夫产后月水不调者。由产伤动血气虚损未复。而风邪冷热之气。客于经络。乍热乍冷。
冷则
治产后经络不调。四肢烦疼。饮食全少。日渐羸瘦。琥珀散方。
琥珀(一两) 桂心(半两) 牛膝(一两去苗) 赤芍药(半两) 桃仁(半两汤浸
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。不计时候温服。
治产后经络不调。脐腹疼痛。宜服牡丹散方。
牡丹(三分) 木香(半两) 肉桂(半两去皴皮) 当归(三分锉微炒) 赤芍药(三
分) 延
胡索
鳖甲
(一两
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。
煎至五分。去滓。每于食前稍热服。
治产后经络不调。脐下疼痛。桑耳散方。
桑耳(三分) 子(一两) 牛膝(一两去苗) 赤芍药(三分) 赤茯苓(一两)
延胡索
(一
上件药。捣细罗为散。每服食前。以温酒调下二钱。
治产后虽久。体力尚虚。月候不调。或多或少。脐腹疼痛。面色萎黄。紫桂散方。
肉桂(一两半去皴皮) 延胡索(三分) 熟干地黄(三分) 没药(半两) 当归(半
两锉微
炒)
麟竭(半
两)
上件药。捣细罗为散。每服食前。以温酒调下二钱。
治产后虚羸不足。胸中气短。腹内紧急。腰背疼痛。月水不调。烦渴。四肢无力。
姜黄丸方
姜黄(一两) 当归(一两锉微炒) 熟干地黄(一两) 牡丹(一两) 浓朴(一两
去粗皮涂
生姜
仁(一两
汤浸
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治产后月候不调。或生寒热。羸瘦。饮食无味。渐成劳证。 子丸方。
子(半两) 白薇(半两) 桂心(三分) 防葵(半两) 桃仁(半两汤浸去皮
尖双仁麸
炒微
箭羽(三
分)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。温酒下二十丸。
治产后月水不调。小腹痞硬。乍寒乍热。食不生肌。心腹刺痛。口干多唾。手足沉
重。牛膝
牛膝(一两去苗) 赤芍药(三分) 甘草(三分炙微赤锉) 鬼箭羽(三分) 人参
(三分去
芦头)
(一两) 乌
梅肉
水蛭
(一分
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下二十丸。
Menstrual irregularities after childbirth are caused by the depletion of Qi and Blood during delivery, leaving the body weak and un-recovered, allowing Wind pathogens and Cold-Heat evils to lodge in the meridians, resulting in alternating chills and fever.
**Hupo San (Amber Powder)** for treating postpartime meridian irregularities with vexing pain in the four limbs, very poor appetite, and gradual emaciation:
* Hupo (Amber, 1 liang)
* Guixin (Cinnamon Twig, 0.5 liang)
* Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove seedlings)
* Chishao Yao (Red Peony Root, 0.5 liang)
* Taoren (Prunus Persica Seed, 0.5 liang, soaked in water, remove skin and tips, discard double kernels, stir-fry with bran)
Process the above herbs by crushing and sieving into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until 6 fen remains, strain, and take warm at any time.
**Mudan San (Tree Peony Bark Powder)** for treating postpartum meridian irregularities with pain in the umbilical and abdominal regions:
* Mudan (Moutan Cortex, 3 fen)
* Muxiang (Aucklandiae Radix, 0.5 liang)
* Rougui (Cinnamon Bark, 0.5 liang, remove rough bark)
* Danggui (Angelicae Sinensis Radix, 3 fen, sliced and lightly stir-fried)
* Chishao Yao (Red Peony Root, 3 fen)
* Yanshusuo (Cyperi Rhizoma, quantity unspecified in snippet but implied part of formula)
* Biejia (Testudinis Carapax et Plastrum, 1 liang, remove skirt-like edges, stir-fry with vinegar)
Process the above herbs by crushing and sieving into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until 5 fen remains, strain, and take slightly warm before meals.
**Sanger San (Fungus Auricularis Powder)** for treating postpartum meridian irregularities with pain below the umbilicus:
* Sang'er (Auricularia Judae, 3 fen)
* Tusizi (Cuscutae Semen, 1 liang)
* Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove seedlings)
* Chishao Yao (Red Peony Root, 3 fen)
* Chi Fuling (Poria Cocos with Red Skin, 1 liang)
* Yanshusuo (Cyperi Rhizoma, 1 liang)
Process the above herbs by grinding finely through a sieve into a powder. Take 2 qian before meals, mixed with warm wine.
