论曰妇人产后，冲任俱虚，气血离经，失于将理，气道行涩，恶露卞少，则令人烦懊冒
闷，脐腹坚痛。通行败血，升降阴阳，则病可愈。不治、则变产后症瘕羸瘦之病也。
治产后血气不利，心腹疼痛，或寒或热，或时呕吐，气乏力倦，吴茱萸汤方
吴茱萸（汤浸微炒一两） 防风（去叉） 桔梗（炒） 干姜（炮裂锉碎） 甘草（炙）
细辛（去苗叶各半两） 生干地黄（焙） 当归（切炒各三分）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。
治产后恶血不除，与气相搏，腹内 痛，败酱汤方
败酱 桂（去粗皮） 刘寄奴（各三分） 牡丹皮 木香 芎 （各半两）
上六味，粗捣筛，每服三钱匕，以水一盏，入生地黄一分切，煎取七分，去滓不计时候
温服。
治产后血气不散，攻心腹刺痛，胀满气喘，鬼箭羽汤方
鬼箭羽 当归（切焙） 白术（锉炒） 桂（去粗皮各二两） 细辛（去苗叶一两半） 生
干地
上六味，粗捣筛，每服三钱匕，水酒各半盏，煎七分，去滓温服，不拘时候。
治产后血气不调，腹内 痛，麒麟散方
麒麟竭 桂（去粗皮） 当归（锉微炒） 蒲黄 红蓝花 木香 没药 延胡索 干漆
（碎
上一十味，捣罗为散，每服二钱匕，以热酒调下，不拘时。
治产后血气不利，心腹急痛，上下攻冲，气逆烦闷。黄 汤方
黄 （锉碎） 白术（锉炮） 当归（切炒） 甘草（炙锉） 人参（各一两） 白羊
肉（一斤去
上六味，除羊肉外，捣为粗末，每服三钱七，先以羊肉三两切。用水三盏，煮取一盏，
澄清去滓沫。入前药。并生姜三片，同煎七分，去滓通口服，不拘时候。
治产后血气不利，或感风冷。心腹 痛。肢体虚冷。胸膈不快，干地黄汤方
生干地黄（焙二两） 生姜（去皮切碎炒干） 甘草（炙） 当归（切炒） 桂（去粗
皮各一两）
上五味，粗捣筛，每服三钱匕，水一盏，煎取七分，去滓温服，不拘时候。
治产后血气壅滞，攻心腹疼痛，或拘急胀满，白术汤方
白术（切炒） 当归（锉炒） 桑根白皮（锉各一两半） 大黄（锉炒令香） 细辛（去
苗叶）
上六味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎七分。去滓温服，不拘时候。
治产后伤风冷，因致血气不利。心腹疼痛。或寒或热，头目昏重，芎 汤方
芎 （锉） 黄芩（去黑心） 防风（去叉各一两） 当归（切炒） 芍药 甘草（炙
各一两半）
上六味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎七分，去滓温服，不拘时候。
治产后因血不快利，气攻心腹疼痛。芍药汤方
芍药（二两） 黄 （锉） 白芷 人参 芎 当归（切炒） 生干地黄（焙） 甘
草（炙各
上九味，粗捣筛，每服三钱匕，水一盏，煎取七分，去滓入酒少许温服，不拘时候。
治产后血气虚冷，攻心腹痛，地黄芍药汤方
生干地黄（焙） 芍药 当归（锉炒） 独活（去芦头） 细辛（去苗叶各二两） 桂
（去粗
上九味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不拘时候。
治产后心腹痛，血气不利，芎 前胡汤方
芎 （一两） 前胡（去芦头三分） 黄芩（去黑心半两） 芍药（一两） 蒲黄（微
炒一两半）
（炙锉一两） 大黄
上一十一味，粗捣筛，每服二钱匕，水一盏，生姜三片枣一枚擘，煎七分，去滓温服，
不拘时候。
治产后血气攻冲，心腹冷痛，烦满不食，桔梗汤方
桔梗（炒） 当归（切炒） 刘寄奴（去根锉碎各一两半） 桂（去粗皮） 延胡索 陈
橘皮（
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。
治产后血气攻心腹痛，芍药汤方
芍药（二两） 桂（去粗皮） 甘草（炙锉各一两）
上三味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不拘时候。
治产后虚羸，面色萎黄，恶血不尽，脐腹冷痛，琥珀煎方
琥珀（研） 牛膝（酒浸切焙） 当归（切焙） 防风（去叉） 桃仁（去皮尖双仁炒
研） 荜茇
黄汁（三升） 酥（六
上一十三味，以前九味，捣罗为散，先将地黄汁煎熟，即下蜜酒酥，搅候熔，入众药末
，以柳篦搅不住手，候似膏，倾出瓷器盛，每服一匙，温酒调下，不拘时。
治产后少腹结块，痛不可忍，鳖甲当归散方
鳖甲（醋炙去裙 三两） 当归（切焙） 桃仁（去皮尖双仁炒） 芍药 京三棱（炮
锉） 桂
上六味，捣罗为散，每服五钱匕，空心温酒调下，日再服。
治产后血块攻筑，心腹 痛，姜黄散方
姜黄 桂（去粗皮等分）
上二味，捣罗为散，每服二钱匕，炒生姜酒下。
Commentary states: After childbirth, women suffer from deficiency in the Chong and Ren meridians. Qi and blood deviate from their normal pathways. If proper care is neglected, the flow of Qi becomes stagnant, and lochia (postpartum discharge) decreases. This leads to irritability, mental restlessness, dizziness, chest oppression, and hard, painful sensations in the umbilical and abdominal regions. By promoting the circulation of retained blood (stasis) and regulating the ascending and descending of Yin and Yang, the disease can be cured. If left untreated, it may transform into postpartum zheng jia (abdominal masses) and emaciation.
