夫积者。阴气也。五脏所生。聚者。阳气也。六腑所成。皆由饮食不节。冷热不调。致
五脏
性沉
虚弱
治产后余血不散。结成症块。疼痛。桃仁散方。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 当归（一两锉微炒） 赤芍药（三分） 琥珀
（三分）
延
鳖甲
（一
上件药。捣罗为散。每服一钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候温服。
治产后积血不散。结聚为块。或时寒热。不思饮食。京三棱散方。
京三棱（一两微煨锉） 当归（半两锉微炒） 桂心（半两） 芎 （半两） 牡丹（半
两） 牛
膝（
两） 刘
寄
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。温服。日三四服。
治产后。小腹内恶血结聚成块。坚硬疼痛。胀满。鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 桃仁（一两汤浸去皮尖双仁麸炒微黄） 桂心（一两）
川
大黄
两去
苗）
上件药。捣筛为散。每服三钱。水酒各半中盏。入生姜半分。
煎至六分。去滓。食前稍热服。
治产后恶血不散。结成症块。脐腹疼痛。 砂散方。
砂（一两细研） 芫花（半两醋拌炒干） 虻虫（半两去翅足微炒） 水蛭（半两微
炒） 琥
珀（
上件药。捣细罗为散。入研了药令匀。每服食前。以温酒调下一钱。
治产后恶血不尽。经脉日久不通。渐成症块。脐腹胀硬。时时疼痛。水蛭散方。
水蛭（八十枚炒令黄） 虻虫（八十枚去翅足微炒） 牛膝（一两去苗） 牡丹（半两）
桃仁
（一
甲
（一两
茱
萸（半两
上件药。捣细罗为散。入研了药令匀。每服食前。以温酒调下一钱。
治产后恶血不散。积聚成块。在脐腹下。坚硬疼痛。木香丸方。
木香（半两） 京三棱（一两微煨锉） 槟榔（一两） 桂心（半两） 附子（一两炮
裂去皮脐）
没
甲（一
两
归
（半
碎微炒）
干
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服。以温酒下二十丸。日三
四服
治产后血气不散。积聚成块。上攻心腹。或时寒热。四肢羸瘦烦疼。不思饮食。桂
心丸方。
桂心（半两） 没药（半两） 槟榔（半两） 干漆〔三分捣碎炒令黄燥（烟出）〕 当
归（半
两锉
微黄）
鳖甲
三
棱
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服。以温酒下三十丸。日三
四服
治产后积聚。按之跃手。食饮不为肌肤。萎黄不耐劳苦。呕逆上气。月水闭塞。鳖
甲丸方。
鳖甲（一两半涂醋炙令黄去裙 ） 川大黄（一两锉碎微炒） 干漆（半两捣碎炒令烟
出）
熟干
两） 牡丹
（半两）
归（三
分锉微炒）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温酒下十丸。
治产后恶血。结成症块。羸瘦无力。桃仁煎丸方。
桃仁（四十九枚汤浸去皮尖双仁研如膏） 生地黄汁〔一（二）升〕 生牛膝汁（一升）
白
蜜（
〕
京
三
花
（半
川
大黄
上件药。捣细罗为末。入前煎中溲和。捣三二百杵。丸如梧桐子大。每服食前。以温酒
下二
治产后恶血不散。结成症块。经脉不利。干漆丸方。
干漆（一两捣碎炒令烟出） 牡丹（三分） 赤芍药〔半（一）两〕 琥珀（一两） 桃
仁（一
两汤
炒）
川大黄
两） 乱
发灰（
螬
（十三枚
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服二十丸。空心以温酒下。
治产后。腹中有症块。疼痛不可忍。芫花丸方。
芫花（一两醋拌炒干） 川乌头（一两炮裂去皮脐） 干姜（一两炮裂锉） 木香（一
两） 蓬
莪术
上件药。捣罗为末。先以米醋五升。于银锅中煎如稀饧。后下药末。捣三二百杵。丸如
绿豆
治产后恶血不散。积聚成块。琥珀丸方。
琥珀（一两） 赤芍药（一两） 桂心（一两） 当归（一两锉微炒） 川大黄（一两
半锉碎微
炒）
甲（一
两
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每日空心及晚食前。以温酒下
二十
治产后。积聚症块。疼痛。 砂丸方。
砂（五两莹净颗块者以固济了瓷瓶一所用独扫灰纳瓶中可一半安 砂在中心上又以灰
盖之
炮裂
锉
上件药。除 砂外。捣罗为末。入研了药令匀。以酒煮蒸饼和丸。如绿豆大。每日空心。
以
治产后症块。三梭丸方。
京三棱（一两微煨锉） 木香（半两） 砂（三分细研） 芫花（半两醋拌炒干） 巴
豆（一
分去
上件药。捣细罗为末。研入前件 砂巴豆令匀。以米醋二升。熬令减半。下诸药。慢火
熬令
治产后积聚血块。攻心腹。发即令人闷绝。兼破鬼胎等病。大黄煎方。
川大黄（一两锉碎微炒） 芫花（一两醋拌炒令干） 蓬莪术（一两） 咸硝（一两） 桃
仁
（一两
上件药。捣罗为末。以醋二升。于铁器中。慢火熬令稀稠得所。即下米粉搅匀。每日空
