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After childbirth, if the abdomen is full and stifling with irregular vomiting, it is due to *Bai Xue* (stasis blood) scattering into the Spleen and Stomach. When the Spleen is affected, it cannot transform and transport fine nutrients, resulting in abdominal distension; when the Stomach is affected, it cannot receive and digest food and fluids, leading to vomiting and reflux. (Although this explanation adheres strictly to stasis blood as the cause, the prescription adds Ginseng and Atractylodes macrocephala to purely tonify healthy Qi, which seems somewhat biased; clinical application should be judicious). If ordinary medicines for treating distension and stopping vomiting are used, the medicine will not address the pathology, further damaging healthy Qi, making the disease harder to cure. However, taking Di Sheng Tang will lead to recovery.

Red Peony Root (*Chi Shao*), Pinellia Tuber (*Ban Xia*), Landolphia Vine (*Ze Lan*), Tangerine Peel (*Ju Hong*), Ginseng Root (*Ren Shen*) (each 1 qian), Roasted Licorice Root (*Zhi Gan Cao*) (0.5 qian), Fresh Ginger (*Sheng Jiang*) (3 slices).
Decoct in water and take orally.

If postpartum dryness of the mouth and chest/epigastric stifling occur, it is because noodles were consumed too early (this serves as a warning for those consuming noodles; people in the South rarely consume noodles in their diet, yet can still generate phlegm-dampness, so one should not rigidly adhere only to noodle consumption). The food cannot be digested, accumulates in the epigastrium, and steams upward into the chest, causing dry mouth and thirst, and stifling sensation below the heart. Alternatively, if the mother has internal accumulation of worry and vexation, external injury from dry-heat pathogens, or consumes rich and sweet foods, these also cause dry mouth and stifling. One should regulate according to the specific cause. Caution: do not use purgative methods.

Edema of the four limbs occurs when stasis blood, taking advantage of deficiency, stagnates and accumulates, flowing along the meridians into the limbs. Lingeringly infiltrating over days and months, it corrupts and transforms into fluid-like substance, causing yellowish complexion and edema. Do not hastily administer harsh water-draining drugs such as Kansui Root (*Gan Sui*) or Kytotheca Root (*Da Ji*) to guide out the water. Since the postpartum state is inherently deficient, using drugs to further deplete it constitutes "double deficiency," often leading to premature death. It is unknown that edema varies: some swelling begins during pregnancy and does not resolve after childbirth; others result from poor postpartum care, where external invasion of Wind-Cold, Summer-Heat, and Dampness, combined with internal emotional disturbances (anger, joy, worry, fright), causes Qi and Blood to contend and stagnate in the collaterals, unable to diffuse and ascend. This results in deficiency-type, light, and floating edema, known as Qi Edema, where pathogenic factors reside in the Qi level. If the skin resembles that of a ripe plum, it transforms into Water Edema. Qi Edema resolves through sweating; Water Edema resolves through promoting urination.

Note: In postpartum edema, the differentiation between Qi-level and Blood-level pathology must not be neglected (Qi-level: edema appears first, followed by cessation of menstruation; Blood-level: menstruation ceases first, followed by edema). However, treatment must be based on careful examination of etiology, pulse, and symptoms. For example, when Cold-Water insults Earth (Kidney Water insulting Spleen Earth), nourishing the Spleen is appropriate. For edema due to Lung Qi deficiency, benefiting the Spleen and Stomach is indicated. For Water-Qi edema, tonifying Middle Jiao and augmenting Qi is suitable. Zhu Danxi stated: For postpartum edema, the primary approach should be greatly tonifying Qi and Blood, with minor additions of Atractylodes Rhizome (*Cang Zhu*) and Poria (*Fu Ling*), allowing water to drain naturally.