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《急救仙方》Vol. 2

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Taiping 太平部 Vol. 2 / 11 5,560 characters

About this page. The original text of 《急救仙方》 Vol. 2 (Taiping 太平部, 11 volumes) is shown in Classical Chinese as transmitted in the Kanripo (Kyoto University) edition. An English interpretation of the 11 passages on this page accompanies it: select a passage or press “Interpretation” to show it. All texts in English

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Source textInterpretation

急救仙方卷之二惻二    産難諸疾品 枳殻散治婦人臨月服即合胎瘦易産   枳殻(四兩各/用麩炒)甘草(一兩/生)  右爲細末每服一二錢白湯調服 治孕婦日月未足疼痛而欲産者   菖蒲根搗汁灌喉中 又方蒲黄如棗許大井花水調下 又方知母三兩爲末蜜丸桐子大每服二十 丸米飲下 如聖散治産難   紫蘇葉當歸(各等/分)  右每服三五錢長流水煎服如無流水以  水順攪動煎服 又方以黄葵子百粒研爛酒湯任服立産 又方以好墨一寸末之水調服立産 又方取夫褐帶五寸燒末存性酒調服 又方萆麻子二枚令婦兩手各把一枚即下 又方取槐樹東枝令孕婦把之易産 又方取皁角子二枚吞之立産 又方取槐子七粒新汲水吞之即産 又方取皁角少許末吹鼻中令嚏子便生 又方紫蘇煎湯調益元散服即産 治婦人臨産累日氣盡不能生兼惡露出盡 胞乾終不産者  右用赤小豆一斗水九升煮令熟去豆滓  將阿膠三兩入豆汁中溶化每服止半盞  未産再服即出 治婦人生産五七日不下及矮石女子交骨 不開者  右取自死龜殻或占卜癈殻酥炙或醋浸  炙及用生男女多者婦人頭髮一握燒存  性以當歸川芎同煎服屢效約人行五里  生死胎俱下 烏蛇散治婦人逆産
Interpretation

The Ji Jiu Xian Fang (Emergency Immortal Formulas), Volume 2, records various prescriptions for difficult childbirth. Here are several primary methods to assist delivery:

Zhiqiao Powder is suitable for women nearing labor, as it helps reduce fetal size for easier delivery: Combine four liang of bran-fried Zhiqiao (Citrus aurantium) with one liang of raw licorice, grind into fine powder, and take one or two qian doses dissolved in warm water.

For premature labor pains, three methods are suggested:

1) Administer juice extracted from mashed changpu (Acorus calamus) roots through the throat;

2) Take a jujube-sized dose of puhuang (Typha pollen) powder with well water;

3) Mix three liang of zhimu (Anemarrhena) powder with honey to form firmiana-seed-sized pills—consume twenty pills with rice water per dose.

Rusheng Powder for obstructed labor: Combine equal parts zisuye (Perilla leaves) and danggui (Angelica sinensis). Take three to five qian boiled in flowing "living water." If unavailable, stir water clockwise before decoction.

Other folk remedies include:

  • Crush 100 yellow abutilon seeds for wine or soup ingestion;
  • Grind one cun of high-quality ink into powder for water suspension;
  • Burn five cun of the husband’s brown waistband to ash (preserving medicinal properties) and take with wine;
  • Have the laboring woman hold one castor bean in each hand;
  • Let her grasp an east-facing locust tree branch;
  • Swallow two soapberry seeds or seven locust seeds with freshly drawn well water;
  • Blow a small amount of soapberry powder into the nose to induce sneezing;
  • Administer zisu decoction with Yiyuan Powder (a heat-clearing, dampness-resolving formula).

For prolonged labor with exhaustion and drained amniotic fluid: Boil one dou of red beans in nine sheng of water, strain, melt three liang of donkey-hide gelatin into the liquid, and take half a cup per dose—repeat if labor hasn’t progressed.

For unopened birth canals: Use naturally deceased or divination-discarded turtle shells, roasted with ghee or vinegar-soaked and charred. Combine with ash-preserved hair from a multiparous woman, then decoct with danggui and chuanxiong (Ligusticum). Allegedly effective within the time it takes to walk five li, expelling both live and stillborn fetuses.

Lastly, Wushe Powder specifically corrects malpresentation (breech birth).

  烏蛇蛻(一/條)蟬蛻(十四/合)血餘(一箇即/胎髮)  右三味燒爲灰分作二服温酒調下併進  二服仰卧霎時兒即順生 又方用小絹針於小兒脚心刺三五下急用  塩少許塗刺處即順生用穀尖刺尤好 又方以塩塗兒足底又可爪甲搔之并以塩  摩母腹上 又方以手中指取鍋底墨交畫兒足下即順 生 又方取其父名書兒足下即順生 治婦人横生不可出  右車前子爲末酒服二錢七 又方兔絲子爲末酒調服一錢七米飲調亦 可 治婦人横逆生得效方   百草霜香白芷(各等分/不見火)  右用童子小便與好醋各一合調成膏沸  湯浸服甚者二服即生 治婦人逆横難産子死腹中  先用黑豆一合炒熟水與童便合煎服神  效 又方艾葉半斤酒四升煮取一升服之 又方當歸爲末酒服方寸七紫蘇湯調服亦 可 奪命散治婦人産死腹中胎不下   桂(二/錢)麝香當門子(一/粒)  右件用爲末研酒服須臾即下 又方用鹿角屑三二方寸七煎葱豉湯和服 之立出 又方用朱砂一兩水煮數沸末之酒調服效 又方揄白皮煮汁服二升即出 又方取竈心土爲末以水調三錢七服之其 土兒當戴出 又方用瞿麥二兩剉水八盞煮三盞服一盞 未出再服
Interpretation

This text records several emergency remedies and techniques for treating difficult childbirth. The first prescription uses three medicinal ingredients: snake slough (wushetui, shed snake skin), cicada slough (chantui, cicada molting), and fetal hair (taifa, newborn baby's hair). These are burned to ashes, divided into two doses, and taken with warm wine. After administration, the mother should lie on her back, and delivery will proceed smoothly.

