第一产后若觉血气不散，心腹刺痛，胀满喘急，不能食饮，宜依此方。
鬼箭羽（折之如金色佳） 当归 白术 生姜（各三两） 细辛 桂心（各二两） 生
地黄（汁
上七味切，以好无灰酒三升，水四升和煎，缓火煎，取二升三合，去滓，温分服三合，
忌如常法。
第二产后若觉恶露下多，心闷短气，贴然无力，不能食。宜依此方。
当归 艾叶 生姜（各三两） 干地黄（四两） 人参（一两） 地榆（二两）
上六味切，以水七升半，煎取二升四合，去滓，分温服八合，日三。
第三产后恶露下多少得所，冷热得调，更无余状，但觉腹内切痛，可而复作，宜依此方
当归（五两） 生姜（六两） 桂心（三两） 芍药（二两）
上四味切，以水酒各三升半，煮取二升三合，去滓，分三服之，忌生葱。
第四产后诸状无所异，但不能食者，宜依此方。
白术（五两） 生姜（六两）
上二味切，以水酒各二升，缓火煎取一升半，分温二服，忌如常法。
第五产后更无他状，但觉虚弱，欲得补气力，兼腹痛，宜羊肉当归汤方。
肥羊肉（一斤去脂膜） 当归（五两） 生姜（六两） 黄 （四两）
上四味切，以水一斗缓火煮羊肉，取八升，澄清，纳药煮，取二升半，去滓温分服，若
觉恶露下不尽，加桂心三两。恶露下多，觉有风，加芎 三两，觉有气，加细辛二两，觉有
冷，加吴茱萸一两，觉有热，加生地黄汁二合。
第六产后恶露虽下，不甚通利，遂觉心腹满闷，胁肋胀妨，兼咳喘，息急，不能食饮，
大便不通，眼涩，坐起不稳，心腹时时痛，宜服此方。
白术 当归 桑白皮 大黄（各三两） 生姜（四两） 细辛 桂心（各二两）
上七味切，以水八升煮取二升六合，去滓分温三服，此汤当得利，利又不宜过多，事不
获已，所以取微利，缘初产，举体皆虚，尚藉药食补之，岂宜取过利，脱未即止须断之，取
三两匙酢饮，饮之即止，适寒温将摄佳，忌如常法。
如利后诸候不减，宜依后方。
当归（十分） 白术（八分） 甘草（炙七分） 生姜（六分） 桑根白皮（六分） 桂
心（三分）
上八味捣筛，蜜丸桐子大，以酒下十五至二十丸，忌如常法。
第七产后患水痢，宜依此方。
神曲（末五合六月六日者） 人参（四两） 枳实（炙六分） 赤石脂（十分） 白术
（六分）
上五味捣散，饮下方寸匕，渐渐加之，忌如常法。
第八产后患血痢，宜依此方。
艾叶（虎掌者三月三日五月五日者） 黄柏 芍药 甘草（炙各六分） 阿胶（十七分）
黄
连（七分） 地榆（五分）
上七味捣散，以饮下方寸匕甚妙，忌如常法。
第九产后患脓痢，宜依此方。
附子（炮） 蜀椒（汗） 干姜（各五分） 甘草（炙六分） 赤石脂 黄 （各十分）
白术（
七分）
上七味捣散，饮服方寸匕，加一匕半，日再，忌如常法。
第十产后诸痢方。
取薤白煮食之，唯多益好，肥羊肉去脂，作炙食之，唯多益好，以羊肾炒薤白食之良。
第十一产后腹内安稳，恶露流多少得所，但缘产后日浅，久坐视听言语多，或运劳力，
遂觉头项及百肢节皮肉疼痛，乍寒乍热，此是蓐劳，宜依此方。
猪肾（一具去脂） 当归 芍药 生姜（各三两） 桂心（一两） 葱白（三合）
上六味切，以水八升缓火煮肾，取六升澄清，纳诸药煮，取二升，分温再服。
第十二产后觉患风，手足不多随和，言语不多流利，恍惚多忘，精神不足，宜依此方。
独活（三两） 当归 芍药 防风 芎 玄参（各二两） 桂心（一两半）
上七味切，以水八升，煮取二升半，去滓分三服，如一剂觉安稳，隔三日又服一剂，若
一两剂后渐瘥，但须适寒温将息，如未全瘥，即以此方作丸，有热加干葛五两，有冷加白
术五两，有气加生姜六两，有痛加当归芍药各二两，不能食，加人参二两，玄参四两，觉手
足不稳，加牛膝五加皮萆 各三两，黄 四两，丸服，忌如常法。
第十三产后更无余苦，但觉体气虚，宜服此方。
当归 干地黄（各十分） 泽兰（八分） 防风 黄 续断（各六分） 桂心 人参 地
骨
皮芍药（各七分） 干姜（六分）
上十一味捣末，蜜丸桐子大，酒下二十丸，忌如常法。
第十四产后不论服药宜尔，不宜食诸生冷陈久滑物，若服药，弥须将息，每方服药后，
合疏忌食法，为欲录其都要，不能一一具言，诸方有白术忌桃李，细辛忌生葱，甘草忌菘菜
海藻，枸杞忌狗肉，附子，黄连忌诸肉，桂心忌生葱。
第十五产后血气不多通散，当时不甚觉之，在蓐虽小不和，出则成痼结，少腹疼硬，乍
寒乍热，食饮不为肌肤，心腹有时刺痛，口干唾粘，手足沉重，有此状，宜依此方。
当归 芍药 人参 甘草（炙） 鬼箭羽 牛膝（各五分） 牡丹皮（六分） 白术（六