For treating postpartum Qi and blood stagnation causing heart and abdominal pain, alternating chills and fever, occasional vomiting, weak breath, fatigue, and lassitude: Wuzhuyu Tang Formula.
Wuzhuyu (Evodiae Fructus, soaked in decoction and lightly stir-fried, 1 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed), Jiegeng (Platycodonis Radix, stir-fried), Ganjiang (Zingiberis Rhizoma, processed until cracked and crushed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 0.5 liang each), Shengdihuang (Rehmanniae Radix, dried and baked), Danggui (Angelicae Sinensis Radix, sliced and stir-fried, 3 qian each).
The above eight herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to 0.7 zhan, remove the dregs, and take warm at any time.
For treating postpartum retention of evil blood clashing with Qi causing abdominal pain: Baijiang Tang Formula.
Baijiang (Patriniae Herba), Guizhi (Cinnamomi Ramulus, coarse bark removed), Liujinu (Artemisiae Annuae Herba, 3 qian each), Mudanpi (Moutan Cortex), Muxiang (Aucklandiae Radix), Xiongqiong (Ligustici Chuanxiong Rhizoma, 0.5 liang each).
The above six herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water and 1 fen of sliced fresh Dihuagn Huang, decoct until reduced to 0.7 zhan, remove the dregs, and take warm at any time.
For treating postpartum Qi and blood stagnation attacking the heart and abdomen with stabbing pain, distension, fullness, and panting: Guijianyu Tang Formula.
Guijianyu (Strychni Nux-vomicae Ramulus cum Folii), Danggui (Angelicae Sinensis Radix, sliced and baked), Baizhu (Atractylodis Macrocephalae Rhizoma, crushed and stir-fried), Guizhi (Cinnamomi Ramulus, coarse bark removed, 2 liang each), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 1.5 liang), Shengdihuang (Rehmanniae Radix, dried).
The above six herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add half a zhan of water and half a zhan of wine, decoct until reduced to 0.7 zhan, remove the dregs, and take warm at any time.
For treating postpartum irregular Qi and blood causing abdominal pain: Qilin San Powder.
Qilinjie (Sanguis Draxonis), Guizhi (Cinnamomi Ramulus, coarse bark removed), Danggui (Angelicae Sinensis Radix, crushed and lightly stir-fried), Puhuang (Pollen Typhae), Honglanhua (Carthami Flos), Muxiang (Aucklandiae Radix), Moyao (Myrrha), Yanshusuo (Corydalis Rhizoma), Ganqi (Mirabilite, crushed).
The above ten herbs are pounded and sifted into powder. Take 2 qianbi per dose, mix with hot wine, and take at any time.
For treating postpartum Qi and blood stagnation causing urgent heart and abdominal pain, upward and downward rushing attacks, rebellious Qi, irritability, and oppression: Huangqi Tang Formula.
Huangqi (Astragali Radix, crushed), Baizhu (Atractylodis Macrocephalae Rhizoma, crushed and processed), Danggui (Angelicae Sinensis Radix, sliced and stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Renshen (Ginseng Radix, 1 liang each), Yangrou (Sheep meat, 1 jin, skin removed).
Except for the sheep meat, the above six ingredients are pounded into coarse particles. For each dose, take 3 qian7. First, cut 3 liang of sheep meat, add three zhan of water, and boil until reduced to one zhan. Clarify and remove foam/dregs. Add the previous herbs and three slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct together until reduced to 0.7 zhan, remove dregs, and drink orally at any time.
For treating postpartum Qi and blood stagnation or exposure to wind-cold causing heart and abdominal pain, cold limbs due to deficiency, and chest discomfort: Dihuang Tang Formula.
Shengdihuang (Rehmanniae Radix, dried and baked, 2 liang), Shengjiang (Zingiberis Rhizoma Recens, peeled, chopped, stir-fried until dry), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix, sliced and stir-fried), Guizhi (Cinnamomi Ramulus, coarse bark removed, 1 liang each).
The above five herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
For treating postpartum Qi and blood congestion attacking the heart and abdomen with pain, spasmodic tightness, and distension: Baizhu Tang Formula.
Baizhu (Atractylodis Macrocephalae Rhizoma, sliced and stir-fried), Danggui (Angelicae Sinensis Radix, crushed and stir-fried), Sangbaipipi (Mori Cortex, crushed, 1.5 liang each), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried until fragrant), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed).
