脉
产后扶虚，消瘀血，脉却宜虚。叔和云∶新产之脉缓滑吉，实大弦急死来侵，寸口焱疾不调死，沉
细附骨不绝生。
证
夫妇人产后发热，有去血过多者，有恶露不尽者，有伤饮食者，有感风寒者，有感冒夹食兼气者，有
三日蒸乳者，俱能发热憎
寒，并身疼腹痛，不可相类而药也。
治
产后去血过多发热者，脉必虚大无力。内无痛者，此非有余之热也，乃阴虚不足生热。用四物汤去芍
药，加参、术、茯苓，淡渗其热。若大热不退，加炒黑干姜，神效。干姜辛热，能引血药入血分，生新血；引
气药入气分，补气。或只用芎归调血饮尤妙。凡有伤力发热，早起劳动发热者，皆同此治法也。
一、产后恶露不尽，亦有发热恶寒，必胁肋胀满，连大小腹有块作痛，名儿枕痛。产后腹痛血瘀，宜
四物汤加五灵脂、牡丹皮、桃仁、红花、玄胡索、香附、青皮、干姜、官桂、酒、水各一钱，黑豆一撮，后磨木
香入童便、姜汁服，取下恶物为效。或用黑神散尤妙，后以八物汤加干姜、陈皮，少佐童便、炒香附调理。
一、产后脾胃虚弱，饮食少，难克化，以致停滞发热，必有噫气作酸，恶闻食臭而口出无味，胸膈饱
闷，气口脉必紧盛，发热恶寒头痛，必用治中汤加神曲、山楂、砂仁，炒黄连、川芎、当归佐
之，或用理脾散更效。
一、产后荣卫俱虚，腠理不密，若冒风发热者，其脉浮而微，或自汗，以芎芷香苏散加羌活、防风
主之。如感寒者，脉弦而紧，或恶露欠通，以五积散主之。如风寒两感者，脉浮而紧，以五积
交加散主之。有汗去麻黄，邪胜去人参。
一、产后内伤饮食，而外感风寒，或兼气恼而发热者，人迎、气口脉俱紧盛，以行气香苏散主之。
一、产后蒸乳发热恶寒者，必乳间胀硬疼痛，令产母揉乳汁通，其热自除，不药而愈。
一、产后血晕者，其由有三∶有用心使力过多而晕者，有下血多而晕者，有下血少而晕者，其晕虽同，
其治特异。若下血多而晕者，当补血，以芎归汤为主。或恶露不止者，倍炒黑干姜止之。若去血少而晕者，夺命
散主之。但凡血晕不省人事，用大火炭置产妇旁，以醋沃之，使醋气熏入病患口鼻，轻者立苏，重者亦省人事
矣。
一、凡新产之后，宜以五积散祛除败血，补生新血，调和营卫，滋养脏腑，使阴阳不相胜负，邪气
不能相干，则无寒热之患。又治新产气虚，或外感寒邪，头疼身痛，发热恶寒，或但发热者，并用
米醋少许同煎，本方去麻黄，热甚加黄芩。
一、产后中风口噤，乃血虚而风入于颊口，筋得风则急，故口噤也。若角弓反张，乃体虚而风入于
诸阳之经，故独腰背挛急，如角弓反张之状也，四物汤加秦艽、羌活。又宜荆芥略炒为末，每服
二钱，黑豆淋酒调下，童便亦可。又方，用当归、荆芥各等分，水一盏，酒少许，煎七分灌之。如口噤用
匙斡开，微微灌下，但下咽即效。
一、产后发热恶寒，或口眼 斜等证，皆是血虚之甚，急宜大
补气血为主。若左手脉不足，补血药多于补气药；右手脉不足，补气药多于补血药。
一、产后失声，言不出者，心肺二窍被血所侵，又感风邪，客于会厌故也。茯苓补心汤去陈皮、
枳壳、川芎，加升麻、防风、薄荷、赤芍、当归、生地、红花、黄连、胆星、生姜煎服。
一、产后不语，因败血迷心窍所致，宜四物汤加辰砂、石菖蒲、红花、人参。
一、产后血块筑痛，盖因坐草近地，为冷湿乘之，风邪干之，使败血瘀凝为血块，冲筑硬痛，不换
金正气散加辣桂、川芎、白芷、莪术、干姜同煎，乘热入醋，连进两服。冷湿风邪一散，其块自消，
其瘀从大便而出。
一、产后困子死，经断不行半载矣，一日小腹忽痛，阴户内如
有石硬塞之，而痛不禁，此乃石瘕也。四物汤加桃仁、大黄、槟榔、三棱、玄胡索、泽泻、血竭，水煎服。
一、产后血虚发热，咳嗽吐痰，喘满，心慌、口干，宜用茯苓
补心汤加麦门冬、五味子煎服。
一、产后子宫不闭，补中益气汤加白芍、醋炒香附、半夏、酒
炒黄芩，热不退，加酒柏。一方，用锻石煎汤熏。一方，用荆芥、藿香、臭椿皮，煎汤熏洗。
方
芎归调血饮（西园公方） 治产后一切诸病，气血虚损，脾胃怯弱，或恶露不行，或去血过多，或
饮食失节，或怒气相冲，以致发热恶寒，自汗口干，心烦喘急，心腹疼痛，胁肋胀满，头晕眼花，耳鸣，
口噤不语，昏愦等证。
当归 川芎 白术 白茯苓 熟地 陈皮 香附（童便炒） 乌药 干姜（炒黑） 益母草 甘草 牡丹皮
上锉，姜枣煎服。如恶露不行，倍益母草、丹皮，加童便、黄酒同服。如去血过多，倍芎、归、干姜。
如饮食停滞，胸膈饱闷，加枳实、浓朴、山楂、砂仁。如因气恼，倍香附、乌药。如口噤昏愦不语，加荆
介。如两胁痛，加青皮、肉桂。如小腹阵痛，加玄胡索、桃仁、红花、苏木，甚者加三棱、莪术。如有
汗，加黄 。如口干苦，加麦门冬。凡产后，即以童便和热酒，随意饮之，百病不生。
益母汤（魏宪副传） 治产后恶露不尽，攻冲心腹，或作眩晕，或寒热交攻。
益母草锉一大剂，去渣，入黄酒、童便各一盏。凡产后即用此，加芎、归各二钱，
以免腹痛血晕之患，大有补益，去旧生新。
黑神散（刘太府传） 治产后败血致诸疾者。
当归 熟地 白芍（酒炒） 肉桂（去皮，各一两） 甘草（炙黄，一两） 沉香
棕灰（烧存性） 蒲黄（炒黑色） 没药（各一钱） 乳香（三钱） 赤芍（一钱） 血竭（五分）
