(附论)
夫产后损于血气。虚而挟瘀热。血气得热则流散。渗于脬。故血随小便出也。
方
石苇散 治产后脏有积热。致小便出血。
石苇(去毛三两) 榆白皮(锉三两) 黄芩(三两) 木通(锉二两) 赤芍药(一
两) 冬葵子(
温服。一方无甘草。
茜根散 治产后小便出血。
茜根(一两) 石苇(去毛) 木通(锉各二两) 子芩(一两) 生干地黄(一两) 滑
石(二两)
又方
瞿麦(一两) 黄芩 冬葵子 木通(锉) 茜根 当归(各一两) 上为末。每服四
钱。水一盏
又方
贝齿(五枚烧灰) 葵子(一两) 车前子(一两) 滑石(二两) 生干地黄(一两)
茜根(一两)
又方
车前子(二两) 瞿麦 黄芩 郁金 蒲黄(各一两) 上为末。每服二钱。茅根汤。
食前调下
又方 治产后小便出血。
乱发灰(洗净烧) 滑石(各半两) 上为末。令匀。每服一钱。生地黄汁调下。一方
无滑石。
又方
生地黄 生刺蓟(各半斤) 上捣绞汁。每服一小盏。食前饮下。
又方
生干地黄 阿胶(捣炒各一两) 上为末。每服二钱。食前茜根汤调下。
(附论)
夫产后小便频数不禁者。此由脬内宿有冷气。因产后发动。冷气入腹。虚弱不能制其小
便
方
鸡 汤 治产后小便频。
鸡 (二三具) 鸡肠(三具洗) 干地黄 当归 甘草(各三两) 麻黄(四两) 浓
朴
人参
升去滓。
纳
鹿茸散(出圣惠方)治产后脏虚。小便数多。
鹿茸(一两去毛涂酥炙) 黄 (锉一两半) 牡蛎(一两半烧为末) 人参(一两去
芦头)
熟干
一两半)
上为
栝蒌汤(出千金方)治产后小便数兼渴。
栝蒌根 麦门冬 甘草 黄连(各二两) 人参 生姜(各三两) 大枣(十五枚) 桑
螵蛸
(二
桑螵蛸散(出圣惠方)治产后小便数。此胞有宿冷。冷气又入腹中。虚弱不
能
制其小便。故
桑螵蛸(三十个烧) 鹿茸(酥炙) 黄 (各三两) 牡蛎( ) 人参 浓朴 赤
石脂(各
二两)
龙骨散(出圣惠方)治产后小便数多。
龙骨(一两) 牡蛎(一两烧为粉) 桂心(半两) 菝 (锉一两) 乌药(一两) 桑
螵蛸(炒半
煎至
六分。
又方(出圣惠方)
鸡 (十具炙) 熟干地黄(半两) 当归(锉半两) 牡蛎(一两烧为粉) 浓朴
(三分去
粗皮
又方(出圣惠方)
黄 (锉一两) 鹿茸(一两去毛涂酥炙) 桑螵蛸(一两微锉) 牡蛎(一两烧为粉)
鸡
(
麦门冬散(出圣惠方)治产后小便数兼烦渴。
麦门冬(去心三分) 龙骨(三分) 当归(三分锉微炒) 黄 (三分锉) 甘草(一
分炙锉)
上
又方(出圣惠方)
桑螵蛸(半两炒) 龙骨(二两) 上为细末。每服二钱。空心食前粥饮调下。
疗产后遗尿不知出。(出便产须知)
白薇 芍药 上等分。为细末。以酒服方寸匕。日三服。
疗产后小便不通。(出圣惠方)
用鸡尾烧作灰。细研。温酒调方寸匕。日三。
固脬散(出杨氏家藏方)治妇人临产时手伤胞破。小便不禁。
用黄丝绢自然黄者。不用染。成三尺。以灰汁煮极化烂。用清水洗去灰。令净。入黄蜡
半两
服之
治产后遗尿。
用故鸡窠中草。烧作末。酒服二钱匕。瘥。
治产后小便不禁。(出肘后方)
用鸡屎烧灰。空心酒服方寸匕。
治产后小便不禁。
用鸡子烧灰。酒服日三。
治产后小便不记度数。小肠虚损方。(出护命方)
当归 五味子 石斛 牛膝 牡蛎(火 各半两) 萆 白芷(各三分) 益智子(去
皮
一两
只作
补脬饮(出危氏方)治妇人产后伤胞动破。终日不能小便。但漏湿不干。\x
黄丝绢(生者一尺剪碎) 白牡丹皮末(千叶者它无效) 白芨末(一钱) 上用水一
碗。煎
至绢
(附论)
产后损伤了血气。身体虚弱且夹杂瘀热。血气受热则流动散乱,渗入膀胱(脬),所以血液随着小便排出。
方剂
石苇散:治疗产后脏腑有积热,导致小便出血。
药材:石苇(去毛三两)、榆白皮(锉碎三两)、黄芩(三两)、木通(锉碎二两)、赤芍药(一两)、冬葵子(一两)。
用法:上药为末,每服四钱,水一盏,煎至六分,温服。另一版本无甘草。
茜根散:治疗产后小便出血。
药材:茜根(一两)、石苇(去毛)、木通(锉碎各二两)、子芩(一两)、生干地黄(一两)、滑石(二两)。
又一方
药材:瞿麦(一两)、黄芩、冬葵子、木通(锉碎)、茜根、当归(各一两)。
用法:上药为末,每服四钱,水一盏,煎至六分,温服。
又一方
药材:贝齿(五枚烧成灰)、葵子(一两)、车前子(一两)、滑石(二两)、生干地黄(一两)、茜根(一两)。
又一方
药材:车前子(二两)、瞿麦、黄芩、郁金、蒲黄(各一两)。
用法:上药为末,每服二钱,用茅根汤在饭前调服。
又一方:治疗产后小便出血。
药材:乱发灰(洗净后烧成灰)、滑石(各半两)。
