总开于左,以便乡村僻远不须求医。
产儿下,产母血晕,速服生化汤三四帖,连服神效。且服一帖,产妇自觉精神,不厌进药之频也。
产妇禀弱,及胎前症虚,产毕倦晕,速服生化汤一帖,
第二帖加人参二三钱,在生化汤内,连服二三帖,以救危急。
产后血崩,血晕脱,速服生化汤。
分娩后汗浸浸然出,气短神昏,乃危症也。速服生化汤
二帖,头煎后加人参二三钱,在第二帖内以救急,胎前泻,产后不止,昏倦同治。
产后身热汗出,气促咽塞不舒,乃危症也。先服生化汤一帖完,又连服加人参生化汤。庶可回生。
产后血崩晕倦,其身心温暖,挖开口速灌加参生化汤救之。如不咽用鹅毛管插入喉中灌之。
产后手足冷而厥,或口燥渴,乃大虚危症。须大补可回生。服加参生化汤,渴用人参麦冬散作茶。
血崩既脱,烦躁不宁,目瞑似邪,言语不正,速服生化汤头煎后,服定志养荣汤,毋信邪以惊之。
产后日久不食,服药即吐,必须独参二三钱,着姜三片,白米一大撮,水煎服以安胃气。夫胃所喜者
惟谷,日久不食,胃气已虚,岂胜药气,煎参须另用新罐煎之。
产后手足冷发厥,由阴气虚,阳气亦虚,两虚则手足冷而发厥。经曰∶阳气衰于下则为寒厥,厥气上行满
脉去形,盖逆气上满于经络,则神气浮越去身而散也。用加味生化理中汤。
川芎(一钱) 当归(三钱) 干姜(五分,炙黑) 甘草(五分,炙) 人参(三钱) 黄 (一钱)
服参 而厥回,痛块未除,暂减参 以除痛块。痛块除,仍加参、 、桃仁十五粒,姜水煎服。
渴加参麦散。
参麦散方
人参(一钱) 门冬(一钱) 五味子(十粒)
手足冷,口气渐冷加熟附子五分,人参共加二三钱,痰加橘红五分,竹沥半酒盏,姜汁二匙;汗加黄
一钱;血块痛加肉桂五分;虚弱甚加人参三四钱。大便不通加麻仁一钱五分,再服五仁丸。虽热不可用承气
汤,寒厥不可用四逆汤,热厥不可用白虎汤,大产后厥症气血两虚多脱,用药必大补少佐丹、桂回阳可也。
产后厥渴甚,以独参煎汤代茶,每煎人参三四钱。
全书的总纲列在左侧,以便居住在乡村偏远地区、无需求医的人参考。
胎儿娩出后,若产妇出现血晕,应迅速服用生化汤三四剂,连续服用效果显著。即使只服一帖,产妇也会自觉精神好转,不觉得频繁服药是负担。
若产妇体质虚弱,或产前病症表现为虚证,产后感到疲倦眩晕,应迅速服用一帖生化汤;
第二帖时在生化汤中加入人参二三钱,连续服用二三帖,以挽救危急情况。
产后发生血崩、血晕甚至脱证,应迅速服用生化汤。
分娩后汗出淋漓,伴有气短、神志昏迷,这是危重病症。应迅速服用两帖生化汤,在第一煎之后,于第二帖中加入人参二三钱以急救,(此法也适用于)产前腹泻、产后不止且伴有昏倦症状的情况。
产后身体发热、出汗,呼吸急促、咽喉堵塞不适,这是危重病症。先服完一帖生化汤,接着连续服用加人参的生化汤,才可能起死回生。
产后血崩导致晕厥疲倦,若患者身体和手脚尚温暖,撬开嘴巴迅速灌服加参生化汤进行抢救。如果无法吞咽,可用鹅毛管插入喉中灌药。
产后手足冰冷甚至厥逆,或口燥口渴,这是极度虚弱的危重病症。必须大补元气方可回生。服用加参生化汤,若口渴则用人参麦冬散代茶饮用。
血崩导致脱证后,出现烦躁不安、闭目似有邪祟附体、言语错乱,应迅速服用生化汤头煎后的药液,随后服用定志养荣汤,不要相信是邪祟而惊慌失措。
产后日久不能进食,服药即吐,必须用独参汤(仅用人参),取人参二三钱,生姜三片,白米一大撮,加水煎服以安养胃气。胃所喜欢的只有谷物,日久不食,胃气已经虚弱,怎能承受药气的刺激?煎煮人参必须另用新罐煎煮。
产后手足冰冷发厥,是由于阴气虚弱,阳气也随之虚弱,两虚则手足冰冷并发生厥逆。《内经》说:阳气在下部衰微则导致寒厥,厥气上行充满经脉,使形体与神气分离。大概是因为逆气上满于经络,导致神气浮越离开身体而散失。使用加味生化理中汤。
川芎(一钱) 当归(三钱) 干姜(五分,炙黑) 甘草(五分,炙) 人参(三钱) 黄芪(一钱)
服用含参药后厥逆缓解,但痛块未除,暂时减少人参和黄芪用量以消除痛块。痛块消除后,仍加入人参、黄芪、桃仁十五粒,用姜水煎服。
口渴者加用参麦散。
参麦散方
人参(一钱) 麦冬(一钱) 五味子(十粒)
手足冷,口气渐冷者加熟附子五分,人参共加二三钱;有痰者加橘红五分,竹沥半酒盏,姜汁二匙;出汗多者加黄芪一钱;血块疼痛者加肉桂五分;极度虚弱者加人参三四钱。大便不通者加火麻仁一钱五分,再服用五仁丸。虽然有热象不可用承气汤,寒厥不可用四逆汤,热厥不可用白虎汤,但产后大出血导致的厥症多为气血两虚兼有脱证,用药必须以大补为主,少佐丹皮、肉桂以回阳即可。
产后厥逆且极度口渴,用独参煎汤代茶,每次煎用人参三四钱。
The general outline is placed on the left side for reference by those living in remote rural areas who do not need to seek medical attention.