Several emergency techniques are described: Pricking the fetus's soles 3-5 times with a fine needle, then applying a small amount of salt to the pricked areas; or applying salt to the fetus's soles while gently scraping with fingernails, followed by massaging the mother's abdomen with salt; another method involves dipping the middle finger in soot (from a cooking pot bottom) to draw a cross on the fetus's soles; remarkably, even writing the father's name on the fetus's soles was believed to facilitate delivery.

For malpositioned fetuses causing difficult labor, several prescriptions are given: Plantago seeds (cheqianzi) ground into powder taken with wine; dodder seeds (tusizi) powder taken with either wine or rice water. A particularly effective formula combines equal parts of soot (baicaoshuang, hundred-herb ash) and angelica dahurica (baizhi) mixed with child's urine and vinegar to form a paste, taken with hot water - severe cases requiring just two doses for delivery.

For cases of stillbirth: First administer fried black beans boiled with water and child's urine; or boil half a catty of mugwort leaves (aiye) with four sheng of wine until reduced to one sheng; angelica sinensis (danggui) powder can be taken with wine or perilla leaf decoction. The "Life-Seizing Powder" (Duoming San) combines cinnamon (rougui) and musk (shexiang) powder taken with wine to rapidly expel the dead fetus.

Additional methods include: Deer antler shavings (lujiaoxie) with scallion and fermented soybean broth; cinnabar (zhusha) boiled in water then taken with wine; elm bark (yushubaipi) decoction; powdered hearth clay (zaoxintu) mixed with water; and dianthus herb (qumai) decoction. These formulas all note that the fetus will be expelled immediately or "carried out" (daichu) by the medicine's potency.

又方朴硝二錢温童子小便調服亦治胞衣 不出立效 又方用萆麻子一百粒去殻雄黄末二錢一 處研成膏攤紙上貼母右脚心先置冷水一 捥才下急洗去亦治胞衣不下 治婦人産難已死子不出者  用水銀如彈子大斡開口灌之扶令坐少  頃又扶令𠋣立子即出 祕方治婦人胎衣不下  取本婦𥚛覆井口立下 又方米麥赤小豆三味同煮濃汁服之即效 又方皂角刺不以多少燒灰存性爲末每服 一大錢温酒下 又方取竈下土一寸研碎用好醋調納於臍 中取甘草湯服之 又方牛膝半斤以水九升煎取三升分三服 治婦人墮胎胞衣不下腹中疼痛牽引腰脊 用好墨細研每服二錢七温酒下無時 治婦人落胎下血不止方  又生地黄汁調代赭末一錢日三服  取桑木中蝎蟲燒末存性酒服方寸七日  三服 治婦人落胎身下有血方  丹參十二兩以酒五升煎取三升分三服 治婦人小産下血子死增寒唇口爪甲皆青 面色白黄黑或胎上搶心則悶絶欲死冷汗 自出或食毒物傷動胎氣下血不止胎尚未 損服之可安已死者服之可下   牡丹皮白茯苓桂心   桃仁(去皮尖/麩炒)赤芍藥  右各等分爲細末鍊蜜丸如彈子大每服  一丸細嚼淡醋湯下連進兩丸若胎腐爛  腹中危甚者立可取出
Interpretation

This records several formulas for treating gynecological emergencies, all commonly used by ancient Daoist physicians for first aid.

The first method addresses retained placenta (failure to expel the afterbirth): Take two qian (about 6 grams) of puxiao (mirabilite) mixed with warm boy’s urine for oral administration, which acts swiftly. Another remedy involves shelling 100 castor beans, grinding them with two qian of realgar powder into a paste, spreading it on paper, and applying it to the sole of the mother’s right foot. Simultaneously, prepare a basin of cold water to wash off the paste immediately after the placenta is delivered.

For cases of difficult labor leading to apparent maternal death with the fetus still undelivered: Take a pellet-sized amount of mercury, force open the mother’s teeth, and pour it in. Support her in a seated position briefly, then help her stand—the fetus will then be expelled.

A secret formula for retained placenta: Cover the well opening with the mother’s undergarments, and the placenta will descend. Another simple method involves boiling rice, wheat, and red adzuki beans into a thick decoction for oral intake. Alternatively, burn zhaojiao (Gleditsia sinensis thorns) until charred but retaining medicinal properties (shao cun xing), grind into powder, and take one large qian (about 3 grams) per dose with warm wine.

For retained placenta after miscarriage accompanied by abdominal and lumbar pain: Finely grind high-quality ink and take two qian and seven fen (about 8 grams) per dose with warm wine, with no fixed timing.

For incessant bleeding after miscarriage: Mix one qian (about 3 grams) of hematite powder with fresh rehmannia juice, taken three times daily. Alternatively, burn silkworms found in mulberry wood to ashes (shao cun xing), take one fangcun and seven fen (about 1 gram) with wine, three times daily.

