产后水气，手足浮肿，皮肤现光荣色，乃脾虚不能制水，肾虚不能行水也。必以大补气血为先，佐以苍术、白术、
茯苓补脾；壅满，用陈皮、半夏、香附消之；虚人加人参、木通；有热，加黄芩、麦冬以清肺金。健脾利水，补中益气
汤；七日外，用人参、白术各二钱，茯苓、白芍各一钱，陈皮五分，木瓜八分，紫苏、木通、大腹皮、苍术、浓朴各四
分；大便不通，加郁李仁、麻仁各一钱。如因寒邪湿气伤脾，无汗而肿，宜姜皮、半夏、苏叶加于补气方，以表汗。
五皮散 治产后风湿客伤脾经，气血凝滞，以致面目浮虚，四肢肿胀气喘。
五加皮 地骨皮 大腹皮 茯苓皮（各一钱） 姜皮（一钱）
枣一枚，水煎服。
又云，产后恶露不净，停留胞络，致令浮肿，若以水气治之，投以甘遂等药，误矣！但服调经散，则血行而肿消矣。
调经散
没药（另研） 琥珀（另研，各一钱） 肉桂 赤芍 当归（各一钱）
上为细末，每服五分，姜汁、酒各少许，调服。
眉批∶此方能调经治腹痛。
歌括∶产后风湿客脾经，气血凝滞四肢肿。
面目虚浮胀气喘，肺肾虚羸水难行。
五皮散能消水肿，五加地骨大腹苓。
姜枣善于调营卫，以皮行皮可建功。
恶露不行致浮肿，不须治水但调经。
归芍没药琥珀桂，温经行血水患平。
Postpartum edema, characterized by swelling of the hands and feet and shiny skin, is caused by Spleen deficiency failing to control water and Kidney deficiency failing to transform water. Treatment must prioritize tonifying Qi and Blood significantly, assisted by Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Fuling (Poria) to tonify the Spleen; if accompanied by distension and fullness, use Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), and Xiangfu (Cyperi Rhizoma) to resolve it; for deficient constitutions, add Renshen (Ginseng Radix et Rhizoma) and Mutong (Akebiae Caulis); if there is heat, add Huangqin (Scutellariae Radix) and Maidong (Ophiopogonis Radix) to clear Lung Metal. Employ methods to invigorate the Spleen, promote diuresis, and tonify Middle Jiao Qi, selecting Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if occurring after seven days postpartum, use Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) each 2 qian, Fuling (Poria) and Baishao (Paeoniae Radix Alba) each 1 qian, Chenpi (Citri Reticulatae Pericarpium) 0.5 qian, Mugua (Chaenomelis Fructus) 0.8 fen, Zisu (Perillae Folium), Mutong (Akebiae Caulis), Dafupi (Arecae Pericarpium), Cangzhu (Atractylodis Rhizoma), and Houpo (Magnoliae Officinalis Cortex) each 0.4 fen; if constipation occurs, add Yuliren (Prunus japonica seed) and Mahren (Cannabis Fructus) each 1 qian. If due to Cold pathogenic factor and dampness injuring the Spleen, resulting in anhidrosis and swelling, add Jiangpi (Zingiberis Recens Pericarpium), Banxia (Pinelliae Rhizoma), and Zisu Ye (Perillae Folium) to a Qi-tonifying formula to induce sweating and release the exterior.
Wupi San (Five Peel Powder): Treats postpartum wind-dampness invading and damaging the Spleen meridian, causing Qi and Blood stagnation, leading to puffy facial swelling, limb edema, and asthma.
Ingredients: Wujia Pi (Acanthopanacis Cortex), Digupi (Lycii Cortex), Dafupi (Arecae Pericarpium), Fuling Pi (Poria with Hostwood) (each 1 qian), Jiangpi (Zingiberis Recens Pericarpium) (1 qian), one Jujube (Ziziphi Jujubae Fructus). Decoct in water and take orally.
Another view states that if lochia remains unclean and stagnates in the uterine collaterals, causing edema, treating it as water qi disease by administering drugs such as Gansui (Kansui Radix) would be erroneous! One should merely administer Tiaojing San (Regulate the Menses Powder), so that blood circulation resumes and swelling subsides.
Tiaojing San (Regulate the Menses Powder):
Ingredients: Moyao (Myrrha), Hupo (Electrum) (both separately ground, each 1 qian), Rougui (Cinnamomi Cortex), Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix) (each 1 qian).
Grind into fine powder. Take 0.5 fen per dose, mixed with a small amount of Ginger Juice (Zingiberis Rhizoma Recens Succus) and wine.
Commentary: This formula can regulate menstruation and treat abdominal pain.
Verse:
Postpartum wind-dampness invades the Spleen meridian, Qi and Blood stagnate causing limb swelling.
Facial puffiness, distension, and asthma arise from Lung and Kidney deficiency failing to move water.
Wupi San eliminates edema, comprising Wujiapi, Digupi, Dafupi, and Fulingpi.
Jiangpi and Jujube harmonize Ying and Wei; using peel to treat peel achieves success.
Lochia stagnation causes edema; no need to treat water, only regulate menstruation.
Danggui, Chishao, Moyao, Hupo, Rougui warm meridians and move blood, calming water disorders.