上五仁另研为膏，合橘皮末和匀再研，炼蜜丸如梧桐子大，每
服三十丸，加至五、六十丸，食前清米饮下。一方加当归梢五钱。
固经丸（局方） 治产后血气未复，而有房事及劳役损伤，致血暴崩，或淋沥不止。
没药 赤石脂 补骨脂 木贼（各半两） 附子（一只，炮，去皮脐）
上为细末，米糊为丸，如梧桐子大，每服二十丸，温酒下，或陈米饮下。
熟干地黄散（局方） 治证同前，亦治妇人一切崩中下血不止，头目沉重。
熟地黄（一钱半） 甘草（一分半） 蒲黄（炒黑色半钱） 蟹爪（微炒，一钱）
白茯苓（半钱） 桂心（二分半） 阿胶（一钱，炒得鹿角胶尤妙） 白芍药（半钱）
伏龙肝（七分半） 昆布（男子 裆也，一钱，烧存性） 当归（一钱）
上细切，作一服，入竹茹一钱，用水二盏，煎至一盏，温服。
拒胜汤（局方） 治产后腹胀满闷，呕吐不定，盖败血入于脾胃，
而脾不能运化，故胃不能纳谷，以致呕吐腹胀等证。
赤芍药 半夏（炮，七次） 泽兰叶 人参（去芦） 陈皮（去白，各一钱） 甘草（炙，一分）
上细切，作一服，加生姜三片，水一盏半，煎至一盏，温服。
八味理中丸（局方） 治新产血气俱伤，脏腑暴虚，体弱多汗，一百日内常服，壮气补虚，止呕吐。
人参（去芦，一两） 甘草（炙，一两半） 干姜（炮，一两） 白术（二两） 砂
仁（一两） 白茯苓（一两） 麦 面（炒） 神曲（炒，各一两）
上为细末，米糊为丸，如梧桐子大，每服三十丸，食前姜汤下。有痰者，宜加半夏曲。
旋复花汤（产宝） 治产后感冒风寒，咳嗽喘急，痰涎壅塞坐卧不能。
前胡 麻黄（去节） 杏仁（去皮尖，炒研） 五味子 茯苓 甘草
（炙） 旋复花 半夏曲 荆芥穗 赤芍药（各半钱）
上细切，作一服，加生姜三片，大枣一枚，水一盏半，煎至一盏，去渣温服。
四神散（产宝） 治产后留血不消，积聚作块，急切疼痛，下利不止。
当归（去芦） 干姜（炮） 川芎 赤芍药（各半分）
上为细末，每服三钱，温酒调下。
当归养血丸（产宝） 治产后恶血不散，发热腹痛，及恶露不尽，
脐腹坚胀，兼治妇人室女经候不调，赤白带下，腹胁疼痛。
当归（去芦） 赤芍药（各四两） 牡丹皮 桂心（炒） 延胡索（炒，各二两）
上为细末，炼蜜丸如梧桐子大，每服三十丸，或酒或米汤任下。
猪肾子饮（产宝） 治产后蓐劳，寒热如疟，咳嗽头疼，自汗体瘦，腹中 痛。
猪腰子（一对，切作四片） 当归 白芍药（各一两）
上以当归、芍药二味细切，用水三碗，煮至二碗，去渣，将腰子
切碎，如骰子状，入前药汁内，用晚粳米一合，香豉一两，葱白五七
根，同煮糜烂，空腹食之，日进一服。
当归黄 饮（产宝） 治产后阴脱，谓阴户中宫脱下也。
当归 白芍药 黄 人参（各二钱） 升麻（半钱）
上细切，作一服，水煎温服。未收，再服。
当归散（产宝） 治妇人阴脱，又名疝 。
当归 黄芩 白芍药（各一两） 皮（半两，烧存性） 牡蛎（ ，二两）
上为细末，温酒或米汤调下。忌登高、举重。
桃仁膏（产宝） 治产后阴疼烦闷。
桃仁 五味子 枯矾
为末，研桃仁膏拌敷。
硫黄汤（产宝） 治产后玉门不敛。
硫黄（四两） 吴茱萸 菟丝子（各一两半） 蛇床子（一两）
上细切，每服四钱，水一碗，煎汤频洗之，自敛。
妇人乳汁不通有二种∶有血气壅盛，乳脉滞而不行者；有血气
虚弱，乳汁绝少者。夫虚者补之，用钟乳粉、猪蹄、鲫鱼之类；盛者
行之，用通草、漏芦、土瓜根之类。方见于后（产宝）∶
漏芦汤（产宝） 治妇人肥盛，气脉壅滞，乳汁不通，或留结为壅，肿痛将欲成脓者。
漏芦（二两半） 蛇蜕（炙，一条） 土瓜根（十根，切片，炒焦）
按∶土瓜当作王瓜，《礼记》月令∶四月，王瓜生。即此物也。
其实如栝蒌而小如荔枝，色黄、藤蔓、叶圆无缺者是。
上为末，每服二钱，酒调下，仍吃热羹汤助之。
钟乳散（产宝） 治妇人气虚血少，脉涩不行，乳汁绝少。
钟乳粉（细研）
每服二钱，浓煎漏芦汤调下。
