当归 鬼箭羽 大黄 鳖甲(各一两) 赤芍药 延胡索 琥珀(各三分) 川芎 桂心(各半两)
将上述药材捣成粗末,每次服用三大钱。用水一盏,加生姜三片,煎煮至七分,滤去药渣,温服。
治疗产后积血未能消散,聚结形成块状;或伴有间歇性寒热往来,不思饮食。京三棱散。
京三棱 熟地黄 鳖甲(各一两) 桂心 当归 川芎 牡丹皮 刘寄奴 赤芍药(各半两) 大黄(炒制) 桃仁 牛膝(各三分)
将上述药材捣成粗末,每次服用三钱。用水一大盏,加生姜三片,煎煮至七分,滤去药渣,温服。
Treats postpartum abdominal pain, with distension and fullness in the abdomen and hypochondrium.
Danggui (Radix Angelicae Sinensis), Ganjiang (Rhizoma Zingiberis) (equal parts).
Pulverize the above ingredients. Take three qian per dose. Add one zhan of water, decoct until eight fen remains, add a small amount of salt and vinegar, and take hot before meals. (Xuanqi Fang uses wine for decoction.)
Regulates blood and qi, relieves irritability, chest oppression, hypochondriac distension, and pain.
Shaoyao (Radix Paeoniae Alba), Puhuang (Pollinis Typhae), Yanhusuo (Rhizoma Corydalis) (each four fen), Danggui (Radix Angelicae Sinensis) (six fen), Heti (Folii Nelumbinis Petiolus) (three pieces, roasted).
Add two sheng of water, decoct to obtain seven he. Then add Puhuang, and divide into two doses to be taken on an empty stomach.
Treats postpartum abdominal pain, qi distension, subcostal stuffiness, loss of appetite, accompanied by mild diarrhea.
Fuling (Poria), Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis), Gancao (Radix Glycyrrhizae Uralensis) (each six fen), Shengjiang (Rhizoma Zingiberis Recens), Chenpi (Pericarpium Citri Reticulatae) (each four fen), Houpo (Cortex Magnoliae Officinalis) (eight fen).
Cut the herbs into small pieces. Add two sheng of water, decoct to obtain eight he, strain off the dregs, and take warm in divided doses.
The so-called "Ji" (accumulation) belongs to Yin Qi, generated by the Five Viscera; the so-called "Ju" (aggregation) belongs to Yang Qi, formed by the Six Bowel Organs. Both result from irregular diet and imbalance of cold and heat, leading to the accumulation of Qi in the Five Viscera and aggregation of Qi in the Six Bowel Organs. In "Ji", the pain remains fixed in its location; in "Ju", the pain has no constant location. The reason is that "Ji" consists of Yin Qi, which is heavy and sinking, hence the pain does not leave its original site. "Ju" consists of Yang Qi, which is light and floating, hence the pain has no fixed place. After childbirth, blood and Qi injure the Viscera, making them weak. They are attacked by Wind-Cold pathogenic factors, which contend with the Viscera and knot together with blood and Qi, thus forming accumulations and masses.
Treats residual blood after childbirth that fails to dissipate, knotting into masses causing pain. It is suitable to take Tao Ren San.
Taoren (Semen Persicae), Danggui (Radix Angelicae Sinensis), Guijianyu (Ramulus Corni Swinhoei), Dahuang (Radix et Rhizoma Rhei), Biejia (Carapax et Plastrum Testudinis) (each one liang), Chishaoyao (Radix Paeoniae Rubra), Yanhusuo (Rhizoma Corydalis), Hupo (Electrum) (each three qian), Chuanxiong (Rhizoma Chuanxiong), Guixin (Cortex Cinnamomi) (each half liang).
Grind into coarse powder. Take three da qian per dose. Add one zhan of water and three slices of ginger, decoct until seven fen remains, strain off the dregs, and take warm.
Treats accumulated blood after childbirth that fails to dissipate, aggregating into masses; or intermittent chills and fever, and loss of appetite. Jing San Leng San.
Jingsanleng (Rhizoma Sparganii Stoloniferi), Shudihuang (Radix Rehmanniae Preparata), Biejia (Carapax et Plastrum Testudinis) (each one liang), Guixin (Cortex Cinnamomi), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Mudanpi (Cortex Moutan), Liuji nu (Herba Siegesbeckiae), Chishaoyao (Radix Paeoniae Rubra) (each half liang), Dahuang (Radix et Rhizoma Rhei) (stir-fried), Taoren (Semen Persicae), Niuxi (Radix Achyranthis Bidentatae) (each three qian).
Grind into coarse powder. Take three qian per dose. Add one large zhan of water and three slices of ginger, decoct until seven fen remains, strain off the dregs, and take warm.