The above six herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
For treating postpartum exposure to wind-cold leading to Qi and blood stagnation, heart and abdominal pain, alternating chills and fever, and heavy/dizzy head and eyes: Xiongqiong Tang Formula.
Xiongqiong (Ligustici Chuanxiong Rhizoma, crushed), Huangqin (Scutellariae Radix, black heart removed), Fangfeng (Saposhnikoviae Radix, forked parts removed, 1 liang each), Danggui (Angelicae Sinensis Radix, sliced and stir-fried), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1.5 liang each).
The above six herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
For treating postpartum pain in the heart and abdomen caused by unsmooth blood flow and Qi attack: Shaoyao Tang Formula.
Shaoyao (Paeoniae Radix, 2 liang), Huangqi (Astragali Radix, crushed), Baizhi (Angelicae Dahuricae Radix), Renshen (Ginseng Radix), Xiongqiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and stir-fried), Shengdihuang (Rehmanniae Radix, dried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, dosage missing in text).
The above nine herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to 0.7 zhan, remove dregs, add a little wine, and take warm at any time.
For treating postpartum deficiency-cold of Qi and blood attacking the heart and abdomen: Dihuang Shaoyao Tang Formula.
Shengdihuang (Rehmanniae Radix, dried), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix, crushed and stir-fried), Duohuo (Angelicae Pubescentis Radix, rhizome removed), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 2 liang each), Guizhi (Cinnamomi Ramulus, coarse bark removed, dosage missing in text).
The above nine herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
For treating postpartum heart and abdominal pain due to Qi and blood stagnation: Xiongqiong Qianhu Tang Formula.
Xiongqiong (Ligustici Chuanxiong Rhizoma, 1 liang), Qianhu (Peucedani Radix, rhizome removed, 3 qian), Huangqin (Scutellariae Radix, black heart removed, 0.5 liang), Shaoyao (Paeoniae Radix, 1 liang), Puhuang (Pollen Typhae, lightly stir-fried, 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 1 liang), Dahuang (Rhei Radix et Rhizoma, dosage missing in text).
The above eleven herbs are coarsely pounded and sieved. Take 2 qianbi per dose, add one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and one split Zao (Jujubae Fructus), decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
For treating postpartum Qi and blood rushing attacks causing cold pain in the heart and abdomen, irritability, fullness, and loss of appetite: Jiegeng Tang Formula.
Jiegeng (Platycodonis Radix, stir-fried), Danggui (Angelicae Sinensis Radix, sliced and stir-fried), Liujinu (Artemisiae Annuae Herba, roots removed, crushed, 1.5 liang each), Guizhi (Cinnamomi Ramulus, coarse bark removed), Yanshusuo (Corydalis Rhizoma), Chenpi (Citri Reticulatae Pericarpium, dosage/quantity missing in text).
The above eight herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
For treating postpartum Qi and blood attacking the heart and abdomen: Shaoyao Tang Formula.
Shaoyao (Paeoniae Radix, 2 liang), Guizhi (Cinnamomi Ramulus, coarse bark removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 1 liang each).
The above three herbs are coarsely pounded and sieved. Take 3 qianbi per dose, add one zhan of water, decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
For treating postpartum emaciation, sallow complexion, incomplete expulsion of evil blood, and cold pain in the umbilical and abdominal regions: Hupo Jian Decoction.
Hupo (Succinum), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and baked), Danggui (Angelicae Sinensis Radix, sliced and baked), Fangfeng (Saposhnikoviae Radix, forked parts removed), Taoren (Persicae Semen, peel and pointed ends removed, double-kernel stir-fried and crushed), Bibo (Piperis Longi Fructus, dosage missing in text), Dihuangzhi (Rehmanniae Juice, 3 sheng), Su (Butyrum, quantity missing in text).
The first nine herbs are pounded and sifted into powder. First, boil the Dihuangzhi (Rehmanniae Juice) until cooked, then add Honey, Wine, and Su (Butyrum), stirring until melted. Add the herb powders and stir continuously with a willow stick until it resembles a paste. Pour out and store in porcelain. Take one spoon per dose, mixed with warm wine, at any time.
For treating postpartum lower abdominal masses with unbearable pain: Biejia Danggui San Powder.
Biejia (Testudinis Carapax et Plastrum, vinegar-processed, skirt removed, 3 liang), Danggui (Angelicae Sinensis Radix, sliced and baked), Taoren (Persicae Semen, peel and pointed ends removed, double-kernel stir-fried), Shaoyao (Paeoniae Radix), Jingsanleng (Sparganii Rhizoma, processed and crushed), Guizhi (Cinnamomi Ramulus, dosage missing in text).
The above six herbs are pounded and sifted into powder. Take 5 qianbi per dose, mix with warm wine on an empty stomach, twice a day.
For treating postpartum blood masses attacking and causing heart and abdominal pain: Jianghuang San Powder.
Jianghuang (Curcumae Longae Rhizoma), Guizhi (Cinnamomi Ramulus, equal parts).
The above two herbs are pounded and sifted into powder. Take 2 qianbi per dose, taken with stir-fried Shengjiang (Zingiberis Rhizoma Recens) and wine.