上为细末，每服二钱，空心无灰好酒调下，此方可代夺命散。
一、将产血多，儿食不尽，余血裹胎，难产，服此弃子救母。
一、临产用力太早，儿不及转，横生倒出，亦当急救母命，服此方。
一、子死腹中，母必肢体冷痛，口角出沫，指甲青黑，服此即出。
一、产后胎衣不下。
一、血晕眼花，起坐不得。
一、血迷心窍，不能言语。
一、败血乘虚散流，四肢浮肿。
一、败血为害，口渴舌燥，乍寒乍热似疟。
一、月中饮冷，败血凝聚，腹痛难忍，或致泻痢。
一、败血入心，烦躁发狂，言语错乱，或见鬼神如癫。
一、败血停留肢节间，遍身疼痛。
一、败血流入小肠，小便出血。
一、败血结聚，小便闭涩，大便艰难。
一、恶露未尽，失而不治，又过酸咸收敛之物，因而得崩漏。
一、肺败鼻中气黑。
一、败血冲心，喉中气急发喘。
一、败血滞脾胃中，心腹胀满，呕吐似翻胃。
更生散（云林制） 治产后去血过多，或不止，或眩晕眼暗，口噤，发热憎寒。
人参（一两） 当归（一两） 川芎（五钱） 荆芥穗（三钱） 干姜（炒黑，三钱） 熟
地（姜汁炒，一两）
上锉，水煎，空心服。如血大下不止，用龙骨火 ，赤石脂火
各等分为末，每二钱，用前药调服。外以五倍子末津调，纳脐中即止。
抽薪散（刘太府传）〔批〕（按此方治产后去血过多者） 治产后血虚发热。
熟地（四钱） 当归（四钱） 干姜（炒黑，一钱）
上锉一剂，水煎服。
儿枕散（贾兰峰传） 治产后心腹痛，恶血不行，或儿枕作痛甚危。
当归（三钱） 白芍（酒炒，三钱） 川芎（二钱） 白芷 官桂 蒲黄 牡丹皮 玄胡
索五灵脂 没药（各一钱）
上锉一剂，水煎，入童便，空心服。
通瘀饮（胡云阁传）〔批〕（按此方治产后恶露不行者） 治产后恶露不通，心慌昏沉，寒热交攻。
归尾（三钱） 大黄（三钱） 白术（一钱） 木通（一钱） 红花（五分）
上水一碗，黄酒一小盏，煎三滚，用桃仁三十个捣烂，再煎二滚，去渣温服。
和痛汤〔批〕（按此方治产后心腹痛者） 治小产心腹痛。
当归 川芎 白芍（酒炒） 熟地（各一钱） 玄胡索（七分） 香附（五分） 青
皮（炒，五分） 桃仁（去皮，三分） 红花（三分） 泽泻（五分）
上锉一剂，水一钟，童便、黄酒各半钟，煎至一钟温服。
夺命丹（秘方） 治产后胞衣不下者，因血流入衣中，为血所胀，是以不下，上冲心胸。但去衣，血自下。
附子（五钱，炮，去皮尖） 丹皮（去骨，一两） 大黄（一两） 干漆（炒令烟尽，三两）
上为末，米醋一升，熬成膏，和丸如梧桐子大。每服五六十丸，温汤下。
清魂散（昆山郑氏方） 治产后血晕者，由败血流入肺经，头旋目
眩，昏闷不省。血晕有三∶有用力过多血晕者，有下血过多血晕者，有小产去血太过血晕者，俱可服之。
泽兰叶 荆芥（各一钱） 川芎（八分） 人参（五分） 甘草（三分） 陈皮（七分）
香附（醋炒，七分） 白芷（五分） 益母草（一钱） 当归（八分） 生地（八分） 丹皮（五
分） 红花（三分） 蒲黄（炒黑，七分）
上锉一剂，水一钟半，煎至七分，滤去渣，入童便半钟温服。
加减磁石散（昆山郑氏秘方） 治产后子宫不收者，名 疾，皆用力过度。有痛不可忍，服之。
磁石 归尾 白芷 蛇床子 赤芍药 丹皮 发灰 荆芥穗 川芎 生地 陈皮 甘草
七日后，去白芷、赤芍、归梢，加熟地、当归、白芍、人参、黄 ，上水煎，空心服。外用
熏洗方
椿皮 荆芥 五倍子 蛇床子 葱白头 朴硝 藿香
上各等分同煎，洗过，将铁锈钉磨水涂上即收。
理脾汤 治产后停食，胸膈饱闷，身发寒热，不思饮食。
苍术（米泔浸炒） 陈皮（各一钱） 浓朴（姜炒，钱半） 砂仁（七分，炒） 神曲（炒，
一钱） 山楂（去核，一钱） 麦芽（炒，一钱） 干姜（炒黑，八分） 甘草（炙，三分）
上锉一剂，生姜三片，煎服。泄泻，加白术、茯苓。大便闭，加桃仁、红花。小便闭涩，加大腹皮。
加味理中丸〔批〕（按此方治产后食伤脾胃者） 治脾胃虚惫，饮食不进，呕吐泄泻，心腹疼痛，
体虚有汗，胎前产后，俱宜服之。
人参 白术（土炒） 干姜（汤泡，炒黑） 神曲（炒，各一两） 麦芽（炒） 砂仁
（炒，各八钱） 陈皮（去白，一两） 香附（醋炒，一两） 甘草（炙，六钱）
上为末，神曲打糊为丸，如梧桐子大。每服八十丸，空心米汤送下。
推气养血丸（云林制） 治产后右胁膨胀，有块如竖弦一条，着冷便疼。
当归（酒洗） 川芎 白芍（酒炒） 白术（土炒） 陈皮（炒） 枳实（麸炒） 浓朴
（姜汁炒） 青皮（香油炒，去穣） 乌药 神曲（炒） 干姜（炒黑） 白芥子（炒，各一两）
香附（四两，便炒） 麦芽（炒） 肉桂（各六钱） 三棱（醋炒，八钱） 莪术（醋炒，八钱） 木香（二钱）
上为细末，酒糊为丸，如梧桐子大。每服百丸，空心米汤送下。
养血佐肝丸（云林制）〔批〕（按此方治产后积块者） 治产后左胁胀满一块，卧不敢着床。
当归（酒洗） 南芎 白芍（酒炒） 陈皮（去白） 半夏（香油炒） 白术（去芦，炒）
神曲（炒） 青皮（香油炒，去穣） 莱菔子（炒） 牡丹皮（酒洗） 红花（各一两） 香附
（二两，醋浸炒） 桃仁（去皮尖） 柴胡（各八钱） 白茯苓（一两） 龙胆草（酒洗，六钱）
三棱 莪术（各醋炒，五钱）
