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Xue Lizhai stated: If the aforementioned syndrome is due to deficiency of Yang Qi and cold, it should be warmed with Yanmi Tang (Rock Honey Decoction). If blood stasis rushes upward, Shixiao San (Pain-Relieving Powder) should be used to promote circulation. If the blood has dispersed but pain persists, Bazhen Tang (Eight-Treasure Decoction) should be used for tonification. Generally speaking, if pain in the heart or abdomen does not worsen upon manual pressure, this indicates Blood Deficiency (deficiency of nutritive blood), and tonic agents must be employed.

Shenzhai commented: The above four items outline syndromes of Heart Pain (pain in the epigastric/cardiac region) occurring postpartum. Postpartum Heart Pain is either caused by Fire rebelling upward due to Blood Deficiency or by Cold coagulation damaging the Blood. Chanbao (Precious Prescriptions for Childbirth) uses Yanmi Tang to treat Blood coagulation due to deficiency-cold, which is appropriate. However, if Daquan (Complete Works on Gynecology) suggests that Fire attacks the Pericardium Collateral yet still employs Yanmi Tang, is this an application of "treating heat with heat" (reverse treatment)? Would this not risk aiding the pathogenic factor and causing harm? Regarding postpartum Heart Pain caused by severe blood loss, it also belongs to the category of incomplete expulsion of Lochia (postpartum discharge). As Chen Wuyue commented on Da Yanmi Tang: Postpartum Heart Pain, although not a common disease of the lying-in period, pain may have nine types; it is not necessarily Blood Stasis pain. In such cases, how can Shudi (Rehmanniae Radix Preparata, prepared Rehmannia root) be used, given its cloying nature that impedes blood flow? How can it relieve pain? To treat Blood Stasis pain with this decoction is inferior to the more rapid efficacy of Shixiao San. I believe that most cases of postpartum Heart Pain are related to Blood. However, there are differences between Cold, Heat, Deficiency, and Excess. To claim that it is "not necessarily Blood Stasis pain" is incorrect.

Jinkui Yaolue (Essential Prescriptions from the Golden Cabinet) states: For postpartum abdominal pain, the method dictates using Zhishi Shaoyao San (Immature Bitter Orange and Peony Powder). If it does not heal, this indicates Dry Blood (chronic blood stasis) adhering below the umbilicus, and Xiayuxue Tang (Decoction to Purge Blood Stasis) should be primarily administered.

Daquan states: Although Lochia usually flows smoothly after childbirth, external contraction of the Five Pathogens (Wind, Cold, Summerheat, Dampness, Dryness/Fire) or internal injury from the Seven Emotions (Joy, Anger, Worry, Overthinking, Sorrow, Fear, Fright) can cause it to stop abruptly. Residual blood becomes stagnant and is not fully expelled, thus causing abdominal pain. One must examine the etiology to treat accordingly.

Wang Jiezhai stated: For instance, if a parturient woman, within several days post-delivery, maintains normal diet but suddenly experiences abdominal pain, with six pulses being deep and hidden, and limbs cold, this indicates incomplete expulsion of Lochia combined with food stagnation entangling blood, resulting in suppressed pulses. This should not be mistaken for Dual Deficiency of Qi and Blood treated with strong tonics; rather, herbs that resolve stagnation and promote blood circulation should be used.

Jinkui Yaolue states: For dull, lingering abdominal pain after childbirth, Danggui Shengjiang Yangrou Tang (Angelica Sinensis, Ginger, and Mutton Decoction) is indicated. The annotation explains: "Lingering pain" refers to slow, dull pain. This generally belongs to obstruction by exogenous Cold. Therefore, Danggui (Angelicae Sinensis Radix) is used to unblock stagnation in the Blood aspect, and Shengjiang (Zingiberis Rhizoma Recens, fresh ginger) is used to circulate Cold in the Qi aspect. Mutton is used as the sovereign herb because, as stated, "for those lacking form, flavor is used to tonify." Mutton tonifies Qi, and since lingering pain belongs to Qi weakness, this formula is suitable.