《产育保庆集方》，余收产论二十一篇，议论精确，无所不究。盖国医博极方书，所得之妙，惜乎有其说
而无其方。郭君稽中为时良医，尤长于治产，故其切脉、用药屡取奇功。一日愿以所收家方，附于诸论之末，
遂编为一集，真济众之异书也。古人谓∶为人子而不学医者，为不孝。则有方论而不传于世者，其可谓之仁哉。
大观三年九月五日，濮阳李师圣述。
（李师圣编论郭稽中附方）
第一论曰∶热疾，胎死腹中者，何。
答曰∶因母患热疾，至六七日以后，脏腑热极，熏蒸其胎，是以致死。缘儿死身冷，不能自出，但服黑神
散暖其胎，须臾胎气温暖，即自出。何以知其胎之已死，但看产妇舌色青者，是其验。黑神散二方。
黑神散
桂（去粗皮，不见火，锉碎） 当归（洗，去芦须，切，焙） 芍药（洗，锉） 甘草（炙，锉） 生干
地黄（温汤洗净，锉，忌冷水） 干姜（宜用炒生姜代之。各一两） 附子（半两，炮去皮脐） 雄黑豆（二两，
小者是，炒焦去皮）
上为末，每服一钱匕，空心温酒调下。
蒲黄黑神散（此方十八论云。产前、产后一切疾皆治之。）
雄黑豆（二两，小者是，去皮秤） 当归（洗，去芦并须，切，焙） 芍药（洗，锉）
甘草（炙，锉） 干姜（炮，锉） 肉桂（去皮，锉，不见火） 生干地黄（温汤洗，锉，焙，忌冷水）
蒲黄（银石器内微炒，令赤或以纸辛铫子内炒，纸黄为度，各一两）
上为末，每服二钱，空心温酒调下。若三十已人及生产少妇人不用桂、干姜，入炒生姜、红花代之。生姜、
红花各用二两，经洗者并焙干。
第二论曰∶胎衣不下者，何。
答曰∶母生子讫，血流入衣中，衣为血所胀，其故不得下。治之稍缓，胀满腹中，渐次上冲，心胸疼痛，
喘急者，难治。但服奇命丹以速去衣中之血，血散胀消，胎衣自下而无所患。
夺命丹
附子（半两，炮，去皮脐，切） 牡丹皮（一两，洗，锉） 干漆（一分，捣碎，炒烟尽）
上为末，酽醋一升，大黄末一两同熬成膏，和药如桐子大。温酒下五十丸，不以时候。
又十论云∶但服蒲黄黑神散，逐去衣中血，即胎下或带断，亦同。
第三论曰∶难产者，何。
答曰∶胎侧有成形块，呼为儿枕。子欲生时枕破，与败血裹其子，故难产。但服胜金散，逐其败血，即自
生成。若逆生、横生，并皆主之。
胜金散
麝香（一钱，共研为细末） 鼓（一两，用旧青皮裹了烧，令通红，急以乳捶研为末）
上为末，取秤捶烧红，以酒淬之，调下药一钱匕。
又十八论云∶但服蒲黄黑神散解其败血，即自生也，或横生、逆生、胎衣不下，此药悉治。
第四论曰∶产后血运者，何。
答曰∶产后气血暴虚，未得安静，血随气上，迷乱心神，故眼前生花，极甚者令人闷绝不知人，口噤神昏，
气冷。医者不识，呼为暗风，若作此治之，病必难愈，但服清魂散，自瘥。
清魂散
泽兰叶（拣净） 人参（去芦。各一分） 荆芥穗（一两，晒） 芎（半两，洗，锉） 甘草（二钱，炙，锉）
上为细末，每服一钱匕，热汤、温酒各小半盏调匀，急灌之。下咽喉即开眼气定，省人事。
又十八论云∶但服蒲黄黑神散，自瘥。
第五论曰∶产后口干、痞闷者，何。
答曰∶产后宫胃大虚，血气未定，食面太早，胃不能消化，面毒结聚于胃脘，上熏脑中，是以口干、烦渴、
心下痞闷。医者不识，认为胸膈壅滞，以药下之，万不得。一但服见现丸，自瘥。
见现丸
姜黄（片子者，锉） 荆三棱（煨，乘热撕碎，焙干用） 荜澄茄（不得用火炒） 陈皮（去白） 高良
姜（锉碎，炒） 人参（去芦，切片） 蓬莪术（煨，乘热撕，锉，焙干用）
上七味等分为末，用细切萝卜慢火煮，令烂，研细，将汁煮糊丸，梧桐子大。每服三十丸，萝卜汤下，不以时候。
又十八论云∶但服蒲黄黑神散，自瘥。
第六论曰∶产后乍寒乍热者，何。
答曰∶阴阳不和，败血不散，皆令乍寒乍热。产后血气虚损，阴阳不和，阴胜则乍寒，阳胜则乍热，阴阳
相乘，则或寒或热。若因产劳伤脏腑，血弱不得宣越，故令血败不散，入于肺则热，入于脾则寒。医人若误作
疟疾治之，则缪矣。阴阳不和，宜增损四物汤。败血不散，宜夺血丹。
又问∶二者何以别之。
答曰∶时有刺痛者，败血也，但寒热无它证者，阴阳不和也。
增损四物汤
当归（洗去土，并芦须切，焙） 芍药（洗，锉） 人参（去芦，切片） 川芎（洗，锉。各一两） 甘
草（四钱，炙） 干姜（一两，宜用生姜代之）
上为末，每服二钱匕，水一盏、生姜五片同煎六分，去滓，微热服，不以时候。
夺命丹（见第二论）
又十八论云∶但服蒲黄黑神散，自瘥。
第七论曰∶产后四肢虚肿者，何。
答曰∶产后败血乘虚停积于五脏，循经流入于四肢，留留日深，却还不得，腐坏如水，故令四肢面目浮肿。
医人不识，便作水气治之，血气与水气不同。凡治水气，多用导水药，极虚之。夫产后既虚，又以药虚之，是
谓重虚，往往因致夭枉。但服调经散，血行肿消，即愈。
调经散
没药（令研） 琥珀（研。各一钱） 桂（去粗皮，不见火锉） 芍药（赤者，洗，锉） 当归（去芦须，