上为细末，酒糊为丸，如梧桐子大。每服百丸，白汤送下。
增损柴胡汤 治产后虚弱，寒热如疟，食少腹胀。
柴胡 人参 甘草 半夏（炒） 陈皮 川芎 白芍（炒，各等分）
上每服五钱，水、姜、枣同煎，日二服。
加减养脏汤 治产后下痢赤白，里急后重。
木香 黄连 浓朴 甘草 归尾 赤芍 川芎 艾叶 蒲黄
七日后，去蒲黄、归梢，加茯苓、归身、枳壳。如久痢脱肛，加肉豆蔻、地榆、人参、阿胶、白术。
噤口不食，加山药、石莲肉、陈包米。胃寒呕哕，腹痛甚者，去黄连，加干姜。
灸法
治妇人鸡爪风，因月家得此，不时举发，手足挛束如鸡爪状，疼痛难伸。
于左右膝骨两旁，各有一小窝，共四穴，俗谓之鬼眼，各灸三壮即愈。
Pulse
Postpartum regulation should focus on supporting deficiency and eliminating blood stasis; the pulse at this time should appear deficient. Wang Shuhe stated: A postpartum pulse that is slow and smooth is auspicious, whereas a solid, large, wiry, or rapid pulse portends death. If the Cun Kou (radial artery) pulse is extremely rapid and irregular, it indicates death; if it is deep and fine but unbroken upon deep palpation, it indicates survival.
Symptoms
Women experiencing fever after childbirth may have various causes: excessive blood loss, incomplete expulsion of lochia, dietary injury, contraction of wind-cold, cold complicated by food stagnation and qi stagnation, or milk secretion (steaming milk) occurring three days postpartum. All these conditions can cause fever, aversion to cold, body pain, and abdominal pain. The presentations differ significantly, and treatments cannot be applied indiscriminately.
Treatment
For fever caused by excessive blood loss postpartum, the pulse will likely be large and weak without force. In the absence of internal pain, this is not excess heat but deficiency heat generated by yin insufficiency. Use Siwu Tang (Four Substances Decoction) removing Shaoyao (Paeonia Lactiflora), adding Renshen (Ginseng), Baizhu (Atractylodes Macrocephala), and Fuling (Poria). This promotes diuresis to drain heat. If high fever persists, add Chao Hei Ganjiang (Charred Dried Ginger), which is highly effective. Ganjiang is acrid and hot; it guides blood-tonifying herbs into the blood level to generate new blood, and guides qi-tonifying herbs into the qi level to replenish qi. Alternatively, using Xionggui Tiaoxue Yin (Cyperi and Angelica Blood-Regulating Drink) is excellent. Any fever caused by overexertion or early morning labor follows this same treatment principle.
