夫死生皆有三日也,古时妇人产,下地坐草,法如就死也。即得生产,谓之免难也。亲
属将猪肝来庆之,以猪肝补养,五日内伤绝也,非庆其儿也。
妇人产后盈月者,以其产生,身经暗秽,血露未净,不可出户牖、至井灶所也,亦不朝
神祗及祠祀也。盈月者,非为数满三十日,是跨月故也。若是正月产,跨二月入三月,是跨
月耳。
妇人产时,骨分开解,是以子路开张,儿乃得出耳。满百日乃得完合平复也。妇人不自
知,唯盈月便云是平复,合会阴阳,动伤百脉,则为五劳七伤之疾。
治产后而乳无汁者,下乳散方最验。
钟乳(五分) 通草(五分) 漏芦(二分) 桂心(二分) 栝蒌(一分) 甘草(一
分)
凡六物,捣筛,饮服方寸匕,日三。
又方
石膏三两,以水三升,煮三沸,一日饮令尽,良。
产后虚羸,令人肥白健壮。
羊脂(二斤) 生地黄汁(一斗) 姜汁(五升) 白蜜(三升)
煎如饴,温酒服一杯,日三。
治产后漏血不息方。
蜂房 故KT 船竹茹
凡二物,分等,皆烧末,以酪及浆服方寸匕,日三。
治产后小便不禁方。
取鸡子烧作灰,酒服,日三。
治产后遗尿,不知出方。
白薇 芍药(各一分)
上二味,捣散,以酒服方寸匕,日三。
治产后遗尿,不知出时方。
取胡燕巢中草烧末,服半钱匕,水酒无在,亦治男子。
又方
取矾石、牡蛎分等,下筛,酒服方寸匕,日三。
治产后小便数方。
取衣、书中白鱼虫三十枚,末之,以绵裹纳阴中,良。
治产后阴脱方。
以铁精敷上,多少令调,以火炙布令暖,熨肛上,渐纳之。
又方
用鳖血,烧地令热,血着上,使病患坐之,良。
治产后中风冷,成肿欲死方。
取鼠壤四升,熬令热,以囊贮,着腹上,亦着阴上下,使热气入腹中,良。
大豆紫汤,主妇人产后中风,困笃,或背强口噤,或但烦热,苦渴,或头身皆重,或身
痒,剧者呕逆直视,此皆因风冷湿所为方。
大豆三升,炒令炮断,预取器盛清酒五升,沃热,豆中讫,漉去豆,得余汁尽服之。温
覆取微汗出,身体才润则愈。一以去风,二则消血结云。周德成妻妊胎,触KT 因伤折,
胎死在腹中三日,困笃,服此酒即瘥。后治无不佳。
治产后中寒,风痉,通身冷,直口噤不知人方。
白术四两,酒三升,煮取一升,去滓,顿服。忌桃李、雀肉等。
治产后中风,虚人不可服它药者,一物若独活汤主之,及一物白藓汤主之,亦可与独活
合煮之方。
独活三两,以水三升,煮取一升,分服,奈酒者,亦可酒、水等煮之。用白藓皮亦根据此
法。
治产后风虚方。
独活、白藓皮各三两,水三升,煮三升,分三服。耐酒者,入酒同煮。
治产后中风、语涩,四肢拘急方。
羌活三两,为末,每服五钱,水、酒各半盏,煎去滓,温服。
治产后忽痉,口噤面青,手足强及张者方。
与竹沥汁一升即醒,中风者尤佳。
治产后中柔风,举体疼痛,自汗出者,及余百疾方。
独活(八两) 当归(四两)
上二味, 咀,以酒八升,煮取四升,去滓,分四服,日三夜一,取微汗。若上气者,
加桂心二两,不瘥更作。
自古以来,人的生死都有定数。古代妇女分娩时,直接坐在草垫上生产,其情景如同面临死亡一般。顺利生下孩子,被称为“免难”(免除灾难)。亲属拿着猪肝来祝贺,是用猪肝来补养身体,因为产后五天内身体极度虚弱,并非为了庆祝婴儿诞生。
产后满一个月期间,由于生产过程导致身体经过污秽之物,恶露未净,此时不能走出家门窗户,也不能到水井和灶台所在之处,更不能祭拜神灵和进行祭祀活动。“盈月”并非指整整三十天,而是指跨越了月份。例如正月生产,跨入二月再进入三月,这称为“跨月”。
妇女分娩时,骨骼关节分开松弛,因此骨盆开张,胎儿才能产出。直到满一百天,身体才能完全恢复如初。妇女自己往往不知道这一点,只要满月就声称已经康复,于是行房事以调和阴阳,这样会损伤百脉,从而引发五劳七伤的疾病。
治疗产后乳汁不通的方子,下乳散最为有效。
钟乳石(五分) 通草(五分) 漏芦(二分) 桂心(二分) 栝楼(一分) 甘草(一分)
以上六味药,捣碎过筛,用温水送服一方寸匕的药粉,每日三次。
另一个方子:
石膏三两,用水三升,煮至沸腾三次,一天内喝完,效果良好。此方可使产后虚弱的妇女变得肥白健壮。
羊脂(二斤) 生地黄汁(一斗) 姜汁(五升) 白蜜(三升)