切。各一钱） 细辛（去叶，锉） 麝香（研。各半钱）
上为末，每服半钱匕，生姜汁、温酒各少许，调匀服之。
又十八论云∶但服蒲黄黑神散，后服转药，泻下恶物，自瘥。转药是黑神丸，在第十二论后。
第八论曰∶产后乍见鬼神者，何。
答曰∶心主身之血脉，因产伤耗血脉，心气则虚，败血停积，上于于心，心不受触，遂致心中烦燥，卧起
不安，乍见鬼神，言语颠倒，医工不识，呼为风邪，如此治之，必不得愈。但服调经散，每服加生龙脑一捻，
得睡即安，方见第七论。
又十八论云∶但服蒲黄黑神散，自安。
第九论曰∶产后月内不语者，何。
答曰∶人心有七孔三毛，产后血虚气弱，多致停积，败血闭于心窍，神志不能明了。又心气通于舌，心气
闭塞，则舌亦强矣，故令不语。如此但服七珍散，即瘥。
七珍散
人参（去芦，切片） 石菖蒲（节密者，锉） 川芎（洗，锉，焙） 熟干地黄（各一两） 细辛（一钱，
去叶） 防风（去苗，锉） 朱砂（研，各半两）
上为末，每服一钱，蒲荷汤调下，不以时候。
又十八论云∶但服蒲黄黑神散，便安。
第十论曰∶产后腹痛，又泻痢者，何。
答曰∶产后肠胃虚怯，寒邪易侵。若未盈月，饮冷当风，则寒邪乘虚进袭，留于盲膜，散于腹胁，故腹痛
作阵，或如锥刀所刺。流入大肠，水谷不化，洞泄腹鸣，或下赤白，腹胁 胀，或走痛不定，急服调中汤，立
愈。若医者以为积滞，取之，则祸不旋踵，谨之谨之。
调中汤
高良姜（锉，油炒） 当归（洗，去芦须，切，焙） 桂（去皮，不见火锉） 白芍药（洗，锉） 附子
（炮，去皮脐） 川芎（洗。各一两） 甘草（半两，炙，锉）
上为粗末，每服三钱，用水三盏，煎至一盏，去滓，热服。
又十八论云∶急服蒲黄黑神散，后服调中汤。
第十一论曰∶产后遍身疼痛者，何。
答曰∶产后百节开放，血脉流走，遇气弱，则经络、肉分之间，血多留滞，累日不散，则骨节不利，筋脉
引急，故腰背不得转侧，手脚不能动摇，身热，头痛。若医以为伤寒，治之，则汗出而筋脉动踢，手足厥冷，
变生他病。但服趁痛散，以嘿除之。
趁痛散
牛膝（切，酒浸一宿，控干，慢火炒，焙干） 当归（去芦须，先切，焙） 白术（锉碎，焙干） 黄
（蜜炙，锉） 桂（去皮，不见火锉） 独活（去芦，锉，川中者尤佳） 生姜（切。各半两） 薤白（洗，
切，锉） 甘草（炙，锉。各一分）
上为粗末，每服半两。水五盏煎至两盏，去滓，热服一盏，次一盏续，后再暖服，不拘时候。
又十八论云∶但服蒲黄黑神散，即愈。
第十二论曰∶产后大便秘涩者，何。
答曰∶产卧，水血俱下，肠胃虚竭，津液不足，是以大便秘涩不通也。若过五、六日，腹中闷胀者，此有
燥粪在脏腑，以其干涩，未能出耳。宜服麻仁丸，以津润之。若误以为有热而投之以寒药，则阳消阴长，变动
百出，性命危矣。
麻仁丸
麻仁（研碎） 枳壳（去穣，锉，炒微黄） 人参（去芦，切片） 大黄（煨，锉。各半两）
上为末，炼蜜丸梧桐子大。空心温汤下二十丸，未通加丸数。
又十八论云∶产后小便出血，大便滞痛者，何。
答曰∶败血流入大小肠，大小肠涩滞，致小便涩寒，大便艰难。人多不识，作五淋治之，不愈，但服蒲黄
黑神散，后服黑神丸，取下恶物，即安。
黑神丸
巴豆（去皮，以水二碗煮尽为度，去心膜，细研，去油） 黑附子（炮，去皮脐，切片） 肉桂（去皮，
不见火锉） 白干姜（炮，锉。各半两）
上为末，面糊丸如萝卜子大，每服三丸至五丸，热茶下，再以热茶投之，即行。前第七论中云转药者，即
是此方，切不可服寻常取积药。
第十三论曰∶产后血崩者，何。
答曰∶产卧伤耗，经脉未得平复而劳役损动，致血暴崩下，淋沥不止，或因咸酸不节，伤蠹荣卫，气衰血
弱，亦变崩中。若小腹满痛，肝经已坏，为难治，急服固经丸以止。
固经丸
艾叶（拣净，锉碎，炒黄） 赤石脂 补骨脂（略炒香） 木贼（去根节。各半两） 附子（一枚，炮，
去皮脐，切片）
上为末，陈米饮和丸桐子大。食前温酒下二十丸，米饮亦得。如陈米饮难丸，即入雪糕少许搜和，即易丸也。
又十八论云∶但服蒲黄黑神散及黑神丸，立瘥。
第十四论云∶产后腹胀闷满，呕吐不定者，何。
答曰∶败血散于脾胃，脾受之不能运化精微而成腹胀，胃受之则不得受纳水谷而生吐逆医者不识，若以寻
常治胀止吐药疗之，病与药不相干，转更伤动正气，疾愈难治，但服巨胜汤必瘥。
巨胜汤
赤芍药（洗，锉） 半夏（汤洗七次，切碎） 泽兰叶（洗晒） 人参（去芦，切片） 陈皮（去白）
甘草（炙，锉。各一钱） 生姜（半两）
上为粗末，用水一碗，同煎至二盏，去滓，微热，分三服。
又十八论云∶急服蒲黄黑神散，次服黑神丸，吐出恶物，即安。
第十五论曰∶产后口鼻黑气起及鼻衄者，何。
答曰∶阳明者，经脉之海，起于鼻，交额中，还出挟口，交人中，左之右，右之左，产后气消血散，荣卫
