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[Bao] For women in their childhood, before the onset of Tian Gui (menstrual fluid), diseases generally belong to the Shaoyin channel. After Tian Gui has begun to flow, diseases generally belong to the Jueyin channel. When Tian Gui is exhausted and ceases, diseases then belong to the Taiyin channel. Treating pregnancy and postpartum diseases from the perspective of the Jueyin channel is because it is the source of the generation and transformation of ancestral Qi. The Jueyin channel and the Shaoyang channel are exteriorly-interiorly related; therefore, treatment methods must not violate Stomach Qi and the Upper and Middle Jiao. These constitute the "Three Prohibitions": no sweating, no purgation, and no promoting urination. If sweating is induced, it resembles the adverse condition of premature purgation in Cold Damage syndrome. Promoting bowel movements causes rapid pulse and disturbs the Spleen. Promoting urination leads to the loss of body fluids and dryness in the Stomach. The principle of preparing medicine is that if these three prohibitions are not violated, Ying and Wei will naturally harmonize, and chills and fever will cease. Externally harmonizing Ying and Wei internally regulates clear turbidity and bowel/bladder functions. This method should be used as initial treatment, followed by detailed discussion. Observing symptoms requires careful consideration, treating them similarly to adverse conditions of Cold Damage with a缓 (gentle/moderate) approach. Symptoms may include difficulty urinating, constipation, accumulated heat between the intestines and stomach, development of flaccidity syndromes, or edema caused by scattered blood and Qi. Since obstetric pathology is diverse, it is said to resemble adverse conditions of Cold Damage. For example, use Baihu Tang for thirst, Renshen (Ginseng) for Qi deficiency, Danggui (Angelica Sinensis) for stabbing blood pain, and Shaoyao (Peony) for abdominal pain. These examples do not violate the three prohibitions and refer to chronic postpartum diseases. However, acute postpartum illnesses should not be constrained by this rule. For instance, in cases of Heat entering the Blood Chamber after childbirth, use Taoren Chengqi Tang or Didang Tang. In cases of hard and dry Stomach, Dachenqi Tang is used; it cannot simply be discussed as a purgative. Postpartum patients often use Wuji Tang or Siwu Tang without distinguishing the cold-heat of the four seasons or the deficiency-excess of blood and Qi, blindly administering medication uniformly, which exacerbates the condition—this is an error. Generally, for postpartum diseases involving epidemic pathogens, modify Chaihu formulas; for miscellaneous diseases, modify Siwu Tang. Spring and summer favor Chaihu formulas, while autumn and winter favor Siwu Tang. The cold-heat nature of drugs and the deficiency-excess of symptoms must be carefully examined. Siwu Tang is suitable for regular consumption. The following are methods for seasonal modification.

[Nourishing Blood]
Siwu Tang: Benefits Ying and Wei, nourishes blood and Qi. Treats irregular menstruation, umbilical and abdominal pain; menstrual disorders where periods come early or late, vary in quantity, with varying pain, and pain in the waist, feet, and abdomen; metrorrhagia and metrorrhesis, excessive lochia after miscarriage, or retained lochia; abdominal pain and bleeding during pregnancy with fetal unrest; postpartum blood stasis clumps not dispersing, excessive blood loss, or continuous lochia. Decoct Siwu Tang with Zhuyu (Cornus). For Yang constitutions, use less Zhuyu; for Yin constitutions, use more Zhuyu. Another formula adds Xiangfu (Cyperus). Shudihuang (Prepared Rehmannia Root): Nourishes blood. Essential for eliminating pain below the umbilicus; it enters the Kidney channel. Chuanxiong (Ligusticum Chuanxiong Rhizome): Treats wind, drains Liver Wood. Essential for eliminating headache due to blood deficiency; it enters the Liver channel. Shaoyao (Peony Root): Harmonizes blood and regulates Spleen. Essential for eliminating empty pain in the abdomen; it enters the Spleen channel. Danggui (Angelica Sinensis Radix): Harmonizes blood. Essential for eliminating stabbing blood pain, sharp as knife-cutting; it enters the Heart channel.
