产后寒热往来,每日应期而发,其症类疟,切不可用疟疾方药治之。夫血气虚而寒热便作,元
气弱而外邪或侵,虽寒来鼓 ,汤火不能温,热如燔炭,冰水不能寒,或昼轻夜重,或见晡寒热,
虽所见症与疟类同,其治方药,必当滋荣益气以退寒热。有汗急当止汗,如麻黄根等方;若头有汗而
身与足无汗,乃阳孤绝阴之危症也,切勿偏服参而少血药,当加地黄、川归之剂。如头痛无汗,
宜与生化汤内加羌活、防风、连须、葱白、枣数枚以散之,慎不可作疟治以误人也;如伤食饭面,
加神曲一钱,麦芽五分;如伤肉,加山楂、砂仁各五分;如停食日久,脾胃弱甚,虽药不运化,凡
药之外用,操按炒曲烫法。伤食肉,误服消导药多,绝谷几日者,宜服后方。
长生活命丹 治多服消导药,绝食症、杂症,误消耗绝食,亦可治之。
人参三钱,水一钟半,煎至半钟,先用一盏饭,锅焦研粉三匙,渐渐加参汤,锅焦引开胃气,
自能开胃健脾,进饮食。
大抵饮食者充虚之滋味,而产后藉此以补助也。因劳倦伤脾,不胜甘饮,薄味渐进,运化易速,
再兼助服温补之剂,佐以神曲、麦芽以消饭面之伤,山楂、砂仁以化肉物之
伤;如伤寒冷之物,吴萸、桂枝亦当加也。如此补消并治,无有不安,屡见治不重产虚弱,惟知达消
停物、反损真气,益增满闷,一帖不效,又加峻药,致使少食思谷之人,反虚虚而绝谷矣。病家自归于
数命,医者以为尽力救,惜哉!
产后出现寒热往来,每天按时发作,症状类似疟疾,但绝不可使用治疗疟疾的方药。这是因为气血虚弱导致寒热发作,元气衰弱使得外邪容易入侵。虽然寒冷袭来时,即使有汤火也不能使其温暖;发热严重时,如同燃烧的火炭,即使有冰水也不能使其凉爽。有时白天轻晚上重,或者在傍晚时分出现寒热。尽管所见症状与疟疾相似,但治疗方药必须采用滋养营血、益气的方法来退除寒热。如果有汗出,应当立即止汗,可使用麻黄根等方剂;如果只有头部出汗而身体和双脚无汗,这是阳气孤立、阴气断绝的危险证候,切勿只偏服人参而减少补血药物,应当加入地黄、川芎当归的药剂。如果出现头痛且无汗,适宜在生化汤中加入羌活、防风、连须葱白、大枣数枚以发散邪气,千万不要当作疟疾来治疗以免误人;如果是饮食积滞于米面食物,加入神曲一钱、麦芽五分;如果是肉食积滞,加入山楂、砂仁各五分;如果是停食时间长久,脾胃极度虚弱,即使服药也无法运化吸收,对于这种情况,凡涉及药物的外用处理,可采用搓按、炒曲、烫法等手法。如果是肉食积滞,因误服过多消导药物,导致几天不吃东西的人,适宜服用下方的“长生活命丹”。
长生活命丹:治疗因多服消导药物导致的绝食症及其他杂症,以及因误治消耗导致的绝食情况,也可以治疗这些病症。
用人参三钱,加水一钟半,煎煮至半钟,先用一盏饭量,将锅焦研成粉末三匙,慢慢加入人参汤,锅焦能引导开启胃气,自然能够开胃健脾,促进饮食摄入。
大抵饮食是补充虚损的美味滋味,而产后借此来补助身体。因为劳倦损伤了脾脏,无法承受甘甜的饮料,应当从清淡的味道逐渐进补,这样运化容易迅速完成,再加上辅助服用温补的药剂,佐以神曲、麦芽来消除米面食物的积滞,山楂、砂仁来化解肉类的积滞;如果是受了寒冷之物,吴茱萸、桂枝也应当加入。如此补益与消导并治,没有不安全的,屡次见到那些不重视产后虚弱本质,只知道通达消导停滞之物,反而损害真气,增加胀闷感,一帖药无效,又加上峻猛的药物,致使原本就少食思谷的人,反而更加虚弱并导致绝食。病人自己归于命运,医生自以为尽力救治,可惜啊!
