TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS
Postpartum
Postpartum has always been recognised as a delicate time which benefits from good regimen. Various traditions are found around the world, often with good foundation. The Chinese, for example, encourage a new mother to stay indoors for the first month to avoid Wind and Cold, and this is still commonly done today in China.
In the immediate Postpartum period the new mother must be monitored for bleeding, full expulsion of the placenta, and then over the next days to check for any signs of infection.
Protecting mother and baby from cold, wind and drafts is common to many societies but is probably most strong in the Chinese custom.
After these precautions, a nourishing diet which is easy to digest and which promotes milk are commonly used.
“Let the Child-bed woman abstain from flesh, at least two days after her delivery, because after so great an Evomation [labor], she must in no wise suddenly hasten to receive a full Diet”. (Dr. Chamberlain’s Midwives Practice, 1665)
Recipes:
Lamb and Dang Gui Soup
Chicken Soup
Western Tradition
General for Postpartum
1. Give her broth of a Chicken or other suitable nourishing broth.
2. Fresh Mother of Thyme (1 spoonful) is beaten with salt and taken in broth as soon as possible following birth relieves afterpains.
3. Licorice, Raisins 2 parts ea., Cinnamon. 1 part. Decoct; take following childbirth. (Dr. Chamberlain’s Midwives Practice, 1665)
4. Date stones, Cumin, Grains of Paradise, Saffron. Powder and take with wine. (Natura exenterata, Philiatros, 1655)
5. Coldness before or after Birth:
Calamus, Clove, Nutmeg, Galangal, Cinnamon equal parts. Powder and heat in wine, then take, (Natura exenterata, Philiatros, 1655)
6. Winter Cherries, Ginger, Black Pepper, White Pepper. Boil, then add Ghee and Sugar. (Ayurveda)
7. Sesame, Ginger, Cummin, Parsnip. Powder or decoct. (Ayurveda)
8. Licorice, Lotus Seed, Sugar equal parts. Powder. (Ayurveda)
9. Clove, Saffron, Mace equal parts. Put in a little bag and steep in diluted wine which she may take a little occasionally after birth, as long as there is no heat.
10. Apply St. John’s wort oil to the belly.
Expel the Afterbirth
1. Boil Garlic in water and get her to sit over the steam.
2. Cassia wood, Madder
3. Powder Calendula flowers, light them with a candle and let the fumes rise to “her place of Nature”. (Secrets of Alexis)
4. 1 dram of Amber is good when there is bleeding due to retention of the Afterbirth. It stops the bleeding while expelling the Afterbirth. (Platerus)
5. To expel the afterbirth, dip a cloth in a decoction of Pennyroyal and apply to the abdomen. (Platerus)
6. Angelica root, Mugwort, Majoram, Cinnamon, equal parts
Decoct in wine.
6. A Powder:
Troches of Myrrh 1 dram, Madder root, Saffron ½ scruple ea.
Powder and take with wine or Cock (Chicken) broth.
7. Opopanax, Galbanum 1 dram ea. Powder and take ½ dram in a suitale vehicle.
8. Bayberries, Parsley seed, Lovage ½ oz. ea., Mugwort, Pennyroyal,
Marjoram 1 handful ea., Mace 2 drams, Saffron ½ dram. Bruise the seeds, cut the herbs and boil in 4 pints of wine until 1/3 has wasted. The dose is 4 oz. (Dr. Chamberlain’s Midwives Practice, 1665)
Antidotum Haemagogum (Nicholas)
Birth Powder
Troches for the Womb
Auscpicious Conqueror (Bkra shis rnam rgyal) (Tibetan)
Flying Squirrel 3 (Bya sha gsum sbyor) (Tibetan)
Pacific 6 (Zhi byed drug pa) (Tibetan)
Paraquilegia 6 (Mde’u ‘byin drug pa) (Tibetan)