Grind the above into coarse powder, decoct with water, and take orally.

In Spring, double Chuanxiong (1. Spring, 2. Wiry pulse, 3. Headache).
In Summer, double Shaoyao (1. Summer, 2. Surging pulse, 3. Diarrhea).
In Autumn, double Dihuang (1. Autumn, 2. Choppy pulse, 3. Blood deficiency).
In Winter, double Danggui (1. Winter, 2. Deep pulse, 3. Cold and poor appetite).

If Spring, use Fangfeng Siwu Tang, adding Fangfeng and doubling Chuanxiong. If Summer, use Huangqin Siwu Tang, adding Huangqin and doubling Shaoyao. If Autumn, use Tiamendong Siwu Tang, adding Tianmendong and doubling Dihuang. If Winter, use Guizhi Siwu Tang, adding Guizhi and doubling Danggui. If blood deficiency with abdominal pain, slight sweating, and aversion to wind, add Baizhu and Guizhi to Siwu Tang, called Abdominal Pain Liuhe Tang. If wind-induced dizziness, add Qinjiao and Qianghuo, called Wind Liuhe Tang. If Qi deficiency with weakness upon rising and fainting, add Houpo and Chenpi, called Qi Liuhe Tang. (Is it appropriate to use Qi-draining herbs for Qi insufficiency? One should use Renshen and Fuling instead.) If fever with irritability and insomnia, add Huanglian and Zhizi, called Heat Liuhe Tang. If deficiency-cold with micro-pulse, spontaneous sweating, difficult breathing, but normal bowel and bladder function, add Ganjiang and Fuzi, called Cold Liuhe Tang. If dampness invasion with heavy body, weakness, cool skin, and slight sweating, add Baizhu and Fuling, called Dampness Liuhe Tang. If women suffer from bone, tendon, limb, and joint pain, headache, wiry pulse, and aversion to cold resembling malaria, treat with Wind Liuhe Tang. If blood and Qi injury causing fainting due to emptiness, use Siwu Tang 4 liang, Qianghuo and Fangfeng 1 liang each. If blood and Qi rush to the heart and abdomen with fullness and oppression in the hypochondrium, treat with Qi Liuhe Tang: Siwu Tang 4 liang, Muxiang and Binglang 1 liang each. If deficiency-cold below the umbilicus with abdominal pain and oppressive pain in the lower back and spine, use Xuanhu Liuhe Tang: (Same for lower abdominal pain) Siwu Tang 4 liang, Xuanhusu and Kulian 1 liang each, crushed and stir-fried until scorched. If Qi rushes through meridians causing frequent menstruation and much pain below the umbilicus, use Shaoyao Liuhe Tang: Siwu Tang 4 liang, double Shaoyao, Huangqin 1 liang. If menstruation is about to start with colicky pain below the umbilicus and pre-menstrual pain, indicating stagnant blood, use Bawu Tang: Siwu Tang 4 liang, Xuanhusu, Binglang, Kulian (crushed and stir-fried scorched), Muxiang 1 liang each. If women have blood deficiency with unbearable heart and abdominal pain, remove Dihuang, add Ganjiang, named Sishen Tang. To tonify the Lower Yuan, add Ganjiang half liang, Gancao 7 fen. For Qi building lower abdominal pain, add Xuanhusu and decoct. If stabbing pain in the abdomen with failure to pass foul matter, double Danggui and Shaoyao. If abdominal pain makes sounds and meridians are unsmooth, add double Shudihuang and half-guise Guixin. For menstrual cramps with lower back pain, add Yuntai, Niuxi, Honghua, Wuzhuyu, Shengjiang, Gancao, Silver ware, Dengxin, taken hot. If menstrual flow is scanty and sluggish, add Sunflower to Siwu Tang; also add Honghua and Xuejianchou. If