心。
治产后脐下结硬。大如升。月经不通。成积聚症块。羸瘦。干漆丸方。
干漆（半斤捣碎炒令烟出研为末） 生地黄（十斤捣绞取汁）
上件药相和。煎令可丸。即丸如梧桐子大。每日空心。以温酒下二十丸。渐加至三十丸。
治产后积聚症块。腹胁疼痛。芫花丸方。
芫花（一两半醋拌炒令干捣罗为末） 巴豆（一分去皮心研纸裹压去油） 砂（三分
细研）
上件药。都研令匀。以醋煮面糊和丸。如绿豆大。每服。以醋汤下二丸。兼治败血冲心。
煎
治产后。积聚症块疼痛。破症丸方。
砂（一两半） 硫黄（一两） 水银（一钱）
上件药。以不着油铫子。先下硫黄。次下 砂。以箸搅令匀。次入水银。又搅炒令稍黑。
不
Accumulation (Ji) is caused by Yin Qi and originates from the Five Zang Organs; Mass (Ju) is caused by Yang Qi and is formed by the Six Fu Organs. All these conditions arise from irregular diet and imbalance of cold and heat, leading to weakness and stagnation of the Five Zang Organs.
**Taoren San Formula (Peach Kernel Powder)** for treating residual blood in postpartum women that does not disperse, forming masses and causing pain:
* Tao Ren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed ends removed, double kernels discarded, bran-fried until slightly yellow)
* Dang Gui (Radix Angelicae Sinensis, 1 liang, sliced and slightly fried)
* Chi Shao Yao (Radix Paeoniae Rubra, 3 qian)
* Hu Po (Succinum, 3 qian)
* Yan Hu Suo (Rhizoma Corydalis, 3 qian)
* Bie Jia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt edges removed)
Crush and sieve the above ingredients into a powder. Take 1 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger (Sheng Jiang). Decoct until reduced to 0.6 zhong. Strain and take warm at any time.
**Jingsanleng San Formula (Burreed Rhizome Powder)** for treating accumulated blood in postpartum women that does not disperse, gathering into masses, accompanied by alternating chills and fever, and loss of appetite:
* Jing San Leng (Rhizoma Sparganii Stoloniferi, 1 liang, lightly roasted and sliced)
* Dang Gui (Radix Angelicae Sinensis, 0.5 liang, sliced and slightly fried)
* Gui Xin (Cortex Cinnamomi, 0.5 liang)
* Xiong Qiong (Radix Chuanxiong, 0.5 liang)
* Mu Dan (Cortex Moutan, 0.5 liang)
* Niu Xi (Radix Achyranthis Bidentatae, 1 liang, sprouts removed)
* Liu Ji Nu (Herba Siegesbeckiae, 0.5 liang)
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger (Sheng Jiang). Decoct until reduced to 0.6 zhong. Strain and take warm. Take 3-4 times daily.