After the delivery of the fetus, if the mother suffers from blood vertigo (syncope due to blood loss), she should quickly take Shenghua Tang (Life-Birth Decoction) for three or four doses; continuous administration yields miraculous effects. Even taking just one dose makes the mother feel more energetic, without feeling burdened by the frequency of medication.
If the mother has a weak constitution or presented with deficiency syndromes during pregnancy, and feels fatigued and dizzy after childbirth, she should quickly take one dose of Shenghua Tang.
For the second dose, add two to three qian of Ginseng Radix et Rhizoma (Renshen) into the Shenghua Tang, and continue taking it for two or three doses to rescue the critical condition.
In cases of postpartum hemorrhage, blood vertigo, or collapse, quickly administer Shenghua Tang.
Profuse sweating following delivery, accompanied by shortness of breath and coma, constitutes a critical condition. Quickly administer two doses of Shenghua Tang; after the first decoction, add two to three qian of Ginseng Radix et Rhizoma (Renshen) to the second dose for emergency rescue. This method also applies to diarrhea starting before delivery and persisting after, accompanied by drowsiness and fatigue.
Postpartum fever with sweating, rapid breathing, and a sensation of blockage and discomfort in the throat is a critical condition. First, complete one dose of Shenghua Tang, then continuously take Shenghua Tang supplemented with Ginseng Radix et Rhizoma (Renshen). Only then can life be restored.
In cases of postpartum hemorrhage leading to syncope and fatigue, if the body and extremities remain warm, pry open the mouth and rapidly pour in Shenghua Tang supplemented with Ginseng Radix et Rhizoma (Renshen) for rescue. If swallowing is impossible, insert an goose feather tube into the throat to instill the medicine.
Coldness and cold limbs (Jue syndrome) of the hands and feet after childbirth, or dry mouth and thirst, indicate a severe deficiency and critical condition. Massive tonification is required to restore life. Administer Shenghua Tang supplemented with Ginseng Radix et Rhizoma (Renshen); for thirst, use Renshen Maidong San (Ginseng and Ophiopogon Powder) as tea.