For post-miscarriage bleeding: Boil twelve liang (about 450 grams) of danshen (salvia root) with five sheng (about 3 liters) of wine until reduced to three sheng, divided into three doses.

For miscarriage with bleeding, fetal death, chills, cyanotic lips and nails, abnormal complexion, or fetal qi surging upward causing chest distress and cold sweats: This formula stabilizes the fetus (if alive) or expels a dead one. Grind equal parts of moutan bark, white poria, cinnamon bark, peach kernels (peeled, tip-removed, stir-fried with bran), and red peony root into powder, then mix with honey to form pellet-sized pills. Chew one pill per dose, washed down with mild vinegar broth, taking two consecutively. If the dead fetus has decayed in the womb with critical symptoms, this will expel it immediately.

These formulas reflect the wisdom of ancient Daoist physicians in managing gynecological emergencies. However, methods involving mercury, furnace earth, and other special ingredients require extreme caution regarding safety and should only be referenced under modern medical guidance.

治婦人推腸生又名盤腸産盖臨産則子腸 先出旣産其腸不收  右以半夏爲末搐鼻中又以萆麻子研膏  貼頂心腸上即拭去    産後諸疾品 治婦人産後血暈不知人狂語顛倒健忘失 志   紫礦(一/兩)  右細研温酒調二錢七服 又方用蘇合香丸童子小便煎一二沸調下 治産後血暈昏迷心氣絶   夏枯草絞汁服一盞妙 又方五靈脂二兩半生半炒爲細末每服一 錢温酒調下口禁者斡開灌之加荆芥等分 爲末温童便調下更妙 又方紅花一兩分爲兩服酒童便各一盞煎 取一盞服 又方半夏一兩爲末冷水和丸如豆大納鼻 中即愈 又方醋磨京墨服之良 治産後血暈連心頭硬悶亂氣絶手脚煩熱 及寒熱不禁  延胡索炒爲末酒服一錢七亦治穢汙不  盡胷腹脹滿 又方續斷皮二兩剉以水三升煎取一升分 作三服温服如人行二三里再服無忌雖垂 死者亦愈 又方生地黄(汁一/盞)當歸赤芍藥(各二/錢半)  右水煎三五沸温服如覺煩熱去當歸入  童便半盞服之 治産後敗血衝心發熱狂言奔走脉虚大者   乾荷葉生地黄牡丹皮  右等分煎湯調蒲黄二錢七一服即定 治産後惡血衝心胞衣不下腹中血塊  錦紋大黄一兩研爲細末用釅醋半升熬  成膏丸如桐子大用醋七分盞化五丸至
Interpretation

The Ji Jiu Xian Fang (Emergency Immortal Prescriptions) records various methods for treating gynecological emergencies:

For treating "protruding intestines during childbirth" (rectal prolapse during delivery): grind Banxia (Pinellia ternata) into powder to blow into the nostrils, then apply a paste of Bimazi (castor seeds) on the Baihui acupoint at the crown of the head. Remove the paste immediately after the intestines retract.

Treatment protocols for postpartum blood dizziness (similar to modern hemorrhagic shock after childbirth):

1. Grind one liang of Zikuang powder finely, mix two qian and seven fen with warm wine for oral administration.

2. Boil Suhexiang pills in children's urine before consumption.

3. Drink one zhan of fresh Xiakucao (Prunella vulgaris) juice for significant effect.

4. Grind two liang of Wulingzhi (half raw, half fried) into powder. Take one qian per dose with warm wine. For locked jaws, force-open to administer; adding equal parts Jingjie (Schizonepeta) powder in warm children's urine enhances efficacy.

5. Divide one liang of Honghua (safflower) into two doses. Decoct with one zhan each of wine and children's urine until reduced to one zhan for consumption.

6. Mix Banxia powder with cold water to form bean-sized pills for nasal insertion.

7. Grind high-quality Jingmo ink with vinegar for oral intake.

For postpartum blood dizziness accompanied by chest tightness, hot extremities, or alternating chills and fever:

1. Take one qian and seven fen of fried Yanhusuo powder with wine, also effective for chest and abdominal distension caused by retained lochia.

2. Decoct two liang of Xuduan bark in three sheng of water until reduced to one sheng. Divide into three warm doses taken at intervals equivalent to walking two or three li. Even critical cases can be cured.

3. Take one zhan of fresh Shengdihuang (Rehmannia) juice with two and a half qian each of Danggui (Angelica sinensis) and Chishao (red peony root) decoction. For heat sensations, remove Danggui and add half zhan of children's urine.

For postpartum toxic blood attacking the heart causing high fever, delirium, and weak-large pulse: decoct equal parts dried Heye (lotus leaf), Shengdihuang, and Mudanpi (peony bark), then mix in two qian and seven fen of Puhuang (cattail pollen). One dose suffices.

For postpartum noxious blood attacking the heart, retained placenta, or abdominal blood clots: grind one liang of Jinwen Dahuang (high-quality rhubarb) finely, simmer with half sheng of strong vinegar into paste-pills (size like wutong seeds). Take five pills dissolved in seven fen of vinegar per dose.

