(附论)
夫人忧愁思虑则伤心。心虚故邪从之。新产之人。内亡津液而血虚气弱。使人精神昏乱。
言
方
远志丸 治产后血虚。或因惊恐神志不宁。语言谬错。妄有所见。
远志(去心) 甘草(炙) 白茯苓(去黑皮) 桂(去粗皮) 白术 山芋 麦门冬
(去心焙) 人
两半) 干姜(炮一两)
十丸。煎人参汤下。空心。日
人参丸 治产后血虚语狂。卧起不安。妄有所见。
人参 茯神(去木锉) 羚羊角(镑炒) 芎 (各一两) 槟榔(锉三两) 桃仁(浸
去皮尖双
两) 枳壳(去瓤麸
汤下。空心日午夜卧
羊肾汤 治产后血虚。心气不足。言语谬妄。眠卧不安。
羊肾(一双去脂细切以水三升煎至二升澄清) 远志(去心) 黄芩(去黑心) 防风
(去叉) 白
干地黄(焙各一两)上除羊肾外。粗捣筛。每服三钱。用肾汁一盏。煎至七分去滓。温服。
不拘时候。
茯苓丸 治产后血气虚。精神不安。言语错谬。
白茯苓(去黑皮) 菖蒲(各一两半) 人参 泽泻 熟干地黄(焙) 当归(切焙各
一两) 远志
炼蜜丸如梧桐子大。每服二十丸。煎人参汤下。不拘时候。
远志汤 治产后心虚。风邪所搏。言语妄乱。
远志(去心) 赤芍药 黄芩(去黑心) 白茯苓(去黑皮) 人参 防风(去叉) 独
活(去芦头)
煎至七分去滓。
茯苓散 疗产后狂语。志意不定。精神昏乱。由心气虚。为风邪所致。
茯苓(一方用茯神) 生地黄(各十二分) 远志(去心) 白薇 龙齿(各十分) 防
风人参
取三升。温分
分。甘草五分。
当归汤 治产后血气不调。言语谬乱。
当归(切焙) 人参 芍药 酸枣仁(去皮) 黄芩(去黑心) 白藓皮 甘草(炙锉
各一两) 上
麦门冬汤 治产后心虚。言语谬误。恍惚不安。
麦门冬(去心焙二两) 白茯苓(去黑皮一两半) 赤芍药 当归(切焙干) 人参 甘
草(炙锉
茯神汤 治产后血虚乱语。心志不宁。\x
茯神(去木二两) 人参 芍药(锉各一两半) 甘草(炙锉) 当归(切焙) 桂(去
粗皮各一两)
温服。不拘时。
(附论)
人如果忧愁思虑,就会损伤心脏。因为心气虚弱,所以邪气容易乘虚而入。刚生产完的女性,体内津液耗亡,导致血虚、气弱,使人精神昏沉混乱。
方剂:
远志丸:治疗产后血虚。或因惊恐导致神志不宁,言语错乱,产生幻觉妄见。
药材:远志(去除心)、甘草(炙烤)、白茯苓(去除黑皮)、桂枝(去除粗皮)、白术、山芋、麦门冬(去除心并焙干)、人参(各半两)、干姜(炮制一两)。
用法:制成十丸大小的药丸。用人参汤送服。空腹服用,每日一次,在半夜和午时睡觉前服用。
人参丸:治疗产后血虚导致的胡言乱语,卧起不安,产生幻觉妄见。
药材:人参、茯神(去除木质部分并锉碎)、羚羊角(镑片后炒制)、川芎(各一两)、槟榔(锉碎三两)、桃仁(浸泡后去皮尖,双仁者用)、枳壳(去除瓤麸,各一两)。
用法:用水煎煮。空腹服用,每日一次,在半夜和午时睡觉前服用。
羊肾汤:治疗产后血虚,心气不足,言语谬误狂妄,睡眠卧息不安。
药材:羊肾(一对,去除脂肪后细切,用水三升煎至二升,澄清取汁)、远志(去除心)、黄芩(去除黑心)、防风(去除叉状根头)、白术、干地黄(焙干,各一两)。
用法:除羊肾外,将其他药材粗捣筛过。每次服用三钱,用羊肾汁一盏,煎至七分,去渣滓。温服。不拘时间。
茯苓丸:治疗产后气血虚弱,精神不安,言语错乱谬误。
药材:白茯苓(去除黑皮)、石菖蒲(各一两半)、人参、泽泻、熟干地黄(焙干)、当归(切后焙干,各一两)、远志(去心)。
用法:炼蜜为丸,如梧桐子大小。每次服用二十丸,用人参汤送服。不拘时间。
远志汤:治疗产后心虚,风邪搏结,言语妄乱。
药材:远志(去除心)、赤芍药、黄芩(去除黑心)、白茯苓(去除黑皮)、人参、防风(去除叉状根头)、独活(去除芦头)。
用法:水煎至七分,去渣滓。
茯苓散:治疗产后狂言乱语,意志不定,精神昏乱。由心气虚弱,被风邪所致。
药材:茯苓(一方用茯神)、生地黄(各十二分)、远志(去除心)、白薇、龙齿(各十分)、防风、人参、甘草(五分)。
用法:水煎取三升,分三次温服。
当归汤:治疗产后气血不调,言语谬乱。
药材:当归(切后焙干)、人参、芍药、酸枣仁(去皮)、黄芩(去除黑心)、白鲜皮、甘草(炙烤锉碎,各一两)。
用法:上药共研或煎煮(原文此处略有残缺,依常规推断为煎服)。
麦门冬汤:治疗产后心虚,言语谬误,恍惚不安。
药材:麦门冬(去除心焙干二两)、白茯苓(去除黑皮一两半)、赤芍药、当归(切后焙干)、人参、甘草(炙烤锉碎)。
茯神汤:治疗产后血虚导致的乱语,心志不宁。