menstrual flow is scanty but color is normal, add Re Dihuang and Danggui 1 liang each to Siwu Tang. If sudden heavy bleeding, add Huangqin to Siwu Tang. If abdominal pain, add Huanglian. Do not remove Huangqin in summer. If menstrual blood looks like black bean juice, add Huangqin and Huanglian 1 liang each. If menstrual flow is excessive with no other symptoms, use Huangqin Liuhe Tang: Siwu Tang 4 liang, Huangqin and Baizhu 1 liang each. For dripping menstrual blood that does not stop, add dried Lotus Pod (Gan Ruilian), stir-fried and added to the decoction. During intercourse or menstruation, add Chishizhi, Huangqi, Rougui, Baicaoshuang, Oujie, Bai Zonghui, Roudoukou, Danggui, Muxiang, Longgu, Baizhu, Fuling, Diyü. If menstruation stops abruptly or comes and goes with alternating chills and fever, first administer Xiaochaihu Tang to resolve chills and fever, then harmonize with Siwu Tang. If chills and fever do not subside, do not take Siwu Tang; this is a changed syndrome, the exterior pathogen remains, and efficacy will not be achieved. According to the previous discussion on changed syndromes, treat according to symptoms. For uterine bleeding, add Shengdihuang and Puhuang. To tonify blood and stop bleeding, add Baicaoshuang, Zonghui, Shumianhui, fried Puhuang, Longgu, Baijiang. For blood clots, add Dihuang and Oujie. For dark blood clots, add Renshen and Baizhu. If the Blood Viscera are deficient and cold with excessive bleeding from metrorrhagia, add Ejiao and Aye. For irregular menstruation, metrorrhagia, varying amounts, timing, vomiting, and epigastric distension, add Chen Ai and Huangqi. For red and white leukorrhea, use Xianggui Liuhe Tang: Siwu Tang 4 liang, Guizhi and Xiangfu 5 qian each. Powder Siwu Tang, make pills with refined honey the size of wutong seeds, take 30-40 pills with rice drink on an empty stomach; effective for leukorrhea in elderly women. For white turbid discharge, add Longgu, Dihuang, Danggui. For five-colored discharge, grind Mosxiang and take with good wine. For bright red discharge, take with warm wine or salt water. For leukorrhea, add Rougui, Puhuang, Baicaoshuang, Gancao, Heidou, Baizhu, Xuanhusu, Baijiang, Longgu, taken with salt wine on an empty stomach. For white leukorrhea, add Bailonggu taken with wine. For blood accumulation in women, add Guangzhu, Jingsanleng, Guizhi, Ganqi (stir-fried until smoke disappears), 1 liang each. For stagnant menstrual blood and painful Qi/blood in the abdomen, add Guangzhu and Guanguui in equal parts. Wang Shifu said: Shudihuang stagnates blood and cannot relieve pain. It is better to replace it with Wulingzhi. For blood stasis obstruction, add Taoren and Honghua 2.5 qian each. For amenorrhea, add Zhike, Dahuang, Jingjie, Huangqin, Qingpi, Huashi, Mutong, Qumai, Haijinsha, Shanzhizi, Cheqianzi. For blood cold, add Gancao, Wumei, Chaihu, Tao Liu Zhi. For long-term amenorrhea, add Rougui, Gancao, Huangqi, Jiangqian, Zaozi, Mutong, Honghua. For blocked menstruation, add Ye Zhu Gen, Niuxi, Honghua, Sumu, old wine, and water, decoct together. For disharmonious blood and Qi, add Wuzhuyu 1 liang, Gancao half liang. Siwu Tang with half liang Gancao, powdered, pilled with honey, 8 pills per liang, dissolve in half cup of wine/vinegar decoction, named Danggui