产后泻痢恶露不行,此瘀血渗入大肠泻下青黑色,宜的奇散。若腹痛泻痢,宜当归芍药散。若月内泻痢,
宜鸭子煎。若里急后重,宜香连散加消导药。若痢久不止,宜四君子汤加收敛药。
的奇散
荆芥穗(盏内慢火烧存性,不得犯油火),麝香(少许),研末,沸汤下一钱。
当归芍药散
白芍(二钱五分) 川芎 泽泻(各一钱五分) 当归 赤茯苓 白术(蜜炙,各七分半)
水煎服。
鸭子煎
生姜十两(捣汁),鸭子(一个) 蒲黄(三钱)
上取鸭子打破,入姜汁内搅匀,同煎至八分,入蒲黄再煎六七沸,空心温服。
香连散
木香、黄连各等分,研末服。
四君子汤
人参 白术(蜜炙) 茯苓(各二钱) 炙甘草(一钱) 姜(三片) 枣(二枚)
水煎服。
产后诸淋,宜茅根汤。若败血不止,淋沥不断,宜乌金散。若淋久不止,四肢沉困无力,宜牡蛎散。若小
便闭而淋沥,小腹膨胀,宜 元汤。
茅根汤
白茅根(四两) 茯苓(二两) 瞿麦 葵子 人参(各一两) 蒲黄 滑石 桃仁(去皮尖捣膏)
甘草(各五钱) 紫贝(五个石首鱼头中石十六个)
上为末,每服二钱,灯心煎汤调服。
乌金散
当归 百草霜 干面(一两) 天麻 木香(各二钱五分) 陈墨( ,二钱)
为末,白汤调下二三钱。
牡蛎散
牡蛎( 研) 龙骨( ,各二钱) 川芎 生地黄 茯苓 当归 人参 艾叶 地榆(各一钱) 炙甘草(五分)
水煎服。
元汤
甘草 滑石 瞿麦 车前子 木通 川芎 当归 白芍 生地黄(各一钱)
水煎服。
产后出现泻痢且恶露排出不畅,这是因为瘀血渗入大肠导致排出青色或黑色的粪便,适宜使用的奇散。如果伴有腹痛和泻痢,适宜使用当归芍药散。如果在产后的一个月内发生泻痢,适宜使用鸭子煎。如果出现里急后重(想排便但排不出或排不尽的感觉),适宜在香连散中加入消食导滞的药物。如果痢疾日久不止,适宜使用四君子汤加入收敛止泻的药物。
的奇散
荆芥穗(放在盏内用慢火烧烤至存性,注意不能沾染油火),麝香(少量),研成粉末,用沸水冲服一钱。
当归芍药散
白芍(二钱五分)、川芎、泽泻(各一钱五分)、当归、赤茯苓、白术(用蜜炙过,各七分半)。
用水煎煮后服用。
鸭子煎
生姜十两(捣碎取汁),鸭子一只,蒲黄(三钱)。
将鸭子打破,放入姜汁中搅拌均匀,一同煎煮至剩余八分量的药液,加入蒲黄再煮沸六七次,空腹时温服。
四君子汤
人参、白术(用蜜炙过)、茯苓(各二钱)、炙甘草(一钱)、生姜(三片)、大枣(两枚)。
用水煎煮后服用。
产后各种淋证(小便频数短涩、滴沥刺痛),适宜使用茅根汤。如果是败血(瘀血)不止,导致淋沥不断,适宜使用乌金散。如果淋证日久不止,四肢沉重困倦无力,适宜使用牡蛎散。如果小便闭塞不通且淋沥不尽,小腹部膨胀,适宜使用元汤(原文此处有缺字,推测为某元汤,如五淋散类方剂,依原文保留“元汤”)。
茅根汤
白茅根(四两)、茯苓(二两)、瞿麦、葵子、人参(各一两)、蒲黄、滑石、桃仁(去皮尖捣成膏状)、甘草(各五钱)、紫贝(五个,即石首鱼头中的石头,共十六个)。
以上药物研成粉末,每次服用二钱,用灯心草煎汤调服。
乌金散
当归、百草霜、干面(一两)、天麻、木香(各二钱五分)、陈墨(烧制过的墨,二钱)。
研成粉末,用白开水调下二三钱。
牡蛎散
牡蛎(煅烧后研细)、龙骨(煅烧后研细,各二钱)、川芎、生地黄、茯苓、当归、人参、艾叶、地榆(各一钱)、炙甘草(五分)。
用水煎煮后服用。
Postpartum diarrhea and dysentery with lochia stasis not discharging: This is due to blood stasis infiltrating the large intestine, resulting in the discharge of dark green or black stool. The Deqi San (The Extraordinary Powder) is indicated. If accompanied by abdominal pain and diarrhea/dysentery, the Danggui Shaoyao San (Angelica and Peony Powder) is indicated. If diarrhea/dysentery occurs within one month postpartum, the Yazi Jian (Duck Decoction) is indicated. If there is tenesmus (a feeling of incomplete defecation), Xianglian San (Costus and Coptis Powder) combined with digestive-promoting herbs is indicated. If dysentery persists for a long time, the Sijunzi Tang (Four Gentlemen Decoction) combined with astringent herbs is indicated.