Postpartum chills and fever alternating, occurring daily at regular intervals, with symptoms resembling malaria; however, one must absolutely not use herbal prescriptions for treating malaria. This is because deficiency of blood and qi causes chills and fever to arise, and weakness of primordial qi allows external pathogens to invade. Although when chills come, even boiling water or fire cannot warm the body, and when fever burns like charcoal, even ice water cannot cool it; sometimes symptoms are lighter during the day and heavier at night, or chills and fever appear in the late afternoon (Bing hour). Although the observed symptoms are similar to malaria, the treatment prescription must employ nourishing Ying (nutritive) blood and replenishing Qi to retreat the chills and fever. If sweating occurs, sweat should be stopped urgently, such as using formulas containing Mahuang Gen (Ephedrae Caulis Et Rhizoma); if only the head sweats while the body and feet do not, this is a critical condition of isolated Yang and severed Yin; one must never take only Renshen (Ginseng Radix et Rhizoma) while reducing blood-nourishing herbs, but should add preparations containing Dihuang (Rehmanniae Radix) and Chuan Gui (Angelicae Sinensis Radix). If headache occurs without sweating, it is appropriate to add Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Lianxu (Scallion Stamen), Congbai (Scallion White), and several Jujubae Fructus (Ziziphus Jujuba) to Shenghua Tang (Shenghua Decoction) to disperse the pathogen; one must strictly avoid treating it as malaria to prevent harming people. If food stagnation involves rice and noodles, add Shenqu (Massa Medicata Fermentata) 1 qian and Maiya (Hordei Fructus Germinatus) 5 fen; if meat stagnation occurs, add Shan Zha (Crataegi Fructus) and Sharen (Amomi Fructus Rotundus) each 5 fen; if food retention has lasted long and the Spleen and Stomach are extremely weak, so that even medicine cannot be transformed and transported, for external applications involving drugs, methods such as rubbing, roasting Qu (fermented grain), and scalding can be used. For meat stagnation caused by taking too many digestive-promoting drugs, resulting in fasting for several days, the following formula "Changsheng Huoming Dan" is suitable.
Changsheng Huoming Dan (Long Life and Vitality Pill): Treats conditions of anorexia/food refusal due to excessive intake of digestive-promoting drugs, various miscellaneous diseases, and food refusal caused by mistaken depletion. It can also treat these conditions.
Use Renshen (Ginseng Radix et Rhizoma) 3 qian, add 1.5 zhong of water, decoct until half a zhong remains. First, take one bowl of rice, grind the scorched rice crust (Guojiao) into powder, three spoonsful, and gradually add the Ginseng decoction. Guojiao guides and opens the Stomach Qi, naturally opening the appetite and strengthening the Spleen, promoting food intake.
Generally speaking, food and drink are flavors that fill deficiencies, and postpartum women rely on them for supplementation. Because fatigue and overwork injure the Spleen, making it unable to bear sweet drinks, one should advance with thin and bland flavors gradually, so that transformation and transportation are easier and faster. Additionally, assist with warming and tonifying agents, accompanied by Shenqu and Maiya to digest rice and noodle injuries, and Shan Zha and Sharen to resolve meat injuries; if injured by cold substances, Wuyu (Evodiae Fructus) and Guizhi (Cinnamomi Ramulus) should also be added. Thus, tonification and digestion are treated simultaneously, ensuring safety. Repeatedly, I have seen practitioners who do not emphasize the fundamental weakness of the postpartum state, knowing only how to promote the discharge of stagnant matter, which反而 (instead) damages True Qi and increases fullness and oppression. When one dose is ineffective, they add harsh drugs, causing those who already eat little and crave grains to become doubly deficient and cease eating entirely. Patients attribute this to fate, while physicians believe they have done their best to save them. What a pity!