 七丸服之須臾即下 治産後血上心巳死或胎不下  鬱金燒存性爲末每服二錢釅醋一合調  灌之立活 治産後敗血衝心胷滿上喘命在須臾   眞血碣(如無紫/礦代)没藥  右等分輕手研細每服二錢用童便合酒  半大盞煎一沸温調下才産下服之上床  良乆再服 治産後氣喘爲孤陽絶陰不治者   人參蘇木(各一/兩)  右每服五錢水二盞煎七分頻頻呷之 又方用胡桃肉不去皮同人參等分每服五 錢水一盞半煎七分頻頻呷之屢效 倉公散治産後鬱冐血厥閉目昏默先以倉 公散取嚏後服白薇湯   甜瓜蒂藜盧雄黄   明凡(煅等/分)  右爲細末吹入鼻中 白薇湯   白薇當歸(各一/兩)人參(半/兩)   甘草(二錢/半)  每服四錢水煎温服 孤鳳散治産後閉目不語   白礬(一/錢)  右爲細末熟水調下 治産後血不下  夏枯草絞汁每服一小盞入酒一合温攪  匀服 又方蒲黄三兩水三升煎取一升頓服 治婦人産後敗血未盡心腹脹滿   生姜(切五/兩)  右以水五升煮三升分三服立效 治産後血癖痛   大黄(一/兩)當歸(半/兩)官桂(二/錢)  右以酒三升煮十沸頓服 治産後惡物不盡腹内疼痛   生乾地黄(一兩/微炒)當歸(一兩/微炒)
Interpretation

Here are several formulas for treating postpartum emergencies:

The first addresses postpartum blood rushing to the heart causing unconsciousness or retained placenta. Take charred turmeric root, grind it into powder, and administer 6 grams per dose mixed with strong vinegar for immediate effect.

For critical cases of postpartum putrid blood rushing to the heart with chest oppression and panting, use equal parts true dragon's blood resin (substitute with lac if unavailable) and myrrh. Grind 6 grams of the mixture, decoct with half a bowl each of children's urine and wine, then take warm. Best administered immediately after delivery, followed by a second dose after bed rest.

A life-saving formula for postpartum dyspnea combines 30 grams each of ginseng and sappan wood. Decoct 15 grams per dose in water and administer in small, frequent sips. An alternative version uses equal parts walnut meat (with skin) and ginseng prepared similarly.

The Cang Gong powder with Baiwei decoction protocol involves first inducing sneezing with a nasal insufflation of powdered muskmelon pedicel, black false hellebore, realgar, and alum. Follow with a decoction of 30 grams blackend swallowwort root, 30 grams Chinese angelica, 15 grams ginseng, and 7.5 grams licorice.

For postpartum mutism, administer 3 grams of powdered alum with hot water. Retained lochia can be treated with decocted common selfheal spike juice taken warm with wine, or alternatively with 90 grams of cattail pollen decocted in concentrated liquid taken in one dose.

Postpartum abdominal distension calls for 150 grams of fresh ginger decocted in water and taken in three portions. Blood stasis pain requires 30 grams rhubarb root, 15 grams Chinese angelica, and 6 grams cinnamon bark decocted in wine and taken in one dose. Persistent abdominal pain from incomplete lochia discharge uses 30 grams each of slightly fried rehmannia root and Chinese angelica.

These formulas emphasize immediate administration for critical postpartum symptoms like hemorrhage, coma, and severe pain. They predominantly feature blood-activating and stasis-resolving herbs like Chinese angelica and rhubarb, often enhanced with wine or vinegar to potentiate their effects.

  生姜(半兩瓦上/炒焦黑)  右以爲細末每服二錢姜酒調服神效 治産後心腹痛欲死   五靈脂蒲黄(各等/分)  右爲末先用釅醋調二錢熬膏入水半盞  童便半盞煎七分食前熱服神效 治産後腹中絞痛不可忍   延胡索當歸芍藥   川芎乾姜(各等/分)  右爲細末每服三錢温酒調下 治産後惡露不盡腰腹痛兒枕痛并皆治之   延胡索桂心當歸(各等/分)  右爲細末每服三錢熱酒調服 治産後内虚寒氣入腹腹中絞痛及兩脇當 臍急痛名曰寒疝   肥羊肉(一/斤)當歸甘草   芍藥(炒)人參(各一/兩)  右㕮咀以水一斗先煮取七升入藥更煮  再二升去滓分二服 治産後血瘕痛臍下脹不下食   當歸(二/兩)桂心芍藥(各半/兩)   蒲黄(各一/兩半)血碣延胡索(各一/兩)   脇肋脹去血碣加檳榔柴胡青木香  右爲細末每服二錢温酒調下 治産後血入於肺面黑發喘欲死者   人參(一兩另/爲末)蘇合香(二/兩)  右以水二椀煮蘇合香至一碗去滓調參  末隨多少如神效 治産後惡露不下三四日嘔逆壯熱   芍藥(二兩/半)知母生姜   當歸蒲黄(各二/兩)紅花五錢   生地黄(汁一/盞)荷葉中心蒂(七/箇)  右以水二升煎至一升去滓下蒲黄煎四
Interpretation

Here are several proven medicinal formulas for treating postpartum disorders, all validated by ancient practitioners:

The first formula uses ginger (half an ounce, roasted on a clay tile until charred), ground into fine powder. Take two qian each dose mixed with ginger-infused wine, specifically for treating severe postpartum abdominal pain that feels life-threatening.

The second formula combines equal parts of Trogopterus dung (Wulingzhi) and cattail pollen (Puhuang). Grind into powder, then mix two qian with strong vinegar to form a paste. Add half a cup each of water and child's urine, simmer until reduced by 30%, and take warm before meals to relieve unbearable postpartum abdominal cramps.

