产后恶露,流注于肾腰关节之处,或漫肿,或结块作痛,久则肿起,肢体倦怠,急用葱熨法以散外肿,内服
参归生化汤以散血滞。至已溃、未溃,其法参之乳痈症中。
葱熨法
用生葱一握,捣作饼,贴患处,加浓布三四层,以火斗熨之立效。此方可治痈疽初起。
参归生化汤
黄 川芎(各一钱五分) 当归(三钱) 人参(二钱) 肉桂(八分) 甘草(五分) 马蹄香(二钱)
附 乳疽方
采鲜蒲公英一握,连根捣汁,酒冲服,以渣贴患处即愈。
按∶医流注法,以五香散,米汤和成饼,再用大蒜糊薄铺初起之处,上以五香饼放好,用艾灸在饼上。其
痛者,灸至不痛发痒方止。痒者,灸至痛方止。如不痛不痒,灸至皮肉融活为度。多灸为贵,毒自散矣。
五香散
丁香 木香 沉香 肉桂 麝香(等分)
射一半为末,再加白芷、苏叶、姜黄、血竭,同和饼,灸。阴毒、肿痛、风毒亦可。
临产用力过伤,以致阴门两旁肿痛,手足不能舒展者,用四季葱入乳香末,捣成饼,贴肿痛处,良久即愈。
临产用力逼送,阴门突出者,四物汤加龙骨少许,连进二服。外用如圣膏贴顶,少收,即拭去。
按∶阴门发痒者,乃产后脾胃不调,气血不和,宗气下陷,湿热下逼,阴中因而生虫。其痒者,乃虫食阴户
也。治宜补中益气汤去柴胡加减用之。外用薰洗贴法。
加减补益汤
黄 (一钱五分) 人参(一钱五分) 归身(一钱) 炙草(五分) 焦术(一钱) 陈皮(五分) 升麻
(三分) 川椒(二十粒) 乌梅(二个) 吴萸(三分) 川连(三分均炒)
姜枣引,煎服。
外治法
用蛇床子(一两) 川椒(三钱) 葱白(五个) 苦参(五钱) 艾(三钱)
煎汤,向阴中先薰后洗。如薰洗数次不愈,用猪肝切大片,香
油搽过,放新瓦片上炙,将熟气香时,乘热即贴阴门痒处,冷热三次。猪精肉亦可用,先洗后贴,猪精肉亦用香
油搽炙。又用嫩鸡一只,剖开,煮熟,用滚米醋烹,贴痒处。
产后恶露,流注于肾腰关节之处,或漫肿,或结块作痛,久则肿起,肢体倦怠,急用葱熨法以散外肿,内服参归生化汤以散血滞。至已溃、未溃,其法参之乳痈症中。
产后恶露(产后排出的余血浊液),流注于肾脏与腰部关节部位,或者出现弥漫性肿胀,或者结成肿块并伴有疼痛,时间久了则肿胀突起,四肢身体感到疲倦乏力,应立即使用葱熨法来消散体表的肿胀,内服参归生化汤来消散血液瘀滞。至于疮疡已经溃破或未溃破的情况,治疗方法可参考乳痈(乳房急性化脓性疾病)病症中的方法。
葱熨法
用生葱一握,捣碎做成饼状,贴在患处,上面覆盖三四层厚布,用火斗熨烫,立刻见效。此方可以治疗痈疽(泛指各种体表化脓性感染)初起阶段。
参归生化汤
黄芪(各一钱五分) 川芎(各一钱五分) 当归(三钱) 人参(二钱) 肉桂(八分) 甘草(五分) 马蹄香(二钱)
附:乳疽方
采摘新鲜蒲公英一握,连根捣烂取汁,用酒冲服,并将药渣贴在患处即可痊愈。
按语:医生治疗流注(一种多发于肌肉深部的脓肿)的方法,是用五香散,用米汤调和成饼状,再用大蒜糊薄薄地铺在初起的地方,上面放上五香饼,用艾条在饼上艾灸。如果疼痛的,灸到不痛且发痒为止;如果发痒的,灸到疼痛为止。如果不痛也不痒,灸到皮肤肌肉变得柔软灵活为度。多灸为佳,毒气自然就会消散。
五香散
丁香 木香 沉香 肉桂 麝香(等分)
将上述药材一半研为粉末,再加白芷、苏叶、姜黄、血竭,一同和成药饼,进行艾灸。阴毒、肿痛、风毒也可以适用。
临产时用力过猛受伤,导致阴门两侧肿痛,手足不能舒展的,用四季葱加入乳香末,捣成饼状,贴在肿痛处,很久之后即可痊愈。
临产时用力逼迫送胎,导致阴门突出的,服用四物汤加少许龙骨,连续服用两剂。外用如圣膏贴在头顶,稍微收敛后,立即擦去。
按语:阴门发痒的,是因为产后脾胃功能不调,气血不和,宗气下陷,湿热向下逼迫,阴部因此生出虫邪。那种瘙痒感,是虫类啃食阴户所致。治疗宜用补中益气汤去掉柴胡后加减使用。外用熏洗贴敷的方法。
加减补益汤
黄芪(一钱五分) 人参(一钱五分) 当归身(一钱) 炙甘草(五分) 焦白术(一钱) 陈皮(五分) 升麻(三分) 川椒(二十粒) 乌梅(二个) 吴茱萸(三分) 黄连(三分均炒)
用生姜和大枣作为引子,煎煮后服用。
外治法
用蛇床子(一两) 川椒(三钱) 葱白(五个) 苦参(五钱) 艾叶(三钱)
煎成汤剂,对着阴部先熏后洗。如果熏洗数次后仍未痊愈,用猪肝切成大片,涂上香油,放在新瓦片上烤炙,等到快要熟透、香气四溢时,趁热贴在阴门发痒处,冷热交替三次。猪瘦肉也可以使用,先洗净再贴,猪瘦肉也要涂香油烤炙。另外用一只嫩鸡,剖开煮熟,用滚烫的米醋烹制,贴在发痒处。
Lochia (postpartum discharge) flows into the joints of the kidneys and lower back, causing either diffuse swelling or nodular masses with pain. Over time, the swelling rises, accompanied by limb fatigue. Immediately apply the Scallion Moxibustion Method to dissipate external swelling, and internally administer Shen Gui Sheng Hua Tang (Ginseng and Angelica Decoction for Generating Blood) to resolve blood stasis. For cases that have ulcerated or not yet ulcerated, refer to the treatment methods for Ru Yong (Mastitis).