不理，散乱入于诸经，却还不得，故令口鼻黑起及变鼻衄。此缘产后虚热，变生此疾，其疾不可治，名曰∶胃
绝肺败。遇有此疾，急取绯线一条，并产妇顶心发两条，系两中指上节，即止，无药可疗，亦压禳之一端也。
又十八论曰∶产后口鼻黑气起者，何。
答曰∶产后败血入脏腑即满，冲于头目，却还不得，口干舌焦，鼻衄黑气，是产后热变作此候，不可治也，
名曰∶败肺。
第十六论曰∶产后喉中气急喘者，何。
答曰∶荣者，血也，卫者，气也，荣行脉中，卫行脉外，相随上下，谓之荣卫。因产所下过多，荣血暴竭，
卫气无所主，独聚于肺中，故令喘也，此名孤阳绝阴，为难治。若恶露不快，败血停凝，上熏于肺，亦令喘急。
如此但服夺命丹，血去喘息自止。夺命丹方见第二论。
又十八论曰∶产后喉中气急，喘者，何。
答曰∶产后败血过于心，转于喉中，此不可治也。
第十七论曰∶产后中风者，何。
答曰∶产后五、七日内，强力下床，或一月之内，百日之中，伤于房室，或怀忧发怒，扰荡冲和，或因灼
艾伤动脏腑。得病之初，眼涩口噤，肌肉 搐，以渐腰脊筋急强直者，不可治，此乃人作，非偶尔中风所得也。
第十八论曰∶产后心痛者，何。
答曰∶心者，血之主。人有伏宿寒，因产大虚，寒搏于血，血凝不得消散，其气逆上，冲击于心之络脉，
故心痛，但以大岩蜜汤治之，寒去则血脉温而经络通，心痛自止。若误以为有所伤，疗之则虚极，寒益甚矣。
心络寒甚，传心之正经，则变为真心痛。真心痛者，朝发夕死，夕发朝死，药不可轻用如些。
大岩蜜汤方
熟干地黄（洗，酒浸一宿，焙，锉用） 当归（洗，去芦须，切，焙） 吴茱萸（拣去枝梗） 独活（洗，
蜀中者尤佳） 芍药（洗，锉） 干姜（炮，锉） 甘草（炙，锉）
桂（去皮，不见火锉） 小草（远志叶。各一两） 细辛（半两，去叶，勿用马蹄香）
上为粗末，每服半两，用水三大盏，煎一盏，去滓，再入蜜一匙，又同煎三两，沸，微热服，食前。
第十九论曰∶产后热闷气上，转为香港脚者，何。
答曰∶产卧，血虚生热，复因春夏取凉过多，地之蒸湿，因足履之所以着而为香港脚之疾。其状热闷掣 ，
*Chan Yu Bao Qing Ji Fang* (Collection of Formulas for Childbearing and Preservation) contains twenty-one treatises on childbirth that I have collected. The discussions are precise and thorough, leaving no aspect unexamined. Imperial physicians (physicians of the Imperial Medical Bureau) have extensively studied medical texts and mastered their subtleties; however, it is a pity that they possess the theories but lack the corresponding formulas. Mr. Guo Jizhong is a distinguished physician of his time, particularly skilled in treating obstetric conditions. Consequently, his pulse diagnosis and prescription of medicines frequently achieve remarkable results. One day, he expressed his willingness to attach his family's collected formulas to the end of these treatises, thus compiling this collection. It is truly an extraordinary book for saving the masses. The ancients said, "A son who does not study medicine is unfilial." Therefore, possessing formulas and treatises but not passing them down to the world—can this be called benevolent? Recorded by Li Shisheng of Puyang on the fifth day of the ninth month of the third year of Daguan.