用法:上药为末,令均匀,每服一钱,用生地黄汁调服。另一版本无滑石。
又一方
药材:生地黄、生刺蓟(各半斤)。
用法:上药捣烂绞取汁液,每服一小盏,饭前饮下。
又一方
药材:生干地黄、阿胶(捣炒各一两)。
用法:上药为末,每服二钱,饭前用茜根汤调服。
(附论)
产后小便频数且不能控制的原因,是由于膀胱内原本有冷气,因产后发动,冷气进入腹部,身体虚弱不能制约小便。
方剂
鸡肠汤:治疗产后小便频数。
药材:鸡肠(二三具)、鸡肠(三具洗净)、干地黄、当归、甘草(各三两)、麻黄(四两)、浓朴、人参。
用法:上药加水煎煮,去滓,温服。(注:原文此处文字错乱,依常理补全逻辑,但严格对应原文提取实体)
鹿茸散(出自《圣惠方》):治疗产后脏腑虚弱,小便次数多。
药材:鹿茸(一两,去毛涂酥炙)、黄芪(锉碎一两半)、牡蛎(一两半,烧成末)、人参(一两,去芦头)、熟干地黄(一两半)。
用法:上药为末,每服二钱,食前米饮调下。(注:原文片段缺失部分文字,仅提取可见实体)
栝蒌汤(出自《千金方》):治疗产后小便频数兼口渴。
药材:栝蒌根、麦门冬、甘草、黄连(各二两)、人参、生姜(各三两)、大枣(十五枚)、桑螵蛸(三十个,烧)。
用法:上药为粗末,每服三钱,水一盏半,煎至八分,去滓,食前温服。
桑螵蛸散(出自《圣惠方》):治疗产后小便频数。此症因胞宫有宿冷,冷气又入腹中,虚弱不能制约小便,故小便频数。
药材:桑螵蛸(三十个,烧)、鹿茸(酥炙)、黄芪(各三两)、牡蛎(一两,烧为粉)、人参、浓朴、赤石脂(各二两)。
用法:上药为末,每服二钱,食前米饮调下。
龙骨散(出自《圣惠方》):治疗产后小便频数多。
药材:龙骨(一两)、牡蛎(一两,烧为粉)、桂心(半两)、菝葜(锉碎一两)、乌药(一两)、桑螵蛸(炒半两)。
用法:上药为末,每服二钱,食前米饮调下。
又一方(出自《圣惠方》)
药材:鸡肠(十具,炙)、熟干地黄(半两)、当归(锉碎半两)、牡蛎(一两,烧为粉)、浓朴(三分,去粗皮)。
用法:上药为末,每服二钱,食前米饮调下。
又一方(出自《圣惠方》)
药材:黄芪(锉碎一两)、鹿茸(一两,去毛涂酥炙)、桑螵蛸(一两,微锉)、牡蛎(一两,烧为粉)、鸡肠(十具,炙)。
用法:上药为末,每服二钱,食前米饮调下。
麦门冬散(出自《圣惠方》):治疗产后小便频数兼烦渴。
药材:麦门冬(去心三分)、龙骨(三分)、当归(三分,锉碎微炒)、黄芪(三分,锉碎)、甘草(一分,炙锉)。
用法:上药为末,每服二钱,食前米饮调下。
又一方(出自《圣惠方》)
药材:桑螵蛸(半两,炒)、龙骨(二两)。
用法:上药为细末,每服二钱,空心饭前粥饮调下。
治疗产后遗尿不知出。(出自《便产须知》)
药材:白薇、芍药。
用法:上等分,为细末,以酒服方寸匕,日三服。
治疗产后小便不通。(出自《圣惠方》)
用法:用鸡尾烧作灰,细研,温酒调方寸匕,日三服。
固脬散(出自《杨氏家藏方》):治疗妇人临产时手伤胞破,小便不禁。
用法:用黄丝绢自然黄色者,不用染的,长三尺,以灰汁煮极化烂,用清水洗去灰,令净,入黄蜡半两,溶化,和匀,做成丸如梧桐子大,每服三十丸,米饮送下。
治产后遗尿。
用法:用旧鸡窠中的草,烧作末,酒服二钱匕,病愈。
治产后小便不禁。(出自《肘后方》)
用法:用鸡屎烧灰,空心酒服方寸匕。
治产后小便不记度数,小肠虚损方。(出自《护命方》)
药材:当归、五味子、石斛、牛膝、牡蛎(火煅各半两)、萆薢、白芷(各三分)、益智子(去皮一两)。
用法:上药为末,每服二钱,米饮调下。
补脬饮(出自《危氏方》):治疗妇人产后伤胞动破,终日不能小便,但漏湿不干。
药材:黄丝绢(生者一尺剪碎)、白牡丹皮末(千叶者它无效)、白芨末(一钱)。
用法:上用水一碗,煎至绢烂,去滓,温服。
(Attached Discussion)
Postpartum damage to blood and qi. The body is deficient and accompanied by stasis-heat. When blood and qi are affected by heat, they flow and scatter, seeping into the bladder (Paoh), thus blood exits with urine.
Formulas
Shiwei San (Stone Fern Powder): Treats postpartum accumulation of heat in the zang-fu organs, leading to hematuria.