药材:茯神(去除木质部分二两)、人参、芍药(锉碎,各一两半)、甘草(炙烤锉碎)、当归(切后焙干)、桂枝(去除粗皮,各一两)。
用法:水煎温服。不拘时间。
(Attached Discussion)
If a person experiences sorrow and excessive thinking, the Heart is injured. Due to Heart deficiency, pathogenic factors easily invade. Women who have just given birth lose body fluids internally, resulting in Blood deficiency and Qi weakness, causing mental confusion and disorder.
Formulas:
Yuanzhi Wan (Polygalae Radix Pill): Treats postpartum Blood deficiency. It addresses cases where fright causes spiritual unrest, erroneous speech, and hallucinations.
Ingredients: Yuanzhi (Radix Polygalae, heart removed), Gancao (Radix Glycyrrhizae, honey-fried), Baifuling (Poria, black skin removed), Gui (Ramulus Cinnamomi, coarse bark removed), Baizhu (Rhizoma Atractylodis Macrocephalae), Shanyu (Rhizoma Dioscoreae), Maimendong (Radix Ophiopogonis, heart removed and roasted), Renshen (Radix Ginseng, each half tael), Ganjiang (Rhizoma Zingiberis Recens, processed, one tael).
Usage: Formed into pills of ten units. Taken with Renshen decoction. Taken on an empty stomach, once daily, before sleep at midnight and noon.
Renshen Wan (Ginseng Pill): Treats postpartum Blood deficiency leading to delirious speech, restlessness in lying down or rising, and hallucinations.
Ingredients: Renshen (Radix Ginseng), Fushen (Poria cum Radix Pinelliae, wood removed and crushed), Lingyangjiao (Cornu Saigae Tataricae, shaved and fried), Xiongqiong (Radix Chuanxiong), Binglang (Semen Arecae, crushed, three taels), Taoren (Semen Persicae, soaked, skin and tip removed, double kernels used), Zhike (Fructus Aurantii, pulp and bran removed, each one tael).
Usage: Decocted in water. Taken on an empty stomach, once daily, before sleep at midnight and noon.
Yangshen Tang (Sheep Kidney Decoction): Treats postpartum Blood deficiency, insufficient Heart Qi, erroneous and arrogant speech, and restless sleep.