For lingering lochia (postpartum blood discharge) causing lower back pain and afterpains (uterine contraction pain), use equal parts of Corydalis rhizome (Yanhusuo), Chinese angelica (Danggui), peony root (Shaoyao), Sichuan lovage root (Chuanxiong), and dried ginger (Ganjiang). Grind finely and take three qian per dose with warm wine.

To treat postpartum deficiency with cold invasion causing severe abdominal cramps and acute pain around the ribs and navel (anciently called "cold hernia"), prepare equal parts of Corydalis rhizome, cinnamon bark (Guixin), and Chinese angelica. Take three qian of the powdered mixture with heated wine.

A nourishing formula involves one jin of fatty lamb meat cooked with one liang each of Chinese angelica, licorice (Gancao), roasted peony root, and ginseng (Renshen). Simmer the lamb to yield seven sheng of broth, add herbs and reduce to two sheng. Strain and divide into two doses for blood stasis forming lumps below the navel with distending pain and poor appetite.

For more complex presentations: two liang of Chinese angelica, half liang each of cinnamon bark and peony root, one and half liang of cattail pollen, one liang each of dragon's blood resin (Xuejie) and Corydalis. If rib-side distension occurs, replace dragon's blood with betel nut (Binglang), bupleurum root (Chaihu), and Aucklandia root (Qingmuxiang). Take two qian powdered with warm wine.

In critical cases where blood stasis affects the lungs causing darkening complexion and life-threatening dyspnea, prepare one liang of ginseng powder with two liang of storax resin (Suhexiang). Simmer the resin to one bowl of liquid, strain and mix with ginseng powder for administration.

The final formula combines two and half liang of peony root with two liang each of anemarrhena rhizome (Zhimu), fresh ginger, Chinese angelica, and cattail pollen, plus five qian of safflower (Honghua), one zhan of fresh rehmannia juice (Shengdihuang), and seven lotus receptacle centers. Decoct in water, strain, then add cattail pollen and simmer again for postpartum fever with vomiting and retained lochia persisting three to four days after delivery.

 沸空心分作三服 治産後嘔吐不止   陳皮(一/兩)半夏曲甘草(各半/兩)   藿香二兩  右爲細末每服三錢姜三片煎熱服 趂痛散治産後氣弱血滯身熱頭疼及遍身 疼痛   牛膝當歸桂心   白术黄耆獨活   生姜(各半/兩)甘草(炙)薤白(各二/錢半)  右㕮咀每服半兩水三盞煎至盞半去滓  食前熱服 治産後頭痛   川芎當歸荆芥穗(各等/分)  右㕮咀每服五錢水煎熱服 治産後下血不止  炙桑白皮煮水飲之良 又方菖蒲二兩以酒二升煮分作兩服止 治産後下血虚羸殆死  蒲黄二兩水二升煮取八合頓服 治産後子宫不收   荆芥穗藿香葉𣗬椿樹皮(各/等)   (分)  右煎湯熏之子宫即入 又方五倍子白凡爲末温湯泡洗 又方萆麻子搗塗頂心吸入即洗去藥 治産後生腸不收  枳殻煎湯温浸良乆即入 治産後陰下脫  蛇床子絹袋盛蒸□之亦治隂户痛 又方順火草一斤陰乾水五升煮取汁分温 服 又方以鐵爐中紫塵羊脂二味攪令稠布褁 炙熱□推納之差 治産隂後道開不閉  以石灰一斗炒黄水三斗投灰中放冷澄  清取一斗二升暖洗又治隂腸脫出 治産後中風寒遍身冷直口噤不識人   白术(三/兩)川芎當歸   生姜(各一/兩)
Interpretation

This text records several medicinal formulas and their applications for treating postpartum conditions:

For persistent postpartum vomiting: Take one liang of dried tangerine peel, half a liang each of pinellia rhizome and licorice, and two liang of patchouli, ground into fine powder. Take three qian of the powder each time, decoct with three slices of fresh ginger, and consume in three divided doses while warm.

For postpartum fever and headache due to qi-blood deficiency and poor blood circulation (known as "Chen Tong San"): Use half a liang each of achyranthes root, Chinese angelica, cinnamon bark, white atractylodes, astragalus root, pubescent angelica root, and fresh ginger, plus two and a half qian each of roasted licorice and Chinese chive bulbs. Chop the herbs, decoct half a liang with three bowls of water until reduced to one and a half bowls. Strain and drink warm before meals.

Simple formula for postpartum headache: Take equal parts of Sichuan lovage root, Chinese angelica, and schizonepeta spike. Chop and decoct five qian per dose in water.

Two formulas for persistent postpartum bleeding: 1) Roast mulberry root bark and drink the decoction; 2) Decoct two liang of calamus with two sheng of wine, divided into two doses.

Emergency formula for severe postpartum hemorrhage with extreme weakness: Decoct two liang of cattail pollen with two sheng of water until reduced to eight ge (about 400ml), consume in one dose.

Treatments for uterine prolapse: 1) Decoct equal parts of schizonepeta spike, patchouli leaves, and chinaberry bark for fumigation and washing; 2) Grind Chinese gallnut and alum into powder for warm water sitz bath; 3) Apply pounded castor seeds to the Baihui point (DU20) on the crown of the head, washing off immediately after uterine repositioning.

For postpartum rectal prolapse: Soak the affected area in warm decoction of bitter orange peel for extended periods until effective.

