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Jingui Yaolue · Essentials from the Golden Cabinet
21. Postpartum Disorders · Pulses, Signs and Treatment
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Question: Why do newly delivered women have three illnesses: spasm, oppressive clouding and difficult stool?
The Master replies: After birth, deficient blood and much sweat make wind-strike frequent, hence spasm. Blood loss with further sweat and much cold causes clouding. Lost fluids and dry Stomach make stool difficult.
Postpartum oppressive clouding has faint, weak pulse, vomiting, no eating, stool instead hard and sweat only at head. Blood deficiency gives reversal, reversal clouding. Resolution must involve great sweat. Deficient blood and reversal below make solitary yang issue above, hence head sweat. Postpartum sweating comes from lost yin and deficient blood, yang alone flourishing; sweat lets yin and yang recover. Hard stool, vomiting and no eating are governed by Xiao Chaihu Tang, with formula under vomiting.
After resolution and return of eating, renewed fever at seven or eight days is Stomach repletion. Dachengqi Tang governs, with formula under spasm.
Postpartum abdominal pain with an unreadable descriptor in this copy is governed by Danggui Shengjiang Yangrou Tang. It also treats abdominal cold-shan and deficiency-depletion with insufficiency. No substitute for the unreadable glyphs is invented.
Postpartum abdominal pain, vexing fullness and inability to lie are governed by Zhishi Shaoyao San.
Postpartum abdominal pain should by the method receive Zhishi Shaoyao San. If not recovered, static blood adheres below navel. Xia Yuxue Tang is suitable and also governs obstructed menses.
Seven or eight days after birth, no Greater Yang signs but hard, painful lower abdomen mean lochia not exhausted. No stool, agitation, fever, slightly replete pulse, fever again doubled in the wording, afternoon agitation, no eating or delirium upon eating, resolving at night: Dachengqi Tang is suitable. Heat is interior, bound at Bladder; its formula is under spasm.
Postpartum wind persisting for several tens of days, slight headache, aversion to cold, occasional heat, oppression below Heart, dry retching and sweat: despite duration, Yangdan signs remain. Yangdan Tang may be given. The note identifies it as Guizhi Tang, with formula under diarrhea.
Postpartum wind-strike with fever, truly scarlet face, panting and headache is governed by Zhuye Tang.
Deficiency within during nursing, vexation, disorder and vomiting counterflow require settling the center and benefiting qi. Zhupi Da Wan governs.
Postpartum diarrhea with extreme deficiency is governed by Baitouweng Jia Gancao Ejiao Tang.
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