母猪蹄汤（局方） 治乳汁不通。
母猪蹄（一只） 通草（四两）
用水一斗，煮取四五升，取汁饮之。未下，更作一料服之。
（丹溪活套）云∶新产不可用芍药，以其酸寒，能伐发生之气（十日之内忌之），只以黄 四物汤为补虚之要药，以
黄易芍药是也。如气虚者，本方加参、术、茯苓、甘草。发热者，加干姜。自汗多者，少用川芎，勿用茯苓，倍蜜炙
黄。如口渴，加五味子、麦门冬。如腹痛者，非芍药不可，虽新产亦用，但以酒炒不妨。如恶露不尽作痛，四物汤煎
调香附、五灵脂末服，甚者，加桃仁泥四、五分。新产子宫未敛作痛，名儿枕痛，又名瘕母块痛。用醋炒芍药、粟壳、
甘草，水煎，入少米醋。或以三物为末，醋汤调服，酸以收之之义也。产后有恶血不去，发寒热成 瘕者，四物汤加三
棱、蓬术、乳香、没药、香附、五灵脂、干漆、桃仁、红篮花之类。产后腹痛不息，宜四物汤加乌药、香附、桂心、高
良姜、陈皮，童便和醋煎服，甚效。产后月余，经血淋沥不止，四物加白芷、升麻，调血余灰。产后阴痛，四物加 本、
防风。产后通身浮肿，四物加乳香、没药、桂心、木通、大腹皮、高良姜、血竭、槟榔、海金沙。产后子肠不收，
八物汤加升麻、防风，须以酒炒黄 为君。产后中风，口眼歪斜，八物加附子、荆芥，少加防风、羌活，煎服。
The aforementioned five types of kernels (Plum Kernel, Peach Kernel, Apricot Kernel, Pine Nut, and Japanese Walnut) are separately ground into a paste. This is mixed evenly with Tangerine Peel Powder and ground again. Honey that has been refined is used to form pills the size of *Cotinus coggygria* seeds. Each dose consists of 30 pills, which can be increased to 50 or 60 pills. They should be taken before meals with clear rice water. Another prescription adds 5 qian of Angelica Sinensis Root Tip.
**Gu Jing Wan (Solidify the Menses Pill)** [from *Ju Fang*]: Treats postpartum blood and qi not yet restored, where sexual intercourse or labor injury causes sudden severe uterine bleeding (metrorrhagia) or continuous dripping.
Ingredients: Myrrh, Red Halloysite, Psoralea Fruit, Equisetum Rami (each 0.5 liang); Aconitum Lateralis Radix Praeparata (one piece, processed, skin and umbilicus removed).
Grind the above ingredients into fine powder. Use rice paste to form pills the size of *Cotinus coggygria* seeds. Each dose is 20 pills, taken with warm wine or aged rice water.