Therapies for postpartum vaginal prolapse: 1) Apply steamed silk pouch containing cnidium seeds externally (also relieves vaginal pain); 2) Decoct one jin of shade-dried "Shun Huo Cao" herb with five sheng of water for warm oral consumption; 3) Mix furnace soot with mutton fat into paste, wrap in cloth, warm and apply with gentle pushing motions.

For postpartum vaginal laxity: Stir-fry one dou of lime until yellow, add three dou of water. After cooling and clarification, take one dou and two sheng of the clear liquid for warm washing (also effective for uterine prolapse).

Formula for postpartum wind-cold invasion with chills, rigidity, lockjaw and unconsciousness: Use three liang of white atractylodes combined with one liang each of Sichuan lovage root, Chinese angelica and fresh ginger.

(Note: Ancient measurement conversions: 1 liang ≈ 37.5g, 1 qian ≈ 3.75g, 1 sheng ≈ 200ml, 1 ge ≈ 20ml. Actual medicinal use should follow professional medical advice - this is strictly a textual translation.)

 右以酒三升煎取一升頓服 治産後中風語澁四肢拘急   𦍑活(三/兩)當歸(一/兩)官桂(半/兩)    杏仁(半兩去/皮尖炒)  右爲末每服五錢酒水各半盞煎去滓温  服 治産後中風煩渴  紅花五合微炒水一升煎取七合徐徐呷  之 治産後中風不省人事口吐涎沫手足瘈瘲   當歸荆芥穗(各等/分)  右爲細末每服三錢水一盞入酒煎七分  灌之口噤者斡開灌 小續命湯治産後中風腰强直時時反張或 半身不遂口眼喎斜手足戰掉語言蹇澁   防巳肉桂(去/皮)黄芩   芍藥杏仁(去皮/尖)甘草   川芎麻黄(去根/節)人參(各一/兩)   防風(一兩/半)附子(去皮臍/半兩)  右㕮咀每服五錢水一盞姜五片棗一枚  煎七分熱服若藏寒下利者去防巳黄芩  加白术附子一倍若自汗者去麻黄杏仁  加白术黄耆若失音者加杏仁一倍 治産後中風手足不遂語言蹇澁恍惚多忘 精神不定   獨活當歸芍藥   防風川芎玄參   天麻(各五/錢)桂心(三/錢)   若作丸巳上皆加分兩  右㕮咀以水八升煮取二升半分爲三服  亦可蜜丸服若有氣證加生姜一兩半若  有熱加葛根五兩冷加白术五兩若手足  不穩加牛膝一兩二錢萆薢三兩黄耆四  兩 治産後血渴不止
Interpretation

This text records several medicinal formulas and administration methods for treating postpartum wind-stroke symptoms. The first prescription involves decocting herbs in three liters of wine until reduced to one liter, to be taken in one dose for cases of postpartum wind-stroke causing speech difficulties and limb rigidity. The formula consists of 90g Qianghuo (Notopterygium root), 30g Danggui (Angelica sinensis), 15g Guangui (cinnamon bark), and 15g Xingren (apricot kernel, stir-fried with skin and tip removed).

The second method requires grinding herbs into powder, taking 15g per dose to be decocted in half-cup wine and half-cup water, then strained and taken warm for postpartum wind-stroke with irritability and thirst. A simpler version uses 100ml slightly stir-fried Honghua (Carthamus tinctorius) decocted in one liter water until reduced to 700ml, to be sipped slowly.

For unconsciousness with foaming at the mouth and convulsive limbs due to postpartum wind-stroke, equal parts Danggui and Jingjiesui (Schizonepeta spike) are ground into fine powder - 9g per dose decocted in one cup water with wine until reduced to 70%, then administered by prying open the jaws.

The Minor Life-Prolonging Decoction treats postpartum wind-stroke manifesting as rigid back, opisthotonos, hemiplegia, facial distortion, limb tremors, and slurred speech. Its formula includes 30g each of Fangji (Stephania root), Rougui (Cinnamon bark), Huangqin (Scutellaria), Shaoyao (Peony root), Xingren, Gancao (Licorice), Chuanxiong (Ligusticum), Mahuang (Ephedra), and Renshen (Ginseng), plus 45g Fangfeng (Saposhnikovia root) and 15g Fuzi (Aconite). Each 15g dose is decocted with one cup water, five ginger slices and one jujube until 70% reduced. Modifications include: removing Fangji and Huangqin while doubling Baizhu (Atractylodes) and Fuzi for diarrhea with chills; replacing Mahuang and Xingren with Baizhu and Huangqi (Astragalus) for spontaneous sweating; doubling Xingren for aphasia.

Another formula addresses postpartum wind-stroke with limb dysfunction, slurred speech, mental confusion and restlessness, using 15g each of Duhuo (Angelica pubescens), Danggui, Shaoyao, Fangfeng, Chuanxiong, Xuanshen (Scrophularia), and Tianma (Gastrodia), plus 9g Guixin (Cinnamon twig) decocted in eight liters reduced to 2.5 liters for three doses. Alternatively prepared as honey pills with modifications: adding Shengjiang (fresh ginger) for qi stagnation, Gegen (Pueraria) for fever, Baizhu for chills, or Niuxi (Achyranthes root), Bixie (Dioscorea) and Huangqi for unsteady limbs.

The text concludes with mention of a specialized formula for persistent postpartum thirst, though the specific content is missing. All formulas meticulously detail herb quantities, decoction methods, and symptom-based modifications.