Deqi San (The Extraordinary Powder)
Jingjie Sui (Schizonepetae Spica, slow-roasted in a cup until carbonized but retaining its nature, avoiding oil fire), Shexiang (Musk, a small amount). Grind into powder. Take one qian with boiling water.
Danggui Shaoyao San (Angelica and Peony Powder)
Baishao (White Peony Root, 2.5 qian), Chuanxiong (Szechwan Lovage Rhizome), Zexie (Alisma Rhizome, each 1.5 qian), Danggui (Angelica Sinensis), Chifuling (Red Poria), Baizhu (Atractylodes Macrocephala Rhizome, honey-fried, each 0.75 qian).
Decoct in water and take orally.
Yazi Jian (Duck Decoction)
Shengjiang (Fresh Ginger, 10 liang, crushed for juice), Ya Zi (Duck, one), Puhuang (Pollen Typhae, 3 qian).
Break the duck, mix with ginger juice, decoct together until reduced to 80% volume. Add Puhuang and boil for six or seven more times. Take warm on an empty stomach.
Xianglian San (Costus and Coptis Powder)
Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma), equal parts. Grind into powder and take orally.
Sijunzi Tang (Four Gentlemen Decoction)
Renshen (Ginseng Radix), Baizhu (Atractylodes Macrocephala Rhizome, honey-fried), Fuling (Poria, each 2 qian), Zhigancao (Prepared Licorice Root, 1 qian), Jiang (Fresh Ginger, 3 slices), Zao (Jujube, 2 pieces).
Decoct in water and take orally.
Various types of strangury (dysuria) postpartum: Maogen Tang (Imperata Rhizome Decoction) is indicated. If lochia stasis does not stop, causing continuous dribbling, Wujin San (Black Gold Powder) is indicated. If strangury persists for a long time, accompanied by heavy, weak limbs, Muli San (Oyster Shell Powder) is indicated. If urinary retention with dribbling occurs, accompanied by lower abdominal distension, Yuan Tang (Yuan Decoction - note: original text has a missing character before 'Tang') is indicated.
Maogen Tang (Imperata Rhizome Decoction)
Baimaogen (Imperata Rhizome, 4 liang), Fuling (Poria, 2 liang), Qumai (Diantherae Herba), Kuizi (Abutilonis Semen), Renshen (Ginseng Radix, each 1 liang), Puhuang (Pollen Typhae), Huashi (Talcum), Taoren (Persicae Semen, peeled, de-husked, pounded into paste), Gancao (Licorice Root, each 5 qian), Zi Bei (Purple Shell/Bezoar from Stonefish head, five shells, sixteen stones total).
Grind all into powder. Take two qian per dose, mixed with liquid decocted from Jiaxin (Centella asiatica stem).
Wujin San (Black Gold Powder)
Danggui (Angelica Sinensis), Baicaoshuang (Soot from burning hundred herbs), Ganmian (Dry Flour, 1 liang), Tianma (Gastrodiae Rhizoma), Muxiang (Aucklandiae Radix, each 2.5 qian), Chenmo (Old Ink, calcined, 2 qian).
Grind into powder. Take two or three qian mixed with plain boiled water.
Muli San (Oyster Shell Powder)
Muli (Ostreae Concha, calcined and ground), Longgu (Fossilia Ossis Mastodi, calcined and ground, each 2 qian), Chuanxiong (Szechwan Lovage Rhizome), Shengdihuang (Rehmanniae Radix), Fuling (Poria), Danggui (Angelica Sinensis), Renshen (Ginseng Radix), Aiye (Artemisiae Argyi Folium), Diyü (Sanguisorbae Radix, each 1 qian), Zhigancao (Prepared Licorice Root, 0.5 qian).
Decoct in water and take orally.
Yuan Tang (Yuan Decoction)
Gancao (Licorice Root), Huashi (Talcum), Qumai (Diantherae Herba), Cheqianzi (Plantaginis Semen), Mutong (Akebiae Caulis), Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), Baishao (White Peony Root), Shengdihuang (Rehmanniae Radix, each 1 qian).
Decoct in water and take orally.