Jian. Removes bad blood, generates good blood. Take another dose after walking for five li, at any time. For deficiency-heat disease, combine Siwu Tang with Shen Su Yin, named Buxin Tang. Add Chaihu to name Wushen Tang, greatly tonifying deficiency and retreating deficiency-heat. For tidal fever, add Huangqin, Digupi, Chaihu. Another formula adds Chaihu, Gange, Huangqin, Renshen. For deficiency-heat with dry mouth, add Maidong and Huangqin 1 liang. For deficiency-thirst, add Renshen, Gange, Wumei, Gualougen. For deficiency with excessive sweating, add Du Mu Li and Mahuanggen half liang each. For deficiency-chills and fever, add Chaihu, Digupi, Baizhu, Fuling, Gancao, Qinjiao, Zhimu, Huangqin, Maiya, Beimu, Renshen, Wumei, Zaozi. For swollen and painful limbs unable to move, use Cangzhu Ge Ban Tang. For dry stool, combine Siwu Tang and Tiaowei Chengqi Tang equally, named Yuzhu San. For moistening dryness, use Siliwuli Zhong Ge Ban Tang. For combined blood and Qi deficiency, combine Siwu Tang and Sijunzi Tang equally, named Bazhen Tang. Add Suasharen to protect fetal Qi and enable conception. If heat, add Huangqin. If wind generated by heat, add Chuanxiong, Chaihu, Fangfeng. One formula lacks this herb. For blood-Qi labor, add Jingjie, Chaihu. For blood-wind stabbing pain in both hypochondria or coiled intestine forming masses, add Dahuang, Biba, Rushi. For wind generated by weak blood, bi-pain in limbs, difficulty walking, add Renshen, Rushi, Moyao, Mosxiang, Gancao, Wulingzhi, Qianghuo, Duhuo, Fangfeng, Jingjie, Dilong, Nanxing, Baifuzi, Zelan, powder, pill with honey. Take with Papaya salt water. For blood-wind distension, add Gancao, Muxiang, Zhike, Madouling, Tingli, Zisu, Huoxiang, Dihuang, take on empty stomach. For organ constipation, add Dahuang, Taoren. For slippery diarrhea, add Guanguui, Fuzi. For deficiency diarrhea, add Renshen, Chuanxiong, Baizhi, Puhuang, fried Ejiao, Baizhu, Zhuyu, Xuduan, Ganjiang, Fuzi, Rougui, Huangqi, Chishizhi, Gancao, pill with honey. Take with Salt Plum water. For vomiting, add Baizhu, Renshen. One formula has Shengjiang. For persistent vomiting, add Huoxiang, Baizhu half liang, Renshen 2.5 qian. For retching with inability to eat, add Baizhu, Rushi, Gancao, Renshen, Suosha, Yizhiren, Hujiao. For cough, add Sangbaipi, Banxia, Renshen, Shengjiang, Beiwuzi, Gancao. For wind-labor cough, add Kuandonghua, Zhimu, Ejiao, Banxia, Mahuang, Gancao, Madouling, Huangqin, Xingren, Chaihu, Jiangqian, Hezi, Wumei. For chills and fever, add Gan Shengjiang, Mudanpi, Chaihu. One formula adds Shaoyao. For alternating chills and fever, add Pao Ganjiang and Mudanpi 1 fen each. For mild chronic deficiency-dizziness, emaciation, fatigue, and amenorrhea, use only Shengjiang and Bohe. This is a common medicine for women, with mild flavor and gentle nature, slow effect but deep merit. For extreme thirst, add Zhimu, Shigao. For water retention under the heart with slight vomiting, add Zhuling, Fuling, Fangji. For heart and abdominal fullness, add Zhike, Qingpi. For deficiency sweating, add Mahuanggen. For excessive sweating, add Fu Mai. For hematochezia, cold limbs, distension, wind in intestines/stomach, use Huaihua, Zhike, Lulu, Jingjie, Muxiang, Bai Jiguanhua, Mutong, Hongneixiao, Zicao, Shiliupi, Chenpi, Qingpi, Huangqin, Gancao, Baimaogen, Huaijiao. For