产后起居太早，产门感风作痛，衣被难近身体，宜用祛风定痛汤。
川芎（一钱） 当归（三钱） 独活 防风 肉桂 荆芥（各五分，炒黑） 茯苓（一钱） 地黄（二钱）
枣二枚，煎服。
又附阴疳阴蚀。阴中疮曰 疮，或痛或痒，如虫行状，脓汁淋漓。阴蚀几尽者，由心肾烦郁，胃气虚弱，致气血流
滞。经云∶“诸疮痛痒皆属于心。”治当补心养肾，外以药熏洗，宜用十全阴疳散。
川芎 当归 白芍 地榆 甘草（各等分）
水五碗，煎二碗，去渣熏，日三夜四，先熏后洗。
一方，用蒲黄一升，水银二两，二味调匀搽。
一方，用虾蟆、兔粪等分为末，敷疮。
一方，治疳虫食下部及五脏。取东南桃枝，轻打头散，以绵缠之。
一方，用石硫黄末，将缚桃枝蘸而烟熏之（按此条宜与上条合看）。
一方，截一短竹筒，先纳阴中，以桃枝烧烟熏之。
歌括∶祛风定痛治阴痛，独活肉桂与川芎。
当归地黄炒荆芥，大枣防风白茯苓。
十全阴疳散 疮，先熏后洗外用方。
归芍川芎地榆草，日三夜四除痛痒。
即系裹儿污血，产时恶露随下，则腹不痛而产自安。若腹欠温暖，或伤冷物，以致恶露凝块，日久不散，则虚
症百出；或身热骨蒸，食少羸瘦；或五心烦热，月水不行，其块在两胁，动则雷鸣，嘈杂晕眩，发热似疟，时作时
止，如此数症，治者欲泄其邪，先补其虚，必用补中益气汤送三消丸，则元气不损，恶露可消。
加味补中益气汤
人参（一钱） 白术（二钱） 当归（三钱） 黄 （一钱，炙） 白芍（一钱） 广皮（四分） 甘草（四分）
姜、枣，煎服。
三消丸 治妇人死血食积痰三等症。
黄连（一两，一半用吴萸煎汁去渣浸炒，一半用益智仁炒，去益智仁不用） 川芎（五钱） 莱菔子（一两五钱，炒） 桃仁（十粒） 山栀 青皮 三棱 莪术（各五钱，俱用醋炒） 山楂（一两） 香附（一两，童便浸炒）
上为末，蒸饼为丸，食远服，用补中益气汤送下五、六十丸；或用白术三钱，陈皮五钱，水一钟，煎五分送下亦可。
眉批∶此方产后伤食，恶露不尽。若初产恶露不下，宜服生化汤加查炭三钱。每日一帖，连服四剂妙。
歌括∶恶露不行诸症生，食少羸瘦现骨蒸。
五心烦热月水断，块在两胁动则鸣。
加味补中益气汤，参 芍草归枣姜。
白术广皮送三消，恶露可除正不伤。
三消丸中黄连君，芎栀棱莪青桃仁。
山楂香附莱菔子，连服四剂恶露尽。
After childbirth, rising and moving too early causes the vaginal opening to be invaded by wind pathogen, resulting in pain where clothing and bedding cannot touch the body. It is advisable to use Qufeng Dongtong Decoction (Wind-Dispersing Pain-Calming Decoction).
Chuanxiong Rhizome (Qian), Danggui Radix (San Qian), Du Huo (Angelicae Pubescentis Radix), Fangfeng Radix Saposhnikoviae, Rougui Cortex Cinnamomi, Jingjie Fructus Schizonepetae (each Wu Fen, stir-fried until black), Fuling Poria, Dihuang Rehmanniae Radix Preparata (Liang Qian).
Two Jujubae Fructus (Da Zao), decocted and taken orally.
Additionally, it addresses Yingang (vulvar ulceration) and Yinshi (vulvar erosion). Sores within the vagina are called "chuang" (sores), presenting with pain or itching, feeling like insects crawling, with dripping purulent discharge. If vulvar erosion is severe and nearly destroys the tissue, it is caused by mental restlessness and depression of the Heart and Kidney, combined with weak Stomach Qi, leading to stagnation of Qi and Blood. The Classic states: "All sores and itching belong to the Heart." Treatment should tonify the Heart and nourish the Kidney, with external herbal fumigation and washing. It is advisable to use Shiquan Yingan San (Ten-Ingredient Complete Vulvar Ulcer Powder).
Chuanxiong Rhizome, Danggui Radix, Baishao Radix Paeoniae Alba, Diyu Sanguisorbae Radix, Gancao Glycyrrhizae Radix et Rhizoma (equal parts).
Five bowls of water, decocted to two bowls. Remove dregs for fumigation. Apply three times daily and four times at night; fumigate first, then wash.
