产后手足搐搦,眼目上视,角弓反张,口眼歪斜,舌喑不语,痰涎上涌,不省人事者,皆由风寒入于腠理,经
络不和所致。与中风相类,切不可作风治。急须补气壮阳为主,治宜右归饮、加味续命等汤。若用风燥药,重耗其
血,以亡其阳,如苏合丸、牛黄丸之类,入口即毙。
加味右归饮
大熟地(姜汁炒,八钱) 杞子(酒炒,三钱) 净萸肉(酒炒,四钱) 怀山药
(四钱) 泽泻(二钱) 丹皮(酒炒,二钱) 熟附子(三钱) 肉桂心(一钱) 白茯苓(三钱) 鹿角胶
(三钱) 巴戟肉(三钱) 炮姜(八分)
煎服。
加味续命汤
人参(二钱) 焦木(二钱) 茯苓(二钱) 炮姜(八分) 熟附子(三钱) 北细辛(五分) 生黄
(三钱) 防风(二钱,酒拌炒) 归身(三钱) 法夏(一钱) 炙甘草(八分) 杞子(三钱) 鹿胶(三钱)
一方加天竺黄一钱五分,石菖蒲米汁浸炒一钱五分,煎服。
白通加猪胆汁汤
熟附子(二钱) 干姜(八分) 焦术(二钱) 茯苓(二钱) 炙草(二钱) 葱(二茎去尖白)
服时入猪胆汁三匙冲。
真武汤
熟附子(三钱) 干姜(一钱) 焦木(二钱) 茯苓(二钱) 归身(二钱) 肉桂(一钱) 炙草
(八分) 白芍(炒,一钱五分)
加净枣仁炒二钱煎服。
黑锡丹
用黑锡(一两) 舶硫磺末(一两,和入溶化结成砂,研细五钱) 熟附子(五钱) 肉桂(三钱) 沉香(三钱)
小茴(三钱) 檀香(三钱) 肉果(煨三钱) 阳起石( ,五钱) 芦巴(三钱) 广木香(煨,三钱)
干姜(一钱) 白蔻(三钱) 川楝肉(五钱) 紫丁香(二钱)
共为细末,米糊为丸,梧子大,阴干,用青布袋盛,擦光如银亮收贮。每用四十九粒,或三十二粒,淡姜汤
下。此丹不拘中风、痉症、痰鸣、气喘,皆可服。
产后出现手足抽搐、眼球上翻、身体向后反折如弓状(角弓反张)、口眼歪斜、舌强不能言语、痰涎上涌、神志不清者,皆因风寒之邪侵入腠理(皮肤毛孔及肌肉间隙),导致经络气血不和所致。此证与中风相似,但绝不可按中风治疗。急救应以补气壮阳为主,适宜选用右归饮、加味续命汤等方剂。若使用风燥类药物,会严重耗伤血液,进而导致阳气亡失,如苏合丸、牛黄丸之类的药物,一旦入口即可致死。
加味右归饮
大熟地黄(用姜汁炒,八钱) 枸杞子(用酒炒,三钱) 山茱萸肉(用酒炒,四钱) 怀山药(四钱) 泽泻(二钱) 牡丹皮(用酒炒,二钱) 熟附子(三钱) 肉桂心(一钱) 白茯苓(三钱) 鹿角胶(三钱) 巴戟天肉(三钱) 炮姜(八分)
煎煮后服用。
加味续命汤
人参(二钱) 焦白术(二钱) 茯苓(二钱) 炮姜(八分) 熟附子(三钱) 北细辛(五分) 生黄芪(三钱) 防风(二钱,用酒拌炒) 当归身(三钱) 法半夏(一钱) 炙甘草(八分) 枸杞子(三钱) 鹿角胶(三钱)
另一配方加入天竺黄一钱五分,石菖蒲用米汁浸透后炒制一钱五分,煎煮后服用。
白通加猪胆汁汤
熟附子(二钱) 干姜(八分) 焦白术(二钱) 茯苓(二钱) 炙甘草(二钱) 葱白(二茎,去掉尖端白色部分)
服药时加入猪胆汁三匙冲服。
真武汤
熟附子(三钱) 干姜(一钱) 焦白术(二钱) 茯苓(二钱) 当归身(二钱) 肉桂(一钱) 炙甘草(八分) 白芍(炒,一钱五分)
加入净酸枣仁炒至二钱,煎煮后服用。
黑锡丹
使用黑锡(一两) 舶硫磺末(一两,混合熔化结成砂状,研成细粉五钱) 熟附子(五钱) 肉桂(三钱) 沉香(三钱) 小茴香(三钱) 檀香(三钱) 肉豆蔻(煨制,三钱) 阳起石(五钱) 葫芦巴(三钱) 广木香(煨制,三钱) 干姜(一钱) 白豆蔻(三钱) 川楝子肉(五钱) 紫丁香(二钱)
共同研磨成细末,用米糊制作成丸药,大小如梧桐子,阴干后用青布袋盛装,擦拭光亮如银般收存。每次服用四十九粒或三十二粒,用淡姜汤送服。此丹药不拘泥于中风、痉症、痰鸣、气喘,皆可服用。
Postpartum convulsions of the hands and feet, upward deviation of the eyes, opisthotonos (body bent backward like a bow), deviation of the mouth and eye, aphasia (inability to speak due to tongue stiffness), surging of phlegm and saliva, and unconsciousness are all caused by wind-cold pathogens invading the *couli* (the interstices between skin and muscle), leading to disharmony in the meridians and collaterals. This condition resembles *Zhongfeng* (Wind Stroke), but it must absolutely not be treated as such. The urgent treatment should focus on tonifying Qi and strengthening Yang. Suitable prescriptions include Yougui Yin (Right Restoring Decoction) and Jiawei Xuming Tang (Modified Cinnamon Twig Decoction). If wind-drying herbs are used, they will severely consume Blood, leading to the loss of Yang. Formulas such as Suheli Wan (Styptic Pill) or Niuhuang Wan (Calculus Bovis Pill) can cause death upon ingestion.