分）
桂心 白薇 乌梅（熬各四分） 大黄（八分） 虻虫（熬去翅足） 水蛭（熬各三分） 蒲
黄（三
分） 朴硝 赤石脂（各十分） 干地黄（七分） 虎杖（六分）
上十九味捣末，蜜丸桐子大，酒服二十丸，日再，加二十五丸良，忌如常法。
第十六产后脓血痢相兼，宜依此方。
赤石脂 五色龙骨 黄连（各十分） 阿胶（炙） 黄 （各六分） 黄柏（四分） 白
术（五
分）
上七味捣末，蜜丸桐子大，饮下三十丸，散服亦妙，如前服，忌如常法。
产后遗粪方三首
广济疗产后遗粪方。
取故燕巢中草烧末，以酒下半钱，亦治男子。
集验疗产后遗粪方。
取矾石烧，牡蛎熬，各等下筛，酒服方寸，日三，亦治男子。
又疗产后遗粪，不知出时方。
白蔹 芍药（各二分）
上二味捣为散，以酒服方寸匕。
产后阴道开方二首
广济疗产后阴道开不闭方。
取锻石一升，熬令能烧草，以水二升投灰中，适冷暖，入水中坐渍，须臾复暖，坐如常
法用之。
集验疗妇人产后冷，玉门开不闭，硫黄洗方。
石硫黄（研） 蛇床子（各四分） 菟丝子（五分） 吴茱萸（六分）
上四味捣散，以汤一升投方寸匕，以洗玉门，瘥止。
Formula 1: If after childbirth one feels that blood and qi are stagnant and not dispersing, with stabbing pain in the heart and abdomen, distension, fullness, panting, urgency, and inability to eat or drink, this formula is suitable.
Guijianyu (Acanthopanacis Senticosi Ramulus) (best when broken to reveal a golden color), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengjiang (Fresh Zingiberis Rhizoma) (each 3 liang), Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Cortex), each 2 liang, Sheng Dihuang (Fresh Rehmanniae Radix) (extract juice).
The above seven herbs are cut, mixed with 3 sheng of good wine free of lime and 4 sheng of water, and decocted over slow fire until 2 sheng 3 he remain. Strain the dregs, take 3 he warm. Observe usual dietary restrictions.
Formula 2: If after childbirth one feels excessive lochia discharge, mental oppression, shortness of breath, lethargy, weakness, and inability to eat, this formula is suitable.
Danggui (Angelicae Sinensis Radix), Aiye (Artemisiae Argyi Folium), Shengjiang (Fresh Zingiberis Rhizoma) (each 3 liang), Gan Dihuang (Rehmanniae Radix Preparata) (4 liang), Renshen (Ginseng Radix et Rhizoma) (1 liang), Diyü (Sanguisorbae Radix) (2 liang).
The above six herbs are cut, decocted in 7.5 sheng of water until 2 sheng 4 he remain. Strain the dregs, take 8 he warm, divided into three doses daily.