First, incomplete expulsion of lochia accompanied by fever and aversion to cold necessarily involves distension in the hypochondrium and painful masses in the lower abdomen, known as "Erzhen Tong" (Child's Pillow Pain). Postpartum abdominal pain due to blood stasis is treated with Siwu Tang (Four Substances Decoction) added with Wulingzhi (Trogopterus Dung), Mudanpi (Moutan Cortex), Taoren (Peach Kernel), Honghua (Safflower), Yuanhusuo (Corydalis Rhizome), Xiangfu (Cyperus Rhizome), Qingpi (Green Tangerina Peel), Ganjiang (Dried Ginger), Guigui (Cinnamon Twig), wine, and water (one qian each), plus a handful of Heidou (Black Soybean). Afterward, grind Muxiang (Aucklandia Root) and administer with Tongbian (Infant Urine) and Jiangzhi (Ginger Juice). Efficacy is confirmed by the discharge of foul matter. Using Heishen San (Black Divine Powder) is even better, followed by调理 (regulation) with Bawu Tang (Eight Substances Decoction) added with Ganjiang (Dried Ginger) and Chenpi (Tangerina Peel), lightly supplemented with Tongbian (Infant Urine) and Chao Xiangfu (Stir-fried Cyperus Rhizome).
Second, postpartum spleen and stomach weakness leads to reduced appetite and poor digestion, causing stagnation fever. Symptoms include belching with acid regurgitation, aversion to food odors, tastelessness, chest fullness, and a tight, vigorous pulse at the Kou position, accompanied by fever, aversion to cold, and headache. Zhitong Tang (Regulate the Middle Decoction) added with Shenqu (Medicated Leaven), Shanzha (Hawthorn Fruit), and Sharen (Amomum Fruit), assisted by Chao Huanglian (Stir-fried Coptis Rhizome), Chuanxiong (Ligusticum Rhizome), and Danggui (Angelica Sinensis) is required. Lizhi San (Regulate Spleen Powder) is more effective.
Third, postpartum deficiency of Ying (Nutritive Qi) and Wei (Defensive Qi) results in loose interstices. If wind-induced fever occurs, the pulse is floating and slightly weak, possibly with spontaneous sweating. Xiongzhi Xiangsu San (Cyperi, Chrysanthemum, and Perilla Decoction) added with Qianghuo (Notopterygium Rhizome) and Fangfeng (Saposhnikovia Root) is indicated. For cold invasion, characterized by a wiry and tight pulse or obstructed lochia, Wuji San (Five Accumulations Powder) is used. For simultaneous wind-cold invasion, with a floating and tight pulse, Wuji Jiajiao San (Five Accumulations Combined Powder) is used. Remove Mahuang (Ephedra) if there is sweating; remove Renshen (Ginseng) if pathogenic factors are strong.
Fourth, for postpartum internal dietary injury combined with external wind-cold, or fever exacerbated by anger, where both Renying (Carotid pulse) and Kou (Radial pulse) positions are tight and vigorous, Xingqi Xiangsu San (Qi-Moving Perilla Decoction) is prescribed.
Fifth, fever and aversion to cold due to "steaming milk" (initial lactation) involve swollen, hard, and painful breasts. Massaging the breasts to promote milk flow resolves the fever without medication.
Sixth, postpartum blood syncope has three causes: fainting from excessive exertion, fainting from excessive bleeding, and fainting from minimal bleeding. Although the symptom is the same, treatments differ. For fainting due to excessive bleeding, tonify blood using Xionggui Tang (Cyperi and Angelica Decoction) as the main formula. If lochia does not stop, double the dose of Charred Ganjiang (Dried Ginger) to stop bleeding. For fainting due to minimal bleeding, use Mingdan (Life-Snatching Pill). For unconsciousness due to blood syncope, place hot charcoal near the mother and pour vinegar on it so the vapor enters the patient's nose and mouth; mild cases recover immediately, severe cases regain consciousness.
Seventh, after fresh delivery, Wuji San (Five Accumulations Powder) should be used to eliminate stale blood, generate new blood, harmonize Ying and Wei, nourish the zang-fu organs, balance yin and yang, and prevent pathogenic interference, thereby avoiding chills and fever. It also treats postpartum qi deficiency, external cold invasion, headache, body pain, fever, and aversion to cold. Add a small amount of rice vinegar to the decoction; remove Mahuang (Ephedra); add Huangqin (Scutellaria Root) if heat is severe.
Eighth, postpartum facial paralysis with locked jaw (Jinkou) results from blood deficiency allowing wind to invade the cheeks and mouth, causing tendon tension. If opisthotonos (arched back) occurs, it is due to wind invading the Yang meridians in a weak body, causing spasm of the waist and back. Treat with Siwu Tang (Four Substances Decoction) added with Qinjiao (Gentiana Macrophylla Rhizome) and Qianghuo (Notopterygium Rhizome). Also, stir-fry Jingjie (Schizonepeta Spike) until slightly charred, powder it, and take two qian mixed with wine from black soybeans or infant urine. Another prescription uses equal parts Danggui (Angelica Sinensis) and Jingjie (Schizonepeta Spike), decocted in water and wine. If the jaw is locked, pry it open gently and administer slowly; efficacy is immediate upon swallowing.