(Compiled by Li Shizheng with treatises by Guo Jizhong and attached formulas)
Treatise One: Regarding heat diseases causing fetal death in utero, what is the cause?
Answer: This occurs when the mother suffers from a heat disease. After six or seven days, the internal organs become extremely hot, steaming and damaging the fetus, leading to its death. Since the dead fetus becomes cold and cannot expel itself, one should administer *Heishen San* (Black Divine Powder) to warm the uterus. Within moments, as the uterine qi warms, the fetus will naturally be expelled. How can one know if the fetus has died? Observe the color of the parturient woman's tongue; if it appears bluish-green, this is the sign. There are two formulas for *Heishen San*.
**Heishen San (Black Divine Powder)**
*Cinnamomi Ramulus* (Guizhi, remove coarse bark, avoid fire, chop) *Angelicae Sinensis Radix* (Danggui, wash, remove radix and rootlets, slice, dry-roast) *Paeoniae Radix* (Shaoyao, wash, chop) *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fry, chop) *Rehmanniae Radix Preparata* (Shengshengdihuang, wash with warm water, chop, avoid cold water) *Zingiberis Rhizoma* (Ganjiang, preferably use stir-fried fresh ginger instead. Each 1 liang) *Aconiti Lateralis Radix Praeparata* (Fuzi, 0.5 liang, processed, remove skin and umbilicus) *Phaseoli Semen Mungo* (Xiongheidou, 2 liang, small beans are preferred, stir-fry until scorched, remove skin)
Grind all ingredients into fine powder. Take 1 qianbi (approx. 3-5g) per dose, mixed with warm wine on an empty stomach.
**Puhuang Heishen San (Polygonum Puhuang Black Divine Powder)**
(This formula is mentioned in Treatise Eighteen; it treats all conditions before and after childbirth.)
*Phaseoli Semen Mungo* (Xiongheidou, 2 liang, small beans preferred, remove skin and weigh) *Angelicae Sinensis Radix* (Danggui, wash, remove radix and rootlets, slice, dry-roast) *Paeoniae Radix* (Shaoyao, wash, chop)
*Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fry, chop) *Zingiberis Rhizoma* (Ganjiang, process, chop) *Cinnamomi Cortex* (Rougui, remove bark, chop, avoid fire) *Rehmanniae Radix Preparata* (Shengshengdihuang, wash with warm water, chop, dry-roast, avoid cold water)
*Polygoni Orientalis Spadix* (Puhuang, lightly stir-fry in silver or ceramic vessel until red, or fry in a paper-lined pot until paper turns yellow. Each 1 liang)
Grind all ingredients into fine powder. Take 2 qian per dose, mixed with warm wine on an empty stomach. For women over thirty or those who have had few births, omit Cinnamon Twig (*Guizhi*) and Dried Ginger (*Ganjiang*), replacing them with stir-fried fresh ginger (*Shengjiang*) and Safflower (*Honghua*). Use 2 liang each of ginger and safflower, washed and dried.
Treatise Two: Regarding retained placenta, what is the cause?
Answer: After delivery, blood flows into the placenta, causing it to swell and preventing expulsion. If treatment is delayed, the swelling fills the abdomen and rises upward, causing chest pain and shortness of breath; this is difficult to treat. Administer *Qiming Dan* (Miracle Life Pill) to rapidly disperse the blood within the placenta. Once the blood disperses and swelling subsides, the placenta will naturally fall without complication.
**Duoming Dan (Life-Snatching Pill)**
*Aconiti Lateralis Radix Praeparata* (Fuzi, 0.5 liang, processed, remove skin and umbilicus, slice) *Moutan Cortex* (Mudanpi, 1 liang, wash, chop) *Dryopteridis Rhizoma* (Ganqi, 1 fen, crush, stir-fry until smoke ceases)
Grind into powder. Mix with 1 sheng of strong vinegar and 1 liang of *Rhei Radix et Rhizoma* (Dahuang) powder, boil into a paste, and form pills the size of paulownia seeds. Take 50 pills with warm wine at any time.
