夫恶露不下者。由产后脏腑劳伤。气血虚损。或胞络挟于宿冷。或产后当风取凉。风冷
乘虚
治产后恶露不下。脐腹气滞。时攻胁肋疼痛。桃仁散方。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 生干地黄（一两） 蓬莪术（一两） 槟榔（一
两）
牛膝
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候稍热服。
治产后恶露不下。在于腹中不散。身体烦闷。及腹内 刺。疼痛不可忍。益母草散
方。
益母草（一两） 赤芍药 桂心 当归（锉微炒） 川大黄（锉微炒） 桃仁（汤浸去
皮尖双
仁麸
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候稍热服。
治产后恶露不下。气攻心腹。烦闷。胁肋刺痛。当归散方。
当归（三分锉微炒） 牡丹（半两） 牛膝（半两去苗） 姜黄（半两） 川大黄（一
两锉微炒）
虻
分汤浸去
皮
（三分）
上件药。捣粗罗为散。每服三钱。以水酒各半中盏。入生姜半分。
煎至五分。去滓。不计时候稍热服。
治产后恶露不下。腹内 刺疼痛。日夜不止。刘寄奴散方。
刘寄奴（三分） 当归（三分锉微炒） 延胡索（半两） 蒲黄（半两） 肉桂（三分
去皱皮）
红蓝
大黄（一
两锉
上件药。捣粗罗为散。每服。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候稍热服。
治产后恶露不下。心腹疼痛。蒲黄散方。
蒲黄（一两） 牛膝（一两去苗） 子（半两） 桂心（三分） 鬼箭羽（半两） 川
大黄
（半两
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候稍热服。
治产后恶露不下。腹中疼痛。心神烦闷。荷叶散方。
干荷叶（二两） 鬼箭羽（一两） 桃仁（半两汤浸去皮尖双仁麸炒微黄） 蒲黄（一
两） 刘
寄奴
上件药。捣筛为散。每服三钱。以童子小便一中盏。生姜半分。生地黄一分。拍碎。同
煎。
治产后恶露不下。当归散方。
当归（三分锉微炒） 赤芍药（三分） 桂心（三分） 川大黄（三两） 桃仁〔一百
三（二）十
枚汤
上件药。捣粗罗为散。每服四钱。以水一中盏。
煎至六分。去滓。不计时候稍热服。
治产后恶血不下。疼痛。琥珀散方。
琥珀（半两） 芫花（一两醋拌炒令干） 虻虫（半两微炒去翅足） 水蛭（半两微炒）
麒麟
竭（
上件药。捣细罗为散。每服。以酒一小盏。醋半盏相和。煎一两沸。不计时候。调下二
钱。
治产后恶露不下。致心腹疼痛。烦闷。牛膝散方。
牛膝（一两去苗） 琥珀（三分） 桃仁（一两汤浸去皮尖双仁麸炒微黄） 羚羊角屑
（三分）
当
上件药。捣细罗为散。每服。以酒一小盏。入地黄汁一合。煎三两沸。不计时候。调下
一钱
治产后恶露不下。或时心腹疼痛不可忍。芫花散方。
芫花（一两醋拌炒令干） 当归（一两半锉微炒） 姜黄（一两） 肉桂（三分去皴皮）
蓬莪
术（
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治产后恶露不下。腹内坚痛不可忍。赤龙鳞散方。
赤鲤鱼鳞（三两烧为灰） 乱发（三两烧灰） 水蛭（半两微炒） 虻虫（半两微炒去
翅足）
桂心
上件药。捣细罗为散。每服不计时候。以温酒调下一钱。
治产后恶露不下。腹中疼痛不止。虻虫散方。
虻虫（一百枚） 水蛭（一百枚） 延胡索（一两） 棕榈皮〔一（二）两〕 赤鲤鱼
鳞（二两）
干
上件药。捣碎。一同入瓷瓶子内。固济了。候干。烧令赤色。冷了细研为散。每服。不
计时
治产后恶露不下。心腹胀。疼痛。 砂煎丸方。
砂（一两细研） 狗胆（二枚） 芫花（一两微炒）
以上三味。用头醋二升。熬如稠膏。
虻虫（半两微炒去翅足） 水蛭（半两炒令黄） 麒麟（半两） 当归（半两锉微炒） 琥
珀
（半两）
上件药。捣细罗为散。入前膏中拌和为丸。如梧桐子大。每服不计时候。以红花酒下三
丸。
治产后恶露不下。鬼箭羽散方。
鬼箭羽（一两） 当归（一两锉微炒） 益母草（半两）
上件药。捣细罗为散。每服。以温酒调下二钱。
又方。
上取益母草捣绞取汁。每服一小盏。入酒一合。暖过搅匀服之。
又方。
上取赤马通七枚。以童子小便半盏。酒半盏。相和。绞取汁。暖过服之。
又方。
上取水蛭烧作灰。每服。以牛膝酒调下一钱。
In cases where lochia (postpartum vaginal discharge) fails to discharge properly, the etiology lies in the fatigue and injury of the Zang-Fu organs after childbirth, resulting in deficiency and depletion of Qi and Blood. Alternatively, it may be caused by cold pathogens lingering in the uterine collaterals from prior conditions, or by exposure to wind and cold due to improper cooling practices postpartum, allowing wind-cold pathogens to invade when the body's defensive Qi is deficient.
For treating postpartum lochia retention accompanied by Qi stagnation in the umbilical and abdominal regions, with occasional attacking pain in the hypochondriac area: Tao Ren San Formula.