Ninth, postpartum fever, aversion to cold, or hemifacial paralysis indicate extreme blood deficiency. Urgently tonify qi and blood. If the left hand pulse is insufficient, emphasize blood-tonifying herbs over qi-tonifying ones; if the right hand pulse is insufficient, emphasize qi-tonifying herbs.
Tenth, postpartum aphonia (loss of voice) is caused by blood invading the heart and lung orifices and wind pathogens lodging in the epiglottis. Use Fuling Buxin Tang (Poria Heart-Nourishing Decoction) removing Chenpi (Tangerina Peel), Zhike (Aurantium Fructus), and Chuanxiong (Ligusticum Rhizome), adding Shengma (Cimicifuga Rhizome), Fangfeng (Saposhnikovia Root), Bohe (Mentha Haplocalyx), Chishao (Red Peony Root), Danggui (Angelica Sinensis), Shengdi (Rehmannia Root), Honghua (Safflower), Huanglian (Coptis Rhizome), Dansheng (Arisaema Cum Bile), and Shengjiang (Fresh Ginger).
Eleventh, postpartum mutism is caused by stale blood confusing the heart orifices. Use Siwu Tang (Four Substances Decoction) added with Chencha (Cinnabar), Shichangpu (Acorus Rhizome), Honghua (Safflower), and Renshen (Ginseng).
Twelfth, postpartum abdominal pain from blood masses is often due to sitting on the ground during confinement, allowing cold-dampness and wind to invade, causing blood stasis and mass formation. Treat with Buhuanjin Zhengqi San (Golden Exchange Upright Qi Powder) added with Lagui (Cinnamon Bark), Chuanxiong (Ligusticum Rhizome), Baizhi (Angelica Dahurica Root), Ezhu (Curcuma Rhizome), and Ganjiang (Dried Ginger). Decoct and add vinegar while hot; take two doses consecutively. As cold-dampness and wind dissipate, the mass disappears, and stasis exits via the stool.
Thirteenth, fetal death in utero (Shijia) presents after six months of amenorrhea with sudden lower abdominal pain and a stone-like hardness in the vagina. This is Shi Xia (Stone Fibroid). Use Siwu Tang (Four Substances Decoction) added with Taoren (Peach Kernel), Dahuang (Rhubarb Root), Binglang (Areca Seed), Sanleng (Sparganium Rhizome), Yuanhusuo (Corydalis Rhizome), Zexie (Alisma Rhizome), and Xuexie (Dragon's Blood). Decoct in water.
Fourteenth, postpartum blood deficiency fever with cough, sputum, wheezing, palpitations, and dry mouth is treated with Fuling Buxin Tang (Poria Heart-Nourishing Decoction) added with Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Berry).
Fifteenth, postpartum uterine prolapse is treated with Buzhong Yiqi Tang (Middle-Boosting Qi-Rescuing Decoction) added with Baishao (White Peony Root), Cu Chao Xiangfu (Vinegar-stir-fried Cyperus Rhizome), Banxia (Pinellia Tuber), and Jiu Chao Huangqin (Wine-stir-fried Scutellaria Root). If fever persists, add Jiubai (Wine-processed Phellodendron Bark). Alternative methods include fumigation with Duanshi (Calcined Alum) or washing with Jingjie (Schizonepeta Spike), Huoxiang (Patchouli Herb), and Chouchunpi (Toona Leaf Bark).
Formulas
Xionggui Tiaoxue Yin (Cyperi and Angelica Blood-Regulating Drink) [Western Garden Public Formula] treats all postpartum diseases involving qi and blood deficiency, weak spleen and stomach, obstructed lochia, excessive bleeding, dietary irregularities, or anger-induced disorders manifesting as fever, aversion to cold, spontaneous sweating, dry mouth, irritability, panting, abdominal pain, hypochondriac distension, dizziness, blurred vision, tinnitus, locked jaw, muteness, and confusion.
Ingredients: Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Rhizome), Baizhu (Atractylodes Macrocephala), Baifuling (Poria), Shudi (Prepared Rehmannia Root), Chenpi (Tangerina Peel), Xiangfu (Cyperus Rhizome, stir-fried with infant urine), Wuyao (Lindera Root), Ganjiang (Dried Ginger, charred), Yimucao (Motherwort Herb), Gancao (Licorice Root), Mudanpi (Moutan Cortex).
Chop ingredients, decoct with ginger and jujube. If lochia is obstructed, double Yimucao and Mudanpi, add infant urine and yellow wine. If excessive bleeding occurred, double Chuanxiong, Danggui, and Ganjiang. If food stagnation causes chest fullness, add Zhishi (Immature Aurantium Fructus), Nongpo (Magnolia Bark), Shanzha (Hawthorn Fruit), and Sharen (Amomum Fruit). If caused by anger, double Xiangfu and Wuyao. If locked jaw/confusion occurs, add Jingjie (Schizonepeta Spike). If hypochondriac pain, add Qingpi (Green Tangerina Peel) and Rougui (Cinnamon Bark). If paroxysmal lower abdominal pain, add Yuanhusuo (Corydalis Rhizome), Taoren (Peach Kernel), Honghua (Safflower), Sumu (Dalbergia Odorifera Lignum), and Sanleng/Ezhu if severe. If sweating, add Huangqi (Astragalus Root). If dry bitter mouth, add Maidong (Ophiopogon Tuber). Postpartum, drink freely with infant urine and warm wine to prevent disease.