Postpartum Weakness
1. Egg Yolks taken promotes strength after birth.
Syrup of Five Opening Roots
Royal Confection of Kermes (Mesue)
Antidotum Haemagogum (Nicholas)
Stanyajanana Rasayanum
Auscpicious Conqueror (Bkra shis rnam rgyal) (Tibetan)
Postpartum Pain
1. Take 2 new laid eggs, beaten with a little sugar, immediately after birth, then drink a little water and wine mixed. (Lemery)
2. ½ dram of Bayberries taken in wine. (Culpeper)
3. Boil Camomile and Aniseed in White Wine and drink.
4. Mugwort Water is effective
5. Motherwort, Chickweed
6. A plaster of Onions boiled soft mixed with oil, Cumin, and Egg yolk.
7. Marshmallow decocted in wine, mixed with oil and applied
8. Cinnamon, Saffron, Vervain taken as an infusion.
9. Sweet Almond oil 1 ½ oz., Syrup of Violets 1 oz., Aniseed water 3 oz. Mix and give warm.
10. Cinnamon, Nutmeg, Cardamon ½ oz. ea., Ginger 5 drams, Clove 2 drams, Saffron ½ dram. Make a powder. (Dr. Chamberlain’s Midwives Practice, 1665)
11. “Powder of a dried Secundine or After-birth, cureth the pains after Child-birth”. The same source also states the ashes can be used (Platerus). “Placenta dried and powdered and taken in drink eases all afterpains” (Rondeletius)
12. Boil Rosemary, Camomile and Southernwood (equal parts) in water and apply hot to the belly.
13. Apply oil of Camomile or Feverfew to the abdomen and pubic region.
14. Lamb skin applied to the belly warm gives relief.
15. Wormwood, Motherwort, Elder leaf 1 handful ea., Bean flour 1/4 pound, Egg yolks 2; Boil in water until thick and apply to the navel. (Natura exenterata, Philiatros, 1655)
Powder of Galangal Compound (Diagalanga)
Electuary of Cumin (Diacyminum)
Powder Against Postpartum Pain
Powder for After-pains (Lemery)
Powder for After-pains (Midwife to Queen of France)
Antidotum Haemagogum (Nicholas)
Troches of Myrrh
Troches for the Womb
Auscpicious Conqueror (Bkra shis rnam rgyal) (Tibetan)
Postpartum Fever
1. Licorice, Lotus seed, Sugar. Powder and take. (Ayurveda)
2. White Sesame, Ginger, Cumin, Parsnip seeds (Ayurveda)
Abbots Confect of Rose
Auscpicious Conqueror (Bkra shis rnam rgyal) (Tibetan)
Postpartum Bleeding
Diet: Chicken Broth, Rice, Quince Marmelade, Old Conserve of Rose
1. Emulsion of Sweet Almond made with decoction of Oak leaf
2. Infusion of Tormentil in Red wine
3. Poached Egg with a little Nutmeg
4. Rose with Plantain water
5. Shepherd’s Purse and Horsetail
6. Powder of Crab shells taken with wine.
7. “Juice of Quince newly pressed and strained through Hippocrates sleeve, and drunk, is very profitable and much commended”.
8. Powder of Burnt Sponge 1 dram with a little sweet wine.
9. Annoint her lower abdomen with Oil of Mastic.
Syrup of Coral
Cooling Powder of Gems
Troches of Spodium (Mesue)
Astringent Pills
Royal Confection of Kermes (Mesue)
Postpartum Swelling of the Body
Sagapen, Savory, Mastic, equal parts. Form pills with Honey. “It should relieve the swelling instantly”. (Rhazes)
Stretch Marks
1. Boil whole Beans in Vinegar, form a Poultice and apply.
2. Oil of Myrrh, Oil of St. John’s wort, equal parts, apply
TCM Classification
Blood Deficiency
Si Wu Tang
Bu Gan Tang
Dang Gui Bu Xue Tang
Qi Deficiency
Bu Zhong Yi Qi Tang
Qi and Blood Deficiency
Ba Zhen Tang
Gui Pi Tang
Blood Stasis
Tao Hong Si Wu tang
Sheng Hua Tang
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Retention of Lochia
Sheng Hua Tang
Shen Tong Zhu Yu Tang
Shi Xiao San
Note: there are some practitioners that believe Sheng Hua Tang should be taken as a matter of course after delivery.
