产后胃气不和。呕吐不止。全不纳谷。在七日内。血块未除。当重消块。佐以温胃。
川芎 人参(各一钱) 当归(二钱) 干姜 砂仁 藿香(各四分) 炙甘草(五分) 桃仁(十
粒) 姜(一片) 如有汗。不用姜，七日内外。已服生化汤三四帖。血块不痛。呕吐不纳谷。
川芎(一钱) 当归 扁豆(各二钱) 干姜 豆蔻(各四分) 甘草(三分) 人参 茯苓(各一
钱) 藿香(三分) 山药(一钱五分) 陈皮(三分) 姜(一片) 煎服。呕止后，减去豆蔻。
(〔吴按〕扁豆宜用壳。)
产后呕吐。服前二方。而胃和呕止痛止。但气血不行。食少。
人参 白术 当归 扁豆(各一钱) 茯苓(二钱) 甘草 陈皮 干姜(各四分) 山药(一钱
五分) 煎服。
产后形体劳倦。虽少食亦运化羁迟。胸腹欠舒。故无嗳酸气味。不可即投消导。纵伤食而嗳
酸。恶心。恶食。饱闷。当于生化汤内佐消导。若血块消尽。宜以参术为主。消导为佐。若
夫因伤诸食。服消食开胃药多。反损胃气。必增虚饱满闷。多不思谷。医者又误认原伤食物未
消。不敢用补助胃气之药。多致不救。予治此症。用长生活命丹。活人多矣。
Postpartum disharmony of Stomach Qi, incessant vomiting, and complete inability to accept food. Within seven days, if blood stasis has not been eliminated, one should focus on resolving the stasis, assisted by warming the Stomach.
Formula: Chuanxiong Rhizoma (Chuanxiong), Ginseng Radix et Rhizoma (Renshen) (each 1 qian), Angelicae Sinensis Radix (Danggui) (2 qian), Zingiberis Rhizoma Recens (Ganjiang), Amomi Fructus Rotundus (Sharen), Agastegher Herba (Huoxiang) (each 4 fen), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gancao) (5 fen), Persic Semen (Taoren) (10 grains), Zingiberis Rhizoma Recens (Jiang) (1 slice). If there is sweating, do not use Ginger. Within or around seven days postpartum, if Shenghua Tang has already been taken for three to four doses, and there is no pain from blood stasis but vomiting and inability to eat persist.
Formula: Chuanxiong Rhizoma (Chuanxiong) (1 qian), Angelicae Sinensis Radix (Danggui), Dolichos Lablab Semen Album (Bian Dou) (each 2 qian), Zingiberis Rhizoma Recens (Ganjiang), Myristicae Semen (Doukou) (each 4 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen), Ginseng Radix et Rhizoma (Renshen), Poria (Fuling) (each 1 qian), Agastegher Herba (Huoxiang) (3 fen), Dioscoreae Rhizoma (Shanyao) (1.5 qian), Citri Reticulatae Pericarpium (Chenpi) (3 fen), Zingiberis Rhizoma Recens (Jiang) (1 slice). Decoct and take orally. After vomiting stops, remove Myristicae Semen (Doukou). [Note by Wu: Dolichos Lablab Semen Album (Bian Dou) should preferably be used with its shell.]
Postpartum vomiting. After taking the previous two formulas, Stomach Qi harmonizes, vomiting and pain cease. However, Qi and Blood do not circulate well, and appetite is poor.
Formula: Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui), Dolichos Lablab Semen Album (Bian Dou) (each 1 qian), Poria (Fuling) (2 qian), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Zingiberis Rhizoma Recens (Ganjiang) (each 4 fen), Dioscoreae Rhizoma (Shanyao) (1.5 qian). Decoct and take orally.
Postpartum physical fatigue and exhaustion. Even with small amounts of food, digestion and transformation are sluggish. The chest and abdomen feel uncomfortable. Therefore, there is no sour belching. One should not immediately administer digestive-promoting herbs. Even if it is food stagnation causing sour belching, nausea, aversion to food, fullness, and oppression, one should assist with digestive-promoting herbs within Shenghua Tang. If blood stasis is completely resolved, one should prioritize Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu), with digestive-promoting herbs as assistants. If the condition arises from damaging various foods, taking too many digestive-promoting and appetite-stimulating herbs will反而 damage Stomach Qi, inevitably increasing deficiency-fullness and oppression, leading to a lack of desire for grain. Physicians may mistakenly believe that the originally damaged food has not yet digested and dare not use herbs to tonify Stomach Qi, often resulting in untreatable conditions. I treat this syndrome using Changsheng Huoming Dan, having saved many people.
Formula: Ginseng Radix et Rhizoma (Renshen) (3-4 qian). Decoct in water, mix with the powder of scorched rice at the bottom of the pot (Guodi Fanjiao) and take orally. [Note by Wu: Guodi Fanjiao is commonly known as Guoba (scorched rice crust).]