Treatise Ten also states: Simply administering *Puhuang Heishen San* will drive out the blood from the placenta, allowing it to fall, similar to the case of cord rupture.
Treatise Three: Regarding dystocia (difficult labor), what is the cause?
Answer: A formed mass exists on the side of the fetus, called the "child pillow" (Erzhen). When birth approaches, this pillow ruptures, and the decaying blood wraps around the fetus, causing difficulty. Administer *Shengjin San* (Gold-Overcoming Powder) to expel the decaying blood, allowing natural delivery. This applies to breech presentation (Nisheng) and transverse lie (Hengsheng).
**Shengjin San (Gold-Overcoming Powder)**
*Moschus* (Shexiang, 1 qian, grind finely together) *Fermented Soybean* (Gushi, 1 liang, wrap in old tangerine peel, burn until red-hot, immediately grind with milk into powder)
Grind into powder. Take a red-hot metal weight, quench it in wine, and use this liquid to mix 1 qianbi of the powder for administration.
Treatise Eighteen also states: Simply administering *Puhuang Heishen San* resolves the decaying blood, enabling natural birth. It treats transverse lie, breech presentation, and retained placenta.
Treatise Four: Regarding postpartum blood syncope (Xueyun), what is the cause?
Answer: Postpartum, Qi and Blood are suddenly deficient. Without rest, Blood follows the ascending Qi, confusing the Heart Spirit. This causes visual disturbances (seeing spots). In severe cases, it leads to unconsciousness, locked jaw, coma, and cold breath. Physicians unfamiliar with this may misdiagnose it as "Dark Wind" (Anfeng); treating it as such will fail. Administer *Qinghun San* (Clear Soul Powder) for recovery.
**Qinghun San (Clear Soul Powder)**
*Lycii Cortex* (Zelan Ye, select clean pieces) *Ginseng Radix* (Renshen, remove radix. Each 1 fen) *Schizonepetae Spica* (Jingjie Sui, 1 liang, sun-dry) *Chuanxiong Rhizome* (Chuanxiong, 0.5 liang, wash, chop) *Glycyrrhizae Radix et Rhizoma* (Gancao, 2 qian, honey-fry, chop)
Grind into fine powder. Take 1 qianbi per dose, mix with half a small cup of hot water and half a small cup of warm wine, stir well, and administer urgently. Upon reaching the throat, eyes open, breathing stabilizes, and consciousness returns.
Treatise Eighteen also states: Simply administering *Puhuang Heishen San* leads to recovery.
Treatise Five: Regarding postpartum dry mouth and epigastric fullness, what is the cause?
Answer: Postpartum, the Uterus and Stomach are severely deficient, and Qi/Blood are unsettled. Eating noodles too early overwhelms the Stomach's digestive capacity. Noodle toxins accumulate in the epigastrium, steaming upward to the brain, causing dry mouth, thirst, and epigastric oppression. Misdiagnosing this as chest/phlegm stagnation and using purgatives is dangerous. Administer *Xianxian Wan* (Seeing Present Pill) for recovery.
**Xianxian Wan (Seeing Present Pill)**
*Curcumae Longae Rhizoma* (Jianghuang, slice form, chop) *Bannong Rhizoma* (Jingsanleng, bake, tear while hot, dry-roast) *Litsea Fructus* (Bichengqie, do not stir-fry with fire) *Citri Reticulatae Pericarpium* (Chenpi, remove white pith) *Alpiniae Officinarum Rhizoma* (Gaoliangjiang, chop, stir-fry) *Ginseng Radix* (Renshen, remove radix, slice) *Curcumae Zedoariae Rhizoma* (Peng'ezhu, bake, tear while hot, chop, dry-roast)
Grind these seven herbs into equal parts. Slowly boil chopped radish until soft, grind finely, and use the juice to make pills the size of paulownia seeds. Take 30 pills with radish decoction at any time.
Treatise Eighteen also states: Simply administering *Puhuang Heishen San* leads to recovery.
Treatise Six: Regarding postpartum alternating chills and fever, what is the cause?
Answer: Disharmony of Yin and Yang, combined with undispersed decaying blood, causes alternating chills and fever. Postpartum deficiency leads to Yin/Yang disharmony; Yin excess causes chills, Yang excess causes fever. If production labor damages organs, weak Blood fails to circulate freely, leading to stagnant blood entering the Lung (causing heat) or Spleen (causing chills). Misdiagnosing this as malaria is erroneous. For Yin/Yang disharmony, use *Zengsun Siwu Tang* (Modified Four Substances Decoction). For undispersed decaying blood, use *Duoxue Dan* (Blood-Removing Pill).
Question: How to distinguish between them?
Answer: Presence of stabbing pain indicates decaying blood; chills/fever without other symptoms indicates Yin/Yang disharmony.