Ingredients: Yangshen (Sheep kidney, one pair, fat removed and finely chopped, decocted in three sheng of water until two sheng remain, clarified juice taken), Yuanzhi (Radix Polygalae, heart removed), Huangqin (Radix Scutellariae, black center removed), Fangfeng (Radix Saposhnikoviae, forked roots removed), Baizhu (Rhizoma Atractylodis Macrocephalae), Shengdihuang (Radix Rehmanniae Preparata, roasted, each one tael).
Usage: Except for the sheep kidney, coarsely crush and sieve the other herbs. Take three qian per dose, using one zhan of kidney juice, decoct until seven parts remain, remove dregs. Take warm. No specific time restriction.
Fuling Wan (Poria Pill): Treats postpartum Qi and Blood deficiency, spiritual unrest, and erroneous speech.
Ingredients: Baifuling (Poria, black skin removed), Changpu (Rhizoma Acori Tatarinowii, each one and a half taels), Renshen (Radix Ginseng), Zexie (Rhizoma Alismatis), Shudihuang (Radix Rehmanniae Preparata, roasted), Danggui (Radix Angelicae Sinensis, sliced and roasted, each one tael), Yuanzhi (Radix Polygalae, heart removed).
Usage: Honey-pilulated like wutong seeds. Take twenty pills per dose, with Renshen decoction. No specific time restriction.
Yuanzhi Tang (Polygalae Radix Decoction): Treats postpartum Heart deficiency, binding of Wind pathogen, and delirious speech.
Ingredients: Yuanzhi (Radix Polygalae, heart removed), Chishaoyao (Radix Paeoniae Rubra), Huangqin (Radix Scutellariae, black center removed), Baifuling (Poria, black skin removed), Renshen (Radix Ginseng), Fangfeng (Radix Saposhnikoviae, forked roots removed), Duhuo (Radix Angelicae Pubescentis, rhizome head removed).
Usage: Decoct until seven parts remain, remove dregs.
Fuling San (Poria Powder): Treats postpartum manic speech, unstable will, and mental confusion caused by Heart Qi deficiency and Wind pathogen invasion.
Ingredients: Fuling (Poria; one prescription uses Fushen), Shengdihuang (Radix Rehmanniae Recens, each twelve fen), Yuanzhi (Radix Polygalae, heart removed), Baiwei (Radix Cynanchi Atrati), Longchi (Os Draconis, each ten fen), Fangfeng (Radix Saposhnikoviae), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae, five fen).
Usage: Decoct in water to obtain three sheng, take warm in divided doses.
Danggui Tang (Angelicae Sinensis Decoction): Treats postpartum irregular Qi and Blood, and erroneous speech.
Ingredients: Danggui (Radix Angelicae Sinensis, sliced and roasted), Renshen (Radix Ginseng), Shaoyao (Radix Paeoniae), Suanzaoren (Semen Ziziphi Spinosae, skin removed), Huangqin (Radix Scutellariae, black center removed), Baixianpi (Cortex Dictamni), Gancao (Radix Glycyrrhizae, honey-fried and crushed, each one tael).
Usage: [Text fragmentary, implies decoction].
Maimendong Tang (Ophiopogonis Decoction): Treats postpartum Heart deficiency, erroneous speech, and mental恍惚 (fluctuation/restlessness).
Ingredients: Maimendong (Radix Ophiopogonis, heart removed and roasted, two taels), Baifuling (Poria, black skin removed, one and a half taels), Chishaoyao (Radix Paeoniae Rubra), Danggui (Radix Angelicae Sinensis, sliced and dried), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae, honey-fried and crushed).
Fushen Tang (Poria Cum Radix Pinelliae Decoction): Treats postpartum Blood deficiency causing confused speech and unsettled mind.
Ingredients: Fushen (Poria cum Radix Pinelliae, wood removed, two taels), Renshen (Radix Ginseng), Shaoyao (Radix Paeoniae, crushed, each one and a half taels), Gancao (Radix Glycyrrhizae, honey-fried and crushed), Danggui (Radix Angelicae Sinensis, sliced and roasted), Gui (Ramulus Cinnamomi, coarse bark removed, each one tael).
Usage: Decoct and take warm. No specific time restriction.