产妇素弱。临产又劳。中气不足。胸膈窒滞。胃虽纳谷。传化艰难。医者误认伤食。而擅用消导之剂。或因气郁。
而专事疏散。或因大便秘结。而妄议攻下。此膨胀所由来也。治法当大补气血为主。所谓塞因塞用。其效甚
捷。先服独参汤。调饭锅焦末。以通胃气。次服养生化滞汤。则脾运而胀消矣。
川芎（二钱） 当归（三钱） 人参（一钱） 于术（生二钱） 陈皮（八分） 香附（制五分） 茯苓（二钱） 甘
草（炙三分） 大腹皮（四钱） 桃仁（去皮尖研十一粒）
上药用水一盏半。加黄酒一小钟。煎七分热服。
大便秘结。加肉苁蓉二钱。误服大黄加生黄 四钱。倍用人参。胀甚人参可加至四五钱。丹溪先生治产后膨胀。参
服至半斤以上。大便方通。肿胀方退。
产后泄泻。悉属脾虚。亦有因寒因食之殊。惟热泻甚少。治法与杂症诸泻不同。诚以恶露未消。难以遽补。元气暴
竭。难以议消。太温恐新血流崩。骤寒虑血凝变症。大抵产后患此。先宜服生化汤。加茯苓一钱五分。俟二三剂后块痛
已除。方能补脾。消食温中。随症施治。产毕即泻。服诃皮生化汤。胎前久泻至产后不止。服参苓生化汤从权以济甚危。
块痛已除。服加味生化汤。因寒因食。分别调治。惟审系实在热泻。去黑姜肉果二味。切勿加以凉药。免致血寒。贻患
不可不慎。
The parturient had a constitutionally weak physique and was exhausted during labor, resulting in insufficiency of Middle Qi (vital energy of the spleen and stomach) and stagnation in the chest and diaphragm. Although the Stomach accepts food, digestion and transportation are difficult. Physicians mistakenly diagnosed it as Food Retention (accumulation of undigested food) and arbitrarily used digestive-promoting agents; or due to Qi Depression (stagnation of qi flow), they exclusively used dispersing and regulating methods; or because of constipation, they rashly discussed purgative treatments. These errors are the origin of Postpartum Distension (abdominal bloating). The treatment method should primarily focus on greatly tonifying Qi and Blood, known as "treating obstruction with tonification" (using astringent or tonifying methods to treat blockage syndromes), which yields very rapid effects. First, administer Single Ginseng Decoction (Dushen Tang) mixed with scorched rice crust powder to unblock Stomach Qi. Subsequently, administer Yangsheng Huazhi Tang, so that Spleen transportation is restored and distension dissipates.
Chuanxiong Rhizome (2 qian), Danggui Radix (3 qian), Renshen Radix et Rhizoma (1 qian), Atractylodis Macrocephalae Rhizoma (raw, 2 qian), Citri Reticulatae Pericarpium (8 fen), Cyperi Rhizoma (processed, 5 fen), Poria (2 qian), Glycyrrhizae Radix et Rhizoma (honey-fried, 3 fen), Arecae Pericarpium (4 qian), Persicae Semen (skin and tip removed, ground, 11 grains).
Take the above herbs, add one and a half cups of water and one small cup of yellow wine, decoct until seven-tenths remains, and take warm.
If constipation exists, add Cistanche Stem 2 qian. If Rhubarb was mistakenly taken, add Astragali Radix 4 qian and double the dosage of Renshen. If distension is severe, Renshen can be increased to 4-5 qian. Mr. Danxi treated postpartum distension where patients consumed over half a jin of Renshen before bowel movements became smooth and swelling subsided.
Postpartum diarrhea is entirely attributed to Spleen Deficiency, though there are distinctions between those caused by Cold or Diet. Hot diarrhea is rare. The treatment differs from various diarrheas in miscellaneous diseases. Indeed, since Lochia (postpartum residual blood and fluid) has not yet cleared, sudden tonification is difficult; since Yuan Qi (original vital energy) has suddenly depleted, easy elimination/digestion is inappropriate. Excessive warmth may cause new blood to hemorrhage; sudden cold may lead to blood coagulation and complications. Generally, for this condition postpartum, one should first take Shenghua Decoction with added Poria 1.5 qian. After two or three doses, once the mass-pain (postpartum abdominal pain) is eliminated, one can proceed to tonify the Spleen, digest food, and warm the middle, treating according to symptoms. Diarrhea occurring immediately after delivery: take Heqi Shenghua Tang. Chronic diarrhea before pregnancy continuing after delivery: take Shenling Shenghua Tang, a temporary measure to rescue critical conditions. Once mass-pain is eliminated: take Jiawei Shenghua Tang. For cases due to Cold or Diet, treat separately. Only if confirmed as excess-heat diarrhea, remove Black Ginger (carbonized Zingiberis Rhizoma) and Myristica Seed, and absolutely do not add cooling/cold-natured drugs to avoid causing Blood-Cold, leaving hidden troubles. One must be extremely cautious.