Scallion Moxibustion Method
Take a handful of raw scallions, pound them into a cake, and apply it to the affected area. Cover with three or four layers of thick cloth, and use a fire pot to moxa-iron the area for immediate effect. This prescription can be used for the initial stage of carbuncles and sores.
Shen Gui Sheng Hua Tang (Ginseng and Angelica Decoction for Generating Blood)
Huangqi (Astragali Radix, 1.5 qian each), Chuanxiong (Chuanxiong Rhizoma, 1.5 qian each), Danggui (Angelicae Sinensis Radix, 3 qian), Renshen (Ginseng Radix, 2 qian), Rougui (Cinnamomi Cortex, 0.8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 fen), Mati Xiang (Costi Root, 2 qian).
Appendix: Formula for Breast Carbuncle
Harvest a handful of fresh Dandelion (Taraxaci Herba), including roots, pound and extract the juice. Take orally mixed with wine, and apply the dregs topically to the affected area for cure.
Commentary: Regarding the treatment of Liu Zhu (Flowing Abscess), physicians use Wu Xiang San (Five Fragrances Powder), mix it with rice soup to form a cake, spread a thin layer of garlic paste on the initial site, place the Five Fragrances Cake on top, and perform moxibustion on the cake. If painful, moxa until the pain ceases and itching begins; if itching, moxa until pain begins. If neither painful nor itching, moxa until the skin and flesh become soft and pliable. Frequent moxibustion is preferred, as the toxin will naturally dissipate.
Wu Xiang San (Five Fragrances Powder)
Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum), Rougui (Cinnamomi Cortex), Shexiang (Moschi Fermentum) in equal parts.
Grind half of these into powder, add Baizhi (Angelicae Dahuricae Radix), Ziye (Perillae Folium), Jianghuang (Curcumae Longae Rhizoma), and Xuexie (Sanguis Draxonis), mix together to form a cake for moxibustion. It is also applicable to Yin Du (Yin Toxin), swelling and pain, and Feng Du (Wind Toxin).
If excessive effort during labor causes injury, resulting in swelling and pain on both sides of the Yin Men (vulva) and inability to extend the limbs, use seasonal scallions mixed with Rushiang (Boswelliae Resina) powder, pound into a cake, and apply to the swollen and painful area. After a long time, it will heal.
If forceful pushing during labor causes protrusion of the Yin Men, administer Si Wu Tang (Four Substances Decoction) with a small amount of Longgu (Fossilia Ossis Mastodi) for two consecutive doses. Externally, apply Ru Sheng Gao (Like-Sage Paste) to the vertex (top of the head); once slight retraction occurs, wipe it off immediately.
Commentary: Itching of the Yin Men is due to dysfunction of the Spleen and Stomach postpartum, disharmony of Qi and Blood, sinking of Zong Qi (Pectoral Qi), and downward pressure of Damp-Heat, leading to the generation of parasites in the vagina. The itching is caused by parasites feeding on the vaginal opening. Treatment should utilize Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Augment the Qi), removing Chai Hu (Bupleuri Radix) and modifying according to symptoms. External treatments include fumigation, washing, and application.
Modified Bu Yi Tang (Modified Tonifying Decoction)
Huangqi (Astragali Radix, 1.5 qian), Renshen (Ginseng Radix, 1.5 qian), Danggui Shen (Radix Angelicae Sinensis, 1 qian), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.5 fen), Jiao Zhu (Charred Atractylodis Macrocephalae Rhizoma, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 0.5 fen), Shengma ( Cimicifugae Rhizoma, 0.3 fen), Chuanjiao (Zanthoxyli Pericarpium, 20 grains), Wumei (Mume Fructus, 2 pieces), Wuyu (Evodiae Fructus, 0.3 fen), Chuanlian (Coptidis Rhizoma, 0.3 fen, all stir-fried).
Use Ginger and Jujube as guides, decoct and take orally.
External Treatment Method
Shechuangzi (Cnidii Fructus, 1 liang), Chuanjiao (Zanthoxyli Pericarpium, 3 qian), Congbai (Allii Fistulosi Bulbus, 5 stalks), Kushen (Sophorae Flavescentis Radix, 5 qian), Aiye (Artemisiae Argyi Folium, 3 qian).
Decoct in water. First fumigate, then wash the vaginal area. If repeated fumigation and washing do not cure, cut pork liver into large slices, brush with sesame oil, roast on a new tile until nearly cooked and fragrant. Apply while hot to the itchy vulvar area, alternating cold and heat three times. Lean pork meat can also be used; wash first, then apply. Brush with sesame oil and roast. Alternatively, use one young chicken,剖 open, boil until cooked, cook with boiling rice vinegar, and apply to the itchy area.