Great Wall of China (7)

Author: Cao Bingzhang
Editor: Wu Shaozhen
Publisher:
Publishing Date: 1997-10-01
Features: "Summary of 'Panzhu Jitai Chanzhong Zhengzhi'"
Yao Jiang Yanjie, styled Xiting, also known as Qinglian. Shi Wen, styled Danning, also known as Wenshu. Hong Wei, styled Jian'an, also known as Xiacheng. The three compiled a book in three volumes. The first volume listed thirty-four prepartum conditions, the second volume listed sixty-one postpartum conditions, and the third volume listed sixty-three supplementary formulas, thirty-one dispersing formulas, sixteen attacking formulas, thirty-three astringent formulas, eight heat-clearing formulas, forty-four harmonizing formulas, five purgative formulas, and thirty-five prepartum standby formulas and eighteen postpartum standby formulas. In total, ninety-five conditions and two hundred fifty-three formulas were listed. The conditions listed were all commonly encountered in prepartum and postpartum stages, and the formulas adopted were necessarily effective based on syndrome differentiation. The life experience of Yan, Shi, and Hong in treating women was fully embodied in this work.
Excerpt:
A child with fullness in the chest and abdomen, stuffy breathing, or even generalized edema and shortness of breath. Water and blood clash. Earth fails to control water, causing water and blood to clash and spread to the limbs, resulting in generalized edema, sharp lower abdominal pain, and difficulty urinating. Liyu Decoction and Zexia Powder. Harmonize seven, Purgate one.
Damp-heat edema in the lower limbs. Bu Zhong Yi Qi Tang, with Shan Zhi and Fu Ling. Harmonize six.
Dietary indiscretion with vomiting and diarrhea. Liu Jun Zi Tang, with Sandan and Gu Ya. Harmonize the spleen and stomach deficiency. Si Jun Zi Tang, with He Zi and Jiang Pi. Harmonize four.
Wind pathogen invasion from the exterior. Zi Su Yin, without Ren Shen and Bai Shao, with Hu Xiang. Disperse three.
A child with preexisting wind-dampness, experiencing swelling in both lower legs after three months of pregnancy, difficulty walking, shortness of breath like water retention, and yellow fluid oozing from the interdigital spaces—this is called "child's breath." It must not be treated as water retention; it will naturally subside after delivery.
Qi deficiency failing to rise. Need to regulate stagnation. Tian Xian Teng San. Disperse five.
Lower yang deficiency with concurrent wind pathogen. Nourish blood and promote qi. Modified Wu Yao Shun Qi Tang. Disperse six.
A child's dark tongue is the heart's orifice, and the lungs govern voice. The heart, lungs, and kidneys are the mother and child's organs. All three can cause aphonia. If aphonia occurs at nine months of pregnancy, it is because the fetal vessels are connected to the kidneys. The Shaoyin meridian penetrates the kidneys and ascends to the tongue base. If the meridians are obstructed, speech will be absent but not silent. It will naturally return to normal after delivery without treatment.
Heart fire overacting on the lungs. Lower Shaoyin fire.
Heart and kidney deficiency. Tonify Shaoyin.
Phlegm and saliva obstructing the meridians. Clear phlegm decoction.
Child convulsions suddenly causing loss of consciousness, severe spasm of the neck, and brief recovery followed by recurrence. This is due to blood deficiency with external pathogen invasion, resembling wind stroke. Clear heat and nourish blood. Modified Yang Gan Jiao San. Cold nine.
Sudden collapse and unconsciousness may be due to blood and qi deficiency in nurturing the fetus, leading to dizziness. Only dietary support is needed.
Water deficiency and fire excess. Purgate south and tonify north to calm liver fire. Liu Wei Jia Gui Pao. Harmonize two.
External wind-cold. Chills, high fever, headache, and restlessness. Xiong Su San. Disperse seven.
Internal hidden heat. After pregnancy, prolonged lying on hot bedding or consuming hot foods, or taking strong tonifying herbs, may cause heat to accumulate in the fetus, attacking the liver and causing wind-heat congestion. If it enters the brain, it may cause dizziness and unconsciousness. Tian Dong Yin Zi. Cold ten.
Damp-phlegm in the stomach. Damp-phlegm causes blood and qi stagnation, leading to paralysis and inability to move. Wu Yao Shun Qi Tang to induce sweating. Disperse six.
Wind and fire stirring. Gouteng Tang, with Huang Qin, Zhi Zi, and Chai Hu. Add Zhu Li if phlegm; add Quan Chen if wind is severe; use Ba Zhen Tang with Gouteng and Zhi Zi if qi and blood deficiency; add Chai Hu if restlessness and heat are prominent. Disperse eight, Harmonize five.
If convulsions occur without strength, with oily sweat, and no sweat after cessation, it is incurable.
Fetal qi injured by heat toxins. Dizziness, blurred vision, sudden swelling and nodules in the cheeks and neck, severe pain, and vomiting. If phlegm stagnation occurs, it is life-threatening. Urgently use Xiao Feng San. Disperse thirty-three.
Herb toxicity attacking the fetus, causing upward congestion to the heart and abdomen. Inability to speak, straight neck, spontaneous sweating, and fever, similar to child convulsions. Six pulses are floating and rapid—survival rate is less than ten percent. Quickly use raw white mung bean powder, mixed with well water.
Child strangury due to insufficient blood and qi in nurturing the fetus, leading to blocked channels and bladder heat retention. Focus on nourishing blood and promoting urination.
Liver channel damp-heat. Long Dan Xie Gan Tang. Cold eleven.
Blood deficiency generating heat. An Rong San. Harmonize eight.
Blood overflowing the bladder due to heat. Strain internal heat, causing blood to flow with urine. Nourish blood and nurture the fetus. Si Ling Tang with Ejiao. Purgate two.
Kidney deficiency failing to control water. Kidney deficiency allows heat to invade the bladder. Di Fu Zi Tang. Also Si Wu Tang with Zhi, Bai, Xuan Shen, Mai Dong, and Bei Wei. Purgate three, Harmonize seven.
Abdominal and lower limb pain. Spleen and stomach qi deficiency. An Tai Yin with Er Chen Tang. Harmonize nine, Harmonize eight.
Lung qi deficiency with short urination. Bu Zhong Yi Qi Tang, with Shan Yao and Mai Dong. Harmonize six.
After taking diuretic herbs, frequency increases or urination becomes difficult. Si Wu Tang with Zhi Mu, Chuan Bai, Huai Ni Xie, Fu Ling, and Gan Cao. Harmonize seven.
Leg cramps. Zuo Gui Yin, with Dang Gui, Tu Si Zi, and Zhi Fu Zi. Harmonize thirty-three.
Fetal pressure on the bladder. Six pulses are thin and weak, with deficient qi and blood unable to support the fetus. Bu Zhong Yi Qi Tang to lift the fetus, then urination will return to normal. If diuretics are used, the fetus may be miscarried. Harmonize six.