**Zengsun Siwu Tang (Modified Four Substances Decoction)**
*Angelicae Sinensis Radix* (Danggui, wash, remove soil/radix/rootlets, slice, dry-roast) *Paeoniae Radix* (Shaoyao, wash, chop) *Ginseng Radix* (Renshen, remove radix, slice) *Chuanxiong Rhizome* (Chuanxiong, wash, chop. Each 1 liang) *Glycyrrhizae Radix et Rhizoma* (Gancao, 4 qian, honey-fry) *Zingiberis Rhizoma* (Ganjiang, 1 liang, preferably use fresh ginger)
Grind into powder. Take 2 qianbi per dose, decoct with 1 cup of water and 5 slices of ginger until reduced to 60%, strain, and drink warm at any time.
**Duoming Dan (Life-Snatching Pill)** (See Treatise Two)
Treatise Eighteen also states: Simply administering *Puhuang Heishen San* leads to recovery.
Treatise Seven: Regarding postpartum edema of limbs, what is the cause?
Answer: Decaying blood accumulates in the Five Zang due to deficiency, travels along meridians to the limbs, and remains there, rotting like water, causing facial and limb edema. Misdiagnosing this as fluid retention (Shuiqi) and using diuretics is harmful. Diuretics damage healthy Qi. Postpartum patients are already deficient; further depletion causes double deficiency and often death. Administer *Tiaojing San* (Regulating Menses Powder); as Blood moves, swelling subsides, and recovery occurs.
**Tiaojing San (Regulating Menses Powder)**
*Myrrha* (Moyao, grind) *Succinum* (Hupo, grind. Each 1 qian) *Cinnamomi Ramulus* (Gui, remove bark, avoid fire, chop) *Paeoniae Radix Rubra* (Chi Shaoyao, wash, chop) *Angelicae Sinensis Radix* (Danggui, remove radix/rootlets, slice. Each 1 qian) *Asari Radix et Rhizoma* (Xixin, remove leaves, chop) *Moschus* (Shexiang, grind. Each 0.5 qian)
Grind into powder. Take 0.5 qianbi per dose, mix with a little ginger juice and warm wine, and take.
Treatise Eighteen also states: Simply administer *Puhuang Heishen San*, followed by *Zhuan Yao* (Turning Medicine), which is *Heishen Wan* (Black Divine Pill) from Treatise Twelve, to purge foul matter and recover.
Treatise Eight: Regarding postpartum hallucinations (seeing spirits), what is the cause?
Answer: The Heart governs blood vessels. Childbirth depletes blood, weakening Heart Qi. Decaying blood accumulates and ascends to the Heart, disturbing it, causing irritability, restlessness, hallucinations, and confused speech. Misdiagnosing this as Wind Evil is incorrect. Administer *Tiaojing San* with added *Longnao* (Dragon Brain/Camphor) for sleep and calmness. See Treatise Seven for formula.
Treatise Eighteen also states: Simply administering *Puhuang Heishen San* brings peace.
Treatise Nine: Regarding postpartum muteness within one month, what is the cause?
Answer: The Heart has seven apertures and three hairs. Postpartum Blood/Qi deficiency leads to accumulation. Decaying blood blocks Heart apertures, clouding Shen (Spirit). Since Heart Qi connects to the tongue, blockage causes tongue stiffness and muteness. Administer *Qizhen San* (Seven Treasures Powder) for recovery.
**Qizhen San (Seven Treasures Powder)**
*Ginseng Radix* (Renshen, remove radix, slice) *Acori Tatarinowii Rhizoma* (Shichangpu, dense nodes, chop) *Chuanxiong Rhizome* (Chuanxiong, wash, chop, dry-roast) *Rehmanniae Radix Preparata* (Shudihuang. Each 1 liang) *Asari Radix et Rhizoma* (Xixin, 1 qian, remove leaves) *Saposhnikoviae Radix* (Fangfeng, remove sprouts, chop) *Cinnabaris* (Zhusha, grind. Each 0.5 liang)
Grind into powder. Take 1 qian per dose, mix with mint decoction, at any time.
Treatise Eighteen also states: Simply administering *Puhuang Heishen San* brings peace.
Treatise Ten: Regarding postpartum abdominal pain with diarrhea/dysentery, what is the cause?
Answer: Postpartum intestines/stomach are weak, inviting Cold Evil. If exposed to cold drinks/wind within a month, Cold invades, lodging in the blind membrane and spreading to abdomen/flanks, causing paroxysmal stabbing pain. If it enters Large Intestine, it causes watery diarrhea, borborygmus, bloody/mucous stools, distension, or wandering pain. Urgently administer *Tiaozhong Tang* (Regulate Middle Decoction) for immediate cure. Misdiagnosing as food stagnation and purging is dangerous.
**Tiaozhong Tang (Regulate Middle Decoction)**
*Alpiniae Officinarum Rhizoma* (Gaoliangjiang, chop, oil-fry) *Angelicae Sinensis Radix* (Danggui, wash, remove radix/rootlets, slice, dry-roast) *Cinnamomi Ramulus* (Gui, remove bark, avoid fire, chop) *Paeoniae Radix Alba* (Baishaoyao, wash, chop) *Aconiti Lateralis Radix Praeparata* (Fuzi, process, remove skin/umbilicus) *Chuanxiong Rhizome* (Chuanxiong, wash. Each 1 liang) *Glycyrrhizae Radix et Rhizoma* (Gancao, 0.5 liang, honey-fry, chop)
Grind into coarse powder. Take 3 qian per dose, decoct with 3 cups of water until 1 cup remains, strain, and drink hot.