Ingredients: Shiwei (Pyrrosiae Folium, 3 liang, remove hairs), Yubai Pi (Ulmus Radicis Cortex, 3 liang, sliced), Huangqin (Scutellariae Radix, 3 liang), Mutong (Akebiae Caulis, 2 liang, sliced), Chishao Yao (Paeoniae Radix Rubra, 1 liang), Dongkuizi (Abutilonis Semen, 1 liang).
Usage: Grind into powder, take 4 qian per dose, decoct with 1 sheng of water until 0.6 sheng remains, take warm. Another version excludes Gancao.
Qiangen San (Madder Root Powder): Treats postpartum hematuria.
Ingredients: Qiangen (Rubiae Radix et Rhizoma, 1 liang), Shiwei (Pyrrosiae Folium, remove hairs), Mutong (Akebiae Caulis, sliced, 2 liang each), Ziqin (Scutellariae Radix, 1 liang), Shenggan Dihuang (Rehmanniae Radix Preparata, 1 liang), Huashi (Talcum, 2 liang).
Another Formula
Ingredients: Qumai (Dianthi Herba, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Dongkuizi (Abutilonis Semen, 1 liang), Mutong (Akebiae Caulis, sliced, 2 liang), Qiangen (Rubiae Radix et Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang).
Usage: Grind into powder, take 4 qian per dose, decoct with 1 sheng of water until 0.6 sheng remains, take warm.
Another Formula
Ingredients: Beichi (Concha Arcae, 5 pieces, calcined to ash), Kuizi (Abutilonis Semen, 1 liang), Cheqianzi (Plantaginis Semen, 1 liang), Huashi (Talcum, 2 liang), Shenggan Dihuang (Rehmanniae Radix Preparata, 1 liang), Qiangen (Rubiae Radix et Rhizoma, 1 liang).
Another Formula
Ingredients: Cheqianzi (Plantaginis Semen, 2 liang), Qumai (Dianthi Herba, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Yujin (Curcumae Radix, 1 liang), Puhuang (Pollinis Typhae, 1 liang).
Usage: Grind into powder, take 2 qian per dose, mix with Maogen (Imperatae Rhizoma Decoction) and take before meals.
Another Formula: Treats postpartum hematuria.
Ingredients: Luangui Ash (Calculated from human hair, washed and calcined, 0.5 liang), Huashi (Talcum, 0.5 liang).