Yimu Tang (Motherwort Decoction) [Transmitted by Vice-Intendant Wei] treats incomplete lochia, attacking the heart/abdomen, dizziness, or alternating chills/fever.
Decoct a large dose of Yimucao (Motherwort Herb), strain, and add one cup of yellow wine and one cup of infant urine. Use immediately postpartum, adding Chuanxiong and Danggui (two qian each) to prevent abdominal pain and blood syncope, greatly benefiting the removal of old blood and generation of new.
Heishen San (Black Divine Powder) [Transmitted by Prefect Liu] treats various postpartum diseases caused by stale blood.
Ingredients: Danggui (Angelica Sinensis), Shudi (Prepared Rehmannia Root), Baishao (White Peony Root, wine-stir-fried), Rougui (Cinnamon Bark, bark removed, 1 liang each), Gancao (Licorice Root, honey-roasted, 1 liang), Chenxiang (Aquilaria Wood), Zonghui (Brown Ash, burned to retain nature), Puhuang (Typha Pollen, charred), Moyao (Myrrh, 1 qian each), Ruxiang (Olibanum, 3 qian), Chishao (Red Peony Root, 1 qian), Xuexie (Dragon's Blood, 5 fen).
Grind to fine powder. Take 2 qian on an empty stomach with good non-fermented wine. This formula can replace Mingdan.
Indications:
1. Excessive bleeding before delivery, residual blood wrapping the placenta, difficult labor: use to save the mother.
2. Premature exertion leading to malpresentation: use to save the mother.
3. Fetal death in utero (cold limbs, foamy mouth, cyanotic nails): use to expel the fetus.
4. Retained placenta.
5. Blood syncope with blurred vision, inability to rise.
6. Blood confusing heart orifices, muteness.
7. Stale blood dispersing, causing limb edema.
8. Stale blood harming, causing thirst, dry tongue, alternating chills/fever like malaria.
9. Cold drinks during confinement causing blood coagulation, unbearable abdominal pain, or dysentery.
10. Stale blood entering the heart, causing mania, delirium, or hallucinations.
11. Stale blood in joints, causing generalized pain.
12. Stale blood flowing to the small intestine, causing hematuria.
13. Stale blood accumulation, causing urinary retention and constipation.
14. Untreated incomplete lochia combined with astringent foods causing metrorrhagia.
15. Lung failure, black gas from nose.
16. Stale blood rushing to the heart, causing asthma.
17. Stale blood stagnating in spleen/stomach, causing abdominal fullness and vomiting resembling gastric outlet obstruction.
Gengsheng San (Rebirth Powder) [Made by Yunlin] treats excessive postpartum bleeding, persistent bleeding, dizziness, blurred vision, locked jaw, fever, and aversion to cold.
Ingredients: Renshen (Ginseng, 1 liang), Danggui (Angelica Sinensis, 1 liang), Chuanxiong (Ligusticum Rhizome, 5 qian), Jingjie Sui (Schizonepeta Spike, 3 qian), Ganjiang (Dried Ginger, charred, 3 qian), Shudi (Prepared Rehmannia Root, ginger juice-stir-fried, 1 liang).
Chop, decoct in water, take on an empty stomach. If heavy bleeding persists, use calcined Longgu (Fossil Bone) and Chishizhi (Halloysitum Rubrum, equal parts), powder them, mix 2 qian with the above medicine externally apply Wubeizi (Chinese Gall) powder mixed with saliva to the umbilicus to stop bleeding.
Chouxin San (Fire-Extinguishing Powder) [Transmitted by Prefect Liu] [Note: For postpartum excessive blood loss] treats postpartum blood deficiency fever.
Ingredients: Shudi (Prepared Rehmannia Root, 4 qian), Danggui (Angelica Sinensis, 4 qian), Ganjiang (Dried Ginger, charred, 1 qian).
Chop one dose, decoct in water, and take.
Erzhen San (Child's Pillow Powder) [Transmitted by Jia Lanfeng] treats postpartum heart/abdominal pain, obstructed evil blood, or severe Erzhen pain.
Ingredients: Danggui (Angelica Sinensis, 3 qian), Baishao (White Peony Root, wine-stir-fried, 3 qian), Chuanxiong (Ligusticum Rhizome, 2 qian), Baizhi (Angelica Dahurica Root), Guigui (Cinnamon Twig), Puhuang (Typha Pollen), Mudanpi (Moutan Cortex), Yuanhusuo (Corydalis Rhizome), Wulingzhi (Trogopterus Dung), Moyao (Myrrh, 1 qian each).
Chop one dose, decoct in water, add infant urine, take on an empty stomach.
Tongyu Yin (Blood-Unblocking Drink) [Transmitted by Hu Yunge] [Note: For postpartum obstructed lochia] treats obstructed lochia, palpitations, drowsiness, and alternating chills/fever.
Ingredients: Guiwei (Angelica Sinensis Tail, 3 qian), Dahuang (Rhubarb Root, 3 qian), Baizhu (Atractylodes Macrocephala, 1 qian), Mutong (Akebia Stem, 1 qian), Honghua (Safflower, 5 fen).
Decoct in one bowl of water and one small cup of yellow wine for three boils. Add thirty crushed Taoren (Peach Kernels), boil twice more, strain, and take warm.
Hetong Tang (Harmonizing Pain Decoction) [Note: For postpartum heart/abdominal pain] treats miscarriage-related abdominal pain.
