临产努力太过,致子宫不收,及阴户下挺无收,小便淋漓,但用补中益气汤,频频服之,外洗寸金散。
朱丹溪云∶有产妇下物如手帕者,有出肉线一条者。
薛立斋曰∶子宫有损落一片者,皆气血虚脱所致,但服参 升提之药自愈。此非肠胃之比,无碍也,血肉
原可自长。
寸金散
紫梢花 葫芦巴 蛇床子 樟脑(各一钱)
四味水煎,熏洗。
一方用香油抹子宫上,以牙皂末吹鼻中,取嚏,时缩上(兹与盘肠产参看。)
补中益气汤(见前)
产后肠痒,因血去多,或调理失宜,气血两亏。王景泰法,用针线袋安产妇卧褥下,勿令人见。一法,取箭
锋及镞安卧席下,勿令妇知。或以食盐熬热,布袋包熨脐上,痒自止;或服四物汤,滋养自安。
四物汤
大熟地(三钱) 当归(二钱) 白芍(一钱炒) 川芎(五分)
水煎服。
此症因心肾虚而不交,脾虚不能运动食本。纵有微邪,皆由元气不足所致。右方七珍散,其中菖蒲、细辛、
防风须酌用,如果因风邪闭之,则暂服一剂,再察其病源、兼症治之。若思虑伤脾,倦怠食少者,服归脾汤。若
气血两虚,内热者,用八珍汤。若脾虚生痰,呕哑少食者,用六君子汤。或水亏生热,面赤火浮者,用六味地
黄汤。如法按经调理自然易愈。倘妄行祛风攻痰,或用香散之药,则去之远矣。
七珍散
生地(一两) 川芎(五钱) 石菖蒲(五钱) 细辛(一钱) 防风(五钱) 辰砂(五钱,研飞过)
人参(五钱)
共末,每服二钱,薄荷汤调下。
归脾汤(见血崩) 八珍汤(见临产)六君子汤(见血晕)。
六味地黄汤
大熟地(三钱) 山萸肉(二钱) 淮山药(二钱) 牡丹皮(一钱) 茯苓(一钱五分) 泽泻(一钱)
水煎服。
临产时用力过度,导致子宫不能收缩复位,以及阴户下垂脱出无法收回,小便淋漓不尽,只需服用补中益气汤(补益中气、升阳举陷的方剂),频繁服用,并外用寸金散清洗。
朱丹溪说:有产妇排出像手帕一样的组织,有排出一条肉线的情况。
薛立斋说:子宫有脱落一片的情况,这些都是气血虚弱脱失所致,只需服用人参等具有升提作用的药物即可自愈。这不同于肠胃疾病,没有大碍,血肉原本就可以自行生长。
寸金散
紫梢花 葫芦巴 蛇床子 樟脑(各一钱)
四味药用水煎煮,用于熏洗。
另一方法是用香油涂抹在子宫上,将牙皂末吹入鼻中,引发喷嚏,子宫便会随之收缩向上(此处可与盘肠产参看)。
补中益气汤(见前文)
产后肠道瘙痒,是因为失血过多,或者调理不当,导致气血两虚。王景泰的方法,是用针线袋安放在产妇的卧褥下面,不要让人看见。另一种方法,是将箭锋及箭头安放在卧席下面,不要让妇人知道。或者用食盐炒热,用布袋包裹熨烫脐部,瘙痒自然停止;或者服用四物汤(补血调血的方剂),滋养身体自然安宁。
四物汤
大熟地(三钱) 当归(二钱) 白芍(一钱炒) 川芎(五分)
用水煎服。
此症是因为心肾不交,脾虚不能运化水谷精微。即使有轻微的邪气,也都是由元气不足所致。右方的七珍散中,其中的石菖蒲、细辛、防风需要斟酌使用,如果确实是因为风邪闭阻,则暂时服用一剂,再观察其病源和兼症进行治疗。如果是思虑伤脾,出现倦怠、食少症状的,服用归脾汤(补益心脾的方剂)。如果是气血两虚,伴有内热的,使用八珍汤(补气养血的方剂)。如果是脾虚生痰,出现呕吐、声音嘶哑、食少的,使用六君子汤(健脾化痰的方剂)。或者是肾水亏虚生热,面赤火浮的,使用六味地黄汤(滋补肾阴的方剂)。按照这种方法根据经络调理,自然容易痊愈。倘若胡乱使用祛风攻痰的药物,或者使用香燥发散的药物,那就相差太远了。
七珍散
生地(一两) 川芎(五钱) 石菖蒲(五钱) 细辛(一钱) 防风(五钱) 辰砂(五钱,研飞过)
人参(五钱)
共研为末,每次服用二钱,用薄荷汤调服。
During childbirth, excessive effort leads to the failure of the uterus to contract and retract, as well as the prolapse of the vaginal orifice that cannot be withdrawn, accompanied by dribbling urination. One should simply administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) frequently, and wash externally with Cunjing San (Inch-Gold Powder).