**Bie Jia San Formula (Turtle Shell Powder)** for treating evil blood in the lower abdomen of postpartum women that gathers into hard, painful, and distended masses:
* Bie Jia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt edges removed)
* Tao Ren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed ends removed, double kernels discarded, bran-fried until slightly yellow)
* Gui Xin (Cortex Cinnamomi, 1 liang)
* Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly fried)
* Mang Xiao (Natrii Sulfas, 1 liang)
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add half a zhong of water and half a zhong of wine, plus 0.5 fen of fresh ginger (Sheng Jiang). Decoct until reduced to 0.6 zhong. Strain and take warm before meals.
**Naosha San Formula (Sal Ammoniac Powder)** for treating evil blood in postpartum women that does not disperse, forming masses and causing pain in the umbilical and abdominal regions:
* Naosha (Sal Ammoniac, 1 liang, finely ground)
* Yuan Hua (Flos Genkwa, 0.5 liang, mixed with vinegar and roasted dry)
* Meng Chong (Insectus Blattaes Orientis, 0.5 liang, wings and feet removed, slightly fried)
* Shui Zhi (Hirudo, 0.5 liang, slightly fried)
* Hu Po (Succinum, 1 liang, finely ground)
Finely crush and sieve the above ingredients into a powder, mixing evenly with the already ground substances. Take 1 qian per dose before meals, mixed with warm wine.
**Shui Zhi San Formula (Leech Powder)** for treating incomplete expulsion of evil blood in postpartum women, where meridians remain blocked for a long time, gradually forming masses, with hard distension in the umbilical and abdominal regions and intermittent pain:
* Shui Zhi (Hirudo, 80 pieces, fried until yellow)
* Meng Chong (Insectus Blattaes Orientis, 80 pieces, wings and feet removed, slightly fried)
* Niu Xi (Radix Achyranthis Bidentatae, 1 liang, sprouts removed)
* Mu Dan (Cortex Moutan, 0.5 liang)
* Tao Ren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed ends removed, double kernels discarded, bran-fried until slightly yellow)
* Bie Jia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt edges removed)
* Wu Zhu Yu (Fructus Evodiae, 0.5 liang, soaked in water seven times to remove bitterness, dried and slightly fried)
Finely crush and sieve the above ingredients into a powder, mixing evenly with the already ground substances. Take 1 qian per dose before meals, mixed with warm wine.
**Muxiang Wan Pill (Aucklandia Pill)** for treating evil blood in postpartum women that does not disperse, accumulating into hard, painful masses below the umbilicus and abdomen:
* Mu Xiang (Radix Aucklandiae, 0.5 liang)
* Jing San Leng (Rhizoma Sparganii Stoloniferi, 1 liang, lightly roasted and sliced)
* Bing Lang (Areca Seed, 1 liang)
* Gui Xin (Cortex Cinnamomi, 0.5 liang)
* Fu Zi (Radix Aconiti Lateralis Preparata, 1 liang, roasted until cracked, skin and navel removed)
* Mo Yao (Resina Myrrhae, 0.5 liang, finely ground)
* Bie Jia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt edges removed)
* Dang Gui (Radix Angelicae Sinensis, 0.5 liang, sliced and slightly fried)
* Gan Jiang (Rhizoma Zingiberis Preparatum, 0.5 liang, roasted and sliced)
Crush and sieve the above ingredients into a fine powder. Mix with refined honey and pound 500-700 times. Shape into pills the size of paulownia seeds. Take 20 pills per dose with warm wine, 3-4 times daily.
**Guixin Wan Pill (Cinnamon Heart Pill)** for treating blood and qi stagnation in postpartum women that accumulates into masses attacking the heart and abdomen, accompanied by alternating chills and fever, emaciation and painful soreness of the four limbs, and loss of appetite:
* Gui Xin (Cortex Cinnamomi, 0.5 liang)
* Mo Yao (Resina Myrrhae, 0.5 liang, finely ground)
* Bing Lang (Areca Seed, 0.5 liang)
* Gan Qi (Lac Cum Resina, 3 qian, crushed and fried until yellow and dry, smoke emerging)
* Dang Gui (Radix Angelicae Sinensis, 0.5 liang, sliced and slightly fried)
* Bie Jia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt edges removed)
* Jing San Leng (Rhizoma Sparganii Stoloniferi, 1 liang, lightly roasted and sliced)
Crush and sieve the above ingredients into a fine powder. Mix with refined honey and pound 500-700 times. Shape into pills the size of paulownia seeds. Take 30 pills per dose with warm wine, 3-4 times daily.