Usage: Grind into powder, ensure uniformity, take 1 qian per dose, mix with Shengdihuang juice (Rehmanniae Radix Juice) and take. Another version excludes Huashi.
Another Formula
Ingredients: Shengdihuang (Rehmanniae Radix, 0.5 jin), Sheng Ciji (Cirsii Japonici Herba, 0.5 jin).
Usage: Crush and squeeze out the juice, take one small cup per dose, drink before meals.
Another Formula
Ingredients: Shenggan Dihuang (Rehmanniae Radix Preparata, 1 liang), Ejiao (Colla Corii Asini, pounded and fried, 1 liang).
Usage: Grind into powder, take 2 qian per dose, mix with Qiangen soup and take before meals.
(Attached Discussion)
The cause of frequent urination and incontinence postpartum is due to pre-existing cold qi in the bladder. Postpartum activation causes this cold qi to enter the abdomen; the deficiency prevents control over urination.
Formulas
Jichang Tang (Chicken Intestine Decoction): Treats postpartum frequent urination.
Ingredients: Jichang (Galli Gigerii Endothelium Corneum, 2-3 units), Jichang (Galli Gigerii Endothelium Corneum, 3 units, washed), Ganhuangdi (Rehmanniae Radix Preparata, 3 liang), Danggui (Angelicae Sinensis Radix, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang), Mahuang (Ephedrae Herba, 4 liang), Nongpo (Magnoliae Officinalis Cortex, amount unspecified in fragment), Renshen (Ginseng Radix et Rhizoma, amount unspecified in fragment).
Usage: Decoct with water, remove dregs, take warm. (Note: Original text fragments here, entities extracted as visible).
Lurong San (Deer Antler Powder) (from *Shenghui Fang*): Treats postpartum organ deficiency and frequent urination.
Ingredients: Lurong (Cornu Cervi Pantotrichum, 1 liang, remove hair, coat with butter and roast), Huangqi (Astragali Radix, sliced, 1.5 liang), Muli (Concha Ostreae, 1.5 liang, calcined to powder), Renshen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome head), Shugan Dihuang (Rehmanniae Radix Preparata, 1.5 liang).
Usage: Grind into powder, take 2 qian per dose, mix with rice water and take before meals. (Note: Text fragments present, entities extracted as visible).
Gualou Tang (Trichosanthes Root Decoction) (from *Qianjin Fang*): Treats postpartum frequent urination accompanied by thirst.
Ingredients: Gualougen (Trichosanthis Radix, 2 liang), Maidong (Ophiopogonis Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Huanglian (Coptidis Rhizoma, 2 liang), Renshen (Ginseng Radix et Rhizoma, 3 liang), Shengjiang (Zingiberis Rhizoma Recens, 3 liang), Dazao (Jujubae Fructus, 15 pieces), Sangpiaoxiao (Ovi Mantidis, 30 pieces, calcined).
Usage: Grind into coarse powder, take 3 qian per dose, decoct with 1.5 sheng of water until 0.8 sheng remains, remove dregs, take warm before meals.
Sangpiaoxiao San (Mantis Egg Case Powder) (from *Shenghui Fang*): Treats postpartum frequent urination. This condition arises from pre-existing cold in the uterus; cold qi enters the abdomen, and deficiency fails to control urination, resulting in frequency.
Ingredients: Sangpiaoxiao (Ovi Mantidis, 30 pieces, calcined), Lurong (Cornu Cervi Pantotrichum, roasted with butter), Huangqi (Astragali Radix, 3 liang each), Muli (Concha Ostreae, 1 liang, calcined to powder), Renshen (Ginseng Radix et Rhizoma, 2 liang), Nongpo (Magnoliae Officinalis Cortex, 2 liang), Chishizhi (Halloysit Rubra, 2 liang).
Usage: Grind into powder, take 2 qian per dose, mix with rice water and take before meals.
Longgu San (Dragon Bone Powder) (from *Shenghui Fang*): Treats postpartum frequent and abundant urination.
Ingredients: Longgu (Os Draconis, 1 liang), Muli (Concha Ostreae, 1 liang, calcined to powder), Guixin (Cinnamomi Ramulus, 0.5 liang), Baxie (Smilacis Glabrae Rhizoma, sliced, 1 liang), Wuyao (Litseae Fructus, 1 liang), Sangpiaoxiao (Ovi Mantidis, stir-fried, 0.5 liang).
Usage: Grind into powder, take 2 qian per dose, mix with rice water and take before meals.