Ingredients: Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Rhizome), Baishao (White Peony Root, wine-stir-fried), Shudi (Prepared Rehmannia Root, 1 qian each), Yuanhusuo (Corydalis Rhizome, 7 fen), Xiangfu (Cyperus Rhizome, 5 fen), Qingpi (Green Tangerina Peel, stir-fried, 5 fen), Taoren (Peach Kernel, peeled, 3 fen), Honghua (Safflower, 3 fen), Zexie (Alisma Rhizome, 5 fen).
Chop one dose, decoct in one zhong of water with half a zhong each of infant urine and yellow wine until reduced to one zhong, take warm.
Mingdan (Life-Snatching Pill) [Secret Formula] treats retained placenta caused by blood entering the sac, causing distension and upward rush to the chest/heart. Removing the placenta allows blood to descend naturally.
Ingredients: Fuzi (Aconite Lateral Root, processed, peeled, 5 qian), Danpi (Moutan Cortex, bone removed, 1 liang), Dahuang (Rhubarb Root, 1 liang), Ganqi (Drywood, stir-fried until smoke ceases, 3 liang).
Grind to powder, simmer in one sheng of rice vinegar to form a paste, roll into pills the size of paulownia seeds. Take 50-60 pills with warm water.
Qinghun San (Clear Soul Powder) [Kunshan Zheng Family Formula] treats postpartum blood syncope caused by stale blood flowing to the lung meridian, resulting in dizziness, blurred vision, and unconsciousness. Three types of blood syncope exist: from exertion, excessive bleeding, or excessive loss during miscarriage; all can take this.
Ingredients: Zelan Ye (Eupatorium Leaf), Jingjie (Schizonepeta Spike, 1 qian each), Chuanxiong (Ligusticum Rhizome, 8 fen), Renshen (Ginseng, 5 fen), Gancao (Licorice Root, 3 fen), Chenpi (Tangerina Peel, 7 fen), Xiangfu (Cyperus Rhizome, vinegar-stir-fried, 7 fen), Baizhi (Angelica Dahurica Root, 5 fen), Yimucao (Motherwort Herb, 1 qian), Danggui (Angelica Sinensis, 8 fen), Shengdi (Rehmannia Root, 8 fen), Danpi (Moutan Cortex, 5 fen), Honghua (Safflower, 3 fen), Puhuang (Typha Pollen, charred, 7 fen).
Chop one dose, decoct in 1.5 zhongs of water until reduced to 0.7 zhong, strain, add half a zhong of infant urine, and take warm.
Jiian Cishi San (Modified Magnetite Powder) [Kunshan Zheng Family Secret Formula] treats postpartum uterine prolapse (Yinting), caused by excessive exertion, even with unbearable pain.
Ingredients: Cishi (Magnetite), Guiwei (Angelica Sinensis Tail), Baizhi (Angelica Dahurica Root), Shechuangzi (Cnidium Fruit), Chishao Yao (Red Peony Root), Danpi (Moutan Cortex), Fa Hui (Hair Ash), Jingjie Sui (Schizonepeta Spike), Chuanxiong (Ligusticum Rhizome), Shengdi (Rehmannia Root), Chenpi (Tangerina Peel), Gancao (Licorice Root).
After seven days, remove Baizhi, Chishao, and Guiwei tip; add Shudi (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Baishao (White Peony Root), Renshen (Ginseng), and Huangqi (Astragalus Root). Decoct in water, take on an empty stomach. External wash: Chunpi (Toona Leaf Bark), Jingjie (Schizonepeta Spike), Wubeizi (Chinese Gall), Shechuangzi (Cnidium Fruit), Cong Bai Tou (Scallion White), Poxiao (Mirabilite), Huoxiang (Patchouli Herb). Equal parts, decoct together, wash, then apply water-ground iron rust nail to retract the uterus.
Lipi Tang (Regulate Spleen Decoction) treats postpartum food stagnation, chest fullness, alternating chills/fever, and anorexia.
Ingredients: Cangzhu (Atractylodes Lancea Rhizome, rice water-soaked and stir-fried), Chenpi (Tangerina Peel, 1 qian each), Nongpo (Magnolia Bark, ginger-stir-fried, 1.5 qian), Sharen (Amomum Fruit, stir-fried, 7 fen), Shenqu (Medicated Leaven, stir-fried, 1 qian), Shanzha (Hawthorn Fruit, pitted, 1 qian), Maiya (Barley Sprout, stir-fried, 1 qian), Ganjiang (Dried Ginger, charred, 8 fen), Gancao (Licorice Root, honey-roasted, 3 fen).
Chop one dose, decoct with three slices of fresh ginger. For diarrhea, add Baizhu (Atractylodes Macrocephala) and Fuling (Poria). For constipation, add Taoren (Peach Kernel) and Honghua (Safflower). For urinary retention, add Dafupi (Areca Peel).
Jiawei Lizhong Wan (Modified Regulate the Middle Pill) [Note: For postpartum dietary injury to spleen/stomach] treats spleen/stomach deficiency exhaustion, anorexia, vomiting/diarrhea, abdominal pain, and sweating in weak patients; suitable for pre- and postpartum.
