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Zhu Danxi said: One may ask, regarding women who have just given birth, whose good blood (normal blood) is already deficient and whose foul blood (lochia or stasis) may be retained, is Black Spirit Powder not an essential medicine? The answer is: The Kun Yuan (the primal power of the Earth that nurtures all things) is profound; all things rely on it for life, which is the constant principle. For women who have just delivered, good blood is not necessarily deficient, foul blood is not necessarily accumulated, and the Zang-Fu organs are not necessarily cold; why use medicine? If one diligently cares for diet and daily life, what illness would there be? Indeed, if there is retained foul blood, a weak constitution, and cold signs, taking it might be acceptable. However, if other diseases exist, one must seek the cause of the illness and determine which meridian is affected. Treat Qi disorders by regulating Qi, treat Blood disorders by regulating Blood, warm the cold, clear the heat, move stagnation, tonify deficiency, and stop excessive bleeding. Why adhere rigidly to this formula and order everyone to take it, disregarding the harm of causing disease in those without illness? Black Spirit Powder uses the warming properties of Gan Jiang (Dried Ginger) and Dang Gui (Angelica Sinensis), the sweetness of Hei Dou (Black Soybean), and the richness of Shu Di Huang (Prepared Rehmannia Root) to tonify Blood deficiency. It is assisted by Chao Pu Huang (Fried Sparganii Pollen) to prevent excessive bleeding. Shao Yao (Peony Root), with its sour and cold nature, possesses both astringent and dispersing properties, aiding the previous four herbs. Rou Gui (Cinnamon Bark), being greatly acrid and hot, moves stagnant blood. This is harmonized by the moderating effect of Gan Cao (Licorice Root). Its formulation seems precise; however, expelling stasis and tonifying deficiency seem difficult to treat simultaneously in the same prescription. Suppose there are individuals with irritable temperaments, thin bodies, pre-existing fire-anger, or those lying in during summer when the Fire phase is dominant; in such cases, Gan Jiang and Rou Gui are contraindicated. Although this is a tonic formula, it has biased effects. If the Zang-Fu organs lack cold, how can they tolerate it? One must discard Black Spirit Powder. In wealthy families, indulgent women may suddenly suffer from leukorrhea, wind-headache, Qi-pain, chest fullness, rebellious phlegm, dry mouth, irregular menstruation, hair loss, and fatigue. These are all manifestations of Excess Yang and Deficient Yin. Innate Qi and Blood are originally balanced. To speak of "Excess" or "Deficiency," how do we know these were not precipitated by such misguided practices?

Zhang Huang commented: Parturients with a constitutional tendency towards thinness and heat, or those with chronic郁火 (depressed fire) and accumulated heat, or those whose Chong and Ren meridians are depleted and pulses are choppy due to multiple births, may experience Er Zhen Tong (postpartum abdominal pain caused by uterine contraction/stasis) after delivery. Crude practitioners, sticking rigidly to ancient formulas, recklessly administer Rou Gui (Cinnamon Bark), bringing disaster swiftly. Therefore, Rou Gui should only be administered when childbirth occurs in severe cold, wind-cold invades due to deficiency, and blood stasis prevents flow, in order to promote the circulation of blood vessels.