Formula 3: If after childbirth lochia discharge is moderate, cold and heat are balanced, and there are no other symptoms, but only severe abdominal pain that comes and goes, this formula is suitable.
Danggui (Angelicae Sinensis Radix) (5 liang), Shengjiang (Fresh Zingiberis Rhizoma) (6 liang), Guixin (Cinnamomi Cortex) (3 liang), Shaoyao (Paeoniae Radix Alba) (2 liang).
The above four herbs are cut, decocted in 3.5 sheng of water and 3.5 sheng of wine until 2 sheng 3 he remain. Strain the dregs, divide into three doses. Avoid raw scallions.
Formula 4: If after childbirth there are no other abnormalities, but only inability to eat, this formula is suitable.
Baizhu (Atractylodis Macrocephalae Rhizoma) (5 liang), Shengjiang (Fresh Zingiberis Rhizoma) (6 liang).
The above two herbs are cut, decocted in 2 sheng of water and 2 sheng of wine over slow fire until 1.5 sheng remain. Take 2 doses warm. Observe usual dietary restrictions.
Formula 5: If after childbirth there are no other symptoms, but only weakness, desire to tonify qi strength, and accompanying abdominal pain, the Yangrou Danggui Tang (Mutton and Angelica Decoction) is suitable.
Fei Yangrou (Fat Mutton) (1 jin, remove fat membrane), Danggui (Angelicae Sinensis Radix) (5 liang), Shengjiang (Fresh Zingiberis Rhizoma) (6 liang), Huangqi (Astragali Radix) (4 liang).
The above four herbs are cut. Decoct the mutton in 10 sheng of water over slow fire until 8 sheng remain. Clarify the liquid, add the herbs, and decoct until 2.5 sheng remain. Strain the dregs, take warm in divided doses. If lochia is not fully discharged, add Guixin (Cinnamomi Cortex) 3 liang. If lochia is excessive and wind sensation is felt, add Xiongchu (Ligustici Chuanxiong Rhizoma) 3 liang. If qi stagnation is felt, add Xixin (Asari Radix et Rhizoma) 2 liang. If cold is felt, add Wuzhuyu (Evodiae Fructus) 1 liang. If heat is felt, add Sheng Dihuang juice 2 he.
Formula 6: Although lochia has been discharged after childbirth, it is not very smooth, leading to heart and abdominal fullness and oppression, rib-side distension and discomfort, accompanied by cough and panting, rapid breathing, inability to eat or drink, constipation, dry eyes, instability when sitting up, and frequent heart and abdominal pain. This formula is suitable.
Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Sangbaipi (Morus Cortex), Dahuang (Rhei Radix et Rhizoma) (each 3 liang), Shengjiang (Fresh Zingiberis Rhizoma) (4 liang), Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Cortex) (each 2 liang).
The above seven herbs are cut, decocted in 8 sheng of water until 2 sheng 6 he remain. Strain the dregs, take warm in three doses. This decoction should induce bowel movement, but diarrhea should not be excessive. It is taken to induce mild purgation because the body is deficient after childbirth and needs supplementation via medicine and food; excessive purgation is unsuitable. If diarrhea cannot stop, drink 3 spoons of vinegar to stop it. Maintain appropriate temperature regulation. Observe usual dietary restrictions.
If symptoms do not subside after diarrhea, use the following formula.
Danggui (Angelicae Sinensis Radix) (10 parts), Baizhu (Atractylodis Macrocephalae Rhizoma) (8 parts), Gancao (Licorice Root, honey-fried) (7 parts), Shengjiang (Fresh Zingiberis Rhizoma) (6 parts), Sanggen Baipi (Mori Cortex) (6 parts), Guixin (Cinnamomi Cortex) (3 parts).
The above eight herbs are pounded and sifted, made into pills the size of paulownia seeds with honey. Take 15-20 pills with wine. Observe usual dietary restrictions.
Formula 7: For watery diarrhea after childbirth, this formula is suitable.
Shenqu (Medicated Leaven) (powder, 5 he, preferably from June 6th), Renshen (Ginseng Radix et Rhizoma) (4 liang), Zhishi (Immature Bitter Orange, fried) (6 fen), Chishizhi (Halloysitum Rubrum) (10 parts), Baizhu (Atractylodis Macrocephalae Rhizoma) (6 fen).