Ingredients: Tao Ren (Apricot Seed, 1 liang, soaked in hot water, skin and pointed ends removed, double-kernel avoided, stir-fried with bran until slightly yellow), Sheng Gan Di Huang (Raw Dried Rehmanniae Radix, 1 liang), Peng E Zhu (Curcuma zedoaria Rhizome, 1 liang), Bing Lang (Areca Seed, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, appropriate amount).
Preparation: The above ingredients are coarsely ground and sifted into a powder. Each dose consists of 3 qian. Boil with one zhong of water and half a fen of sliced fresh ginger until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For treating postpartum lochia retention where blood stasis remains undissipated in the abdomen, causing bodily restlessness and oppression, as well as piercing abdominal pain that is unbearable: Yi Mu Cao San Formula.
Ingredients: Yi Mu Cao (Leonurus Herba, 1 liang), Chi Shao Yao (Red Peony Root), Gui Xin (Cinnamon Twig Heart), Dang Gui (Angelicae Sinensis Radix, cut and lightly stir-fried), Chuan Da Huang (Rhei Radix et Rhizoma, cut and lightly stir-fried), Tao Ren (Apricot Seed, soaked in hot water, skin and pointed ends removed, double-kernel avoided, stir-fried with bran).
Preparation: The above ingredients are finely ground and sifted into a powder. Each dose consists of 3 qian. Boil with one zhong of water and half a fen of sliced fresh ginger until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For treating postpartum lochia retention where Qi attacks the heart and abdomen, causing restlessness and stabbing pain in the hypochondriac region: Dang Gui San Formula.
Ingredients: Dang Gui (Angelicae Sinensis Radix, 3 qian, cut and lightly stir-fried), Mu Dan Pi (Moutan Cortex, 0.5 liang), Niu Xi (Achyranthis Bidentatae Radix, 0.5 liang, radix removed), Jiang Huang (Curcumae Longae Rhizoma, 0.5 liang), Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, cut and lightly stir-fried), Meng Chong (Stalk Fly, 3 qian, soaked in hot water, wings and feet removed).
Preparation: The above ingredients are coarsely ground and sifted into a powder. Each dose consists of 3 qian. Boil with half a zhong of water and half a zhong of wine, plus half a fen of sliced fresh ginger, until the volume reduces to five-tenths. Strain the dregs. Take warm at any time.
For treating postpartum lochia retention with piercing abdominal pain persisting day and night: Liu Ji Nu San Formula.