**Bie Jia Wan Pill (Turtle Shell Pill)** for treating postpartum accumulation where palpation reveals pulsating sensation, inability of food and drink to nourish the flesh, sallow complexion, intolerance to labor, vomiting and rebellious qi, and amenorrhea:
* Bie Jia (Carapax et Plastrum Testudinis, 1.5 liang, brushed with vinegar and roasted until yellow, skirt edges removed)
* Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly fried)
* Gan Qi (Lac Cum Resina, 0.5 liang, crushed and fried until smoke emerges)
* Shu Di Huang (Radix Rehmanniae Preparata, 1 liang)
* Mu Dan (Cortex Moutan, 0.5 liang)
* Dang Gui (Radix Angelicae Sinensis, 3 qian, sliced and slightly fried)
Crush and sieve the above ingredients into a fine powder. Mix with refined honey and pound 300-500 times. Shape into pills the size of paulownia seeds. Take 10 pills per dose before meals with warm wine.
**Taoren Jian Wan Pill (Peach Kernel Decoction Pill)** for treating evil blood in postpartum women forming masses, accompanied by emaciation and weakness:
* Tao Ren (Semen Persicae, 49 pieces, soaked in hot water, skin and pointed ends removed, double kernels discarded, pounded into paste)
* Sheng Di Huang Zhi (Fresh Juice of Radix Rehmanniae, 2 sheng)
* Sheng Niu Xi Zhi (Fresh Juice of Radix Achyranthis Bidentatae, 1 sheng)
* Bai Mi (White Honey, 2 sheng)
* Jing San Leng (Rhizoma Sparganii Stoloniferi, 1 liang, lightly roasted and sliced)
* Yuan Hua (Flos Genkwa, 0.5 liang, mixed with vinegar and roasted dry)
* Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly fried)
Finely crush and sieve the above ingredients into a powder. Mix with the previous decoction and pound 200-300 times. Shape into pills the size of paulownia seeds. Take 2 pills per dose before meals with warm wine.
**Gan Qi Wan Pill (Lac Cum Resina Pill)** for treating evil blood in postpartum women that does not disperse, forming masses and causing meridian obstruction:
* Gan Qi (Lac Cum Resina, 1 liang, crushed and fried until smoke emerges)
* Mu Dan (Cortex Moutan, 3 qian)
* Chi Shao Yao (Radix Paeoniae Rubra, 1 liang)
* Hu Po (Succinum, 1 liang)
* Tao Ren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed ends removed, double kernels discarded, bran-fried until slightly yellow)
* Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly fried)
* Luan Fa Hui (Ash of Human Hair, 3 qian)
* Si Cao (Insectus Larvae Scarabaei, 13 pieces, slightly fried)
Crush and sieve the above ingredients into a fine powder. Mix with refined honey and form pills. Shape into pills the size of paulownia seeds. Take 20 pills per dose on an empty stomach with warm wine.
**Yuan Hua Wan Pill (Genkwa Flower Pill)** for treating postpartum abdominal masses with unbearable pain:
* Yuan Hua (Flos Genkwa, 1 liang, mixed with vinegar and roasted dry)
* Chuan Wu Tou (Radix Aconiti Kusnezoffii, 1 liang, roasted until cracked, skin and navel removed)
* Gan Jiang (Rhizoma Zingiberis Preparatum, 1 liang, roasted and sliced)
* Mu Xiang (Radix Aucklandiae, 1 liang)
* Peng E Zhu (Rhizoma Curcumae Phaeocaulis, 1 liang, lightly roasted and sliced)
Crush and sieve the above ingredients into a fine powder. First, decoct 5 sheng of rice vinegar in a silver pot until it resembles thin syrup. Then add the medicinal powder and pound 200-300 times. Shape into pills the size of mung beans.
**Hu Po Wan Pill (Succinum Pill)** for treating evil blood in postpartum women that does not disperse, accumulating into masses:
* Hu Po (Succinum, 1 liang)
* Chi Shao Yao (Radix Paeoniae Rubra, 1 liang)
* Gui Xin (Cortex Cinnamomi, 1 liang)
* Dang Gui (Radix Angelicae Sinensis, 1 liang, sliced and slightly fried)
* Chuan Da Huang (Radix et Rhizoma Rhei, 1.5 liang, sliced and slightly fried)
* Bie Jia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar and roasted until yellow, skirt edges removed)
Crush and sieve the above ingredients into a fine powder. Mix with refined honey and pound 200-300 times. Shape into pills the size of paulownia seeds. Take 20 pills per dose on an empty stomach and before evening meals with warm wine.