Treatise Eighteen also states: Urgently take *Puhuang Heishen San*, then *Tiaozhong Tang*.
Treatise Eleven: Regarding postpartum generalized body pain, what is the cause?
Answer: Postpartum joints open, blood flows freely. With weak Qi, blood stagnates in meridians/muscles. Days of stagnation cause joint stiffness, tendon spasms, inability to turn back or move limbs, fever, and headache. Misdiagnosing as Taiyang Cold Damage and sweating leads to tendon twitching, cold extremities, and complications. Administer *Chentong San* (Following Pain Powder) to silently resolve it.
**Chentong San (Following Pain Powder)**
*Achyranthis Bidentatae Radix* (Niuxi, slice, soak in wine overnight, drain, slow-fire roast, dry-roast) *Angelicae Sinensis Radix* (Danggui, remove radix/rootlets, slice, dry-roast) *Atractylodis Macrocephalae Rhizoma* (Baizhu, chop, dry-roast) *Astragali Radix* (Huangqi, honey-fry, chop) *Cinnamomi Ramulus* (Gui, remove bark, avoid fire, chop) *Angelicae Pubescentis Radix* (Duhuo, remove radix, chop, Sichuan origin best) *Zingiberis Recens Rhizoma* (Shengjiang, slice. Each 0.5 liang) *Allii Macrostemonis Bulbus* (Xiebai, wash, slice, chop) *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fry, chop. Each 1 fen)
Grind into coarse powder. Take 0.5 liang per dose. Decoct with 5 cups water until 2 cups remain, strain, drink 1 cup hot, then another, keeping warm. Any time.
Treatise Eighteen also states: Simply administering *Puhuang Heishen San* cures it.
Treatise Twelve: Regarding postpartum constipation, what is the cause?
Answer: During childbirth, fluids and blood descend, exhausting intestines/stomach and depleting Jin-Ye (fluids), causing constipation. If over 5-6 days with abdominal distension, dry feces are stuck. Administer *Maren Wan* (Hemp Seed Pill) to moisten. Misdiagnosing as Heat and using Cold herbs consumes Yang, leading to critical danger.
**Maren Wan (Hemp Seed Pill)**
*Cannabis Semen* (Maren, grind) *Aurantii Fructus* (Zhiqiao, remove pulp, chop, stir-fry until light yellow) *Ginseng Radix* (Renshen, remove radix, slice) *Rhei Radix et Rhizoma* (Dahuang, bake, chop. Each 0.5 liang)
Grind into powder, mix with refined honey, form pills size of paulownia seeds. Take 20 pills with warm water on empty stomach; increase if no effect.
Treatise Eighteen also addresses: Postpartum hematuria and painful defecation.
Answer: Decaying blood enters Large/Small Intestines, causing obstruction, leading to painful urination and difficult defecation. Misdiagnosing as Wulin (Five Strangury) fails. Administer *Puhuang Heishen San*, then *Heishen Wan* to purge foul matter.
**Heishen Wan (Black Divine Pill)**
*Croci Fructus* (Badou, remove skin, boil in 2 bowls water until done, remove heart/membrane, grind finely, remove oil) *Aconiti Radix* (Heifuzi, process, remove skin/umbilicus, slice) *Cinnamomi Cortex* (Rougui, remove bark, avoid fire, chop) *Zingiberis Rhizoma* (Bai Ganjiang, process, chop. Each 0.5 liang)
Grind into powder, bind with wheat paste, form pills size of radish seeds. Take 3-5 pills with hot tea, follow with more hot tea to induce movement. This is the *Zhuan Yao* mentioned in Treatise Seven. Do not use ordinary stagnation-purgatives.
Treatise Thirteen: Regarding postpartum metrorrhagia (blood flooding), what is the cause?
Answer: Childbirth depletes energy; if exerted before meridians stabilize, violent bleeding occurs. Irregular diet (salty/sour) damages Ying/Wei, weakening Qi/Blood, causing flooding. If lower abdomen is full/painful, Liver Meridian is damaged (hard to treat). Urgently administer *Gu Jing Wan* (Stabilize Meridian Pill).
**Gu Jing Wan (Stabilize Meridian Pill)**
*Artemisiae Argyi Folium* (Aiye, select clean, chop, stir-fry yellow) *Halloysitum Rubrum* (Chishizhi) *Psoraleae Fructus* (Buguzhi, lightly stir-fry until fragrant) *Equiseti Herba* (Muzei, remove roots/nodes. Each 0.5 liang) *Aconiti Lateralis Radix Praeparata* (Fuzi, 1 piece, process, remove skin/umbilicus, slice)
Grind into powder, bind with aged rice decoction into paulownia-sized pills. Take 20 pills with warm wine before meals (rice decoction acceptable). If binding is hard, add a little snow sugar.
Treatise Eighteen also states: Simply taking *Puhuang Heishen San* and *Heishen Wan* cures it immediately.
