产后虚渴必口干少气,足弱头昏目晕,宜熟地黄汤。若大消渴饮水不止,由于液枯火燥之极,宜止渴四物汤。
熟地黄汤
人参(四钱) 天花粉(六钱) 炙甘草(一钱) 麦冬(去心,二钱) 熟地黄(五钱) 姜(二片)
枣(二枚)
水煎服。
止渴四物汤
熟地黄 当归(各二钱) 白芍 川芎 知母 黄柏 茯苓 黄 (各一钱)
水煎服。
产后霍乱或渴而饮水,宜五苓散。或寒多不渴,宜人参理中汤。或吐利厥冷,宜附子理中汤。或腹痛甚而
手足寒,宜高良姜散。或转筋,宜木瓜散。不止用辣蓼煎汤洗之。
五苓散
白术(蜜炙) 猪苓 茯苓(各七分) 肉桂(五分) 泽泻(一钱二分)
水煎服。
人参理中汤
人参 白术(蜜炙) 干姜(炒黄,各三钱) 炙甘草(一
钱五分)
水煎温服。
附子理中汤
人参 白术(蜜炙) 干姜(炒黄,各二钱) 炙甘草(一钱五分) 附子(制熟,一钱)
水煎服。
高良姜散
高良姜 当归 草蔻仁(各等分)
水煎服。
木瓜散
木瓜(一钱五分) 吴萸(泡) 茴香(各一钱) 苏叶(五分) 甘草(三分)
水煎服。
产后泄泻,有挟寒腹痛肠鸣,小水清白,口不渴者,宜君苓汤加肉果、肉桂、白芍。有热泻肠垢口渴,
痛一阵下一阵者,宜君苓汤加黄连、木通、六一散。有湿胜水泄者,宜胃苓汤。有肾气虚寒,泻痢腹痛者,宜
胃关煎。
君苓汤
人参 白术(蜜炙) 茯苓 甘草 泽泻 猪苓(各一钱)
水煎服。
六一散
滑石(六钱) 甘草(一钱)
研末,新汲水调下二三钱。
胃苓汤
陈皮 浓朴 甘草 苍术(米泔浸) 白术(蜜炙) 茯苓 泽泻 猪苓 肉桂(各一钱) 姜(五片)
枣(二枚)
水煎服。
胃关煎
熟地黄(三钱) 山药(姜汁炒) 白扁豆(炒,各二钱) 炙甘草 干姜(炒焦) 白术(蜜炙,各一二钱)
吴茱萸(泡,五分)
水煎温服。
产后出现虚性口渴,必然伴有口干、气短乏力,下肢软弱无力,头晕目眩等症状,适宜使用熟地黄汤。如果是严重的消渴症,饮水不止,这是由于津液枯竭、火热燥盛到了极点所致,适宜使用止渴四物汤。
熟地黄汤
人参(四钱) 天花粉(六钱) 炙甘草(一钱) 麦冬(去除心部,二钱) 熟地黄(五钱) 生姜(两片)
大枣(两枚)
加水煎煮后服用。
止渴四物汤
熟地黄 当归(各二钱) 白芍 川芎 知母 黄柏 茯苓 黄芪(各一钱)
加水煎煮后服用。
产后霍乱,或者口渴想喝水的,适宜使用五苓散。如果寒象重而不口渴的,适宜使用人参理中汤。如果出现呕吐腹泻、四肢厥冷的,适宜使用附子理中汤。如果腹痛剧烈且手脚发凉的,适宜使用高良姜散。如果出现转筋(肌肉痉挛)的,适宜使用木瓜散。如果症状不止,可用辣蓼煎汤清洗患处。
五苓散
白术(蜂蜜炙炒) 猪苓 茯苓(各七分) 肉桂(五分) 泽泻(一钱二分)
加水煎煮后服用。
人参理中汤
人参 白术(蜂蜜炙炒) 干姜(炒至微黄,各三钱) 炙甘草(一钱五分)
温服。
附子理中汤
人参 白术(蜂蜜炙炒) 干姜(炒至微黄,各二钱) 炙甘草(一钱五分) 附子(炮制成熟,一钱)
加水煎煮后服用。
木瓜散
木瓜(一钱五分) 吴茱萸(浸泡) 小茴香(各一钱) 紫苏叶(五分) 甘草(三分)
加水煎煮后服用。
产后泄泻,如果有兼夹寒邪导致腹痛肠鸣,小便清长白色,口不渴的情况,适宜在君苓汤基础上加肉豆蔻、肉桂、白芍。如果有热性泄泻,大便有垢浊,口渴,疼痛一阵发作一次随后排便的情况,适宜在君苓汤基础上加黄连、木通、六一散。如果有湿气过重导致水样泄泻的,适宜使用胃苓汤。如果有肾气虚寒,出现泄痢腹痛情况的,适宜使用胃关煎。
君苓汤
人参 白术(蜂蜜炙炒) 茯苓 甘草 泽泻 猪苓(各一钱)
加水煎煮后服用。
六一散
滑石(六钱) 甘草(一钱)
研磨成粉末,用新汲来的冷水调服二三钱。
胃苓汤
陈皮 厚朴 甘草 苍术(米泔水浸泡) 白术(蜂蜜炙炒) 茯苓 泽泻 猪苓 肉桂(各一钱) 生姜(五片)
大枣(两枚)
加水煎煮后服用。
胃关煎
熟地黄(三钱) 山药(姜汁炒) 白扁豆(炒,各二钱) 炙甘草 干姜(炒焦) 白术(蜂蜜炙炒,各一二钱)
吴茱萸(浸泡,五分)
温服。
Postpartum deficiency thirst is inevitably accompanied by dry mouth, shortness of breath, weakness in the lower limbs, dizziness, and vertigo; Shu Di Huang Tang (Rehmannia Decoction) is appropriate. If severe Xiao Ke (Wasting-Thirst) occurs with incessant drinking, it is due to extreme depletion of body fluids and excessive fire-dryness; Zhi Ke Si Wu Tang (Thirst-Quelling Four Substances Decoction) is appropriate.