**Shu Gan Di Huang San (Cooked Dry Rehmannia Powder)** [from *Ju Fang*]: Treats the same conditions as above; also treats women with various forms of metrorrhagia (heavy uterine bleeding) that does not stop, accompanied by heaviness in the head and eyes.
Ingredients: Prepared Rehmannia Root (1.5 qian), Licorice Root (0.15 qian), Coptis Rhizome stir-fried until black (0.5 qian), Crab Claws lightly stir-fried (1 qian), Poria (0.5 qian), Cassia Twig Heart (0.25 qian), Donkey-hide Gelatin (1 qian, preferably stir-fried until resembling Deer Antler Glue), White Peony Root (0.5 qian), Long-stored Dragon Liver Soil (0.75 qian), Kelp (specifically the part from men's underwear crotch, burned to retain its nature, 1 qian), Angelica Sinensis Root (1 qian).
Finely chop the above ingredients as one dose. Add 1 qian of Bamboo Shavings. Decoct with two cups of water until one cup remains. Take warm.
**Ju Sheng Tang (Reject Victory Decoction)** [from *Ju Fang*]: Treats postpartum abdominal distension and fullness, and irregular vomiting. This is due to retained blood entering the Spleen and Stomach; the Spleen fails to transform and transport, causing the Stomach to fail to receive grain, leading to symptoms such as vomiting and abdominal distension.
Ingredients: Red Peony Root, Pinellia Tuber (processed seven times), Leaf of Agrimonia, Ginseng Root (rhizome removed), Tangerine Peel (albedo removed, each 1 qian), Licorice Root (roasted, 0.1 qian).
Finely chop the above ingredients as one dose. Add three slices of Fresh Ginger. Decoct with 1.5 cups of water until one cup remains. Take warm.
**Ba Wei Li Zhong Wan (Eight-Ingredient Regulate the Middle Pill)** [from *Ju Fang*]: Treats new postpartum cases where both blood and qi are injured, and the Zang-Fu organs are suddenly deficient. The body is weak with profuse sweating. It is commonly taken within 100 days after delivery to strengthen Qi, tonify deficiency, and stop vomiting.
Ingredients: Ginseng Root (rhizome removed, 1 liang), Licorice Root (roasted, 1.5 liang), Dried Ginger (processed, 1 liang), Atractylodes Macrocephala Rhizome (2 liang), Amomum Fruit (1 liang), Poria (1 liang), Stir-fried Wheat Flour, Stir-fried Medicated Leaven (each 1 liang).
Grind the above ingredients into fine powder. Use rice paste to form pills the size of *Cotinus coggygria* seeds. Each dose is 30 pills, taken before meals with Ginger Decoction. For those with phlegm, add Pinellia Medicated Leaven.
**Xuan Fu Hua Tang (Inula Flower Decoction)** [from *Chan Bao*]: Treats postpartum contraction of wind-cold, resulting in coughing, wheezing, and accumulation of saliva and phlegm, making it difficult to sit or lie down comfortably.
Ingredients: Peucedanum Root, Ephedra Stem (nodes removed), Apricot Seed (skin and tip removed, stir-fried and crushed), Schisandra Berry, Poria, Licorice Root (roasted), Inula Flower, Pinellia Medicated Leaven, Schizonepeta Spike, Red Peony Root (each 0.5 qian).
Finely chop the above ingredients as one dose. Add three slices of Fresh Ginger and one Jujube. Decoct with 1.5 cups of water until one cup remains. Strain and take warm.
**Si Shen San (Four-God Powder)** [from *Chan Bao*]: Treats postpartum retained blood that does not dissipate, accumulating into masses, causing urgent pain and continuous diarrhea.
Ingredients: Angelica Sinensis Root (rhizome removed), Dried Ginger (processed), Ligusticum Chuanxiong Rhizome, Red Peony Root (each 0.5 fen).
Grind the above ingredients into fine powder. Each dose is 3 qian, taken with warm wine.