**Naosha Wan Pill (Sal Ammoniac Pill)** for treating postpartum accumulation and masses with pain:
* Naosha (Sal Ammoniac, 5 liang, select pure crystalline blocks, seal porcelain bottle with lute, fill half the bottle with swept ash, place Naosha in the center, cover with ash), other ingredients roasted until cracked and sliced.
Except for Naosha, crush and sieve the remaining ingredients into a fine powder. Mix evenly with the ground Naosha. Use wine-boiled steamed dough to form pills the size of mung beans. Take on an empty stomach daily.
**San Leng Pill (Burreed Pill)** for treating postpartum masses:
* Jing San Leng (Rhizoma Sparganii Stoloniferi, 1 liang, lightly roasted and sliced)
* Mu Xiang (Radix Aucklandiae, 0.5 liang)
* Naosha (Sal Ammoniac, 3 qian, finely ground)
* Yuan Hua (Flos Genkwa, 0.5 liang, mixed with vinegar and roasted dry)
* Ba Dou (Fructus Crotonis Tiglii, 1 fen, skin and heart removed, wrapped in paper and pressed to remove oil)
Finely crush and sieve the above ingredients into a powder. Grind Naosha and Ba Dou into the mixture evenly. Decoct 2 sheng of rice vinegar until reduced by half. Add the medicines and simmer slowly.
**Da Huang Jian Decoction (Rhubarb Decoction)** for treating postpartum blood accumulation attacking the heart and abdomen, causing fainting upon attack, and also for breaking "ghost fetus" conditions:
* Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly fried)
* Yuan Hua (Flos Genkwa, 1 liang, mixed with vinegar and roasted dry)
* Peng E Zhu (Rhizoma Curcumae Phaeocaulis, 1 liang)
* Xian Xiao (Natrii Sulfas, 1 liang)
* Tao Ren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed ends removed, double kernels discarded, bran-fried until slightly yellow)
Crush and sieve the above ingredients into a fine powder. Decoct 2 sheng of vinegar in an iron vessel over low heat until the desired consistency is reached. Add rice flour and stir well. Take on an empty stomach daily.
**Gan Qi Wan Pill (Lac Cum Resina Pill)** for treating postpartum hard mass under the umbilicus, large as a sheng, with amenorrhea, forming accumulation and masses, and emaciation:
* Gan Qi (Lac Cum Resina, 0.5 jin, crushed, fried until smoke emerges, and ground into powder)
* Sheng Di Huang (Radix Rehmanniae Recens, 10 jin, pounded and squeezed to extract juice)
Mix the ingredients and decoct until suitable for pill formation. Shape into pills the size of paulownia seeds. Take 20 pills per dose on an empty stomach with warm wine, gradually increasing to 30 pills.
**Yuan Hua Wan Pill (Genkwa Flower Pill)** for treating postpartum accumulation and masses with abdominal and hypochondriac pain:
* Yuan Hua (Flos Genkwa, 1.5 liang, mixed with vinegar and roasted dry, then crushed and sieved into powder)
* Ba Dou (Fructus Crotonis Tiglii, 1 fen, skin and heart removed, ground and pressed between paper to remove oil)
* Naosha (Sal Ammoniac, 3 qian, finely ground)
Grind all ingredients evenly. Use vinegar-boiled wheat paste to form pills the size of mung beans. Take 2 pills per dose with vinegar-water decoction. Also treats敗血冲心 (stagnant blood rushing to the heart).
**Po Zheng Pill (Mass-Breaking Pill)** for treating postpartum accumulation and masses with pain:
* Naosha (Sal Ammoniac, 1.5 liang)
* Liu Huang (Sulfur, 1 liang)
* Shui Yin (Hydrargyrum, 1 qian)
In a non-oily crucible, first add Liu Huang, then Naosha, stirring evenly with chopsticks. Then add Shui Yin, stirring and frying until slightly black.