Postpartum Weakness
Si Wu Tang
Bu Gan Tang
Dang Gui Bu Xue Tang
Bu Zhong Yi Qi Tang
Ba Zhen Tang
Gui Pi Tang
Postpartum Depression
Gan Mai Da Zao Tang
Gui Pi Tang
Ba Zhen Tang
Postpartum Pain
Jiao Ai Tang
Sheng Hua Tang
Shen Tong Zhu Yu Tang
Shi Xiao San
1. Motherwort and Chinese Lovage (Chuan Xiong)
Postpartum Bleeding
Gu Chong Tang
Jiao Ai Tang
Postpartum Fever
Xiao Chai Hu Tang
Special Formulas
WINE TO EXPEL AFTERBIRTH (1)
Juniper berry
Bay berry 1 oz. ea.,
Galangal ½ oz.
Pennyroyal
Marjoram
Rosemary
Mugwort 1 handful ea.
Beat the berries, cut the herbs and infuse in sufficient wine. She can take a little often. (Dr. Chamberlain’s Midwives Practice, 1665)
WINE TO EXPEL AFTERBIRTH (2)
Rosemary
Galangal
Mace
Cinnamon 1 dram ea.
Saffron ½ dram
Tie them in linnen and infuse in 3 pints of wine. Take some several times daily. (Dr. Chamberlain’s Midwives Practice, 1665)
POWDER FOR AFTERPAINS
Date kernels
Peach kernels 1 dram ea.
Nutmeg
Burnt Deer horn 4 scruples ea.
Saffron 6 grains
Aniseed 1 dram
Cinnamon 2 scruples
Sugar equal to the rest.
Powder and taken in doses of 1 dram in wine or Chicken broth. (Dr. Chamberlain’s Midwives Practice, 1665)
ANODYNE BAG FOR POSTPARTUM PAIN
Camomile
Mugwort
Meliot
Dill
Southernwood
Rosemary 1 handful ea.
Cut them and sew into a bag. This bag can be boiled in equal parts of Sweet Almond oil, Camomile oil, Marjoram oil and wine and applied warm to the belly. (Dr. Chamberlain’s Midwives Practice, 1665)
STRETCH MARKS
Bean flower
Fenugreek
Almonds
Tragacanth 4 oz. ea.
Samian Earth
Mastic
Gum Ammoniac 3 oz. ea.
Mix into an Emulsion of Gum Arabic and form pellets, and dry. These pellets at any time can be dissolved in a Lixivium of Palm ashes (or Oak leaves), and used to foment the belly. (Lemery)
POSTPARTUM TONIC
Dang Gui
Ligusticum Chuan Xiong
Atractylodes Bai Zhu 3 grams ea.
Dodder seed Tu Si Zi 4 ½ grams
Dry Ginger 2 grams
Scutellaria Huang Qin 3 grams
Chinese Yam (Shan Yao) 4 ½ grams
Paeonia Bai Shao 3 grams
This is prepared as a decoction to be taken over the day. It nourishes Blood and Qi and tonifies the Liver, Spleen and Kidneys.
POSTPARTUM CHICKEN SOUP
1 Chicken
Dang Gui 6 grams
Astragalus Huang Qi 9 grams
Chinese Yam (Shan Yao) 4 ½ grams
Goji berries 6 grams
Red Date (Da Zao) 4 pieces
Fresh Ginger 3 slcies
Cut and boil the chicken until well cooked, then add the herbs and cook a further 30 minutes. Take a bowful 2 or 3 times daily.
Research:
1. Prescription of Kampo Formulations for Pre-natal and Post-partum Women in Japan: Data From an Administrative Health Database
2. Randomized Double Masked Trial of Zhi Byed 11, a Tibetan Traditional Medicine, Versus Misoprostol to Prevent Postpartum Hemorrhage in Lhasa, Tibet