After hemorrhage leads to collapse, if there is restlessness, eyes closed as if possessed, and incoherent speech, quickly administer the liquid from the first decoction of Shenghua Tang, followed by Dingzhi Yangrong Tang (Stabilize Spirit and Nourish Blood Decoction). Do not believe it is evil spirits and panic.
If the patient cannot eat for a long time after childbirth and vomits immediately upon taking medicine, a single-herb decoction of Ginseng Radix et Rhizoma (Renshen) is necessary: use two to three qian of Ginseng, three slices of fresh ginger, and a large pinch of white rice, decocted in water to soothe Stomach Qi. The Stomach favors grain; after prolonged fasting, Stomach Qi is already deficient and cannot withstand the potency of herbs. Ginseng must be decocted separately in a new pot.
Coldness and cold limbs (Jue syndrome) after childbirth result from deficiency of Yin Qi and concomitant deficiency of Yang Qi. When both are deficient, the hands and feet become cold and Jue occurs. The Classics state: "When Yang Qi declines at the lower part, it results in Cold Jue." When Jue Qi ascends and fills the meridians, the form separates from the spirit. Essentially, rebellious Qi fills the meridians and collaterals, causing the Spirit Qi to float away and scatter from the body. Use Jiawei Shenghua Lizhong Tang (Modified Shenghua and Spleen-Regulating Decoction).
Ligusticum Chuanxiong Rhizome (Chuanxiong) (1 qian) Angelica Sinensis Radix (Danggui) (3 qian) Zingiberis Rhizoma Recens (Ganjiang) (5 fen, stir-fried until black) Glycyrrhizae Radix et Rhizoma (Gancao) (5 fen, stir-fried) Ginseng Radix et Rhizoma (Renshen) (3 qian) Astragali Membranacei Radix (Huangqi) (1 qian)
After administering the Ginseng-containing formula, if the cold limbs resolve but pain masses remain, temporarily reduce the dosage of Ginseng Radix et Rhizoma (Renshen) and Astragali Membranacei Radix (Huangqi) to eliminate the pain masses. Once the pain masses are resolved, re-add Ginseng Radix et Rhizoma (Renshen), Astragali Membranacei Radix (Huangqi), and fifteen Peach Kernels (Taoren), decocted in ginger water.
For thirst, add Renshen Maidong San (Ginseng and Ophiopogon Powder).
Renshen Maidong San Formula
Ginseng Radix et Rhizoma (Renshen) (1 qian) Ophiopogonis Tuber (Mendong) (1 qian) Schisandrae Fructus (Wuweizi) (10 grains)
For cold hands and feet with gradually cooling breath, add five fen of Prepared Aconiti Lateralis Radix (Fuzi), increasing the total amount of Ginseng Radix et Rhizoma (Renshen) to two to three qian; for phlegm, add five fen of Exocarpium Citri Reticulatae (Chenhong), half a wine cup of Phyllostachydis Succus (Zhuli), and two spoons of Zingiberis Succus (Jiangzhi); for excessive sweating, add one qian of Astragali Membranacei Radix (Huangqi); for pain caused by blood stasis masses, add five fen of Cinnamomi Cortex (Rougui); for severe weakness, add three to four qian of Ginseng Radix et Rhizoma (Renshen). For constipation, add one qian and five fen of Cannabis Semen (Huren), followed by Wuren Wan (Five Seeds Pill). Although heat signs may be present, Chengqi Tang (Gut-Purging Decoction) must not be used; for Cold Jue, Sini Tang (Decoction for Reversal of Cold) must not be used; for Heat Jue, Baihu Tang (White Tiger Decoction) must not be used. Postpartum Jue syndrome due to massive blood loss is mostly characterized by dual deficiency of Qi and Blood with collapse. Medication must primarily focus on massive tonification, with minor additions of Moutan Cortex (Danpi) and Cinnamomi Cortex (Guirui) to restore Yang.
For postpartum Jue with extreme thirst, decoct a single-herb preparation of Ginseng Radix et Rhizoma (Renshen) in water to replace tea, using three to four qian of Ginseng per decoction.