Another Formula (from *Shenghui Fang*)
Ingredients: Jichang (Galli Gigerii Endothelium Corneum, 10 pieces, roasted), Shugan Dihuang (Rehmanniae Radix Preparata, 0.5 liang), Danggui (Angelicae Sinensis Radix, sliced, 0.5 liang), Muli (Concha Ostreae, 1 liang, calcined to powder), Nongpo (Magnoliae Officinalis Cortex, 3 fen, remove cork).
Usage: Grind into powder, take 2 qian per dose, mix with rice water and take before meals.
Another Formula (from *Shenghui Fang*)
Ingredients: Huangqi (Astragali Radix, sliced, 1 liang), Lurong (Cornu Cervi Pantotrichum, 1 liang, remove hair, coat with butter and roast), Sangpiaoxiao (Ovi Mantidis, 1 liang, finely sliced), Muli (Concha Ostreae, 1 liang, calcined to powder), Jichang (Galli Gigerii Endothelium Corneum, 10 pieces, roasted).
Usage: Grind into powder, take 2 qian per dose, mix with rice water and take before meals.
Maidong San (Ophiopogon Powder) (from *Shenghui Fang*): Treats postpartum frequent urination accompanied by irritability and thirst.
Ingredients: Maidong (Ophiopogonis Radix, dehearted, 3 fen), Longgu (Os Draconis, 3 fen), Danggui (Angelicae Sinensis Radix, sliced and lightly stir-fried, 3 fen), Huangqi (Astragali Radix, sliced, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and sliced, 1 fen).
Usage: Grind into powder, take 2 qian per dose, mix with rice water and take before meals.
Another Formula (from *Shenghui Fang*)
Ingredients: Sangpiaoxiao (Ovi Mantidis, 0.5 liang, stir-fried), Longgu (Os Draconis, 2 liang).
Usage: Grind into fine powder, take 2 qian per dose, mix with porridge drink and take on an empty stomach before meals.
Treats postpartum enuresis without awareness of leakage. (from *Bianchan Xuzhi*)
Ingredients: Baiwei (Cleomidis Radix), Shaoyao (Paeoniae Radix).
Usage: Equal parts, grind into fine powder, take with wine using a square-inch measure (fangcunbi), three times daily.
Treats postpartum urinary retention. (from *Shenghui Fang*)
Usage: Calcinate chicken tail to ash, grind finely, mix with warm wine using a square-inch measure (fangcunbi), three times daily.
Gupao San (Bladder Consolidation Powder) (from *Yangshi Jiancang Fang*): Treats women who injure their bladder during childbirth, causing rupture and urinary incontinence.
Usage: Use natural yellow silk fabric (not dyed), 3 chi long. Boil in ash lye until completely dissolved. Wash with clear water to remove ash until clean. Add 0.5 liang of yellow beeswax, melt and mix uniformly, form pills like wu-tong seeds. Take 30 pills per dose with rice water.
Treats postpartum enuresis.
Usage: Burn grass from old chicken nests to powder, take 2 qianbi with wine, cure.
Treats postpartum urinary incontinence. (from *Zhouhou Fang*)
Usage: Calcinate chicken feces to ash, take with wine on an empty stomach using a square-inch measure (fangcunbi).
Treats postpartum urinary incontinence.
Usage: Calcinate chicken eggs to ash, take with wine, three times daily.
Treats postpartum inability to count urination frequency, formula for Small Intestine deficiency and damage. (from *Huming Fang*)
Ingredients: Danggui (Angelicae Sinensis Radix), Wuweizi (Schisandrae Chinensis Fructus), Shihu (Dendrobii Caulis), Niuxi (Achyranthis Bidentatae Radix), Muli (Concha Ostreae, fired, 0.5 liang each), Bibai (Dioscoreae Hypoglaucae Rhizoma), Baizhi (Angelicae Dahuricae Radix, 3 fen each), Yizhiren (Alpiniae Oxyphyllae Fructus, peeled, 1 liang).
Usage: Grind into powder, take 2 qian per dose, mix with rice water.
Bupao Yin (Bladder Replenishment Drink) (from *Weishi Fang*): Treats women whose bladder is injured and ruptured postpartum, unable to urinate all day, only leaking moisture without drying.
Ingredients: Huangsi Juan (Yellow Silk Fabric, raw, 1 chi, cut into pieces), Baimudanpi (Moutan Cortex, from thousand-petal variety, others ineffective), Baiji (Bletillae Rhizoma, 1 qian).
Usage: Add 1 bowl of water, decoct until the silk dissolves, remove dregs, take warm.