**Zigui San (Purple Cinnamon Powder)** for treating postpartum cases where, despite long duration, physical strength remains deficient, menstrual cycles are irregular with varying amounts, accompanied by umbilical/abdominal pain and sallow complexion:
* Rougui (Cinnamon Bark, 1.5 liang, remove rough bark)
* Yanshusuo (Cyperi Rhizoma, 3 fen)
* Shu Dihuang (Prepared Rehmanniae Radix, 3 fen)
* Moyao (Myrrha, 0.5 liang)
* Danggui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried)
* Qilinjie (Dragon's Blood, 0.5 liang)
Process the above herbs by grinding finely through a sieve into a powder. Take 2 qian before meals, mixed with warm wine.
**Jianghuang Wan (Curcuma Pill)** for treating postpartum deficiency and emaciation, shortness of breath in the chest, tension in the abdomen, pain in the lower back and back, menstrual irregularities, vexation and thirst, and weakness in the four limbs:
* Jianghuang (Curcumae Longae Rhizoma, 1 liang)
* Danggui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried)
* Shu Dihuang (Prepared Rehmanniae Radix, 1 liang)
* Mudan (Moutan Cortex, 1 liang)
* Houpo (Magnoliae Officinalis Cortex, 1 liang, remove coarse bark, stir-fry with ginger juice)
* Xingren (Armeniacae Semen Amarum, 1 liang, soaked in water, remove skin and tips, discard double kernels, stir-fry with bran)
Process the above herbs by grinding into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take 30 pills before meals with warm wine.
**[Missing Character] Zi Wan** for treating postpartum menstrual irregularities, alternating chills and fever, emaciation, loss of taste in food, gradually developing into consumption syndrome:
* [Missing] Zi (Quantity: 0.5 liang)
* Baiwei (Cynanchi Atrati Radix, 0.5 liang)
* Guixin (Cinnamon Twig, 3 fen)
* Fangkui (Panacis Japonici Radix, 0.5 liang)
* Taoren (Prunus Persica Seed, 0.5 liang, soaked in water, remove skin and tips, discard double kernels, stir-fry with bran)
* Jianyu (Eucommiae Cortex? Or likely Guijianyu/Strychnos Nux-vomica stem? Context suggests Guijianyu/Ghost Arrow Feather based on later formulas, but text says "Jianyu". Note: In Song texts, Jianyu often refers to Guijianyu (Evodiae Fructus? No, usually Strychnos or Euodia. Given "Ghost Arrow Feather" appears later, this might be a variant name or error. Standard WHO term for Guijianyu is Evodiae Fructus? No, Guijianyu is typically *Strychnos nux-vomica* L. stem or *Evodia rutaecarpa*. Actually, *Guijianyu* is often *Strychnos nux-vomica* L. stem. Let's use standard Pinyin if uncertain, but here it is likely *Guijianyu*). *Correction*: The text lists "Jianyu" separately from "Guijianyu" later. It might be *Yujian* or similar. I will translate as written.) -> Jianyu (3 fen).
Process the above herbs by grinding into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take 20 pills before meals with warm wine.
**Niuxi Wan (Achyranthes Pill)** for treating postpartum menstrual irregularities, hardness and fullness in the lower abdomen, alternating chills and fever, failure of food to nourish muscles, stabbing pain in the heart and abdomen, dry mouth with excessive saliva, and heaviness in hands and feet:
* Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove seedlings)
* Chishao Yao (Red Peony Root, 3 fen)
* Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, stir-fried until slightly red and sliced)
* Guijianyu (Evodiae Fructus? Or Strychnos Stem? Usually *Strychnos nux-vomica* L. stem is *Nux Vomica*, but *Guijianyu* in TCM is often *Evodia rutaecarpa*? No, *Guijianyu* is *Strychnos nux-vomica* L. stem. Wait, *Guijianyu* is *Evodiae Fructus*? No. *Guijianyu* is *Strychnos nux-vomica* L. stem. Let's stick to Pinyin *Guijianyu*.) (3 fen)
* Renshen (Ginseng Radix, 3 fen, remove rhizome)
* [Missing Character] (1 liang) - *Note: Text has a missing character here.*
* Wumei (Fructus Mume, quantity unspecified)
* Shuizhi (Hirudo, 1 fen, roasted)
Process the above herbs by grinding into fine powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take 20 pills before meals with warm wine.