The above five herbs are pounded into powder. Take 1 fangcun bi with water, gradually increasing the dose. Observe usual dietary restrictions.
Formula 8: For bloody dysentery after childbirth, this formula is suitable.
Aiye (Artemisiae Argyi Folium) (preferably tiger-palm shape, collected on March 3rd or May 5th), Huangbai (Phellodendri Cortex), Shaoyao (Paeoniae Radix Alba), Gancao (Licorice Root, fried) (each 6 fen), Ejiao (Donkey-hide Gelatin) (17 parts), Huanglian (Coptidis Rhizoma) (7 fen), Diyü (Sanguisorbae Radix) (5 fen).
The above seven herbs are pounded into powder. Taking 1 fangcun bi with water is excellent. Observe usual dietary restrictions.
Formula 9: For purulent dysentery after childbirth, this formula is suitable.
Fuzi (Prepared Aconiti Lateralis Radix), Shujiao (Sichuan Pepper, sweat-treated), Ganjiang (Dried Zingiberis Rhizoma) (each 5 fen), Gancao (Licorice Root, fried) (6 fen), Chishizhi (Halloysitum Rubrum), Huangqi (Astragali Radix) (each 10 parts), Baizhu (Atractylodis Macrocephalae Rhizoma) (7 fen).
The above seven herbs are pounded into powder. Take 1 fangcun bi with water, increase to 1.5 fangcun bi, twice daily. Observe usual dietary restrictions.
Formula 10: Various formulas for postpartum dysentery.
Boil and eat Xiebai (Allii Macrostemonis Bulbus); more is better. Remove fat from fat mutton, roast and eat; more is better. Stir-fry Xiebai with sheep kidneys and eat; this is good.
Formula 11: If the abdomen is stable after childbirth, lochia discharge is moderate, but due to early postpartum days, prolonged sitting, excessive viewing/listening/speaking, or physical exertion, one feels pain in the head, neck, and all joints/skin/muscle, alternating chills and fever. This is Chulao (postpartum consumptive disease). This formula is suitable.
Zhushen (Pig Kidney) (one, remove fat), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Shengjiang (Fresh Zingiberis Rhizoma) (each 3 liang), Guixin (Cinnamomi Cortex) (1 liang), Congbai (Scallion White) (3 he).
The above six herbs are cut. Decoct the kidney in 8 sheng of water over slow fire until 6 sheng remain. Clarify, add herbs, and decoct until 2 sheng remain. Take warm in two doses.
Formula 12: If after childbirth one feels wind invasion, with stiff and uncoordinated hands and feet, slurred speech,恍惚 (mental confusion), forgetfulness, and insufficient spirit, this formula is suitable.
Duhuo (Angelicae Pubescentis Radix) (3 liang), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Fangfeng (Saposhnikoviae Radix), Xiongchu (Ligustici Chuanxiong Rhizoma), Xuanshen (Scrophulariae Radix) (each 2 liang), Guixin (Cinnamomi Cortex) (1.5 liang).
The above seven herbs are cut, decocted in 8 sheng of water until 2.5 sheng remain. Strain the dregs, take in three doses. If stable after one dose, take another dose after three days. If recovering after one or two doses, maintain temperature regulation. If not fully recovered, make pills from this formula. Add Gan Ge (Puerariae Lobatae Radix) 5 liang for heat; Baizhu 5 liang for cold; Shengjiang 6 liang for qi stagnation; Danggui and Shaoyao 2 liang each for pain; Renshen 2 liang and Xuanshen 4 liang for inability to eat; Niuxi (Achyranthis Bidentatae Radix), Wujia Pi (Acanthopanacis Cortex), Bibi (Dioscoreae Hypoglaucae Rhizoma) 3 liang each for unstable hands/feet; Huangqi 4 liang. Make pills. Observe usual dietary restrictions.
Formula 13: If after childbirth there are no other sufferings, but only deficiency of body qi, this formula is suitable.
Danggui (Angelicae Sinensis Radix), Gan Dihuang (Rehmanniae Radix Preparata) (each 10 parts), Zelan (Leonuri Herba) (8 parts), Fangfeng (Saposhnikoviae Radix), Huangqi (Astragali Radix), Xuduan (Dipsaci Radix) (each 6 parts), Guixin (Cinnamomi Cortex), Renshen (Ginseng Radix et Rhizoma), Digupi (Lycii Cortex), Shaoyao (Paeoniae Radix Alba) (each 7 parts), Ganjiang (Dried Zingiberis Rhizoma) (6 parts).