**Dang Gui Yang Xue Wan (Angelica Blood-Nourishing Pill)** [from *Chan Bao*]: Treats postpartum failure of evil blood to disperse, fever, abdominal pain, and incomplete lochia discharge, with hardness and distension in the navel and abdomen. Also treats menstrual irregularities in married and unmarried women, red and white leukorrhea, and abdominal and hypochondriac pain.
Ingredients: Angelica Sinensis Root (rhizome removed), Red Peony Root (each 4 liang), Moutan Bark, Cassia Twig Heart (stir-fried), Corydalis Rhizome (stir-fried, each 2 liang).
Grind the above ingredients into fine powder. Use refined honey to form pills the size of *Cotinus coggygria* seeds. Each dose is 30 pills, taken with either wine or rice soup at will.
**Zhu Shen Zi Yin (Pig Kidney Drink)** [from *Chan Bao*]: Treats postpartum *ru lao* (childbed fever/asthenia), alternating chills and fever like malaria, coughing, headache, spontaneous sweating, emaciation, and abdominal pain.
Ingredients: Pig Kidneys (one pair, cut into four pieces), Angelica Sinensis Root, White Peony Root (each 1 liang).
Finely chop the Angelica Sinensis Root and White Peony Root. Decoct with three bowls of water until two bowls remain. Strain. Cut the kidneys into dice-sized pieces and add them to the previous medicinal liquid. Add one heaping measure of late japonica rice, one liang of Fermented Soybean, and five to seven roots of Scallion White. Cook together until soft and mushy. Eat on an empty stomach. Administer one dose daily.
**Dang Gui Huang Qi Yin (Angelica and Astragalus Drink)** [from *Chan Bao*]: Treats postpartum vaginal prolapse, specifically the descent of the uterus from the vaginal opening.
Ingredients: Angelica Sinensis Root, White Peony Root, Astragalus Root, Ginseng Root (each 2 qian), Cimicifuga Rhizome (0.5 qian).
Finely chop the above ingredients as one dose. Decoct with water and take warm. If the organ does not retract, take another dose.
**Dang Gui San (Angelica Powder)** [from *Chan Bao*]: Treats female vaginal prolapse, also known as hernia (*shan*).
Ingredients: Angelica Sinensis Root, Scutellaria Root, White Peony Root (each 1 liang), Dragon Bone (0.5 liang, burned to retain its nature), Oyster Shell (calcined, 2 liang).
Grind the above ingredients into fine powder. Take with warm wine or rice soup. Avoid climbing heights or lifting heavy objects.
**Tao Ren Gao (Peach Kernel Paste)** [from *Chan Bao*]: Treats postpartum vulvar pain and restlessness.
Ingredients: Peach Kernel, Schisandra Berry, Calcined Alum.
Grind into powder. Grind Peach Kernels into a paste and mix with the powder for external application.
**Liu Huang Tang (Sulfur Decoction)** [from *Chan Bao*]: Treats postpartum failure of the *yu men* (vaginal opening) to close.
Ingredients: Sulfur (4 liang), Evodia Fruit, Dodder Seed (each 1.5 liang), Cnidium Fruit (1 liang).
Finely chop the above ingredients. Take 4 qian per dose. Decoct with one bowl of water. Frequently wash the area with the decoction; it will naturally close.
There are two types of postpartum lactation obstruction: one where blood and qi are abundant but stagnant, causing the milk vessels to be blocked; and another where blood and qi are deficient, resulting in very little milk. For deficiency, tonification is used, employing ingredients such as Milky Milkstone Powder, Pig Trotters, and Crucian Carp. For excess, promotion/circulation is used, employing ingredients such as Tetrapanax Pith, Arnebia Root, and Trichosanthes Root. The formulas are listed below (from *Chan Bao*):
**Lou Lu Tang (Arnebia Root Decoction)** [from *Chan Bao*]: Treats obese women with stagnant qi and vessels, resulting in lactation obstruction, or stagnation forming abscesses with swelling, pain, and impending suppuration.
Ingredients: Arnebia Root (2.5 liang), Snake Skin (roasted, one strip), Trichosanthes Root (ten roots, sliced, stir-fried until scorched).