Shu Di Huang Tang (Rehmannia Decoction)
Ren Shen (Ginseng Radix et Rhizoma, 4 qian), Tian Hua Fen (Trichosanthis Radix, 6 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1 qian), Mai Dong (Ophiopogonis Radix, heart removed, 2 qian), Shu Di Huang (Prepared Rehmanniae Radix, 5 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 2 slices), Da Zao (Jujubae Fructus, 2 pieces).
Decoct in water and take orally.
Zhi Ke Si Wu Tang (Thirst-Quelling Four Substances Decoction)
Shu Di Huang (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix, each 2 qian), Bai Shao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Huang Bo (Phellodendri Cortex), Fu Ling (Poria, Huang Qi (Astragali Radix, each 1 qian).
Decoct in water and take orally.
Postpartum Huo Luan (Cholera-like syndrome) with thirst and desire to drink water: Wu Ling San (Five-Ingredient Powder with Poria) is appropriate. With predominant cold and no thirst: Ren Shen Li Zhong Tang (Ginseng Regulate the Middle Decoction) is appropriate. With vomiting, diarrhea, and cold extremities: Fu Zi Li Zhong Tang (Aconite Regulate the Middle Decoction) is appropriate. With severe abdominal pain and cold hands and feet: Gao Liang Jiang San (Galangal Powder) is appropriate. With muscle cramps (Zhuan Jin): Mu Gua San (Papaya Powder) is appropriate. If symptoms persist, wash with a decoction of La Liao (Polygoni Hydropiperis Herba).
Wu Ling San (Five-Ingredient Powder with Poria)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Zhu Ling (Polyporus, Fu Ling (Poria, each 7 fen), Rou Gui (Cinnamomi Cortex, 5 fen), Ze Xie (Alismatis Rhizoma, 1 qian 2 fen).
Decoct in water and take orally.
Ren Shen Li Zhong Tang (Ginseng Regulate the Middle Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Gan Jiang (Zingiberis Rhizoma, fried until yellow, each 3 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1 qian 5 fen).
Take warm.
Fu Zi Li Zhong Tang (Aconite Regulate the Middle Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Gan Jiang (Zingiberis Rhizoma, fried until yellow, each 2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1 qian 5 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, prepared and cooked, 1 qian).
Decoct in water and take orally.
Gao Liang Jiang San (Galangal Powder)
Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Dang Gui (Angelicae Sinensis Radix), Cao Dou Ren (Cardamomi Fructus, equal parts).
Decoct in water and take orally.
Mu Gua San (Papaya Powder)
Mu Gua (Chaenomelis Fructus, 1 qian 5 fen), Wu Zhu Yu (Evodiae Fructus, soaked), Hui Xiang (Foeniculi Fructus, each 1 qian), Su Ye (Perillae Folium, 5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen).
Decoct in water and take orally.
Postpartum Xie Xie (Diarrhea) with cold accumulation causing abdominal pain and borborygmus, clear white urine, and no thirst: Jun Ling Tang (Lord Poria Decoction) added with Rou Dou Kou (Myristicae Semen), Rou Gui (Cinnamomi Cortex), and Bai Shao (Paeoniae Radix Alba). With heat-type diarrhea, turbid stool, thirst, and pain preceding each bowel movement: Jun Ling Tang (Lord Poria Decoction) added with Huang Lian (Coptidis Rhizoma), Mu Tong (Akebiae Caulis), and Liu Yi San (Six-to-One Powder). With dampness predominance causing watery diarrhea: Wei Ling Tang (Stomach Poria Decoction) is appropriate. With Kidney Qi deficiency-cold causing dysentery and abdominal pain: Wei Guan Jian (Stomach Gate Decoction) is appropriate.
Jun Ling Tang (Lord Poria Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus, each 1 qian).
Decoct in water and take orally.
Liu Yi San (Six-to-One Powder)
Hua Shi (Talcum, 6 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Grind into powder, mix with fresh well-water, and take 2-3 qian.
Wei Ling Tang (Stomach Poria Decoction)
Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma), Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Rou Gui (Cinnamomi Cortex, each 1 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 5 slices), Da Zao (Jujubae Fructus, 2 pieces).
Decoct in water and take orally.
Wei Guan Jian (Stomach Gate Decoction)
Shu Di Huang (Prepared Rehmanniae Radix, 3 qian), Shan Yao (Dioscoreae Rhizoma, stir-fried with ginger juice), Bai Bian Dou (Lablab Albus Seed, stir-fried, each 2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma, stir-fried until scorched), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried, each 1-2 qian), Wu Zhu Yu (Evodiae Fructus, soaked, 5 fen).
Take warm.