产毕未可上床,两人扶住,令人从心下轻轻揉按至脐腹门十五六次,此后虽睡,时时按之,血路不滞。
腹中用小衣烘热温之,虽暑月不可单被,腹寒则血块不行且作痛。
产后儿下地,即服生化汤二帖,三煎。
儿下而衣不下,要盖护产母下部,冬月用火于被下,腹
中用热衣温之要紧,又多服生化汤、益母丸、下胎衣丸。
产母虚甚,须烧砖石秤坠,以防血晕。
产下地,即服生化汤一帖。如肚饥甚,即吃白粥一盏,不可太饱,过一时后,又服生化汤。如未进饮
食,必速服生化汤两帖,三煎,头煎后,二服两帖,并为一煎完,进饮食甚好。
百二十日内,不可劳力过度。
七日内,切不可洗下部。七日外,方可下床温水坐洗,盈月后,方可梳头洗浴。
冬末春初,天气凝寒,宜谨闭窗户四围,置火常令暖气熏蒸,而且下部不可去棉,方免
胎寒血结,以致难产胞停也。
七日内外,紧遮阴户,勿使进风。
加味济坤大造丸方
妇人服之,益气血,温子宫,种子奇方。
紫河车一个,须壮盛妇人头胎者,洗去血尽,用砂罐隔篾四五根,用蒲包,剪切底,承胞下,用白酒蒸
熟,不可着酒。
人参(一两五钱) 当归(二两) 生地(二两,酒洗蒸熟) 山药(一两) 黄柏(八钱,酒炒
褐色) 麦冬(一两五钱,去心) 五味子(五分) 天冬(一两,去心) 杜仲(八钱,姜、酒炒去丝)
牛膝(酒浸,一两)
虚弱多汗潮热,加黄 一两,地骨皮一两,知母二两∶脾胃弱久泻,加白术一两,莲肉二两,
(去心)∶血少,惊怖少睡,加枣仁一两(炒),龙眼肉二两。
以上共为末,捣紫河车为丸,空心送六七十丸。
分娩结束后,产妇不可立即上床休息,需由两人搀扶站立,让人从心窝下方轻轻揉按至脐腹部十五到十六次。此后即使入睡,也要不时进行揉按,以防止血液运行不畅。
腹部可用小衣物烘热后包裹以保暖,即使在盛夏也不能只盖单被,若腹部受寒则血块无法排出且会引发疼痛。
胎儿娩出落地后,应立即服用两帖生化汤,煎煮三次。
若胎儿已下而胎盘未下,要注意遮盖保护产母的下部,冬季可在被褥下生火,并用热衣物温暖腹部,这非常关键;同时需多服用生化汤、益母丸或下胎衣丸。
若产母身体极度虚弱,需烧红砖石或秤砣等重物,以防发生血晕(产后因失血过多导致的头晕目眩甚至昏厥)。
胎儿娩出后,立即服用一帖生化汤。如果肚子非常饿,可以吃一盏白粥,不可吃得太饱,过一个小时后,再服用生化汤。如果尚未进食,必须迅速服用两帖生化汤,煎煮三次,将头煎和二煎的两帖药合并为一煎服完,此时进食饮食非常好。
产后一百二十天内,不可过度劳累。
七日内,绝对不可清洗下部。七日之后,方可下床用温水坐浴清洗,满月之后,方可梳头洗浴。
冬末春初,天气寒冷凝滞,应谨慎关闭四周窗户,放置火源使暖气常存熏蒸,而且下部不可去掉棉质衣物,以免导致胎寒血结,从而引起难产或胞衣滞留。
紫河车一个,须选用身体健康妇女的头胎胎盘,洗净去尽血迹,用砂罐隔四五根竹篾,用蒲包垫底承接胎盘,用白酒蒸熟,注意不要直接接触酒液。
人参(一两五钱) 当归(二两) 生地(二两,用酒洗后蒸熟) 山药(一两) 黄柏(八钱,用酒炒至褐色) 麦冬(一两五钱,去心) 五味子(五分) 天冬(一两,去心) 杜仲(八钱,用姜汁和酒炒去丝) 牛膝(用酒浸泡,一两)
若见虚弱、多汗、潮热症状,加黄芪一两,地骨皮一两,知母二两;若脾胃虚弱久泻,加白术一两,莲子肉二两(去心);若血少、惊恐失眠,加酸枣仁一两(炒),龙眼肉二两。
以上药材共研为细末,捣烂紫河车制成丸药,空腹送服六七十丸。
After delivery, the mother should not lie in bed immediately. She should be supported by two people while standing, and someone should gently massage from below the epigastrium down to the umbilical and abdominal region fifteen to sixteen times. Even if she falls asleep afterwards, this massage should be performed periodically to prevent blood stasis (stagnation of blood flow).