Treatise Fourteen: Regarding postpartum abdominal distension/fullness and vomiting, what is the cause?
Answer: Decaying blood scatters to Spleen/Stomach. Spleen fails to transform essence, causing distension; Stomach fails to receive food, causing vomiting. Using standard distension/vomiting drugs harms Healthy Qi. Administer *Jusheng Tang* (Great Sesame Decoction) for cure.
**Jusheng Tang (Great Sesame Decoction)**
*Paeoniae Radix Rubra* (Chishaoyao, wash, chop) *Pinelliae Rhizoma* (Banxia, wash in boiling water 7 times, chop) *Lycii Cortex* (Zelan Ye, wash, dry) *Ginseng Radix* (Renshen, remove radix, slice) *Citri Reticulatae Pericarpium* (Chenpi, remove white pith)
*Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fry, chop. Each 1 qian) *Zingiberis Recens Rhizoma* (Shengjiang, 0.5 liang)
Grind into coarse powder. Decoct with 1 bowl water until 2 cups remain, strain, drink warm in 3 doses.
Treatise Eighteen also states: Urgently take *Puhuang Heishen San*, then *Heishen Wan* to vomit foul matter and find relief.
Treatise Fifteen: Regarding postpartum black vapor rising from mouth/nose and epistaxis, what is the cause?
Answer: Yangming Meridian is the sea of vessels, starting at nose, crossing forehead, encircling mouth. Postpartum Qi/Blood scatter, disrupting Ying/Wei, which scatter into meridians and cannot return. This causes black vapor and epistaxis. Due to postpartum deficiency-heat, this is termed "Stomach Extinction, Lung Failure" and is incurable. Emergency measure: Tie a crimson thread and two strands of crown hair to the middle phalanges of both middle fingers to stop bleeding. No medicine works; this is a talismanic suppression.
Treatise Eighteen also states: Postpartum black vapor from mouth/nose.
Answer: Decaying blood fills organs, rushes to head/eyes, cannot return, causing dry mouth/tongue and black epistaxis. This is "Heat Transformation," termed "Failed Lung," and is incurable.
Treatise Sixteen: Regarding postpartum rapid breathing/asthma, what is the cause?
Answer: Ying is Blood, Wei is Qi. Ying moves in vessels, Wei outside. Excessive blood loss during childbirth exhausts Ying Blood, leaving Wei Qi unanchored, gathering in Lungs, causing asthma. This is "Lone Yang, Absolute Yin," difficult to treat. If lochia is slow and decaying blood stagnates, steaming Lungs also causes asthma. Administer *Duoming Dan*; as blood clears, breathing stops. See Treatise Two.
Treatise Eighteen also states: Postpartum rapid breathing/asthma.
Answer: Decaying blood passes through Heart, turning in throat. This is incurable.
Treatise Seventeen: Regarding postpartum wind-stroke, what is the cause?
Answer: Rising early within 5-7 days, or sexual activity within 100 days, emotional turmoil, or moxibustion injury damages organs. Initial signs: dry eyes, locked jaw, muscle twitching, progressing to stiff neck/back. This is man-made, not spontaneous wind-stroke, and is incurable.
Treatise Eighteen: Regarding postpartum heart pain, what is the cause?
Answer: Heart governs Blood. Latent cold combines with postpartum deficiency, congealing Blood. Ascending Qi strikes Heart collaterals, causing pain. Treat with *Dayanmi Tang* (Great Rock Honey Decoction); as cold leaves, vessels warm, pain stops. Misdiagnosing as trauma worsens deficiency/cold. Severe cold transmitting to main Heart Meridian causes "True Heart Pain" (Zhenxintong), fatal within hours. Do not use mild medicines.
**Dayanmi Tang (Great Rock Honey Decoction)**
*Rehmanniae Radix Preparata* (Shudihuang, wash, soak in wine overnight, dry-roast, chop) *Angelicae Sinensis Radix* (Danggui, wash, remove radix/rootlets, slice, dry-roast) *Evodiae Fructus* (Wuzhuyu, remove stems) *Angelicae Pubescentis Radix* (Duhuo, wash, Sichuan origin best) *Paeoniae Radix* (Shaoyao, wash, chop) *Zingiberis Rhizoma* (Ganjiang, process, chop) *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fry, chop)
*Cinnamomi Ramulus* (Gui, remove bark, avoid fire, chop) *Polygalae Radix* (Xiaocao/Yuanzhi Ye, each 1 liang) *Asari Radix et Rhizoma* (Xixin, 0.5 liang, remove leaves, avoid Matixiang)
Grind into coarse powder. Take 0.5 liang per dose. Decoct with 3 large cups water until 1 cup remains, strain, add 1 spoon of honey, boil again until foamy, drink warm before meals.
Treatise Nineteen: Regarding postpartum heat oppression transforming into Hongjiao (podagra/gout-like condition), what is the cause?
Answer: Childbirth causes Blood deficiency and heat. Combined with excessive cooling in spring/summer and damp earth vapors entering feet via footwear, this causes Hongjiao. Symptoms include heat oppression and pulling pain...