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14. Postpartum blood loss leads to the depletion of body fluids, causing dryness in the Stomach and withering of the intestines, making defecation difficult. If diet remains normal without discomfort, one should not recklessly use purgative methods that damage True Yuan Qi (Vital Energy). Instead, based on the patient's deficiency or excess, guiding methods for bowel movement should be employed. Once blood volume recovers and body fluids return, defecation will naturally become smooth.
[Annotation] Excessive blood loss postpartum severely damages body fluids, often leading to stomach dryness and intestinal withering, thus causing constipation. If dietary intake is normal and there is no suffering from distension and fullness, gentle purgatives should not be used lightly, as they may counterproductively damage Yuan Qi. One should only assess the condition's deficiency or excess and employ various guiding methods for defecation. Wait for blood to flourish and fluids to recover, and stool will pass smoothly naturally.

Jiawei Siwu Tang (Modified Four Substances Decoction)
15. Postpartum strangury and urinary retention accompanied by abdominal distension and pain are caused by heat pathogens carrying blood stasis infiltrating the uterus. Siwu Tang (Four Substances Decoction) can be modified by adding Puhuang (Polygoni Typhonii Pollen), Qumai (Dianthi Herba), Taoren (Persicae Semen), Niuxi (Achyranthis Bidentatae Radix), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma), Muxiang (Aucklandiae Radix), and Mutong (Akebiae Caulis) to promote urination.
[Annotation] Heat pathogens carrying blood stasis infiltrating the uterus postpartum often cause strangury and urinary retention. It is suitable to treat this with Siwu Tang (Four Substances Decoction) added with Puhuang (Polygoni Typhonii Pollen), Qumai (Dianthi Herba), Taoren (Persicae Semen), Niuxi (Achyranthis Bidentatae Radix), Huashi (Talcum), Gancao Jiao (the tip of Glycyrrhizae Radix et Rhizoma), Muxiang (Aucklandiae Radix), and Mutong (Akebiae Caulis).
Siwu Tang (Four Substances Decoction) Formula is seen in the first volume.

Huangqi Danggui San (Astragalus and Angelica Powder) & Jiawei Dihuang Tang (Modified Rehmannia Decoction)
16. Frequent urination with clear white urine postpartum indicates Kidney deficiency failing to secure, leading to spontaneous enuresis. Due to uterine injury during childbirth, frequent dribbling occurs; for frequency, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate. Uterine injury can be treated with Huangqi Danggui San (Astragalus and Angelica Powder); this formula consists of Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), and Danggui (Angelicae Sinensis Radix). For incontinence, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill/Decoction) is modified with Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata), named Guifu Dihuang Tang (Cinnamon and Aconite Rehmannia Decoction), further adding Yizhiren (Biondae Semen), Sangpiaoxiao (Mantis Ootheca), and Buguzhi (Psoraleae Fructus) for treatment.
[Annotation] Postpartum Qi deficiency sinking downward often causes frequent urination with pale color. Kidney deficiency failing to secure leads to spontaneous enuresis. If the bladder is injured due to careless midwifery during childbirth, it often results in urinary dribbling. For frequency caused by Qi deficiency, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used to lift and raise. For dribbling caused by bladder injury, Huangqi Danggui San (Astragalus and Angelica Powder) should be used to tonify; this formula consists of Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishao (Paeoniae Radix Alba), and Gancao (Glycyrrhizae Radix et Rhizoma), taken after boiling together with pig bladder. For incontinence caused by Kidney deficiency, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) added with Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata), named Guifu Dihuang Tang (Cinnamon and Aconite Rehmannia Decoction), further treating with Yizhiren (Biondae Semen), Sangpiaoxiao (Mantis Ootheca), and Buguzhi (Psoraleae Fructus).
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) formulas are both seen in the first volume.