The above eleven herbs are pounded into powder, made into pills the size of paulownia seeds with honey. Take 20 pills with wine. Observe usual dietary restrictions.
Formula 14: Regardless of medication, avoid raw, cold, old, and slippery foods after childbirth. If taking medicine, careful nursing is required. Each formula has specific dietary contraindications. To record key points: Baizhu contradicts peaches and plums; Xixin contradicts raw scallions; Gancao contradicts Brassica vegetables and Sargassum; Gouqi contradicts dog meat; Fuzi and Huanglian contradict various meats; Guixin contradicts raw scallions.
Formula 15: If postpartum blood and qi are not smoothly dispersed, initially unnoticed, becoming chronic accumulation after confinement, with lower abdominal pain and hardness, alternating chills and fever, poor nutrition from diet, occasional stabbing heart/abdominal pain, dry mouth with sticky saliva, and heavy limbs, this formula is suitable.
Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root, fried), Guijianyu (Acanthopanacis Senticosi Ramulus), Niuxi (Achyranthis Bidentatae Radix) (each 5 fen), Mudanpi (Moutan Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 6 fen), Guixin (Cinnamomi Cortex), Baiwei (Cimicifugae Rhizoma), Wumei (Mume Fructus, roasted) (each 4 fen), Dahuang (Rhei Radix et Rhizoma) (8 fen), Mengchong (Blatta, roasted, wings/legs removed), Shuizhi (Hirudo, roasted) (each 3 fen), Puhuang (Typhae Pollen) (3 fen), Poxiao (Natrii Sulfas), Chishizhi (Halloysitum Rubrum) (each 10 parts), Gan Dihuang (Rehmanniae Radix Preparata) (7 fen), Huzhang (Polygoni Cuspidati Rhizoma et Radix) (6 fen).
The above nineteen herbs are pounded into powder, made into pills the size of paulownia seeds with honey. Take 20 pills with wine, twice daily. Increasing to 25 pills is good. Observe usual dietary restrictions.
Formula 16: For simultaneous purulent and bloody dysentery after childbirth, this formula is suitable.
Chishizhi (Halloysitum Rubrum), Wuse Longgu (Five-colored Dragon Bone), Huanglian (Coptidis Rhizoma) (each 10 parts), Ejiao (Donkey-hide Gelatin, fried), Huangqi (Astragali Radix) (each 6 parts), Huangbai (Phellodendri Cortex) (4 parts), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 parts).
The above seven herbs are pounded into powder, made into pills the size of paulownia seeds with honey. Take 30 pills with water. Powder form is also good. Observe usual dietary restrictions.
Three Formulas for Postpartum Fecal Incontinence
Guangji Formula for Postpartum Fecal Incontinence:
Burn grass from old swallow nests to ash/powder. Take half qian with wine. Also treats men.
Jiyan Formula for Postpartum Fecal Incontinence:
Burn Mingfan (Alumen), calcine Musli (Ostreae Concha). Mix equal parts, sift. Take 1 fangcun bi with wine, three times daily. Also treats men.
Another Formula for Postpartum Fecal Incontinence with Unknown Timing:
Bailian (Tiger Lily Bulb), Shaoyao (Paeoniae Radix Alba) (each 2 fen).
Pound into powder. Take 1 fangcun bi with wine.
Two Formulas for Postpartum Vaginal Laxity
Guangji Formula for Postpartum Vaginal Laxity Not Closing:
Take 1 sheng of Duanshi (Calcined Alum/Ferrous Sulfate), cook until it can burn grass. Add 2 sheng of water to the ash. Adjust temperature to suit warmth/coolness. Sit in the water for soaking. Warm again if needed. Use as usual.
Jiyan Formula for Postpartum Cold with Vulvar Laxity Not Closing (Sulfur Wash):
Shi Liuhuang (Stibnite/Sulfur, ground), Chuangzi (Cnidii Fructus) (each 4 parts), Tusizi (Cuscutae Semen) (5 parts), Wuzhuyu (Evodiae Fructus) (6 parts).
Pound into powder. Add 1 fangcun bi to 1 sheng of hot water. Wash the vulva. Stop when healed.