一方用黄芩麥門冬去心等分煎服   延胡索蔚金乾葛   桂心青皮枳殻(麩炒各/等分)  右并以好醋浸一宿焙乾爲細末每服二  錢冷橘皮湯調下 又方生地黄汁和蜜微鍊過熟水温調服即 止 竹葉湯治産後虚渴少氣   竹葉(三/升)甘草人參   茯苓(各一/兩)小麥(五/合)生姜   半夏(各三/兩)麥門冬(去心/五兩)大棗(十五/枚)  右㕮咀以水九升先煮竹葉小麥生姜棗  取七升去滓納藥再煎取三升去滓一服  五合日三服夜一服 益元散治産後虚渴煎人參五味子麥門冬 去心湯調服良 治産後小便數及遺尿   桑螵蛸(半兩/炙)龍骨(一/兩)  右爲細末米飲調下二錢空心服 又方以雞矢燒灰空心酒服方寸七 治産後大小便不通或下血   車前子黄芩蒲黄   牡蠣生地黄芍藥(各一/兩)  右爲細末空心米飲服方寸七忌麵蒜 治産後虚煩不得眠   芍藥當歸栀子(各五/錢)   香豉(半/合)  右㕮咀每服一兩水煎服 治産後徃來寒熱   柴胡(二/兩)黄芩(七/錢)人參(五/錢)   半夏(一兩半/湯洗)甘草(七錢/半)大棗(三/枚)   生地黄栀子枳殻(麩炒各/五錢)  右㕮咀每服一兩姜五片煎熱服 柴胡散治産後虚羸發寒熱飲食少腹脹增
Interpretation

Here are several medicinal formulas for treating postpartum conditions:

The first formula involves decocting equal parts of Scutellaria baicalensis (huangqin) and Ophiopogon japonicus (mai men dong) with the core removed. Another preparation includes equal measures of Corydalis yanhusuo (yan hu suo), Curcuma aromatica (yu jin), Pueraria lobata (gan ge), Cinnamomum cassia bark (gui xin), Citrus reticulata peel (qing pi), and bran-fried Citrus aurantium (zhi qiao). Soak these herbs overnight in high-quality vinegar, dry them, then grind into fine powder. Take two qian (about 6 grams) per dose with cooled tangerine peel decoction.

For immediate hemostasis, simmer fresh Rehmannia glutinosa (sheng di huang) juice with honey, then dilute with warm water for oral administration.

The Bamboo Leaf Decoction specifically addresses postpartum weakness, thirst, and shortness of breath. The formula contains: three sheng (about 600ml) of bamboo leaves, one liang (about 30g) each of Glycyrrhiza uralensis (gan cao), Panax ginseng (ren shen), and Poria cocos (fu ling), five ge (about 100ml) of wheat, three liang of fresh ginger (sheng jiang), Pinellia ternata (ban xia), five liang of de-cored Ophiopogon japonicus (mai men dong), and fifteen jujubes (da zao). First decoct the bamboo leaves, wheat, ginger, and jujubes to yield seven sheng of liquid, strain, then add remaining herbs to reduce to three sheng. Take five ge per dose, three times daily plus once at night.

The Beneficial Origin Powder treats postpartum deficiency-induced thirst—taking it with ginseng, Schisandra chinensis (wu wei zi), and de-cored Ophiopogon japonicus decoction enhances efficacy.

For postpartum frequent urination or incontinence: Powder equal parts of Paratenodera sinensis egg cases (sang piao xiao, roasted) and Os Draconis (long gu, 1:2 ratio). Take two qian with rice water on empty stomach. Alternatively, administer one fangcunqi (about 2g) of calcined chicken droppings ash with wine before meals.

For postpartum urinary/anal obstruction or bleeding: Powder equal parts of Plantago asiatica (che qian zi), Scutellaria baicalensis, Typha pollen (pu huang), oyster shell (mu li), fresh Rehmannia, and Paeonia lactiflora (shao yao). Take one fangcunqi with rice water while fasting, avoiding wheat products and garlic.

For postpartum restlessness and insomnia: Decoct equal parts (five qian each) of Paeonia lactiflora, Angelica sinensis (dang gui), and Gardenia jasminoides (zhi zi) with half ge of fermented soybeans (xiang chi). Standard dose is one liang per administration.

For postpartum alternating chills and fever: Combine two liang of Bupleurum chinense (chai hu), seven qian of Scutellaria baicalensis, five qian of ginseng, one-and-a-half liang of processed Pinellia ternata, seven-and-a-half qian of licorice, three jujubes, with five qian each of fresh Rehmannia, Gardenia, and bran-fried Citrus aurantium. Decoct one liang with five ginger slices per dose. The Bupleurum Powder specifically addresses postpartum emaciation, chills/fever, anorexia, and abdominal distension.