Note: "Tu Gua" should be "Wang Gua" (Melon of the Month). As recorded in *Li Ji · Yue Ling*: "In the fourth month, Wang Gua grows." This refers to this plant. Its fruit resembles *Trichosanthes Kirilowii* fruit but is smaller, like a lychee; it is yellow, has vines, and round, intact leaves.
Grind the above ingredients into powder. Each dose is 2 qian, taken with wine. Drink hot soup concurrently to assist the effect.
**Zhong Ru San (Milky Milkstone Powder)** [from *Chan Bao*]: Treats women with Qi deficiency and Blood insufficiency, sluggish pulse, and extremely scant milk.
Ingredients: Milky Milkstone Powder (finely ground).
Each dose is 2 qian, taken with strongly brewed Lou Lu Tang.
**Zhu Ma Ti Tang (Sow Trotter Decoction)** [from *Ju Fang*]: Treats lactation obstruction.
Ingredients: Sow Trotters (one), Tetrapanax Pith (4 liang).
Decoct with ten dou of water until four or five sheng remain. Take the juice. If milk does not flow, prepare and take another batch.
*(Dan Xi Huo Tao)* states: After recent delivery, Peony Root should not be used because its sour and cold nature can damage the vital energy of generation (forbidden within ten days). Instead, use Huang Qi Si Wu Tang (Astragalus Four Substances Decoction) as the essential formula for tonifying deficiency, replacing Peony Root with Astragalus Root. For Qi deficiency, add Ginseng, Atractylodes, Poria, and Licorice to the base formula. For fever, add Dried Ginger. For excessive spontaneous sweating, reduce the amount of Ligusticum Chuanxiong Rhizome, omit Poria, and double the amount of Honey-Roasted Astragalus Root. For thirst, add Schisandra Berry and Ophiopogon Tuber. For abdominal pain, Peony Root is indispensable; even in recent postpartum cases, it can be used if stir-fried with wine. If pain is caused by incomplete lochia discharge, decoct Si Wu Tang and mix in Cyperus Rhizome and Trogopterus Dung Powder. For severe cases, add 4–5 fen of Peach Kernel Paste. Pain caused by the uncontracted uterus in recent postpartum is called *Er Zhen Tong* (Child Pillow Pain) or *Jia Mu Kuai Tong*. Use Vine-Processed Peony Root, Poppy Shell, and Licorice, decocted in water with a small amount of Rice Vine. Alternatively, grind these three ingredients into powder and take with Vine Water. This utilizes the astringent property of sourness. If postpartum retained evil blood causes chills, fever, and formation of *jia* masses, use Si Wu Tang plus Burreed Tuber, Curcuma Zedoaria, Frankincense, Myrrh, Cyperus Rhizome, Trogopterus Dung, Dried Resin, Peach Kernel, and Safflower. For incessant postpartum abdominal pain, use Si Wu Tang plus Litsea Petiolata Fruit, Cyperus Rhizome, Cassia Twig Heart, Galangal, and Tangerine Peel, decocted with Child’s Urine and Vine; this is highly effective. For postpartum menorrhagia lasting over a month, use Si Wu Tang plus Angelica Dahurica Root and Cimicifuga Rhizome, mixed with Ash of Human Hair. For postpartum vulvar pain, use Si Wu Tang plus Lithospermum Root and Saposhnikovia Root. For generalized postpartum edema, use Si Wu Tang plus Frankincense, Myrrh, Cassia Twig Heart, Akebia Stem, Areca Peel, Galangal, Dragon’s Blood, Betel Nut, and Goldsand. For postpartum uterine inversion/prolapse, use Ba Wu Tang (Eight-Ingredient Decoction) plus Cimicifuga Rhizome and Saposhnikovia Root, with Wine-Processed Astragalus Root as the sovereign drug. For postpartum wind-stroke with facial paralysis (crooked mouth and eyes), use Ba Wu Tang plus Aconitum Lateralis Radix Praeparata and Schizonepeta Spike, with a small addition of Saposhnikovia Root and Notopterygium Rhizome, decocted and taken.