南番琥珀(别研) 延胡索(糯米同炒赤,去米) 当归(各一两) 蒲黄(四两,炒
香) 生地黄(研裂汁,留滓) 生姜(各二斤,洗、研,裂汁,留滓。以生姜汁于银石器
内炒地黄滓,以地黄汁炒生姜滓,各至干甚为末则止)
上为末,炼蜜丸如弹子大,食前当归汤化一丸服。
论曰∶产后心闷气绝,眼张口噤,遍身强直,腰背反偃,状如痫疾,心忪惊悸,言语错
乱。皆是宿有风毒,因产心气虚弱,发成风痉。
疗产后心气虚损,卒惊狂语,或歌哭嗔笑,性气不定。
上等银(一斤) 桂心 甘草(各六分) 细辛(四分) 人参 生姜 远志 茯神(各
八分) 生地黄(二十分) 龙骨(三分) 枣子(一个)
上 咀,以水八升,煮银至一升半,入药煎至一升,分作三服,温进。
疗产后多虚羸弱。若大汗、利,皆至于死,此重虚故也。若患中风,语谬、昏闷不知人
者。
人参 茯苓 羌活 桂心 大枣 远志(各十分) 竹沥(一升)
上用水六升,煮取三升,下竹沥,更煎取二升,温分三服。
疗产后心惊、中风。
防风 当归 茯苓 防己 麻黄(各八分) 秦艽 人参 川芎 独活 白藓皮 甘草
白薇(各六分) 石膏(十二分) 竹沥(二升)
上水七升,先煮麻黄,掠去沫,下诸药;入竹沥,煎取二升半,去滓,温分三服。忌
菘菜、猪肉、生冷。
【琥珀地黄丸方】
南番琥珀(单独研磨) 延胡索(与糯米同炒至变红,去除糯米) 当归(各一两) 蒲黄(四两,炒至散发香气) 生地黄(研磨破裂取汁,保留药渣) 生姜(各二斤,洗净、研磨,破裂取汁,保留药渣。用生姜汁在银或石器内炒制生地黄渣,用地黄汁炒制生姜渣,各自炒至极干后研成细末即止)
以上药物研为细末,用炼蜜制成如弹子大小的丸药,饭前用当归汤送化一丸服用。
【产后心惊中风方论第三】
论述说:产后出现心胸烦闷、气息断绝,眼睛睁开、牙关紧闭,全身强直,腰背向后反折,症状如同癫痫发作,心中惊恐悸动,言语错乱。这些都是因为体内素有风毒,因分娩导致心气虚弱,从而引发风痉病。
治疗产后心气虚损,突然惊狂谵语,或者又歌又哭、嗔怒嬉笑,性情情绪不稳定。
上等银(一斤) 桂心 甘草(各六分) 细辛(四分) 人参 生姜 远志 茯神(各八分) 生地黄(二十分) 龙骨(三分) 枣子(一个)
以上药物切碎,用水八升,先煮银至剩余一升半,再加入药物煎煮至剩余一升,分三次服用,温服。
治疗产后身体极度虚弱羸瘦。如果发生大汗淋漓、腹泻,都会导致死亡,这是因为正气严重亏损的缘故。如果患有中风,言语谬误、昏沉闷乱不知人事的。
以上用水六升,煎煮取三升药液,加入竹沥,再煎煮取二升药液,分三次温服。
防风 当归 茯苓 防己 麻黄(各八分) 秦艽 人参 川芎 独活 白藓皮 甘草 白薇(各六分) 石膏(十二分) 竹沥(二升)
以上用水七升,先煎煮麻黄,撇去浮沫,再加入其他药物;加入竹沥,煎煮取二升半药液,去掉药渣,分三次温服。忌食白菜、猪肉及生冷食物。
[Formula of Hupo Dihuang Wan]
Nanfan Hupo (Amber, ground separately) Yanhusuo (Corydalis Rhizome, stir-fried with glutinous rice until red, discard the rice) Danggui (Angelicae Sinensis Radix, 1 liang each) Puhuang (Typhae Pollen, 4 liang, stir-fried until fragrant) Shengdihuang (Rehmanniae Radix, crushed and juiced, retain the dregs) Shengjiang (Zingiberis Rhizoma Recens, 2 jin each, washed, crushed, juiced, retain the dregs. Stir-fry the Shengdihuang dregs in a silver or earthenware vessel using Shengjiang juice; stir-fry the Shengjiang dregs using Shengdihuang juice. Continue until both are extremely dry, then grind into fine powder.)
