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Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Shudi (Radix Rehmanniae Preparata), Baishao (Radix Paeoniae Alba) (each 2 qian), Xiangfu (Rhizoma Cyperi Rotundati) (1.5 qian), Taoren (Semen Persicae), Zhike (Fructus Aurantii Immaturum) (each 7 fen), Suosha (Fructus Amomi Rotundus), Zisu (Folium Perillae) (each 1 qian).

Yimu Wan (Motherwort Pill), Cuisheng Wansan (Delivery-inducing Pills and Powders), Lu Jiao Hui (Ash of Deer Antler), Da Liao Shen Gui Tang (Large-dose Ginseng and Angelica Decoction), Shenghua Tang (Transformation of Stasis Decoction).

If the labor pains are not yet intense, and the pubic symphysis (Jiaogu) has not opened, even if the amniotic fluid has ruptured, delivery should not be attempted immediately. If the amniotic fluid has been flowing for a long time but the pubic symphysis remains unopened, it is appropriate to administer Da Liao Shen Gui Tang (Large-dose Ginseng and Angelica Decoction), along with nutritional support to tonify Qi and Blood. If the birth canal is open but the fetal head is malpositioned, delivery-inducing pills and powders should not be used. When administering drugs to induce labor, preparations that break Blood, consume Qi, or contain pungent aromatic substances that circulate rapidly should not be used. After the fetus is delivered but the placenta is retained, the mother should not lie flat; she should frequently take Shenghua Tang (Transformation of Stasis Decoction). After the placenta is expelled, cold pathogens must be prevented from entering the abdomen, and special care must be taken to prevent "thief wind" (external pathogenic Wind-Cold) from entering the birth canal. After childbirth, place a red-hot weight into a vinegar bottle and fumigate the mother's nostrils with the bottle's mouth; this can prevent syncope due to blood loss (Xue Yun) and dispel foul odors. Within one month postpartum, anger should be avoided, fright should be prevented, strenuous physical labor should be eschewed, and diet should be managed carefully.

Women suffer from diseases more than men because pregnancy and childbirth-related conditions are prevalent. During pregnancy, although caution is advised, there is ample time; unless it is a critical condition, recovery can often be gradual, avoiding lifelong burden. However, in the postpartum period, any negligence or improper medical treatment can lead to rapid disaster. Even if death is avoided, the immediate suffering is severe, and chronic illnesses are common thereafter. Therefore, this chapter is placed at the beginning to universally admonish mothers and midwives to exercise utmost prudence, so that neither party will regret later.

Postpartum blood stasis masses (Xue Kuai) are of primary importance in obstetrics and should not be dismissed as minor conditions. This occurs because residual blood from pregnancy, if the mother is robust and delivery is smooth, is expelled along with the fetus, preventing prolonged retention and pain. It mostly results from excessive fatigue during delivery, improper nursing, or lack of warmth in the abdomen. Without careful regulation, various complications may arise. Regarding treatment, ancient formulas tended to use Sumu (Lignum Sappan), Sanleng (Rhizoma Sparganii), and Ezhu (Rhizoma Curcumae) for aggressive expulsion; contemporary folk practices often used Shengdi (Radix Rehmanniae Recens), Honghua (Flos Carthami) for rapid blood activation; or Sumu (Lignum Sappan) and Niuxi (Radix Achyranthis Bidentatae) for strong blood-breaking. These three approaches severely deplete the postpartum woman, offering no benefit and potentially causing critical postpartum syndromes, akin to killing with a knife. Although postpartum blood stasis should be resolved, new Blood must also be generated; effective treatment requires promoting circulation while tonifying, and resolving stasis while generating new tissue. Thus, Shenghua Tang (Transformation of Stasis Decoction) is the supreme treasure for the immediate postpartum period, as it eliminates stasis and stops pain, clarifies the mind, and restores Qi. Even remedies like Shan Zha (Fructus Crataegi), sugar to resolve masses, and ginger, pepper, mugwort, wine to stop pain, can lead to strangury, metrorrhagia, fainting, or vertigo; they are not good agents. Similarly, using Wuyao (Radix Linderae), Xiangfu (Rhizoma Cyperi Rotundati) to regulate Qi, Zhike (Fructus Aurantii Immaturum), Houpo (Cortex Magnoliae Officinalis) to soothe, or Qingpi (Pericarpium Citri Reticulatae Viride), Zhishi (Fructus Aurantii Immaturum), Suzi (Fructus Perillae) to descend Qi and calm asthma, Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis), Zhizi (Fructus Gardeniae), Huangbai (Cortex Phellodendri) to clear heat and relieve irritability—these are discussed. As for constipation due to Blood dryness, using Chengqi Tang (Major Order the Qi Decoction) to purge leads to worse accumulation; for profuse sweating and scanty dark urine, using Wuling San (Five-Ingredient Powder with Poria) to promote urination leads to greater retention. These are hardly worth discussing. Generally, for all postpartum conditions, Shenghua Tang (Transformation of Stasis Decoction) serves as the sovereign remedy, with other prescriptions merely modified according to symptoms. When treating postpartum disorders, do not adhere to eccentric methods or blindly follow ancient formulas. I have formulated specific prescriptions under this section based on symptoms for reference and use.