Ingredients: Liu Ji Nu (Artemisiae Annuae Herba, 3 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian, cut and lightly stir-fried), Yan Hu Suo (Corydalis Rhizoma, 0.5 liang), Pu Huang (Typhae Pollen, 0.5 liang), Rou Gui (Cortex Cinnamomi, 3 qian, wrinkled bark removed), Hong Lan Hua (Carthami Flos), Da Huang (Rhei Radix et Rhizoma, 1 liang, cut and lightly stir-fried).
Preparation: The above ingredients are coarsely ground and sifted into a powder. Each dose is boiled with one zhong of water and half a fen of sliced fresh ginger until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For treating postpartum lochia retention causing heart and abdominal pain: Pu Huang San Formula.
Ingredients: Pu Huang (Typhae Pollen, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, 1 liang, radix removed), Zi (Seed, 0.5 liang - *text unclear*), Gui Xin (Cinnamon Twig Heart, 3 qian), Gui Jian Yu (Spatholobi Caulis, 0.5 liang), Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang).
Preparation: The above ingredients are finely ground and sifted into a powder. Each dose consists of 3 qian. Boil with one zhong of water and half a fen of sliced fresh ginger until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For treating postpartum lochia retention with abdominal pain and mental restlessness: He Ye San Formula.
Ingredients: Gan He Ye (Dried Nelumbinis Folium, 2 liang), Gui Jian Yu (Spatholobi Caulis, 1 liang), Tao Ren (Apricot Seed, 0.5 liang, soaked in hot water, skin and pointed ends removed, double-kernel avoided, stir-fried with bran until slightly yellow), Pu Huang (Typhae Pollen, 1 liang), Liu Ji Nu (Artemisiae Annuae Herba, appropriate amount).
Preparation: The above ingredients are finely ground and sifted into a powder. Each dose consists of 3 qian. Boil together with one zhong of urine from an uncircumcised child, half a fen of sliced fresh ginger, and one fen of Sheng Di Huang (Rehmanniae Radix), which has been crushed.
For treating postpartum lochia retention: Dang Gui San Formula.
Ingredients: Dang Gui (Angelicae Sinensis Radix, 3 qian, cut and lightly stir-fried), Chi Shao Yao (Red Peony Root, 3 qian), Gui Xin (Cinnamon Twig Heart, 3 qian), Chuan Da Huang (Rhei Radix et Rhizoma, 3 liang), Tao Ren (Apricot Seed, 130 pieces, soaked in hot water, skin and pointed ends removed, double-kernel avoided).
Preparation: The above ingredients are coarsely ground and sifted into a powder. Each dose consists of 4 qian. Boil with one zhong of water until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For treating postpartum retained evil blood with pain: Hu Po San Formula.
Ingredients: Hu Po (Amber, 0.5 liang), Yuan Hua (Genkwa Flos, 1 liang, mixed with vinegar and stir-fried until dry), Meng Chong (Stalk Fly, 0.5 liang, lightly stir-fried, wings and feet removed), Shui Zhi (Hirudo, 0.5 liang, lightly stir-fried), Qi Lin Jie (Dragon's Blood, appropriate amount).
Preparation: The above ingredients are finely ground and sifted into a powder. For each dose, mix one small zhong of wine and half a zhong of vinegar, boil for one boil. Take at any time, mixed with 2 qian of powder.
For treating postpartum lochia retention leading to heart and abdominal pain and restlessness: Niu Xi San Formula.
Ingredients: Niu Xi (Achyranthis Bidentatae Radix, 1 liang, radix removed), Hu Po (Amber, 3 qian), Tao Ren (Apricot Seed, 1 liang, soaked in hot water, skin and pointed ends removed, double-kernel avoided, stir-fried with bran until slightly yellow), Ling Yang Jiao Xie (Saiga Tataricae Cornu, 3 qian), Dang Gui (Angelicae Sinensis Radix, appropriate amount).
Preparation: The above ingredients are finely ground and sifted into a powder. For each dose, mix one small zhong of wine and one he of Di Huang Zhi (Rehmanniae Juice), boil for three boils. Take at any time, mixed with 1 qian of powder.