Another prescription uses Pulvis Pteridis Mollis (Puhuang) one sheng, and Hydrargyrum (Shuiyin) two liang. Mix these two ingredients evenly and apply topically.
Another prescription uses Bufo (Toad) and Leporis Faeces (Tufen) ground into powder in equal parts, applied to the sores.
Another prescription treats gan worms eating the lower part and five zang organs. Take peach branches from the southeast, gently beat the head to disperse it, and wrap it with cotton.
Another prescription uses Pulvis Sulphuris Rubrum (Shiliuhuang). Bind the peach branch, dip it in the powder, and smoke the area (Note: This item should be read together with the previous one).
Another prescription involves cutting a short bamboo tube, inserting it into the vagina first, and smoking with burning peach branches.
Rhyme Prescription: Qufeng Dongtong treats vulvar pain, using Du Huo, Rougui, and Chuanxiong.
Danggui, Dihuang, stir-fried Jingjie, Da Zao, Fangfeng, and Fuling.
Shiquan Yingan San treats vulvar sores, an external formula for fumigating first and washing later.
Danggui, Baishao, Chuanxiong, Diyu, and Gancao eliminate pain and itching day and night.
If this is due to dirty blood wrapped around the infant, and lochia flows down during delivery, the abdomen will not hurt and delivery will be safe. If the abdomen lacks warmth, or if cold food is ingested, causing lochia to coagulate into clumps that do not dissipate over time, various deficiency syndromes will emerge; such as fever resembling bone-steaming, reduced appetite and emaciation; or heat in the five centers (palms, soles, and chest), amenorrhea, masses in the hypochondrium that make rumbling sounds when moved, epigastric discomfort, dizziness, and fever resembling malaria, coming and going intermittently. For such symptoms, if the physician wishes to drain the pathogen, they must first tonify the deficiency. One must use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to deliver Sanxiao Wan (Three-Reduction Pill), so that Yuan Qi (Original Qi) is not damaged and lochia can be eliminated.
Modified Buzhong Yiqi Decoction
Renshen Ginseng Radix et Rhizoma (Qian), Baizhu Atractodis Rhizoma (Er Qian), Danggui Radix (San Qian), Huangqi Astragali Radix (Qian, honey-fried), Baishao Radix Paeoniae Alba (Qian), Guangpi Pericarpium Citri Reticulatae (Si Fen), Gancao Glycyrrhizae Radix et Rhizoma (Si Fen).
Jiang (Ginger) and Da Zao (Jujube), decocted and taken orally.
Sanxiao Wan treats three conditions in women: dead blood (blood stasis), food retention, and phlegm.
Huanglian Coptidis Rhizoma (Liang Liang, half soaked in Wuzhuyu Evodiae Fructus decoction residue and stir-fried, half stir-fried with Yizhiren Alpiniae Oxyphyllae Fructus, removing Yizhiren), Chuanxiong Rhizome (Wu Qian), Laifuzi Raphani Semen (Liang Qian Wu Qian, stir-fried), Taoren Prunus Persica Seed (Ten grains), Zhizi Gardeniae Fructus, Qingpi Pericarpium Citri Reticulatae Viride, Sanleng Sparganii Rhizoma, Ezhu Curcumae Rhizoma (each Wu Qian, all vinegar-fried), Shanzhao Crataegi Fructus (Liang Liang), Xiangfu Cyperi Rhizoma (Liang Liang, soaked in child's urine and stir-fried).
Grind the above into powder, form pills with steamed wheat cake dough. Take after meals, delivered with Buzhong Yiqi Tang (50-60 pills); or alternatively, use Baizhu (San Qian), Chenpi (Wu Qian), one cup of water, decocted to a small amount for delivery.
Marginal Note: This formula is for postpartum food injury and incomplete lochia discharge. If lochia does not flow immediately after initial delivery, it is advisable to take Shenghua Tang (Generate the New Decoction) plus Shan Zha Tan (Charred Hawthorn) three qian. One dose daily, taken for four doses for excellent results.
Rhyme Prescription: Failure of lochia discharge generates various symptoms, reduced food intake, emaciation, and bone-steaming appear.
Heat in five centers, menstruation stops, masses in hypochondrium make sounds when moved.
Modified Buzhong Yiqi Decoction, with Renshen, Baishao, Gancao, Danggui, Da Zao, Jiang.
Baizhu and Guangpi deliver Sanxiao Wan, eliminating lochia without harming Zheng Qi (Upright Qi).
In Sanxiao Wan, Huanglian is the Sovereign herb, along with Chuanxiong, Zhizi, Sanleng, Ezhu, Qingpi, and Taoren.
Shanzhao, Xiangfu, and Laifuzi, taking continuously for four doses ensures lochia is completely discharged.