煎煮成饴糖状,用温酒送服一杯,每日三次。
治疗产后漏血不止的方子。
蜂房 故KT(注:原文此处可能有误或为特定药材代称,依原文保留) 船竹茹(注:疑为竹茹之误,依原文保留)
以上两味药,等分,都烧成炭末,用酪浆送服一方寸匕,每日三次。
治疗产后小便失禁的方子。
取鸡蛋烧成灰,用酒送服,每日三次。
治疗产后遗尿,不知何时排尿的方子。(原文标注“不知出方”,意为无现成方剂或需斟酌,但列出了药物)
白薇 芍药(各一分)
以上两味药,捣碎成散剂,用酒送服一方寸匕,每日三次。
治疗产后遗尿,不知何时排尿的另一个方子。
取胡燕巢中的草烧成末,服用半钱匕的量,用水或酒送服均可,此方也可用于治疗男子。
另一个方子:
取矾石、牡蛎等分,研细过筛,用酒送服一方寸匕,每日三次。
治疗产后小便频数的方子。
取旧衣服、书中白色的鱼虫(衣鱼/蠹虫)三十枚,研成末,用棉布包裹塞入阴道内,效果良好。
治疗产后子宫脱垂的方子。
用铁精敷在患处,多少适中,用火烤热布巾,熨烫肛门部位,逐渐将脱出物纳回。
另一个方子:
用鳖血,烧热地面,让血附着在地面上,让患者坐在上面,效果良好。
治疗产后感受风寒邪气,导致肿胀欲死的方子。
取鼠洞里的土四升,炒热,用袋子装好,放在腹部上,也放在阴部上下,使热气进入腹中,效果良好。
大豆紫汤,主治妇人产后中风,病情危重,或者背部僵硬口噤不开,或者只是烦热、口渴严重,或者头身沉重,或者身上发痒,严重的出现呕吐逆气、直视不动,这些都是因风冷湿邪引起的方剂。
大豆三升,炒至爆裂,预先准备好容器盛放清酒五升,趁热倒入豆中,滤去豆渣,将剩下的汁液全部喝下。温覆身体使其微微出汗,身体刚湿润即可痊愈。此方一可祛风,二可消散血结。周德成的妻子怀孕时,触碰到KT(注:原文可能有误,疑为某种物体或动作),因而受伤骨折,胎死腹中三天,病情危重,服用此酒后痊愈。后来治疗其他类似病症没有不好的效果。
治疗产后中寒邪,引起风痉,全身冰冷,牙关紧闭不省人事的方子。
白术四两,酒三升,煮取一升,去渣,一次性服下。忌食桃李、雀肉等。
治疗产后中风,体质虚弱不能服用其他药物的,可用独活汤单方主治,以及白藓皮汤单方主治,也可以将独活与其他药合煮的方子。
独活三两,用水三升,煮取一升,分次服用。能喝酒的人,也可以用酒和水等量一起煮。使用白藓皮也依据这种方法。
治疗产后风虚的方子。
独活、白藓皮各三两,水三升,煮取三升(注:原文逻辑似有重复或笔误,通常应为煮取较少量,此处依原文直译),分三次服用。能喝酒的人,加入酒同煮。
治疗产后中风、言语涩滞,四肢拘急的方子。
羌活三两,研成末,每次服用五钱,水和酒各半盏,煎煮去渣,温服。
治疗产后突然发生痉挛,牙关紧闭面色青紫,手足强直张开的方子。
给予竹沥汁一升即可苏醒,对于中风患者尤其效果好。
治疗产后感受柔风,全身疼痛,自汗出的,以及其余各种疾病的方子。
独活(八两) 当归(四两)
以上两味药,切碎,用酒八升,煮取四升,去渣,分四次服用,每日三次夜间一次,以求微微出汗。如果有上气症状的,加桂心二两,如果不好转再重新制作。
Since ancient times, life and death have their fixed destiny. In ancient times, women gave birth by sitting directly on grass mats, a scene akin to facing death. Successfully delivering the child was called "Mian Nan" (escaping disaster). Relatives would bring pork liver to congratulate, using it for nourishment because the body is extremely weak within five days postpartum, not merely to celebrate the birth of the infant.