For treating postpartum lochia retention with intermittent unbearable heart and abdominal pain: Yuan Hua San Formula.
Ingredients: Yuan Hua (Genkwa Flos, 1 liang, mixed with vinegar and stir-fried until dry), Dang Gui (Angelicae Sinensis Radix, 1.5 liang, cut and lightly stir-fried), Jiang Huang (Curcumae Longae Rhizoma, 1 liang), Rou Gui (Cortex Cinnamomi, 3 qian, rough bark removed), Peng E Zhu (Curcuma zedoaria Rhizome, appropriate amount).
Preparation: The above ingredients are finely ground and sifted into a powder. Take at any time, mixed with 1 qian using hot wine.
For treating postpartum lochia retention with hard and unbearable abdominal pain: Chi Long Lin San Formula.
Ingredients: Chi Li Yu Lin (Red Carp Scales, 3 liang, burned to ash), Luan Fa (Human Hair, 3 liang, burned to ash), Shui Zhi (Hirudo, 0.5 liang, lightly stir-fried), Meng Chong (Stalk Fly, 0.5 liang, lightly stir-fried, wings and feet removed), Gui Xin (Cinnamon Twig Heart, appropriate amount).
Preparation: The above ingredients are finely ground and sifted into a powder. Take at any time, mixed with 1 qian using warm wine.
For treating postpartum lochia retention with unceasing abdominal pain: Meng Chong San Formula.
Ingredients: Meng Chong (Stalk Fly, 100 pieces), Shui Zhi (Hirudo, 100 pieces), Yan Hu Suo (Corydalis Rhizoma, 1 liang), Zong Lu Pi (Livistona Chinensis Petiole, 1 liang), Chi Li Yu Lin (Red Carp Scales, 2 liang), Gan Qi (Dried Resin of Rhus Verniciflua, appropriate amount).
Preparation: The above ingredients are crushed and placed together in a porcelain bottle. Seal tightly. When dry, burn until red-hot. After cooling, grind finely into a powder. Take at any time.
For treating postpartum lochia retention with heart and abdominal distension and pain: Nao Sha Jian Wan Formula.
Ingredients: Nao Sha (Sal Ammoniac, 1 liang, finely ground), Gou Dan (Dog Gallbladder, 2 pieces), Yuan Hua (Genkwa Flos, 1 liang, lightly stir-fried).
Preparation: The above three ingredients are boiled with two sheng of first-grade vinegar until they form a thick paste.
Additional Ingredients: Meng Chong (Stalk Fly, 0.5 liang, lightly stir-fried, wings and feet removed), Shui Zhi (Hirudo, 0.5 liang, stir-fried until yellow), Qi Lin Jie (Dragon's Blood, 0.5 liang), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, cut and lightly stir-fried), Hu Po (Amber, 0.5 liang).
Preparation: The additional ingredients are finely ground and sifted into a powder, then mixed with the previous paste to form pills the size of Sophora seeds. Take at any time, three pills washed down with Hong Hua (Carthami Flos) wine.
For treating postpartum lochia retention: Gui Jian Yu San Formula.
Ingredients: Gui Jian Yu (Spatholobi Caulis, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, cut and lightly stir-fried), Yi Mu Cao (Leonurus Herba, 0.5 liang).
Preparation: The above ingredients are finely ground and sifted into a powder. Take at any time, mixed with 2 qian using warm wine.
Another prescription:
Take Yi Mu Cao (Leonurus Herba), crush and squeeze to obtain juice. Each dose is one small zhong, mixed with one he of wine, warmed and stirred evenly before consumption.
Another prescription:
Take seven pieces of Chi Ma Tong (Red Horse Manure), mix with half a zhong of urine from an uncircumcised child and half a zhong of wine. Squeeze to obtain juice, warm and consume.
Another prescription:
Burn Shui Zhi (Hirudo) to ash. Each dose is mixed with 1 qian using Niu Xi (Achyranthis Bidentatae Radix) wine.