Grind the above ingredients into powder. Form pills the size of quail eggs using refined honey. Take one pill before meals, dissolved in Danggui Tang (Angelica Decoction).
[Discussion on Postpartum Heart Palpitations and Wind Stroke, Chapter 3]
It is stated: After childbirth, if there is chest oppression, suffocation, eyes open, jaw clenched, general body stiffness, opisthotonos (back arching backward), resembling epilepsy, heart palpitations with fright, and confused speech. These are all due to pre-existing wind-toxin, which, triggered by the deficiency of Heart Qi after delivery, develops into Feng Jing (wind spasm).
Treat postpartum Heart Qi deficiency and damage, sudden fright, mania, and delirious speech, or alternating singing and crying, anger and laughter, with unstable temperament.
Shangdeng Yin (Fine Silver, 1 jin) Guixin (Cinnamomi Ramulus inner bark) Gancao (Glycyrrhizae Radix et Rhizoma, 6 fen each) Xixin (Asari Radix et Rhizoma, 4 fen) Renshen (Ginseng Radix) Shengjiang (Zingiberis Rhizoma Recens) Yuanzhi (Polygalae Radix) Fushen (Poria cum Radix, 8 fen each) Shengdihuang (Rehmanniae Radix, 20 fen) Longgu (Fossilia Ossis Mastodi, 3 fen) Zaozi (Jujubae Fructus, 1 piece)
Cut the ingredients into small pieces. Add 8 sheng of water, boil the silver until reduced to 1.5 sheng. Add the herbs and decoct until reduced to 1 sheng. Divide into three doses, take warm.
Treat postpartum severe weakness and emaciation. If profuse sweating or diarrhea occurs, it leads to death due to severe deficiency. If suffering from wind stroke, with erroneous speech, coma, and loss of consciousness.
Renshen (Ginseng Radix) Fuling (Poria) Qianghuo (Notopterygii Rhizoma et Radix) Guixin (Cinnamomi Ramulus inner bark) Dazao (Jujubae Fructus) Yuanzhi (Polygalae Radix, 10 fen each) Zhuli (Bambusae Caulis in Taenia Succus, 1 sheng)
Add 6 sheng of water, decoct to obtain 3 sheng. Add Zhuli (Bamboo Sap), decoct again to obtain 2 sheng. Divide into three doses, take warm.
Treat postpartum heart palpitations and wind stroke.
Fangfeng (Saposhnikoviae Radix) Danggui (Angelicae Sinensis Radix) Fuling (Poria) Fangji (Stephaniae Tetrandrae Radix) Mahuang (Ephedrae Herba, 8 fen each) Qinjiao (Gentianae Macrophyllae Radix) Renshen (Ginseng Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Duhuo (Angelicae Pubescentis Radix) Baixianpi (Dictamni Cortex) Gancao (Glycyrrhizae Radix et Rhizoma) Baiwei (Cleomidis Radix, 6 fen each) Shigao (Gypsum Fibrosum, 12 fen) Zhuli (Bambusae Caulis in Taenia Succus, 2 sheng)
Add 7 sheng of water. First decoct Mahuang (Ephedrae Herba), skim off the foam, then add the remaining herbs. Add Zhuli (Bamboo Sap), decoct to obtain 2.5 sheng. Remove dregs. Divide into three doses, take warm. Avoid eating cabbage (Songcai), pork, and cold/raw foods.