The abdomen should be kept warm with a small garment heated by ironing or warming; even in midsummer, a single blanket is insufficient. If the abdomen becomes cold, blood clots will fail to discharge and pain will occur.
Immediately after the infant is born and placed on the ground, administer two doses of Shenghua Tang (Postpartum Transformation Decoction), decocted three times.
If the infant has been delivered but the placenta remains retained, care must be taken to cover and protect the mother's perineal area. In winter, place fire beneath the bedding and keep the abdomen warm with hot garments, which is crucial. Additionally, administer more Shenghua Tang (Postpartum Transformation Decoction), Yimu Wan (Motherwort Pills), or Xi Taiyi Wan (Placenta Expelling Pills).
If the mother is extremely deficient, heat bricks, stones, or heavy weights (such as steelyard sinkers) to prevent Xueyun (blood syncope/dizziness caused by postpartum hemorrhage).
Once the infant is delivered, immediately administer one dose of Shenghua Tang (Postpartum Transformation Decoction). If the stomach is very hungry, consume one cup of white rice porridge, but do not overeat. After an hour, administer another dose of Shenghua Tang (Postpartum Transformation Decoction). If no food has been consumed, quickly administer two doses of Shenghua Tang (Postpartum Transformation Decoction), decocted three times. Combine the first and second decoctions into one volume for administration; consuming food at this time is highly beneficial.
Within 120 days postpartum, avoid excessive physical labor.
For the first seven days, absolutely do not wash the perineal area. After seven days, one may get out of bed and wash using warm water sitz baths. Only after one full month (postpartum confinement period) may one comb hair and take a bath.
At the end of winter and beginning of spring, when the weather is cold and stagnant, carefully close all windows. Place fire sources to maintain warmth and steam circulation. The lower body must remain covered with cotton clothing to prevent Taihan Xuemie (uterine coldness and blood coagulation), which could lead to difficult labor or retention of the fetal membrane (placenta).
Around the seventh day, tightly cover the vulva to prevent wind pathogens from entering.
Jiakuang Jikun Dazao Wan Formula (Modified Pill for Nourishing the Uterus and Enhancing Conception)
When taken by women, this formula benefits Qi and Blood, warms the uterus, and is a miraculous prescription for promoting conception.
Ziheche (Human Placenta): One unit. It must be from the first pregnancy of a healthy woman. Wash thoroughly to remove all blood. Place it in a clay pot separated by four or five bamboo strips, resting on a rush mat base to catch any fluids. Steam it with Baijiu (white liquor), ensuring the placenta does not directly touch the alcohol.
Renshen (Ginseng Root) [1 liang 5 qian] Danggui (Angelica Sinensis Root) [2 liang] Shengdi Huang (Rehmannia Root prepared with wine) [2 liang] Shanyao (Dioscorea Rhizome) [1 liang] Huangbai (Phellodendron Bark) [8 qian, stir-fried with wine until brown] Maidong (Ophiopogon Tuber) [1 liang 5 qian, heart removed] Wuweizi (Schisandra Fruit) [5 fen] Tiantian Dong (Asparagus Tuber) [1 liang, heart removed] Duzhong (Eucommia Bark) [8 qian, stir-fried with ginger juice and wine to remove fibers] Niuxi (Achyranthes Root) [soaked in wine, 1 liang]
For symptoms of deficiency, excessive sweating, and tidal fever, add Huangqi (Astragalus Root) [1 liang], Digupi (Lycium Bark) [1 liang], and Zhimu (Anemarrhena Rhizome) [2 liang]. For weak spleen and stomach with chronic diarrhea, add Baizhu (Atractylodes Macrocephala Rhizome) [1 liang] and Lianrou (Lotus Seed Flesh) [2 liang, heart removed]. For low blood volume, palpitations, fearfulness, and insomnia, add Zaoren (Sour Jujube Seed) [1 liang, stir-fried] and Longyan Rou (Longan Aril) [2 liang].
Grind all ingredients into a fine powder. Mash the Ziheche (Human Placenta) and mix with the powder to form pills. Take 60–70 pills on an empty stomach.