During the month following childbirth, due to the delivery process involving exposure to filth and uncleaned lochia, one should not step out of the house or windows, nor go to wells or stoves, nor worship deities or perform sacrifices. "Ying Yue" (full moon/month) does not strictly mean thirty days, but rather crossing into a new lunar month. For example, giving birth in the first month and entering the second then third month constitutes "crossing months."
During childbirth, bones and joints separate and loosen, causing the pelvis to open so the fetus can be delivered. It takes one hundred days for the body to fully recover to its pre-pregnancy state. Women often do not realize this; believing they are recovered once a month has passed, they engage in sexual intercourse to harmonize Yin and Yang. This damages the hundred vessels, leading to illnesses of "Wu Lao Qi Shang" (Five Exhaustions and Seven Injuries).
For treating postpartum lack of milk secretion, Xia Ru San (Breast Milk Dispersing Powder) is most effective.
Zhu Ru Shi (Calcitrum, 钟乳) [5 fen], Tong Cao (Tetrapanacis Medulla, 通草) [5 fen], Lou Lu (Euphorbiae Humifusae Radix, 漏芦) [2 fen], Gui Xin (Cinnamomi Cortex, 桂心) [2 fen], Gua Lou (Trichosanthis Fructus, 栝楼) [1 fen], Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) [1 fen].
The above six herbs are crushed and sifted. Take one Fang Cun Bi (a traditional measuring spoon) with warm water, three times daily.
Another prescription:
Shi Gao (Gypsum Fibrosum, 石膏) 3 liang, boiled in 3 sheng of water until boiling three times. Drink all within one day. This is effective and can make postpartum emaciated women become plump and healthy.
Yang Zhi (Porcine Adiposum, 羊脂) 2 jin, Sheng Di Huang Zhi (Jucii Radix Juice, 生地黄汁) 1 dou, Jiang Zhi (Zingiberis Recensis Juice, 姜汁) 5 sheng, Bai Mi (Mel, 白蜜) 3 sheng.
Boil until resembling maltose syrup. Take one cup with warm wine, three times daily.
Prescription for postpartum continuous bleeding (Lou Xue):
Feng Fang (Apis Nests, 蜂房), Gu KT (Note: Textual error or specific term, retained as is), Chuan Zhu Ru (Bambusae Caulis in Taeniam, 船竹茹 - likely a variant/error for Bamboo Sheath).
The above two items (assuming Feng Fang and another), equal parts, burned to ash. Take one Fang Cun Bi with dairy whey or sour juice, three times daily.
Prescription for postpartum urinary incontinence:
Take chicken eggs, burn them to ash, take with wine, three times daily.
Prescription for postpartum enuresis (involuntary urination without awareness):
Bai Wei (Cynanchi Atrati Radix, 白薇), Shao Yao (Paeoniae Radix Alba, 芍药) [each 1 fen].
The above two herbs are crushed into powder. Take one Fang Cun Bi with wine, three times daily.
Another prescription for postpartum enuresis:
Take grass from swallow nests, burn to ash. Take half Qian Bi (a small measuring spoon) with water or wine. This also treats men.