Ingredients: Renshen (Ginseng), Baizhu (Atractylodes Macrocephala, earth-stir-fried), Ganjiang (Dried Ginger, boiled then charred), Shenqu (Medicated Leaven, stir-fried, 1 liang each), Maiya (Barley Sprout, stir-fried), Sharen (Amomum Fruit, stir-fried, 8 qian each), Chenpi (Tangerina Peel, white removed, 1 liang), Xiangfu (Cyperus Rhizome, vinegar-stir-fried, 1 liang), Gancao (Licorice Root, honey-roasted, 6 qian).
Grind to powder, make pills with Shenqu paste, size of paulownia seeds. Take 80 pills on an empty stomach with rice soup.
Tuiqi Yangxue Wan (Qi-Pushing Blood-Nourishing Pill) [Made by Yunlin] treats postpartum right hypochondriac distension with a cord-like mass that hurts when cold.
Ingredients: Danggui (Angelica Sinensis, wine-washed), Chuanxiong (Ligusticum Rhizome), Baishao (White Peony Root, wine-stir-fried), Baizhu (Atractylodes Macrocephala, earth-stir-fried), Chenpi (Tangerina Peel, stir-fried), Zhishi (Immature Aurantium Fructus, bran-stir-fried), Nongpo (Magnolia Bark, ginger juice-stir-fried), Qingpi (Green Tangerina Peel, sesame oil-stir-fried, pulp removed), Wuyao (Lindera Root), Shenqu (Medicated Leaven, stir-fried), Ganjiang (Dried Ginger, charred), Baijiezi (White Mustard Seed, stir-fried, 1 liang each), Xiangfu (Cyperus Rhizome, 4 liang, infant urine-stir-fried), Maiya (Barley Sprout, stir-fried), Rougui (Cinnamon Bark, 6 qian each), Sanleng (Sparganium Rhizome, vinegar-stir-fried, 8 qian), Ezhu (Curcuma Rhizome, vinegar-stir-fried, 8 qian), Muxiang (Aucklandia Root, 2 qian).
Grind to fine powder, make pills with wine paste, size of paulownia seeds. Take 100 pills on an empty stomach with rice soup.
Yangxue Zhuogan Wan (Blood-Nourishing Liver-Assisting Pill) [Made by Yunlin] [Note: For postpartum masses] treats postpartum left hypochondriac fullness with a mass, unable to lie down.
Ingredients: Danggui (Angelica Sinensis, wine-washed), Nanxiong (Southern Ligusticum), Baishao (White Peony Root, wine-stir-fried), Chenpi (Tangerina Peel, white removed), Banxia (Pinellia Tuber, sesame oil-stir-fried), Baizhu (Atractylodes Macrocephala, de-rhizome and stir-fried), Shenqu (Medicated Leaven, stir-fried), Qingpi (Green Tangerina Peel, sesame oil-stir-fried, pulp removed), Laifuzi (Radish Seed, stir-fried), Mudanpi (Moutan Cortex, wine-washed), Honghua (Safflower, 1 liang each), Xiangfu (Cyperus Rhizome, 2 liangs, vinegar-soaked and stir-fried), Taoren (Peach Kernel, peeled and de-seeded), Chaihu (Bupleurum Root, 8 qian each), Baifuling (Poria, 1 liang), Longdancao (Gentiana Root, wine-washed, 6 qian), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome, vinegar-stir-fried, 5 qian each).
Grind to fine powder, make pills with wine paste, size of paulownia seeds. Take 100 pills with plain water.
Jiansun Chaihu Tang (Modified Bupleurum Decoction) treats postpartum weakness, alternating chills/fever like malaria, poor appetite, and abdominal distension.
Ingredients: Chaihu (Bupleurum Root), Renshen (Ginseng), Gancao (Licorice Root), Banxia (Pinellia Tuber, stir-fried), Chenpi (Tangerina Peel), Chuanxiong (Ligusticum Rhizome), Baishao (White Peony Root, stir-fried, equal parts).
Take 5 qian per dose, decoct with water, ginger, and jujube. Take twice daily.
Jiayang Zang Tang (Modified Regulate Viscera Decoction) treats postpartum dysentery with red and white stools, tenesmus.
Ingredients: Muxiang (Aucklandia Root), Huanglian (Coptis Rhizome), Nongpo (Magnolia Bark), Gancao (Licorice Root), Guiwei (Angelica Sinensis Tail), Chishao (Red Peony Root), Chuanxiong (Ligusticum Rhizome), Aiye (Mugwort Leaf), Puhuang (Typha Pollen).
After seven days, remove Puhuang and Guiwei tip; add Fuling (Poria), Guishen (Angelica Sinensis Body), Zhike (Aurantium Frizctus). For chronic dysentery with rectal prolapse, add Roudoukou (Nutmeg), Diyu (Sanguisorba Root), Renshen (Ginseng), Ejiao (Donkey-hide Gelatin), and Baizhu (Atractylodes Macrocephala). For anorexia, add Shanyao (Dioscorea Rhizome), Shilianrou (Lotus Seed Flesh), and Chenbaomi (Stored Rice). For cold stomach with vomiting/hiccups and severe abdominal pain, remove Huanglian (Coptis Rhizome) and add Ganjiang (Dried Ginger).
Moxibustion Method
Treats "Chicken Claw Wind" in women, occurring during menstruation/postpartum, causing spasms of hands and feet resembling chicken claws, with severe pain and difficulty extending.
There are four small depressions on both sides of the knee bones (two on each side), commonly called "Ghost Eyes." Apply three moxa cones to each point for cure.