損   柴胡人參甘草   半夏(湯/洗)陳皮川芎   白芍藥(各等/分)  右㕮咀每服五錢姜五片棗二枚水煎食  後服咳嗽加桑白皮地骨皮 治産後血不止  以雞子三枚醋半升好酒二升煎取一升  分四服如行二三里微温進之 治産後瀉白不止   艾葉(半兩/炙熱)老生姜(半/兩)  右水煎服之即止 治産後諸痢神效方  蒼耳葉搗絞汁入蜜温服半盞日三 黄芩丸治産後赤白痢腹中絞痛不可忍   阿膠蒲黄栀子仁(各/兩)   黄連(四/兩)當歸(一兩/半)黄柏(三/兩)   黄芩芍藥(各二/兩)  右爲細末鍊蜜爲丸桐子大每服六十丸  米飲下日三夜一 又方芍藥阿膠艾葉   熟地黄甘草當歸(各四/兩)  右㕮咀每服一兩水煎服危急者巳上分  兩只作一服水三升煮取一升分二服空  心名救急散 又方芍藥(三/錢)黄芩(二錢/半)當歸(二/錢)   甘草(一錢/半)  右㕮咀水一升煎七分温服食前裏急後  重加枳殻檳榔 治産後虚汗不止   當歸黄耆麻黄根   牡蠣(煅爲/粉)人參粉草(炙各/等分)  右㕮咀每服五錢水一盞煎温服 又方牡蠣(煅)小麥麩(炒黄)  右等分爲細末煮生猪汁調下二錢無時  候 治産後吃意
Interpretation

This scripture records several medicinal formulas for treating postpartum disorders:

The first formula is a foundational remedy for postpartum Qi (vital energy) and blood deficiency, comprising equal parts of bupleurum root, ginseng, licorice, pinellia tuber (washed with hot water), tangerine peel, chuanxiong rhizome, and white peony root. Preparation involves finely chopping the herbs, using five qian per dose with five slices of ginger and two dates, decocted in water for oral administration. For accompanying cough, add mulberry root bark and wolfberry root bark.

The second formula specifically treats persistent postpartum bleeding: decoct three eggs with half a sheng of vinegar and two sheng of quality wine until reduced to one sheng of medicinal liquid. Divide into four doses, to be taken warm after walking two or three li.

The third formula addresses postpartum diarrhea: decoct half a liang each of moxa leaf (scorched) and aged ginger in water to stop diarrhea.

The fourth formula is a specialized treatment for postpartum dysentery: crush cocklebur leaves to extract juice, mix with honey, and take half a cup warm three times daily.

Additionally, there's Scutellaria Pill for postpartum red-white dysentery with severe abdominal pain. Its composition includes: donkey-hide gelatin, cattail pollen, and gardenia fruit (one liang each); coptis root (four liang); Chinese angelica (one and a half liang); phellodendron bark (three liang); scutellaria root and peony root (two liang each). Grind into fine powder, mix with honey to form wutong seed-sized pills. Take sixty pills per dose with rice water—three times by day, once at night.

The text also records formulas for persistent postpartum night sweats: decoct equal parts of Chinese angelica, astragalus root, ephedra root, calcined oyster shell powder, ginseng, and honey-fried licorice (five qian per dose). A simpler version combines equal parts calcined oyster shell and parched wheat bran powder, mixed with fresh lard juice (two qian per dose, without timing restrictions).

Technical notes: "Fǔ jǔ" refers to the ancient herbal processing method of chopping medicinal ingredients; "empty stomach" indicates taking medicine before meals; "tenesmus" is the TCM term describing rectal discomfort with incomplete bowel movements.

  丁香白豆蔻(各半/兩)伏龍肝(一/兩)  右爲細末煎桃仁吴茱萸湯調下一錢如  人行五里再服 治産後咳逆三日不止欲死者   桂心(半/兩)生姜(三/合)  右同煎取二合以火先炙背摩令熱塗藥  盡妙 治産後經脉不調四肢煩疼飲食全少日漸 羸瘦   琥珀牛膝生地黄   當歸(各一/兩)桃仁赤芍藥(各半/兩)  右粗末每服三五錢水一盞姜三片煎去  滓温服 治産後心膈迷悶腹藏撮痛氣急月信不通   烏藥(二/兩)當歸莪术(各一/兩)  右爲細末每服二錢温酒調下服後以食
Interpretation

Here are several medicinal prescriptions for postpartum conditions, all commonly used by ancient physicians.

The first formula treats persistent and critical postpartum coughing. Take equal parts of cloves and white cardamom (half an ounce each), along with one ounce of Fulonggan (hearth clay). Grind these ingredients into a fine powder. Administer one qian of the powder with a decoction made from peach kernels and evodia fruit. Have the patient walk for about five li (a Chinese mile), then repeat the dosage.

The second formula addresses postpartum back discomfort. Boil half an ounce of cinnamon heartwood with three ge of fresh ginger to yield two ge of medicinal liquid. Before application, warm the patient's back with heat and massage it, then apply the decoction for optimal effect.

The third formula treats postpartum menstrual irregularities, limb soreness, poor appetite, and progressive emaciation. The prescription includes one ounce each of amber, achyranthes root, and raw rehmannia, one ounce of angelica sinensis, and half an ounce each of peach kernels and red peony root. Coarsely crush these herbs, then take three to five qian per dose. Boil with one cup of water and three slices of ginger, strain the decoction, and drink it warm.

The fourth formula alleviates postpartum chest tightness, abdominal cramps, shortness of breath, and amenorrhea. Use two ounces of lindera root, one ounce each of angelica sinensis and zedoary, ground into powder. Take two qian per dose with warm wine, followed by food to settle the stomach. Special care must be taken to avoid raw, cold, and greasy foods.

These prescriptions originate from the second volume of Emergency Immortal Formulas, representing ancient emergency treatments for common postpartum ailments. The precise measurements and preparation methods demonstrate traditional Chinese medicine's targeted approach to symptom-specific treatment.

 壓之大忌生冷油膩等物 急救仙方卷之二

Source text: Kanripo 漢籍リポジトリ(KR5e0066); Licence: CC BY-SA 4.0 · Report an error / feedback

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