Jiawei Yougui Yin (Modified Right Restoring Decoction)
Shu Dihuang (Prepared Rehmanniae Radix, stir-fried with ginger juice, 8 qian) Gouqi Zi (Lycii Fructus, stir-fried with wine, 3 qian) Jing Yurou (Corni Fructus, stir-fried with wine, 4 qian) Huai Shanyao (Dioscoreae Rhizoma, 4 qian) Zexie (Alismatis Rhizoma, 2 qian) Danpi (Moutan Cortex, stir-fried with wine, 2 qian) Shu Fuzi (Aconiti Lateralis Radix Praeparata, 3 qian) Rouguixin (Cinnamomi Cortex Medulla, 1 qian) Bai Fuling (Poria, 3 qian) Lu Jiaojiao (Colla Cornus Cervi, 3 qian) Bajirou (Morindae Officinalis Radix et Rhizoma, 3 qian) Paojiang (Zingiberis Rhizoma Praeparatum, 8 fen)
Decoct and take orally.
Jiawei Xuming Tang (Modified Cinnamon Twig Decoction)
Renshen (Ginseng Radix et Rhizoma, 2 qian) Jiaozhu (Atractylodis Macrocephalae Rhizoma, charred, 2 qian) Fuling (Poria, 2 qian) Paojiang (Zingiberis Rhizoma Praeparatum, 8 fen) Shu Fuzi (Aconiti Lateralis Radix Praeparata, 3 qian) Beixixin (Asari Radix et Rhizoma, 5 fen) Sheng Huangqi (Astragali Membranacei Radix, raw, 3 qian) Fangfeng (Saposhnikoviae Radix, 2 qian, stir-fried with wine) Guishen (Angelicae Sinensis Radix, root body, 3 qian) Faxia (Pinelliae Tuber preparata, 1 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 8 fen) Gouqi Zi (Lycii Fructus, 3 qian) Lu Jiao (Colla Cornus Cervi, 3 qian)
Another prescription adds Tianzhuhuang (Bambusae Calamus Preparatus, 1.5 qian) and Shichangpu (Acori Tatarinowii Rhizoma, soaked in rice juice and stir-fried, 1.5 qian). Decoct and take orally.
Baitong Jia Zhu Danzhi Tang (White Tongue Decoction with Added Porcine Bile)
Shu Fuzi (Aconiti Lateralis Radix Praeparata, 2 qian) Ganjiang (Zingiberis Rhizoma, 8 fen) Jiaozhu (Atractylodis Macrocephalae Rhizoma, charred, 2 qian) Fuling (Poria, 2 qian) Zhicao (Glycyrrhizae Radix et Rhizoma Preparata, 2 qian) Congbai (Allii Fistulosi Bulbus, 2 stems, tips removed)
Add San chi (three spoons) of Zhuzhilian (Porcis Bile) when taking the medicine.
Zhenwu Tang (True Warrior Decoction)
Shu Fuzi (Aconiti Lateralis Radix Praeparata, 3 qian) Ganjiang (Zingiberis Rhizoma, 1 qian) Jiaozhu (Atractylodis Macrocephalae Rhizoma, charred, 2 qian) Fuling (Poria, 2 qian) Guishen (Angelicae Sinensis Radix, root body, 2 qian) Rougui (Cinnamomi Cortex, 1 qian) Zhicao (Glycyrrhizae Radix et Rhizoma Preparata, 8 fen) Baishao (Paeoniae Radix Alba, stir-fried, 1.5 qian)
Add Jing Suanzaoren (Ziziphi Spinosae Semen, cleaned, stir-fried, 2 qian). Decoct and take orally.
Heixi Dan (Black Tin Pill)
Heixi (Nigrum Plumbum, 1 liang) Boliuhuangmo (Sulfurum, imported, 1 liang, mixed and melted to form sand-like crystals, ground to fine powder, 5 qian) Shu Fuzi (Aconiti Lateralis Radix Praeparata, 5 qian) Rougui (Cinnamomi Cortex, 3 qian) Chenxiang (Aquilariae Lignum Resinatum, 3 qian) Xiaohui (Foeniculi Fructus, 3 qian) Tanxiang (Santalum Album Lignum, 3 qian) Roudoukou (Myristicae Semen, baked, 3 qian) Yangqishi (Activitas Lapis, 5 qian) Huba (Trigonellae Foenum-Graeci Semen, 3 qian) Guangmuxiang (Agastachis Herba, baked, 3 qian) Ganjiang (Zingiberis Rhizoma, 1 qian) Baikou (Amomi Fructus Rotundus, 3 qian) Chuanlianrou (Toosendan Fructus, 5 qian) Zidingxiang (Syzygii Flos, 2 qian)
Grind all into a fine powder, bind with rice paste to make pills the size of wutong seeds. Dry in the shade, store in a green cloth bag, polish until silver-bright. Take 49 or 32 pills each time, washed down with light ginger soup. This pill is suitable for Wind Stroke, spasms, phlegm rattle, and asthma.