intestinal wind hematochezia, add Huaijiao, Huaihua, Zhike, Jingjie, Huangqin, Dafupi, Hongneixiao, Diyü, Shinanye, Bai Jiguanhua, powder/decoct, half powder, take on empty stomach with salt water/old wine. For epistaxis and hematemesis, add Zhuqing, Puhuang, Oujie, Banxia, Dingxiang, Hezi, Guihua, Hongzao, Feiluomian, Baimaogen, Bangfen. For dizziness and stiff neck, add Renshen, Huangqin. For deficiency-cold resembling Cold Damage, add Renshen, Chaihu, Fangfeng. For deficiency-irritability and insomnia, add Zhuye, Renshen. For pains with dampness, combine Siwu Tang and Baizhu equally, add Tianma, Fuling, Chuanshanjia, decoct with wine. For elderly wind-constipation, add Qingpi in equal parts, decoct. For sores, decoct Jingjie in wine for regular use. For breast abscess, add Lianqiao, Cigu Zi, Hongneixiao, Baizhi, Gupian, Jingjie, Niuxi, Shan Wugong, Rushi, Moyao, Lulu, Shengdihuang. For red eyes and head wind disease, add Bohe, Qingcha. For red eyes with wind, add Fangfeng, Huangqin. For wind sores with red swelling, add Jingjie, Niubangzi, Heshouwu, Gancao, Fangfeng, Qianghuo, Dihuang, salt, wine. For foot swelling, add Dafupi, Chixiaodou, Fulingpi, Shengjiangpi. For women with Cold Damage, reduced diet after sweating/purgation, blood deficiency, use Bawu Tang: Siwu Tang 4 liang, Huangqi, Baizhu, Fuling, Gancao 1 liang each. For pregnant women with Cold Damage, wind-strike exterior deficiency with spontaneous sweating, headache, stiff neck, fever, aversion to cold, floating weak pulse, Taiyang channel disease, use Biaoxu Liuhe Tang: Siwu Tang 4 liang, Guizhi, Digupi 7 qian each. For pregnant women with Cold Damage, headache, fever, no sweat, floating tight pulse, Taiyang channel disease, use Biaoshi Liuhe Tang: Siwu Tang 4 liang, Mahuang, Xixin half liang each. For pregnant women with Cold Damage, wind-damp invasion, limb pain, floating hot pulse, headache, this is Taiyang marked disease, use Fengshi Liuhe Tang: Siwu Tang 4 liang, Fangfeng, Cangzhu 7 qian each. For pregnant women with Cold Damage, failure to heal after passing stages following purgation, warm toxin causing rash like brocade, use Shengma Liuhe Tang: Siwu Tang 4 liang, Shengma, Lianqiao 7 qian each. For pregnant women with Cold Damage, chest/hypochondriac fullness/pain, wiry pulse, Shaoyang dizziness/stiff neck, use Chaihu Liuhe Tang: Siwu Tang 4 liang, Chaihu, Huangqin 7 qian each. For pregnant women with Cold Damage, hard stool, red urine, fullness, deep rapid pulse, Yangming/Taiyang root disease, purge urgently, use Dahuang Liuhe Tang: Siwu Tang 4 liang, Dahuang half liang, Taoren 10 (skin/kernel removed, bran-fried). For pregnant women with Cold Damage, persistent cough after sweating/purgation, use Renshen Liuhe Tang: Siwu Tang 4 liang, Renshen, Wuzi half liang each. For pregnant women with Cold Damage, deficiency-fullness after sweating/purgation, Yangming root deficiency, use Houpo Liuhe Tang, also treats cough/wheeze/fullness. Siwu Tang 4 liang, Houpo, Zhishi (bran-fried) half liang each. For pregnant women with Cold Damage, insomnia after sweating/purgation, use Zhizi Liuhe Tang: Siwu Tang 4 liang, Zhizi, Huangqin half liang each. For pregnant women with Cold Damage, high fever, extreme thirst, steaming