Another prescription:
Take Fan Shi (Alumen, 矾石) and Mu Li (Ostreae Concha, 牡蛎) in equal parts, sift finely. Take one Fang Cun Bi with wine, three times daily.
Prescription for postpartum frequent urination:
Take old clothes and white bookworms (Yi Yu, 衣鱼) from books, 30 pieces. Crush into powder, wrap in cotton, and insert into the vagina. Effective.
Prescription for postpartum uterine prolapse (Yin Tuo):
Apply Tie Jing (Ferrum, 铁精) to the affected area. Heat a cloth with fire, apply heat compress to the anus, and gradually push the prolapsed part back inside.
Another prescription:
Use Bie Xue (Trionycis Sanguis, 鳖血). Heat the ground, let the blood adhere to it, and have the patient sit on it. Effective.
Prescription for postpartum wind-cold invasion causing severe swelling and distress:
Take soil from mouse holes, 4 sheng. Roast until hot, store in a bag, place on the abdomen and around the genitalia to allow heat to enter the abdomen. Effective.
Da Dou Zi Tang (Black Soybean Decoction) primarily treats postpartum wind-stroke with critical condition, such as back stiffness and lockjaw, or merely irritability, fever, severe thirst, heaviness of head and body, itching, or in severe cases, vomiting, regurgitation, and staring fixedly. These are caused by wind, cold, and dampness.
Da Dou (Sojae Semen Praeparatum, 大豆) 3 sheng, stir-fried until popping. Pre-prepare a vessel with 5 sheng of clear wine. Pour hot wine over the beans. Strain out the beans and drink all the remaining liquid. Cover warmly to induce slight sweating. Recovery occurs when the body is just moist. This formula expels wind and dissipates blood stasis. Example: Wife of Zhou Decheng touched something during pregnancy, suffered injury/fracture, fetus died in uterus for three days, critical condition. After taking this wine, she recovered. Subsequent treatments were also successful.
Prescription for postpartum cold invasion causing wind-spasm, whole-body coldness, lockjaw, and unconsciousness:
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 白术) 4 liang, Jiu (Wine, 酒) 3 sheng. Boil to obtain 1 sheng. Remove dregs and take at once. Avoid peaches, plums, sparrow meat, etc.
For postpartum wind-stroke in deficient patients who cannot take other medicines, use Du Huo Tang (Angelicae Pubescentis Decoction) alone, or Bai Xian Tang (Dictamni Decoction) alone, or a combined decoction of Du Huo.
Du Huo (Angelicae Pubescentis Radix, 独活) 3 liang, boiled in 3 sheng of water to obtain 1 sheng. Divide into doses. If tolerant of alcohol, boil with equal parts water and wine. Bai Xian Pi (Dictamni Cortex, 白藓皮) follows the same method.
Prescription for postpartum wind-deficiency:
Du Huo (Angelicae Pubescentis Radix, 独活) and Bai Xian Pi (Dictamni Cortex, 白藓皮) each 3 liang. Boil in 3 sheng of water to obtain 3 sheng (Note: Textual anomaly, likely meant reduce volume). Divide into three doses. If tolerant of alcohol, add wine and boil together.
Prescription for postpartum wind-stroke with slurred speech and limb rigidity:
Qiang Huo (Notopterygii Rhizoma et Radix, 羌活) 3 liang, crush into powder. Take 5 qian per dose. Boil with half cup water and half cup wine, remove dregs, take warm.
Prescription for sudden postpartum spasm, lockjaw, cyanotic face, and rigid limbs:
Administer 1 sheng of Zhu Li (Bambusae Sap, 竹沥) to restore consciousness. Especially good for wind-stroke.
Prescription for postpartum soft-wind invasion causing whole-body pain and spontaneous sweating, as well as other diseases:
Du Huo (Angelicae Pubescentis Radix, 独活) 8 liang, Dang Gui (Angelicae Sinensis Radix, 当归) 4 liang.
Chop the above two herbs. Boil in 8 sheng of wine to obtain 4 sheng. Remove dregs. Divide into four doses. Take three times daily and once at night, aiming for slight sweating. If there is rebellious Qi, add Gui Xin (Cinnamomi Cortex, 桂心) 2 liang. If not cured, prepare again.