（见呕吐中）
（见痉病中）
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产妇腹中□痛，当归生姜羊肉汤主之，并治腹中寒疝，虚劳不足。
【注】
产后暴然腹中急痛，产后虚寒痛也。主之当归生姜羊肉汤者，补虚散寒止痛也。并治
虚劳不足，寒疝腹痛者，亦以其虚而寒也。
【集注】
程林曰：产后血虚有寒，则腹中急痛。『内经』曰：味厚者为阴。当归、羊肉味厚者
也，用以补产后之阴；佐生姜以散腹中之寒，则□痛自止。夫辛能散寒，补能去弱，
三味辛温补剂也，故并主虚劳寒疝。
魏荔彤曰：妊娠之□痛，胞阻于血寒也。产后腹中□痛者，里虚而血寒也。一阻一虚
，而治法异矣。
（见寒疝中）
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产后腹痛，烦满不得卧，枳实芍药散主之。
【注】
产后腹痛，不烦不满，里虚也；今腹痛，烦满不得卧，里实也。气结血凝而痛，故用
枳实破气结，芍药调腹痛，枳实炒令黑者，盖因产妇气不实也。并主痈脓，亦因血为
气凝，久而腐化者也，佐以麦粥，恐伤产妇之胃也。
【集注】
尤怡曰：产后腹痛而至烦满不得卧，知血郁而成热，且下病而碍上也，与虚寒□痛不
同矣。
枳实（烧令黑，勿太过） 芍药等分
右二味，杵为散，服方寸匕，日三服。并主痈脓，以麦粥下之。
@@@
师曰：产妇腹痛，法当以枳实芍药散。假令不愈者，此为腹中有干血着脐下，宜下瘀
血汤主之。亦主经水不利。
【注】
产妇腹痛，属气结血凝者，枳实芍药散以调之。假令服后不愈，此为热灼血干着于脐
下而痛，非枳实、芍药之所能治也，宜下瘀血，主之下瘀血汤，攻热下瘀血也。并主
经水不通，亦因热灼血干故也。
(See section on Vomiting)
(See section on Spasm)
@@@
For postpartum abdominal pain, Danggui Shengyang Roushou Tang (Dongqu, Ginger, and Mutton Decoction) is the primary treatment; it also treats abdominal cold colic and deficiency-fatigue insufficiency.
[Annotation]
Sudden acute abdominal pain after childbirth is caused by postpartum deficiency-cold. Danggui Shengyang Roushou Tang (Dongqu, Ginger, and Mutton Decoction) is used to tonify deficiency, dispel cold, and relieve pain. It also treats deficiency-fatigue insufficiency and cold colic abdominal pain because these conditions are also due to deficiency and cold.
[Collected Annotations]
Cheng Lin stated: Postpartum blood deficiency with cold leads to acute abdominal pain. The *Neijing* states: "Substances with thick flavors belong to Yin." Dongqu (*Radix Angelicae Sinensis*) and mutton are substances with thick flavors; they are used to tonify the Yin of the postpartum state. Ginger (*Rhizoma Zingiberis Recens*) is added to dispel cold in the abdomen, so the pain stops naturally. Pungent flavors can dispel cold, and tonification can remove weakness; these three ingredients form a pungent-warm tonic formula, thus it also treats deficiency-fatigue and cold colic.
Wei Litong stated: Abdominal pain during pregnancy is due to uterine obstruction and blood-cold. Abdominal pain after childbirth is due to interior deficiency and blood-cold. One is obstruction, the other is deficiency; therefore, the treatment methods differ.
(See section on Cold Colic)
@@@
For postpartum abdominal pain accompanied by vexation, fullness, and inability to lie down, Zhishi Shaoyao San (Immature Bitter Orange and White Peony Powder) is the primary treatment.
[Annotation]
Postpartum abdominal pain without vexation or fullness indicates interior deficiency; current symptoms of abdominal pain with vexation, fullness, and inability to lie down indicate interior excess. Pain caused by Qi stagnation and Blood coagulation requires Zhishi (*Fructus Aurantii Immaturus*) to break Qi stagnation and Shaoyao (*Radix Paeoniae Alba*) to regulate abdominal pain. Zhishi is stir-fried until black because the Qi of postpartum women is not solid. It also treats carbuncles and pus, which arise from Blood being coagulated by Qi and decomposing over time. Wheat gruel (*Mai Zhou*) is used as a vehicle to prevent damage to the postpartum woman's Stomach Qi.
[Collected Annotations]
You Yi stated: When postpartum abdominal pain progresses to vexation, fullness, and inability to lie down, it indicates that Blood stagnation has transformed into Heat, and pathology below is affecting the upper body; this differs from deficiency-cold abdominal pain.
Zhishi (*Fructus Aurantii Immaturus*) (burned until black, but not excessively) and Shaoyao (*Radix Paeoniae Alba*) in equal parts.
These two ingredients are pounded into a powder. Take one *fangcun bi* (a measure approx. 2-3 grams) per dose, taken three times daily. It also treats carbuncles and pus, administered with wheat gruel (*Mai Zhou*).
@@@
The Master said: For postpartum abdominal pain, the method dictates using Zhishi Shaoyao San (Immature Bitter Orange and White Peony Powder). If it does not heal, it is because there is dried Blood adhering below the umbilicus; Xiayuxue Tang (Downward Draining Blood Decoction) should be used. It also treats irregular menstruation.
[Annotation]
Postpartum abdominal pain due to Qi stagnation and Blood coagulation is regulated by Zhishi Shaoyao San (Immature Bitter Orange and White Peony Powder). If it does not heal after administration, it is because Heat scorching has dried the Blood, causing it to adhere below the umbilicus and cause pain; this cannot be treated by Zhishi (*Fructus Aurantii Immaturus*) and Shaoyao (*Radix Paeoniae Alba*). It is appropriate to drain Blood stasis, primarily using Xiayuxue Tang (Downward Draining Blood Decoction) to purge Heat and drain Blood stasis. It also treats amenorrhea, which is also due to Heat scorching and drying of the Blood.