Zhu Danxi stated: There are cases where a parturient expels tissue resembling a handkerchief, or a strip of fleshy cord.
Xue Lizhai said: Cases where a piece of the uterus falls out are all caused by deficiency and collapse of Qi and Blood. Simply taking herbs with ascending properties, such as Ginseng Radix et Rhizoma (Renshen), will allow it to heal itself. This is not comparable to diseases of the intestines and stomach; there is no serious harm, as flesh and blood can regenerate naturally.
Cunjing San (Inch-Gold Powder)
* Zishao Hua (Purple Tip Flower)
* Huluba (Fenugreek Seed)
* Shechuangzi (Cnidium Fruit)
* Zhangnao (Borneolum Syntheticum, Camphor)
(Each one qian)
Decoct the four ingredients in water for fumigation and washing.
Another method is to apply sesame oil to the protruding uterus, and blow powder from Gleditsia Sinensis Fruit (Yazao) into the nose to induce sneezing, which causes the uterus to retract upward (compare this with Prolapsed Intestine during Childbirth).
Buzhong Yiqi Tang (See previous section)
Postpartum intestinal itching is due to excessive blood loss or improper conditioning, resulting in dual deficiency of Qi and Blood. Wang Jingtai’s method involves placing a needle-and-thread bag under the parturient’s bedding without others knowing. Another method is to place arrowheads beneath the sleeping mat without the woman’s knowledge. Alternatively, heat salt, wrap it in a cloth bag, and apply it to the umbilicus to stop the itching; or administer Siwu Tang (Four Substances Decoction) to nourish the body and bring peace.
Siwu Tang (Four Substances Decoction)
* Shu Dihuang (Prepared Rehmannia Root) (3 qian)
* Danggui (Angelicae Sinensis Radix) (2 qian)
* Baishao (White Peony Root) (1 qian, stir-fried)
* Chuanxiong (Ligusticum Chuanxiong Rhizome) (0.5 qian)
Decoct in water and take orally.
This condition arises from the failure of communication between the Heart and Kidney, and Spleen deficiency failing to transport food essence. Even if there are minor pathogenic factors, they are all caused by insufficiency of Yuan Qi (Original Qi). In the aforementioned Qizhen San (Seven Treasures Powder), Shi Changpu (Acorus Tatarinowii Rhizome), Xixin (Asari Root), and Fangfeng (Saposhnikovia Root) must be used with discretion. If it is indeed caused by closure by Wind Pathogen, take one dose temporarily, then observe the disease origin and accompanying symptoms to treat accordingly. If worry injures the Spleen, leading to fatigue and poor appetite, Guipi Tang (Restore the Spleen Decoction) should be taken. If there is dual deficiency of Qi and Blood with internal heat, Bazhen Tang (Eight Treasures Decoction) should be used. If Spleen deficiency generates Phlegm, leading to vomiting, hoarseness, and poor appetite, Liujunzi Tang (Six Gentlemen Decoction) should be used. If Kidney Yin deficiency generates heat, manifesting as red face and floating fire, Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia) should be used. Following these methods to regulate according to the meridians will naturally lead to easy recovery. If one recklessly uses wind-dispelling and phlegm-attacking drugs, or aromatic dispersing drugs, the treatment will be far off the mark.
Qizhen San (Seven Treasures Powder)
* Shengdi Huang (Rehmannia Root) (1 liang)
* Chuanxiong (Ligusticum Chuanxiong Rhizome) (5 qian)
* Shichangpu (Acorus Tatarinowii Rhizome) (5 qian)
* Xixin (Asari Root) (1 qian)
* Fangfeng (Saposhnikovia Root) (5 qian)
* Chen Sha (Cinnabar) (5 qian, ground and washed)
* Renshen (Ginseng Radix et Rhizoma) (5 qian)
Grind into powder. Take 2 qian each time, mixed with Bohe Tang (Mint Decoction).
Guipi Tang (See Blood Flooding section) Bazhen Tang (See Childbirth section) Liujunzi Tang (See Blood Syncope section).
Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia)
* Shu Dihuang (Prepared Rehmannia Root) (3 qian)
* Shanzhuyu (Cornus Officinalis Fruit) (2 qian)
* Huai Shanyao (Dioscorea Opposite Flowering Tuber) (2 qian)
* Mudan Pi (Moutan Cortex) (1 qian)
* Fuling (Poria) (1.5 qian)
* Zexie (Alisma Rhizome) (1 qian)
Decoct in water and take orally.