产后虚中，感寒饮冷，其寒下攻小腹作痛；又有血块作痛者；又产后血虚脐下痛者，并治之以加减生化汤。
川芎（一钱） 当归（三钱） 黑姜（四分） 炙草（四分） 桃仁（十粒）
有块痛者，本方中送前胡散，亦治寒痛；若无块，但小腹痛，亦可按而少止者，属血虚，加熟地三钱，前胡、
肉桂各一钱为末，名前朝胡散。
歌括∶产后虚中感寒冷，其寒下攻系腹痛。
治以加减生化汤，当归桃仁姜草芎。
指节冷痛，头汗不止。
人参（三钱） 当归（三钱） 黄 （二钱） 淡豆豉（十粒） 生姜（三片） 韭白（十寸） 猪肾（二个）
先将猪肾煮熟，取汁煎药八分，温服。
眉批∶一本有或用猪胃一个。先将胃略煮后再煎汤煮药。
歌括∶头汗不止指节痛，产后虚劳此症生。
参 豆姜归韭白，猪肾煮汤煎药冲。
产后百节开张，血脉流散，气弱则经络间血多阻滞，累日不散，则筋牵脉引，骨节不利，故腰背不能转侧，手足不
能动履，或身热头痛，若误作伤寒，发表出汗，则筋脉动荡，手足发冷，变症出焉，宜服趁痛散。
当归（一钱） 甘草 黄 白术 独活（各八分） 肉桂（八分） 桑寄生（一钱） 牛膝（八分） 薤白（五
根）
姜三片，水煎服。
眉批∶一本无桑寄生。
歌括∶百节开张产后现，血脉瘀阻经络间。
骨节不利腰背强，遍身疼痛动履难。
趁痛散中君当归，黄 白术甘草配。
独活牛膝桑寄生，薤白生姜与肉桂。
Postpartum deficiency with cold invasion, caused by exposure to cold or consumption of cold drinks and food; the cold attacks downward causing lower abdominal pain; there are also cases of pain caused by blood stasis (blood clots); and cases of pain below the umbilicus due to postpartum blood deficiency. All these are treated with Modified Shenghua Decoction (Jiajian Shenghua Tang).
Chuanxiong Rhizome (Chuanxiong, 1 qian) Angelicae Sinensis Radix (Danggui, 3 qian) Prepared Zingiberis Rhizoma (Heijiang, 4 fen) Peach Kernel (Taoren, 10 grains)
For pain caused by blood stasis, administer Qianhu San (Peucedani Radix Powder) along with this formula; it also treats cold-induced pain. If there is no stasis, but only lower abdominal pain that is relieved slightly by pressure, it belongs to blood deficiency. Add Rehmanniae Radix Praeparata (Shudi, 3 qian), Peucedani Radix (Qianhu), and Cinnamomi Ramulus (Rougui), each 1 qian, ground into powder. This is named "Qianchao Hu San".
Rhyme: Postpartum deficiency suffers from cold invasion, cold attacking downward causes abdominal pain.
Treat with Modified Shenghua Decoction, containing Danggui, Taoren, Jiang, Caoshu, and Chuanxiong.
Cold pain in finger joints, continuous sweating on the head.
Ginseng Radix et Rhizoma (Renshen, 3 qian) Angelicae Sinensis Radix (Danggui, 3 qian) Astragali Membranacei Radix (Huangqi, 2 qian) Fermented Soybean (Danshidou, 10 grains) Fresh Ginger Rhizome (Shengjiang, 3 slices) Leek White (Jiubai, 10 cun) Porcine Kidney (Zhushen, 2 pieces)
First boil the porcine kidney until cooked, take the juice to decoct the herbs to 80% volume, take warm.
Commentary: Another version suggests using one porcine stomach. First boil the stomach slightly, then use the broth to decoct the herbs.
Rhyme: Head sweat unceasing, finger joint pain, arises from postpartum consumptive disease.
Renshen, Danshudou, Shengjiang, Danggui, Jiubai, mixed with porcine kidney soup for decoction.
After childbirth, all joints open, blood vessels disperse, qi is weak so blood stagnates in the meridians. If unresolved over days, it pulls on sinews and vessels, causing joint dysfunction. Thus, the waist and back cannot turn or bend, hands and feet cannot walk or move. There may be body heat and headache. If mistakenly treated as Taiyang syndrome (cold damage) with diaphoresis (sweating methods), it will cause sinew and vessel agitation, cold hands and feet, and various complications arise. It is suitable to consume Chen Tong San.
Angelicae Sinensis Radix (Danggui, 1 qian) Glycyrrhizae Radix et Rhizoma (Gancao) Astragali Membranacei Radix (Huangqi) Atractylodis Macrocephalae Rhizoma (Baizhu) Notopterygii Rhizoma et Radix (Duhuo, each 8 fen) Cinnamomi Ramulus (Rougui, 8 fen) Taxilli Herba (Sangjisheng, 1 qian) Achyranthis Bidentatae Radix (Niuxi, 8 fen) Allii Macrostemonis Bulbus (Xiebai, 5 roots)
Three slices of ginger, decoct in water and take orally.
Commentary: Another version omits Sangjisheng.
Rhyme: Joints opening appears after childbirth, blood stasis obstructs the meridians.
Joint dysfunction makes waist and back stiff, whole-body pain makes movement difficult.
In Chen Tong San, Danggui is the sovereign herb, paired with Huangqi, Baizhu, and Gancao.
Duhuo, Niuxi, Sangjisheng, Xiebai, Shengjiang, and Rougui.