irritability, long large pulse, use Shigao Liuhe Tang: Siwu Tang 4 liang, Shigao, Zhimu half liang each. For pregnant women with Cold Damage, difficulty urinating, Taiyang root disease, use Fuling Liuhe Tang: Siwu Tang 4 liang, Fuling, Zexie half liang each. For pregnant women with Cold Damage, Taiyang root disease, urine red like blood, use Hupo Liuhe Tang: Siwu Tang 4 liang, Hupo, Fuling half liang each. For pregnant women with Cold Damage, continuous bleeding after sweating/purgation, damaged fetal Qi, use Jiaoai Liuhe Tang: Siwu Tang 4 liang, Ejiao, Aye half liang each. One formula adds Gancao, same as above. One formula adds Ganjiang, Gancao, Huangqi. For pregnant women with Cold Damage, limb spasms, cool skin slight sweat, abdominal pain, deep slow pulse, Shaoyin disease, use Fuzi Liuhe Tang: Siwu Tang 4 liang, Fuzi (pao, skin/root removed), Guizhi half liang each. For pregnant women with Cold Damage blood accumulation syndrome, do not use abortifacients, use Siwu Dahuang Tang: Siwu Tang 4 liang, Shengdihuang, Dahuang (wine-soaked) half liang each. Siwu Tang can be combined equally with Mahuang, Guizhi, Baihu, Chaihu, Lizhong, Sini, Zhuyu, Chengqi, Liangge etc., cannot list all; this is the general principle of Yi Lao's medication.
For stabilizing fetus and stopping leakage bleeding, add Ejiao, Da Ai, Gancao, fried Puhuang. For restless fetus with continuous bleeding, add 5-7 leaves of Aye per dose, plus Congbai, Ejiao powder, Huangqi, reduce the four main ingredients by half, use only small amount of Danggui. For severe cases, use half liang of each of the four ingredients, finely cut, with 4 cups water, one piece of cooked Aye egg-sized, 5-7 pieces Ejiao, decoct to 2.5 cups, strain, divide into 4 doses, finish in one day. One formula adds Fencacao, Ganjiang, Huangqi, 2-3 times daily, up to two "La" (one La = 7 days). Once or twice daily before/during pregnancy. Also treats persistent bloody dysentery with unbearable abdominal pain, add Ejiao, Aye decoct, named Liwu Tang. Safe even if Qi deficiency and Blood Sea are disharmonious. One formula: Siwu Tang plus Huangqi, Boye, Ejiao, Gancao, Xuduan; effective for prolonged dripping menstruation, varying amounts/colors, non-time bleeding.
For conception-related Small Intestine Qi pain, add Muxiang, Huaixiang; for prenatal cough, add Zhike, Gancao, Kuandong, Zhimu, Madouling, Banxia, Mutong, Tingli, Renshen, Kugen, Maidong. For fetal Qi rushing to Liver with numb legs/feet and difficulty walking, add Zhike, Mutong, Lianqiao, Jingjie, Dihuang, Qianghuo, Duhuo, Shanzhi, Gancao, Dengxin, take on empty stomach. For pregnancy irritability, add Zhuru one piece. If there is bad blood, use upper section of Danggui, replace Baishaoyao with Chishaoyao, replace Shudihuang with Shengdihuang. For pregnancy nausea, chills, blue face, anorexia, exhaustion, add Chenpi, Zhike, Baizhu, Fuling, Gancao. For threatened abortion with continuous bleeding, headache, chills/fever, tinnitus due to blood/Qi labor injury, add Huangqin, Jingjie, Shengdihuang, Chishaoyao, Shengjiang. For labor prep with tight lower abdominal pain, add Honghua, Huashi, Gancao, Dengxin, Kuizi. For postpartum lochia with persistent abdominal pain, add Taoren, Sumu, Niuxi. For postpartum abdominal pain, attacking blood clumps